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About the episode
“There are multiple – often overlooked – causes of depression.” – Dr. Achina Stein
Depression is more than just a mental health issue. Years of research show that it can be related to your nutrition, chronic infections, environmental toxins, stress, hormones, or problems with cellular metabolism.
Many of us in integrative and functional medicine have recognized this multi-factorial issue, and the Healing Depression Project has put together all the elements in a revolutionary way to help clients with treatment-resistant or chronic depression. I think their unique and highly integrative approach to depression and other brain-based mental and physical health challenges could become an ideal model for addressing many complex chronic illnesses.
Today, I’m joined by the Healing Depression Project Founder and CEO Silvia Covelli and Clinical Director Dr.Achina Stein. While struggling with depression for over 25 years, Silvia realized that the only thing that helped was to combine several different modalities that created a whole-person approach to treating depression. The Healing Depression Project follows a retreat model where clients come to their center to complete the in-person portion of the program and then transition back into their daily lives with ongoing support for a period afterward.
In this conversation, Silvia, Dr. Stein, and I discuss the mission behind the Healing Depression Project, the importance of integrating functional medicine, metabolic psychiatry, and lifestyle changes to address the root causes of depression, Silvia’s struggle with depression, the need for comprehensive treatment, why individualized care is crucial, how the Healing Depression Project supports clients, and more.
Enjoy the episode, and let’s innovate and integrate together!
About Silvia Covelli
Silvia Covelli holds a degree in Sociology from Boston College. Following her undergraduate studies, she spent four years as a social science researcher at Harvard University. Later, she pursued graduate studies in finance and business law.
Silvia dedicated her career to entrepreneurship, evolving into a skilled business strategist, and bringing ambitious projects to fruition. With a robust track record, she has a wealth of experience in business development and investments spanning both the United States and South America.
About Dr. Achina Stein
Dr. Achina Stein DO, DFAPA, ABIHM, FACN, IFMCP is an osteopathic physician who graduated from the Rowan University School of Osteopathic Medicine in 1990 and has been in practice as a board-certified psychiatrist for 25+ years. Dr. Stein is a Distinguished Fellow of the American Psychiatric Association, a Fellow of the American College of Neuropsychiatry, and was awarded the Exemplary Psychiatrist Award by NAMI-RI in 2008.
She is certified by the American Board of Integrative and Holistic Medicine (ABIHM) and is a certified practitioner of the Institute for Functional Medicine (IFMCP). She is a former Clinical Assistant Professor of Psychiatry and Human Behavior of The Warren Alpert Medical School of Brown University.
Highlights
- Why the Healing Depression Project was born and who the program is designed to help
- Recognizing that often, depression is only a mental health issue
- The metabolic and physiological aspects of depression
- Challenges with implementing lifestyle changes for individuals with depression
- How the Healing Depression Program supports clients with habit formation and integration into their daily lives
- The structure of the Healing Depression Program
- Specific challenges women face in implementing care for themselves and the value of specialized support
- Hormonal changes and the potential impact on depression
- Dr. Stein’s approach to medication and integrating conventional and functional medicine
- How the retreat model of the Healing Depression Program works
- The application process and funding options for participants
Learn More About The Healing Depression Project
- Free eGuide | Why Am I Still Depressed? (The Top 4 Mistakes You’re Making): A Practical Starter Guide to Overcome Depression, Even Chronic or Treatment-Resistant Types
- Healing Depression Project Website | HealingDepressionProject.com
Mentioned in this episode
Ready to revolutionize your career and grow your practice?
- Integrative Women’s Health Institute on Instagram | @integrativewomenshealth
- Integrative Women’s Health Institute on YouTube
Learn more about The Integrative Women’s Health Institute’s Programs.
- The Women’s Health Coach Certification Program
- Perimenopause and Menopause Certificate Program
- Advanced Menopausal Health Certificate Program
- Functional Nutrition Certificate Program
- Women’s Health in Business Certificate Program
- Endometriosis Certificate Program
Click here for a full transcript of the episode.
Dr. Jessica Drummond 0:03
Hi, and welcome to the integrative Women’s Health podcast. I’m your host, Dr. Jessica Drummond. And I am so thrilled to have you here as we dive into today’s episode, as always innovating and integrating in the world of women’s health. And just as a reminder, the content in this podcast episode is no substitute for medical advice, diagnosis or treatment from your medical or licensed healthcare team. While myself and many of my guests are licensed healthcare professionals, we are not your licensed healthcare professional. So you want to get advice on your unique circumstances diagnostic recommendations treatment recommendations from your home medical team. Enjoy the episode let’s innovate and integrate together. Hi, there and welcome back to the integrative Women’s Health podcast. I’m your host, Dr. Jessica Drummond, founder and CEO of the integrative Women’s Health Institute. Today, I’m going to introduce you to a revolutionary idea that I think many of us have actually had in the world of integrative and functional medicine, but haven’t really had the capacity to fully put it together in the way that this team has. The team behind the healing depression project has created a very unique experience of recovery for people with depression. So if you struggle with depression, especially treatment resistant depression, or your clients struggle with depression, this episode is essential for you. And I want to introduce you to the two speakers we have today on the podcast, you’ll be meeting Silvia Covelli, who is the founder and CEO of the healing depression project, and achiness. Stein do she is one of the physicians who works with the healing depression project I was introduced to this project by my friend Dr. Cat tubes, who is also a medical physician. And this project allows people to come to a retreat center for a full four weeks and then two weeks of reentry and a lot of health coaching support after that. If you are a health coach, or physical therapist, nutritionist who would like to work with an organization like this focusing on the full body and mind and brain and nervous system medicine around healing mental health concerns. This is a long term commitment for the clients if this is something you need, they have come up with a really innovative plan to help people get funding to cover the majority of the costs in this program. And it runs into sessions August through October of 2024 and March of 2025. So if you are hearing this anytime before either of these sessions, begin, please reach out to the team at healing depression project.com. Let’s dive into the episode because no matter what complex chronic illness you work with you we’re going to want to hear the unique way that this team put this project together and I can’t wait to see the results that they get. I’m sure they’re going to be excellent because they’re based off of the best research we have in this field. Alright, see you on the other side, where we’re going to talk, what to do next to implement this into your practice.
Dr. Jessica Drummond 3:47
Hi, everyone, and welcome back to the integrative Women’s Health podcast. I’m your host, Dr. Jessica Drummond, founder and CEO of the integrative Women’s Health Institute. And I am so excited to introduce you today to Dr. Stein and Sylvia Covelli. We are going to be talking today about a very unique approach and a wildly integrative approach to depression and other brain based mental and physical health challenges that I think could really become a model for how many complex chronic illnesses our best approach. So welcome so much, Sylvia and Dr. Stein. Thanks for being here. Thank you for
Dr. Achina Stein 4:34
having us.
Silvia Covelli 4:36
Thank you. Hi, good morning.
Dr. Jessica Drummond 4:38
You’re welcome. Yeah, good morning. So before we dive in, Sylvia, Could you summarize what this program is, who it’s for, and why anyone should care.
Silvia Covelli 4:52
Okay, so I mean, everything was born because I struggled with depression for over 25 years. And honestly, I searched so much, and I was unable to find effective treatment, I also face a lot of misinformation, and just plainly said, the doctors could not help me. So after going through all that, and then I managed to recover with a program that I created myself. So that’s why like the healing depression project was born, and is a program that later when I felt the calling of sharing this with other people, I brought it to the doctors that are staying here and other wonderful doctors and professionals to put this program in a structured way and to add all the sciences that now it has. So it’s a program specifically designed for people that have been struggling with depression for a long time. So as people may be told us with chronic depression, or people that have been told they have treatment resistant depression, and honestly, people that have lost hope in the process that have been struggling with that for, I don’t know, 510, maybe 25 years like me, or someone that I just talk a few days ago, 40 years. And it’s just to bring this completely like, you know, functional medicine approach. It has functional medicine, metabolic psychiatry, which is something really cool and lifestyle medicine. And we’re putting all that together in a powerful program to be able to really get this thing out of their body in their minds and their emotions and just, you know, in a very whole person approach. So
Dr. Jessica Drummond 6:39
Dr. Sign when we think about depression, originally, kind of the medical model of depression is that as a mental health emotional behavioral challenge that, you know, can be solved by modulating various brain neurotransmitters, but it’s not really thought of as a whole metabolic physiological disease process. So what’s the different take on this approach for healing the brain in a more kind of body mind way versus emotional, behavioral or just simply kind of supporting certain deficiencies in the brain? neurotransmitter advice? Yeah.
Dr. Achina Stein 7:25
There has been the model of the bio psychosocial approach, not purely psychiatric in terms of the way Freud talked about it. But you know, it did evolve into a bio psycho social approach where there are certain medical conditions, all by Rare, you know, that need to be ruled out to determine whether or not it’s contributing to or causing the psychiatric problem. But there’s so little connection, even that concept and those very few diagnoses like hypothyroidism, B 12, deficiency or folate deficiency that are known to cause depression in itself. But those aren’t necessarily even sometimes some doctors don’t even do the bloodwork to even determine that from a psychiatric perspective, it’s usually left up to like a primary care provider or a non psychiatric provider to rule those things out. And once they’ve been, quote, unquote, ruled out, then they’re transferred to psychiatric care, and then it’s deemed that it’s all in the head. Right.
Dr. Achina Stein 8:32
So there is a lot of research now that shows that there is multiple root causes to depression, which I’ve you know, outlined in my book, what if it’s not depression, your guide to answers and solutions is that there’s many overlook causes. It’s related to food, chronic infections, toxins, stress and hormones. But the metabolic piece is a newer concept. That’s where the metabolic psychiatry comes in, where it’s related to the mitochondria of your cells, that creates energy and that depression is a problem with energy metabolism, and that there are certain diets that have been known to resolve neuro degenerative issues like epilepsy, you know, there’s a ton of research and there are neurologists that actually prescribe the ketogenic diet to treat epilepsy, you know, which is a brain problem, right? And so, why is the depression or the mental health symptoms, not going to be part of that? So there’s a lot of cutting edge research now in the past 510 years, actually, there’s research to support this that many years ago, but it’s becoming a new, emerging coming, get back around again to support that depression. In and other mental health disorders are related to metabolism on a cellular level.
Dr. Jessica Drummond 10:07
Yeah. And I think for those of us in clinical practice for, you know, decades, as everyone here has either been in clinical practice or in your case, they’ll be trying to navigate the system for decades. We may even understand that right that nutritional strategies tools exist for improving mental health, we know that exercise is one of the most beneficial tools we have for depression. As a physical therapist, actually, we have a brand new journal now that was just announced recently about the kind of physical therapy of mental health, which I think is really important because we know exercise is helpful. We know ketogenic diets, or at least relatively low carb and metabolic supportive diets are helpful. We know certain supplements, we know circadian rhythm and daylight and not being in front of our computer so much. And all of this is helpful for our mental health. But here’s where I think your program is unique. Actually, supporting people to do that is very difficult in the traditional medical paradigm, because even if a practitioner knows all that your average physician has seven to so minutes with each client. And then this takes behavior change, and functional lab testing and unwinding of things, then it’s a months two years supportive, deep process, not just a prescription for an antidepressant. So what’s the new model of implementing all of these ideas that you guys have come up with?
Silvia Covelli 11:47
Yes, you’re so right, Jessica, just in general, change is really difficult. You may hear people saying, like, oh, people don’t change. And there’s some truth behind that it is because what happens is that is so difficult to make it happen. And now, this is gets even more complicated when we’re talking to depression. Because it’s almost a paradox, that there are things that you need in order to change your life. Because you need what do you need, you need to be dealt with the you need energy, you need hope, because you’re doing this because something’s gonna get better. And all these things that you need in order to create those changes are, you know, the same things that depression takes away from you. So you get into a position when someone tells you like, yeah, no, go for a walk, like exercise, do this, you can even take a shower. And now there is this, people telling you like these lists of things to implement. So I think this is even more important with depression, if you were lucky enough that they told you about these strategies of like lifestyle changes, because honestly, conventional psychiatry does not do that. But if you got that information, then there is the other step of like, how, so our program besides the functional psychiatry, or the functional medicine pays, and the metabolic psychiatry, we are a fundamental piece of the program is lifestyle medicine, at its best, empowered by the science of you know, just how to create new habits. So it’s a science of how it’s formation. And this is going to be present throughout the program. This is a residential program retreat style, and 30 days, they retreat house, and then 15 days follow up at home, because that’s the other piece integration that we can talk later about it. But during this 30 days, what we’re doing is really helping people you know, through science, first, to break from bad habits, just plainly bad habits that are affected your depression, you know, like from some things that might look so simple as like staying late at night, because that’s affecting, like your sleep, to other things that are more complicated, like really changing your diet and changing it like you know, in a strong way. Diet is difficult to change. That’s what you have been eating since you were young that comes from family, it has a lot of like components around food, then you’re sharing food with the people that you live with, also like making these changes. So it’s like an exercise and so many other ones like how stress management which includes a meditation, being able to regulate your nervous system. So we start like slowly because we understand, you know, when the people arrive like their mental and physical state, like they’re completely like energy drain. So we do something like a step by step that helps people to break from those bad habits and start slowly to implement new habits that are building one upon the other upon the there until like this person has, you know, a morning routine and an understanding of what’s affecting them. Because for depression, everything is affecting you even, you know, what do you choose to watch on Netflix? What are you listening to, like, everything that comes through your senses is somehow fit in that depression, you know. So that’s what we’re doing to so that the person can really have a transformation, and sustain that those gains that are made during the program, because when depression has become chronic, then you really need to change, basically, who you are, like what you’re doing on your daily basis, so that you can become that new, healthy and happy person, you know, that you so badly want to be in that that’s what we’re doing, you know, for you.
Dr. Jessica Drummond 15:54
Well, and we obviously teach women’s health coaching here at the integrative Women’s Health Institute. So the goal is to use these coaching strategies aligned with the recommendations. And I think what’s unique about your program is you have the coaches, right there at the residential facility, where I think that’s such a gift to have 30 days in a very well supported environment, with the coaches to make these changes kind of come out of that low mitochondrial function, fog, that energy depletion fog, that just all the habits that you were using, I think we can quite frankly, say just sort of keep yourself alive, but not healthy. Right? Right.
Dr. Achina Stein 16:42
The thing that, you know, I did want to add that each of these methods, including the exercise, there’s research that shows that exercise is equal or better than an antidepressant, you know, so every method that we’re going to be implementing is supported by research. And so no one has actually put all these pieces together, and habits that act as Sylvia talked about, and done on a daily basis. I mean, Sylvia, as part of her story has indicated that she has done upwards of 60 programs, and they all helped a little. But when she really put her mind to it, and realize, like, wait a second, I really need to put my life on hold and really figure out what’s right for me. And she habits stacked all the things that she found some benefit from, and then found that doing all of them all, at the same time, allowed her to become free of depression. That’s the goal here for us to teach that and to support that, and watch people get well. And one thing that she didn’t mention is that after the 30 days, you’re going to have a plan to go home and integrate this in your plan. So that’s all pre planned as to what are you going to do when you get home, and you’re supported for two weeks by phone or zoom, and every single day, or you are connected to somebody who will help you to integrate it back into your life. So we plan the integration, and then we support the integration, because everybody has a different life. Everybody has different circumstances that they have to cope with. And so that’s where the fine tuning piece comes in. And we’re hoping for, you know, a high level of success by doing this in this manner. Six weeks.
Dr. Jessica Drummond 18:41
Yeah, you know, I think that’s a really good foundational service. We find the exact same thing with every complex chronic illness that we work with here at the integrative Women’s Health Institute. It’s endometriosis, long COVID perimenopause, menopause symptoms, because like you said, you have to do all of these things. At the same time. They’re a little bit sequential. And that habit stacking, you can only implement so many things at first at once, especially because in my experience, I always say to my clients, look, I can get people better, much faster if everyone was like, just joining me on the island of Bali or something. And we were just like, you didn’t have to make your own food. You didn’t have to drive your kids to school, you didn’t have to go to work, right? Like the recovery would be much faster. But I think as you said, and what I always tell them is but then you would probably have to go back to your regular life. So we have to learn how to integrate that into your regular life, but that Jumpstart is so valuable because people will feel the changes more quickly. Which I think is very motivating. Would you agree?
Dr. Achina Stein 19:55
Oh, absolutely. And people will likely feel a lot better. I mean, in my private practice at functional mine, people feel better quickly, within a year when they’ve been suffering, you know, sometimes within months, but definitely within a year, especially if they’ve been suffering for years and years. And on this medication merry go round, so to speak. I mean, I’m not anti medication, but are expanding the toolkit of ways to improve depression and anxiety. So they’ll feel much better faster, and then realize that, oh, wow, this is not my identity. This is not my personality, this is not a weakness. This is a problem in my body, that’s affecting my brain. This is a problem with rhythms, you know, so even how stress reduction is addressed by cutting edge methods of vagal nerve stimulation and Olympic retraining, and mindset, reframing and you know, looking at limiting beliefs, you know, these are all going to be addressed. And we’re going to have psychodrama, there’s so many layers, that we’re going to be providing that every aspect, no stone will be Unturned, so to
Dr. Jessica Drummond 21:10
speak. Yeah. And, you know, one thing you just said, which I see all the time as well is, I think this Jumpstart is so valuable, because of exactly what you said, you have the opportunity to stack all of the tools, you can individually refine it, people can put down their other responsibilities and their other stressors, and at least kind of put them to the side while they learn how to heal from a physiologic and emotional perspective, and then kind of bring them back in and figure out how they’re going to deal with them. But really, the recovery when someone’s been suffering for so long, or even if it’s an acute, severe situation, the recovery takes months, two years. So I’m wondering do you have health coaches follow, or the opportunity for health coaches, and your team to follow these people for three 612 18 months, something like that. So
Silvia Covelli 22:05
one of the things that I wanted to add to what has been said is that the program is, besides Building on these habits, like the heart really often is the training piece. So we consider the program a training, in the sense that is many programs that I did, like I went to it, and then I was feeling so good, because they were feeding me this amazing food. And they were like, you know, guiding every step. But here, what we do is that we teach the person so for example, if it’s about food, we’re gonna go from like, you know, ingredient shoppings, like, where to chop how to chop all the cooking. So our goal is that the person can replicate it at home, is same with meditation, we’re going to be for example, explaining, like, you know, the wines they have given the person all the audios needed. And so So with each practice, so this person will have like, all these amazing tools, but not in their regular programs. Like you don’t really get them and then you get back home and you say like, oh, how was that I don’t remember exactly how to do this, or I wish I had. So in this case, like the person is going to have that. And in the integration piece, before they live, we put in like a what a Chinna was saying, like a whole program is specifically like for the lives, but something very detail that includes Who do you live with? Where do you live? And how you can actually do this on your daily life? And answering your question about the health coaches. Now, for the first programs that we’re running, we are including 12 month follow up. That is, you know, monthly follow ups or bi weekly follow ups, why health coaches, so that’s just to see, you know, besides the 15 days of implementation, which is daily with us, so those 15 days is still part of the program there, you’re not supposed to at that moment, go back to work. But really your job is to you know, be working on how you’re going to implement this into your life. And we’re gonna be there with you every day. But then after that, we have health and life coaches that are going to be doing the monthly follow up for up to a year. And we’re also going to be linking the person that’s from our side like visually, but we’re going to be you know, giving referring the person to local functional medicine psychiatrist and local functional medicine health coaches, that they can have, you know, like one on one and continue their journey because you’re right, it’s not about just one month.
Dr. Jessica Drummond 24:51
Yeah, that’s great, because, you know, obviously we train health coaches to understand all of this right, our health coaches understand In this they understand the power of exercise for depression, they understand the power of nutrition. But, you know, the functional medicine physicians are the real experts in kind of coming up with a specific plan, if you will, like you said, the details of what’s the supplement stack, you know, where are you ready to begin, a physical therapist might also be really helpful, like, how hard can they push the exercise, where we’re not going to actually make things worse, what kind of exercise versus you know, that kind of thing, but then not the real work. All this is the real work, but the real implementation comes over time when people come up against the barriers of change. And, you know, the reason our health coaches are specialized in women, is that often women have to overcome so much more programming around worthiness and child care, you know, even working women have to do about 60%, more around the house and child care and, you know, elder care and these kinds of things that their implementation of their own care gets really difficult. There are a lot more barriers. So what percentage would you say of the people going through their program? Are women research
Silvia Covelli 26:20
and talking to a psychiatrist? We are thinking about 70, maybe 80%? Yeah, yeah,
Dr. Jessica Drummond 26:31
not surprising.
Dr. Achina Stein 26:32
Yeah, most likely, it’ll be mostly women. Yes.
Dr. Jessica Drummond 26:36
Do you have any insight as to how this program might differ between men and women, women bind in a different way than men do,
Dr. Achina Stein 26:46
obviously. So it’s most likely going to be a mixed group. So it’s going to be dependent on the dynamic of the group, any kind of group is going to have a different dynamic, and you sort of have to go with what’s happening in the group. And managing that. So sometimes it is helpful to have different genders in a group, especially when it comes to let’s say, psychodrama, might bring up stuff for you. And that’s an opportunity. It’s a healing opportunity to address that stuff in a safe space. And so and having had training and group therapy and group dynamics, and Silvia having had training in the psychodrama piece, it’s something that we will manage and figure out how it works for everyone in a safe manner.
Dr. Jessica Drummond 27:31
That’s wonderful. Any insight to I just want to briefly talk about depression in perimenopause and menopause, which obviously has that hormonal distinction? What are some of your you know, obviously, hormones can be a big piece of that. But how are you looking to address that specifically in this program for women in their 40s, and 50s?
Dr. Achina Stein 27:56
Well, certainly that’s going to be assessed, we’re going to do a comprehensive functional testing and assessment. So the hormones will be tested for whether they’re on hormones or not. So depending on whether a person’s on hormones or not, or in perimenopause or menopause, you’re going to approach it differently. But we’ll certainly get blood work, and probably urine testing to determine their status and make recommendations based on that. So certainly, a lot of women who are going through perimenopause and menopause are basically just handed SSRIs and have no assessment at all. So at least we’ll be providing this information and whether they take by and you know, it would be have to be treated with bioidentical hormones, in my opinion, with the proper training in either by someone in their area, or we could potentially even start them on hormones, if that’s something that they’re amenable to. So absolutely, hormones will be tested, the thing for people to know is that, you know, hormones are affected by stress. So if you’re in fight flight, and have this cortisol stimulation, and you know, high cortisol levels, that’s going to shut down your hormone. So we certainly will educate people about that dynamic. And certainly the thyroid is involved as well. And so all of the hormones, not just the sex hormones, all the hormones are going to be looked at and how they interplay with each other and create and manifest symptoms, how they show up as symptoms. So by the way to do that is to get a timeline of where their symptoms occurred when they occurred when they worse and when they got better to see if hormones are actually playing a part. So certainly, if someone’s had a depression for 30 years, and it didn’t really change when they hit perimenopause, and they actually transitioned fine into menopause. And, you know, maybe that’s not an issue, but if they say like, oh my gosh, I had postpartum depression and ever since I went into perimenopause, I’ve been to so many doctors and they keep is telling me it’s my head, it’s like, and I really believe it’s my hormones, you know, like, that’s a different kind of history. So one of the things I did want to mention, because it’s on my mind, and I’ve been asked this question many times is like, is it okay that I’m on medication? And, you know, do I have to stop medications? And it’s like, no, you don’t have to stop your medication. Certainly, I think if you are having increased symptoms that you aren’t able to tolerate, so that you can function in the program that might be addressed. But if you’re having side effects of the medications, that also should be addressed, maybe a reduction in medication. But if you’re, let’s say stably depressed without side effects from the medications, I actually recommend that you stay on the medications, because for two reasons, if you’re on medication, and you’ve tried in the past and failed to come off medications, because you have symptom reemergence, you’re not going to be in a psychological mindset of going through that, again, because withdrawal syndromes are really, really hard. And so what I find in my practice is that when people stay on the medication, and they do find all the root causes with us and make changes in their life, they find that they’re getting better, and the medication has changed. And so they’ll have more confidence and then being able to come off medication, because they know confidently, that the medication was not the reason why they got better. And by the way, the antidepressant withdrawal syndrome is handled is taken care of more easily, because you’re in a better state of mind. But you’re also making your own serotonin and dopamine all than your own neurotransmitters, because they are made in the gut, 80% of your neurotransmitters are made in the gut. So if the gut brain connection is working, then it’s going to be easier for you to come off of the end of depressant as well.
Dr. Jessica Drummond 31:53
Yeah, that makes a lot of sense, your body is more physiologically more resilient, you’ve got more of your own healthy levels of brain neurotransmitters being created. So it’s a lot more peaceful, have a withdrawal experience for sure. So before we wrap up, I’d love to hear a bit more, you know, our audience is primarily health and wellness professionals and health coaches. And obviously, many of them are going to want to work for you after this, they’ll be very well trained to do that. How did you put this together for more of a business standpoint, because it’s difficult, I work in primarily chronic pain, we used to have pain management, multidisciplinary centers, which were very effective, but then stopped being reimbursed by insurance because they were very expensive. So how were you able to put together this more impatient, you know, not even I would say impatient, as you said, Silvia retreat is really a better word for it. model where people can take a moment, four to six weeks, step out of their lives and actually get root cause healing, that then they can be supported, to implement and maintain and continue to improve over time.
Silvia Covelli 33:13
So it’s a wellness retreat, you’re thinking about from the business perspective, if you were run in Betty day meditation retreat, for example. But then, to that model, like what we added was all the medical piece, so the functional medicine doctor is at the retreat, seeing the patients under her license, which is, you know, just allowed to see patients at, you know, the office, the house or at a retreat house. So that’s the legal piece to look at it somewhat. And then to that, if you add all the counselors and psychologists, they’re doing the same thing, they’re seeing the people under license, so and then for the food, we got like the food is being done by a licensed nutritionist that allow us to be able to implement that plus we have the doctor Cina, who will be also like recommending the diet, and then you get all the diet during the days and then that’s how you’re also getting the medical piece in it. And then for all the other pieces. It’s not necessarily like you know, for yoga and somatic therapies, you can do that. No problem from the perspective insurance, then that’s really complicated. So, number one, well, you both know for functional medicine is already a big challenge by itself. And so at this point, we don’t have the insurance. We’re we’re thinking like, where we’re going is to really get this as a medical facility as more of like a hospital certification and at that point, some of the insurance will kick in But again, because of the holistic and whole person approach and integrative approach that we’re having, they will only cover it pieces. But at this point, we have something better, because we managed to get a lot of funding, we’re getting a lot of good attention. Because the conventional, like the current model of psychiatry is clearly not working for many people. And that’s why we’re having this increase in amounts of recurrent persistent treatment resistant chronic depression. What does that mean? That means that the treatments are not being effective, because, you know, if they were affected, then they thought it would be like, Oh, I used to have or I had depression for six months. But that’s not the story that we’re hearing over and over again, is that I’ve been depressed for 15 years, and I’ve tried it wrong, you’re like, Oh my god. So because of that, we get in a lot of funding, and we’re being able to pass this to the participants. So amazing scholarships that can cover even up to like 80% of the cost, which basically will leave you to the similar if you will go into any residential program or any like rehab, for example, we you feel have to pay the out of pocket, you still have to pay, you know, your maximum deductible, and for depression, they only cover like partially two. So with the scholarships, you will be paying less than they will you will be paying in a fully like, cover situation insurance. So we’re very excited as part of this healing initiative to be able to be offering that to the people for sure, for the next program that we’re running in Argos. And we’ll keep working on it to be able to offer in the portfolio pass that.
Dr. Jessica Drummond 36:47
Oh, that’s great. So essentially, you’ve set this up as a wellness facility very similar to like a meditation retreat center, with support from individually licensed health professionals in that state. And then, you know, you essentially have a private funding arm that will be able to cover some of the costs for people. Okay, that’s wonderful. So if someone would like to apply to be a part of this program, what is their next step?
Silvia Covelli 37:18
I have developed an E guide that is called Why am I still depressed. And it has like very, very good resources for people that have been struggling with depression for a good while, and that will give them like a very good startup point, with the project or without joining us, it will be something that I want the audience to have something very useful. And these can be found our websites healing depression, project.com. And for these guide is will be healing depression, project.com/gift. And there they can download it is full of resources. It’s also like the four main top mistakes, that people like ours with chronic depression, keep doing that it’s, you know, clearly not helping us and a full guide of how to start this process. And in the website, as well. We’re inviting people to do is a discovery call. The discovery calls are taken by Dr. Tina Stein and myself.
Dr. Jessica Drummond 38:29
Well, we have a website, and we will also include all of these links in the show notes a Tina, do you know what the website link is? Yes, it’s
Speaker 1 38:38
www healing depression. project.com. Okay, great healing, depression project.com.
Dr. Jessica Drummond 38:46
If you want to learn any more about this program, and all of the other links will be included in our show notes. Thank you so much to both of you for your time and for this. True, I’m sure labor of love program. This is very comprehensive, absolutely. The most comprehensive I’ve seen. Yes, it really is. It’s cutting edge and it’s revolutionary and much needed. Right now for a lot of people. Yeah, thank you so much for your work. Thank you. Thank you for having us. I really appreciate you, thank you.
Dr. Jessica Drummond 39:27
I’m so appreciative to Dr. Stein and Sylvia for sharing their stories and their insights and their research. treatment resistant depression is very difficult to treat because of exactly what people are going through. They’re fatigued, they’re exhausted, they’ve lost hope. And this program is such a wonderfully supportive idea. So if you were a health coach or an integrative clinician, and you’re thinking, how can I implement some of these ideas into my I practice. First of all, I want to think about what you could do in four weeks to be very kind of fast starting help people get some results. Second, I want you to think about how you can help them do several things at the same time, because you heard from Sylvia, one of the most difficult things about functional and integrative healing is there is a lot to it. And often, the different pieces work together. So the more you can help people implement certain things simultaneously, they’ll get some reliefs, they’ll see noticeable changes, and they’ll be more motivated to continue to take action. So think about the tools for motivation that you have at your disposal. And if you’re a health coach or an integrative practitioner, and you want to work more with the team at the healing depression project, please reach out to them think about how you could replicate this kind of model with whatever chronic health issue you are dealing with. And finally, note that they expect 70 to 80% of the participants to be women. This depression is a disease that affects any gender, but women and people who have other risk factors for everything else we know in society, whether it’s socioeconomic, racial, sexual identity, these are people that are most at risk for everything are most at risk for everything when it comes to health. So being sure that we’re reaching out to the communities that have less access is another important thing to keep in mind when we’re looking at problems such as depression that are so pervasive. I hope you got a lot out of this episode that you’ve got one or two things you can implement right now into your practice. And I will see you next week on the integrative Women’s Health podcast. Thanks so much. Thank you so much for joining me today for this episode of The integrative Women’s Health podcast. Please share this episode with a colleague and if you loved it, hit that subscribe or follow button on your favorite podcast streaming service so that we can do even more to make this podcast better for you and your clients. Let’s innovate and integrate in the world of women’s health.
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Dr. Jessica Drummond
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