Why did Tyler Mostul become a Psychiatric Mental Health Nurse Practitioner: Becoming Sane in an Insane World

Tyler Mostul

 

Pohala now has Behavioral /Mental Services. So many people are suffering, and at least in Oregon, so many cannot find a mental health practitioner or when they do they do not align with their values.   Psychiatric Mental Health Nurse Practitioner Tyler Mostul is unlike most in that he has an unique perspective and aims to focus more on therapy, holistic approaches as opposed to pharmaceuticals. When warranted Tyler Mostul PMHNP has the expertise to prescribe pharmaceuticals and does so, thoughtfully.

His original interest in psychiatry grew out of his experience volunteering for a year with the homeless in Los Angeles, California.  After he graduated with his Bachelor’s degree in Business Administration and a minor in Theology, he developed an interest in learning how a person comes to be in a place where they did not have a house to live in.  At that time, this was not a situation that he or anyone close to him had ever had to deal with. He figured there was no better way to learn than to LISTEN  to those who found themselves experiencing homelessness directly.

During his time in L.A., he was present in the lives of those who were some of the most oppressed in our society.  He witnessed these people grossly mistreated by police, paramedics, and other social service providers.  He listened to horror stories of what people go through to survive.  He realized that mental health and substance abuse are two of the largest personal barriers to people improving their lives, and he saw firsthand that the way society at large chooses to deal with these things does not work very well.  In fact, the places people are told to go for help often cause more harm than good. This awakened a passion inside of him to attempt to help people deal with their problems in a way that causes them the least amount of distress as possible.  

This experience and others for him solidified the belief that there are always significant psychological, social, and environmental factors that contribute to a person’s mental health.  Whether a person lacks enough money to pay for their basic needs or has plenty of money, there will always be significant psychological, social, and/or environmental factors involved.  This concept heavily influences his practice today.

Psychiatry attempts to say that a person’s mental health struggles are due to there being something wrong with their brain.  First of all, this is a theory that even psychiatry acknowledges is a theory and not fact, yet many mental health providers promote this theory as fact.  The theory that mental health challenges are caused by there being something wrong with the brain never made sense to Tyler as he saw there were endless things going on in a person’s life that could easily explain why a person would be depressed, anxious, or addicted to something.  Not only is there no brain scan, blood test, genetic test, or other objective test mental health professionals use to diagnose mental health conditions,  Later he learned that the evidence does not support the brain-based theory of psychological distress either.  

Tyler Mostul PMHNP does not see depression, anxiety, mania, addiction, hearing voices, or seeing visions as some kind of brain disease or as “insane.” Instead he sees them as sane ways of relating to and coping with a person’s often insane world.  Acknowledging this has the potential to provide some relief as we open up to being more gentle and compassionate with ourselves. Discovering new ways of relating to our insane world also has this potential. He hopes to explore these possibilities with his clients.

Tyler Mostul PMHNP is accepting new patients. Call Pohala for an appointment today (503) 572-4196

 

Spring Cleanse with Chinese Medicine Approach by Malia Susee, Acupuncturist in Portland, Oregon

Here are some  thoughts on Spring Cleaning your Body for Better Health from a Traditional Chinese Medicine perspective.

Malia Susee Licensed Chinese Acupuncturist shares three things that can help you enliven and reboot your health for 2019:

1) Start with a clean slate. “Detox” and “cleanse” diets are popular Spring approaches to reset the body’s systems after winter’s down-time and heavy foods. Seek advice from a medical provider or at least to help understand what kind of liver cleanse, fast, or detox regimen is right for your body. Saunas, detox-tea, dry-brushing your skin, and drinking plenty of water are ways you can boost the effect of your cleanses.

2) Eat your greens! Traditional Chinese Medicine (TCM) uses blue-green foods (chlorophyll rich dark leafy greens, algae) and slightly sour flavors (i.e., plum) to support the liver, the organ/energetic system that governs the smooth movement of chi (qi). In his book Healing with Whole Foods, Paul Pitchford also recommends radishes, lettuce, cucumber, and celery to help detoxify and cool the liver. If you don’t digest salads well, eat cooked veggies. Good digestion is key to good nutrition!

3) Move it! Acupuncture, exercise, meditation, Qi Gong, Tai Chi, and yoga are helpful ways to move chi (qi) and keep your emotional and physical health in balance. The TCM liver and gall bladder (not just the organs in our bodies, but entire energetic systems in the TCM paradigm) the are of the wood element and require movement to help you manifest your hopes and plans. (Picture trees branching out and sprouting leaves.) Without movement, these energetic systems are prone to irritability and anger and take it out on your body’s other systems (think of any health complaint exacerbated by stress). With movement, Springtime turns their smoothly flowing chi (qi) into a super-booster for your health and your efforts!

Schedule your appointment with Malia Susee, L.Ac. at Pohala (503) 572-4196 to create a plan for you!

Nettle Tea with Julie Foster

A rainy, walk last week in Oregon. I was able to collect Nettles. 🌿🌱Additionally, Horsetail, Ferns, Trillium and endless medicine surrounded me in the Forest.

Nettles:
1. Tea for Iron Deficiency and Blood Building.
2. Nettle vinegar for base of salad dressings and drinking vinegar eases digestion.
3. Add to soups
4. Saute with veggies.

My sweet rescue dog🐕 Shasta was curious about them too.

Just finished a cup🍵 of Nettle Tea. Yum!!!!

– Julie Foster

The Courage to Heal with Nurse Practitioner Julie Foster

Last night met by my endearing Anthroposophic colleagues 🙋‍♀️🙋‍♀️🙋‍♀️ who travelled to stay with me, then to wake up at 4am and travel to New York for a week of training.

One theme is to discuss the Courage 🦁 to Heal. I think it relates to…

1. What does it mean as a Healer to show up for a person to invite a space for healing to happen?

2. How can patients too have the Courage to stand in the face of anything and be brave enough to Heal?

What healing means to one person can mean something else to another. 🌸

We will cover topics for women’s health, chronic illness, and one of my favorite teachings on the Alchemy of the 7 Sacred Metals for healing. All of this in the context of holistic medicine.

Did you know that the word Anthroposophy means Human in Divine Wisdom? And furthermore the Divine Sophia (Feminine) Wisdom. Why does that matter? When we can know ourselves and be guided in such a higher force of Divine Wisdom then we may become or see our full human potential.

Anthroposophy gives me a lens to view the cosmos and all its facets for healing. We focus on what makes us healthy (salutogenesis). Out of this true healing is possible. My practice is guided in part by these approaches.

🌈🔱

– Julie Foster

 

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

Eat Breakfast Like a King

The article Eating breakfast? Skipping a morning meal has higher risk of heart-related death from USA Today explains the importance of eating a healthy breakfast.

Eat breakfast like a king, lunch like a prince, and dinner like a pauper…this is advice of which anthroposophical doctors have long been aware.

Digestive forces are strongest earlier in the day.

Are you considering intermittent fasting? For most people, eating breakfast and lunch, and then fasting the rest of the day is the best overall option.

(If you have an eating disorder, think of the structure of your meals and avoid the concept of intermittent fasting.)

Looking to improve sleep quality? Eat breakfast!

Trying to improve your cardiovascular risk and lower your blood pressure? This is the ticket!

Needing to improve blood sugar control? Eating your heavier proteins and fats earlier in the day will help them stabilize.

Another caveat: avoiding sweet tastes until the afternoon hours improves energy and cognitive powers, and can eliminate that annoying after-lunch grogginess.

 

 

When to Use CBD and When to Be Careful with CBD

CBD or not to CBD?

My long time friend and colleague Monique Kramer and I had a lovely night educating our community on the safe and beneficial uses of CBD oil.

With the war on drugs CBD oil is a better option for chronic pain control. When it works, it really works. It is best to take regularly and you can also start and stop without withdrawal symptoms.

It is an option if you have generalized anxiety, PTSD, social anxiety.

It is an option for chronic illnesses that cannot be relieved other ways.

It is an option for headaches and seizures.

It is an option for a lifestyle of chronic stress.

It is an option for most cancers or auto-immune diseases like lymes, lupus, chronic fatigue syndrome, EBV.

For the aging elder it can be used with or instead of NSAIDs for arthritis.

As with anything from Nature it is a spiritual being that must be recognized and respected. I see it as a spirit helper in a way. If it is used in a exploitive and unconscious way I do not think it can work or can cause harm. A person must be aligned with a strong and compassionate ego when approaching something like CBD. We have seen all too often those who abuse substances.

It is NOT for the person who has a family history or personal history of Bipolar, Schizophrenia, Psychosis. Only then and unless it is closely monitored and it is a Hemp Based (not a marijuana based) can CBD oil be used carefully.

In cases where a person carries the genetics for mental illness they should not try Marijauna as THC or CBD, as it can flip the genetic switch for Bipolar, Schizophrenia, or Psychosis. I have seen this directly in my practice. It is sad and devastating. My friend, Julie A. Fast an expert on Bipolar and I have written on this before.

If you were to go to a dispensary, which you can in Oregon to find a pure, organic, non-gmo product that is reasonably priced and does not contain marijuana/THC it is nearly impossible and is cost-prohibitive.

I have been able to find one source for a purely CBD (with a trace of THC) that is hemp- based, organic, non-gmo and the cost is reasonable at Purium Health Products.

Before you start anything new consult your trusted provider.

Healing can Happen 💮💮💮

If you want more information schedule with Julie Foster FNP

What is the Difference Between Unipolar Depression and Bipolar Depression?

Pohala Client Julie A. Fast writes about the differences between unipolar and bipolar depression for Health Central online. 

 

Depression is Complex

All human brains can experience depression, but there is more than one kind of depression. The most common depression is situational where a person goes through a downswing due to a life experience. This depression can often be treated by therapy that is specific to the event, such as grief counseling. In contrast, unipolar and bipolar depression are considered genetic, medical conditions. They often occur without a life experience trigger and usually need a more medical than therapy-based treatment approach.

Unexpected Symptoms of Unipolar and Bipolar Depression

Depression is often described as weepy, sad, and hopeless, but this is only one type of depression. The other depression, irritated depression, is angry, negative, and complaining. People with irritated depression often go untreated as they are considered bitchy, rude, or negative. Irritated depression can manifest in road rage, punching and kicking tires and walls, yelling and statements, such as “I hate everyone! Leave me alone!” Both unipolar and bipolar depression can either be the typical weepy depression or irritated depression.

What is the Difference between Unipolar and Bipolar Depression?

There are two genetic mood disorders: unipolar depression and bipolar disorder. Bipolar includes the mood swings bipolar depression and bipolar mania. Unipolar depression and bipolar depression share the same symptoms with three main differences: 1) Bipolar depression is more episodic than unipolar, 2) Bipolar depression is always on the edge of mania, and 3) Due to the mania risk, bipolar depression treatment is different than unipolar depression treatment.

Click here to read the rest of the article from Julie A. Fast on Health Central.com.

More bipolar disorder related blogs: Steroids, Allergies and Bipolar Disorder: Q&A with Portland Nurse Practitioner Julie Foster

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