Archives for Health Matters Blog

General Anesthesia May Unmask Hidden Cognitive Decline

A new study links surgery and cognitive decline. A very well-executed study published in the Journal of Alzheimer’s Disease (2018; 62(1):319-333. doi:10.3233/JAD-170496) has shown that certain individuals demonstrate a significant decline in their mental abilities following surgery requiring general anesthesia, in this case, for total knee arthroplasty (knee replacement surgery). Post-Surgery Cognitive Decline Those most at risk for a post-surgical decline in cognitive abilities showed: a) Slow processing speed (thinking and reaction speed), b) Reduced working memory (short-term memory), for example, the ability to hold information in one’s mind and manipulate it. This skill is used in such things as
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Categories: Cognitive Decline / Alzheimers and Health Matters Blog.

Can Treatment Resistant Depression Be Successfully Treated?

Treating underlying causes of depression has positive side effects. As a clinical psychopharmacologist and the pioneer in the application of functional medicine to neuropsychiatric disorders, I have decades of experience successfully treating treatment-resistant depression. If you or a loved one suffers from depression that doesn’t seem to get better no matter what medication you take or psychotherapy you receive, read this article. Mainstream Approaches The prevailing attitude in mainstream psychiatry is that between one-half to two-thirds of people with depression do not have a full recovery from their depression, despite the use of psychotherapies such as cognitive behavioral therapy and interpersonal
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Categories: Health Matters Blog.

Why Not All Mental Health Problems Are Psychological

Minding the Body Means More Than Just Taking a Pill Even though we recognize that physiological processes hugely influence cognition, emotion, and behavior, too many therapists still tend to practice as if treatment should focus entirely on the mind, says functional medicine psychiatrist Robert Hedaya. There’s a need to analyze the body as well as practice traditional psychotherapy, he says. “Learn to keep your ears open to nutritional, bodily, or energy complaints,” he explains. “Therapists can do a tremendous amount if they just expand their thinking.” In the following interview with Networker Editor Rich Simon, Hedaya explains how therapists can
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Categories: Health Matters Blog and Interviews with Dr. Hedaya.

Hope and Healing Research

Excellent ‘recipe’ book for how to understand how hope can heals us. Dr. Hedaya was recently interviewed by the Integrative Medicine Clinician’s Journal. He was asked about the role of hope in the healing process.  This is his response: “Hope is critical in all healing. A book written by Jerome Frank Persuasion and Healing, deals with this topic very effectively. Hopelessness is one of the cardinal features of depression (as is helplessness). Hope and depression are inversely correlated. Hope assists healing and can in and of itself cause healing, but there are many situations (e.g., pernicious anemia leading to panic and depression)
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Categories: Articles & White Papers and Health Matters Blog.

Five Herbs Plus Thiamine Reduce Pain and Improve Functional Mobility in Patients With Pain

by Robert Hedaya,  MD, DLFAPA ABSTRACT Context • Five herbs—Urtica dioica (stinging nettle), Boswellia serrata, Equisetum arvense, Allium sativum, and Apium graveolens—have been demonstrated to have activity at several anti-inflammatory pathways and have analgesic properties that are effective in treating chronic musculoskeletal pain. Objectives • The study intended to evaluate the clinical efficacy of a proprietary blend of U dioica, B serrata, E arvense, A sativum, A graveolens, and thiamine (vitamin B1), or “the blend,” in the treatment of chronic musculoskeletal pain. Methods • The research team performed a prospective case study. Setting • The study took place at the National
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Categories: Articles & White Papers and Health Matters Blog.

Suicide: Overlooked Causes You Should Know

I would like to talk with you about a current but very difficult topic…suicide. Statistics show a clear rise in suicide frequency with the highest risk being in white middle-aged males. In my nearly 40-year career, I have treated countless people who have felt suicidal to varying degrees. I have been able to prevent suicide in all cases, largely because I work hard to understand the nature of their depression and anxiety, I connect intensively to my patients, I remain in close contact, I have a very high sensitivity to suicide risk factors, and I use lithium and or hospitalization
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Categories: Articles & White Papers, Health Matters Blog, and Whole Psychiatry in the News.

Dr. Hedaya looks familiar to many

If Dr. Hedaya looks familiar to you, it may be because you’ve seen his uncle, the actor, Dan Hedaya. Dan Hedaya is known for his prolific career in film and television as well as his artwork. Creativity runs in the family – Dr. Hedaya is gifted photographer and guitarist.  Part of a large Brooklyn family, both Hedaya men share a deep love of family, music, art and baseball.  Though they have left Brooklyn, they remain loyal Yankee fans.
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Categories: Health Matters Blog, News, and Whole Psychiatry in the News.

Bipolar Disorder and Seasonal Affective Disorder A Clinical Illustration: “Bill”

Bill is a 27-year-old physicist with bipolar SAD, type A. He agreed to take lithium, which eliminated his springtime hypomania, but only partially alleviated his winter depression. Light therapy was added with good results. After three years, Bill married, and two years later he and his wife decided to move to a farm, which is at the same latitude, essentially, as his home of origin (the frequency of SAD goes down as one moves toward the equator and sunlight increases, and vice versa). I will never forget the conversation Bill and I had after his second year on the farm,
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Categories: Case Studies and Health Matters Blog.

Depression and Marital Problems A Clinical Illustration – “Jenny”

The Importance of Context and the Limits of Medication Every health care provider has had experiences that were so powerful that they have forever transformed his or her thinking and approach to patients. The following was such a case. It demonstrated a number of things to me, including the importance of context, the limitations of medication, and the failure of psychiatrists – myself included – to educate their nonmedically trained therapist colleagues in the rapidly progressing biological realm. At a time when the secrets of the brain are being unraveled, and research in the brain sciences is burgeoning like few
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Categories: Case Studies and Health Matters Blog.