Yep! You have finally located me. This is the homesite of Marshall F. Gilula, M.D. Hopefully you will find this place a connection to connections designed to help you understand and put into practice wellness principles on a daily basis. This is so that you will be able to make more than a just noticeable difference in the quality of your own life. And the fun you are entitled to have.

If you wish, you may call me Dr. Gilula, Dr. Gorilla (more on that later), or just Dr.G. Although this is my personal website, and I am (or at least have been since the Seventies)Dr.Tomorrow, DR TOMORROW is also the title of a novel and the name of a rock group. Please realize that this web site is dedicated to education and information. Although I might be able to be your virtual therapist by 900# in the future, medical diagnosis and treatment are beyond the scope of this website. If you are in a real crisis that demands psychiatric evaluation or some other face-to-face intervention, it is important for you to seek out local assistance in your community. You need to interpret and apply any of the information you get here with the guidance of your family physician, your P.C.P., your therapist, and (last but not least) your personal psychiatrist if you are lucky enough to have one and/or to be able to afford one.

Cyberpsychiatry is virtual psychiatry. Cyberpsychiatry can be useful both by itself and as an adjunct to traditional psychiatry and other mental health practices. Some of my patients from RL (Real Life) in southeastern Florida actually write me by email and we can get a flurry of notes going within the space of an hour or less as a part of medication management, for example. It sure can save on the gas mileage! Email can be a valuable supplement to the use of a telephone, and the telephone has been used in psychotherapy and psychiatric treatment for years.

This website will attempt to present both traditional and "alternative" approaches to mental health and psychiatry. By now in 2007, the term, "Integrative Medicine," is used by those who believe there is such a thing as evidence-based Integrative Medicine. II consider all the health professionals as working in basically the same ballpark, and with very similar tools. The actual degree possessed by your therapist or physician is less important than the quality of the communication and the relationship that you have with him/her.

Wellness techniques give us one of the most efficient toolboxes for developing and sustaining a high level of mental health. While Prozac can be an absolutely excellent medication for some individuals, the efficacy of the drug pales in comparison to the efficacy of a consistent daily exercise routine. Combining both regular exercise and the medication can really help wrestle the most resistant depression into submission. Exercise and other wellness techniques demand that the patient be in the driver's seat. Taking control of one's own destiny is exactly what many of us need to practice when it comes down to our own health care. Regular exercise, thoughtful nutrition, and self-regulation practices such as meditation or biofeedback make up what has been called "The Holy Trinity" of Wellness. So we need to think of Exercise, Nutrition, and Self-regulation as fundamental.

1. Nutrition

2. Exercise Physiology

3. Self-regulation (includes biofeedback, meditation, hypnosis)

4. Neuromuscular integration -- includes modalities such as massage and Rolfing.

5. Acupuncture and other non-allopathic modalities such as Homeopathy.

6. Biomolecular environment -- includes electromagnetic field effects and radiation .

7. Spiritual Attunement

For the purpose of archiving, there is one additional area,

8. Healing and General Wellness,

which will allow us to include a lot of very general and crossover information. Dr. Andrew T. Weil's e-column or the e-columns of C. Norman Shealy, M.D., Ph.D., for example, would be referenced under this eighth area of Healing despite the fact that much of what he presents is also hardcore nutrition, self-regulation, or spiritual attunement. All of the psychiatric and other medical references that don't strictly belong to the first seven categories will be archived in this eighth group.

• The American Psychiatric Association has a great web site, which reflects to us that the specialty of Psychiatry is under a lot of stress and strain nowadays. Many of the changes includes coping with the pressures and demands of Managed Care. Some physicians are so up in arms about "what the bean counters have done to health care," that they use the term, "Mangled Care." But Psychiatry is definitely only one part of Internal Medicine, and really good mental health is always mind/body in nature. As the body, so the mind, and vice-versa. Many residency training programs have crossover and cross-training between both Family Practice and Psychiatry.
• To further enrich the picture, we need to remember that there is a very close relationship between Psychiatry and Neurology. Mind function is firmly rooted in the brain structures, and one catch-phrase even more shopworn than "going into the 21st Century" is "The Decade of the Brain." We cannot ignore massive amounts of information coming from numerous computer-enhanced scans of the nervous system and the myriad of other magnificent neuroscience technologies. The American Academy of Neurology will give even the most neurologically unsophisticated person something to think about. Both APA and AAN web sites have comprehensive links to "Patient Information" types of databases, which are excellent, well-written, and authoritative.
• One of Time magazine's "most influential people in America 1997" is a physician trained at Harvard Medical School who was labelled, "Alternative-Medicine Guru. He has a couple of bestselling books, a CD of guided meditations which you can purchase from his website, and a great-looking beard. Andrew T. Weil, M.D. just might become your family doctor if you like an ordinary and honest approach to health and lifestyle. But let me be your Cyberpsychiatrist.
• If pets are good for your heart, running and other related aerobic activities are just as good. The heart is a muscle that can be exercised by loving, being compassionate, and by repeated, gentle, sustained elevations of the heart rate. The Dead Runners Society is a virtual group of running maniacs whose enthusiasm is so contagious, it practically leaps off the web page at you. The DRS site is an excellent connection to a large number of Internet discussion groups all focused on running activities.

Do you care about the definition of VVR? Any chance that you might be interested in LERI projects? (such as Project Talking Dog?) Write me at: Life Energies Research Institute

In the writing above, I introduced the idea of Nutrition, Exercise, and Self-Regulation making up the the Basic Triad of wellness. Some folks in alternative or holistic medicine use the term, "Holy Trinity." Exercise, Nutrition, and Self-Regulation really are a Holy Trinity. These three areas are the most essential ingredients, the sine qua non, of high level wellness. Also, exercise, good nutrition, and some type of self-regulatory technique such as meditation work best when daily in the person's life. Exercise, nutrition, and self-regulation all give us powerful ways to potentiate or synergize psychiatric diagnosis and treatment. The three modalities work together. It is no accident that successful nutritionists usually stress daily exercise and some type of affirmations or meditation as part of an overall program designed for success. The impact of daily practice is crucial for any successful program, and that means daily exercise, daily meditative practice (self-regulation), and daily, conscious attention to one's dietary intake when it comes to really pursuing wellness.

The Antioxidant Revolution
This fact sheet from the book represents the crux of Dr. Kenneth Cooper's take on antioxidants and the relationship of exercise to the production of free-radicals.

Beta-Carotene Controversy in Perspective
This article is by Jeffrey Bland, Ph.D., from Gig Harbor, WA. Dr. Bland is an aggressive, authoritative nutritionist and this essay is the best I've seen on carotene if you're interested in the recent anti-cancer controversy.

Pozforce DHEA Homepage
Purveyors of both DHEA and its natural precursors extract much of the "smart nutrient" literature and relate DHEA to the person with HIV. They suggest that cycling synthetic DHEA with natural precursors softens possible adverse effects while allowing clinical benefits to occur.

The Global Cycling Network
Cycling vacations, advocacy groups, and pages dedicated to racing make up a small part of this immense database. Cycling and swimming are generally easier on the back than running or jogging.

Inner Peace Music
Steven Halpern's splash page is elegant. As one godfather of newage consciousness music, he makes good music for combination with self-regulation techniques. Hit Halpern's "Links" for an interesting journey.

Biofeedback Webzine
Comprehensive excellent resource on biofeedback research and clinical practice. Virtual reality biofeedback games and other interesting applications await you.