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Mental Health Plan for Wildfires-Pandemic-Trumpocalypse

Here in Oakland, more people live on the streets than ever, many of them mentally ill. California is on fire. Our president is a narcissist criminal huckster leveraging his office for profit and destroying the best of our institutions and the environment before he goes down in flames himself. Covid-19 is on track to kill at least a million people worldwide, 20% of those deaths in the U.S.

The world is a dumpster fire.

And yet I feel pretty good.

Over the past few years I’ve developed my mental health plan into a smoothly functioning, robust, anti-fragile system that buoys my mood and protects me from the worst symptoms of depression and anxiety. Of course I’m still vulnerable to the stress of unexpected and negative events, but I’ve learned a lot from weathering a few chronic health conditions, illness and death in the family, job insecurity, parenting difficulties, and all the bullshit mentioned in the first paragraph.

Here’s my current plan, for what it’s worth. Maybe it will help you develop your own system to address your crushing anxiety, dread, and depression.

Ultimate Brain Health Guide (Improve Working Memory, Mood, and Possibly IQ)

Recently a family member asked me for some tips for improving short-term memory. I ended up doing a deeper-than-usual dive into the topic. Some of my findings confirmed what I already knew or suspected, but others caught me by surprise. You know those giant canisters of powder with a picture of a bulging venous bicep on the label? Well, more on that later …

My Anti-Aging Experiment

Finnish sauna (not mine)

My health has suffered ever since Trump was elected. Maybe it’s coincidental, but 2017 was one of my worst health years. My foot was in a cast, I got a staph infection, I suffered from severe hay fever/allergies, gastritis (and possibly ulcers), anxiety and depression, and in the first months of 2018 I had terrible insomnia and gained about ten pounds.

Of course Trump didn’t cause my health issues directly, but the background stress of witnessing a full-blown kleptocracy in action, slowly and surely dismantling health care, environmental protections, and civil rights certainly didn’t improve my health. The additional stress may have been the tipping point, combined with my overcaffeinated lifestyle, too many commitments and responsibilities, genetic vulnerabilities, and simple aging, that flipped me from good health to poor health for a period of time.

Gastritis Healing Tips

For the past few months I’ve been dealing with gastritis and gastric pain, which has put a real dent in my mood, productivity, and general quality of life. I’m recovering, slowly, but this is one of the tougher health challenges I’ve faced.

My gastritis started after a “tummy bug” … some kind of viral or bacterial infection. The more acute symptoms resolved after a few weeks, but despite dietary changes (giving up coffee, booze, and spicy food), I was left with nagging gastric pain. The pain was rarely severe, but it was constant enough to be distracting. My mood worsened, my anxiety increased, and my sleep was often interrupted by burning or even stabbing sensations in my stomach. I tried a number of natural remedies (including turmeric and black seed, both of which have traditionally been used to treat gastritis and ulcers), but nothing was helping much. I’d had similar bouts of stomach pain after a stomach bug in the past, but they’d resolved on their own within a couple weeks, and the pain hadn’t kept me up at night. Time to see the doc’.

You Are Responsible For Your Own Brain Chemistry

Even cats like yogurt.

Even cats like yogurt.

Recently Kia was stressed out, and griping about some first-world-problem (I forget what it was; something along the lines of “my clients want me to do stuff,” or “the internet is too slow”). I gripe equally as much about such faux-problems, but at that moment I was feeling impatient. So I said “Go drink some kefir.”

Now why would I say that?

Most kefir contains live active cultures of lactobacillus rhamnosus, a strain of probiotic bacteria shown to reduce anxiety and increase resilient behavior in mice (and people too). Somehow, this particular bacterium communicates with the brain via the vagus nerve, stimulating GABA neurotransmitter receptors, and blunting the effects of chronic cortisol release. Which can bring a person down a notch.

Kia, who has a particular genius for neatly encapsulating complex ideas into catch phrases, drank some kefir, and came back with the following: “We’re all responsible for our own brain chemistry, aren’t we?”

I had never thought about it that way exactly.

Insisting on responsibility, I think, is different than blaming the victim. We are not all blessed with naturally buoyant mood, high motivation, or even the ability to distinguish our own thoughts from reality. Some people are less able to cope with the stressful, sometimes horrible events that make up day to day life. One person I know is prone to realistic, terrifying hallucinations if he does not take large amounts of antipsychotic medications on a daily basis.

But still, my friend is responsible for his own brain chemistry. Because who else can be?

Friends, family, and society should provide assistance and support for the mentally ill (the Mental Health Parity Act is a huge step in the right direction, and will protect thousands of middle-class families from medical bankruptcy). But in terms of personal responsibility, there is only one person involved. The person who owns the brain.

The principle is the same for serious mental illness or garden-variety blues and anxiety. The workings of the brain, factors that influence mood and motivation, are no longer mysterious. What works for most people?

  • reasonable amounts of exercise
  • adequate, regular undisturbed sleep
  • turmeric (yellow curry) [anti-inflammatory, increase BDNF]
  • probiotics that stimulate GABA
  • adequate dietary omega-3 (fish oil, wild salmon)
  • avoiding foods that wreak havoc with blood sugar, or disrupt/mimic neurotransmitter function (artificial colors, MSG, etc.)
  • limiting (or abstaining from) alcohol and recreational drug use
  • freedom from tyrants/oppressive personalities, or any situation that causes constant, chronic stress (periodic acute stress isn’t a problem)
  • slightly more social contact than you think you need
  • membership in a group that meets regularly
  • spiritual factors (clear conscience, clear life purpose, etc.)

On the other hand an austere life of strict discipline is probably unnecessary for most people (in terms of maximizing mental health). Exercising to exhaustion every day won’t make me happy if I’m socially isolated. A good night’s sleep won’t help if I have to get up and work for an evil sociopath boss (luckily I’ve never had to, but I hear they’re out there).

Chasing happiness and running away from suffering isn’t the point. But I do want to be firing on cylinders, awake and aware and relatively comfortable in my own skin, so that I can attempt to live a rich and meaningful life, with moments of joy and love and passion.

I’m sure I missed something … but you get the point. At this point we should all know what works (if not from clinical research, then from trial and error in our own lives). The trick is doing it day to day; turning knowledge into habits.

So here’s to better living through chemistry (in the healthful sense).

Update Oct. 2015:
Previously on this blog I’ve mentioned the importance of vitamin D in terms of reducing asthma symptoms and improving sleep, but I should also include it on the list of mood regulators in light of Rhonda Patrick’s research.

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