Sexual and Psychological Issues with Menopause

The onset of menopause, typically in a woman’s early 50s, is a time of major physiological transition, due mainly to plummeting estrogen levels. The hormone estrogen, primarily produced in the ovaries, controls the female reproductive cycle and sexual response and affects all of female biology. Estrogen is anti-inflammatory and protects the bones, brain, gut, heart, joints, nervous system, and skin, so when a woman enters menopause, her whole system undergoes major changes. These changes lead to unwanted sexual changes, such as vaginal dryness, reduced lubrication, painful intercourse, orgasmic difficulties, and low libido. Estrogen is to women as testosterone is to men: with low levels of estrogen, women can lose interest in sex and have difficulty performing. If they become anxious or depressed, this, too, can impact their sexuality.  

The extent and severity of menopausal changes can vary significantly from woman to woman. Some may experience no mood changes, while others may experience low mood and even depression. Unhappiness and dissatisfaction can arise from physical changes and loss of fertility that accompany aging. Weight gain, graying hair, and wrinkles can negatively affect a woman's self-esteem..

Menopause is no longer synonymous with old age, but rather a time of transition and potential growth. With women now living at least one-third of their lives past menopause, many are prompted to make positive changes - increasing exercise, improving diet, giving up unhealthy habits, and making  psychological adjustments. Many women find themselves feeling empowered and better than ever, a state that anthropologist Margaret Mead referred to as “menopausal zest.” 

However, many women do experience deep depression that may require psychiatric medication; some require hospitalization for the first time in their lives. Rates of depression increase two-fold (Freeman, 2006). The reduction in estrogen decreases the feel-good neurochemicals dopamine and serotonin. For most women, there is a period when hot flashes interfere with the workday and also with sleep, which contributes to depression. Again, duration and severity vary widely. Many women experience a reduction in sexual feeling and interest related to hormonal changes, vaginal discomfort, disturbed sleep, and low energy. For some, this persists, but not for all. At the same time, their partner may be experiencing problems related to sexual functioning or midlife issues. These experiences are normal and shared by many women going through menopause. You are not alone in this new normal.

What can a woman do to minimize the psychological and sexual changes that accompany menopause? First and foremost, maintain a healthy lifestyle. Reducing alcohol intake, quitting smoking, regular exercise, and consuming a balanced diet can all offer benefits - these changes alone can often stop hot flashes and insomnia. Secondly, engage in stress-relieving practices, such as meditation, yoga, exercise, spending time in nature, enjoying music, and engaging in pleasurable hobbies. Seek support and guidance from specialists who can provide solutions. And finally, do not neglect your sex life and go into sexual retirement. Keeping it active can improve your psychological health, relationship, vaginal health, sexual competence, and vitality.  

The Promising Role of MDMA in Enhancing Relationships and Intimacy

By Barbara Bartlik, MD      /     Edited by: Regina Manser, Ph.D

3,4-methylenedioxymethamphetamine (MDMA), commonly known as Ecstasy or Molly, has gained attention for its potential therapeutic benefits, particularly in fostering emotional connections and enhancing intimacy. Initially popularized in the late 1980s at electronic dance parties, MDMA is currently undergoing Phase III clinical trials, the final stage before possible FDA approval as a treatment for certain psychological conditions. Early research indicates that MDMA can be effective in treating post-traumatic stress disorder (PTSD) in veterans and victims of sexual violence, with results suggesting that its benefits may be long-lasting. Additionally, individuals with autism, social anxiety, and anxiety linked to life-threatening illnesses have also experienced positive outcomes from MDMA treatment.

In some cases, individuals have described transformative experiences using MDMA, particularly in overcoming deeply ingrained feelings of shame. For many, this sense of emotional release can feel as though a significant burden has been lifted. Despite these promising findings, the FDA declined to approve MDMA for medical use in August 2024. As such, the substance remains illegal outside of research studies.

While MDMA's use in recreational settings—such as at raves—has earned it a reputation for being dangerous due to its potential adulteration with other substances, the drug itself, when used correctly, can be relatively safe. The risks associated with MDMA at raves often arise from the combination of dancing for prolonged periods, dehydration, alcohol consumption, and the presence of impurities in the substance. This can lead to serious medical incidents, such as cardiac issues and the need for emergency care. However, when used responsibly and in pure form, MDMA presents fewer risks compared to many other common substances of abuse. In a 2010 study by David Nutt published in The Lancet, MDMA ranked 17th in a list of 20 drugs of abuse, far lower than substances such as alcohol, heroin, and crack cocaine, which are considered far more dangerous.

MDMA is a stimulant that works by releasing norepinephrine, oxytocin, and serotonin in the brain, producing effects of euphoria, happiness, and intense emotional connection. Users often report a sense of warmth, a desire for physical closeness, and enhanced emotional openness, which can be particularly beneficial in the context of couples therapy. Unlike LSD, which can cause hallucinations and a loss of control, MDMA tends to promote effective communication and emotional intimacy. Many users describe a desire to cuddle or engage in intimate physical contact, which can lead to enhanced sexual pleasure, though some individuals may find that they are unable to perform sexually under its influence. For some couples, MDMA has facilitated new understandings and resolution of relationship issues, leading to strengthened partnerships, while others may decide to part ways amicably after gaining clarity about their relationship.

MDMA’s impact on relationships and intimacy demonstrates its potential as a powerful tool in couples therapy, especially in addressing sexual and emotional difficulties. Older adults, many of whom experimented with drugs during their youth, are increasingly using MDMA to foster personal growth and intimacy in their marriages, highlighting the substance’s transformative potential for those seeking to enhance their relationships.

Charley Wininger, a Brooklyn psychoanalyst, has chronicled his experiences with MDMA in his memoir, Listening to Ecstasy: The Transformative Power of MDMA. Along with his wife, Shelley, Wininger has explored the therapeutic potential of the drug, and the book provides practical guidance for those interested in using MDMA safely. The couple discussed their experiences in an interview on Dr. Tranquility's Valentine's Day podcast.

Currently, MDMA remains illegal outside of research studies, which has led to its use in underground settings. Some individuals combine MDMA with other substances, such as psilocybin mushrooms, to enhance their experiences. However, experts caution against using MDMA in combination with psychedelics, particularly for those without prior experience. MDMA and other psychedelics are notably more widely used in states like California compared to the Northeast U.S. As an empathogen, MDMA has the potential to help individuals process emotional challenges, forgive past hurts, and promote personal growth. Were it more widely available and legal, many people could benefit from its therapeutic uses. As such, ongoing research is crucial to determine whether MDMA can meet the criteria for FDA approval and become a recognized treatment option.

References:

•  Multidisciplinary Association for Psychedelic Studies (MAPS) – MDMA-assisted Therapy for PTSD

• This source provides detailed information about the clinical trials and ongoing research surrounding MDMA, particularly its use in treating PTSD in veterans and sexual trauma survivors. MAPS is a leading organization in researching MDMA as a therapeutic tool.

• Reference: "MDMA-Assisted Therapy for PTSD" MAPS website

•  Nutt, D., King, L. A., & Phillips, L. D. (2010). Drug harms in the UK: A multicriteria decision analysis. The Lancet, 376(9752), 1558-1565.

• This study ranks various drugs based on their harm to users and society.

Brain Health Coaching: A Science-Backed Approach to Managing Menopause-Related Brain Fog

Written by Marilyn Abrahamson, MA,CCC-SLP
Speech-Language Pathologist and Brain Health Educator

Menopause can be a transformative phase in a woman’s life, often accompanied by a range of cognitive and physical changes. Many women report experiencing “brain fog” during perimenopause and menopause—a frustrating and concerning combination of forgetfulness, difficulty focusing, and cognitive fatigue. These cognitive changes can adversely impact daily life, work performance, self-efficacy, and confidence.

While brain fog is often attributed to hormonal changes, research suggests that cognitive function can be improved through targeted brain health strategies, including brain training and adjustment of specific lifestyle interventions. Brain health coaching—a structured approach that incorporates cognitive exercises, personalized lifestyle modifications, and evidence-based compensatory strategies—offers a promising solution for women seeking to regain mental clarity and enhance long-term peak brain performance.

This article will explore the mechanism and scientific foundations of menopause-related brain fog, the role of neuroplasticity in cognitive resilience and cognitive reserve, the importance of focused attention, and the effectiveness of targeted memory strategies in mitigating cognitive decline during midlife.

UNDERSTANDING THE SYNERGY BETWEEN MENOPAUSE AND BRAIN FOG

Menopause-related brain fog is rooted in physiological changes. Research has shown that the decline of estrogen, a key hormone that supports brain function, can negatively impact cognitive performance. A study by Mosconi et al. (2021) revealed that perimenopausal women undergo metabolic changes in the brain, leading to alterations in energy production, memory function, and processing speed. This decline in brain metabolism may explain why many women experience mental sluggishness, difficulty retrieving words, and reduced concentration during menopause.

Furthermore, a systematic literature review by Weber, Maki, and McDermott (2013) found that perimenopausal women frequently report challenges in executive function—skills responsible for decision-making, problem-solving, and focus. These changes are likely linked to fluctuations in estrogen and progesterone, which play a role in neurotransmitter regulation and brain connectivity.

While these cognitive shifts can feel unsettling, they are not necessarily permanent. Research suggests that the brain remains capable of adaptation and recovery through neuroplasticity—the brain’s ability to reorganize and strengthen neural networks in response to cognitive challenges. This is where brain health coaching and training can make a meaningful impact.

The Science of Neuroplasticity and Brain Training

Neuroplasticity is the brain’s ability to form new connections, repair itself, and strengthen cognitive function in response to mental stimulation. Studies have shown that targeted cognitive training can enhance mental agility and improve key areas of cognition, such as attention, processing speed, and memory.

A review by Lustig et al. (2009) highlighted that cognitive training interventions can improve cognitive performance in aging adults by promoting neuroplasticity. Similarly, a large-scale study by Ball et al. (2002) found that structured brain training exercises led to measurable improvements in reasoning, memory, and processing speed among older adults. These findings suggest that even in the presence of menopause-related cognitive changes, engaging in brain training activities can help women maintain and even enhance their mental sharpness.

Brain training can take many forms, including memory exercises, problem-solving tasks, and attention-enhancing activities. However, to maximize results, brain health coaching integrates these cognitive exercises with lifestyle interventions that support overall brain function.

The Role of Focused Attention in Memory and Cognition

One of the most significant cognitive challenges reported by women experiencing menopause-related brain fog is difficulty establishing and maintaining attention. Focused attention is the brain’s ability to concentrate on relevant information while filtering out distractions. This skill is essential for formation of memories, problem-solving, and overall cognitive efficiency.

When attention is compromised, new information is not effectively recorded into memory, making it more difficult to recall later. Research has shown that lapses in attention, rather than actual memory deficits, are often responsible for forgetfulness in midlife women (Weber et al., 2013). Stress, poor sleep, and hormonal fluctuations further exacerbate these attentional difficulties, leading to increased mental fatigue, frustration, and concern.

Brain health coaching addresses these issues by incorporating attention-enhancing exercises, such as mindfulness meditation, deep focus drills, and dual-task training. These strategies help improve sustained attention, increase mental resilience, and enhance the brain’s ability to filter out distractions.

 

Targeted Memory Strategies to Overcome Brain Fog - While strengthening attention is essential, teaching targeted memory strategies is equally critical in helping women navigate brain fog. Memory strategies are cognitive techniques that compensate for lapses in attention and improve information retention. Research has shown that structured memory training can significantly enhance recall and cognitive performance in adults experiencing memory difficulties (Lustig et al., 2009).

Brain health coaching incorporates several effective memory techniques, including:

·         The Method of Loci (Memory Palace)- This technique involves associating information with specific locations in a familiar environment. Studies have found that spatial memory strategies enhance recall by leveraging the brain’s natural ability to remember places and visual cues.

Chunking Information - Chunking involves breaking information into smaller, meaningful groups. This strategy reduces cognitive load and enhances working memory capacity, making it easier to retain lists, numbers, and sequences.

Associative Memory and Visualization - Pairing new information with vivid imagery or meaningful associations helps anchor it in memory. Women experiencing menopause-related brain fog can benefit from using mental images to reinforce learning and recall.

 

·      Repetition and Active Recall with Spaced Retrieval - Spacing out review sessions and actively recalling information strengthens neural connections and improves long-term memory retention. Brain health coaching incorporates repetition-based learning to reinforce cognitive skills.

By integrating these targeted memory techniques with attention-enhancing practices, brain health coaching provides a structured framework for improving cognitive function and reducing the impact of brain fog.

 

The Role of Lifestyle Factors in Brain Health - Brain health coaching extends beyond mental exercises by incorporating key lifestyle habits that influence cognitive function. Scientific evidence suggests that exercise, sleep, nutrition, and stress management play a crucial role in brain health, particularly during menopause.

·       

Exercise and Cognitive Function - A study by Erickson et al. (2011) found that aerobic exercise increased the size of the hippocampus, a brain region critical for memory and learning. Regular physical activity enhances blood flow to the brain, reducing cognitive decline and improving attention.

 

·        

Sleep and Memory Consolidation - Research by Walker (2017) emphasizes that quality sleep is essential for memory consolidation and cognitive resilience. Implementing sleep hygiene strategies, such as maintaining a consistent bedtime and reducing screen exposure, can improve mental clarity.

 

Nutrition and Brain Support - The MIND diet (Mediterranean-DASH Diet Intervention for Neurodegenerative Delay) supports brain health by combining the Mediterranean and DASH diets, emphasizing brain-boosting foods like leafy greens, berries, nuts, whole grains, and fish while limiting unhealthy fats and processed foods (Morris, et al 2015). Rich in antioxidants and anti-inflammatory nutrients, it helps reduce oxidative stress, inflammation, and plaque buildup in the brain, lowering the risk of cognitive decline and Alzheimer's disease. By promoting heart health and stable blood sugar levels, the MIND diet enhances blood flow to the brain, supporting memory, focus, and overall cognitive function.

Smith and Blumenthal (2016) reviewed evidence linking the Mediterranean diet—rich in healthy fats, antioxidants, and lean proteins—to better cognitive aging. Nutrient-dense foods, such as fish, nuts, and leafy greens, support brain function and reduce inflammation.

 

         Stress Management and Mental Clarity

Chronic stress increases cortisol levels, which can impair attention and memory. Brain health coaching incorporates mindfulness practices, deep breathing techniques, and relaxation exercises to improve cognitive function.

Menopause-related brain fog is a common yet manageable challenge. While hormonal changes can impact cognitive function, the brain remains adaptable through neuroplasticity. Brain health coaching and training provide an evidence-based solution for women seeking to regain mental sharpness, improve memory, and enhance long-term brain health.

By integrating attention-enhancing exercises, targeted memory strategies, and brain-healthy lifestyle habits, women can take proactive steps to maintain cognitive vitality during menopause and beyond. With the right strategies, menopause does not have to mean mental decline—it can be an opportunity to build resilience and optimize brain function for years to come.

References

 

1. Menopause, Hormonal Changes, and Brain Fog

• Mosconi, L., Rahman, A., Diaz, I., et al. (2021). "Perimenopause and emergence of an Alzheimer's bioenergetic phenotype in brain and periphery." PLOS One. https://journals.plos.org/plosone/article?id=10.1371/journal.pone.0247081
• Weber, M. T., Maki, P. M., & McDermott, M. P. (2013). "Cognition and mood in perimenopause: A systematic review and meta-analysis." Menopause 20(11), 1143-1153.

 

2. Neuroplasticity and Brain Training

• Lustig, C., Shah, P., Seidler, R., & Reuter-Lorenz, P. A. (2009). "Aging, training, and the brain: A review and future directions." Neuropsychology Review 19(4), 504-522.
• Ball, K., Berch, D. B., Helmers, K. F., et al. (2002). "Effects of cognitive training interventions with older adults: A randomized controlled trial." JAMA 288(18), 2271-2281.

 

3. Lifestyle Factors That Influence Brain Health

• Walker, M. P. (2017). Why We Sleep: Unlocking the Power of Sleep and Dreams. Scribner.
• Smith, P. J., Blumenthal, J. A. (2016). "Diet and neurocognition: Review of evidence and methodological considerations." Current Aging Science 9(3), 211-221.
• Erickson, K. I., Voss, M. W., Prakash, R. S., et al. (2011). "Exercise training increases size of hippocampus and improves memory." PNAS 108(7), 3017-3022.

·         MIND diet associated with reduced incidence of Alzheimer's disease - Martha Clare Morris, Christy C. Tangney, Yamin Wang, Frank M. Sacks, David A. Bennett, Neelum T. Aggarwal  https://doi.org/10.1016/j.jalz.2014.11.009

 

 

Why are Seniors Using CBD and Cannabis for Pain, Relaxation, and Sex?

Written by: Dr. Barbara Bartlik

With the legalization of cannabis, many people who would not dream of buying it illegally from a dealer are visiting local dispensaries or ordering from the internet. But buyer beware: there are many types of cannabis products and not all cannabis products are of equal quality and potency. First and foremost, does the product contain tetrahydrocannabinol (THC) or cannabidiol (CBD), or both? The main difference between CBD and THC is that THC produces a high, alters perception, and impairs cognition, whereas CBD does not. CBD is used mainly for its anti-anxiety, anti-inflammatory, pain-relieving, anti-seizure, and sleep-inducing effects. Medical marijuana (cannabis) reduces nausea and helps patients receiving chemotherapy for cancer. CBD balms and creams bring relief to aching joints and muscles. Many people rely on oral CBD to fall asleep and decrease anxiety. Some even use it to reduce symptoms of attention deficit hyperactivity disorder. 

(Photo courtesy of The Three Tomatoes)

Due to its relaxing properties, CBD can enhance sexual arousal and sensitivity to touch. THC can improve sexual functioning, too, but at higher dosages, it can cause anxiety or paranoia, which inhibits sexual arousal. The key is to find the best preparation and strain for you and your chemistry. Many find that CBD products containing some THC are more potent because the two ingredients work synergistically. There are few studies on the sexually enhancing effects of cannabis. About one third of people who use cannabis do so primarily for sexual purposes. One study showed that women experienced improved libido and orgasm and less sexual pain with marijuana (1). Men also report sexual benefits, but chronic users of marijuana can experience twice as much erectile dysfunction (2). So, women might derive more benefit from cannabis use than men. 

Cannabis can now be enjoyed in various forms, from smoking and vaping to indulging in caramels, chocolates, gummies, and even infused cooking oils that combine both THC and CBD. Oils can be used to make brownies and other treats. CBD oils and lotions can also relax muscles during a body massage. CBD sexual lubricants relax the muscles of the pelvic floor, increase natural lubrication, and reduce pain during intercourse. Therefore, they can help menopausal women with vaginal symptoms. Some CBD lubricants contain other botanicals (ashwagandha, cacao seed butter), essential oils (peppermint and black pepper), and amino acids (L-arginine and L-citrulline), thought to aid sexual arousal, and others contain tea tree oil to fight infection. Many of my senior citizen patients enjoy using CBD and cannabis to enhance their sex lives. They may have enjoyed using marijuana for sex in their youth, and they are rediscovering it now that it is easily obtainable. Like other sensual techniques, cannabis and CBD add pleasure and variety to the sexual experience.

Terpenes add a pleasant aroma and flavor to cannabis and affect its potency, a phenomenon known as “the entourage effect.” Two aromatic terpenes in cannabis are limonene (found in citrus fruits) and linalool (in basil and lavender). Limonene is thought to have mood-elevating, stress-reducing effects that counteract the sedative and anxiety-producing effects of THC. Linalool has stress-reducing, anti-microbial, immune-boosting action and has been postulated to enhance the parasympathetic (rest and digest) nervous system. This latter effect is conducive to good sexual function. 

Before incorporating cannabis into your routine, consider consulting a healthcare professional to ensure it's safe and appropriate for you. Cannabis can decrease sperm quality and reduce testosterone levels and erectile ability in chronic users. Individuals with certain psychiatric conditions such as bipolar disorder or schizophrenia can relapse on cannabis, due to the hallucinogenic effect of THC. Some individuals can become paranoid. Oil-based vaginal lubricants can sometimes make it easier for vaginal infections to take hold. They should not be used with latex and some other condoms, as they can degrade the condom material, risking pregnancy or STDs. Only polyurethane condoms are safe to use with oil lubricants. Lubricants containing CBD also come in water-based versions. More information about cannabis and sexual health can be obtained on Instagram at @joyLeafdispensaries, @drbartlik and Dr. Bartlik’s website, DrBarbaraMD.com.

References

1. Lynn BK, López JD, Miller C, Thompson J, Campian EC. The Relationship between Marijuana Use Prior to Sex and Sexual Function in Women. Sex Med. 2019 Jun;7(2):192-197. 

2. Pizzol D, Demurtas J, Stubbs B, Soysal P, Mason C, Isik AT, Solmi M, Smith L, Veronese N. Relationship Between Cannabis Use and Erectile Dysfunction: A Systematic Review and Meta-Analysis. Am J Mens Health. 2019 Nov-Dec;13(6):1557988319892464. 

What is Quantum Neuro Reset Therapy (QNRT)?

Quantum Neuro Reset Therapy (QNRT) is a relatively new alternative healing modality designed to help reset the nervous system by addressing unresolved emotional trauma. It is based on the idea that past traumas—both emotional and physical—can become "stored" in the nervous system and contribute to chronic pain, emotional distress, depression, PTSD, and other health conditions.

ESSENTIALS OF QNRT By: Dr. "Jess" Sabrowsky I like to describe QNRT as a way to release trapped trauma. Stress (mental, physical or emotional) some we are aware of, other stress we may not be aware of, others also might be transgenerational and we are not always aware of. It is like "mad libs for the body". We get a story and see how it applies to your life and then activate cranial nerves to repattern and release the "issues from the tissues". Some are just emotional, others might be caused by actual physical pain.  I like to focus on "What's holding you back?" Mentality.... I like to problem solve and hear what issues are priorities for each individual. QNRT is great for any living being. It helps us move through "stuck points", things that we ruminate over, stress, you name it. I have had a 9 year-old stop bedwetting after 1 treatment dry for over 1 month now. My first client was an alcoholic for years, relapsed after rehab three times. I started working with him 12 months ago and he has been sober since. I am living proof and have myself experienced about 200 resets over the last 4 years and LOVE the clarity the QRNT brings and the ability and tools I gain to pivot when needed regarding aspects of life,  QNRT is a tool to help pivot stuck points in your life. QNRT is based on the foundational principle that the BRAIN and Nervous System control and coordinate ALL functions of the body. Any unresolved emotional stress, past or present, is understood to affect the nervous system in an adverse way that may lead to mental, emotional, and/or physical breakdown. This fact is critically important in understanding QNRT.  ACE STUDY The principles of QNRT are supported by the findings of the ACE (Adverse Childhood Experiences) Study as it relates to future symptoms, behaviors, and illness.  John M. Turner, DC originally developed QNRT based on his practice experience and his research to resolve pain. He combined principles of neuroscience, epigenetics, and emotional trauma healing to create this approach. While the therapy is not widely recognized in mainstream medicine, it has gained popularity among holistic health practitioners. Currently, QNRT has shown other benefits based on his clients' responses. QNRT can be a valuable complementary program to other treatments for pain, illness, addictions, learning disabilities, high risk social behaviors, and relationship challenges.  QNRT is designed to balance the Brain and Nervous System by resetting the neurological pathways of the body (Brain/Body Connection).  QNRT can teach YOU how to:  -Remove destructive behavior patterns -Repair/improve relationship stress -Reduce stress, tension and related physical pain -Overcome debilitating illness -Reclaim energy and vitality -Live a balanced and fulfilling life QNRT is a GAME CHANGER -Non-invasive therapy -No prescription pharmaceuticals -Easy to understand -No talk therapy is required to be effective -Complementary to other healthcare approaches -Excellent for children and adults Benefits of QNRT QNRT has been in clinical practice internationally and in the USA for more than 15 years. During this time, thousands of individuals just like you have experienced the multiple life changing benefits of ongoing QNRT therapy.  Reduce the total body and emotional stress load Regulate stress hormones Restore vitality and positive outlook Support resiliency of the Brain Empower the individual to make positive changes Support energy and overall well being Support memory, focus, and acuity Support the quality of sleep Support the immune system Resolve background fears, anxieties, worries and anger

How QNRT Works

QNRT aims to identify and "reset" neurological patterns caused by unresolved trauma. The therapy is based on neuroplasticity—the brain’s ability to rewire itself—and uses a combination of:

• Neurological Testing – Identifying imbalances in the nervous system through muscle testing and brainwave assessments.
• Emotional Release Techniques – Addressing unresolved emotional trauma that may be affecting physical and mental health.
• Light Touch Stimulation – Applying gentle pressure or stimuli to specific points on the body to help reset neurological pathways.
• Cognitive Awareness – Bringing subconscious trauma into conscious awareness to facilitate healing.

QNRT for Chronic Pain & Emotional Health

QNRT practitioners believe that unresolved emotional trauma can manifest as physical symptoms, including chronic pain, anxiety, and depression. By identifying and resetting these traumatic imprints in the brain, QNRT aims to:

• Reduce chronic pain by alleviating nervous system dysregulation.
• Help with depression by clearing unresolved emotional stress.
• Assist in PTSD recovery by reprocessing trauma stored in the nervous system.
• Improve emotional resilience by resetting neurological responses to stressors.

Criticism & Scientific Basis

QNRT, like many alternative therapies, lacks extensive clinical research and scientific validation. While many patients report improvements, the therapy relies heavily on subjective experiences and self-reported outcomes. Critics argue that the mechanisms behind QNRT are not well-documented in peer-reviewed scientific literature.

REFERENCES

1) Official QNRT Website: Provides comprehensive information about the therapy, its principles, and applications.  QNRT.COM

3) Helix Healing Path, LLC: Discusses how QNRT addresses unresolved emotional, physical, and sexual trauma, leading to imbalances that can cause various health issues.  HELIXHEALINGPATH.COM

5) Dr. John Turner's Professional Background: Details Dr. Turner's development of QNRT and his expertise in the nervous system's connection to mind and body. 

6) Dr. Lam Coaching: Explores the concept that unresolved emotional traumas can lead to negative life patterns and health issues, which QNRT aims to address. DRLAMCOACHING.COM

7) Be Optimal Holistic Health Center: Highlights QNRT as a protocol designed to reset the brain's response to emotional triggers from past and present traumas.  BEOPTIMAL.COM

8) The Brain Reset: Provides an overview of QNRT, explaining its purpose in initiating a shift by resetting the brain from emotional shocks and trauma lodged in the nervous system.  THEBRAINRESET.COM

9) Dr. John Turner's Personal Website: Offers insights into Dr. Turner's development of QNRT and his ongoing work in the field.  DRJOHNTURNER.COM

10) Functional Medicine Center of MN: Discusses how QNRT is designed to assist the nervous system in healing chronic pain by resetting the brain's response to emotional triggers.  FUNCTIONALMEDICINEMN.COM

11) Dr. Shawna Eischens: Explains how QNRT combines elements of quantum physics, applied kinesiology, and neurology to identify and release emotional patterns contributing to health issues.  ITSMYTIMETOHEAL.COM

12)  Holistic Chiropractic & Wellness Centre: Describes QNRT as a protocol designed to initiate a quantum shift by resetting the brain from adverse emotional trauma lodged in the nervous system. HOLISTICWELLNESSCENTRE.COM

13) Well Connected Twin Cities: Features insights from a certified QNRT practitioner on how the therapy reprograms the brain to respond differently to emotional triggers.  WELLCONNECTEDTWINCITIES.COM

14) Iris Mental Health & Wellness: Provides an overview of QNRT, focusing on its application in balancing the brain and resetting the nervous system to address emotional stress.  IRISMENTALHEALTHMN.COM

15) Northeast Region Biofeedback Society: Features a podcast with Dr. John Turner discussing the link between trauma and autoimmune conditions, and how QNRT can help.  NRBS.ORG

16)  Secoya Health: Introduces QNRT as an innovative protocol aimed at resetting the brain's responses to emotional triggers, addressing both past and present emotional trauma and stressors.  SECOYAHEALTH.COM

The Complex Relationship Between Stress and Cancer: What Science Tells Us

 By: Roberta Kline, MD | Edited by: Lennard Goetze, Ed.D

The connection between stress and cancer has long been a topic of interest in both medical research and public discourse. While stress alone does not cause cancer, it can influence the body’s ability to defend itself against the disease. To say that stress directly leads to cancer would be an oversimplification, but its role in overall health, including immune function, cannot be ignored.

One of the key principles behind this relationship is psychoneuroimmunology—the study of how psychological factors, the nervous system, and immune function interact. Stress, which typically originates from our thoughts and emotions, activates the nervous system, including the vagus nerve and the body’s stress response mechanisms. These responses, in turn, can impact immune system function, potentially influencing cancer development and progression. A crucial but often overlooked player in this equation is the microbiome—the diverse community of bacteria and other microorganisms residing in our bodies—which plays a significant role in immune regulation.

Numerous studies have shown that cancer patients who participate in stress-reduction programs often experience better outcomes. These findings highlight the importance of holistic approaches to cancer treatment that consider not only medical interventions but also psychological and lifestyle factors.

At its core, cancer results from DNA mutations that cause cells to grow and behave abnormally. However, the body has built-in mechanisms to detect and repair these mutations before they develop into full-blown cancer. The immune system, along with DNA repair mechanisms, plays a crucial role in monitoring and addressing these cellular abnormalities. In some cases, even when a small cluster of mutated cells has the potential to develop into cancer, the surrounding environment can either suppress or encourage their growth. This microenvironment, influenced by factors such as inflammation, metabolic activity, and immune function, can determine whether a precancerous lesion becomes a diagnosable tumor.

Another compelling area of research explores cancer as a metabolic disease. Cancer cells hijack normal metabolic processes to generate energy rapidly, fueling their uncontrolled growth. This understanding has led to studies investigating dietary, lifestyle, and pharmaceutical interventions aimed at disrupting these metabolic pathways to slow or stop cancer progression.

One of the greatest challenges in cancer research and treatment is its variability. Even among patients with the same type of cancer, the disease manifests differently. Each person’s metabolism, microbiome, and stress levels contribute to the uniqueness of their condition. This complexity makes it difficult to draw definitive conclusions, but growing evidence supports the idea that stress can create biological conditions that, under the right circumstances, may facilitate cancer growth.

It is important to be cautious in how we frame the discussion about stress and cancer. Suggesting that stress causes cancer outright risks assigning blame to individuals, which is neither scientifically accurate nor helpful. Instead, we should recognize that stress is one of many factors that can influence cancer’s development and progression. By acknowledging and addressing the interplay between stress, immune function, and metabolic health, we can develop more comprehensive strategies to support cancer prevention and treatment.

The takeaway? Managing stress isn’t just about mental well-being—it’s an essential component of overall health. While stress alone won’t cause cancer, reducing it through mindfulness, lifestyle changes, and emotional support can improve health outcomes and enhance the body’s resilience in fighting disease. A holistic approach that incorporates stress management, a balanced diet, and medical intervention may offer the best path forward in the battle against cancer.

AUTHOR AUTHOR

ROBERTA KLINE, MD (Educational Dir. /Women's Diagnostic Group): Dr. Kline is a board-certified ObGyn physician, Integrative Personalized Medicine expert, consultant, author, and educator whose mission is to change how we approach health and deliver healthcare. She helped to create the Integrative & Functional Medicine program for a family practice residency, has consulted with Sodexo to implement the first personalized nutrition menu for healthcare facilities, and serves as Education Director for several organizations including the Women’s Diagnostic Health Network, Mommies on a Mission. Learn more at https://bobbiklinemd.com 

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THE STRESS X CANCER CONNECTION: FROM THE MENTAL HEALTH COMMUNITY By: Barbara Bartlik, MD | Functional Psychiatrist

Dr. Roberta Kline’s concise and well-written article on stress, cancer, and the immune system underscores the importance of reducing stress. Lowering stress will strengthen the immune system, build resilience, and help the body prevent and withstand cancer. Dr. Kline rightly points out that stress reduction efforts lead to better outcomes for cancer patients.  Dr. Kline suggests many ways to alleviate stress. To reduce psychological and interpersonal stress, seek psychotherapy, meditate, enjoy art, music, or whatever brings you pleasure, and walk in nature. A healthy lifestyle is also key.

Cancer patients usually feel great stress about possible recurrence. Adopting the most health-promoting habits not only brings a sense of agency but also improves general health and well-being and can positively impact cancer risk. Alcohol in excess is now considered carcinogenic. It weakens the immune system, interferes with sleep, exacerbates stress, damages the intestinal lining, and disrupts the microbiota in the gut, which Dr. Kline points out plays a significant role in immune regulation. A low-carb diet with diverse vegetables ensures the consumption of protective nutrients, reduces inflammation, and fosters a healthier gut microbiome. Exercise as much as possible. Getting enough good sleep is essential for many reasons; melatonin produced during sleep has anti-inflammatory and anti-cancer properties. Exposure to artificial light exposure at night increases cancer risk, particularly in women, possibly by inhibiting the production of melatonin and increasing estrogen.

AN INTEGRATIVE PSYCHIATRY APPROACH TO ENDOMETRIOSIS

 INTRODUCTION:

In the spirit and support of Endometriosis Awareness Month (March 2024), the Women's Health Collaborative proudly introduces the remarkable work and generous report of BARBARA BARTLIK, MD (NYC). Our editors met with Dr. Bartlik, a NYC colleague of the IHRC (Integrative Health Research Center), led by our own imaging diagnostic director Dr. Robert Bard. Dr. Bartlik is a psychiatrist, sex therapist, and integrative medicine specialist in Manhattan who has over three decades of experience in clinical practice. She uses mainstream medications, psychotherapy, cutting-edge technologies, and natural therapies, such as dietary modification, detoxification, and supplementation with vitamins, minerals, botanicals and essential fatty acids. Whether the problem is psychiatric (ADHD, anxiety, bipolar disorder, depression, OCD, PTSD, schizophrenia) or medical (autoimmune issues, dementia, fatigue, hormonal-related problems, insomnia, pain, sexual dysfunction, weight management), this integrative approach is effective and tends to minimize adverse effects.

 

AN INTEGRATIVE PSYCHIATRY APPROACH TO REDUCING PAIN DUE TO ENDOMETRIOSIS
Written by: Dr. Barbara Bartlik
Edited by: Dr. Roberta Kline - (Part of the 2024 WHC EndoSpace feature series)

Women with endometriosis can suffer from many of the same mental health issues as other women. However, they can also suffer from additional problems caused by pain due to endometriosis, which can lead to depression, anxiety, sexual dysfunction, and sleep problems.

Because women with endometriosis may be prescribed medications to manage their symptoms, it’s important to be aware of options and their potential benefits and risks.  Psychiatric medications often prescribed for women with endometriosis include selective serotonin reuptake inhibitor (SSRI), serotonin and norepinephrine inhibitor (SNRI), and tricyclic antidepressants; benzodiazepines, sleep medications, mood stabilizers, anticonvulsant medications, and atypical antipsychotics. Antidepressants can help because they reduce depression, which exacerbates pain 

[1]. Fluoxetine [2], an SSRI antidepressant, and gabapentin[3] and pregabalin [4], both anticonvulsants have been shown to relieve chronic pelvic pain. Duloxetine[5], venlafaxine [6], and desvenlafaxine [7], all of which are SNRI antidepressants, can relieve various types of pain. Reports show that tricyclic antidepressants doxepin[8], amitriptyline, and imipramine, out of fashion for years as first-line treatment for depression, are now making a comeback to relieve pain [9].

All the antidepressants mentioned above can cause side effects of sexual dysfunction, weight gain, fatigue, and more. Bupropion, a unique antidepressant, relieves neuropathic pain and is less likely to cause these side effects, but it is more likely to increase anxiety [10]. Benzodiazepines prescribed for the treatment of anxiety, muscle cramps, and insomnia can also be effective in relieving pain, but they can cause sedation and lead to addiction[11]. Sedative-hypnotics such as zolpidem aid sleep, but they, too, are habit-forming and can cause memory problems [12]. The second-generation antipsychotics, quetiapine[13] and olanzapine[14], reduce pain scores and aid sleep but are associated with significant weight gain and sexual dysfunction[15]. Sometimes, when there is severe acute pain, opiates may be prescribed, although other less addictive solutions may also be sought.

Research shows that women with endometriosis have increased oxidative stress in their bodies[16]. Therefore, minimizing exposure to toxic substances that cause oxidative stress is important. That is not easy since toxins are ubiquitous and difficult to avoid. They are in food, air, water, household and personal care products, mold, and more. Many of these toxins mimic hormones and damage the endocrine system. I advise endometriosis patients to eat a clean, antibiotic-free, hormone-free, organic, pesticide-free Paleolithic diet, which also minimizes alcohol, dairy, gluten, genetically modified organisms (GMOs), highly processed foods, seed oils, soy, and sugar. Become familiar with the Dirty Dozen and Clean Fifteen lists, guides produced by the Environmental Working Group (www.ewg.org/foodnews/clean-fifteen.php) to help consumers choose produce low in pesticides. Eat wild-caught fish, free-range poultry and eggs, and grass-fed beef where possible.

Women with endometriosis tend to have higher estrogen levels[17], and estrogen stimulates endometrial lesions to grow. The liver can detoxify unwanted estrogens and remove them from the body, but only if it has adequate protein. Amino acids from protein attach to unwanted hormones, which allows these and toxic chemicals to be excreted through the bowel. Without enough protein, hormones and toxins build up and cause many health problems.

Read labels carefully to avoid additives and toxic ingredients. If it needs to be clarified if a product contains toxins, contact the manufacturer directly to obtain more information. Get rid of plastic containers and transition to glassware and stainless steel. Don’t use plastic bottles that contain endocrine-disrupting phthalates and bisphenol A (BPA). Avoid using Teflon or other chemically-coated pans that contain forever chemicals that remain in the body.

Research suggests that the antioxidants curcumin, melatonin, N-acetylcysteine, and vitamins C and E show promising results for endometriosis patients[18]. Nutrients that reduce menstrual pain are also helpful, such as a combination of magnesium and vitamin B6[19]. Vitamin D is another nutrient that can help reduce pelvic pain [20]. In addition, anti-inflammatory supplements such as omega-3 fatty acids can be helpful because women suffering from endometriosis have elevated inflammatory markers on blood tests [21][24].

 The discomfort and pain experienced by women with endometriosis can dampen sexual feelings and make sexual pleasure more difficult to achieve. Sexual activities may have to be adjusted to reduce pain during sex and after. The woman’s partner may also be adversely affected. It is essential to remain flexible and open. Erotica and vibrators can boost the sexual response, which helps to overcome the pain. Numerous oral nutritional supplements and topical creams can stimulate desire and arousal. Two FDA-approved pharmaceuticals are available for low libido in premenopausal women (bremelanotide, flibanserin). Sexual problems can lead to both psychological and relationship problems, so it is important to get help. Consult a trained professional.

The utilizing of non-invasive transcutaneous electrical nerve stimulation (TENS) can help alleviate pelvic pain and augment the sexual response [22][23]. In addition, device-based energy medicine modalities such as pulsed electromagnetic field (PEMF), non-coagulative multipolar radiofrequency, and red-light therapy alleviate pelvic pain, increase blood flow, promote collagen formation, stimulate cell growth and repair, and reduce inflammation [24][25]. Studies have shown that they are effective in treating sexual problems [26][27] and may help with a range of psychiatric issues [28]. These devices are painless, non-invasive, and are viable alternatives to pharmaceuticals and surgery.

(Click HERE for references)