Mind Over Matter
(M.O.M.)
U of M Depression Center Funds

The University of Michigan Depression Center is honored and grateful for being chosen as one of the two recipients of the proceeds from the Mind Over Matter (M.O.M.) race. The gifts to the Depression Center have been used to further the research of Stephan Taylor, M.D., an Associate Professor of Psychiatry at the University of Michigan Medical School. Dr. Taylor has extensive experience with the treatment of schizophrenia and related psychotic disorders. One of the major focuses of Dr. Taylor’s research is to seek a better understanding of the cognitive-emotional disturbances which characterize this devastating illness.

As director of the Psychiatric Neuromodulation Program at the Depression Center, Dr. Taylor uses transcranial magnetic stimulation and deep brain stimulation - techniques that actively change neural transmission through magnetic and electrical currents in the brain. These techniques advance our understanding of normal and abnormal brain function, and they can 'modulate' or alter nerve function to effectively treat symptoms of depression, obsessive compulsive disorder and schizophrenia.

In other work, Dr. Stephan Taylor and his colleagues are examining the brain scans of persons receiving treatment for schizophrenia, but who still have persistent symptoms of the illness. According to Dr. Taylor, "At least 50 % of patients with schizophrenia still have significant symptoms, even with treatment. By tracing some of the brain circuits that control emotion, we hope to develop some clues as to why some patients don't completely recover with our medications. Clearly, we know the meds don't work as we would like them to work, and we need to know more about these patients."

One of the areas of investigation concerns stress and emotion in schizophrenia. Stress is a well-known trigger of psychotic breaks, and people with the illness often have a difficult time handling stress, even minor stresses, like going out to the grocery store. They also often have trouble understanding how to 'read' and use emotions in social situations, which may contribute to their social stress. Although clinicians have known for some time about the importance of helping patients manage stress, particularly social stress, they know very little about what happens in the brain that makes these patients so vulnerable.  The vulnerability to stress is a common characteristic of young persons on the verge of a psychotic break, and steps to better identify what leads to psychosis may help design better strategies to prevent it. 

Dr. Taylor has been using brain imaging, with functional magnetic resonance imaging (known as 'fMRI'), to study understand how the brains of people with schizophrenia differ from individuals without schizophrenia.  One area of interest concerns the connections between brain regions, since many of the symptoms of stress sensitivity and psychosis might reflect impairments in the ability of brain regions to 'talk to' one another. 



The figure, from a study recently published in Schizophrenia Bulletin and partially funded by the M.O.M. Foundation, shows how healthy subjects show connections between the thalamus and the anterior cingulate cortex, a circuit thought to be important for regulating emotions and higher cognitive functions.  The people with schizophrenia did not show this connection.  By identifying 'circuits' that do not function properly, medications may be better targeted, for example, to help restore the connections between brain regions.

With the proceeds from the first M.O.M. Race, Dr. Taylor established the “Boledovich Schizophrenia Research Fund”. Subsequent race proceeds donated to this fund have significantly enhanced Dr. Taylor’s research project by providing his team with the additional support of a graduate student who processes the data collected by Dr. Taylor and his colleagues as they study the brain images of schizophrenic patients. The generous donations from Mind over Matter Foundation and any future gifts to the Boledovich Schizophrenia Research Fund will speed up our understanding of this devastating illness, leading the way to more effective treatments and one day, hopefully, a cure.

Sincerely,

Nancy Davis
Development Officer
University of Michigan Depression Center
4250 Plymouth Road
Ann Arbor, Michigan 48105
TEL: 734-763-5680
FAX: 734-936-9761
www.depressioncenter.org
nandavis@umich.edu