COVID 19 Update

In order to try to be mindful of the times we live in and reduce spread of the COVID 19 virus I am transitioning to telehealth. At this time how we transition is an individual process for each client and I will work with all of my clients to come up with a plan that suits them. For webinar I use Zoom and I subscribe to their package that is HIPAA compliant. Please feel free to contact me with any questions and/or feedback about this process.

Renewal

Spring seems like a great time to start back up with my blog posts. This Spring we are all in desperate need of some renewal. So far 2020 has been challenging. We are all experiencing something quite unique for our time. Humanity of course has seen and endured other pandemics but enduring a pandemic in the informational age is filled with easy access to ongoing death tolls and news that makes the calmest of us a little on edge. It is also, however, filled with easy access to all sorts of positive resources. After a week of seeing clients since schools and restaurants were ordered to close I have been able to gather suggestions from clients of things that are helping to keep them renewed and not drained with all the alarming aspects of what they see online. Here are some of the ideas I have heard this past week.

  1. Yoga with Adrien is a continued recommendation from my clients, https://www.youtube.com/user/yogawithadriene
  2. limiting social media to only an hour a day
  3. Having friends call up and give them the news instead of hearing it on line.
  4. You tube projects
  5. Pinterest projects
  6. Online parties and meetups with friends
  7. Looking up old friends online and catching up.
  8. Starting an Etsy shop
  9. Getting rid of clutter by selling items on Ebay
  10. Online yoga classes and fitness classes that are being offered for free through gyms and places like yoga journal
  11. Online free virtual tours of museums
  12. Replacing 30 minutes of social media time with a podcast
  13. Finding online support groups via NAMI and local hospitals
  14. mindfulness courses and meditation through apps like “Insight Timer” and “Head Space”

This is the current list and I will continue to collect ideas and do a follow up post on this later. As we try to follow guidelines and stay safe, I ask you to take a moment to ground yourself and try to find some positivity for the day. It does appear that this may be a long haul for us and we are going to need some ongoing renewal as we keep moving forward.

Take Care and wishing you peace.

Blocking blue light for a good night’s sleep

Gamma RAY Blue Light Blocking Computer Gaming & TV Glasses - 0.00x Magnification

My husband came to bed one night with these orange tinted safety glasses as he scrolled thru You Tube. Of course this led to me laughing at him and then to him sharing with me his research. So apparently too much blue light which is what is artificially illuminated from most of our lamps and devices can inhibit melatonin production so your body doesn’t know when it’s bedtime. Yellow to orange tinted blue light-blocking glasses and lens filters help block these blue lights and can help a person fall asleep on time despite late night screen usage. There’s a study out of the University of Houston College of Optometry that showed that wearing them for even an hour before bedtime had a positive effect in their study showing people whom wore the glasses slept 24 minutes longer and had 58% higher melatonin levels during the study than before they started wearing the glasses.

I have since started recommending the glasses to those clients having difficulty sleeping. I have had all positive feedback which is unusual with product recommendations. This past month I have started keeping a supply in the office to sell at a minimal price. Generic safety glasses – $3 and fancier more aesthetically pleasing frames for $15.

Resources: https://www.uh.edu/news-events/stories/2017/july/07242017bluelight.php

Mindfulness -Thoughts and Emotions – Interpreting the Message

Along with the false belief that painful feelings are bad is  the false beliefs that feelings come out of nowhere and mood swings happen without warning.  You can choose to still believe these falsehoods, but believing them will probably make you feel pretty powerless.  However accepting them as falsehoods then gives you the opposite concept, that feelings come from somewhere and you can anticipate a mood swing.

Where do emotions come from?

Okay now we have something to work with.  Feelings arise from thought.   A thought surfaces and the body decides based on information it has what that thought means and then the neurochemical process is initiated to generate the emotion so you can register the message.

Will you get the message?

So let’s take the situation  of waiting for a doctor’s appointment.  You have been waiting for more than 30 minutes.  You have a lot to do that day and this feels a bit too long.  The thought surfaces that “this is too long and I have stuff to do”.  The thought surfaces, your body registers and then formulates that something isn’t right and something needs to be changed.  You then become angry or frustrated and this causes you to go up to the counter and ask the front desk person how long will this wait be and that you need to be somewhere.  You acted assertively and the front desk person checks back in the back and says “I told them you had to leave”.  They come and get you and your anger is gone.  Now if you had to wait for 30 more minutes, you may have had the thought “this is not worth it and I’ll have to reschedule”, this then prompts you to get very frustrated and leave.  Each time anger and frustration prompted action.  You took the message that you needed to act and did so.   If you didn’t get the message or decided to ignore your anger because you have heard from childhood that “Good girls are always gracious”, which you interpret as not angry, then you may have sat there all day just to find out that there was a mistake  and you were never assigned a room or they finally saw you only after it was too late to do all the other important things of your day.  (This also will breed thoughts of “it’s not fair” and “what am I going to do?”.  This may lead to more angry feelings(messages) because something still needs to be done to fix the situation.)

Are we getting the whole message?

Many times we react before we really get the entire message.  If you are angry with the kids but don’t take the time to ask “why am I angry with the kids and what needs to be changed?”, then your may overreact or react impulsively with yelling  and blaming the kids for making your angry.  When you take a moment to look at”why am i angry” and what is the real message, then you may decide “I am angry because they are fighting with one another and not working on their homework.”   And further thought may reveal “They are fighting because they haven’t eaten and don’t realize the reason they are angry is because their body is trying to tell them to eat.  As their mother I should feed them so their body stops this message and they can calm down and do their homework.”   Unless there’s a life or death situation, most situations will give you 5 minutes to take a breather before you respond.   If we train ourselves to breathe through these feeling immediately the message usually presents itself relatively quickly.

Is the message based on truth?

The message itself may not be based in accurate thought.  If you have the thought “I am mad because I am waiting too long” but then have the thought I shouldn’t be angry because jj”good girls are always gracious and angry people cannot be gracious”, you  may not feel the anger for a while.  This is only delaying the feeling till the thought comes back that you have been waiting too long.  Then the emotional message will return.   Identifying the thought that’s not based in truth will speed up you taking appropriate action to remedy the feeling.  So one might have to add the thought “This is what I’ve been told but science suggests that anger is not a bad thing so I will respond to my anger.  I can still be gracious and angry at the same time.”

Anger (or any feeling) can lead to calmness if heard and not judged.

Anger is not a hindrance to being calm if you take the message and take appropriate action.  If you continue to be angry then somehow you haven’t interpreted the message correctly.   You notice how if you react impulsively while angry you may still be angry afterwards or have another painful feeling like shame.  This is due to not interpreting and responding to the message correctly.  If we take anger or other feelings as they are, messages to do something, then we can view them without judging them “good or bad” and respond accordingly.  Once you have taken all the messages and mapped out how to respond, you usually will feel calm just from having the plan because your body will register this as understanding the message.  If you then take further action to carry through with the plan the feelings will be resolved completely and happiness will come.  Happiness tells you that things are well.  We’ve resolved all messages our body has given us.

How simple is this?

So mindfulness starts with being able to receive the message, then interpreting the message and formulating a plan is the next step.  This sounds very simple.  However if it was all this simple I wouldn’t feel the need to start a mindfulness class and there wouldn’t be so many books on how to be mindful and practice mindfulness.  Getting to the plan from receiving the message sometimes takes a long time.  We can come up with short-term fixes to being calm and taking care of things but sometimes there are emotions/feelings that keep resurfacing and we just don’t know what to make of them.  This is when we have to do deeper work, sometimes with the help of a therapist, but not always is this necessary.   The important part though always comes back to being able to breathe and sit without judgement and attachment.   My next posts will focus on this a little more along with the concept of radical acceptance.

Mindfulness – Emotions as Messages

I really want to start a mindfulness class/group at the office but my schedule has been a little unpredictable as of recently.  So in preparation, I decided to provide some resources and discussion on mindfulness until I can get something organized.

Why Mindfulness?

A lot of work that has to be done in treatment involves looking at obstacles to our goals.  Obstacles that bring individuals into therapy a lot of time involve very difficult emotions and painful memories.  In order to overcome these and begin making progress toward the ultimate goals that actually lead to peace and happiness, we have to be with these painful feelings/memories and work through them so they don’t resurface or if they do it’s at least with less intensity.

To “be” with these memories/emotions involves mindfulness, to “be” in the moment without judgement or attachment.  Of course we don’t just begin with the painful emotion/thought and teach mindfulness as we go, we have to begin with mindfulness and then use it when we are ready to face the difficult “whatever”.

Emotions as Messages

A good place to start with mindfulness is the understanding of emotions.  Many of us were taught that emotions like anger, grief, stress, loneliness, shame, guilt were bad to feel and experience and we should avoid them or get rid of them at all costs.  Emotions are just chemical messengers.  They are more specifically the mechanism to which our mind can register a chemical message from our body or subconscious.  Each emotion serves a purpose.  Anger – something is wrong and needs to be changed.  Anxiety – I need to prepare for something.  Sadness/grief – Something/Someone was important. Guilt – I should have done something differently.  Happiness – something is going well.  Fear – I need to protect myself.  Frustration – This is not going as I expected and I need to re look at the goal.  Shame – my reputation has been damaged and I will need to repair it publicly.  There are obviously more emotions and more messages.  These are just some of the main ones we experience.

How to Hear the Message

So you can see how running away or blocking these emotions can leave you in a bad situation.  You won’t get the message.  And of course if you don’t get and answer the message and nothing is resolved.  The message will continue to be released by our body.  The first step in mindfulness is staying in the moment long enough to receive the message(s).  Many times in order to do this we have to learn certain practices that may not come easy, like breathing calmly.  This means not hyperventilating by allowing slow long exhales to be the focus.  Our body does this naturally through a deep breath and a sigh.  If we continue with this deep breath and sighs, we actually are working on a skill that will allow us to experience the emotion without getting lost in it.  We overcome the fear of the emotion.  The fear telling us to protect ourselves from getting lost.  We listen to this and develop a strategy to protect and ground ourselves, which involves the deep breathing with long exhales.

Practice the Skill

The next step is after receiving the message, interpreting it and deciding if the message is coming from a reliable source or a “cognitive distortion”.  My next post will focus on the message.  In the meantime, we all can practice mindful breathing in just our day-to-day experiences.  Like waiting in line somewhere, we can breathe through our frustration.  Similarly if you have kids then when you are angry, breathing through the anger before reacting till you can formulate why you are angry. Is it because they need to change something or do you need to change something like getting something to eat.   Life gives us many opportunities throughout the day to practice mindfulness in a safe environment, if we choose to recognize it in this way.

A resource to check out:

The Mindfulness Workbook for Addiction, by Rebecca Williams, PhD and Julie  Kraft, MA

 

The Gut and Depression

I am fascinated about all the research in the gut biome and our relationship with the microbes that live inside of us.  I am motivated to figure out how to guide clients in improving their mood through their nutrition.  I am not a professional nutritionist but I try very hard to stay up on the latest research.  Subsequently I ran across this article in Psychology Today, October 2017 issue, pg 31-32 on how the microbes in your gut affect your mood.

There were  2 studies mentioned that as I scanned the information grabbed my attention.  The first one was on the transplanting fecal matter from depressed patients into germ-free rats.  The rats then began to develop symptoms of anxiety and anhedonia (not taking interest in the usual things one finds interesting).  The other study involved giving patients prebiotics (material that enhances the grown of beneficial microbes in the gut.)  The researchers discovered one particular type of prebiotics ( galacto-oligosaccharides – GSOs) to decrease cortisol and increase a patient’s attention to positive events.

However what was most intriguing as I looked deeper into the article was the theory of how important fiber is to our gut biome.  Apparently  fibrous material from plants which are more difficult to digest help feed beneficial microbes.  This fermentation that occurs releases energy, gases, and metabolites called “short-chain fatty acids (SCFAs).  These SCFAs are one of the ways our gut communicates with our brain, signaling molecules throughout the body to mobilize hormones and activate nerve pathways to everything from body weight to mood states.  Apparently the material present from these prebiotics in the fiber is extremely important for wellness and something our general Western diet lacks.  Per article our ancestors consumed around 100 grams of fiber while  we consume currently around 15 grams of fiber a day.   This is just another added point toward why nutrition is so important to limiting our stress and increasing well-being.

 

Back Pain and Exercise

 

In sessions, I hear a lot about chronic pain, particular back pain.  Many folks are  becoming more and more skeptical to the use of pain killers with all the headlines about the opioid epidemic.  They want to look at other options for pain and/or reduce their personal use of opiates and other pain killers.  Exercise comes up with mixed thoughts and feelings.  On one hand they hear that the increase of exercise can help with circulation, healing, and tension related to pain.  On the other hand, the wrong exercise or the wrong amount can cause serious damage and create more problems.

A recent article in the October 2017 edition of Scientific American highlights some research on this topic.  The research looked at over 300 individuals with chronic back pain and prescription painkillers.  They assigned these individuals to either a program of yoga, physical therapy, or a program of educational materials.  What they discovered is that the individuals in the yoga and physical therapy groups were able to significantly reduce their use on pain killers than the control and education only group.    The author described the yoga that was prescribed in the group as gentle stretches including cat/cow and child’s pose.

The article spoke to the evidence that what seems to work best is an overall combination of tools, which could be medications and movement.  When speaking to one’s primary care physician or pain treating provider, asking about other options for pain relief in addition to medications is recommended.  If there are no structural reasons for the pain or damage to any vertebrae many times movement is preferred over medications.   Although even with structural problems with someone’s skeleton, increasing flexibility and circulation is beneficial and necessary for healing.  Muscle relaxers may help obviously with muscle tightness, but you may get much more with exercise such as overall increase in circulation, relaxation and strengthening of muscles.

Bottom line seems to be that there are benefits to medication but much more for adding the right exercise with or without the medication.   Figuring out the right exercise may take a little research and time.  Speaking to qualified professionals familiar with one’s unique health history and getting a list of options to choose from is the best place to start.   A physical therapist is also a great place to start but if you want to try something at home, one could always begin with asking their healthcare provider to explain first off which exercises they shouldn’t do and why.  Then at least  an individual is able to stay safe while they sample different exercises to try at home.  As with any exercise program, when you find something that works, it’s the consistency that will give you the most benefit.   It’s better to start small and keep going than start too big and feel like you can’t keep it up due to time or energy.

Brain Health

 

Research on Alzheimer’s was again in Scientific American this month.  This particular article was reviewing research based on a clinical trial by “FINGER” (the Finnish Geriatric Intervention Study to Prevent Cognitive Impairment and Disability) between 2009 and 2011.  The results of the clinical trials and the study show that it is never too early and in this case  never “too late”  to intervene with cognitive decline through changes in the way one lives.

The changes they were referring to were eating a Mediterranean like diet, getting exercise, and challenging the brain through learning new things and memory challenges.  These recommendations are by no means new to the public but just validates even more this life style.  To be clear the exercise that showed positive results in memory and organization was 2-3 times a week of 60 minute periods of exercise like muscle strength training, aerobic exercise and postural balance and the Mediterranean diet was fruits, vegetables, whole grains, rapeseed oil, a fish meal  at least twice a week.  The only supplement given was Vitamin D.

Of course the groups started slow and built up to this goal which is encouraging.  They started at 30 minutes.  The exercise sometimes is the most difficult to work in.  It’s important to note that the time they give is not straight cardio work, it combines strength building, cardio, and posture improvement such as in physical therapy, physiotherapy, and some types of yoga.

Motivation for change can be a slow process but building up reasons to change is one of the steps.  Looks like this study gives us more to add to that list of pros and cons.  Hopefully also  it will also help us to work through the ambivalence.