Link between nutrition and mental health – Part Two

Blog Post No.153

4th April 2017

Copyright (c) Dr Jim Byrne, 2017

Dr Jim’s Counselling Blog: The link between nutrition and ‘mental health’ (or emotional wellbeing) – Part 2

Introduction

honetpieIn Part 1 of this blog post series, I reviewed the scientific evidence, presented by Professor Bonnie Kaplan, that nutritional deficiencies can and do result in mental health or emotional wellbeing problems.

In particular, we saw that single nutrient deficiencies – like vitamins B1, B3, B12, and iodine, resulted in psychiatric disorders, or mental health difficulties.

At the end of her presentation of the scientific evidence of the importance of nutrition for mental health, Dr Kaplan raises this question: What happened next?

And her answer?  Nothing! 

Or: 50+ years of virtual silence on the role of nutrition in mental health in the realm of psychiatry or clinical medicine.

Bonnie KaplanShe then wonders: ‘Why?’

Her first inference is that this was the era of the development of pharmaceuticals!  (Which we now know to be little better than a placebo, but with hugely damaging side effects! [More on that later in this series!])

And she also mentions that psychologists and mental health workers were taught that nutrition was not important!

But that claim is spurious, and contradicts the scientific evidence presented by Dr Kaplan.

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And here’s Julia Rucklidge’s Tedx talk on nutrition and mental health:

Evidence from the Minnesota Starvation Experiment

In an effort to keep a tight focus upon the research on single nutrient deficiencies, in my previous blog post, I skipped Dr Kaplan’s presentation on the Minnesota Starvation Experiment.  I now want to return to that subject:

The results of the Minnesota Starvation Experiment have been summarised as follows, by two authors at the American Psychological Association:

“Amid the privations of World War II, 36 men voluntarily starved themselves so that researchers and relief workers could learn about how to help people recover from starvation.

“They reported fatigue, irritability, depression and apathy. Interestingly, the men also reported decreases in mental ability, although mental testing of the men did not support this belief.”  And their sex urge disappeared completely.” (Professor Bonnie Kaplan, who has studied the reports carefully, expands this list as follows: “Depression, hysteria, irritability, self-mutilation, apathy/lethargy, social withdrawal and inability to concentrate”[3].)

Given the insights of this research, why should anybody feel any sense of stigma about ‘mental health issues’?  What if all of their problems could be cleared up by working on their diet, their gut health, and their general level of stress?  (And perhaps re-writing or re-thinking their personal and family history?)

“The Minnesota Starvation Experiment … reminds us that in psychology studies of mind and body, science and practice can converge to deal with real problems in the real world.”[4]

Despite the fact that the American Psychological Association knows of this research, in which semi-starvation, or extreme nutrient deficiency, resulted in fatigue, irritability, depression and apathy, no significant evidence exists that counsellors and psychotherapists normally take the diet of their clients into account.  (A junk food diet is a form of semi-starvation from the point of view of nutrient-deficiency! And there is now evidence that trans-fats and high sugar content results in emotional disturbances, such as angry outbursts and depression).

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Conclusion

Bonnie Kaplan has presented a range of evidences that nutritional deficiencies affect mental health.  I am very careful to eat a balanced diet – but, also in line with her thinking – to use a range of good quality micro-nutrients (vitamins and minerals) to compensate for the poor quality of much agricultural soil today; and also to compensate for the fact that I do not know for sure how to compile a day’s menu which will give me adequate amounts of all the essential nutrients I need for my physical and mental functioning.

I would recommend that you follow this pattern.  Follow a good guide to nutritious eating – probably something like the Mediterranean Diet; and/or the Paleo Diet; with plenty of water (about two litres per day); plus a good strong multivitamin and mineral supplement; a strong (and preferably yeast free) vitamin B complex; a good quality digestive enzyme supplement (especially if you are over the age of forty years, when you digestive enzymes show a marked decline); and perhaps talk to a good nutritional therapist who can advise you on other supplements you might benefit from.  We also try to eat at least 50% organic; and we currently exclude all grains and dairy products (well 95% or so).

We also learn a lot of useful health tips from What Doctors Don’t Tell You.***

In her appendix on nutrition (Diet, nutrition and the body-brain-mind), in our book on Holistic Counselling***, Renata also recommends avoidance of caffeine, sugar, and gluten; and the taking of vitamin D3 supplements (but also getting vitamin D from sunlight); and getting omega-3 fatty acids from oily fish (and/or from supplements, like cod liver oil, or krill oil); and avoiding trans-fats (commonly found in junk food), which ‘rot your brain’.  You can also get support from a good holistic health practitioner, nutritionist or your regular healthcare practitioner.

But most important of all, do you own research.  Find out for yourself.  Become your own physician!  And remember, this is educational information, and not medical advice!

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That’s all for today.

More later…

Best wishes,

Jim

Dr Jim Byrne

Doctor of Counselling

ABC Coaching and Counselling Services

Telephone: 01422 843 629

Email: jim.byrne@abc-counselling.com

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End Notes

[2] Keys, A., Brozek, J., Henshel, A., Mickelson, O., & Taylor, H.L. (1950). The biology of human starvation, (Vols. 1–2). Minneapolis, MN: University of Minnesota Press.

[3] Kaplan, B.J., Julia J. Rucklidge, Amy Romijn, and Kevin Flood (2015) The emerging field of nutritional mental health: Inflammation, the microbiome, oxidative stress, and mitochondrial function.  Clinical Psychological Science, Vol.3(6): 964-980.

[4] American Psychological Association: The psychology of hunger. By Dr David Baker and Natacha Keramidas, October 2013, Vol 44, No. 9. Online: http://www.apa.org/monitor/2013/10/hunger.aspx

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Diet, nutrition and mental health

Blog Post No.152

3rd April 2017 – (Updated on 16th July 2018)

Copyright (c) Dr Jim Byrne, 2017

Dr Jim’s Counselling Blog: The link between nutrition and ‘mental health’ (or emotional wellbeing) – Part 1

Introduction

Postscript: Since posting this blog, we have moved on, and produced a slim volume of research findings on the subject of How to Control Your Anger, Anxiety and Depression, Using nutrition and physical activity.***

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Updated: 12th June 2018, and 16th July 2018

This book provides some clear guidelines regarding those foods which need to be excluded from your diet, in order to be healthy and emotionally well.  It also contains lots of stimulating ideas to help you to produce your own ‘personalised diet’ and exercise plan. And we have expanded Part 6 to provide a comprehensive guide to how to change any habit, so that readers can actually make the kinds of changes to diet and exercise approaches that appeal to them.

If you’re one of those individuals who has been waiting for the book to be published, then you can get the paperback here, for less than £10.00 GBP!

This book has proved to be popular with both self-help enthusiasts and with professional counsellors and psychotherapists, who want to be able to help clients whose disturbances are partly or wholly caused by problems with their nutritional or exercise approaches.

Amazon.com Amazon.co.uk Amazon.it Amazon.nl
Amazon.ca Amazon.com.au Amazon.co.jp Amazon.de
Amazon.es Amazon.fr  Amazon.eu  Amazon India

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For more information about this book, please click this link: How to Control Your Anger, Anxiety and Depression: Using nutrition and physical activity.***

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Dr-Jim-Self-AcceptanceThere is now a growing consensus that there is a significant link between diet/nutrition – on the one hand – and ‘mental health’ or emotional wellbeing – on the other. (For example, see Mental Health Foundation; and  Mind UK.

I first began to take this emerging insight into account in dealing with my clients, perhaps twelve or more years ago.  Out of my curiosity about this link, I created what I called my Stress and Anxiety Diet.***

Last year, Renata wrote a substantial document on the link between diet and emotional disturbances.  This we published as Appendix E to our book on Holistic Counselling: (Please see Holistic Counselling in Practice.***)

Bonnie-KaplanMoving on: I recently reviewed Part 1 of a three part webinar on ‘Nutrition and Mental Health’, by Dr Bonnie Kaplan, a professor in the Cumming School of Medicine, University of Calgary, Alberta, Canada[1].

In her webinar, Dr Kaplan reviews 2,600 years of folklore and modern science to explore the link between nutrition and mental health.

The science of nutritional deficiency

In the realm of science, she presents evidence that, just as deficiencies in single nutrients can cause physical diseases (e.g. scurvy), they can also cause psychological/psychiatric symptoms.

She begins her science section with a look at the dire consequences of citrus deficiency: the development of a disease called scurvy, which killed 40% of the crews of ships that sailed without lemon juice.  In 1774, citrus was shown, in a randomized control trial of six potential treatments, to be superior.  But it took 264 years before citrus was made routinely available to all sailors.

Subsequent studies showed that single nutrient deficiencies could, and would, cause psychiatric symptoms, of which Kaplan mentions four:

# Thiamine/B1 deficiency causes Wernicke’s encephalopathy[2].  Korsakoff’s psychosis[3].

# Cyanocobalamin/B12 deficiency causes Psychosis of pernicious anaemia[4].

# Iodine deficiency causes ‘Myxedema madness’[5]. And:

# Niacin/B3 causes Pellagra[6].

The widespread recognition that these psychiatric conditions can be caused by single nutrient deficiencies is beyond dispute.  As Dr Kaplan points out, the DSM acknowledges that niacin deficiency can cause neurocognitive disorders.

How do we know that most so called psychiatric symptoms are not a result of single or multiple vitamin or mineral deficiencies?  Or a result of nutritional deficiencies plus dehydration?  Or nutritional deficiencies, sugar overload, and inflammation due to grain allergies?  The answer is: We Don’t!

But there is a growing field of nutritional medicine emerging which seems to cohere around one central theme: Food is the best medicine!  (Brogan, 2016[i]; Perlmutter, 2015[ii]; Ross, 2002[iii]; Enders, 2015[iv]).

[i] Brogan, K. (2016) A mind of your own: The truth about depression and how women can heal their bodies to reclaim their lives. London: Thorsons.

[ii] Perlmutter, D. (2015) Brain Maker: The power of gut microbes to heal and protect your brain – for life. London: Hodder and Stoughton.

[iii] Ross, J. (2002) The Mood Cure: Take charge of your emotions in 24 hours using food and supplements. London: Thorsons.

[iv] Enders, G. (2015) Gut: The inside story of our body’s most under-rated organ.  Scribe Publications.

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 Vitamin B3 deficiency and the disease of Pellagra

Pellagra_NIH_manThe most obvious symptom of Pellagra is rough skin, or dermatitis of an extreme form.  According to Dr Kaplan, this disease was first described in 1735 in Spain.  But it was not until 1914 that Dr Joseph Goldberger realised that Pellagra was not an infectious disease, but that it was in fact linked to diet.  By 1937, it was precisely linked to niacin (or Vitamin B3) deficiency.  As a result, some governments began to fortify food with vitamin B3, to prevent this disease.

However, as mentioned earlier, Pellagra symptoms were not restricted to the skin, but also affected the brain-mind of the victim, causing mental disturbances sufficiently sever for sufferers to be admitted to psychiatric hospitals.  And Dr Kaplan cites one American hospital which estimated that 1 in 5 admissions from 1930-32 were solely due to Pellagra psychosis.

Much of this psychosis was caused by over-reliance on maize as the staple of the ‘poor man’s diet’.

What does this tell us about the stigma of ‘mental illness’?  Are we misrepresenting nutritional deficiencies as ‘madness’?

My own mother was hospitalized for depression when I was about twelve years old.  The one thing I know for sure about those years is this: We were all seriously malnourished!  (Of course, we must not get into the trap of swapping one ‘single cause’ of emotional distress for another.  We subscribe to a holistic model, in which diet, exercise, self-talk, relaxation, meditation, sleep pattern, family of origin, current relationships, environmental stressors, economic circumstances, housing circumstances, and so on, all play a role in determining the individual’s capacity to regulate their emotions; and certainly there were a lot of stressors [financial and relational] in my mother’s life at that time!)

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Nutritional treatment of emotional problems

Dr Kaplan, in 2007, co-authored a paper on Vitamins, Minerals and Mood[7].  This is what the abstract said:

“In this article, the authors explore the breadth and depth of published research linking dietary vitamins and minerals (micronutrients) to mood. Since the 1920’s, there have been many studies on individual vitamins (especially B vitamins and Vitamins C, D, and E), minerals (calcium, chromium, iron, magnesium, zinc, and selenium), and vitamin-like compounds (choline). Recent investigations with multi-ingredient formulas are especially promising. However, without a reasonable conceptual framework for understanding mechanisms by which micronutrients might influence mood, the published literature is too readily dismissed. Consequently, 4 explanatory models are presented, …. These models provide possible explanations for why micronutrient supplementation could ameliorate some mental symptoms[8].”

Dr Kaplan next moves on to present the result of the Minnesota Starvation Experiments, from 1950, which demonstrated that, when a group of normal, healthy students were deprived of a nutritious diet, and placed on 50% of normal nutritional levels, they developed symptoms of depression, hysteria, irritability, self-mutilation, apathy and lethargy, social withdrawal, and inability to concentrate. (Keys, et al, 1950)[9].

The link between nutrition and mental health is therefore, quite clearly, beyond dispute.

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End of Part 1.  To be continued in Part 2.

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PS: Soon after posting this blog, I got this response on Facebook:

Shannon Joy Glasser “I changed to a vegan diet about a year and a half ago, and I have experienced SIGNIFICANT improvements in my health, depression and anxiety. I’m a firm believer!”

PPS: And there are now randomized controlled trials (RCTs) which demonstrate dietary changes are more effective than social support interventions for reducing and eliminating the symptoms of depression:

https://www.madinamerica.com/2017/04/healthier-diet-reduces-depressive-symptoms/

https://www.thecounsellorscafe.co.uk/single-post/2017/03/15/Adding-back-the-body-to-the-counselling-client

PPPS: Finally, just in case you naively believe that ‘antidepressants’ can cure depression, please take an eye-opening look at The Emperor’s New Drugs.***

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That’s all for today.  More soon.

Best wishes,

Jim

Dr Jim Byrne

Doctor of Counselling

ABC Coaching and Counselling Services

Telephone: 01422 843 629

Email: jim.byrne@abc-counselling.com

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Endnotes

[1] Here’s one online address where you can watch the video: https://www.hardynutritionals.com/videos/36-continuing-medical-education-series-nutrition-and-mental-health-part-1

To study this material for CE credits, then please go to the Mad in America site, here: https://app.ruzuku.com/courses/

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[2] Wernicke’s encephalopathy (or Wernicke’s disease) is the presence of neurological symptoms caused by biochemical lesions of the central nervous system after exhaustion of B-vitamin reserves, in particular thiamine (vitamin B1).

[3] Korsakoff syndrome is a chronic memory disorder caused by severe deficiency of thiamine (vitamin B-1). Korsakoffsyndrome is most commonly caused by alcohol misuse, but certain other conditions also can cause the syndrome.

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[4] Psychiatric manifestations of vitamin B12 deficiency: a case report.

Abstract

Psychiatric manifestations are frequently associated with pernicious anemia including depression, mania, psychosis, dementia. We report a case of a patient with vitamin B12 deficiency, who has presented severe depression with delusion and Capgras* syndrome, delusion with lability of mood and hypomania successively, during a period of two Months.  Source: https://www.ncbi.nlm.nih.gov/pubmed/15029091

(*Capgras Syndrome, also known as Capgras Delusion, is the irrational belief that a familiar person or place has been replaced with an exact duplicate — an imposter (Ellis, 2001, Hirstein, and Ramachandran, 1997).)

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[5] Myxoedema psychosis, more colloquially known as myxoedema madness, is a relatively uncommon consequence of hypothyroidism, such as in Hashimoto’s thyroiditis or in patients who have had the thyroid surgically removed and are not taking thyroxine.  Source.***

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[6] pellagra (pɛˈlaɡrə,pɛˈleɪɡrə/) noun:

  1. A deficiency disease caused by a lack of nicotinic acid* or its precursor tryptophan in the diet. It is characterized by dermatitis, diarrhoea, and mental disturbance, and is often linked to over-dependence on maize as a staple food. ***

(* nicotinic acid noun BIOCHEMISTRY: A vitamin of the B complex which is widely distributed in foods such as milk, wheat germ, and meat, and can be synthesized in the body from tryptophan. Its deficiency causes pellagra.)

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[7] Kaplan, B.J., Susan G. Crawford, Catherine J. Field and J. Steven A. Simpson (2007) Vitamins, minerals, and mood. Psychological Bulletin, Sept; 133(5): Pages 747-760.

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[8] Source: Available online at NCBI: https://www.ncbi.nlm.nih.gov/pubmed/17723028

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[9] Keys, A., Brozek, J., Henshel, A., Mickelson, O., & Taylor, H.L. (1950). The biology of human starvation, (Vols. 1–2). Minneapolis, MN: University of Minnesota Press.

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