Can a Keto Diet Cause Hypomania, and How Can It Be Avoided?
Mar 18, 2024
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Dive into the intriguing world of ketogenic diets and their unconventional effects on mental health. Experts discuss how some individuals may experience hypomania when transitioning to keto, especially those with bipolar disorder. You'll learn essential strategies to minimize these risks, including gradual dietary changes and electrolyte support. Plus, insights on the importance of professional guidance and monitoring during this significant lifestyle shift make this an enlightening listen for anyone considering keto therapy.
A ketogenic diet can effectively treat mental health conditions, but it may also induce hypomania, necessitating careful management.
Proper guidance, gradual transition, and collaborative communication with healthcare providers are essential to mitigate risks associated with ketogenic therapy.
Deep dives
Connection Between Metabolic Health and Mental Health
The podcast highlights the emerging connection between metabolic health and mental health, specifically focusing on how ketogenic diets can serve as effective therapies for mental illnesses, such as bipolar disorder. Researchers suggest that ketogenic diets can alleviate symptoms and address side effects of psychiatric medications, like weight gain and metabolic dysfunction. However, a concern arises regarding the risk of hypomania during the transition onto a ketogenic diet, which some individuals report experiencing. Experts in the field assert that while this risk exists, it can often be managed or mitigated through proper guidance and preparation.
Understanding Risks and Symptoms
The risks associated with transitioning to a ketogenic diet include not only hypomania but also temporary mental health disturbances like anxiety, irritability, and poor concentration. These symptoms can often be brief and manageable if approached correctly—meaning a gradual transition into ketosis with additional supportive measures like electrolyte supplementation. Clinical experience shared in the episode indicates that if individuals are educated on what to expect and watch for, many of these disturbances can be prevented. Moreover, a study cited by an expert showed that patients undergoing a mildly ketogenic diet in a supervised setting did not experience worsened psychiatric conditions requiring management, suggesting that safety protocols can be effective.
Strategies for Safe Transition and Management
Experts advocate for a slow and deliberate transition to a ketogenic diet, typically recommending an adjustment period of four to six weeks to reduce shock to the body and brain. Suggestions include decreasing carb intake gradually or changing one meal at a time to a ketogenic option. The importance of having a collaborative approach with healthcare providers is stressed, particularly regarding the use of bridge medications to manage potential symptoms during this transition. Overall, both experts emphasize open communication with healthcare professionals and the need for continuous support throughout the process to ensure safety and effectiveness.
Ketogenic therapy, commonly in the form of a keto diet, is often known for having more “side benefits” than “side effects.” However, it is a powerful medical intervention and, as such, not entirely without risks. In some instances, individuals transitioning onto a keto diet to treat a mental health condition, like bipolar or schizophrenia, can experience symptoms of hypomania.
There are many strategies to increase the safety of keto and mitigate potential risks, including slowly easing into a ketogenic diet, monitoring sleep, having a bridge medication available, and always having expert guidance from a clinical care team.
In this interview, Dr. Bret Scher discusses the risk of hypomania with two experts in the metabolic psychiatry field: Harvard-trained psychiatrist and author of the groundbreaking book, Change Your Diet, Change Your Mind, Dr. Georgia Ede, and Nicole Laurent, LMHC, a counselor who trains non-prescribers on assisting patients with ketogenic therapy. According to Dr. Ede, hypomania and other unwanted psychiatric symptoms are uncommon when implementing ketogenic therapy. She recommends that people not allow these risks to dissuade them from trying this form of treatment.
Featured in this episode:
Georgia Ede, MD
https://www.diagnosisdiet.com/
Twitter: @georgiaedemd
Order Change Your Diet, Change Your Mind: https://www.diagnosisdiet.com/change-your-diet-change-your-mind
Nicole Laurent, LMHC
https://www.mentalhealthketo.com
Twitter @KetoCounselor
Follow our channel for more information and education from Bret Scher, MD, FACC, including interviews with leading experts in Metabolic Psychiatry.
Learn more about metabolic psychiatry and find helpful resources at https://metabolicmind.org/
About us:
Metabolic Mind is a non-profit initiative of Baszucki Group working to transform the study and treatment of mental disorders by exploring the connection between metabolism and brain health. We leverage the science of metabolic psychiatry and personal stories to offer education, community, and hope to people struggling with mental health challenges and those who care for them.
Our channel is for informational purposes only. We are not providing individual or group medical or healthcare advice nor establishing a provider-patient relationship. Many of the interventions we discuss can have dramatic or potentially dangerous effects if done without proper supervision. Consult your healthcare provider before changing your lifestyle or medications.
#MetabolicMind
#KetoForMentalHealth
#MetabolicPsychiatry
#BipolarDisorder
#MetabolicNeuroscience
#KetogenicMetabolicTherapy
#NutritionalKetosis#MentalIllness#AlternativeTreatment#Obesity#MedicationSideEffects#Schizophrenia
#Hypomania
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