Natural treatments for psychiatric symptoms

‘I only want natural treatments for psychiatric symptoms.’

The Neanderthals were well aware of the therapeutic properties of many berries, leaves and herbs. Many medications used today are manufactured from plant extracts. However, can pharmaceuticals be entirely substituted with ‘natural’ products?

Before answering this question, the first thing to consider is why are many of us so against pills? If a leaf is picked off the ground and eaten, is it really better for you, than if placed in a biodegradable capsule? Remember a capsule makes the product airtight and protects from decay, bacteria, oxidation, and conversion to harmful products.

It is also important to consider that natural products can contain a combination of harmful and therapeutic elements, a popular example is the marijuana . The benefit of genetic engineering a plant and putting it in a pill is that the good properties of the plant can be potentially utilized without the side effects.

Therapeutic properties of the plant which act on the cannabinoid receptors have powerful anti-seizure activity.  There are strains of artificially grown marijuana which have very low levels of THC ( the psychoactive component of marijuana which makes you high and causes rebound depression, anxiety, psychosis and cognitive side effects with frequent use  and is found in high levels in wild strains ) and high in CBD – ( the components  of marijuana which prevent seizures ) . These genetically engineered strains are being researched to help patients with intractable seizures.  This is an example of artificial being better and natural being harmful.

Opium, sugar, magic mushrooms, nicotine, are examples of natural compounds which are potentially harmful, while antibiotics and ACE inhibitors are examples of pharmacologically manufactured products which can prolong life.

So why would you want a natural treatment which is less effective, more likely to be contaminated, more likely to have side effects, and less likely to be tested and regulated than an FDA approved version of a compound which has similar effects? I am not advocating for everyone to take psychiatric medications, but just about everyone has had some sort of psychiatric symptoms at some point in their life, and when seeking resolution it is important to consider the fact that natural is not always better and may cause more side effects.  For example, red wine may be considered natural by many but is not the best solution for insomnia.

Another example is SSRIs for depression, such as Prozac and Zoloft. No other subclass of medication, is prescribed so frequently, or has tried, tested, tried and tested again. They have been found to be safe, not addictive, and reduced sex drive is usually reported as the worst side effect after initial titration. However, they are still viewed with great suspicion and  many people feel more comfortable taking herbs such as St John’s Wort , for depression although there is little evidence that this is safer or better for you in the long term.

It is also important to consider that natural remedies are a lot of work. Effective ‘natural,’ or non pharmacological treatments  for many psychiatric symptoms can  include :

  1. Exercise
  2. Balanced diet, low in sugar and carbohydrates
  3. Exposure to sunlight
  4. Sleep Hygiene
  5. Weekly or biweekly psychotherapy
  6. Yoga
  7. Prayer
  8. Altruism, volunteering,
  9. Studying / reading
  10. Filling your day with pleasurable activity
  11. Sleep
  12. Rest

All of these natural treatments require  a lot of work , motivation, time, organization, negotiation  and sometimes money. Natural treatments are not a walk in the park, and require more effort than taking a pill.  Depression by definition can mean ‘learned helplessness,’ and while depressed,  it may be necessary to take medication, in order just to become well enough to participate in natural treatment regimes. So far no effective natural  treatment has been found as a complete cure for schizophrenia or bipolar disorder , but natural treatments work well as an adjunct to pharmacological treatments.

A common discussion I have with patients is that although I am willing to work with them to pursue non-pharmacological approaches, ‘going natural,’ does not mean doing anything. It requires effort and persistence and can be much harder than pharmacological approaches to treatment.

 

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