32 Comments
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Nichole's avatar

I'm wondering about how to use methylene blue (MAO inhibitor) to help transitioning off SSRIs, SNRIs and stimulant meds without creating a risk for serotonin syndrome but yet managing horrific withdrawal symptoms? Thanks so much.

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Mwab's avatar

Would love to know what integrative medicine has to say about getting off SSRI’s. The withdrawal is brutal. Giving up that it’s possible. Thanks for opening this up to everyone!!!

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KM's avatar

Yes this 👆

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Brent Wood's avatar

Is the microbiome part of her umbrella of expertise?

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KM's avatar
Mar 20Edited

What's the difference between integrative psychiatry and psychotherapy with a more holistic, whole-person approach?

Even more curious to know - because ketamine therapy helps build new neural pathways, what is the doctor's take on this as well as other substances like psilocybin that can facilitate emotional/narrative/trauma healing?

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Julia's avatar

I would love to know how she integrates nutrition (specifically, addressing nutrient deficiencies and metabolic issues) as well as genetic abnormalities (for instance, perhaps a patient has poor uptake or metabolism of a particular compound due to a genetic defect that is not a full-blown clinical diagnosis or syndrome, but which impedes healthy metabolic sequelae) into her collaborative work with patients. As someone living with both metabolic and genetic complexities and knowing others who are as well, I cannot help but connect the dots of mental wellness and these two factors (nutrition & genetics). Curious to know & thanks!

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Mary Eve Iwicki's avatar

My 62-year old brother has struggled with panic attacks for roughly 20 years. He has become agoraphobic, only able to travel comfortably within about a 5 mile radius in the city where he lives. I also believe my brother to have undiagnosed Asperger Syndrome. He 'flapped' as a child, and has a range of specific interests - and knows everything about those interests in depth. He never dated, never married, now lives with our Mom. He majored in political science. He served in the military and witnessed a gang rape - had to testify against the soldiers he worked with in the 1980s. He works for the postal service. 20+ years ago he hit a deer and the unwillingness to drive outside a comfort zone began - now he is extremely limited. He tried some psychotherapy and meds years ago but no change. Now he is just stuck with no willingness to change. What might work for him? Mom is 95 and no longer drives. I live in another state. Thank you.

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Rita Skeeter's avatar

It sounds like he has cPTSD. Somatic therapy is useful. Perhaps read The Body Keeps the Score and such writings to gain more clarity and solutions.

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Heather Jacobsen's avatar

I’d love to hear about the use of psychedelics and/or somatic experiencing in treating cPTSD.

Also if a dysregulated stress response from trauma is epigenetic, what can one do to fix it?

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LM's avatar

I'd be interested in hearing about any herbal remedies for anxiety, mood disorders, etc. and dosages

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Suzanne Citarelli's avatar

Hi Dr. I was born with essential tremors which are progressing. I’m on a beta blocker which helps but not completely. Would a nutritionist be able to help me? To see if any nutrients are missing that I need for my condition. I’m 63 year old woman. Can you steer me in any direction? Thank you!

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Aruna, MD's avatar

Thank you Rav for inviting me on your podcast. We covered a lot of topics. However, we did not go in depth into any issue. We also did not have time to address the questions below. I look forward to doing another podcast where we can delve deep and also tackle some of the questions. Meanwhile, I will share my thoughts on my substack (https://open.substack.com/pub/arunatummala/p/my-humble-attempt-to-answer-questions?r=184ij2&utm_campaign=post&utm_medium=web&showWelcomeOnShare=true)

in the hopes that it can address many of the questions raised here. Meanwhile, readers can also visit my substack: https://arunatummala.substack.com/ and also visit my website blog page: https://psychiatry2.com/blog/ and my youtube channel: https://www.youtube.com/@trinergyhealth6998

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Anonymous's avatar

Following

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Theresa's avatar

Any suggestions for relief for someone suffering with borderline personality disorder?

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Rita Skeeter's avatar

Roger McFillin does great articles on his sub stack on the subject of SSRI's. Are they really placebo, and if so, why are they still prescribed, and once off of them, how will mainstream medicine approach psychological suffering, my guess is they can't. We need shamans instead.

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Untainted Human's avatar

I'm wondering if there are any natural alternatives to Clozaril in a patient with long-standing treatment-resistant schizophrenia. Thank you.

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Judy Heintschel's avatar

Any information on post childbirth depression? They always want to give antidepressants- and that bothers me. Have a friend- her daughter recently had a baby … she never eats healthy. Can a healthy

diet improve the mental health baby blues.

Thank you!

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Heather's avatar

Hello Ray, will you ask Dr Battacharya if once he is the NIH director, if he will give a placard to of the the docs and scientists that signed his BARRINGTON Project by end of 2021…when it was very jeopardizing to do so?

THANK YOU,

hs

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