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Leslie Korn, PhD, MPH LMHC, ACS, RPP, NTP, NCBTMB Copyright Dr. Leslie Korn, 2018 Introduction to CAM Copyright, Leslie E. Korn, 2018 Introduction to Your Instructor

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LeslieKorn,PhD,MPHLMHC,ACS,RPP,NTP,NCBTMB

CopyrightDr.LeslieKorn,2018

Introduction to CAM

Copyright,LeslieE.Korn,2018

Introduction to Your Instructor

Copyright,LeslieE.Korn,2018

• Complementary/Alternative Medicine/Complementary & Integrative Health (NIH) • Ifpracticeisusedtogetherwithconventionalmedicine,it’s“complementary”• Ifapracticeisusedinplaceofconventionalmedicine,it’s“alternative”

• Naturopathy • Licensed• Traditional

• Functional Medicine • FunctionalMedicineisasystemsbiology–basedapproach

• Rootcauses3

Terms of Reference

Copyright,LeslieE.Korn,2018

• Refers to the integration of conventional biomedical methods with Complementary/ Alternative/Functional • IntegrativeMedicineforMentalHealth• Behavioral/complementary&biomedical

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Integrative Medicine for Mental Health

Copyright,LeslieE.Korn,2018

• Wholebodyapproach• Wholeselfassessment• Interdisciplinaryfields• Collaborationacrossdisciplines• Dietaryinterventions• LaboratoryAnalysis&Genomics• Selfcare• Emphasizesthehealingrelationship

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Integrative Medicine for Mental Health

Copyright,LeslieE.Korn,2018

• Explores • Nutritionaldeficiencies,(exampleB-12,orMagnesiumonanxiety&asthma)• Druginteractionsonnutritionalstatus:• Anti-psychoticdrugs&someantidepressantscausemetabolicsyndrome• StatinsdepletesthebodyofcoenzymeQ10affectsheart&energy,melatoninusebychildren

• Alternativestopharmaceuticalsoroptimizingwithnutrition• Foodallergies,sensitivities;effectsofglutenondepression&psychosis• Infections,toxicities,&geneticdisorders

• MoldasanewlydiscoveredfactorindevelopmentofAlzheimer's

• Individual'suniquegenetic,biochemical&nutritionalstatus• Providesindividualizedtreatmentplans

Integrative Medicine for Mental Health

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Copyright,LeslieE.Korn,2018

Copyright,LeslieE.Korn,2018

• IntegrativeAssessment• Diet,Nutrients,Botanicals,Glandulars• MetabolicTyping• BiologicalRhythms&Chrono-therapies• Culture,Ethnicity&IntegrativeHealth• Bio-IdenticalHormones• Neurotransmitters/Aminoacids• Bodyworktherapies• Acupuncture,Neurotherapies

• Exercise(aerobic,anaerobicyogaenergetic,core)• Hydrotherapies• Detoxificationstrategies• Spirituality• AlteredStates• Drug-Nutrient-HerbInteractions• Testing&Labs• Adherence/Compliance/Resources

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Integrative Mental Health Methods in this Course

Copyright,LeslieE.Korn,2018

• Enhanceourworkbylearningfromotherdisciplines• “Somatization”asaconceptgoesoutthewindow”!• Everythingispsycho&somatic

• ConductanIntegrativeMindBodyassessment• ConductaPsycho-Ed-basedFood-Moodassessment&recommendations• Buildonskills&integratemethodsthatenhanceclientsselfcarestrategies

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Integrative Medicine for Mental Health

Copyright,LeslieE.Korn,2018

• Integrateunderstandingofhowthemind/bodyworkstogether• Helpyourclientmakesimpledietarychangesincorporatingtheprinciplesof“substitutions”

• Educateyourclientabouttheirpsychobiologicalrhythms&methodstoregulatethem

• Resultsinimprovedsleep&reducedstress

• Helpyourclienttogettheirbodymoving;withoutit…therearelimitsonwellbeing• Stress ➤ inflammation ➤ depression ➤ pain ➤ self medication

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Accelerate Therapeutic Results

Copyright,LeslieE.Korn,2018

Copyright,LeslieE.Korn,2018

Cultural-Based CAM Methods

• AyurvedicTraditionalMedicine

• AsianTraditionalMedicine(ChineseMedicine)

• SouthEastAsian/Vietnamese/

• Mexican/SouthAmericanCuranderismo

• African/AfroCubanAfroBrazilian/Yoruba• MultipleIndigenousMethods&Pan-IndianMethods

• CAMintersectsIndigenous&EuropeanTraditions

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Copyright,LeslieE.Korn,2018

Traditional Cultural Rituals are often “secularized” Vipassana/MindfulnessmeditationTheDhammaBrothersVideo

EMDR/TibetanMeditationVisionQuestsSweatlodgesSoulCollageYogaYogaadaptedforChristians/Latinas…etc.

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CAM intersects Cultural & Sacred Practices

Copyright,LeslieE.Korn,2018

• Altered States of Consciousness • Rituals• Shamanism&PanShamanism• PsychotropicHerbs

• Entheogens • Psilocybin/LSDassistedpsychotherapyforPTSD• Peyote/NativeAmericanChurchforsubstancerecovery• Ketamineassistedtherapyfordepression• MDMAassistedpsychotherapyforPTSD• Ayahuascaassistedtherapy• PsychedelicmedicineinPalliativecare• MedicalMarijuana

http://www.maps.org/research

Cultural -Based Methods Intersect Ritual & Spiritual

Copyright,LeslieE.Korn,2018

• Isomorphictotheindividual’sbeliefsystem

• Biochemicalindividuality• Identifythepsycho-biosubstitutionsforselfmedicatingbehaviors• Dowhatwilleffectchangefirst• Planfortheobstacles• Identifyadherencestrategies• Addresshabituationwhenchangeoccurs

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Principles of Effective Treatment

Copyright,LeslieE.Korn,2018

• Nutrition&Integrative&CAMmethodsareidealforaddressingmultifacetedchronicpsycho/somaticillnesses• IntersectionofDepression,SelfCare&ChronicDiseaseManagement

• Acuteresponsesthatdonotwarrantemergencyintervention• Assessments&Interventionstoaddressrootcauses

• Enhancesubstanceabuserecovery• PainManagement

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Clinical Applications

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Clinical Action Stress, Inflammation, Depression & Self Medication

Copyright,LeslieE.Korn,2018Copyright,LeslieE.Korn,2017

Clinical Action Microbiome Bi-directional Effects of Digestion & Mood

Copyright,LeslieE.Korn,2018

The Mind-Body Problem

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• Methods • CBT• MotivationalInterviewing• Posttraumastagebasedrecovery• DecreasingDissociation• SelfMedication/addictions• HealthCoaching

• Set Goals & Priorities • Engage family, friends, social groups • Conduct mind body groups

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Motivating for Change, Adhering to the Program

Copyright,LeslieE.Korn,2018

• Individuals,Families• Communities&Schools• Clinicalcareineverydiseasecategory• Collaborative• Integrativeprivatepractices•MentalHealthAgencies&ManageCare

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• NonProfitAgencies• Insurancecoverage• Research• PublicHealth• InternationalWork

Opportunities to Develop a Niche Practice

Copyright,LeslieE.Korn,2018

• DefinitionsandTermsofReference

• ABroadRangeofMethods

• BenefitsforbothAcute&ChronicIllness• SomestatisticsofCAMuse

• Culture&CAM

• SpecificCAMInterventions&areasoffocus

• Positionedtosupportmotivation&adherence

• RangeofClinicalPracticeOpportunities

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Summary

Thank you!drlesliekorn.com [email protected]