Mental Health Naturally

The Family Guide to Downloaded from http://publications.aap.org/aapbooks/book/chapter-pdf/768948/aap_9781581105087-all_front_matter.pdf by guest on 11 January 2022 Holistic Care for a Healthy Mind and Body Dr Kemper is the new Dr Spock of modern health care! Here is the best guide for keeping your children (and our future) both healthy and happy! Wayne B. Jonas, MD President and CEO, Samueli Institute

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Also available from the Downloaded from http://publications.aap.org/aapbooks/book/chapter-pdf/768948/aap_9781581105087-all_front_matter.pdf by guest on 11 January 2022 American Academy of Pediatrics Caring for Your Baby and Young Child: Birth to Age 5 (English and Spanish) Heading Home With Your Newborn: From Birth to Reality Mommy Calls: Dr. Tanya Answers Parents’ Top 101 Questions About Babies and Toddlers The Wonder Years: Helping Your Baby and Young Child Successfully Negotiate the Major Developmental Milestones Raising Twins: From Pregnancy to Preschool Your Baby’s First Year (English and Spanish) New Mother’s Guide to Breastfeeding (English and Spanish) Food Fights: Winning the Nutritional Challenges of Parenthood Armed With Insight, Humor, and a Bottle of Ketchup A Parent’s Guide to Childhood Obesity: A Road Map to Health Guide to Your Child’s Nutrition ADHD: A Complete and Authoritative Guide Waking Up Dry: A Guide to Help Children Overcome Bedwetting A Parent’s Guide to Building Resilience in Children and Teens: Giving Your Child Roots and Wings Sports Success Rx! Your Child’s Prescription for the Best Experience Less Stress, More Success: A New Approach to Guiding Your Teen Through College Admissions and Beyond Caring for Your School-Age Child: Ages 5 to 12 Caring for Your Teenager Guide to Your Child’s Allergies and Asthma Guide to Toilet Training (English and Spanish)

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Downloaded from http://publications.aap.org/aapbooks/book/chapter-pdf/768948/aap_9781581105087-all_front_matter.pdf by guest on 11 January 2022 MENTAL HEALTH, NATURALLY The Family Guide to Holistic Care for a Healthy Mind and Body K ATHI J. KEM PER, MD, MPH, FAAP

American Academy of Pediatrics Department of Marketing and Publications Director, Department of Marketing and Print Production Specialist Downloaded from http://publications.aap.org/aapbooks/book/chapter-pdf/768948/aap_9781581105087-all_front_matter.pdf by guest on 11 January 2022 Publications Shannan Martin Maureen DeRosa, MPA Manager, Art Direction and Production Director, Division of Product Development Linda Diamond Mark Grimes Director, Division of Marketing Manager, Consumer Publishing Jill Ferguson Carolyn Kolbaba Manager, Consumer Product Marketing Director, Division of Publishing and Kathleen Juhl Production Services Sandi King, MS Editorial Specialist Jason Crase Published by the American Academy of Pediatrics, Elk Grove Village, IL Cover design by Cathi Stevenson, BookCoverExpress.com Book design by Linda Diamond Mental Health, Naturally: The Family Guide to Holistic Care for a Healthy Mind and Body was created by Kathi J. Kemper, MD, MPH, FAAP. Library of Congress Control Number 2009920373 ISBN: 978-1-58110-310-6 The recommendations in this publication do not indicate an exclusive course of treat- ment or serve as a standard of medical care. Variations, taking into account individual circumstances, may be appropriate. Statements and opinions expressed are those of the author and not necessarily those of the American Academy of Pediatrics. Products are mentioned for informational purposes only. Inclusion in this publication does not imply endorsement by the American Academy of Pediatrics. Every effort is made to keep Mental Health, Naturally consistent with the most recent advice and information possible. Copyright © 2010 Kathi J. Kemper, MD, MPH, FAAP. No part of this publication may be reproduced, stored in a retrieval system, or transmitted, in any form or by any means, electronic, mechanical, photocopying, recording, or otherwise without prior permission from the publisher. Printed in the United States of America. CB0054 9-227 1 2 3 4 5 6 7 8 9 10

What People Are Saying Downloaded from http://publications.aap.org/aapbooks/book/chapter-pdf/768948/aap_9781581105087-all_front_matter.pdf by guest on 11 January 2022 Dr Kathi Kemper is more than a physician and an author—she is the embodiment of the art and science of natural healing. This book serves as an oasis of hope in a world at times seemingly out of control—with anxieties and mood swings that afflict physician and patient alike. For years we have entrusted Dr Kemper with the physical health of our chil- dren; we now have the good fortune of her guidance in restoring their, and our, emotional health as well. Bill Benda, MD Associate Editor, The Journal of Alternative and Complementary Medicine and Integrative Medicine: A Clinician’s Journal; Board of Trustees, American Holistic Medical Association; Board of Directors, American Association of Naturopathic Physicians; Assistant Clinical Professor, Department of Family and Community Medicine, University of California, San Francisco Dr Kemper has given us a successful and practical step-by-step program for children to use to improve their mental health and well-being. It should become a widely accepted approach that is particularly needed in these stressful times. Herbert Benson, MD Author, The Relaxation Response; Director Emeritus, Benson-Henry Institute for Mind Body Medicine at Massachusetts General Hospital This book offers Dr Kemper’s renowned sensibility and thoughtfulness and gives the reader this brilliant doctor’s well-harvested wisdom. Repeat- edly she peppers her chapters with solid and up-to-date references. She encourages a holistic approach to mental health issues, embracing exer- cise, sleep, proper nutrition, and generally healthy living as solutions to the increasing problem of pediatric anxiety and depression. Her list of sug- gested approaches to lifestyle modifications and ways to improve security, serenity, confidence, and courage is one of the best and most innovative I have ever read. Every pediatrician or primary care provider needs to own this book! There are many mental health textbooks out there. What sets this one apart is that it is holistic and natural, informative, and practical. Cora Collette Breuner, MD, MPH, FAAP Associate Professor of Pediatrics and Adolescent Medicine, University of Washington, Seattle

vi WHAT PEOPLE ARE SAYING Downloaded from http://publications.aap.org/aapbooks/book/chapter-pdf/768948/aap_9781581105087-all_front_matter.pdf by guest on 11 January 2022 Kathi Kemper has written a timely, practical, and deeply compassionate book. The world is facing a crisis in mental and emotional health, and Dr Kemper’s thoughtful, well-researched book is an extremely valuable contribution to this conversation. The impact of anxiety, stress, and fear is also enormous for our children. This book is must reading for clinicians and laypeople hoping to improve the mental and emotional lives of people everywhere. Bruce Cryer President/CEO, HeartMath LLC; coauthor, From Chaos to Coherence: The Power to Change Performance Mental Health, Naturally makes a compelling case for using natural approaches and public health policy as the frontline in promoting mental health. Clear, cogent, and practical. Highly recommended. Michael H. Cohen Principal, Law Offices of Michael H. Cohen; Adjunct Assistant Professor of Health Policy and Management, Harvard School of Public Health; author of Complementary & Alternative Medicine: Legal Boundaries and Regulatory Perspectives Children and adults with behavioral and emotional challenges have made it clear that an overfocus on psychoactive medications as a primary treat- ment modality is no longer acceptable. Individuals with depression, anxi- ety, ADHD, and other mental health issues are realizing the foundations of optimal mental health are rooted in things often neglected in treatment plans—our basic attitudes, social supports, spiritual activities, nutritional choices, and stress management practices—and are actively seeking out treatment options that are more natural, less invasive, and that support the body’s own healing capacities. As one of the true pioneers of holistic medi- cine, Dr Kemper has written a groundbreaking, balanced, insightful book detailing the myriad ways that individuals can naturally support optimal mental health utilizing the best of complementary, lifestyle, and environ- mental approaches. I will be recommending this wonderful book to every family in my clinical practice, to health science students, and to all of my professional colleagues. Timothy Culbert, MD Developmental/behavioral pediatrician; Medical Director, Integrative Medicine Program, Children’s Hospitals and Clinics of Minnesota

WHAT PEOPLE ARE SAYING vii Mental Health, Naturally is one of the best guides to optimal psychological Downloaded from http://publications.aap.org/aapbooks/book/chapter-pdf/768948/aap_9781581105087-all_front_matter.pdf by guest on 11 January 2022 functioning to emerge in recent years. Dr Kathi Kemper realizes the inter- connections between mind, body, and spirit, and she offers down-to-earth, practical guidelines in harmonizing them. This book is desperately needed in our society, at a time when many people believe that the only approach to correcting mental imbalances lies in ingesting pharmaceuticals. Kemper shows us another way—a natural way—that embodies good sense and good science. There is deep wisdom in these pages. I cannot imagine anyone who will not benefit from this excellent work. Larry Dossey, MD Author, Healing Words, Reinventing Medicine, and The Power of Premonitions; Executive Editor, Explore: The Journal of Science and Healing A practical, easy-to-use, well-researched, comprehensive compilation of ways you can help yourself and your family to better mental health. James S. Gordon, MD Author, Unstuck: Your Guide to the Seven-Stage Journey Out of Depression; Founder and Director, The Center for Mind-Body Medicine Mental Health, Naturally is insightful, sensitive, and evidenced-based. Dr Kemper takes us on a truly healing journey. Mimi Guarneri, MD, FACC Author, The Heart Speaks: A Cardiologist Reveals the Secret Language of Healing This is a thoroughly researched, complete guide, richly illustrated with practical and clinical examples, to achieve optimal mental health in a natural way. A very important book in this present era; a rich source and a must-have for anyone seeking to improve mental health, either personally or professionally. Rogier Hoenders Psychiatrist; Founder of the Centre for Integrative Psychiatry, Lentis, Groningen, the Netherlands; Chairman of the Third Conference on Integrative Psychiatry, the Netherlands

viii WHAT PEOPLE ARE SAYING Downloaded from http://publications.aap.org/aapbooks/book/chapter-pdf/768948/aap_9781581105087-all_front_matter.pdf by guest on 11 January 2022 Dr Kemper is the new Dr Spock of modern health care! Here is the best guide for keeping your children (and our future) both healthy and happy! Wayne B. Jonas, MD President and CEO, Samueli Institute We have waited many years for a book like this. It offers an approach to mental health problems that draws upon natural methods available to any- one. It is a welcome supplement to most of what we are currently doing for patients in terms of medication, intensive psychotherapy, and brief hospitalizations. Leland R. Kaiser, PhD Health futurist; coauthor (with Steve Byrum), Spirit for Greatness: Spiritual Dimensions of Organizations and Their Leadership In Mental Health, Naturally, Kathi Kemper has once again shown us her unique talent at helping us see the whole child and where they need our help. We have gone astray in addressing the emotional health of our chil- dren with disease labels and medications; with this book Dr Kemper helps us get back on the right path. Our children’s problems are a reflection of our larger problems in society and in the environment in which we are raising them—and advocating for greater awareness and healthier society is absolutely the only way to raise healthy children. This book should be required reading not only for every parent but for every health care professional and teacher and policy maker as well! Benjamin Kligler, MD, MPH Vice Chair and Research Director, Continuum Center for Health & Healing, Department of Integrative Medicine, Beth Israel Medical Center In Mental Health, Naturally, Dr Kemper offers simple yet profound sug- gestions on the many things that we can do as individuals to improve men- tal health in ourselves, our families, and communities. It powerfully makes the link between personal and planetary health. Mary Jo Kreitzer, PhD, RN, FAAN Founder and Director, Center for Spirituality & Healing; Professor, School of Nursing, University of Minnesota

WHAT PEOPLE ARE SAYING ix The publication of Professor Kemper’s new book is a momentous occa- Downloaded from http://publications.aap.org/aapbooks/book/chapter-pdf/768948/aap_9781581105087-all_front_matter.pdf by guest on 11 January 2022 sion in American psychiatry. Mental Health, Naturally provides com- prehensive reviews of nonconventional and integrative therapies for the range of mental health problems combined with commonsense guidelines for anyone struggling with mental illness. This book will certainly become a classic in the rapidly growing field of integrative medicine. James Lake, MD Coeditor, Complementary and Alternative Treatments in Mental Health Care; Adjunct Clinical Instructor, Psychiatry and Behavioral Sciences, Stanford University School of Medicine As our health and that of our planet deteriorate, along comes Mental Health, Naturally, offering a scientific, commonsense prescription to achieve total well-being. By focusing on the 5 lifestyle fundamentals (fitness, nutrition, environment, stress management, and relationship- building), Dr Kemper’s book provides practical steps to restore optimal physical and mental health through individual habits and social activism. David S. Ludwig, MD, PhD Director, Optimal Weight for Life (OWL) Program, Children’s Hospital Boston; author, Ending the Food Fight: Guide Your Child to a Healthy Weight in a Fast Food/Fake Food World Mental Health, Naturally provides a serious, sweeping review of the evi- dence about natural therapies that promote mental health. It is a compre- hensive worldview of health that will be useful to clinicians and scholars alike, yet remains eminently accessible and practical for the general read- er. This book radically changes the paradigm for mental health from a focus on diagnoses and drugs to empowering people themselves—in order to make healthy habits into a healthy habitat. Joav Merrick, MD, MMedSci, DMSc Director, National Institute of Child Health and Human Development; Medical Director, Division for Mental Retardation, Ministry of Social Affairs, Jerusalem, Israel; Professor of Pediatrics, Kentucky Children’s Hospital, University of Kentucky, Lexington

x WHAT PEOPLE ARE SAYING Downloaded from http://publications.aap.org/aapbooks/book/chapter-pdf/768948/aap_9781581105087-all_front_matter.pdf by guest on 11 January 2022 At a time when 1 in 6 American children has a developmental or behavioral disorder, Dr Kemper’s book provides extremely valuable and authoritative information about natural ways to enhance mental health. Elizabeth Mumper, MD, FAAP Medical Director, Autism Research Institute Brilliant integration of modern science supporting the ancient wisdom: a sound mind in a sound body. Kenneth Pelletier, PhD, MD Author, The Best Alternative Medicine; Clinical Professor, Medicine, University of Arizona College of Medicine; Clinical Professor, Department of Family and Community Medicine, University of California, San Francisco School of Medicine Dr Kemper’s book could not have come at a better time. This is a wonder- ful and important reference for both patients and providers. Adam Perlman, MD, MPH Executive Director, Institute for Complementary and Alternative Medicine, University of Medicine and Dentistry of New Jersey School of Health Related Professions We are increasingly focusing on ways to foster and improve health in addition to overcoming illness and disease. As we do so, we should base our regimens and remedies on evidence that optimizes effectiveness and minimizes toxicity and side-effects. As she did with her groundbreaking and authoritative reference, The Holistic Pediatrician, Dr Kathi Kemper now provides a comprehensive and critical assessment along with common- sense advice on “natural regimens” to foster and promote mental health and well-being. Once again, her evidence-based approach provides practical guidelines for parents and health care providers on how to promote mental health and whether “natural regimens” can or should play a role in their treatment and prevention. Philip A. Pizzo, MD Dean, School of Medicine, Stanford University

WHAT PEOPLE ARE SAYING xi As we learn of the limitations of pharmaceuticals in treating disease, we are Downloaded from http://publications.aap.org/aapbooks/book/chapter-pdf/768948/aap_9781581105087-all_front_matter.pdf by guest on 11 January 2022 in need of guidance toward “stacking the deck” in favor of creating mental health. This book guides the user to understand how to achieve this goal. Dr Kemper is a pioneer and leader in academic integrative and holistic medicine and an expert in combining science and the art of its delivery to empower people to understand how to self-heal. I cannot think of a better guide for this important journey. David Rakel, MD Founder and Director, University of Wisconsin Integrative Medicine; Editor, Integrative Medicine Kathi is one of the wise physicians who has learned that not all ailments have a medical answer alone. Her practical, commonsense guide teaches the individual—and the practitioner—how to transform mental illness into mental health with a larger toolkit than simply antidepressants and other drugs. Self-awareness, communication skills, nutrition, exercise, spirituality, botanical and nutritional supplements—these are some of the tools Kathi’s book adds to the conversation. She realistically sheds light on mental illness, transforming despair into hope and crisis into oppor- tunity, with stories that vitally depict possibility for change—both for the individual and society. Aviva Romm, MD President, American Herbalists Guild; author, The Natural Pregnancy Book: Herbs, Nutrition, and Other Holistic Choices and Naturally Healthy Babies and Children Dr Kemper is a pioneer in integrative pediatrics. Mental Health, Naturally is an incredibly important guide that addresses a major public health crisis in children’s health. Lawrence D. Rosen, MD, FAAP Chief, Pediatric Integrative Medicine, Hackensack University Medical Center Dr Kemper is an outstanding integrative physician and this book an outstanding achievement. By supporting it, the American Academy of Pediatrics is showing the way of the future for our other institutions. David Servan-Schreiber, MD, PhD Clinical Professor of Psychiatry, University of Pittsburgh; author, The Instinct to Heal and Anticancer: A New Way of Life

xii WHAT PEOPLE ARE SAYING Downloaded from http://publications.aap.org/aapbooks/book/chapter-pdf/768948/aap_9781581105087-all_front_matter.pdf by guest on 11 January 2022 In her new book, Mental Health, Naturally, Kathi Kemper provides us with the greatest gift of all: real wisdom. This book offers generous and sage counsel for a wide audience (children, parents, adults, professionals) so that we can all benefit from her many years of experience and leader- ship in this arena. Kathi Kemper is a true pioneer in integrative and holis- tic medicine and this book demonstrates the scope of her professional expertise. It is both comprehensive and practical at the same time. I found the advice to be oriented toward real prevention and true wellness, some- thing dearly missing from our field today. She combines this with con- stant attention to the evidence, keeping this work firmly based in current sciences. Three cheers for Dr Kemper’s wonderful new addition to our field; I will recommend it with gusto. Scott Shannon, MD Assistant Clinical Professor of Child Psychiatry, University of Colorado, Children’s Hospital, Denver Mental Health, Naturally may seem unusual in today’s world where there is a new “mental illness” described at least every week—all of course re- quiring the latest super drug, coming to you soon by TV! Common sense and a great deal of science tell us that the vast majority of illnesses are the result of some type of stress—emotional, chemical, or physical. The truly “natural” approach Dr Kemper provides is the first step to safe, effective management for virtually all the mental, emotional, and ultimately phys- ical problems that are best treated by her “old-fashioned” but newly proven way. C. Norman Shealy, MD, PhD Founding member and Past President, American Holistic Medical Association A mental health gem, from one of the pioneers of integrative medicine. Dr Kemper eloquently summarizes decades of research into a concise, practi- cal guide for patients and clinicians to achieve better mental health. A must read. Sunita Vohra, MD Director, CARE Program and PedCAM Network; Faculty of Medicine & Dentistry, University of Alberta

WHAT PEOPLE ARE SAYING xiii This important book gives us—patients and doctors—a number of new Downloaded from http://publications.aap.org/aapbooks/book/chapter-pdf/768948/aap_9781581105087-all_front_matter.pdf by guest on 11 January 2022 tools for healing mental illness and improving our patients’ quality of life, health, and ability in general. It signifies a growing understanding of men- tal health as caused by correctable imbalances in our life—from sexuality to spirituality—and an important turn away from the simplistic understand- ing that mental illness is caused primarily by bad genes and chemical dis- turbances in the brain. It is based on Dr Kemper’s lifelong experience with helping patients with mental illnesses in natural ways, and points directly back to the psychodynamic and holistic medical traditions originally going back to famous physician Hippocrates and his students, who cured many mental illnesses the natural ways. It is a must-read for every physician who seriously wants to heal and help mentally ill patients, and who is not satis- fied with just reducing symptoms of illness with drugs without curing the disease. I want to congratulate Dr Kemper for daring to make this neces- sary and timely move and for being a pioneer among colleagues. Soren Ventegodt, MD, MMedSci, MSc-CAM Director, Quality of Life Research Center, Nordic School of Holistic Medicine An authoritative, practical, and comprehensive guide. A must read for anyone interested in cultivating a healthy mind in a healthy body. Amit Sood, MD, MSc Author of Log On: Two Steps to Mindful Awareness Beautifully written, heartfelt, compassionate, and scientifically precise, Mental Health, Naturally by Dr Kathi Kemper is a must read for anyone with an interest in or need for an integrative approach to mental health. She offers an immense amount of information as well as proven motiva- tional psychology tools for personal growth and change. Easy to read and understand, this book is a handbook to your holistic well-being and a greatly expanded possible future! Victor S. Sierpina, MD WD and Laura Nell Nicholson Family Professor of Integrative Medicine; Professor, Family Medicine, University of Texas Medical Branch, Galveston

xiv WHAT PEOPLE ARE SAYING Downloaded from http://publications.aap.org/aapbooks/book/chapter-pdf/768948/aap_9781581105087-all_front_matter.pdf by guest on 11 January 2022 For any leader, employee, teacher, student, friend, or family member, this book is a must read. Dr Kathi Kemper has taken a complex and critically important topic, the mental health of ourselves and our species, and made it not only easily accessible, but enjoyable reading. This important book will change lives and communities and should be required reading for all who desire the understanding of how they can take control over their own mental health. Thank you, Dr Kemper! Rebecca Shore, EdD Assistant Professor, Coordinator of Curriculum and Supervision Program, Education and Leadership Program, College of Education, University of North Carolina at Charlotte When you combine information with inspiration some remarkable results can be achieved. Mental Health, Naturally can guide you and coach you to achieve the life you desire. When your inner child has been wounded you need to rebirth yourself and Kemper’s book can be your midwife to a new life. Bernie Siegel, MD Author, Faith, Hope & Healing: Inspiring Lessons Learned From People Living With Cancer, and Prescriptions for Living: Inspirational Lessons for a Joyful, Loving Life An unfortunate side effect of modern biomedical reductionism is to treat mental illness and duress all too often as if they occurred in isolation of life experiences, or the health of the body. They do not! Mind and body, phys- ical health and mental health, general health and the life one is living— are all inextricably connected. In this thoughtful and expansive book, Dr Kemper reminds us all of these vital connections, and empowers readers with diverse strategies to maintain, achieve, or restore the health of mind and body alike. David L. Katz, MD, MPH, FACPM, FACP Director, Yale-Griffin Prevention Research Center, Yale University School of Medicine; Director, Integrative Medicine Center at Griffin Hospital

Downloaded from http://publications.aap.org/aapbooks/book/chapter-pdf/768948/aap_9781581105087-all_front_matter.pdf by guest on 11 January 2022 To Ken Kemper and Emil Kovacik, in gratitude for your loving examples. Though you are gone, your gifts remain.

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Table of Contents Acknowledgments xix Downloaded from http://publications.aap.org/aapbooks/book/chapter-pdf/768948/aap_9781581105087-all_front_matter.pdf by guest on 11 January 2022 Part 1: Introduction: Challenges and Goals 1 9 1. Are Mental Health Problems Really a Problem? 21 2. What Is Mental Health? Part 2: Fundamental Strategies 27 31 3. Exercise 45 4. Restful Sleep 59 5. Nutrition Dietary Supplements: Overview 79 85 6. Dietary Supplements: Vitamins 107 7. Dietary Supplements: Minerals 123 8. Dietary Supplements: Essential Fatty Acids 141 9. Dietary Supplements: Amino Acids 163 10. Dietary Supplements: Hormones 175 11. Dietary Supplements: Probiotics 12. Positive Environmental Factors 179 13. Protecting Against Negative Environmental Aspects 193 Managing Stress: Overview 225 233 14. Managing Stress: Emotional Practices 259 15. Managing Stress: Mental Practices 283 16. Managing Stress: Spiritual Practices Communication Skills and Community Building to Promote Mental Health: Overview 293 17. Communication Skills: Being a Friend to Yourself 295 18. Communicating With Others 305 19. Building Community, Support, and Fellowship 321 Part 3: Beyond Fundamentals: Additional Help 329 333 20. Herbs 361 21. Homeopathy and Bach Flower Remedies 369 22. Massage 379 23. Acupuncture

xviii TABLE OF CONTENTS 24. Chiropractic and Osteopathy 387 25. Magnets and Electrical Stimulation 391 Part 4: Putting It All Together 397 Downloaded from http://publications.aap.org/aapbooks/book/chapter-pdf/768948/aap_9781581105087-all_front_matter.pdf by guest on 11 January 2022 26. Attention-Deficit/Hyperactivity Disorder: Improving Focus and Attention 401 27. Anxiety: Improving a Sense of Security, Serenity, Calm, Confidence, and Courage 423 28. Defeating Depression: Building Hope 447 29. Advocacy to Promote Mental Health 489 Resources 501 Action Plans 521 References 529 Index 597

Acknowledgments Downloaded from http://publications.aap.org/aapbooks/book/chapter-pdf/768948/aap_9781581105087-all_front_matter.pdf by guest on 11 January 2022 I am deeply grateful to the many people who made this book possible. Without my patients, friends, and colleagues who keep asking me ques- tions, I might have turned in another direction entirely. Your questions and trust humble and inspire me. First on the list of specific thanks has to be Paula Stant, who tirelessly checked and entered thousands of references, only to delete the majority of them when the book got too long. Don’t worry, Paula, we will use those references somewhere! Second, I am deeply grateful to my colleagues and family members who selflessly reviewed early drafts, offering constructive suggestions to improve the final product—Suzanne Danhauer, Emily Esmaili, Paula Gardiner, Kathryn Kelly, Julie Kemper, and Nancy Rudner- Lugo. You helped me connect the dots. Paula G, thanks for your inspiring examples of mindfulness, yoga, and organic farmer’s co-ops—as if your vast knowledge about herbs wasn’t enough! I would not have even started down the road of mental health promotion were it not for the passion and dedication of my dear friend, colleague, and mentor, Jane Foy. Nor would I have had the time and resources to write this book without the generous support of Caryl Guth and the Kohlberg Foundation; Caryl, there would be no chapter on magnets without your advocacy! Thanks also to Mindy Hung at Medscape, who supported my early efforts to share what I’ve learned with a wider professional audience. I am thankful to the faculty and staff members of the Center for Integrative Medicine and the Department of Pediatrics at Wake Forest University Baptist Medical Center for their support and patience with me as I put other projects aside to work on this. Particular thanks go to Julie Milunic for helping me see things from a community perspective and to Bob Parker, Steve Snelgrove, Jonathan Bailey, and Heather Zachary for helping me see the business angles. Thank you to my dear spirit sister, Deborah Larrimore; I look forward to doing more teaching with you about the power of the human hands and spirit to heal. Thanks to Steve Scoggin, Bryan Hatcher, Bill Yates, Mark Jensen, and Luvvy Kovacik for reminding me of the importance of spirituality in healing and living your faith every day. Thank you to Ski Chilton for showing us the power of exercise and nutrition to improve every aspect of health. Bless you, Walt Curl, the only orthopedist I know who will confess that holistic medicine makes his heart sing! The benefits of emotional self-management and biofeedback are exemplified by my dear colleagues, heart-centered role models, and friends, Chuck Tegeler, Amy LaRose, Jeff Feldman, and Rollin McCraty; thank you for bringing HeartMath to life at Wake Forest. Thanks to Gary

xx ACKNOWLEDGMENTS Downloaded from http://publications.aap.org/aapbooks/book/chapter-pdf/768948/aap_9781581105087-all_front_matter.pdf by guest on 11 January 2022 Schwartz for sharing some of his vast knowledge of vitamin D and its many benefits. Thanks to Lynn Black for leading Action Health to improve staff wellness. Thanks to Suzanne Melcher for making massage a reality at the medical center. Thanks to Steve Hopkins, Patti Woodard, and Mara Vitolins for your timeless advocacy for optimal nutrition. Thanks to Scott Kilbourne for leading the green initiative and Judy McClenny for organiz- ing visual and performing arts events. Thanks to Tom Arcury for organiz- ing and running the complementary and alternative medicine–community seminar series. Thanks to Kay Sackett of the nursing team for championing relationship-based care. I continue to benefit from the wise and caring colleagues I’ve been fortu- nate to work with and learn from at the University of Washington and Children’s Hospital Boston. Ellen Highfield, thank you for introducing me to the power of acupuncture and making me dig for the data. Cora Breuner, thanks for telling me how to start a loaner program for the bio- feedback equipment and for maintaining your enthusiasm for this project over more than 2 years. Thanks, of course, to the wonderful, professional team at the American Academy of Pediatrics (AAP)—Maureen DeRosa, who saw the possibili- ties; Mark Grimes, who oversaw the project; Kathleen Juhl and Carolyn Kolbaba, who took care of endless details with grace and skill. Particular thanks to the Executive Committee and key leaders of the AAP Section on Complementary and Integrative Medicine—Larry Rosen, Sunita Vorha, Susan Hyman, Harry Gewanter, Hillary McClafferty, OJ Sahler, David Steinhorn, Tim Culbert, Richard Wall, and Joy Weydert—all insightful pioneers and dearest friends! Junelle Speller, we could not do it without you. I also extend my warmest and deepest gratitude to my pioneering colleagues in the Consortium of Academic Health Centers for Integrative Medicine and the Bravewell Collaborative for your vision and generous examples. Heartfelt thanks to the holistic psychiatrists who have inspired me and who have generously shared wisdom, insights, and resources; you are my heroes—Scott Shannon, James Lake, Jim Gordon, Rogier Hoenders, and David Servan-Schreiber. Thanks to Laura, Kevin, Holly, and Jack Messick for taking care of the chickens and bringing food when I was completely preoccupied. Most of all, thank you to Daniel Kemper, who patiently and supportively watched the back of his mom’s head as she worked at the computer while he did homework, built with LEGO bricks, and dreamed up vacations for us to take when she finished. I’m the luckiest mom in the world.