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Integrative Psychiatry

Prescribing Nature: How to Improve Cardiovascular Health Part 1 of 2

Human beings evolved in, and with, nature. How else would we have co-evolved with plants, eating their fruits and spreading their seeds; with microbes, who have taken residence in our guts to aid digestion; or by producing vitamin D from sunlight through our skin?

Yet now, it seems, we humans are largely disconnected from our natural evolutionary states. We spend the majority of our time indoors and separated from the sensory experience of being outdoors. The natural cues of light/dark, temperature, interaction with nonhuman beings, and need for movement are largely eliminated from our lives. Many scientists and clinicians have described how the rejection of our biological nature, this division from the earth, contributes to rising health problems in the United States, identifying root causes from both physiological and psychological perspectives. So what can we do about it? A simple solution might be to prescribe nature. Here’s why.

The Healing Power of Sunlight

Sunlight is required for our body to synthesize vitamin D, a nutrient that is linked to improved cardiovascular and immune health, including lower risk for disease. Exposure to natural light can decrease blood pressure and increase blood flow to tissues. In addition, our brains respond to sunlight, facilitating balance to our circadian rhythms; regulation of our biological cycles influences heart rate, blood pressure, metabolism, and immune function. Greeting the morning sun may support hunger/satiation and sleep/wake cycles. Bonus points for getting exercise, like walking, running, or biking, outside.

Sleeping Outside

Sleeping outside, or at least spending more time outdoors, can also help reset circadian rhythms and improve cardiovascular health. Studies have shown that one weekend camping outdoors syncs the internal clock with natural light-dark cycles, repairing the signals that are shifted due to our consumption of artificial light and tech screens. Sleeping outdoors may enhance sleep quality by reducing exposure to nighttime blue light and noise pollution. Better sleep quality is associated with lower stress levels, harmony of the nervous, endocrine, immune, and cardiovascular systems. 

Thermal Therapy

Heat and cold exposure, such as saunas and cold plunges, have been used for centuries around the world to support physical and mental health. Both heat and cold exposure can have beneficial effects on cardiovascular health; heat and cold have effects on blood vessel dilation/constriction, stimulating the cardiovascular system to hone its homeostatic response (a “good” evolutionary, acute stressor known as hormesis). Heat exposure induces sweating, which may help eliminate toxins and improve circulation. Meanwhile, intentional cold exposure encourages controlled breathing and stimulates the vagus nerve, which plays a crucial role in regulating heart rate and blood pressure. Both heat and cold have profound anti-inflammatory effects. As a bonus, hot or cold therapy may be used as a psychological stress reduction tool. However, given its impact on heart function, temperature-based therapy should be approached with caution and cleared by a physician.

Human-Nonhuman Interactions

Being in nature invites relationship with nonhuman beings. In addition to developing a psychological interconnectedness with the environment, nonhuman beings interact with our bodies in really fascinating ways. First, sitting on the earth will create an opportunity for contact with environmental microbes, which are “old friends” that support the microbiome and regulate immune function. See our blogs on The Microbiome and Social Equity for more detail on this.

A new area of research is investigating the physiological effects of chemical compounds that are released by different plant species. For example, phytoncides are natural compounds emitted by trees and give a forest its fragrance; however, phytoncides also exhibit antimicrobial and anti-inflammatory properties. While little is known about the full range of effects of phytoncides, there is evidence that inhaling these compounds, even in a lab setting, modulates nervous system, immune, and brain activity that seems to enhance physiological health and mood. Forest bathing, the practice of combining mindfulness with being in a forest environment, reduces blood pressure, lowers heart rate, and decreases levels of stress hormones.

Sara Reed, MS, LMFT

Sara Reed is a Licensed Marriage and Family Therapist and CEO of Mind’s iHealth Solutions, a digital health company that provides evidence based and culturally responsible mental health services for underserved groups. As a mental health futurist and clinical researcher, Sara examines the ways culture informs the way we diagnose and treat mental illness. Sara’s prior research work includes participation as a study therapist in psychedelic therapy research at Yale University and the University of Connecticut’s Health Center. Sara was the first Black therapist to provide MDMA-assisted psychotherapy in a clinical trial and continues to engage in ongoing advocacy work around health equity in psychedelic medicine.

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Jeffrey Guss, MD is a psychiatrist, psychoanalyst, and researcher with specializations in psychoanalytic therapy and the treatment of substance use disorders. He was Co-Principal Investigator and Director of Psychedelic Therapy Training for the NYU School of Medicine’s study on psychedelic-assisted psychotherapy in the treatment of cancer-related existential distress, which was published in Journal of Psychopharmacology, 2016. He currently is a study therapist in the NYU study on Psychedelic-Assisted therapy in the treatment of Alcoholism, a collaborator with Yale University’s study on psychedelic-assisted therapy for Major Depressive Disorder and a study therapist with the MAPS (Multidisciplinary Association for Psychedelic Studies) study on treatment of Post Traumatic Stress Disorder with Psychedelic-Assisted Psychotherapy. 

Dr. Guss is interested in the integration of psychedelic therapies with contemporary psychoanalytic theory and has published in Studies in Gender and Sexuality and Psychoanalysis, Culture and Society. He has published (with Elizabeth Nielson, PhD) a paper on “the influence of therapists’ first had experience with psychedelics on psychedelic-assisted psychotherapy research and therapist training” in The Journal of Psychedelic Studies, August, 2018. He is an Instructor and Mentor with the California Institute of Integral Studies’ Center for Psychedelic Therapies and Supervisor in NYU’s Fellowship in Addiction Psychiatry. 

Dr. Guss maintains a private practice in New York City.

Will Van Derveer, MD

Will Van Derveer, MD is Co-Founder of Integrative Psychiatry Institute and Integrative Psychiatry Centers. Dr. Van Derveer was co-investigator on a phase 2 MAPS study of Psychedelic-assisted psychotherapy for treatment-resistant PTSD, and co-authored the publication of this study in 2018. He has also provided Psychedelic-assisted psychotherapy in two MAPS training studies. An active provider of KAP at his clinic in Boulder, CO, he has been teaching others KAP therapy for several years. Dr. Van Derveer contributed a chapter on mescaline in the 2021 "Handbook of Medical Hallucinogens" (edited by Charles Grob and Jim Grigsby). He is co-host of the Higher Practice Podcast.

Dr. Van Derveer regards unresolved emotional trauma as the most significant under-recognized root cause of psychiatric symptoms in integrative psychiatry practice, along with gut issues, hormone imbalances, inflammation, mitochondrial dysfunction, and other functional medicine challenges. He is trained in Somatic Experiencing, EMDR, Internal Family Systems, and other psychotherapy techniques. His current clinical passion is psychedelic-assisted psychotherapy, which he mentors interested doctors in providing. An avid meditator, he has been a meditation instructor since 2004.

For the past several years Dr. Van Derveer has taught psychiatrists and other psychiatric providers integrative psychiatry in a number of settings, including course directing the CU psychiatry residents’ course as well as with Scott Shannon and Janet Settle at the Psychiatry MasterClass.


Scott has been a student of consciousness since his honors thesis on that topic at the University of Arizona in the 1970s under the tutelage of Dr. Andrew Weil. Following medical school, Scott studied Jungian therapy and acupuncture while working as a primary care physician in a rural area for four years. Psychedelic-assisted psychotherapy became a facet of his practice before this medicine was scheduled in 1985. He then completed a psychiatry residency at Columbia program in New York. Scott studied cross-cultural psychiatry and completed a child/adolescent psychiatry fellowship at the University of New Mexico.

In 2010 he founded Wholeness Center in Fort Collins. This innovative clinic provides cross-disciplinary evaluation and care for all mental health concerns. Scott serves as a site Principal Investigator and therapist for the Phase III trial of psychedelic-assisted psychotherapy for PTSD sponsored by (MAPS). He has also published numerous articles about his research on (CBD) in mental health. Currently, Scott works extensively with psychedelic-assisted-psychotherapy. He lectures all over the world to professional groups interested in a deeper look at mental health issues, safer tools, and a paradigm-shifting perspective about transformative care.

Will Van Derveer, MD is co-founder of Integrative Psychiatry Institute (IPI), along with friend and colleague Keith Kurlander, MA. He co-created IPI as an expression of what he stands for. First, that anyone can heal, and second that we medical providers must embrace our own healing journeys in order to fully command our potency as healers.

Dr. Van Derveer spent the last 20 years innovating and testing a comprehensive approach to addressing psychiatric challenges which transcends the conventional model he learned in medical school at Vanderbilt University and residency at University of Colorado, while deeply engaging his own healing path.

He founded the Integrative Psychiatric Healing Center in in 2001 in Boulder, CO, where he currently practices. Dr. Van Derveer regards unresolved emotional trauma as the most significant root cause of psychiatric symptoms in integrative psychiatry practice, along with gut issues, hormone imbalances, inflammation, mitochondrial dysfunction, and other functional medicine challenges. He is trained in Somatic Experiencing, EMDR, Internal Family Systems, and other psychotherapy techniques. His current clinical passion is psychedelic-assisted psychotherapy, which he mentors interested doctors in providing. An avid meditator, he has been a meditation instructor since 2004.

For the past several years Dr. Van Derveer has taught psychiatrists and other psychiatric providers integrative psychiatry in a number of settings, including course directing the CU psychiatry residents’ course as well as with Scott Shannon and Janet Settle at the Psychiatry MasterClass. In addition to his clinical work and teaching, he was co-investigator in 2016 a Phase II randomized clinical trial, sponsored by the Multidisciplinary Association for Psychedelic Studies (MAPS). He continues to support this protocol, now in a Phase III clinical trial under break-through designation by FDA.

Dr. Van Derveer is a diplomate of the American Board of Integrative and Holistic Medicine (ABoIHM) since 2013, and he was board certified in the first wave of diplomates of the new American Board of Integrative Medicine (ABIM) in 2016.