Brad Lichtenstein, ND, BCB, and Katie Stage, ND, RH (AHG) with INM & AANP
- Social, economic and cultural factors are often at the root of preventable chronic disease
- During medical school, NDs complete an average of 150 classroom hours of behavioral medicine education
- NDs utilize a broad range of therapies including: dietary and lifestyle interventions, stress reduction, psychotherapy, and counseling
- ND medical students refine and apply learnings in over 1,200 hours of clinic rotations with patients
- NDs engage patients step-by-step to make and sustain lifestyle and behavior changes
FAQ #25 What advanced training do naturopathic doctors have in behavioral medicine?
Individual behavior is one of the most important influencers of your health. Your lifestyle and the conditions in which you grow up, live, work, and age shape your well being. In addition to diet, exercise, and other lifestyle behaviors, social, economic and cultural factors are often at the root of preventable chronic disease. In fact, up to 70 percent of primary care visits are driven by psychological and/or social factors. But too often primary care providers do not spend enough time addressing these issues.
Licensed naturopathic doctors (NDs), who are trained to treat the whole person, take the time to address multiple causes of health concerns. Appointments are guided by the Therapeutic Order, a natural approach to therapeutic intervention used to help discover and evaluate multiple obstacles to healing, including social, cultural, cognitive, environmental, emotional, and other factors impacting your health. During medical school, NDs complete an average of 150 classroom hours of behavioral medicine education. Because of their rigorous training, naturopathic doctors go far beyond treating physical symptoms; they help patients understand and address the underlying social, emotional, and psychological patterns that influence health.
Naturopathic doctors are trained to utilize a broad range of therapies including dietary and lifestyle interventions, stress reduction, psychotherapy, and counseling. They have the knowledge and experience to empower patients to make and sustain lifestyle changes that improve health and lower healthcare costs.
Areas of Course Concentration
Behavioral medicine and lifestyle counseling are taught in a series of courses that build upon each other through an ND’s four-year, science-based medical education. Naturopathic medical schools are accredited and are recognized by the United States Department of Education. In addition to classroom study, naturopathic medical students refine and apply learnings in various settings, including over 1,200 hours of clinic rotations with patients. Areas of course concentration include:
- Patient-physician interactions, addressing patient-centered listening, motivational interviewing, and developing the doctor-patient relationship
- Psychopathology, focusing on biological and psycho-social bases of psychological conditions, including clinical assessment using DSM criteria for diagnosis of mental disorders
- Lifestyle change/behavior change, including biological and psychological factors, health risk and health promotion factors, medical decision making, and medical adherence
- Counseling, including evidence-based behavioral medicine treatment and mind-body medicine techniques such as: mindfulness, therapeutic exercise/yoga, biofeedback, progressive muscle relaxation, breath work, meditation, and guided visualization
- Addictions and disorders, focusing on the nature and treatment of addictions, including neurological, biochemical, cognitive, emotional, and socio-political factors
- Nervous system and mental health, focusing on evaluation tools and therapies for nervous system and common mental health related conditions, employing evidence-based practices of nutrition, botanical medicine, and pharmacology
- Social & cultural issues in health care, focusing on social determinants of health and chronic disease including: socioeconomic status, social support, socio-demographics, social inequalities, and psychosocial stressors
How NDs Apply This Practice
When you see a naturopathic doctor, they will take the time to understand your concerns and symptoms in the context of your lifestyle, behavior, and social-cultural environment. By examining the details of your diet, stress level, sleep, physical activity and more, they aim to identify the underlying causes of your health concerns.
Naturopathic doctors engage patients step-by-step to make lifestyle and behavior changes, and they empower them to sustain these changes. This kind of empowerment leads to greater patient satisfaction, better health outcomes, and lower costs. NDs are also trained to recognize when you need more specialized mental health care, and will collaborate with and refer to mental health specialists when appropriate.
*** Use of the term psychotherapy may vary based on jurisdictional legislation.
The AANP and INM would like to acknowledge Brad Lichtenstein, ND, BCB, Bastyr University
Associate Professor and Katie Stage, ND, RH (AHG), Southwest College of Naturopathic Medicine Division Director of Therapeutics for their contributions to the content of this FAQ.