Pathophysiology
Nearly ten of the eleven depressed and otherwise healthy patients have elevated cortisol levels. Recent studies confirm this trend in depression associated with other disease such as cardiovascular, autoimmune, and neurological disease.  Despite the elevated cortisol, inflammation is the hallmark of mood and psychiatric disorders, independent of coexisting conditions. Essentially the patient’s ability to self-regulate inflammation is lost.

Clinical Observations
Early afternoon fatigue. Fatigue resolved on SSRI. Fatigue upon weaning medication.
Chronic pain associated with psychiatric disorders.
Mood disorders secondary to chronic inflammatory conditions and autoimmune disease.

Functional Diagnosis
Urine adrenal function test. Salivary adrenal function test. Morning cortisol test.
Treatment Protocols
Personalized diet plans focused on regulation of cortisol and reducing inflammation naturally.

Orthomolecualr medicine: Botanicals and vitamins protocols focused on reducing inflammation and improving liver and adrenal function.
Life counseling with the focus on stress reduction techniques.