<![CDATA[Orchid Advocacy - Translational Medicine Friday]]>Sat, 21 Mar 2026 09:37:43 -0700Weebly<![CDATA[NARCISSISM, immaturity or A Kind of pre-mature aging in Neuro-Developmental, Psychiatric &/or ADDICTION Disorders]]>Tue, 10 Mar 2026 15:45:56 GMThttps://orchidadvocacy.org/translational-medicine-friday/narcissism-immaturity-or-a-kind-of-pre-mature-aging-in-neuro-developmental-psychiatric-or-addiction-disorders
Developmental Mitochondrial Dysfunction 

ImmunoSENESCENCE [Aging of the Immune System]
Val's Take/Conjecture
  • I'm defining "Pre-Mature Aging" as jump-starting "Mitochondrial Dysfunction," often through MATERNAL IMMUNE ACTIVATION.​

"Mitochondrial Dysfunction" is ubiquitous in:
  • Sensory Processing Abnormalities,
  • Disease,
  • Chronic Pain,
  • Aging,
  • Cell Death,
  • etc.  
Mitochondrial Dysfunction is not unique to Neuro-Developmental, Psychiatric or Addiction Disorders.
  • Further, there is more and more focus on the Developmental Origins of Health & Disease (DOHaD).
MITOCHONDRIAL DYSFUNCTION & IMMUNOSENESCENCE
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De Staat
Witch Doctor

For the person who is PRE-MATURELY AGING --- that can look like ASYNCHRONY.

Additionally, the DYNAMICS of this PRE-MATURE AGING and ASYNCHRONY are not necessarily playing out the way we might think.
LEVELS of ANALYSIS & DEFINITIONS
  • DEFINING PEOPLE IN and OUT of Diagnostic Categories, Age, and "Morality"
    • ​Much of recent research is considering Anti-Social Personality Disorder as a Neuro-Developmental Disorder.
    • In some quarters, this is controversial-- the diagnostic criteria themselves reference age.
See Antisocial Personality Disorder (2024) on StatPearls.
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<![CDATA[What is "Disability" under the ADA?​  Clinicians aren't lawyers & it shows]]>Sat, 07 Mar 2026 18:10:08 GMThttps://orchidadvocacy.org/translational-medicine-friday/what-is-disability-under-the-ada-clinicians-arent-lawyers-it-shows
Val's Take
  • Clinicians struggle with Definitions in the Civil Commitment Statutes --- but I think they are more aware of the issues.
  • When it comes to "DISABILITY" --- there is more than one Statute or Regulation out there -- is this Social Security Disability, Medicaid, Education or Employment.
  • For purposes of Employment, most people are going to be concerned about the  definition of "Disability" under the AMERICANS WITH DISABILITIES ACT.
For RULE FOLLOWERS 

Mental Health Professionals and Bureaucrats are generally rule followers --- but there are a lot of complicated rules out there.
  • Most Mental Health Patients are going to be referred to their Mental Health Professional to weigh in on whether they have a "DISABILITY." 
    • ​Does that make sense?  I think it should make sense, but it doesn't.
      • ​Mental Health Professionals are often trying to apply the wrong law with regard to "DISABILITY" and are not sufficiently sensitive to CONTEXT.
      • Further, they may not even necessarily be that up on TRANS DIAGNOSTIC PHENOTYPES and ISSUES (UGH!!!)
        • ​And one still has to individually assess this.

  • I think INDEPENDENT LIVING CENTERS are going to be in a much better position to make appropriate referrals regarding whether the person has a DISABILITY for purposes of EMPLOYMENT.
    • ​And they are probably going to be more up on what law applies.
    • What definition of "DISABILITY" applies?
    • ​These are very complicated systems and it gets confusing fast.
NONE OF US CAN DO EVERYTHING
  • Mental Health Providers need to be able to make referrals to Independent Living Centers around the State.
    • ​Who are generally very savvy with regard to these many complicated systems.
    • Further, the Colorado Department of Labor needs to be able to provide a list of Independent Living Centers to applicants ---
      • not a vague hint.
One of my biggest issues is ENERGY so I am pretty sympathetic to professional protests that they can't do everything -- or they try to do everything and it doesn't work out.

Independent Living Centers are such a fantastic resource in this State and even those of us who are familiar with them may think going through the medical professional is going to save time and energy.
  • ​This is often NOT THE CASE!
Further, the Medical Professional may take being educated by the Independent Living Center better than being educated by the Patient.
Paul MiCallef 
The Silent Meltdown

Americans with Disabilities Act
42 U.S. Code § 12102 - Definition of disability


As used in this chapter:
(1)DisabilityThe term “disability” means, with respect to an individual--
(A)
a physical or mental impairment that substantially limits one or more major life activities of such individual;
(B)
a record of such an impairment; or
(C)
being regarded as having such an impairment (as described in paragraph (3)).
(2)Major life activities
(A)In general

For purposes of paragraph (1), major life activities include, but are not limited to, caring for oneself, performing manual tasks, seeing, hearing, eating, sleeping, walking, standing, lifting, bending, speaking, breathing, learning, reading, concentrating, thinking, communicating, and working.

(B)Major bodily functions
For purposes of paragraph (1), a major life activity also includes the operation of a major bodily function, including but not limited to, functions of the immune system, normal cell growth, digestive, bowel, bladder, neurological, brain, respiratory, circulatory, endocrine, and reproductive functions.

(3)Regarded as having such an impairmentFor purposes of paragraph (1)(C):
(A)
An individual meets the requirement of “being regarded as having such an impairment” if the individual establishes that he or she has been subjected to an action prohibited under this chapter because of an actual or perceived physical or mental impairment whether or not the impairment limits or is perceived to limit a major life activity.
(B)
Paragraph (1)(C) shall not apply to impairments that are transitory and minor. A transitory impairment is an impairment with an actual or expected duration of 6 months or less.
(4)Rules of construction regarding the definition of disabilityThe definition of “disability” in paragraph (1) shall be construed in accordance with the following:
(A)
The definition of disability in this chapter shall be construed in favor of broad coverage of individuals under this chapter, to the maximum extent permitted by the terms of this chapter.
(B)
The term “substantially limits” shall be interpreted consistently with the findings and purposes of the ADA Amendments Act of 2008.
(C)
An impairment that substantially limits one major life activity need not limit other major life activities in order to be considered a disability.
(D)
An impairment that is episodic or in remission is a disability if it would substantially limit a major life activity when active.
(E)
(i)The determination of whether an impairment substantially limits a major life activity shall be made without regard to the ameliorative effects of mitigating measures such as--
(I)
medication, medical supplies, equipment, or appliances, low-vision devices (which do not include ordinary eyeglasses or contact lenses), prosthetics including limbs and devices, hearing aids and cochlear implants or other implantable hearing devices, mobility devices, or oxygen therapy equipment and supplies;
(II)
use of assistive technology;
(III)
reasonable accommodations or auxiliary aids or services; or
(IV)
learned behavioral or adaptive neurological modifications.
(ii)
The ameliorative effects of the mitigating measures of ordinary eyeglasses or contact lenses shall be considered in determining whether an impairment substantially limits a major life activity.
(iii)As used in this subparagraph--
(I)
the term “ordinary eyeglasses or contact lenses” means lenses that are intended to fully correct visual acuity or eliminate refractive error; and
(II)
the term “low-vision devices” means devices that magnify, enhance, or otherwise augment a visual image.
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<![CDATA[Photo-bio-Modulation, Photobiomodulation or Infrared neuromodulation]]>Fri, 27 Feb 2026 13:13:43 GMThttps://orchidadvocacy.org/translational-medicine-friday/photo-bio-modulation-photobiomodulation-or-infrared-neuromodulation
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Pilot study comparing effects of infrared neuromodulation and transcranial magnetic stimulation using magnetic resonance imaging (2025)

*Ohio State University, University of Michigan and Georgia State University 
No prior work has directly compared the impacts of transcranial photobiomodulation (tPBM) and transcranial magnetic stimulation (TMS) on the human brain. This within-subjects pilot study compares the effects of tPBM and TMS of human somatomotor cortex on brain structural and functional connectivity.  . . .

​​Thus, tPBM may be superior to TMS at inducing changes in connected nodes in the somatomotor cortex, although further research is warranted to explore the potential therapeutic benefits and clinical utility of tPBM.
Dr. Josh Madsen
The Hidden Crisis of Autism & Mitochondrial Dysfunction Explained
[Chiropractic  represents a complicated place in the Medical Hierarchy.

Generally, what I'm looking for are evidence-based practices.

​Additionally, I do appreciate Dr. Josh's openness that I think can be more indicative of real knowledge than what you might get elsewhere.


I'm not here to promote Photo-Bio-Modulation but I do think there are some interesting relationships among Photo-Bio-Modulation and some of the emerging new paradigms of Neuro-Developmental and Psychiatric Disorders.

Finally, I think there is some evidence that Photo-Bio-Modulation may be more effective than  TRANSCRANIAL MAGNETIC STIMULATION (see study to the right)--- even as TMS is more widely recognized]
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<![CDATA[A big jump in our understanding --Mitochondrial energetics and synapses]]>Mon, 23 Feb 2026 16:34:17 GMThttps://orchidadvocacy.org/translational-medicine-friday/a-big-jump-in-our-understanding-mitochondrial-energetics-and-synapses
Val's Take/Conjecture
  • ​Mitochondrial Dysfunction is an aspect of many illnesses and diseases.
  • It is probably most profoundly seen in Neuro-Degenerative Diseases such as Parkinson's and Alzheimer's.
Neuro-Developmental and Psychiatric Disorders often come with Microglial Dysregulation and various levels of Mitochondrial Dysfunction.
The book chapter to the right not only references Schizophrenia and Bipolar Disorder, but also Diabetes and Obesity.
  • If you look at the widespread nature of weight issues in the society, one could certainly conclude we need to eat better and exercise more --- and we do.
  • But some people may need a KETO DIET high in fat --- at least according to the Metabolic Mind folks.
  • Further, DEVELOPMENTAL ISSUES IN UTERO appear to play a role in a large number of issues and diseases experienced later in the lifespan.
    • ​Further, Researchers are identifying  these DEVELOPMENTAL ISSUES as the "PROXIMATE CAUSE" of issues and disease later in the lifespan.
The Developmental Origins of Health & Disease, Mitochondrial Bioenergetics, and Executive Functioning Issues have so many ramifications for Treatment and Public Policy.
When it comes to people who are Justice-Involved with Neuro-Developmental and/or Psychiatric Disorders, treatment and programs need to address Mitochondrial Bioenergetics and Executive Functioning Issues.
Abstract

​The human brain is an energetically costly organ, consuming 20-25% of all biochemical energy produced in the body, despite comprising only 2-3% of total body mass.

Most energy in the brain is consumed to support synaptic neurotransmission, which is the primary means of neuron-to-neuron communication between.

This energy is in the form of adenosine triphosphate (ATP), and within neural cells, nearly all ATP is produced by mitochondria via the process of oxidative phosphorylation (OXPHOS).

To ensure that ATP is readily available, mitochondria are trafficked to areas of greater energy use, such as neuronal synapses.

The balance between energetic supply and synaptic communication is essential for proper brain functioning.

This chapter begins with a brief introduction to key features of neuronal synapses and mitochondrial energy production in the cerebral cortex.

Next, the tight and bidirectional coupling of neuronal synaptic activity and mitochondrial OXPHOS is examined from functional, ultrastructural, and molecular perspectives.

The effects of brain and non-brain organ system perturbations on synaptic-mitochondrial coupling are then examined within the context of (1) primary brain disorders, such as schizophrenia and bipolar disorder, and (2) primary peripheral disorders, such as diabetes and obesity.

​Finally, a discussion of potential intervention strategies that may restore neural communication and mitochondrial bioenergetics, within the framework of the brain-body connection, is provided.
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<![CDATA[Mitochondria:  Let's not create or resurrect a false opposition between Energy and matter]]>Tue, 17 Feb 2026 10:14:41 GMThttps://orchidadvocacy.org/translational-medicine-friday/mitochondria-lets-not-create-or-resurrect-a-false-opposition-between-energy-and-matter
Val's Take/Conjecture:

The conversation at the THEORETICAL RESEARCH LEVEL is not just integrating PHYSICAL and MENTAL HEALTH and various aspects of MEDICINE.

We're in a time in which PHYSICS is being integrated into MEDICINE, especially with regard to ENERGY.


We have a tendency to create "FALSE DICHOTOMIES" and define things in opposition to one another that can lead to MISLEADING UNDERSTANDINGS.

ENVIRONMENT and BIOLOGY are NOT OPPOSITES --- and we can't really understand either one in isolation of the other --- they are acting upon each other.

I think this distinction between "BIOLOGICAL MENTAL ILLNESS" and "NON-BIOLOGICAL MENTAL ILLNESS" is EXTREMELY MISLEADING and leads to FALSE CONCLUSIONS.

Additionally, ENERGY AND MATTER are in relation to one another --- MASS is both a property of MATTER and ENERGY.
Master Class in Mitochondria 

Martin Picard, PhD
Science of Health Associate Professor of Behavioral Medicine (in Psychiatry, Neurology and the Robert N. Butler Columbia Aging Center)

Thomas P Seager, PhD
Associate Professor,
School of Sustainable Engineering and the Built Environment
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<![CDATA[Proteins in Autism and Psychiatric Disorders]]>Sun, 15 Feb 2026 14:12:19 GMThttps://orchidadvocacy.org/translational-medicine-friday/proteins-in-autism-and-psychiatric-disorders
Proteins are an issue in Autism and also an issue in other categories of Neuro-Developmental & Psychiatric Disorders.
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Alterations in these protein pathways persisted into childhood, and dysregulation of GAPDH, SELENBP1, and BLVRB proteins were evident in both cord blood and in serum from pre-pubertal children with Autism
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Blood biomarker for ASD: Validation Study

Dwight German PhD,  Professor in the Department of Psychiatry at the University of Texas Southwestern Medical Center at Dallas
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 Our study provides a mechanistic framework linking genetic risk to brain protein dysregulation and proposes tractable therapeutic targets for psychiatric disorders.
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<![CDATA[Journey, Lecturer Rick Bungiro -- T Cells & B Cells and Psychiatric Disorders -- Don't Stop Believin']]>Sat, 07 Feb 2026 06:25:32 GMThttps://orchidadvocacy.org/translational-medicine-friday/journey-lecturer-rick-bungiro-t-cells-b-cells-and-psychiatric-disorders-dont-stop-believin
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"T cell exhaustion is a significant factor in the pathogenesis of neuropsychiatric disorders."
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Journey
Don't Stop Believin'

Brown University Lecturer
Rick Bungiro
(currently at Yale School of Public Health)

Don't Stop B-cell-ievin'
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<![CDATA[Childhood Trauma, PANS & PANDAS --- Understanding brain disorders as Neuro-immune disorders]]>Tue, 03 Feb 2026 16:04:51 GMThttps://orchidadvocacy.org/translational-medicine-friday/childhood-trauma-pans-pandas-understanding-brain-disorders-as-neuro-immune-disorders
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Neuroscience News
Childhood Trauma Rewires the Brain and the Immune System (2025)
PANDAS Network
Looking at the Brains of PANDAS and PANS Children

​(2023)
Understanding a wide range of brain disorders as "Neuro-Immune Disorders" ---- starts to make sense of an extremely complicated 
array.
Special Focus

  • PANS (Pediatric Acute-Onset Neuro-Psychiatric Syndrome)
    • "​This broader category includes any sudden-onset neuropsychiatric symptoms that can arise from various infections (not just strep) or other triggers, such as environmental factors or stress. PANS encompasses a wider range of symptoms and potential causes, including infections like Lyme disease and influenza." -- Copilot

  • PANDAS (Pediatric Auto-Immune Neuro-Psychiatric Disorders) is associated with Streptoccal Infections)
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<![CDATA[Psych Scene with Dr. Sanil Rege --- How Psychiatric Disorders Overlap with Autoimmune Disorders]]>Fri, 30 Jan 2026 08:18:29 GMThttps://orchidadvocacy.org/translational-medicine-friday/psych-scene-with-dr-sanil-rege-how-psychiatric-disorders-overlap-with-autoimmune-disorders
Val's Take/Conjecture

So one of the things that has happened is the recognition of a Neuro-Developmental --- Psychiatric Continuum --- those DISTINCT DIAGNOSES in the DSM often don't match neatly to "REALITY." 

One of the biggest SEEMING CONTRADICTIONS is that we recognize Neuro-Developmental Disorders much more in MEN and Psychiatric Disorders --- much more in women.  Hmmm . . .

There are sex differences.


The next step has been recognizing there is a lot of overlap between other illnesses and diseases and Neuro-Developmental and Psychiatric Disorders.

Stanford Medicine-led study shows why women are at greater risk of autoimmune disease (2024)

"Research throws light on the mystery of why women are much more prone to autoimmune disorders: A molecule made by one X chromosome in every female cell can generate antibodies to a woman's own tissues."
The Academy by Psych Scene
Dr. Sanil Rege


How Psychiatric Disorders Overlap with Autoimmune Disorders  (2026)
Why are brain tumors more common in men? (2014)

"The reason why brain tumors occur more frequently in males and are often more harmful than single tumors in females has been further explained by new research from Washington University School of Medicine in St Louis (MO, USA).

"Glioblastomas, which are the most common malignant brain tumors, for example, are diagnosed twice as often in males and result in greater cognitive impairments than when occurring in females; male patients also do not survive as long.

"A protein known to reduce cancer risk termed retinoblastoma protein (RB) was demonstrated by the researchers to be significantly less active in male brain cells than in female brain cells."
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<![CDATA[Astrocytes from People with schizophrenia induce "DYSTROPHIC"  Microglia-like Cells]]>Mon, 05 Jan 2026 14:06:30 GMThttps://orchidadvocacy.org/translational-medicine-friday/astrocytes-from-people-with-schizophrenia-induce-dystrophic-microglia-like-cells
hiPSC-Derived Astrocytes From Individuals With Schizophrenia

Induce a Dystrophic Phenotype in Microglial-Like Cells  (2026)
University of Kentucky's Institutional Repository
Theses & Dissertations -- Neuroscience

Traditionally, microglial subtypes characterized physiologically as “reactive” or “activated” have been linked with disease and injury in the brain.

However, morphologically, a recently described microglia category known as “dystrophic,” characterized structurally by fragmented processes and cytoplasmic decay is believed to be more strongly associated with aging and neurodegeneration. 
​​Affiliations
1Department of Biochemistry and Immunology, Institute of Biological Sciences (ICB), Universidade Federal de Minas Gerais (UFMG), Belo Horizonte, Brazil.
2Department of Genetics, Yale School of Medicine, Yale University, New Haven, Connecticut, USA.
3D'or Institute for Research and Education (IDOR), Rio de Janeiro, Brazil.
4Molecular Carcinogenesis Program, Research Coordination, Instituto Nacional do Câncer (INCA), Rio de Janeiro, Brazil.
5Vice-Presidency of Research and Biological Collections (VPPCB), Fundação Oswaldo Cruz (FIOCRUZ), Rio de Janeiro, Brazil.
6Department of Pharmacology, Institute of Biological Sciences (ICB), Universidade Federal de Minas Gerais (UFMG), Belo Horizonte, Brazil.
7Department of Psychiatry, Faculty of Medicine, Universidade Federal de Minas Gerais (UFMG), Belo Horizonte, Brazil.
8Department of Psychiatry, Yale School of Medicine, Yale University, New Haven, Connecticut, USA.
9Department of Genetics, Institute of Biology, Universidade Federal do Rio de Janeiro (UFRJ), Rio de Janeiro, Brazil.
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