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
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
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.
Let’s get to the bottom of your healthcare needs!
Julie Foster FNP
Pohala Client Julie A. Fast answers the question: What is Epigenetics Theory? in her article for Health Central.com.
Genetics is the study of heredity and the variation of inherited characteristics. Epigenetics is the study of how the environment around us and the choices we make can change the expression of inherited genes and whether these changes in gene regulation can then passed to a child. Richard C. Francis, the author of Epigenetics: How Environment Shapes Our Genes notes, “Social interactions are a particularly important source of gene regulation.” Think of the possibilities!
An Example of Epigenetic Theory from Bipolar Disorder
Bipolar is considered a genetic illness. Two children, raised in the same environment have a grandfather with bipolar. One child has naturally expressed bipolar mania at age 17 with no substance use. The other child who lives with depression, but no mania takes an SSRI antidepressant at age 28. She has her fist mania three weeks later and now has a bipolar diagnosis. Her substance-induced mania is considered an epigenetic change causing a latent gene to switch on. Epigenetic theory asks, “Can the switched-on quality of this gene then be passed to a child?”
What is the Epigenome?
Epigenetic changes do not affect our DNA (genome), but instead influence the expression of genes through changes in the epigenome, a set of chemical compounds that tells our genes what to do including switching genes on or off and controlling the production of proteins in particular cells. R. Francis calls this epigenome the director of a play while our genes are the actors. The epigenome represents the nurture side of the nature vs. nurture debate. If we learn to control our epigenome, can we direct the expression of genes for better health?
Click here to read the rest of the What is Epigenetics Theory? article from Julie A. Fast.
Need help for chronic pain in Portland, Oregon? At Pohala Clinic, we offer a variety of natural pain relief options with an emphasis on the pain relief benefits of acupuncture.
Did you know that Acupuncture can help alleviate pain from both acute and chronic conditions? Furthermore, Acupuncture continues to prove beneficial on a multitude of levels from physical ailments such as low back pain, neck pain, arthritis, etc. to mental and emotional ailments, such as anxiety, depression, substance abuse, etc).
Please take a moment to read the PubMed article discussing Acupuncture and Morphine in the management of acute pain in the emergency department.
‘This article provides an update on one of the oldest pain relief techniques (acupuncture) that could find a central place in the management of acute care settings. This should be considered especially in today’s increasingly complicated and polymedicated patients to avoid adverse drug reactions.’
If you would like help decreasing acute or chronic pain through natural and lifestyle based approaches, please schedule an appointment with Dr. Paresh Shelat.
Call Pohala Clinic (503) 572-4196
Pohala Nurse Practitioner Julie Foster is often asked for quotes regarding her mental health work. Julie was interviewed for the following Health Central slide show on getting better sleep when you have bipolar disorder.
From the article:
Bipolar disorder responds well to a sleep plan that respects the body’s circadian rhythm. Learning to prevent mood swings by making good “sleep hygiene” choices is an inexpensive and natural way to prevent mania and depression. Sleep changes are not always easy in our very busy world, but please know that making even a few of the changes discussed here can reduce the need for certain medications and ultimately prevent mood swings.
Julie Foster, nurse practitioner at Pohala Clinic in Portland, Oregon was recently interviewed by writer Lisa Ellis for PsyCom.net on the topic of medical marijuana, psychosis and schizophrenia. As more states and countries legalize cannabis, it’s essential that all sides of the marijuana story are told. What helps many can also cause unwanted and difficult to mange symptoms in others. Julie addresses this topic in the article Medical Marijuana for Schizophrenia: Weighing the Risks and Benefits.
“As medical marijuana becomes legal in more states, experts fear it will be used to treat more conditions although data is lacking and health could be harmed. But when it comes to schizophrenia, is cannabis safe, even if it is “medical”?
A growing number of people today are turning to medical marijuana (also called medical cannabis) to manage a host of health problems. But for those with schizophrenia, a chronic brain disorder that causes periods of psychotic symptoms such as delusions, hallucinations, and trouble focusing, marijuana—in any form—can actually worsen the symptoms, according to Julie Foster, a family nurse practitioner who also serves as Medical Director of Pohala Clinic, a center for integrative care and alternative medicine approaches located in Portland, Oregon.
That’s why she and many other experts recommend that people with schizophrenia or a tendency toward psychosis steer clear of all forms of marijuana.
What is Marijuana?
Click here to read the rest of the article.
Vera Vos, a family nurse practitioner at Pohala Clinic talks about the intersection between spirituality and medicine.
I am passionate about science. I love how science requires us to be rational and unbiased and I am always amazed how perfect science is, like the symmetry of shapes that repeat themselves in patterns in animals, plants, and the landscape. The language of science is mathematics and when we can figure out the right numbers, so much is explained. At the same time I value my spiritual side. We think that science and spirituality are divergent but most often they come full circle to join each other.
I did a course in mind body medicine at Harvard with Herbert Benson, one of the pioneer researchers to discover the physiological benefits of meditation. Since that time, I have had my own meditation practice. This practice helps me listen better and empathize with others.
I think my love and respect for science coupled with a practice that requires me to stop judging, valuing and, essentially, thinking and just be in the moment helps me gain a deeper understanding of my clients physically, emotionally and spiritually.
Please visit our Pohala Clinic contact page to book an appointment with Dr. Vera Vos.