Brain Bites is all about broadening your reach with easy-to-digest psych knowledge! Join me for quick, interesting medication and brain science tidbits! Elevate your therapy practice with insight and data from your friendly online psychiatrist!
Are gummies ok?
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One of my patients texted me at 8:37pm the other night because she wanted to move her appointment to the next morning. We were scheduled to see each other in 3 days anyway. Couldn’t it wait? Ultimately, yes. But when medications don’t give profound results it’s super common to think there’s something out there that will work better, faster, safer? And sometimes there is! She had decided to see a Chinese Medicine practitioner. I thought her regimen was actually working pretty well for her but I have the benefit of not taking the actual medication and being able to see how much good it looks like it’s doing from the outside looking in. Plus I’m biased because I know tons of people who get WAY better on “my” meds. I bring this up because people have access to tons of products: vitamins, herbs, supplements, gummies, whatever, that they don’t have or need a prescription for. Since I don’t see them (because medications just may not be on their list of things they want to take), you may! How can you support them?? Well, this is tricky. Kind of. Not really. Because you just ask them about it! And see what they say. My concern is that non-medicines are not regulated by the FDA. And that in itself is ok, but that means I don’t have access to data that shows me what to expect for a given patient. Or important information about risks of certain co-morbid medical issues or drug-drug (or supplement) interactions. Some supplements have “published data” but there was no gold standard randomized control study. Or the number of people in the study was really tiny. Getting good data is hard. And even some of our “best” data in psychiatry is pretty sucky. Here are 2 links that may be helpful if you know people that would much rather take a gamble with the “natural” chemicals they feel more comfortable with than typical Western medicine, with it’s big business backing. https://reference.medscape.com/drug-interactionchecker?cid=med This first link is just the interaction checker I use most often. It has a lot of supplements and herbs that can be checked with other medications which I find really helpful. But it’s still best to have a prescriber interpret the interactions and recommendations based on the specific person and their unique brain and body. The other link is for the people you know who may be really into high quality vitamins and supplements with good data behind them. This is a paid product (I’m not an affiliate or anything). And it’s been recommended from a few different pharmacology conferences I’ve attended in the past. This is a lot of email just to have you remind your clients that vitamins and supplements and herbs all have chemicals too! And if they take any other medications or see a prescriber they should share anything they take in this big category of “not medicine and not food” ingested chemicals. It’s important for people to be informed while seeking solutions to their problems that will align with their values. As I’ve mentioned before, snake venom is completely natural! But you don’t want that in your body (or is that just me? I'm kind of a prima-donna). Just because it’s “natural” doesn’t mean it’s without risks and who knows how "natural" it really is. People who drink cranberry juice or eat broccoli while taking the medication warfarin (Coumadin) risk serious bleeding and potential death related to the interaction! Seriously! What's more natural than broccoli?? But it doesn’t make the risk any less real. If you don’t already talk to clients about this then maybe feel it out a little bit. You may be the only trusted voice of reason between very influential supplement marketing and a really bad outcome! I’m off to have some coffee now 😁 (one of the most highly addictive substances that’s legal)! Probably my second favorite chemical… Jessica Beachkofsky, MD P.S. I know I got on my soap box a little. I want people to safely take the things that will help them. And I want them to consider medications if other avenues haven’t helped. But I know it’s not the right move for everyone and I’m pretty ok with that. P.P.S. The big thing I mentioned was happening this week has been postponed. I just wanted to test it out a little more and make a video about it! Next week... |
Welcome to Brain Bites with Dr. B!
Brain Bites is all about broadening your reach with easy-to-digest psych knowledge! Join me for quick, interesting medication and brain science tidbits! Elevate your therapy practice with insight and data from your friendly online psychiatrist!
My heart is with everyone affected by the devastating wildfires in California. It’s impossible to overlook the pain and uncertainty many are experiencing right now. If you or someone you care about has been impacted, please know my thoughts are with you. In times like these, supporting each other matters more than ever. While I can’t change the larger circumstances, I can continue sending useful insights that make navigating mental health just a little easier for you and your clients. And if...
I’m cold. I mean my heat is probably set to 70 but I’ve got my Bucs hoodie pulled over my head and a previously-steaming cup of tea in my hand while I try to type with the other. You already know I’m a weenie when it comes to chilly temps, but our camping trip last weekend got down into the 30s and we’ve stayed there all week! I only have so many joggers and long sleeves. Are you dealing with some frigid January weather? Dreaming of warmer days? And learning more about neurofeedback? Huh....
I have a sleep number bed. We decided to get one when I was pregnant with our first kid because, back then, I always struggled with sleep. And I think it helped (until my kid was actually born! No bed can help with that). We upgraded a few years ago and now the bed tells ME how I’m sleeping! Which is pretty hilarious because it has to be wrong. this is NOT part of my bedtime routine but it sure looks faster! Every night I get a (low) score out of 100. My high score? It was while I was on...