Psychiatrist Transforms His Practice with Keto and Metabolic Treatments
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- Опубліковано 28 тра 2024
- A Harvard-trained psychiatrist introduces metabolic ketogenic diet to his practice with dramatic results in patients' functioning. Cases of treatment resistant major depression, schizoaffective, bipolar, schizophrenia all see major improvement. With over two decades of clinical experience, Dr. Bernstein reports this is the single most effective intervention he has ever used in his practice.
As the Chief Medical Office for Ellenhorn, Dr. Bernstein wants to help other psychiatrists and clinicians learn about metabolic treatments like nutritional ketosis, time-restricted eating, etc. In this interview, he shares his personal journey, clinical experience, and how patients and clinicians can benefit from recognizing the connection between metabolic and mental health.
Metabolic Mind is excited to partner with Dr. Bernstein and Ellenhorn on their conference on November 3rd 2023, in Boston, MA.
Follow our channel for more information and education from Bret Scher, MD, FACC, including interviews with leading experts in Metabolic Psychiatry.
Learn more about metabolic psychiatry and find helpful resources at metabolicmind.org/
Experts featured in this video:
Matthew Bernstein, MD
www.ellenhorn.com/our-team/
/ matthew-bernstein-5743338
About us:
Metabolic Mind™ is a nonprofit initiative incubated by Baszucki Group. Our mission is to provide education and resources in the emerging field of metabolic psychiatry, including ketogenic interventions for mental disorders.
Our channel is for informational purposes only. We are not providing individual or group medical or healthcare advice nor establishing a provider-patient relationship. Many of the interventions we discuss can have dramatic or potentially dangerous effects if done without proper supervision. Consult your healthcare provider before changing your lifestyle or medications.
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#MetabolicNeuroscience
#KetogenicMetabolicTherapy
#DepressionTreatment
#NutritionalKetosis
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#MentalHealthIsMetabolicHealth
#BipolarDiet
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This is the third Harvard psychiatrist I know of who has seen patients benefit enormously on a ketogenic diet. As they say, once is chance, twice is coincidence, and three times is a pattern. You would have to be a fool to deny there is a legitimate pattern of people with mental illness getting better on keto.
Yes. And they were skeptics at first, they only embraced the concept when evidence was indisputable- which gives them amazing credibility!
I’m inspired and hopeful.
If this is a solution it would be great for patients, very bad for pharma.
@@jen1778 True, and even worse for the so-called "food" being pushed by the USDA because it's subsidized. That's why it's so difficult for researchers to conduct a large scale, double blind study on keto for mental health: Imagine if millions of people -- and especially SCHOOLS! -- stopped buying overproccessed "food" like dwarf wheat (which has only been in the human diet since the 1970s) and high fructose corn syrup and all the other overproccessed junk. . we'd have a healthier population, both physically and mentally, and the producers of that junk would lose millions of dollars in profits.
Count my daughter's doctor in the pool of fools. I've talked to him ad nauseum about this topic and have sent at least a dozen research articles to his medical team. He thinks it's all anecdotal and refuses to put it into practice.
@@vickichesterfield4308run away from him
Wonderful, hopeful video. I am a clinician - Licensed Professional Counselor - in Fayetteville, Arkansas. Having been in private practice for over 30 years, I have seen many people overcome anxiety and depression by changing their diet. I am always amazed at the physical and mental/emotional changes that come with a ketogenic diet. I am 70 years old and had put on some weight over the years - become physically and mentally sluggish, even though I have been on low-carb (50-60 grams a day) for many years. At the beginning of COVID lockdown (2020) I started OMAD with 30grams or less of carbs a day. Within a few weeks my energy was amazing! A skin rash around my eyes that I have had off and on for over 20 years completely cleared and joint pain that I had attributed to “old age” disappeared. I am a believer!
Well done! You will be an example to those around you! Carbs are everywhere around us, and our culture is built on them. I'm 69 in 2 weeks, and I, too, am trying to avoid carbs, and it's a daily challenge as I work in a natural food grocery store!
A doctor at your age and era its I believe extremely difficult to make such a change!!! Bravo God bless you and keep up. Your words are inspirational.
Are you related to the late Elvis Presley?
❤
That’s wonderful! I did LC years ago and lost weight. I did slowly regain and wish I would have understood that the next step was intermittent fasting. LC plus IF is the key to permanent weight loss and metabolic health. ❤
Fantastic guest! The ketogenic way of eating has changed my life. The first benefit was my chronic pain dissappearing in just two weeks, then the calming of my nervous system and elimination of bipolar II mood swings. Other benefits include weight loss, normalizing of precancerous cervical cells, and near elimination of tinnitus . I have been medication free for 5 years .
Me too. Diabetic Bad cholesterol highCRP. Weight I could never lose though am an exercise freak since 19 yrs old. 69 now. All now optimal since keto & IF for 2+ years now. I thank God for it.
What was causing your chronic pain? I have rheumatoid arthritis. I'm wondering if it can help with my pain and damage?
Amazing! Do eat you veggies as well? And what proteins do you eat?
My dream is to one day hear about in-patient hospitals that use keto for those that are open to it.
Mine, too! bit by bit.
I’m a psychiatric nurse in the US and would love this so much. The food my patients get is so carb heavy and overall just not very healthy.
@@kellyreed3799 my simple hack was to be more vocal about my food intolerances and allergies to soy. The doctor allowed me to have simple food like Bohr's Head hot dogs to be brought in by my partner. The staff would microwave it for me.
We can all hope and it might just happen!
I believe in order to bring a Keto diet to any hospital, etc, is we have to change the recommented diet to a Keto diet. Unfortualy that will take a long time.
Compelling. Thanks. My switch to ketogenic living has helped chronic depression that drugs couldn't touch.
People love to use the phrase, "paradigm shift", so I will use it, too: The Paradigm is starting to shift. Thank goodness! Thanks, Metabolic Mind!
Please keep this science based information content coming, from my experience the vast majority of the general public still see low carbohydrate interventions as dangerous, a fad or just for people who want a six pack. This channel is a great resource for me to share with other clinicians, clients and care givers.
Very interesting but unfortunately he didn't mention what treatments his boys received. It could help a lot of parents to have more details about his boys healing journey.
Keto/paleo diet should be standard in all mental health units.
I have neen researching this and watching lots of interviews from Dr Georgia Ede and Dr Chris Palmer. I wish my daughter's psychiatrist would use nutritional therapy to treat people at least some! And the clinical psychologist we saw this week totally shot me down when I asked about using keto to help treat my daughters schizophrenia and depression. I feel like we are alone in this! All the doctors where i live are nothing more than drug pushers.
Send them some of the shorter videos from this channel that explains it.
And tell them you’d like to try it and to monitor it as you’d like to taper off meds as symptoms improve. Can replace “as” with “if” for their pride 😂
Bold clinician. It takes people like him to heal this broken world.
Wow 🤩 awesome. We are seeing more and more doctors and psychiatrists coming on board with the Keto diet. This is encouraging to see. I’ve seen great results on the Keto diet as well; and weaning slowly off of mood stabilizers with the help of a professional.
I'm on board, I've been on board - even put my info on SMHP!! But I'm finding most of my patients unreceptive (and some of them are getting scolded by their primary care!) one patient even called management and complained about me!
@@wilyliam More work to be done but together, we are going to turn the tide. Thank you for your efforts!
@@jan_ellison_baszucki well I’m flattered by a response from THE Jan Ellison Baszuki! Not to worry, I’ll keep doing what I’m doing… I’m old school Navy trained. 😎
@@wilyliam do you see patients online? I’m looking for a new psychiatrist who supports patients on Keto.
@@michellecronje6476 aw thanks for asking!
In my daily practice, I’m a procedure guy, mainly TMS. (And only licensed in VA/MD/CA.)
I ❤ these educational stories. It’s time to recognize that our health and wellness starts with food. Thanks for sharing!
We want the details about your boys!
Very exciting that more psychiatrists are taking up this mantle. I think it also shows that change comes slow, sometimes it takes multiple bites at the keto apple for it to stick. The first exposure and how great it worked in him was not enough initially for it to stick long term. thank you both for the interview
Thank you so much for this podcast. I have recently been diagnosed with mixed dementia, Alzheimers and vascular. I am desperately trying to gather information. So far a ketogenic diet or a move towards that, appears to be the way forward. I need all the help I can get, to help myself and my family deal with this.
Thank you again.
Thank you for your honesty doctor. I lost a close family member to suicide.... I know he was insulin resistant and hypothyroid from all the psych meds; basically the mental health field failed him... I believe he would still be here today if he was put on a strict keto/ carnivore diet with as few meds as possible... heart broken forever... he was quite young
We are so sorry for your loss. Thank you for sharing your story with us.
motivation for me not to do it when I read this.
The videos put out on this channel are so helpful and will change lives. Please continue the work you’re doing and please find every way to share it. There’s so many suffering, in need of real help. Thank you.
I hope one day the keto treatments can be mainstream, covered by health insurance and backed up by government guidelines! Will there ever be a day!
Im gonna mention the Keto diet to my Psychiatrist on my next visit. This is amazing, I've been on a few psychiatric medications over the past 5 years and would love to able to not need them anymore.
Thank you all for your continued efforts getting the word out that people can take back their own lives. And they can do it safely with their Dr's guidance as more clinicians learn that metabolic health impacts mental health. Dr Gabor Mate challenges us to consider the reverse association as well. His new book is fascinating: The Myth Of Normal. The simple fact I am reading an almost 500 page book today about mental illness is a testament in itself!
Gabor Mate rules!
I do paleo and have, with my doctor's help, been able to reduce both my antidepressant and my antipsychotic in half. Getting the sugar and most carbs out was HUGE in regulating my moods
Have u lost weight whilst taking antipsychotics?
@@catatata5785 yes, but the paleo is a must. If I start eating the wrong carbs the cravings come back
@hedgiegal3340 amazing thank u , it wud appear antipsychotics can't be taken along side carbohydrates. I wish the doctors would tell their patients. Swapping one disease for another. 🫠
Amazing - love the content you are brining!
Love this! Thank you both for sharing!
Awesome thanks for your help to get back to my functional life here in Auckland, New Zealand..
Thanks Thanks Thanks soooo much for this interview 🙏
great video,thanks
This is a very important and helpful channel. Keep up the good work. You are changing lives.
So encouraging. Thank You!!
Thank you. Great info
I found Dr. Scher again! 🎉
This is so helpful :’). Love the interview
Thank you! Just think, Proper Human Diet could change the world.
Yes indeed. Just think Diabetes might become a rare thing. Heart Disease might become unheard of. Mental Illness a thing of the past, and everyone would be healther and stronger. We might also have a longer lifespan. You now which country has the longest lifespan is? it is Hong Cong. Also they eat the most meat and fish in the world.
I ran my genetics report and this is where I'm finding all of this. Do you rec that your patients run theirs? So much info is in there and then correct tx can be administered. Diet is critical in MTHFR mutations which causes serious mental issues. Vitamins diet all alleviate many symptoms. Love this stuff bc it works. Ty!
Thank you 🙏 ❤
I reduced my carbs bigly but still thought that I could handle the carbs I indulged in for over one year.
I was on a semi keto and could not put off the last 4 pounds that I was targeting.
Then I decided to cut on my carbs with a passion.
This was easier than I had imagined.
Still treat myself with a little sugar and carb treat if it is easily "available" , otherwise dont miss the sweets and carbs at all.
I use alot of cucumbers and cabbage as filler to my main omad meal.
Now maintaining my weight between 122 and 124 pounds.
Have no desire for sweets , carbs and fruits.
I love cucumbers for whenever I get a "crunch craving"! Often when I used to eat junk food, it was really the crunchiness I was craving. Chewing stimulates something satisfying, I can't remember the exact description, but for some people crunch is crucial.
Clinicians, please consider a vitamin d 25-hydroxy screening for anxiety. I was having horrible anxiety with electric shock type feelings in my arms, felt like adrenaline flushes. I easily became startled.
My D level was 11. Maybe that test result had to do with obesity?
Anyway, since then I have made home nursing visits to two individuals who said they felt like they were 'crawling out of" their skin. All 3 of us were D deficient, obese, female. Aged 19, 50, and 65. We all got relief from prescription D2.
Was vitamin D all you did differently to experience the changes in your nervous system? Or did you take other things too?
This was an awesome talk to listen to. I am on ketogenic and have been for eight months. My granddaughter who lives with me is turning 15 in a week or two she just got anxiety, she has depression, is suicidal, she has ADHD, and she’s low on the spectrum, and she’s a real picky eater and pretty much survives off sugar and bars like protein bars. She is not eat either that much. I’m trying to figure out how I can get her on a low carbohydrate eating when she’s at this age and just is what she wants, so as you mentioned, when people just aren’t ready they’re not gonna do it but I’m trying to come up with a way to make it feasible for her to start doing something a little bit in the right direction because I think I don’t think I know that that a lot of her problems. She’s been seeing a psychiatrist for probably seven years now and they just keep putting her on more medication and more medication. Now she’s on five medication‘s if anyone has any ideas or other, UA-cam‘s that I could possibly have her watch shout out to me I look forward to seeing that session in November.
You could try www.diagnosisdiet.com/directory to see if you can find a clinician to work with her on nutrition as a primary treatment.
You can help your granddaughter even if she won't go on keto right this minute. Look at Dr Mary Newport on this channel, and she is the author of books and talks about how she helped her husband he went to alzheimer's by treating him with MCT oil without him even understanding it was connected to keto. Good luck. My heart goes out to you and your granddaughter. She's at a very delicate age as far as cooperation goes, but I believe this MCT ketosis can really help her and perhaps save her till she gets more cooperative about changing her diet.
How about a Video of different Supplements for mental health and ketosis
WoW
Hey, lovely interview! Question: how long does it usually taken before mental health gets better after starting the keto-diet? Thanks you for replying!
Many of the clinicians in this field will say that it varies. There are amazing examples of people dramatically improving in days or weeks, but it seems the majority may take 2-4 months to see a full effect.
@@metabolicmind Ok, thank you very much
I posted this in another upload from this channel, but am pasting here also:
Our son is 19 with the same diagnosis. We are trying time restricted eating (7 or 8 hr window) with a largely keto diet otherwise, while keeping high value carbs such as wild rice, sprouted lentils, etc. and various vegetables and blueberries. Perhaps a bit over 50 grams carbs per day, but the breath keto meter shows frequent ketosis. Also using berberine for improving insulin sensitivity. I have a relative living in Clearwater who had terrible triglyceride numbers, until I told him about time restricted eating. After one year, his doctor said she'd never seen such a dramatic improvement in that short a time. He got off heart meds. Note he is someone with his own mental health issues, & continued to smoke, drink and eat pizza! This shows time restricted eating can have massive benefits. If you throw in other things as are discussed in this upload, well I guess time will tell... We are also doing things to feed the gut microbiome like resistant starch, inulin, ground flax and psyllium husk fibers, and are using chicken and cod liver (along with beef liver at times), bone stock, and mushrooms shown as neuroprotective. Also using CBD which has been helpful in treating schizophrenia in the literature, avoiding gluten, and mainly sticking with raw sheep products for dairy. His previous psychotic breaks resulted in hospitalization & were generally associated with high THC consumption. He may have avoided hospital trips had he abstained. At least for now he's continuing to abstain. Also, check out sleeping grounded (earthing), it is an important anti-inflammatory, and a quality of sleep booster. Lastly, our son's room had mild mold issues for years. We suspect mycotoxins played a role in pushing him over the edge with his first and some following breaks. We're using activated charcoal in the morning to sop up mycotoxins now, as well as better air filtration. All food is organic/self-harvested or backyard grown. He does cross country with the school team. Note he has spent several months in hospitals or group home environments a number of times, so his condition was very serious...
While this may all sound like a lot, I simply see it as returning to a lifestyle that many humans have encountered for a majority of our history. We can return to such practices without much extra cost. Peace.
Helpful and motivating conversation, but how to connect with a doctor like Matt? Is there a list o practitioners that acually I can connect with to help my son who is at a very low level on functioning, treatment resistant, and no doctor in Calgary, Canada, practices nutritional psychiatry.
Thank you for your comment. You can try www.diagnosisdiet.com/directory to see if you can find someone. And if you can't find a psychiatrist, it may help to work with a dietician who can coordinate care with your current psychiatrist. We hope that helps!
Good interview, but his comment about ECT and TMS "saving lives" is dubious. Mad in America just posted an article of how informed consent for ECT in the UK is severely lacking. Additionally, the reported long term benefits if ECT are not clinically significant over placebo.
Agree! I fought this when they wanted to do this to my daughter. They didn't tell her that there was a good possibility she would lose her long-term memory. They gave up when I pushed back.
How much MCT oil do you use ?
I was wondering the exact same thing! Interesting paradigm - fasting first and low carb later....
I can't speak for the pros, but as a personal account of what I do: I use MCT powder (Garden of Life because it has the C8 and C10) because of price and I just use 1 scoop as it says on the container. You will probably need to work up to the amount directed though. Just start with a third and use that until you have a few days of no gastric discomfort. Then add a third. Repeat until that's good. Then use the directed amount. It really works. Otherwise you can get nausea and loose bowels. You get adapted to the stuff fairly quickly if your gut is otherwise happy. It can take some people longer to adapt. Enjoy.
@@MichaelBLive Many thanks! what do you think is the best source to read about MCT oil - pros and cons, why it's needed etc.
@@TheShocobo there are so many. Dr Dom D'Agostino is probably the most knowledgeable on the subject from what I can tell.
Any help to your boys?
Must be annoying to spend years learning conventional psychiatry only to find out that it was the food all along.
A lot of them (the Psychiatrists) won’t like it especially if their patients request it. Pharma won’t like it as it will wreck their business model. Interesting times ahead!
Must be annoying to learn that you’re harming patients with drugs while the root cause is not being tackled. Been listening to Dr Georgia Ede and Dr Bret Scher. Confirms my bias against the blunt instruments that pass for medication. Don’t comment to this without going carb free for a month. I’m on week 5, total revolution. No profit made by Pharma.
I mentioned it to my psychiatrist and his ego was immediately triggered.
I love the mention of treating pneumonia with antibiotics - how about stop it happening with probiotics? Too easy?
Just throwing it out there. Might fasting before, during and after chemo help mitigate side effects? Might it do for all* chemo treatment types too?
Wish there were more papers into this..
(Edited some typos..)
I have heard about this. Maybe look up Dr. Thomas Seyfried?
Here's a recent review and meta analysis on this topic.
Nutrients. 2023 Jun; 15(12): 2666.
Published online 2023 Jun 8. doi: 10.3390/nu15122666
PMCID: PMC10303481
PMID: 37375570
Therapeutic Fasting in Reducing Chemotherapy Side Effects in Cancer Patients: A Systematic Review and Meta-Analysis
I just Googled is it safe to do a keto diet while you're also on anti psychotic drugs? I got the answer that for most drugs it's fine, but that it's not safe with abilify which is quite disappointing. That's the one my daughter is on. And I'm really, really wanting to try the keto diet for her.
Although honestly I don't really trust google anyway. I think we're going to ease into it. And I am going to take some papers. I printed off to the psychiatrist and let him know that we are going to do this.
Not trusting Google is probably a good instinct. If possible, I strongly suggest working with a clinician familiar with keto. You can look at www.DiagnosisDiet.com/Directory to see if you can find someone to work with.
@@metabolicmind thank you soo so much! I didn't know where to look for someone for help in this area. I appreciate the link for help!
Hi, Intermittent fasting is the best and safest way to loose weight, which brings many many benefits.
Anxiety is the big one isn't it? And without Anxiety theres no Depression or Schizophrenia, is there.
When I came off MH drugs (Dreadful) Anxiety was the main problem that could have led me back on them again - but I managed with a similar technique to Dr David R Hawkins in his book Letting Go.
If ketosis can reverse mental illness, does that help to find the cause? Is diet the actual cause of mental illnesses? Is all the crap that's in our food responsible?
Good question. It's a complex answer, and while the food itself may not be "the cause," the effect it has on our bodies can start a cascade of events, including metabolic dysfunction, inflammation, mitochondrial dysfunction, etc. that can ultimately lead to symptoms of mental illness. So improving your food intake can help reverse that cascade and ultimately improve psychiatric symptoms. I hope that helps!
yes… it absolutely is the cause…junk food makes people sick… cancer diabetes dementia… all of it mental health is no different…
the roots cause of all modern disease has been identified… it’s grains carbs sugar and so on..
just eat meat fish eggs and butter or just meat frankly
stop prevaricating…. humans evolved eating meat and fat… the ultimate ketogenic diet.
ketosis is the natural state that humans are born into…
every human is born in ketosis… then once they come off the breast they get sick because they are fed modern garbage…
get over it…. psychiatry is on the way out…. the dustbin of history…
I reached out to Elhorn to inquire about the metabolic clinic in Arlington Mass. they quoted $33k a month for 3 months. I responded hoping it was a typo. Would love to help my brother who suffers from schizophrenia 😔
We believe they offer scholarships for those for whom the price tag is too big. You may want to inquire about that.
😮 $33k a month for what? Following a LC diet and IF is free!
Wonder if those diabetics weight loss slym pills 💊 might work similarly. At least to get them started?
I wonder if this diet helped his children. I hope so
Easy to sustain, eat meat and vegetables or vegetables and meat. Very easy
ECT! 😮 you lost me at ect