Nutrients to Support Depression and Anxiety: Insights from Dr. Chris Palmer

Here at HEAL, we’re always emphasizing the connection between nutrition and mental health. For Mental Health Awareness Month, we are highlighting a leading Harvard psychiatrist's novel approach to mental health. These principles are taught at an introductory level in our lunch and learn, Busting Stress & Boosting Happiness.

On to the article…

Depression and anxiety affect over 280 million people worldwide (World Health Organization, 2021), and while therapy and medication are important tools, research increasingly supports the role of nutrition in improving mental health outcomes. Dr. Chris Palmer, a Harvard psychiatrist and pioneer of metabolic psychiatry, offers a powerful framework that connects brain function to metabolic health—emphasizing how nutrients can support the brain’s energy systems and emotional regulation.

At the core of Dr. Palmer’s work is the idea that many mental health conditions involve metabolic dysfunction in the brain, meaning the brain’s cells (neurons) are not producing or utilizing energy efficiently. This impairs neurotransmitter balance and stress resilience. By restoring metabolic health through nutrition, Palmer believes we can address root causes—not just symptoms.

1. Prioritize Protein and Essential Fats

Protein provides amino acids like tryptophan and tyrosine, which are precursors to serotonin and dopamine—neurotransmitters essential for regulating mood. Without enough protein, the brain may lack the raw materials it needs to function optimally.

In addition, omega-3 fatty acids, particularly EPA and DHA found in fatty fish, reduce inflammation and support neuronal structure and function. A 2016 meta-analysis found that omega-3 supplementation reduced depressive symptoms, especially when EPA content was higher than DHA (Grosso et al., 2016). Aim to include fatty fish like salmon or mackerel several times a week, or consider a high-quality supplement.

2. Stabilize Blood Sugar

Blood sugar spikes and crashes can cause irritability, fatigue, and anxiety. Dr. Palmer recommends a low-glycemic diet rich in non-starchy vegetables, quality proteins, and healthy fats to keep blood sugar levels stable. Research supports this: one study found that individuals with higher glycemic diets had a 23–38% increased risk of developing depression (Gangwisch et al., 2015).

Simple changes—like swapping processed carbs for fiber-rich vegetables or protein-based snacks—can significantly impact mood stability.

3. Micronutrients that Matter

Several vitamins and minerals are essential for brain health, neurotransmitter function, and mood regulation:

  • B Vitamins: Deficiencies in B12, folate, and B6 are common in people with depression. A 2020 review found that B vitamin supplementation improved symptoms of depression, especially in those with low baseline levels (Young, 2020).
  • Magnesium: Known as "nature’s relaxant," magnesium deficiency is linked to both anxiety and depression. A randomized controlled trial showed that magnesium supplementation significantly reduced depressive symptoms within 6 weeks (Tarleton et al., 2017).
  • Zinc: Zinc supports neurotransmission and neuroplasticity. A 2013 meta-analysis reported significantly lower zinc levels in depressed individuals, and supplementation was associated with symptom improvement (Swardfager et al., 2013).
  • Iron: Especially important for women, low iron impairs energy metabolism and mood. Iron deficiency anemia is associated with increased risk of depressive symptoms (Beard et al., 2005).
  • Vitamin D: Low vitamin D is linked to mood disorders, particularly in winter months or in people with limited sun exposure. A 2018 review found that vitamin D supplementation had a moderate effect on reducing depression, especially in those with low baseline levels (Vellekkatt & Menon, 2018).

Testing for and correcting deficiencies in these key nutrients can be a simple but transformative step toward better mental health.

4. Consider a Ketogenic Approach

Dr. Palmer has brought attention to the ketogenic diet—a high-fat, low-carb approach traditionally used to manage epilepsy—as a therapeutic option for mental health. Ketones provide a more efficient fuel for the brain, reducing oxidative stress and stabilizing energy production. Early clinical results show promise: in a 2022 case series led by Dr. Palmer, patients with major depression and schizophrenia following a ketogenic diet showed significant symptom reduction and improved functioning (Palmer et al., 2022).

While not for everyone, the ketogenic approach can be explored under medical supervision, especially for individuals not responding to conventional treatments.

Final Thoughts

Mental health is multifactorial, but Dr. Chris Palmer’s work makes one thing clear: the brain is a metabolic organ, and how we fuel it matters. By prioritizing high-quality proteins, essential fats, blood sugar stability, and nutrient density, we can help create a physiological environment that supports healing and resilience. For many, addressing nutritional deficiencies and improving metabolic function may be a crucial missing piece in their mental health journey.

References:

  • World Health Organization. (2021). Depression.
  • Grosso, G. et al. (2016). Omega-3 fatty acids and depression: a systematic review and meta-analysis of randomized trials. J Clin Psychiatry.
  • Gangwisch, J. E. et al. (2015). High glycemic index diet as a risk factor for depression. Am J Clin Nutr.
  • Young, L. M. (2020). The efficacy of B vitamin supplementation on mood. Nutrients.
  • Tarleton, E. K. et al. (2017). Role of magnesium supplementation in the treatment of depression: A randomized clinical trial. PLoS One.
  • Swardfager, W. et al. (2013). Zinc in depression: A meta-analysis. Biol Psychiatry.
  • Beard, J. L. et al. (2005). Iron deficiency alters emotional behavior and serotonergic neurotransmission in young rats. J Nutr.
  • Vellekkatt, F. & Menon, V. (2018). Vitamin D supplementation for depression: A meta-analysis. J Postgrad Med.
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