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The CAM Psychiatrist at Work  |  79

          decisions. Then I can often help correct the imbalances with
          natural approaches, including the use of well-researched
          nutritional supplements. In contrast, conventional physicians
          are most likely to prescribe first and test second, if at all, with
          problematic results. This approach is often like unplugging the
          noisy smoke alarm instead of looking for the fire.
           In my move toward “integral” or holistic psychiatry, I found
          myself treating a variety of medical conditions, from chronic
          fatigue to irritable bowel syndrome. Patients don’t walk into our
          offices as disembodied heads. Our bodies do not separate into
          specialized compartments for the convenience of cardiologists,
          allergists, endocrinologists, or gastroenterologists. You can’t get
          to the right diagnosis and treatment without looking at all
          systems!
           Every symptom reflects an imbalance somewhere in the body’s
          systems. Conventional medicine has segmented the body into
          the various specialties and often fails to address the reality of
          interactive systems.
           Holistic or integrative medicine, on the other hand, addresses the
          interactive systems of the whole person. The patient is evaluated
          in a variety of ways and supplied with specific health
          prescriptions—for supplements, foods, exercise, natural
          hormones, mind-body techniques, and even prescription drugs
          when indicated. Moreover, the individual has to partner with the
          doctor in this process, both to carry out the regimen and to give
          feedback in order to fine-tune the program.
           Compared to drug therapy, natural treatments offer safer,
          more user-friendly solutions with far fewer and less harmful side
          effects. They work with the body’s chemistry rather than adding
          what can be toxic substances to an already impaired body.

          A Case in Point
          I remember one early patient in particular, a 55-year-old college
          teacher named Jean whose story is pretty typical. She was being
          treated by her internist for high blood pressure, osteoporosis,
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