Treating the Cause; A Naturopathic Approach to Healing with - PowerPoint Presentation

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Treating the Cause; A Naturopathic Approach to Healing with Psychosomatic Medicine

Tia Trivisonno ND, MSOM, LAcNYANP 2016Slide2

The Mind-Body Connection

The lotus blossom symbolizes the Enlightenment out of the sea of the subconscious into the brilliant light of the knowledge of the true Self. Slide3

About Dr. Trivisonno

Graduate of the National College of Natural Medicine where she earned her Doctor of Naturopathic Medicine and Masters of Science in Oriental Medicine degreesCurrently resides in New York City, practicing with Dr. Michael Gurevich MD at Holistic MD in Glen Head, Long IslandSpecializes in the gut-brain connection, chronic illness and mental health

Certified in Nambudripad’s Allergy Elimination Technique, NAET™

Certified in the Bioresonance Analysis of Health, BAH™

Receiving advanced training in Autonomic Response Testing, ART™, and Neural Therapy

Member of the American Association of Naturopathic Physicians and Director of the Board for the New York Association of Naturopathic Physicians, NYANP

Holistic MD: 997 Glen Cove Ave, Glen Head NY 11545

516-674-9489

www.holisticmd.org

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Overview & Learning Objectives

Working to change the paradigm in the diagnosis and treatment of mental illness and chronic diseaseThe issues we face

: Increased

diagnosable mental

illness, an epidemic of chronic disease, over prescribing and

the

urgent

need for holistic naturopathic intervention!

Fact versus fiction

: The medications - what the public has been lead to believe vs. what the research actually shows

Factors involved in the global epidemic of chronic disease

: increased toxicity and underlying infections, altered immunity due to loss of beneficial flora, chronic inflammation

Treating the

cause

:

The Gut-Brain axis, the microbiome, stress response & the vagus nerve, dealing with our emotions

Individualized treatment: Holistic Psychiatry

and the natural approach, cases & testimonials Slide5

A Growing Epidemic of Mental Illness with a Trend of Medications from the Womb to the Grave Slide6

The Paradigm of Psychiatry Under the Microscope

Key issues to consider in the treatment of psychiatric care:The biology of mental disorders remains unknownThere is an ever increasing number of diagnosed, partly due to changes in diagnostic criteria over the past few decades… losing our sense of “normal”

Medications may induce certain symptoms or disorders they are meant to treat

Long term use of psychiatric medications perpetuates the chronicity of mental illness as well as side effects associated with other diseasesSlide7

Understanding the Current Paradigm

For the past 60 years our thinking about mental health has been largely determined by the Diagnostic and Statistical Manual of Mental Disorders, DSMThe disease model: In the 1980’s there was a movement within psychiatry to label mental illness as a

biological disease

with an underlying etiology that could be traced to a chemical imbalance. Slide8

The DSM-V“Abandon Hope, All Ye Who Enter Here”Slide9

The Current Paradigm

What we as a society currently believe:A survey done in 2006 showed that > 80 % of Americans believed mental illness was caused by a chemical imbalance in the brain

Mental illness could

therefore be

treated with medications that could potentially

correct

these

imbalances

Source: Anatomy of an Epidemic, The History and Science of a Failed

Paradigm of Care, Robert Whittaker, April 2016Slide10

A Lack of Scientific Evidence for this Claim

“We have hunted for big simple neurochemical explanations for psychiatric disorders and have not found them.”--Kenneth Kendler, Psychological Medicine, 2005

“

Elevations or decrements in the functioning of serotonergic systems per se are not likely to be associated with depression.

”

-

-NIMH, 1984

J. Maas, “Pretreatment neurotransmitter metabolite levels and response to tricyclic antidepressant drugs.” Am J Psychiatry

141 (1984): 1159–71.

“There is no clear and convincing evidence that a monoamine deficiency accounts for depression; that is, there is no real monoamine deficit.

”

-

-Stephen Stahl,

Essential Psychopharmacology,

2000

Source: Anatomy of an Epidemic, The History and Science of a Failed

Paradigm of Care, Robert Whitaker, April 2016Slide11

The Current Paradigm of Diagnosis

“Disorders” like anxiety, depression, and ADHD are a list of symptoms rather than a biological process.The DSM is black and white, allowing for only “normal” or “disordered.”

The DSM V has widened the diagnostic criteria for mental illness creating a state of

hyperinflation

of diagnosed mental illness and a “national drug overdose” of medications.

~Allen Frances, M.D. Saving NormalSlide12

When Normal becomes Diagnosable…Slide13

Chronic Disease & Mental Illness, the Meds

Manic-Depressive Disorder (now Bipolar) used to be a rare

condition

The conventional approach to treating

Bipolar

Disorder involves

life-long medications management

with side effects that may promote obesity, diabetes, hypothyroidism and kidney disease, perpetuating an overall trend toward chronic ill health The DSM IV had a separate diagnostic category for people with Manic Depression who had been treated with antidepressants

Every year that a person is treated for depression with antidepressants, the statistical chances for a manic episode “mood switching” increases cumulatively, it

occurs in approximately 6% to 8% of patients with unipolar MDD who receive treatment with an

antidepressant

Source :

//www.psychiatrictimes.com/bipolar-disorder/switching-mood

-depression-mania-antidepressants#sthash.EfrqiFzd.dpufSlide14

The Meds…Oppositional Tolerance

Chronic administration of psychiatric medication disturbs neurotransmitter functions in a manner that is both substantial and long-lastingThe brain responds to the medication with a series of compensatory adaptations, increases receptors at the post synaptic neuron, in order to respond to the changing environment

After a few weeks the brain begins to function in a manner that is “qualitatively as well as quantitatively different from the normal state”

Hyman

, S.“Initiation and adaptation: A paradigm for understanding psychotropic drug action.”

Am J Psychiatry

153 (1996):151-61.

Anatomy

of an Epidemic, The History and Science of a Failed Paradigm of

Care

Robert

Whitaker, April 2016Slide15

SSRI’s & Antidepressants

Prozac®, Zoloft®, Paxil®, Luvox®, Celexa®, Effexor®, Wellbutrin

®

Not really “selective” neurotransmitters are connected by complex circuitry and function

interdependently

SE include:

akatheisa

, bruxism, tardive dyskinesia, dystonia, overstimulation of the nervous system to the point of psychosis/mood switching, depression & suicide.

Slide16

Are Antidepressants a Solution for Depression?

Anatomy

of an Epidemic, The History and Science of a Failed

Paradigm of Care, Robert Whitaker, April 2016Slide17

Benzodiazepines & other Sedatives

Xanax®, Valium®, Klonopin®, Ativan®Suppresses CNS function and potentiates the neuronal inhibitory activity of GABASE include: cognitive dysfunction, short term memory loss



confusion and delirium, loss of impulse control including agitation, psychosis, violent behavior toward self or others, rebound

sx

associated with withdrawal from the medication, anxiety, insomnia, depressionSlide18

The Xanax Study for Panic – What was Reported

Anatomy

of an Epidemic, The History and Science of a Failed

Paradigm of Care, Robert Whitaker, April 2016Slide19

What the Data Really Looks Like…

Anatomy of an Epidemic, The History and Science of a Failed Paradigm of Care, Robert Whitaker, April 2016Slide20

Neuroleptics or Antipsychotics

Zyprexa®, Risperdal®, Haldol®, Clozapine®, Geodon®, Seroquel®, Abilify

®,

Thorazine

®

Blockade of D2 receptors, therapeutic window varies

btwn

substancesSE from blockade include:



prolactin levels, extrapyramidal motor disturbances and

akathesia

,

dysphoria

,

cognitive impairments, aggravation of depressive “negative”

sx

.

Other SE include c/v and cerebrovascular mortality, metabolic and sexual SESlide21

Disturbing Statistics,A Call to Action for Naturopaths!

1 out of every 5 U.S. adults uses at least one drug for a psychiatric problem11% of all adults took an antidepressant in 2010

4% of our children are on a stimulant

4% of our teenagers are on an antidepressant

25% of nursing home residents are given antipsychotics Since 2005 there has been an eightfold increase in psychiatric medication use for active duty troops

More emergency room visits and deaths are due to

legal prescription drugs

rather than illegal street drugsPsychiatric medications are now the largest revenue producer for the pharmaceutical

industry

Source: Frances MD, Allen,

Saving Normal

New York, NY: Harper Collins,

2013Slide22

What is the Solution to this Crisis in Care?

A Return to Our RootsThe Principles of Naturopathic Medicine:First Do No HarmIdentify and T

reat the Cause

Prevention

Doctor as Teacher

The Healing Power of Nature

Treat the Whole PersonSlide23

The Healing Power of NatureSlide24

Identify and Treat the Cause

“The origin of brain disease is in many cases predominantly dietary.” ~David Perlmutter MD The Brain Maker

“A well-functioning gut with healthy gut flora holds the roots to our health. And, Just as a tree with sick roots is not going to thrive, the rest of the body cannot thrive without a well-functioning digestive system.”

~ Dr. Natasha Campbell-McBride,

Gut and Psychology Syndrome

, GAPSSlide25

Diet-Microbe Interactions in the Gut

Effects on Human Health and

Disease2015,

sciencedirect.comSlide26

Microbes & the Mind

BACTERIA THAT MAKE BRAIN CHEMICALS Type of bacteria Neural

messengers

Bacillus

Dopamine

, norepinephrine Bifido-bacterium Gamma-aminobutyric acid Enterococcus

Serotonin

Escherichia

Norepinephrine

, serotonin

Lactobacillus

Acetylcholine

, GABA

Streptococcus

Serotonin

Source: T.G. Dinan

et al/J. Psych. Res.

2015Slide27

The Gut-Brain Axis

Bidirectional communication between the CNS and enteric nervous system via the vagus nerveLinks emotional and cognitive centers of the brain with peripheral intestinal functionsMicrobes on the mucosal surface of the intestines modulate the immune response as well as brain development and

behavior

The brain under stress influences the composition of the

microbiota

via the HPA axis

The communication is based neurotransmitters, cytokines, neuropeptides, hormones and growth factors mediating the relationship between the CNS and immune system to maintain

homeostasis Slide28

Purity of Mind & Spirit, the Role of the Gut in Classical Chinese Medicine.

“The heart is the sovereign of all organs and represents the consciousness of one’s being. It is responsible for intelligence, wisdom, and spiritual transformation…the

small intestine

receives the food and further extracts, absorbs, and distributes it throughout the body, all the while separating the pure from the turbid…however decision making is the king’s job. If the spirit is clear, all the functions of the other organs will be normal. It is in this way that one’s life is preserved and perpetuated, just as a country becomes prosperous when all it’s people are fulfilling their duties. If the spirit is disturbed and unclear, the other organs will not function properly. This creates damage. The pathways and roads along which the qi flows will become blocked and health will suffer. The citizens of the kingdom will also suffer. These are the relationships of a kingdom.”

~Qi Bo, The Sacred Teachings. The Yellow Emperor’s Classic of Chinese Medicine 3,000 BCESlide29

Prevention,Nature Cure

Nature Cure Philosophy, Our Naturopathic HistoryEvery acute disease is the result of a healing and purifying effort of nature

The primary cause of germ activity is the

morbid terrain

where they can breed and multiply in the gut

Based on the fundamental principles of nature, it is NOT the goal of the physician to “kill germs” with drugs or vaccines but to purify the organism of systemic toxins, waste, morbid accumulations and disease, which furnish the terrain for development and overgrowth of germs

~ Henry Lindlahr MD 1862-1924Slide30

Nature Cure,

Treat the Whole The original pioneers of the Nature Cure movement in the early 1900’s stressed the significance of the gut brain connection and viewed the body as an energetic, electromagnetic system:

The brain was considered to be the most powerful and active electromagnetic battery in the body, with vital force being transmuted into nervous, intellectual, and emotional energy

Health was dependent on the perfect balance of positive and negative elements derived from the mineral kingdom and largely dependent upon the correct combination of food extracted and assimilated from the gut. Slide31

Body out of Balance,Dysbiosis

DysbiosisModification of intestinal permeability allows for endotoxins to circulate through systemic blood flow

Lipopolysaccharide (LPS) is a potent pro-inflammatory endotoxin on the wall of gram negative bacteria that can alter neuronal activity in the limbic system and activate microglia contributing to chronic inflammation in the CNS and peripheral responses that may trigger cytokine production in the brain

Gut microbiota modulate the differentiation of immune cell subsets to maintain homeostasis between the host and the microbes and regulate the development of lymph

Certain specific bacteria are better equipped to survive in the inflamed gut rather than the commensals that dominate the healthy

individual

Microbiota Regulation of the Mammalian Gut-Brain Axis

(

http://dx.doi.org/10.1016.bs.aambs.2015.02.001)Slide32

Inflammation and Chronic Disease, Loss of Friendly Flora

Source: https

://advancingschizophreniatherapeutics.files.wordpress.com/2015/01/diet.jpgSlide33

Toxicity and the Modern World, our Children

Source: Optimal Kids, Anne Zauderer DC & Ron Hunninghake MDRiordan Clinic, April 2016

Autism

Spectrum

Disorder

: 1 in 68 Children (1 in 42 boys – 1 in 189 girls), in the 1980’s 1 in 5,000

Diagnosed Anxiety Disorder

: 1 in 8 kidsDepression

: 10-15 % of children and teens at any given time

Respiratory Disorders

: 8.3 million U.S. Children

Skin Allergies, eczema

: 9.5 million U.S. children

Diagnosed food allergies

: 6 million U.S. children

Insomnia

: 10 % of kidsSlide34

Holistic Psychiatry

Body & Mind

MD and ND work together as a team

, combing their expertise to treat complicated psychiatric cases who have failed the conventional methods (treatment resistant)

Innovative approach that is patient

specific

utilizing advanced energetic testing methods - Bioresonance

Analysis of Health™ (B.A.H.), Autonomic Response

Testing™

(A.R.T

) based on the principles of quantum physics

Goals of care

: stabilize the patient,

titrate

medications using the natural approach, address the underlying

causes - chronic

infections, toxicity, endocrine imbalance, the nervous system,

immune support/modulation, psychological

trauma and the emotions Slide35

Treating the Causethe Holistic Approach

Chronic infections: Lyme and co-infections, mycoplasma, EBV, dental infections and other viruses or bacteria that disrupt the gut and contribute to toxicity

Address pathology in the gut: IBD, IBS, SIBO, celiac & gluten intolerance, H. Pylori, leaky gut, parasites, food sensitivities

Address

insomnia

Balance the endocrine & nervous

systems

Support and empower the patient to balance emotionsSlide36

Individualized testing Bioresonance Analysis of Health, BAH

™

Creator:

Thomas K. Szulc MDSlide37

Energy Medicine & the Vital Force

BIORESONANCE “The field is the sole governing agency of the particle”

~Albert EinsteinSlide38

Quantum based Medicine is Patient Specific

The field is comprised of waves - constructive interference enhances or amplifies a frequency, destructive interference will negate the frequency Amplify a healing frequency through resonance with an appropriate remedy or negate a frequency in the treatment of diseases like a parasitic or other microbial infectionSlide39

Principles of Classical Chinese Medicine & Quantum Mechanics

The most profound healing occurs when the microcosm, the human being, is in a state of balanced and harmonious expression of the macrocosm, or universeHumanity is a direct reflection of nature and to understand the organizing principles of the natural world serves to benefit

mankind

E

very

event in the universe exists in a state of flux, chaos, or disharmony, seeking harmony and

balance…by

definition the state of balance that is achieved is only temporaryTransformation

is a constant in the natural

world & the

space

where information

is exchanged between two elements plays a vital role in the attainment of

harmonySlide40

Quantum Mechanics and Bioresonance

The Microcosm: the CellThe cell membrane is “a liquid crystal semiconductor with gates and channels” ~Dr. Bruce Lipton It receives information from the environment via biochemical and energetic signaling pathwaysReceptors are antennas that recognize environmental signals and read the milieu

3 factors that block cell signaling pathways are trauma, toxins and the emotions.Slide41

Treating the Emotions to transform suffering & Promote Self-Healing

Teaching our patients to build resilience….

“

No mud, no lotus

”

~

Thich Nhat HanhSlide42

The Emotions of the “Wu Xing” 5 Phase Elements and Balance

Treating the emotions according to Chinese medicineFire: Heart, Small Intestine & Pericardium, Triple Burner - Joy, creativity /AnxietyEarth: Stomach, Spleen- Nurturing/WorryMetal: Lung, Large Intestine - Grieving and letting go/depression guilt

Water: Bladder, Kidney - Awe, humility/Fear

Wood: Liver Gall Bladder - Assertion,

courage, strategy/

Anger, resentmentSlide43

Treating Emotional Conflicts

CHAKRA 1

Independent

Lack of

concentration

Loss

of control

Extremely self-controlled

CHAKRA 2

Hectic

Perseverance

Show of strength

CHAKRA

3

Isolated

Suppressed emotions

Wanting

more

Craving good feelings

CHAKRA

4

Mental overexertion

WithdrawnSlide44

CHAKRA 4

introverted

Apprehensive

Panic, anxiety

CHAKRA 5

Emotional

emptiness, shock

Misunderstood,

victim

CHAKRA 6

Faint-hearted

Self-sufficient

Physical-overexertion

Restless

Tense

Uneasiness, depression

CHAKRA

7

Mistrust

Materialistic

Unwilling to face reality

Wrong thinking

Emotional ConflictsSlide45

Treatment Modalities

All doses are patient specific and closely monitored to tolerance levelHerbs and supplements most commonly used in treating Bipolar Disorder: Amino acids, BCAA, choline bitartrate, lithium orotate, inositol

NAD to titrate patients off certain medications and substances: 100mg/mL – 14mL 1 spray 10mg/nostril or 20mg total; 2-10x/day

*when titrating meds switching to liquid form of med is best whenever available so that process can be gradual

St

john’s

w

ort & sam-E for depression,

GABA, passion flower, lemon balm

for anxiety

Botanical formulas for

detox

Homeopathy and

drainage, UNDA, PSE remedies Slide46

Treatment Modalities

Acupuncture and Neural Therapy to promote homeostasis within the organism via the nervous system plexus’Biomagnet Therapy developed by Dr. Goiz for terrain restorationIV therapy: nutrient protocols, phospholipid membrane support, detox through minor and major autohemolitic therapy, UVB, ozoneThe emotions: Applied Psycho-Neurobiology, Family Constellation therapy, 5 element Acupuncture, homeopathy, Psychosomatic energetic therapy, writing and drawing assignments, counseling Slide47

Case Presentation EM

Pt first PTC in 2010 at age 19 for depression and psychosis. Her issues began in 2008 when she was under a lot of stress completing her honors program and was preparing for a trip to Central America. She was treated with chloroquine x 1 month and also given cipro, 3 months later she hospitalized for psychosis and mania. She was treated with ativan, k

lonopin, geodon, lithium and risperdal

Pt

became more stable after working with Dr. Gurevich but had some persistent anxiety and depression, hx of insecurity and intrusive thoughts

Other factors: Lyme dz, parasites, SIBO, hormonal imbalanceSlide48

Case Presentation EM

Pt tx’d with Dr. Klinghardt’s Lyme Protocol, oral chelation Antimicrobial herbs for SIBO and parasites, Specific CHO diet, NAET™Drainage protocol for hormonal support, homeopathics for acute anxiety/depressionAcupuncture, counseling, Psychosomatic Energetic remedies

Titrated off risperdal with lithium

o

rotate, sam

-

E, amino acid support

One mild relapse that required a short course of medication dt lyme infection which exacerbated anxiety, insomnia and mild psychosis tx’d successfullyPt is medication free since 2013 and has been accepted to graduate school and will be studying natural medicine!Slide49

Case Presentation KF

45 y/o F PTC with a 20+ year hx of G/I complaints including hiatal hernia, reflux with vomiting after meals nightly before bed, delayed gastric emptying, alternating constipation with loose stool and food sensitivities. She has had a full Gastro work up has been told her sx are “all in her head” Celiac and food allergy tests were (=) ROS significant for hypothyroidism, pituitary adenoma and insomnia. Mental health hx significant for psychological trauma. Father was an alcoholic who committed suicide when she was 6. She suffered sexual abuse at age 11 and abused alcohol in her teens and had anorexia and bulimia. She coped with her stress by overachieving.

Meds: synthroid, lexapro for anxiety and depression, pepcid, prilosec and tums

Initially unable to sleep without forced vomiting dt fear she would have reflux in her sleep. Slide50

Case Presentation KF

Pt was tested for SIBO: peak H2 production 31ppmShe began herbal antimicrobial protocol: berberine to bowel tolerance, garlic, soluna protocol for detox support, digestive enzymes, liquid minerals. Vinegar packs for acute cramping and castor oil packs for support. Specific CHO diet - emphasize foods high in vitamin A and take slippery elm bark powder esophageal support Acupuncture and moxa therapy weekly, pt progressed…

Two months into tx pt was hospitalized for an acute viral gastroenteritis and given IV abx

Once pt was stable, resumed tx Slide51

Case Presentation KF

Pts case was further complicated by C Diff for which she was tx’d with vancomycinOnce diarrhea stopped tx was resumed began NAET™ to address food sensitivities and dietary restrictions, bloating and pain improved but vomiting persistent

Pt is referred to Dr. Gurevich for neural therapy to address persistent reflux & use of acid blocking medication

Pt has a “lightning response” with a strong emotional reaction and is able to discontinue tums and H+ blockers and reflux stops

Counseling and acupuncture with moxa and NAET weekly Pts bowel movements have been normal and she has had no vomiting for 11 months. Insomnia is improving, she recently changed her career for the better and has been successfully tapering Lexapro without any rebound anxiety or depressionSlide52

Testimonial

I first came to Holistic MD on the recommendation of a close friend because I had been suffering from gastrointestinal issues for 30 years. Traditional doctors had diagnosed me with gastroparesis, a motility disorder, a hiatal hernia and delayed gastric empting (likely due to an eating disorder during adolescence), had prescribed Prilosec, Tums and other acid blockers, and had recommended a diet comprised of soothing foods (heavy in dairy and carbohydrates). Their treatment plan was not helpful as I still could not digest food, and as a result, I was vomiting twice a day and was underweight. My gastroenterologist, after my second “normal” colonoscopy, finally said he thought it was “all in my head

.”

Dr. Trivisonno spent over an hour with me on my first visit, listening to my story as no physician had ever done. She diagnosed me with SIBO, small intestinal bacterial overgrowth, and recommended a totally different diet, the Specific Carbohydrate Diet. She performed acupuncture on me, a treatment I had tried once before and had abandoned quickly due to a horrible experience. Dr. Trivisonno was gentle and caring, and made me feel at ease. The diet she recommended, along with the herbs she prescribed, eased many of my GI symptoms almost immediately. A few months into treatment with her, I developed c-diff (from a short stay in a hospital for a viral gastroenteritis), and because of her care, managed to cure that horrible infection. Resetting once again, I continued with the weekly acupuncture, feeling stronger and stronger every

week…Slide53

Testimonial con’t

Neural therapy with Dr. Gurevich was another turning point for me. I was still vomiting daily on the SCD diet due to my body’s automatic response to want to push food back up. I finally agreed to try the treatment both Drs. Gurevich and Trivisonno recommended. I had a “lightening response” to my first treatment. It completely eliminated my body’s automatic inclination to push food back up, and I stopped throwing up overnight. I also went off of Prilosec and all acid blockers, and instead, began taking HCL, a stomach acid supplement. It turned out that the advice of traditional doctors had eliminated my body’s natural ability to digest food by eliminating all of my stomach acid! Dr. Gurevich and his neural therapy was the miracle treatment I was looking for, and it changed my life. Probably saved it.

I continue to see Dr. Trivisonno weekly for acupuncture and dietary advice. Her herbal remedies are continuing to help my GI system heal and normalize. I also see Dr. Gurevich monthly for neural therapy to help promote motility in my digestive track, and, now, to treat a longstanding pituitary adenoma I have had for over 15 years. It is my goal to get off my SSRIs and thyroid medication in the near term as my overall wellness improves. I feel confident in the care I receive from Drs. Trivisonno and Gurevich, and I feel “heard” in a way I never imagined I could from people in the medical profession. 02/2016 ~KFSlide54

Thank You!Slide55

References

Banis MD, Reimar. New Life Through Energy Healing The Atlas of Psychosomatic Healing.

Nevada City, CA: Artemis Books, 2008.

Frances

MD, Allen.

Saving Normal

. New York, NY: William Morrow, 2013

Kirchfeld, Friehelm & Wade Boyle. Nature Doctors. Portland, OR: Buckeye Naturopathic Press, 1994

Lindlahr MD, Henry.

Philosophy of Natural Therapeutics

. Essex, England

: The

CW Daniel Company Limited, 1975.

Ni PhD, Maoshing.

The Yellow Emperor’s Classic of Medicine

. Boston, MA: Shambala, 1995

Whitaker, Robert.

Anatomy of an Epidemic

. New York, NY: Broadway Paperbacks,

2010

www.madinamerica.com

www.breggin.com

Psychiatric Drug Facts