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Integrative Psychiatry

Nutrition and Mental Health By Mary Rondeau, ND

By August 31, 2020No Comments

Understanding micronutrients and mental health, Dr. Mary Rondeau talks about how we target dietary eliminations and reintroductions.

Understanding reduced caloric intake in fasting and how that might relate to mental health and where food elimination testing might be useful.

Traditional diets which are mostly wholefood based seemed to reduce depression, bipolar and anxiety disorders. Looking at how diet affects are sleep and its connection in our mental health, diets high in fiber are more associated with more restorative and deeper sleep compared to high fat and high carbohydrate diets which negatively affects sleep quality.  This is what causes increase of food intake in odd hours of the night, doing something inactive which ultimately leads to weight gain.

Processed foods make up to 61% of what an average American eats. Which basically means that when looking in the portion of the grocery cart the area where a child sits is the only healthy foods everything else is packaged.

FULL TRANSCRIPT:

We’re gonna talk about micronutrients and mental health and how you target dietary eliminations and reintroductions, understanding reduce caloric intake and fasting and how that might relate to mental health, and where food elimination testing might be useful. If we look at a wide variety of population studies, we see that traditional diets which mean Whole Foods based for whatever culture the study was done in seemed to reduce depression, bipolar, and anxiety.

Traditional diets are often high in vegetables, fruits, whole grains, and fish or meat depending on where the culture is, As said, with Sea Culture versus an inland based culture.

We look at just sleep and the effect that diet has on sleep, and we know the connection that sleep has on our mental health. The connection is quite clear. High fat diets and carbohydrate diets negatively affect sleep quality, diets that are high in fiber are associated with more sleep restoration. When looking at experimental sleep restrictions, these lead to physiological, hormonal, and food behavior changes. If we are not sleeping very well, oftentimes another meal is added. So, if somebody has insomnia and they’re staying up really late at night, usually that person is going to eat another meal if not a snack. And so, we see a increase in food intake, we see a decrease in physical activity. As people are up at odd hours of the night, they’re usually not doing something active and that really affects the whole system. More which leads to weight gain.

As a whole the vitamins and minerals are needed for neurotransmitter synthesis and neuronal function. Our membranes help regulate membrane function. Think about calcium channels, Lithium has one of the longest traditions in psychiatry and we’ll talk about it in its relationship to magnesium.

How bad are diets? Processed food makes up 61% of the foods that Americans eat. That’s basically means that the portion of your cart at the grocery store, only the place where your purse or where your kids sit, is the healthy foods everything else is going to be packaged. This equates to about 1000 calories per day that Americans eat that is grain like based products, sugary drinks, chips and desserts.

So how can we make sure that when we do recommend a dietary change that it is successful? By far, the biggest thing is that when people go to eliminate foods out of their diet is, they don’t take them out long enough. They say I eliminated gluten for one week, or I did dairy for two weeks, that is simply just not enough time to determine if there’s going to be benefit  and one aspect of that is if you’ve ever read any food labels, you will see that dairy and gluten, soy and corn are in everything. So, it oftentimes will take a week or two for patients just to truly become compliant on the diet recommendations and find all the sources that are in their diet. And then one big thing to watch out for is making sure that adequate calories are in the diet if you’re doing any type of an elimination diet because, if someone becomes calorie deficient in that time, oftentimes we can already see increased anxiety or increased agitation  if they’re just not eating enough of the rights stuff.

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.