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Change Your Brain, Change Your Life by Daniel G. Amen.
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In Change Your Brain, Change Your Life, psychiatrist and brain health expert Daniel G. Amen, leveraging 30 years of patient experience, offers a new, more effective approach to treating and overcoming physical, mental, and cognitive issues.

Amen’s approach is informed by SPECT (single photon emission computed tomography) scans—a type of brain imaging that shows a brain’s blood flow and electrical activity. Through these scans, Amen found that he could identify a wide range of indicators of poor brain health, including physical trauma, toxin exposure, infections, inadequate neural stimulation, and unbalanced neurotransmitters (chemical messengers that regulate mood and cognition). He noticed that certain brain patterns seemed to be associated with particular health conditions.

(Shortform note: SPECT scans function through a three-step process: 1) A practitioner introduces a radioactive isotope (a tracer) into a patient's bloodstream. This isotope emits gamma rays (tiny bursts of energy) while circulating throughout the body. 2) The practitioner then positions a gamma camera above the patient, which is designed to pick up the gamma rays that the isotope releases. 3) As the gamma camera detects these rays, a computer processes the data to pinpoint where the isotope was when it emitted the radiation. This creates detailed images that show areas of both reduced and increased blood flow within the patient's body.)

Amen realized that many people’s physical, mental, and cognitive issues arise from physical damage to specific regions of the brain and their associated functions. However, traditional medical approaches don’t take this into account: Practitioners typically observe and make diagnoses based on the external expression, or symptoms, of these underlying physical damages. As a result, patients’ issues may be misdiagnosed and they may receive inadequate treatments.

For example, a patient may...

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Change Your Brain, Change Your Life Summary Part 1: Adopt a Holistic Approach to Brain Health

While Amen advocates using SPECT scans to diagnose the biological underpinnings of mental health conditions, he emphasizes that effective treatment plans require a holistic approach that addresses biological, psychological, social, and spiritual factors. He explains that these four factors interdependently influence your overall health—and, by extension, your brain health and function. For example, lack of sleep (biological) can alter your brain chemistry and cause anxiety (psychological), leading to social withdrawal (social) and a diminished sense of purpose (spiritual).

(Shortform note: Amen's treatment philosophy resonates with the biopsychosocial model, a holistic approach introduced by psychiatrist George Engel in the 1970s. This model counters the traditional biomedical perspective by emphasizing that biological, psychological, and social factors are equally important when assessing and treating patients. What sets Amen’s approach apart is his addition of a spiritual aspect to this model. While health care professionals often overlook spirituality in care, [research suggests that having...

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Change Your Brain, Change Your Life Summary Part 2: Repair and Optimize Each of Your Brain’s Five Regions

Now that we’ve explained how nurturing four factors can improve your overall health and, by extension, your brain health, let’s delve deeper into the brain itself to target specific issues you may have.

According to Amen, the brain has five main regions, each playing a unique role in how you function: the limbic system, the basal ganglia, the prefrontal cortex, the anterior cingulate gyrus (ACG), and the temporal lobes. He explains that damage or dysfunction in any of these regions can lead to their own set of specific symptoms.

(Shortform note: According to one study, the idea that certain brain regions are linked to particular functions may be too rigid, since the entire cerebral cortex activates during most functions—not just the area associated with that function. This study also shows that brain activity isn’t localized but moves in waves throughout the entire brain. However, like Amen, many scientists argue that the brain is made up of largely independent parts, theorizing that, though the parts are...

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Shortform Exercise: How Will You Enhance Your Brain’s Health?

Amen suggests that nurturing four factors—biological health, psychological well-being, social interactions, and spiritual fulfillment—can significantly enhance your brain's health. In this exercise, consider how you might implement his advice.


Consider the four factors that contribute to your brain’s health. Which one of these factors are you currently paying the least attention to? (For example, you might regularly focus on your biological, psychological, and spiritual health but neglect your social life.)

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