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Outline:

Hour 1

  • Provide a simple definition of psychological distress
  • Review the following definitions from the stress literature that include allostasis, and allostatic load/overload
  • Discuss the complicated nature of distilling the many factors that contribute to a patient’s clinical presentation of psychological distress
  • Review common antecedents of psychological distress (i.e., allostatic load/overload), such as adverse childhood experiences, social isolation and/or loneliness, relational discord, financial insecurity/problems, socioeconomic status, unhealthy lifestyle habits (e.g., physical inactivity, insufficient diet, and sleep problems), and poor self-esteem.
  • Describe the stress-vulnerability hypothesis, and how this model underscores the clinical presentation (i.e., symptoms) of psychological distress

Hour 2

  • Review the complexities of the hypothalamic-adrenal-axis with relevance to allostasis, and allostatic load/overload
  • Review common neurobiological findings among patients presenting with psychological distress, including the enduring impacts to the prefrontal cortex, hippocampus, and amygdala
  • Review common biological findings among patients presenting with psychological distress, such as type 2 diabetes and metabolic syndrome
  • Review possible evaluation strategies, such as routine laboratory, genomic, sleep, and salivary testing
  • Describe specific treatment approaches that target neurotransmitters and neurotrophic factors to improve the efficiency of information processing, and recalibrate “malfunctioning” neurocircuitry

As presented at our Live 2020 ND Conference: Mental Health. A complete list of webinars from the 2020 Conference can be found here.

Presented by Dr Jonathan Prousky ND MSc MA RP (Qualifying)