Integrative Blog

The Integrative Therapeutics blog is your destination for staying current on topics within the integrative medicine community.

Five Stars for Hamilton (Anxiety Rating Scale)

// Danielle Huntsman, MS, CNS, LDN

In 1959, Max Hamilton, MD developed and published the Hamilton Anxiety Scale, affectionately referred to as HAM-A. The HAM-A was the first rating scale to be published and is available in the public domain (meaning anyone can download and use it). After several decades of minimal use, a significant resurgence of use of the HAM-A over the last twenty years provides over 900 references in total using a very gross bibliometric method. 5

What could be responsible for the renewed interest?

What Patients Think and Don't Say about Occasional Anxiety

// Corey Schuler, RN, MS, CNS, CNSC, DC

A therapeutic encounter between a doctor and patient discussing occasional anxiety solutions.

Oral Lavender Supplement Dosing Considerations: 80mg vs. 160mg

Oral lavender oil is an evidence-based dietary supplement which has been studied in both 80 mg and 160 mg doses. While practitioners may not always think about a style of recommending or prescribing, the art of medicine requires it. We asked two clinicians about their style of recommending an oral lavender oil supplement.

Chronotypes and Nutrition - ‘Perfect Timing’

// Kate Hope, MS, CNS

Our daily sleep-wake cycle is governed by an internal biological clock that operates on a near 24-hour cycle called the circadian rhythm. Chronobiology is the study of how this process regulates almost every function of life, including sleep, arousal, feeding, and a host of metabolic activities.1

The Level of Evidence Supporting Botanical and Herb Use

// Christopher Oswald, DC, CNS, CFMP

Botanicals and herbs are consistently used with the goal of supporting a wide variety of health processes. The use of botanical supplements is broadly reported throughout history in the application of numerous folk and natural remedies, with the oldest evidence pointing to use approximately 5,000 years ago. Review a recommendation of what type of evidence to focus on when looking to use or recommend a botanical or herb.

The HPA Axis

// Lise Alschuler, ND

The hypothalamic pituitary adrenal (HPA) axis is our central stress response system. The HPA axis is an eloquent and every-dynamic intertwining of the central nervous system and endocrine system. This system works in a fairly straight-forward manner. The HPA is responsible for the adaptation component of the stress response. This response is characterized by hypothalamic release of corticotropin-releasing factor (CRF). When CRF binds to CRF receptors on the anterior pituitary gland, adrenocorticotropic hormone (ACTH) is released. ACTH binds to receptors on the adrenal cortex and stimulates adrenal release of cortisol.

Sleep and Athletic Performance

// Erin E. Ducat, DC, CSCS, CCSP and Corey Schuler, MS, DC, CNS

In any sport, successful performance requires a planned approach to training and recovery. Poor or inadequate sleep affects athletic performance, recovery, and may have systemic effects. Many studies have evaluated sleep deprivation, a prolonged period of sleep loss such as a whole night or longer; however, sleep restriction, the partial disturbance of the sleep-wake cycle, is more akin to real world experiences of athletes. The following article is a sample of the evidence of sleep restriction in athletes that can help decision-making regarding the use of sleep support habits and/ or agents.

Stress Response: Understanding Gender Differences in Dealing with Stress

// Corey Schuler, MS, DC, CNS

Assessing stress is complicated business. Many disciplines are asking profound and perhaps age-old questions about the differences between men and women and how they go about dealing with stress. Learn more about gender differences in dealing with stress now. 

What are Adaptogenic Herbs?

// Jennifer Pottruff, DBM, DNM, DO(Spain)

Adaptogenic herbs, also referred to as “adaptogens,” are defined as agents that support the body’s ability to accommodate varying physical and emotional stresses. How many times can you think of a point in your life where you could use that? (for example, stress at work, family stress, and physical stress on your body.) Is this something that could really be out there, easily accessible to us all?

Alternative Sleep Patterns and the Sleep Cycle

// Lauren Martin, MS and Corey Schuler, MS, DC, CNS

Sleep is crucial to maintain a healthy lifestyle. Although the standard recommendation of 7- 8 hours of continuous sleep is familiar, history shows that the biphasic sleep patterns (having two sleep periods) may not be as uncommon as we think. Learn more about alternative sleep patterns, the sleep cycle, and what it could mean for patient care.


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†† For homeopathic products: these indications are based solely on traditional homeopathic use. They have not been evaluated by the Food & Drug Administration.
* For dietary supplements: this statement has not been evaluated by the Food & Drug Administration. This product is not intended to diagnose, treat, cure or prevent any disease.

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