Psychotherapy Out of Bounds

PSYCHOTHERAPY Out of Bounds, continued
Her diagnosis was Diabetes II. Like her father and her grand mother, she developed her elevated blood sugar in her late fifties. She had been told that there was a strong genetic link in Diabetes II, and so she assumed that her ‘disease’ was an inherited one. That seemed to be an end to the question about whether or not it could be cured — it could not. Now Felicity knew that all the genetic factor would do would be to create a pre-disposition to the development of the condition. He realized that it was possible that excessive use of sugars might potentiate the pre-disposition. But a pre-disposition to what?
Unlike Diabetes I where insufficient insulin is produced and exogenous insulin (medication) usually has to be taken, the problem in Diabetes II has more to do with the utilization of the available insulin at the level of the cells. The insulin production may be low, but there is enough present if it could be utilized to help the cells metabolize sugar. How was it that the body could not utilize its insulin?
He noted that Diabetes II, or late onset diabetes, usually starts at about the time of the involutional period — the time of life called the menopause in women. Now insulin is a hormone. At that time of life a lot of bodily hormones tend to become less available to the body in both genders. Moreover, the production and utilization of most hormones tend to be triggered and facilitated by other hormones. The idea that a reduction of hormonal stimulants, to maintain the effects of other hormones, might be a relevant issue seemed justified by the observation that the other main time during which Diabetes II tends to be stimulated is during pregnancy. During pregnancy, the body’s hormones undergo major changes. Felicity asked Paula to have her physician obtain assays on various blood hormones.
Although the hormone assays showed that several of her hormone levels were well below normal, her physician was unwilling to prescribe hormone supplements to see if they might have any effect on her insulin utilization. Felicity was not discouraged. Paula’s body used to utilize its hormones adequately. How could it be induced to produce and utilize enough of this hormone again?
The master endocrine gland, the pituitary body, is located in the brain. That suggested that the triggering sequences for most of the endocrine system might be capable of being re-regulated habitually by the brain. For this reason, and to address to the referral request, twenty-two sessions of Quirk’s stimulus conditioned autonomic response suppression (SCARS) were used. Her subjective sense of stress and anxiety declined appreciably.
But that might respond to only half of the problem. The endocrine organs are chemical factories which produce chemical hormones. It might be necessary to provide the body with some of the chemicals needed to produce the required substances. That suggested the probability that nutritional supplements might be needed. Felicity poked around in the nutritional literature.

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