Who Should Use KETO for Mental Illness?
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- Опубликовано: 27 май 2024
- Therapeutic nutritional ketosis can be part of a comprehensive treatment for a broad spectrum of psychiatric illnesses - from anxiety, OCD, PTSD, and mild or moderate depression to Bipolar Disorder, Schizophrenia, Major Depressive Disorder, and everything in between. So, who should consider using therapeutic ketosis to treat mental illness?
In this video, Dr. Bret Scher speaks with Metabolic Psychiatry experts Drs. Georgia Ede and Chris Palmer to help you better understand who may benefit from a ketogenic diet.
Table of Contents:
0:00 - Introduction
3:10 - Interview with Dr. Chris Palmer
7:08 - Interview with Dr. Georgia Ede, Part 1
11:16 - Interview with Dr. Georgia Ede, Part 2
14:05 - Supporting Research
15:50 - Conclusion
16:28 - Outro
It’s important to know that therapeutic nutritional ketosis, or simply starting a ketogenic diet, is a powerful medical intervention that can change your body’s metabolism and dramatically alter brain function, medication levels, sleep patterns, energy levels and other physiologic functions. If you have a psychiatric diagnosis or symptoms, and/or take medications for a psychiatric condition, you should not start a ketogenic diet alone. Instead, you should only consider starting a therapeutic ketogenic intervention with careful monitoring from your healthcare provider or an experienced clinician.
Experts featured in this video:
Chris Palmer, MD - www.ChrisPalmerMD.com
Twitter @ChrisPalmerMD
Georgia Ede, MD - www.diagnosisdiet.com
Twitter @GeorgiaEdeMD
Studies mentioned in this video:
Ketogenic diet and ketamine infusion treatment to target chronic persistent eating disorder psychopathology in anorexia nervosa: a pilot study
pubmed.ncbi.nlm.nih.gov/35997...
Treating binge eating and food addiction symptoms with low-carbohydrate ketogenic diets: a case series
jeatdisord.biomedcentral.com/...
Follow our channel for more information and education from Bret Scher, MD, FACC, including interviews with leading experts in Metabolic Psychiatry.
Learn more about metabolic psychiatry and meet the visionary 2022 Metabolic Mind Award Winners at tinyurl.com/Baszucki-Group
About us:
Metabolic Mind™ is a nonprofit initiative incubated by Baszucki Group. Our mission is to provide education and resources in the emerging field of metabolic psychiatry, including ketogenic interventions for mental disorders.
JOIN OUR MAILING LIST AT metabolicmind.org/
Other resources for Metabolic Psychiatry, metabolic neuroscience and ketogenic metabolic therapy for mental disorders:
Diagnosis Diet - www.diagnosisdiet.com/
New Study: Serious Mental Illness Improves on Ketogenic Diet -
www.psychologytoday.com/us/bl...
The Role of Ketogenic Metabolic Therapy on the Brain in Serious Mental Illness: A Review
www.ncbi.nlm.nih.gov/pmc/arti...
Chris Palmer MD - www.chrispalmermd.com/
Stanford Metabolic Psychiatry Clinic - metabolicpsychiatry.com/
What Is Metabolic Psychiatry? 5 Questions Answered by Dr. Shebani Sethi
med.stanford.edu/news/all-new...
Baszucki Group - baszuckigroup.com/our-work/me...
BipolarCast: Keto + Bipolar youtube channel, Hosted by Matt Baszucki and Iain Campbell, PhD
/ @bipolarcast1133
/ iaincampbellphd
Our channel is for informational purposes only. We are not providing individual or group medical or healthcare advice nor establishing a provider-patient relationship. Many of the interventions we discuss can have dramatic or potentially dangerous effects if done without proper supervision. Consult your healthcare provider before changing your lifestyle or medications.
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#MetabolicNeuroscience
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#MentalHealthIsMetabolicHealth
#BipolarDiet
Im a 51 year old skitzophrenic female who's had this diagnosis since my teenage years, the keto lifestyle has been amazing!
So glad to hear that. Thank you for sharing!
Are you still schizophrenic?
Were you able to go off meds?
I honestly went to a Metabolic Psychiatrist by accident because it was cheaper for me… and it’s changed my life!
Where do you find that?
My husband and I have been following the information from Metabolic mind for several months now. It was a revelation to me that lasting healing is possible through the ketogenic diet. I have had bipolar disorder 2 for decades. I went all in and to my great surprise I was out of the depression after a week. It seemed like a miracle. After 7 wonderful weeks I had a huge setback. I remain faithful to the diet and hope it does its job. Are there people with the same experience?
I am not a physician. Sauna is also a great intervention.
I'm age 50 in perimenopause, bipolar I unmedicated for several years and also keto way of eating for several years. My days regularly range from euthymic to hypomanic, but I experience rage regularly and I can't tell whether the rage is amplified by the hormone changes of perimenopause, the bipolar, the keto, or some combination of all these factors. I love the boundless energy and I don't feel as if I could ever possibly be in a depressive state again. Carbohydrates are extremely sedating, and keto can be extremely elevating. The most important thing for me maintaining stability is a stable lifestyle which I recently heard termed "camp life." For me this is obtainable at home by means of having a job, regular mealtimes (OMAD or 2MAD), regular sleep/wake schedule, no drugs/alcohol, and having a stable home life. I also have to limit caffeine or run the risk of becoming too elevated. Dr. Ede was talking about using medication in conjunction with a keto diet, which I expect could be very helpful for some... but I'll never go on meds again unless I can see absolutely no other choice.
Here's the "camp life" video ruclips.net/video/QDMKOf1J41A/видео.html
Carbohydrate will make you feel sedated if you consume too much. Your blood only can take 1 gram of sugar before it does, so you want a small amount of slow release Carbohydrate to feed your brain, which uses like 20% of energy consumed, without over supplying. You need adequate GABA synthesis to stop racing thoughts, which is what meds really do. You can do it naturally through coping mechanisms, excercise, recovery, diet. The elevated mood leads to lower mood, so if you fix the GABA there will be less of this. If you can't, CBD can help with GABA. Doing the things to help GABA will also help with hormones, which are also a factor in lower mood states. Excercise can also help you remain stable if you choose one you enjoy and you can track gains, if you become manic you will lose gains, if you are somewhat addicted to those gains, and your thinking starts to stray, you will think, hang on a minute this is killing my gains, got to get back on track
@@brucejensen3081 At this juncture I've got zero interest in adding carbs OR cannabis to my lifestyle. I see no benefit to eating a particular small quantity of slow release carbohydrate, when on keto I eat little to no carbohydrate and avoid the possibility of dietary-carb-induced sedating effects altogether. Also, the elevated mood I experience on keto is NOT followed by lower mood. That's really the beauty of it... did you read my entire comment? I mentioned that I don't feel as if I could ever possibly be in a depressive state again, and it's due to my keto way of eating.
@@victorycall the rage must be a bit of a worry though. Increased GABA so less racing thoughts could help
@@brucejensen3081 Yes, the rage is concerning. But with overall stability which has lasted several years, adding a marijuana derivative to the mix just doesn't seem prudent. I do appreciate the advice on GABA and I'll look into other things that might effect it.
I am so excited to discover Metabolic Mind. I am not a professional of any kind but have been advocating the low carb approach for both metabolic diseases like diabetes as well as brain health. Now I have somewhere to refer people for sound information. Bless you all. Namaste 😎🦋
If only there was a way for shrinks to gain "educational points" for learning about "therapeutic nutritional ketosis" ♡♡
Why wouldn’t everyone at least TRY being in ketosis for mental health? There are so many benefits of being in ketosis that even if it didn’t seem to help mentally, it can help in innumerable other ways. Not to mention, you never know what will help unless you try it.
I have complex PTSD from childhood. I am having to change my belief system using EMDR and DBT for emotional regulation. I was gluten and dairy free for over 10 years. I took all grains out if my diet and felt better. I have autoimmune celiacs and hashimoto's. I struggle with depression and anxiety. I am also a codependent. I do struggle with balancing my blood sugar when I am in ketosis. I have tried taking out fruit and eat meat and low carbs veggies. I do exercise. I do struggle with craving sweets. I haven't done EMDR for my carb binging yet.
My decades of crippling depression surely had multiple causal and contributive factors. Obvious factors were social and economic stressors, but I also suspect early toxic exposure. Even so, when I went on a low-carb diet, my depressive funks entirely disappeared. It might've been also that my diet was animal-based and nutrient-dense, as I'm confident that I had nutritional deficiencies or insufficiencies.
I did the same 4 months ago. It CHANGED MY LIFE. No more drug cravings and emotionally stability for the first time in many years.
Thank you!
That's interesting about the anorexia responding well to keto. Perhaps on some subconscious level the anorexic patients are attempting to reach ketosis for relief from their psychological distress
I have bulimia and find fasting gives me peace...must be the ketones giving my mind a break lol
I wish I could stick with the ketogenic diet. I find it really hard in social settings. I also have had various forms of disordered eating since I was a teen. When I'm on keto I find myself feeling deprived of foods I like, and end up massively bingeing on all the wrong foods a few weeks into the ketogenic diet. Also, the first couple of weeks starting keto I get so depressed, to the point I can barely function.
Those are all really good points. I would suggest working with an experienced coach or dietitian to help you get started. They may be able to help troubleshoot some of the potential pitfalls. Try diagnosisdiet.com/directory or www.dietdoctor.com/low-carb/doctors to see if you can find someone to work with.
I have the same experience. There is so much cheerleading for the keto diet but people don't talk about the difficulty of sustaining the diet or what happens if you can't sustain it. Even in Dr. Palmer's trial that he cites I think half the people couldn't stomach the diet.
Maybe you can give the Modified Atkins diet or low-glycemic index diet a try. These produce ketones as well, maybe not as much, and are not as restrictive.
@@winston4514 If you eat meat/fish /eggs /butter ,you could try a Carnivore diet .Its still a ketogenic diet , but you can eat more food like beef with protein that fills you up. look up Shawn Baker for ytube videos about it.
You should probably start with a mindshift exercise. Doing intermittent fasting will boost your will power. It's obvious you are rewarding yourself, comforting yourself with food. This is NOT what food is, it is fuel not entertainment or whatever other band aid you feel you need.
Great info 👍
Thanks for all you are doing in this area! We have helped advocate for our son who has bipolar 1, he is now on just lithium. Our health care provider will not help him transition off. I know you can’t say for certain, but I was wondering if you she seen success starting the ketogenic diet with individuals on lithium, who have been able to eventually taper off? Thanks so much!💕
Hi Cheryl. Thanks for your comment. We have a new video coming soon on this exact topic that goes into much greater detail, so stay tuned!
But the quick answer is that adjusting medications is a very individualized process that some have had success with when done under the guidance of an experienced clinician. But we can't stress enough how individualized the approach is. Hopefully our upcoming video will help with this question even more!
@@metabolicmind ok, that sounds great! I’ll be watching for your new video for sure!👍👍
I have a 31 year old daughter who has schizoaffective (schizophrenia/bipolar) and I would love for her to try keto but unfortunately she is in a mental healthcare center now & although they would allow her to eat vegan, they will not do the same for keto. This place is nice enough, but it's like a prison only prisoners have more rights.
My daughter is in the exact same situation. When she first arrived, I spoke to the doctor about this and he basically scoffed at the notion of nutritional ketosis. I've sent the medical team at least a dozen research articles supporting this theory, but they won't budge. The doctor said, "Don't you think we would implement this if we thought it would help?" Obviously they wouldn't! They just keep pushing more meds on top of more meds despite my pleas. They are slowly killing her.
@@vickichesterfield4308 I share your heartache and frustration. My daughter will be 32 in a couple of weeks & has lost all of her young adult life to mental illness (schizoaffective), taking all manner of potent psych meds. The hard thing is that for a mentally ill patient to do well on keto requires a doctor who is actively dedicated to using keto unlike the doctors for the rest of us who would simply agree with us just try keto out on your own. Plus, just pushing meds is what most of them do because it's easy compared to the work of treating mental illness with a ketogenic diet. Also, today there is a shortage of psych doctors. Best of luck to you and your daughter.
@@stevec3872 This is what's so maddening to me. I feel that the inpatient setting would be the ideal place to implement this treatment where they can be monitored and observed by medical personnel. They do this for children and adults with epilepsy in hospitals in the U.S. and all over the world, why can't they also include those with another type of brain illness? I have a friend who has started keto for her son who was diagnosed with sz. She is doing it with the help of an out-of-state dietician and a local doctor who uses keto for epilepsy. He is recovering, so I know firsthand that this works. I want so much to try this with my daughter, the meds do virtually nothing for her and she's gained so much weight. She's miserable and suicidal, that's why they continue to keep her inpatient. She's only 25 and has been battling this for 4 years. I don't understand why these people become doctors if they truly don't want to help their patients or even believe they can get better. Why are they so close-minded about alternative interventions? Maybe we can start an angry parents coalition. Best to you and your daughter as well.
Dear friends, I am a case worker who is currently working with a client who has schizophrenia. He feels safe working with me, and I would like to introduce the ketogenic diet to him. He is currently unmedicated and not receiving any psychiatric services. He used to have a psychiatrist, but that person left the area and he stopped going to appointments and taking his medications. I'm working on getting him connected to good services. In the meantime, I would like to tell him about keto, but his speech is predominantly tangential. He only has fleeting moments of lucidity. Really want to help this wonderful person. Any thoughts?
Thanks for your comment. That is a tough one as it sounds like your client would likely benefit from working with an experienced psychiatrist to help establish more stability. I would suggest starting with Dr. Ede's clinician directory to see if you can find a psychiatrist to help. www.diagnosisdiet.com/directory
@@metabolicmind Excellent! Thanks so much.
Usually in this case you would put the fire out with medications that are needed for his illness... BUT once you have him calmed down and more himself THAN you can still keep him on the meds for now but also have him do the keto diet.... than after a few months he should feel improved and you keep up the diet and than think of slowly taper the meds off.. so I would get him into a psychiatrist first and have him on meds to stabaloze him than heal his brain with the keto diet
I would get him eating low carb asap. He's suffering. He WILL feel a relief with low carb high fat. Go from there. He's lucky to have you no doubt!!!
Do I need to detox/heal my gut lining before I start keto?
I have a brother who is schizophrenic for more than 20 yrs now. He is 51 yrs old now. Could you open a clinic here in the Philippines?
Hi there, you can check out www.diagnosisdiet.com/directory to see if there is a clinician near you for treatment options.
Can anyone help? I lift weights, could i possibly up my net carbs to 40 to 50 grams a day on a lifting day/gym day 3 days a week then go back down to 20 net carbs a day? Would that work, i find weight lifting helps my b.p.d and psychosis x
What is difference between ketogenic diet and fasting induce ketosis? As per mental health concern
Nutritional ketosis is sustainable long term whereas fasting is only intermittently possible. Plus in theory, the nutritional fat from a keto diet may be beneficial.
Using a Keto Mojo..what number should our ketones be to be in therapeutic ketosis? Thanks!
That may differ for each individual. Some, like Dr. Palmer, usually recommend around 1.5 mmol/L. The study by Dr. Iain Campbell suggested above 2 mmol/L may provide more benefit. And others have seen benefit at values above 0.5 mmol/L. So it may take some experimentation to find the target range for each individual.
@@metabolicmind thank you. That's really good info to know.
I found my aneity got extreamly worse when I am in nutrional ketois. I still do low carb but stay just above ketois thershold. I believe ketois puts extra stress on my body that I'm not able to tolerate.
Same here what do you think is the reason
Hey, mine got some what worse but as I continued the diet it went away. Please just keep going with the diet. Talk to people, eat more fat, get some sun shine and fresh air. But there is relief.