By Laurie Melrose-Doering, Osteopath & Applied Kinesiologist
The exploration of natural remedies for managing mental health conditions such as obsessive-compulsive disorder (OCD) and anxiety disorders has garnered increasing interest. The rising appeal of these treatments can be attributed to the growing body of research suggesting potential benefits and a societal shift towards holistic and integrative healthcare approaches. These herbal treatments are often sought as alternatives or complements to conventional pharmacological interventions, which can sometimes lead to unwanted side effects or insufficient relief of symptoms.
OCD is a chronic condition characterised by intrusive thoughts (obsessions) and repetitive behaviours (compulsions). Traditional treatments often include selective serotonin reuptake inhibitors (SSRIs) and cognitive-behavioural therapy (CBT), both of which have shown effectiveness but may not work for everyone. Anxiety disorders, similarly pervasive, include a range of conditions such as generalised anxiety disorder (GAD), panic disorder, and social anxiety disorder, all of which can severely impact a person’s quality of life. The search for alternative therapies is partly driven by the limitations and side effects associated with conventional medications.
Natural remedies, including herbal supplements like St. John’s wort, milk thistle, N-acetylcysteine, 5-HTP, inositol, and kava, have been the subject of numerous studies aiming to evaluate their efficacy and safety. While some of these studies show great promise, others present varied results. The opportunity lies in exploring these findings and uncovering the potential benefits and interactions of these natural treatments.
St. John’s Wort is widely recognised for its antidepressant properties. It has been used extensively in Europe for mood and anxiety disorders due to its influence on the serotonin system, similar to certain antidepressants. However, evidence regarding its efficacy in treating OCD is limited. Some case studies and small trials have suggested symptom reduction, and while larger randomised-controlled trials have not consistently confirmed these findings, as more research is done, we are gaining a better understanding of its potential effects.
Milk thistle (Silybum marianum), containing the active compound silymarin, has shown potential in managing OCD and anxiety symptoms. In an eight-week double-blind study involving 35 adults with OCD, 600 mg of milk thistle extract was found to be nearly as effective as 30 mg of fluoxetine (Prozac) in reducing symptoms, with both treatments yielding significant improvements and similar side effects such as nausea and insomnia. These findings align with traditional Persian medicine, where milk thistle is used to treat psychiatric disorders, including anxiety.
N-Acetylcysteine, an amino acid precursor to the antioxidant glutathione, has been investigated for its potential benefits in treating OCD. A case study reported that it enhanced the effects of the SSRI Luvox (fluvoxamine), leading to a significant reduction in OCD symptoms.
Given the role of serotonin and glutamate in OCD, supplements like 5-hydroxytryptophan (5-HTP) and inositol have been considered for their therapeutic potential. A recent study indicated that 5-HTP might be effective as an adjunctive treatment for moderate-to-severe OCD.
Kava, known for its calming effects, has been used traditionally in Pacific Island cultures. It influences serotonin and gamma-aminobutyric acid (GABA) levels, producing a calming effect. Despite its benefits, kava is not permitted in the UK due to concerns over liver health.
When evaluating the effectiveness of natural remedies, research generally incorporates several key factors:
These considerations are fundamental to drawing accurate and generalisable conclusions about the safety and effectiveness of herbal medicines.
Natural treatments can interact with prescription medications and have side effects. For instance, St. John’s Wort can affect the metabolism of SSRIs, potentially leading to serotonin syndrome. The use of kava is not currently permitted in the UK due to concerns over liver damage.
In addition to supplements, lifestyle interventions such as mindfulness meditation, acupuncture, and yoga can be beneficial for managing OCD. These practices generally have fewer side effects and can help reduce stress, complementing traditional treatments.
Natural remedies offer potential benefits and can be combined with treatments such as cognitive-behavioural therapy (CBT). Consulting with a herbalist or a healthcare professional before adding any natural treatment to your regimen ensures safety and prevents potential interactions.
Integrating these treatments into your routine can optimise your overall well-being and symptom management.
At Aston Clinic London we provide comprehensive care for individuals seeking natural treatments for OCD and anxiety disorders. Our team of herbalists and CBT practitioners integrates traditional knowledge with modern research to offer personalised treatment plans.
We utilise a variety of natural remedies tailored to your specific needs and ensure that these treatments are safe and effective. Our holistic approach includes dietary and lifestyle advice, ensuring a well-rounded strategy to manage your condition and improve your quality of life.
To book a session with our practitioners, click here. Alternatively, you can contact us at 020 8942 3148to learn how our treatments can benefit you.
Aston Clinic London is a third-generation complementary health clinic located in New Malden, serving Kingston, Norbiton, Wimbledon, Raynes Park, Surbiton, Chessington, Worcester Park, Sutton, Richmond, and other areas of southwest London and Surrey.
By Laurie Melrose-Doering, Osteopath & Applied Kinesiologist
