The APA Caucus on Integrative Psychiatry (http://www.intpsychiatry.com) was established in 2004 to represent psychiatrists practicing nonconventional therapies; to educate psychiatrists on safe, appropriate uses of nonconventional modalities; to facilitate complementary and alternative medicine (CAM)-related research; to liaise with allied mental health professionals and CAM practitioners; and to educate psychiatrists on ethical, legal, and regulatory issues that affect the practice of CAM/integrative mental health (IMH).
Several symposia on a range of CAM-related themes have been presented at annual APA meetings. Important accomplishments of the APA Caucus include a subcommittee on omega-3s (2005) that resulted in the publication of a peer-reviewed paper on the evidence for omega-3s in mental health care, and a special Task Force on CAM and mental health (2007) that resulted in publication of a peer-reviewed article that summarized research evidence for select CAM therapies in MDD.
The Consortium on Academic Health Centers for Integrative Medicine (CAHCIM; http://www.imconsortium.org) working group on integrative mental health was founded in March 2009. Membership is currently limited to academic faculty affiliated with Consortium member institutions worldwide, including North America, the European Union, and the Middle East. The major activity of the working group is a bimonthly conference call devoted to strategic planning and expert-hosted discussions on evidence-based integrative management of specific psychiatric disorders.
In 2010, the American Academy of Child and Adolescent Psychiatry (AACAP; http://www.aacap.org) established a committee on CAM and IMH that is concerned with research and education.
The International Network of Integrative Mental Health, Inc (INIMH; http://www.inimh.org) was established in March 2010, and a high-end Web site for mental health professionals was launched in June 2011; membership has been steadily growing. The INIMH is building collaborative relationships with other US and European initiatives to achieve important strategic goals. A 4-day strategic planning meeting was held in April 2011, at which the following priorities were set:
• Facilitating communication and collaboration among the INIMH, CAIM (Caucus on Alternative and Integrative Medicine), AACAP, European initiatives, and other entities on shared goals
• Expanding the network to include worldwide mental health professionals
• Ensuring that Web site includes expert forums, searchable library, world map showing member clinicians by specialty, links to Web-based resources, video library
• Developing curricula and training programs for mental health professionals and postgraduate trainees in medicine and allied mental health degree programs
• Publishing a White Paper establishing IMH as discipline and inviting interdisciplinary dialogue on the future of psychiatry
• Identifying key research priorities and facilitating research agenda at the National Center for Complementary and Alternative Medicine/NIH and at other private and public institutions
The Center for Integrative Psychiatry (www.congressintegratedpsychiatry.com/English/) in Groningen, the Netherlands, is the hub for a national Dutch network of integrative clinicians, including psychiatrists, psychologists, and family physicians. A research program at the Center is conducting studies on mindfulness, heart rate variability, and natural products (eg, inositol). Since 2006, the Center has organized a yearly major international conference on integrative psychiatry.
The European Consortium of Integrative Mental Health Centers (www.ecimh.com) was established in 2009 and shares the broad strategic goals of the INIMH and the CAHCIM working group.
Novel approaches for evaluating and treating serious mental illnesses are being shaped by advances in neuroscience and genetics as well as scientific validation of ancient healing traditions. In the coming decades, complementary and alternative medicine (CAM) will evolve from the use of “herbs and vitamins” to a sophisticated research-driven model of integrative medicine based on individualized treatments that incorporate biological, mind-body, informational, and energy therapies. This multidimensional approach will target complex multifactoral causes of mental illness.
1. Rasgon N, Pumphrey L, Prolo P, et al. Emergent oscillations in a mathematical model of the human menstrual cycle. CNS Spect. 2003;8:805-814.
2. Miller A. Advances in psychopharmacology: immune system pathology in psychiatric disease. Paper presented at: American Psychiatric Association Annual Meeting; May 1-6, 2004; New York.
3. Delgado PL, Moreno FA. Role of norepinephrine in depression. J Clin Psychiatry. 2000;61(suppl 1):5-12.
4. Lin K. Ethnicity, pharmacogenetics and psychopharmacotherapy. Symposium 44: culture, ethnicity, race and psychopharmacology: new research perspectives. Paper presented at: American Psychiatric Association Annual Meeting; May 1-6, 2004; New York. Abstract 44A.
5. Lawson WB. Pharmacotherapy in African Americans. Symposium 44: culture, ethnicity, race and psychopharmacology: new research perspectives. Paper presented at: Annual Meeting of the American Psychiatric Association; May 1-6, 2004; New York.
6. Pi EH. Ethnicity, culture and psychopharmacology: Asian perspective. Symposium 44: culture, ethnicity, race and psychopharmacology: new research perspectives. Paper presented at: Annual Meeting of the American Psychiatric Association; May 1-6, 2004; New York.
7. Myers AJ, Nemeroff CB. New vistas in the management of treatment-refractory psychiatric disorders: genomics and personalized medicine. Focus. 2010;8:525-535.
8. Thase ME. Do antidepressants really work? A clinician’s guide to evaluating the evidence. Curr Psychiatry Rep. 2008;10:487-494.
9. Fournier JC, DeRubeis RJ, Hollon SD, et al. Antidepressant drug effects and depression severity: a patient-level meta-analysis. JAMA. 2010;303:47-53.
10. Fountoulakis KN, Vieta E. Treatment of bipolar disorder: a systematic review of available data and clinical perspectives. Int J Neuropsychopharmacol. 2008;11:999-1029.
11. Katzman MA. Current considerations in the treatment of generalized anxiety disorder. CNS Drugs. 2009;23:103-120.
12. Tajima K, Fernández H, López-Ibor JL, et al. Schizophrenia treatment. Critical review on the drugs and mechanisms of action of antipsychotics [retracted in: Actas Esp Psiquiatr. 2012;40:104]. Actas Esp Psiquiatr. 2009;37:330-342.
13. Birks J. Cholinesterase inhibitors for Alzheimer’s disease. Cochrane Database Syst Rev. 2006;(1):CD005593.
14. Rein G. Bioinformation within the biofield: beyond bioelectromagnetics. J Altern Complement Med. 2004;10:59-68.
15. McCraty R, Atkinson M, Tomasino D. Science of the Heart: Exploring the Role of the Heart in Human Performance. Boulder Creek, CA: HeartMath Research Center; 2001. Institute of HeartMath publication 01-001.
16. Day SX, Schneider PL. Psychotherapy using distance technology: story and science. J Counseling Psychol. 2002;49:499-503.
17. Manchanda M, McLaren P. Cognitive behaviour therapy via interactive video. J Telemed Telecare. 1998;4(suppl 1):53-55.
18. Bouchard S, Payeur R, Rivard V, et al. Cognitive behavior therapy for panic disorder with agoraphobia in videoconference: preliminary results. Cyberpsychol Behav. 2000;3:999-1007.
19. Pertaub DP, Slater M, Barker C. An experiment on fear of public speaking in virtual reality. In: Stredney D, Westwood JD, Hoffman HM, Mogel GT, eds. Medicine Meets Virtual Reality. Amsterdam: IOS Press; 2001:372-378.
20. Emmelkamp PM, Bruynzeel M, Drost L, van der Mast CA. Virtual reality treatment in acrophobia: a comparison with exposure in vivo. Cyberpsychol Behav. 2001;4:335-339.
21. Botella C, Baños R, Guillén V, et al. Telepsychology: public speaking fear treatment on the Internet. Cyberpsychol Behav. 2000;3:959-968.
22. Sarris J, Schoendorfer N, Kavanagh DJ. Major depressive disorder and nutritional medicine: a review of monotherapies and adjuvant treatments. Nutr Rev. 2009;67:125-131.
23. Sarris J, Kavanagh DJ, Byrne G. Adjuvant use of nutritional and herbal medicines with antidepressants, mood stabilizers and benzodiazepines. J Psychiatr Res. 2010;44:32-41.
24. Bajpai RP. Quantum coherence of biophotons and living systems. Indian J Exp Biol. 2003;41:514-527.
25. Popp FA. Properties of biophotons and their theoretical implications. Indian J Exp Biol. 2003;41:391-402.
26. Cohen S, Popp FA. Biophoton emission of human body. Indian J Exp Biol. 2003;41:440-445.
27. Wijk EP, Wijk RV. Multi-site recording and spectral analysis of spontaneous photon emission from human body. Forsch Komplementarmed Klass Naturheilkd. 2005;12:96-106.
28. Yang JM, Choi C, Hyun-hee, et al. Left-right and Yin-Yang balance of biophoton emission from hands. Acupunct Electrother Res. 2004;29:197-211.
29. Morowitz H, Singer J, eds. The Mind, the Brain, and Complex Adaptive Systems. Reading, MA: Addison-Wesley/Perseus Books; 1995.
30. Bandettini PA. What’s new in neuroimaging methods? Ann N Y Acad Sci. 2009;1156:260-293.
31. John ER, Prichep LS, Winterer G, et al. Electrophysiological subtypes of psychotic states [published correction appears in Acta Psychiatr Scand. 2007;116:35]. Acta Psychiatr Scand. 2007;116:17-35.
32. Bares M, Brunovsky M, Kopecek M, et al. Changes in QEEG prefrontal cordance as a predictor of response to antidepressants in patients with treatment resistant depressive disorder: a pilot study. J Psychiatr Res. 2007;41:319-325.
33. Liboff AR. Toward an electromagnetic paradigm for biology and medicine. J Altern Complement Med. 2004;10:41-47.
34. Chen KW. An analytic review of studies on measuring effects of external QI in China. Altern Ther Health Med. 2004;10:38-50.
35. Nadeau R, Kafatos M. The Non-Local Universe: The New Physics and Matters of the Mind. New York: Oxford University Press; 1999.
36. Lorimer D. Science, Consciousness and Ultimate Reality. Exeter, England: Imprint Academic; 2004.
37. Jibu M, Yasue K. Quantum brain dynamics and consciousness: an introduction. In: Stamenov M, Globus G, eds. Advances in Consciousness Research. Amsterdam: John Benjamins Publishing Company; 1995.
38. Astin JA, Harkness E, Ernst E. The efficacy of “distant healing”: a systematic review of randomized trials. Ann Intern Med. 2000;132:903-910.
39. Wackermann J. Dyadic correlations between brain functional states: present facts and future perspectives. Mind Matter. 2003;2:105-122.
40. Zahourek RP. Intentionality forms the matrix of healing: a theory. Altern Ther Health Med. 2004;10:40-49.
41. Pressman M. Mind energetics: evolution and arrival. Semin Integrative Med. 2004;2(1):36-47.