So I went to the dentist today, and they gave me WHAT? Epinephrine!?

articaine

Yes, so I went to the dentist today to get a regular cleaning. First time in Louisville. Yes, I know, I’ve been ignoring my dental health since we moved here… so anyway, I thought it’s time to remedy that. This was the first time I’d been to this dentist. Some chiding for not having gone to the dentist in a while,  x-rays, a regular cleaning, and I’d be on my way, or so I thought. On the first visit, they just took x-rays and sent me home. On the second visit, they said they were only going to clean the teeth on my right side. They said they were going to give me an anesthetic, so the deep cleaning they were going to give me wouldn’t hurt. Ok. First they swabbed some anesthetic on my gums. Then they injected some short acting anesthetic, sticking me SIX times. Then they injected long acting anesthetic, sticking me another SIX times, this was to avoid pain??? After the long acting injections, my heart started to race like I’d run a 20 second mile! I told them I was having an adverse reaction as my heart was racing and I was feeling very jittery, deep breath. They very calmly informed me that that was the epinephrine in the long acting anesthetic to constrict the blood vessels so the anesthetic wouldn’t diffuse away. Epinephrine!!!!!???? They very calmly told me, that what I was experiencing was the fight or flight response in response to said epinephrine! Deep breaths, deep breaths. I said “You gave me what? Epinephrine? Do you know I have bipolar d/o, and the last time I was given epinephrine (in the form of Wellbutryn,) I has MASSIVE panic attacks!?!” I had written down in my history forms that I had bipolar disorder. They obviously didn’t read those. Giving someone with bipolar disorder epinephrine… really? This is a neurotransmitter, as such, it has effects on the brain, and the effect it has on my brain is a very undesirable one, namely severe panic attacks! They said “Oh well, it is a minuscule dose.” Well their minuscule dose had my heart racing and anxiety coursing through my brain and body. Luckily, oh so luckily, I didn’t have a full on panic attack, just anxiety, jitteriness, shaking muscles, and a deep desire to flee from there. I sat through the cleaning of the teeth on my right side, shaking and jittery. The left side is to be cleaned on October 8th. I’m canceling that appointment and finding myself a dentist who doesn’t even know what epinephrine is!

For cleaning my teeth, to avoid pain, they gave me topical anesthetic, short acting (six needle sticks) and long acting (six needle sticks) anesthetic and THREE appointments! Are they freaking out of their minds? Who does that? I’ve been having my teeth cleaned forever, and never have I been subjected to this, what do I call it but, craziness! I am still sitting here, shaking and jittery, and this is after almost 12 hours!

For god’s sake, how do you know what you are going to be subjected to? I thought I was going for a routine cleaning and then this… if he had told me he was going to give me epinephrine, I would immediately have disabused him of that notion. Before leaving, I did tell him that I had filled out forms in which I has written down that I had bipolar d/o. And that to give someone with bipolar d/o epinephrine is never a good idea, except maybe if they are going into anaphylactic shock, then it is a matter of life and death. I told him that the brains of people who have bipolar d/o are very sensitive and cannot be subjected to neurotransmitters, it can have catastrophic consequences, like the onset of mania. Now I am sitting here, checking every few minutes on myself, to make sure I have not been thrown into a manic phase. I don’t think so, but my heart rate is still up and my muscles are still shaky. Hopefully, I’ve dodged a bullet, a bullet that came out of a dentist’s syringe. And hopefully, now they will read history forms and inform people of what they are injecting into them before they actually inject it. Of course, I will keep monitoring myself, unbelievable as it sounds, for signs that a manic phase is on its way. I feel like an innocent bystander, who has just been run over by an 18 wheeler. Just need to calm down. Deep breaths. And plan my day tomorrow, some concrete, calming things and get some sleep. And never go anywhere near this dentist’s office again.

And to all of my blog mates, please be careful, we people with sensitive biochemistries have to be very careful who gives us what where.

Just a note: Epinephrine is a neurotransmitter and has effects on the brain and also on the body, such as making our hearts race when the fight or flight response is elicited. The reason it is called epinephrine is this: EPI means on top of, NEPHRINE refers to the kidney. It is made by the adrenal glands that sit on top of the kidney, therefore EPI-NEPHRINE. It is also called Adrenalin, because it is made by the adrenal glands. So epinephrine and adrenalin are the exact same thing. Another related molecule is norepinephrine, which is also called noradrenalin. Just FYI 🙂

Increased Seroquel dose, yes, under my doctor’s supervision. 

Increased my dose of Seroquel from 50 mg to a 100 mg. Emotionally, feel better already. The pain is almost gone. My heart doesn’t ache so much.  Physically, feel dizzy and tired. Mentally, feel about as sharp as a lump of dough. But the physical and mental issues will resolve in a few days and hopefully the emotional symptoms will stay away and I can be at peace in my own skin. I won’t be crying and heart broken over every thing that reminds me of my son or every thought I have about him. That’s what happens when you feel bad, thoughts attach to the bad feelings and then it’s a downward spiral if you don’t stop it with medication. If I’m not already feeling bad, mood wise, I can control my thoughts. But when my mood plunges, it takes me along for a nightmarish and painful ride into hell. That’s when Zoloft used to help. Now it’s Seroquel. And in a few days, I hope, I will be as right as rain, the distilled water kind, not the acid variety. Here’s to another day in our lives. May we get what we want and want what we get and live happily ever after. Well, who knows, somewhere, someone must be living a fairytale life!

Story Corp

Just found out about this thing called Story Corp. Such a great idea. We can all do this for our blogs as well, interview people, relatives, friends, and post the interviews on our blogs.  

https://storycorps.me
HOW IT WORKSChoose someone to interview.
 Pick great questions. Find a quiet place to record. Listen closely.

 When you’re finished, share your interview with the world.

 Help create an archive of the wisdom of humanity.

  

Not feeling the best

but trying to do things to make myself feel better. The old familiar sadness, is there a reason?  The tears, is it the season? The hollow, emptiness. The negative thoughts, the heaviness, yes this is what I was afraid of now that I can’t take antidepressants. Now what do I do? Let’s see what my psychiatrist pulls out of his hat now. Contacted him, haven’t heard back. Don’t like to feel bad, I have people to see, places to go and cooking to do. Haha. The sunglasses are not just to look cool, they stop you from crying from the shallot vapors. Crying, been doing much too much of that already. Wish I could wave a magic wand and make illness disappear. Sorry, I know this post is totally uninspired. Promise I’ll write a better one soon.   

  

Today is World Suicide Prevention Day

http://www.addiction.com/expert-blogs/suicide-prevention-is-everyones-business/

Suicide Prevention Is Everyone’s Business

Suicide Prevention Is Everyone’s Business

World Suicide Prevention Day (WSPD) is today, September 10. The theme for 2015 is “Preventing Suicide: Reaching Out and Saving Lives.” WSPD is an initiative of the International Association for Suicide Prevention and the World Health Organization and has taken place since 2003. In honor of the event, you can join WSPD on Facebook and light a candle near a window at 8 PM tonight. September 7 to 13 is also National Suicide Prevention Week in the U.S.

As someone with bipolar disorder, I have contemplated suicide at several points in my life. I’ve also experienced the loss of a friend to suicide, and I’m a mental health professional — so it’s easy to see why I have a significant interest in suicide prevention. However, the National Strategy for Suicide Prevention’s latest report concludes that “suicide prevention is everyone’s business.” Suicide impacts us all, directly or indirectly, and we all can play a role in its prevention.

In about 90% of cases, suicide is related to a mental disorder, most commonly major depression or another mood disorder, a substance use disorder, schizophrenia or a personality disorder—though in many cases the issue was not diagnosed or treated. Because mental disorders are treatable, suicide is largely preventable. However, there are a number of barriers to prevention that need to be overcome:

  • Underdiagnosis of mental disorders
  • Lack of access to or lack of insurance coverage for treatment
  • Lack of awareness in the general public regarding the signs of mental illness and the warning signs of suicide
  • Stigma, prejudice and discrimination regarding mental disorders; a taboo around talking about suicide
  • Inadequate training for health care professionals, including mental health professionals, in suicide assessment

While there are complex, systemic problems that need to be addressed, each of us has at least some power to prevent suicide. Below are 10 groups that play a key role in suicide prevention, and what each can do:

1. Everyone

Suicide impacts everyone. It’s the 10th-leading cause of death in the United States. The economic cost of suicide in the U.S. is estimated to be more than $44 billion annually, mainly due to lost wages and productivity. For every reported suicide, an estimated 12 people either attempt suicide or engage in some type of self-harm. Non-fatal injuries due to attempted suicide or self-harm cost an estimated $6.3 billion annually in medical care, lost wages and productivity.

What everyone can do:

  • Learn the signs of mental illness. Visit the Campaign to Change Direction and learn the five signs that someone might need help.
  • Learn the warning signs of suicide. Visit the American Association of Suicidology and learn the “IS PATH WARM?”
  • Educate yourself about suicide. Visit the American Foundation for Suicide Prevention for answers to frequently-asked questions.
  • Change your attitude. If you believe suicide is a sign of weakness or selfishness, recognize that people with mental illness who attempt suicide are incapable of seeing other options, incapable of making rational decisions or are acting out of impulse; weakness and selfishness don’t enter the equation.
  • Change your language. Learn and use non-stigmatizing terms regarding suicide. Most important, use “died by suicide” instead of “committed suicide,” and “attempted suicide” instead of “unsuccessful suicide.”
  • Answer phones at a local crisis center or become a suicide prevention advocate.
  • Choose a non-profit related to suicide prevention or a local mental health program.
  • Get involved in mental health treatment reform. The Treatment Advocacy Center, a national nonprofit organization, hassuggestions for advocating to remove barriers to treatment.

2. Those diagnosed with a mental disorder

Again, 90% of people who die by suicide have a mental disorder (this is determined by “psychological autopsy,” which includes reviewing records and interviewing people who knew the decedent). As someone with a mental disorder, I’ve come to understand that we have to be proactive about our own suicide prevention — and that we have a lot of power to help prevent it in others.

What you can do if you are diagnosed with a mental disorder:

3. Those who think they might have a mental disorder

Mental disorders are very common. In 2013, an estimated 18.5% of U.S. adults had some type of mental illness in the past year. Overall, only about half of those affected by mental illness receive treatment.

What you can do if you think you might have a mental disorder:

4. Family members or loved ones of someone who may be at risk for suicide

About one-third of people who die by suicide do not communicate their intent to anyone. However, most exhibit warning signs. People close to those with mental illness can play a powerful role by being on the lookout for warning signs and helping their loved one find treatment.

What you can do if you are a family member or loved one of somebody who may be at risk for suicide:

  • Call the National Suicide Prevention Lifeline for advice and resources in your area.
  • Be familiar with the warning signs of suicide. Get a free wallet card from SAMHSA.
  • Find a support group or education program for family through organizations such as your local chapter of the National Alliance on Mental Illness.
  • Talk openly with your loved one about suicide. You’re not going to plant an idea in their head that wasn’t already there.
  • Offer hope (“Things will get better”), but avoid platitudes (“Suicide is a permanent solution to a temporary problem”).

5. Those affected by the suicide of another person (also called a “survivor” or “one bereaved by suicide”)

The loss of someone to suicide is said to leave a “special scar.” People who have lost a loved one to suicide are more likely to die by suicide themselves. Many people bereaved by suicide feel alone and have trouble getting support. People can be significantly affected even if they weren’t close to the decedent.

What you can do if you are affected by the suicide of another person:

6. Those who know someone affected by the suicide of another person

If you know someone bereaved by suicide, it can be difficult to know what to do or say. Survivors are at risk for suicide, and they are at even greater risk if they are socially isolated.

What you can do if you know someone affected by the suicide of another person:

  • Offer your sympathy, condolences and support.
  • Don’t avoid the topic of suicide.
  • Be on the lookout for signs of mental disorders and warning signs of suicide.
  • Suggest the possibility of seeking counseling or joining a support group.
  • Take care of yourself so you can be there for the bereaved person.

7. Primary care physicians (PCPs)

Primary care physicians play an important role in screening for suicide risk. At any given time, 2% to 4% of patients visiting their PCP are having thoughts of suicide. Over 75% of those who die by suicide have seen a PCP in the year before their death; but only about 30% have received mental health services. Studies have shown that educating doctors in assessing and treating depression leads to reductions in suicide.

What you can do if you are a PCP:

8. Mental health professionals

Many mental health professionals haven’t received adequate training in suicide prevention. According to a 2013 study, only about 50% of psychologists, 25% of social workers, and 6% of counselors have training in suicide risk assessment.

What you can do if you are a mental health professional:

  • Get training in suicide risk assessment and renew your knowledge regularly.
  • Get a free Suicide Assessment Pocket Card for clinicians, available from SAMHSA.
  • Find trainings, webinars and other resources through the Suicide Prevention Resource Center.
  • Consult with colleagues as needed.
  • Communicate hope to clients and their families, and let them know that recovery is possible.

9. Employers and managers

Because mental disorders are so common, it’s highly likely that some of your employees have one — and it’s also likely that some aren’t getting treatment.

What you can do if you are an employer or manager:

  • Include mental health benefits in employee health plans and encourage people to use them when needed.
  • Promote the mental health of employees through organizational changes and wellness programs.
  • Check out the resources at Working Minds on suicide prevention in the workplace.
  • Arrange for the National Alliance on Mental Illness to do an “In Our Own Voice” presentation for your organization to increase employees’ understanding of mental illness.

10. Journalists, bloggers and others who report and write about suicide

Journalists play an important role in the public’s perception of suicide. By reporting news stories about suicides properly, they can help prevent the documented phenomenon of “suicide contagion” or “copycat suicides”. Suicide contagion is more likely when media sources describe the suicide method, sensationalize the story using dramatic or graphic content or give the story extensive and repeated coverage.

What you can do if you are a journalist, blogger or otherwise write or report on suicide:

If we all do our part to reach out and save lives on World Suicide Prevention Day and beyond, we can get people at risk the help they need, reduce suicides and alleviate a lot of pain and suffering.

Fibroblast growth factor 9 is a novel modulator of negative affect (depression)

This study used rats and postmortem human hippocampal tissue to show that there are two proteins in inverse relationships to each other that are involved in major depressive disorder (MDD). They are both fibroblast growth factors (FGF) specifically FGF2 and FGF9. FGF2 is decreased (http://www.ncbi.nlm.nih.gov/pubmed/25079902) in postmortem tissue of depressed individuals and FGF9 in increased. Also in rats, the same thing is seen. In rats if FGF9 levels are increased experimentally, they start showing symptoms of depression, and localized blockade of FGF9 reduces depression and anxiety symptoms. Also, “chronic social defeat stress” (an animal model recapitulating some aspects of MDD) in rats increases FGF9 levels.

What are FGF2 and 9? They are growth factors, produced by the cells of the body and the brain. They are involved in the proliferation and differentiation of somatic cells and neurons. They are important and key factors in the growth, differentiation and development of the brain. (The regulation of FGFs expression as well as of their receptors during development presumably plays a critical role in cell-cell signaling among neurons, astrocytes and microglia in the immature human brain: http://www.med.unibs.it/~airc/pdf/fgf%20human%20brain.pdf)

Important in the growth and development and differentiation of the brain, changed in depression, changed when depression is induced, and in normal controls, levels are different than in people with MDD. All good reasons to think of them as good targets for treatment and as markers for MDD.

Original Article: http://www.pnas.org/content/early/2015/09/02/1510456112

Fibroblast growth factor 9 is a novel modulator of negative affect

Molecular mechanisms mediating negative emotion and contributing to major depression remain elusive: here, we present evidence implicating fibroblast growth factor 9 (FGF9) as a key mediator. We use whole-transcriptome studies of postmortem human tissue to demonstrate that FGF9 is elevated in depression. Reverse translation animal studies demonstrate that both endogenous and exogenous FGF9 promotes anxiety- and depression-like behavior. Conversely, localized blockade of endogenous FGF9 expression decreases anxiety behavior. To our knowledge, this paper is the first description of hippocampal FGF9 function and the first evidence implicating FGF9 in negative affect. Thus, FGF9 represents a novel target for treating affective disorders. Moreover, our findings suggest that FGF2 and FGF9 work in functional opposition; we hypothesize that the balance between FGF factors may prove critical for optimal regulation of mood.

Abstract

Both gene expression profiling in postmortem human brain and studies using animal models have implicated the fibroblast growth factor (FGF) family in affect regulation and suggest a potential role in the pathophysiology of major depressive disorder (MDD). FGF2, the most widely characterized family member, is down-regulated in the depressed brain and plays a protective role in rodent models of affective disorders. By contrast, using three microarray analyses followed by quantitative RT-PCR confirmation, we show that FGF9 expression is up-regulated in the hippocampus of individuals with MDD, and that FGF9 expression is inversely related to the expression of FGF2. Because little is known about FGF9’s function in emotion regulation, we used animal models to shed light on its potential role in affective function. We found that chronic social defeat stress, an animal model recapitulating some aspects of MDD, leads to a significant increase in hippocampal FGF9 expression, paralleling the elevations seen in postmortem human brain tissue. Chronic intracerebroventricular administration of FGF9 increased both anxiety- and depression-like behaviors. In contrast, knocking down FGF9 expression in the dentate gyrus of the hippocampus using a lentiviral vector produced a decrease in FGF9 expression and ameliorated anxiety-like behavior. Collectively, these results suggest that high levels of hippocampal FGF9 play an important role in the development or expression of mood and anxiety disorders. We propose that the relative levels of FGF9 in relation to other members of the FGF family may prove key to understanding vulnerability or resilience in affective disorders.

Electrocortical therapy for motion sickness

IMG_7770

This would be wonderful for me, as I get motion sickness at the drop of a hat. Our friends have a lake house, with a pier that goes on to a floating platform, as soon as I step off the grounded pier, onto the floating part, I start feeling nauseous! I’m fine in the water, but floating piers, boats, and don’t even talk to me about roller coasters, just writing the word is making me feel light headed and nauseous… So this transcranial direct current stimulation application to suppress the vestibular system, which alleviates motion sickness, may well be a godsend to the likes of us. That just means a mild electrical shock will desensitize your balance system, which will then not interpret motion signals to cause motion sickness! This is much better than taking, for example, Dramamine, which knocks me out totally, so I don’t know if my motion sickness is really gone, or I just don’t feel it because I am,  ummm… unconscious! Sign me up please! And now I have to stop writing about this so my head can stop swimming! Seriously, someone make the room stop spinning!

http://www.neurology.org/content/early/2015/09/04/WNL.0000000000001989

Given a sufficiently provocative stimulus, almost everyone can be made motion sick, with approximately one-third experiencing significant symptoms on long bus trips, on ships, or in light aircraft.1–4 Current countermeasures are either behavioral or pharmacologic. Behavioral measures include habituation/desensitization treatment protocols5 as well as positioning the head in alignment with the direction of the gravito-inertial force and maintaining a stable horizontal reference frame.5 Pharmacologic measures include antimuscarinics, H1 antihistamines, and sympathomimetics, which all detrimentally impact upon cognitive function, rendering them inappropriate for occupational use.5 All current therapies are only partially effective. Since a functioning vestibular system is critical to the development of motion sickness,1 we proposed that suppressing vestibular activity could increase tolerance to nauseogenic motion stimuli. We previously showed that application of transcranial direct current stimulation (tDCS), specifically unipolar cathodal stimulation over the left parietal cortex, results in suppression of the vestibular system.6 Herein, we assessed whether such suppression of vestibular activity using tDCS in normal controls may alleviate motion sickness.

I do feel slightly over medicated, under stimulated…

IMG_8103

Sort of blah, sort of bored. Is this what normal feels like?

On loads of lithium, well actually on 900 mg one day and 600 mg the next day, so not loads, perhaps a bit of a hyperbole, yes, every now and then. Helps keep boredom at bay…

Wanted to go out dancing, but no one would go with me… There’s a band every Sunday, at a park a stone’s throw away from my house, people dance. I can hear the music playing, my feet eager and impatient to dance, but no partner… well if this is the worst problem I have then I can complain of nothing at all.

Nothing dramatic, sort of addicted to drama I think, are all people with mood disorders addicted to drama? Must have ups and downs or the steady, non fluctuating rhythm of life seems to get boring and then a boredom anxiety sets in, haha, damned if you do, damned if you don’t. Well, the dancing would have helped, I’m sure, moving my feet makes me happy, hence Zumba, hence dancing for 4 hours at weddings.

Very hot outside, have a bad case of allergies, the gym is closed today. So I’m going to exercise at home, inside, away from the ragweed allergens swirling outside.

Don’t have much to say, feel dull and bored. Time to reduce the lithium? At my own risk, but I do feel slightly over medicated, under stimulated… Time to call the doctor, oh never mind, I have an appointment with him soon.

Perhaps a cup of coffee!

Can the Bacteria in Your Gut Explain Your Mood?

Pretty amazing article and developments. There are about 100 trillion bacteria in our gut, and can weigh as much as six pounds! These bacteria make neurochemicals, such as dopamine, serotonin and γ amino butyric acid (GABA), molecules that affect and regulate our moods.These, in turn, appear to play a function in intestinal disorders, which coincide with high levels of major depression and anxiety. Last year, for example, a group in Norway examined feces from 55 people and found certain bacteria were more likely to be associated with depressive patients. The human genome has about 23,000 genes, while the microbiome (the genetic material of the bacteria in our gut) add up to 2 million unique bacterial genes! Bacteria in the gut produce vitamins and break down our food; their presence or absence has been linked to obesity, inflammatory bowel disease and the toxic side effects of prescription drugs. And psychobiotics and fecal transplants may be the wave of the future! So much amazing information in this article, read on, my friends!

http://www.nytimes.com/2015/06/28/magazine/can-the-bacteria-in-your-gut-explain-your-mood.html?_r=0

Eighteen vials were rocking back and forth on a squeaky mechanical device the shape of a butcher scale, and Mark Lyte was beside himself with excitement. ‘‘We actually got some fresh yesterday — freshly frozen,’’ Lyte said to a lab technician. Each vial contained a tiny nugget of monkey feces that were collected at the Harlow primate lab near Madison, Wis., the day before and shipped to Lyte’s lab on the Texas Tech University Health Sciences Center campus in Abilene, Tex.

Lyte’s interest was not in the feces per se but in the hidden form of life they harbor. The digestive tube of a monkey, like that of all vertebrates, contains vast quantities of what biologists call gut microbiota. The genetic material of these trillions of microbes, as well as others living elsewhere in and on the body, is collectively known as the microbiome. Taken together, these bacteria can weigh as much as six pounds, and they make up a sort of organ whose functions have only begun to reveal themselves to science. Lyte has spent his career trying to prove that gut microbes communicate with the nervous system using some of the same neurochemicals that relay messages in the brain.

Inside a closet-size room at his lab that afternoon, Lyte hunched over to inspect the vials, whose samples had been spun down in a centrifuge to a radiant, golden broth. Lyte, 60, spoke fast and emphatically. ‘‘You wouldn’t believe what we’re extracting out of poop,’’ he told me. ‘‘We found that the guys here in the gut make neurochemicals. We didn’t know that. Now, if they make this stuff here, does it have an influence there? Guess what? We make the same stuff. Maybe all this communication has an influence on our behavior.’’

Since 2007, when scientists announced plans for a Human Microbiome Project to catalog the micro-organisms living in our body, the profound appreciation for the influence of such organisms has grown rapidly with each passing year. Bacteria in the gut produce vitamins and break down our food; their presence or absence has been linked to obesity, inflammatory bowel disease and the toxic side effects of prescription drugs. Biologists now believe that much of what makes us human depends on microbial activity. The two million unique bacterial genes found in each human microbiome can make the 23,000 genes in our cells seem paltry, almost negligible, by comparison. ‘‘It has enormous implications for the sense of self,’’ Tom Insel, the director of the National Institute of Mental Health, told me. ‘‘We are, at least from the standpoint of DNA, more microbial than human. That’s a phenomenal insight and one that we have to take seriously when we think about human development.’’

 Given the extent to which bacteria are now understood to influence human physiology, it is hardly surprising that scientists have turned their attention to how bacteria might affect the brain. Micro-organisms in our gut secrete a profound number of chemicals, and researchers like Lyte have found that among those chemicals are the same substances used by our neurons to communicate and regulate mood, like dopamine, serotonin and gamma-aminobutyric acid (GABA). These, in turn, appear to play a function in intestinal disorders, which coincide with high levels of major depression and anxiety. Last year, for example, a group in Norway examined feces from 55 people and found certain bacteria were more likely to be associated with depressive patients.

At the time of my visit to Lyte’s lab, he was nearly six months into an experiment that he hoped would better establish how certain gut microbes influenced the brain, functioning, in effect, as psychiatric drugs. He was currently compiling a list of the psychoactive compounds found in the feces of infant monkeys. Once that was established, he planned to transfer the microbes found in one newborn monkey’s feces into another’s intestine, so that the recipient would end up with a completely new set of microbes — and, if all went as predicted, change their neurodevelopment. The experiment reflected an intriguing hypothesis. Anxiety, depression and several pediatric disorders, including autism and hyperactivity, have been linked with gastrointestinal abnormalities. Microbial transplants were not invasive brain surgery, and that was the point: Changing a patient’s bacteria might be difficult but it still seemed more straightforward than altering his genes.

When Lyte began his work on the link between microbes and the brain three decades ago, it was dismissed as a curiosity. By contrast, last September, the National Institute of Mental Health awarded four grants worth up to $1 million each to spur new research on the gut microbiome’s role in mental disorders, affirming the legitimacy of a field that had long struggled to attract serious scientific credibility. Lyte and one of his longtime colleagues, Christopher Coe, at the Harlow primate lab, received one of the four. ‘‘What Mark proposed going back almost 25 years now has come to fruition,’’ Coe told me. ‘‘Now what we’re struggling to do is to figure out the logic of it.’’ It seems plausible, if not yet proved, that we might one day use microbes to diagnose neurodevelopmental disorders, treat mental illnesses and perhaps even fix them in the brain.

In 2011, a team of researchers at University College Cork, in Ireland, and McMaster University, in Ontario, published a study in Proceedings of the National Academy of Science that has become one of the best-known experiments linking bacteria in the gut to the brain. Laboratory mice were dropped into tall, cylindrical columns of water in what is known as a forced-swim test, which measures over six minutes how long the mice swim before they realize that they can neither touch the bottom nor climb out, and instead collapse into a forlorn float. Researchers use the amount of time a mouse floats as a way to measure what they call ‘‘behavioral despair.’’ (Antidepressant drugs, like Zoloft and Prozac, were initially tested using this forced-swim test.)

For several weeks, the team, led by John Cryan, the neuroscientist who designed the study, fed a small group of healthy rodents a broth infused with Lactobacillus rhamnosus, a common bacterium that is found in humans and also used to ferment milk into probiotic yogurt. Lactobacilli are one of the dominant organisms babies ingest as they pass through the birth canal. Recent studies have shown that mice stressed during pregnancy pass on lowered levels of the bacterium to their pups. This type of bacteria is known to release immense quantities of GABA; as an inhibitory neurotransmitter, GABA calms nervous activity, which explains why the most common anti-anxiety drugs, like Valium and Xanax, work by targeting GABA receptors.

Cryan found that the mice that had been fed the bacteria-laden broth kept swimming longer and spent less time in a state of immobilized woe. ‘‘They behaved as if they were on Prozac,’’ he said. ‘‘They were more chilled out and more relaxed.’’ The results suggested that the bacteria were somehow altering the neural chemistry of mice.

Until he joined his colleagues at Cork 10 years ago, Cryan thought about microbiology in terms of pathology: the neurological damage created by diseases like syphilis or H.I.V. ‘‘There are certain fields that just don’t seem to interact well,’’ he said. ‘‘Microbiology and neuroscience, as whole disciplines, don’t tend to have had much interaction, largely because the brain is somewhat protected.’’ He was referring to the fact that the brain is anatomically isolated, guarded by a blood-brain barrier that allows nutrients in but keeps out pathogens and inflammation, the immune system’s typical response to germs. Cryan’s study added to the growing evidence that signals from beneficial bacteria nonetheless find a way through the barrier. Somehow — though his 2011 paper could not pinpoint exactly how — micro-organisms in the gut tickle a sensory nerve ending in the fingerlike protrusion lining the intestine and carry that electrical impulse up the vagus nerve and into the deep-brain structures thought to be responsible for elemental emotions like anxiety. Soon after that, Cryan and a co-author, Ted Dinan, published a theory paper in Biological Psychiatry calling these potentially mind-altering microbes ‘‘psychobiotics.’’

It has long been known that much of our supply of neurochemicals — an estimated 50 percent of the dopamine, for example, and a vast majority of the serotonin — originate in the intestine, where these chemical signals regulate appetite, feelings of fullness and digestion. But only in recent years has mainstream psychiatric research given serious consideration to the role microbes might play in creating those chemicals. Lyte’s own interest in the question dates back to his time as a postdoctoral fellow at the University of Pittsburgh in 1985, when he found himself immersed in an emerging field with an unwieldy name: psychoneuroimmunology, or PNI, for short. The central theory, quite controversial at the time, suggested that stress worsened disease by suppressing our immune system.

By 1990, at a lab in Mankato, Minn., Lyte distilled the theory into three words, which he wrote on a chalkboard in his office: Stress->Immune->Disease. In the course of several experiments, he homed in on a paradox. When he dropped an intruder mouse in the cage of an animal that lived alone, the intruder ramped up its immune system — a boost, he suspected, intended to fight off germ-ridden bites or scratches. Surprisingly, though, this did not stop infections. It instead had the opposite effect: Stressed animals got sick. Lyte walked up to the board and scratched a line through the word ‘‘Immune.’’ Stress, he suspected, directly affected the bacterial bugs that caused infections.

To test how micro-organisms reacted to stress, he filled petri plates with a bovine-serum-based medium and laced the dishes with a strain of bacterium. In some, he dropped norepinephrine, a neurochemical that mammals produce when stressed. The next day, he snapped a Polaroid. The results were visible and obvious: The control plates were nearly barren, but those with the norepinephrine bloomed with bacteria that filigreed in frostlike patterns. Bacteria clearly responded to stress.

Then, to see if bacteria could induce stress, Lyte fed white mice a liquid solution of Campylobacter jejuni, a bacterium that can cause food poisoning in humans but generally doesn’t prompt an immune response in mice. To the trained eye, his treated mice were as healthy as the controls. But when he ran them through a plexiglass maze raised several feet above the lab floor, the bacteria-fed mice were less likely to venture out on the high, unprotected ledges of the maze. In human terms, they seemed anxious. Without the bacteria, they walked the narrow, elevated planks.

Each of these results was fascinating, but Lyte had a difficult time finding microbiology journals that would publish either. ‘‘It was so anathema to them,’’ he told me. When the mouse study finally appeared in the journal Physiology & Behavior in 1998, it garnered little attention. And yet as Stephen Collins, a gastroenterologist at McMaster University, told me, those first papers contained the seeds of an entire new field of research. ‘‘Mark showed, quite clearly, in elegant studies that are not often cited, that introducing a pathological bacterium into the gut will cause a change in behavior.’’

Lyte went on to show how stressful conditions for newborn cattle worsened deadly E. coli infections. In another experiment, he fed mice lean ground hamburger that appeared to improve memory and learning — a conceptual proof that by changing diet, he could change gut microbes and change behavior. After accumulating nearly a decade’s worth of evidence, in July 2008, he flew to Washington to present his research. He was a finalist for the National Institutes of Health’s Pioneer Award, a $2.5 million grant for so-called blue-sky biomedical research. Finally, it seemed, his time had come. When he got up to speak, Lyte described a dialogue between the bacterial organ and our central nervous system. At the two-minute mark, a prominent scientist in the audience did a spit take.

‘‘Dr. Lyte,’’ he later asked at a question-and-answer session, ‘‘if what you’re saying is right, then why is it when we give antibiotics to patients to kill bacteria, they are not running around crazy on the wards?’’Lyte knew it was a dismissive question. And when he lost out on the grant, it confirmed to him that the scientific community was still unwilling to imagine that any part of our neural circuitry could be influenced by single-celled organisms. Lyte published his theory in Medical Hypotheses, a low-ranking journal that served as a forum for unconventional ideas. The response, predictably, was underwhelming. ‘‘I had people call me crazy,’’ he said.

But by 2011 — when he published a second theory paper in Bioessays, proposing that probiotic bacteria could be tailored to treat specific psychological diseases — the scientific community had become much more receptive to the idea. A Canadian team, led by Stephen Collins, had demonstrated that antibiotics could be linked to less cautious behavior in mice, and only a few months before Lyte, Sven Pettersson, a microbiologist at the Karolinska Institute in Stockholm, published a landmark paper in Proceedings of the National Academy of Science that showed that mice raised without microbes spent far more time running around outside than healthy mice in a control group; without the microbes, the mice showed less apparent anxiety and were more daring. In Ireland, Cryan published his forced-swim-test study on psychobiotics. There was now a groundswell of new research. In short order, an implausible idea had become a hypothesis in need of serious validation.

Late last year, Sarkis Mazmanian, a microbiologist at the California Institute of Technology, gave a presentation at the Society for Neuroscience, ‘‘Gut Microbes and the Brain: Paradigm Shift in Neuroscience.’’ Someone had inadvertently dropped a question mark from the end, so the speculation appeared to be a definitive statement of fact. But if anyone has a chance of delivering on that promise, it’s Mazmanian, whose research has moved beyond the basic neurochemicals to focus on a broader class of molecules called metabolites: small, equally druglike chemicals that are produced by micro-organisms. Using high-powered computational tools, he also hopes to move beyond the suggestive correlations that have typified psychobiotic research to date, and instead make decisive discoveries about the mechanisms by which microbes affect brain function.

Two years ago, Mazmanian published a study in the journal Cell with Elaine Hsiao, then a graduate student and now a neuroscientist at Caltech, and others, that made a provocative link between a single molecule and behavior. Their research found that mice exhibiting abnormal communication and repetitive behaviors, like obsessively burying marbles, were mollified when they were given one of two strains of the bacterium Bacteroides fragilis.

The study added to a working hypothesis in the field that microbes don’t just affect the permeability of the barrier around the brain but also influence the intestinal lining, which normally prevents certain bacteria from leaking out and others from getting in. When the intestinal barrier was compromised in his model, normally ‘‘beneficial’’ bacteria and the toxins they produce seeped into the bloodstream and raised the possibility they could slip past the blood-brain barrier. As one of his colleagues, Michael Fischbach, a microbiologist at the University of California, San Francisco, said: ‘‘The scientific community has a way of remaining skeptical until every last arrow has been drawn, until the entire picture is colored in. Other scientists drew the pencil outlines, and Sarkis is filling in a lot of the color.’’

Mazmanian knew the results offered only a provisional explanation for why restrictive diets and antibacterial treatments seemed to help some children with autism: Altering the microbial composition might be changing the permeability of the intestine. ‘‘The larger concept is, and this is pure speculation: Is a disease like autism really a disease of the brain or maybe a disease of the gut or some other aspect of physiology?’’ Mazmanian said. For any disease in which such a link could be proved, he saw a future in drugs derived from these small molecules found inside microbes. (A company he co-founded, Symbiotix Biotherapies, is developing a complex sugar called PSA, which is associated with Bacteroides fragilis, into treatments for intestinal disease and multiple sclerosis.) In his view, the prescriptive solutions probably involve more than increasing our exposure to environmental microbes in soil, dogs or even fermented foods; he believed there were wholesale failures in the way we shared our microbes and inoculated children with these bacteria. So far, though, the only conclusion he could draw was that disorders once thought to be conditions of the brain might be symptoms of microbial disruptions, and it was the careful defining of these disruptions that promised to be helpful in the coming decades.

The list of potential treatments incubating in labs around the world is startling. Several international groups have found that psychobiotics had subtle yet perceptible effects in healthy volunteers in a battery of brain-scanning and psychological tests. Another team in Arizona recently finished an open trial on fecal transplants in children with autism. (Simultaneously, at least two offshore clinics, in Australia and England, began offering fecal microbiota treatments to treat neurological disorders, like multiple sclerosis.) Mazmanian, however, cautions that this research is still in its infancy. ‘‘We’ve reached the stage where there’s a lot of, you know, ‘The microbiome is the cure for everything,’ ’’ he said. ‘‘I have a vested interest if it does. But I’d be shocked if it did.’’

Lyte issues the same caveat. ‘‘People are obviously desperate for solutions,’’ Lyte said when I visited him in Abilene. (He has since moved to Iowa State’s College of Veterinary Medicine.) ‘‘My main fear is the hype is running ahead of the science.’’ He knew that parents emailing him for answers meant they had exhausted every option offered by modern medicine. ‘‘It’s the Wild West out there,’’ he said. ‘‘You can go online and buy any amount of probiotics for any number of conditions now, and my paper is one of those cited. I never said go out and take probiotics.’’ He added, ‘‘We really need a lot more research done before we actually have people trying therapies out.’’

If the idea of psychobiotics had now, in some ways, eclipsed him, it was nevertheless a curious kind of affirmation, even redemption: an old-school microbiologist thrust into the midst of one of the most promising aspects of neuroscience. At the moment, he had a rough map in his head and a freezer full of monkey fecals that might translate, somehow, into telling differences between gregarious or shy monkeys later in life. I asked him if what amounted to a personality transplant still sounded a bit far-fetched. He seemed no closer to unlocking exactly what brain functions could be traced to the same organ that produced feces. ‘‘If you transfer the microbiota from one animal to another, you can transfer the behavior,’’ Lyte said. ‘‘What we’re trying to understand are the mechanisms by which the microbiota can influence the brain and development. If you believe that, are you now out on the precipice? The answer is yes. Do I think it’s the future? I think it’s a long way away.’’