In Ontario, naturopathic doctors are considered primary care physicians.

Jeremy Hayman, Doctor of Naturopathic Medicine (ND) will be writing a regular column for the Burlington Gazette.  ND is a professional medical designation earned following an undergraduate pre-medical degree and four years of post-graduate medical training at a fully accredited (CNME) naturopathic medical college. All licensed Naturopathic Doctors practicing in Ontario have been fully regulated under the Drugless Practitioners Act.Upon completion of regulatory board examinations, Naturopathic Doctors, as primary health care providers, are required to maintain their competency by meeting continuing education requirements as well upholding naturopathic medical association standings.

In comparison to a Medical Doctor designation (MD), a Naturopathic Medical designation (ND) is comprised of an equivalency in term of basic science education hours.  Where an MD focuses more time on pharmaceutical medicine, NDs also study pharmacology and its drugs, however extensive training in natural medicine (such as botanical, Oriental, nutritional, physical, and homeopathic medicine as well as lifestyle, counseling and herb-drug interactions) is adjunctively studied as well. In Ontario, a naturopathic doctors is considered a primary care physicians. NDs cannot prescribe pharmaceutical medications in Ontario as MDs are able to, and are only covered under extended health plans and not OHIP billing, however they are able to employ conventional laboratory testing and diagnostic imaging as necessary.

September 5, 2013

By Dr. Jeremy Hayman

 BURLINGTON, ON.  September 5, 2013  When it comes to understanding the meaning of the popular phrase “too much of a good thing”, we all too often overdo our ideal balance by taking this idiom to the extreme. It’s common practice to believe that if something is healthy, then more is better. We have all experienced, in one way or another, too much of something we believe is “good” often times turns out not to be as “good” or as pleasant as we first thought.

There are limits – or at least there should be some limits we observe.

How many of you have ever basked under the healthful vitamin D filled sunrays on a warm summer day only to regretfully suffer the agonizing (and burning) result of “too much of a good thing”? Ok, so we agree, in our own unique and sometimes retrospective way, too much of a “good thing” may in fact result in the complete opposite of what we originally thought. This consideration has forced us to accommodate moderation into our daily lives, correct?

  Well, not always in reality, but the true meaning and moral does allow us to consider the wise choice that everything in life should be experienced in balance. Although, when it comes to natural health and contributions to natural health, I sometimes, beg to differ. When it comes to balance and happiness within our children’s mental health, I beg to differ without question.

  The mental health status of children constitutes a need for balance, however the more happiness, balance and support toward a child’s mental health, argument cannot be justified that too much of a good thing is ultimately “too much”. Mental health of children is of utmost value, and the more support that can be provided naturally, the better. So let’s talk mental health within our most impressionable population, and let’s learn what it takes to naturally keep the mental health of our children balanced.

  According to Health Canada, one in  five Canadians will experience some type of mental illness over the course of their lifetime, many of whom will never fully recover. The other four will have a friend, family member, or colleague who will experience a mental health issue. Children, within this statistic, are sadly, not excluded. So what is sound mental health as it pertains to our children and how can the balance toward such a “good thing” be realized? Mental health in children refers to the mental state of how one thinks about, feels, associates, and responds to the world within and around him/her. Depression, anxiety, general stress, attention deficit, autism, panic, and bi polar are mental health states but to name a few. Achieving consistent happiness, positive adaptation, awareness and balanced thought and feeling is what exemplifies mental health to its ultimate degree. When mind and body become occupied and clouded with an ongoing interference of thoughts and feeling, mental health state begins to decline.  Once it acclimatizes to this state of mal-adaptation, psychiatric “disorder” may inevitably ensue. Continued psychiatric distress does nothing more than lend itself to a continued spiraling of ill-health, physically, mentally and otherwise.

  One in  five Canadians will experience some type of mental illness over the course of their lifetime.Interestingly enough, many children affected are being diagnosed simply as an illness due to genetics, “chemical imbalance”, or “predisposition” (which by the way isn’t necessarily an accurate preceding diagnosis at all). It is, however, becoming more and more striking, yet accepted, that mental health issues can also arise from psychosocial stress, unhealthy diets and food production, environmental and toxin influences, as well as from the use (and overuse) of pharmacological medications. Although the contributing source which underlies how a child feels mentally and emotionally may not always be undeniably determined, we do know that focusing on the basics will help make a child feel better.

  When a mental predisposition or illness in a child is typically diagnosed, there is a tendency not to turn to creative solutions for support, but rather to quickly medicate our children. Medication does have its place, however, from a natural and primary care perspective, what should be done is to address a child’s environment, parental stress, nutrition, lifestyle, and an overall comprehensive evaluating view of a child’s life. As stated, medication does have its place (pending individual circumstances, no doubt), however by simply medicating our children as first line treatment, in all circumstances, what’s being done is simply disempowering children, inducing a biochemical imbalance in the brain (not altering or fixing one) and simply guiding children into believing that coping and self-regulating cannot be accomplished without drugs. If all aspects of a child’s life is addressed, medication may still be required, but potentially at a later date, a lower dose, for a shorter time, and may in fact create a better result, given all other supporting aspects have been addressed.

  So how exactly do we treat a mental illness in a child? First and foremost, a professional medical assessment needs to be performed in order to determine where along the “spectrum” a child’s mental state rests. Many diagnostics are determined using a firm array of clinical signs and symptoms, depending of course on the mental state in question. With anxiety for example, a child’s anxiety and worry state would need to be associated with at least three of seven symptoms (sleep disturbance, easy fatigue, and being “on edge” for example). And more importantly to note, just because a child “displays possible symptoms”, doesn’t automatically conclude a mental illness is at hand, however, it also does it mean that there is not.  A whole picture approach would need to be considered, as many symptoms of mental health illness can very well be generalized symptoms in and amongst themselves. Yet, a single symptom can also be a key clue that an initial mental illness may be at play. So rather than diagnosing or treating a mental illness based on a limited clinical picture, a comprehensive and total life picture of the child, as a person, needs to be considered and sought out (as addressing a person and not just an illness, is truly what medicine and its management should be all about).

  Once a mental status has been determined, natural support in the way of botanical medicine, correction of nutritional deficiencies and a therapeutic approach to diet, stress, and environment, in conjunction with primary health care can be successfully accomplished. Vast approaches to mental health can be employed, however utilizing a comprehensive medical approach, encompassing natural sound and evidenced based medicine, combined with primary care practice often works best. Once a mental status has been determined, natural support in the way of botanical medicine, correction of nutritional deficiencies and a therapeutic approach to diet, stress, and environment, in conjunction with primary health care can be successfully accomplished. Realizing and diagnosing a mental illness in a child at any age is not something that sits well with anyone. The good news is that it doesn’t have to be a life sentence of unhappiness, instability or illness either. The evidence is there, that natural medicine works, and by incorporating the essentials in terms of what makes our children better, success with mental illness can be realized.

  Functioning of a child to the degree which satisfies society’s expectations alone is not the element to success. Fundamentally supporting a child’s mental health issue(s) at its root IS the only management tool to propel mental and emotional stability from a life of uncertainty to that of making “too much of a good thing” worth living.

 Dr Jeremy Hayman is an Ontario and Board licensed Doctor of Naturopathic Medicine, practicing at Back On Track Chiropractic and Wellness Centre in Burlington Ontario where he maintains a General Family Practice with special interest in Psychiatric as well as Pediatric health. Dr Hayman can be contacted at drjeremynd@gmail.com

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1 comment to In Ontario, naturopathic doctors are considered primary care physicians.

  • Very good points about medicating too quickly. Very often there is a nutritional deficiency or physiological dysfunction that is at the root of the problem and medications will not solve these imbalances.