With diet being such a major component in affecting our emotional state of mind, what role does an anti-infl ammatory diet play? There is a new body of research linking infl ammation with depression that I fi nd fascinating. The fact that the mainstream diet promotes infl ammation is why I believe there may be a dietary correlation with the rise of depression in our population.
If someone suffers from depression, would you say the steps recommended in Spontaneous Happiness are a proactive approach or an addition to management through medication? I share information about how to wean off of medication. I’d say the book is primary; for people with mild-to-moderate depression, I would follow the information there fi rst. For people with severe depression, it may be necessary to give antidepressant drugs, but I think that they should be used for a limited period, a maximum of one year. You should then be
working to fi nd other ways to manage the depression. There is specifi c information about what to do if you are on medication and how to wean off of it carefully and start these other methods.
Do you feel that the increase in diabetes in the U.S., particularly its onset in early childhood, is another major problem? Yes, it’s a big concern. I think this is mostly due to the way we’ve changed the food we eat; diet is a hugely infl uencing factor, especially the greatly increased consumption of sugar, sweetened beverages and products made with fl our and refi ned carbohydrates.
How can integrative medicine lower Americans’ healthcare costs? Integrative medicine can help reduce costs in two ways. First, by shifting the focus of health care onto health promotion and prevention, rather than disease management. Most of the diseases we are trying to manage
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today are lifestyle related. This is where integrative medicine shines. Second, by bringing into the mainstream treatments that are not dependent on expensive technology, and I include pharmaceutical drugs in this category. I think we’re going to be forced to
change our dysfunctional approach by economic necessity, because the current healthcare system is not sustainable. Integrative medicine is in a perfect position to do that because of its emphasis on lifestyle medicine. Integrative medicine is also teaching healthcare practitioners to use inexpensive, low-tech methods of managing common diseases. Both economic drivers will help reshape mainstream medicine.
What infl uence can the public have in supporting such
a shift? Our dysfunctional healthcare system is generating rivers of money fl owing into very few pockets. Those are the pockets of big pharmaceutical companies, medical devices manufacturers and big insurers: interests that control legislators. So, I don’t think any real
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