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The Breakthrough Depression Solution [Paperback]

James Greenblatt

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Paperback, 15 Oct 2012 --  

Book Description

15 Oct 2012
In The Breakthrough Depression Solution: A Personalized 9-Step Method for Beating the Physical Causes of Your Depression, Dr. James Greenblatt, a pioneer in integrative medicine and dually certified child and adult psychiatrist, lays out a proven approach to identifying and healing the physical contributors to your depression. Despite the dozens of antidepressants on the market, millions of people who seek treatment for depression fail to find ongoing relief from their symptoms. Others must go through months of medication trials before finding the prescription(s) that works best for them. In The Breakthrough Depression Solution, Dr. Greenblatt uses what he's coined THE ZEEBrA approach to take readers beyond traditional treatment strategies toward healing. Dr. Greenblatt argues that, to treat depression, clinicians must understand the connection between mind and body and start looking at the unique biochemistry of each individual, including physical factors such as nutrition, genetics, hormones, and stress. Finding the right treatment is easier than people think and may be as simple as taking a vitamin or mineral tablet. The author discusses the latest technology and the many tests available to ensure that medications and other treatments are targeted to each individual for the best outcome possible. A chapter describing the tests that patients can ask for empowers readers to get the treatment they deserve.

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overall, Grenblatt has added in a useful way to the voices calling for psychiatry to return to medicine, and see physical causes for physical conditions such as depression. - --Metapsychology, January 2012

About the Author

James M. Greenblatt, M.D., a dually certified child and adult psychiatrist, is a pioneer in integrative medicine who has lectured throughout the United States on the scientific evidence for nutritional interventions in psychiatry and eating disorders. Dr. Greenblatt is the Founder and Medical Director of Comprehensive Psychiatric Resources, an integrative psychiatric practice near Boston. His newly published books, Answers to Anorexia and The Breakthrough Depression Solution, draw on his many years of experience and expertise in integrative medicine. Dr. Greenblatt also serves as an Assistant Clinical Professor at Tufts Medical School. Dr. Greenblatt received his medical degree and completed his psychiatry residency at George Washington University. He completed a fellowship in child and adolescent psychiatry at Johns Hopkins Medical School.

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Most Helpful Customer Reviews on (beta) 4.8 out of 5 stars  9 reviews
11 of 11 people found the following review helpful
5.0 out of 5 stars Solid professional advice based on research 28 May 2011
By Elaine Olmstead - Published on
Format:Paperback|Verified Purchase
Clearly written, strongly advocates testing to see what nutritional deficiencies one has before spending money on supplements you may not need and being treated by a clinician. This is not a do it yourself book but is a significant contribution to the under served area of nutrition and mental health.
12 of 13 people found the following review helpful
5.0 out of 5 stars comprehensive and well-researched 1 Jun 2013
By kareninca - Published on
Format:Paperback|Verified Purchase
This book is EXTREMELY COMPREHENSIVE. If you think that your depression may be due to a nutritional deficiency - and I am very willing to believe that that may be the case for plenty of people in this day of processed food grown in nutrient-stripped fields - this book will almost certainly cover the nutrient that you are curious about. It describes a great number of vitamins and minerals and other items (B12, zinc, low dose lithium, zinc, magnesium, cholesterol, and many, many more), explains their function in the body, describes some of the clinical trials involving the nutrients. and relates the author's experience with specific patients who benefitted from trying that supplement. If you tried to replicate the information in this book by cruising the internet, it would take you a very, very, very long time, and you wouldn't get the sensible overview and clinical experience that the book provides. The writing style is solid; you can tell that it is the culmination of a life's work in this particular field; it does not contain the typos and dumb errors of a book that was just thrown together to make a buck.

Alas, I did not have success trying the supplements described. However, this is not surprising; I come from a very, very long line of very, very depressed people, all of whom ate decent food back when food was not stripped of nutrition by factory farming and processing. Although I am nearly vegan (I already supplemented with B12 and and fish oil and small amounts of cheese in order to avoid ultra low cholesterol levels), I can look at my family and see people who are omnivores who are just as miserable. And, I have success with SSRIs; the problem is that they make me fat and make my blood pressure much, much higher.

I did, however, help an elderly neighbor by giving him zinc, magnesium and B12. He was a wreck - dizzy and trembly. He had been to excellent doctors, including a reputable (albeit useless and unkind) neurologist. Within a couple of weeks of taking these supplements (he stops by daily, so I give them to him) he was much less dizzy and trembly. He lives on breakfast cereal and TV dinners (he is NOT poor!!!!), but I can't change that. I think that the issue for him really is nutritional. None of his doctors were interested in pursuing the nutritional angle, unsurprisingly. They told him to get a cane (!)

One problem with the book, which is really more a problem re the world, is the author's insistence that you work with a doctor and get blood work done in order to properly use the info in the book. Well, that's nice if you still see Dr. Marcus Welby. I have HMO coverage; my physicians are all from developing countries; if a patient hasn't actually slit her wrists she is considered AOK, especially if there is some generic SSRI to prescribe. The HMO does not consider nutritional testing (other than a very few basics) to be something to cover. In my case I could afford to find a private doctor and self-pay, but when you're depressed you aren't really up for that. The reality is that 99.99 percent of people who read this book and do anything with the info, will do it on their own.

The only item that I can add to the book's suggestions is (vegetarian-sourced) creatine. Google "creatine depression" for more info.

The only substance that I think medical science should study for immediate relief of depressed people is prednisone. It helps some people a lot (when used with great care), but there are only a few studies, and it is basically never suggested due to the awful side effects of overuse. However, that would not be the sort of natural item a book like this would cover.

One small complaint: the author considers veganism to be a "fad" diet. He does not consider the possibility that some people are depressed because the world is full of pain and pointless suffering, and that being a vegan is an attempt to improve things. And that it is RATIONAL to be depressed at the sorrow in the world, and it is really quite peculiar that most people can ignore it enough to happily function. However, his focus is on other things, and even an ethical vegan can read this book and likely benefit from it.
9 of 9 people found the following review helpful
5.0 out of 5 stars PsychStudent 28 Jun 2011
By PsychStudent - Published on
"The Breakthrough Depression Solution" is comprehensive and organized in a way that is easy to digest and understand, with patient examples strung throughout the book along with proof of nutritional treatment effectiveness. Dr. Greenblatt's emphasis on the importance of nutritional testing makes one wonder why it's not standard procedure. The arrangement of the chapters is sensible and the way that causes, treatment and results are clearly laid out, gives readers who may be suffering from depression, hope of a life free from the debilitating condition.
5 of 5 people found the following review helpful
5.0 out of 5 stars This book empowers readers 4 Oct 2011
By Reviewer - Published on
Dr. Greenblatt's book, Breakthrough Depression Solution, provides insight into the potential contributors of depression such as nutrition, genetics, hormones, and stress and focuses on a treatment approach that is targeted towards individual biochemistry. By identifying and addressing all the factors that contribute to depression clinicians can begin to treat patients holistically. Dr. Greenblatt also shares a new technology "rEEG" that might help patients identify the medications that are most the effective their unique neurochemistry.

In a day and age where medications in psychiatry has surged and doctors focus more on treating the disease rather than prevention, Dr. Greenblatt's book is a refreshing perspective on how to treat depression with an integrative approach. "In order to treat depression effectively," he argues, "clinicians must understand the connection between mind and body in the genesis and treatment of depression. Each depression, like each person, is unique." To treat this complex disease--the need for individually tailored treatments to address it, Greenblatt proposes what he calls the ZEEBrA approach--emphasizing hormones, zinc, essential fatty acids, exercise, B Vitamins, and rEEG.

It is clear, Greenblatt's embrace of personalized medicine helps empowers readers to get the treatment they deserve.
5 of 6 people found the following review helpful
5.0 out of 5 stars Excellent book 19 Jun 2013
By Amazon Customer - Published on
Format:Paperback|Verified Purchase
As a psychiatrist, this book is written for the average patient as well as for fellow colleagues wishing to quickly learn new ways to help their patients. I have recommended this book to my patients and keep a copy in the office to loan out. I have begun to order more lab tests on patients and most patients with depression or other mood disorder have one or more nutritional deficiency. For psychiatrists wanting to branch out into a more holistic practice or an integrative practice, this is a great place to start. For patients who have struggled with depression and never completely recover, this is a great book to read and bring to the next doctor's appointment.
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