 "Worthy to Receive" cut paper and ink on wood. By Courtney Snyder Courtney Snyder, MD
Prior to a 10 year sabbatical from psychiatry, I trained and sub-specialized in treating children with attachment related issues - many from international orphanages or foster care. When I returned to psychiatry, the focus of my work (and my own healing) was more physiologic - addressing areas such as nutrient imbalances, toxicity, inflammation, etc. That I was seeing good responses to such treatments, even for children with attachment issues, confirmed for me that these were the topics to write about and share. Inevitably, my work (and approaches to my own health and my daughter's health) has come full circle. I'm realizing that we can't fully understand topics like inflammation or mast cell activation, the autonomic nervous system, right and left brain hemisphere differences, or even methylation without putting them into the context of our first three years of life.
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Whirling Dervishes (Accessing Their Vagus Nerves) Cut paper, ink and acrylic on wood panel by Courtney Snyder
Courtney Snyder, MD
The proper functioning of the vagus is one of the most important determinants of physical and mental health, social communication, compassion and even creativity. If you have a psychiatric condition or a complex chronic illness (or your child does), understanding the vagus may help demystify what has likely been a confusing and demoralizing experience. In this post, I'll discuss the many roles of the vagus nerve, the many body systems it influences, and the many seemingly unrelated symptoms it can impact when it’s not working well. My hope is that the vagus will become as awe inspiring for you, as it has for me, and that you’ll want to help it help you. There are many ways to improve vagal "tone" to access healing and well-being. Perhaps because they're fun and life affirming, they’re often not taken seriously. In my own journey, I spent years trying to dominate my biochemistry, improve my microbiome and avoid and remove toxins. This narrow attention held me (and my daughter) back. If this is where you’re at, then I write this for you.  “Mary Poppins Goes To the Beach” -Made by combining pieces from 3 collages in my Impermanent Art Series. By Courtney Snyder, MD
Half of my work day is spent honing in on details. For each person I evaluate and treat, I’m considering multiple symptoms, lab data, contributing factors, and treatment interventions. Left unchecked, this amount of detail hurts my brain - figuratively and literally. This type of work might be considered “left brain“ and appealing to someone who is “undermethylated,” which I am. The other half of my work day is involved with addressing how, from a spiritual perspective, we:
By spiritual, I mean our inner life. My writing and teaching about the intersection between neuroplasticity and spirituality is essentially about how we exercise those parts of the brain that relate to that inner work. Instead of honing in on details, this is about pulling back and looking at the bigger picture of our lives and our humanity. This right brain work feels good.  "Light Showers on Tidy Town" paper, acrylic on 24 x 48" canvas "Inspired by the coastal towns of Ireland." By Courtney Snyder
One of the challenges of writing blog posts that explore root causes of brain related symptoms is that what we are learning is constantly evolving. There's so much we still and will never know. Another challenge - everything is interconnected. The best I can do is to write about these root causes separately. While some contributing factors can occur in parallel, one condition is often leading to other downstream conditions that themselves contribute to things like depressed mood, anxiety, mood swings, brain fog/inattention and so forth. Mold toxicity is a perfect example. It can contribute to Pyrrole Disorder due the stress it puts on the body. It can lead to elevated copper by overwhelming one of the antioxidants in the body that regulates copper. Because it interferes with the immune system, it can lead to a susceptibility to candida/yeast, Lyme and its co-infections. It also frequently worsens mast cell activation (see last post). I consider it a root of the roots. In my daily work, I find mold toxicity to be very common. Here’s why - Lunch with Dr. William Walsh - His Story, Discoveries & the Future of Nutrient-Based Psychiatry7/1/2016 
Courtney Snyder, MD
I first met Dr. Walsh in the fall of 2014, at his second physician training course here in the US. At the time, I was uncertain how useful nutrients would be in my psychiatric practice. What I learned seemed too good to be true. Upon returning home, I gradually began evaluating and treating specific nutrient imbalances in adults and children with depression, ADHD, anxiety, bipolar disorder, autism and other conditions. To my repeated surprise, most patients - children and adults alike improved… significantly - some dramatically, including those whose symptoms had failed to respond to other treatments. 
Courtney Snyder, MD
We’re not necessarily the same animal we once were. And, in many respects, especially when it comes to food, we’re increasingly different from one another. Describing a particular food (or nutrient) as “good” for you, depends on who “you” are. Due to our varied experiences, exposures (ie. to antibiotics, toxins, etc.) and genetics, we’re not all the same. The latest superfood may benefit some, but it may make others ill. Our complicated relationship with food can’t be discussed without considering inflammation, oxidative stress and epigenetics - the three exploding areas of medical research. 
Courtney Snyder, MD
Purpose, Healing and Happiness Whatever language, symbolism or religious framework we use or try not to use, many of us believe there's a reason each of us are here ...at this time, in this place and with these people. Though I think a lot about the details of health, I fall short on the bigger picture of healing if I forget that our wellbeing depends on much more, not the least of which is having a deep sense of purpose in our lives. Purpose can energize us. It is a reason to do the hard work; to get out of bed. It lowers stress and it’s associated physiologic responses. Futility is stressful. So is incongruence - the mismatch between our natural abilities and passions and what we’re actually doing. With purpose comes a clarity about what and with whom we want to spend our time. 
Courtney Snyder, MD
Though steeped in nutrition professionally and personally, I don't like to spend a lot of time in the kitchen. Most of what I prepare has very few ingredients, though the ingredients are whole (unprocessed). And most of my food preparation has very few steps. I'm hoping my culinary limitations, which I've honed over these past few years, will be useful to someone else. Before getting into the below "recipes", I should add, I believe... 
By Courtney Snyder, MD
...is ragus - an Aran Island's word for 'desire' or 'urge.’ The Aran Islands are off the west coast of Ireland and have little to do with this post, except maybe to help draw in unsuspecting readers. Like me, you may wonder,... "Who really wants to read about the problems with sugar?" Over these past four weeks, I considered many approaches: I’d be inclusive and point out that despite great individual variability in how our bodies react to foods, science is showing that limiting or avoiding sugar makes good sense for...well...pretty much everyone. I thought I’d be investigative - I’d give an excessive list of names for hidden sugar on food labels. I’d give examples of how much sugar is in “savory” foods - e.g. 1/2 cup of tomato soup has 3 tsp. of sugar. For those into calculations, 4 grams = 1 tsp. 
By Courtney Snyder, MD
I never like to hear, “You should….," Whether it’s a well intended friend, or a facebook link on how to “IMPROVE YOUR HEALTH IN JUST 5 MINUTES A DAY.” The suggestion that anyone knows the right answer for all of us is annoying. When it comes to health and happiness, there's no one size fits all. Some of us need more protein, some of us need more vegetables; some of us need to minimize toxic exposures, some are less vulnerable; some of us need more routine, some of us need more spontaneity; some of us need more self care, some of us need to give more of ourselves; some of us need better boundaries, some of us need more connection. Within each of us is a knowing of where that balance is. The trick is being open to new information, while trusting and listening to that knowing part of ourselves. All that being said, I do believe that whoever you are, IF YOU DO THIS ONE THING FIVE MINUTES A DAY, IT WILL IMPROVE YOUR HEALTH AND HAPPINESS! If you think you just heard the enthusiastic voice of the television spokeswoman selling the latest exercise gadget, then you've heard correctly. 
Courtney Snyder, MD
In these next couple weeks, as we help our children collect needed supplies for school and other activities, let us remember to have inner authority high on the list. (I wrote this post for my other blog a few years ago. I hope it is still useful now). Reclaiming Inner Authority in a Hierarchical World Gone Mad (November 10, 2011) by Courtney Snyder, MD Last week I saw a clip from the Jimmy Kimmel Show in which he asked parents to post videos to Youtube of children’s reaction after they (the parents) tell them they've eaten all their Halloween candy. From an overwhelming number of videos posted, Kimmel shared a few. Why were those parents so up for a task in which they inflict emotional pain on their children, video tape it and share it with the world? Who was so insensitive to them when they were children? “It was just a joke,” “Where’s your sense of humor,” “You’re no fun,” is how some might respond. 
Courtney Snyder, MD
What is the microbiome and why are so many researchers studying it's impact on human health including mental health? How can we take care of it? And, what can it teach us about fear, the importance of diversity and our relationship with the natural world? The microbiome is the collection of microbes that live in and on our bodies. There are estimated to be 100 trillion in our gastrointestinal tract - about ten times the number of cells in our body. Spread out, it is believed the microbiome could cover a football field. Though there are an estimated 500 -1000 different species, only one third seem to be common to most people. The other two thirds are specific to each one of us. So, along with our unique experiences and genomes, we have unique microbiomes. |
Courtney Snyder, MDFor anyone experiencing brain symptoms. This blog (and weekly newsletter) is your guide to demystifying root causes and learning about surprising paths to healing. From a holistic - functional adult and child psychiatrist dedicated to helping people heal and thrive. Categories
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