Successfully reported this slideshow.
We use your LinkedIn profile and activity data to personalize ads and to show you more relevant ads. You can change your ad preferences anytime.

AHS Slides_Emily Deans and Jamie Scott


Published on

  • I know that while making the choice to recover was crucial, and having the will comes in handy, but it is the girls in this program and their support that has helped me make it this far. I have been in recovery without purging for two months. I know I still have a long way to go, but I could not imagine doing it on my own. Even in this short amount of time, I can see myself emerging and the world is opening up before me. I have started making plans to do the things I’ve wanted to do for years, but that got lost in my bulimia cycle. Just taking that first step in recovery, has made me see what is really important. ◆◆◆
    Are you sure you want to  Yes  No
    Your message goes here
  • Today I have no problem, I even had an emotional time over the weekend where I did eat a little too much but it didnt affect me at all. I did not binge eat or get worried I just let the food digest, had a good rest and was back to myself the next day, just what normal people experience. ■■■
    Are you sure you want to  Yes  No
    Your message goes here
  • The recovery program is giving me the chance that I was seeking to change my life and to free me of the bulimia. For the first time in my life I feel that I am not alone trying to surpass my bulimia. I have real knowledges about my illness and how to beat them. I feel supported, pleased and liberated, with less fears and insecurities of my image. ★★★
    Are you sure you want to  Yes  No
    Your message goes here
  • Dating for everyone is here: ❤❤❤ ❤❤❤
    Are you sure you want to  Yes  No
    Your message goes here
  • Follow the link, new dating source: ❶❶❶ ❶❶❶
    Are you sure you want to  Yes  No
    Your message goes here

AHS Slides_Emily Deans and Jamie Scott

  1. 1. ResiliencyAn Evolutionary Pathway to Optimal Mental and Physical Health<br />
  2. 2. Emily Deans, M.D. <br />Clinical Instructor in Psychiatry at Harvard Medical School<br /><br />Featured blogger on Psychology Today at Evolutionary Psychiatry<br />Disclosures: None <br />Participated in research funded by NIH<br />
  3. 3. Jamie Scott<br />PGDipNutMed PGDipSportExMed BSc BPhEd<br />Workplace Health Educator<br />Nutritionist/Trainer<br /><br />Disclosures: None <br />
  4. 4. Why Evolutionary Medicine for Mental Health?<br />Existing treatments, therapy and medication, are only partially effective.<br />They take a long time, are expensive, or have side effects.<br />No truly novel treatments in 20 years, despite an explosion in neuroscience knowledge since 1990.<br />We need a new approach<br />
  5. 5. Diseases of Civilization (DOC)<br />Related to differences in our current lifestyle compared to our hunter gatherer past.<br />Ultimate pathology of disease is inflammation – true of obesity, autoimmune disease, heart disease, acne… and mental illness.<br />A clue we are dealing with DOC – the recent appearance and/or acceleration of change in illness in recent industrial history.<br />
  6. 6. Mental Health<br />Schizophrenia<br />Wither hebephrenia?<br />MDD and Anxiety<br />Increasing in prevalence and changing in morphology <br />(Stanley Jackson Melancholia and Depression)<br />Bipolar Disorder<br />In last 40 years age of onset decreased from 30s to late teens, now more resistant to lithium, more rapid cycling (Fred Goodwin)<br />
  7. 7. Mental Health<br />Eating Disorders<br />Now more common in women and men; striking younger cohorts <br />(NIH National Comorbidity Study) <br />Autism<br />Increasing? <br />Yale SK study, teachers<br />Dementia<br />Definitely increasing, but is it just due to aging population?<br />
  8. 8. What Causes Mental Illness?<br />Genes<br />+ Stress<br />+ Diet<br />Changes to our modern, industrial, nutrient-poor diets have reduced our resiliency to stress<br />
  9. 9. What really causes mental illness?<br />Genes<br />Typically two, three, or more in a single signaling pathway (NRG-erbB in schizophrenia)<br /> One gene - no increased risk<br /> Two genes - 8-fold increased risk<br /> Three genes - 27-fold increased risk<br />The suspect genes (for schizophrenia, autism, anxiety, depression, etc.) oftenreside in the stress response pathway<br />
  10. 10. Recipe for a brittle brain<br />Suboptimal genes, plus… <br /><ul><li>Stress;
  11. 11. Inflammation and poor immunity (includes gut);
  12. 12. Micronutrient deficiency;
  13. 13. Deranged sleep (cause or effect?);
  14. 14. Lack of recovery and repair</li></li></ul><li>Recipe for a resilient brain<br />Eat a diet with reduced food toxins and one likely to promote a happy gut<br />Avoid the Neolithic Agents of Disease<br /> Fermented foods to avoid inflammation<br /> Avoid autoimmune reactions<br />Keep the immune system strong to suppress or avoid infection…<br />Viruses and intracellular pathogens associated with worse cognitive functioning or greater severity of symptoms in schizophrenia, dementia, and mood disorders<br />NOT FDA APPROVED<br />
  15. 15. Recipe for a resilient brain<br />Eat a nutrient rich diet<br />Magnesium is typically low in modern diets and plays a role modulating and reducing every part of the stress response. <br /> Zinc needs higher during stress. <br /> Phospholipids also seem to modulate stress response, choline can be especially low in modern diets<br />Periods of fasting to promote ketosis, mitochondrial decommission, nerve plasticity and repair<br />Sleep, play, love, exercise<br />NOT FDA APPROVED<br />
  16. 16. Research Evidence<br />Randomized Controlled Trials (RCT) of EvoMed lifestyle and diet for treatment of mental illness…<br />THERE. ARE. NONE.<br />The research has not been done.<br />I blog in an effort to raise awareness.<br />
  17. 17. Evidence – a few shining jewels<br />RCT of children with ADHD and food elimination diet<br />Small trials of ketogenic diets in autism and dementia<br />Diet and Violence studies<br />Geschfound the prisoners were eating the RDA- topped them off with additional micronutrients violence decreased, study was replicated, mechanism remains mysterious<br />Australian dietary pattern studies <br />Depression and Bipolar disorder <br />“Traditional” beats out “Modern” and “Western” patterns<br />Many more in the constellation of studies I mention on my blog<br />
  18. 18. The Future<br />A holistic, evolutionary medicine approach could not only revolutionize mental health treatment, but be preventative for the population.<br />
  19. 19. The Application of Evolutionary Biology to Corporate Health & Wellness Programmes<br />New Zealand Market<br />
  20. 20.
  21. 21. The Reality of the Corporate Environment<br />Constant pressure to do more with less<br />Absenteeism + Presenteeism<br />High cost of employee recruitment + replacement<br />Human biology rarely given a second thought<br />
  22. 22. International Wellness Landscape - What is driving a wellness focus<br />
  23. 23. International Wellness Landscape - Top Wellness Elements<br />
  24. 24.
  25. 25. International Wellness Landscape - Fastest growing wellness elements<br />
  26. 26.
  27. 27. Dr Emily Deans: What Causes Mental Illness?<br />Genes<br />+ Stress<br />+ Diet<br />Changes to our modern, industrial, nutrient-poor diets have reduced our resiliency to stress<br />
  28. 28. What Causes Low Resiliency to Work Stress?<br />Genes?<br />+ Stress<br />+ Diet<br />Plus other lifestyle factors<br />
  29. 29. Over-exposure to neolithic agents of disease<br />Under-exposure to nutrient-dense foods<br />Over-exposure to sedentariness and/or ‘chronic cardio’<br />Under-exposure to evolutionary-appropriate physical activity<br />Over-exposure to artificial lighting<br />Under-exposure to natural lighting<br />Deranged sleep patterns and a disconnect with circadian rhythms <br />Disconnect with evolutionary-appropriate socialisation<br />H.R. APPROVED<br />
  30. 30. Our evolution designed us for a world very different from that we have constructed for ourselves. Within a mere instant, in evolutionary terms, we have transformed our environment.<br />But this widening mismatch between our biology and our environment has its costs. And we cannot evolve our way out of the problem.<br />Mismatch - why our world no longer fits our bodies (Oxford Press, 2006).<br />Prof Peter Gluckman and Mark Hanson <br />
  31. 31. Greatest capacity for adaptation?<br />Soft biological object<br />Rigid inanimate objects<br />
  32. 32. Our Current Focus<br />Creating awareness around how our biology impacts on;<br /><ul><li>health and well-being
  33. 33. stress resiliency
  34. 34. work productivity</li></li></ul><li>Building Resilience<br />
  35. 35.
  36. 36. Some of the Challenges Ahead…<br />Conventional wisdom entrenchment<br />The perceived authority of those delivering information<br />Evolutionary model is ‘novel’ compared to conventional wisdom - needs to be proven as an intervention<br />Status quo is path of least resistance (cost)<br />Lack of support services… doctors, nutritionists, trainers<br />Perception of ‘paleo re-enactment’…<br />
  37. 37.
  38. 38. Future Hopes and Dreams…<br />Evolutionary biology becomes the default model, with the onus shifting to those outside of this model to justify their approach with a robust level of evidence…<br />More focus shifted to how to integrate evolutionary biology rather than why we should…<br />More adaptation of the physical work environment to the soft squishy objects…<br />Growth of a support services network(e.g. PPN)<br />
  39. 39. PHOTO CREDITS<br />Slides 2+3; Emily Deans and Jamie Scott<br />Slide 6; Wikimedia Commons<br />All other slides; images licensed from iStock<br />REFERENCES - Emily Deans, M.D.<br />Crystal HA, Dickson D, Davies P, Masur D, Grober E, Lipton RB: The relative frequency of “dementia of unknown etiology” increases with age and is nearly 50%in nonagenarians. Arch Neurol 2000, 57:713-719.<br />Eby, George A, Eby, Karen L.  Rapid recovery from major depression using magnesium treatment.  Med Hypotheses. 2006;67(2):362-70<br />Evangeliou, Athanasios MD. Application of a Ketogenic Diet in Children With Autistic Behavior: Pilot Study.  J Child Neurol February 2003 vol. 18no. 2 113-118<br />Eves A, Gesch B, Food provision and the nutritional implications of food choices made by young adult males, in a young offenders' institution. J Hum Nutr Diet. 2003 Jun;16(3):167-79<br />Gesch, B. et al,
Influence of supplementary vitamins, minerals and essential fatty acids on the antisocial behaviour of young adult prisoners: Randomised, placebo-controlled trial
The British Journal of Psychiatry 2002 181: 22-28<br />Goodwin, Frederick K and Jamison, Kay Redfield.  Manic-Depressive Illness: Bipolar Disorders and Recurrent Depression, Second Edition.  Oxford University Press.  Mar 2007.<br />Hebert LE, Scherr PA, Bienias JL, Bennett DA, Evans DA: Alzheimer disease in the US population. Prevalence estimates using the 2000 census. Arch Neurol 2003, 60:1119–1122.<br />Hellhammer, J. et al. Effects of Soy Lecithin Phosphatidic Acid and Phosphatidylserine Complex (PAS) on the Endocrine and Psychological Responses to Mental Stress. Stress. 2004, Vol. 7, No. 2 , Pages 119-126<br />Hudson, James et al.  The Prevalence and Correlates of Eating Disorders in the National Comorbidity Survey Replication. Biological Psychiatry 1 February 2007 (Vol. 61, Issue 3, Pages 348-358)<br />Jacka, Felice N. et al. Association between magnesium intake and depression and anxiety in community-dwelling adults: the Hordaland Health Study.  Australian and New Zealand Journal of Psychiatry 2009 43:1, 45-52<br />Jacka FN, Pasco JA, Mykletun A, Williams LJ, Hodge AM, O'Reilly SL, Nicholson GC, Kotowicz MA, Berk M, Association of Western and traditional diets with depression and anxiety in women. Am J Psychiatry. 2010 Mar;167(3):305-11<br />Jacka FN, Pasco JA, Mykletun A, Williams LJ, Nicholson GC, Kotowicz MA, Berk M. Diet quality in bipolar disorder in a population-based sample of women. J Affect Disord. 2011 Mar;129(1-3):332-7<br />Jackson, Stanley W.  Melancholia and Depression: From Hippocratic Times to Modern Times.  Yale University Press. 1990<br />
  40. 40. REFERENCES - Emily Deans, M.D<br />Kessler RC, Berglund P, Demler O, Jin R, Merikangas KR, Walters EE. Lifetime prevalence and age-of-onset distributions of DSM-IV disorders in the National Comorbidity Survey Replication. Arch Gen Psychiatry 2005;62: 593–602<br />Kim, Young Shin, Leventhal, Bennett L., Koh, Yun-Joo, Fombonne, Eric, Laska, Eugene, Lim, Eun-Chung, Cheon, Keun-Ah, Kim, Soo-Jeong, Kim, Young-Key, Lee, HyunKyung, Song, Dong-Ho, Grinker, Roy Richard. Prevalence of Autism Spectrum Disorders in a Total Population Sample. Am J Psychiatry 2011 0: appi.ajp.2011.10101532<br />Le-Niculescu, H. et al. Convergent functional genomics of anxiety disorders: translational identification of genes, biomarkers, pathways and mechanisms. Translational Psychiatry (2011) 1, e9; doi:10.1038/tp.2011.9<br />Mulvhill, B. et al. Prevalence of Autism Spectrum Disorders - Autism and Developmental Disabilities Monitoring Network, United States, 2006.  MMMR Suveillance Summaries December 18, 2009 / 58(SS10);1-20<br />Okusaga O, Yolken RH, Langenberg P, Lapidus M, Arling TA, Dickerson FB, Scrandis DA, Severance E, Cabassa JA, Balis T, Postolache TT.  Association of seropositivity for influenza and coronaviruses with history of mood disorders and suicide attempts. J Affect Disord. 2011 Apr;130(1-2):220-5<br />Pelsser LM, Frankena K, Toorman J, Savelkoul HF, Dubois AE, Pereira RR, Haagen TA, Rommelse NN, Buitelaar JK. Effects of a restricted elimination diet on the behaviour of children with attention-deficit hyperactivity disorder (INCA study): a randomised controlled trial.  Lancet. 2011 Feb 5;377(9764):494-503<br />Schiff M, Bénit P, Coulibaly A, Loublier S, El-Khoury R, Rustin P. Mitochondrial response to controlled nutrition in health and disease. Nutr Rev. 2011 Feb;69(2):65-7<br />Szewczyk B, Kubera M, Nowak G. The role of zinc in neurodegenerative inflammatory pathways in depression. ProgNeuropsychopharmacolBiol Psychiatry. 2011 Apr 29;35(3):693-701<br />Urosevic N, Martins RN.  Infection and Alzheimer's disease: the APOE epsilon4 connection and lipid metabolism. J Alzheimers Dis. 2008 May;13(4):421-35<br />Yaffe, Kristine Yaffe et al. Mild Cognitive Impairment, Dementia, and Their Subtypes in Oldest Old Women. Arch Neurol. 2011;68(5):631-636.<br />Yolken RH, Torrey EF, Lieberman JA, Yang S, Dickerson FB. Serological evidence of exposure to Herpes Simplex Virus type 1 is associated with cognitive deficits in the CATIE schizophrenia sample. Schizophr Res. 2011 May;128(1-3):61-5.<br />Zaalberg, A., Nijman, H., Bulten, E., Stroosma, L. and van der Staak, C. (2010), Effects of nutritional supplements on aggression, rule-breaking, and psychopathology among young adult prisoners. Aggressive Behavior, 36: 117–126. doi: 10.1002/ab.20335<br />Zeisel, Steven H, and da Costa, Kerry-Ann. Choline: An Essential Nutrient for Public Health.  Nutr Rev. 2009 November; 67(11): 615–623.<br />
  41. 41. ResiliencyAn Evolutionary Pathway to Optimal Mental and Physical Health<br />