Page 89 - Complementary and Alternative Medicine Treatments in Psychiatry
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The CAM Psychiatrist at Work  |  89

           I also gather information on:
           −  Height, weight, age
           −  Major symptoms

           −  Previous treatments for these and other medical problems
             including: medications, surgery, hospitalizations,
             psychotherapy, etc.
           −  Typical daily diet, including snacks
           −  All current prescriptions, over-the-counter medications, and
             supplements
           −  Mental health history
           −  Family’s mental health history
           −  Family’s medical history
           −  Marital status, including years married and number of
             marriages
           −  Spiritual practices
           −  Profession and education


          The Action Plan
          From the patient information, physical assessment, and labs, a
          picture begins to emerge. While the client could be primarily
          suffering from stress, where lifestyle changes or counseling
          would be in order, more often I find physical issues—commonly a
          number of them—impacting behavior, emotions, and cognitive
          function.
           Frequent issues that appear include:
           −  Nutrient deficiency such as B vitamins, minerals, amino
             acids
           −  Neurotransmitter depletion: can be due to genetics, poor
             diet or malabsorption due to gut disturbance (e.g., leaky gut
             inflammation, food allergy), among other factors
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