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One of the world's leading psychopharmacologists, Robert J. Hedaya believes that the treatment should not be worse than the disease, especially in the case of depression and other physical disorders often treated with antidepressants, such as bulimia, migraine headaches, and PMS. He believes he's found a solution for the 20 million Americans who take antidepressants and find the illness is no longer so much of a problem, but that its symptoms are replaced by debilitating side effects, such as weight gain, lethargy, and sexual dysfunction. Dr. Hedaya says there's no need to learn to live with these problems and has developed a plan to combat them using nutrition, exercise, stress reduction, and hormone supplementation that he says can actually enhance the effectiveness of many antidepressant medications. Where many doctors tell their patients to stop complaining about side effects and be thankful the depression has subsided, Hedaya believes in a holistic approach to treatment, one that fills the patient with vitality, improves self-esteem, keeps sexuality intact, and even helps bring more passion and spirituality to one's life.
Hedaya's plan is designed to bring positive results quickly. A five-day "jump start" includes a regular sleeping schedule; daily aerobic exercise and strength training; the elimination of coffee, chocolate, refined sugar, and alcohol; and a diet with plenty of protein, fruits, and vegetables, with every meal and snack mapped out (vegetarian options are included). The jump start is designed to keep food cravings and mood swings at a minimum while regulating levels of cortisol, a stress hormone.
The "real" plan, which Hedaya says needs three months to fully kick in, would make anyone feel better, whether taking antidepressants or not, but also includes specific supplementation for deficiencies commonly found in those who take antidepressants. "At least 70 percent of the patients who come to me with 'treatment-resistant' depression actually have some sort of nutrient deficiency--such as low levels of fatty acids or zinc," he says, which can lead to a deficiency of serotonin. This deficiency prevents SSRIs (selective serotonin reuptake inhibitors, such as Prozac and Zoloft) from working. He also recommends an "adrenal stress index," detailed tests for hypothyroidism, an organic diet free of hormonally treated foods, liver detoxification, and food-sensitivity testing. For his patients having problems with sexual side effects, he advises a change of medications (with a doctor's supervision), experimentation with certain herbs, and simple alterations in the time of day the medicine is taken. While Hedaya's program is time-consuming and some of the tests may be expensive for the uninsured, it's empowering, delivered with much empathy, and has proved effective for hundreds of patients. --Erica Jorgensen
From Library Journal
The number of Americans currently taking antidepressants exceeds 25 million. While these medications provide most people with relief from their mental or physical disorders, nearly 80 percent report significant side effects. Psychiatrist/psychopharmacologist Hedaya, long attuned to this problem, developed a program for his patients that alleviated these adverse effects. Here he presents his regiment of a balanced nutrition and exercise plan, along with guidelines for relaxation, play, and spirituality, for patients to follow in consultation with their doctors. His detailed plan requires a great deal of work on the patient's part, but it may, as the author promises, "give you your life back." A worthy complement to Andrew Morrison's The Antidepressant Sourcebook (LJ 11/1/99), which presents extensive state-of-the-art information about some specific medications; recommended for psychiatry, psychology, and consumer health collections.
-Linda M.G. Katz, MCP Hahnemann Univ., Philadelphia
Copyright 2000 Reed Business Information, Inc.
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