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Functional & Integrative Medicine for Binge-Eating Disorder

A Course by James Greenblatt, MD

Course Description

Course Fee: $170
CE: 2.0 credits

This two-module course taught by Dr. James Greenblatt explores the clinical challenges of treating Binge-Eating Disorder and illuminates an evidence-based functional medicine model for treatment.  The New Hope Model integrates lab testing, nutritional supplementation, dietary modifications, and medication, and targets biochemical pathways that regulate appetite, allowing clinicians to address imbalances that perpetuate hunger and cravings and bring patients back into balance.

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Learning Objectives

Upon completion of this course, participants will be able to:

  1. Describe one way that neurotransmitter regulation affects hunger and satiety signaling.
  2. List three common causes of functional amino acid deficiency.
  3. Discuss one example of how 5-HTP can affect appetite regulation.

Modules

Module 1

  1. An Introduction to BED
    1. Overview & DSM diagnostic criteria
    2. Key features of BED
    3. Epidemiology and statistics
  2. Elucidating a biologic model of BED pathogenesis
    1. The neurochemistry of appetite
    2. Neurotransmitter regulation of hunger and satiety signaling
  3. The Building Blocks of Neurotransmitters: Amino Acids
    1. Common causes of functional amino acid deficiency
    2. Zinc, hydrochloric acid, and protein digestion
    3. Cognitive and behavioral sequelae of tryptophan depletion
    4. 5-HTP for appetite regulation
    5. Cognitive and behavioral sequelae of phenylalanine depletion
    6. Nutritional strategies for addressing amino acid imbalance, depletion for appetite
  4. Neural Correlates of Food Addiction
    1. MSG
    2. Sugar

Module 2

  1. Opiate Neuropeptides: Casomorphin & Gliadorphin
    1. The formation of opiate peptides from incomplete protein digestion
    2. Neurochemical, cognitive and behavioral sequelae of opiate peptide CSF influx
    3. Laboratory testing for casomorphin & gliadorphin
  2. Vitamin B12
    1. Symptoms and mental health implications of functional B12 deficiency
    2. Proton-pump inhibitors and B12 deficiency
    3. B12 blood levels: elucidating “normal”
  3. Folate (Vitamin B9)
    1. Folate deficiency: exogenous and endogenous risk factors
    2. Genetic polymorphisms: the MTHFR gene
    3. MTHFR SNPs: treatment implications
  4. Vitamin B6 (pyridoxine)
    1. Functions: energy metabolism, enzymatic function, nutrient absorption
    2. Role in the serotonin synthesis pathway
  5. Vitamin D
    1. Role in the serotonin synthesis pathway
    2. Environmental factors in vitamin D deficiency
    3. Vitamin D deficiency and inflammation
  6. Magnesium
    1. Role as enzymatic cofactor
    2. HPAA influences
    3. Magnesium and GABA receptor function
    4. Causes of magnesium depletion
    5. Clinical pearls: indicators of deficiency, recommended formulations
  7. The Thyroid Master Regulator
    1. Signs and symptoms of hypothyrodism, hyperthyroidism.
  8. Gut Microbial Influences on Appetite & Feeding Behaviors
    1. Exploring the gut-brain axis
    2. Factors contributing to dysbiosis
    3. Implications of reduced microbial diversity
    4. Gut microbiota and appetite: the research
  9. Medications
    1. Reframing perspectives: where medications ‘fit’ in the functional psychiatry toolbox
    2. Medications for BED
      1. Fluoxetine (Prozac)
      2. Topiramate (Topamax)
      3. Lisdexamfetamine (Vyvanse)
      4. Naltrexone / Low-Dose Naltrexone
      5. Dasotraline
  10. The New Hope Model
    1. Review of the New Hope Model
    2. THE ZEEBRA
    3. Nurturing the Body-Mind
    4. The “Un-Diet”: Mindful Eating
    5. CBT to support functional treatment
    6. Conclusion

Accreditation Information

Please click to expand each section and view accreditation information.

• CE Information

American Psychological Association approved sponsor logo

The CE Company is approved by the American Psychological Association to sponsor continuing education for psychologists. The CE Company maintains responsibility for this program and its content.

Course Level: Introductory
CE Instructions

This online program provides CE training and coursework. Accreditation requires the completion of a post-test. A passing grade of at least 75% must be met on this test in order to obtain certification. Instructions for certification will be provided upon completing the course in full.

Instructor Bio

A pioneer in the field of integrative medicine, James M. Greenblatt, MD, has treated patients since 1988. After receiving his medical degree and completing his psychiatry residency at George Washington University, Dr. Greenblatt completed a fellowship in child and adolescent psychiatry at Johns Hopkins Medical School. He currently serves as the Chief Medical Officer at Walden Behavioral Care in Waltham, MA, and serves as an Assistant Clinical Professor of Psychiatry at Tufts University School of Medicine and Dartmouth College Geisel School of Medicine. Dr. Greenblatt has lectured internationally on the scientific evidence for nutritional interventions in psychiatry and mental illness. He is the author of seven books, including Finally Focused: The Breakthrough Natural Treatment Plan for ADHD. He is the founder of Psychiatry Redefined, an educational platform offering continuing online education, programs, and fellowships on functional and nutritional psychiatry for mental illness.

Conflict of Interest

The course instructor, James Greenblatt, M.D., is a consultant for Pure Encapsulations and owner of Psychiatry Redefined. He is also a key opinion leader for Fullscript. No assistance or financial compensation of any kind was provided by any outside commercial interest or entity in the development or preparation of this course.

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