Integrative approach to the management of depression-migraine complex - a case study
Patient also started experiencing anxiety and depression in 1975. She was put on multiple agents for her complaints. In 2002, she had a seizure while on Wellbutrin, after which her headaches, anxiety and depression subsided for 5 years. Multiple imaging studies and neurological consultations at academic centers in Boston yielded no anatomical abnormality. Patient was on Gaba-pentin, Topiramate, Klonopin, Prozac and Propanolol at the time of presentation to Zanjabee.
An integrative protocol combining acupuncture and massage was developed for the patient, along with an advice for a largely unprocessed diet. Patient had complete amelioration of all her symptoms except insomnia over a period of 6 months. Her psychiatrist was able to wean her off of all her meds except Prozac, over this period. A sleep study showed that the patient had very little REM sleep and in consultation with psychiatry, Prozac was weaned off, resulting in relief from insomnia. Amongst other things, this case highlights the interference of SSRIs with sleep architecture, something that is not always considered while treating insomnia in patients with anxiety and/or depression. Patient continues to do well with a maintenance protocol of acupuncture and massage.
Learning Areas:Chronic disease management and prevention
Describe a successful integrative approach to a complex and chronic condition. Demonstrate effective collaboration between different modalities.
Qualified on the content I am responsible for because: Dr. Pratibha Shah holds a Post Graduate degree in Ayurveda from the prestigious National Institute of Ayurveda, Jaipur, India. She has been practicing Ayurveda for more than 20 yrs and conducts and speaks at Ayurvedic events all year round. With the aim of providing a wider platform for benefits from Ayurvedic principles of healing, she has recently completed Masters in Public Health, International Health, from Boston University School of Public Health.
Any relevant financial relationships? Yes
|Name of Organization||Clinical/Research Area||Type of relationship|
|Zanjabee Integrative Medicine and Primary Care||Case study was recorded here||Employment (includes retainer)|
I agree to comply with the American Public Health Association Conflict of Interest and Commercial Support Guidelines, and to disclose to the participants any off-label or experimental uses of a commercial product or service discussed in my presentation.