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neurotransmitter testing

Holistic Psychiatry is CorePsych

by Dr Charles Parker on January 4, 2010 · 5 comments

Thanks for your continued interest in evolving mind/body science! Stay tuned for more details on how neurotransmitters, immune system challenges and hormones create problems with mind-balance.
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A New View: gato-gato-gato via Flickr

The Core of Psychiatry is Changing – Neuroscience Evidence Changes Thinking

We’ve been talking about the evolution of psychiatry here at CorePsych Blog for more than 3 years – and you know from these pages that mind progress has been dramatic. From SPECT brain imaging, to NeuroScience testing, the new technology provides distinctive different ways to understand old problems.

This January 26 & 27, just a few weeks away, you will have an opportunity to take a deeper step into that change process: The Holistic Health Virtual Conference: Empowering Whole People – I hope you can join me there.

This Holistic Health conference introduces a different view for the new year: Science applied to Health: mind and body connections – all hooked up with evidence that works in everyday life – from some of the most respected national thought leaders.

Hosted by the quick and effervescent Jennifer Koretsky, the conference will have that same here-is-what-to-do-next, bottom line, street-smart focus on applications, not theory. Jennifer hosted the Virtual AD/HD Conference last year, and is the author of Odd One Out: The Mavericks Guide to Adult ADD, and brings an easy-listening experience to her conferences.

Join me with other esteemed colleagues:

- Notably: Daniel Amen MD: Pioneer in brain imaging evidence – has written 23 books, has appeared on PBS regularly, and is a national thought leader in psychiatry who has significantly changed our outlook on the use of brain evidence in everyday office practice. I had the privilege of working with Daniel for 4 years, starting in 2003 with our opening of Amen Clinic DC, in Reston, VA, – and can report without reservation that the tour with him up there significantly changed my professional life – my practice of psychiatry. When you hear his presentation, you will agree, he is one of the very best speakers out there. Engaging, witty, humorous and practical, he will be talking about mind body connections and will definitely get you thinking about evidence that works.

- And check out these other folks on Vit D3, Toxins, Bioidentical Hormones, Food as Medicine: On this Agenda Page at Holistic Health

- My presentation: So much of our current health delivery system in psychiatry is limited only to the best in psychopharmacology – and directed to illness in the moment. Frequently, speaking from my own past experience, we have limited our view to the synapse, as the only tools we have used are medications that hit those brain synaptic connections. With new tools, new evidence, and new thinking, we now have a much more comprehensive way to measure brain health.We are rapidly moving from macro to micro in our new assessment strategies. I will summarize what you need to know to get started. Bottom line: Comprehensive thinking beats categorical thinking every time.

The challenge: How to put all the evidence together for your comprehensive care, and for comprehensive self care. My presentation will take you into the molecular and cellular measurements now available to understand immune, hormone and neurotransmitter assessments – without tying you down with jargon. These new measurement tools are readily available, are often quite cost effective, and will tell you volumes about your brain and body connections and, as mentioned above: what -to-do- next.

It won’t matter who you are, public or professional, you need to hear this information to effectively practice 21st century health medicine, 21st century self care. Start the New Year right: Holistic Health Conference.

Hope to see you there, and do retweet this below if you think your followers might be interested in the real deal. ;-)
Talk soon,
cp

Make sure you take a look at these pages!
ADHD Medication Rules Purchase
“Rules” Affiliate Link
Neuroscience Details

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ADHD Medications: Neurotransmitters to the Rescue

by Dr Charles Parker on November 2, 2009 · 15 comments

Our Direction

ADHD Treatments Evolve Dramatically
Remember how that old Maine farmer told the lost city guy who stopped to ask for directions: “Come to think of it, you can’t get there from here…” Well, truth be known, the evolving neuroscience is taking us in new intervention directions.

ADHD medications, my friends, are evolving dramatically. Intuniv, the new ADHD medication, [not a stimulant, but rather an alpha 2A agonist] by Shire will be in your pharmacies soon, and the pharmacology, the indications, the new science is simply dramatic.

If you are a professional on any level, and can attend one of the launch dinners in your town, I strongly recommend that you take an evening to see evolved neurophysiology at work. That α2A receptor, that quite different medication, will help change the way we think about medications for ADHD in the future. More about that later, stay tuned to CorePsych Blog for the details, – and watch my YouTube Channel at DrChalresParker for a pithy report on our office findings with Intuniv – likely next weekend.

Neurotransmitter Measurements For ADHD
Neurotransmitter physiology takes us way beyond what we have been doing for years with only stimulant medications. Neurotransmitters will take us further down the line to that holy grail of ADHD treatments: The Natural Way. Do make sure you sign up for updates, because this evolving neurotransmitter information will be the main theme in coming reports – and for today one brief story that I am sure will get your attention:

More than ADHD
52 yo male flies in from California for SPECT functional brain scans and complete brain review after years of failed treatment for ADHD and depression. These basic findings will make your hair curl:

  1. Prozac 140 mg in the AM combined with Lexapro 80 mg in AM
  2. Adderall XR 80 mg in the AM
  3. Neurontin 800 mg 2X/day [given because he looked bipolar with the AMP and the Prozac - go figure]

Does serotonin syndrome come to mind? Are you now with me on my oft cited 2D6 interactions between Ampehtamines and Prozac? Lemme guess… do you think he was, dare I say it… toxic?

He suffered with profound ADHD – he couldn’t think, couldn’t complete sentences, drifted off with his wife – he looked like a flaming Thinking ADHD subset. His legs were twitching, not only at night, but through the day. He suffered from cognitive impairment/dementia and worried that he had early Alzheimer’s. He had significant metabolic issues with transit time slowing for years.

We got the interactions straight, confirmed with SPECT that he suffered from significant metabolic challenges with diffuse hypoperfusion across the surface of his brain.

The Neurotransmitter Watershed

Most important after these obvious issues, with no brain injury and no evidence of Alzheimer’s, were the neurotransmitter testing results [spend some time on this page and download the details]. His cognitive world was completely handicapped by low levels of Dopamine and Serotonin, with, as you might expect, elevated levels of Glutamate [more later, stay tuned].

Even with all the dopaminergic drugs his dopamine was below normal levels. The simple reason he didn’t suffer from serotonin syndrome: he had so little his serotonin tank was almost completely empty! Yes,  for years he has been a picky eater.

Neurotransmitter Lesson: Without the foundation of an appropriate supply of neurotransmitters in the first place no amount of psychiatric medications will turn the treatment tide. You can’t get there from here.

You will hear this next measurement phrase repeatedly here:
If you don’t look, you won’t see the specific problem – comprehensive evidence is that new direction.

With this executive he suffered from pervasive cognitive problems, the SPECT imaging provided a good safety check, and the neurotransmitter testing provided the most effective different medical intervention strategy. My humble opinion: neurotransmitter testing will provide significant different intervention strategies for many with complex presentations.

He is thrilled with his new cognition, is on target in his marriage and at work, and does not suffer crippling brain toxicity. He is on neurotransmitter precursors [natural amino acid combinations] specifically designed to meet his deficiencies. Prozac is long gone, he is on Pristiq and Vyvanse, only low doses of each, and time will tell if he even needs those medications down the road.

Stay tuned for more reports like this one, with more details on the specific process. Best to simply sign up for these blog posts as I will be sending out regular info on these new directions. Neuroscience evolves.

And do forward this post to your friends who are stuck with ADHD Medication challenges. – And BTW, yes, we can provide this testing long distance, as we don’t require a trip to Virginia, unless we write for medications.

cp

Make sure you take a look at these pages!
ADHD Medication Rules Purchase
“Rules” Affiliate Link
Neuroscience Details

If you found this article interesting please SHARE it:
Bookmark and Share

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Medicine Trial and Error: Missouri Turkey Shoot

June 14, 2007 Hormone Reviews

By now you know that I am a medical target shooter, and don’t agree with loading up any shell and simply blasting away at the unknown with my metaphoric arsenal. But blasting away is a big problem with meds, simply because of the rapid evolution of the *science of targets.*

5 comments Read the full article here →