UPFRONT | From the editor Sides of the same coin Recently there’s been so much new research coming out about dementia and interesting ways the disease is interconnected with other health issues. While our cover story this month is speaking specifically to a connection between diabetes and dementia, depression is the other “D” word that should also pique your interest. Both depression and dementia are reaching epidemic proportions (exacerbated by the COVID-19 pandemic). Donald Weaver, professor of chemistry and Director of Krembil Research Institute at the University of Toronto recently wrote about the connection between dementia and depression, saying that depsite their obvious differ-ences, “it is becoming ever more apparent that depression and dementia may be two sides of the same coin. People with dementia often have depression; if the depression remains untreated, the associated memory and cognitive problems worsen. Conversely, a significant history of depression seems to be a risk factor for dementia; the two disorders may thus co-exist in a vicious self-sustaining cycle.” Making matters worse are the overlapping symptoms. Dementia and depression can mimic each other – with depression being misdiagnosed as dementia and vice versa. Weaver says: “Early dementia symptoms include memory problems (particularly remembering recent events), increasing confusion, behaviour changes, apathy, social withdrawal and inability to do everyday tasks. Many of these symptoms are shared with depression, in which patients experience sleep disturbances, lack of energy (so even small tasks take extra effort), anxiety, restlessness and problems with thinking, concentrating, making decisions and remembering things.” Speaking of mental health: on page 16, Dr. Chris Oswald and company speak to the mental health issues they have seen in their teen patient population – very difficult years in any case. But again, with COVID-19 triggering more anxiety and depression among many patients despite their age ranges, I’m sure these issues are something DCs and NDs will be seeing more of in the future – if not already. It’s still as important as ever to keep our communication open, and allow your peers to share concerns – not only of their patients, but of each other, too. Please, don’t forget to keep your own mental health in check. Stay safe, October 2020 Volume 25, Number 6 EDITOR Jannen Belbeck [email protected] (519) 429-5231 PUBLISHER Christine Livingstone [email protected] (519) 429-5173 ACCOUNT COORDINATOR Barb Comer [email protected] (519) 429-5171 MEDIA DESIGNER Alison Keba CIRCULATION MANAGER Anita Madden GROUP PUBLISHER/VP SALES Martin McAnulty [email protected] COO Scott Jamieson [email protected] Published and printed by Annex Business Media, 105 Donly Drive South, Simcoe, ON, Canada N3Y 4N5 Publication Mail Agreement #40065710 ISSN 1488-6952 CIRCULATION e-mail: [email protected] Tel: (416) 510-5183 Fax: (416) 416-510-6875 (main) 416-442-2191 Mail: 111 Gordon Baker Rd., Suite 400, Toronto, ON M2H 3R1 Annex Privacy Officer [email protected] Tel: 800-668-2384 Chiropractic and Naturopathic Doctor is published eight times a year: February, April, May, June, July/August, September, October and December. SUBSCRIPTION RATES Canada – 1 Year $26.00, 2 years $42.00, 3 years $60.00 (HST #867172652RT0001) USA – 1 Year $60.00 (CDN Funds) Occasionally, Chiropractic and Naturopathic Doctor will mail information on behalf of industry-related groups whose products and services we believe may be of interest to you. If you prefer not to receive this information, please contact our circulation department in any of the four ways listed above. @CN_Doctor /ChiropracticNaturopathicDoc No part of the editorial content of this publication may be reprinted without the publisher’s written permission. ©2020 Annex Publishing & Printing Inc. All rights reserved. Opinions expressed in this magazine are not necessarily those of the editor or the publisher. No liability is assumed for errors or omissions. All advertising is subject to the publisher’s approval. Such approval does not imply any endorsement of the products or services advertised. Publisher reserves the right to refuse advertising that does not meet the standards of the publication. JANNEN BELBECK, Editor @ChiropracticNaturopathicDoc Use the hashtag #CanadianChiropractor or #CanadianNaturopath (or tag us) for a chance to be featured in a future issue! EDITORIAL ADVISORY BOARD Richard Brown, DC; Victoria Coleman, DC; Connie J. D’Astolfo, DC, Dip HA, PhD (cand); Don Nixdorf, DC; Greg Stewart, BPE, DC 4 Chiropractic and Naturopathic Doctor October 2020 www.Cndoctor.ca