Integrative Psychiatry Resources

0:08 [Dr. Noshene Ranjbar] Welcome to our first academic year monthly integrative psychiatry zoom meeting! It is an absolute pleasure to see so many old and new faces gathering here. My name is Noshene Ranjbar um... I am here with my co-host sister Amelia Villagomez holding space for all of us today um... and uh... I'm so glad people are introducing themselves on the chat because we could spend a long time having everyone um...

0:58 share um... but what we thought we would do is um... give a little intro um... about ourselves and this... um... this meeting and the history of this meeting and then share what we wanted to share today which is a series of resources that were recently compiled and put together and then open it up to discussion and Q&A and we thought that once people are um... asking questions and giving comments then you could also introduce yourselves whoever is speaking so we can have a combination of getting to know each other but also um... having plenty time

1:45 uh... Amelia would you like to introduce yourself if you haven't already? [Dr. Amelia Villagomez] I did briefly already so I'll just say I'm Amelia Villagomez um... co-director with Noshene of our integrative psych department at the U of A. [Dr. Noshene Ranjbar] Great! Do you want to say... you already said where you are? [Dr. Amelia Villagomez] At Fort Worth, Texas in private practice as well. [Dr. Noshene Ranjbar] Great yes and so I um... I'm uh... at the University of Arizona in Tucson and um... have been here for eight years um and I wear a couple of hats just like many of you uh... one being helping co-direct with Amelia the integrative psychiatry

2:33 academic program here at U of A and also support the many sites that are continuing to arise in integrative psychiatry curriculum around the country. We have seven sites now so we'll share a little bit more about that um... I also do a lot of work with Native American and indigenous and asylum-seeking individuals and communities through the Center for Mind-Body Medicine and we also work very closely with the Andrew Weil Center for Integrative Medicine and the Integrative Psychiatry Institute so if you are coming through any of those people or places or organizations or not you're welcome here um... and and part of what we um...

3:23 the the history of this meeting is that uh about eight years ago the integrative psychiatry program at U of A started in collaboration between the Department of Psychiatry and the Andrew Weil Center for Integrative Medicine and we started to get lots of questions and requests from undergrads and medical students and residents around the country little by little they advocated for many of them to have their own programs and their own um... adaptation of... of the curriculum from the U of A but there are still many who had questions and needed a place to get to know each other find out about the field as it grows and also

4:11 network and learn new things so uh this meeting was initially created to have a space for for more um... ways for people to get their questions answered and to be...begin continue the process of creating a community um... a tribe around those early adopters of a holistic way of addressing psychiatry and mental health um... and so that continues to be and um... after a few months of holding the space we realized that it would be so much more helpful if we had a little 10 to 20 minute presentation at each of these meetings um... and so uh... that's how

4:57 we got to where we are now so each time we have we invite somebody to give a talk um... on some aspect of integrative psychiatry and that gets recorded in the YouTube um... a playlist that we have put together that we can share the link with you all um... and so that's a good way to showcase um... each of your expertise and um... and continue to learn from each other as well um... And I forgot that Janice is here! I'm so happy you're here. Would you like to introduce yourself? [Janice Curtis] Hi I'm Janice Curtis. I am the program coordinator for the Integrative Medicine and Residency programs through the Univer.... through the Andrew Weil Center for Integrative Medicine at the University of Arizona and here in Tucson um... so

5:44 I work with Noshene and Amelia uh... on the psychiatry part of the program. We also have programs in family medicine, obgyn, internal medicine, and pediatrics. [Dr. Ranjbar Noshene] Thank you for being here! We also have an another amazing um... program coordinator Elana who couldn't be here today but you'll see emails from her as well as Janice from time to time depending on what group you're part of um... But if you're not on that listserv to receive the invitations for these monthly meetings they will also be mentioned on the Facebook group which is where a lot of you probably found out about this but um... if you would like to be on the listserv um... just email us and we can make sure that

6:35 um... actually we'll put Elana's emails so that you can... Amelia, would you mind sharing so... Great um... anything else Amelia you would like to say about the... how we got here or the history? Okay you're muted but I...I heard... [Dr. Amelia Villagomez] I think that sums it up really well and I will put a link into um... an article that we published about the life history of the uh... program for integrative psychiatry at the U of A in case anybody's interested in adapting a similar program at your institution uh... we kind of wrote up the steps uh... that were done at ours. [Dr. Noshene Ranjbar] Great! And I acknowledge that many of you are not on screen and that's

7:22 totally fine and if at some point you can reveal yourself we'd love to see you but no pressure so what we wanted to do. And I know Krishna is not here yet she is a PGY2 resident at Southern Illinois University Psychiatry um... and she is one of the trailblazers like many of you here. I'm seeing Michelle cross and Cedar and lots of our amazing fellows and... and residents around the globe but um... she uh... was actually the impetus for putting together this uh... rather comprehensive resource list that now exists um.. because of her um... initiative and so we wanted to take this opportunity of this meeting to present that

8:16 to um... it's...it's a organic living entity so it continues to be updated as resources go away and new resources emerge um... But I think this might be a good time to look at that together. I just want to say that you know the... the purpose of this document is to try to have everything in one place because there are so many people kind of lost in the cyberspace of information and and the more research develops and more programs emerge it is really hard to keep track of them so consider the current version of this uh... document um... so it starts with committees organizations and kind of governing bodies of integrative medicine integrative

9:05 psychiatry to kind of ground us in the uh... in the big picture and then it goes into training programs, books to consider reading, conferences to consider attending, Facebook groups to consider being part of, and it is you know free for anyone to access at any point and it has a mention in the top that if you have a organization or a place or Facebook group or something that you feel would should belong on here send it to us, to Elana's email, and we will add it as long as it's within reason of evidence-based integrative psychiatry. We're trying to

9:53 keep things as evidence-based as possible so um... so you'll see the kind of breadth of what we have so far. Amelia, do you want to start kind of going over? [Dr. Amelia Villagomez] Sure! So it's all hyperlinked and at um... some point we will put the pdf uh... that you can access right Noshene in the chat box because I wasn't able to find that um... So this is the table of contents we'll go through organizations, committees, conferences, textbooks, books, podcasts, people's work to follow, how to learn more, additional courses, residency programs that have the IMR psychiatry curriculum, online communities, integrative psychiatrist directory, websites, apps, handouts for patients/ providers, and then conventional psychiatry CME platforms

10:43 that review several integrated psychiatry topic so we tried to be as thorough as possible. So as far as organizations and committees there are lots now that are um... doing work in this area including ACAO they have a committee on complementary and integrative medicine. ACIMH um... is the Academic Consortium for Integrative Medicine and Health and you can go to their website um... they have all the academic institutions that are a part of this consortium they put on a conference every other year and this is a really great group to get connected to to see the other academic medical centers implementing integrative medicine in general

11:29 and we have an... a psychiatry subgroup as well that you can go on and learn um... and interact with. um... Another group is the AIHM which is the Academy for Integrative Medicine and... I'm sorry Health and Medicine. um... The APA has an annual meeting and also an integrative caucus. um... There's also IM4Us which focuses on integrative medicine for the underserved and there is the National Center for Complementary and Integrative Health as well as the Psychedelic Medical Association. So those are some organizations and committees uh... that you can go and look at what they're doing. There's also... some of these groups put on conferences as well including the AIHM,

12:15 the Integrative Healthcare Symposium, the Integrative Medicine for Mental Health Conference, Integrative Medicine for the Underserved, the Integrative Medicine Summit by... from the Andrew Weil Center for Integrative Medicine, the International Congress on Integrative Medicine, Psychiatry Redefined has several conferences and webinars a lot of them are recorded as well as this Semmel Institute for Neuroscience and Human Behavior out of UCLA as well as the UCLA Conference on Integrative Medicine and Mental Health and the Walsh Institute. So this is a list of conferences and webinars and now in the age of Zoom a lot of this information um... is online from recorded conferences so another way to get great information.

13:01 As far as some really key textbooks um.. to dive into integrative medicine um... James Lake, who is in many respects a grandfather for this field, "An Integrative [uh...] Paradigm for Mental Health Care: [and] Ideas and Methods Shaping the Future," and one of uh... also the book, "Complementary and Integrative Therapies for Mental Health and Aging." The American Psychiatric Publishing Press put um... a book together that is fabulous uh... "Complementary and Integrated Treatments in Psychiatric Practice," that's a go-to on my table all the time um... and also, "[the] Psychiatric Clinics of North America: Complementary & Integrative Therapies for Psychiatric Disorders." And I think you can get a lot of those articles through PubMed. um... So other books um... "How to Use Herbs, Nutrients,

13:53 and Yoga in Mental Health," uh Dr. Richard Brown, Patricia Gerbarg, and Philip Muskin has done a lot of great work you can go on YouTube and find a lot of stuff that they've uh... put out there but they've been really generous in publishing and putting out a lot of free information on their websites as well. um... There's a great book, "Integrative Rehabilitation Practice: the Foundations of Whole Person Care for Healthcare Professionals," by Arlene Schmidt and Matt Erb um... and then also great ones uh Scott Shannon who um... grandfather in integrative pediatric mental uh... pediatric integrative psychiatry um... "Mental Health for the Whole Child: Moving Young Clients from Disease & Disorder[s] to Balance & Wellness," and again that's certainly one on my shelf that I look to regularly. And James Gordon who... Dr. James Gordon, who founded

14:45 the CMBM model and program, has written recently, "The Transformation," which is also a great book to read about trauma and an integrative approach to it as well as to share with our patients. um... Podcasts are another way I know many of us like to learn on the go. "Body of Wonder" is put on by the Andrew Weil Center for Integrative Medicine and those are some excellent podcasts recently they did one on on cooking oils uh... and that was a lot of really interesting information um... they've done some on psychedelics and fasting and um... top-notch information Andrew Weil um... co-hosts that with um... Victoria Maizes. And then The Carlat Report they are non-biased

15:33 from non-psych psychopharmacol... sorry non-pharmaceutical funded CME provider that has podcasts and also um... a newsletter that comes out and they... they review a lot of integrative approaches on there. I know silexan, micronutrients, Dr. Richard Brown recently did an interview there so lots of good stuff... As well as the Integrative Psychiatry Institute Podcast, um... Psychedelic Medicine Podcast, Psychiatry and Psychotherapy Podcast, the Doctor's Pharmacy... So this is uh.... just a couple there's lots more out there but somewhere to get started. And then lots of works of people to follow. These are some of the many leaders in the field um...

16:19 just kind of put those together we won't go through those individually um... and Noshene I can continue but do you want to add anything? I'll pause if there's anything you want to edit or add. [Dr. Noshene Ranjbar] No sounds great, but we thought we'd kind of go over this and then open it up so you guys can uh... decide what we talk about more but I think... do you want me to share or are you okay to continue? [Dr. Amelia Villagomez] Oh I'm fine to keep to keep going um... As far as places to go that are structured in their learning um... the Andrew Weil Center offers lots of fabulous courses there's also a fellowship program that's a thousand hours and it qualify uh.... doing the Andrew Weil Center for Integrative Medicine Fellowship...

17:05 Sorry that's fellowship later on but I mentioned it here too. They have courses online so... that are from their fellowship um... and um... by...by doing those the the fellowship um... one can also be approved for board certification in integrative medicine. That's really exciting that that's available now um... through the American Board of Integrative Medicine which is a American board of physician specialties board um... and there's textbook there for the exam. The Institute of Functional Medicine also has a lot of great courses as well as the um... Psychiatry Institute and Psychiatry Redefined uh... with James Greenblatt who's put on a lot of free material as well as webinars and he also has a fabulous fellowship. um... There is Mind-Body Medicine to

17:55 do the deep dive there through breath, body, and mind. That's with Patricia Gerbarg's group as well as the Nova Institute and the Center for Mind-Body Medicine that we spoke briefly about that has a two five-day trainings and after that um... you can lead groups in mind-body medicine it's a very uh... structured approach to teaching and learning mind body medicine. Okay, lots of other courses there's so much to learn but I'll just highlight a couple of them. Accelerated Resolution Therapy is a therapy I practice and have found life-changing for my practice, for my patient. It's focused on therapy. It's very similar to EMDR, easy to learn, and um I can't speak highly of it enough. I love love love doing ART so I had to put that on the top of the

18:40 list and alphabetically it comes first so that's convenient too! Acupuncture, Biodynamic Medicine, Center for Mindfulness and Compassion, uh... Compassion-Based Cognitive Therapy, Compassion Inquiry, Craniosacral Therapy, Emotional Freedom Technique, EMDR, HeartMath, Heart Rhythms Meditation, Internal Family Systems, Mindfulness-Based Cognitive Therapy, Myofascial Release, um... Narrative Medicine, Osteopathic Manipulation Therapies where you can find it in different places to get trained, Psychedelic Training, Somatic Experiencing, the Center for Mind-Body Medicine, and Transcendental Meditation. um... So I know we're going through a ton of information and there's all hyperlinks here. My hope is that as we're going through this list you might just notice that there's an internal prompting somewhere along the line

19:30 um... that says, "Ah! Maybe I should check that out." You know just kind of notice that and pay attention to it. um... That's how I learned about ART. Somebody just told me sitting next to me at a conference and as soon as they said it I was like I don't know what that is but I want to learn it so as we're going through this list I just invite you to notice what might kind of just pique your interest um... and pay attention to that. um... Sometimes that's typically how I make my first step approach of trying something new. um... Okay, so as we spoke earlier the Andrew Weil Center for Integrative Medicine has a thousand hour fellowship um... and it's typically although not always for physicians and clinicians who have graduated their other training um... and then for residents in training they took that thousand hour program and um... have offered

20:15 it in various residency programs in a shortened version of one to 200 hours in family medicine and and pediatrics and then Noshene and I have been working on bringing a 100 hours or 109 hours that are most relevant to psychiatry creating... encapsulating that and um they're now other they're started at the University of Arizona and now at other sites at um... that you have here so um... Des Moines, Loyola, University of Arizona, University of New Mexico, University of South Florida, and Zucker Northwell Medical Center. [Dr. Amelia Villagomez] Noshene, I'll pause in case you want to mention anything else before I get to the end. [Dr. Noshene Ranjbar] No you're doing great go for it.

21:01 [Dr. Amelia Villagomez] As far as online communities um... Noshene and I both are admins on the Integrative Psychiatry Facebook group I know Facebook has lots of pros and cons but the one pro is that it's easy to access and there's um... I think we have about almost 2,000 members all over the world and invite it's for MD and DO's as well as medical students. um... There's also the Integrative Psychiatry Practitioner Forum Facebook group which is open to all specialties. um... There's Integrative Psychiatry in Academia which are our monthly meetings. um... Twitter also has integrative psych and we have our YouTube playlist which I also put in the chat earlier as well as the Integrative Psychiatry Institute has a great community if you're a part of their fellowship program. um... Integrative Psychiatrist

21:49 Directory often there's some great ones through Journey Dreams Practitioner Directory as well as same here Global Psychiatry Directory and Same Here is doing a lot of advocacy work to educate people about integrative psychiatry so you can go on there and learn lots and see who's in that directory. um... As far as websites, Consumer Labs is a great resource but be aware that businesses can pay for better reviews that's a interesting point to know but Consumer Labs will review um... supplements and look for purity and cost effectiveness. Examine.com is free from our Canadian colleagues. They do a great job of reviewing various supplements and grading them based on safety and efficacy and then Natural Medicine Database which

22:36 is available through most academic centers' online library access. And then handouts for patients, uh Capacitar has a great mind-body medicine technique um... and emergencies handbook uh... Fabulous! I love the way they explain emotional freedom technique and other techniques in there. It's about a 12-page handbook and it's in maybe 20 different languages on their website. um... Integrative Health Teaching Modules and handouts as well as the Santa Rosa Family Medicine Residency program has great handouts and the Whole Health Library from the Veterans Administration and as you all might know the VA is really focusing on holistic health and has created a plethora of handouts and information for us. And then conventional psychiatry CME

23:21 platforms that review several integrative psychiatry topics. This is really exciting because it really gets it into the... the hands of the general um... the average psychiatrist... average clinician out there who's just kind of seeing what's new and improved and learning about you know the newest anti-psychotic medication right alongside silexan or the... the... the recent research on micronutrients for example so The Carlat Report I think does a fabulous job looking at a lot of integrative therapies out there as well as psychiatry education forum. Really all of these are very practical, very easy to digest and meant for clinicians. As well as the Psychopharmacology Institute and Simple and Practical. I love Simple and Practical. They send daily email messages and very... they are... they live up to their name for sure um... and for

24:11 residents and medical students for all of these are our discounts. And then lastly we'll just go through some apps that we recommend often to our patients BetterSleep, Healthy Minds Program, Insight Timer and Headspace. So with that I will pause and um... [Dr. Noshene Ranjbar] I just noticed that Krishna joined us so maybe Krishna you can introduce yourself and tell us why you came up with the idea of putting this together. [Dr. Krishna Taneja] Sure! Hello everyone, my name is Krishna. I am a PGY2 psychiatry resident at SIU in Springfield and I've been working in the integrative psychiatry community with Dr. Ranjbar and Dr. Villagomez for several years now um... I guess I started my journey

25:02 in integrative medicine many years prior to even coming into medicine and that's what inspired me to go to med school um... but formally I didn't know this field existed and all the resources out there and that's what started this project to make it easier for all of us to have access to all the resources that are out there have a comprehensive list because the first question firstly people don't know this field exists until we talk about it as much and then when they do they're like, "Oh my god, how do we learn more? Where do we go?" So that's why this project was created so it can make it easier for us to access information for ourselves even though we have been in the community and shared with our colleagues and peers. um...

25:49 It is of course a... you know project and process we're still building the list, we're still adding more resources and this was just the first draft so if you have any more ideas any corrections any things that you think should be added to it please feel free to reach out to Elana, her email ID is on the top of the resources document, and um ever so frequently we will go back and revise it and make a new edition so that it's an updated resource for all of us.