CoreBrain Training

by Dr Charles Parker on October 30, 2010 · 12 comments

3452639326 8e0bdc8681 m1 CoreBrain Training

Distance Learning Web Conferencing via Flickr

CoreBrain Is Going Live: My Mission – To Train Others To Provide The Most Comprehensive Biomedical Interventions Available.
Jump on this opt-in list/sign up below with your email so I can keep you updated for several training opportunities coming up in 2011-12.

Sign up here:
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Your Name & Email
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Plans are simple and outlined briefly below:
1. New site with even more interviews, more studies in pdf, and more video info than currently on CorePsych Blog.
2. Several different training levels with certification and specific referral connections upon completion.
3. For MDs, DOs, DCs, NDs, NPs, PAs, PhDs, LCSWs, LPCs, RPhs, and any others interested in the most current brain biomedical information for daily use.
4. Specific bonuses that will change your practice and provide a more consistent/predictable income over time – Read Linchpin- Are You Indispensable? by Seth Godin to get started. This program will take you out of the clutches of mismanaged care.
5. CoreBrain  Virtual teaching/learning projects will be customized for specific subsets to help those in the audience more
easily select their objectives. These will be webinars, easily accomplished in your office or home.

The Topics for Increased Proficiency: Very Brief Overview
How Psych Meds Are Used Incorrectly
- Drug Interactions
- Indications
- New Med Reviews
- Dosages
- When to seek better evidence

Neurotransmitters
- Measurement and use with traditional medications
- Used as a stand alone
- Used with complex cases
- ADHD
- Bipolar
- Brain Injury
- Addictions
- Different labs and philosophies regarding this innovative new testing
- Reference materials

Endocrine
- From adrenal fatigue to estrogen dominance and andropause
- Thyroid challenges
- Specific office inquiries

Immune dysregulation
- Lyme disease experts on treatment
- Using neurotransmitters with Lyme treatment
- Gluten misjudged
- Casein overlooked
- Healing the gut
- Office measurements
- Interpreting various IgG findings from different labs

We’ll stay in touch this way… – and don’t hesitate to pass this opportunity along to your interested colleagues – more CoreBrain Training details coming soon.
cp

 CoreBrain Training

Digitally available now at Nook, Kindle, Barnes and Noble.
ADHD Medication Rules – PDF For Your Desktop  
ADHD Medication Rules | Paying Attention To The Meds For Paying Attention – Kindle Version


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Actually on the topic of Vitamin D I just learned that these days, with the development in scientific research and technology, performing a vitamin D test can be done yourself. It is not necessary to see a physician anymore to get this test done. There are blood test spot kits available and you can take help of these kits to do it all by yourself. The finger is punctured at a spot to retrieve a bit of blood on a different kind of paper called blotting paper. The result is not difficult to comprehend. I bought a home test kit and found I did have a minor deficiency.

D3 Benefits - Good suggestion, haven't used the home kits, don't know how they report... but do encourage readers to stay with the level of 60-80 ng/ml vs just squeaking in at 32 on the very low "normal." cp

Dear Dr. Parker, Our 5 year old son was diagnosed with ADHD a year ago. We were referred to a Pediatric Behavioral Specialist, and really loved her. He tried Focalin and Ritalin only to become so over-emotional I couldn't handle it. He was sad, angry and would meltdown over the smallest things. We then tried Tenex. We titrated from .5 mg at night to .5 mg in the morning and night and then added another .5 mg at noon. He was doing well in terms of his hyperactivity, but his ability to be attentive was still lacking. Recently it is as if the Tenex has stopped working. Our PBS has sent us back to his regular pediatrician. So, I called and he put him on Intuniv...which has lasted all of 1 day. He now wants us to go back to his previous dosage of Tenex, but to add 20 mg of Vyvanse. Does this seem like an appropriate dosage for a 5 year old? (he weighs 45 lbs) I'm really worried that he'll have the same reaction to the Vyvanse as he did to the other stimulants he tried. Any advice would be greatly appreciated. Thank you, Kristi

Kristi, Dosage is strictly a metabolic rate thing, not a weight or age thing. Having said that the basic rule for ADHD Meds is simple: Go low and slow at any age, especially the younger kids. Tenex and Vyvanse work well together, - I would wonder why add the inconvenience of multiple doses if Intuniv works well? My ideal mix for this kind of presentation would be Intuniv with Vyvanse, and I would go even lower with the Water Titration strategy with Vyvanse - starting at 10, even 5mg to make sure it worked well for the little guy. cp

Dr. Parker, We tried both Vyvanse and Intuniv. He was an emotional wreck on the Vyvanse, and he didn't sleep for almost 30 hours. I was up all night with him and he was scared because he couldn't sleep. The Intuniv was no help as it was a lower doe than the amount of Tenex he'd been on. His Pediatrician has decided to up his Tenex to 1 mg in the morning, and continue with .5 mg at noon and .5 mg at 5. This is his 3 days with that dosage and he is doing much better. Thank you for responding to my last post! Happy Holidays! K

Kristi, When in doubt go even lower and slower! ;-) cp

People with ADHD rejecting diagnosis as they deny other's opinion.. lol.. I like how you described it... "I am the boss, listen to me, don't argue back..." Just like people with compulsive hoarding behavior, they just don't realize they have some kind of mentally disorder, and that they need treatment urgently.

Joey, Thanks! Glad you liked it... been there, seen that all too often- cp

Thanks for your very quick reply! I have lots of questions about the diagnosis, but there's nothing that can fix that. I think I am actually much better on the meds (that is, when they're right- which has only been once for about 5 days) but like I said, the last few days I've been off. And I plan to stay off until I go back to my doctor. Don't know if that's wise or not. I definitely, right now, have the depression back - which didn't really start until yesterday. At least I see my therapist today... What I really want is for it all to go completely away without having to take any meds or do therapy or anything. Just lead a normal life, work hard, but a normal life. Can you give me some guidance as to what to tell my dr when I go back? Maybe some questions, that if I can answer them, I should tell him? I want my visit to be worthwhile and if I am going to continue with all this, I need to give him the right info --- but I don't know what that is.

anon, The right info is that you don't have a clear view of what specifically is going on. Best bet with any doc is throw your best shot at them and just keep at that process. It's what I ask my clients to do, and it works if we all just keep our collective noses firmly to the grindstone of real evidence rather than treating only symptoms. For anyone who is confused, either doc or client, the simple, most constructive answer is more evidence, period. Evidence will change your game plan, evidence almost always cuts thru the illusion of appearances/labels. cp

Dr. Parker, I had posted something a few months ago (back in september, on the page about intuniv and metabolic issues), but forgot what email address I'd submitted here - so I don't know how to access it at all! Anyways, a couple of things I was thinking about. First, I find all of these links and information so interesting....I wish I had the time and ability to comprehend it all and make sense of it insofar as it is applicable to me. I've read your book and it was very helpful. I'm at a healthy weight, I generally eat balanced though not a lot, I don't eat processed foods for the most part, I exercise at least 3 times weekly, I drink lots of water, I do therapy, I enjoy my work and do things outside my work....but I also haven't had a "check-up" in however many years -- I have no clue what my cholesterol or blood sugar levels are. My heart rate is fine and my blood pressure is good. Secondly, and this is what I'd like your opinion on, I have a concern. Before I went to a psychiatrist, I certainly struggled a lot but managed to have some balance. Then I went and began this whole adhd medication journey thing. And this whole thing with me reading and learning as much as I possibly can so that it's easier, more predictable, and more likely that I'll accept it all. My concern is that before I'd always considered myself to be pretty healthy, but now I wonder every time I have any ailment if it's connected to something else. I don't think this is a result of the medication, but rather with my almost obsession of trying to understand and wrap my head around every possible detail. So now I'm basically anxious and worried that there's something wrong physically -- whether it's hypothyroidism, gluten sensitivity, some autoimmune disorder, etc.... And I don't know what to do because I've never felt that way before. But all this info makes me wonder and I can't stop myself from reading more and more -- but reading more doesn't help; it just makes it all worse! I also was very resistant, despite my knowledge and training, to the adhd diagnosis and medication in the beginning (4-5 months ago). I was also resistant to therapy when I started that (two years ago). But then I was ok with it and now I'm resisting the meds again. I haven't taken them at all for the last couple of days - not for any real reason other than that I just don't want to, even though they do help. Today was definitely regression to patterns almost a year ago - pre-meds and early therapy days. What do you think? In general? About my concern? Thank you for your input.

Anon, As you know from my book your concerns sound very much like *unmanageable cognitive abundance* frequently associated with ADHD, and a proper target for ADHD meds. If you are more worried on the meds you could simply be on too much meds and be 'coming out the top of the therapeutic window.' If you have comorbid depression and the stimulant medications have increased that underlying vulnerability, as noted in the book under the dopamine/serotonin reactions the cause could be unidentified and untreated associated depression/OCD. The final possibility that quickly comes to mind is that genetically you aren't metabolizing the stimulant meds correctly and are accumulating AMPs thru a tiny 2D6 pathway. Subtle presentations like yours really need more careful review for all the details, don't encourage speculative shots and maybes, and may simply need some work with med trials to assess response to those various possibilities. Hang in there, they are correctable, and do need further investigation. cp PS: And finally you may just need some explanation and reassurance about the specific meds with references. Sounds like you may still also have questions about your original ADHD diagnosis in the first place.

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