Mental Health – Page 6 – Grow Mindfulness

Mindfulness Meditation – Being With Things As They Are

Allyson Pimentel presented a guided meditation on “Mindfulness” for the MARC, UCLA meditation podcast series. In the meditation, she described mindfulness as paying attention in the present moment with an attitude of acceptance and kindness and a “willingness to be with things as they are”. She suggested that mindfulness can be either formal (as with the UCLA guided meditations) or informal (occurring throughout our day as we focus on the present moment).

Mindfulness then entails paying attention in a kind way to things as they are occurring in our life in the present moment – not wishing them to be different or to go away. In this regard, Allyson maintained that mindfulness meditation can serve as a refuge – a safe place to nourish, restore and renew ourselves in challenging times. We can feel overwhelmed by external events (such as storms and severe weather events) or internal experiences (such as challenging emotions, deprecating thoughts or painful bodily sensations). Mindfulness meditation offers the opportunity to regain our equilibrium when faced with these challenges.

Allyson likens mindfulness meditation to a “wildlife reserve” where our own “animal bodies” are protected, kept safe and nurtured so that we can cultivate the “beauty” of kindness, gratitude, generosity and wisdom. Mindfulness meditation, then, can be a place of quiet restoration, renewal of our sense of wonder and gratitude and a means to mind-body balance.

Guided mindfulness meditation

Allyson progresses through the meditation by focusing in turn on bodily sensations, challenging emotions, disturbing thoughts and the ease and calmness of our breath:

Bodily sensations – we are asked to focus on a part of our body where we feel tightness and to be with this bodily sensation in all its dimensions (such as soreness, pain, tension). Allyson invites us to soften this part of our body and allow some degree of ease to permeate our bodily sensation. This involves a process of recognition and acceptance of what we are experiencing in the moment, rather than rejection or fighting against the sensations. After focusing on a particular bodily part and accompanying tight sensation, we are encouraged to undertake a process of progressive body scan and relaxation.
Challenging emotions – we now focus on any challenging emotion such as resentment, anger, frustration or annoyance. This involves being with the emotion, not attempting to deny it. It requires an openness to what is – in all its amplitude and disturbance. Again the process involves recognition and softening towards what we are experiencing, not hardening our hearts.
Disturbing thoughts – we might be simultaneously experiencing disturbing thoughts such as negative self-evaluation and self-censure. As we get in touch with these thoughts and their impacts on our body and emotions, we can learn to diffuse them by accepting their presence and being with their intensity, while acknowledging that “we are not our thoughts”.
Breathing – finally, we can take refuge in our breath which is ever present to us. We can focus on our breath wherever we experience it in our body, e.g., our chest, abdomen or nose. This involves acceptance of the nature of our breath, not trying to control it. As we tune into and listen to our breath, we can experience ease and freedom.

Reflection

At the end of the guided meditation, Allyson invited us to observe any aspect of our body that still feels tense or tight and to be with the sensation. At the time, I had a tightness in my right ankle from a bit of swelling there. The act of focusing and softening eased the sensation of tightness and pain.

As we grow in mindfulness through meditation and informal mindfulness practices throughout our day, we can access the well of ease, experience a refuge from challenges we are encountering and restore our equilibrium and sense of balance.

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Image by Dominik Rheinheimer from Pixabay

By Ron Passfield – Copyright (Creative Commons license, Attribution–Non Commercial–No Derivatives)

Disclosure: If you purchase a product through this site, I may earn a commission which will help to pay for the site, the associated Meetup group, and the resources to support the blog.

The Final Stages of the Hero’s Journey for the Frontline Midwife

In a previous post, I discussed the story of Anna Kent as a midwife volunteering in South Sudan in terms of the first 8 stages of the Hero’s Journey. What I will discuss now is her Sudan story expressed in terms of the final stages of the hero’s journey (Stage 9-12). I’ll be drawing again on her book, Frontline Midwife: My Story of Survival and Keeping Others Safe, in which she tells her story in graphic detail.

The final four stages of the hero’s journey – stages 9 to 12

The final four stages of her hero’s journey in South Sudan were deeply formative and life-changing and enabled Anna to develop a new perspective, skills and determination to help others in need wherever they were in the world:

9. Reward – there is no doubt that Anna emerged a stronger person as a result of overcoming personal challenges, including self-doubts and questioning of her obsession with volunteering. The reward, too, that she experienced involved saving the lives of mothers, children and babies. However, she had to deal with the sense of guilt she felt for the death of baby Mariam. James tried to reassure her that she was not responsible for the death of the baby – in his words, “it was everyone in the world’s fault”. She accepted intellectually that “every aid worker has a patient they carry in their conscience”. Emotionally, though it was a continuous challenge to overcome the sense of guilt which pervaded her nightmares as she relived the traumatic event. Unfortunately, our brains carry a negative bias – we see the negative much more strongly than the positive. For a time, Anna found that her negative thoughts overwhelmed her rewarding thoughts – her personal satisfaction that she had saved many lives who otherwise would have died without her skilled and brave intervention.

10. The Road Back – this is both a physical journey and a metaphorical one. On the physical level, it involves returning to her “ordinary world” – life with her boyfriend Jack in their comfy home in Nottingham. The metaphorical aspect relates to being comfortable with her new self in an environment that is starkly different on every dimension to the one she was leaving in South Sudan. It also meant dealing with the grief of leaving her mentor, James, her colleagues and the Sudanese people who she grew to love and admire for their courage, gentleness and stoicism. Her short recreation spells during her volunteering in South Sudan forewarned her of the pending difficulty of the “road back”. She found on her brief recreation trips that she could not share with Jack the horrors and traumas she had experienced and realised that she was totally lacking in libido. Friends would ask about the exciting bits of her story but all she could share were her stories about snakes, not the reality of the poverty, harshness, and deprivation of the basic rights of women in South Sudan. She found that she and Jack had so little to talk about, and their time together involved lots of silence as Anna tried to come to grips with crossing the threshold back into her former life.

11. Resurrection – on her return home Anna broke off her relationship with Jack and moved to her parent’s home. This created significant stress for her as she was unable to talk to her parents about her Sudan experiences or her reasons for breaking up with Jack – both these topics were too raw and traumatic. In speaking with James her mentor, she shared her angst and he informed her that he had experienced similar dislocation and disorientation on his return from volunteering abroad. James suggested that he made the mistake of “trying to be the person I once was when that person has gone”. Anna recognised that everything changes with overseas service in a different culture and land where deprivation is rife – your values and perspectives change and you see “luxuries” and waste with new, intolerant eyes. The way home for her involved a dying to the old person she once was and becoming a new, stronger, values-driven person.

12. Return with the Elixir – another phase in Anna’s transition to her new persona began with entering a share house with two other nurses. What she found was the ability to party together and share their experiences in a way that was cathartic. Out of this period came a very strong resolution by Anna to build on her newly acquired midwife capabilities. She enrolled in a midwifery degree at Nottingham University and had a very rewarding and enlightening work experience in Ethiopia as a student midwife. She felt stronger and better prepared for subsequent volunteering missions involving Haiti following the earthquake in 2010 and Bangladesh working with Rohingya refugees – and these experiences entailed different journeys with new challenges and companions (as discussed in her book).

Reflection

Throughout her hero’s journey in Sudan and beyond, Anna had to face her traumas which had “many heads” and in the process develop her resilience. An experienced volunteer nurse, Anita, had told her “you’re gonna have to work out how to sit with these painful feelings without reacting to them”. Like James, Anita suggested that meditation would be helpful as well as focusing on what has been achieved, not what her inner critic perceived as a “failure”. James even suggested that Anna meditate for “an hour every day” and often encouraged her to be in the moment and experience what was before her – e.g., children playing with kites made from sticks, and the earth glowing from the setting sun.

Anna demonstrated that as we grow in mindfulness through meditation (no matter how difficult we find it) and other mindfulness practices such as being in the moment, we can learn to regulate our emotions, deepen our self-awareness and develop resilience.

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Image by Steve Buissinne from Pixabay

By Ron Passfield – Copyright (Creative Commons license, Attribution–Non Commercial–No Derivatives)

Disclosure: If you purchase a product through this site, I may earn a commission which will help to pay for the site, the associated Meetup group, and the resources to support the blog.

Mindfulness on the Path of a Hero’s Journey

Anna Kent has provided a thought-provoking memoir in her book, Frontline Midwife: My Story of Survival and Keeping Others Safe. The “frontline” theme of her memoir enriches our understanding of this concept. Anna’s story recounts how she undertook nine months service with Doctors Without Borders (Médecins Sans Frontières, MSF) in South Sudan – where the population had suffered civil war for fifty years, with ongoing outbreaks of conflict despite a peace settlement.

Anna whose background was as a nurse in a hospital Emergency Department (ED) in the UK found herself as an accidental midwife. There was no one else available to do the task because there were no trained midwives in South Sudan at the time because of the civil war and its impacts. As I read her “heart-wrenching tale”, I recalled Joseph Campbell’s book, The Hero’s Journey.

Anna’s story is told with unassumed humility, raw emotion, and acknowledgement of her fears, frailties and vulnerability. As nurses tend to do, she provides graphic descriptions of the medical challenges she confronts and provides a warning at the front of the book in terms of potential triggers for people who have experienced birth-related injuries, maternal death, loss of a baby or gender-based violence.

The first eight stages of the hero’s journey – a structured view

As you read Anna’s memoir, you can begin to map Joseph Campbell’s twelve stages of the hero’s journey throughout her account. I have attempted to link her story to the first eight stages in this blog post:

Ordinary world – Before her journey, Anna enjoyed a comfortable life with her kind and musically talented boyfriend, Jack, and a home in Nottingham which included “an airy, high-ceilinged bedroom”. Her normal professional world was that of a highly qualified ED nurse at the Queen’s Medical Centre, Nottingham, where she coordinated a major trauma unit. To prepare herself for her work in South Sudan, she undertook a number of voluntary shifts in the maternity unit while on leave, completed a diploma in tropical nursing and volunteered for a brief placement at a Zambian Hospital in a rural district. Additionally, she completed a pre-departure course conducted in Germany by Doctors Without Borders (MSF).
Call to adventure: Ever since an early age in her childhood, Anna felt the call to do something about the suffering and pain she saw every day on TV and in the newspapers. She felt a strong urge to help alleviate the overwhelming suffering she observed, especially that experienced by children like herself. As an adult, she experienced “complicated reasons” for wanting to volunteer and help those in need of relief from pain and suffering.
Refusal of the call: As she was packing for her trip, Anna was almost overcome by her fears and uncertainty. She felt ill-prepared for what lay ahead and concerned about leaving her boyfriend and all the comforts of her everyday existence. She could acutely feel the tug to stay and not take the perilous journey involved in work in South Sudan. She also wondered about her comfy life, “Why isn’t this enough for me?”
Meeting the mentor: At Loki, in north-west Kenya, Anna underwent a week-long training that included how to survive a kidnapping, emergency evacuation, and working in isolation. She was informed that there was no internet access because computers melted in the heat and was warned about landmines, poisonous snakes and scorpions. She was told about her onsite mentor who she would meet on arrival in Tam, South Sudan. All she knew about him was that he was over sixty years old and “eccentric”.
Crossing the threshold: Anna crossed the threshold in more ways than one. She flew to Tam in a rambling, old aid plane which was the main transport for people and supplies to this remote area of South Sudan. The flight itself involved being thrown into the reality of war-torn Sudan with bandaged passengers and a woman covered in a bundle of rags lying on a stretcher on the floor of the plane. She was dying and had an IV line connected to her arm and attached via string to the seat’s edge. The French nurse attending to her indicated that the woman would be delivered to the MSF Hospital in Leer, the State’s capital. Anna was very aware that back in the UK, this woman would have had the best of care including drips and monitors and would not have had to suffer the indignity of travelling on the floor’s plane. She was informed that Tam itself suffers from a drastic shortage of pain relievers, antibiotics and other medical necessities. After offloading the dying woman and other passengers in need of urgent medical attention, the plane flew onto Tam where Anna would be working. Her plane eventually lands roughly on the mud landing strip that reflected the terrain – hot, barren and forbidding.
Tests, Allies, Enemies: The heat and oppressive conditions are the enemy. Anna meets her mentor, James, a very experienced nurse and she took an immediate dislike to him. His joviality in the face of unmitigated horrors does not ring true and she can’t make him out. This uncertain relationship with someone whom she will have to depend on, added to her discomfiture. She identified an ally in another female nurse who supports her in the early days of her volunteer work in Tam. However, she is horrified by her sleeping conditions – she is in a tent with James nearby in another tent, both located within the dirt compound that is also traversed by poisonous snakes and scorpions. On top of this are the conditions for patients, many of whom walk many miles to attend the clinic even when seriously ill. The waiting room is effectively the “Waiting Tree” where patients huddle under the limited protection provided by a tree within the dirt compound. The stream of patients is endless (Anna and James treat 1,000 patients in a month) and the diversity and complexity of illnesses is scarry. The makeshift wards are overrun with some patients having to lie on mattresses in the dirt compound. There are continuous life and death decisions determining who will be airlifted to the hospital in Leer, given the restricted availability and limited capacity of the aid plane, and the resources at the hospital itself.
Approach to the inmost cave: The death of a young boy became a crisis point for Anna. Her inner conflict intensified, doubts about her own capability in such trying conditions resurfaced, and she experienced emotional turmoil and overwhelm at the sight of unmitigated suffering, pain and death. She was tense about what further trauma lay ahead. Her salvation came in the form of lengthy, tent-to-tent conversations at night with James , her mentor. Unburdening herself with him and talking through what she was experiencing in an open and honest way changed their relationship. It helped her deal with her emotional crisis These conversations enabled her to reflect on her challenging experiences as they occurred and voice her worst fears. He offered her reassurance and emotional support. James introduced her to the power of mindfulness for dealing with turbulent emotions. Anna came to value his advice, his philosophy of life and his positive psychology.
Ordeal: The ultimate ordeal for Anna and the medical team arrived in the form a 16 year old pregnant girl who was in deep distress and agonising pain. Anna played a major role in successfully delivering premature triplets and helping to save the young girl’s life as she was in acute danger of dying from excessive bleeding resulting from “postpartum haemorrhage”. This experience gave Anna the ultimate high so that she felt like a “hero” and suddenly understood why she had volunteered for such physically and emotionally draining work. She believed at the time that the high from this event would enable her to ride out the lows. The image of the young mother walking home with her triplets in a basket on her head reminded Anna of what was possible in saving others and to value her own contribution.

Reflection

Anna’s story lends itself to mindful reading which according to Mirabai Bush “moves the reader into a calm awareness, allowing for a profound experience and understanding”. It requires full attention, avoidance of distractions and openness to thoughts and feelings as they emerge throughout the reading process. This story is rich in self-disclosure, replete with expression of emotions and immersive in its description of the context and physical environment. Anna encourages us to join her on her hero’s journey into the challenging unknown and land of profound suffering.

Her efforts to grow in mindfulness through micro-practices increased her self-awareness and emotional regulation and enabled her to deal more effectively with the challenges that she had to meet on a daily basis.

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Image by Eszter Hornyai from Pixabay

By Ron Passfield – Copyright (Creative Commons license, Attribution–Non Commercial–No Derivatives)

Disclosure: If you purchase a product through this site, I may earn a commission which will help to pay for the site, the associated Meetup group, and the resources to support the blog.

Preventing and Reversing Alzheimer’s – Dr. Kat Toups

Dr. Dale Bredesen, author of The End of Alzheimer’s, in an interview podcast with Kirkland Newman, indicated that he was the theoretician oversighting the work of his team engaged in clinical trials to prevent and reverse Alzheimer’s. He also introduced Dr. Kat Toups as the practitioner and Principal Researcher for the clinical trials. Kat specialises in functional medicine psychiatry and in 2009 was awarded the honour of Distinguished Fellow of the American Psychological Association (APA), the highest honour bestowed by the APA. After researching Alzheimer’s for 20 years and working with Dementia patients in her clinic, she found in 2010 that she herself was a Dementia sufferer. She spent the next three years researching and treating herself to the point where she was able to return to her practice after a period of incapacitation.

Kat was 50 years old at the time of her self-diagnosis of Dementia and she was acutely aware that such early onset Alzheimer’s tends to develop more rapidly than for people who are 65 years or older. Kat described development of her symptoms as a progressive deterioration of her cognitive abilities:

Commencing with her inability to remember two sets of three words that she had used for 20 years in undertaking memory tests with her patients (she had to write them down to access them)
She found she was unable to reverse park or parallel park her car because these involved fairly complex cognitive steps
Her memory of how to work on her computer declined – she could not remember how to operate this primary research tool and its particular functions; she found that her husband would get annoyed at her because she could not remember his instructions or that he had actually reminded her of the processes involved
Kat found she had difficulty remember phone numbers, and even worse, needed multiple attempts to dial a phone number
She found during a conversation at a friend’s place that she lost track of the conversation and was unable to understand what was being said in normal conversation (her cognitive ability had declined to the point where she had developed auditory processing problems)
She continued to deteriorate and eventually she suffered extreme fatigue, had difficulty getting out of a chair (for a year) and could not work.

Kat was very conscious of her concurrent problems including an auto-immune disease, Lyme disease, chemical sensitivity, allergy to multiple things resulting in hives and rashes all over her body and brain fog (resulting from exposure to chemicals in stores). Because of her awareness of the many factors impacting cognitive ability – such as toxins, nutrient deficiency, lack of hormones, lifestyle challenges and stresses, inflammation and infections, and diet – she was motivated to undertake a battery of tests to determine and treat the specific factors impacting her cognitive health. She indicated that in her clinical trials she does the same thing – isolate personal factors that can then become “treatment targets” for reversing the impact of Dementia (including Alzheimer’s).

Kat was eventually able to return to work and resume her clinical practice with the added benefit, because of her personal experience, of being able to treat her patients faster than she had treated herself. She explains the thoroughness of her self-testing and treatment in her podcast interview with Kylene Terhune, Functional Diagnostic Nutrition (FDN) practitioner.

In her interview with Kirkland mentioned previously, Kat discussed a case study that demonstrated reversal of Dementia. She spoke about a patient who had been tested elsewhere at the age of 60 and found to have a delayed memory score of 19, a score that should have been “way over 50”, given his education and obvious intelligence. When he presented for a Dementia trial with Kat at age 63 (after doing nothing in the intervening period on the basis of the medical advice he had received), his cognitive test result was 7 (a decline of more than 50%). Kat stated that she and her team were able to reverse this result after the patient spent 9 months in the clinical trial – resulting in a score of 92 at the end of that time.

Ways to prevent and reverse Alzheimer’s and other forms of Dementia

Kat provides a free e-book, Decoding Dementia, in which she explains the causes of decline in memory and cognitive ability, discusses different treatment options, proposes diet and lifestyle changes and ways to test for and identify underlying causes of Dementia, including toxins (especially mould), inflammation, lack of hormones, and stress.

Kat provides what she terms a Basic Dementia Protocol which includes:

Identifying and correcting any underlying causes likely to contribute to cognitive problems
Observing her guidelines on exercise, diet and sleep
Brain training e.g. Brain-HQ
Correcting vision and hearing through testing and taking remedial action
Overcoming deficiencies in nutrients (e.g. Vitamin D)
Reducing stress by using mindfulness practices
Restoring hormones to the right levels and balance.

Kat is particularly conscious of the need to remove mould from homes and correct sleep apnea:

Mould – Kat explains that certain types of mould “can result in inflammation and destruction of the neurons” if left unattended over a reasonable period. She advocates strongly for mold testing using home kits and external professional assessment. Kat provides detailed instructions on how to go about dust collection and assessment (pgs. 10-11 of Decoding Dementia).
Sleep Apnea – Kat encourages testing and correcting Sleep Apnea where frequent snoring occurs as this condition causes a continuous loss of oxygen to both the brain and the heart. In her words, if left untreated, “Sleep Apnea can lead to both Dementia and Congenital Heart Disease”.

In her free e-book, Decoding Dementia, Kat offers more details in relation to each of the elements of her Basic Dementia Protocol. On mindfulness, she states that any mindfulness practice will be beneficial provided it is done on a daily basis and, ideally, for at least 20 minutes. Kat recommends using a mindfulness practice that suits you personally and your commitments. She encourages the use of guided meditations such as those provided by the Mindful Awareness Research Centre (MARC), UCLA. Other options Kat proposes include Tai Chi, Gratitude practices including journalling, Meditation apps such as HeadSpace, and HeartMath Technology (focused on inner balance and stress reduction).

Reflection

We can each think of someone who could make use of the information and options provide by Kat. The challenge is to apply her experience and research insights to ourself and undertake the testing, lifestyle changes and treatments (where necessary) that she proposes. I find that guided mediations, mantra meditations and Tai Chi (meditation-in-action) are my favourite mindfulness practices. Through these practices, I hope to grow in mindfulness so that I can increase my self-awareness, develop and support my brain (through improved attention and concentration) and build better understanding and compassion. I hope to cultivate and savour my subconscious and gain greater access to my innate creativity.

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Image by Gerd Altmann from Pixabay

By Ron Passfield – Copyright (Creative Commons license, Attribution–Non Commercial–No Derivatives)

Disclosure: If you purchase a product through this site, I may earn a commission which will help to pay for the site, the associated Meetup group, and the resources to support the blog.

Note: The Content of this post is not intended to be a substitute for professional medical advice, diagnosis, or treatment. Always seek the advice of your physician or other qualified health provider with any questions you may have regarding a medical condition.

Preventing Alzheimer’s – It’s Not What You Think

Kirkland Newman, researcher, writer and philanthropist, has established the MindHealth360 website to make free resources and solutions available to anyone who wants to access information on mental health issues. She shares her vision of an integrative approach to mental health through her advocacy of functional medicine psychiatry – an approach that does not just look at symptoms but explores root causes of illnesses. Foundational to her approach is the recognition of the need to integrate our inner life, biochemical elements and lifestyle/behavioural approaches. Her revolutionary approach to integrative mental health derives from family and personal experiences of disintegrated and injurious pharmaceutical treatments for postnatal depression. Kirkland discovered the lasting benefits of integrative medicine (also called functional medicine) 11 years after suffering severe postnatal depression and has dedicated herself to sharing the benefit of this approach with others.

Kirkland’s MindHealth360 website provides a comprehensive discussion of factors that could, in combination, be contributing uniquely to an individual’s mental health issues – these potential contributors have been categorised under the three main areas of lifestyle/behavioural, psycho-spiritual and biochemical factors. Her documentation of these contributors is enriched by video podcasts of her interviews with leading experts on integrative mental health. In this post, I want to explore one interview that covers the groundbreaking work of Dr. Dale Bredesen and Dr. Kat Toups on preventing and reversing Dementia (including Alzheimer’s – the most prevalent form of Dementia). Dale is the author of The End of Alzheimer’s: The First Programme to Prevent and Reverse the Decline of Dementia and The Practical Plan to Prevent and Reverse Cognitive Decline at Any Age.

Misconceptions about the nature of Alzheimer’s

Dale, who is a world-famous neurologist, was at pains to point out that the medical profession has completely misconstrued Alzheimer’s and led people astray into believing that it cannot be prevented or reversed. His fundamental proposition aligns with Kirkland’s integrative medicine approach. He contends, for example, that the medical profession is treating Alzheimer’s as a simple disease rather than a complex one – he likens this perspective to treating Alzheimer’s like playing checkers instead of playing the more complex game of chess. He argues that even the latest approved FDA Alzheimer’s drug will only slow the symptoms of Alzheimer’s but does not provide improvement. He suggests that this disintegrated pharmaceutical approach is like fixing one hole in a ceiling riddled with more than 36 holes.

He argues, based on successful clinical trials with his team, that there are four major areas that contribute to the development of Alzheimer’s:

Inflammation (which can result from multiple different sources such as poor dental care)
Toxins (including air pollution and household mould)
Energetics (a technical term covering aspects such as blood flow, level of oxygen and presence of ketones)
Nerve growth and neuron support (called “trophic support”, the presence of molecules that help neurons to develop and sustain necessary connections) – this includes hormones such as estrogen and testosterone, as well as nutrients such as Vitamin D.

Success in terms of Dale’s team means actually preventing and/or reversing the progress of Alzheimer’s. The clinical trials of his team provide considerable proof that Alzheimer’s is reversible if you adopt an integrative approach which includes a battery of tests covering the four areas mentioned above and other aspects such as measurement of cognitive impairment (using MRI procedures and the MoCA Cognitive Assessment Test). Added to these more quantitative approaches is discussion with a patient’s partner to discover whether they have observed any noticeable change in the person being assessed.

Dale argues for this more integrated “cognoscopy” approach and maintains that anyone over 45 years of age should seek out such comprehensive assessment of cognitive impairment. He maintains that the term “Mild Cognitive Impairment (MCI)” is, in fact, misleading as this condition constitutes an advanced stage of Alzheimer’s (not an early stage as the name suggests). Dale explains that his team has identified four stages in the development of Alzheimer’s:

Phase 1 – No symptoms but impairment detectable on a PET Scan (can occur 20 years prior to assessment of MCI)
Phase 2 – Subjective assessment – you know something is wrong but impairment is not detected by standard tests
Phase 3 – Mild Cognitive Impairment (MCI) as measured on tests such as the MoCA mentioned above.
Phase 4 – Final stage of advanced symptoms that are adversely impacting your daily activities.

Preventing and reversing Alzheimer’s

Dale contends, based on the improvements in Alzheimer’s patients during clinical trials, that Alzheimer’s is reversible particularly if cognitive impairment is identified and addressed in its early stages. In the trials, the researchers chose people who were assessed as having Mild Cognitive Impairment (that is, with MoCA scores of 19 or less, but not including those in the zero to 5 range). The results show that 84% of the patients actually improved their cognitive assessment, despite the intervention of the pandemic (a summary of the results is provided at 23.48 mins in the video podcast).

Dale states that a “one size fits all approach” to treatment is totally inadequate because of the considerable variability amongst individuals in relation to the four major areas discussed previously (inflammation, toxins, energetics and nerve/neuron support). In concert with Dr. Kat Toups, he states that Alzheimer’s is also preventable if we look to maintain our health holistically having regard to the key lessons identified from their personal experience, research and clinical practice.

Reflection

These insights on Alzheimer’s, developed through evidence-based trials, remind us of the need to access the wisdom of the body and to consciously adopt a self-care plan. It also means that it is desirable to be proactive in obtaining professional assessments of our physical and mental health. Kirkland reminds us that we need to attend to our “inner life”, especially negative thoughts and beliefs that over time can result in the release of stress hormones that “can cause further hormone and neurotransmitter imbalances”. She argues for the use of meditation and mindfulness to manage our thought patterns and beliefs, as these improve self-awareness and self-regulation.

We can explore our inner landscape as we grow in mindfulness through Tai Chi, mantra meditation, yoga or other mindfulness practices. Kirkland contends that mindfulness can help us to develop emotional regulation as we become aware of our thought-feelings patterns and learn to break the habit loop.

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Image by Mirosław i Joanna Bucholc from Pixabay

By Ron Passfield – Copyright (Creative Commons license, Attribution–Non Commercial–No Derivatives)

Disclosure: If you purchase a product through this site, I may earn a commission which will help to pay for the site, the associated Meetup group, and the resources to support the blog.

Savouring the Wins of Others

I have been reflecting on Jeff Brown’s comments about the journey into authenticity and particularly what he had to say about savouring the accomplishments and wins of others. He comments for example, “I love it when people accomplish something they have set out to do”. My reflection helped me realise that I have been pursuing a path of authenticity in how I turn up for, and play, social tennis (although I have not previously framed it that way). Like when playing competitive tennis, the inner game of social tennis is challenging but influences how you approach successes and failures.

I realise that the journey into authenticity while playing social tennis has a number of dimensions for me and while I have started the journey, I have a fair way to go. The journey entails confronting inner challenges that impact the way I relate to others on the court, both partners and opponents (I only play doubles tennis at my age due to exercise asthma – I turned 76 today!). Some of the inner battles I have been addressing include the following:

Expectations: I have had to adjust my expectations. I am no longer a 30-year old A-Grade tennis player playing competitive tennis in tennis fixture competitions. I have had to realise emotionally, as well as cognitively, that I no longer have the speed, mobility, strength or endurance that I had when I was half my present age. This means that I have to control my emotional response when I am not able to execute tennis shots that I have been able to achieve previously. This has led me to accept my situation without being captured by negative emotions.
Blind Spots: By watching competitive tennis and reflecting on my own social tennis game, I came to realise some of my blind spots, both behavioural and cognitive. On a behavioural level, after I had some lessons (at age 75) on playing a two-handed backhand, I had to rethink how I held the racquet when I waited for a serve. On a cognitive level, I had to reacquaint myself with my “slice shot” (both forehand and backhand) which I had “put away” because I thought that it was not a “real shot”. My thoughts about this shot changed after observing Ash Barty achieve Number One world ranking in tennis.
Making Mistakes: Because I still carry “video-tapes” in my head of shots I have played competently over many years, I would often get upset when I made a mistake. However mistakes in tennis are part and parcel of the game …and it took me quite a while to acknowledge this emotionally. I had to deal with negative self-evaluation and find ways to develop emotional equilibrium even when making basic mistakes. To assist this journey into authenticity, I try to savour the present moment – the opportunity to play, the capacity to run and hit the ball and my developed tennis competence.
Savouring the wins of others: This is still my greatest authenticity challenge when playing social tennis. I can fairly readily acknowledge and savour the good shots of my tennis partner. However, to do the same for my opponents is a different matter. Because of my conditioning over many years of playing competitive tennis, I want to win every point in a tennis game (although this is not physically possible). After a long rally where I have hit a lot of shots, run a considerable distance and displayed some tennis competence, I get annoyed if my opponents ends up winning the rally. It means effectively that I am not authentically focusing on the process but worrying about the outcome. This is a considerable challenge because it involves rewiring – overcoming my competitive conditioning. It is my current focus in trying to achieve authenticity when playing social tennis on a weekly basis.

Reflection

The journey to authenticity in playing social tennis is a continuing challenge. For one thing, I have to explore why I become annoyed when my opponent wins a rally and learn to savour the wins of others on the tennis court. As I grow in mindfulness through reflection, Tai Chi and meditation, I can learn to better accept my physical limitations, admire the achievements of others (even if they are at my expense) and manage my expectations and associated emotions. This will require a major change in my mindset and help me achieve authentic transformation.

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Image by mohamed Hassan from Pixabay

By Ron Passfield – Copyright (Creative Commons license, Attribution–Non Commercial–No Derivatives)

Disclosure: If you purchase a product through this site, I may earn a commission which will help to pay for the site, the associated Meetup group, and the resources to support the blog.

Overcoming Anxiety

Presenters at the Anxiety Super Conference reinforced the view that adverse childhood experiences provided the foundation for anxiety in later life. The early childhood experiences could involve sexual and/or physical abuse, psychological control, cruelty, demeaning words and actions or any other form of adversity that undermines a child’s self-esteem, sense of self-worth and security. The effects of adverse childhood experiences are long-lasting, sometimes a whole lifetime. I find it amazing that in my seventies, I am still anxious in confined spaces, especially lifts. I track this anxiety back to 18 months of confinement in an orphanage when I was 4 years old and separated in the complex from my younger sister.

We are told that there is wisdom in anxiety and it can be good for us, e.g. warning us about an unhealthy situation, either self-generated or other-generated. It can also be useful when it activates focus and energy when pursuing our goals, whether at work, in sport or in our homes. Anxiety is counterproductive when it undermines our confidence or causes us to freeze, dissociate or engage in destructive, addictive habits. However, the path to overcoming debilitating anxiety does not lie in avoidance or denial, but in truly facing up to anxiety and related fears. The presenters at the Anxiety Super Conference provided ways to overcome anxiety, many of them embedded in the body, such as Restorative Yoga offered by Adelene Cheong.

Anxiety Loops

Amber Benziger, who spoke at the Anxiety Super Conference, provides a short video on the nature of anxiety loops that potentially generate escalating fear. She suggests that experiences like the pandemic can intensify uncertainty around day-to-day activities like getting the children to school, retaining a job or maintaining physical and mental health. The uncertainty can provoke anxiety about how to handle the resultant disruption and disconnect with established routines. This, in turn, can lead to physical manifestations of heightened anxiety such as increased heartrate, headaches, or pain in the arms , legs, neck or back (through tightened muscles and constriction of blood flow). The physical symptoms can activate negative thoughts such as, “Why haven’t I prepared for this?” “I am not a good parent/spouse/colleague”, “Why can’t I cope with this disturbance when other people seem to be coping?. Amber suggests that, over time, the uncomfortable feelings intensify, negative thoughts become reactionary and excessive and anxiety can be experienced as a panic attack or burnout.

Breaking the anxiety loop

Amber’s suggestion to break the anxiety loop is to first validate the true nature of the external stimulus, e.g. acknowledge that it is a global pandemic and certainly a challenging time that is causing uncertainty and worry for many people. Then, asking yourself a number of questions relating to control (which appears to be the thing we experience as most under attack), e.g. “What can I actually control?, “What is in my power to do now to prepare, protect and provide for myself and others?” She encourages us to check in to our bodily sensations via processes such as a body scan and progressive releasing of tension. At the same time, she encourages us to challenge our negative thoughts and underpinning assumptions. Amber asserts that in the final analysis, “feelings are not facts!” and we should question why these feelings are arising – just as Jon Kabat-Zinn asserts, “We are not our thoughts!” and we should use diffusion strategies to minimise their impact.

Amber is the creator of The Anxiety Lab which is a membership site for women who want to overcome anxiety and restore control in their lives. Besides social support provided by members, Amber offers resources and workshops to enable participants to develop mechanisms for coping with anxiety. As a trained counsellor and clinical therapist, she also offers counselling for individuals and families as well as group therapy and teletherapy.

Anxiety can be compounded when we take on new roles such as that of a leader in a community organisation or a manager in a commercial enterprise. Our inability to cope with anxiety can be more public and open to scrutiny in these roles and environments.

Managerial anxiety

Managers can be anxious about the decisions they make, their impact on the welfare of staff, their ability to properly represent the organisation and its goals, their capacity to observe legislative requirements or meet any of the multitude other demands of a manager in this day and age (including coping with new technologies and industry discontinuities). Managers can be concerned about how they are viewed by their hierarchy, their staff, their colleagues or their clients. They can be anxious about meeting targets, avoiding budget overruns or achieving the required organisational growth. Managers, whether executives or managers lower in the organisation, can be captured by expectations, those of others as well as their own unrealistic expectations arising from a perfectionist tendency. This anxiety can lead to overwork and an inability to create boundaries between work and home (particularly in these days of hybrid work).

During the Anxiety Super Conference, Moira Aarons-Mele raised the issue of leadership anxiety and explained that it is different for every person. She stated that because of our nature as “human relational creatures”, we worry about how we are viewed by others, “ping” off others’ anxiety and take on others’ urgencies. She maintained that this anxiety-related behaviour is aggravated both by email (where we worry about the communications we initiate and our response to others’ communications) and online meetings. Meetings via platforms such as Zoom, can be draining not only because of the level of concentration required but also the fact that we are “performing under lights”. Moira suggests that the “energetic output” required for a series of Zoom sessions is excessive and in a TED Talk, she offers 3 steps to stop remote work burnout.

Moira self-identifies as “an extremely anxious overachiever” who is working to bring some normality to her life. In pursuit of this purpose, she created The Anxious Achiever Podcast – a series of podcasts in which she interviews experts in the field of anxiety management including those who propose writing as therapy, adoption of Acceptance and Commitment (ACT) therapy and dealing with the “imposter syndrome”. One of her interviewees, journalist Priska Neely, explains why managing is the hardest job she ever had.

Overcoming managerial anxiety

Moira offers a number of ways to overcome managerial anxiety. She suggests that one of the first steps for a manager is letting go – stop micromanaging and empower others through mindful delegation. Associated with this, is the need to adopt healthy work habits that become new norms by way of modelling desired behaviour. Sometimes this involves changing the expectations of staff that have arisen as a result of the previous behaviour of the manager, e.g. arriving early and leaving late.

Moira also recommends talking about the work situation and the stressors involved and working collaboratively with staff to develop ways to cope effectively – e.g. introducing a wellness program or a morning exercise routine. This self-care and other-care approach could involve checking in on oneself as well as staff experiencing distress. Moira also strongly recommends setting boundaries , both at work and at home, ensuring there is a clear divide between work life and home life (avoiding endless spill over, a trap for the unwary when working from home). Moira, like Ginny Whitelaw, encourages movement and bodily awareness to enable leaders to let go of tension – otherwise, their tension contaminates the mood of everyone else they come into contact with (bosses, colleagues and staff).

Reflection

There are many paths to overcoming the anxiety that negatively impacts our health, productivity and overall well-being. We have to start, and persist with, the journey into our inner landscape. This can be a lifetime pursuit but the rewards are great as we begin to break free of expectations and the other ties that bind us. As Janine Mikosza writes in her novel, Homesickness: A Memoir, “your past doesn’t have to be your future”.

If we adopt mindfulness practices such as Tai Chi, yoga or meditation, we can find that over time as we grow in mindfulness we begin to develop heightened self-awareness, the courage to change, the creativity to develop new ways of being-in-the-world and the resilience to maintain the journey. In the process, we will positively impact others whom we interact with at work, at home or during our everyday endeavours (such as sports or social events).

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Image by John Hain from Pixabay

By Ron Passfield – Copyright (Creative Commons license, Attribution–Non Commercial–No Derivatives)

Disclosure: If you purchase a product through this site, I may earn a commission which will help to pay for the site, the associated Meetup group, and the resources to support the blog.

Ways to Manage Ourself During Difficult Times

The Mindful Awareness Research Center (MARC) at UCLA offers weekly guided meditation podcasts on a wide range of topics and issues. In one of the recent meditation podcasts Diana Winston, Director of Mindfulness Education at MARC focused on “Practices in Difficult Times” – providing several mindfulness practices designed to help us achieve calmness, manage our challenging emotions and express compassion to ourselves and to others who are suffering.

Diana highlighted the fact that challenging events such as the mass shootings in America and the war in Ukraine can generate “emotional inflammation” in us – we can feel strong emotions of anger, grief, rage or sadness. We might feel overwhelmed by others’ inconceivable pain and loss and our own emotional response. We might be confused and continually ask ourselves, “Why the children?”, “Why Ukraine?” or “When will this emotional and physical devastation stop?”

Diana draws on mindfulness practices to help us deal with these challenging times and the emotions they elicit in us. She reminds us that mindfulness involves placing our attention fully on the present moment while being open and curious and accepting what is in our present internal and external reality.

Three mindfulness practices for difficult times

The three mindfulness practices offered by Diana are described, in turn, in the following discussion:

Calming Practices: Here we are encouraged to tap into the body’s own capacity to generate calm and ease. The primary aim is to achieve groundedness in a way that is conducive to our present needs. We could start by taking a couple of deep breaths and releasing them slowly to let go of the tension within us. There is the option to find a place of ease in our body and focus in on it, e.g., our arms beside our body, our relaxed legs or our fingers joined and pulsating with energy. Diana particularly stressed the power of “feeling the support of the earth” through our feet on the floor or the ground. Our breath with its natural rhythm can provide a basis for experiencing calm and ease (unless, of course, focusing on our breath acts as a trauma stimulus). If attention to our breath is calming, there are many ways to access a relaxed state through mindful breathing practices. We could adopt “micro-practices” such as the 4-7-8 breathing practice often used in yoga, the breathing in time practices (using our breath as a musical instrument) or we could pay attention to the internal physical sensations of our breathing – e.g., the rising and falling of our abdomen or the feeling of air moving in and out of our nose. Diana suggests another alternative is to pay full attention to the sounds in the room or what is being generated externally (especially if we are in a natural setting with the sounds of birds, waves, or wind). Sound can also be used as a calming mindfulness practice as we listen to and sing mantra meditations provided by people like Lulu & Mischka (such as their Rainbow Light song as part of their peaceful Horizon album).
Holding strong emotions: Normally, people tend to suppress challenging emotions, deny them, or deflect their attention from them by numbing themselves with some form of addictive behaviour such as drinking excessive alcohol, overeating, taking illegal drugs or over-spending while shopping compulsively. Mindfulness experts and psychologists remind us that we need to face up to our emotions or they will cause disruptions in our lives through some form of mental and/or physical illness. Diana encourages us in this guided meditation to pay attention to our challenging emotions and observe how they are manifesting in our body, e.g. tightness in the chest, pain in the arms or neck, headaches, overall stiffness or fibromyalgia (non-specific whole-body pain). Holding on to these strong emotions enables us to deal with them directly and use the healing power of our mind and body to dissipate them. If we experience overwhelm while confronting our strong emotions, we can return to our meditation anchor which could be our breath, external sounds, bodily sensations or music.
Compassion practice: Diana explains that compassion practice in this context involves ourselves as well as others who may be experiencing suffering and loss. She encourages us to treat ourselves with kindness and compassion as we struggle to deal with our challenging emotions and our misguided attempts to ignore them or numb them. She suggests, then, that we extend loving kindness to others in the world who are experiencing pain, devastation, grief and anger. Diana offers a possible expression of compassion for others in the form of a statement of desire, “May you be freed from pain and suffering and find contentment and ease”.

Reflection

We have a deep well of ease in our bodies that we can access at any time, if only we can let go of our damaging thoughts. As we grow in mindfulness through calming practices, facing our challenging emotions and practising compassion towards ourselves and others, we can gain the insight, courage and capacity to manage ourselves during difficult times. Mindfulness enables us to achieve emotional regulation, self-awareness and the creative drive to be the best we can be. Challenging emotions, left unchecked or ignored, can undermine our endeavours at home or at work.

Over time we can develop a regular mindfulness practice that suits our make-up and that we can undertake on a daily basis (e.g., Tai Chi, mantra meditations, chanting or yoga). This core mindfulness practice can be supplemented by micro-practices that we engage in throughout the day (e.g., when washing our hands, during waiting times, or when boiling the jug). The compound effect of these core and micro-practices is a calm state of mind, enhanced patience and conscious presence.

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Image by ChiemSeherin from Pixabay

By Ron Passfield – Copyright (Creative Commons license, Attribution–Non Commercial–No Derivatives)

Disclosure: If you purchase a product through this site, I may earn a commission which will help to pay for the site, the associated Meetup group, and the resources to support the blog.

Building Resilience One Step at a Time

We all experience adversity and setbacks – it is how we deal with them that shapes who we are and what we are capable of. Sometimes the setback is so great that it throws us completely off balance – at other times, it involves a minor and temporary dislocation. Shelly Tygielski, in her course The Power of Showing Up, talks about how she was completely derailed by a painful divorce that left her as a single mother trying to raise her young son. She found that she was unable to meditate or focus on anything because of her mental and emotional disorientation.

Eventually, Shelly through persistence with meditation (however dissatisfying because of her incessant distractions) was able to restore her balance and rebuild her resilience one step at a time. She achieved this, in part, by “chunking” tasks to manage the challenges she faced with her endless “to-do lists”. The determinant of the priority of her tasks was the degree to which they served her life purpose.

In her course, Shelly helps us to identify our thought patterns, emotional responses and habituated behaviours. She provides ways to “deconstruct” ourselves and, in turn, “reconstruct” our sense of who we are. The processes, including journalling, help us to break free of the ties that bind us and better align with our life purpose. Releasing the hold of perfectionism, fear and expectations enables us to achieve personal integration and access our innate creative and fearless nature.

Shelly demonstrates through her own life history, experiencing traumas and multiple setbacks, that we can emerge with renewed strength, a laser-focus on our life purpose and the resilience to overcome whatever life’s turbulence throws our way. Tina Turner, too, demonstrated a similar resilience through drawing on the power of meditation and chanting.

The road ahead involves taking one step at a time, confident in the hope that the journey provides its own rewards in terms of self-awareness, emotional regulation and achievement in line with our life purpose. We can get ahead of ourselves too easily, expecting too much too soon – negative thoughts, such as “I should be further down the track” or “this process is taking too long”, will only hold us back. We have to maintain our focus on the end goal – through mindfulness practices such as meditation, Tai Chi, yoga, chanting or journalling.

Chelsea Handler, in the Foreword to Shelly’s book, Sit Down to Rise Up, recounts the story of meeting Shelly backstage at a Wisdom 2.0 Conference. Chelsea was immediately drawn to Shelly’s “vibrance” and to the fact that she was witnessing “someone who lives their life in purpose”. Shelly subsequently invited Chelsea to join her at a meditation retreat for survivors of gun violence and family members who lost someone through such violence. Chelsea immediately experienced negative thoughts about her own adequacy to participate in such an emotionally charged event. Shelly assured her that she is “good enough” and has “personal agency” – messages she reiterates strongly in her book and her online course. Chelsea participated in the retreat and learned a valuable lesson about dealing with people who were experiencing trauma and grief – “sitting and listening to people’s stories is sometimes all that is needed”.

Reflection

I was very recently thrown off balance by the fact that my three-year old car broke down. It lost power and displayed multiple malfunction messages relating to the engine, the transmission and the high level safety features. This was particularly disconcerting and that meant that all the things that I had planned for the day were not possible, e.g. collecting a book from the library, dropping off clothes for dry cleaning, buying fresh seafood for dinner and purchasing other foods from a supermarket. While this was a minor setback (that proved costly), I was blindsided by the fact that it left me so unbalanced. However, I resorted to Tai Chi and persisted, despite feeling very unfocused and distracted by lots of thoughts and anxiety. This proved to be the one step I needed to restore my balance and help me to refocus on my tasks and my writing.

As we grow in mindfulness through practices such as Tai Chi and journalling, we can realign with our life purpose, restore our balance and build our resilience one step at a time (through one setback at a time). It may take a short time or years (as in one of Shelly’s many setbacks) to restore our balance and alignment, but we need to persist in this process of metamorphosis.

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Image by Ralf Kunze from Pixabay

By Ron Passfield – Copyright (Creative Commons license, Attribution–Non Commercial–No Derivatives)

Disclosure: If you purchase a product through this site, I may earn a commission which will help to pay for the site, the associated Meetup group, and the resources to support the blog.

Showing Up for Community Care

Shelly Tygielski is an advocate for translating mindfulness practices and related self-care approaches into community action. Shelly herself epitomizes this translation, being a trauma counsellor for surviving victims of mass shootings in the US and for refugees from Ukraine in Poland. She advocates strongly for both self-care and community care and argues that you cannot do the latter without the support of the former, otherwise you will suffer “compassion fatigue” and burnout.

Shelly sees meditation and other mindfulness practices as central to self-care. She is a meditation teacher and herself practices meditation and what she calls “micro-practices”. These are brief mindfulness practices that can be employed by anybody throughout the day, particularly at times when you are time-poor and feeling stressed, distressed or anxious.

Shelly indicates that these micro-practices can be linked to some action you already undertake during the day, e.g. she employs the yogic technique of 4-7-8 breathing when washing her hands. This involves breathing in through the nose for four seconds, holding the breath for seven seconds and breathing out through the mouth for eight seconds (there are various combinations of these breathing processes, but basically the outbreath is longer than the in-breath or holding your breath). This breathing practice can be used when waiting for traffic lights or waiting for the jug to boil or food to cook on the stove. Richard Wolf in his book, In Tune: Music as the Bridge to Mindfulness, offers alternative breathing practices that are linked to the different times in music, e.g. ¾ time. He also offers deep listening approaches that can be employed as micro-practices.

How to show up for community care

Shelly provides the answer to this question in her new 10-day online course, The Power of Showing Up. I recently purchased this course and I am very impressed with the way she has structured the course to literally “take you by the hand” and lead you to self-empowerment and the capacity to undertake community care. She is not only a very inspirational speaker but totally transparent, sharing her own struggles and ways she overcame them. It is not as if she immediately fell into the practice of community care. She herself had to overcome the scars of being kidnapped at the age of two and inheriting “intergenerational trauma”.

Shelly provides support for developing our inner landscape and overcoming negative thoughts such as “I am not good enough” or “I don’t know enough” or “I feel like an impostor” (“impostor syndrome”). She strongly encourages us to overcome these obstacles (that she herself has experienced and overcome) and offers knowledge and pathways to develop a community of care – epitomized by her own creation, Pandemic of Love, which has matched the needs of 2 million people with other people who can provide concrete help and support.

Shelly’s course offers ways to help others in need so that they feel valued and appreciated. In the process, she helps us to understand our own inner world and what is holding us back. She offers a way to live a more meaningful life, aligned to our values and utilising our core knowledge and skills for community care.

Reflection

I was very inspired by Shelly’s presentation at the Self-Care Summit and since then have joined a community of care, ExtendaTouch (Caregivers Supporting Caregivers). I joined this community after receiving an invitation following publication of my blog post, Conscious Aging: Reframing for Health and Happiness.

As I participate in Shelly’s course, I am working on developing an online Community of Care that will involve people sharing their mindfulness practices, approaches to self-care and strategies for overcoming daily challenges. I hope to progress this community to a stage where we share our “self-care plan” and hold each other accountable for its implementation and ongoing refinement. As we grow in mindfulness together, we will be able to develop the necessary self-awareness, courage and creativity to overcome our life challenges and help others (in our online community and elsewhere) to do so.

Shelly also provides added inspiration and insight in her book, Sit Down to Rise Up: How Radical Self-Care Can Change the World.

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Image by fernando zhiminaicela from Pixabay

By Ron Passfield – Copyright (Creative Commons license, Attribution–Non Commercial–No Derivatives)

Disclosure: If you purchase a product through this site, I may earn a commission which will help to pay for the site, the associated Meetup group, and the resources to support the blog.