Bipolar disorder affects people of every age, every race, every country, every walk of life. From Vincent Van Gogh to Ernest Hemingway, Winston Churchill, Marilyn Monroe -- the list of bipolar sufferers is a long and distinguished one. On April 13, 2011, the actress Catherine Zeta-Jones confirmed that she too suffers from bipolar disorder. But the fame and success of these individuals masked the private pain of depression and wild mood swings.
And bipolar disorder is not just a problem for the rich and famous. According to Mental Health America, over 2 million Americans suffer from bipolar disorder.
Bipolar disorder (also known as manic depression) covers anyone who has suffered at least one episode of serious depression or mania. Sufferers' moods swing from giddy highs to terrible lows, with periods of normalcy in between. It not only complicates the lives of sufferers but those of their friends and family too. It is a very serious condition, which should be treated through standard medical channels. But there are changes you can make to your diet to alleviate the suffering and mood swings caused by the illness. Is there an ideal diet for bipolar disorder? What foods help to decrease the mood swings of bipolar disorder?
The link between certain nutritional deficiencies and bipolar diorder is strong. Notably, Vitamin B12 deficiency has been strongly linked to bipolar disorder. We have pulled together a comprehensive list of the Top 10 foods and vitamins that research has shown can be helpful in treating bipolar disorder:
1. High-protein low-carbs – Research has shown that a diet high in protein and low in carbs --a ketogenic diet --can help bipolar sufferers stabilize their moods (El-Mallakh, 2001, The ketogenic diet may have mood-stabilizing properties). A ketogenic diet is a low carbohydrate diet, similar to the Atkins Diet. You should work with a dietician to come up with a daily plan, but the standard diet includes a lot of dairy and meat, for fat and protein, and very low levels of carbohydrates.
2. Avoid weight gain – Obesity is strongly linked with manic depression. Research by Susan Simmons-Alling and Sandra Talley in 2008 found that 35% of bipolar sufferers were obese. Whether this is as a result of the medication they are on or just triggered by their depressive state of mind, no- one is certain. What is certain is that obesity is not healthy. So bipolar sufferers must pay particular attention to eating a healthy diet with plenty of fruit and vegetables.
3. Lithium – A treatment for many mental disorders, including bipolar disorder, lithium salts are well-known to be an effective mood-stabilizer. It was recommended by the Food and Drug Administration as a treatment for depression in 1970 and in 2003 a study published in the Journal of Clinical Psychiatry showed it can reduce the risk of suicide (Lithium Treatment and Suicide Risk in Major Affective Disorders: Update and New Findings). Lithium is usually administered by doctors as a supplement, but you can top up your levels with lithium-rich foods like dairy products, seaweed and lemon.
4. Salt – If you are taking lithium, it is very important to keep a consistent level of salt in your body. Sodium stabilizes lithium levels, so if the level of salt in your body goes up and down it will make the lithium less effective. Work with your physician or a dietician to come up with a plan.
5. Oily fish – A study in 1999 (Omega 3 Fatty Acids in Bipolar Disorder) showed that foods rich in Omega 3 fatty acids, like oily fish, can act as mood-stabilizers for bipolar sufferers. Salmon and cod are both rich in Omega 3.
6. Low tyramine foods – Many sufferers are prescribed MAO inhibitors to treat their depression. When these combine with tyramine in the body they can cause diarrhea and headaches. People on these drugs should avoid consuming too much wine and cheese, both of which are high in tyramine.
7. Leafy green vegetables – These contain folic acid which is used to make serotonin. Studies like the one conducted by Rosenbaum JF, Fava M, Faulk WE, et al, in 1999 (The antidepressant potential of oral S-adenosyl-l-methionine), have shown that there is a link between folic acid deficiency and depression.
8. Vitamin B12-rich foods – Like folic acid, Vitamin B12 deficiency has been found to be linked to depression (Myths about vitamin B12 deficiency, Fine EJ, Soria ED, 1991). Vitamin B12 is believed to alleviate symptoms of manic depression by suppressing the activity of glutamate and gaba synthesis, similar to the way the drugs lithium and valporate work. Dairy, meat and fish are all good sources of Vitamin B12 and many supplements are available.
9. Vitamin C Foods. Broccoli, citrus fruit and strawberries – All of these are great sources of Vitamin C. While it does not fight depression directly, Vitamin C helps the body reduce vanadium levels. Studies like the one published in Psychol Med in 1981 (Vanadium: a possible aetiological factor in manic depressive illness) have shown that diets high in Vitamin C and low in vanadium alleviate the symptoms of bipolar disorder.
10. Routine – Although not a food, routine is one of the most important things for a bipolar sufferer and this counts for food as well. A study in 2006 found disruption in routine to be a significant factor in the recurrence of bipolar disorder (The Importance of Routine for Preventing Recurrence in Bipolar Disorder). With that in mind, sufferers should stick to a regime of three meals a day, at the same times, using the foods outlined above.