Frequently Asked Questions

What are the cardinal features of the NEUROSOMATIC SYNDROME?

ADHD & Fibromyalgia, followed by Bulimia/carbohydrate cravings
and migraine. IBS is pretty significant as well.

What is Fibromyalgia and have you cured it?

Fibromyalgia/Myofascial Pain is a symptom of the Neurosomatic Syndrome. It is a disorder of sleep and wakefulness caused by dysregulation of nuclei in the hypothalamus. The muscle and joint pain are peripheral symptoms which result from disturbed sleep architecture. 90+% of patients so afflicted are cured by Dr. Goodman's treatment approach.

What is the disorder of carbohydrate metabolism? Why do I crave sugar and carbohydrates and why have I been diagnosed with bulimia that doesn't respond to typical treatments?

Neurosomatic patients have the same problem with carbohydrate metabolism as do patients with Stein-Leventhal Syndrome. Glucose levels are not sensed correctly in the hypothalamus and they fluctu ate erratically (leading to the misdiagnosis of hypoglycemia). Sugar loads, or binges will perk up and calm the patient briefly but leads to a release of insulin which drops the glucose level and causes irritability and dysphoria and the cycle of overeating evolves. Secondarily this causes ever increasing insulin levels, obesity, problems with triglycerides, insulin resistance, etc. Dr. Goodman treats this successfully without anti-diabetic agents.

What's the story on the new BLACK BOX WARNING with regards to antidepressants and children?

This is essentially correct. Dr. Goodman has said this since 1993, but no one would publish it for years. Hence he published it himself in 1998. The FDA is only a decade behind Dr. Goodman. And in a typically bureaucratic manner lumped all antidepressants released since Prozac into one group when the real problem lies only with the serotonergic and SSRI medicines. See "SSRIs, the bad news on this site and the full discussion in Dr. Goodman's terrific book.

Is there any role for the SSRIs in the Neurosomatic Syndrome?

No. The neurochemistry is counter-intuitive(backwards) to the neurochemistry of the Neurosomatic Syndrome.

What about the literature that says dopamine and serotonin mobilization are necessary for the treatment of ADHD?

This is described in detail in the book. What is being measured in such studies are downstream effects from noradrenalin. Dr. Goodman was the first scientist to identify the critical importance of Noradrenalin in the Neurosomatic Syndrome and it's component parts. While others have tried to claim it, Dr. Goodman identified the Noradrenalin-Dopamine Axis in the Neurosomatic Syndrome and ADHD.

Can SSRIs cause people to get so distressed that they may completely lose control, become homicidal and/or suicidal?

In my experience and opinion, yes.

Can people be safely detoxified from SSRIs?

I think so, although in some cases it can be very tedious, unpleasant, and not without the risk of permanent, Tardive processes.

Is ther help for PMS and PCOS?

Yes.

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Suite 216A
Beverly Hills, CA 90212

310.858.1700

jory.goodman[at]jorygoodmanmd.com
synapsed[at]mac.com

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