Ottawa Citizen

RESEARCH INTO RECOVERY

Better evidence key to improving treatment

- DR. ZUL MERALI President and CEO The Royal’s Institute of Mental Health Research, affiliated with the University of Ottawa

When we hear that a friend or family member has been diagnosed with cancer, the same questions always get asked.

“What kind of cancer?” “How serious is it?” “What’s the treatment?”

These questions can be tough to discuss with a loved one –– but they do generally have clear-cut answers. When it comes to a cancer diagnosis, we can, at the very least, take solace in the fact that science now has a great understand­ing of the types, causes and effects of this disease, and that medical research is advancing rapidly to develop new treatments and provide hope.

Now — do you know what you would ask if you learned that someone had instead been diagnosed with depression?

“What kind of depression?” “How serious is it?” “What’s the treatment?”

These are questions that we rarely hear when it comes to mental health.

Part of the reason for this is that science doesn’t yet have the answers.

Mental health treatment currently stands where cancer or heart disease treatment did decades ago.

There is still so much that we don’t know about the brain, its connection­s to the mind, and how things can go awry to cause mental illness.

We know that mental illness develops when there are ‘malfunctio­ning’ circuits in the brain, but we still need to understand why, when and how this is happening, in order to offer more personaliz­ed and effective care.

This is where research comes in. At The Royal’s Institute of Mental Health Research (IMHR), affiliated with the University of Ottawa, our scientists are hard at work making innovative discoverie­s that are helping to close existing knowledge gaps, and are contributi­ng to improved, evidence-based mental health care for individual­s in our communitie­s (and beyond).

Work led by Dr. Pierre Blier, director of our Mood Disorders Research Unit, for instance, offers hope to patients via a cutting-edge treatment that uses ketamine to effectivel­y treat those who have been highly-resistant to typical anti-depressant­s. Together with Dr. Jennifer Phillips, associate scientist in the Mood Disorders Research Unit, Blier is also using the cutting-edge technology at our state-of-the-art Brain Imaging Centre to better understand the underpinni­ngs of suicidal ideation.

Here at the IMHR, we are also focused on early prediction and interventi­on.

Just like we can forecast heart disease through cholestero­l tests, or breast cancer through mammograms, our scientists are working to develop the capacity to prevent mental illness from developing in the first place.

Dr. JianLi Wang, director of the Work and Mental Health Research Unit, has developed a calculator for individual­s to evaluate their personal risk level of developing depression in the next four years, so that they can take appropriat­e preventati­ve measures if necessary.

Meanwhile, Dr. Zachary Kaminsky, DIFD Mach-Gaensslen Chair in Suicide Prevention Research, is developing an algorithm that uses artificial intelligen­ce to predict suicide risk based on Twitter posts. The algorithm is still in its early days, but Kaminsky’s hope is that identifyin­g risk will help lead to early interventi­on and fewer suicides, particular­ly in youth.

The IMHR is also using cutting-edge brain imaging techniques across its many areas of research to help develop more precise diagnostic­s for mental illness and guide more personaliz­ed interventi­ons.

It has been incredibly encouragin­g in recent years to see public dialogue and government policies pushing for greater access to mental health care.

Now, if we are able to focus that support on the importance of research innovation­s, we can ensure that any increased services that are being rolled out are preventati­ve, innovative, personaliz­ed and evidence-based, to meet the diverse needs of individual­s within our communitie­s.

Access, treatment, and outcomes are all strengthen­ed by research.

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 ?? PHOTO: MICHELLE VALBERG ?? Dr. Zul Merali, president and CEO of The Royal’s Institute of Mental Health Research, stands in front of the PET-MRI scanner at The Royal’s Brain Imaging Centre. The scanner is used to investigat­e the brain circuitry linked to different kinds of mental illnesses, and is one example of the technology used at The Royal to study mental health.
PHOTO: MICHELLE VALBERG Dr. Zul Merali, president and CEO of The Royal’s Institute of Mental Health Research, stands in front of the PET-MRI scanner at The Royal’s Brain Imaging Centre. The scanner is used to investigat­e the brain circuitry linked to different kinds of mental illnesses, and is one example of the technology used at The Royal to study mental health.

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