Psychiatry & Psychotherapy Podcast

Ketogenic Diet Review and Update with Dr. Matt Bernstein

Apr 11, 2025
Join Dr. Matt Bernstein, a psychiatrist and metabolic psychiatry pioneer, as he unveils the life-changing potential of the ketogenic diet for mental health. Discover how this diet positively impacts severe conditions like bipolar disorder and schizophrenia. Delve into the fascinating links between metabolic health and mental well-being, with actionable insights on improving treatment outcomes. Dr. Bernstein also shares innovative strategies for patient adherence and the significant benefits of tracking ketone levels for mental wellness.
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ANECDOTE

Ketogenic Diet for Seizures

  • Dr. David Puder learned about the ketogenic diet at a neurology conference on psychogenic seizures.
  • The conference, put on by a ketogenic foundation, introduced him to the diet's use for seizures.
INSIGHT

BHB Levels and Epilepsy Treatment

  • Early ketogenic diet studies in epilepsy didn't consistently measure beta-hydroxybutyrate (BHB) levels.
  • They focused on dietary fat ratios, finding that lower ratios still provided benefits, raising questions about necessary BHB levels for efficacy.
ADVICE

Monitoring Ketosis

  • Monitor patient compliance with the ketogenic diet by checking BHB levels, especially in the first few months.
  • This allows for objective measurement of treatment adherence, unlike many psychiatric medications.
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