Mental Health
4 min read
December 10, 2022
The diversity of depression

The diversity of depression

Depression is not a single, uniform condition but a multifactorial disorder influenced by biological, psychological, environmental, and social factors. While diagnostic criteria help identify symptoms, the underlying causes can vary greatly from one individual to another, requiring a personalised and systems-based approach to understanding and treatment.

Depression is a complex disease with multiple contributing factors. The diagnostic criteria for depression include:

  • Depressed or irritable mood
  • Decreased interest in pleasurable activities and ability to experience pleasure
  • Significant weight gain or loss (>5% change in a month)
  • Insomnia or hypersomnia
  • Psychomotor agitation or retardation
  • Fatigue or loss of energy
  • Feelings of worthlessness or excessive guilt
  • Diminished ability to think or concentrate
  • Recurrent thoughts of death or suicide
    (Berton O, et al. Nat Rev Neurosci. 2006)

Chances are that you have felt several of the above criteria but yet you may not have associated it with depression.

This is because depression is a broad term that may affect one person differently to the next, along with having a diverse range of possible causations.

Below is a list of some of the factors that can lead to depression and apathy:

  • Trauma
  • PTSD
  • Abuse
  • Post-natal depression
  • Adverse childhood exposure
  • Lack of safety
  • Economic struggles
  • Autoimmunity
  • Social isolation
  • Heartbreak
  • Social media
  • Lack of purpose
  • S.A.D – Seasonal Affective Disorder (Vitamin D deficiency)
  • Mold exposure
  • Anaemia
  • Sex hormone imbalances (Low/high oestrogen, low testosterone)
  • Hypo/hyper thyroidism
  • Stress
  • Pain
  • Chronic illness
  • Genetic traits
  • Methylation issues
  • Heavy metal toxicity
  • Parasites
  • Nutrient deficiencies (B6, etc)
  • Nutrient excess
  • Artificial light exposure
  • Poor sleep
  • Mitochondrial dysfunctions
  • Poor gut health
  • Gut/brain axis inflammation
  • Cytokine model of depression
  • Medication
  • Loss of a loved one
  • Divorce
  • Substance abuse
  • Neurotransmitter imbalances
  • Lyme
  • Toxic and ambivalent relationships

Each reason, being so unique, may require a completely different approach for therapy from the next.

This reverberates a quote of William Osler, stating ‘It is much more important to know what sort of a patient has a disease than what sort of a disease a patient has’. Unfortunately, society generally neglects the beauty of individuality whilst overlooking the crucial interplay and synergy from the multifactorial systems essential for optimal function within our body.

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In a meta-analysis assessing the mineral intake of approximately 3,000 women. It found that eating an iron-rich diet (20mg per day) was linked to a 30-40% lower risk of developing premenstrual syndrome when compared to the lowest intake of iron (around 10mg per day) (Am J Epidemiol. 2013 May).

Menstruating women lose around 40% more iron per day when compared to men, with some studies stating how heavy menstrual bleeding is one of the leading causes of anemia in the developed world (Liu Z, et al. 2007).

The National Health and Nutrition Examination Survey indicates that 12-16% of non-pregnant women (aged 16-49 years) have iron deficiency, with 2-4% having anemia.

Increasing iron intake through diet and supplementation for two months has been shown to reduce PMS symptoms considerably in all anemic women (Mitesh Sinha et al. 2013).

Nutrition
6 min read
Iron and PMS
Iron and PMS
Menstrual blood loss increases iron requirements, making deficiency and anemia common contributors to PMS. Supporting iron intake through diet or targeted supplementation may significantly reduce symptoms, particularly in iron-deficient women.
December 9, 2022

Got plaque?

The conventional approach uses a process known as ‘Triple Therapy’ – this is the combination of two different antibiotics in-conjunction with a proton-pump inhibitor (which lowers HCL).

Not only does this have a low success rate, but it makes the host vulnerable to infection from other pathogens and parasites post-treatment. This is due to decreased stomach acid and a lessened ability to sterilise bacteria within food along with less competitive dominance within the gastrointestinal tract due to the eradication of the microbiota (pathogenic and beneficial species) within the gut, leaving available space to harbour unwanted bacteria.

H. Pylori is starting to develop resistance to antibiotics, making the conventional approach less and less effective – leading to the ‘thought’ process of adding more medication to the mix to overcome this resistance by using ‘Quadruple Therapy’.

The Health Protection Agency reports that the prevalence of H. Pylori antibiotic resistance varies within the UK depending on location, from 20-63% for metronidazole and 4.4-11% for clarithromycin. [11]

This is one factor explaining why as many as 20% of affected individuals have a reoccurring infection even after treatment.

Another factor for reinfection is the presence of H. Pylori in the oral cavity [1–3]; therefore, failure to eliminate H. Pylori from the mouth could lead to gastrointestinal reinfection.

Gingivitis and chronic periodontitis may be associated with H. Pylori infection and considered as a potential reservoir for bacteria. [4,5]

The plaque should be removed professionally, and oral hygiene procedures should be performed along with eradication strategies of H. Pylori [6] to increase the probability of success.

One could argue that an alternative approach yields much less risk to the host when compared with the iatrogenic complications and long-term hindrance from antibiotics (especially given that a single course of antibiotics can disturb the microbiome for unto 2-4 years post-treatment [12]).

The following has been found effective when addressing H. Pylori:

  • Bismuth subcitrate
  • Mastic gum
  • Goldenseal/Berberine
  • DGL Licorice wafers
  • Matula tea

The following foods have also been found beneficial:

  • Coconut oil
  • Manuka honey

All this has to be addressed with the appreciation of humans being a multi-dimensional and bi-directional organism.

Seeking advice from a trusted professional is always recommended when dealing with any health ailments.

References:

  1. Morales-Espinosa R, et al., Oral Microbiol Immunol. 2009
  2. Nguyen AM, et al., Oral Surg Oral Med Oral Pathol Oral Radiol Endod. 1995
  3. Miyabayashi H, et al., Helicobacter. 2000
  4. Gebara EC, et al., J Clin Periodontol. 2006
  5. Dye BA, et al., Am J Public Health. 2002
  6. Eskandari A, et al. Med Oral Patol Oral Cir Bucal.
  7. Abro AH, et al. J Ayub Med Coll Abbottabad. 2011
  8. Saudi J Gastroenterol. 2014
  9. J Gastrointestin Liver Dis. 2011
  10. J Gastroenterol Hepatol. 2011
  11. Surveillance of Helicobacter pylori antibiotic resistance in England and Wales; Public Health England, 2008
  12. Jernberg, C, et al. 2010
Gut Health
6 min read
Pylori, plaque and protocols
Pylori, plaque and protocols
Reducing plaque, addressing oral health, and using targeted non-antibiotic strategies may improve eradication success while lowering long-term risks to the gut and immune system. A whole-body, professional-guided approach is essential.
December 10, 2022

Trauma can lead to long lasting adaptive mechanisms to protect the individual from repeated exposure, usually these evolutionary defensive behavioural patterns continue later in life despite not being coherent to current day stressors. ⁣

This can lead to distorted situational awareness, disconnecting ones responses and actions from perceived ‘normative’ behaviour.⁣

Highly sensitive triggers may be running in the subconscious mind unknowingly to the individual.⁣

Studies show the adaptive response from trauma can extend over 14 generations. This is a huge component contributing to dysfunctional community syndrome and further stigmatisation.⁣

The following are common factors in trans-generational trauma:⁣

  • Accidental’ epidemics⁣
  • Massacres⁣
  • Starvations⁣
  • War⁣
  • Slavery ⁣
  • The removal of people to reserves ⁣

Below are examples of traumatic events:⁣

  • African Slavery⁣
  • The Holodomor⁣
  • The Holocaust⁣
  • World War 1⁣
  • World War 2⁣
  • Dutch Hunger Winter⁣
  • Ritualistic Abuse⁣
  • Aboriginal Australian Lineage⁣
  • Childhood sexual abuse ⁣
  • Middle Eastern War⁣

Do you think trans-generational trauma has impacted you in any way?

Mental Health
6 min read
Trans-generational trauma
Trans-generational trauma
Trans-generational trauma can quietly affect awareness, emotional regulation, and resilience. Recognising its influence may be a first step toward understanding inherited patterns and restoring agency, safety, and connection.
December 10, 2022
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