Body Mindfulness and Peak Performance

Peter ForsterPhysical Conditions and Health, Psychobiology, Self Care

Research from the UCSD Center for Mindfulness suggests that what distinguishes people who are resilient in the face of physical challenges from others may be a natural capacity for the kind of self-awareness that mindfulness teaches, in other words, that body mindfulness and peak performance may be inextricably linked. Psychologist Lori Haase, and her colleagues at UCSD, have conducted a series of …

Escitalopram Reduces Inflammation in Depression

Peter ForsterMajor Depression, Physical Conditions and Health, Psychobiology, Treatments of Depression

Escitalopram reduces inflammation in depression and potentially reduces neurotoxicity according to an article just published in the Journal of Psychiatric Research. A pro-inflammatory tendence has previously been noted in patients with depression, and this seems to be associated strongly with increases in kynurenine (see below for more information on how exercise counteracts this tendency). Kynurenine is the first step in …

Lithium and Kidney Damage

Peter ForsterBipolar Treatment, Physical Conditions and Health

Lithium may be effective as a mood stabilizer, but questions often come up about its safety, particularly with regard to kidney or renal effects. A recent very large study published in November 2015 in JAMA Psychiatry looked at a huge dataset from Denmark in order to provide the best information we have now about these risks. The study consisted of records …

Natural Isn’t Necessarily Safe

Peter ForsterPhysical Conditions and Health

23,000 emergency room visits per year are the result of taking “natural supplements.” Natural does not mean safe. In 1994, Congress passed the Dietary Supplement Health and Education Act (DSHEA), with heavy backing from industry. By defining herbal supplements and botanicals as dietary supplements, DSHEA exempted them from the more rigorous standards used by the FDA in regulating food, drugs, and …

MIND Diet Prevents Cognitive Decline

Peter ForsterPhysical Conditions and Health, Self Care

Researchers at Rush University have developed a diet (the MIND diet) that appears to be associated with significantly reduced cognitive decline in aging. The diet was developed from three sources of information: the Mediterranean diet (as elsewhere on this blog), the DASH diet for the prevention of hypertension, and a review of the literature on the effects of specific dietary …

SSRI Antidepressants and Pregnancy – 2015

Peter ForsterMajor Depression, Physical Conditions and Health, Treatments of Depression

A recent study concludes that there may be some good news about the impact of SSRI antidepressants on the fetus in women who are pregnant. The authors used national registry data to examine the relationship between pre-birth SSRI treatment and pregnancy complications while controlling for the effects of the psychiatric diagnoses related to SSRI use. Some previous studies had just compared people who took …

Mediterranean Diet Improves Cognitive Function

Peter ForsterPhysical Conditions and Health, Self Care

Many of our patients are concerned about cognitive function, and there is evidence that people with recurrent episodes of depression may be at higher risk of cognitive decline. But what can be done about this? A just published study in JAMA Internal Medicine suggests that a Mediterranean diet enhanced with either olive oil or nuts may prevent and perhaps even …

Weight Loss Medication

Peter ForsterPhysical Conditions and Health

A new pill with the brand name Contrave was recently approved for the treatment of obesity by the FDA. This pill is an extended release, fixed dose, combination of two previously approved medications: bupropion, a commonly used antidepressant which has also been approved as an aid to those were trying to stop smoking, and naltrexone, a medication that blocks the …

Mediterranean Diet Anti Aging Effect

Peter ForsterPhysical Conditions and Health, Self Care

The Mediterranean Diet appears to have an anti aging effect in a just published study. The study, in the December 2014 edition of the British Medical Journal, found that the Mediterranean Diet was associated with telomere length, a biological marker of aging. Telomeres are DNA sequences at the end of chromosomes that protect the chromosomes from damage and allow healthy cell …