New Mental Health Practitioner at Pohala helps with Depression, Anxiety, Psychosis, Schizophrenia in Portland, Oregon

Tyler Mostul

Pohala would like to introduce Tyler Mostul, Psychiatric Mental Health Nurse Practitioner.  This allows him to address various mental health challenges through medication management as well as therapy.  He graduated from Yale School of Nursing, and completed a residency at the San Francisco Veteran’s Hospital.  He is an unique psychiatric prescriber in that he is openly critical of psychiatry and psychiatric medications.  This does not mean that he does not support the usage of medications, it means that he is intricately aware of the risks involved in doing so. He feels it is his job to thoroughly discuss the risks and benefits of using psychiatric medications in order to help you feel fully informed of the options you have in addressing your concerns.  

 

He has particular interests in helping people be on the least amount of psychiatric medications as possible in order to reduce the risk of potential negative impacts they can have, and he has an understanding of the potential challenges with psychiatric drug withdrawal and medication tapering.  He also has interests in working with people in therapy who have experiences that have been labeled as psychosis or schizophrenia. He values and enjoys taking sufficient time in connecting with his clients and working together to figure out how to best achieve your goals.

 

There are several guiding principles he uses in his practice:

– People are inherently good

– We do the best we can under the conditions we are given

– Often the conditions we find ourselves in are extremely stressful, and this significantly affects our experience in the world.  

– Under extreme stress, we often do things we would not normally do.  These behaviors may seem irrational, but when seen in the larger context, they are understandable and reasonable.   

– Mental health symptoms are often a message to us, which if understood and learned from, have the potential to liberate us from our suffering.  

 

He acknowledges that we live in a society where racism, sexism, income inequality, homophobia, and transphobia are powerful forces that often negatively impact our lives in significant ways.  He acknowledges that various traumatic experiences including and not limited to those just listed, influence the way that we live, and can be the main reason we are experiencing the types of distress we find ourselves in.

 

In his therapy practice, he is heavily influenced by feminism, radical therapy, mindfulness, and psychodynamic therapy.  This means that he has an understanding of how various forms of oppression may be impacting you, and am sensitive to the complexity of the dynamics involved in your life.  He also believes there can be meaning discovered in the distress you are experiencing.  His goal is to work with you in a way that you find useful, and not to rigidly fit you into any particular modality.  He uses principles from CBT (Cognitive Behavioral Therapy), CBT for psychosis, and DBT (Dialectical Behavioral Therapy).  I also use EFT (Emotional Freedom Technique), also known as “Tapping.”  This modality is very useful in helping people release emotional distress and trauma from our body in a way that cognitive and behavioral methods cannot.  

 

He enjoys kundalini yoga, hiking, cycling, reading, chilling by any body of water, and disconnecting from technology.

Please Call Pohala (503) 572-4196 to schedule an appointment today with Tyler Mostul PMHNP

Help for Menopause in Portland, Oregon by Julie Foster Nurse Practitioner

Three Natural Treatments for Menopause Symptoms

Are you suffering from Menopause? Although menopause is not a disease, it sure can feel like it as you transition into this stage of your life.  Perimenopause are the years (up to 12 years prior) of moving into menopause which are marked by 1 year of no menses or by surgical removal of your uterus (hysterectomy). Common symptoms of menopause are Hot Flashes (do you feel like a volcano), Sleep disturbances (waking up in middle of the night for no reason),  depression/anxiety, and heart palpitations.

After working with women for over 20 years and as I am now approaching menopause at the age of 49, I know very well these symptoms and what works for my patients.

Here are my 3 medications to get started on menopause management.

  1. Magnesium Glycinate – Nightly doses of magnesium will relax you, settle heart palpitations, and offer a deeper sleep.
  2. Avoid Sugar/Alcohol/Processed Foods as best you can.  This helps lessen hot flashes naturally.
  3. Natural Progesterone at bedtime if the body can handle steroids.

Call today for an appointment with a Pohala practitioner. You can find relief from the symptoms of menopause.

 

 

 

Genetic and Neurotransmitter Mental Health Testing in Portland, Oregon by Julie Foster

Should I have Genetic or Neurotransmitter testing for psychiatric or mental health medications?

As a healthcare professional it is always my goal to carefully determine what medications work with specific patients. My clients who have depression, anxiety, bipolar, or schizophrenia all have different medication needs. Genetic testing give me another tool to get the medications right from the beginning.

Whether you have a new mental health diagnosis or a chronic mental health condition, testing for  the genetic predispositions for medications and knowing neurotransmitter levels is incredibly helpful when making a decision about medications.

Pohala offers genetic and neurotransmitter testing for mental health to all patients who request the process.

Many insurances are now covering this testing.

We offer testing from companies such as Admera, Genesight, and ZRT.

Let’s get to the bottom of your healthcare needs!

Julie Foster FNP

 

Teens, Nutrition, and Acne by Vera Vos Nurse Practitioner in Portland, Oregon

 

Pohala Family Nurse Practitioner, Vera Vos talks about the article “What can you eat for clearer skin? The best and worse foods for acne,” from the Food Revolution Network. 

Stuck with Acne? Not Exactly!

The woes of adolescence! Exactly during the time of our lives when we feel the least secure about our appearance is also the time we are most likely to have problems with acne. Is acne a normal and expected rite of passage for teens? In the US 79-95% of adolescents will struggle with an acne outbreak at some point during their teenage years. Many endure the affliction for years and end up with scarring in adulthood.

Unfortunately, we are not necessarily out of the woods once we reach legal drinking age.In the US, almost half of all adult women and about 1/3 of adult men have acne, about 1/2 in each group defined their acne as moderate to severe, while the other half had mild outbreaks. A teenage only thing, it is not!

So, this must be the result of our industrialized food and toxic environment, right? Well, yes and no. Though there are traditional cultures in the world where acne is virtually unknown, many other cultures, with much cleaner food and environments than ours, still have a fair percentage of adolescents that experience acne. The abrupt change in hormones during this time period is a trigger. But, there are fewer teens affected and those that are, almost always have mild outbreaks. And, virtually everyone outgrows acne in adulthood. .

The bottom line is, of course there are things in our modern, industrialized food and personal products world, that makes acne worse and more common not only in teens but also in adults! Read the attached article  to learn what specific things you can do to improve or even cure acne

 

 

Pohala Providers stay up to date with Medications and Prescribing

 

Our Pohala Providers strive to remain up to date and educated for both Allopathic/Western Medicine and Integrative/Functional/Natural Medicine.

Today here is Julie Foster FNP and Donna London FNP at the Nurse Practitioner’s of Oregon’s Pharmacology Update. We learned about safety and use of medications for the aging population. Take home: Be careful as even OTC meds are very dangerous and poly-pharmacy leads to more problems than you may think. Combining some medications maylead to dementia, sudden heart attack, kidney failure, and gastro-intestinal bleeding.

Pain meds in elderly reduce cognitive function, respiratory drive and only should be used if absolutely necessary. Topical is a better option many times.

Have you reviewed all medications ,even supplements with with a conscientious medical provider (like us at Pohala, many PCPs are too busy to keep up)?

Taking a pill rarely provides THE answer to your health. Are you looking for a cure or symptoms relief? We keep learning more and more have integrative therapies, like Acupuncture, Massage Therapy, Mind Body techniques like EFT, meditation, prayer, and walking in nature improve many health concerns without all the dangerous side effects of pharmaceuticals.

We aim to use the least amount or none of allopathic pharmaceuticals in our patients. But if we choose to we are experts in prescribing. Safety and Quality of Life is paramount.

Food is medicine, Healthy Lifestyle can heal, and Positive Relationships can reduce Pain. 🏵🎆🏵

Follow up with your health care provider and review your medications.

Call Pohala to review your medications with one of our amazing providers. We still can schedule you in a short time (1day to 1 week), unlike most PCPs 6-8 weeks out for an appointment

(503) 572-4196

Pain Management and Acupuncture by Paresh Shelat ND, L.Ac

We often ask our health care professionals at Pohala to choose articles they find interesting  Here, Naturopathic physician Dr. Paresh Shelat shares an article from OmniaBodyWorks on how massage can help with chronic pain.

Dr. Shelat notes:  Pain Education is an ever-changing and an increasingly popular topic these days.  This article does a great job at simplifying pain mechanisms.  Not only does this apply to massage therapy, and other types of manual therapy, but also applies to acupuncture and naturopathic manipulative techniques. Each of these therapeutic modalities can be used in tandem with one another to bring about profound healing. 

Click here to read WHAT CAN MASSAGE REALLY DO? to learn more about the role massage has in helping manage pain.

To book a session with Dr. Paresh Shelat, please contact our Pohala Clinic.

 

 

Seasonal Allergy Care in Portland, Oregon

Malia Susee Acupuncturist shares some tips on how to manage Allergies this Season.

Spring is here! Geshundheit!! If Spring and Summer allergies cloud your otherwise sunny days, here are five ways to fix the face faucet.

  1. Prevention: if you know you’re prone to airborne allergies and your symptoms have not yet started, there’s still time to herb up— Jade Windscreen Formula (a.k.a. Yu Ping Feng San) and its various modifications (formulated specifically for you by your acupuncturist) can help you ward off the sniffles, sneezes, and congestion caused by your airborne foes. Take your herbs early and often, and get acupuncture to keep your immune system balanced. https://www.ncbi.nlm.nih.gov/pmc/articles/PMC4630930/
  2. If your symptoms have already started, talk to your acupuncturist about herbal formulas to address them. You would be amazed by how many herbs and formulas we have to soothe itchy or irritated eyes, runny nose, nasal congestion, sinus congestion, sneezing, and headaches!
  3. Nasal irrigation or lavage (saline rinse in one nostril and out the other) is an effective method of ridding your mucous membranes of pollens, dust, and other airborne irritants. The less prolonged exposure your nose and throat have to allergens, the less your body will be likely to react. Here’s a handy link for more information and instructions: https://www.webmd.com/allergies/ss/slideshow-nasal-irrigation
  4. Wash your hair and change your pillow case before going to bed. Out in the world, our hair collects airborne pollens and dust, and we rub our faces in each as we sleep. Again, limiting this contact lessens our bodies’ propensity to overreact! (A clean house and clean air filter help in this way, too, but keeping those microscopic irritants out of your face at night is particularly helpful.)
  5. Get acupuncture to clear your head! Acupuncture offers quick, effective alleviation of runny nose, nasal and sinus congestion, itchy eyes, watery eyes, sneezing, and other respiratory complaints, and it can safely be used with any of the above methods to treat allergies, especially with local needling and micro-current application. Results can be immediate!

 

Call Pohala at (503) 572-4196 to make an appointment with Malia Susee, L.Ac or Dr. Paresh Shelat ND, L.Ac for more information, prevention, and allergy relief.

Environmental Detox Tips for Your Home in Portland Oregon

 

 

Spring Cleaning

Despite our crazy Winter weather,❄️ Spring 🌷🌿 is around the corner and Pohala is welcoming this event with our:

Spring Cleanse: Nutritional Detox and Reboot Class.

This class is filled but that doesn’t mean we can’t share some detox tips with everyone. If you’re not in the class, let us know, and, if there is enough interest we may do another one.

Vera Vos NP will speak on Environmental Toxins:

She tells us:
‘Often, the big question is, why detox? A big reason is to decrease the burden of harmful chemicals in our bodies. But, aren’t there laws that ensure clean and safe water, air, food, etc? If only that were true. There are more than 80,000 registered chemicals in use. About 1600 of these chemicals have been tested for carcinogenicity by the EPA. In 2016 then President Obama amended the 1976 Toxic Substance Control Act which will now require the EPA to study the not yet tested chemicals for safety. Unfortunately, they are only required to study 20 different chemicals at a time and testing must be completed within 7 years. How quickly EPA moves through the testing is definitely dependent on funding and the political climate. So, while the federal government makes it’s ponderous way through 80,000 (minus 1600 already done) chemicals, it’s up to us to educate ourselves regarding what potential toxins we may be coming into contact with.

The Environmental Working Group (EWG) is a non-profit American activist group that specializes in research and advocacy in, among other things, toxic chemicals. Check out their website for an extensive guide to the most toxin free products for your home and personal use.  Our homes may be our sanctuary but the air inside can be 2-5 times more polluted than the air outside. There are guides for everything from mattresses to cleaning products to lightbulbs and much more. Here’s to spring cleaning!

Whether you are attending our class you can schedule your personal Nutritional Cleanse consult. Vera Vos NP and Lisa Del Alba ND accepting new patients.

Here is to YOU!!!! The more you care for yourself the better the World Can BE. Healing can happen.

Call us for an appointment (503) 572-4196

How Can Cinnamon Help with Warming the Body During Portland’s Rainy Season?

 

Malia Susee Acupuncturist tells us about Cinnamon:

Cinnamon v. Cinnamon

It’s cold and wet outside. I’ve been recommending cinnamon a lot these days. I have also been noticing that the internet has not been giving cassia, the cinnamon commonly grown in Vietnam and China, a fair shake.

Ceylon cinnamon, that which is grown in Sri Lanka, is touted as the truer, healthier stuff, but let’s not bark up the wrong tree (pun absolutely intended); While both are warming herbs, Ceylon cinnamon twig (a.k.a. Guì Zhī) and Cassia bark (a.k.a. Roù Guì) have different functions in Traditional Chinese Medicine.

Guì Zhī (Ceylon twig) helps fight the common cold by harmonizing our nutritive and defensive chi (qi) (guiding nutrients to our immune system) and by unlocking/unblocking the chi /qi in the chest and lungs (great for lung tightness and congestion). Used as an analgesic for menstrual cramps and for joint painexacerbated by cold, wet weather, guì zhī promotes blood circulation by “warming the vessels” and by “dispersing cold and damp” Bensky, D. and Gamble, A. (1993) Chinese Herbal Medicine Materia Medica: Revised Edition. Seattle, WA: Eastland Press, Inc..

Roù Guì (Cassia bark) warms at a deeper, more basic level. We use this when depletion, reduced appetite, frequent urination, and /or deep aversion to cold are present. Roù Guì also helps with chronic wheezing due to deficiency; conditions that present with sensation of heat in the upper body, but cold below; and diarrhea due to deficiency (see Bensky and Gamble, 1993).

Cinnamon is most effective when combined with synergistic food or herbs and best to avoid in cases of severe yin deficiency. I’ll write about yin deficiency soon in conjunction with menopausal symptoms, but if you’re wondering how best to incorporate cinnamon in your diet, read this relatively even-handed article I found:

https://www.organiclifestylemagazine.com/cinnamon-ceylon-vs…

…and consult your local acupuncturist!

Call (503) 572-4196 to schedule an appointment with
Malia Susee, L.Ac. at Pohala.

Stay warm! 🏺🏺♨️🌅

 

How to treat Viruses in Portland, Oregon

Many have been vulnerable to viruses since the snow has come to the NW. Remember we are always surrounded by germs. It just matters if the ‘submarine’ is breached per se. This happens when our immunity decreases or inflammation increases.

For children viruses are like ‘cleaning the house.’
A child most times comes out ahead to their next developmental step after the virus.

For adults viruses can mean overwhelm or a response to balance over-inflammation. They prevent cancer cells from proliferating.

Julie Foster Nurse Practitioner has 3 suggestions to heal through a virus.

Protect your inner fire of warmth and regain control of your immunity:

1. Wear 3 layers on top.and 2 on the bottom. Keep neck and ears covered when going outdoors. Even place cotton in your ears at bedtime. Wear a silk scarf to sleep. Do not let a draft create a chill. At first sign of virus (a tickle in your throat, sore neck, or just a thought…’Am I getting sick’), drink cup of hot herbal tea, take a hot shower/bath, apply a hot water bottle on the belly or at your feet when you go to bed.

2. Keep bowels loose. Try Natural Calm or Magnelevures once daily or take buffered Vitamin C and take 2 to 7gms to bowel tolerance. Back off the dosing once they have loosened.

3. Take an immunity herbal or homeopathic remedy. Julie Foster has prescribed Biovegetarian with warming herbs to stop the virus or decrease the duration for over 12 years.

At Pohala Clinic – A Place of Healing we can individualize your care plan during your illness. Also consult us or your trusted medical provider before trying a new regimen.

Health is not without Illness. But we can grow stronger in our response to it.

We are always Becoming!