women performing yoga on green grass near trees

Yoga Therapy vs Psychotherapy

Over the past pretty much 10 years I’ve been slowly but surely working toward getting my Yoga Therapy Certificate with the International Association of Yoga Therapists. I finally completed that task last month. I had finished up my training with an absolutely wonderful studio out of San Francisco, Purusha Yoga School. I met some amazing people and learned so so much. I am actually sad that it is over more than excited about the certificate. Anyway it has always been a dream of mine to incorporate more yoga into my mental health practice. This has been difficult because my profession is Clinical Social Work and there is a very strong business model for a therapy practice that utilizes insurance and out of pocket. The clients I see need to be able to use their insurance and I don’t want to be so boutique that I can’t cater to the average working person whom is most likely not going to pay my hourly rate weekly. Some can and will because of the benefit, but most of us want to use our insurance if we have it.

So the challenge has been how do I work in yoga therapy since insurance doesn’t cover that. Well through this last training I have received so much insight how this all could work and finally decided to take the jump and transition my practice to something much more holistic. It is very exciting for me.

I think understanding how yoga therapy and traditional psychotherapy are similiar and different is really good to keep as a fore front as I chart this next course. Here’s a brief comparison of the two:

Both Yoga Therapy and Traditional Psychotherapy are the same in the following ways:

Both

  • Work on rewriting negative thoughts/experiences into something more positive that helps get a person unstuck and to move toward  optimal wellness.
  • Work on understanding where a person is  on their journey toward wellness and meet the client where they are at.
  • Are confidential
  • Use skills of motivational enhancement therapy and cognitive behavior therapy
  • Set up SMART (specific measurable, attainable, relative, time sensitive) goals for treatment.
  • Teach mindfulness and relaxation skills
How Yoga Therapy and Traditional Psychotherapy are different:
  • Traditional Psychotherapy uses predominantly talk and utilizes one or more of the many models of psychotherapy available to Licensed Counselors.
  • Yoga therapy uses the framework of the 8 limbs of yoga to build a treatment plan.
  • Yoga therapy uses Sanskrit terminology to identify and explain concepts while traditional psychotherapy uses western medical terminology.
  • Yoga therapy uses the chakra system to assess health and to inform treatment planning.
  • Yoga Therapy  follows ayurvedic principles to guide treatment.
  • Most traditional psychotherapy is covered under insurance; yoga therapy is not.

As you can probably see they do have a good bit that overlaps. So the plan is for the business to focus primarily where the two overlap. The majority of Yoga Therapy can be billable with insurance as long as it follows psychotherapy models. I still plan to offer classes that are geared more on teaching versus therapy and those would be out of pocket.

So it’s a new chapter for Grounded for Peace. We start off the transition this summer with offering more specific yoga therapy individual sessions and some small therapeutic groups that incorporate specific strategies in Meditation, Breath work, and Relaxation. As times goes and when I am able to add more staff, we will begin offering more targeting therapeutic groups for anxiety, addiction, and trauma.

If you are interested in knowing more about upcoming groups, click on “Contact Us” at the top and leave us a message.

Making “Not-So-Good” Habits Work for You

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“A process of change through which individuals improve their health and wellness, live a self-directed life, and strive to reach their full potential.” – This is SAMHSA’s working definition of recovery.  this could be recovery from Mental Health or Physical Health concerns.

Recently I have seen  a good many clients that have come in reporting very similar symptoms.  They feel somewhat down or even distressed.  They are functioning relatively okay with work and home but feel like they have lost their way.  They report feeling empty, tired, anxious.  Most of these individuals have been very involved in family and/or community.  They have been the family coordinators, the church volunteers, the community activists.

When looking at the above working definition of recovery, these folks are definitely self directive, but somehow the other two areas of health and wellness and full potential have been overshadowed by others needs (others in their own family and others in the community).  When using the needs assessment tool I incorporate into my practice (the DLA20), it is clear that many facets of their life have been neglected and continue to be drained.  There’s just not enough nourishment and recovery built into their lives to keep pace with all the other routines in their life.

We live in a society of go, go, go.  Ample supplies of caffeine and energy supplements.  Ample supplies of foods and other items to grab quickly from moving to one activity to another.  We more and more are getting out of habits of nourishment and allowing for our bodies to recover.   Recovery is not just a mental feat but very much a physical feat as well.    We have to develop healthy routines to nourish our bodies and brain.  These routines have to be consistent in order to make an impact.   Just like we consistently go to the coffee pot, check Facebook, or volunteer to help another, we need to consistently eat nourishing foods, take time for some quiet,  and get some stress relieving physical activity.  But how?  It sounds simple but if it were that simple we wouldn’t have this problem of course.

The trick is to begin by connecting one activity to another.  The activity can be good or bad.  If you drink coffee every morning or check Facebook before bed on a consistent basis, then these are great activities to link with more nourishing habits like 10 slow breaths or eating an apple.    Once you have successfully linked these habits consistently you can build in more healthy habits like a walk or some yoga.  It’s better to start small though.  Later you may decide to even phase out the original activity, especially if it was doing more harm than good.  Getting overwhelmed and not doing anything at all is not an option if you want to stop the cycle of constant drain, low energy, and feeling like you’re in a fog.

Sometimes we need reminders, so setting timers, getting others involved are great ways to ensure more consistency.  Also subscribing to a blog whether it is mine or another wellness author could also be a good way to get a tickler to continue to work on developing healthier practices.  As with much in life persistence against failure eventually develops consistency regardless, so keep trying.

How to Get a Good Night’s Rest

Recommended Sleep ChartThe above chart comes from the National Sleep Foundation.    It suggests that an adult my age needs 7-9 hours of sleep.  Like good diet and exercise, sleep is a critical component to overall health.

The sleep foundation explains:

“One of the vital roles of sleep is to help us solidify and consolidate memories. As we go about our day, our brains take in an incredible amount of information. Rather than being directly logged and recorded, however, these facts and experiences first need to be processed and stored; and many of these steps happen while we sleep. Overnight, bits and pieces of information are transferred from more tentative, short-term memory to stronger, long-term memory—a process called “consolidation.” Researchers have also shown that after people sleep, they tend to retain information and perform better on memory tasks. Our bodies all require long periods of sleep in order to restore and rejuvenate, to grow muscle, repair tissue, and synthesize hormones.”

Many of us have difficulty sleeping.  Here are some general guidelines to follow in order to have a good night’s rest.

Stick to a sleep schedule , even on weekends.
Practice a relaxing bedtime ritual .
Exercise daily.
Evaluate your bedroom to ensure ideal temperature, sound and light.
Sleep on a comfortable mattress and pillows.
Beware of hidden sleep stealers , like alcohol and caffeine.
Turn off electronics before bed.

For those with an overactive mind:

Keep a notepad/journal and a pen near your bed to write down thoughts or things you want to remember.

You can also use this method to write down worries or concerns and if you’re having a hard time letting them go after writing them down, remind yourself you can just deal with it in the morning after you wake up.

At my practice:

Sleep problems are a common co-occurring issue that I see with my clients.  I usually help each person develop their own individual bedtime routine.  Many times we look at the therapeutic effects of yoga postures and breath techniques.  We practice these techniques in the office to figure out the right practice that will help calm the mind and body enough to allow sleep to take over at night.  Many times coming up with an answer to the individual’s problems will occur after tracking one’s schedule and diet over a week.  It is amazing what “hidden” sleep stealers we encounter throughout our day.  Sometimes changing something like when you have your last caffeinated beverage will be the miraculous fix.  Other times, what might solve the issue is long-term work on developing and keeping more healthy habits like exercise, balanced diet, and meditation.

If you would like to talk about finding your solution, please contact  Amanda.

 

 

 

How to Benefit from a Gratitude Practice

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         I think many of us can identify the calmness and peace that comes with having the thought of thankfulness.  If any of you have read my recent client manual or seen any research on what happens to the body when we experience stress versus when we cultivate peace and calm, you would put 2 and 2 together and know that anything bringing peace is going to have the power to heal.  This is something we intuitively understand but the science is building to show this as well.
         Dr. Masaru Emoto, the Japanese scientist and water researcher, discovered that vibrations affect the molecular structure of water. In his years of water research, through high speed photography of thousands of water crystals, Dr Emoto has shown the most “beautiful” (symmetric and well organized)  crystals are those formed after the water is exposed to the words ‘love and gratitude.’   When water was exposed to words of “anger and hate”, the water crystals became asymmetric and disorganized.  The fact that the human body is made of 70% water, one would consider how  our thoughts can have profound implications on our health.
         The wonderful thing about this feeling of gratitude is that it can be cultivated quite easily.   One can do 15 minutes a day of gratitude practice and experience immediate benefits.  The long-staying results though comes like anything does…. with consistent daily practice.  That’s the kicker, right?  Many of us will start a practice for a week or so and then see it flicker out.  Here’s some steps to help build a daily “consistent” practice of gratitude that has good potential to last.
  • Start small, 5 minutes.  Success will lead to you trying again and not being overwhelmed.  Set a timer and resist doing more.
  • Link your practice to something else you already do daily, like a morning cup of coffee or brushing your teeth.
  • Do it right before or after this already daily routine.
  • During this 5 minutes jot down 3 things that make you feel gratitude.
  • Do this for a month.
  • Bump up to 10 minutes the next month.
  • Bump up to 15 minutes the third month, this time add a nice sitting posture and a minute of quiet after.
  • Continue to build as you feel so, adding other health routines like yoga or breathwork if desired.

How to Start a Breathwork Practice

keep calm and breath pdf

Breath is a powerful connecting force between the mind and the body.  Building and expanding on our breath not only increases vitality and energy, it can also be an amazing healing tool.  Although it is recommended to have an experienced teacher before beginning any significant breathwork practice, anyone can initiate this journey with some simple steps and create a 15 minute practice.  This practice can be added to a regular yoga asana practice or meditation practice.

  1. Identify a dry comfortable area to practice in.
  2. Limit distractions such as turning off or down your cellphone
  3. Wait a little after eating so you don’t have a full stomach. A little water before starting can be helpful.
  4. Avoid coffee before practicing.
  5. Decide on time to practice. Early morning is an ideal time to practice before your money cup of coffee/tea.
  6. Lie on your back or find a comfortable sitting position.
  7. Begin by just observing and tracking the breath as it comes in through your nose and down your windpipe into your diaphragm and track as it exits the body.
  8. Spend 5-10 minutes practicing observing.
  9. Spend the next 5-10 minutes focusing on long slow exhales.
  10. Sit in quiet for 3-5 minutes with normal breath.

At this point the work is on being the observer. Breathwork is not completed by “controlling” or forcing the breath, it is done effectively by observing and “playing” with the breath. If your goal in breathwork is increased vitality and wellness, then the safest way to begin your practice is by observing where you are first.   This takes time and cannot be determined with one breathing practice session but must be observed over time.  Variables like a new stressor or trying something for the first time can alter your baseline habits.  Overtime however one can determine the average count and length of the breath and identify a good goal to work on.  The goal is usually in lengthening both inhales and exhales comfortably without strain.  This will increase vitality.  However sometimes a person may need more help specifically with inhaling or exhaling and a trained instructor can guide the person in their practice.  There are also techniques like holds and various therapeutic practices that can target a particular healing aspect of the breath.  For more information on pranayama, a good book to reference is The Yoga of Breath: a Step-by-Step Guide to Pranayama by Richard Rosen.