| The
Editors |
Dan
Stradford, Editor
Alan Graham, Assistant Editor
Gloria McTaggart, Assistant Editor
SafeHarborProj@aol.com
www.AlternativeMentalHealth.com
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| About
Safe Harbor |
| Safe
Harbor was founded in 1998 in the wake of growing
public dissatisfaction with the unwanted effects of
orthodox psychiatric treatments such as medication and
shock therapy. Seeking to satisfy the desire for
safer, more effective treatments, Safe Harbor is
dedicated to educating the public, the medical
profession, and government officials on research and
treatments that, minimally, do no harm and, optimally,
cure the causes of severe mental symptoms. Our primary
thrust is education on the medical causes of severe
mental symptoms and the use of nutritional and other
natural treatments.
|
| About
AlternativeMentalHealth.com |
| ALTERNATIVEMENTALHEALTH.COM
IS THE WORLD'S LARGEST WEB SITE DEVOTED exclusively to
alternative mental health treatments. It includes a
directory of over 240 physicians, nutritionists,
experts, organizations, and facilities around the U.S.
that offer or promote safe, alternative treatments for
severe mental symptoms. Many of the physicians listed
do in-depth examinations to find the physical causes
behind mental problems.
Also included on the site is an array of articles
on topics ranging from the medical causes of
schizophrenia to the effects of toxic metals on mental
health.
Special AlternativeMentalHealth.com T-shirts and
bumper stickers are available at our online store.
A bookstore page lists top books that cover many
areas of alternative treatments with titles like
Natural Healing for Schizophrenia and Other Common
Mental Disorders and No More Ritalin.
AlternativeMentalHealth.com has been created to
educate the public, practitioners, and government
officials on the medical conditions that create
"mental illness" and the many safe resources
available for addressing and often curing severe
mental symptoms.
|
| WE
WELCOME YOUR DONATIONS. AS A NONPROFIT ORGANIZATION,
SAFE HARBOR IS SUPPORTED SOLELY THROUGH THE
GENEROSITY OF THE PUBLIC. DONATIONS CAN BE MADE
ONLINE AT OUR WEB SITE OR MAILED TO THE ABOVE
ADDRESS. WE ALSO ACCEPT VISA/MASTERCARD BY PHONE.
THANK YOU. |
|
| Editor's
Comment |
|
We at Safe Harbor want to thank all those who
attended our conference in Los Angeles, June 15-16,
2002, entitled "Non-Pharmaceutical Approaches to
Mental Disorders." Attendees came from
across the U.S. and as far away as India. It was
a great pleasure to meet many with whom we had
corresponded by phone and email.
It was equally satisfying to hear from so many of
those in attendance who said they would take the data
learned back to their respective corners of the world
and make good use of it.
"What a fantastic conference," one
healthcare professional wrote us. "You have
no idea how much it energized me to do what I need to
do back in New England. I know a lot of people
are going to be helped now in my area who have had no
hope before."
Thank YOU. Why do our staff and volunteers
work long hours, usually for no pay? It's so
that some day the information in this ezine and on our
website will be known and in use in mental health
facilities around the world. It's so that
doctors and psychiatrists can some day be a Safe
Harbor themselves where patients don't dread to go for
fear of being drugged into oblivion or worse.
It's so that some day the word "recovered"
will mean actually getting well and not "getting
your meds fine-tuned."
Thanks for coming and doing your part.
|
| Announcement:
Safe Harbor Conference Tapes Available |
| Safe Harbor is
pleased to announce that tapes are now
available of our conference held in Los
Angeles on June 15 and 16:
"Non-Pharmaceutical Approaches to Mental
Disorders." For most of the tapes,
lecture notes and copies the accompanying
Powerpoint slides are included.
To purchase tapes, go to http://www.alternativementalhealth.com/orderconf.htm
|
Lecture titles include:
- Introduction to Conference by Dan Stradford,
President of Safe Harbor
- Basic Brain Science and Brain Metabolism by
Prof. James Croxton
- Mechanisms That Can Lead to Severe Mental
Symptoms by Prof. James Croxton
- Lab testing for causes of mental symptoms:
Addressing the molecular basis of chronic
metabolic disorders (Lecture 1) by Jeff Baker, ND,
of Great Smokies Labs
- Specific Syndromes by Prof. James Croxton
- Lab Testing for Causes of Mental Symptoms:
Addressing the molecular basis of chronic
metabolic disorders (Lecture 2) by Jeff Baker,
ND,of Great Smokies Labs
- Case histories, Q and A by Prof. James Croxton
- Natural Treatments for Addiction by Charles
Gant, MD, PhD
- Medical Conditions that Present with Psychiatric
Symptoms by Stuart Shipko, MD:
(Note: 89% of the audience surveyed gave the
content of this lecture the highest rating
possible.)
- Nutritional and Herbal Treatments for Anxiety
and Depression by Hyla Cass, MD
- The Role of Hormones in Mood Disturbance by
Cynthia Watson, MD
- Complementary Medicine Solutions for Children
Diagnosed with Attention Deficit Disorder by
Charles Gant, MD, PhD
- Recovery Panel: Six individuals discuss
their recoveries from mental symptoms without
drugs
|
| Announcement:
Pfeiffer Center to Offer Treatment in Santa
Clarita, CA |
|
As part of their national outreach program, THE
PFEIFFER TREATMENT CENTER will be providing patient
services in Santa Clarita, California, USA, at
Residence Inn, 25320 The Old Road, Stevenson Ranch.
Dates: August 5, 6, & 7.
PFEIFFER is an outpatient clinic dedicated to
assisting children and adults with nutritional
treatment of biochemical imbalances. "We
offer natural, individualized treatment emphasizing
ADD, ADHD, learning disabilities, autism, depression,
thought & mood disorders. Our doctors prescribe
individualized nutrient therapy for each patient's
unique biochemistry."
For information or an appointment call 630-505-0300
8:30 A.M. - 5:00 P.M. (CST) Mon.-Fri.
If you know of a family member, friend, or
organization that would be interested, please pass
along this information. Promotional flyers are
available from the Center, or visit their Website at http://www.hriptc.org.
|
| St.
John's Wort Study Misleads Public? |
| Editor's note:
The following article was written by
psychiatrist Hyla Cass, author of many books,
including two on St. John's Wort and the
recently published "Natural Highs."
The study discussed by Dr. Cass in this
article was mentioned in our last issue and we
are presenting Dr. Cass's article to give a
full perspective on that study. More
information is available at http://www.cassmd.com. |
A recent study on the
popular herbal remedy St. John's wort published in the
April 10 edition of the Journal of the American
Medical Association (JAMA) concluded that St. John's
wort was ineffective in treating severe forms of
depression. So was the widely prescribed
antidepressant Zoloft(r) (sertraline)! The emphasis,
though, both in the article and even more so, in the
media's response, has been on the failure of St.
John's wort in the treatment of depression, ignoring
many published studies that have shown conclusively
that St. John's wort is effective in the treatment of
mild to moderate depression.
Why all the fanfare
over the fact that St. John's wort is shown to be
ineffective for a condition that it was never
purported to treat? The bigger news is that this study
showed that a drug with sales of over $2 billion and
prescribed to millions of Americans for severe forms
of depression may be no more effective than placebo.
We are addressing a significant problem here: In the
U.S, approximately 10% of people suffer from major
depression at any one time, and 20-25% suffer a major
depressive episode at some point during their
lifetime.
Speaking as a
clinician who regularly prescribes St. John's wort, I
have seen repercussions from similarly slanted
interpretations of an herbal study. While the placebo
effect generally works in our favor, there can be a
negative placebo effect, as follows. After hearing
this news about St John's wort, many individuals who
have been successful in relieving their depression
with the herb may question their positive response,
lose confidence in it, discontinue use, and revert to
their depressive state. Many others may dismiss the St
John's wort as useless without even giving it a try.
Both groups may then turn to prescription medications,
with their more severe side effects, such as loss of
libido, memory impairment, headaches, nausea, and
significant withdrawal problems. St John's wort's side
effects, in contrast, are generally mild and
transitory, with no withdrawal symptoms when it is
discontinued.
St John's wort is
known to have interactions with certain drugs, almost
all of these for relatively small, specific
populations (e.g. HIV patients on protease inhibitors,
transplant patients on cyclosporin, those on coumadin,
etc). Despite this, the overall risk/benefit ratio is
far better than that of the prescription medications,
and the drug/herb interactions are easily dealt with
as with any active medication - with proper warnings
and patient selection. I might add that grapefruit
juice has a similar effect on drug potency, blocking
liver enzymes that break down the drugs.
Depression can be a
debilitating illness, and yet we are in effect
"hexing" the use of a perfectly good herbal
medicine that has been prescribed successfully in
Europe for years as a first line treatment for mild to
moderate depression. If it doesn't work, then the
patient can always be given the more powerful,
pharmaceutical antidepressants. Does St. John's wort
lose its efficacy when it crosses the Atlantic? The
medical profession is bound by the Hippocratic oath to
"first do no harm," and to use the simplest,
most natural, least harmful medicines first. Why put
so many people as risk?
Perhaps the most
interesting finding of this study is the power of the
placebo effect, a belief in a substance's efficacy,
reflected in the improvement of the group that
received the dummy pills. In this study, the placebo
group actually responded better than both of the
others (32% for placebo vs 24% for St John's wort and
Zoloft). The human mind is complex, and many factors
go into the healing process. Research shows the
placebo effect to be a very significant aspect of
treatment response for almost all medications. As
physicians, we do best when we fully encourage and
support it. Of course, there is no way to tell in any
one individual how much relief is due to the placebo
and how much, to the active medication, be it herb or
drug. To JAMA's credit, an accompanying editorial
actually addresses the issue, concluding that
"this may be Nature's way of providing clues to
fundamental aspects of the healing process, even as
advances in medicine and the discovery of new
therapies takes place. It is important to learn from
rather than dismiss the variability of the therapeutic
response." This might be the true news of this
article.
We can make some
generalizations about the media, herbs, and
pharmaceuticals to be considered in evaluating this
and other news stories:
The researchers' job
is to get their research published.
The journal's job is
to inform, but unfortunately, often with a
pro-pharmaceutical bias. The pharmaceutical industry
is by far the largest funding source of the journals
(and of almost all of the research), as well as being
one of the largest lobbying groups in Washington. Even
though this study was NIH-funded, there is a complex
web of relationships here. Most researchers also
conduct other studies that are funded by this
industry.
The media's job is to
sell news, and generally, by being as sensational as
possible. The public must read between the lines to
ferret out the truth, and make up their own minds. We
hope that this has been of some help in the process.
| Re: Davidson
JRT et al. Effect of Hypericum perforatum (St
John's Wort) in major depressive disorder: A
randomized controlled trial. JAMA.
2002;287:1807-1814. |
|
| Therapy
Aims at Improving Stunted Mental Functioning |
|
One of the common
phenomena of people diagnosed with schizophrenia is
that they often reach a point where mental development
seems to cease. Certain thinking processes and
problem-solving abilities stagnate. Since most
people in this condition are on medication, it can be
impossible to sort out whether this stunted mental
growth is due to the drugs or is naturally-occurring.
This slowed
development can limit the ability of the person to
gain employment, find housing, maintain a romantic
relationship, and solve a myriad of the large and
small problems of living.
The Planned Lifetime
Assistance Network (PLAN) of Northeast Ohio, a
nonprofit organization, has developed a mental
exercise program that improves cognitive functions of
such patients diagnosed with schizophrenia.
Cognitive Enhancement
Therapy (CET), as it is called, is the reverse of
traditional psychotherapy. Instead of giving
solutions to the patient, it gives the patient
problems to solve. Instead of interpreting the
patient's remarks, it requires that the patient
explain himself. Instead of concentrating on the
patient's behavior, the focus is on his development.
The accent is on ability.
In group meetings led
by a "coach" (not a therapist), the patients
are given problems to solve which actually increase
their stress in a controlled environment during the
session, thus increasing their ability to tolerate
stress, rather than teaching them to always avoid
stress.
Computerized puzzles
are used as well as other problem-solving methods,
including improvement of social skills.
Although the organization specifically states that CET
is not intended to replace medication, PLAN reports
increased and improved recovery and increases in
mature behavior, the ability to think abstractly, and
the ability to get the "gist" of a concept.
For more information,
contact PLAN at (216) 321-3611.
|
| Recommendations
May Lead to Over-Prescription of Antidepressants |
|
In recent years, the diagnosis of depression has
become more and more common.
A 1996 study done by the U.S. Preventive Services
Task Force to determine the need for routine screen of
depression found "insufficient evidence to
recommend for or against the routine use of
standardized questionnaires to screen for depression
in asymptomatic primary care patients... Clinicians
should, however, maintain an especially high index of
suspicion for depressive symptoms in adolescents and
young adults, persons with a family or personal
history of depression, those with chronic illnesses,
those who perceive or have experienced a recent loss,
and those with sleep disorders, chronic pain, or
multiple unexplained somatic complaints."
However, In a press release of May 20, 2002, The
U.S. Preventive Services Task Force announced that the
panel has reversed it's decision, and now recommends
that general practitioners screen their patients for
depression.
However, instead of screening patients who have
"a family or personal history of depression, ...
chronic illnesses, ... recent loss, ... sleep
disorders, ... chronic pain, or multiple unexplained
somatic complaints," Task Force Chairman, Dr.
Alfred Berg, Chair of the Department of Family
Medicine, University of Washington, Seattle, said that
the panel now recommends the use of just two simple
questions: "Over the past 2 weeks, have you ever
felt down, depressed, or hopeless, and have you felt
little interest or pleasure in doing things?"
He further states that these two questions "May
be as effective as using longer screening
instruments."
If the patient's answers are in the affirmative,
further diagnostic tools may be used. If the problems
have lasted throughout the previous two weeks, and
have interfered with the patient's ability to perform
day-to-day tasks, doctors may make a diagnosis of
depression.
Award-winning investigative reporter Nick Regush,
who also served as a consultant to the Center for
Bioethics, University of Montreal, commented on the
Task Force's recommendations in a recent Redflags
Weekly (http://redflagsweekly.com)
article: "The over-prescription of
anti-depressants is already epidemic..." this
type of screening "will likely lead to mindless
drug prescriptions for people who are having some
common, momentary difficulties in their lives."
Mr. Regush goes on to say, "Only a
cultural/social idiot, totally oblivious to the themes
of our times, not to mention the overhanging,
ever-present threat of terrorism and a world going to
hell, would ask these types of questions as some sort
of a screener for depression."
|
| Light
Therapy Useful for Depression During Pregnancy |
|
Bright-light therapy may be an effective treatment
for depression in pregnant women. The availability of
an easy-to-use, potentially non-toxic antidepressant
-- light therapy -- in pregnancy is a clinically
attractive option.
Researchers conducted a pilot experiment to see
whether exposure to bright light, a technique used to
treat those suffering from seasonal affective disorder
(SAD) or winter depression, might also work on women
suffering from depression during pregnancy.
Around 5% of pregnant women meet the criteria for
major depression. Doctors are justifiably reluctant to
prescribe antidepressant medications to pregnant women
for fear of their effect on the fetus.
Previous research has suggested that bright light
exposure may help people suffering from major
depression or from postpartum depression. The exact
mechanism has not been fully isolated. Some data
suggest that light therapy advances the timing of the
daily biological clock, which may then bring about the
antidepressant effect.
Sixteen pregnant women suffering from major
depression completed the pilot study. They were
instructed to expose themselves to an hour a day of
bright ultraviolet light from a light box within 10
minutes of waking up for three to five weeks.
The patients showed a moderate improvement of their
levels of depression after just three weeks of light
treatment. For the seven women who underwent five
weeks of light therapy, their average score on a scale
that measures depression improved by 59%. When the
light therapy was discontinued, the women showed signs
of an increase in their levels of depression.
| (American
Journal of Psychiatry April 2002;159:666-669) |
|
| German
Environmental Office Issues Drug Pollution Warning |
|
Earlier this year, we mentioned a UK Sunday-Times
article alerting readers that prescription drugs,
including antidepressants, were being detected in
European lakes and rivers at levels potentially
destructive to aquatic life (Alternative
Mental Health News #19, "PRESCRIPTION DRUG
POLLUTION THREATENS FISH, HUMANS" ).
The German Federal Office for Environmental
Protection issued a warning in February that medicine
manufacturers must examine environmental risks more
strictly in light of findings that even tap water was
significantly affected.
After ingestion, hormones and other stable chemical
substances, as well as their metabolites, pass into
sewage and ultimately into groundwater and even
drinking water. Experts estimated that German surface
waters contain 2 micrograms per liter of the estrogen
17alpha-Ethinylestradiol from birth control pills,
four times the concentration necessary to alter
breeding patterns in fish resulting in fewer
offspring.
In the year 2000, according to the agency's
statistics, 29,000 tons of medicine were sold for
human consumption in Germany including 7,000 tons of
synthetic chemicals. An additional 2,320 tons of
animal medications were sold in Germany that year.
While the drugs themselves have been tested on
their intended users, the effects of drug metabolites
- substances produced by the body after ingestion -
are largely unknown, the agency warned.
Examining the effect of medicines on the
environment is a relatively new function of the German
Federal Office for Environmental Protection.
|
| Psychiatrists
Voice Concerns Over Drug Marketing Tactics |
|
"Of course, it's going to bias us -- the
question is whether the bias is benign," said
David McDowell, a Columbia University psychiatrist who
helped monitor industry sponsorships for the recent
annual APA meeting in Philadelphia, referring to the
aggressive marketing of psychiatric drugs at the
convention.
Without industry money at the gigantic Philadelphia
Convention Center, added McDowell, "we'd be
sitting in the basement of the YMCA."
"Let's face it -- they make the money
back" through greater sales and prescriptions,
said Robert Eilers, a psychiatrist in the state Office
of Mental Health in New Jersey, in a session where
several doctors assailed top APA officials. "It's
totally out of control."
The quotes appeared in Shankar Vedantam's recent
expose of pharmaceutical marketing practices at the
convention. Vedantam is a science reporter on the
national desk of The Washington Post.
In the days leading up to the meeting,
pharmaceutical companies mailed attendees hundreds of
free phone cards, as well as invitations to museums,
jazz concerts and fancy dinners.
The 19,000 psychiatrists arriving for the meeting
were greeted by a highway billboard advertising
AstraZeneca's anti-psychotic, Seroquel. Outside the
giant convention center, curb signs for buses ferrying
doctors to their hotels advertised Prozac's
manufacturer, Eli Lilly and Co. Each attendee was
handed a gray bag with the insignia of the meeting and
the orange logo of GlaxoSmithKline, maker of Paxil.
Boston Globe staff writer Ellen Barry described the
contents of one Mexican psychiatrist's goody bag:
"As a reward for attending the American
Psychiatric Association's annual meeting, she had
received a small egg-shaped clock from the makers of
the antidepressant Prozac; a sleek thermos from Paxil,
also an antidepressant; and an engraved silver
business card holder courtesy of Depakote, an
anticonvulsant. She got a neat little CD carrying case
from Risperdol, an antipsychotic; a passport holder
from Celexa, an antipsychotic; a neat green
paperweight from Remeron, an antidepressant; and a
letter opener, representing what drug she could not
remember.
"For the duration of the weekend, though,
Velazquez's loyalty belonged to Pfizer, which had paid
her airfare from Mexico City (along with 30 of her
colleagues and her 18-year-old nephew) and put them
all up in hotels near the APA meeting. That night,
also courtesy of Pfizer, she would attend a glittering
banquet at the Philadelphia Academy of Fine
Arts."
Concern over psychiatry's ties with industry was
widespread enough to be the focus of several panels at
this year's convention. Some psychiatrists said the
association should simply sever all ties with
industry. Harvard Medical School psychiatrist David
Osser suggested that companies pool symposium money
into a common fund, which could then be used to
conduct sessions chosen exclusively by mental health
professionals. Andrew Ho, a UCLA psychiatrist, said
the extent of industry involvement -- and the
dependence of the association on the money -- raised
questions about who was controlling the association
and the profession.
Levine told APA officials that even patient
organizations such the National Alliance for the
Mentally Ill had been shunted to the "far, far
corner of the auditorium" as funding companies
got center stage in the exhibitors' hall. "It
hurts me the APA this year has become part of that
effort," he said.
"There are strings attached," agreed
Stephen Goldfinger, APA's top monitor of industry
sponsorship at the conference, at a session discussing
potential conflicts of interest. "When you dance
with the devil, you can't control all the steps."
The industry-sponsored symposiums at this
conference are unusual - most major medical
associations do not allow them -- said James Thompson,
APA's deputy medical director. If companies want to
take advantage of the conferences of those other
groups, they have to set up their own, independent
"satellite symposiums."
Part of the APA's dependence on industry
sponsorship is because the association has been ailing
financially, and revenue from the annual convention
represents about 22 percent of all funding. That money
is becoming increasingly important, as revenue from
dues has dropped in recent years from $11 million in
1998 to $9.9 million last year, and is expected to
drop further in the years ahead. The association has
run at a loss for three out of the past four years.
|
| Book
Review: Mad in America |
|
Robert Whitaker's "Mad in America" is a
must read for anyone interested in the field of mental
health. The former Boston Globe medical
journalist takes a painstaking look at the history of
the treatment of America's most debilitated mental
patients - those labeled with schizophrenia and how
this treatment has evolved over the years.
What he reveals is often disturbing and sometimes
shocking. He removes the veneer of the entire
mental health establishment, challenging the notion
that today's madman is better off than those of
yesteryear or even those in third world countries.
Whitaker takes a thorough look at the actual
results of drug therapies and other treatments on
modern-day patients and what he reveals may stun you.
He also gives a hard scrutiny to the politics behind
the psychopharmaeutical industry. This book will
remain a landmark publication on mental health for a
very long time.
The book is published by Perseus Publishing.
|
| Book
Review: Children with Starving Brains: A
Medical Treatment Guide for Autism Spectrum Disorder |
|
In 1996, Jaquelyn McCandless, M.D., discovered that
her two-year old granddaughter had been diagnosed with
autism spectrum disorder. "Her diagnosis and
unusually compelling nature," says McCandless,
"inspired a reorientation of my professional life
from the practice of psychiatry with a focus on
alternative and anti-aging medicine to an immersion
into the biomedical aspects of autism."
Her recently published book, "Children with
Starving Brains: A Medical Treatment Guide for
Autism Spectrum Disorder", is the result of that
immersion. McCandless takes the reader into the
latest scientific research on the many risk factors in
autism: toxic reactions, heavy metal
contamination, wheat/milk allergies, viral causes,
etc.
This is a much-needed, practical hands-on book for
physicians and lay people alike that gives them real
tools in bringing about improvements and sometimes
complete recoveries for those children unfortunate
enough to fall prey to the autism epidemic that has
swept the world in recent decades.
The publisher is Bramble Books.
|
|