Spon­sored Ad (How to Adver­tise on SharpBrains.com)

Time for our monthly eNewslet­ter track­ing recent news and devel­op­ments on how the neu­ro­science of cog­ni­tion and emo­tions can inform edu­ca­tion and health across the lifes­pan. Let us try to be as con­cise as pos­si­ble, so you can spend as much time as pos­si­ble con­nect­ing with your Loved Ones instead of with the World Wide Web.

• Your Brain: Capa­ble of Great­ness, Hard-wired for Survival
• How Phys­i­cal Exer­cise Ben­e­fits the Brain
• Brain changes seen in cab­bies who take ‘The Knowledge’
• How Cul­tural Evo­lu­tion Out­paces Nat­ural Evolution
• Cog­ni­tive Test­ing Pro­gram Fails Sol­diers, Leav­ing Brain Injuries Undetected
• Cog­ni­tive Behav­iour Ther­apy Helps Adults with ADHD
• Check­list to Eval­u­ate Brain Train­ing and Brain Health Claims
• Could study­ing the placebo effect change the way we think about medicine?
• New Online Course: How to Be Your Own Brain Fit­ness Coach in 2012
• The Sharp­Brains Guide: Pre­ven­tive Med­i­cine Best­seller in Ama­zon Kin­dle Store
• Offi­cial selec­tion  by AARP of Best Books on Brain Fitness
• Top 10 Quotes on Life­long Neu­ro­plas­tic­ity and Neurogenesis
• Invi­ta­tion for Sharp­Brains Sum­mit Par­tic­i­pants to Com­ment on Meet­ing Report

Wish­ing you a won­der­ful end of 2011 and a happy and suc­cess­ful 2012!

PS: thirty-nine peo­ple have reg­is­tered since this past Tues­day to par­tic­i­pate in the upcom­ing Online Course: How to Be Your Own Brain Fit­ness Coach in 2012. Please remem­ber we will only be able to acco­mo­date the first two hun­dred reg­is­trants, so please take a look soon to see if you are inter­ested in joining!

Many adults with ADHD do not obtain their diag­no­sis until adult­hood and have strug­gled with dif­fi­cul­ties related to undi­ag­nosed ADHD for their entire lives. As doc­u­mented in recent stud­ies, this includes ele­vated rates of depres­sion, anx­i­ety dis­or­ders, sub­stance use, work dif­fi­cul­ties and inter­per­sonal problems.

As with chil­dren and ado­les­cents, med­ica­tion treat­ment for adults with ADHD can be quite help­ful, espe­cially for reduc­ing core ADHD symp­toms of inat­ten­tion and hyperactivity/impulsivity.  How­ever, Read the rest of this entry »

Below you can find the full tran­script of our engag­ing Q&A ses­sion yes­ter­day on holis­tic brain health with clin­i­cal neu­ropsy­chol­o­gist Dr. Paul Nuss­baum, author of Save Your Brain. You can learn more about the full Brain Fit­ness Q&A Series Here.

Per­haps one of the best exchanges was: Read the rest of this entry »

Below you can find the full tran­script of our engag­ing Q&A ses­sion yes­ter­day on life­long cog­ni­tive fit­ness, “men­tal cap­i­tal­ism”, and more,  with Alvaro Fer­nan­dez, co-author of The Sharp­Brains Guide to Brain Fit­ness, mod­er­ated by Harry Moody, Direc­tor of Aca­d­e­mic Affairs at AARP. You learn more about upcom­ing Brain Fit­ness Q&A Ses­sions Here.

Read the rest of this entry »

Wel­come to a new edi­tion of Grand Rounds blog car­ni­val, the weekly edi­tion of what’s best in the health and med­ical blo­gos­phere. This week, twenty four blog­gers share data, insights, ques­tions, reflec­tions and more. Enjoy! Read the rest of this entry »

Yes­ter­day I had the chance to chat with Yaakov Stern, lead­ing Cog­ni­tive Reserve researcher at Colum­bia Uni­ver­sity, and then with a group of 25 life­long learn­ers in Ari­zona who attended a brain fit­ness class (hello, Robert and friends!) based on our con­sumer guide The Sharp­Brains Guide to Brain Fit­ness. On reflec­tion, I found both con­ver­sa­tions to be very stim­u­lat­ing for the same rea­son: they were forward-looking, focused not so much on sta­tus quo but on how emerg­ing research, tech­nol­ogy and trends may impact our soci­ety and lives in years to come. Let’s con­tinue the con­ver­sa­tion. Let me share the 10 main trends that we analyzed/ fore­casted in our book, and then ask you, sharp read­ers, to add your own 2 cents to the dis­cus­sion. Read the rest of this entry »

Dr. John Docherty is an Adjunct Pro­fes­sor of Psy­chi­a­try at the Weill Med­ical Col­lege, Cor­nell Uni­ver­sity, Direc­tor of Post Grad­u­ate Edu­ca­tion there, and Chief Med­ical Offi­cer of Brain Resource. Trained as a clin­i­cal research fel­low in neu­ropsy­chophar­ma­col­ogy at NIMH, he later returned as Chief of the Psy­choso­cial Treat­ments Research Branch, respon­si­ble for all fed­er­ally sup­ported psy­choso­cial treat­ment research in men­tal health nation­wide. He over­saw the land­mark National Col­lab­o­ra­tive Study of the Treat­ment of Depres­sion and served as a mem­ber and Chair­man for over 10 years on the NIMH and then NIDA Treat­ment Research IRGs. Dr. Docherty has wide expe­ri­ence in suc­cess­fully imple­ment­ing inno­va­tion in both clin­i­cal oper­a­tions and man­aged health care. He founded North­east Psy­chi­atric Asso­ciates in 1985. As National Med­ical Direc­tor for National Med­ical Enter­prises, he over­saw med­ical con­trol and qual­ity improve­ment in 74 hos­pi­tals in 34 states. He was the Exec­u­tive Vice-President and Chief Med­ical Offi­cer for Merit Behav­ioral Care, which then cov­ered 30 mil­lion peo­ple. In 1998, he founded Com­pre­hen­sive Neu­ro­Science (CNS). Its Care Man­age­ment Tech­nolo­gies are cur­rently imple­mented in 17 state Med­ic­aid plans. Dr Docherty has received numer­ous hon­ors and awards and has authored over 100 sci­en­tific publications.

(Editor’s note: this inter­view with Dr. John Docherty was orig­i­nally pub­lished in Sharp­Brains’ mar­ket report Trans­form­ing Brain Health with Dig­i­tal Tools to Assess, Enhance and Treat Cog­ni­tion across the Lifes­pan, pub­lished in July 2010)

Alvaro Fer­nan­dez: Dr. Docherty, it is a plea­sure to be with you today to dis­cuss the main theme of Sharp­Brains’ 2010 mar­ket report – how the con­ver­gence of sci­en­tific find­ings and tech­nol­ogy plat­forms and tools is reshap­ing how as a soci­ety and as indi­vid­u­als we will take care of cog­ni­tion and men­tal well­ness along the life­course, giv­ing birth to the emerg­ing dig­i­tal brain health and fit­ness mar­ket. Can you first briefly dis­cuss your career tra­jec­tory and your cur­rent role at Brain Resource?

Dr. John Docherty: Sure. The main theme of my work since the 1960s has remained the same, “How do we put knowl­edge into effec­tive use to improve men­tal health?” Over the last cen­tury, med­i­cine made tremen­dous progress in gen­er­at­ing sci­en­tific and clin­i­cal knowl­edge. Basic research dis­cov­ery sci­ence and clin­i­cal treat­ment devel­op­ment sci­ence have made great progress. Within Psy­chi­a­try there was stan­dard set­ting advance in the 1960’s through the NIMH-VA coop­er­a­tive stud­ies to the method­ol­ogy of assess­ing the effi­cacy of psy­chophar­ma­co­log­i­cal drugs. This work estab­lished prin­ci­ples adopted for the study of med­ica­tions in the other areas of med­i­cine. The study of psy­chother­apy, how­ever, lagged in devel­op­ment. In my role of Chief of the Psy­choso­cial Treat­ments Branch of the NIMH , I helped con­tribute to the advance of that work by sup­port­ing the efforts of an extra­or­di­nary group of indi­vid­u­als led by Irene Waskow who car­ried out the TDCRP. This study estab­lished the method­olo­gies that made pos­si­ble the effec­tive sci­en­tific study of the effi­cacy of psy­chother­a­pies. The evi­dence base and of such treat­ments as CBT, DBT, Moti­va­tional Enhance­ment Treat­ment and other evidence-based psy­chother­a­pies derives directly from this study and its sem­i­nal influ­ence. This was a con­tri­bu­tion to the sci­ence of Clin­i­cal Treat­ment Devel­op­ment research.

I would say that my major inter­est, how­ever, has been in the next step, the sci­ence of knowl­edge trans­fer. There has been and remains a long and costly (in terms par­tic­u­larly of unnec­es­sary suf­fer­ing) lag between the devel­op­ment of new knowl­edge and its com­mon and effec­tive use in practice.

In order the help the field moved for­ward, I have worked for the last 20 years in the devel­op­ment and imple­men­ta­tion of meth­ods to effec­tively trans­fer knowl­edge into prac­tice. Read the rest of this entry »

Excel­lent arti­cle in the UK’s news­pa­per The Inde­pen­dent on the grow­ing adop­tion of cognitive-behavioural ther­apy (CBT) by the National Health Ser­vice (NHS). Very rel­e­vant to the US too, given that a grow­ing num­ber of insur­ers are offer­ing com­put­er­ized CBT. Quotes:

“Why are we ask­ing this now?

There is grow­ing frus­tra­tion among GPs at the dif­fi­culty they face in pro­vid­ing psy­cho­log­i­cal ther­apy for patients with men­tal prob­lems includ­ing depres­sion. A sur­vey by the Royal Col­lege of Gen­eral Prac­ti­tion­ers (RCGP) pub­lished at the week­end found almost two-thirds of respon­dents said they were “rarely” able to obtain treat­ment for patients within two months. Get­ting help for chil­dren who had suf­fered abuse or trauma was even more dif­fi­cult. Pro­fes­sor Steve Field, the pres­i­dent of the RCGP, said: “Peo­ple should have access to approved treat­ments, and this has to be a wake-up call.”

What does this mean for patients?

Whereas in the past, GPs might have pre­scribed Prozac or other anti­de­pres­sants, cognitive-behavioural ther­apy (CBT) is now the treat­ment of first choice – where it is avail­able – for the mil­lions who turn up com­plain­ing they can­not cope. In 2007, the Gov­ern­ment ear­marked £173m to train 3,600 extra ther­a­pists by 2010.

So why the short­age of therapists?

The cash is no longer ring-fenced and has allegedly been siphoned away to pay for other projects. The RCGP and Mind, the mental-health char­ity, are cam­paign­ing for a com­mit­ment from all three main polit­i­cal par­ties to ring-fence cash for talk­ing ther­a­pies. The National Insti­tute for Health and Clin­i­cal Excel­lence (Nice) says CBT should be the first-line treat­ment for mild to mod­er­ate depres­sion, fol­lowed by drugs only if it proves unsuccessful.”

Keep read­ing  The Big Ques­tion: Does cog­ni­tive ther­apy work – and should the NHS pro­vide more of it for depres­sion? (The Independent)

Have you already read The Sharp­Brains Guide to Brain Fit­ness?

Let’s see…

1. Pick the only part of your body that does not con­tain fat:

a. Arm
b. Thigh
c. Brain
d. None

Answer: d) Fats are also present in the brain: in neu­rons’ mem­branes to keep them flex­i­ble. These fats are the omega 3 and omega 6 fatty acids mol­e­cules. (Page 32 of the book)

2. Pick the only food prod­uct that doesn’t con­tain Omega-3 fatty acids

a. Tuna
b. Wal­nut
c. Kiwi
d. Jelly Beans

Answer: d) Fatty acids can be found in cold-water fish (such as mack­erel, her­ring, salmon, and tuna), kiwi, and wal­nuts. (Page 33)

3. Pick the only food prod­uct that doesn’t con­tain antioxidants

a. Olive oil
b. Milk
c. Nuts
d. Berries

Answer: b) Antiox­i­dants can be found in veg­etable oils, nuts, green leafy veg­eta­bles (e.g., spinach), cit­rus fruit, and berries. (Page 33)

4. Chronic Stress cannot:

a. Pre­vent you from being cre­ative
b. Kill brain cells
c. Pre­vent you from sleep­ing
d. Kill liver cells

Answer: d) Pro­longed expo­sure to adrenal steroid hor­mones like cor­ti­sol, which is released into the blood stream when we are stressed, can lead to cell death and block the for­ma­tion of new neu­rons. (Page 35)

5. What type of phys­i­cal exer­cise is the best for your brain health?

a. Weight lift­ing
b. Aer­o­bic exer­cises
c. Flex­i­bil­ity exer­cises Read the rest of this entry »

Think about this: How can any­one take care of his or her brain when every week brings a new bar­rage of arti­cles and stud­ies which seem to con­tra­dict each other?

Do sup­ple­ments improve mem­ory? Do you need both phys­i­cal and men­tal exer­cise or is one of them enough? Which brain train­ing approach, if any, is worth one’s time and money?

We tried to address these ques­tions, and many oth­ers, in our recent book, The Sharp­Brains Guide to Brain Fit­ness (182 pages, $24.95), that we pre­sented at Games for Health Con­fer­ence last week. The book is the result of over two years of exten­sive research includ­ing more than a hun­dred inter­views with sci­en­tists, pro­fes­sion­als and con­sumers, and a deep review of the sci­en­tific lit­er­a­ture, led by neu­ropsy­chol­o­gist Elkhonon Gold­berg and myself with the help of cog­ni­tive sci­en­tist Pas­cale Mich­e­lon. As we wrote in the Intro­duc­tion, what we wanted to do first of all was to debunks these 10 myths on brain health and brain training:

Myth 1. Genes deter­mine the fate of our brains.
Facts: Life­long neu­ro­plas­tic­ity allows our lifestyles and actions to play a mean­ing­ful role in how our brains phys­i­cally evolve, espe­cially given longer life expectancy.

Myth 2. Aging means auto­matic decline.
Facts: There is noth­ing inher­ently fixed in the pre­cise tra­jec­tory of how brain func­tions evolve as we age.

Myth 3. Med­ica­tion is the main hope for cog­ni­tive enhance­ment.
Facts: Non-invasive inter­ven­tions can have com­pa­ra­ble and more durable effects, side effect-free.

Myth 4. We will soon have a Magic Pill or Gen­eral Solu­tion to solve all our cog­ni­tive chal­lenges.
Facts: A multi-pronged approach is rec­om­mended, cen­tered around nutri­tion, stress man­age­ment, and both phys­i­cal and men­tal exercise.

Myth 5. There is only one “Use It or Lose it”.
Facts: The brain is com­posed of a num­ber of spe­cial­ized units. Our life and pro­duc­tiv­ity depend on a vari­ety of brain func­tions, not just one.

Myth 6. All brain activ­i­ties or exer­cises are equal.
Facts: Var­ied and tar­geted exer­cises are the nec­es­sary ingre­di­ents in brain train­ing so that a wide range of brain func­tions can be stimulated.

Myth 7. There is only one way to train your brain.
Facts: Brain func­tions can be impacted in a num­ber of ways: through med­i­ta­tion, cog­ni­tive ther­apy, cog­ni­tive training.

Myth 8. We all have some­thing called “Brain Age”.
Facts: Brain age is a fic­tion. No two indi­vid­u­als have the same brain or expres­sion of brain functions.

Myth 9. That “brain age”‚ can be reversed by 10, 20, 30 years.
Facts: Brain train­ing can improve spe­cific brain func­tions, but, with research avail­able today, can­not be said to roll back one “brain age”‚ by a num­ber of years.

Myth 10. All human brains need the same brain train­ing.
Facts: As in phys­i­cal fit­ness, users must ask them­selves: What func­tions do I need to improve on? In what time­frame? What is my budget?

Do you have other myths in mind you would like  us to address?

We have started to receive great feed­back from the health­care com­mu­nity, such as this email from a neu­ro­sur­geon in Texas:

“I really like the book, it is com­pre­hen­sive with­out being too tech­ni­cal. I have rec­om­mended it to sev­eral patients. There are some other books that I expected would be greeted with enthu­si­asm, but were too com­plex for most of my patients. I think this book is right in the sweet spot”.

A short, sweet, enter­tain­ing read of a com­plex topic, with timely (writ­ten in 1/09) reviews of 21 top tech­nol­ogy prod­ucts, as well as informed and expert pre­dic­tions of where this bur­geon­ing brain-fitness field is headed. More impor­tantly, after you read it, you’ll have a good, detailed sense of where you, per­son­ally, can act to improve your own couch-potato brain — and how to keep it fit and flex­i­ble your whole life. The Sharp­Brains Guide To Brain Fit­ness reminds of us all why books (and not just googling a topic) can be well worth your time and money. Two Stetho­scopes Up — check it out. life.”

And this great book review by an Internist Physi­cian and Robert Wood John­son Foun­da­tion Fel­low, titled Is Your Brain A Couch Potato?:

Doc Gur­ley, book review for SFGate.com (06/08/09)

The book:  The Sharp­Brains Guide to Brain Fit­ness (avail­able via Amazon.com Here, review copies avail­able upon request).

Descrip­tion: While most of us have heard the phrase “use it or lose it,” very few under­stand what it means, or how to prop­erly ‚“use it”‚¬ in order to main­tain brain func­tion and fit­ness. The Sharp­Brains Guide to Brain Fit­ness is an invalu­able guide that helps read­ers nav­i­gate grow­ing brain research and iden­tify the lifestyle fac­tors and prod­ucts that con­tribute to brain health and fit­ness. By gath­er­ing insights from eigh­teen of the world’s top sci­en­tists and offer­ing tools and detailed descrip­tions of over twenty prod­ucts, this book is an essen­tial guide to the field of brain fit­ness, neu­ro­plas­tic­ity and cog­ni­tive health. An acces­si­ble and thought-provoking read, The Sharp­Brains Guide to Brain Fit­ness edu­cates life­long learn­ers and pro­fes­sion­als in health­care, edu­ca­tion, busi­ness, etc., on emerg­ing trends and fore­casts of what the future will hold.

Prod­ucts Reviewed (we reviewed sci­en­tific stud­ies pub­lished before Jan­u­ary 2009, when the man­u­script text was closed):

– Over­all brain main­te­nance: Brain Age series (Nin­tendo), Brain­Ware Safari (Learn­ing Enhance­ment Cor­po­ra­tion), FitBrains.com (Viv­ity Labs), Happy-Neuron.com (Sci­en­tific Brain Train­ing), Lumosity.com (Lumos Labs), Mind­Fit (Cog­niFit), (m)Power (Dakim)

– Tar­geted brain work­out: Clas­sic and InSight (Posit Sci­ence), Work­ing Mem­ory Train­ing JM and RM (Cogmed), Dri­ve­Fit (Cog­niFit), Earo­bics (Houghton Mif­flin), Fast For­Word (Sci­en­tific Learn­ing), Intel­li­Gym (Applied Cog­ni­tive Engi­neer­ing), Vision Rest­pra­tion Ther­apy (NovaVision)

– Emo­tional self-regulation: emWave PC and Per­sonal Stress Reliever (Heart­Math), Jour­ney to the Wild Divine (Wild Divine), RES­PeR­ATE (Inter­Cure), StressEraser (Helicor)