Substance Abuse Disorder

117 - Loneliness, Plant Protein, and Curiosity- HealthHippieMD Week In Review

Forget Me Not: How Loneliness Affects the Mind

A study published in Nature Mental Health links loneliness to a 31% higher risk of dementia and a 15% increase in cognitive impairment. Drawing data from over 600,000 individuals worldwide, researchers found that loneliness impacts cognitive decline similarly to smoking or sedentary behavior. Experts suggest loneliness might precede dementia or worsen it by reducing social engagement and mental stimulation. Practical interventions, such as strengthening connections, finding like-minded communities, and cognitive-behavioral therapy, may mitigate these effects. With loneliness affecting millions, addressing this “social pain” could safeguard both mental and physical health. Loneliness can increase the risk for dementia, a large study shows - The Washington Post (gift article).

Nest Side Story: From Emptiness to Opportunity

Abandon the Empty Nest. Instead, Try the Open Door. - The Atlantic challenges the term “empty nest,” advocating for a reframe to “open door” to capture the transition parents face when children leave home. While the “empty nest” metaphor emphasizes loss, the “open door” symbolizes possibility, welcoming independence for both children and parents. Rubin reflects on the bittersweet emotions of this life stage, urging parents to see it as a time for self-discovery, new adventures, and deeper connections. This reimagining encourages embracing change with purpose and optimism, making space for grief and growth as parents step back while keeping the door open.

HIPAA-critical Condition

Elon Musk’s suggestion to share medical images with X’s AI chatbot, Grok, has sparked a privacy debate. Users eagerly upload sensitive scans like MRIs and X-rays, hoping for fast, accurate diagnoses. However, experts warn about Grok’s potential inaccuracies and the risks of exposing personal health data outside HIPAA protections. Critics highlight the danger of misuse by third parties, such as insurers or employers. While AI holds promise for healthcare, relying on incomplete tools like Grok is akin to a risky experiment, leaving users vulnerable to ethical and data privacy concerns. Elon Musk Asked People to Upload Their Health Data. X Users Obliged - The New York Times.

UnitedHealth’s Therapy Algorithm Hits Limits

UnitedHealth Group has come under fire for using an algorithm to restrict mental health therapy coverage, targeting patients receiving more frequent care. Deemed illegal in three states, these practices persist elsewhere due to fragmented regulations. United’s cost-saving strategy disproportionately impacts vulnerable populations, including Medicaid recipients, and relies on automated reviews disregarding clinical needs. Internal documents reveal that once designed for life-saving interventions, the algorithm has been repurposed to flag “overuse.” Despite legal settlements, rebranded programs continue scrutinizing care under different names, exposing gaps in mental health parity laws and regulatory oversight. Inside UnitedHealth’s Playbook for Limiting Mental Health Coverage — ProPublica.

Curiosity Doesn't Only Kill the Cat

Curiosity drives humans and machines to learn by balancing novelty and familiarity, creating a “sweet spot” where learning thrives. Neuroscientists and psychologists reveal that curiosity engages reward pathways in the brain, promotes memory retention, and fosters intrinsic motivation. This natural urge, shaped by evolution, pushes us to explore, even without immediate benefits. Experiments in robotics and education show that mimicking curiosity enhances efficiency and engagement, suggesting its potential for AI development and classroom innovation. Understanding curiosity’s mechanisms could transform learning and mental health approaches, proving its vital role in personal growth and societal progress. How the Science of Curiosity Boosts Learning | Scientific American.

Love and Peas: Are Plants Adequate Protein for Seniors?

A simulation study suggests that older adults can safely adopt a diet with up to 60% plant-based protein, maintaining adequate protein intake for health and muscle preservation. Flexitarian, pescetarian, and vegetarian diets provided sufficient protein, but vegan diets fell short, with nearly 83% of participants failing to meet recommended levels. Protein quantity dropped primarily at dinner, while quality deficits appeared at breakfast and lunch, especially in lysine. The study highlights the importance of strategic food combinations to enhance protein quality in plant-based diets for seniors. Limitations include reliance on simulations and specific food replacements.Can Plant-Based Diet Deliver Ample Protein for Older Adults?

Weight, Wait…

Researchers have uncovered a potential reason why weight regain after significant loss is so common: changes in fat cell DNA. These epigenetic changes persist even after substantial weight reduction, altering RNA levels, ramping up inflammation, and disrupting fat metabolism. A study involving humans and mice revealed that these molecular shifts may increase the tendency to regain weight. These findings hint at future treatments targeting the epigenetic mechanisms behind weight regain, offering hope for more sustainable weight loss solutions. As scientists dig deeper, the interplay of biology and environment continues to shape our understanding of obesity. We're starting to understand why some people regain weight they lost | New Scientist

A Healthier Holiday Food Mindset

The holidays bring delicious indulgences, but food anxiety often casts a shadow over celebrations. Enjoy Holiday Food without the Anxiety | Scientific American explores how stress over holiday eating can backfire, harming mental and physical health. Dietitian Sara Riehm emphasizes balance: enjoy treats without guilt by focusing on nutrient-rich options and mindful movement. She debunks myths like “saving calories” by skipping meals and advocating for steady, healthy habits. Her practical strategies—prioritizing unique dishes and avoiding extreme behaviors like cleanses—highlight the importance of planning and self-compassion. Ultimately, the key is to savor holiday moments while maintaining a positive, flexible relationship with food.

How Drugs Derail and Restore Memory Pathways

Researchers at UC San Diego uncovered a shared mechanism behind cognitive deficits caused by drugs like methamphetamine and PCP. Both trigger “neurotransmitter switching” in the medial prefrontal cortex, where neurons shift from producing glutamate to GABA, impairing memory. Surprisingly, heightened dopamine activity drives this switch, and the changes are reversible. Treatments like the antipsychotic clozapine or chemogenetic interventions restored normal brain function and memory in mice. While promising, the findings need further validation in humans, opening avenues for tackling drug-induced cognitive deficits and neuropsychiatric disorders. Neuroscientists identify a reversible biological mechanism behind drug-induced cognitive deficits (Thanks, Amy!)

America’s Sobering Stats on Alcohol-Related Deaths

Alcohol-related deaths in the U.S. have more than doubled since 1999, with nearly 50,000 fatalities recorded in 2020 compared to 19,000 two decades prior. The sharpest increases occurred among young adults aged 25–34, whose rates quadrupled, and women, who saw a 2.5-fold rise. Factors include heightened stress during the COVID-19 pandemic, rising obesity rates, and eased alcohol restrictions. Deaths span various illnesses, from liver disease to cardiovascular complications, with men still at the highest risk. Experts call for increased awareness and interventions addressing alcohol consumption and obesity to curb this alarming trend.Alcohol Deaths Have More Than Doubled in Two Decades, Study Finds - The New York Times (gift article).

+see also: Ozempic May Curb Alcohol Addiction, New Study Finds: Here's Why.

082 - AI Emotional Surveillance, Ibogaine, and the Microbiome of Death - HealthHippieMD Week In Review

NCCIH Guide to Yoga

Yoga is an ancient and complex practice rooted in Indian philosophy. It began as a spiritual practice but has become popular to promote physical and mental well-being. Here is the evidence behind its health benefits: Yoga: What You Need To Know | NCCIH

Daily Uses of ChatGPT

Here is an excellent set of suggestions for using ChatGPT to make your life easier. 10 ways to use ChatGPT in daily life

Baking End-of-Life Conversations into Family Gatherings

How to Make End-of-Life Planning Less Stressful - The New York Times (gift article) explores the importance of end-of-life planning, inspired by the author's family unconventional approach to discussing the topic over a meal. Despite initial reluctance, the gathering provided clarity and comfort, revealing unexpected preferences like her parents' desire to avoid memorial services and her sister's wish for a Starbucks-held ceremony. The article emphasizes the need for open communication, preparation, and regular check-ins to ensure loved ones' wishes are respected and to alleviate future stress. It serves as a reminder that addressing end-of-life matters can be a gift to family members, sparing them from guesswork and chaos during grief.

Microbes Clock In to Solve Mysteries of Death

Scientists have uncovered a consistent network of microbes in decomposing human corpses, regardless of location or climate. By studying 36 cadavers across different environments, researchers found that these critical decomposers, comprising about 20 types of bacteria and fungi, appear predictably during the first 21 days of decomposition. This discovery has the potential to revolutionize forensic science, as tracking the abundance and patterns of these microbes can help estimate the time since death with high accuracy. This microbial clock could be a valuable tool in forensic investigations, providing a more precise determination of the postmortem interval (PMI). However, further research is needed to apply these findings in real-world scenarios, especially in cases where bodies are buried or submerged, which can alter the decomposition process. 'Microbiome of Death' Uncovered on Decomposing Corpses Could Aid Forensics | Scientific American

Sleep Engineering

Recent studies suggest that manipulating sleep could offer novel treatments for mental health issues and memory loss. Techniques like "imagery rehearsal" therapy and sleep-engineering devices aim to reshape nightmares and enhance positive memories during sleep. Researchers have found that pairing specific sounds with positive imagery before sleep and replaying those sounds during REM sleep can reduce the frequency of nightmares and improve overall mood. This approach leverages the brain's ability to consolidate memories during sleep and offers a potential new avenue for addressing conditions like post-traumatic stress disorder, anxiety, and depression. While the technology is still in development and has risks to consider, the potential for sleep engineering to provide effective and non-invasive treatment options is promising. Stimulating the Sleeping Brain Could Help Heal Memory Loss or Mental Health Problems | Scientific American

Mind Matters: p-Factor of Mental Illness

Mental illnesses often display a perplexing overlap, challenging the traditional diagnostic boundaries set by the DSM. This phenomenon is exemplified by the case of a Ph.D. student with schizophrenia whose family members suffer from a range of psychiatric conditions. Researchers attribute this overlap to a concept known as the "p factor," a general psychopathology factor that suggests a shared genetic predisposition to various mental disorders. Evidence indicates that about 40% of the risk for mental illness can be explained by this factor. This has led to a call for reevaluating diagnostic classifications and treatment approaches, advocating for a focus on commonalities rather than distinct categories. The pursuit of understanding the p factor involves exploring genetic correlations, brain structures, and psychological traits to develop more effective, generalized treatments for psychiatric illnesses. However, the concept remains contentious, with critics questioning the statistical models used to justify the p factor's existence and suggesting that mental illnesses may fall into broader categories rather than sharing a common set of features. Why Do So Many Mental Illnesses Overlap? | Scientific American

The Psychedelic Potential of Ibogaine

Ibogaine, a natural psychoactive compound derived from the iboga tree's bark, is gaining attention for its potential in treating addiction, PTSD, and brain injuries. Despite being illegal in the United States, it has shown promise in small studies for reducing opioid dependency and cravings. The drug's mechanism is believed to involve neuroplasticity, allowing patients to reevaluate their behavior and trauma. However, its legality is a barrier to access, and it carries risks of fatal cardiac arrhythmias. Ibogaine's treatment experience is intense, often involving confronting past traumas. While some studies, particularly in Brazil, support its anti-addictive properties, the lack of large-scale clinical trials and its cardiac risks make FDA approval unlikely soon. What to Know About Ibogaine, a Psychedelic - The New York Times (gift article).

Feelings Under Surveillance

The article Emotion-tracking AI on the job discusses the growing use of emotion-tracking artificial intelligence (AI) in the workplace, which analyzes biological signals and computer usage to infer employees' emotions. Despite claims of benefits like improved well-being and productivity, workers express concerns about privacy, bias, and the potential for inaccurate or unfair employment decisions. The technology, often seen as flawless by employers, has been criticized for its scientific validity and reliance on contested theories of emotion. The study highlights the additional emotional labor imposed on workers, who must mask their true feelings to present favorably to the AI, exacerbating existing workplace challenges. Critics suggest that its use should be reevaluated until the technology's implications are fully understood.

The Divergent Paths of Discordant Twins

A comprehensive study involving 25,252 Swedish adult twins, published in JAMA Psychiatry, has provided substantial evidence on how childhood trauma influences adult mental health. The research focused on "discordant twins," where only one twin experienced abuse or neglect. The findings revealed that those who faced childhood trauma were significantly more likely to be diagnosed with psychiatric illnesses such as depressive disorders, anxiety disorders, substance abuse disorders, or stress disorders. The impact of trauma was evident even after controlling for genetic and environmental factors, highlighting the profound effect of childhood adversities on adult mental well-being. This study underscores the urgent need to address child abuse and neglect to prevent long-term mental health consequences. One Twin Was Hurt; the Other Was Not. Their Adult Mental Health Diverged. - The New York Times (gift article).

016 - Vampire Hormones, Zombie Fungi, Micromorts, and Bugs in Space - HealthHippieMD Week In Review (Halloween Edition)

Dungeons and Dragons for Mental Health?

I was called a nerd for playing tabletop role-playing games (TTRGs) back in the '70s and '80s. It warms my heart that TTRGs have had a resurgence. The article, How Therapists Are Using Tabletop Games to Help People, discusses how TTRGs are being leveraged outside of entertainment to improve mental health.

Predicting The Likelihood of Death - Micromorts

We all know riding a motorcycle is more dangerous than driving a car. But have you ever wondered precisely how much more dangerous? Enter the concept of micromorts and superforecasting. Worried About Nuclear War? Consider the Micromorts, covers micromorts in the context of the likelihood of nuclear war. The choice of context is not pleasant, but the concept of micromorts is useful. For more on micromorts and other attempts to quantify the likelihood of dying, see my article: The Spreadsheet of Life and Death. For more on Superforecasting, see How spooks are turning to superforecasting in the Cosmic Bazaar (paywall). For one of my favorite Wired articles of all time, see: Why the Future Doesn't Need Us.. I've added the book Superforecasting: The Art and Science of Prediction to my reading list.

Antibiotics as an Adjunct to Improve Mental Health

An article at Medscape, Antibiotic May Enhance TMS, Improve Depression Outcomes, summarized a new publication that demonstrated the addition of the broad spectrum antibiotic, D-cycloserine, to transcranial magnetic stimulation of the brain, may improve outcomes in major depressive disorder. The study team credits the ability of D-Cycloserine to bind to the NMDA receptors for effect, but I can't help wondering if the effect is mediated through changes in the microbiome.

Mindfulness for Substance Abuse Disorder?

Mindfulness has many benefits. Most people think of mindfulness as modulating anxiety and depression. This researcher believes mindfulness should also be part of addiction-treatment programs.

Melatonin - The Vampire Hormone

Most people in the U.S. take melatonin incorrectly. Melatonin for Sleep: How the Aid Works (gift article), has lots of helpful information on the hormone. During a trip to Australia (where melatonin is unavailable over the counter), I took a self-imposed crash course on naturally occurring sources of melatonin. Here is a good WebMD article on melatonin-rich foods: 6 Foods High in Melatonin and Why You Need It

More on the Psychedelic Gold-Rush

The NY Times had an interesting article on the attempts to cash in on psychedelics by patenting everything from molecular compounds to treatment rooms. With Promise of Legalization, Psychedelic Companies Joust Over Future Profits (gift article).

The Therapeutic Potential of "Zombie Fungus"

I have often used pictures of Cordyceps in my lectures to reinforce the notion that at least some human behavior may not be under our control but instead might be driven by microbes: The Zombie Fungus Takes Over Ants' Bodies to Control Their Minds. I was not aware this same fungus has been used to treat various maladies and is currently being examined by pharma for its therapeutic potential: How to grow a zombie fungus in a lab. (thanks, Laura!)

Canine Gilgamesh

The Search for a Pill That Can Help Dogs—and Humans—Live Longer in Wired tells the story of the start-up Loyal, aiming to increase the life expectancy of dogs, and ultimately, humans. I had not heard of the company before. The article is short on science and long on the political challenges and the venture capital exploits of the founder, Celine Halioua. Whether Loyal is truly onto something, is a flash-in-the-pan, or is another Theranos, remains to be seen.

How to Interpret Scientific Literature

The National Center for Complementary and Integrative Health of the NIH released How To Make Sense of a Scientific Journal Article. This is a good resource if you're not familiar with scientific literature.

Microbiomes in Space

Over the last decade, we've learned much about what happens to gut flora in space. This knowledge will be critical for prolonged space flight like a mission to Mars. Studying astronaut Scott Kelly and his identical twin who remained on earth offered many exciting insights. The article, Gut health in space: How zero gravity could wreak the microbiome reports some of the findings.

Can Sense of Smell Predict Depression?

An article on Medscape discussed a recent publication demonstrating hyperawareness of smell may be an indicator of anxiety and/or depression: Can Sensitivity to Common Smells Sniff Out Depression, Anxiety?

Shinrin-yoku: The Soothing Practice of Forest Bathing

More on forest bathing: Shinrin-yoku: The Soothing Practice of Forest Bathing. As I mentioned in 009 - Doritos Dementia, Pain Clocks, and Forest Bathing, I believe a good portion of the benefits of forest bathing are derived from the forest's microbiome. I'd love to prove/disprove my hypothesis.

How are Memories Encoded in the Brain?

The news release, During Sleep, One Brain Region Teaches Another, Converting Novel Data Into Enduring Memories, discusses work building neural networks to understand human memory encoding processes, especially during sleep. In this case, Androids MIGHT Dream of Electric Sheep.

Quote

"Whoever is careless with the truth in small matters cannot be trusted with important manners." - Albert Einstein.