Swimming in the Riptide: An ED Psychiatrist’s Journey

December 9th, 2009

Since 2005, Mirasol and its clients have benefited greatly from the dedicated service of Dr. Sharon Meglathery, a talented young doctor with training in both internal medicine and psychiatry. In the following article, Dr. Meglathery describes her first days at Mirasol, and her voyage from reliance on traditional medical-model treatment to the discovery of the efficacy of holistic treatment of eating disorders.

By Dr. Sharon Meglathery

QEEG Brain MapsI am a traditionally trained, East Coast physician with board certification in both internal medicine and psychiatry. However, when I arrived at Mirasol, I knew little about complementary, alternative or naturopathic medicine, and essentially nothing about holistic treatment of eating disorders. I had been taught that eating disorders were very dangerous and difficult to treat, and that other than fluoxetine (Prozac) for bingeing and purging, off-label use of atypical antipsychotics for irrational thinking and appetite stimulation, and topiramate for appetite suppression, no medications have proven very effective for treating these dangerous conditions.

Arriving with an open mind, I was greeted during my first psychiatric evaluation by a very guarded, hostile young woman who quickly informed me that she had chosen Mirasol because she never again wanted to be controlled or tortured by psychiatrists in a “so called treatment center,” and that there was no way she would take any medication. My floundering attempt to extract any useful information — I had given up on any chance of prescribing anything — was dramatically interrupted by the screeching of another patient who had accidentally sprayed liquid soap into her eye. My attempt to help by providing a bowl of water for irrigation of the eye was immediately rejected as a reckless attempt to cause further harm by infecting the eye. Caring attention from both staff and other patients had little effect on the inconsolable crying which was punctuated by demands to be taken to the emergency room. As I cycled through feelings of helplessness, anger, and frustration, I remembered what had been repeated over and over during my psychotherapy residence: the emotions provoked in the provider by the patient often reflect what the patient is experiencing. My initial impulse to retreat was replaced by intrigue and a sense of challenge. It was going to be very enlightening to see how the other providers worked with these women. It was going to take more than behavioral modification and 15-minute med checks to effect lasting change.

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Neurofeedback: The King of Holistic Treatment

December 3rd, 2009

This is the second article in a series about holistic treatment.   In this article I will discuss neurofeedback which — probably more than any other modality — dramatically illustrates the mind/body connection.

By Dr. Jeanne Rust

Thousands of people have benefited from neurofeedback, a therapeutic training tool that is very effective in the treatment of ADD, ADHD, epilepsy, fibromyalgia, head injury, substance abuse, eating disorders and chronic pain. Not only does neurofeedback alleviate a variety of emotional problems and physical ailments, but it does so without invasive procedures or the need to take expensive and potentially addictive medications.

QEEG Brain MapsNeurofeedback improves the formation of essential neuro-pathways in the brain, actually reconditioning and retraining brainwave patterns. Psychological testing and brain mapping (QEEG) show any abnormalities in brain function. During the training sessions, clients learn to normalize their brainwave patterns through feedback, coaching and practice.

During typical neurofeedback training, sensors are placed on the scalp and/or ear lobes. An EEG unit provides instantaneous audio and visual display of brain wave activity. This “feedback” allows the individual to alter brain activity, increasing or decreasing certain frequencies in order to function most efficiently for the task at hand. The client literally learns how to train the brain to function with greater control and stability through self-regulation.

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One Final Word on Michael Jackson

July 6th, 2009

I absolutely do not believe that there is a place for blame in Michael’s death. I didn’t especually want to write about this, but I find it necessary to clarify a few things.

First of all, Michael was in the public eye from the age of 5. He was abused physically and emotionally by his father throughout his childhood. Make no mistake — emotional abuse can be just as horrible as physical abuse. Physical abuse has a stopping point — a slap or a spanking, and it’s done for the time being. But emotional abuse is like water dripping on a stone. Self-esteem never gets a chance to develop when a person is severely emotionally abused.

Michael’s father telling him what an ugly nose he had over and over was one of the precipitants for Michael’s body-dysmorphic disorder.

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Are Eating Disorders Hereditary?

June 3rd, 2009

Biological Theories and the Development of an Eating Disorder

One of the questions that seems to arise again and again is, “My aunt and my mother had an eating disorder.

  • Is it hereditary?
  • Am I at risk?

The high incidence of eating disorders in families has led researchers to think that there might be a genetic influence in the development of them. Studies have shown that 58% to 76% of the occurrence of anorexia nervosa can be attributed to genetic factors.

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Hospital’s Failings Lead to Graduate’s Death

June 3rd, 2009

A recent article in a British journal, The Haringey Independent, documents the tragic story of yet another young woman who lost her life because the hospital where she sought treatment failed to connect the dots between seriously low body weight and a history of alcohol abuse.