Showing posts with label Daniel G. Amen M.D.. Show all posts
Showing posts with label Daniel G. Amen M.D.. Show all posts

Monday, August 23, 2010

Chapter 22: Serotonin, Deep Limbic System

"Depression is known to be caused by a deficit of certain neuro-chemicals or neurotransmitters, especially norephinephrine and serotonin.  In my experience, this deficit can cause increased metabolism or inflammation in the deep limbic system, which in turn causes many of the problems associated with depression. . .  Because the deep limbic system is intimately tied to moods, when it is overactive the ensuing problems with depression snowball and affect all the other deep limbic system functions."

Daniel G. Amen, M.D.; From the book, Change Your Brain, Change Your LifeThe Breakthrough Program for Conquering Anxiety, Depression, Obsessiveness, Anger, and Impulsiveness, page 47

FUNCTIONS OF THE DEEP LIMBIC SYSTEM  (page 37)
  • sets the emotional tone of the mind
  • filters external events through internal states (creates emotional coloring)
  • tags events as internally important
  • stores highly charged emotional memories
  • modulates motivation
  • controls appetite and sleep cycles
  • promotes bonding
  • directly processes the sense of smell
  • modulates libido 
 
PROBLEMS IN THE DEEP LIMBIC SYSTEM  (page 43)
  • moodiness, irritability, clinical depression
  • increased negative thinking
  • negative perception of events
  • decreased motivation
  • flood of negative emotions
  • appetite and sleep problems
  • decreased or increased sexual responsiveness
  • social isolation

"We thought that excessive activity in the part of the brain that controlled emotion might correlate with enhanced feelings of all kinds, not solely negative ones.  Yet we noticed, again and again, that when this area was overactive on SPECT, it correlated with the subject's depression and negativity.  It seems that when the deep limbic system is inflamed, painful emotional shading results.  New research on depression from other laboratories around the world has borne this out."  (page 39)

     SPECT Brain Scans 3D Active View
                      White arrows are pointing to the Deep Limbic System/Thalamus areas
These scans show hyperactive areas in the brain.  A normal scan shows increased activity in the front of the brain, the cerebellum, with all else being relatively quiet. 


NORMAL SPECT BRAIN SCANS


Scans are from the Amen Clinics


I believe my body does not make enough serotonin, and other neurotransmitters, because of a genetic predisposition.  The incidence of depression is high on both sides of my parents families.  The information on page 105 in, The UltraMind Solution, by Mark Hyman, MD was interesting to me.  He says the activity of any neurotransmitter can malfunction is some way.  Below are some of the reasons why serotonin levels go down.  I want to do all I can to help my antidepressant assist my body in creating more serotonin.

1.  A tryptophan-deficient or low-protein diet.  Tryptophan is the primary amino acid out of which serotonin is created.  No tryptophan equals no serotonin equals a very unhappy mood.  In fact, studies show that if you feed a group of people a mixture of amino acids without tryptophan you can induce depression within hours! 

2.  Stress and high cortisol levels (the stress hormone).  Cortisol increases the activity of enzymes that break down tryptophan.  That leaves less around to make serotonin.

3.  Anything that causes inflammation (such as food allergies, infections, toxins, or a high-sugar diet).  Inflammatory messenger molecules called cytokines such as interferon gamma stimulate the enzymes TDO and IDO, which break down tryptophan and force it into a pathway that makes the excitatory neurotransmitter glutamate, which kills brain cells.

4.  Simply not making enough serotonin.  This happens for many reasons.  You may not have enough of the building blocks (the amino-acid tryptophan) because you eat too much sugar and not enough protein as suggested above, or you may have genetic predispositions that make it more difficult for you to create the neurotransmitter in the first place.  Those who have an SNP (single nucleotide polymorphism) or genetic variation of the enzyme THP2 have an 80 percent reduction in ability to make serotonin.

5.  Blood-sugar imbalances (insulin resistance or prediabetes).  This condition comes from eating a processed-food, high-sugar diet.  It depletes your serotonin after a short spike, leading to mood swings.

6.  You may be deficient in vitamin B-6. B-6 is the helper or catalyst for the enzyme that converts tryptophan into serotonin.  Deficiency in B-6 is often caused by stress, alcohol, and medications like birth-control pills.

7.  Magnesium deficiency.  This is so common in our society because stress, caffeine, sugar, and alcohol all deplete magnesium, which in turn prevents the body from making serotonin.


Thursday, April 29, 2010

Chapter 11: My Brain Scans; Outside Surface View

Getting off the drug clonazepam is brutal! Clonazepam is the generic name for Klonopin, and is in the benzodiazepine family of drugs.  They are sometimes called benzos for short.  The last time I lowered the dose it brought me down to .03125 of my original dose of .50 at night.  This time the withdrawal symptoms did not subside in 2-3 days, they persisted. 

After having a headache, slight nausea, a strange dizzy feeling, and increased anxiety for a week, I increased the dosage of Neurontin.  I am now taking 300 mg of Neurontin three times a day and 600 mg before bed. The main side effect of Neurontin (for me) is a dizzy feeling; so I am just more dizzy now.  Increasing the dose of Neurontin has decreased the anxiety, and the other withdrawal symptoms as well.

The supplements recommended by the doctor at the Amen Clinic are also helping.  (Refer to Chapter 10 for more details)  I take Restful Sleep and Neuro PS at night and they have helped me continue to sleep well.  Adding the extra Neurontin capsule at night also helps me sleep. Taking Brain Vitale in the morning seems to help with anxiety.  Luvox, Neurontin, and the supplements are making the withdrawal tolerable.  I would hate to do it without them!

I am hoping in the next two weeks the side effects of Neurontin will be over, and the clonazepam withdrawal symptoms will have stopped.  If this happens, I am going to stop taking clonazepam.  I am anticipating a spike in anxiety when I do this.  If this happens I can increase the dosage of Neurontin again. 

Being addicted to clonazepam gives me more compassion for anyone addicted to anything!  I want to get off clonazepam because it is causing scalloping on my brain. This scalloping shows I am not getting the blood flow I need in those areas.  It is hard to remember the reasons to quit when I feel sick day after day and know if I took a little clonazepam I would begin to feel better.  It is a hard place to be.

Here are SPECT scan photos of the outside of a healthy brain.  These are scans of the top down surface and the underside surface of the outside of the brain.  These are 3D Surface renderings, looking at the top 45% of brain perfusion.  (Perfusion means injection of fluid into an artery in order to reach tissues.)  A normal scan shows full, even, symmetrical perfusion.






These are my SPECT brain scans of the outside of the brain during concentration.  The scalloping is circled in white. The scalloping on my brain is mild and should heal after I am off clonazepam. The scalloping holes mean cerebral blood flow and metabolism are poor in these areas.  It does not mean my brain is missing in these scalloping holes. After the scalloping heals my brain will have better functioning capabilities.




These are my SPECT brain scans of the outside of the brain during rest.  The scalloping is circled in white again and you will notice an object has been put in one of holes to show how deep it is.  I think it looks like I put a Mentos candy in my ear and it went to my brain. :)


          
                             

Below are three examples of more severe scalloping and the causes.  These scans are taken from a poster made by Dr. Daniel G. Amen.  They show a 3-D surface view of the brain, acquired by SPECT imaging, looking at cerebral blood flow and metabolism.  I think these scans are fascinating and intriguing!


                                                                                                                                                                 



                                                          

Friday, April 16, 2010

Chapter 8: Amen Clinic, Newport Beach, CA

I decided to go to the Amen Clinic in Newport Beach, California and I had an amazing experience!  Thank you to my family and friends for your support and encouragement. I wanted the added information a SPECT scan could give me. I read almost everything on Dr. Amen's website: http://www.amenclinics.com/, and ordered his book, Healing Anxiety and Depression, on CDs. The Amen Clinic is affordable.  A complete evaluation is $3,375.00, and some insurance companies will help pay for the expenses.  I needed the complete evaluation.  I have been so sick I felt I couldn't afford not to go!

The first time I called the clinic, the person answering the call gave me a lot of information and answered all my questions. After talking to her I knew I wanted to go, I just needed to work out the time frame I could make it happen.  I scheduled my appointments on my second call to the clinic. If you are coming from out of town you need to plan on being at the clinic for three days.  My husband and I flew out on a Tuesday, and went to my appointments on Wednesday, Thursday, and Friday.  We flew home on Saturday.

My patient care assistant emailed me the intake questionnaire and a list of possible places we could stay while in Newport, Beach.  The intake questionnaire can be filled out online, or you can print it and fill it out.  I answered mine online and then printed a copy to take with me.  It was twenty pages long.  It is an extensive and thorough history, and I think it is an important part of the evaluation.

We decided to stay at the Radisson Hotel.  The Amen Clinic has a contracted price for a room there which includes a free buffet breakfast each morning.  We had a beautiful room with soft, fragrance free linen and a firm, comfortable bed.  The bathroom was clean, and had plenty of towels and washcloths. The food in the hotel restaurant was delicious and we appreciated the nice accommodations. 

We rented a car, but the clinic is so close to the Radisson Hotel you could walk to it.  The Radisson Hotel is across the street from the John Wayne Airport, but I think it would be a tricky walk.  The Radisson Hotel may have a shuttle service to and from the airport. I didn't ask for information on their shuttle service. There are also places to eat west of the hotel offering good food.  You could probably do the trip without a car if you wanted to.

I listened to the CDs of, Healing Anxiety and Depression, three times before we left for California.  On the front of the book it says, "Based on cutting-edge brain-imaging science, this book:  Reveals 7 types of anxiety and depression, Provides proven-effective treatment plans for each type, Explains the source of anxiety and depression through brain images, Includes a type-determining self-diagnostic test."  The 7 types of anxiety and depression are:  Pure Anxiety, Pure Depression, Mixed Anxiety and Depression, Over focused Anxiety/Depression, Cyclic Anxiety/Depression, Temporal Lobe Anxiety/Depression, and Unfocused Anxiety/Depression.  I didn't predict exactly which types my symptoms of anxiety and depression fit into, but my results were fascinating!


Friday, April 2, 2010

Chapter 1: Depression, Amen Clinics, Amino Acids

I was hit with postpartum depression after the birth of my first son in 1981. I am 56 years old, and my name is Kathy. If you have experience with depression, my heart goes out to you with compassion.

I recently returned from the Amen Clinic in Newport Beach, California. I first saw Daniel Amen, M.D. on PBS. He was talking about the brain and taking SPECT (Single Photon Emission Computed Tomography) scans of the brain before prescribing treatment for depression and other psychiatric diseases. This was interesting to me because I knew my brain wasn't functioning correctly, and I had been suffering with treatment resistant depression for about a year and a half. Having more information to base treatment on sounded like a good idea to me! I did not have much hope left for feeling well again. Find out more at:  http://www.amenclincs.com/.  This is what led me to the Amen Clinic.


Daniel G. Amen, M.D.:



On December 7, 2007, I started lowering my dose of Zoloft, and began taking amino acids to treat the depression. The process was going well until the day after Christmas. Withdrawal symptoms of nausea, headaches, and anxiety were powerful. I decided I had lowered the dose too quickly and increased the amount of medication.

During the months of January through May 2008, I felt withdrawal symptoms as I slowly cut the Zoloft tablets into smaller pieces. The amount of amino acids taken by most people to help them feel better was not effective for me. I took a urine sample out to the main FedEx Shipping Center (FedEx Kinko's could not accept this package) and it traveled to a lab out of state.

After we received the lab results, my amino acids were changed and increased. This process of urine samples, lab results, and change in amino acids happened several times in those five months. There were many times I questioned what I was doing. I felt sick, but I was so far into the therapy I had to see if it was going to help! Towards the end of May I was off Zoloft and the withdrawal symptoms were ending. It was hard to get the 24 pills of amino acids down each day, but they were working on the depression symptoms.