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Psychological and Sleep

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Integrative Geriatric Nutrition

Abstract

The mental health of the older adult population requires the practitioner to invest time in understanding the life events and lifestyle of their patients in order to adequately assess and support this key area of health. Older adults often find themselves in highly stressful environments. Big life stresses such as the loss of a spouse or loved ones, financial strain, health concerns, polypharmacy, and social isolation are common and can trigger imbalances in mental health. Even in patients with previously well-managed psychological conditions, medications begin to fail, new triggers create a higher need, and additional compromise in health ignites a mental health crisis. Complementing psychotherapy with nutritional improvements, well-placed nutraceuticals, and safe movement such as Tai Chi or swimming addresses the root causes of symptoms. Paying attention to the interconnection between brain health and gut health is critical to addressing the root causes driving the inflammation, toxicity, and hormonal imbalances that lay the foundation for psychological distress. Recognizing the bidirectional information highway between the gut and the brain, the enteric nervous system with the longest nerve in the body called the vagus nerve, is the key to understanding the interconnectedness of the two and, thus, supporting healing in the seat of our psychological state, the brain. The manifestations of various imbalances in the gut, inflammatory responses, and detoxification pathways can manifest as psychological distress. The most common psychological disorders in the aging adult population are depression, anxiety, and insomnia.

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Wendt, J., Considine, C., Kogan, M. (2021). Psychological and Sleep. In: Integrative Geriatric Nutrition. Springer, Cham. https://doi.org/10.1007/978-3-030-81758-9_8

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