Review of Change Your Brain, Change Your Life: The Breakthrough Program for Conquering Anxiety, Depression, Obsessiveness, Anger, and Impulsiveness (Paperback)

Since both myself and a loved one have been diagnosed and treated at Amen's clinic, I'd like to respond to this book from the view of my actual experience.
First, I agree with most of the what is said in the other positive reviews. The book is engaging, informative, and most importantly, it offers a great deal of hope. It breaks new ground, and it allows the layman to make better sense of the complexities of brain biology, personality, and behavior. To those few reviewers who insisted that Amen does not actually tell us "how to change your brain" - this is simply not true. Amen offers a variety of options including traditional meds, (even a nice chart to help with the benefits of each), and alternative treatments such as herbal and dietary suggestions.
As many know, Amen's use of SPECT scans is very controversial. Although he has a following of professionals, he is also careful to say that the scans are NOT a primary diagnostic tool - only a way to confirm a tentative diagnosis. This may be because SPECT is not approved by the DSM, nor the APA(to my knowledge), as an accepted and reliable diagnostic tool for ADD or any of the other problems Amen discusses. Given the stodgy psychiatric mentality in the US toward new approaches, this should not be a problem in and of itself. Yet given the controversy, a serious flaw of the book is that it does not address the number and types of cases in which this approach does NOT work.
But I also want to offer some cautions to those who might be tempted to passively accept the book in its entirety.
1) In my own case, two Drs and a thrapist in Amen's own office had different interpretations of my loved-one's SPECT scan, yet there was no consultation among them to resolve the issue. 2) In this layman's view, the book also seems to show some inconsistency in interpreting the scans. Why does the same over-active image area become the diagnostic key in one case, but then seems irrelevant in another ?3) Again in my personal case, the drug protocol for my loved-one was the opposite as that described in the book. Despite my questions, this was never explained to me. 4) A recent read of another book by a different author using PET scans showed completely different parts of the brain producing some of the same symptoms as Amen describes. But I suppose this doesnt matter as long as the treatment works.
So what is the upshot of my review? My experience causes me to question the credibility of some parts of the book. Interpretation of these scans needs refinement, and Amen may need to get his own house in order as well. Yet, I have found no other professional who understands the intricacies of ADD and the associated problemsas well as he does. Amen truly cares, and this book is a 'must-read'. Regardless of the imperfections, his approach DOES work for many, many people. But do not be lulled into a passive acceptance by the enticing simplicity of the diagnosis and explanation.
Feel free to email me your thoughts. And to those dealing with the pain of ADD its related problems, I wish you peace and comfort. Remember that the heros in a race are not only those who win, but also those who continue to struggle until they finish.



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