What to Do When Psych Meds Aren’t Working

More people are prescribed psychiatric medication than ever before, so why are we seeing mental health issues continue to climb? How can we support our loved ones when the traditional treatments aren’t working for them?

Dr. Julia Britz specializes in supporting people who are struggling with mental health issues such as OCD, disorders eating and psychiatric medication tapering. Her passion for working with individuals suffering from these lonely conditions is that she too was a “hopeless case”, but got better. Dismissed by doctors, she was told over and over there was nothing else she could try beyond pharmacotherapy, and so was inspired to create myocddiary.com, a site dedicated to documenting the daily life of OCD and related disorders. Through this project and holistic therapies, she found new levels of wellness, and in 2014 did a TED talk called “MyOCDdiary: an imperfect story.”  

She utilizes natural and integrative modalities including targeted amino acid therapy, peptide therapy, micronutrient therapy, bioresonance, botanical medicine and epigenetic analysis, many of which are discussed in this episode.

Download this episode here or find wherever you get podcasts.

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Mental Health Awareness Month: Special Podcast Episodes

This month, I’m taking a break from the regular podcast content to bring episodes focused on bringing awareness to all the tools that support our mental health. Contrary to what the media may tell you, you can change your brain. You can heal from mental illness. You can access resources beyond medication and more sleep, and many of those resources are free, like these episodes.

In Episode 135, I share my story of overcoming PTSD, depression, and bipolar disorder in a way I haven’t shared before.

Key Topics:

  • The growing epidemic of mental health issues in teens
  • The root causes to my own mental health issues and how I struggled to find treatment that supported my mental well-being
  • The medication weaning process and how I was able to get off medication I had been on for 18 years
  • The tools I used to support healing and how I continue to prioritize my mental health to prevent recurring issues

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Mental Health Awareness Month: What it Means to Be a Survivor

Someone recently asked me, “What do you mean when you say you are a survivor of bipolar disorder?” I paused for a second. What does it mean?

I ended up responding with this, “I no longer exhibit the symptoms of bipolar disorder.“

I’ve been thinking about this conversation ever since. 

Does not exhibiting symptoms of bipolar disorder mean that I no longer suffer from this illness?

Did my diagnosis match my symptomology in the first place?

This caused me to reflect back on the symptoms of bipolar disorder, which consists of fluctuation between a depressed state and a manic state.

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Identifying Root Causes of Bipolar Disorder

I was diagnosed with bipolar disorder (what they then called “manic depressive illness”) in 1999. While the diagnosis matched the symptoms I was experiencing, the treatment I received never seemed to make things better… and they never treated the root of why I was struggling.

While I have shared about my personal experience with bipolar disorder, PTSD, and depression and I have interviewed many different experts who share ways to treat the root of chronic disease, I have never devoted the majority of an episode to bipolar disorder and its root causes.

Ellen Vora, MD received her B.A. from Yale University and attended Columbia University medical school. She’s a board-certified psychiatrist, medical acupuncturist, and yoga teacher. Dr. Vora takes a functional medicine approach to mental health—considering the whole person and addressing imbalance at the root, rather than reflexively prescribing medication. Dr. Vora’s book, The Anatomy of Anxiety, comes out in March 2022.

Recording this episode was personal for me. It helped me put together the puzzle pieces of my health even further. Download here or listen wherever you get podcasts.

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How to Survive Stress Without Burning Out

It is well-known that chronic stress contributes to chronic disease. Research shows that as much as 90% of illness is attributed to the impact of stress. Finding a way to manage stress in our very busy world of constant notifications is a challenge. So I was excited to connect with Erica Cuni for this recent podcast episode. Spoiler: multiple listeners have written in to tell me that this is their favorite one!

Erica Cuni, known as “The Burnout Professor,” is a stress and burnout expert. She teaches high-achievers how to consciously thrive through an integrative approach. Erica is the founder of “The C.U.N.I. Method” – which stands for Create Undeniable Natural Impact. She is a former Trauma Psychotherapist, Clinical Director, and Adjunct Lecturer and Clinical Professor at Central Connecticut State University. Her mission is to help make the mental health field more effective, accessible, decolonized, and non-stigmatizing.

Download this episode here or listen wherever you get podcasts.

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Why I’m Not Bipolar – and Neither Is Anyone Else

22 years ago, I was diagnosed with bipolar disorder (or manic depressive illness, as they called it back then) based on a set of symptoms, according to the DSM and failure to respond well to SSRI medication. My identity is not in my diagnosis, and neither is yours.

Imagine if we also said, “I am depression,” “I am anxiety,” “I am Hashimoto’s,” or “I am diabetes.” The phrasing doesn’t work for any other diagnosis. I’d also suggest that anytime we turn our diagnosis into an “I am” statement, we are attaching our unique identity to a set of symptoms, and putting our worth in our limitations.

22 years ago, I was suffering from the symptoms of bipolar disorder. I experienced bouts of glorious manic/hypomanic highs, where the world looked brighter and more alive, when I could stay up all night even with an illness like mono, when I felt charming and unstoppable and like the most brilliant person in the room. I also experienced waves of crushing depression, where I was unable to leave my bed, my body frozen, exhausted, and the world was a dark hole I couldn’t climb out of. It confused me because I was taking an anti-depressant at the time. So we upped the medication amount, and the highs got higher. I didn’t have any other tools for support (except my psychiatrist did mention there was emerging research on omega 3 supplements and brain health – too bad I hated burping up fish).

But here is the point I really want to get across:

Just because you were diagnosed with a mental illness by one person, based on a set of symptoms during one period of your life, doesn’t mean you will struggle with those symptoms for the rest of your life. That’s an archaic school of thought, and it doesn’t line up with newer research on brain health.

Often when we ONLY treat symptoms, instead of looking to the interconnecting root causes in each individual body, we don’t heal, and we limit the opportunity to find healing.

There are so many evidence-based tools to support mental WEALTH. Does rapid relief through medication possibly play a role? Sure! But remember, for some people, like me, it may exacerbate symptoms or make things worse, leading to new diagnoses and treatment cycle.

What are the puzzle pieces in my story that potentially led to a diagnosis of bipolar disorder? Some would say I have a genetic predisposition and leave it at that. But based on what we know of epigenetics, we know that our genes are only as influential in the way they express, and they express according to our environment.

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When the December Blahs Hit

December is my mental slump month. I recently posted about the top triggers for holiday anxiety, but to be honest, holiday anxiety is not something I struggle with throughout the month. But my “December Blahs?” They’re definitely a struggle and always have been.

Though I’ve never been formally diagnosed with Seasonal Affective Disorder, my mood definitely shifts after Thanksgiving. The husband often catches it before I do. This year, I started feeling it earlier than usual. For me, it shows up as complete lack of motivation and willingness to engage. That’s the first symptom. I know from past history that if I let it linger there, I’ll take a deeper dive into true depression.

Last week, I made a trip to the library to load up on some fun holiday reading. As I gathered my stack of no less than seven books, I had this sudden despairing thought that it seemed like such a task to start a new book. Listen – new books bring me so much joy, so that thought was definitely an alert for me. When things that I consider fun stop feeling fun, that’s a sign that my mood is starting to tank.

At that moment, I realized I needed to take a step back and slow it down. I made no plans to fight the lack of motivation with excess activity, to beat my brain and body into submission like I used to. Instead, I came to the realization that for the rest of December, I’m committing myself to erasing to-do items off my lists. I’m not going to fight the blah. Instead, I’m going to recognize it for what it is, and re-adjust my expectations of myself.

This is a difficult mindset shift for me. I like to fill my schedule, I thrive with activity and overscheduling, and I love to have a thousand different plates spinning at one time.

Not for the rest of December.

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The Benefits of Carbs for Your Brain

To carb or not to carb? It seems it is always the debate in nutrition these days.

Yes, we need carbs, and carbs support our mental health.

The top benefits of carbohydrates for mental health are:

  1. They feed good gut bugs and create a more diverse microbiome.
  2. They help us sleep better!
  3. They improve mood health.
  4. They keep stress hormones in check.

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More Stories from the Mental Illness Memory Vault – My Surprise Pregnancy

My baby graduated high school this weekend! It brought up so many emotions for me. I can’t help but feel weepy and nostalgic as I reflect on her life – and who I was when she entered my life.

In case you don’t know my story… I found out I was pregnant with her my senior year of college.

I was not stable mentally and taking a pretty heavy dose of Depakote at that time – something you definitely should not be on if you’re going to get pregnant, due to major risk of birth defects. I was encouraged to terminate the pregnancy.

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A Glimpse into the Mental Illness Memory Vault

“Sometimes I feel like being me takes up too much energy.” – me, 20 years ago.

In 2001, I started documenting my journey with what we then called “manic depressive illness,” after being unable to return to college with my friends due to my instability and frequent med changes. I forgot about the following journal pages, but they are so telling. I struggled with intense lows, wanting to leave this earth and end my pain, then I would experience shooting and soaring highs where I wanted to conquer every goal in a day.

Here are some of the entries:

8/27/01: “All I want to do is cry. I haven’t told my friends that I’m not coming back this quarter… What kind of trick are you playing on me, God? What lesson am I going to learn from this?

9/5/01: “Sometimes I really do wonder if I should just end it all. I really do. Even when I’m stable, taking my 600 mg of Lithium, 100 mg of Topomax, and 25 mg and counting down of Zoloft (I’m hopeful that one day soon I’ll end this vicious charade with Zoloft).

What good am I doing here? What help am I to myself? Honestly? Why must I keep keeping on? Isn’t it ironic that the most inspiring thing I heard the other day came from the stupidest move, Joe Dirt. The main character, who lives a life of utter hopelessness, keeps quoting, ‘Life is a garden – dig it!’ I thought, that’s pretty inspiring. Unfortunately, I feel like any garden I’d be digging would only end up looking like weeds.

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