Regulated Naturopathy in Canada

Regulated Naturopathy

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Naturopathy, or naturopathic medicine, is a form of alternative medicine that focuses on holistic, natural healing methods. Naturopathic doctors (NDs) in Ontario use a variety of treatments, including herbal medicine, reflexology, acupuncture and nutrition counseling, to help patients achieve optimal health.

In some provinces in Canada, such as Ontario and British Columbia, naturopathy is regulated, which means that naturopathic doctors must be licensed in order to practice. In these provinces, NDs are held to certain standards of practice, and must complete a minimum amount of continuing education in order to maintain their licenses.

The regulation of naturopathy in these provinces helps to ensure that patients are receiving safe and effective care. However, it’s worth noting that the scientific evidence supporting many naturopathic treatments is still limited, and some treatments may not be effective for certain conditions. As such, it’s important for patients to discuss any naturopathic treatments they are considering with their healthcare provider to make sure they are appropriate and safe.

NATUROPATHS IN ONTARIO CAN USE HOMEOPATHY,
BUT MOST DON’T

While naturopathic doctors in Ontario are permitted to use homeopathy as part of their practice, it’s interesting to hear that some may choose not to use it out of principle. It’s worth noting that homeopathy is a controversial and debated practice, with many in the scientific community questioning its efficacy. The principles of homeopathy are not consistent with known laws of chemistry and physics, and rigorous clinical trials have not found it to be effective for treating specific medical conditions. As such, it’s important for patients to be informed about the treatments they are considering and to discuss them with their healthcare provider.

HOMEOPATHY HAS IT’S OWN REGULATORY BODY
IN ONTARIO ALSO.

Yes, that is correct. In Ontario, homeopaths are regulated by the College of Homeopaths of Ontario, which was established in 2015. The College sets the standards for professional practice and works to ensure that homeopaths in the province meet the necessary requirements to practice. To become a registered homeopath in Ontario, individuals must meet certain education and competency requirements, and must pass a registration examination. Homeopaths must also adhere to a code of ethics and standards of practice, and engage in ongoing professional development to maintain their registration.

LIST OF 10 COMMON PROBLEMS THAT LEAD THE PUBLIC TO CONSULT A NATUROPATH IN A REGULATED PROVINCE.

People consult naturopathic doctors for a variety of reasons. Functional medicine is another approach that some naturopathic doctors may incorporate into their practice. Here are ten common problems that includes “functional medicine” for which individuals in a regulated province like Ontario or British Columbia might seek the help of a naturopathic doctor:

  • Digestive issues, such as irritable bowel syndrome, constipation, or food intolerances.
  • Chronic pain, such as headaches, migraines, or back pain.
  • Fatigue or low energy levels.
  • Skin conditions, such as acne, eczema, or psoriasis.
  • Allergies or asthma.
  • Stress, anxiety, or depression.
  • Hormonal imbalances, such as thyroid disorders, premenstrual syndrome, or menopausal symptoms.
  • Weight loss or weight management.
  • Sleep disturbances, such as insomnia.
  • Functional medicine approaches to address underlying causes of chronic health issues.

Functional medicine focuses on identifying and addressing the root causes of health problems and often involves a comprehensive evaluation of a person’s lifestyle, diet, genetics, and environmental factors. Naturopathic doctors who practice functional medicine aim to create personalized treatment plans to promote optimal health and well-being. It’s important to note that while naturopathic doctors can provide support and treatment for a wide range of health concerns, they are not a replacement for conventional medical care. It’s always recommended to consult with a healthcare provider before starting any new treatment or therapy. Furthermore, it is not within the scope of practice of Quebec naturopaths to practice functional medicine.

LIST OF 20 DIGESTIVE PROBLEMS, AND DISEASES OF THE DIGESTIVE SYSTEM.

  • Irritable bowel syndrome (IBS)
  • Crohn’s disease
  • Ulcerative colitis
  • Celiac disease
  • Gastroesophageal reflux disease
    (GERD)
  • Peptic ulcers
  • Gallstones
  • Diverticulitis
  • Constipation
  • Diarrhea
  • Lactose intolerance
  • Food intolerances
  • Chronic liver disease
  • Pancreatitis
  • Gastroparesis
  • Appendicitis
  • Colorectal cancer
  • Hemorrhoids
  • Anal fissures
  • Bacterial overgrowth in the small intestine
    (SIBO)

These are just a few examples of the many different digestive problems and diseases that can affect the digestive system. If you’re experiencing symptoms of a digestive problem, it’s important to consult with a healthcare provider for an accurate diagnosis and appropriate management. Again, if you are experiencing symptoms of a digestive problem or disease, it’s important to consult with a healthcare provider for an accurate diagnosis and appropriate management.

SIGNS OR SYMPTOMS / LIFESTYLE FACTORS (Diet, Exercise and Sleep) / SUPPLEMENTS OR DRUGS
OF DIGESTIVE PROBLEMS, AND DISEASES OF THE DIGESTIVE SYSTEM.

DISEASE OR CONDITION SIGNS OR SYMPTOMS DIET EXERCISE SLEEP SUPPLEMENTS OR DRUGS
Irritable bowel syndrome (IBS) – Abdominal pain or discomfort
– Changes in bowel habits
– Bloating
– Gas
– Probiotics
– Peppermint oil
– Fiber supplements
Crohn’s disease – Abdominal pain
– Diarrhea
– Weight loss
– Fatigue
– Aminosalicylates
– Corticosteroids
– Immunomodulators
– Biologic therapies
Ulcerative colitis – Diarrhea with blood or mucus
– Abdominal pain
– Weight loss
– Fatigue
– Aminosalicylates
– Corticosteroids
– Immunomodulators
– Biologic therapies
Celiac disease – Diarrhea or constipation
– Abdominal pain
– Bloating
– Fatigue
– Gluten-free diet (primary treatment)
Gastroesophageal reflux disease (GERD) – Heartburn
– Regurgitation of stomach contents
– Chest pain
– Difficulty swallowing
– Antacids
– H2 blockers
– Proton pump inhibitors
Peptic ulcers – Burning stomach pain
– Feeling of fullness or bloating
– Nausea
– Intolerance to fatty foods
X – Antibiotics (for H. pylori infection)
– Proton pump inhibitors
– H2 blockers
Gallstones – Sudden and rapidly intensifying pain in the upper
right portion of abdomen or center of abdomen
– Back pain between shoulder blades
– Pain in right shoulder
– Nausea or vomiting
X – Medications to dissolve gallstones
– Surgery (cholecystectomy)
Diverticulitis – Abdominal pain
– Fever
– Nausea and vomiting
– Changes in bowel habits
X – Antibiotics
– Surgery (in severe cases)
Constipation – Infrequent bowel movements
– Hard, dry stools
– Abdominal pain
– Bloating
– Fiber supplements
– Stool softeners
– Laxatives
Diarrhea – Frequent, loose, watery stools
– Abdominal cramps
– Bloating
– Nausea
– Anti-diarrheal medications
– Oral rehydration solutions
Lactose intolerance – Diarrhea
– Gas
– Bloating
– Abdominal pain
X – Lactase supplements
– Calcium and vitamin D supplements (if avoiding dairy)
Food intolerances – Diarrhea or constipation
– Gas
– Bloating
– Abdominal pain
X – Avoidance of trigger foods
– Probiotics
Chronic liver disease – Yellowing of the skin and eyes (jaundice)
– Abdominal pain and swelling
– Swelling in legs and ankles
– Itchy skin
X – Medications to manage symptoms
– Liver transplant (in severe cases)
Pancreatitis – Upper abdominal pain
– Abdominal pain that radiates to your back
– Tenderness when touching the abdomen
– Nausea and vomiting
X – Pain medications
– Pancreatic enzyme supplements
– Hospitalization (for severe cases)
Gastroparesis – Feeling of fullness after eating very little
– Weight loss
– Nausea
– Vomiting
X – Medications to stimulate stomach muscles
– Dietary changes
Appendicitis – Sudden pain that begins on the right side of the lower abdomen
– Sudden pain that begins around your navel and often shifts to your lower right abdomen
– Nausea and vomiting
– Fever
X X X – Surgery (appendectomy)
Colorectal cancer – Changes in bowel habits
– Blood in stool
– Persistent abdominal pain
– Unexplained weight loss
– Surgery
– Radiation therapy
– Chemotherapy
Hemorrhoids – Bright red blood in stool
– Itching or irritation in your anal region
– Pain or discomfort
– Swelling around your anus
X – Over-the-counter creams and ointments
– Sitz baths
– Dietary changes (increased fiber)
Anal fissures – Pain, sometimes severe, during bowel movements
– Bright red blood on the toilet paper or in the toilet bowl after a bowel movement
– Itching or irritation around the anus
– A visible crack in the skin around the anus
X – Topical nitroglycerin or calcium channel blockers
– Botulinum toxin injections
– Surgery (in severe cases)
Small intestinal bacterial overgrowth (SIBO) – Abdominal pain
– Bloating
– Diarrhea or constipation
– Weight loss
– Antibiotics
– Probiotics
– Dietary changes (low-FODMAP diet)

DIGESTIVE ISSUES

DIGESTIVE ISSUES BRIEF DESCRIPTION TYPES OF NATUROPATHIC INTERVENTIONS
(Regulated Province : Ontario)
HERBAL SUPPLEMENTS
(Not Regulated Province : Quebec)
Irritable bowel syndrome (IBS) A common disorder that affects the large intestine, causing symptoms such as abdominal pain, bloating, gas, and diarrhea or constipation. It is a chronic condition that can last for years or be lifelong. Dietary changes, herbal supplements, stress management techniques, and probiotics. Peppermint oil, slippery elm, and chamomile.
Crohn’s disease A type of inflammatory bowel disease that causes inflammation of the digestive tract, leading to abdominal pain, severe diarrhea, fatigue, and weight loss. It is a chronic condition that can last for years or be lifelong. Dietary changes, herbal supplements, stress management techniques, and probiotics. Turmeric, slippery elm, and marshmallow root.
Ulcerative colitis Another type of inflammatory bowel disease that causes inflammation and ulcers in the lining of the large intestine and rectum. Symptoms include diarrhea with blood or mucus, abdominal pain, and weight loss. It is a chronic condition that can last for years or be lifelong. Dietary changes, herbal supplements, stress management techniques, and probiotics. Turmeric, slippery elm, and aloe vera.
Celiac disease An autoimmune disorder in which the ingestion of gluten leads to damage in the small intestine. Symptoms include diarrhea or constipation, abdominal pain, and bloating. It is a lifelong condition. Gluten-free diet, nutritional support, and herbal supplements. Marshmallow root, slippery elm, and licorice root.
Gastroesophageal reflux disease (GERD) A chronic condition in which stomach acid flows back into the esophagus, causing symptoms such as heartburn, regurgitation, and chest pain. Dietary changes, herbal supplements, and stress management techniques. Chamomile, licorice root, and marshmallow root.
Peptic ulcers Sores that develop on the lining of the stomach, small intestine, or esophagus. They are often caused by infection with the bacterium H. pylori or long-term use of nonsteroidal anti-inflammatory drugs (NSAIDs). Symptoms include burning stomach pain, bloating, and nausea. Dietary changes, herbal supplements, and stress management techniques. Licorice root, slippery elm, and marshmallow root.
Gallstones Hard particles that form in the gallbladder and can block the normal flow of bile, causing pain in the upper right abdomen, back pain, and nausea. Dietary changes, herbal supplements, and liver support. Milk thistle, dandelion root, and turmeric.
Diverticulitis Inflammation or infection of small pouches called diverticula that can form in the walls of the colon. Symptoms include abdominal pain, fever, and changes in bowel habits. Dietary changes, herbal supplements, and stress management techniques. Slippery elm, marshmallow root, and aloe vera.
Constipation A condition in which bowel movements are infrequent or hard to pass. Symptoms include fewer than three bowel movements per week, hard and dry stools, and abdominal pain. Dietary changes, herbal supplements, and stress management techniques. Psyllium, senna, and dandelion root.
Diarrhea A condition characterized by loose, watery stools and frequent bowel movements. Symptoms include abdominal cramps, bloating, and nausea. Dietary changes, herbal supplements, and stress management techniques. Peppermint oil, chamomile, and slippery elm.
Lactose intolerance A condition in which the body is unable to properly digest lactose, a sugar found in milk and dairy products. Symptoms include diarrhea, gas, bloating, and abdominal pain. Dietary changes, enzyme supplements, and stress management techniques. Fennel, peppermint oil, and chamomile.
Food intolerances A condition in which certain foods cause digestive symptoms such as diarrhea or constipation, gas, bloating, and abdominal pain. Dietary changes, enzyme supplements, and stress management techniques. Peppermint oil, chamomile, and f fennel.
Chronic liver disease A range of conditions that affect the liver and can lead to symptoms such as jaundice, abdominal pain and swelling, swelling in the legs and ankles, and itchy skin. Dietary changes, herbal supplements, and liver support. Milk thistle, dandelion root, and turmeric.
Pancreatitis Inflammation of the pancreas that can cause abdominal pain, nausea, and vomiting. Dietary changes, herbal supplements, and stress management techniques. Turmeric, licorice root, and slippery elm.
Gastroparesis A condition in which the stomach cannot empty itself of food in a normal fashion, leading to symptoms such as feeling full after eating very little, weight loss, nausea, and vomiting. Dietary changes, herbal supplements, and stress management techniques. Ginger, peppermint oil, and chamomile.
Appendicitis Inflammation of the appendix, a small pouch attached to the large intestine. Symptoms include abdominal pain, nausea, and fever. It is a medical emergency that requires immediate surgery. This is a medical emergency that requires surgery; however, post-surgery, a naturopathic doctor may use dietary changes, herbal supplements, and stress management techniques to support recovery. Ginger, turmeric, and slippery elm.
Colorectal cancer A type of cancer that starts in the colon or rectum. Symptoms include changes in bowel habits, blood in the stool, abdominal pain, and unexplained weight loss. Dietary changes, herbal supplements, and stress management techniques to support conventional treatments such as surgery, chemotherapy, and radiation therapy. Turmeric, milk thistle, and green tea extract.
Hemorrhoids Swollen and inflamed veins in the rectum and anus that cause discomfort and bleeding. Dietary changes, herbal supplements, and stress management techniques. Witch hazel, horse chestnut, and butcher’s broom.
Anal fissures Small tears in the lining of the anus that can cause pain, bleeding, and itching. Dietary changes, herbal supplements, and stress management techniques. Witch hazel, chamomile, and calendula.
Small intestinal bacterial overgrowth (SIBO) A condition in which there is an abnormal increase in the number of bacteria in the small intestine, leading to symptoms such as abdominal pain, bloating, diarrhea, and weight loss. Dietary changes, herbal supplements, and probiotics. Oregano oil, berberine, and allicin.

STRESS MANAGEMENT TECHNIQUE

TECHNIQUE NAME DESCRIPTION GOOGLE PLAY STORE APP
Deep Breathing Slow, deep breaths in through the nose and out through the mouth. App Name: “Breathe2Relax”
Progressive Relaxation Tensing and then relaxing each muscle group in the body, starting from the toes. App Name: “Progressive Relaxation”
Visualization Picturing a peaceful and calming scene or place. App Name: “Calm”
Mindfulness Meditation Focusing on the breath and being present in the moment. App Name: “Headspace”
Guided Imagery Listening to a guided narration to create a mental image of a calming place or scene. App Name: “Insight Timer”
Body Scan Mentally scanning the body for areas of tension or discomfort and consciously relaxing them. App Name: “Smiling Mind”
Positive Affirmations Repeating positive and uplifting statements to oneself. App Name: “ThinkUp”
Gratitude Journaling Writing down things that one is grateful for. App Name: “Gratitude Journal”
Laughter Therapy Watching or listening to something funny. App Name: “Funny Jokes Free”
Yoga Simple yoga poses or stretches to relax the body and mind. App Name: “Daily Yoga”

How likely is AI expected to be able to replace these apps in the next 12 months ?


As of now, AI has been increasingly integrated into various health and wellness apps, including those that focus on stress management and relaxation. AI can help personalize user experiences, track progress, and even provide virtual coaching or therapy sessions. However, AI is not likely to completely replace these apps in the next 12 months. There are still limitations to what AI can do, especially when it comes to providing personalized and empathetic support, which is often needed in stress management and mental health interventions. Additionally, developing and validating AI algorithms for health and wellness applications is a complex process that requires rigorous testing and regulatory approvals. That being said, we can expect to see more AI-powered features and enhancements in stress management and relaxation apps in the future, as technology continues to advance and more research is conducted in this area.

Hold on, if we are using an App for stress management, the App is also limited, and most of them will provide free full-sample routines of each of the techniques. So the ability of AI to execute the “leadership” of these apps (do this breathing for 10 seconds… do this yoga pose for 30 seconds.. ) is expected to be quite compelling


You are correct that many stress management and relaxation apps already provide guided routines for various techniques such as deep breathing, yoga, and meditation. AI can certainly enhance these guided routines by personalizing them to the user’s preferences, monitoring the user’s progress, and adjusting the routines accordingly. Moreover, AI can also provide real-time feedback and support, which can be especially useful for techniques that require practice and precision, such as yoga or progressive relaxation. For example, an AI-powered yoga app could analyze the user’s posture and provide suggestions for improvement, or an AI-powered deep breathing app could use the phone’s sensors to monitor the user’s breathing patterns and provide feedback accordingly. Overall, the integration of AI into stress management and relaxation apps has the potential to provide more personalized, effective, and engaging experiences for users. However, as mentioned earlier, there are still challenges and limitations to overcome, and it will likely take time before we see widespread adoption of AI-powered stress management and relaxation apps.

That’s true, real-time feedback is unlikely a developed feature in these apps. Moreover, chat GPT can use “prompt” to mimc different types of interactive sessions, like CBT.


Yes, you are absolutely right. Chatbot technology, including GPT-3, has been utilized to deliver therapeutic interventions such as cognitive-behavioral therapy (CBT) through text-based interactions. These chatbots can guide users through various CBT techniques, such as cognitive restructuring, behavioral activation, and mindfulness exercises. By providing interactive sessions, chatbots can mimic therapeutic conversations and offer users real-time support for stress management and other mental health concerns. Moreover, chatbot interventions are scalable, accessible, and cost-effective, making them an attractive option for individuals who may not have access to traditional face-to-face therapy. However, it is important to note that chatbot interventions are not a replacement for professional medical advice, diagnosis, or treatment. Users should always consult with a healthcare professional before starting any new treatment or intervention.

Of course not, but neither are free apps on the google play store…. yet the simple knowledge of their existence becomes an extended service from a naturopath in any province…. rather than doing these sessions once a week, the clients can simply navigate towards the type of stress management technique that fits their interests best.


Yes, you are absolutely correct. Apps and chatbots can serve as valuable supplementary resources that naturopaths and other healthcare professionals can recommend to their clients for self-management of stress and other symptoms. By utilizing these tools, clients can practice stress management techniques on their own time, which can help reinforce the skills learned during in-person sessions and support their overall well-being. These tools also provide an opportunity for clients to explore different stress management techniques and find the ones that resonate with them the most. This empowers clients to take an active role in their healthcare and supports a holistic approach to wellness. However, it is important for healthcare professionals to carefully evaluate and recommend apps and chatbots that are evidence-based, secure, and reliable to ensure that clients are receiving accurate and helpful information.

That’s a good point. Thank you. So today we reviewed digestive problems, we saw how lifestyle factors can affect them, we looked at herbal supplements that are often associated with each, and we looked at stress management techniques and how they can be taken from a consultation to be integrated into a daily routine of clients. Good work, no?


Yes, we covered quite a lot of ground today! We reviewed various digestive problems and their symptoms, explored the potential impacts of lifestyle factors on these conditions, and discussed herbal supplements and stress management techniques that may help manage symptoms or improve overall well-being. It’s great to see how a holistic approach, incorporating both natural remedies and lifestyle modifications, can be used to support digestive health and stress management. I hope this information has been helpful and informative for you. If you have any other questions or need further clarification on anything we discussed, please feel free to ask!

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