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Last Updated on February 1, 2021

4 Steps of Cognitive Restructuring to Help You Think Clearly

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4 Steps of Cognitive Restructuring to Help You Think Clearly

Humans are guilty of having less than rational thoughts. We might assume the worst is going to happen or jump to conclusions before we have all the information. Cognitive restructuring helps people become aware of their irrational thoughts so that they can correct them and replace them with more rational ways of thinking, which can help to alleviate symptoms of anxiety, depression, stress, anger, and trauma.

Cognitive restructuring is a major part of Cognitive Behavioral Therapy, which was developed by Aaron Beck in the 1960s. Beck linked his patients’ symptoms with their distorted thinking and hypothesized that if he could help his patients recognize their distorted thinking, he could help them alleviate their mental health symptoms.[1]

David Burns then popularized Beck’s ideas in the 1980s with his book Feeling Good.[2]

Cognitive restructuring is at the heart of Cognitive Behavioral Therapy (CBT). It is the four-step process that helps people recognize their distorted thoughts in order to change them.

Cognitive Distortions

I spoke with Margot Escott, LSCW[3] about how she uses cognitive restructuring in her therapy practice in Naples, Florida, and she explained that she begins the process by making her clients aware of the types of cognitive distortions.

Escott hands her clients a list of cognitive distortions[4] and asks them to spend a week thinking about which ones resonate with them.

The following are examples of various cognitive distortions:

Mental Filtering

This happens when a person picks out only one (usually negative) detail of a situation and focuses only on the emotions and behaviors associated with it.

For example, perhaps a son throws a surprise birthday party for his mom. Everything goes off without a hitch, but the cake ends up being the wrong flavor. With mental filtering, the son will focus on that one detail and feel that the whole thing was a failure.

Black and White Thinking

When this occurs, a person cannot see any middle ground and perceives a situation as all or nothing.

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Overgeneralization

Overgeneralization is very common and happens when a person jumps to a conclusion without enough information.

Catastrophizing

This way of thinking comes about when a person thinks the worst outcome will occur. This often happens with people who fear flying. Despite the fact that flying is the safest form of travel, they will begin to believe the plane will crash each time they get on one.

Personalization

Generally occurring in people with low self-esteem or paranoia, this happens when someone thinks that everything people do or say is about them.

Should Statements

These statements come about when someone compares themselves and others to perceived universal standards. We may see this in young girls who, after seeing commercials advertising beauty products, begin to say “I should be thinner/prettier.”

Mind Reading

This can happen when someone assumes what someone else is thinking without verification.

Fortune Telling

People are generally very concerned about the future, and this can lead some to assume how things will unfold, usually through negative thought patterns.

Emotional Reasoning

This happens when a person assumes their emotions reflect how reality actually is.

Labeling

Labeling comes about when someone makes broad statements or generalizations about themselves or others based on situation-specific behavior. For example, if you make a mistake and conclude that you are dumb or a failure, this is labeling.

Each list of cognitive distortions is different, but this will give you a general idea of the kind of irrational thinking cognitive restructuring aims to correct.

The 4 Steps of Cognitive Restructuring

When you seek to engage in cognitive restructuring, there are four major steps you will need to follow.

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1. Make It Conscious

The process starts by making our automatic thoughts conscious. The first step requires you to take a kind of inventory of your potentially problematic ways of thinking. Before you can change your thoughts, you have to become aware of how you’re thinking—no judgment or correction yet.

You can take an inventory of your automatic thoughts for a week, or you can explore them in therapy with a trained professional. Escott asks her clients to identify cognitive distortions they noticed during one week.

Either way, the first step is essential because we can’t correct problematic, automatic thinking without becoming aware of what we’re thinking in the first place.

2. Evaluate It

Next, it’s time to begin generating more rational thoughts. Once you’ve taken an inventory of your thoughts, you can start to sort out which ones seem rational and which ones don’t.

For example, if you say something like, “I’m never going to meet my life partner,” you can lump this thought into the unproductive/unhealthy/negative category because you aren’t a fortune teller and certainly don’t know whether or not you’ll meet someone.

Step 2 establishes that this is a thought worth changing.

3. Get Rational

Once we’ve identified a thought as problematic or unhealthy, we can identify why it’s problematic in the first place. This is when we begin to ask why we think this is true, whether it really is true, and how often it’s true.

The idea behind step 3 is to identify how our thinking is a cognitive distortion and what the reality actually is.

4. Replace It

Finally, generate alternatives to the cognitive distortion with a more rational thought. Our automatic thoughts are habitual, so the idea isn’t to stop cognitive distortions but to catch ourselves when we’re distorting reality and quickly replace the distortion with a more rational thought.

If I catch myself thinking that my boss hates me, I need to remind myself that I’m mind reading. Then, every time I catch myself in the act of mind reading that my boss hates me, I can replace that distortion with something like, “I don’t know whether or not my boss hates me unless I ask, but I do know that I got a positive performance review and a raise last month.”

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The idea is to replace cognitive distortions with more rational ways of thinking, but this requires a lot of reflection and self-awareness. You can certainly try it on your own, but it’s often better to have a trained professional guide you through the process.

Example of Cognitive Restructuring

Let’s say I catch myself catastrophizing. I notice that sometimes I say that I will lose my job and not be able to pay my bills and then lose my home and my family.

Cognitive restructuring asks me to confront that cognitive distortion[5].

Cognitive restructuring - Dawnguide

    The first step is for me to become aware of that thought and catch myself every time I slip into catastrophizing.

    Next, I ask myself if it’s true, and if you’re trying to predict the future, you can know this isn’t true. This is where mindfulness practice comes in handy.[6] According to Escott, mindfulness is a great way for people to practice living more in the present moment, which can also reduce some cognitive distortions, such as catastrophizing.

    Now, I don’t know whether or not I will lose my job, and I can’t even answer how often this cognitive distortion is true, so I move on to step 3.

    Now, you should reflect through specific questions. Why do I think I’m going to lose my job? Maybe my parents lost their jobs, which added a lot of stress to the family when I was a child. Maybe I feel like an imposter and am not confident about some of my financial decisions.

    In step 3, I come up with something more rational. I can start telling myself that I don’t know whether or not I’m going to lose my job. All I can focus on is doing the best job I can. If there is a chance I will lose my job, I can spend time networking on LinkedIn instead of catastrophizing.

    I can also tell myself that linking the loss of my job with losing everything is not rational. I can make a list of all the things I could do if I actually did lose my job that would prevent me from losing the other things in my life.

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    Finally, I replace “I’m going to lose my job” with a more rational thought each time I catch myself catastrophizing. I might remind myself, “I don’t know the odds of me losing my job, but I do know that I have seniority and just got a raise. And if I do lose this job, I could always go back to working at my father-in-law’s store.”

    It’s probably better to be pithier when you’re replacing automatic distortions, but this gives you a good idea of how to get started.

    Effectiveness of Cognitive Restructuring

    Science has shown that cognitive restructuring works. In one study[7], cognitive restructuring was more effective in reducing anxiety and worry than a control group and a group that was taught relaxation techniques.

    The idea is that cognitive restructuring forces people to fix their automatic thoughts. Escott explains that this process is effective because our thoughts become our feelings, which affect our overall well-being.

    The Bottom Line

    Cognitive restructuring addresses the root of the problem: our cognitive distortions. So, the next time you catch yourself overgeneralizing or catastrophizing, take a step back. Ask yourself if that’s really true and how often it’s true. Develop a more rational line of thinking and then replace the distortion with a more realistic thought.

    Cognitive restructuring may not be as easy as 1, 2, 3, 4, but if you’re willing to get reflective and self-aware and do the work, it can have measurable effects on reducing your trauma, stress, anger, and depression, and anxiety symptoms.

    I want to reiterate that Cognitive Behavioral Therapy is a modality best done by trained professionals. For those of you who need help or want to get deeper into Cognitive Behavioral Therapy and cognitive restructuring, please search for trained mental health professionals in your area.

    More Tips on Changing Your Thoughts

    Featured photo credit: Benjamin Davies via unsplash.com

    Reference

    More by this author

    Clay Drinko

    Clay Drinko is an educator and the author of PLAY YOUR WAY SANE (January 2021 Simon & Schuster)

    How to Tap into Your Right Brain’s Potential How to Think Smart (If You Think You’re Not Smart Enough) 7 Proven Ways to Strengthen Your Long Term Memory What Is a Fixed Mindset And Can You Change It? 9 Steps to Make Self-Regulated Learning More Effective

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    Published on August 9, 2021

    12 Best Brain Foods To Help You Focus Like A Laser

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    12 Best Brain Foods To Help You Focus Like A Laser

    Do you ever feel like your brain can function better than it is currently? Have you ever had moments of laser sharp focus and wished they stayed with you forever?

    We have all had those moments where we found ourselves being super productive and having lengthened periods of concentration and focused attention, and if there was a way we could make such kind of mental state a permanent state for us, we would definitely go for it.

    And while we cannot make the state come back and stick with us forever in just an instant, there is a way we can slowly cultivate it in our lives in the long term.

    One of these ways is by being keen on eating brain boosting foods. Some foods enhance the regions of the brain that are linked to concentration, focus, reasoning, thinking abilities, and overall brain health. By eating these foods regularly, you can also improve your brain function and slowly work to a healthy and well performing brain.

    Let’s take a closer look at the 12 best brain foods to take to boost your focus and overall mental health.

    1. Coffee

    Coffee is among the most popular beverages that sharpen your focus and increase productivity. Millions of people across the world rely on it to help them through demanding tasks at work and assignments at school.

    The reason why coffee has proven to be effective over the years is due to the two components in it that largely enhance the brain.

    These components are antioxidants and caffeine.

    Antioxidants help with protecting the brain from common mental health conditions such as stroke, Parkinson’s disease, cognitive decline and Alzheimer’s disease.[1][2]

    Caffeine, on the other hand, is responsible for influencing the brain in various positive ways including blocking out a brain chemical called Adenosine that makes you want to sleep and increasing the levels of serotonin neurotransmitters which in turn boosts your mood, increase your level of alertness and concentration.[3][4][5][6]

    However, it is important to note that taking coffee with moderation is the way to make the most of it. If you take more than 4 cups a day, you might be setting yourself up for the nasty side effects that come with it which are restlessness and inability to sleep.[7]

    Striking a good balance between coffee and other beverages will help you avoid the chances of experiencing the side effects. You can try drinking coffee only on those days you want to tackle tedious tasks, and only when you are working on them to maximize its effects in your life.

    2. Fatty Fish

    When the words fatty fish are mentioned, you naturally direct your attention to salmon, pollack, cod, sardines, mackerel and tuna.

    These contain omega 3 fatty acids, which are known to help with improving learning abilities and memory, not to mention helping with building nerve and brain cells.[8][9][10][11]

    Improved cognitive performance brought about by omega 3 fatty acids can be attributed to the fact that they help increase flow of blood in the brain. [12]

    Also, when it comes to general mental health, eating oily or fatty fish helps to delay the mental decline that comes with age, as well as depression and reduce learning problems. [13] [14]

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    Omega 3 has also been associated with the lowering of the protein called Beta-amyloid in the brain that is responsible for forming destructive clamps in people who struggle with Alzheimer’s.[15]

    You are encouraged to add fatty fish to your eating plan and consider having it often.

    Also, if you would like to obtain omega 3 fatty acids without having to feel like you have to eat fish every time, you can use other alternatives such as walnuts, flaxseeds and avocados. They are also good sources of omega 3.

    3. Maca

    Maca is a plant from Peru that is grown in Central Andes and has been cultivated a little over 2000 years now. Its scientific name is Lepidium meyenii and is used as a foodstuff as well as a medicinal plant.

    It is said to bring about many health benefits including boosting learning abilities and memory, improving mood, increasing energy levels and endurance, improving sexual health in men, and regulating blood pressure.[16]

    When it comes to the mental health benefits, Peruvian natives in the Central Andes attribute their children’s good academic performance to regular use of maca.[17]

    While there are different varieties of maca, studies have found that the black variety is the one that shows strong effects on mental health improvement, and both hydroalcoholic maca extract and boiled aqueous maca extract have the same effect on the brain.[18]

    Scientific studies on maca are still in their infancy and the cause of the effects that it has shown are not yet fully established. However, it is suggested that Macamides, which are maca compounds, might be behind its potency.[19]

    You can add maca to your smoothies, energy bars, oatmeal, and any baked foods to enjoy its benefits.

    4. Green Tea

    Green tea is another known stimulant that helps you remain alert. It contains two compounds that go a long way in influencing the brain.[20]

    First, it contains caffeine which accounts for the alertness.

    Although coffee contains a much higher quantity of caffeine than green tea, the latter is found suitable to use for those who prefer a well toned effect of caffeine.

    Caffeine helps with regulating neurotransmitters like norepinephrine, dopamine and adenosine, as earlier mentioned, that helps with keeping you awake and in good balance in terms of moods and brain function.[21][22]

    Second, it contains. L-theanine.

    L-theanine is an amino acid that can cross the blood-brain barrier and into the brain which then promotes increase in GABA (Gamma aminobutyric acid) which promotes relaxation.[23][24][25]

    It also increases the alpha waves in the brain which are responsible for the calm, conscious and relaxed mental state.

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    When L-theanine and caffeine are combined, they both have a much powerful effect, and this explains why taking green tea for many people has been found more rewarding than coffee.

    L-theanine has also been linked to other mental health benefits such as improving memory and protection from mental illnesses like Parkinson’s and Alzheimer’s.[26][27]

    Taking green tea in the morning and just before going for a physical exercise helps.

    5. Green Leafy Vegetables

    Greens are packed with nutrients that enhance the brain in great ways. Broccoli, Swiss chards, kales, dandelion greens, collards and spinach are among the vegetables that have high nutritional value that make them useful for brain health.

    Broccoli, for instance, has antioxidants and Vitamin K, among other plant compounds that contribute to better memory, anti-inflammatory effects and brain protection benefits.[28][29][30]

    Kale is heavily packed with nutrients like Vitamin A, B6, C, K, potassium, manganese, copper and calcium that promote brain development, slowing cognitive decline caused by age, depression and even various health conditions like Alzheimer’s.[31][32][33][34]

    Generally, leafy vegetables contain a variety of nutrients including vitamins, minerals and antioxidants that elevate various regions of the brain that are associated with memory, alertness, processing of information and overall brain health.

    Working with delicious green smoothies and recipes that use a lot of greens will largely contribute to a better functioning brain.

    6. Dark Chocolate

    Other than the sweet taste, dark chocolate also boosts your brain.

    It contains three compounds that make this possible, which are, caffeine, antioxidants and flavonoids.

    Since we have already seen that caffeine offers the stimulating effects that keep you alert and antioxidants help with keeping mental illnesses and cognitive decline at bay, let’s take a closer look at flavonoids.

    Flavonoids are micronutrients that reduce neuroinflammation, protect neurons from neurotoxin-based injury and are potentially effective in enhancing learning, cognitive performance and memory.[35][36] [37]

    Studies have also revealed that dark chocolate brings about a positive feeling.[38]

    Dark chocolate contains cacao, which is often referred to as cocoa. Aiming to eat dark chocolate that carries more than 70% cocoa ensures that you get optimal benefits from it.

    7. Nuts

    Nuts such as walnuts, cashew nuts, hazelnuts, pecans, to name a few, contain several brain improving nutrients.

    They come with the popular antioxidant, Vitamin E, that protects the brain cells and cell membranes from oxidative stress and damage by free radicals.[39][40][41]

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    Long term consumption of nuts has contributed to a sharper memory, better academic performance and lower risks of getting mental illnesses too.[42][43]

    They have also shown abilities to improve the factors that account for good heart and brain health.

    All nuts have their nutritional benefits but you are encouraged to eat walnuts more as they have a much higher value due to the presence of high levels of alpha-linolenic acid, which is a type of omega 3 fatty acid.

    8. Avocado

    Avocado is surprisingly a berry, and it is referred to as a big berry.

    Although it hasn’t been fully studied yet, it is believed to carry vitamins B5, B6, C, E and K. Also, it comes with folate and potassium.

    There are also low amounts of other nutrients including copper, phosphorus, magnesium, zinc, manganese, and iron that are present in it.

    Moreover, it contains a monounsaturated fatty acid called Oleic acid, which is part of what makes olive oil good to use. This fatty acid is known to have many benefits, some of which are lowering inflammation, and brain development.[44]

    Adding it to your recipes or making smoothies, and regularly eating it together with your favorite fruits will help you take advantage of its nutritional value.

    9. Eggs

    There are 4 micronutrients in eggs that give the brain an extra edge, folate, choline, vitamin B6 and B12.

    Folate helps to slow down the mental decline that comes with age.[45]

    Choline is used by the body to increases the levels of a neurotransmitter known as Acetylcholine that is associated with memory, mental function and moods.[46][47][48]

    The yolk of an egg is where the choline micronutrient is in high quantities, and people who desire to increase their choline levels in the body are encouraged to focus on that part.

    Vitamin B6 brings down the high levels of an amino acid called Homocysteine in the blood that causes depression and other psychiatric issues.

    It also plays the role of increasing the levels of neurotransmitters like GABA (Gamma-aminobutyric acid), serotonin and dopamine, which modulate emotions.

    Vitamin B12 also helps with reducing the symptoms of depression as well as preventing losing neurons that in turn cause poor memory.[49]

    10. Citrus Fruits

    Citrus fruits are categorized into lemons (which include meyer lemons and eureka lemons), sweet oranges (which include blood orange, Valencia, cara cara and navel), limes (which include kaffir, Persian and key lime), mandarin (which include tangelo, tangor, satsuma and clementine), grapefruit (which include ruby red, white and oroblanco) and others such as yuzu, sudachi, citron and pomelos.

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    They have the B vitamins as well as Vitamin C, copper, phosphorus, potassium, and magnesium. There are also lots of varieties of carotenoids, essential oils and flavonoids present in citrus fruits.

    On top of that, they are also known to possess antioxidating and anti-inflammatory effects.

    Vitamin C reduces inflammation, offers protection to neurons from oxidative stress, modulates neurotransmission (communication between neurons), and also influences neuronal development.[50]

    Some of the minerals in citrus fruits have been found to reduce symptoms of depression in women.[51]

    They have also been associated with influencing communication through the nerves and regulating neurotransmitters.[52]

    The flavanoids protect the nervous system from damage through the anti-inflammatory effects they have. And this helps to keep mental health conditions like Parkinson’s and Alzheimer’s away.[53][54]

    11. Turmeric

    Turmeric is a spice we add to our foods to make it delicious that also does a bit of magic to our brains.

    Curcumin is a primary active component in turmeric that easily passes the blood brain barrier.

    It brings about anti-inflammatory and antioxidant effects that drag along the benefits of improved memory, promoting growth of new brain cells and managing moods.[55][56]

    Also, it has shown potential to handle Alzheimer’s diseases, although it has not been fully confirmed as reliable treatment.[57][58]

    12. Beetroots

    Beetroots which are commonly referred to as beets are also great brain enhancers.

    They can help prevent mental decline that is associated with poor blood flow to the brain. They have nitrates that encourage blood vessel dilation that then allow more blood and oxygen to flow to the brain, and thus enhance its functions.[59]

    More specifically, they improve flow of blood to a part of the brain known as the frontal lobe.

    This is a region that is linked to higher cognitive functions including concentration and attention, problem solving, reasoning and judgment, motor function, impulse control, memory, social interaction and emotions.

    Conclusion

    There you go, the best brain foods that you should make your closest friends.

    You should aim to have them often if you would like to see an improvement in your brain function in the coming months. Looking for recipes that use the foods mentioned above as ingredients and adding them to your recipe book is a good place to start.

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    Also, mixing them up with the foods you like eating goes a long way in not only making sure that you are minding your brain health but also enjoying what you eat in the process.

    Featured photo credit: Maddi Bazzocco via unsplash.com

    Reference

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    [2] US National Library of Medicine: Neuroprotective and Anti-inflammatory Properties of a Coffee Component in the MPTP Model of Parkinson’s Disease
    [3] PubMed.gov: Effects of caffeine on mood and performance: a study of realistic consumption
    [4] PubMed.gov: Caffeine and adenosine
    [5] PubMed.gov: The role of adenosine in the regulation of sleep
    [6] PubMed.gov: Roles of adenosine and its receptors in sleep-wake regulation
    [7] US National Library of Medicine: The Safety of Ingested Caffeine: A Comprehensive Review
    [8] National Center For Complimentary And Integrative Health: Omega-3 Supplements: In Depth
    [9] PubMed.gov: Omega-3 Fatty Acids and their Role in Central Nervous System – A Review
    [10] National Library of Medicine: A meta-analytic review of double-blind, placebo-controlled trials of antidepressant efficacy of omega-3 fatty acids
    [11] PubMed.gov: Novel insights into the effect of vitamin B₁₂ and omega-3 fatty acids on brain function
    [12] PubMed.gov: Quantitative Erythrocyte Omega-3 EPA Plus DHA Levels are Related to Higher Regional Cerebral Blood Flow on Brain SPECT
    [13] PubMed.gov: Omega-3 fatty acids and dementia
    [14] PubMed.gov: Fish consumption and cognitive decline with age in a large community study
    [15] Harvard Medical School: Foods linked to better brainpower
    [16] US National Library of Medicine: Acceptability, Safety, and Efficacy of Oral Administration of Extracts of Black or Red Maca (Lepidium meyenii) in Adult Human Subjects: A Randomized, Double-Blind, Placebo-Controlled Study
    [17] PubMed.gov: Ethnobiology and Ethnopharmacology of Lepidium meyenii (Maca), a Plant from the Peruvian Highlands
    [18] PubMed.gov: Effect of three different cultivars of Lepidium meyenii (Maca) on learning and depression in ovariectomized mice
    [19] US National Library of Medicine: Ethnobiology and Ethnopharmacology of Lepidium meyenii (Maca), a Plant from the Peruvian Highlands
    [20] PubMed.gov: Effect of Green Tea Phytochemicals on Mood and Cognition
    [21] Wiley Online Library: Adenosine, Adenosine Receptors and the Actions of Caffeine
    [22] PubMed.gov: Caffeine and the central nervous system: mechanisms of action, biochemical, metabolic and psychostimulant effects
    [23] PubMed.gov: The neuropharmacology of L-theanine(N-ethyl-L-glutamine): a possible neuroprotective and cognitive enhancing agent
    [24] ScienceDirect: L-theanine—a unique amino acid of green tea and its relaxation effect in humans
    [25] PubMed.gov: L-theanine, a natural constituent in tea, and its effect on mental state
    [26] PubMed.gov: Green tea extract enhances parieto-frontal connectivity during working memory processing
    [27] PubMed.gov: Neurological mechanisms of green tea polyphenols in Alzheimer’s and Parkinson’s diseases
    [28] PubMed.gov: Vitamin K status and cognitive function in healthy older adults
    [29] Increased dietary vitamin K intake is associated with less severe subjective memory complaint among older adults
    [30] US National Library of Medicine: Assessing Competence of Broccoli Consumption on Inflammatory and Antioxidant Pathways in Restraint-Induced Models: Estimation in Rat Hippocampus and Prefrontal Cortex
    [31] ScienceDaily: B vitamins and the aging brain examined
    [32] PubMed.gov: The Importance of Maternal Folate Status for Brain Development and Function of Offspring
    [33] PubMed.gov: Treatment of depression: time to consider folic acid and vitamin B12
    [34] PNAS: Preventing Alzheimer’s disease-related gray matter atrophy by B-vitamin treatment
    [35] US National Library of Medicine: Flavonoids and brain health: multiple effects underpinned by common mechanisms
    [36] Harvard Medical School: The thinking on flavonoids
    [37] PubMed.gov: Epicatechin, a component of dark chocolate, enhances memory formation if applied during the memory consolidation period
    [38] PubMed.gov: The sweet life: The effect of mindful chocolate consumption on mood
    [39] PubMed.gov: Effects of vitamin E on cognitive performance during ageing and in Alzheimer’s disease
    [40] PubMed.gov: The effect of adrenaline and of alpha- and beta-adrenergic blocking agents on ATP concentration and on incorporation of 32Pi into ATP in rat fat cells
    [41] PubMed.gov: Vitamin E-gene interactions in aging and inflammatory age-related diseases: implications for treatment. A systematic review
    [42] US National Library of Medicine: LONG-TERM INTAKE OF NUTS IN RELATION TO COGNITIVE FUNCTION IN OLDER WOMEN
    [43] PubMed.gov: Cognition: the new frontier for nuts and berries
    [44] US National Library of Medicine: Neuroprotective effects of oleic acid in rodent models of cerebral ischaemia
    [45] US National Library of Medicine: Brain foods: the effects of nutrients on brain function
    [46] PubMed.gov: Choline: an essential nutrient for public health
    [47] Pubmed.govThe relation of dietary choline to cognitive performance and white-matter hyperintensity in the Framingham Offspring Cohort
    [48] NCBI: Dietary Reference Intakes for Thiamin, Riboflavin, Niacin, Vitamin B6, Folate, Vitamin B12, Pantothenic Acid, Biotin, and Choline
    [49] PubMed.gov: Vitamin B-12 concentration, memory performance, and hippocampal structure in patients with mild cognitive impairment
    [50] PubMed.gov: Preventive and Therapeutic Potential of Vitamin C in Mental Disorders
    [51] NCBI: Association between Lower Intake of Minerals and Depressive Symptoms among Elderly Japanese Women but Not Men: Findings from Shika Study
    [52] Harvard Medical School: Precious metals and other important minerals for health
    [53] PubMed.gov: Role of Quercetin Benefits in Neurodegeneration
    [54] PubMed.gov: Neurodegenerative Diseases: Might Citrus Flavonoids Play a Protective Role?
    [55] PubMed.gov: Efficacy and safety of curcumin in major depressive disorder: a randomized controlled trial
    [56] PLOS ONE: Curcumin Enhances Neurogenesis and Cognition in Aged Rats: Implications for Transcriptional Interactions Related to Growth and Synaptic Plasticity
    [57] US National Library of Medicine: The effect of curcumin (turmeric) on Alzheimer’s disease: An overview
    [58] NCBI: The effect of curcumin (turmeric) on Alzheimer’s disease: An overview
    [59] NCBI: The Potential Benefits of Red Beetroot Supplementation in Health and Disease

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