Choosing Integrative Healthcare

1) Get a thorough medical evaluation for any significant complaint

This is especially true for acute illnesses and trauma, which can often benefit from quick surgical or pharmaceutical intervention. (Indeed, they may be life-saving.)

It is also true for non-urgent situations, during which it is useful to know what the medical diagnosis and treatment options could be. In these cases, however, you have more time to consider your plan of care and explore treatments. Holistic practices may provide options that optimize the healing capacities of your body, minimize unpleasant side effects, help prevent further complications, or otherwise help you cope with illness, particularly chronic illness.

2) Communicate with your providers

You should always inform all providers in your team about the full scope of your healthcare practices: who you see, what kind of treatments you receive, what over-the-counter and/or prescription substances you take (including herbals, teas, nutritionals, vitamins), what diet you follow, what exercise you participate in, and so forth. Don't assume that your providers are communicating with each other.

Your goal is safe and coordinated care. Any products that are ingested can interact, especially with prescription drugs, although some types are much less problematic than others. In addition, some therapies can interfere with each other, and shouldn't be used at the same time. For example:

• A high-dose vitamin that works to block free radicals (i.e. an antioxidant) may interfere with radiation treatment that works through free radical generation.
• Acupuncture, a therapy that works through the movement of energies through the body, may interact with the application of other energetic interventions, like homeopathy.

If you are someone who regularly uses both natural medicines/supplements, and pharmaceuticals, consider developing a relationship with a pharmacist who has knowledge in supplements, and make them a member of your healthcare team.

3) Ask questions and do your research

Take charge of your health by always being an informed consumer. Ask questions about any proposed treatments.

• What side effects or other risks are known to exist? Are there options with lower risks?
• If a conventional medication is recommended and you wish to explore other options, are there risks to delaying the beginning of conventional drugs or surgery?
• Most holistic practices require commitment and active participation of the recipient, so ask about your role in the therapy. What will you need to do, how often, and at what cost, in order for this therapy to be effective?
• How long should you try an intervention before evaluating if, or how well, it is working?

Safety and Effectiveness

It is especially important to investigate the safety of any healthcare service that is part of your care plan.

Ask what scientific evidence and clinical experience say about the safety and efficacy of any treatment, whether recommended by your physician or another provider. The strength of evidence must always be balanced out with the potential harm of an intervention, and we will take that into consideration whenever suggesting therapeutic options.

For more information about this, see the information in our Holistic Practices section. For each practice or therapy there, we discuss the evidence and give additional resources.

On the other hand, there are wide variations in training and credentialing for different types of integrative health providers. For each practice or therapy listed in our Holistic Practices section, we give information about how to find a credentialed provider and what qualifications to look for.

4) Select qualified providers

All care providers are not created equal. In addition to credentials and access, it is important to select providers with whom you feel comfortable and able to converse.

Ask about the education and credentialing of each practitioner caring for you. How much experience have they had with someone with your complaints? Because physicians are licensed and education is more standardized, it's generally easier to know if you are seeing an adequately trained doctor.

5) Consider time and money

Integration does not mean that you need to pursue all therapies simultaneously. It is important to prioritize your choices so that you achieve the best outcome.

With a serious diagnosis, such as cancer, immediate conventional interventions like surgery, chemotherapy, or radiation may take all of your time and energy. Some integrative approaches can be supportive in those situations, like mind/body practices for easing pain or anxiety, or nutrition to optimize your stamina.

In addition, you should consider your ability to access and pay for the therapies. All of our resources are limited. If access to holistic therapies is important to you, remember them when (and if) you make choices about insurance plans, including healthcare resource accounts (HRSAs, MSAs). These may give you more flexibility and control over your therapeutic options.

Generally, prescription pharmaceuticals are more expensive than most natural products and over-the-counter substances, but if you have prescription drug coverage in your insurance, the out-of-pocket expense to you may be less with a prescription. These aren't the best reasons to choose one intervention over another, but they are considerations most of us can't afford to ignore.