Emerging Treatments & Technologies - Transcranial Magnetic Stimulation

Ambassador visits Bar-Ilan University (Photo credit: UK in Israel)

Recently, I saw a television program that featured transcranial magnetic stimulation. For me this is a new modality for both mapping the functions of the brain and treating certain conditions. I had simply never heard of it before. Although I found it intriguing I never take any of these things at face value. As a form of practical research I asked psychiatrist Dr. Mandelbaum M.D. what he thought of transcranial magnetic stimulation. His response to me was interesting. Dr. Mandelbaum told me that the clinic had been considering the purchase of an rTMS or repetitive transcranial magnetic stimulation device for the treatment of certain mental illnesses. One of the specifically mentioned illnesses was for clinical depression. It has been used on patients for whom traditional medical therapies such as prescription medication have not significantly helped to remit the symptoms.


He mentioned several things that seem to make it a bit impractical for clinical usage at this time. Insurance companies currently will not reimburse for this type of treatment. The cost for an rTMS device is about $70,000. Each application or treatment cycle would cost over $4000 out-of-pocket for the average patient. This makes it impractical as a clinical therapy device. It would seem that with time and further research is conducted, this situation is likely to change. Currently the FDA has only really approved TMS as a less invasive method for mapping sections of the brain.

RTMS has been studied in the treatment of several neurological conditions. Some of these conditions include; Parkinson's disease tinnitus and depression. It also been studied in assisting people alleviate the symptoms of both migraines and cluster headaches. Some of the studies have shown that for the treatment of depressive symptoms, specifically chronic and long-term illness. The protocol for treatment of depression relies on frequent rTMS sessions over a 4 to 6 week period. The initial studies have shown some great promise in helping those with this disease. Approximately 1/3 of the patients saw an improvement in symptoms or practical remission of the disease. This may reduce the reliance on pharmacological  solutions.

TMS works by subjecting the brain to small dosages of magnetic energy. This has an effect on the electrical functioning of the brain. TMS and rTMS are slightly different in their application. TMS is generally used on an individual basis as a diagnostic tool. RTMS as a treatment system is a bit different. As mentioned before, treatment is given on a frequent basis over 4 to 6 week period. The magnetic stimulation is focused deeper in the brain

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. Much more study is required to understand how effective this treatment may be. It is clearly less invasive than other options for treatment such as electroconvulsive therapy or deep brain stimulation. As with any medical intervention there is the potential for some difficulties because of these treatments. For example, a small but statistically significant number of people receiving TMS may experience seizures. TMS can cause some discomfort in the skin or may affect hearing in a negative way due to the clicking sound the treatment makes. It should probably not be used with EEG electrodes because in severe cases it can cause skin burns.

Most of the clinical studies for TMS have been paid for by the developers of the device. It is clear that further research must be done to assess the veracity of the claims made by the device manufacturers. As independent studies are performed in clinical and academic settings a greater quality of evidence as well as a larger sample group will help to suggest the efficacy of these treatments. Some large institutions including the Mayo Clinic do use rTMS as a therapeutic device at this time. It has been adopted by a few specially trained psychiatrists. The Mayo Clinic doctors have been noticing clinical efficacy that is concurrent with the results of other studies. Only time will tell, if transcranial magnetic stimulation will be a cost-effective and functionally effective tool for treatment of various diseases.

Congrats to the members of Painting Pathways Clubhouse.

The amazing people @ PPC knocked it out of the park. They raised $7,000. I am proud to be your colleauge!

Positive Psychology - A Consumer's Story - Anne Koss

Recently someone who read my work said that she felt it was positive psychology. That was wonderful to hear. It is neat to see it work for someone who is close to you. Below is the story of Anne Koss. She has been a wonderful addition to the community that I participate in. So instead of telling you about change in my words now you can hear in the words of others.

Anne Koss

My name is Anne Koss and this is my story.  Before I got involved with Painting Pathways my life was not going so well.  I had made some poor decisions and wound up in jail.  I had struggled with bi-polar illness and addictions.  As a result, I had burned many bridges.  I was scared and my self esteem was at an all time low.  Some of the things that other people take for granted, such as spending time with loved ones and having mutual trust with others, was not possible for me.  When I got out of jail I ended up living in a homeless shelter for three months because I had nowhere else to go.

 My sisters, Mary and Judy, heard about Painting Pathways Clubhouse from Jane at United Way and they made arrangements for me to learn more.  I immediately felt a sense of belonging.  I began making friends right away, and discovered that others had experienced situations similar to mine.  The level of acceptance I felt was amazing.  Participating in the dual recovery support group allowed me to express my feelings and emotions.  Keeping busy in the culinary unit baking, cooking and helping others gave me a sense of purpose.  I began to develop confidence.  I also began to understand the importance of setting goals in my life and following through.

Now my life has changed for the better.  Rather than feeling scared and lonely, I now feel more content and open to positive people.  I am stable.  While I know I have more challenges ahead, I have hope.  I am now living independently in my own apartment and I’m attempting to get custody of my son, Jake.  I am ready to be a good parent, sister and friend.  When people see me today, they can’t believe the changes I have made and the person I am becoming.  My story is just one example of how Painting Pathways is changing lives! - Anne koss

Strong caring and compassionate relationships go a long way to build the person behind the difficulties. But then, this is something that we all face in our lives. We all need someone who is empathetic and can truly understand. In this story Anne found compassion from others. I think that her recovery is based on compassion for herself and the compassion from the members and staff at Painting Pathways. Way to go Anne!

Working With Those With A Mental Illness

We Work With People Not Diseases

When we work with others we have to remember two significant things. First, we are working with the human being not merely the social persona. Secondly, that the real work that we do is on us and not them. We do this work on ourselves because we have to face the numerous labels thoughts and feelings that we project on to the world. There are going to be times when you find it difficult to just interact with someone. Perhaps it's because of some aspect that we see in them. To be honest, sometimes it may be very superficial. Maybe the person you are working with has significant hygiene issues. This may prevent us from recognizing the person behind the hygiene. Some people that you work with can stimulate areas of social intolerance. Perhaps you don't have the same faith. Perhaps you don't have the same culture. Perhaps there's something else that sends you off. It doesn't matter whether it's superficial or not. It's all the same. It puts distance between you and them. When we have closed the distance between you and me, we become us.

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The Danish philosopher Kierkegaard said, "if you label me you negate me". There is no one label or group of labels that will ever typify who we are. Even in the Bible God says about himself that, "I am that I am". He does not even try to describe or label himself. The people that you work with are what they are too. They are the, "being", part of the human being. So placing labels on people negates them. It forces us to assign them more labels. This serves to separate us further. When we are working on ourselves, often it's going to start by us being simply ourselves. To give ourselves permission to be who we are and to remove the labels that we place upon ourselves. You have to recognize your being. This can be accomplished via the lens of compassion. It is the work that we will always do first. First we do it for ourselves, and then we are enabled to do it for others.

Recognize The Whole Being, The Human Being


But how do we achieve this? How do we recognize somebody's base humanity? How can we choose to see their humanity in a way that exceeds the boundaries of our own social judgments and limitations? One obvious example of this is a comment that Mother Theresa of India made about her work with people who have leprosy. She was asked how it was possible to work with people who had such obvious and physically abhorrent diseases. Mother Theresa simply said that she saw them as God in all his most distressing disguises. It is clear that she understood that the being that dwells within is divine. It is the sacred part of us. It happens to be the one thing that we all share in common. We are not what is being experienced, or the process of experiencing, we are the one who experiences. She was a great servant of humanity because she saw the being within, and accepted the being without.

Mother-Teresa-collage (Photo credit: Peta-de-Aztlan)

Understanding Our Practices

To train ourselves in this way, we are required to practice in this way. In order to see somebody else's humanity, you must see your own. In order to have sympathy for somebody's predicament, you must have it for your own predicament. This is what takes off the labels, the blinders, the hatreds, and the things that separate us. There's an interesting story about a young boy having a discussion with his father. The boy says that he's going to write a story about himself. The father thought for a moment. Then he suggested to the young man that if he is going to write a story about his life that he should do so in a way that teaches others about their own lives. When we go through this process of training and working on ourselves we do that so we can translate that to others.

If you work with people who have mental illnesses you're going to hear a lot of labels. These are lables that are used by society and ourselves. You may hear bipolar. You may hear depressed. You may hear schizophrenic. These terms communicate some generalities that we can use to gain perspective about an individual's predicament. Each person that we work with will have their individual path from their disease to their recovery. The Buddha suggests that we all have our own path up the mountain. Our job with others is to erase these labels. We must strive to help others find their path. When we help others to remove the labels that they placed upon themselves they will begin to find their own path. In the end we do this because this helps to remove one of the most insidious labels that we encounter. This is the label of," mentally ill".

A Life You Can Walk Through

Introduction by Robert Frost, Road Not Taken

If you take a moment to consider it, there may be some benefits to walking. You may find that it is an investment that pays off in your whole being. In his poem, The Road Not Taken, Robert Frost says: "Two roads diverged in a wood, and I--I took the one less traveled by, And that has made all the difference". He begins this poem wondering about how to choose the path to take. In the journey of life, what dictates the roads that we will follow? How do we choose when we come upon one of the many junctions that we face? Do we choose our path because the rest of the herd goes there?  Does that suit our truths and individual needs? We should also think about how we will travel it. We have to understand what will bring us the most benefit. Will we walk, drive, or fly? Why do we choose to do it that way?

Great benefits of walking

For me I have chosen the path that dictates a simple life. I have a literal road that I walk. Actually, I walk almost every where that I go. This has introduced me to the benefits of walking. For me the decision to use my feet as a primary mode of transportation has made, “all the difference”. It helps me to take things as they come. Literally and figuratively one step at a time. Not only do I experience more of what goes on around me, I have found tranquility. I am dedicated to this simple act. It has brought me great peace and has changed my point of view about the world.

Here are 5 great benefits of walking

1. Walking gives us a way to manage the momentum of our lives.

2. It enforces a certain determination to reach a goal.

3. We work with each step to both identify and overcome those things that challenge us in our path.

4. Regular walks build the health and vitality of our bodies.

5. Our minds get the support that a healthy body provides

Walking benefits your whole life

A life you can walk through

We all search for peace and equanimity. How many of us find it? In my experience it seems to allude most of us today. We can have busy and frenetic lives. Whether you choose, like I have, to walk it may not matter. But ask yourself, do I take moments of quiet reflection in life?  We can foster peace and well-being.  This happens when we understand where we go and how we get there. Please consider your road. Perhaps you may consider how walking can benefit you. When you do, you may also experience a life you can walk through.

Tickle The Infinite Possibilites Within

There are benefits from existing in a meditative state of being. When we meditate we are in a restful and peaceful state of mind. We have a gentle awareness. In its essence, meditation is being aware of the present moment. Through meditation we seek to fully experience each moment. This can be hard to affect.  Much of the time our attention is invested in our passions about the past or our expectations of the future. What we experience and learn in life is very compelling. Our minds give a sense of reality to our feelings about past and future events. With practice the mind can become more focused on the present. 

The mind is constantly drifting in and out of awareness. At one time most clocks made a ticking sound. You would probably notice the ticking as you walked into the room. If you sit down and start to read a book, your attention becomes focused on the content. You no longer experience the sound. When you stop reading, you will begin to notice things again. Perhaps you may now hear the sound of that very same clock, ticking away. Our reality is closely tied to our awareness and our feelings. 

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There is a part of all of us, that simply notices all things. It does not judge and does not get distracted. It is the observer in you. It is a place of restful awareness. It is the part of all of us that is in balance. Deepak Chopra teaches mindful meditation as a process of spiritual, physical and mental health. He suggests that we can step back and look at ourselves in a more conscious manner. From here we can live in a meditative existence. It empowers us. We make decisions based upon quiet reflection in a mindful way. We do not give in to a chaotic reaction. It gives us at least one moment of consideration,  This can make all the difference in the world. It helps us to make the most fundamental choice that we can make. This is the choice of how we choose to see things. From this ability to choose we can have lives of peace. Ask people like Wayne Dyer, Ram Dass and many more and they would likely tell you the same thing.

The practice of meditation is not new. There have been meditative conclaves from almost all religions and wisdom traditions for thousands of years. These practices include the Gregorian monks, the Sufi dervishes, the writer of  the Psalms,and the Vedic rishis. All have the same goal.  They were not really seeking to become people who meditate. What we are really seeking is to be free. We yearn to transcend our normal state of being. We seek equanimity and peace. Meditation is merely a tool. 

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There's a wonderful story about a spiritual teacher who was giving a lecture. He was getting very little reaction from the crowd. There was one little lady sitting up front. She had to be about ninety years old. She just kept nodding her head at various parts as he talked. You could tell that she understood perfectly what was being said. Today, he was teaching on meditation and how it changes our states of being. It is where we find the most divine part of ourselves.

Later, after the lecture, the teacher sought out the old lady. She did not seem like a person who normally would come to his lectures. They tended to be a bit younger and New-Age minded. He was simply amazed that someone like that could so identify with his teaching. Why did she get it so perfectly when no one else seemed to? How did this little old lady understand this in such an experiential way?  How did she know how to transcend her normal state of being? He looked into her eyes and asked her how she knew? She looked at him and simply said, "Well young man, you meditate, I crochet!" So we can broaden the concept pretty far on that basis. Everything can be meditative.

We exist in several states of being. There is  the observer state. There is the state processes what is being observed., Then there is the critic that evaluates what we observe. The more we identify with the part of ourselves that only observes, with its impartial view, we can begin to have the ability to be mindful about our whole lives.

The critical aspect of our being is clearly the most insidious. It is built upon our experience base and our process of socialization. When you look into the mirror you must ask, who am I  really? Are you what others tell you that you are? Do you live your own truth? This again, is a part of being mindfulness about your life. It helps us to find our way on the path. This is the part that the observer allows us to change our lives.

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While there are many methods for fostering a mindful awareness, most are comprised of practices that quiet the mind. For most people, a quiet mind is proceeded by a quiet body. Physical relaxation can be an important factor in reaching the meditative state of mind. A quiet mind helps us to not get swept away. A quiet mind helps us identify less with the experience and more with the one that experiences. As we begin to have a quieted mind, we can watch our thoughts and feelings. 

Perhaps this may be a good example. Try to imagine all of your thoughts as if they were leaves flowing down a stream. When we are meditative our thoughts pass by like the leaves going with the current. For a moment we acknowledge them. Then let them pass by. They no longer hold our awareness. This will allow us to see each thing for what it is. Now we can make the only choice that we have. This  is the choice about how we choose to see things.

The Buddhist have a saying, "There are many paths up the mountain", or sometimes, it is put as, "There are many paths to God".  In mindfulness training you may find that certain paths fit your needs better than others. For some people meditation methods such as watching yourself breathe works to foster a "present awareness". Others may find a simple stroll does the trick. Maybe a good bath puts you in that place where you can watch everything in the present moment. It really does not matter which path, school or technique that you choose if they work for you they will all lead to the same place.

This is a place of personal empowerment and peace. For one who is mindful has the power to do anything they want. We only have this moment. Yesterday is just merely a memory and tomorrow a dream. Right now at this moment, with the power of mindfulness behind you your life can be forever changed. Now you know, how to tickle the infanite, within. 

Related articles

• Can Changing Your Mind Change Your Brain? Mind Over Gray Matter 

Bipolar Insomnia

Bipolar Insomnia

Mental illness is often a leading cause for sleeplessness for those who have been diagnosed with a mental illness. For individuals with bipolar disorder sleep can be a major problem. In some cases without medical intervention people who suffer from this disease can be sleepless for days. For general practitioners, diagnosing a sleep disorder may not include consideration of bipolar disorder. This is particularly true in situations where medical history does not include the diagnosis for this disease or when a patient does not self-identify as being bipolar.

Bipolar disorder is estimated to affect from 2% to 7% of the people in the United States. It is further estimated that almost 10,000,000 people will develop the illness at some point during their lives. Bipolar disorder is often misdiagnosed because it can be confused with other diseases. Often people with mental illnesses have more than one diagnosable disease. For instance, if you are bipolar it is highly likely that you will have substance abuse issues, high-risk sexual behaviors, or other symptoms. Sometimes these symptoms can be very hard to differentiate. If you have sleep problems and are bipolar make sure that you tell your doctor. It will help significantly. Keeping your doctor informed can help you to find relief from symptoms sooner. It also becomes easier to find the proper treatment.

Sleep is a major factor in maintaining stability

For all individuals sleep is an important part of maintaining physical and mental well-being. There are various reasons that people have problems sleeping. Research shows that individuals who have bipolar disorder are at high risk for instability without appropriate sleep. Sleep is a basic component in managing the stability of this disease. Without proper cycles of sleep our bodies' basic biorhythms can be significantly disturbed. These biorhythms or "circadian rhythms" manage or contribute to not only our mental well-being but our physical well-being also. Sleeplessness is not the only problem. Too much sleep can also be a major factor of instability. It can contribute significantly to depressive cycles.

If you suffer from bipolar insomnia, it's important to take some basic steps that will help you to manage sleep. The steps can be called sleep hygiene. Sleep hygiene includes several factors:

• 1. Try to avoid napping. If you do need to nap limit napping to the early afternoon and for a short duration.
• 2. Cut down or avoid the use of caffeine entirely.
• 3. Limit your consumption of alcohol.
• 4. Regular exercise is important because it helps to limit factors like adrenaline and quiets the body. The quiet body helps to produce a quiet mind.
• 5. Meditation or relaxation methods can help significantly when patients have sleeplessness. Often this helps to attack the problems that are introduced by hypomania and mania.
• 6. A helpful tool to help you and your doctor understand your sleep situation is to record your sleep cycles and other pertinent information in a log book or journal.
• 
  

Treating Bipolar Insomnia

If you're experiencing bipolar insomnia, there are several ways that your doctor may choose to treat your illness. Often this will be through the use of medication. Medications such as Seroquel can help to induce sleep. This class of medicines is called atypical antipsychotics. These medicines can act in a powerful way to induce sleep. For some patients with bipolar insomnia traditional sleep medications like Lunesta or Ambienmay not work. Trazodone may also be used as an off-label treatment for insomnia. Trazodone is an older treatment for depression. Generally with people who have bipolar disorder antidepressants are not used. It can cause the bipolar individual to have a, "bipolar switch". This switch can cause a person to come out of depression and enter mania. Careful consultation with your doctor is recommended. For those with bipolar induced insomnia it is recommended that treatment should come from a properly trained psychiatrist.

Over-the-counter medications for sleep

Over-the-counter medications for sleep are generally formulated from antihistamine medications. Many of these medications are older drugs. These antihistamines tend to make people sleepy. This is a major factor in why antihistamine medications have been changed. Newer antihistamines do not generally stimulate sleep. Other over-the-counter medications or supplements may also contain ingredients such as Valerian root, melatonin, or other herbal central nervous system depressants. Bipolar insomnia may not respond to over-the-counter medications.

Finding solutions for bipolar insomnia

To find the right solution you may have to try several approaches. It also might require the use of more than one of these options at the same time to help the bipolar individual stabilize both their sleep and their lives.

Information for this article is based on research by the National Institute of Mental Health, the Substance Abuse and Mental Health Services Administration, the New England Journal of Medicine, and the Mayo Clinic.

Can Changing Your Mind, Change Your Brain?

Can our brains change in structure over time? Do our brains re-wire itself based on what we experience? These are interesting questions. Scientists have wondered if our perceptions and experiences have the ability to change the physical makeup of our brains. In 1890, William James, published an article in The Principles of Psychology. There is growing evidence that changing your mind does change your brain.

In the 1970’s and 80’s, many tests were preformed to determine if changes in perception did have the ability to change the physical structure of the brain. Some of these tests were developed and implemented by Michael Merzenich, Jon Kaas, and Doug Rasmusson. These tests seemed to show that there is a strong reason to believe that your state of mind does change your brain. However, there are some scientists who are not certain that this is the case.

There are two main types of neuroplasticity. These are generally known as, “positive“ or “negative” plasticity. This means that our mind changes it’s wiring and either grows connections or disposes of connections depending on the circumstances. An example of negative plasticity occurs when pain or trauma changes the amount of neurotransmitters. These chemicals have a big impact on the brain. If the impact of these chemicals are strong enough they will change  the structure of the brain. Since 2005 research has continued to show that the the brains ability to change is quite rapid.

Richard Davidson, is a neuroscientist at the University of Wisconsin. He has led experiments in conjunction with the Dalai Lama to see if meditation can have an effecton the structure of the neuropathways. The research seems to indicate that meditation does affect both long and short-term restructuring of the brain. This is particularly true in areas that affect emotions such as anxiety, fear, depression, and anger.

brains! (Photo credit: cloois)

From this research it seems to be clear that how you see the world and how you experience the world does have the ability to affect the physical structure of your brain. In this case there is literally a connection between mind over matter. It’s important for us at all times to look at ourselves in the self compassionate and friendly light. Through this compassion and understanding weekend change some of the fundamental connections in our brain to promote our health and well-being. When we seek to change her mind it’s important to remember that we also change your brain. This changes our ability to adapt to the circumstances and experience around us. The ability to change our brains could be a substantial tool in the arsenal for those who have mental illness to find meaningful and lasting recovery.

Feed Your Head, Nutrients As A Treatment For Mental Illness

You Are What You Eat

There are difficulties when comparing different systems of medicine. For example, westernized medicine tends to look at things in terms of pathology and not particularly in terms of wellness. Other systems of medicine, such as traditional Chinese Medicine or Ayurveda tend to take a more proactive approach and could be considered systems of wellness and not merely systems in medicine. In the previous article it is suggested that these systems are very difficult to compare.

Western medical science relies heavily on prescription medications. These medications are often synthesized compounds that effect specific symptoms. Other systems of medicine also have a molecular basis. So there is a reasonable standard that we can use to compare these systems. These systems can be compared based on two factors, their organic chemical effect and the outcomes that they produce. For instance, if a prescription medication has side effects that are worse than the disease that they are meant to treat, they're more aptly to be described as a poison. On the other hand, in many cases once diseases have developed, these medications are highly effective at managing the symptoms if not the disease. In some cases chronic diseases such as mental illnesses may require medication for the remainder of the patient's life if their illness is severe enough.

Alternative systems tend to take a proactive approach to treating disease. These systems focus on prevention of disease and the mediation of the basic causes of disease. They tend to use whole foods nutrients and plant products to affect wellness. The molecular structure of these substances is often much more complex and complete than that specifically engineered prescription medication that we are used to. This molecular basis of analysis helps us to compare the systems of medicine.


During the 1930s a multidisciplined scientist, Linus Pauling, began to look at the molecular nature of various diseases. He found often that basic nutrients in the right combinations and dosages had a better chance of prevention of disease or at least remission of symptoms. There is a good body of research and documentation about use of these substances for people with psychiatric conditions.



In the Canadian province of Saskatchewan there was a long-term research program conducted based on the findings of Dr. Pauling, PhD. This research has become the basis of what is now known as the adrenochrome hypothesis. This hypothesis states that hydrogen peroxide in the presence of ferritin, or iron in the blood, contributes to the oxidization of the neurotransmitter adrenaline. Once oxidized the molecular structure of adrenochrome is very similar to the structure of mescaline. In patients with high levels of adrenochrome disassociative experiences and diseases such as schizophrenia are prevalent.



This hypothesis states that through the use of orthomolecular medicine, or the use of basic nutrients in the right dosages and application, can cure or control this disease. Further research along this line suggests that other psychological conditions might be significantly impacted by the application of basic nutrients.

In patients with schizophrenic diseases a variety of B vitamins and whole C vitamins has shown to have a significant impact on the disease. The vitamins that are involved are niacin, B6, B12, and vitamin C. Significant dosages of these basic nutrients helped to reduce the oxidizing effect on adrenaline and therefore produced significantly less adrenochrome.



Traditionally Western medicine does give a nod in the direction of the use of nutrients. It is said to be an important part of health. Often, because of the influence of the pharmaceutical industry, the primary use of nutrients as treatment for disease is considered quackery.



The evidence seens to show that patients reported less disturbing symptoms and many eventually were freed from symptoms entirely. For people like Dr. Abraham Hoffer, MD, Phd and his associates the evidence suggests that this form of treatment may contribute to a better quality of life for patients with schizophrenia. Dr. Hoffer in his research and interviews talks about the use of both synthetic pharmaceuticals and nutrients over a period of time to affect these changes. He does not advocate the immediate disposal of pharmaceutical medications in place of vitamin therapy. It would seem that he feels that all healing is a process.

In the documentary film, Feed Your Head, the adrenochrome hypothesis is discussed in great detail. Many patients in the film such as the actress, Margot Kidder, assembled together to thank these doctors for their work. Much of the material for this article comes from this movie. Another significant resource for the development of this article was derived from the information listed on the orthomolecular.org website.



For further information about the promise and practice of orthomolecular medicine please review both of these resources. While there are not many practitioners of orthomolecular medicine, they can be found. Of course, not every treatment is right for every patient. But for those who use orthomolecular medicine to prevent and treat disease the use of basic nutrients has changed their lives.



Orthomolecular medicine contributes to health on a much wider basis than just schizophrenic disease. Since the 1800s scientists have been working to understand a sentiment that computer engineers have known for a long time, if you put garbage into a system you get garbage out of the system. In the case of orthomolecular medicine it is fair to say you are what you eat, so if you have a mental illness, be sure to feed your head.

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One Way To Find Peace

This article is dedicated to Nancy Randolph, without her this could not have been written. She is one of my personal heroes. She works in Manitowoc, Wisconsin, at the Manitowoc County Human Services Department. She applied for the initial grant to start Painting Pathways Clubhouse. On behalf of the members and staff, thank you!!

Most of us can identify with a certain amount of suffering. Some are submerged in it all the time. It, suffering, is part of the human condition. Life can be hard sometimes. Fortunately, you can learn to grow. You can begin to move past much of the suffering. It can be hard to do so alone. We must look for teachers and companions who are willing to walk down the path with us for a while. Hopefully we will find this sort of mentor and friend. The caveat is that you have to actively seek out help and advice. This is a place where many falter. It is never easy to ask for help. But take the chance, it may just change your life. 

My life experiences gave me a pretty practical understanding of suffering. I began to see this going on in the lives of others also. I could identify with the terrible cost to the souls of those who suffer. That cost can easily spread to the friends and families around them. All of this has got me thinking. When I see someone who is suffering I just want them to know they are not alone. I want to help her. The question is how do we do it? 

I have already learned that the real magic happens when you can touch the person behind the trauma. It helps to establish a place of safe acceptance and compassion for that person. This demonstration of goodwill can dry up tears and encourage. To accomplish these things with people is a bit of an art. You have to be open to them, but not captivated by their crisis. You must be compassionate and decoupled from pity. This is manifested by two people talking openly and unmasked. Being open in this way is the real miracle that we experience. I get to see these events more often at this point in life and have become grateful in the process. Sometimes we can get caught up in the drama of others. The passions are intriguing. Will She? 

Won’t He? Will they have to operate?  Are you gonna go to jail? It is hard to not get caught up in the process and the drama. Many of these crisis's are heart wrenching. Our best role is that of gentle friend. What can we really tell them about their pain that they don’t already know? To hold their hand and cry with them may be the greatest human service you can provide.

You can get convinced that you must take action or the person will face peril. Thankfully humility is ubiquitous in the universe. It offers constant little reminders for those who choose to see them. Although we are occasional conduits of grace and good will, we are not the only source of grace that is available to others.

Jane & Eglinton (Photo credit: AshtonPal)

Life, in the face of our hubris, occasionally will show us an absolutely beautiful illustration of grace. This grace is demonstrated in simple, humble human interaction. It is a moment that is bigger than just that moment. It is a bond between two people. It is no different for you and me today. It is about us. At that moment there is a partnership that is built.  

The Buddha says that to gladden the mind, we should think of things of virtue. One of these moments of virtue has been in my remembrance always. As I watched the events transpire it gladdened my mind considerably. It taught me so much in just one moment.

I spend almost every day in a wonderful place called Painting Pathways Clubhouse. The clubhouse is a successful example of what makes a great community. It is the best that I have ever seen. Great passions and ideas are mediated into something truly impressive. Most of the people who make things happen and make decisions are the members. Members at a clubhouse are people who have a mental illness. It is clear that their mental illness does not prohibit accomplishment. The clubhouse is thriving because of the members. The staff would not be able to run the place on their own.

I have come to know and appreciate many new people in my time there. Most feel like adopting family to me at this point. But in this case, I met my friend Jane on a winter afternoon. She came into the clubhouse like many do. She was a bit confused and lacked confidence. She was a good person who really felt fear about almost everything. In the process of her life she lost a good job, her emotions, her ability to remember and all of her confidence. She was not sure if the clubhouse was right for her. What would she be forced to do? I think that I suggested trying to answer the phones. She broke out in a dead sweat and swore that there was no way that she could do that. She wasn’t sure if she can handle taking messages. 

I am not sure how it happens. She began to answer calls. There is a set of skills that someone has to master in order to operate the phones. She had already achieved more than she had expected to achieve. She found a place to sit. Other members and staff  worked side-by-side with her. She became part of the business unit at our club and answers the phone regularly now. A short training session was held so more people would know how to use the phone system.  They used my friend as the example receptionist. She did the job without a flaw.  It really touched me. “Do you see recovery is possible? Good for you, Jane! See, I knew you could do it.”, echoed through my thoughts. 

We went our separate ways for a while. I got involved in a few projects and saw Jane on occasion. We would say hello and pass. By that time I had gotten  pretty used to helping and supporting Jane. Often, I have been someone who she could talk to. One day I walked in and saw dear Jane in a state that I had seen before. This was not a posture of happiness, it was a crisis.

Boston in the View (Photo credit: Werner Kunz)

Instantly I saw the eye to eye contact she had with one of the staff members. The staff member showed incredible compassion and a face of hopeful acceptance. She cared for Jane in such a tender and human way. I captured an image of it. I went about my business in the usual way. She was getting what she needed. I was confident that she was in good hands. These two wonderful women will be etched in my memory as a moment of virtue and it still gladdens my mind. Like the song says, “We don’t always get what we want, but we get what we need”. 

Self-Compassion In Mental Health Recovery

Self-Compassion?

In our effort to find recovery for ourselves there are some challenges that are significant. It is normal that our experience up to this point has been filled with things that make us afraid. Fear can come from many places. Many of these fears make it hard for us to accept ourselves and our challenges.  This type of fear can make it very hard to accept things as they are. They can make it difficult to accept ourselves in a loving manner.  Without loving ourselves in this way it is likely that we will never make progress in our recovery.   Compassion for yourself will allow you to see your disease openly. It helps to remove the significant barriers that impacts our ability to change. With the power of a compassionate point of view we can look at those things that have hurt us. It helps us to accept that we have a disease. It also helps you to see the impact of your disease on those around you in a new way.

In the course of my mental illness I came to the realization that having a mental illness strikes deeper than just the mind. It becomes an affliction of the heart. The years of suffering dig deep within us and can eat us alive. These wounds are so tender that without the mechanisms of compassion we are not able to grow. Abraham Maslow [1968], that emotional maturity requires a mind that does not judge, is self-forgiving and includes a loving acceptance of self. Sometimes this can seem difficult to view ourselves in this light.

In doing my research I looked to see what various publications had to say about self-compassion and how one might empower them to accept themselves in this light. I would love to give you a simple light switch method which enables you to instantly be self-compassionate. Self-compassion is a lifelong process. There are many days with pain that cloud this perspective. We find that as we watch our pain then we start to understand it, the pain becomes instructive. This instruction is part of our learning in self-compassion. To be able to openly look at those things that imbibe us with suffering becomes transmuted into the power to overcome the death grip that is associated with our pain. It can free us from ruminating in pity for ourselves and can free our body, mind, and spirit.

What is self-compassion? The literal definition of compassion means “to suffer with”. Having compassion for yourself means that you have to recognize your suffering. You must look at this suffering in a kind and loving way. We have to allow ourselves to look at our disease openly and honestly. Our egos have been trained by our experience. Often this experience is derived from our process of becoming a social being. We get used to hearing that outside voice that tells us that we might not be, "good enough in another person’s point of view. We tend to believe whatever these outside voices tell us and take this to heart. This guilt, shame, blame and condemnation will kill our sense of self worth.

Self-compassion is a concept that is deeper than just your self-esteem. A bully can feel pretty good about beating someone else up. A person may think so highly of themselves that they can see nothing but their wants and desires. To make progress in recovery you must be able to see yourself clearly. You must forgo the judgments and condemnation. View yourself in a warm an accepting manner. We have to accept that in this process of recovery there will be bad days. There will be pain. Self-compassion will help us to accept the way things are now and give us perspective on how to change for the future.

According to Karen Neff PhD, an associate professor at the University of Texas at Austin, self-compassion has three main components. The first part is self-kindness. Self-kindness allows us to look at our failings and suffering with a gentle perspective and helps us to understand that bad things happen to good people. With self-kindness we are equipped to deal with the self-hatred and judgment we face. We can allow ourselves both the mistakes of the past and those of the present.

The next part of self-compassion is to realize our common humanity. All of us have had struggles, suffering and pain. When you realize that everyone experiences these things it helps us to understand not only that it is ok for us to have issues but that others around us may have some too. It breaks down the feeling that you are the only one with a problem. It helps us to be less isolated in our pain. We find that we are less judgemental about ourselves and others.

Self-compassion requires that we take a balanced look at our thoughts and emotions. This shows us the need to foster a place within ourselves that is aware of our thoughts and behaviors. To take this balanced approach we must develop our minds. This development of our minds may be called mindfulness. When we work to be aware of our thoughts and feelings we can deal with them openly. This makes perfect sense. If we do not realize that there are fears and judgments in our deepest thoughts we can do nothing to deal with them. They control us as compared to us controlling them. Even if we cannot control these feelings and thoughts being mindful of them and patient will in time lead to acceptance.

I encourage you to spend 5 minutes, two times per day, to sit quietly and watch your thoughts. While you look at your thoughts choose to look at yourself in a tender light. Be kind to yourself. Soon you will begin to notice that you are developing the person behind the disease. Once you can do this you are on your way to recovery.

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