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mental health

What is Integrative Medicine? (aka holistic, complementary, alternative…)

By Janet Settle MD

In the wake our intoxicating 20th century love affair with pharmaceuticals, conventional medicine has become tilted in the direction of pharmaceutical symptom management, some would say band-aid medicine, and away from the direction of addressing the root causes driving chronic symptoms.

Symptom relief is essential in the healing arts but conventional medicine has been slow to adopt and endorse root cause medicine. Why?

Diet and Depression

By Janet Settle MD

In this post, I review A longitudinal analysis of diet quality scores and the risk of incident depression in the SUN Project written by Almudena Sanchez-Villegas et al and published in BMC Medicine on Sept 17, 2015.

Sánchez-Villegas et al. BMC Medicine (2015) 13:197 DOI 10.1186/s12916-015-0428-y

Summary: This study “compares the association of three diet quality scores with depression independent of their micro/macronutrient composition.”

Depression and Perimenopause

What Is the Relationship Between Perimenopause and Depression?

Janet Settle MD reporting on four recent journal articles on depressive symptoms during the menopausal transition.

Depression during the menopausal transition is a hot (flash) topic! Google scholar lists 8730 results for “depression AND menopause” in 2015-16 alone. The findings of past studies have been mixed, but two new studies support the finding that depressive symptoms are more common during the menopausal transition. The definition of menopause is one year without a period. The average age of menopause is 51. The ‘menopause transition,’ during which periods are irregular but not absent, lasts an average of 4 years.

”Between 15% and 50% of women experience depressive symptoms during the menopausal transition; in 15% to 30% of perimenopausal women, they are severe enough to be regarded as a depressive disorder (Toffol, 2015).”