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RichardbBrunner

~ creative arts therapist

RichardbBrunner

Category Archives: Uncategorized

devotion

27 Friday Dec 2019

Posted by RichardB in Uncategorized

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photo, quote

Sogyal Rinpoche, “Real devotion is an unbroken receptivity to the truth. Real devotion is rooted in an awed and reverent gratitude, but one that is lucid, grounded, and intelligent.”

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Types of Depression

25 Wednesday Dec 2019

Posted by RichardB in Depression, Uncategorized

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depression

Whether you’re a college student in the middle of a major slump, a new mom who can’t pinpoint why she’s feeling so glum, or a retiree grieving over the loss of a loved one, that question isn’t an easy one to answer.21789-113979.jpg

But there’s one thing for sure: “It is much more than just a sad mood,” said Angelos Halaris, MD, a professor of psychiatry and medical director of adult psychiatry at the Loyola University Medical Center in Chicago. Symptoms may include everything from hopelessness and fatigue to physical pain. And just as symptoms vary from person to person, so do the actual diagnoses. The word depression is actually just an umbrella term for a number of different forms, from major depression to atypical depression to dysthymia.

The most common form of depression? Major depression. In fact, about 7 percent of the adult U.S. population has this debilitating mental health condition at any given time, according to the National Institute of Mental Health (NIMH).

If you’re experiencing major depression, you may feel and see symptoms of extreme sadness, hopelessness, lack of energy, irritability, trouble concentrating, changes in sleep or eating habits, feelings of guilt, physical pain, and thoughts of death or suicide — and for an official diagnosis, your symptoms must last for more than two weeks. In some instances, a person might only experience one episode of major depression, but the condition tends to recur throughout a person’s life.

The best treatment is usually with antidepressant medications, explained Dr. Halaris, but talk therapy may also be used to treat depression. And there’s good news: An estimated 80 to 90 percent of people with major depression respond well to treatment.

About 2 percent of the American population has a form of depression that’s less severe than major depression, but is still very real — dysthymia.

Dysthymia is a type of depression that causes a low mood over a long period of time — perhaps for a year or more, explained Halaris. “People can function adequately, but not optimally.” Symptoms include sadness, trouble concentrating, fatigue, and changes in sleep habits and appetite.

This depression usually responds better to talk therapy than to medications, though some studies suggest that combining medication with talk therapy may lead to the greatest improvement. People with dysthymia may also be at risk for episodes of major depression.

A whopping 85 percent of new moms feel some sadness after their baby is born — but for up to 16 percent of women, that sadness is serious enough to be diagnosable.5241352878_f53a343088.jpg

Postpartum depression is characterized by feelings of extreme sadness, fatigue, loneliness, hopelessness, suicidal thoughts, fears about hurting the baby, and feelings of disconnect from the child. It can occur anywhere from weeks to months after childbirth, and Halaris explained it most always develops within a year after a woman has given birth.

“It needs prompt and experienced medical care,” he said — and that may include a combination of talk and drug therapy.

Would you prefer to hibernate during the winter than face those cold, dreary days? Do you tend to gain weight, feel blue, and withdraw socially during the season?

You could be one of 4 to 6 percent of people in the United States estimated to have seasonal affective disorder, or SAD. Though many people find themselves in winter funks, SAD is characterized by symptoms of anxiety, increased irritability, daytime fatigue, and weight gain. This form of depression typically occurs in winter climates, likely due to the lessening of natural sunlight. “We don’t really know why some people are more sensitive to this reduction in light,” said Halaris. “But symptoms are usually mild, though they can be severe.”

This depression usually starts in early winter and lifts in the spring, and it can be treated with light therapy or artificial light treatment.

Despite its name, atypical depression is not unusual. In fact, it may be one of the most common types of depression — and some doctors even believe it is underdiagnosed.

“This type of depression is less well understood than major depression,” explained Halaris. Unlike major depression, a common sign of atypical depression is a sense of heaviness in the arms and legs — like a form of paralysis. However, a study published in the Archives of General Psychiatry (now known as JAMA Psychiatry) found that oversleeping and overeating are the two most important symptoms for diagnosing atypical depression. People with the condition may also gain weight, be irritable, and have relationship problems.

Some studies show that talk therapy works well to treat this kind of depression.

Psychosis — a mental state characterized by false beliefs, known as delusions, or false sights or sounds, known as hallucinations — doesn’t typically get associated with depression. But according to the National Alliance on Mental Illness, about 20 percent of people with depression have episodes so severe that they see or hear things that are not really there.

“People with this psychotic depression may become catatonic, not speak, or not leave their bed,” explained Halaris. Treatment may require a combination of antidepressant and antipsychotic medications. A review of 10 studies concluded that it may be best to start with an antidepressant drug alone and then add an antipsychotic drug if needed. Another review, however, found the combination of medications was more effective than either drug alone in treating psychotic depression.

If your periods of extreme lows are followed by periods of extreme highs, you could have bipolar disorder (sometimes called manic depressive disorder because symptoms can alternate between mania and depression).

Symptoms of mania include high energy, excitement, racing thoughts, and poor judgment. “Symptoms may cycle between depression and mania a few times per year or much more rapidly,” Halaris said. “This disorder affects about 2 to 3 percent of the population and has one of the highest risks for suicide.” Bipolar disorder has four basic subtypes: bipolar I (characterized by at least one manic episode); bipolar II (characterized by hypomanic episodes — which are milder — along with depression); cyclothymic disorder; and other specified bipolar and related disorder.

People with bipolar disorder are typically treated with drugs called mood stabilizers.

Premenstrual dysphoric disorder, or PMDD, is a type of depression that affects women during the second half of their menstrual cycles. Symptoms include depression, anxiety, and mood swings. Unlike premenstrual syndrome (PMS), which affects up to 85 percent of women and has milder symptoms, PMDD affects about 5 percent of women and is much more severe.

“PMDD can be severe enough to affect a woman’s relationships and her ability to function normally when symptoms are active,” said Halaris. Treatment may include a combination of depression drugs as well as talk and nutrition therapies.

Also called adjustment disorder, situational depression is triggered by a stressful or life-changing event, such as job loss, the death of a loved one, trauma — even a bad breakup.

Situational depression is about three times more common than major depression, and medications are rarely needed — that’s because it tends to clear up over time once the event has ended. However, that doesn’t mean it should be ignored: Symptoms of situational depression may include excessive sadness, worry, or nervousness, and if they don’t go away, they may become warning signs of major depression.

Research as a graphic novel

17 Tuesday Dec 2019

Posted by RichardB in Uncategorized

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Research as a graphic novel or is it a graphic novel as research. Interesting article from The London School of Economics Impact of Social Sciences blog.

What would be a novel way of engaging people more people with research findings? Academics are wondering if traditional journal articles are still fit for purpose or if an injection of creativity is needed. Go to original post here.

bookies

our food

13 Friday Dec 2019

Posted by RichardB in Uncategorized

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food, photo, quote

Mother Nature clearly intended for us to get our food from the “patty” group, which includes hamburgers, fish sticks, and McNuggets- foods that have had all of their organs safely removed. Dave Barry

 

photo of juicy burger on wooden surface

Photo by Valeria Boltneva on Pexels.com

Testosterone Treatment Accelerates Plaque Build-Up

10 Tuesday Dec 2019

Posted by RichardB in Health, heart, Uncategorized

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plaque, Testosterone

Older men may want to think twice before starting testosterone treatment, based on results of a clinical trial that found testosterone speeds up the development of plaque in the heart’s arteries.

Published in the Journal of the American Medical Association, this study looked at the association between testosterone treatment and plaque build-up in older men. It was conducted in response to recent studies that have raised concerns about the impact of testosterone therapy on heart health.

Some studies have found that testosterone treatment may increase risk for heart events like heart attack and stroke, while others have found no relationship. With a ten-fold increase in testosterone sales in the United States from 2000–2011, experts worry about the potential impact of widespread testosterone use on heart health.

For this reason, researchers conducted the Testosterone Trials, which investigated the effects of testosterone treatment in elderly men with low testosterone. The studies looked at multiple outcomes, such as sexual function, brain function, vitality and cardiovascular risk.

The heart-related trial was conducted from 2010–2014 and included 170 men aged 65 years or older with low testosterone. For one year, half of participants were randomly assigned to active testosterone treatment—a topical gel applied to the arms and shoulders daily—while half received a placebo gel with no active ingredients.

At the start and end of the study, participants underwent a test called coronary computed tomographic angiography, which uses CT imaging to measure plaque build-up in the heart. Plaque build-up is dangerous because it narrows the heart’s arteries and is associated with increased risk for heart disease—the leading killer of Americans.

After analysis, researchers found that men taking testosterone had a greater increase in non-calcified plaque volume during the study period compared to men using the placebo gel. In fact, on average men taking testosterone had a 41mm3 greater increase in plaque volume than those taking the placebo, and this difference was considered statistically significant.

While findings suggest testosterone treatment accelerates plaque build-up in older men, authors do note certain limitations. The study only followed participants for one year, which is a relatively short time period. It also did not assess the impact of plaque build-up on outcomes like heart attack and death, so it’s unknown whether testosterone treatment impacts long-term health outcomes.

However, the study still raises concerns about the safety of testosterone treatment in older men with low testosterone. As a result, experts suggest that patients considering testosterone therapy discuss the risks and benefits with their doctor before making any decisions about testosterone treatment. They also encourage further research on the issue to better understand the association between testosterone treatment and heart health in older men.

Meditation and Pain Management

04 Wednesday Dec 2019

Posted by RichardB in Meditation, mindfulness, Uncategorized

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meditation, pain management

Meditation can relieve pain, and it does so by activating multiple brain areas, according to an April 2011 study in the Journal of Neuroscience. Fadel Zeidan of Wake Forest University and his colleagues scanned people’s brains as they received uncomfortably hot touches to the leg. When subjects practiced a mindful meditation technique that encourages detachment from experience while focusing on breathing, they reported less pain than when they simply paid attention to their breathing. Likewise, different patterns of brain activity emerged under the two conditions, with mindful meditating resulting in more activity not only in executive centers that evaluate experiences and regulate emotions but also in lower regions that control the signals coming from the body.

The volunteers learned the meditation technique in only four 20-minute sessions, which means this pill-free analgesia could be a feasible way to help real patients suffering from pain. “People can reap some of the benefits of meditation without extensive training,” Zeidan says.

When I work with patients using mindfulness I start by asking who has experience with any type of meditation, breathing techniques and/or relaxation exercises. We than have a  brief explanation and question and answer period and I focus on removing any doubt, fear, or skepticism. I usually than do a 10 to 12 minute body scan moving right into a mindful meditation that focuses on the breath.

With the co-occurring patients I work with this process seems to work the best. The chat in the beginning warms people up, the body scan relaxes which helps the meditators enter into a more meditative state.

courage

21 Thursday Nov 2019

Posted by RichardB in Courage, Uncategorized

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Success is not final, failure is not fatal, it’s the courage to continue that counts. Winston Churchill

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people in our world

07 Thursday Nov 2019

Posted by RichardB in Mairead Corrigan, Uncategorized

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amazing, people

“Every day there are people in our world that do absolutely amazing things. People of all ages are very capable of doing tremendous, courageous things in spite of their fear.” Mairead Corrigan

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Ahimsa

06 Wednesday Nov 2019

Posted by RichardB in Uncategorized

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ahimsa, berkeley, peace

Ahimsa (Sanskrit: अहिंसा; IAST: ahiṃsā, Pāli: avihiṃsā) is a term meaning to do no harm (literally: the avoidance of violence – himsa). The word is derived from the Sanskrit root hims – to strike; himsa is injury or harm, a-himsa is the opposite of this, i.e. non harming or nonviolence.[1][2]

storyvoiceAHIMSA BERKELEY is also a San Francisco Bay Area non-profit, nonsectarian foundation. Drawing on both Eastern and Western faith traditions, AHIMSA was founded in 1993 to  mark the Centennial of the Chicago Parliament of Religions.

Our founding dedication is to expanding the role of spiritual awareness in everyday life. To this end, a central goal has been to encourage dialogues on issues which bridge spirituality and various science and social issues –areas of rapidly changing world knowledge and impact. Our offerings include forums, which are free to the public. In them, we seek to focus on the universal aspects of topic areas and to bring to them critical perspectives including those of religious and spiritual philosophies. We believe that the unifying nature and true depth of philosophical experience are to be realized in the cross reflections of multiple perspectives. Go to AHIMSA website.

Providing Food as part of a weight loss program Has Little Benefit

23 Wednesday Oct 2019

Posted by RichardB in food, Health, Uncategorized

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diet, heart disease, overweight

Providing weekly food delivery as part of a weight loss program has little impact on outcomes, based on the results of a one-year study conducted in Toronto, Canada.

Published in the Journal of the American College of Cardiology, this study tested four weight loss interventions in 919 overweight Canadian adults. Roughly half of participants were assigned to one of three dietary interventions, which included dietary advice, weekly food delivery, or food delivery plus dietary advice. The other half were part of the control group and received only a dietary brochure at the start of the study.

All of the interventions promoted current dietary guidelines and the DASH diet, which limits salt intake and helps lower blood pressure. While weight loss interventions lasted six months, participants were followed for one year to track outcomes like weight, waist circumference and blood pressure.

The goal of the study was to see whether dietary advice and/or weekly food delivery helps boost weight loss and reduce cardiovascular risk in overweight adults.

The good news is that all participants saw small reductions in weight, waist circumference and blood pressure at six months. A year after the interventions, participants also had lower ten-year risk for developing heart disease, as measured by the Framingham risk score. However, there were no significant differences in outcomes between groups, which means monthly phone calls and weekly food delivery had no impact on weight loss or changes in cardiovascular risk.

Authors did note, however, a difference in drop-out rates between groups. Participants receiving food delivery were much more likely to stay in the study, with only 9% of participants dropping out of the study by six months, compared to 33% of participants with no food delivery. Participants receiving weekly food baskets plus advice also had consistent increases in consumption of recommended foods like fruits, vegetables and whole grains.

Based on findings, authors conclude that providing food as part of a dietary intervention has little added benefit on weight loss or cardiovascular risk reduction. However, findings also confirm the overall benefits of the DASH diet and general dietary guidelines. As other studies have shown, maintaining a healthy diet promotes a healthy weight, reduces risk for heart disease and improves overall health. Authors hope that with future research, we can improve available resources to help adults achieve both a healthy weight and diet.

See study here at American College of Cardiology.

it’s the courage

22 Tuesday Oct 2019

Posted by RichardB in photo, Uncategorized

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quote

Success is not final, failure is not fatal, it’s the courage to continue that counts. Winston Churchill

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Dancers

15 Tuesday Oct 2019

Posted by RichardB in Dance, Uncategorized

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Martha Graham, photo, quote

Dancers are the messengers of the gods. ~Martha Graham

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small things

10 Thursday Oct 2019

Posted by RichardB in Mother Teresa, Uncategorized

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small, strenght

Do not wait for leaders; do it alone, person to person. Be faithful in small things because it is in them that your strength lies. Mother Teresa

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love deeply

01 Tuesday Oct 2019

Posted by RichardB in cats, dogs, Pets, quote, Uncategorized

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cats, dogs, pets, quote

“Each time you love, love as deeply as if it were forever.” Audre Lorde

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hands

05 Thursday Sep 2019

Posted by RichardB in Quiet, Uncategorized

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Karl Barth, photo, quote

To clasp the hands in prayer is the beginning of an uprising against the disorder of the world. Karl Barth

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Our treasure

29 Thursday Aug 2019

Posted by RichardB in Nietzsche, Uncategorized

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Our treasure lies in the beehive of our knowledge. We are perpetually on the way thither, being by nature winged insects and honey gatherers of the mind. Friedrich Nietzsche

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Self-Care and #Depression

13 Tuesday Aug 2019

Posted by RichardB in Depression, Self-Care, Uncategorized

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depression, wellness

As a clinical psychologist, Mary Pipher, PhD, designed “healing packages” for her patients: activities, resources, and comforts to help them recover from trauma. Then, after Dr. Pipher’s book Reviving Ophelia became a runaway best-seller, she herself suffered from an episode of major depression and designed a healing package of her own. “The essence of my personal healing package,” she describes in her book Seeking Peace, “was to keep my life as simple and quiet as possible and to allow myself sensual and small pleasures.” She created a mini-retreat center in her home and modified the ancient ways of calming troubled nerves to fit her lifestyle. Pipher’s healing package looked like this:

She accessed the healing power of water by walking at Holmes Lake Dam, swimming at the university’s indoor pool, and reading The New Yorker magazine in the bathtub every morning.loneliness1.jpg

She cooked familiar foods, dishes that reminded her of home: jaternice, sweetbreads, and perch; and cornbread and pinto beans with ham hocks.

She unpacked her childhood teacup collection and displayed it near her computer desk to remind her of happy times and of people who loved her.

She reconnected with the natural world by walking many miles every week on the frozen prairie, watching the yellow aconites blossom in February and the daffodils and jonquils in March, following the cycles of the moon, and witnessing sunrises and sunsets.

She read biographies of heroes like Abe Lincoln, and read the poetry of Billy Collins, Robert Frost, Mary Oliver, and Ted Kooser.

She found role models for coping with adversity.

She limited her encounters with people and gave herself permission to skip holiday gatherings and postpone social obligations. She erased calendar engagements until she had three months of “white space” in her future.

She embraced her body through yoga and massage. She started to pay attention to tension in her neck and other cues from her body and let those signals teach her about herself.

msclip-030.jpgShe meditated every day.

These activities were exactly what she needed to emerge from the other side of depression. She writes:

After taking care of my body for several months, it began to take good care of me. My blood pressure improved and my heart problems disappeared. After a few months of my simple, relatively stress-free life and my healing package of activities, I felt my depression lifting. I enjoyed the return of positive emotions: contentment, joy, calmness and new sparks of curiosity and energy. I again felt a great tenderness toward others.

 

Psychiatrist James Gordon, MD, discusses similar healing packages in his best-selling book Unstuck. At the end of his first meetings with all of his patients, he will write out a “prescription of self-care,” which includes instructions on changing diet, advice about specific recommended meditations or exercises, and a list of supplements and herbs. “Among my recommendations, there are always actions, techniques, approaches, and attitudes that each person has told me — which she already knows — are helpful,” he explains. At the end of his introduction, he suggests each reader take some time to write out his or her own prescription. He supplies a form and everything.

Each person’s healing package is unique. Many people have benefited from more meditation and mindfulness exercises, psychotherapy sessions, and therapies like Eye Movement Desensitization and Reprocessing (EMDR) that help unclog the brain of painful memories. Some people do better with more physical exercise and nutritional changes. While mindfulness and meditation have certainly helped many become aware of my rumination patterns, the most profound changes in others recovery  have come from the bags of dark, green leafy vegetables, yoga, and breathing exercises.

It’s empowering to know that we don’t need a doctor or any mental health professional to design a healing package for us. We are perfectly capable of writing this prescription ourselves. Sometimes (not always), all it takes are a few simple tweaks to our lifestyle over a period of time to pull us out of a crippling depression or unrelenting anxiety.

Nature

09 Friday Aug 2019

Posted by RichardB in quote, Uncategorized

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Marianne Williamson, photo

Nature is infinitely creative. It is always producing the possibility of new beginnings. – Marianne Williamson

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Serotonin deficiency may not be linked to depression

19 Friday Jul 2019

Posted by RichardB in brain, Depression, mental health, Neuroscience, Uncategorized

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brain, depression, Mental Health

Depression strikes some 35 million people worldwide, according to the World Health Organization, contributing to lowered quality of life as well as an increased risk of heart disease and suicide. Treatments typically include psychotherapy, support groups and education as well as psychiatric medications. SSRIs, or selective serotonin reuptake inhibitors, currently are the most commonly prescribed category of antidepressant drugs in the U.S., and have become a household name in treating depression.feelings-54.jpg

The action of these compounds is fairly familiar. SSRIs increase available levels of serotonin, sometimes referred to as the feel-good neurotransmitter, in our brains. Neurons communicate via neurotransmitters, chemicals which pass from one nerve cell to another. A transporter molecule recycles unused transmitter and carries it back to the pre-synaptic cell. For serotonin, that shuttle is called SERT (short for “serotonin transporter”). An SSRI binds to SERT and blocks its activity, allowing more serotonin to remain in the spaces between neurons. Yet, exactly how this biochemistry then works against depression remains a scientific mystery.

In fact, SSRIs fail to work for mild cases of depression, suggesting that regulating serotonin might be an indirect treatment only. “There’s really no evidence that depression is a serotonin-deficiency syndrome,” says Alan Gelenberg, a depression and psychiatric researcher at The Pennsylvania State University. “It’s like saying that a headache is an aspirin-deficiency syndrome.” SSRIs work insofar as they reduce the symptoms of depression, but “they’re pretty nonspecific,” he adds.

Now, research headed up by neuroscientists David Gurwitz and Noam Shomron of Tel Aviv University in Israel supports recent thinking that rather than a shortage of serotonin, a lack of synaptogenesis (the growth of new synapses, or nerve contacts) and neurogenesis (the generation and migration of new neurons) could cause depression. In this model lower serotonin levels would merely result when cells stopped making new connections among neurons or the brain stopped making new neurons. So, directly treating the cause of this diminished neuronal activity could prove to be a more effective therapy for depression than simply relying on drugs to increase serotonin levels.

Evidence for this line of thought came when their team found that cells in culture exposed to a 21-day course of the common SSRI paroxetine (Paxil is one of the brand names) expressed significantly more of the gene for an integrin protein called ITGB3 (integrin beta-3). Integrins are known to play a role in cell adhesion and connectivity and therefore are essential for synaptogenesis. The scientists think SSRIs might promote synaptogenesis and neurogenesis by turning on genes that make ITGB3 as well as other proteins that are involved in these processes. A microarray, which can house an entire genome on one laboratory slide, was used to pinpoint the involved genes. Of the 14 genes that showed increased activity in the paroxetine-treated cells, the gene that expresses ITGB3 showed the greatest increase in activity. That gene,ITGB3, is also crucial for the activity of SERT. Intriguingly, none of the 14 genes are related to serotonin signaling or metabolism, and, ITGB3 has never before been implicated in depression or an SSRI mode of action.

These results, published October 15 2013 in Translational Psychiatry, suggest that SSRIs do indeed work by blocking SERT. But, the bigger picture lies in the fact that in order to make up for the lull in SERT, more ITGB3 is produced, which then goes to work in bolstering synaptogenesis and neurogenesis, the true culprits behind depression. “There are many studies proposing that antidepressants act by promoting synaptogenesis and neurogenesis,” Gurwitz says. “Our work takes one big step on the road for validating such suggestions.”

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The research is weakened by its reliance on observations of cells in culture rather than in actual patients. The SSRI dose typically delivered to a patient’s brain is actually a fraction of what is swallowed in a pill. “Obvious next steps are showing that what we found here is indeed viewed in patients as well,” Shomron says.

The study turned up additional drug targets for treating depression—two microRNA molecules, miR-221 and miR-222. Essentially, microRNAs are small molecules that can turn a gene off by binding to it. The microarray results showed a significant decrease in the expression of miR-221 and miR-222, both of which are predicted to target ITGB3, when cells were exposed to paroxetine. So, a drug that could prevent those molecules from inhibiting the production of the ITGB3 protein would arguably enable the growth of more new neurons and synapses. And, if the neurogenesis and synaptogenesis hypothesis holds, a drug that specifically targeted miR-221 or miR-222 could bring sunnier days to those suffering from depression.

no-kill

12 Friday Jul 2019

Posted by RichardB in cats, dogs, Pets, Uncategorized

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cats, dogs, pets

The no-kill movement began two decades ago in the United States, and it has given millions of dogs a second chance; instead of being euthanized, they are matched with families. Wonderful story about how dogs can be loved and given a second chance. Read it or listen to it here:   NPR

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