What about Diet and Nutrition?

QUESTION:

Dear Dr. Heller,

Why do I see no mention of diet & nutrition in your web site’s discussion of mental illness? This is a major factor in the biological imbalances that may be present, and just prescribing drugs is a mere cover-up that often exacerbates the underlying problem while creating drug dependency/addiction, since the patient will be worse than they were to begin with if they stop their medication. By eliminating certain foods and adding others, as well as giving appropriate supplements of vitamins, minerals, and amino acids, you can often bring about dramatic improvement. Why are you so anxious to make drug slaves out of your patients?

 

ANSWER:

Diet and nutrition play a key role for everyone. I do go into this in my book “Biological Unhappiness.” I don’t think the tone of your letter would be as hostile if you understood how much I believe in nutrition and taking care of one’s health. The positive changes medication can make cannot be ignored. Based on your last sentence, have you considered that you might be deficient in something yourself – whether it be nutritionally, medically, or in compassion and understanding for your fellow man? That degree of hostility, misinformation and demeaning of those who need medications is not a sign of good health – nutritionally or mentally.

For many individuals with “Biological Unhappiness” diagnoses, nutritional and poison problems are indeed a problem. Hair levels of lead worsen AD(H)D, as do deficiencies in fruits and vegetables. Hypoglycemia can worsen mental health diagnoses. Sometimes the insulin/sugar system is so out of balance that temporarily stopping carbohydrates (e.g. Atkin’s or Sugarbusters) is an excellent idea, particularly for those with carbohydrate cravings. Many people poison themselves with tobacco, alcohol, excess food, a bad diet, lack of exercise and various other things. They often actually are “treating” their medical problems with the “wrong drugs.”

We’re a three legged stool – mind, body, spirit – and clearly all three need to be working well. Whatever can be done nutritionally should be done. Nutrition won’t change mental health genetics, however, nor will it change the mind of someone who’s interpreting danger that there really is no danger. Being healthier in every way – including nutritionally – is a wise choice.

Did I Cause My Son To Have BPD?

    Did I Cause My Son To Have BPD?

    QUESTION:

    Dear Dr. Heller,

    My teenage son has every describable symptom for BPD.  He is at the last school in this city that will accept him and is due to be expelled from there.  He now has other people feeling sorry for him to the point that I am being thought of as the one who is at fault, even though I have two other children who are enjoying life and getting on well without attempting to destroy their lives.  I am a student mental health nurse myself and am sure I can spot when something is not quite right.  However this has escalated to the point that I am starting to believe that as a mother I am terribly inadequate.  This has come about since my son has had some close contact with a few very close friends of mine who had more or less insinuated that it is me that is at fault, (purely because he has ‘sucked them in’). Is it possible that such a ‘terrible mother’ can have two young children that just get on with life doing childish things that do not hurt others and one other that is intent on doing exactly what he wants regardless of the effect on other people.  This includes (at the age of twelve) sexually abusing a young girl and at the age of thirteen beating up another young boy and then throwing him into a canal, (this resulted in him being cautioned by the police). Please tell me it is not me that is ‘not well’ and in addition that this sort of behavior is not just (and I quote one of my friends), ‘normal teenage shit’.  thank you.

     

    ANSWER:

    There’s a term for what’s necessary for an average success called a “good enough mother.”  It’s likely you were at minimum that considering your two other children are doing well.  Even if you have significant problems yourself, your son’s behavior is up to him, and he clearly has his siblings as a role model. I’d look into the major diagnoses I go over in the screening test and also for childhood onset bipolar disorder.  The effective medications are dramatic, and it doesn’t matter how many medications one has been on, what matters is which ones, in which doses, and in what sequence. What’s in your heart is also very important.  If you honestly believe you did your best, you don’t need to answer to anyone.  Reading “Your Erroneous Zones” by Wayne Dyer may be of help to you in this regard.

Separator (Biological Unhappiness)

 

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Diet and 12 Step Programs Helpful?

QUESTION:

Dear Dr. Heller,

I have had most of the symptoms and could have answered yes to most. Since I’ve been on Kay Sheppard’s (Food Addiction, the Body Knows) food plan and attending a 12 step program for food addiction my life has been much more manageable, almost normal. Does this fit with your plan for recovery?

 

ANSWER:

Most 12 step programs make a huge difference. In addition to the structure and support, they offer a spiritual approach which is vital. Self-esteem and self-confidence are usually bolstered dramatically by helping others. I believe strongly in the importance of mind, body & spirit.

Short-time, carbohydrate-free diets can be extremely helpful as well, particularly for those with the BPD and panic disorder as hypoglycemic spells are very damaging. I often recommend the short term use of the Atkin’s diet. High protein and/or high fat diets (and the choice is fat, protein or carbohydrates) have been shown to markedly increase the risk of cancer, heart disease, strokes, and osteoporosis. It’s why the American Diabetes Association abandoned that diet a few years ago.

I know many individuals who have told me similar things. When they get on the medication they need, the difference is remarkable. The symptoms of most biological unhappiness disorders are medically oriented, and can be reduced by good nutrition and worsened by bad nutrition. This has been clearly proven in those with attention deficit disorder.

Is Zoloft good for DID (dissociative identity disorder, f.k.a. multiple personalities)?

    Is Zoloft good for DID (dissociative identity disorder, f.k.a. multiple personalities)?

    QUESTION:

    Dear Dr. Heller,

    Is Zoloft good for this problem?  I just started taking it and I wonder if it will help.

    Thank you.

    ANSWER:

    I’ve taken care of some DID patients, and every one of them also had the BPD (borderline personality disorder).  If the BPD is present I’ve found Zoloft to be significantly inferior to Prozac, although it can work for some patients.

    While all the principles of treating the BPD continue for those with DID, I have found some additional things can be done…

  1. Make sure the Tegretol blood level is therapeutic, preferably in the upper third of normal. 
  2. Add Remeron for the PTSD and sleep. 
  3. Make them safe.  Having a good dog and an alarm system with motion sensors can make a huge difference. 

Separator (Biological Unhappiness)

 

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DID – Is There Really Any Hope?

QUESTION:

Dear Dr. Heller,

Is there really any hope for someone with dissociate identity disorder?

ANSWER:

I believe so, based on my experiences. Everyone I’ve met with the DID also had the BPD.

I’ve had a few who did very well, actually. The keys are the same as for everyone else – get all the diagnoses made per the screening test, have a plan for stress, and retraining the brain.

The DID requires a few extra challenges:

1) The patient virtually always needs daily epilepsy medications – which are often referred to as mood stabilizers. Tegretol (carbamazepine) is the best in my experience, far better than Depakote, Neurontin or Lamictil. I’m just starting to try Topamax and will keep this Website informed as to how it works.

2) The individual must have their symptoms aggressively treated. Feeling threatened, anxious, dysphoric, etc. must be dealt with quickly.

3) The individual must be kept safe. Nighttime problems seem the worst, and I’ve had some success with motion sensors and a large dog for some patients to make them feel safe.

Beyond that, everything else remains the same. The individual must do everything with all their energy, particularly the brain retraining. Everything I mention in the brain retraining section must be done, and I’d strongly recommend the individual do everything mentioned in chapter 7 of Life at the Border  – particularly the mood checks. Counseling is necessary of course as well.

It’s not possible to overemphasize how important it is to learn how to be optimistic, healthy and happy. Ziglar’s tapes and the books I recommend, particularly “Embraced By the Light” by Betty Eadie and “Happiness is a Choice” by Barry Neil Kaufman are very, very important. I’ve never seen an individual with DID do great who didn’t listen to Ziglar and read positive books every day.

Can You Help a Desperate Man?

    Can You Help a Desperate Man?

    QUESTION:

    Dear Dr. Heller,

    I am a 45 year old Caucasian male. I am in my 4th marriage. I have been a successful, and a not-so successful, entrepreneur all of my adult life, with the exception of the Army and College. I have started a river rafting, horse backing riding guide service that I grew to guide 14,000 people a summer while in college, I’ve been a very successful stock broker, and a little over a year ago I sold a software company I started for over $1 million.

    My wife and I are on the verge of an extremely bitter divorce. I have 3 felony charges hanging over my head for domestic violence which will probably mean 6 months to 2 years in jail. My wife recently read about Borderline Personality and believes that might be my problem. I read your discussion on it and I am convinced it is. I have seen 4 doctors and two anger counselors in the past 2 years. I’ve been on Celexa (40mg then 20mg off and on for a period of 3 months), Lithium (1 week, it made me sick), and Xanax (3 days and I flipped out, plus it made me sick and dizzy). Nothing seems to be working.

    I am a very desperate man at this point. I am scared beyond bearing it of getting worse in jail with no counseling or treatment, having my marriage fail, and losing all of my net worth. I’ve also recently had my mother die, and went thru another divorce just two years ago. I am at the end of being able to think about how to fix this. Please help with some advice. I have health insurance that can pay fees that might be involved. But time is running out for me and You are the only source on this subject that has put it terms that I can see relates exactly to me. Please email me back if you can help.

    Thank you so much for your consideration.

     

    ANSWER:

    I appreciate your kind words. It seems just like the wrong combination of medications. You’re living proof how some individuals with the BPD can be extremely successful in some areas of life, but have horrible problems in one’s personal life.

    I would be happy and honored to see you. I firmly believe that my approach can make a profound difference for you and your home life. Please fill out the screening test I use for my patients in advance. Please also review the information about coming to see me. Please understand however, that I want you to determine who you want to be and how to get there rather than dwelling on why things are the way the are. It’s the present and future that matters.

 

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