Five things doctors don't tell you about depression

November 19, 2015

Do you suffer from depression? People succumb to depression for different reasons. It's important to look for the underlying cause of your depression.


Consider these five:


1. Poor communication between brain cells

Depression happens when neurons in certain areas of the brain don't communicate well with each other, or “fire." This causes poor brain function and symptoms of depression.


Many factors cause poor firing in the brain, which I'll talk about more in this article.

The primary question when you have symptoms of depression is, “What is causing neurons not to fire in areas of the brain associated with mood?"


2. Unstable blood sugar and depression

Blood sugar that is too low or too high can cause depression. Symptoms of low blood sugar include irritability or lightheadedness between meals, cravings for sweets, waking up at 3 or 4 a.m., dependence on coffee or sugar for energy, becoming upset easily, and forgetfulness.


Symptoms of high blood sugar (insulin resistance) include fatigue after meals, constant hunger, cravings for sweets not relieved by eating them, constant thirst, frequent urination, difficulty falling asleep, and a big belly.


Both low and high blood sugar compromise the brain's ability to stay fueled, with symptoms of depression often resulting.

The most common causes of unstable blood sugar are eating too many processed carbohydrates and sugar, skipping meals, and chronic overeating.

Sometimes relieving depression can be as easy stabilizing your blood sugar with a whole foods diet that consists primarily of produce and healthy fats and proteins, avoiding sweets and processed foods, and eating an appropriate amount of carbohydrates for your body.


3. Unhealthy gut

When gut health is bad, brain health suffers, often causing depression. If you have digestive problems, your gut may be playing a role in your depression.

Leaky gut is a condition in which the lining of the intestine becomes overly porous, allows undigested food particles, yeast, bacteria, and other undesirable compounds to enter the sterile environment of the bloodstream.


Leaky gut triggers chronic inflammation in the gut, body, and brain, along with other health problems, such as food intolerances, pain, autoimmune disorders, skin issues, joint problems, and, of course, depression.


Also, too much bad gut bacteria (dysbiosis) has been directly linked with depression in studies. Many factors contribute to leaky gut and dysbiosis, including poor diet, alcohol, and chronic stress. Knowing what caused your gut problems will help you resolve them.


4. Poor circulation

If your fingers, toes, and nose are cold to the touch your brain may not be receiving enough oxygen due to poor circulation.

Other symptoms of poor circulation include weak nails, fungal nail infections, low brain endurance, and cramping in the hands and feet.

Low circulation deprives the brain of blood flow, oxygen, and nutrients. Factors that cause low circulation include anemia, chronic stress, hypothyroidism, low blood pressure, smoking, and blood sugar imbalances.


5. Autoimmune disease and chronic inflammation

Autoimmune diseases - when the immune system attacks and destroys body tissue - can cause depression. Examples include Hashimoto's hypothyroidism, Type 1 diabetes, and rheumatoid arthritis.


Chronic inflammation, such as in chronic joint pain, gut problems, or skin rashes, is also linked with depression.


These disorders inflame the brain, which hampers function and can cause depression.


The brain is also a surprisingly common place for an autoimmune reaction to take place, causing myriad symptoms including depression.

Don't assume your depression is caused by an antidepressant deficiency. It's best to discover the underlying causes and address those first. Ask my office for more information.

Empowering Patients Through Knowledge: Local Workshops and Resources

April 25, 2025
Living with chronic pain can feel overwhelming, but in Richmond, a wealth of community resources and educational opportunities are available to help patients take control of their health. At Chronic Care of Richmond , we believe that informed patients are empowered patients. This article explores how local workshops and seminars, events, and support groups can play a pivotal role in the journey toward better health outcomes, offering guidance, support, and the chance to connect with others facing similar challenges. The Power of Patient Education in Chronic Pain Management Patient education is the foundation of effective chronic pain management. Studies have shown that individuals who actively engage in learning about their conditions experience improved symptom control and a higher quality of life. By understanding the mechanisms behind chronic pain and learning evidence-based strategies for self-care, patients can reduce anxiety, make informed decisions, and become active participants in their treatment plans. Richmond is home to a variety of educational workshops designed to provide patients with practical knowledge and coping tools. These workshops often feature expert speakers, interactive sessions, and opportunities for attendees to ask questions specific to their experiences. Whether you are newly diagnosed or have been managing chronic pain for years, participating in these events can demystify complex medical topics and help you feel more in control. Local Workshops and Seminars: Learning Together, Growing Together In-person and virtual workshops and seminars are held throughout the Richmond area, covering topics such as nutrition, exercise, stress management, and alternative therapies for chronic pain. These events are typically open to all, regardless of where you receive your care, making them an inclusive option for anyone seeking support. One standout example is the Chronic Pain Self-Management Program offered by local community centers and health organizations. This evidence-based program, developed by Stanford University, has been shown to significantly improve pain-related outcomes, including physical activity and overall well-being. Participants learn techniques such as goal setting, problem-solving, and how to communicate more effectively with healthcare providers. Additionally, organizations like the Virginia Department of Health frequently partner with local hospitals and nonprofits to host educational seminars. Topics range from healthy lifestyle habits to the latest advances in non-invasive pain management. These events not only provide valuable information but also foster a sense of community and motivation. Support Groups: Building Connections and Resilience Support groups are another vital resource for those managing chronic pain. By connecting with others who share similar experiences, patients can reduce feelings of isolation, share coping strategies, and gain emotional support. According to the American Psychological Association , peer support can lead to improved mental health and increased resilience among people living with chronic conditions. Richmond boasts a diverse array of support groups tailored to different needs. Some meet weekly, while others gather monthly or quarterly. Many are led by trained facilitators who ensure a safe, respectful, and confidential environment. These groups often discuss topics such as pacing daily activities, setting realistic goals, and maintaining a positive outlook despite ongoing challenges. For those unable to attend in-person meetings, online forums and virtual support groups provide a flexible alternative. These platforms enable participants to connect from the comfort of their homes, expanding access to valuable peer support networks. Community Events: Staying Informed and Engaged Beyond workshops, seminars, and support groups, Richmond’s community events calendar is filled with opportunities for patients and caregivers to learn, connect, and engage. Health fairs, wellness expos, and public lectures offer access to the latest information on chronic pain management and local healthcare services. Attending these events can introduce you to new treatment options, local providers, and community resources. Many events also feature free health screenings, educational materials, and interactive demonstrations. Leveraging Online Resources for Continuous Learning In addition to local events, there are numerous online resources that can supplement your knowledge and keep you informed about the latest developments in chronic pain care. Reputable organizations such as the Centers for Disease Control and Prevention and the National Institute of Neurological Disorders and Stroke provide up-to-date information on chronic pain, self-management strategies, and research advances. At Chronic Care of Richmond, our blog is regularly updated with articles on holistic pain management, lifestyle tips, and patient success stories. We encourage our community to explore these resources to stay proactive and engaged in their health journey. The Value of Community: A Path Toward Better Health Outcomes The journey to managing chronic pain is deeply personal, but it does not have to be solitary. Engaging in local workshops, joining support groups, and taking advantage of community resources can foster a sense of belonging and empowerment. Research consistently demonstrates that patients who are informed and connected to supportive networks enjoy better health outcomes and greater overall satisfaction with their care. At Chronic Care of Richmond, we are committed to helping you access the information and support you need. If you want to learn more about upcoming workshops, local resources, or how our team can assist you in your wellness journey, please contact us or explore our website for additional patient resources . By empowering yourself with knowledge and connecting with your community, you take meaningful steps toward living a fuller, more comfortable life—one informed decision at a time.
A woman is laying on the floor getting a massage.

Holistic Approaches to Managing Chronic Pain: A Deep Dive

April 11, 2025
Explore holistic chronic pain management with Chronic Care Richmond. Our holistic pain relief therapies provide natural, effective solutions for managing chronic pain.

Inflammation and Chronic Pain: Understanding the Connection and Finding Relief

March 28, 2025
Inflammation is a natural response that helps the body protect and heal itself. However, when inflammation lingers for too long or flares up repeatedly, it can transition from a protective mechanism into a source of ongoing discomfort. This persistent state of low-level inflammation can be a contributing factor in many chronic pain conditions. According to the Centers for Disease Control and Prevention (CDC) , six in ten adults in the United States live with at least one chronic disease, many of which are influenced by inflammatory responses. While acute inflammation is often easy to recognize—such as redness or swelling—chronic inflammation manifests more quietly yet causes significant long-term stress on the body. How Chronic Inflammation Contributes to Pain When tissues are inflamed, the immune system sends out signals that heighten pain sensitivity. This can become a cyclical process, with inflammation activating pain receptors and persistent pain further fueling the body’s inflammatory response. Over time, these signals may disrupt normal nerve function and encourage widespread discomfort. Individuals experiencing persistent inflammation often report fatigue, muscle stiffness, and difficulty sleeping, all of which exacerbate chronic pain. Chronic Care of Richmond emphasizes that inflammation is not always obvious; sometimes, the body’s inflammatory response operates stealthily, attacking healthy tissue and making effective pain management more challenging. Dietary Strategies to Calm Inflammation Scientific research supports the powerful role that nutrition plays in mitigating chronic inflammation. Certain foods are known to encourage an anti-inflammatory environment in the body. For instance, the National Center for Complementary and Integrative Health (NCCIH) suggests that incorporating a variety of fruits, vegetables, whole grains, fish rich in omega-3 fatty acids, and healthy fats like extra virgin olive oil can help maintain a balanced inflammatory response. Phytonutrients found in berries, leafy greens, and brightly colored vegetables also have significant health benefits, as they may naturally modulate inflammation. On the other hand, heavily processed foods and those high in refined sugar can worsen inflammation. Research indicates that diets high in added sugars, trans fats, and artificial additives disrupt healthy immune signaling. By replacing sugary beverages with water or herbal teas and limiting foods with chemicals and preservatives, you can support your body’s natural healing processes. Although it may be tempting to adopt extreme dietary changes for rapid results, sustainable habits are often more effective in the long run. Lifestyle Choices That Reduce Inflammatory Stress In addition to dietary adjustments, certain lifestyle factors play a major role in managing inflammation. Stress, for instance, triggers a cascade of hormonal changes that can ramp up inflammation. Whether it stems from work pressures or day-to-day challenges, prolonged stress may lead to elevated cortisol levels, which over time has been linked to chronic inflammation. Techniques such as mindfulness meditation, regular physical activity, and spending time outdoors can help the body regulate its inflammatory response more efficiently. Quality sleep is another cornerstone of a healthy lifestyle. The body repairs itself during periods of rest, and insufficient or disrupted sleep can contribute to both heightened inflammation and increased pain sensitivity. According to the National Heart, Lung, and Blood Institute (NHLBI) , adults generally require at least seven hours of good-quality sleep to support optimal health. Consistent bedtime habits such as limiting electronic device usage before bed and keeping the sleeping environment dark and cool encourage a more restful night’s sleep. Expert Perspectives from Richmond Health Practitioners Understanding the link between inflammation and chronic pain is only half the battle; implementing strategies that ensure long-term relief is equally crucial. Chronic Care of Richmond collaborates with local health practitioners who emphasize individualized approaches to wellness. Given that each person’s medical history, lifestyle, and genetic makeup differ, it is vital to consult with healthcare professionals before making drastic changes to your diet or lifestyle. They can help develop safe, comprehensive plans for reducing chronic inflammation. In Richmond, many professionals advocate for integrative therapies that combine nutrition counseling, gentle exercise routines, and stress-reduction techniques. Although these methods may appear simple, they can be profoundly effective in restoring balance to an inflamed body. By targeting multiple aspects of wellness and working closely with experienced practitioners, patients can gradually mitigate low-level inflammation, often noticing improvements in energy levels, sleep quality, and daily mobility. Navigating Your Path to Lasting Relief While chronic inflammation tends to develop slowly, targeted efforts to reduce it can yield significant improvements in overall well-being. Consistent dietary modifications, plus intentional stress management, can lay the groundwork for sustainable pain relief. Adopting an anti-inflammatory lifestyle not only helps manage chronic pain but also enhances immune function, mood regulation, and even cardiovascular health. Because the body is inherently interconnected, even modest changes—when practiced consistently—can lead to noticeable benefits. Whether it’s choosing fresh produce over processed foods or setting aside ten minutes for deep breathing each day, thoughtful choices add up and can make a real difference. Gaining knowledge about the root causes of inflammation empowers you to take informed steps that transform your relationship with pain, providing a roadmap toward a healthier life. When you are ready to learn more about natural approaches for reducing inflammation or want to connect with a Richmond health practitioner, visit the Chronic Care of Richmond Contact Page to schedule a consultation or explore additional resources . By prioritizing healthy habits and professional guidance, you can begin addressing chronic inflammation at its source and chart a path toward lasting relief.
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