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AmenClinics'

ChangeYourBrain,

ChangeYourLife

P.O.Box739•Forest,VA24551•1-800-526-8673•www.AACC.net

ChangeYourBrain,ChangeYourLife

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Welcome to Light University and the “Amen Clinics' Change Your Brain, Change Your Life”programofstudy.Our prayer is that you will be blessed by your studies and increase your effectiveness inreaching out to others. We believe you will find this program to be academically sound,clinicallyexcellentandbiblically-based.Our faculty represents some of the best in their field – including professors, counselors andministers who provide students with current, practical instruction relevant to the needs oftoday’sgenerations.We have alsoworked hard to provide youwith a program that is convenient and flexible –givingyoutheadvantageof“classroominstruction”onDVDandallowingyoutocompleteyourtrainingonyourowntimeandscheduleinthecomfortofyourhomeoroffice.Thetestmaterialcanbefoundatwww.lightuniversity.comandmaybetakenopenbook.Onceyouhavesuccessfullycompletedthetest,whichcoverstheunitswithinthiscourse,youwillbeawardedacertificateofcompletionsignifyingyouhavecompletedthisprogramofstudy.Thank you for your interest in this program of study. Our prayer is that you will grow inknowledge,discernment,andpeople-skillsthroughoutthiscourseofstudy.Sincerely,

RonHawkinsDean,LightUniversity


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TheAmericanAssociationofChristianCounselors

• RepresentsthelargestorganizedmembershipofChristiancounselorsandcaregiversintheworld,havingjustcelebratedits30thanniversaryin2016.

• Known for its top-tier publications (Christian Counseling Today, the Christian CounselingConnectionandChristianCoachingToday),professionalcredentialingopportunitiesofferedthroughtheInternationalBoardofChristianCare(IBCC),excellenceinChristiancounselingeducation, an arrayof broad-based conferences and live training events, radioprograms,regulatoryandadvocacyeffortsonbehalfofChristianprofessionals,apeer-reviewedEthicsCode,andcollaborativepartnershipssuchasCompassion International,TimberlineKnolls,and Road to Freedom (to name a few), the AACC has become the face of Christiancounselingtoday.

• With the needed vision and practical support necessary, the AACC helped launch the

International Christian Coaching Association (ICCA) in 2011, which now represents thelargest Christian life coaching organization in the world with over 2,000 members andgrowing.

OurMission

TheAACC is committed to assisting all Christian counselors, the entire “community of care,”fromlicensedprofessionals,topastors,tolaychurchmemberswithlittleornoformaltraining.It is our intention to equip clinical, pastoral, and lay caregivers with biblical truth andpsychosocial insights that minister to hurting persons and helps them move to personalwholeness,interpersonalcompetence,mentalstability,andspiritualmaturity.


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OurVision

TheAACC’svisionhastwocriticaldimensions:First,wedesiretoservetheworldwideChristianChurch by helping foster maturity in Christ. Secondly, we aim to serve, educate, and equip1,000,000 professional clinicians, pastoral counselors, and lay helpers throughout the nextdecade.WearecommittedtohelpingtheChurchequipGod’speopletoloveandcareforoneanother.We recognize Christian counseling as a unique form of Christian discipleship, assisting thechurch in its call to bring believers to maturity in the lifelong process of sanctification—ofgrowingtomaturityinChristandexperiencingabundantlife.Werecognizesomearegiftedtodosointhecontextofaclinical,professionaland/orpastoralmanner.Wealsobelieveselected laypeoplearecalledtocareforothersandthattheyneedtheappropriatetrainingandmentoringtodoso.WebelievetheroleofthehelpingministryintheChurchmustbesupportedbythreestrongcords:thepastor,thelayhelper,andtheclinicalprofessional.ItistothesethreerolesthattheAACCisdedicatedtoserve(Ephesians4:11-13).

OurCoreValues

InthenameofChrist,theAmericanAssociationofChristianCounselorsabidesbythefollowingvalues:

VALUE1:OURSOURCEWearecommittedtohonorJesusChristandglorifyGod,remainingflexibleandresponsivetotheHolySpiritinallthatHehascalledustobeanddo.VALUE2:OURSTRENGTHWearecommittedtobiblicaltruths,andtoclinicalexcellenceandunityinthedeliveryofallourresources,services,trainingandbenefits.VALUE3:OURSERVICEWeare committed toeffectivelyandcompetently serve the communityof careworldwide—bothourmembership and the churchat large—withexcellenceand timeliness, andbyover-deliveryonourpromises.VALUE4:OURSTAFFWearecommittedtovalueandinvestinourpeopleaspartnersinourmissiontohelpotherseffectivelyprovideChrist-centeredcounselingandsoulcareforhurtingpeople.VALUE5:OURSTEWARDSHIPWe are committed to profitably steward the resourcesGod gives to us in order to continueservingtheneedsofhurtingpeople.


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LightUniversityI. Establishedin1999undertheleadershipofDr.TimClinton—hasnowseennearly200,000

students from around the world (including lay caregivers, pastors and chaplains, crisisresponders,lifecoaches,andlicensedmentalhealthpractitioners)enrollincoursesthataredelivered via multiple formats (live conference and webinar presentations, video-basedcertificationtraining,andastate-of-theartonlinedistanceteachingplatform).

II. Thesepresentations,courses,andcertificateanddiplomaprograms,offeroneofthemostcomprehensive orientations to Christian counseling anywhere. The strength of LightUniversity is partially determined by its world-class faculty—over 150 of the leadingChristianeducators,authors,mentalhealthcliniciansandlifecoachingexpertsintheUnitedStates. This core groupof facultymembers represents a literal “Who’sWho” inChristiancounseling. No other university in the world has pulled together such a diverse andcomprehensivegroupofprofessionals.

III. Educational and training materials cover over 40 relevant core areas in Christian—

counseling, lifecoaching,mediation,andcrisis response—equippingcompetentcaregiversand ministry leaders who are making a difference in their churches, communities, andorganizations.

OurMissionStatement

TotrainonemillionBiblicalCounselors,ChristianLifeCoaches,andChristianCrisisRespondersbyeducating,equipping,andservingtoday’sChristianleaders.

AcademicallySound•ClinicallyExcellent•DistinctivelyChristian


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Video-basedCurriculum

• UtilizesDVDpresentations that incorporateover 150 of the leading Christian educators,authors,mentalhealthclinicians,andlifecoachingexpertsintheUnitedStates.

• Eachpresentationisapproximately50-60minutesinlengthandmostareaccompaniedbyacorrespondingtext(inoutlineformat)anda10-questionexaminationtomeasurelearningoutcomes.Therearenearly1,000uniquepresentationsthatareavailableandorganizedinvariouscourseofferings.

• Learning is self-directed and pacing is determined according to the individual time

parameters/scheduleofeachparticipant.• With the successful completion of each program course, participants receive an official

Certificate of Completion. In addition to the normal Certificate of Completion that eachparticipant receives, Regular and Advanced Diplomas in Biblical Counseling are alsoavailable.

Ø TheRegularDiploma isawardedbytakingCaringForPeopleGod’sWay,BreakingFreeandoneadditionalElectiveamongtheavailableCoreCourses.

Ø TheAdvancedDiplomaisawardedbytakingCaringForPeopleGod’sWay,BreakingFree,andanythreeElectivesamongtheavailableCoreCourses.

Credentialing

• LightUniversitycourses,programs,certificatesanddiplomasarerecognizedandendorsedbytheInternationalBoardofChristianCare(IBCC)anditsthreeaffiliateBoards:theBoardofChristianProfessional&PastoralCounselors(BCPPC);theBoardofChristianLifeCoaching(BCLC);andtheBoardofChristianCrisis&TraumaResponse(BCCTR).

• Credentialing is a separateprocess from certificate or diploma completion.However, theIBCC accepts Light University and Light University Online programs as meeting theacademic requirements for credentialing purposes. Graduates are eligible to apply forcredentialinginmostcases.

Ø Credentialinginvolvesanapplication,attestation,andpersonalreferences.

Ø CredentialrenewalsincludeContinuingEducationrequirements,re-attestation,andoccureitherannuallyorbienniallydependingonthespecificBoard.


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OnlineTesting

TheURLfortakingallquizzesforthiscourseis:http://www.lightuniversity.com/my-account/.

• TOLOGINTOYOURACCOUNT

Ø Youshouldhavereceivedanemailuponcheckoutthatincludedyourusername,password,andalinktologintoyouraccountonline.

• MYDASHBOARDPAGE

Ø Onceregistered,youwillseetheMyDVDCourseDashboardlinkbyplacingyourmousepointerovertheMyAccountmenuinthetopbarofthewebsite.ThispagewillincludestudentPROFILEinformationandtheREGISTEREDCOURSESforwhichyouareregistered.TheLOG-OUTandMYDASHBOARDtabswillbeinthetoprightofeachscreen.Clickingonthe>nexttothecoursewilltakeyoutothecoursepagecontainingthequizzes.

• QUIZZES

Ø Simplyclickonthefirstquiztobegin.• PRINTCERTIFICATE

Afterallquizzesaresuccessfullycompleted,a“PrintYourCertificate”buttonwillappearnearthetopofthe course page. You will now be able to print out a Certificate of Completion. Your name and thecourseinformationarepre-populated.ContinuingEducationTheAACCisapprovedbytheAmericanPsychologicalAssociation(APA)tooffercontinuingeducationforpsychologists. The AACC is a co-sponsor of this training curriculum and a National Board of CertifiedCounselors (NBCC) Approved Continuing Education Provider (ACEPTM). The AACC may award NBCCapproved clock hours for events or programs that meet NBCC requirements. The AACC maintainsresponsibility for the content of this training curriculum. The AACC also offers continuing educationcreditforplaytherapiststhroughtheAssociationforPlayTherapy(APTApprovedProvider#14-373),solongasthetrainingelementisspecificallyapplicabletothepracticeofplaytherapy.It remains the responsibility of each individual to be aware of his/her state licensure and ContinuingEducationrequirements.AlettercertifyingparticipationwillbemailedtothoseindividualswhosubmitaContinuingEducationrequestandhavesuccessfullycompletedallcourserequirements.


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Presenterfor



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PresenterBiographyDaniel Amen,M.D., is a physician; double board certified psychiatrist, teacher and five-timeNew York Times bestselling author. He is widely regarded as one of the world’s foremostexpertsonapplyingbrainimagingsciencetoeverydayclinicalpractice.Dr.AmenistheFounderof Amen Clinics in Newport Beach, San Francisco, California; Bellevue, Washington; Reston,Virginia; Atlanta and New York City. Amen Clinics have the world’s largest database offunctionalbrainscansrelatingtobehavior,totaling73,000scansonpatientsfrom90countries.Dr.Amen isaDistinguishedFellowoftheAmericanPsychiatricAssociationandhe is the leadresearcherontheworld’slargestbrainimagingandrehabilitationstudyonprofessionalfootballplayers.AlongwithPastorRickWarrenandDrs.MarkHymanandMehmetOz,Dr.Amenisoneof the chief architects on Saddleback Church’s “Daniel Plan,” a 52-week program to fosterhealththroughreligiousorganizations.TheDanielPlanisnowbeingexportedaroundtheworldtohelpchurches,synagoguesandallreligiouspeoplebecomehealthy.


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PRODUCTIONNOTEThevideotapedsegments forthiscoursearedrawnfromanothercoursetaughtbyDr.DanielAmenforhisonlineBrainFitForLifeCommunity.Assuch,youmayhear certain phrases orwords from time-to-time (e.g., post, community, “leavecomments and questions below”, etc.) that specifically pertain to the onlineformattedcoursesandnotthisDVD-basedcourse.TheviewsandopinionsinthiscoursearesolelythatofthepresenterandarenotnecessarilysharedorendorsedbytheAACC.


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AmenClinics'ChangeYourBrain,ChangeYourLifeTableofContents:

CYB101:12PrinciplestoChangeYourBrainandEverythinginYourLife...............................12CYB102:TheAmenClinicsMethod.......................................................................................28CYB103:LimbicSystem:LookingIntoLoveandDepression...................................................44CYB104:BasalGanglia:LookingIntoAnxietyandFear..........................................................57CYB105:PrefrontalCortexandCerebellum:LookingIntoAttentionandImpulsivity.............67CYB106:AnteriorCingulateGyrus:LookingIntoWorryandObsessiveness...........................76CYB107:TemporalLobes:LookingIntoMemory,Temper,andMysticism.............................83CYB108:SubtypingADD,Anxiety,Depression,Addictions,andObesity................................92CYB109:TheBraininRelationships.....................................................................................100CYB110:BrainHealthyNutritionandtheBrainGutConnection..........................................118CYB111:NaturalWaystoHealtheBrain.............................................................................156CYB112:AmenClinicsAlzheimer’sRiskReductionProgram................................................174


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CYB101:

12PrinciplestoChangeYourBrainand

EverythinginYourLife

DanielAmen,M.D.


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Summary

Havingahealthybrainiscriticaltohavingahealthylife,yetsooftenpeopledonottakecareof

their brains in the way that they should. In this presentation, Dr. Daniel Amen lays the

foundation for the course, describing the purpose and methods of the Amen Clinics and

introducing listeners to the ideaofbrain SPECT imaging.Healso shareshis personal journey

andhowthathasimpactedhiscurrentpassionforbrainhealth.Healsodiscusses12principles

tochangeyourlifebychangingyourbrain.Youarenotstuckwiththebrainyouhave–youcan

changeyourbrainandchangeyourlife!

LearningObjectives

1. Participantswilldiscoverhowbrainscanscanbeusedinpsychiatry

2. ParticipantswillascertainhowDanielAmen’spastledhimtowhereheistoday

3. Participantswillevaluate12importantprinciplestochangethebrain


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I. CourseIntroduction

A. CourseOutline

1. Myjourneyand12principlestochangeyourbrainandeverythinginyourlife

2. TheAmenclinicsmethod

3. Limbicsystem:Lookingintoloveanddepression–feelingbetterfast

4. Basalganglia:Lookingintoanxietyandfear–stopfeelingnervousnow

5. Prefrontalcortexandcerebellum:Lookingintoattentionandimpulsivity–achieving

totalfocus

6. Anteriorcingulategyrus:Lookingintoworryandobsessiveness–gettingunstuck

7. Temporal lobes: looking intomemory, temper andmysticism – boostingmemory,

learningandtempercontrol

8. SubtypingADD,anxiety,depression,addictionsandobesity

9. Thebraininrelationships

10. Brainhealthynutrition,braingutconnection

11. Naturalwaystohealthebrain

12. TheAmenclinicsAlzheimer’sriskreductionprogram


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B. World’sLargestDatabaseofBrainScans

1. SixClinics

2. Morethan100,000SPECTstudiesonpatientsfrom111countries

3. CollaborationswithColumbia,NYU,UCLA,ThomasJefferson,Duke, JohnsHopkins,

U/BritishColumbiaandUCIrvine

C. ScientificPublishing

1. 70peerreviewedSPECTarticles

• HowSPECTchangesclinicalpractice

• Amenclinicsmethodimprovesoutcomes

• PredictingADHDtreatmentresponse

• Suicide,murder

• Effectsofbraindirectednutrients

• Braineffectsoffootballconcussions

• Rehabilitatingbraintrauma

• Braineffectsofobesity

• BraineffectsofmeditationandEMDR

2. Overthreemillionbookssold,nineNewYorkTimesbestsellers

D. PromotingBrainHealth

1. NationalPublicTelevision

• NinePBSspecialsonthebrain/health

• Showsaired>80,000times

• Raised>$55milliondollarsforPBS


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2. Education

• 12-weekhighschoolcourseonbrainhealth,42states,sevencountries

• Collegecourse

3. TransformingHealthThroughChurches

• Co-Creator of Saddleback Church’s “Daniel Plan,” with Pastor Rick Warren,

MehmetOzandMarkHyman

• TheDanielPlanisbeingdonebythousandsofchurchesaroundtheworld

4. BrainHealthinAddictionTreatment

• Plantedbrainhealthand/orbrainimagingintodrugtreatmentcenters,including

Salvation Army ARC Anaheim, Beacon House, Sierra Tucson in AZ, and Hanley

CenterinFL

5. BrianHealthinBusiness

• PartofFranklinCovey’sProductivitySolutionBringingHealthtoBusinesses

6. BrainHealthCommunity

• BrainFitforLife

7. BrainHealthNutraceuticals

• Products to support overall brain health, memory, mood, sleep, relaxation,

focus,cravingcontrol

8. ChangeYourBrain,ChangeyourLife501(C)(3)Foundation

• Educate

• Research

• Service


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E. AmenClinics:ATrustedResource

1. Clinicshavetreated

• Hundredsofphysicians

• Nobellaureates

• Politicalfigures

• Over150NFLplayers,“HallofFame”athletes

• PulitzerPrizewriters

• Oscarwinningactors

• Legendarymusicians

• Religiousleaders

2. Over5,000medicalandmentalhealthprofessionalshavereferredpatients

3. Manyoftheirownfamilymembers

4. 38%ofourpatientsarereferredbyourpatientsortheirfamilyorfriends

II. DanielAmen’sJourney

A. EarlyLife

1. Middleofsevenchildren

2. Called“Maverick”

B. 1972

1. Draftedasaninfantrymedic

2. Retrainedasanx-raytechnician


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C. 1979

1. Wifeattemptedsuicide

2. Fell in lovewith psychiatry because it has the potential to change generations of

people

D. 1991

1. BrainSPECTimaging

2. Psychiatry

3. Revolution

E. 1992

1. AlldayconferenceonSPECTinpsychiatry

2. Researcherscomplainthatscansareonlyforresearch

F. TheImportanceofImaging

1. Psychiatristsaretheonlymedicalspecialistswhorarelylookattheorgantheytreat

• Cardiologistslook

• Neurologistslook

• Orthopedistslook

• Allotherspecialtieslook

• Psychiatristsguess

2. Thereisareasonwhymostpsychiatricmedicationshave“blackbox”warnings


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3. Throwingdartsinthedark

4. The current model does not work very well! Outcomes in psychiatry have not

improvedindecades

• Insel, NIMH, “The unfortunate reality is that currentmedications help too few

peopletogetbetterandveryfewpeopletogetwell.”

• Antidepressantseffectsimilartoplacebo

• Antipsychoticsandstimulantshavethesameeffectivenessasthoseusedin1954

5. Symptomclusterswillneverbeabletotellifthebrainistoxic!

G. EarlyLessonsfromImaging

1. ADHD

2. Anxiety

3. Depression

4. Addictions

5. Autism

6. NOTsingleorsimpledisorders

7. Allhavemultipletypes

8. Mildtraumaticbraininjuriesareamajorcauseofpsychiatricillnesses


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9. Undiagnosedbraininjuriesareamajorcauseof:

• Homelessness

• Drugandalcoholabuse

• Depression

• Panicattacks

• ADHD

• Suicide

10. SPECTisoneofthebeststudiesforTraumaticBrainInjury

11. Judgesanddefenseattorneyssoughthelptounderstandcriminalbehavior

12. Over500convictedfelons,including90murderers

13. Peoplewhodobadthingsoftenhavetroubledbrains

14. Manyofthesebrainscouldberehabilitated

Radical Idea: What if we evaluated and treated troubled brains rather than simply

warehousingthemintoxic,stressfulenvironments?

“Asocietyshouldbe judgednotbyhowittreats itsoutstandingcitizens,butbyhowit

treatsitscriminals.”–FyodorDostoevsky

15. Imagingdecreasesstigma

• Seeproblemsasmedical,notmoral

• Decreasesshameandguilt

• Increasesforgivenessandcompassionfromfamilies

• Wehavenothingelseinpsychiatrythatisthispowerfulandimmediate


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H. ImagingCompletelyChangestheDiscussionAroundMentalHealth

1. Noonewantstoseeapsychiatrist

2. Noonewantstobelabeledasabnormal

3. Butallofuswantabetterbrain

4. Whatifmentalhealthwasreallybrainhealth?

5. Youarenotstuckwiththebrainyouhave

III. 12PrinciplestoChangeYourBrainandLife

A. YourBrainisInvolvedinEverythingYouDO

1. Howyou

• Think

• Feel

• Act

• Interact

2. Itisanorganof

• Judgment

• Personality

• Intelligence

• Decisions


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B. WhenYourbrainWorksRight–YouWorkRight

1. Whenyourbrainhastrouble,youhavetroubleinyourlife

2. Healthybrain

• Happier

• Healthier

• Wealthier

• Moresuccessful

3. Unhealthy

• Sadder

• Sicker

• Poorer

• Lesssuccessful

C. TheBrainistheMostAmazing,EnergyHungryOrganintheUniverse

1. 100billionneurons,trillionsupportingcells

2. Moreconnectionsthanstarsinuniverse

3. 2%ofbody’sweight,uses20-30%ofkcals

4. 20%ofoxygenandbloodflow

5. Apieceofbraintissuethesizeofagrainofsandhas100,000neuronsandabillion

connectionstalkingtooneanother


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D. BrainisVerySoft,HousedinaHardSkull

1. Brainisverysoft

• Consistencyofsoftbutter,tofu,custardorbetweenaneggwhiteandgelatin

2. Skullisreallyhard

• Manysharpridges

3. Braininjuriesmatter

4. Hiddentraumalinkedto

• Alcoholismanddrugabuse

• Homelessness

• Dementia

• Depression,anxietyattacksandsuicide

• Learningproblems

• Howwouldyoueverknowunlessyoulooked?

5. ThecaseofPhineasGage

6. Unrecognizedandforgottenbraininjuries

E. ManyThingsHurttheBrain

1. Poordecisions

2. Braininjuries

3. Drugsandalcohol


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4. Obesity

5. Inactivity

6. Poordiet

7. Insomnia/apnea

8. Nicotine/highcaffeine

9. Diabetes

10. Hypertension

11. Abnormallabs

12. Chronicstress

13. Environmentaltoxinsorinfections

14. Depression,ADD

15. Unhealthypeergroup

16. Notknowingyourownbrain’svulnerability


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F. ManyThingsHelptheBrain

1. Appropriateanxiety

2. Sustainedself-control

3. Newlearningdaily

4. Exercise–weights,walking,waltzes

5. Greatnutrition–lowglycemic,highfiberandhealthyfat

6. Healthyweight–nottoohighorlow

7. Healthyfriends

8. Sleep–7-8hours

9. ANT-freethinking

10. Meditation

11. Supplements–Multivitamins,Omega3s,vitaminD,brainnutrients

12. Knowingyourownbrainhealth


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G. CertainBrainSystemsareInvolvedwithCertainBehaviors

1. Prefrontalcortex

2. Temporallobes

3. Parietallobes

4. Occipitallobes

5. Cerebellum

6. Problemsinbrainsystemstendtocausespecificproblems

H. BrainImagingGivesManyPowerfulInsightsNotAvailablethroughSymptoms

1. Howdoyouknowunlessyoulook?

2. Neverlookinisolation

I. OneSizeDoesNotFitEveryone

1. Most problems, such as obesity, ADD, or depression, are not single or simple

disorders

J. BrainAgingisOptional:BoostYourBrain’sReserve

1. Yourbehavioracceleratesordeceleratesbrainaging

2. Brainactivitydecreasesovertime


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K. YouAreNotStuckwiththeBrainYouHave

1. Youcanmakeitbetter,evenifyou’vebeenbadtoit

2. Fromfailuretosuccess

3. Changeyourbrain,literallychangeyourlife

L. GetIt,GiveItAway,KeepItForever,ChangetheWorld

M. WhatToDoNow

1. Whatwasyourbiggesttake-awayfromlesson1?

2. Shareitwithsomeoneandwriteitdown

3. Givetheprogramawaytoanotherpersontocreateyourownsupportgroup

ThispresentationwasoriginallyrecordedasapartofDanielAmen’sonlineBrainFitForLifeCommunityProgram,

wheretherewasanopportunityaskquestionsandaddcomments.InthisDVD-basedcourse,thereisnooptionto

askthepresentersquestions.


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CYB102:

TheAmenClinicsMethod

DanielAmen,M.D.


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Summary

Therearenot“one-size-fits-all”treatmentsforbraininjuries.Toreallyunderstandwhatneeds

tobedonetohelpthebrain,itisimportanttolookatscansthatwillpinpointexactlywherethe

problem lies. The brain can be divided into four circles; biological, psychological, social, and

spiritual. Within each of these areas are important dynamics that need to be taken into

considerationwhenevaluatingbrainissues.Therearewaystoincreasebrainhealthwithineach

ofthesefourcircles.Yetsomethingscanonlybeseenonbrainscans,sothispresentationalso

goesoverseveralcommonpatternsthatcanbeseeninthebrainwithSPECTscans.

LearningObjectives

1. Participantswillassessthefourcirclesofbrainhealth

2. Participantswillrecognizeandunderstandcommonbrainpatterns

3. Participantswillexploretreatmentrecommendationsforspecifictypesofbrainissues


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I. TheAmenClinicsMethod

A. Purpose

1. Toalleviatesufferingandoptimizebrainfunction

2. Whether struggles are symptoms of ADHD, anxiety, depression, mood cycles,

autism,TBI,addictions,weightormemoryproblems

3. Developed>24yearson100,000patientsfrom111countries

4. Usedcurrentlyinsixclinics,whichseeover4,000patientspermonth

5. Itiscriticaltoknowwhythismethodissoimportantatthispointintime.

B. NotLookingattheBrainHurtsPsychiatry,Patients,andFamilies

1. Symptom based diagnoses aremisleading – there aremany roads to depression,

symptomstellnothingofunderlyingphysiology,physiciansoftenmakemistakesby

calmingunderactivebrainsorstimulatingoveractiveones

2. Leadtoone-size-fits-alltreatments–whichoftenfail

3. Nounderstandingofillnesssubtypes–allwithmultiplesubtypes

4. Often completely miss TBI, toxicity or infections – often the primary cause of

psychiatricsymptoms

5. Missesthatsomepsychiatricmedicationsaretoxic


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6. Marital problemsmislabeledaspsychological –when theymaybebrain related–

maritaltherapistshavenotraininginneuroscience

7. Missahugeopportunitytodecreasestigmaand increasecompliance–andcreate

brainenvyforpatients,familiesandhealthcareprofessionals

C. NotLookingattheBrainHurtsSociety

1. OrganizationslikeNFL/NHLremainedindenialfordecadesaboutlong-termeffects

ofTBI–functionalbrainimagingtoolschangedeverything

2. MilitarypersonnelwithTBIareoftenleftwithoutappropriatehelpandhope–how

doyouknowifaTBIwasasignificantunlessyouactuallylookatbrainfunction?

3. Costly dementias not diagnosed until late in illness – even though it starts in the

brain decades before any symptoms appear, so no prevention or early treatment

canoccur

4. Violentbehaviornevertrulyrehabilitatedaspeopleareonlyjudgedmorally,andnot

treatedmedically–likedoingsoftwareprogrammingonpeoplewhohavehardware

problems

D. IneffectiveTreatmentisVeryExpensive!

1. Underachievement, demoralization – Not living up to your potential is costly and

decreasestaxrevenue!

2. Schoolfailure–multiplefailedcollegeattemptsiscostly!

3. Jobfailure–multiplejobchanges,absenteeism,beingfiredisexpensive!


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4. Relationshipproblems–divorceisveryexpensive!

5. Legalproblems–lawyersareexpensive!

6. Failedtherapyattempts

7. Multiplefailedmedicationtrailswithsideeffects

8. Residentialtreatmentcancost~$100,000ayearfortroubledteens

9. 28daydrugtreatmentis~$20-80,000permonth

10. Psychiatrichospitalstaysareoftenover$2,000aday

II. ThereIsaBetterWay

A. AmenClinicMethodHelpsto:

1. Seetheunderlyingphysiologyinindividualpatients

2. Seeallpsychiatricillnesseshavemultipletypes

3. Seetraumaticbraininjuries,toxins,infections

4. Seemanycurrentmedscanbetoxictothebrain

5. Prevent mistakes, such as stimulating an overactive brain or calming one that is

underactive,ormissingtoxicityorspaceoccupyinglesion.

6. Decreasestigma


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7. Patientsandfamiliesseeproblemasmedical,notmoral

8. Dramaticallydecreasesshame,guilt,self-loathingandanger

9. Increaseforgivenessandcompassion

10. Increasebrainenvyandcompliance

11. Wehavenothingelseinpsychiatrythatisthispowerfulorimmediate

B. AssesstheFourCirclesofBrainHealth

1. Biological

• Brainhealth

• Physicalhealth

• Nutrition

• Exercise

• Sleep

• Hydration

• Hormones

• Bloodsugarlevel

• Supplements

• Medication

• Genetics(Familyhistory)

• Trauma/injuries

• Allergies

• Toxins(Environment:mold,drugs,excessivecaffeine,alcohol,smoking)

• Infections

• Physicalillness


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2. Psychological

• Self-talk

• Self-concept

• Bodyimage

• Upbringing

• Development

• Pastemotionaltrauma

• Pastsuccesses

• Pastfailures

• Senseofworth

• Senseofpowerorcontrol

• Generationalhistoriesandissues(i.e.,immigrants,survivorsoftrauma,children,

orgrandchildrenofalcoholics)

• Grief/loss

• Hope

3. Social

• QualityofCurrentEnvironment

• Senseofconnectiontofamily,friends,andcommunity

• Work,school

• Relationships

• Stresses

• Health

• Finances

• Currentsuccessesorfailures

• Information

• Healthhabitsoffriendsandfamily


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4. Spiritual

• Senseofmeaningandpurpose

• Whydoesmylifematter?

• Values

• Morality

• WhoamIaccountableto?

• Connectiontopastgenerations

• Connectiontofuturegenerations

• Connectiontoplanet

• Connectiontohigherpower

C. BrainSPECTImaging

1. SPECTmeasurescerebralbloodflow–healthy,low,orhighinactivity

2. SinglePhotonEmissionComputedTomography

3. Measuresbrainbloodflow–seeareasthatworkwell,low,andhigh

4. Evaluateslivingbraintissue

5. 3DSPECTisyoungerthanMRI,PET,andQEEG

6. Costeffective–SPECTcamerasinallmajorhospitalsaroundtheglobe


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D. 10WaysSPECTImagingWillChangeEverythingYouDo

1. Youwilldevelopbrainenvy.

2. Youwillbemorecarefulwithpsychotropicmedications.

3. Youwon’tletyourkidsplaytacklefootball.

4. Iftheydoplay,youwillworkhardtorehabilitatetheirbrains.

5. Youwilltakesleepapneaseriously.

6. Youwilltakeyourweightmoreseriously.Don’tbeadinosaur!

7. StopthinkinginDSMtermsonlyandmoreinbrainsystempathology.

8. ThinkabouttheearlydetectionandpreventionofAlzheimer’sdisease.

9. Youwillbemorecautiousinhandingourpersonalitydisorderdiagnoses.

10. You’llstartthinkingoutsidethebox!

• HBOT

• Supplements

• WeightControl

• Transcranialmagneticstimulation

• Etc.


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III. CommentSPECTPatternsThatInformDecisionMakinginPsychiatry

A. Scalloping/OverallDecreasedPerfusion

1. Symptoms

• Toxicity(drugsoralcohol)

• Chemotherapy

• Environmentaltoxins

• COpoisoning

• Anoxia

• Infection

• Hypothyroidism

• Severeanemia

2. Interventions

• Stopthetoxin,treattheinfection!

• Brainrehabprogram

B. OverallIncreasedPerfusion

1. Symptoms

• Bipolardisorder/mania

• Inflammatoryprocess,i.e.,SLE

• ADHDthatistypicallymadeworsebystimulants

2. Interventions

• Workuppotentialinflammation,suchasSLEorfoodallergies

• Calminginterventions,suchasanticonvulsants


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C. TraumaticBrainInjury

1. Symptoms

• Focaldeficits

• Prefrontalcortexflattening

• Decreasetemporalpores

• Contra-coupsites

• Crossedcerebellardiaschisis

2. Interventions

• Brainrehabprogram

• Dotherightthings!

D. Hyperfrontality

1. Symptoms

• OCDspectrum

• Autisticspectrum

• Getsstuck,worried,rigid,inflexible

• Over-focusedanxietyordepression

2. Interventions

• Calminginterventions

• Increaseserotonin

• SSRIs

E. Hypofrontality

1. Symptoms

• ADHD


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• Schizophrenia

• TBI

• Predictsrelapseinalcoholics

• Someformsofdepression

2. Interventions

• StimulantsifADHD

• Stimulatingantipsychoticsifpsychotic

• Stimulatingantidepressantsifdepressed

• Brainrehabifneeded

F. TemporalLobeHypoperfusion

1. Symptoms

• TLE

• Dyslexia

• Moodinstability

• IntermittentExplosiveDisorder

• MemoryProblems

2. Interventions

• Anticonvulsantsifirritable,moodinstabilityoranxious

• Memory enhancing medications or supplements if memory problems present

G. SPECTAidsinDiagnosisandTreatmentofSubstanceAbusers1

1. Breakdenial

2. Increasecompliance–“brainenvy”


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3. Helpunderstandco-morbidity(44%TBIatST)

4. Followtreatment

5. Educationandprevention

IV. DoesSPECTChangeClinicalPractice?

A. AmenClinicsResearch

1. Amen,D.G.,etal.JofPsychoactiveDrugs2012

2. SPECTchangeddiagnosisand/ortreatment79%

3. 22%unexpectedbraininjury

4. 22%unexpectedtoxicity

5. 10%needforstructuralimaging

6. 60%newtargetsformedication/supplements

B. ConsistentwithUniversityofWashingtonResearchinDementia

1. Borhesanietal.,JournalofAmericanGeriatricSociety2010

2. Helpful>80%

3. “Usefulevenifitonlyconfirmedthediagnosis.”


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4. Seeingdiseaseprocessincreaseddiagnosticconfidence

5. “Images have a special resonance for patients/families, grounding symptoms in

observablebrainchanges.”

C. TargetedLabStudiesandGenetics

1. CBC

2. GeneralMetabolicPanel

3. ThyroidFunction

4. CRP,Homocysteine

5. Lipidpanelwithfractionation

6. VitaminDlevel

7. Fastingbloodglucose,HgA1c

8. Ferritin

9. DHEA,Testosterone


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D. TreatmentTargetedtoYourBrain

1. Allleadtobetteroutcomes

2. Brainhealthyhabitstoboostreserveandresilience

3. Alwaysprotectyourbrain’sreserve

E. AmenClinicsMethodImprovesOutcomes

1. AmenClinics(2013)

2. 500consecutivepatients

3. Ourpatientshave4.2diagnoses

4. Failed3.3priorprovidersand5medications

5. 75%significantlyimproved,84%ifwetreatthem

6. QualityofLifeInventorysignificantlyincreasedin85%

7. ClevelandClinicQOLIin<50%

F. ConsistentwithCreightonUniversityStudyPresentedatAPA1993

1. 100hospitalizedbipolarteens

2. 50scanneddayofadmission


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3. 50neverscanned

4. Averagelengthofstayin“neverscanned”groupwas44days

5. Averagelengthofstayin“SPECT”groupwas17days

6. Averagecostsavingsof~$15,000perpatient

G. WhattoDoNow

1. WhatwasyourbiggesttakeawayfromLesson2?


3. Whatareyoudoingtohurtyourbrainreserve?

4. Whatareyoudoingtohelpyourbrainreserve?

5. Getyourimportantnumberschecked

1Amen,D.G.(2010).HighresolutionbrainSPECTimaginginaclinicalsubstanceabusepractice,

JournalofPsychoactiveDrugs,24(2).





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CYB103:

LimbicSystem:Lookinginto

LoveandDepression

DanielAmen,M.D.


LightUniversity45

Summary

Thoughtsandfeelingscancontrolusifwearenotcareful.Or,withintentionalityandcare,we

cancontrolourthoughtsandfeelings.Inthispresentation,Dr.DanielAmendescribestherole

ofthelimbicsystemanddiscussesthevariouscategoriesofautomaticnegativethoughtsthat

can steal our joy. There are a number ofways to “kill the ANTs” and enhance your life. Dr.

Amendescribes techniquesandresearch-basedstrategies toovercomenegative thinkingand

combat the lies thatpreventyou fromstartingyour journeytoahealthybrainandahealthy

life.

LearningObjectives:

1. Participantswillanalyzetheroleofthedeeplimbicsysteminthoughtsandfeelings

2. ParticipantswilldiscoverthedifferentspeciesofANTsandwaystofightthem

3. Participantswillexploreresearchpertainingtothepowerofgratitudeandappreciation


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I. DeepLimbicSystem

A. EmotionalCenters

1. Medialthalamus

2. Amygdala

3. Hippocampus

4. Hypothalamus

5. InferiororbitalPFC

6. Anteriorcingulate

B. Thalamus

1. Integrates/gatessensoryinformation

2. Setsemotionaltone

3. Bonding

4. Chargedmemories

5. Senseofsmell

6. Libido


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C. Problems

1. Sad,moody

2. Negativethoughts

3. Lowmotivation

4. Socialisolation

5. Lossoflibido

6. Pain

D. SomeConditionsAffectingtheThalamus/DeepLimbicArea

1. Toolow

• Decreasedreactiveness

2. Toohigh

• Depression

• Cyclicmoodchanges

• Pain

• SensoryOverload

3. Bonding

4. Depression


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E. DeepLimbicHelp

1. Exercise

2. FeedingtheANT-eater

3. Healingscents(lavender)

4. Gettingalongbetterwithothers

5. Fishoil

6. Antidepressantsmedsorstimulants

F. ApostlePaulasFirstCognitiveTherapist,MindCoach

1. Focusonthegoodinyourlife

2. Thinkonwhatever is true,honorable,right,pure, lovely,good,excellent,worthyof

praise–letyourminddwellonthesethings(Philippians4:8)

II. KilltheANTsthatStealYourHappinessandMakeYouFat,Depressed,and

FeebleMinded

A. ANT=AutomaticNegativeThoughts

1. Everytimeyouhaveathoughtyourbrainreleaseschemicals

2. Everybadthoughtreleaseschemicalsthatmakeyoufeelbad

3. Everygoodthoughtreleaseschemicalsthatmakeyoufeelgood


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4. Thoughtsareautomatic

5. Thoughtsarebasedoncomplexchemicalreactionsandmemories

6. Theyareoftenerroneous

7. Youdonothavetobelieveeverythoughtyouhave–oftentheylietoyou

8. Youhavetotakecontrol

B. NineANTSpecies

1. Alwaysthinking

2. Mindreading

3. Blame

4. Focusonnegative

5. Fortunetelling

6. Thinkingwithfeelings

7. Guiltbeating

8. Labeling

9. Allornone


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C. ANTKillingExercise

1. Wheneveryoufeelsad,mad,nervous,oroutofcontrol

2. WritedownyourANTs

3. Labelthem

4. Talkbacktothem

5. Don’tbelieveeverystupidthoughtyouhave

6. ANTkillingisabigpartofgettingwell

7. Bestbrainfoods

• Avocados

• Apples

• Berries

• Beans

• Broccoli

• Cauliflower

• Cherries

• Coconuts

• Oranges

• Olives/Oliveoil

• Redpeppers

• Salmon

• Spinach

• GreenTea

• Tomatoes

• Walnuts


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8. TripleColumn:Writedownthethought,identifythetypeofant,andthentalkback

toit

9. TheFourQuestions

• Isittrue?

• CanIabsolutelyknowthatitistrue?

• HowdoIfeelwhenIhavethisthought?

• WhowouldIbewithoutthethought?

• Turnthethoughtaround.Istheturnaroundtrueoreventruerthantheoriginal

thought?

10. Examples

• Icanneverlosetheweight.

• Doctorkilledgrandpa.

• Idon’twanttofiretheemployee.

• Iamnotagoodmother.

• I’mevil.

• I’mfractured.

• Mypartnerwillleaveme.

• Ishouldhavesavedhim.

D. TheLittleLiesthatDriveAgingandIllness

1. Mymemoryisnotgood;thatisnormal.

2. MyfamilygetsAlzheimer’s;itisinmygenes.

3. Everythinginmoderation


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4. “Idon’twanttodeprivemyself.”

• Doesn’t eating bad food deprive you of your health, your most precious

resource?

• Whatisworthmore?Energy,atrimwaistline,health;or,themountainoffries,

sodas,cakes,cookies,andthelikeyouhaveconsumedoverthelastdecade?

5. “Ican’teathealthybecauseItravel.”

• Itjusttakesalittleforethoughtandplanning.

6. “Mywholefamilyisoverweight,itisinmygenes.”

• Oneofthebiggestlies.Genesaccountforonlyabout20-30%ofyourhealth.

• Thevastmajorityofhealthproblemsaredrivenbybaddecisionspeoplemake.

• Genesmaysayyouarelikelytobefat,butyoudon’thavetomakethedecisions

thatmakeitlikelytohappen.

7. “Ican’taffordtogethealthy.”

• Beingsickisalwaysmoreexpensivethangettinghealthy.

8. “Ican’tfindthetimetoworkout.”

• Withasharpermind,youwillactuallysavetimeifyouworkout.

9. “It’s Easter, Memorial Day, July 4th, Labor Day, Thanksgiving, Christmas,Monday,

Tuesday,Wednesday,Thursday,Friday,SaturdayorSunday.”

• Thereisalwaysanexcusetohurtyourself.

• Whenyoustopbelievingeverythoughtyouhave, thequalityofyourdecisions

andyourhealthwillgowayup.

10. I’llstarttomorrow.


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11. Theyonlyservebadfoodatwork.

12. Goodfoodisexpensive.

13. RathergetAlzheimer’sdisease,cancerordiabetesthangetridofsugar.

III. ResearchFindings

A. CognitiveTherapy(ANTTherapy)

1. Furmark,Sweden

• 18patientsinCelexavs.“group”CBTvs.waitgroupforsocialphobia

• After9weeks,equaleffectivenessforCBTandCelexa,notinwaitgroup

• DecreasedR>L,inamygdalaandhippocampusinrespondersinbothgroups

2. Paquette,Canada

• 12patientswith“spiderphobias”

• fMRI

• FearactivatedrightlateralPFC

• AfterCBT,noactivationofrightlateralPFC

B. HappinessNewResearch

1. Geneticpredisposition

2. Engagementinlife

3. Meaningfullife

4. Thequalityofyourthoughts


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C. GratitudeTherapy

1. Studyofgratitudeandfear

2. Fearcausedmarkeddeactivationofcerebellum.

3. Fearincreasesconfusion

4. Athleticsumporemotionalslump

5. Writedownthreethingsyouaregratefulfor.

D. Appreciation

1. Makesomeone’sday.Changealife.Allthatisrequiredistoputitintowords.

2. Morepowerfulthangratitude

3. External

4. Connectsyoutoothers

5. Expandsgratitude’sreach.

E. Soul-to-SoulHealing

1. Wearerelationalspecies.

2. Interpersonalpsychotherapyenhancesbrainfunction.


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3. Longevityisenhancedwithpositiverelationships

4. Brainproblemsofteninterferewithlove

F. ScentsandBonding

1. Limbiclove

2. Lavender

3. Cinnamon

4. BabyPower

G. LimbicMeds

1. Mood

• Wellbutrin=LowPFC

• Effexor=LowPFC+AC

• Cymbalta=LowPFC+AC

• SSRI=AC

2. Pain

• Cymbalta

• Lyrica

• Neurontin

Supplements

1. Mood

• SAMe

• 5HTP+SAMe

• 5HTP+SAMe

• 5HTP

2. Pain

• SAMe

• Fishoil


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H. WhattoDoNow?


2. Shareitwithsomeoneandwriteitdown.

3. Whatareyoudoingtoprotectyourlimbicsystem?

4. StartkillingtheANTsandquestioningyourthoughts.





LightUniversity57

CYB104:

BasalGanglia:LookingInto

AnxietyandFear

DanielAmen,M.D.


LightUniversity58

Summary

TheBasalGanglia is significantly involved inanxiety.Manypeopledealwithcripplinganxiety

and panic, and while a certain amount of anxiety is healthy, when the anxiety becomes

overwhelmingitcanhavenegativeeffectsonaperson’semotionalhealth.Inthispresentation,

Dr.Amendescribes the functionsof theBasalGanglia, someof theproblemsthatcanoccur,

and different treatment strategies. There are natural ways to de-stress your brain without

relyingonmedicationstocalmyoudown.Thispresentationwillcoveranumberofwaystouse

relaxationtechniquestoremovestressandanxiety.

LearningObjectives

1. ParticipantswillexplorethepurposeandfunctionoftheBasalGanglia

2. Participantswillidentifydifferenttreatmentstrategiesforbasalgangliaproblems

3. Participantswilldiscoverrelaxationtechniquesandnaturalwaystode-stressthebrain


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I. BasalGanglia/Insula

A. Movement,Anxiety,Motivation

1. Insula

2. Anterior

• Emotionalprocessing

3. Posterior–Auditoryandvisualprocessing

4. Nucleusaccumbens

• Pleasure

5. Putamen

• Motor

6. Caudate

• Thoughts

B. BasalGangliaAnxietyCenters

1. Blendsfeelingsandmovement

2. Controlbody’sidle

3. Involvedwithmotivation

4. Helpscontrolsmoothmovement(likehandwriting)


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C. BasalGangliaProblems

1. Increased

• Anxiety,panic

• Conflictavoidant

• Predictstheworst

• Excessmotivation

2. Decreased

• ADDlikesymptoms

• Decreasedmotivation

• Movementdisorders

D. YouNeedSomeAnxiety

1. Whenanxietyistoolow:

• Getintotrouble

• Makebaddecisions

• Morelikelytobearrested

• Riskybehavior

2. Panic

3. PTSD

E. ConditionsAffectingtheBasalGanglia

1. Toolow

• Motordisorders(Personalitydisorders,Huntington’s,extrapyramidal)

• Lowmotivation

• Apathy


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2. Toohigh

• Panic

• Generalizedanxiety

• Somatoformdisorders

• Tourette’s

• Boosyndrome

II. HighBasalGangliaTreatment

A. TreatmentOverview

1. Relaxation

2. Hypnosis

3. Meditation

4. ANTtherapy

5. Balanceddiet/fishoil

6. Calmingmedsorsupplements

B. CalmingMeds

1. Buspar

2. Benzos


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3. Anti-epilepticmeds

• Neurontin

• Lyrica

• Lamictal

• Depakote

• Dilantin

4. Propranolol

C. Supplements

1. Magnesium

2. Relora

3. HolyBasil

4. B6

5. Theanine

6. GABA

7. Valerian

8. Kavakava


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III. De-StressYourBrain

A. FightorFlight

1. Sympathetic

• Breathingrateincreases

• Handsgetcolder(bloodflowdecreases)

• Heartrateincreases(becomeslessvariable)

• Bloodpressureincreases

• Bloodsugarincreases

• Musclesbecometense

2. Parasympathetic

• Breathingslows

• Handsbecomewarmer(bloodflowincreases)

• Heartrateslows,morevariable

• Lowerbloodpressure

• Lowerbloodsugar

• Musclesmorerelaxed

B. Skills,NotJustPills

1. SkillsOverview

• Biofeedback

• Diaphragmaticbreathing

• Handwarmingimaging

• Heartratevariability

• Prayerormeditation

• Hypnosis,guidedmeditation


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2. DisciplineYourBreath

• Breathwithyourstomach,notyourchest

3. HandWarming

• Puppy

• Holdinghands

• Warmwater

• Hottub

• Sauna

• Beach

• Holdingpartner’sskin

• Holdingacupoftea

• Warminghandsinfrontoffire

• Warmgloves

4. PrayerandMeditation

• AndrewNewberg2001&2003study

• TibetanBuddhistsandFranciscanNunsprayerandmeditation

• IncreasedPFCanddecreasedleftparietallobe

• WhyWon’tGodGoAway

5. SPECTandmeditation

• AmenClinics2009Study

• 11subjects,10experiencedmeditators

• Baselineversusmeditation(12minutes)

• KirtanKriya…SaaTaaNaaMaa

• Results:down–leftparietallobe;up–leftandrightPFCandrighttemporallobe

6. Meditationcalmslimbicbrain


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7. Psychotherapyhypnosis

• Maquet,Belgium,PET,increasedlefthemisphere

• Rainville,Canada,PET,increasedbrain’sattentionalsystem

• Faymonville,Belgium,PET,decreasedpainandareaofbrainthatfeelspain

8. ComponentsofHypnosis

• Natural,allinhypnoticstates

• Focusedrelaxation

• Focuseyes

• Deepbreathing

• Progressiverelaxation

• Deepening

• Imagery

• Individualtechniques

C. WhattoDoNow



3. Whatareyoudoingtohelpyourbasalganglia?

4. StartkillingthefortunetellingANTs.

5. Doasimplemeditationdaily.

6. Listentoahypnosisaudio.


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LightUniversity67

CYB105:

PrefrontalCortexandCerebellum:

LookingintoAttentionandImpulsivity

DanielAmen,M.D.


LightUniversity68

Summary

Theprefrontalcortex(PFC)isthebrain’ssupervisor,andassuch,itplaysanimportantrolein

everythingpeopledo.WhenactivityinthePFCistoolow,thereareanumberofproblemsthat

can occur. In this presentation, Dr. Daniel Amen describes the role and function of the PFC,

along with some of the common problems and corresponding treatment options. He also

discussesthefunctionofthecerebellumandsuggestswaystokeepthecerebellumhealthy.

LearningObjectives

1. ParticipantswillexploretheroleofthePFC

2. Participantswillidentifycommonproblemsanddiscovertreatmentoptions

3. Participantswilldiscussthefunctionofthecerebelluminbrainhealth


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I. PrefrontalCortex(PFC)

A. TheSupervisor

1. DorsalLateralPFC

• Shorttermmemory

2. InferiorOrbitalPFC

• Impulseandmoodcontrol

B. PrefrontalCortexFunctions

“Thebestcarsafetydeviceisarear-viewmirrorwithacopinit.”–DudleyMoore

1. Focus

2. Forethought

3. Impulsecontrol

4. Organization

5. Planning

6. Judgment

7. Empathy

8. Insightandlearningfromourmistakes


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C. PrefrontalCortexProblems

1. Shortattentionspan

2. Impulsivity

3. Procrastination

4. Disorganization

5. Poorjudgment

6. Lackofempathyandinsight

7. Brutalhonesty

D. ThePrefrontalCortexLikeisYourBoss

1. Goodboss(GoodPFC)

• Supervises

• Encourages

• Learnsfrommistakes

• Empathy

• Moral

2. BadBoss(lowPFC)

• Late

• Onlyseesbad

• Ignores

• Liesandcheats

• Impulsive


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E. ConditionsAffectingthePFC–TooLow

1. Badhabits–smokingandobesity

2. ADHD

3. Schizophrenia

4. AntisocialPD

5. Braintrauma

6. Frontaltemporaldementia

7. Depression

F. PFCHelp

1. Goalsetting

2. Exercise

3. Diet(moreprotein)

4. EPAfishoil

5. Brainrehabstrategies

6. Stimulatingsupplements


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7. Stimulatingmeds

8. Neurofeedback

9. Transcranialmagneticstimulation

10. Hyperbaricoxygentreatment

G. StimulatingMeds

1. Ritalin-Typedrugs

2. Adderall

3. Vyvanse

4. Dexedrine

5. Provigil/Nuvigil

6. Strattera

7. Wellbutrin

8. Abilify


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H. Supplements

1. Greentea

2. Rhodiola

3. Ginseng

4. Ashwagandha

5. L-tyrosine

6. Phenylalanine

7. Iron

8. Zinc

I. PFCExercise–FOCUS

1. Focusisaprefrontalcortexfunction

2. OnePageMiracle

• Relationships

• School/work

• Money

• Body

• Mind,spirit


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II. Cerebellum:Processing/Integration

A. Cerebellum

1. Physicalcoordination–regulatesmotorforce,rate,rhythm,andmodulation

2. Thought coordination – regulates speed, capacity, consistency, appropriateness of

cognitiveandemotionalprocesses

3. Right–attentionandempathy

4. Left–visuospatialandorganization

5. Vermis–limbiccerebellum

6. Lefthemisphereconnectedtorightfrontallobeandviceversa

B. CerebellarProblems

1. Coordinationproblems

2. Slowedwalking,thinking,speech

3. Disorganization

4. Lefthemisphere–visuospatialissues

5. Righthemisphere–language/memory

6. Anterior–sensoryandmotorissues

7. Medial(vermis)–emotionalability,irritability,impulsivity,disinhibition


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C. CerebellarHelp

1. Coordinationexercises

2. Juggling

3. Dancing

4. Tabletennis

5. Gratitude

6. Stimulants

D. WhattoDoNow



3. WhatareyoudoingtoprotectyourPFC?

4. Whatareyoudoingtohelpyourcerebellum?

5. Writeoutyouronepagemiracle.

6. Learnanewcoordinationexercise.





LightUniversity76

CYB106:

AnteriorCingulateGyrus:Lookinginto

WorryandObsessiveness

DanielAmen,M.D.


LightUniversity77

Summary

Whenpeopleare constantlyworriedandobsessive, it isoftena resultofhighactivity in the

cingulate gyrus. In this presentation,Dr. Amendiscusses the functionof the cingulate gyrus,

alongwithsomeofthecommonproblemsthatcanoccurwhenactivityistoohighortoolow.

Eventhoughpeoplecangetstuck, it isdefinitelypossible togetunstuckandhelpyourbrain

returntohealthyfunctioning.

LearningObjectives

1. Participantswillexploretheroleoftheanteriorcingulateinbrainhealth

2. Participants will identify common problems that occur when activity in the anterior

cingulateistoohighortoolow

3. Participantswill analyze treatment strategies and natural remedies for anterior cingulate

problems


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I. CingulateGyrus

A. GearShifter/Integration

1. Posteriorpart:Memoryintegration

2. Anteriordorsalpart:Thoughtshifting

3. Anteriorventralpart:Emotionalshifting

B. AnteriorCingulateFunctions:GearShifter

1. Cognitiveflexibility

2. Shiftattention

3. Gofromideatoidea

4. Seeoptions

5. Gowiththeflow

6. Cooperation

7. Errordetection

C. AnteriorCingulateProblems

1. Getsstuck

2. Worries


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3. Holdsgrudges

4. Obsesses

5. Compulsions

6. Addictions

7. Oppositional/argues

8. Seestoomanyerrors

9. Theautomaticno

10. Roadrage

11. OCD/Alcohol

12. Depression

D. SomeConditionsAffectingtheAnteriorCingulateSystem

1. Toolow

• Lowmotivation

• Mutism

• Lowmovement


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2. Toohigh–getsstuck

• Anxietydisorders

• PTSD

• OCDspectrum

II. AnteriorCingulateHelp

A. Overview

1. Distraction

2. Options/sovereignty

3. Paradox

4. Exercise

5. Diet(morecarbohydrates)

6. DHAfishoil

7. Boostserotoninwithmedsorsupplements.

8. RisperdalandZyprexatocalmACandPFC

B. Distraction

1. Don’targuewithsomeonewho’sstuck.

2. Bathroomtechnique


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C. Options

1. Writeoutoptions/solutionswhenstuck.

2. SerenityPrayer

• God,grantmetheserenitytoacceptthethingsIcannotchange,thecourageto

changethethingsIcan,andthewisdomtoknowthedifference.

D. Paradox

1. Avoidtheautomaticno.

2. Reversepsychology

E. Exercise/Diet

1. HighCHOs

2. Exercisetoboostdopamine.

F. SerotoninMedsandSupplements

1. Medications

• Prozac

• Zoloft

• Lexapro

• Celexa

• Paxil

• Luvox

• Anafranil


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2. Supplements

• 5HTP

• Inositol

• Saffron

• B6

• L-tryptophan

• St.John’sWort

G. WhattoDoNow


2. Shareitwithsomeonebelowandwriteitbelow.

3. WhatareyoudoingtohelpyourACG?

4. Wheneveryouarestuck,writeitout,andwriteoutthethingsyoucanandcannot

dotosolvetheproblem.

ThispresentationwasoriginallyrecordedasapartofDanielAmen'sonlineBrainFitForLifeCommunityProgram,




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CYB107:

TemporalLobes:LookingintoMemory,

Temper,andMysticism

DanielAmen,M.D.


LightUniversity84

Summary

Keepingyourtemperisanimportantpartofmaintaininghealthyrelationshipswithothers,yet

this social requirement is exceedinglydifficult for thosewith temporal lobeproblems. In this

presentation, Dr. Amen describes the functions of the temporal lobe and the common

problemsthatcanoccurwhenthetemporallobeisdamaged.Yetevenafterthetemporallobe

hasbeendamagedthroughbraintraumaorothermeans,therearetreatmentstrategiesthat

can help restore functioning. This presentation will discuss those treatment strategies and

providehopeforthosewithtemporallobedamage.

LearningObjectives

1. Participantswilldiscoverthelocationandfunctionofthetemporallobe

2. Participantswillevaluateproblemsandconditionsthatcanoccurwhenthetemporallobeis

damaged

3. ParticipantswilldiscusstheIrlensyndromeanddiscoverhowitimpactsthebrain


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I. TemporalLobes

A. Memory,Mood,Music,andLearning

1. Lateralaspect–auditory

2. Medialaspect–hippocampus/memory,amygdala/emotionalreactions

3. Underside–visualprocessingandfacialrecognition

B. TemporalLobeFunctions

1. Languageusage

2. Memory

3. Moodstability

4. Listening/reading

5. Socialcues

6. Rhythm,music

7. Spiritualexperience

8. Whatpathway

C. TemporalLobeProblems

1. Emotionalinstability


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2. Memoryproblems

3. Feelingsofpanic

4. Aggression

5. Headaches

6. Learningproblems

7. Unusualreligious/sexualexperiences

D. SomeConditionsAffectingtheTemporalLobes

1. TooLow

• Learningproblems

• Memoryproblems

• Dementias

• Temporallobeepilepsy

• Aggression/Suicidal

• Braintrauma

2. TooHigh

• Seizures

• Irritability

• Panic

• Mysticism

• Spiritualorreligiousexperiences


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E. BrainScans

1. Temporallobetrauma

2. Temporallobeepilepsy

3. Anger,maritalproblems

4. Alzheimer’sdisease

5. Violence–KipKinkel

F. TemporalLobeTreatment

1. Neurofeedback

2. Balanceddiet/fishoil

3. Ketogenicdietforsome

4. Meds/supplementsformoodstabilityormemory

5. Angermanagement

6. Librariesofexperience

7. EMDR

8. Music


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G. TemporalLobeMedications

1. Moodstability:Anti-epilepticmeds

• Neurontin

• Lyrica

• Lamictal

• Depakote

• Dilantin

2. Memory

• ACEI–Aricept,Exelon

• Namenda

H. Supplements

1. Moodstability

• GABA

• Magnesium

• B6

• Fishoil

2. Memory

• Bloodflow–gingko,vinpocetine

• Acetylcholine–acetyl-l-carnitine,huperzineA

• Membrane–PS


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II. TreatmentStrategies

Tobewrongedisnothing,unlessyoucontinuetorememberit.–Confucius

A. MakeaHealingMemoryLibrary

1. Memorymanipulations

2. Choosingbetweenhealingmemoriesandmemoriesthatmakeyousick

3. Focusontimesyoufeltthemostconfident,connected,andcompetent.

4. Rememberwonderfulexperiences.

B. EMDR

1. Eyemovementdesensitizationandreprocessingtherapy

2. DevelopedbyFrancineShapiro

3. Systematictherapeuticsystem

4. PositivebeforeandafterSPECTstudies

5. PTSD,anxiety,performanceanxiety

• Diamondpattern

• Increasedanteriorcingulate

• Increasedbasalganglia

• Increasedthalamus(limbic)

• Increasedrightlateraltemporallobe


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C. Developa“ConcertState”forYourBrain

1. Relaxedbodywithaclearmind

2. Bellybreathing

3. Exercise/musictogetherenhanceslearning

4. Mozart,Sonatafor2Pianos,k448

5. Learnamusicalinstrument

III. TheIrlenSyndrome

A. IrlenSyndrome:ScotopicSensitivitySyndrome

1. Lightsensitive,botheredbyglare,sunlight,headlightsorstreetlights

2. Withbrightorfluorescent lightsbecometired,headaches,moodchanges,restless,

unfocused

3. Troublereadingwordsthatareonwhiteglossypaper

4. Words/letters shift, shake,blur,move, run together,disappearorbecomedifficult

toperceivewhenreading

5. Feeltense,tired,sleep,orevengetheadacheswithreading

6. Problemsjudgingdistanceandhavedifficultywithsuchthingsasescalators,stairs,

ballsports,ordriving


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B. IrlenSyndromeBrainScans

C. WhattoDoNow



3. Whatareyoudoingtoprotectyourtemporallobes?





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CYB108:

SubtypingADD,Anxiety,

Depression,andObesity

DanielAmen,M.D.


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Summary

PeopletendtothinkofADD,anxiety,depression,orobesityinspecificways.Yetwithineachof

thesediagnosesthereareanumberofsubtypes.Inthispresentation,Dr.Amendescribesthe

numeroussubtypesthatexistwithinADD,anxiety,depression,andobesity,alongwithdifferent

waysthatpeoplecanhelptreatthespecifictypes.Theseareproblemsthatdonothaveaone-

size-fits-all solution. Based on the type of brain associated with each problem there are

differenttreatmentmethodsthatwillbeeffective.

LearningObjectives

1. ParticipantswillidentifythebraintypesthatexistwithinADD

2. Participantswillidentifythebraintypesthatexistwithinanxietyanddepression

3. Participantswillidentifythebraintypesthatexistwithinobesity


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I. KnowtheBrainType

A. 7BrainTypesAssociatedwithADHD

1. Classic–PFC/CB–DA

2. Inattentive–PFC/CB–DA

3. Overfocused–AC/PFC–DA/S

4. Limbic–Limbic/PFC–NE/DA

5. TemporalLobe–TLs/PFC–DA/GABA

6. RingofFire–Hyper–GABA,SandDA

7. Anxious–PFC/BG–DA/GABA

B. SevenBrainTypesAssociatedwithAnxietyandDepression

1. Pureanxiety–BG–GABA

2. Puredepression–limbic–DA/NE

3. Mixed–DA/NEandGABA

4. Overfocused–S

5. Cyclic–GABA


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6. TemporalLobe–GABA

7. Unfocused–stoptoxin,boostDA

C. 6BrainTypesAssociatedwithSubstanceAbuse

1. Impulsive–PFC–DA

2. Compulsive–AC–S

3. Impulsive-Compulsive–AC/PFC–DA/S

4. Sad–Limbic–DA/NE

5. Anxious–BG–GABA

6. TemporalLobe–TLs–GABA

D. 5BrainTypesAssociatedwithObesity

1. Impulsive–PFC–DA

2. Compulsive–AC–S

3. Impulsive-Compulsive–PFC/AC–DA/S

4. Sad–Limbic–DA/NE

5. Anxious–BG–GABA


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II. HelpingTheTypes

A. BrainType1:TheImpulsiveOvereater

1. Symptoms

• Poorimpulsecontrol

• Geteasilydistracted

• Lowprefrontalactivity(PFC)

• PFCisthebrain’sbrake

• CommoninADD

• Associatedwithlowdopaminelevels

• Shortattentionspan

• Distractibility

• Disorganization

• Impulsivity

• ADDnearlydoublestheriskforobesity

• Thehardertheytry,theworseitgets

2. ImpulsiveTypeHelp

• LowPFC–lowdopamine–BoostDA,StrengthenPFC

• Structuredgoalsetting

• Intenseexercise

• Ahigherhigh-qualityproteindiet

• EPAfishoil

• Boost dopamine: Phentermine or stimulants, green tea, l-tyrosine, rhodiola,

ginseng,zinc,iron

B. BrainType2:TheCompulsiveOvereater

1. Symptoms

• Stuckonthoughtoffood


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• Compulsivelydriven

• Feelnocontrol

• Nighttimeeaters

• Worry

• Troublesleeping

• Lowserotoninlevel

2. CompulsiveTypeHelp

• Raiseserotonin

• Learnhowtodistractyourselfwhenyougetathoughtinyourheadmorethan

threetimes

• Intenseexercise

• Ahigher“smart”carbohydratediet

• DHAfishoil

• Boostserotonin:SSRIs,5HTP,inositol,saffron,l-tryptophan,SaintJohn’sWort

C. BrainType3:TheImpulsive-CompulsiveOvereater

1. CombinationofType1and2

2. Toomuchactivityintheattentionregion

• Over-thinkandgetstuck

• Lowserotonin

3. Toolittleprefrontalcortexactivity

• Troublesupervisingbehavior

• Lowdopamine

4. Impulsive-CompulsiveTypeHelp

• Raisedopamine,raiseserotonin


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• Learnhowtodistractyourselfwhenyougetathoughtinyourheardmorethan

threetimes

• Structuredgoalsetting

• Intenseexercise

• Abalanceddiet

D. BrainType4:TheSadOvereater

1. Symptoms

• Medicatefeelingsofsadnesswithfood

• Calmemotionalstorms

• Depression

• Lowenergy

• Lowself-esteem

• Painsymptoms

• Tendtogainweightinwinter

2. SadTypeHelp

• Raisedopamineandnorepinephrine

• LearntokilltheANTs(automaticnegativethoughts)

• Intenseexercise

• Balanceddiet

• Balancedfishoil

• BoostDA/NE(Wellbutrin,SAMe)

E. BrainType5:TheAnxiousOvereater

1. Symptoms

• Eattosootheanxiety


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• Nervous

• Predictstheworse

• Physicaltension

• Highbasalgangliaactivity

2. Help

• RaiseGABA

• LearntokilltheANTs(automaticnegativethoughts)

• Deepbreathing,HRVtraining

• Intenseexercise

• Balanceddiet

• DHAfishoil

• BoostGABA

• Magnesium,relora,holybasil,B6,theanine,GABA,valerian,kavakava

F. WhattoDoNow

1. WhatwasyourbiggesttakeawayformLesson8?


3. Doyouidentifywithasubtype?

4. Whatcanyoudowithit?





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CYB109:

TheBraininRelationships

DanielAmen,M.D.


LightUniversity101

Summary

The brain plays a fundamental role in relationships, whether friendships or romantic

relationships. When the brain is not functioning to its full capacity, relationships can be

significantlyimpacted.Inthispresentation,Dr.DanielAmendiscussesthedynamicsofthebrain

asitpertainstorelationships.Structurally,menandwomen’sbrainshavemanydifferencesthat

impact howwomen andmen interact. Dr. Amen also lists ways that people can use foods,

scents,andsupplementstoincreasesexualdesire.

LearningObjectives

1. Participantswillevaluatehowoveractivityorunderactivityinpartsofthebraincanresultin

relationshipproblems

2. Participantswillexplorethedifferencesinmaleandfemalebrains

3. Participantswillevaluatedifferentnaturalmeansofincreasingsexualdesire


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I. TheBrainInRelationships

A. YourBrainisInvolvedinEverythingYouDoandAllYourRelationships

1. Howyou:

• Think

• Feel

• Act

• Getalongwithyourpartner

2. Yourbraindecides:

• Whoisattractivetoyou

• Howtogetadate

• Howwellyoudoonthedate

• Whattodowiththefeelingsthatdevelop

• Howlongthosefeelingslast

• Whentobemarried

• Howwellyoudobeingmarried

3. Whenyourbrainworksrightyoutendtobe:

• Thoughtful

• Playful

• Romantic

• Intimate

• Committed

• Loving

4. Whenyourbrainistroubledyoutendtobe:

• Impulsive

• Distracted

• Addicted


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• Unfaithful

• Angry

• Hateful

B. BrainImagingClues

1. Shouldwescanpartners?

2. BobandBetsy

C. ImportantPointstoRemember

1. Chronicconflictmaybeasignofunderlyingbraindysfunction.

2. Frequentfightingbetweenparentscanharmyourchildren’sbrains.

3. There is hope to change your brain and dramatically improve all of your

relationships.

II. CouplesinTrouble

A. BrainAreasInvolvedInRelationshipProblems

1. PFC

2. AC

3. Limbic


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4. Temporallobes

5. Basalganglia

B. ADHD

1. Impact

• Shortattentionspan

• Distractibility

• Impulsivity

• Disorganization

• Procrastination

2. Treatment

• Exercise

• Higherproteindiet

• EPAfishoil

• StimulantsorsupplementssuchasSAMeorL-tyrosine

C. Anxiety

1. Impact

• Tensionsymptoms

• Indecisive

• Ambivalent

• Predictstheworse

• Panic


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2. Treatment

• ANTtherapy

• Relaxation

• DHAfishoil

• CalmingmedsorsupplementssuchasGABA

D. Depression

1. Impact

• Sadmood

• Negative

• Pessimistic

• Lowenergy

• Lowlibido

• Sleepdisturbance

2. Treatment

• ANTtherapy

• Interpersonaltherapy

• EPA/DHAfishoil

• AntidepressantsorsupplementssuchasSAMeor5HTP

E. Bipolar

1. Impact

• Moodcycles

• Hypersexual

• Hyperreligious

• Impulsive


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• Unpredictable

• Irritable

2. Treatment

• EPA/DHAfishoil

• Stressreduction

• Moodstabilizers

F. OCD

1. Impact

• Obsessions

• Compulsions

• Rigid

• Grudges

• Worry

• Argumentative

2. Treatment

• Behaviortherapy

• ANTtherapy

• DHAfishoil

• SSRIsor5HTPorStJohn’swort

G. TreatingSSRISexualDysfunction

1. Lowerthedose

2. Scheduleyourdoserightaftersex


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3. Augmentwithbupropionorstimulants

4. Viagralikemedsmayhelpsomemen

5. Takeadrugholiday

6. Switchtoanotherantidepressant

III. Male-FemaleDifferences

A. CorpusCallosum(connectsrightandlefthemispheresofthebrain)

1. Largerinwomen,allowinggreateraccesstobothsidesofthebrain

2. Mentendtobemoreleftsided

3. Womentendtousebothsides

4. Lefthemisphere

• Logical

• Precise

• Details(seesthetrees)

• Communicates

• Concertedabouttime

• Happier,morepositive

5. Righthemisphere

• Bigpicture,seestheforest

• Creative,artistic

• Canputaroomtogether(decorates)


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• Anxious,fearful,negative

• Focusesonproblems

• Admitstoproblems

• Listenstomusic

• Hunches

B. Language

1. Men tend to be totally left sided,more detail oriented, andmore directly to the

point.

2. Women,moreoftenthannot,usebothsides,tendtobemorefluent,whichmaybe

whytheyhavemoretosay.

C. Multitasking

1. Womenarebetteratmultitasking,astheyhavemoreneuronalconnections.

2. Mentendtodoonethingatatime.

D. Limbic(Emotional)System

1. Largerinwomen

2. Bondingiseasier

3. Primarycaretakerforchildrenandelderly

4. Largernestinginstinct,primarycaretakerforthehome


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5. Womenhaveagreaterincidenceofsadnessanddepression.

6. Womenseemorerealandimaginedproblemsinrelationships.

E. InferiorParietalLobes

1. Largerinmen,especiallyontheleftside

• Estimatestime

• Judgesspeed

• Visualizesobjectsin3-D

2. Largerontherightsideinwomen

F. WhenAskedtoThinkofNothing

1. Men’sbrainsweremoreactiveinthemoreprimitivephysicalactivitycentersofthe

brain(cerebellum).

2. Women’sbrainsweremoreactiveintheemotionalandbondingcentersofthebrain

(limbicsystem).

G. PayAttentiontoherUnhappiness

1. Womennoticeproblemsbeforemen.

2. Ofthepeoplewhofilefordivorce,75%arewomen.

3. Guysareoftenblindsidedeventhoughtheyhavebeenrepeatedlywarned.


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IV. Addictions

A. Addictions,WeirdSex,Fiends,andFetishes

1. AstronautLisaNowak

• Perfectstorm?

• Achiever,singlefocused,usedtogettingdesires

• Hyperfrontal–persistent,canbegoodorbad

• Chemistry of loss – low serotonin state, in emotional pain, obsessed and

depressed

• Chronicstressdamagesbrain

• Highandlowofgoingtospace/cominghome

• Spacechangescerebellum

• Premenstrual?

2. All of us have sneaky thoughts about saying stupid things and doing unusual

behaviors,butourprefrontalcortexpreventsusfromsayingordoingthem.

B. BrainFunctioninAddictions/UnusualSex

1. ADHD–lowPFC

2. Headinjuries–lowPFCandTLs

3. OCD–hyperfrontal

4. Tourette’s–hyperfrontalandlowPFC

5. Childhoodabuse–diamondpattern

6. Frontaltemporallobedementia–lowPFCandtemporallobes


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C. SixQuestionstoSuspectSexAddiction

1. Doyoukeepdarksecrets?Leadadoublelife?

2. Doyoufrequentlyfeelremorse,shame,orguiltafterasexualencounter?

3. Takingmorevariety/frequencyofsexualactivitiesthanpreviouslytobringthesame

levelsofexcitementandrelief?

4. Have you ever been arrested or in danger of being arrested because of your

practicesofvoyeurism,exhibitionism,prostitution,sexwithminors,indecentphone

calls,etc.?

5. Do your sexual activities include risk, threat, or reality of disease, pregnancy,

coercionorviolence?

6. Does your sexual behavior leave you feeling hopeless, alienated from others or

suicidal?

D. ArousalTemplate

1. Brainworksthroughassociation.

2. Firstsexualexperiencesmaybeassociatedwithhighlycharged,unusualmemories.

3. Crawlingaroundmother’sfeetmayleadtoafootfetish.

4. Arousedwhenmilkingacow,youmaydevelopasexualdesireforheifers.


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5. CommonParaphilias

• Exhibitionism

• Fetishes(non-livingobjects)

• Masochism

• Sadism

• Pedophilia

• Asphyxiophilia

• Diaperism

• Narratophilia

• Necrophilia

• Voyeurism

• Crossdressing

• Zoophilia

V. SexandtheTemporalLobes

A. TemporalLobeEpilepsy

1. SpontaneousOrgasms(22cases)

2. Oftenassociatedwithreligiosity

3. Powerfulreligiousvisionsafteraheadinjury

4. Persinger’sworkfromCanada

B. YourBainistheSeatofOrgasms

1. Rightlateraltemporallobe

2. 41yearoldTaiwanesewomanwithtoothbrushing,orgasmicepilepsy


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VI. BrainSexTricks

A. Aphrodisiacs

1. Considercompoundstoboostbloodflow.

2. AsianGinseng–releaseofnitricoxide,helpstoboostbloodflow

3. Gingkobiloba–boostsbloodflow

4. Yohimbine–stimulatesnervoussystemandbloodflow

5. L-arginine–precursortonitricoxide

B. SexyScents

1. Formales

• Pumpkinpie

• Doughnut

• Blacklicorice

• Lavender

• Orange

• Cheesepizza

• Roastbeef

• Cinnamonbuns

2. Forfemales

• Babypowder

• Cucumber

• Licorice

• Lavender

• Pumpkinpie


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3. Forrelaxation

• Sandalwood

• Marjoram

• Lemon

• Chamomile

• Bergamot

• Babypower

4. Forstimulation

• Jasmine

• Ylangylang

• Rose

• Patchouli

• Peppermint

• Clove

C. SexyFoods

1. AlmondsenhancePEA

2. Applesforsweetbreath

3. Asparagus,richinvitaminEessentialforhormonebuilding

4. AvocadoesforPEA,bB6andpotassium

5. Bananascontainthebromelainenzyme,whichisbelievedtoimprovemalelibido.

6. Cabbageincreasescirculation.


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7. Celerycontainsandrosteronereleasedbymalesweatthatturnswomenon

8. Chilipeppershavecapsaicin,stimulatesnerveendingsandraisesheartrate

9. CheeseactuallycontainsmorePEAthanchocolate

10. ChocolateincreasePEAandtheobromine,asubstancesimilartocaffeine

11. EggsforBvitaminsthathelpbalancehormones

12. Figshighinaminoacidstoincreaselibido

13. Garliccontainsallicin,aningredientthatincreasesbloodflowtothesexualorgans

14. Nutmegsignificantlyincreasessexualactivityinrats

15. Oysters high in zinc which helps produce testosterone, also dopamine for

stimulation

16. Wildyamsincreasegenitalsensitivity

D. HandyToolstoGetMoreLove

1. Babysitter

2. Footmassage

3. Gowithhertobuyshoes


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4. Helpwiththedishessoshehasenergyforyou

5. Takeashower,womenmoresensitivetoodor

E. It’sAllAboutBloodFlow

1. Bloodflowdecreaseswithage

2. 40%of40yearoldshaveerectiledysfunction

3. 70%of70yearolds

4. Anythingthatdecreasesbloodflowagesanorgan.

5. Improvingbloodflowtoyourgenitalsandbrainisthefountainofyouth.

F. WhatDecreasesBloodFlow?

1. Stress

2. Caffeine

3. Nicotine

4. Arterydisease/heartdisease

5. Diabetes

6. Environmentaltoxins

7. Lackofsleep


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8. Drugoralcoholabuse

G. WhatIncreasesBloodFlow?

1. Exercise

2. Sleep

3. Gingko

4. Ginseng

5. L-arginine

6. Relaxation

H. WhattoDoNow?



3. Howhasyourbrainaffectedyourrelationships?

4. Whatareyoudoingtohurtandhelpthebloodflowinyourbody?





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CYB110:

BrainHealthyNutritionand

theBrain-GutConnection

DanielAmen,M.D


LightUniversity119

Summary

In order to eat right, it is necessary to understand the principles of good nutrition. In this

presentation,Dr.DanielAmendescribestheconnectionbetweenwhatapersoneatsandhow

thebodyreactsandresponds.Whatyouputintoyourbodyimpactstheenergyandmotivation

thatcomesoutofit.Byeatinghealthyfoods,monitoringforfoodallergiesandsensitivities,and

ensuring a balance of good bacteria in the gut, you can increase your energy, mood, and

lifespan.

LearningObjectives

1. Participantswilldiscovertenprinciplestopromotingbrainhealthynutrition

2. Participantswillidentifycommonfoodsensitivitiesandallergiesandalternatives

3. Participantswillexplorethebrain-gutconnectionandidentifywaystopromotehealthygut

bacteria


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I. TheWarAgainstYourBrain

A. WeaponsofMassDestruction:Food-likeSubstances

1. Highlyprocessed

2. Pesticidesprayed

3. Geneticallymodified

4. Lowfiber

5. Highglycemic

B. BrainHealthyNutrition

1. Thebrainisthemostexpensiverealestateinyourbody.

2. Uses20-30%ofthecaloriesyouconsume

C. TypicalWesternDiet

1. Badfat,saltandsugar

2. Associatedwith depression, dementia, ADHD, heart disease, cancer, diabetes and

obesity

3. Promotesinflammation

4. Wouldyoufeedjunkfoodtoa$1milliondollarracehorse?


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BrainHealthyNutritionPrinciples

I. Principle1:QualityInput=QualityOutput

A. CalorieRestrictionandLongevity

1. Moststudiedwaytoextendlifeininsectsandanimals

2. Worksbycontrollingtheseprocesses:

• Inflammation(majorcauseofaginganddisease)

• Glucosecontrol

• Glycation(bondingofsugartoprotein)

• Oxidativestress

3. Mimic by: Sugar control, anti-inflammatory diet, sleep, supplements, moderate

exerciseandsmartcalories.

B. GoforHighQualityCalories

1. Thinkofcalorieslikemoney.

2. Knowyourcalorierequirements.

3. Ifweightisanissue,knowthenumberofcaloriesyoueat.

II. Principle2:Water

A. DrinkWaterandNotTooManyCalories

1. Brainis80%water

2. Stayawayfromthingsthatdehydrateyou.

• Toomuchcaffeine


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• Toomuchalcohol(decreasesanti-diuretichormoneandincreasesurination).

• Diuretics

III. Principle3:FocusonProtein

A. HighQualityProtein

1. Makeitclean(hormonefree,antibioticfree,freerange,grassfed).

2. Fishandlambforomega3s

3. Turkeyandchicken

4. Beans

5. Rawnuts

6. Highproteinveggies

• Broccoliandspinach

IV. Principle4:SmartCarbohydrates

A. SmartCarbs

1. Lowglycemic,highfiber

2. Carbsthatdonotraiseyourbloodsugar

3. Highinfiber(vegetablesandfruits,suchasblueberriesandapples)


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B. Fiber

1. Fiberdecreasesghrelin

2. Feelfullfasterandlonger

3. Slowsabsorptionoffood

4. Reducescholesterol

5. Keepsyourdigestivetractmoving

6. Reduceshighbloodpressure

7. Reducestheriskofcancer

8. 25-35gramsaday

C. SugarisNotYourFriend

1. Americanseatanaverageof140poundsofsugarperyear

2. 14typesofsugarinone“healthbar”

• Sugar

• Molasses

• Carmelcolor

• Barleymalt

• Cornsyrup

• Cornsyrupsolids

• Highfructosecornsyrup

• Honey

• Sorbitol

• Fructose

• Canejuicecrystals

• Maltose

• Fruitjuiceconcentrate

• Maltodextrin


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3. Refinedsugaris99.4to99.7%purecalories–novitamins,minerals,orproteins,just

carbohydrates

4. Voidofmineralsneededforenzymes

5. Causeachromiumandcopperdeficiency

6. Interfereswithcalciumandmagnesium

7. Increasesinflammation

8. Increaseserraticbraincellfiring

9. Implicatedinaggression

10. AssociatedwithADHDandhyperactivity

11. Increasedtriglycerides,lowerHDL,raiseLDL

12. Feedcancercells

13. Increase“slowbrainwaves”

14. Depression

15. Makes you dumb – alters learning and memory, but adding omega-3s can help

minimizethedamage


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D. HiddenSugar

1. Alcoholicbeverages

2. Almosthalfofcaloriesinketchups

3. Inmostluncheonmeats

4. Breadingonmanyproducts

5. Moststoreboughtbreads

6. Saladdressingsfrequentlycontainsugar

7. Oftenaddedtohamburgerstopreventshrinkage

8. Infastfoodgrilledchicken

9. Top20CarbohydratesintheU.S.

AccordingtotheHarvardNurses’HealthStudy

• Potatoes

• Whitebread

• Breakfastcereal

• Darkbread

• Orangejuice

• Banana

• Whiterice

• Pizza

• Pasta

• Muffins

• Cookies,pastries

• Otherfruitjuices

• Coca-Cola

• Apple

• Skimmilk

• Pancake

• Tablesugar

• Jam

• Frenchfries

• Candy


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10. Symptomsofhypoglycemia

• Feelingsleepy/drugged

• Mentalconfusion

• Inabilitytoconcentrate

• Impairedmemory

• Dizzy,light-headed

• Nervousness

• Depression

• Irritability

• Blurredvision

• Anxiety/panicattacks

• Palpitations

• Shakyhands

• “Butterfliesinstomach”

• Flushing/sweating

• Faintness/fainting

• Frontalheadache

• Insomnia

• Abdominalpain/diarrhea

E. KillMostSugar

1. RobertLustig,MD,UCSFPediatricEndocrinology

2. Sugarisaddictive

3. It is PRIMARY cause of obesity, hypertension, heart disease, cholesterol problems

anddiabetes,allofwhichcausebraindamage

4. AverageAmericaneats141lbs.ofsugarayear

5. Fructoseprocessedinliverlikealcohol

6. 90minuteYouTubevideoworthwatching:Sugar,theBitterTruth

7. Sugarbyanyothername

• Sucrose:halffructose,halfglucose

• Brownricesyrup:0fructose!


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• Honey:40%fructose,antibacterial/anti-fungal

• Maplesyrup:40%fructose,manganeseandzinc

• Agave:Doesn’tspikebloodsugarasquickly

F. SugarSubstitutes

1. Aspartame

• Phenylalanine+asparticacid

• PKUcannotuse

• Destroyedbyheat

• 200xsweeterthansugar

• Associatedwithdizziness

• Disorientation

• Elevatedliverenzymes

• Arthritis/muscleaches

• Lossofbalance

• Numbness

• Highbloodpressure

• ADD/ADHD

• Hives

• Memoryloss

• Headaches

• Seizures

2. Sucralose

• Startedoutasapesticide

• ClosertoDDTthansugar

• Splendaisnotnatural



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• Starts as a sugar molecule and has three of its components removed and

replacedwithchloride

• Providesnocaloriesbecausethebodydoesnotrecognizeitasfood

• Nobloodsugarincrease,increasesHgA1V

• Reducedgoodgutbacteriaby50%inoneanimalstudy

• Mayincreasecarbcravings

3. Honey

• Containssmallamountsofvitaminsandminerals

• Glycemicindexofabout73(slightlyhigherthansucrosebecausesucroseishalf

fructoseandhoneyisabout40%fructose).

• 20-60%sweeterthansugar

4. Saccharin

• Hasbeenusedforover100years

• Studiesaremixedonwhetheritisacarcinogen


• In 2000, determined that the link between bladder cancer in rats was not

associatedtohumans

• Therearebetteroptions

5. Stevia

• DerivedfromtheStevialeaf

• Usedforcenturiesasmedicine

• Hasnegligibleeffectonbloodsugar

• MayenhancebloodsugarandhavebenefitsforHTN

• Chemicallyprocessedwithwaterandalcohol–Nanofiltrated

• Noknownsideeffects

• KillsLymeinpetridish


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6. Erythritol

• Naturallyoccurringinfruitandfermentedfoods

• Non-caloric

• Doesn’tincreasebloodsugar

• Absorbedinsmallintestine

• Maltitolandxylitolabsorbedinlargeintestine

• LesslikelytocauseGIdistressthanothersugaralcohol

• SaferforpeoplewithIBS

• Excessiveconsumptioncancausenausea

7. Xylitol

• Naturallyoccurringsweetcompound,fruits/veggies

• Maydecreasedentalcariesandbuildupofplaque

• Increasessatiety

• 40%lesscaloriesthansugar,2.4calories/gram

• 7glycemicindex,littleeffectonbloodsugar/insulin

• Bodyproducesupto15gramsofxylitolperday

• May have a laxative effect, not recommended for people with IBS, Crohn’s

Diseaseorulcerativecolitis

8. Maltitol

• Mostsimilarsugaralcoholtosucrose

• Halfcaloriesofsugar

• 75%ofthesweetnessofsucrose

• Raisesbloodsugarmoreslowlythansucrose

• Cancauselaxativeeffect

• NotrecommendedforpeoplewithIBS,Crohn’sDiseaseorulcerativecolitis


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V. Principle5:BeAFatHead

A. TheRightFats

1. Eliminatebadfats-trans-fats(readthefoodlabels),uncleananimalfat

2. Focusonhealthyfats,especiallyomega3s

3. Salmon,avocados,walnutsandgreenleafyvegetables

4. Highcholesterolnotgoodforyourbrain

5. Verylowfatdietsnotgoodforyourbraineither

6. Lowcholesterolassociatedwith:

• Antisocialpersonalitydisorder

• Violence

• Suicide

• Childhoodonsetconductdisorder

• 250Finnishoffenders–8xmorelikelytodieofunnaturalcauses

B. MacronutrientsandAlzheimer’s

1. Fat-baseddietlowersrisk42%

2. Protein-baseddietlowersriskby21%

3. Highcarbdietincreasesriskby4x!


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C. DoesFishMakeYouSmarter?

1. C.Raji,2011,n260

2. Peoplewhoatebakedfishatleastonceaweek

3. Greateramountsofgraymatterinthreekeyareas:

• Hippocampus

• Posteriorcingulate

• Orbitalfrontalcortex

4. ReducedriskofAlzheimer’s5x

5. Bestfishchoices:

• Abalone(USf=farmed)

• ArcticChar(f)

• Barramundi(USf)

• Catfish(USf)

• Clams,Mussels,Oysters(f)

• Cod:Pacific(USnon-trawled)

• Crab:Dungeness

• Halibut:Pacific(US)

• Lobster:CaliforniaSpiny(US)

• Rockfish:Black (CA,OR,WA,

hook&line)

• Sablefish/Black Cod (Alaska

&Canada)

• Salmon(Alaskawild)

• Sardines:Pacific(US)

• Scallops(f)

• Shrimp:Pink(OR)

• SpotPrawn(Canada)

• Stripedbass(f&wild*)

• Tilapia(USf)

• Trout:Rainbow(USf)

• Tuna:Albacore(Canada&USPacific,

troll/pole)

• Tuna: Skipjack, Yellowfin (US

troll/pole)

• WhiteSeabass(hook/line)


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6. Avoidfishchoices*Nottoomuchduetomercuryconcerns

• Caviar,Sturgeon*(imported)

• ChileanSeabass/Toothfish*

• Cod:Atlantic(Canada&US)

• Cod:Pacific(imported)

• Cobia(f)

• Crab:King(imported)

• Dogfish(US)*

• Grenadier

• Lobster:Spiny(Brazil)

• MahiMahi(imported)

• Marlin: Blue, Striped

(Pacific)*

• Monkfish

• OrangeRoughy*

• Rockfish/“PacificSnapper”(trawled)

• Salmon(f,includingAtlantic)*

• Sharks*

• Shrimp(imported)

• Swordfish(imported)*

• Tilapia(Asiafarmed)

• Tuna: Albacore*, Bigeye*, Skipjack,

Tongol,Yellowfin(excepttroll/pole)

• Tuna:Bluefin*

• Tuna: Canned (except troll/pole

caught)

VI. Principle6:EatFromtheRainbow

A. EatingFromtheRainbow

1. Foodsofmanydifferentcolors

2. Boostantioxidantlevels.

3. Helpkeepbrainyoungandhealthy.

4. Antioxidantstatusassociatedwithdepression


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B. AntioxidantsandMentalHealth

1. Oxidative stress plays a role in many major psychiatric disorders, including

depression.

2. Depressionassociatedwithlowerantioxidantsstatus

3. NAChelpsdepressioninstudies.

4. Curcuminantidepressantactivityinanimalmodels

5. Antioxidantrichfoods(ORAC:OxygenRadicalAbsorbanceCapacity)

• Cloves:290,000

• Oregano:175,000

• Rosemary:165,000

• Thyme:157,000

• Cinnamon:131,000

• Turmeric:125,000

• Sage:120,000

• Acaifruit:02,000

• Parsley:73,000

• Cocoapowder:55,000

• Raspberries:19,000

• Walnuts:13,000

• Blueberries:9,600

• Artichokes:9,400

• Cranberries:9,000

• Kidneybeans:8,600

• Blackberries:5,900

• Pomegranates:4,400

VII. Principle7:BrainyHerbsandSpices

A. BrainHealthyHerbsandSpices

1. Garlicandoreganoboostbrainbloodflow.

2. Saffronhasantidepressanteffects.

3. Curcumindecreasesbetaamyloidplaques.


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4. Rosemary,thyme,andsageenhancememory.

5. Cinnamonboostsattention,aphrodisiacformen

6. Ginger, cayenne, blackpepper – hot/spicy fromgingerols, capsaicin, andpiperine,

compoundsthatboostmetabolismandaphrodisiaceffect

VIII. Principle8:CleanFoods

A. EatingClean

1. Avoidtoxicfoodsasmuchaspossible.

2. Artificial colors and sodium benzoate increased ADHD symptoms (2007

SouthamptonUniversityStudy).

3. Meta-analysisof15double-blindclinicaltrialsthatevaluatedartificialfoodcoloring

inchildrenalreadyconsideredtobehyperactiveshowedanincreaseinhyperactive

behavior.

B. PesticideResidues

1. 14foodswiththehighestlevelsofpesticideresidues(buyorganic)

• Celery

• Peaches

• Strawberries

• Apples

• Blueberries

• Nectarines

• Cucumbers

• SweetBellPeppers

• Cherries

• CollardGreens/Kale

• Potatoes

• Grapes

• GreenBeans


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2. 17foodswiththelowestlevelsofpesticideresidues(don’tnecessarilyneedorganic)

• Onions

• Avocado

• SweetCorn(Frozen)

• Pineapples

• Mango

• Asparagus

• SweetPeas(frozen)

• KiwiFruit

• Bananas

• Cabbage

• Broccoli

• Papaya

• Mushrooms

• Watermelon

• Grapefruit

• Eggplant

• Cantaloupe

IX. Principle9:CheckOutFoodAllergies

A. GrainsAreNotGoodforEveryone

1. Highglycemic

2. Increaseinflammation

3. Manycontaingluten

4. Autoimmuneissues

5. Insulinresistance

6. Increasesymptomsofsomepsychiatricdisorders


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B. Gluten

1. 40%moreinbreadtodaythan50yearsago

2. Hiddenin

• Saladdressings

• Sauces

• Processedfoods

• Cosmetics

C. GlutenSensitivity

1. Cancauselowerbrainperfusion

2. Schizophrenicsymptoms

3. Reduction,evenfullremission,ofsymptomsinsubsetofschizophrenicpatients

4. ImprovedADHDsymptomsinasubsetofpatients

5. Associatedwithcerebellarabnormalities

6. 40%ofidiopathicsporadicataxia

7. Intractableseizuresandhippocampalatrophy


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D. CaseofGlutenSensitivity

1. A33-year-old“schizophrenicpatient”

2. Diarrheaandweightloss

3. SPECTHypoperfusionleftfrontalarea

4. Glutensensitivitydiagnosed

5. Gluten-freedieteliminatedpsychiatricsymptoms1

E. BreadisMyCrack!GlutenandAddiction

1. Glutenandcaseinexposedtopepsin&HCLdegradetopolypeptides(exorphins)and

crossthebloodbrainbarrier

2. Bindtoendorphin(morphine)receptors,mildeuphoria

3. Effectblockedbynaltrexone

4. Withdrawalsymptoms

5. Bingeeaterseatless(especiallywheat)whengivennaloxone

F. Corn

1. Nearly2/3ofallpackagedfoodcontainscorn

2. 85%geneticallymodified


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3. MakesanimalsFAT–depositsfatinmuscles

4. Cornglutenmeal:“naturalherbicide”–killsotherplants!

5. Causesceliaclikelesionsinintestinesbydamagingvilli

6. Decreasedabsorptionofvitalmineralsandnutrients

7. Contains21mycotoxins:aflatoxinandphimosis

G. Dairy

1. Approximately65%populationlactoseintolerant

2. Pasteurizationkillsliveenzymes

3. HormonesrBSTandrBGHincreaseproduction

4. HormonescauselivertoreleaseIGF-1

5. Industrialanimalsuse70%ofantibioticsinUS

6. Undigested,lactose(asugar)fermentsingut

7. Undigestedsugarshighlyacidic,leachingcalcium


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H. Goat’sMilk

1. 98%lowerinAlphas1Casein

2. 93%ofinfantsw/milkallergycandrinkgoatmilk

3. Goatmilknaturallyhomogenized

4. Easiertodigest–MCT’s

5. Higherinpotassium

6. Nottypicallygivenhormonesandantibiotics

7. Stillcontainslactose

I. SoyControversy

1. 90-95%geneticallymodified

2. Inexpensive–overuseleadstoincreasedfoodallergies

3. Highlevelsofomega6fatty–50%insoybeanoil

4. Soymilkcontains9gsugar/cup

5. Phytoestrogensbindtoestrogenreceptorsites

6. Organicedamameorfermentedtofuistheexception


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J. Lectins

1. Sugarbindingproteinsthatdon’tdigest

2. In rice, oats, wheat, buckwheat, millet, rye, corn, dairy, legumes, soy, eggplant,

potatoesandtomatoes

3. Intestinalpermeabilityproblems

4. Implicatedinallergies,digestiveandautoimmuneissues

5. Canmimichormones–leadingtoobesity!

K. Obesogens

1. Productsinourenvironmentthatdisruptsystemsandinterferewithweightloss

2. BisphenolA

3. Thyroiddisruption(hormonedisrupters)

4. Processedfood

5. PBA(waterbottles)

6. Pesticides

7. Teflon


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X. Principle10:UsingFoodtoHealYourMind

A. FoodasMedicine

1. EliminationdietfoundhelpfulforADHD

2. 73%improvedvs.0%incontrolledgroup2

3. Ketogenicdietinepilepsy

4. Helpfulformanychildrenandadultswithmanydifferentseizuretypes,including:28

• Infantilespasms

• Myoclonicepilepsy

• Febrileinfectionsepilepsy

• 2/3withseizurereductionatsixmonths

• Alzheimer’s,ALS,autismbeingstudied

5. Mediterraneandiet<depressionanddementia

6. Healthydietassociatedwithlowerriskofdepression29

7. Dietandphysicalactivityassociatedwithlowerriskofdementia30

B. PowerfulAnti-InflammatoryPlantChemicals

1. SulforaphanesfromBroccoli

2. CurcuminfromCurry

3. Garlic


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4. GreenTea

5. Pomegranate

6. SuperFoods:Maca,Cacao,GojiBerries

C. Serotonin

1. Moodstability,sleepregulation,appetite,socialengagement

2. “Don’tworry;behappy.”

3. Carbohydraterichfoodsthatincreaseinsulin

4. Foodstoboostmood/serotonin=Carbs

• Troubled Carbs: Crackers, pancakes/waffles, sweet cereals, muffins, bagels,

pasta,whiterice,potatoes,fruitjuice/sodas,

• SmartCarbs:Sweetpotatoes,brownrice,steelcutoatmealwithberries/stevia,

apples,cherries,redbellpeppers,sweetcorn,cantaloupe

D. Dopamine

1. Motivation,emotionalsignificance,relevance,painandpleasure

2. “Let’sgetitdone.”

3. Foundinproteinrichfoodsthatdecreaseinsulin

4. Foodstoboostfocus/dopamine=Protein


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5. Goodsources:

• Beans–lima,lentils

• Meat–fish,lamb,chicken,turkey,beef

• Eggs

• Cheese

• Nuts

• Seeds(pumpkinandsesame)

• Highproteinveggies–broccoli,spinach

• Proteinpowders

E. Acetylcholine

1. Learning,memory

2. Foundinliver,eggs,salmon,shrimp

F. GABA

1. Inhibitory,calming

2. Foundinbananas,broccoli,nuts,lentils,greentea

G. Glutamate/Aspartate

1. Excitability,memory,painperception

2. Foundindietsoda,dairy(cheese),soy,wheat,barley,peanuts

3. Meat(lambandeggsarelowest)


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XI. Principle11:TypeSpecific

A. BrainTypes

1. Impulsive–higherprotein

2. Compulsive–highersmartcarbohydrate

3. Impulsivecompulsive–balanced

4. Sad–balanced

5. Anxious–balanced

6. Temporallobe–higherprotein,ketogenic

B. Tips

1. BrainHealthyFruits

• Apples

• Avocadoes

• Berries(acai,blue,black,goji,golden,strawberries)

• Cherries

• Grapefruit

• Kiwis

• Oranges

• Peaches

• Plums

• Pomegranates

• Tomatoes


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2. BrainHealthyVeggies

• Asparagus

• Beets

• Bokchoy

• Broccoli

• Brusselsprouts

• Cabbage

• Cauliflower

• Chlorella

• Garlic

• Horseradish

• Kale

• Leeks

• Onions

• Redbellpeppers

• Seaweed

• Spinach

• Spirulina

• Sweetpotatoes

3. BrainHealthyNuts/Seeds/Roots

• Nuts(raw):Cacao,Almonds,Brazil,Cashews

• Walnuts

• Seeds:Chia,flax,hemp,sesame

• Roots:Maca,shiratakinoodles(rootofwildyamplant)


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4. BrainHealthyOils

• Avocado

• Coconut

• Grapeseeds

• Macadamia

• Olive

5. BrainHealthyAnimalProducts

• Grassfed,hormonefree,antibioticfree,freerange(harvestedhumanely)

• Eggs

• Fish

• Lamb

• Chicken

• Turkey

• Beef

6. BrainHealthyBeverages

• Water

• Freshcoconutwater

• Waterwithlemonandstevia

• Sparklingwaterwithchocolatestevia

• Greentea

• Greenteaorchailatte

• Zeviainmoderation

7. BrainHealthySweeteners

• Use:Stevia,xylitol,erythritol,honey(smalldoses)

• Avoid:Aspartame,sucralose,saccharin


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8. TakeHomeTips

• Ifyouhavesymptoms,tryaneliminationdiet

• Eatbreakfastwithinanhourofwakingup

• Eliminatebread,pastaandsugar

• Goglutenfree

• Eatgrainslikeacondiment

• Alwayscarryhealthyfoodandsnacks

• Drink16oz.ofwaterbeforemeals

• Don’tallowthewaitertoleavebreadonthetable

• Useonedayeachweektoprepare

• Payattentiontoportions

• Veggiesare“free”

XII. Principle12:BrainGutConnection

A. GutisSecondBrain

1. Gutisloadedwithnervoustissue.

2. Indirectcommunicationwithourbigbrain

3. Whywegetbutterflieswhenexcitedorloosebowelswhenupset

4. Anxiety,depression,stress,andgriefallexpressthemselveswithemotionalpain(the

brain)andquiteoftengastrointestinal(GI)distress.

B. TheGut

1. Singleepitheliallayer(likethebrain,largestmucosalsurfaceinbody)


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2. Interfacebetweenexternalworldandhost

3. Initialmetabolism&transformationoffood

4. Structuraldefense(troublewhenthisbreaksdown)

C. MucosalLiningoftheGut

1. Provideslayerofprotectiontoendothelium

2. Madeofglycoproteins–mucin

3. Mucinproductionupregulatedbyprobiotics

4. Canbe compromised by stress, drug use, diet, environmental chemicals, gut flora

balance,geneticpredisposition

D. YourGutSupportsBrainHealth

1. 100trillionmicro-organisms(bacteria,yeast,andothers)

2. 10xtotalnumberofcellsinthehumanbody

3. Tobehealthy, relationshipof good/badbugsneeds tobe lopsided in thepositive

direction

4. Ahealthyguthas85%goodbugsand15%badbugs

5. Outofbalancebadformentalhealth


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E. GutHealth

1. Friendlybacteriadetertroublemakers,suchasE-coli,andhelpuswithstandstress.

2. If deficient, frompoor diet that feeds yeast overgrowth (think sugar) or excessive

useofantibiotics(eveninchildhood),morelikelytofeelstressed

3. ADD, autism, depression, mental fogginess connected to intestinal bacteria

imbalances.

F. GutFlora

1. Inhabitthesmallandlargeintestines

2. Anaerobicbacteriaarethemostabundant

3. Probiotic–beneficialbacteriathatservemanyfunctionsinthegut

4. Yeast – candida albicans are also part of normal flora, but should be kept under

controlbygoodbacteria

G. FunctionsofBeneficialFlora

1. MakesvitaminKandbiotin

2. Helpswithdigestion

3. Detoxification(probioticshavebeenfoundtodecreasecoloncancerrisk)

4. Carriersforestrogenoutofthebody


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5. Immunemodulation

6. Populationcontrolofpathogens

7. Nutrientabsorptionandmetabolism

H. BeneficialFloraProtection

1. Allergies/Intolerances

2. Hormonalregulation

3. ProtectsGIlining

4. Mayprotectagainstcoloncancer

I. WhatDecreasesHealthyGutBacteria?

1. Medications

• Antibiotics

• Oralcontraceptives

• Protonpumpinhibitors

• Steroids

• NSAIDS

2. Stress

• Physiological

• Emotional

• Environmental


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3. Sugarintake,artificialsweeteners

4. Allergies

5. Toxins–bactericidalchemicalsinH20,pesticides,heavymetals,alcohol

6. Infections–H.Pylori,parasites

7. Radiation/chemo

8. Highintensityexercise

J. FoodistheGreatestDangertoGutBacteria

1. Thegreatestdangerisnotfromtheantibioticsprescribedbyyourdoctor,butrather

fromthefoodsyoueat.

2. Prevalenceofantibioticsfoundinconventionallyraisedmeatsandvegetableshave

potentialtothrowoffthebalanceofgoodtobadbacteria.

3. 70%oftotalantibioticuseinU.S.forlivestock

4. Focusoneatingantibioticfree,hormonefree,grassfed,freerangemeats.

K. AFewGermsCanBeGoodforYou

1. Animals raised in a germ-free environment show exaggerated responses to

psychologicalstress.

2. NeedgoodGIbugstoboostimmunesystem.


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3. Don’tkeepkidsawayfromdirt.

4. Whenresearchersgaveanimalsprobiotics,stresslevelsnormalized.

5. Stress,allbyitself,decreaseshealthygutflora.

L. BoostGutFloraEarly?

1. Ifdeficientearlyinlife,causesdecreasedserotonin,maybefortherestofaperson’s

life

2. Atleastinanimalmodels

M. EarlyAbandonmentIssues

1. Earlyabandonment

• Increasedstress

• Decreasedhealthybacteria

• Increasedgutpermeability

2. Whenyoungratsseparatedfrommothers

• Gut cell lining more permeable, allowing intestinal bacteria to pass through

bowelwalls

• Stimulateimmunecellstoattackotherorgans.

3. Adaptiveresponseinrats…ifbornintostress,natureprogramsthemtobevigilant

andstressresponsiveinfuturelife.

4. Upto70%ofpatientstreatedforchronicgutdisordersexperiencedearlychildhood

traumas–suchasparents’divorces,chronicillnesses,orparents’deaths


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5. Whathappensinearlylife,alongwithanindividual’sgeneticbackground,programs

howapersonwillrespondtostressfortherestofhisorherlife.

N. Chronic,Fatigue,Gut,andMind

1. Rao(2009)39CFSpatients

2. 3probioticdoses/dayorplacebofor2months

3. 73%probioticgrouphadincreasedgoodgutbacteria

4. Correspondedwithsignificantdecreasedanxiety–nochangeinplacebogroup

5. Researchers–probiotics“crowdedout”moretoxicgutbacterialinkedtodepression

6. Subjectsfelt lessanxious,calmer,betterabletocope,sleepingbetter, fewerheart

palpitations.

O. GutBrainIllnesses:YeastOvergrowth

1. Symptoms

• Irritability

• Lethargy

• Drowsiness

• Brainfog

• Feelingill

• Carbcravings

• Musclepains

• Gasbloating

• Cramps


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2. Signs

• Vaginalinfections

• Whitecoatedtongue

• Itchyearsandeyes

3. Help

• Lowglycemic

• Yeastfreediet

4. Cat’sclaw1,000mgBID-TIDfor8weeksforimprovementupto6months

5. Nystatin1millionunitsBIDXs3months

P. FixtheGut

1. Improvediet,essentialfattyacids,fiber,phytonutrients

2. Eliminatemostsimplesugarsthatfeedbadbugs

3. Supportdigestiveenzymes

4. Supportnormalflora:preandprobiotics

5. Becarefulwithantibiotics

6. Removeinfectionsandtoxins


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Q. WhattoDoNow



3. Rateyoureatinghabits–great,good,ok,poor?

4. Whatspecificthingscanyoudotodaytorampupyourbrainhealthynutrition?

5. Whatcanyoudotoimproveyourguthealth?




Endnotes1DeSantis, A., Addolorato, G., Romito, A., Caputo, S., Giordano, A., Gambassi, G., Taranto, C., Manna, R., &

Gasbarrini, G. (1997). Schizophrenic symptoms and SPECT abnormalities in a celiac patient: Regression after a

gluten-freediet.JournalofInternationalMedicine,242(5),421-423.2Pelsser,L.M.,Frankena,K.,Toorman,J.,Savelkoul,H.F.,Pereira,R.R.Buitelaar,J.K.(2009).Arandomizedcontrol

trialintotheeffectsoffoodonADHD.EuropeanChild&AdolescentPsychiatry,18(1),12-19.doi:10.1007/s00787-

008-0695-7


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CYB111:

NaturalWaystoHealtheBrain

DanielAmen,M.D.


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Summary

BrainSPECT imaginghasprovided insightandguidance intotheunderlyingbiologicalbasisof

many psychiatric illnesses, and can also showwhatmedications are and are not helpful for

certain illnesses. While medications can be beneficial in some situations, there are many

naturalwaystohealthebrainfromtheinjuriesitsustains.Inthispresentation,Dr.DanielAmen

describeshownatural treatments and supplements can lead to life-savingbrain and lifestyle

changes.

LearningObjectives

1. Participants will discuss the rationale for using natural healing methods instead of

medications

2. Participantswillevaluatetheprosandconsofsupplements

3. Participantswillanalyzeandunderstandnaturalwaysofhealingthebrain


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I. History

A. BrainSPECTImagingin1991

1. Couldseeanunderlyingbiologicalbasisofmanypsychiatricillnesses,suchasDHD,

depressionandviolence

2. Initially thought itwould lead tousingmoremedications,butover time itactually

ledtousinglessmedicationsandlookingforalternatives

3. Becausesomemedicationsappearedclearlytoxictobrainfunction

B. MedicationsandtheBrain

1. Benzoslookedlikealcohol

2. Opiatesnotbetter

3. Evenstimulantscausedtroubleforsome

4. This led to looking for other evidence-basedways to optimize brain function and

treatpsychiatricillnesses

C. EvidenceBase

1. LevelA–Strongscientificevidence

2. LevelB-Goodscientificevidence

3. LevelC–unclearevidence,+/-


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4. LevelD–fairtostrongnegativeevidence

5. www.naturalstandard.com

D. ManyEvidence-BasedWaystoOptimizetheBrain

1. Acupuncture

2. HBOT

3. rTMS

4. Neurofeedback

5. CES,AlphaStim

6. Exercise

7. Lighttherapy

8. Psychotherapy

9. Meditation

10. Nutrition

11. Ketogenicdiet

12. Nutraceuticals


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II. AmenClinicsNFLStudy

A. TheNFLStudy

1. SPECTworktaughtearlythatbraininjuriesarealargerpartofpsychiatricproblems

thanmostpeopleknow.

2. Sawmanyhighschoolandcollegefootballplayerswithbraininjuriesonscanswho

hadtroubledbehavior

B. BrentBoyd

1. Headaches

2. Depression

3. Fatigue

4. Memoryproblems

5. Dizziness

6. Overweight

7. Clearevidenceofseriousbraintrauma

8. NFLhireddoctors

• Saidscansmeannothing

• Theysaythathisproblemswerenotwork-related

• Deniedhisclaim


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9. Brentgetstraumatizedtwice

• Oncebyhisbraininjury

• Againbybeingcalledaliarandafaker

C. AnthonyDavis

1. At54hisbrainlookedlike85

2. Brainimprovedaftertreatment

D. In1994,theNFLFormedaConcussionCommittee

1. Yetneversponsoredabrainimagingstudyonplayers.

2. Instead,theystudiedrats

3. In2009,Goodellsaidtocongress,“NFLdidn’tknow ifplaying footballcaused long

termbraindamage.Theywerestillstudyingtheissue.”

E. ProblemwithNFLPosition

1. Ifyoudon’tadmityouhaveaproblem,youcannotdoanythingtosolveit

2. Braindamagedplayersleftwithouthelporhope

3. 2009-2013 Amen Clinics with LA Chapter of NFLPA performed first large imaging

studyonplayers

4. Imagingchangedeverything


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F. StudyDesign

1. BrainSPECTimaging(bloodflow)

2. QEEG(QuantitativeElectroencephalography)

3. Conners'CPT(ContinuousPerformanceTest)

4. MCIS(MildCognitiveImpairmentScreen)

5. Microcog(Measures9differentcognitivescales)

6. Currentstatusofstudy

• 160activeandretiredplayers

• From27teams

• Allpositions

• Ages25-85

7. Importantnumbers

• Obese=48%

• Sleepapnea=30%

• Depression=28%

• Dementia19%

• CPT=81%abnormal

• Microcog = below average in all categories except spatial processing and

reactiontime

8. Outcomes

• >90%hadbraintraumapatternonbrainSPECTandQEEGs

• Severedecreasedactivity…acrosswholebrain

• Resultsarehighlystatisticallysignificant


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9. Damageseenespeciallyinprefrontal,temporalandcerebellarregions

• Judgment,focus,andimpulsecontrol

• Memory,learning,emotion,andmoods

• Physicalcoordinationandthoughtcoordination

G. BrainRehabProgram

1. Damagesohigh,a“pragmatic”rehabcomponent”wasadded

2. Brainhealthystrategies

• Weightlossforobeseplayers

• Coordinationexercises

• Healthydiet

• Recommendedsleepapneaevaluations

• Avoidtoxicsubstances(drugs,muchalcohol)

3. Highpotencymultiplevitamin

4. Omega3supplement,5.6gramsaday

5. Multiplemechanismbrain formula–vinpocetine,gingko,PS,huperzineA,acetyl-l-

carnitine,n-acetylcysteine,alphalipoicacid

6. Other recommendations for individual player needs, such as treating depression,

anxiety,alcoholism,ADD,dementia,orusingHBOT


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H. PreliminaryResults

1. 62playerswithfollowupscans/cognitivetests

2. 50showedimprovement

3. Especiallyinmemory,attention,mood,motivation,andsleep

I. Conclusions

1. ImplicationsgobeyondNFLtohighschoolandcollegeathletes

2. Military personal (15%of soldiers returning from Iraq andAfghanistan have brain

injuries)

3. 2millionpeopleeachyearwhoacquirebraininjuries

J. ImagingCanHelpMilitaryPersonnelandVeteransNow

1. SPECTdistinguishesTBIvs.PTSD>90%

2. MRI/CToftennormal,whichmakessoldiersfeelliketheyareimaginingpain

3. Seewhoisvulnerabletosuicide

4. Mostdon’tknowbrainrehabispossible

5. DemonstrationprojectsandFortCarsonandFortCampbell


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III. NaturalWaystoHealtheBrain

A. BrainHealthySupplements

1. Nutrientdepletions

2. ProsvsCons

3. Forall–multiplevitamin,fishoil,vitaminD

4. Braintype

5. Cravingcontrol

6. Memory

B. MedicationsCauseNutrientDepletions

1. Antacids:decreaseHCL,CA2+,phosphorus,folicacid,K+

2. Femalehormones:Folate,Mg,Bvitamins,C,Zn,Se,CoQ10

3. Anti-Diabetics:CoQ10,B12

4. Anti-hypertensives:B6,CoQ10,Mg,K,Zn

5. Anti-inflammatory:Ca,K,Zn,Fe,B6,C,D,FA,K

6. Cholesterol-lowering:CoQ10,Omega3fattyacids,carnitine


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7. Antibiotics:Bvitamins,vitaminK

8. Oral contraceptives: B vitamins, Mg, FA, Se, Zn, Tyrosine, Serotonin, elevated

homocysteine

C. SupplementBenefits

1. Neverhavetorevealtoinsurancecompany

2. Lessexpensive

3. Generallyfewersideeffects,butnotNOsideeffects

4. Effectivetomildtomoderateproblems

5. Generallyhaveincreasedcompliance

D. SupplementProblems

1. Maybemoreexpensivebecauseusuallynotcoveredbyinsurance

2. Manynotawareofpotentialsideeffects

3. Qualitycontrol/standardizationissues

4. Consultantmaybeclerkatthegrocerystore

5. Fewerstudiesasitishardtomaintainpatentsontheseproducts


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E. RecommendationsforAll

1. Multiplevitamin

2. Morefishoromega3fattyacidsupplement

3. TestandoptimizeVitaminDlevel

4. Then,issuespecificstrategies

F. MultipleVitamin

1. Mostpeopledonoteat5servingsoffruitsandvegetablesaday

2. 1998NEJM,“Eatrightandtakeamultiplevitamin”

3. 2002 JAMA, “It appears prudent for all adults to take vitamin supplements for

preventionofchronicdiseases.”

4. MV – Placebo controlled trail of 215men – significant improvement in perceived

stress,generalhealth,rigorafter33days

G. NeuroVitePlus

1. CompleteMV/mineralcomplex

2. 50brainsupportingnutrients,includingALC,ALA,PS,CoQ10

3. HighBvitamins,B6,B12,5MTHF


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4. 2,000IUsVitaminD

5. Phytonutrients – blueberries, spinach, tomato, apple, broccoli, 2 glasses of wine

(withoutalcohol)

6. Digestiveenzymes

H. Omega3s

1. Lowlevels

• Heartdisease

• Strokes

• Depression

• Suicidalbehavior

• ADHD

• Dementia

• Obesity

2. Benefits

• Heart

• Skin

• Eyes

• Joints

• Brain

• Decreaseappetiteandcravings

• 2-3gramsaday


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3. Sample/omega3studies–higherEPAforADHD/Depression

• Stevens1995,Burgess2000,lowinADD

• Stoll1999,longerremissionsintreatedBPD

• Nemets2002,1-4gpositiveaddoneffect

• Peet2002,1gEPAhelpfulindepression

• Zanarini2003,helpinBorderlinePD

• Su2003,addonMDDimprovedresponse

• Frangou2006,1gEPAhelpfulinbipolar

• Su2008,helpfulindepression+pregnancy

4. Omega3power

• Highlypurified

• Independentlytested

• 2.8gfishoilin2capsules

• 60/40EPAtoDHAratio

• Nofishburps

• Only2plantsintheworldwiththispurity

I. VitaminD

1. LowLevels

• 2/3ofAmericans

• Depression–depletesserotonin

• Alzheimer’sdisease–increasedbetaamyloidplaques

• MS–replacementhelpspreventrelapse

• Heartdisease(35%)

• Diabetes

• Cancer(14%)

• Obesity


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• Interfereswithsenseoffullness

• 13%causeofalldeaths(Franco2014)

• Associatedwithlowerbrainvolume1

2. VitaminD

• 25hydroxy-vitaminD

• Normalbetween30-100ng/dl

• Optimalbetween50-90ng/dl

• GiveVitaminD3iflevelslowandretestlevelsoyouoptimizeitanddon’toverdo

it

• Universalriskfactorformultifactorialdiseases,suchasdiabetes,heartdisease,

strokes,canceranddementia

J. BrainTypeHelp

1. Impulsive

• Focusandenergy

• Boostdopamine

2. Compulsive

• Serotoninmoodsupport

• Boostserotonin

3. Impulsive-Compulsive

• Focusandenergy

• Serotoninmoodsupport

• 5-HTP

Ø Moodissues,cerebellarataxia,fibromyalgia,obesity,headaches

Ø BLevelscientificevidence


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Ø Dose50–150mgtwiceadaywithmeals

Ø Insomniadose100-300mgatbedtime

Ø 15 studies have evaluated the clinical effects of 5-HTP onmoodwith high

improvement

Ø Oraladmin–30%inserotoninmetabolitesinCSF

• Saffron(CrocusSativus)

Ø Spice,traditionalPersianremedyformoodissues

Ø Dose30mg/d

Ø Comparesfavorablytofluoxetine,imipramine

Ø PositivestudyforPMS(DBPC)andageassociatedmemoryproblem

Ø CounteractssexualsideeffectsofSSRIs(DBPC)

Ø Reducessnacking(DBPC)

Ø Helpsinsulinsensitivity

4. Sad–SAMe–S-adenosyl-methionine

• Moodissuesandpainsyndromes

• Highscientificevidence

• Dose400-800mgtwiceaday

• 26studiesformoodissues,11RDBC>1050patients

• Watchbipolarpatientscarefully

• SEmorestimulating(insomnia,anxiety)

• Equallyeffectivetotricyclics,fewersideeffects

• AJP2010treatmentresistantpatientsonSSRIandwelltolerated

5. Anxious

• EverydayStressRelief

• Neurolink–GABA,5HTP,L-Tyrosine


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K. OtherSupplements

1. Cravingcontrol–notjustforfoodcravings

2. Restfulsleep–thehammer

3. Brainandmemorypowerboost–mindthegapofyourmind

4. Brainpowerbasics

• NeuroVitePlus

• Omega3Power2.8g

• Brain&MemoryPowerBoost–4

• Significantimprovementinbloodflowtobrain

5. BrainPowerMax

• NeuroVitePlus

• Omega3Power5.6g

• Brain&MemoryPowerBoost–6

• NFLStudy

6. BrainHealthyChocolate

• Braininlove

• BrainonJoy

L. WhatToDoNow

1. Multiplevitamin

2. Fishoil


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3. CheckandoptimizevitaminD

4. Takesupplementstargetedtoyourtypeandneeds

5. Brainhealthydrinksandchocolate




Endnotes1Anneweiler, C., Annweiler, T., Montero-Odasso, M., Bartha, R., & Beauchet, O. (2014). Vitamin D and brain

volumetricchanges:Systematicreviewandmeta-analysis.Maturitas,6.Pii:S0378-5122(14)00064-4.


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CYB112:

AmenClinicsAlzheimer’s

RiskReductionProgram

DanielAmen,M.D.


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Summary

50%of people over the age of 85 are affected byAlzheimer’s disease. Yet is Alzheimer’s an

inevitableconclusion,particularlyifitrunsinyourfamily?Notnecessarily.Inthispresentation,

Dr. Daniel Amen discusses the statistics and facts of Alzheimer’s disease, along with

preventative strategies that can significantly decrease the chance of getting Alzheimer’s

disease.ThroughtheAmenClinicsAlzheimer’sRiskReductionProgram,youcantakeproactive

stepstomaintainbrainfunctioningandpreventAlzheimer’sdisease.

LearningObjectives

1. Participants will discover relevant information and statistics related to the epidemic of

Alzheimer’sdisease

2. Participants will differentiate between Alzheimer’s disease and the multiple types of

dementia

3. Participants will explore and implement the Amen Clinics Alzheimer’s risk reduction

program


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I. Alzheimer’sDisease

A. DamagetoParietalandTemporalLobes

B. 14WarningSignsYourBrainisinTrouble

1. Memory<10yearsago

2. Lowenergy

3. Lowmood

4. Irritability

5. Anxiety,stress,worry

6. Shortattentionspan

7. Brainfog

8. Impulsive,baddecisions

9. Insomniaorsleepapnea

10. Highbloodpressure

11. Highbloodsugar

12. Weightissues


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13. Sexualdysfunction

14. Non-compliantforhealth

C. YouMayBeatRiskforAlzheimer’sDisease(AD)If:

1. Youhaveafamilymemberwithit

2. You have a personal history of head injury, alcohol abuse, heart disease, strokes,

diabetes,cancer,sleepapnea,insomnia,ADDordepression

3. Youexerciselessthantwiceaweek

4. Youdonotengageinlifelonglearning

D. Alzheimer’sDiseaseandCognitiveDecline

1. Majorconcernamongthebabyboomers

2. FivemillioninU.S.withAD,30millionglobally

3. Expectedtotripleby2050

4. Thirdleadingcauseofdeath

5. Women65%ADpatients,60%caregivers

6. ADtreatmentanunmitigatedfailure


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7. Despitebillionsofdollarsspentonresearch,thereisnocureonthehorizon

8. Affects50%ofpeople85andolder

9. Startsinbraindecadesbeforeanysymptoms

10. Ifyouknewatrainwasgoingtohityou,wouldyougetoutoftheway?

E. BrainActivityOverTime

1. Brainactivitydecreasesastimegoeson

2. Withtherightdecisions,brainagingisoptional

II. Dementia

A. DementiaDefined

Damagetonervecellsthatresultsinaprogressivedifficultywithremembering,thinking,

ordoingyourusualactivities.

B. TheManyRoadstoDementia

1. MCIandAlzheimer’sdisease

2. Frontaltemporaldementia

3. Vasculardementia

4. Leweybodydementia


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5. Alcohol-relateddementia

6. Chronicfatiguesyndromeandinfections

7. Braintrauma

8. Diabetes,HTN

9. Mostexcitinglessonfromimaging:Youarenotstuckwiththebrainyouhave

C. ReversingCognitiveDecline

1. SingleagentsnotlikelytoworkinADandMCI,needmultiplemechanismtreatments

2. CVD,cancerandHIVwithmultiplemechanismtreatments

D. BredesenStrategiestoAttackAD

1. Optimizeparameters(homocysteine,thyroid),notjustnormalizethem

2. Multiplemechanismapproach

3. Personalizedbasedonindividualizedparameters

4. Iterative,optimizedovertime


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III. AmenClinicsAlzheimer’sRiskReductionProgram

A. BaselineScreening–SPECT

1. Treatmentworksearly,notlate(95%notdiagnoseduntillate)

2. Decreasesinparietal,temporal,posteriorcingulate

3. Whereareyou?

4. BMI–Waisttoheightratio

• HigherBMI,lowparietalandtemporalfunction

5. Labs

• CBC

• GMP

• Fastingbloodglucose

• HgA1C

• Fastinginsulin

• Lipidpanelw/fract.

• Thyroidfunction

• CRP

• Homocysteine

• Vitaminb12level

• Folategenestatus

• VitaminDlevel

• Ferritin

• DHEA

• Testosterone

• Estrogeninwomen


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B. KnowAndReduceYourRisk

1. Geneticrisks–ApoE4(2.5/5)knowearly

2. Braininjury(2)

3. Alcoholordrugabuse(4.4)

4. Obesity,MetabolicSyndrome(3)

5. CVdisease,includinghighBP(2.5)

6. Cerebralvasculardisease(10)

7. Exerciselessthantwiceaweek(2)

8. StandardAmericanDiet(2)

9. Lessformaleducationorjobswithnolearning(2)

10. Diabetes(3)

11. Smoking(2.3)

12. Parkinson’sdisease(3)

13. Untreateddepression(2/4)

14. UntreatedADD(3)

15. Lowestrogen(2)


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16. Lowtestosterone(2)

17. Sleepapnea(2)

18. Cancertreatment(3)

19. HighhomocysteineorCRP(2)

20. Periodontaldisease(2)

21. Age65-85(2)

22. Overage85(38)

C. BrainFit4LifeWarriorDiet

1. Caloriesmart

2. Clean,wholefoodonly–eliminateglutenandprocessedfoods

3. Water

4. Cleanproteinateachmeal

5. Lowglycemic,highfibercarbs–nosimplecarbs

6. Highhealthyfats(fish)

7. Eatfromtherainbow


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D. MentalExercise

1. Leftfrontal–crosswordpuzzles,wordgames

2. Rightfrontal–comedy

3. Temporallobes–memory,newmusicalinstrument

4. Parietal lobes – math games (Sudoku), map reading, construction games, jigsaw

puzzles,juggling

5. Cerebellum–coordination,dance,tabletennis

6. AddmeditationforPFCandTLs

E. PhysicalExercise

1. Walking

2. Weighttraining

3. Bursting

4. Coordinationexercises

F. Sleep,Stress,andMood

1. 7-8hoursofsleep

2. Getsleepapneaassessedandtreated


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3. KilltheANTs

4. Meditation

5. Hypnosis

G. HormoneOptimization

1. Avoidanythingthathurtshormones(bellyfat,sugar,etc.)

2. Hormoneprecursors

3. Bio-identicalhormonereplacement

H. DecreaseInflammation

1. BF4LDiet

2. Omega3fattyacids

3. Sulforaphanes–broccoli

4. Curcumin–curry

5. Carnosol–rosemary

6. Garlic

7. Greentea


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8. Kahweolincoffee

9. Pomegranate

10. Superfoods:maca,cacao,gojiberries

11. NSAIDsbeforeacetaminophen

12. Optimizedoralhygiene,regulardentalcare,electricflosserandtoothbrush

I. BetaAmyloidReducingAgents

1. Sleep–brainwashing

2. VitaminD

3. Curcumin

J. KeepTauProteinsinBrainCells

1. Eliminateriskofbraintrauma

2. Protectyourbrainatallcost

K. BoostBloodFlow

1. Avoidthingsthathurtit

• Stress

• Caffeine


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• Nicotine

• Heart,arterydisease

• Diabetes

• Environmentaltoxins

• Lackofsleep

• Drugoralcoholabuse

2. Dothingsthathelpit

• Stressmanagement(hypnosisandmeditation)

• Water

• Sleep

• Gingko,vinpocetine

• Ginseng,greentea

• Rhodiola

• Arginine

• HBOT,rTMS

L. OptimizeNutrients

1. Anti-inflammatory–omega3s,curcumin

2. Vitamins–B6,B12,Folate(methyltetrahydrofolate),C,D

3. Probioticsforguthealth

4. Bloodflow–gingko,greenteaextract

5. Acetylcholine–huperzineA,bacopa


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6. Antioxidant–NAC,alphalipoicacid

7. Energy–acetyl-l-carnitine,CoQ10,Coconutoil

8. Cellmembranes–PS

9. Stress–ashwagandha,zinc,relora,theanine,magnesiumglycinate,rhodiola

M. WhattoDoNow



3. HowmanyriskfactorsdoyouhavefordevelopingAlzheimer’s?

4. Whatarespecificthingsyoucandotodaytostartdecreasingyourriskforit?





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permissionofLightUniversityortheAmericanAssociationofChristianCounselors.

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