Avant-guard psychiatry

IMG_0193When I encounter people working in alternative energy or holistic health, I find a purity to their work born from having personal experience with their modality and a conviction in its importance.  There is a clarity in their words and a humility in their demeanor.

At the moment I have in mind a psychiatrist named Will Van Derveer whom I heard speak in Boulder, Colorado, last week.   Van Derveer is soft-spoken and articulate, a lean middle-aged man with clear skin and the centeredness that stems from meditation and wisdom.  He spoke on a holistic approach to psychiatry, one that takes into account gut health, neurotransmitter fluency, chemistry, genetics, attachment disruptions, ego structure, trauma, relationship, and spirituality.  As someone who has studied psychology but often finds something missing, I reveled in hearing a perspective that made sense to me on every level.

Van Derveer does prescribe medications, but he keeps his sights on the truth that it is still the relationship between therapist that is the heart of healing, as research has shown for decades now.  He also works with natural medicine to determine if someone has adrenal fatigue, candidiasis, gluten intolerance, lyme disease, or some other issue underlying mental dysfunction.  He may order neuropsych tests as well.  He works with somatic experiencing to address trauma, and he uses a natural supplement to help those who wish to come off meds.  It’s a very complex job he has, and his clientele is varied, their symptoms sometimes mysterious.  But he listens, seeks the advice of colleagues, and recommends a variety of treatments, including yoga, tai chi, and meditation.

Many MDs do not even recognize the validity of adrenal fatigue or candida, and Van Derveer acknowledges that these issues are more often the territory of naturopaths and sometimes of a few integrative medicine docs.  But he believes these disorders are real and much of his clientele does too. He follows studies and can describe case studies in which clearing up candida or adrenal issues clears up depression, lethargy, or anxiety.

When people are suffering, have tried a myriad of treatment approaches that have not helped enough, or are inclined to minimize medication use, they seek out Van Derveer’s.  They may have to make some real lifestyle changes, but this doc is patient and understanding.  He understands the importance of community and social support in making changes and recovering.  He understands the problems involved in an unbalanced brain and in addiction.  He has compassion, and he is open to learning from patients, colleagues, research.

Here is a man in touch with the realities of his time, the evolution of medicine, the suffering of his fellow creatures.  When someone in the audience asked him why he often prescribes medications for a person in acute distress, he said, “fear.”  Not a common confession from a physician, but an honest one.  Another listener noted that compassion is also involved in wanting to help someone suffering deeply and using the most powerful or best known remedy at hand.  At another point he spoke of the need to accept a condition and the ongoing struggles associated.   For me, the daughter of a doctor, I am most impressed by one admitting his fears, the limitations of medical knowledge, and this awareness of the complexity of humans, our environments and the food we eat.  At the same time I am reassured that he is attentive to the latest thinking and research as well as the experience of patients.

Other things he said let me know he is aware of his own psychological issues, that he eats well, lives well, and learns from mistakes.  Here is the art of medicine in full relief:  open to mystery, employing intellect and intuition, considering the natural world, practicing what one preaches, learning from mistakes and from patients and colleagues of all ranks.   I call him enlightened.

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1 Comment

  1. who is to say that someone is a quack? medicine is not absolute – in ways yes, we know SOME things and how SOME things work and SOME causes and SOME cures and SOME fixes – but do we know everything???? No – so who is to say that this doctor is a quack?

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