How to eat to reduce anxiety with Harvard nutritional psychiatrist Dr. Uma Naidoo [Episode #867]
This week’s topic is: How to eat to reduce anxiety with Harvard nutritional psychiatrist Dr. Uma Naidoo
I am so excited to have my very special guest, Dr. Uma Naidoo, who is a board certified Harvard nutritional psychiatrist, chef and bestselling author of This Is Your Brain On Food and Calm Your Mind With Food. Listen in as Dr. Naidoo shares her revolutionary guide to controlling your anxieties and calming your mind through….
TOPICS COVERED
- Using diet and lifestyle, such as exercise, spending time outdoors, and managing sleep and hydration, can help manage anxiety and improve overall well-being.
- Healthy eating plays a crucial role in mental health, and it is important to find an inclusive approach that works for each individual.
- The gut-brain connection is significant, and an unhealthy gut can lead to inflammation in the brain, contributing to anxiety.
- Understanding the impact of leptin and hormonal balance on appetite and satiety can help manage anxiety and support overall health.
- Follow the six pillars to calm your mind, including magnifying micronutrients, avoiding anxiety-triggering foods, and prioritizing healthy fats.
- Why frozen fruits and vegetables are excellent choices, as they are frozen at their peak and can be cost-effective and convenient.
- How to Balance macronutrients in your diet, focusing on the quality and choices of fats, proteins, and carbohydrates.
- Why to Avoid extremes in protein consumption and prioritize well-sourced proteins.
FEATURED GUEST
About Dr. Uma Naidoo
Uma Naidoo, MD, is a board-certified Harvard Nutritional Psychiatrist, professional chef, and nutritional biologist. She is also the Founder and Director of the first and only hospital-based Nutritional and Metabolic Psychiatry Service in the United States, at Massachusetts General Hospital (MGH). She also serves as the Director of Nutritional Psychiatry at MGH Academy, the world-renowned educational organization, for which she designed and released the only CME-based Nutritional Psychiatry educational program for clinicians. Dr. Naidoo also serves on the faculty at Harvard Medical School, the Harvard Department of Nutrition, and is an instructor at The Cambridge School of Culinary Arts.
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Other Podcasts you may enjoy!:
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Transcript:
Note: The following is the output of transcribing from an audio recording. Although the transcription is largely accurate, in some cases it is incomplete or inaccurate. This is due to inaudible passages or transcription errors. It is posted as an aid, but should not be treated as an authoritative record.
Kimberly Snyder (00:01.038)
Hi loves and welcome back to our interview show on Monday. I am so excited and thrilled to have Dr. Uma Naidoo on our show today. She’s the author of this new wonderful book, Calm Your Mind With Food, a revolutionary guide to controlling your anxiety. Dr. Uma is a board certified Harvard nutritional psychiatrist. I love this combination.
She serves as the Director of Nutritional Psychiatry at MGH Academy. She’s on the faculty of Harvard Medical School and the Harvard Department of Nutrition. And she’s an instructor at the Cambridge School of Culinary Arts. Dr. Uma, thank you so much for coming on our show today.
Dr Uma Naidoo MD (00:46.943)
Thanks for having me, Kimberly. I’m so excited to talk to you.
Kimberly Snyder (00:50.51)
What I love about your philosophy so much, Dr. Uma, and diving into your book is that you are expanding our approach to food, which is very close to my heart. It’s not just about the way it looks, not just making it look pretty, not just the taste, although we want things to be delicious, but that food is a real tool in elevating the quality of our life, our happiness, our peace, as you talk about here so eloquently, our anxiety levels.
It’s powerful, isn’t it?
Dr Uma Naidoo MD (01:23.583)
It really is, and I think it’s something we often overlook as a tool that can help us feel better physically, but most importantly, emotionally as well.
Kimberly Snyder (01:34.03)
I love this. I love this topic and I can’t wait to dive in deeper. Before we do Dr. Uma, I want to mention to our listeners or viewers, our show is also on YouTube. If you’ve been listening to our show for a long time on Apple or Spotify, the full show is also on YouTube. A little reminder that the show notes from our show today with Dr. Uma.
will be on our website, mysolluna.com, as well as other articles, guided meditations, recipes, other shows I think you would enjoy. All right, so Dr. Uma, let’s dive right in. I love how you started the book talking more about your personal experience as a cancer survivor, about anxiety, and always just being concerned that things would come up, which of course is, you know,
I think for most all of us, we would be in that boat. And then you talk about how anxiety is so widespread. So before we go deeper, can you talk about that? I mean, we all know what happened with COVID. A lot of us were stressed, the world changed, but now we’re in this post -COVID era and it’s still such a big issue.
Dr Uma Naidoo MD (02:36.767)
Bye.
Dr Uma Naidoo MD (02:43.039)
Right. You know, the thing that, uh, Kimberly, that many people don’t realize is that anxiety is the most common worldwide diagnosis in mental health. And what COVID did is it accelerated the numbers. It really accelerated and increased the numbers. So from being the most common disorder, it has increased by 25%. Research has shown since COVID. So when, if we are feeling like everyone around us is anxious, this is quite the reality. Now.
It’s not a great feeling, but I think that part of why I wanted to share some of my own journey is also to share that anxiety can be part of a not so cool experience, but it can also be part of success and an experience that’s positive and it can present in different ways. And I think it’s important for us to know that because sometimes an individual comes in and tells me that they really need help with sleep. But as we…
as we work to fix things, they realized that there was underlying anxiety that was driving that insomnia. So it can really present in different ways.
Kimberly Snyder (03:42.764)
Hmm.
Kimberly Snyder (03:48.558)
Well, I definitely relate to that when I had a lot of anxiety and I was anxious around food and food choices. I also had pretty severe insomnia at times because it’s that the racing thoughts, it’s feeling in a way that we’re in this loop and it becomes very difficult to get out of that pattern. And when I started trying to meditate years ago, Dr. Uma, it was like a…
Dr Uma Naidoo MD (03:57.759)
Right.
Yes.
Dr Uma Naidoo MD (04:07.487)
Yes.
Kimberly Snyder (04:15.502)
What am I supposed to do with all these thoughts? Right? So can you talk about in your clinical research, you said there’s some good anxiety. Do you think the goal for us is to reduce anxiety or is it even possible to live an anxiety free existence in the first place?
Dr Uma Naidoo MD (04:19.487)
Right, right.
Dr Uma Naidoo MD (04:25.855)
Hmm.
Dr Uma Naidoo MD (04:33.599)
You know, I’m sure that we can be fully free of anxiety because there’s some eustress or anxiety that is helpful. Think about, you know, when we’re in school or college or university, we had exams to write and we’d be, you know, burning the midnight oil, so to speak, as the expression goes, and studying until later than going the next day and passing that test. That type of anxiety is actually a drive that is helping us.
cope with a current circumstance. So unless there are other things going on which are unhealthy or abnormal, that’s actually helping us in a certain way. But the less healthy anxiety is the anxiety that really prevents us from functioning and getting out of bed in the morning and so worried that we can’t get to a Zoom meeting or a task or finish the list of things that our supervisor or someone we work with or part of.
Kimberly Snyder (05:20.714)
Wait.
Dr Uma Naidoo MD (05:31.487)
you know, running, maybe you’re running your own brand, your own work, you just can’t get to those tasks. And then it becomes sort of dysfunctional way. It’s inhibiting you and preventing you from completing tasks. My feeling is that while it is individual for everyone, there’s a way in which we can harness the not cool parts to work for us. And some of the way that we do that is to how we eat, managing our diet. So we really, what we’re trying to do is on a scale, we’re trying to know all the opportunities.
that anxiety could be ramped up. One way is how we eat, another is exercise movement, just knowing your body and many people just feel exhilarated after they do a little bit of exercise. Even if it doesn’t necessarily come naturally to them, they feel better because of the endorphin release. Spending time outdoors, so 10 minutes of daylight before we place our sunscreen or sunblock actually gives us 80 % of our vitamin D, which helps our mood but also lowers anxiety.
Kimberly Snyder (06:28.012)
Mmm.
Dr Uma Naidoo MD (06:31.039)
So it’s many different things. It’s hydration, it’s enough sleep, like we talked about. All of these things combined can actually help really fend off anxiety. And then the parts that are not so cool, if we’ve learned like a breath work exercise, it can help us through that moment. So in my opinion, there might be a way that we can improve how we’re feeling and learn to live with a little bit of it so that we can cope but still have a fulfilling life.
Kimberly Snyder (07:01.122)
beautifully said, a little bit of it. And for me, doctor, when I meditate and I go into that more spaciousness in the morning, when I do go into a trigger or something happens with a deadline, it’s easier for me to come back faster and also to make better food choices. Because in the past, in those stressful times, I might reach for those chips and try to crunch out my tension or whatever it was.
Dr Uma Naidoo MD (07:08.479)
Right. Yes.
Dr Uma Naidoo MD (07:16.615)
Hmm.
Dr Uma Naidoo MD (07:25.647)
Exactly. It’s so true and it speaks to, I think, the experience that a lot of people have. You know, days when we feel more centered, we just naturally make better choices in our lives and at work and especially with the food we eat.
Kimberly Snyder (07:41.07)
I love how you wrote the book too, Dr. Uma, because I’m going through this book and you’re presenting it in a very inclusive way. All the amazing research, everything that you’ve done. And then I actually wrote it down in my notes. I said, all the way on page 131, Dr. Uma shares in the most inclusive way, by the way, I am vegetarian. But…
Dr Uma Naidoo MD (08:07.965)
Mm -hmm. Mm -hmm. Mm -hmm.
Kimberly Snyder (08:08.302)
You know, everybody can choose and there’s different social, you know, just the social, the environmental. I too, Dr. Uma have been plant -based, fully plant -based for I think now, you know, I don’t know, 14 years or so. And my husband is not plant -based, but this is what feels right for me. And so I just loved to read that, but also that you don’t demonize all the different diets. And when you’re talking here about anti -inflammation, which we’ll talk about,
Dr Uma Naidoo MD (08:14.591)
Mm -hmm.
Dr Uma Naidoo MD (08:23.679)
Well, amazing, amazing.
Dr Uma Naidoo MD (08:35.837)
Okay.
Kimberly Snyder (08:37.646)
It’s really for however we choose to eat, we can fit your powerful principles into different diets.
Dr Uma Naidoo MD (08:46.431)
Well, that’s exactly how I intended, Kim Rises. So thank you for pointing that out. I too come from a family where not everyone is vegetarian, but I grew up in my biological family of origin, a purely vegetarian, and it was just the way I was raised. So for me, it was something I really didn’t necessarily choose early on in my life, but it worked and I was more than happy to be inclusive of what everyone else ate. It just didn’t happen to be how I was raised.
But I think culinary school and studying nutrition and having your family that eats anything around me is super important because it sort of teaches you that you can find your way to healthy eating. That’s also delicious, by the way, through whichever path you choose. I think that when these factors, whichever diet it is that you follow, whichever foods, can be backed up by good clinical science and research. I think it’s…
more inclusive and it helps more people. Because if I say to you, you know, why don’t you have seafood today, Kimberly? Well, that’s not what you eat. So the fact that it’s rich in Omega -3s, you and I would have to find the plant -based sources that would give us that excellent version of the Omega -3 fatty acids. And we might require a few hacks to make it more absorbable and more available to us. But I think it’s important because I feel that
many individuals that I treat and see come in so confused and so worried that it worsens their stress, it worsens anxiety. What should I eat? I heard this is the new superfood. I hear I should be eating more protein. I hear I should give up this food. And it really, it adds to more panic, to be honest, because we shouldn’t have to be facing those things.
Kimberly Snyder (10:21.16)
Yes.
Kimberly Snyder (10:34.926)
Well, and it is confusing, Doctor. There’s a lot floating around and it gets circulated through the media and social media. And I love how you talk about some of these, you know, the longevity. Talk about the Blue Zones. Dan Buettner is a dear friend of mine. He’s been on this podcast several times. You talk about, hey, fiber, right? Things that seem, I would say basic, but yes, of course, like almost like yes. But now on the other hand, there are,
Dr Uma Naidoo MD (10:41.407)
Yes.
Dr Uma Naidoo MD (10:50.463)
Yes. Yes.
Kimberly Snyder (11:04.458)
diets out there that are demonizing vegetables. Like these full carnivore diets. And so then there’s people saying, oh, well now this is what, you know, it’s just, it’s confusing for the average person to weed through, you know, what is, what is, what is what.
Dr Uma Naidoo MD (11:08.255)
Yeah. Right.
Dr Uma Naidoo MD (11:23.823)
Exactly. It’s confusing and people feel like there’s something they cannot eat. They feel worse. They feel like they have to exclude entire food groups and they get confused. So it’s important. For me, it’s hugely important to be inclusive and to help people understand that there are many different ways to feel better emotionally.
A lot of it is principles of healthy eating that will help more things in your life. It’ll help your heart health potentially. But you know, my focus in my clinical work and my research has really been improvement of the mental health. So when I see that happen for people, it becomes really important.
Kimberly Snyder (12:12.366)
So when you’re dealing with clients and you’re seeing an improvement in mental health, is that self -assessment or is it either sleeping more hours or is it just their experiential coming in and saying, wow, I just feel so much more inspired in life? How do you measure that, doctor?
Dr Uma Naidoo MD (12:27.487)
Right. So, you know, part of it is based on the clinical assessments and scales that we do in mental health. So we test anxiety, you know, we ask people their symptoms and that’s all part of the assessment. So, you know, I think that for me, it’s observational, it’s doing these clinical scales, it’s assessing whether someone is feeling improved, are they sleeping more hours, are they sleeping more deeply.
Are they noticing that they’re not waking up with that anxious, horrible feeling in their stomach and they can actually get out of bed and maybe do a meditation or something else or even just get into their day. Some people don’t always meditate in the morning. So again, that’s a flexibility in terms of when it works for them. And then, so there are objective measures in the scales and then there are the symptom measures in how someone is appearing. And often I find something like sleep.
Kimberly Snyder (13:00.566)
Hmm.
Dr Uma Naidoo MD (13:25.511)
improves and people start to feel better because they’ve had a good night’s sleep and so many things start to feel a little bit better and even starts to help lift that anxiety. So there are different, you know, different pointers along the way that we track.
Kimberly Snyder (13:42.062)
And thank you for that. And speaking of which you make some really amazing connections in the book. I want to go down through some of them. Um, first of all, and we’ll get to that in a moment, anti inflammation and anti anxiety, but first let’s talk about the gut, the guts role in our health. You talk about how IBS has been correlated in those with anxiety and depression. So we hear a lot about the gut brain connection. I’ve been a huge.
I’d been getting for gut health for a long time coming from someone who is very bloated, very constipated, had a lot of issues with my gut, also paralleled my anxiety doctor. So I very much relate to this. Talk a little bit more specifically about this connection between anxiety and gut health.
Dr Uma Naidoo MD (14:15.455)
Mm -hmm.
Dr Uma Naidoo MD (14:20.831)
Great. Great.
Dr Uma Naidoo MD (14:26.461)
You know, the… Sure, so for a very long time we didn’t really realize that the gut and brain were so intricately connected. And that’s new research that’s occurred over the last two decades. Although Hippocrates spoke to this connection eons ago. And as the father of modern allopathic medicine, he knew there was a connection, but the science of the research had to follow. And now that we understand that the gut and brain arise from the exact same cells in the human embryo.
they divide apart, they form two organs and they remain connected by the 10th cranial nerve, the vagus nerve, and that acts like a two -way system, a two -way messaging system with chemical messages. So the two organs are communicating all the time about and with chemical messages. And then you realize that you also understand that serotonin and serotonin receptors, well, 90 to 95 % of them are in the gut. So where the food is being digested,
and is interacting with the trillions of microbes that live there is also where the receptors, the production of those receptors, all of this is sort of happening in the same area. So to unpack it a little bit, I say to people, you know, what happens when you have a headache? And many people will say, well, I try to do this or that to help calm my headache. But then eventually if it doesn’t go away, I’ll take headache pills. I said, well, what do you do when you take headache pills? Well, I put it in my mouth, I take some water, sip water.
I hope the headache goes away. And I say to them, but the pain, the discomfort is in your head and you are taking something through your mouth, it’s going through a gut, it’s going through your digestive system, how do you explain that? And I pose that as a question then so that they start to see, well, oh, that’s what you mean. You can actually consume something, you can swallow something. It can be food, it can be a pill.
and it is getting broken down, digested, it’s going through that process, it’s interacting with those microbes and could act in different parts of your body, but one of those parts is your brain. And so we start to fill in the gaps of our understanding around how food and nutrition can slowly and steadily impact our gut health, but also our brain health.
Kimberly Snyder (16:39.694)
Ah, isn’t it amazing in, you know, in Aryaveda, this statement, as is the micro, as is the macro, just the circles upon circles, the interrelatedness. We aren’t these fragmented beings, are we, Dr. Uma? And, you know, it’s just shows it’s here and it’s here. And if we want to feel good here, we have to look down into our bodies. It’s amazing. It’s beautiful. You know, when you were talking, I was thinking almost like a spider’s web.
Dr Uma Naidoo MD (16:46.495)
Yes.
Dr Uma Naidoo MD (16:52.447)
No, not at all.
Dr Uma Naidoo MD (17:01.055)
Wait, it’s so true.
Kimberly Snyder (17:06.862)
And yes, you know, the research is backing that up, but also intuitively, doctor, when we, you know, we just know something’s going on and it’s hard sometimes for people to have that vocabulary. You know, your clients come to you or people come to me as well. They don’t have the language, but they know it’s going on and it’s, it’s going on in different areas. You see it in your body. You’re bloated. You’re not sleeping well. You’re having these thoughts. It’s going all over the place.
Dr Uma Naidoo MD (17:07.935)
Yeah.
Dr Uma Naidoo MD (17:18.847)
Yes.
Dr Uma Naidoo MD (17:23.517)
Wait.
Dr Uma Naidoo MD (17:28.063)
Yes. Yes. It’s not in one place and that’s another important concept. It doesn’t just present as one thing or one place. You know, you could feel jittery, you could have sweaty palms, you could have a heart that’s racing, you could be sleeping poorly, have an inability to focus, you can’t settle down, you’re so anxious you can’t eat something, if you drink water or eat food you feel nauseous, so it can present in all these different ways.
It’s important for us to identify that it could be an issue and that there are ways that we can help.
Kimberly Snyder (17:59.822)
And then one of the ways, one of the big links you make here, let’s talk about inflammation for a minute. So we hear this word tossed around now, and a lot of people correlate inflammation to precursor to many illnesses. We hear about autoimmune conditions, which we may know someone that has, or maybe we have it, or we’re just whatever. But I don’t think this link has been so clearly drawn between inflammation and mental health anxiety. So.
Dr Uma Naidoo MD (18:12.895)
Yes.
Dr Uma Naidoo MD (18:18.015)
Okay.
Dr Uma Naidoo MD (18:28.241)
Mm -hmm.
Kimberly Snyder (18:28.782)
Tell us about this link, which is such a big part of what you’re saying here in the book. When we eat an anti -inflammatory diet, we can be less anxious, which is huge.
Dr Uma Naidoo MD (18:35.455)
Yeah.
Dr Uma Naidoo MD (18:40.063)
It is, it is. And thank you for pointing that out because I feel like another thing that’s overlooked is that our gut inflammation and inflammation in our body can lead to inflammation in the brain because again of that gut -brain ecosystem. So if we’re consuming a fast food diet, a diet that’s really full of ultra -processed processed foods, junk foods and fast foods and lots of added sugars,
Kimberly Snyder (18:54.966)
Mmm.
Dr Uma Naidoo MD (19:08.751)
It’s possible that what we’re doing is setting up our gut for inflammation because the bad microbes that live in the gut love these unhealthy foods and when they thrive, they really overtake and overcome the good microbes and then start to damage the inside of the gut. And so once that happens, you are setting up this imbalance in your gut and it’s called dysbiosis. It’s, you know,
basically setting you up for inflammation and over time that inflammation will reach the brain as well. So it’s not immediate because it’s something that happens more slowly but it starts and our microbes respond to the foods that we eat within two hours. You may not notice the difference but they are responding. They are really actively part of this process and you know what we want to do is keep our body.
our gut, our brain, our body in harmony with one another. And one of the ways to do that is to, for more often than not, be eating healthier options than unhealthy options.
Kimberly Snyder (20:17.71)
It’s so empowering to know again, it’s all connected and every day we’re showing up to choose what we eat. We all have to eat meals unless we’re fasting for some reason. And so, wow, again, making this link here is what’s my racing mind and my poor sleep. And here’s what I’m eating. And I can really do something to help this situation.
Dr Uma Naidoo MD (20:22.271)
Yeah. Yes.
Dr Uma Naidoo MD (20:36.381)
Great.
Dr Uma Naidoo MD (20:40.095)
to help that. That’s right, because sometimes people come in and they’ve been eating or for whatever reason something has changed in their lives and they’re just consuming a less healthy diet and haven’t even noticed because it’s not, it may be that they’re working out and they’re still active, they’ve gained weight, but they’ve actually changed their diet and they don’t realize it. So it can be hugely powerful for them to be able to identify that.
Kimberly Snyder (20:53.74)
Yes.
Kimberly Snyder (21:08.076)
That’s right, to identify it. And then there’s, you know, again, the struggle with weight starts to come up and they’re like, whoa, what’s going on? And another thing you talk about is anxiety and leptin. We know this hormone has to do with appetite and satiated. So we’re feeling satiated. Can you explain a little bit about this connection, which again, once again, shows how everything is so interconnected.
Dr Uma Naidoo MD (21:17.917)
Mm hmm. Yes.
Correct. Yes, correct. Correct.
Dr Uma Naidoo MD (21:32.091)
is on it to connect it. So, you know, when we eat meals, we have these hunger hormones and the hormone leptin is there to tell us that we satiated, we’re full, we’ve eaten enough, we’ve had that healthy sa
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