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Complementary and Alternative Medicine (CAM) in Psychiatry The revolution and re-conceptualization of health and healing that has occurred in the Western health care system in the last 20 years has given opportunity for a paradigmatic shift in health care education, research, and practice. More than one hundred years ago, the American health care system was dominated by the biomedical worldview. Today, this is no longer true. Support for complementary and alternative medicine (CAM), also called natural, alternative, and complementary (NAC) therapies, and holistic practices, has never been greater than at the present time. CAM is a form of integrative care. Integrative care places the client at the center of care, focuses on prevention and wellness, and attends to the client’s physical, mental, and spiritual needs (Institute of Medicine [IOM], 2009). Integrative care is directed at healing and considers the whole person (mind, body, and spirit), along with the lifestyle of the person. Holism is described as involving (l) the identification of the interrelationships of the bio-psychosocial-spiritual dimensions of the person, recognizing that the whole is greater than the sum of its parts, and (2) understanding of the individual as a unitary whole in mutual process with the environment (American Holistic Nurses Association [AHNA], 2004). Because of growing interest in and use of holism and CAM in the United States, the National Institutes of Health (NIH) established the National Center for Complementary and Alternative Medicine (NCCAM) in 1998. The NCCAM supports fair and scientific evaluation of integrative therapies and dissemination of information that allows health care providers to make good choices regarding the safety and appropriateness of CAM. The holistic natural, alternative, and complementary (NAC) therapies that are commonly used today in the United States include: · Acupuncture · Ayurveda · Biofeedback · Chiropractic manipulation · Diet-based therapies · Deep-breathing exercises · Energy healing therapy/Reiki · Exercise therapy · Guided imagery · Hypnosis · Massage · Meditation · Herbal therapy · Aromatherapy · Reflexology · Yoga · Prayer and spiritual practices Although research on the efficacy of CAM is increasing, studies in the field are minimal when compared to those of conventional medicine. According to Zahourek (2005), several reasons for CAM research challenges include: · The relatively recent use of some of these therapies in the United States · Individual, cultural, and environmental variables · Lack of or limited funding sources · Time as a variable to measure change · Interpretation and meaning of an experience · Impact of other intervening life experiences · Effect and timing of a specific intervention or approach on a particular problem, specifically placebo and experimental effects · Personality, belief systems, spiritual practices, and temperament of both the researcher and participants · Difficulty trying to stand ...

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This essay is an overview of the model of Complementary Medical Hypnotism I employ in my professional work. As I have come to be well-known as a hospital and medically-based practitioner I frequently receive requests for information about my work, especially research findings that support it. This essay submitted for my Fellow examination in the National Guild of Hypnotists contains that information, and I hope the Guild will feel free to distribute it.

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Complementary and alternative medicine (CAM) has become much in vogue, and CAM practitioners have increased in tandem with this. The trend of using CAM for treating epilepsy does not differ from that in other medical conditions, with nearly one half of patients using CAM. In this article we review the major complementary and alternative medicines used for treatment of epilepsy. They include mind-body medicines such as reiki and yoga; biologic-based medicine such as herbal remedies, dietary supplements, and homeopathy; and manipulative-based medicine such as chiropractic. In the available literature, there is a sense of the merit of these therapies in epilepsy, but there is a paucity of research in these areas. Individualized therapies such as homeopathy and reiki cannot be compared with medicines in a conventional pharmaceutical model. Hence, many studies are inconclusive. In a science of double-blind, randomized controlled trials, appropriate designs and outcome measurements need to be tailored to CAM. This article explains the principles of the major CAM therapies in epilepsy, and discusses peer-reviewed literature where available. More effort needs to be put into future trials, with the assistance of qualified CAM professionals to ensure conformation to their therapeutic principles.

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Evidence–Based Health Evaluation and Application · Introduction · Scene 1 · Patient Assignment · Scene 2 · Alicia Balewa · Conclusion Introduction Public health improvement initiatives (PHII) provide invaluable data for patient–centered care, but their research is often conducted in a context different from the needs of any individual patient. Providers must make a conscious effort to apply their findings to specific patients' care. In this activity, you will learn about a PHII, and explore its application to a particular patient's care plan. Back to top Overview You continue in your role as a nurse at the Uptown Wellness Clinic. You receive an email from the charge nurse, Janie Poole. Click the button to read it. Good morning! At last week's conference I spoke with Alicia Balewa, Director of Safe Headspace. They're a relatively new nonprofit working on improving outcomes for TBI patients, and I immediately thought of Mr. Nowak. At his last biannual cholesterol screening he mentioned having trouble with his balance. This may be related to his hypertension, but he believes it's related to the time he was hospitalized many years ago after falling out of a tree, and expressed distress that this might be the beginning of a rapid decline. Ms. Balewa will be on premises next week, and I'd like to set aside some time for you to talk. — Janie Back to top Alicia Balewa Director of Safe Headspace Overview Interview Alicia Balewa to find out more about a public health improvement initiative that might apply to Mr. Nowak's care. Interview: I have a patient who might benefit from some of the interventions for TBI and PTSD you recently studied. What populations did your public health improvement initiative study? My father came home from Vietnam with a kaleidoscope of mental health problems. That was the 1970s, when treatment options for things like PTSD, TBI, and even depression were very different. Since then there has been a lot of investment in treatment and recovery for combat veterans. That's excellent news for veterans in treatment now, but they're not looking at my dad, and how his TBI and PTSD have affected him through mid–life and now as a senior. That's why I started Safe Headspace: to focus on older patients who are years or decades past their trauma, and find ways to help them. Which treatments showed the strongest improvement? Exercise. We were able to persuade about half of our participants — that's around 400 people, mostly men ages 45–80 — to follow the CDC's recommendations for moderate aerobic exercise. Almost everyone showed improvement in mood, memory, and muscle control after four weeks. After that a lot of participants dropped out, which is disappointing. But of the 75 who stuck with it for another three months, muscle control improved 15%, mood improved 22%, and short–to–medium term memory improved 61%. We didn't specify what kind of exercise, but we did ask them to record what they did every week, so that data is ava ...

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