Dr Federica Amati

They're not going to suddenly go below threshold because we've delivered a good service.

There's context.

Context is always king, right?

So whilst we try to understand how to improve people's health, and mental health is huge and it's such an important topic,

We have to understand that we need to treat people as a whole.

So patient-centered care, that's actually what my master's dissertation was in for public health.

Patient-centered care predicts how well people will recover from an illness or feel better.

Because when you address the entire person as a whole, they're much more likely to be able to feel better and to improve their health on the whole picture, not just one thing.

So, of course, I'm not suggesting that if you cut your wrist, then, yeah, you just treat the cut.

But when we're talking about these issues that impact our quality of life, like mental health does, it's not only does diet impact the likelihood of us losing

having mental health issues but if you suffer with mental health you're also going to make different dietary choices because cooking up a delicious meal that's really nutritious when you have severe depression is super hard because you don't have any energy you don't want to get out of bed let alone cook up a feast so yes um so there's this really one of the seminal trials on this is called the smiles trial and it was run by professor felice jacker in australia

And it took her ages to even get funding to recruit the patients for this because no one believed it would work.

She wanted to see what happened if you had a group of patients with resistant depression.

So these are patients who've had CBT.

They've also got sometimes pharmacotherapy, so drugs.

And she wanted to see if she could make a difference by changing their diets.

And they ran the trial and it was randomized.

So she didn't know when she got the data and they analyzed it.

They didn't know which group was which.

And when she first ran it, she thought they'd switched the groups by mistake because it was such a change.