Not all stress is the same. That said, stress syndromes share one thing in common: they all start with your adrenal glands. Based on your specific symptoms (which we evaluate) and your unique bio-chemical (aka neurotransmitter, hormonal, and immune) imbalances (which we test), your particular stress syndrome is likely to fall into one of four categories, hence "The 4 Faces of Adrenal Burnout" model. For more on these stages of adrenal fatigue and our general and specific approaches to treating them please visit our webpage which contains more information than you would ever want: http://www.integrativepsychiatry.net/adrenal_fatigue.html.

1. The 4 Faces of
Adrenal Burnout
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Integrative Psychiatry, Inc.
info@integrativepsychiatry
Integrativepsychiatry.net
(800) 385-7863

2. Not all stress is the same. That said, stress
syndromes have one thing in common: they all
start with the adrenal glands.

3. Based On
Specific
Symptoms
Unique
Biochemical
Imbalances
• Energy, mood, anxiety,
memory, sleep, weight, etc.
And
• Adrenal Hormones
• Neurotransmitters
Stress Syndromes Exhibit 4 Faces:

4. Our General Approach Comprises
STAGE-SPECIFIC TREATMENT
GENERAL ADRENAL SUPPORT
HEALTH-RELATED BEHAVIORS
AND LIFESTYLE INTERVENTION

5. For
Example
Psychotherapy,
Light
cardio,
resistance
exercise,
yoga, tai
chi,
meditation
Diet
(wheat,
dairy, soy)
and
environmental
“Seal & Heal”
the Gut
Manage
Stress
“Right-Size”
Inflammation Curcumin,
omega-3
FAs,
boswelia,
NAC,
huperzine,
carnitines,
Bs, etc.
Eliminate
Toxins
Vitamins & mineral cofactors,
specific amino acid precursors,
receptor, enzyme,& pathway
modulators
Glutamine, aloe vera gel leaf,
DGL root, slippery elm bark,
marshmallow root, digestive
enzymes, probiotics,
immunoglobulins etc.
Rebuild
Adrenals
Support
Neurotransmitters
& Hormones
Vitamins,
minerals,
herbal
adaptogens,
DHEA,
pregnenolone,
cortisol

6. The 4 Faces of Adrenal Burnout
“Wired for
Sound”
“Wired and
Tired”
“Wired and
Tired”
High
Cortisol
High
Cortisol
Low
Cortisol
High Neurotransmitters
Low Neurotransmitters
High Neurotransmitters
SuperNova
Diva Soon
to Burnout
Allergic and
Infected
Inflamed
and in Pain
“Just Plain
Tired”
Low Cortisol
Low Neurotransmitters
Situation
Critical

7. The 4 Faces of Adrenal Burnout
#1 – “Wired for Sound”
You’re looking good and feeling fine. That’s
because your stress hormones (cortisol and
DHEA) and neurotransmitters (adrenaline,
noradrenaline, dopamine) are jacked. You are a
super-woman, raising three kids, taking care of
the house, perhaps supporting a husband,
maybe even taking care of an elderly parent
with Alzheimer’s. You’ll sleep when you’re dead.
Or when your adrenals fail. Then you’ll want to
sleep all the time. But don’t worry, your physical
aches and pains won’t let you.
You Can Pay Me Now Or You Can Pay Me Later.

8. Signs of Chronic High Cortisol
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Weight gain
Frequent infections
Depression
Difficulty falling asleep
Memory loss
Irritability
Anxiousness
Hormonal imbalances
Loss of bone and muscle
Fatty deposits on your
waist
“Wired for Sound”
Elevated Cortisol and
elevated neurotransmitters
(adrenaline, norepinephrine,
dopamine)

9. “Wired For Sound Bundle”

10. “Wired For Sound” Bundle
You’re under a great deal of stress. But you’re holding your own, taking care of business. In
fact, you’re looking good and feeling fine. That’s because your stress hormones (cortisol and
DHEA) and neurotransmitters (adrenaline, norepinephrine, and dopamine) are soaring.
But unless you’re stress soon goes away – and when does it ever? – you cannot continue to
run full throttle forever. The longer you stay stressed, the faster you burn through your stress
hormones and neurotransmitters. And unless you enjoy a near perfect health related life style
– and who does? – your adrenals will soon start to falter.
That’s why we created the “Wired for Sound” adrenal support bundle of products. These
supplements were hand-picked to keep you functioning at your best even during times of
sustained stress.
More specifically, they provide the requisite vitamins, minerals, amino acids, and botanicals to
ensure you replenish your stress hormones and neurotransmitters as fast as you are using
them up. Moreover, this bundle will help “right-size” your immune response to your stressful
life and ensure you get enough high quality sleep.
Perhaps most importantly, however, our “Wired for Sound” adrenal bundle will help
prevent your chronic intense stress from leading to the ravages of adrenal burnout.

12. The 4 Faces of
Adrenal Burnout
“Wired and Tired” Inflamed and in Pain (low
cortisol and high
neurotransmitters)
#2 & #3 –
“Wired
and Tired”
“Wired and Tired” Allergic and infected (high
cortisol and low
neurotransmitters)

13. “Wired & Tired” – Inflamed and in Pain
Bundle

14. “Wired & Tired”- Inflamed and in Pain
Bundle
If on the other hand you have the hallmark mixed adrenal state duo of fatigue
and anxiousness with inflammation and pain, then your adrenal needs would be
better served with our “Wired and Tired” – Inflamed and in pain bundle.
The “Wired and Tired” – Inflamed and in Pain profile implies that your adrenal
cortex (that part of your adrenal gland that makes cortisol and DHEA) is failing
earlier and faster than your adrenal medulla (where adrenalin and
norepinephrine are made). As such, your cortisol is low and your adrenaline and
norepinephrine are still cranked. This is the most common mixed adrenal state
we see in our clinics. As the name suggests, this state is most prominently
associated with fatigue, anxiousness and tension, multiple physical aches and
pains, and evidence of other illnesses of inflammation. This bundle, as you
would expect, among other things, aggressively supports your adrenal
cortex, right-sizes your overactive immune response, decreases
pain, and soothes your frazzled ‘nerves.’

15. “Wired & Tired” – Allergic and Infected
Bundle

16. “Wired & Tired” – Allergic and Infected
Bundle
If you fall into a "Wired and Tired" profile and suffer with recurrent
infections and frequent allergies, then you are more likely to be in a
high cortisol low neurotransmitter state. In that your best choice is
our "Wired and Tired" - Allergic and Infected Bundle
The “Wired and Tired” – Allergic and Infected profile is associated
with fatigue, anxiousness, tension, insomnia and increased
frequency of infections and allergies. During this stage, your
cortisol is elevated while your adrenaline and norepinephrine are
low. This bundle focuses on lowering cortisol, restoring sleep,
supporting neurotransmitter tone, improving your mood and
general outlook, and bolstering your immune activity.

17. The 4 Faces of Adrenal Burnout
#4 – “Just Plain Tired”
As your stressful life continues to bombard your adrenal glands, they falter faster
and you finally collapse into exhaustion. Your cortisol, adrenaline, and
norepinephrine are all low. In addition, even your dopamine – associated with
pleasure, reward, and motivation – has plummeted. You may find you develop a
few new symptoms, while other may improve, while still others may seem to go
away all together. Even though these could provide clues as to the true nature of
your problems, many if not most doctors will miss them because few have been
educated about these tell-tale signs of adrenal burnout.
You have trouble dragging yourself out of bed and once up want to go right back to
the sack. You might experience “leaden paralysis” where your
limbs feel so heavy that simple movement becomes overwhelming. When you force yourself to be active the pain both
during and after any exertion makes you wonder if the effort
is really worth it. You avoid others, are increasingly sensitive
to the scrutiny and rejection of others, and run a very serious
risk of feeling and looking depressed.

18. “Just Plain Tired” Bundle

19. The 4 Faces of
Adrenal Burnout
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Integrative Psychiatry, Inc.
info@integrativepsychiatry
Integrativepsychiatry.net
(800) 385-7863