Showing posts with label integrative approach. Show all posts
Showing posts with label integrative approach. Show all posts

May 6, 2019

Stress is the NEW Smoking: 7 Secrets to Manage Stress


In my last article I talked about stress, anxiety, and hidden emotions. This week I'd like to explore the body/mind connection of stress and how to combat it in our lives. But before we do that, just a reminder, not all stress is bad.  Not everyone is stressed by the same stressors.  It is a complicated process which means we can't give definitive answers to many of the general questions like: why do we get stressed or how can we stop it.  What we can do is be aware of what is going on in our own minds and work toward mediating how that affects us.

Just in time for mental health awareness month, I've found there is more and more evidence linking stress to all manner of diseases. While there is a new catch phrase, "Sitting is the new smoking", I'd say stress is too.  Since smoking has been on the decline for almost a decade now, and people are hearing all about eating right and exercise, we've gotten complacent in dealing with harmful influences to our health that are more insidious than one might first think.  Not too mention harder to define and eliminate which makes them less researched.  One of the best books on the subject of how bad stress is for you, is by Dr. Gabor Mate, "When Your Body Says No."

Here is some of what we do know. (Salleh M. R. 2008) "Studies have shown that short-term stress boosted the immune system, but chronic stress has a significant effect on the immune system that ultimately manifest an illness...The morbidity and mortality due to stress-related illness is alarming. Emotional stress is a major contributing factor to the six leading causes of death in the United States: cancer, coronary heart disease, accidental injuries, respiratory disorders, cirrhosis of the liver and suicide.

Since I could write pages on how stress affects our health but that would not give you any practical help, I'm going to skip all that and assume you believe me that stress is harming your health and instead jump to how to treat stress. Here are the 7 secrets to managing stress:
  1. Prayer combined with trusting in God and awareness of oneself (or mindfulness meditation)
  2. Exercise
  3. Healthy diet (plant based or Mediterranean is best)
  4. CBT Therapy (Cognitive Behaviour Therapy)
  5. Rest (sleep, recreation, etc.)
  6. Social activity (both social support & doing something for someone else)
  7. Identify and limit/reduce stressors
So these are not in any kind of order of importance, in fact, I recommend you start with the ones easiest for you so you can reap the benefits as quickly as possible. Each of these has many benefits beyond stress management and there is much that can be said of them. Years ago, like a couple decades, LOL, I helped with a stop smoking program and these 7 were used successfully in helping people to quit smoking too! Of course number 7 was identify and limit/reduce temptations/triggers but all in all very similar. I do have a free course that covers most of these called Optimal Health, you can take it here.

The first one on the list is often reported as mindfulness mediation in most articles on stress but Dr. Nedley and others have reworded this for Christians. And the research backs up prayer as the alternative to mindfulness meditation. Keep in mind this is not the same as the hypnotic meditation one sees in new age religions.  It is an active form, where one is aware of what is going on around them.  There is plenty of help out there and it's not my forte so I'll leave that to other experts. I'm more familiar with the Christian version. This is more than just prayer. It is a three fold combination: faith/trust in God, self-examination, and prayer.

Exercise is pretty self-explanatory, but I'd add that getting outside is even better. Any amount will help, but there is a thing as too much which can add stress to the body. If you are unsure, do some research or talk to a fitness expert. In general, the recommendations are 30 to 60 minutes 3 to 5 times per week. More for those with sitting jobs and obviously far less if you are a general laborer. We often know what we need once we are willing to honestly look at it.
Healthy diet includes lots of fruit, veggies, whole grains, nuts, seeds, legumes, and limiting free fats, added sugars, and processed foods.

CBT, or Cognitive Behaviour Therapy, is well researched and documented to help with stress even that caused by circumstances. It also helps deal with painful emotions. I would say this is by far THE MOST important tip, step, key, or whatever you want to call it.  In fact many studies show CBT to be as or even more effective than drugs for depression and anxiety, and far more long lasting because drugs don't cure, they treat the symptoms. Once you learn to use CBT for yourself it lasts a lifetime.  Now there are lots of resources out there and it can look pretty easy but there are some very important features that take real work to make practical for yourself, yet reading self help books such as Dr. David Burns, "Feeling Good", have been proven in research to be effective. In fact in one study more effective than taking drugs.  Having said that not everyone will find relief reading a book, about 1/3 still needed professional help to really apply the principles of CBT, so no shame in talking to someone about that.

Rest is another important key in reducing the effects of stress as well as helping you cope better with stressors.  Getting a good nights sleep, healthy recreation, and taking time to slow down even for just a few minutes a day are all great starting places.

Social activity not only helps you work through stressors like grief and loss, or life changing events, good or bad, but helping others is a proven way to improve your health. Volunteering has been shown to add up to 7 years to ones life and improve the overall quality of aging.

Lastly we have the most obvious of the 7 secrets, identify and reduce stressors.  This one will take some introspection and you can combine it with the first one, prayer.  Taking a few minutes each day to think about what caused you the most anxiety, worry, frustration, anger, fear, annoyance, feeling overwhelmed, etc.  You might even find some things bother you more on certain days.  Sometimes we can cope with circumstances better than other times.  Keep track.  Then are there some you can reduce? Are you spending more than you earn?  What is contributing to your time management issues?

If you want more help with CBT or working out identifying and reducing stressors, join me for a free 15 minute consultation
 go to booking page



Sources:
  • Salleh M. R. (2008). Life event, stress and illness. The Malaysian journal of medical sciences : MJMS15(4), 9–18.
  • Griffin, R. M. (n.d.). 10 Stress-Related Health Problems That You Can Fix. Retrieved from https://www.webmd.com/balance/stress-management/features/10-fixable-stress-related-health-problems#1
  • Agnvall, E. (2014, November 01). Stress and Disease - Conditions that May Be Caused by Chronic Stress. Retrieved from https://www.aarp.org/health/healthy-living/info-2014/stress-and-disease.html
  • Kandola, A. (n.d.). Chronic stress: Symptoms, health effects, and how to manage it. Retrieved from https://www.medicalnewstoday.com/articles/323324.php
  • Nordqvist, C. (2017, November 28). Stress: Why does it happen and how can we manage it? Retrieved from https://www.medicalnewstoday.com/articles/145855.php
  • Kandola, A. (n.d.). Why do I keep getting sick? Causes and what to do. Retrieved from https://www.medicalnewstoday.com/articles/324842.php

March 17, 2019

How I Recovered From Depression


Depression affects more than 300 million people worldwide*.  The World Health Organization states, "Depression is the leading cause of disability worldwide, and is a major contributor to the overall global burden of disease."*  Some stats report up to 15% of people will experience major depression (who know how many will have to deal with mild or moderate symptoms).**

But beyond statistics, it gets personal when it’s a dear friend, close family member, or even closer to home, yourself. I’ve certainly not come away unscathed. Several years back I was diagnosed with depression and given some antidepressants. But what really helped me to completely heal was an integrative approach. The program I went through was called the Depression Recovery Program by Dr. Neil Nedley.  This program has since been renamed The Depression and Anxiety Recovery program because it works for both. This integrative approach aims to eliminate or reduce the risk factors for depression as far as possible. Those risk factors according to Dr. Nedley's research include***:
  • genetics
  • certain events during upbringing
  • nutrition (lack of certain nutrients or too much of others)
  • certain lifestyle choices (such as not enough activity)
  • frontal lobe function 
  • toxins (certain heavy metals)
  • social support
  • addictions
  • medical conditions such as diabetes
  • interrupted circadian rhythm

Some of these you can’t do anything about now, such as your genetics or childhood development. (although you could make a difference in future generations). But the good news is Dr. Nedley found that you usually had to have four "hits" to get depression. That means even if you had the genetic marker and a rotten child hood you could still work on the other eight hit categories of risk factors to prevent or reverse depression. Note: there are several individual items within each of these risk factor categories, but he found that that did not increase your likelihood of having depression. Another words, if you had 2 addictions and 2 nutrition issues that wouldn’t necessarily give you depression.

This makes a lot of sense because when researchers try to isolate and study, say tryptophan, they find it has an impact on depression but not everyone with a tryptophan deficiency has depression.  Dr. Nedley's approach is a more accurate way to work toward healing depression because it's covering a multitude of risk factors. His 10 category "hit" model has been researched and given an 84% sensitivity rate (research speak for a form of accuracy).

And he has been very successful with using this category approach in practical programs. In one study, after only 8 weeks on the program (done by video, workbook, and small group classes once a week), 57.6% (2754 participants) did not qualify as depressed. Keep in mind, the whole program is 12 weeks, and many participants do not work the program but only watch the videos. I would love to see the numbers from this study on those who actually do the program. In my limited experience (and other director's I've been in contact with) it's been close to 99% for those that do the whole program, and this is substantiated by the 99% success rate of those that attend the live in program*****.  Anyway I don’t want this to be an advertisement, I just wanted to set the foundation for my experience and why I believe so strongly in an integrative approach.

Dr. David Burns, who uses cognitive behaviour therapy along with other powerful tools he has developed also has an incredibly far above average success rate.  I believe one of the reasons Dr. Burns model is so successful is because the power of the mind is incredible in healing the body. Also when doing this kind of cognitive behaviour therapy (more advanced than standard CBT) you really are working on several of the risk categories identified by Dr. Nedley such as social, lifestyle, frontal lobe, addiction, and even developmental, in as far as how you perceive its effects on you now.

Back to my story. I found the medication my doctor prescribed gave me the ability to complete Dr. Nedley's program, and work through the Feeling Good book, which shows medication can have a place in this process. To date, I haven’t needed medication since, and that was over 12 years ago.  Yes, part of Dr. Nedley’s program is using cognitive behavior therapy. In fact, in the original program that I took, we used Dr. Burns book "Feeling Good". That’s how I learned about Dr. Burns and eventually TEAM therapy.

But it wasn’t just me, it helped two of my friends and my husband, who took the program with me (we used the in home video program). All four of us recovered from depression within the 12 week program time frame. I went on to become a director and facilitator and found those who stuck with the program had a full recovery from depression. As a bonus we had participants also do better with their diabetes and heart disease. Their doctors even had to reduced their medications just 6 weeks in.

So, while integrative approach is a lot of work, it also improves other aspects of your life. Because you’re not just going to feel better emotionally but also physically. And this means you’re around longer to be with your kids and grandkids. You have more vitality and energy to do the things you would like to do as you age. And if you’re younger, you can help to avoid those top five fatal diseases in Western society that are often preventable****.

So whether you are interesting in learning more about the integrative approach or simply working on your thinking process and emotional health, I’m happy to help you either way. I don’t have a burden to pressure you with what helped me because we all are different and only you can choose what's right for you. I just wanted to share part of my story so you can see there is light at the end of the dark depression tunnel and I understand what it's like to be in that dark place where hope is bleak. Book a free 15 minute consultation with me to learn more how we can work toward a brighter future.

PS: If you are dealing with depression, whether or not you want to work with someone to get help, I encourage you to start with getting Dr. Burns book "Feeling Good", usually under $10, and found in almost any book store in North America or internationally on Amazon in several languages (I checked, it's available in the UK, USA, Canada, Australia, China, France, Germany, and India just to name a few). 2/3 of patients on a waiting list for therapy found they had symptom improvement from depression just from reading this book.

PPS: If you’re feeling like life is not worth living and you’d rather not even be here please contact: 

Crisis Line for Canada toll free 24/7: 1-833-456-4566 Or chat or text www.crisisservicescanada.ca/

National Suicide Prevention Hotline for USA:  1-800-273-8255 OR you can chat with them and other resources online visit suicidepreventionlifeline.org


Sources:
“Depression.” World Health Organization, World Health Organization, www.who.int/news-room/fact-sheets/detail/depression.
** Morin, Amy, and Lcsw. “How Many People Are Actually Affected by Depression Every Year?” Verywell Mind, www.verywellmind.com/depression-statistics-everyone-should-know-4159056.
*** Nedley, Neil, and Francisco E Ramirez. “Nedley Depression Hit Hypothesis: Identifying Depression and Its Causes.” American Journal of Lifestyle Medicine, SAGE Publications, www.ncbi.nlm.nih.gov/pmc/articles/PMC5103329/.
**** “The Top 10 Deadliest Diseases in the World.” Healthline, Healthline Media, www.healthline.com/health/top-10-deadliest-diseases.
***** Carney, Linda, MD. "Nedley Depression Recovery Program" DrCarney.com Blog, June 2, 2016  https://www.drcarney.com/blog/entry/nedley-depression-recovery-program.

February 17, 2019

Body, Mind & Soul An Integrative Approach


So I thought today I would talk a bit about why I believe in an integrative approach of body, mind, and soul.  And why I follow a plant-based diet as well as other lifestyle choices.  

Since science can’t really articulate the separation of the physical brain and emotions/thoughts, this will be a little bit philosophical. We all have our different views that come from a combination of things we’ve read from science or the Bible or even social media posts. And while I could document the sources where I get my ideas from, the reality is, I cannot prove it and my goal is not to convince you of my believe but rather to understand a little bit more about why I do what I do.  So, I hope you will read all the way through this article with that in mind.

You may have heard me say body mind health, or body mind and soul, or integrative approach, or various combinations of these. Certainly it's in the name of my blog, website and facebook pages. LOL. Obviously, when I say 'body,' I’m referring to your physical body. Mind refers your thoughts and feelings and soul is the essence of who you are or your personality. 

You might be with me so far, or not, but I’m not sure you’ll be on board with my next belief which is that not only our minds, but our souls are also intricately linked to our physical brain. One of the evidence is for this is Phineas Gauge who had an abrupt personality change when a tamping bar went through his frontal lobe. There’s actually many more stories of people who had brain injuries or disease, and had personality changes, emotional problems, or even the way they think changed. Unlike alzheimer's, some dementia patient's family members will tell you this is NOT the person they remember. So we know that physical disease and injury to the brain do you change thoughts and emotions in a person, and even their personality. As a Christian I believe the breath of life comes from God, as mentioned in Genesis and in the New Testament, and goes back to God when we die. I just don’t believe that the soul and the breath of life are the same thing. I don’t think that your soul lives on without a body.  I actually have a Bible study on this if you like and you can get that here. Don't get me wrong, I do believe in heaven and life after death, just not life immediately after death, I believe in the resurrection John 5:28

You might have different definitions for these words, or beliefs, and that’s absolutely fine. I do know many things that affect one affects the other. Having a doctrinal difference won’t affect how we work together, it only explains why the body, and specifically the brain, is so important to protect. Because whether you believe the soul is a separate entity from your body or not, we can agree the mind is affected by physical health, and that one can no longer make good decisions if they get a stroke from a poor lifestyle. Our brain's can't function properly without our whole bodies working in good order.  We need proper nutrition for the chemical messengers in our brains, we need exercise for circulation and delivery of these, and so much more.  We’ve seen this in science many times. We know that extreme lack of sleep can cause emotional problems such as irritability and poor cognitive function. Likewise we know certain thoughts can actually reduce physical pain, reducing emotional stress can lower your risk of cancer and heart disease, and many other interconnections.

A plant based diet is one of the best ways to get on the road to optimal health.  The blue zones are centuries of proof that eating lots of plant foods and limited sugar, added fat, and animal products, is the most healthy way to eat.  There are hundreds of studies and books in modern research to back this up. And even some of those following a keto or low card diet believe this so much they endeavor to be vegan or close to it, which is not easy to do, but is possible. 
  
I think in general people forget how important their overall health is to their emotional happiness.  Of course I totally believe in any state of health you can have peace and even happiness. And I do believe that we can’t always determine how healthy will be by our choices. I realize there are other factors that influence our health such as DNA, environmental factors, and other unknowns out of our control.  Let’s do what we can, when we can, is my philosophy. This is why I choose to walk with you on your journey, rather than dragging you along on mine.