Nutrition!
Don’t get stuck here. It’s not about being perfect. Focus on just a few improvements and adjustments to help build a foundation for improved mental health. Focus on 2-4 things you can improve and move on. There is no miracle diet that will cure you. I love the health nuts out there who want to fix us. It’s seductive and compelling. But we are more than machines and while our bodies, yes, are built around certain principles, our brains are much more complex. So, yes, improve your nutrition, but no, don’t become obsessed.
Reduce Caffeine
Caffeine can increase the physical symptoms of anxiety, which will activate the mental symptoms of anxiety. Seriously. Try to reduce the amount of caffeine you consume and this will significantly help with anxiety. Seriously.
Reduce Sugar
Here’s an article on how sugar and depression have been linked- https://www.healthline.com/health/depression/sugar-and-depression
Reduce Ultra-processed Foods
Again, don’t overthink this or strive for perfection. If your diet is more than 50% ultra-processed foods, try to reduce that. The science is compelling. Not only are these chemicals likely creating havoc on your physiology, you’re missing out on eating nutrient-rich foods. Identify your top 3 culprits. For example, in my youth it was candy, candy, and chips lol. Today, it’s chips, chips, and chips lol. But seriously, if your diet is predominately ultra-processed foods, your mental health will be affected. Start with your main offenders and try to reduce them. Take it slow. And this isn’t about perfection. You can absolutely still eat ultra-processed foods and not have depression and anxiety! This isn’t black and white, all or nothing. There’s a whole lotta grey. But! Give your body and your mind a fighting chance by reducing ultra-processed foods.
Ultra-processed foods linked to mental health
From anxiety to cancer, the evidence against ultra-processed food piles up
The Link Between Highly Processed Foods and Brain Health
What are ultra-processed foods?
What’s the difference between processed and ultra-processed foods?
Increase Nutrient-rich Foods
If I were to tell someone the top 4 things to increase nutrients, I’d say: First, every day consume probiotic yogurt or kefir. Second, every day consume beans or oats. Third, every day eat some vegetables. Fourth, get your blood sugar and iron level checked. If you want to dive deeper, keep reading:
Gut Health. Gut health and mental health are wildly inter-related! While many factors affect your gut health, when thinking of foods we consume, focus on probiotics and fiber. The best probiotic sources are certain yogurts or kefir. The best fiber sources are beans, lentils, and oats.
Iron. Iron deficiency can cause fatigue, brain fog, sluggishness, sleepiness, shortness of breath, etc. You don’t have to be anemic to have an iron deficiency. Another way to look at it is - do I have optimal iron levels? Talk to your doctor about getting tested.
Here’s a great article discussing the research around food and mood:
“The relationship between food, mood and anxiety is garnering more and more attention,” said Dr. Uma Naidoo, a Harvard-trained nutritional psychiatrist…She’s a pioneer in the field of nutritional psychiatry, a growing specialty that’s been exploring how even small dietary changes can have a measurable impact on mental health.” https://www.huffpost.com/entry/mood-boosting-foods_l_64b81bfce4b09a3b489080a3
Reduce Alcohol
Alcohol works, so there’s that. Buuuut, actually alcohol doesn’t work, so there’s that too.
A drink immediately makes you feel good - it’s powerful, reliable, and effective. I mean it’s crazy how fast it works! And that’s what you need, right? A quick hit of feel good hormones. And it delivers. The problem is that alcohol changes your brain, body chemistry, and hormones… and as you’ve probably guessed, actually makes anxiety and depression worse. Whew, that sucks. In the simplest terms:
Dopamine: Alcohol causes a surge of dopamine, but over time the brain will start responding to this surge by “turning off” dopamine receptors. That means normal activities you did last week that increased dopamine will not feel as good following a week of boozing because the receptors to receive the dopamine aren’t working. And ya, that’s a problem.
GABA: Alcohol stimulates GABA receptors resulting in the feeling of relaxation. But again, overtime, with ongoing alcohol use, the brain will respond by turning off these GABA receptors. So once drinking stops, the GABA receptors stop, and you will feel extreme anxiety. And ya, that’s a problem.
Tools to Reduce or Quite Drinking
There’s an Online Program for that!
There’s an App for that!
Sunnyside app: Cut back on your drinking with no pressure to quit.
“Some people think that cutting back on drinking is all about having less. But at Sunnyside, we’re all about having more. More rested mornings, more days when you’re feeling your absolute best, more energy and positivity. We’re not here to say “don’t go out” or “never drink”. We’re here to help you to enjoy your life AND wake up ready to shine your brightest.” Here’s a Choosingtherapy review of the Sunnyside app
Reframe: Drink Less & Thrive app
“Reframe’s neuroscience approach can help you change the way alcohol shows up in your life. With a core 160-day, evidence-based, education program, progress tracking, a private community, and a multitude of tools, you’ve go everything you need to change your relationship with booze at the click of a button.” Here’s a Healthline review of the app
There’s a Medication for that!
“Naltrexone works by cooling off the pathways in the brain that make drinking pleasurable and rewarding for many addicts like me. Although responses to naltrexone vary, taking it daily has been nothing short of transformational for me. I no longer feel a rush of excitement when I have a drink, I no longer feel compelled to drink more and more, and I finally have regained control over alcohol. (Disclosure: I am now the CEO of Oar Health, a telemedicine platform that helps people with alcohol use disorder get access to naltrexone.)” https://www.nbcnews.com/think/opinion/alcohol-related-deaths-er-visits-rose-covid-solution-use-rcna26425
Exercise helps!
Exercise may reduce desire to drink. Reducing Alcohol Consumption by Working Out: https://neurosciencenews.com/exercise-alcohol-21308/
Find Role Models!
Thankfully our culture is starting to embrace a non-drinking lifestyle. While alcohol will probably always be glorified and depicted as cool, folks are starting to question - is it really?
For me, reading this book was transformative: Quit Like a Woman: The Radical Choice to Not Drink in a Culture Obsessed with Alcohol
And lots of folks still champion the tried-and-true 12-Step Program.
Here are some famous people who have chosen to be nondrinkers (for inspiration):
Tom Holland. “Tom Holland is opening up about how his wellbeing has shifted since he quit drinking alcohol.” https://www.buzzfeednews.com/article/leylamohammed/tom-holland-opens-up-about-alcohol-addiction-social-sober
Chrissy Teigen. “I drank to end crazy anxiety that later mostly went away when I — get this — quit drinking! Sigh. Anyhow I feel really good.” https://www.usmagazine.com/celebrity-body/pictures/everything-chrissy-teigen-has-said-about-her-sobriety-journey/