Yawning and the Brain

by Doug 0 Comments

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Yawning is a stereotyped behavior with very ancient origins, for it is found in fish, reptiles, and birds, as well as in humans. Described in ancient times by Hippocrates (who thought it served to evacuate fever), yawning did not become a subject of serious interest until the advances achieved in neuroscience in the 1980’s.

Generally speaking, yawning consists of three phases: first, a long intake of air, then a climax, and finally a rapid exhalation, which may or may not be accompanied by stretching. After yawning, you generally experience a sense of well being and relaxation and feel much more present in and aware of your body than you did before you yawned.

Contrary to what was believed for centuries, yawning does not serve to improve oxygenation in the brain. This myth was first laid to rest when it was discovered that the human fetus can yawn as early as the age of 12 weeks, even though it is surrounded by amniotic fluid in its mother’s belly and so is scarcely likely to get any more oxygen to its brain from this effort.

Second, if yawning really helped to raise the oxygen concentration in the blood, then inhaling pure oxygen would cause yawns to become less frequent, while raising the concentration of carbon dioxide in the blood would make them more frequent. But several studies have shown that neither of these things occurs. Also, yawning is no more common in people with acute or chronic respiratory problems than it is in the general population.

The role of yawning has yet to be fully determined. But because we yawn more often when we first awaken, when we are bored, and when we are trying not to fall asleep, its primary function would appear to be to help make us more alert. Yawning also seems to play a role in non-verbal communication, especially among primates.

Which leads us to something truly singular about yawning: its contagiousness. That is, when we see someone yawn, it makes us yawn. Sometimes simply thinking about a yawn can be enough to trigger one! Obviously, the term “contagiousness” should not be taken literally here, because no germs are being transmitted. More precisely, yawning is a form of involuntary imitation. Some scientists believe that this characteristic of yawning may have developed as a mechanism for promoting social cohesion, for example, by enabling all the people present in a group to have the same level of alertness at the same time.

In the rest of the animal kingdom, yawning is observed among predator and prey species alike. Among predators, its purpose might be to encourage the group to take a restorative nap so that all of its members can be well rested for an attack on their prey later on. Among prey, by encouraging all members of the group to fall asleep at the same time, yawning might reduce the risk that any one individual might be sleeping alone and hence highly vulnerable to attack by a predator.

There is no nerve centre strictly associated with the yawn reflex, but certain brain structures, such as the hypothalamus, the pituitary gland, and the brainstem are essential for its expression. Some scientists have even hypothesized that the strong contractions of the jaw muscles during yawning may stimulate the reticular formation and thereby encourage wakefulness.

Lastly, one interesting linguistic note: the French verb bâiller (to yawn) has a circumflex accent on the “a” and not on the “i” because in Old French, when people pronounced this word, they stretched out the “a” to imitate the sound of someone yawning.

*Courtesy of McGill University -“The Brain, Start to Finish”                                                                                 copyleft

Doug’s 2nd Consultation with Dr. Roger S. McIntyre

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Dr. Roger S. McIntyre

Monday June 6th, 2016 -Met with Dr. McIntyre today for my 2nd consult with him. Now that the DBS is working to some degree, will Dr. McIntyre have some insight into whether or not supplementation on the biochemical side will possibly help the DBS in it’s work? And what does his latest research suggest, given my mood, fluctuation patters, and from a full-scale picture, in the way of medications that are NOT typically used for TRD.

 *More in tomorrow’s post; and you won’t believe what he said…


Dr. Roger S. McIntyre MD, FRCPC
Head, Mood Disorders Psychopharmacology Unit (UHN)

Dr. Roger McIntyre is currently a Professor of Psychiatry and Pharmacology at the University of Toronto and the Head of the Mood Disorders Psychopharmacology Unit at the University Health Network, Toronto, Canada.

He was named by Thomson Reuters in 2014 as one of “The World’s Most Influential Scientific Minds”. This distinction is bestowed upon researchers who publish the most highly cited articles in a variety of scientific fields during the previous decade.

He is also extensively involved in medical education.  He is a highly sought-after speaker at both national and international meetings. He has received several teaching awards from the University of Toronto’s Department of Psychiatry and has been selected for the joint Canadian Psychiatric Association (CPA)/Council of Psychiatric Continuing Education Award for the Most Outstanding Continuing Education Activity in Psychiatry in Canada.

Dr. McIntyre is the co-chair of the Canadian Network for Mood and Anxiety Treatments (CANMAT) Task Force on the Treatment of Comorbidity in Adults with Major Depressive Disorder or Bipolar Disorder and as well a contributor to the CANMAT guidelines for the treatment of Depressive Disorders and Bipolar Disorders. He has published hundreds of peer-reviewed articles and has edited and/or co-edited several textbooks on mood disorders.

He completed his medical degree at Dalhousie University and completed his Psychiatry residency training and Fellowship in Psychiatric Pharmacology at the University of Toronto.

Research Interests

Dr. McIntyre is involved in multiple research endeavours which aim to characterize the association between mood disorders, especially cognitive function and medical comorbidity.  Broadly, his work aims to characterize the underlying causes of cognitive impairment in individuals with mood disorders and their impact on workplace functioning. This body of work has provided a platform for identifying novel molecular targets to treat and prevent mood disorders and accompanying cognitive impairment.

Links:

Dr.McIntyre’s UHN Profile

Dr.McIntyre’s Research Publications

Dr. Roger McIntyre: Mood Disorders and Metabolic-Inflammatory Comorbidity -YouTube Video

TW-KrembilNeuro

Toronto Western Hospital (UHN)

Unhinged Episode #006: Celebrities, Ketamine, and Family

by Ed 0 Comments
Unhinged Episode #006: Celebrities, Ketamine, and Family

We start by listing some celebrities known to have Major Depressive Disorder. Though their fame does bring much needed focus to mental illness, we strive for the day when it’s accepted as a disease that is out of the control of its victims. We also discuss the use of ketamine in the fight against treatment-resistant depression. Doug participated in ketamine trials and walks us through its dissociative effects and how it brings relief to some.

Lastly, we talk about the importance of family as a support system, and how TRD can tear families apart when their support is needed the most. Our podcast has started a conversation between Doug and some members of his family. The hope for reconciliation is there.

Show resources:

Welcome to the Unhinged Podcast

by Doug 0 Comments

The Unhinged Podcast is an in-depth look at a 30 year friendship, one that started in an instant, and so incredibly meaningful and magnetic. More importantly though, is that one has spent a lifetime afflicted with Treatment-Resistant Depression all along, while the other has had to watch, helplessly, year after year, as his best friend battled this dreadful disease.

Doug (left) and Ed, Syracuse, NY, 1989

Doug (left) and Ed, Syracuse, NY, 1989

More often than not, this disease kills friendships, as well as causes major family conflict, mainly because this is a disease people most often cannot see, and simply are not capable of dealing with it’s many challenging issues.