Dr. Shebani Sethi

So the field has come a long way. There's a lot of research that's been done on the biological piece and neuroscience and looking at obviously the serotonin hypothesis, but that's a hypothesis and an observation from like 30 years ago.

And all of these research and money has been thrown on developing drugs, but we're not necessarily addressing some of the root causes of why are these chemicals imbalanced. And so That's an important question that I and others are trying to study through research studies and clinical trials.

And all of these research and money has been thrown on developing drugs, but we're not necessarily addressing some of the root causes of why are these chemicals imbalanced. And so That's an important question that I and others are trying to study through research studies and clinical trials.

And all of these research and money has been thrown on developing drugs, but we're not necessarily addressing some of the root causes of why are these chemicals imbalanced. And so That's an important question that I and others are trying to study through research studies and clinical trials.

And like you said, we know that although our medications are necessary and lifesaving for many, they have undesirable side effects that can worsen metabolic health. And while it's helping in one domain, it may in some people also be hindering improvement in psychiatric symptoms, especially if the metabolic health is poor. So psychiatric treatment is never going to be a one-size-fits-all approach.

And like you said, we know that although our medications are necessary and lifesaving for many, they have undesirable side effects that can worsen metabolic health. And while it's helping in one domain, it may in some people also be hindering improvement in psychiatric symptoms, especially if the metabolic health is poor. So psychiatric treatment is never going to be a one-size-fits-all approach.

And like you said, we know that although our medications are necessary and lifesaving for many, they have undesirable side effects that can worsen metabolic health. And while it's helping in one domain, it may in some people also be hindering improvement in psychiatric symptoms, especially if the metabolic health is poor. So psychiatric treatment is never going to be a one-size-fits-all approach.

Mental health conditions are varied. They're heterogeneous and they have different phenotypes or presentations. We don't have a single mutation. or a gene that we can point to, or a lesion. There's no smoking gun. It's a complex relationship of multiple genes and environment. And unfortunately, a metabolic assessment is not part of that routine care, and stigma certainly plays a role in this.

Mental health conditions are varied. They're heterogeneous and they have different phenotypes or presentations. We don't have a single mutation. or a gene that we can point to, or a lesion. There's no smoking gun. It's a complex relationship of multiple genes and environment. And unfortunately, a metabolic assessment is not part of that routine care, and stigma certainly plays a role in this.

Mental health conditions are varied. They're heterogeneous and they have different phenotypes or presentations. We don't have a single mutation. or a gene that we can point to, or a lesion. There's no smoking gun. It's a complex relationship of multiple genes and environment. And unfortunately, a metabolic assessment is not part of that routine care, and stigma certainly plays a role in this.

Obesity is stigmatized, and so is mental health. education about nutrition and metabolism was lacking in medical education. Most psychiatrists recognize this relationship.

Obesity is stigmatized, and so is mental health. education about nutrition and metabolism was lacking in medical education. Most psychiatrists recognize this relationship.

Obesity is stigmatized, and so is mental health. education about nutrition and metabolism was lacking in medical education. Most psychiatrists recognize this relationship.

They're starting to. They understand that there are side effects with psychotropic medications. I think they don't necessarily have the expertise to treat it or address it. They don't know necessarily what to do about it. But most psychiatrists that I speak with, and my department certainly has been very supportive of this idea,

They're starting to. They understand that there are side effects with psychotropic medications. I think they don't necessarily have the expertise to treat it or address it. They don't know necessarily what to do about it. But most psychiatrists that I speak with, and my department certainly has been very supportive of this idea,

They're starting to. They understand that there are side effects with psychotropic medications. I think they don't necessarily have the expertise to treat it or address it. They don't know necessarily what to do about it. But most psychiatrists that I speak with, and my department certainly has been very supportive of this idea,

And someone has to do the research and someone has to do the work to kind of move the field forward. And there's a growing body of other researchers working on this. And we hope that evidence-based research has to be done to kind of change the mainstream standard of care.

And someone has to do the research and someone has to do the work to kind of move the field forward. And there's a growing body of other researchers working on this. And we hope that evidence-based research has to be done to kind of change the mainstream standard of care.

And someone has to do the research and someone has to do the work to kind of move the field forward. And there's a growing body of other researchers working on this. And we hope that evidence-based research has to be done to kind of change the mainstream standard of care.

I think that is changing. There's a complex relationship between metabolic dysfunction and nutrition, food, mental health. And I want to start off by saying that the idea of food as medicine is not a new concept in the field of nutritional psychiatry. It's really grown over the past few decades by several prominent psychiatrists and researchers.