Adopting a Holistic Approach to MCAS and Histamine Intolerance

One of the many things that people with chronic illness have to deal with is frustration with medical practitioners.  This can involve misdiagnosis and/or inappropriate treatment that sometimes aggravates the symptoms of the chronic illness.   Recently I experienced a number of frustrating dealings with medical practitioners – my GP said that allergies and Mast Cell Activation Syndrome (MCAS) were outside his area of expertise, my gastroenterologist said that MCAS was a “controversial area” (and did not take it into account in a colonoscopy examination) and my Allergy specialist adopted a simplistic, medical model of MCAS and prescribed two very strong drugs with known damaging side effects (without any warnings about their potency or dangers).

Diane Kane describes her incredibly challenging journey to health and her totally frustrating experience with multiple medical practitioners globally who failed to accurately diagnose her chronic illness. Being a professional medical researcher herself, she is now writing a book and providing a library of resources to help other people who are seeking support in their battle with MCAS and/or histamine intolerance.

Jennifer Crystal explains in her book that it took 8 years for her debilitating Lyme Disease to be diagnosed accurately and treated appropriately.   Part of the issue blocking accurate diagnosis was the belief system held by Australian doctors concerning the impact of a tick bite that she received while visiting America (ticks in Australia have a significantly different health impact than those in America).

Annie Brewster MD, assistant professor at Havard Medical School,  describes her frustration with medical practitioners when she was diagnosed with multiple sclerosis and, in particular, their inability to listen to her story because of time pressures and debilitating medical workload.  She wrote her book, The Healing Power of Storytelling, to offer patients with chronic illness “a way through anxiety, confusion and trauma” – a way based on the research-based tenets of narrative therapy.

Annie has applied the principles of narrative therapy in the creation of her website, Health Story Collaborative, which provides a dedicated space for “storytelling for health”.  One of her programs is the monthly, online Creative Meetups, a facilitated group that enables participants “to reflect and connect with others in a supportive environment”.  Writing activities around stimulus material provide the mechanism for individual participants to identify and share their feelings and, in the process, “to reframe their story and reclaim their life”.

The increasing medical complexity of chronic illness

One of the factors working against the understanding and empathy of dedicated members of the medical profession is the increasing complexity of chronic illness.  Dr. Lawrence B. Afrin in his book, Never Bet Against Occam, writes about MCAS and the “modern epidemics of chronic illness and medical complexity”.   Lawrence was both a Research Fellow and a hematology/oncology specialist at the time.  He was acutely aware of the many people who suffered not only from chronic illness but also not being able to understand, or gain insight into, their complex medical problems.  Lawrence highlighted the fact that MCAS patients had a “large assortment” of symptoms and this symptom array varied “from one patient to the next”. 

Lawrence researched MCAS extensively to be able to treat his own patients and also to educate other medical professionals about the complexity of the condition.  He thought this increased understanding on the part of medical professionals would lead to “diagnosis and improvement sooner rather than later” for patients.  Lawrence was at pains to stress that MCAS was amongst the increasing number of medical conditions that involved “chronic multisystem inflammatory illnesses of unclear cause”.  

Beth O’Hara who specialised in emotional wellness, naturopathy and genetics explained in a video presentation that MCAS can result in systemic symptoms (such as sensitivity to foods, drugs, chemicals or the environment and related swelling and inflammation), musculoskeletal symptoms (such as degenerative disk issues or arthritis), skin symptoms (including itching, hives, easy bruising), cardiovascular symptoms (e.g. heart palpitations, dizziness  or low blood pressure), and/or digestive symptoms (such as cramping, diarrhea, reflux, IBS).

Beth’s lifetime research of MCAS and successful healing processes was driven not only by the complexity of patients’ symptoms in her medical practice but also by her own debilitating experience of MCAS from 7 years of age.  She was bedridden by the age of 20, suffered severe anxiety, joint pain and a hypersensitivity to smells and chemicals.  The medications she received from medical practitioners frequently made her symptoms worse.  She sought assistance from multiple health professionals but found none understood the complexity and multi-system nature of MCAS. 

A holistic approach to MCAS and histamine intolerance

Driven by her own health needs and those of her patients, Beth gradually developed a holistic approach to MCAS and incorporated the healing protocol in her medical practice and related website, Mast Cell 360.  Through this site, Beth offers a wide range of resources and access to practitioners especially trained in her MCAS healing protocol.  For example, she offers a verified list of low histamine foods and related recipes.  Her blog provides insights into the nature of MCAS, the Mast Cell 360 healing protocol, and a Mast Cell Activation Syndrome Symptoms Survey.

In her video presentation, Beth discussed her holistic approach to MCAS and identifies three core components: (1) addressing the root causes of your MCAS condition, (2) eating the right foods and taking the right supplements (her incorporated case studies illustrate that identifying the right supplements involves a trial and error approach, while identifying the right foods can involve an elimination diet and a desensitising process), and (3) “supporting the wiring of the body”).

Addressing Root Causes of MCAS

One of the things that are often overlooked by medical practitioners are the possible causes of MCAS for an individual.  Beth makes this consideration one of her three key aspects of healing.  She argues that you have to address the influence of these individual factors if you are to achieve  healing from MCAS.  Beth provides a Guide, 7 Common Root Causes  in Mass Cell Activation Syndrome, to help MCAS sufferers “discover their own unique triggers” so they can work with these.

Beth maintains that the majority of health care practitioners are “unaware of these underlying factors” differentially affecting individuals and, in consequence, they tend to resort to “one size fits all” solutions such as a low histamine diet and/or antihistamine medication.  Her Root Causes Guide offers insight into MCAS triggering factors and also ways to address them.  Beth maintains that “the majority of my clients with MCAS have at least 4 of these root causes”.

Consuming the Right Foods and Supplements

Eating the right foods is foundational to healing from MCAS.  In many cases, the initial action with MCAS is to avoid foods that result in a flare-up.  Specific food allergies can be determined via an elimination diet or, more objectively, by undertaking a “skin prick test” and/or blood tests. 

Beth strongly supports the use of supplements which form one of the cornerstones of her Mast Cell 360 healing protocol.  She provides examples of the trial and error use of supplements in the two case studies she discusses in her video presentation.   Beth urges patients to seek the guidance of a qualified health professional when considering supplements to address nutritional deficiencies because of the potential sensitivities that could be involved.

Beth provides additional online guidance in her Master Class, The Top 8 Mast Cell Supporting Supplements.  In this course she covers aspects such as:

  • the benefits of each supplement and how to determine what is right for you
  • how to correctly introduce supplements and how to troubleshoot sensitivity problems
  • what supplements to avoid.

Supporting the wiring of the body

The reference to supporting the body’s wiring relates to processes designed to activate the parasympathetic nervous system because of the negative impact of MCAS on the vagus nerves, reflected in the body’s over-active histamine release. With MCAS, the body will often treat healthy foods as invaders because of the hyper-activity of the immune system – an impact of damage to the vagus nerves.  The parasympathetic nervous system induces relaxation and improved digestion and is often described as the “rest and digest” system.

In her video presentation Beth was quite adamant that MCAS cannot be treated effectively without some work being done to activate the parasympathetic nervous system.  She stated that “discovering how the body is wired is 50% of the healing process”.   Beth provides an online Master Class to Reboot the Mast Cell Nervous System, incorporating parasympathetic re-balancing, vagal nerve signalling and re-regulation of the limbic system.  Tools offered as part of the package to achieve these goals include specialised yoga practices and breathing exercises.

Reflection

I have personally experienced the confusion and frustration that comes with chronic illness and interactions with medical practitioners.  According to the level1/level2 typology advocated by my Allergist, I do not have MCAS.  However, taking Beth’s holistic view of MCAS (and recognising that Mast Cells are everywhere in my body), I actually meet her criteria for MCAS.  I have “systemic symptoms” (environmental and food sensitivity, swelling and sweating), skin symptoms (rash, hives, itchiness and easy bruising) and musculoskeletal symptoms (multilevel disc degeneration and arthritis in my fingers).

The core issue with inadequate diagnosis of chronic illness is that proposed treatments will also be inadequate and potentially damaging.  With Beth’s holistic approach, I can identify a number of areas I need to work on that are not confined to medication

I have recognised, for example,  that I need to work with the  following root causes of MCAS which are relevant to my condition:

  • food triggers (beyond histamine)
  • infections and toxicity
  • nutritional deficiencies
  • early childhood trauma (adverse childhood experiences)

I have purchased Beth’s Master Class to Reboot the Mast Cell Nervous System to help me achieve a quietening of my nervous system and reduce my level of immune reactivity.   As I grow in mindfulness through breathing exercises, Tai Chi and meditation, I can activate my parasympathetic nervous system, stay focused on the present moment (not triggered by depression about the past or anxiety about the future), be more creative and proactive in exploring my healing options, and develop increased resilience in the face of constant setbacks.

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This post is provided for information purposes only and is not intended to replace personal medical advice provided by a trained medical practitioner.  Please seek advice from a qualified professional before deciding on treatments for yourself or other members of your family.

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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.

Writing a Reflective Poem to Manage a Chronic Illness

I participate each month in a writer’s group for people experiencing chronic illness and/or disability.  We meet online on Zoom and undertake reflective writing following a stimulus piece (e.g. a poem, a song or short story) introduced by our facilitator.  We then share what we have written, being open about our challenges and the feelings we experience in dealing with them. 

An added benefit of our Creative Meetups is the willingness of participants to share their strategies for dealing with their difficulties.  While we each have quite unique health conditions, we are readily able to relate both to the feelings expressed by others and the strategies they share to overcome any negative self-talk.  Through the online Meetups, we can see other participants from around the world and progressively build relationships with members of the group.

The facilitator for our Creative Meetup group is now Jennifer Crystal, author of One Tick Stopped the Clock.  Jennifer is a story coach with The Health Story Collaborative that hosts our monthly Meetups.  So we have the distinct advantage of having a facilitator who is experienced in narrative therapy and teaching people how to write for healing.

Reflective poems: a strategy for managing chronic illness and associated feelings

One of the participants in our January Creative Meetup, mentioned that he writes a reflective poem as a means to “tell himself what to do” when he is overcome with difficult feelings such as anxiety or depression.  As an amazing piece of synchronicity, I had done exactly the same thing the night before the Meetup.

I was beginning to get frustrated with the constant flare-ups of dermatitis, set off by my multiple food sensitivities, when I began to ask myself, “Why do I keep eating things that I know will cause a flare-up of dermatitis?” Through the reflective poem, I was able to stand back, look at the consequences of my actions  and form the resolution to behave differently.  My recent reflective poem has enabled me to find light in the darkness.  The poem acts as a “bridge to action” in the face of inertia.

The Creative Meetups are a great stimulus to write and share our stories and the group provides ongoing support for behavioural change.  The insights gained from the stories of other participants are invaluable.  I have found, too, that I invariably write a poem after each Meetup – which is helping me to grow in self-awareness and to address unresolved issues in my life.  For example, I have written the following poems stimulated by activities of our monthly Meetups:

Healing through storytelling

Jennifer Crystal’s book, One Tick Stopped the Clock, epitomizes the healing power of storytelling encapsulated in the Creative Meetups.   She shares her feelings of being frustrated with the medical profession (it took 8 years to obtain a correct diagnosis of her chronic illness), how she had to develop a new identity and find ways to achieve self-care amidst her debilitating experience.  The strategies she employed to manage her challenges and difficult emotions included writing and pacing herself.  Jennifer’s proactivity, like that of participants in the Creative Meetups, act as inspiration for me to take action on my own chronic health condition.

Like Jennifer, I initially sought the advice of my General Practitioner only to find that the issue of allergy was outside his area of expertise.  However, to my frustration, he did not inform me that the clinic had a doctor who was trained in immunology.  After searching the profiles of the clinic doctors, I found a doctor who had a PhD in immunology and had worked in a number of hospitals as an immunologist. Through her referral, I had an appointment with a specialist who was a clinical immunologist and allergist.  Once again, my proactivity led me to unearth an erroneous assumption that I had made. 

The immunology specialist pointed out that I did not appear to have Mast Cell Activation Syndrome (MCAS).  He explained that there were two levels of Mast Cell Activation – mine related to Level 1 which was largely confined to the skin and was reflected in dermatitis.  He stated that MCAS, the syndrome level, was more episodic and systemic (including symptoms such as diarrhea, brain fog, breathing difficulties and digestive problems).

Reflection

I have been trying to manage my chronic condition of an overactive immune system but recently a tick bite set me back considerably as my dermatitis flared up resulting in a short time at the Emergency Centre of a hospital.  My feelings of frustration at not being able to eat a wide range of foods were generating a sense of helplessness. 

I have found that writing a reflective poem helped me to identify what was in my control and to face up to the actions I needed to take to redress my symptoms.  As I grow in mindfulness through reflective writing, I am gaining increased self-awareness, tapping into my creative energy and generating momentum for positive behavioural change.

The following reflective poem flowed from Creative Meetups and related storytelling and shared wisdom:

Managing Chronic Illness Mindfully

The chronic condition:
immune system overdrive,
comfort and pleasure turned to discomfort and pain.

Focusing on deprivation:
makes it more difficult,
harder to avoid the breakouts.

The brief taste sensation:
gluten delicacies enticing temptation,
causing skin damage.

Setting off micro-implosions:
lasting rash, hives and itch,
discomfort magnified by frequency.

The body keeps the score:
registering every aberration,
exacting its toll.

The way forward:
openness to “what is”,
bringing light to depressing darkness.

Paying attention to the body:
listening to the body’s wisdom,
breaking free of emotional blackmail.

Buying time to heal:
avoiding alcohol and sleep deprivation,
eliminating causes of flare-ups.

Reducing the need for cortisone ointment:
protecting the body’s skin barrier,
restoring immune equilibrium.

Mindful awareness growing inside:
opening to nature’s beauty,
savouring life-giving breath.

Discerning the locus of control:
identifying what I can change,
acting on this insight.

It’s time to rebuild:
exercising and osteopathy,
walking and Tai Chi.

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Image by Melanie 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.

Managing Chronic Illness

The November Creative Meetup was facilitated by Jennifer Crystal, author of One Tick Stopped the Clock.   Jennifer is a “story coach” with the Health Story Collaborative which hosts the online Meetups.   She also conducts the Writing to Heal Immersive at the Grubb Street Center for Creative Writing.   Jennifer has a long history in writing about her experience with Lyme Disease and sharing her knowledge with others who have contracted the disease and other tick-born illnesses.  Since 2013, she has been the writer of a weekly column for the Global Lyme Alliance and her enlightening and inspiring blog posts can be found on the Alliance website.

Jennifer’s medical journey

Jennifer was bitten by a tick on a camp when she was 19 years old but had to experience many frustrating years of misdiagnosis.  At 25 years of age, she was finally diagnosed with Lyme Disease which led to the Epstein-Barr virus (EBV) infection that causes Mononucleosis.   Jennifer was bed-ridden and experienced multiple symptoms that doctors had not been able to explain.  In her period of misdiagnosis, she was variously told “to rest”, “eat things close to the ground” (e.g. chicken and turkey),  and “talk about your feelings” (assuming that the illness was psychosomatic, not real). Grace Currey from Australia (bitten by a tick in the US) provides a vivid description of what it was like to have Lyme disease that was not recognised by medical professionals in her home country.

Jennifer Crystal had a five-year journey to wellness and remission of the Lyme disease.  However, she then had to experience a “searing relapse” and eventually found a new balance and developed her teaching-coaching career.  Earlier, she was unable to commit to relief teaching because of her inability to guarantee that she could manage physically or emotionally.  She is now a leading proponent of the multiple benefits of sharing your health story and teaches people how to write-to-heal.

Stimulus questions during the Creative Meetup

Typically the Creative Meetups begin with a writing stimulus of some kind such as a poem, article or book extract.  Jennifer introduced herself to the group and read a few brief sections from her book which served as a basis for creative writing by group members and story sharing in the group.  Jennifer’s stimulus questions flowed naturally from her book extracts:

  1. Write about a time when you felt brushed off and what you wished that person could have seen on the inside, or
  2. Pick a single object related to your story and write about it in a poem or prose – see where it takes you!

These were both challenging and fruitful questions that led to some insightful, creative writing by the group and follow-on sharing and discussion.  The level of creativity, resilience and insight in the group always amazes me.  The Creative Meetup process illustrates the healing power of storytelling and demonstrates the benefits of this approach to “narrative medicine”.

Jennifer’s healing strategies

Besides the medical solution of months of antibiotics, Jennifer identified the need to change her mindset about her chronic illness.  She adopted a number of strategies to achieve this:

  • Integrating chronic illness into her life – she established a “new normal” which addressed the question, “How to live well in the context of a chronic illness?”.  This very much involved self-acceptance and avoiding denial.  It also meant acknowledging that there was “no going back”.
  • Shedding an identity made impossible by the chronic illness – Jennifer’s dream was to become a skiing instructor – a role very much tied up with her self-image and personal goals.  This identity was no longer possible given her disabilities precipitated by her chronic illness.  She had to shed her ”skier instructor identity” and find a new sense of self.  She asked herself the question, “if I can’t [follow this dream], who am I?”.  This required her to value herself for who she was, not who she might be or could become.  She recognised that she was still a caring person, who had friends that she connected with, and was still a writer.
  • Pacing herself – slowing down and recognising that she needed frequent sleep and suffered from brain fog and other debilitating symptoms.  It meant napping each day, taking on freelance writing, listening to her body and sharing the load by moving in with her parents.  It also meant building stamina gradually, not trying to achieve her previous “workaholic” status.  It required her to accept that things would take much longer than previously to complete and that healing from chronic illness is not a  linear process, but an undulating journey of indeterminate length.
  • Learning to say “no” – part of self-care during chronic illness is to being able to say “no”.  Jennifer reiterated the view that “No is a complete sentence”.  Saying “no” enables us to set personal boundaries.  Jennifer encouraged us not to fall into the “explanation trap”, which itself consumes energy and can lead to exhaustion and frustration.  We don’t have to explain everything or give a reason for our “no”.  She suggested that we could use her phrase, “No, that would not be healthy for me now”.
  • Writing – the process of writing enables our inner landscape to become outer, to express the feelings that are hidden inside us.  Writing can change our mindset and create freedom.  Initially, Jennifer could not write about her illness and all that it entailed, so she concentrated on writing to her friends and family.  Eventually, she was able to address the issues of her chronic illness, including the challenge of “not being seen” or understood.  She found that writing enabled her to be more honest and vulnerable. It helped other people to see the effects of chronic illness and to become more compassionate in their interactions with others.
  • Joining a community – the Health Story Collaborative (HSC), for example, provides a community where people are encouraged to share their health stories either verbally or in writing.  Their Creative Meetups are one form of regular online interaction in a community that provides social support and encouragement.  Jennifer found that undertaking a course in creative writing enabled her to share her chronic illness with her classmates who did not judge her, were in a learning mode too and were exploring making the “inner world” visible.  She also noticed that people were better able to assimilate information about an individual’s chronic illness when it was shared in written form.

Reflection

In the discussion that followed the creative writing of participants, one major issue emerged.  This involved people not understanding the hurt that their well-intentioned words can cause to someone who is suffering from chronic illness.  Comments such as “You look good” or “You don’t look ill to me” can be particularly hurtful when someone with a chronic illness has gone to the trouble (despite the difficulty involved) to “dress up” or put on a “façade” when they are going out in public (leaving their bed and track pants behind)! 

The well-intentioned comments can be experienced as “devaluing” the experience of a person with a chronic illness.  It can also trigger memories of mistreatment by the medical practitioners who were unable to relate the presenting symptoms to their “medical cookbook”.   Annie Brewster (founder of HSC) contends that many patients with chronic illness experience “frustration, invalidation and exhaustion” when their ongoing symptoms don’t fit neatly into the “diagnostic algorithms” of medical practitioners.

As we grow in mindfulness through reflection and sharing our stories, we can increase our sensitivity to the situation and needs of others and experience what Jennifer describes as developing “greater compassion for others”.

During the creative writing segment of our Meetup with Jennifer I wrote the following poem to reflect some of the earlier sharing and my own experience of dealing with medical professionals who consider the existence of MCAS (Mast Cell Activation Syndrome – my chronic illness) as controversial as the concept of Lyme disease:

Validation and Accommodation

There’s no place for me in cookbook medicine –
so I don’t have an illness,
it’s all in my head.

Until something happens that is considered serious –
then perspectives change.

I appreciate my body –
the millions of daily decisions,
the miracle of breath,
the ability to write, walk, run and play tennis.

Now my body seems to be letting me down –
treating good food as invaders,
hypervigilant, ever on the alert.

My new bodily reality –
reflecting the dark and light of nature,
creating a challenge to accommodate the “new normal”,
with its remissions and relapses,
enabling and disabling in unpredictable ways.

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Image by Márta Valentínyi 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 Trauma-Disease Connection – Lessons Learned

Dr. Aimie Apigian recently conducted a masterclass on the theme, How to Help the Body Live, Love and Let Go.  Her guest speaker for the interactive session was Dr. Gabor Maté, world-leading trauma physician and author of In the Realm of Hungry Ghosts: Close Encounters with Addiction.   Together they shared their clinical experiences and research and highlighted the lessons learned about the trauma-disease connection.

Gabor highlighted the impact of trauma on the body, reflecting the unity of mind and body.  He emphasised that the body is inseparable from all aspects of human existence, including the ecological and social environment.  He maintained that his new book, The Myth of Normal, provides insight into the lessons he has learned from “working with trauma in the body”.  In writing the book he also drew on thousands of articles and newspaper reports.  

Gabor contends that everyone has experienced some form of traumatic experience and that trauma embedded in the mind and body contributes to chronic illness.  In his view, healing begins with waking up to the body’s sensations as well as to “what the mind is suppressing”.  It is increasingly acknowledged that trauma is not the precipitating experience/event itself but the negative impact on a person’s mind, body and emotions – how the experience/event is internalised. 

The early experience of Aimie

In responding to Gabor’s question about what motivated Aimie to study diverse medical fields and to get into trauma healing, she told the story of her early experience in adopting 4 year old Miguel from the foster care system.  He had extreme behavioural problems and in his rages would try to kill Aimie.  Caring for Miguel and undertaking her third year residency as a doctor resulted in “severe fatigue”.   It was then that Aimie came across Gabor’s book, When the Body Says No: The Cost of Hidden Stress – the title of his YouTube presentation where he discusses the trauma-disease connection resulting from the unity of mind and body. 

Aimie’s response to her own trauma-induced health issues was to try to understand Miguel’s behaviour and her own mind/body response.  She undertook training in trauma healing and somatic healing through her functional medicine studies.  Aimie also completed master’s degrees in biochemistry and public health as well as “specialized training in neuro-autoimmunity, nutrition, and genetics for addictions, mental health, mood, and behavioural disorders”.  Her book on The Biology of Trauma looks at trauma’s impact at the cellular level and explores approaches to holistic healing from trauma.  The title of her book is also the theme of her podcasts and the focus of her training for other health professionals.   

Trauma’s impact

Both Aimie and Gabor stressed the holistic impact of trauma on a human being.  They described how someone who has experienced trauma develops a disconnection from themselves and their bodies.  In their view, trauma leads to a degeneration of the nervous system, a loss of energy and emotional issues such as depression and anxiety.  They point out that the various systems of the body are interconnected and interdependent – so trauma can affect the gut, the cardio-vascular system and the emotional system.

Reflection

As Aimie points out, trauma may result from adult experiences, not just adverse childhood experiences. She emphasised that given trauma’s influence on the whole person – body, mind and emotions – a range of healing modalities may be necessary.  For this reason she has undertaken extensive trauma training including Somatic Experiencing, Sociometric Relational Trauma Repair, NeuroAffective Touch and the Instinctual Trauma Response Model.

Mindfulness has a key role to play in healing from trauma.  As we grow in mindfulness, we can calm our nervous system, reduce our negative self-stories, get in touch with our bodies and  build the resilience to restore our health – thus, gradually breaking the trauma-disease connection.

Aimie offers a 6 week online program, The Foundational Journey, designed to provide a safe way to open up “stored trauma”.   The evidence-based program has a strong emphasis on the mind-body connection and provides tools that include somatic healing.

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Image by Daniel R 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.

Cultivating Gratitude Through Nature

Georgina Miranda facilitated a meditation on the theme of Awaken to the Flow of Gratitude in Nature.  In her guided meditation on the 12-Minute Meditation podcast on 12 July 2024, Georgina takes us through a meditation practice that can be conducted anywhere in nature – it could be in our backyard, the local park, or our favourite place in nature.  People typically have some favourite place where they experience nature – it could be at the beach, in the mountains or by a river or creek.  Georgina encourages us to use nature to reset, to open ourselves to our unity with nature and to let a sense of gratitude flow through us as we experience its stimulation of our wonder and awe.

Georgina is an author, activist, mountaineer, transformation and leadership facilitator.  She helps individuals and organisations globally to move beyond their comfort zone, expand their awareness and “shift mountains within themselves and the world around them”.  Her activism focuses on protection of nature and our planet, and protection of women against violence.  Through her social enterprise, She Ventures, she works consciously to “unleash the untapped potential of women around the world”, offering consulting, coaching and inspirational events designed to achieve self-realisation and effect positive global change.

Georgina herself uses nature, and especially her mountain climbing, as a way to move beyond life’s challenges and to achieve a different perspective on whatever is troubling her.  For her, nature provides a “reset” – enabling a movement from emotional turbulence to emotional regulation and calm.

Guided meditation process

Georgina suggests at the outset that we take our place in nature – wherever that may be in terms of accessibility and convenience.  She encourages us, for the purposes of this meditation practice, to avoid treating the activity in nature, e.g. walking, as an exercise (an act of “doing”) but as a mindful moment (an act of “being”).  The focus is on connection with nature through our breath and sensory awareness.

Georgina begins by having us become aware of our own breath – its pace, its temperature (hot or cold) and its evenness or fluctuations.  She reminds us of our connection with nature through our breath – our outbreath is nature’s inbreath.  Also, we draw vital oxygen from the plants and trees that surround us. 

Georgina then leads us on a sensory journey.  We are invited to take in the sights that surround us at a macro and micro level – the broader terrain and the proximate features of nature.  We can notice the undulations in the landscape or the flow of waves breaking on the shore; the small plants and larger trees; the cultured lawns and the wild bush.  On a closer look, we can view the colours that surround us, taking in plants, water and sky (with the colours of clouds – black, white, blue and grey).  With a closer inspection, we can observe the leaves (their form, distribution and colour), the veins coursing through the leaves and the lines or markings that are visible to the naked eye.   We could be watching dragonflies flutter above tall grass, grasshoppers gnawing on leaves of citrus trees, butterflies flitting through the air with no apparent goal, birds descending on bottlebrushes to draw nectar, Pelicans gliding gracefully across the Bay in search of schools of fish, or ladybirds landing on roses in our garden to feed on aphids.  

We can take in the smells that surround us.  It could be the salt from the sea, the earthy smell from soil and fallen leaves, or the tree born odours such as eucalyptus or wattle.  It could be the strong smell emitted by herbs such as basil, lavender, or oregano – each with its own distinctive aroma.  There may also be the smell of approaching rain or the earthy smell of sodden ground.

We can attune our ears to the sounds in nature.  It could be the breeze blowing and  rustling the leaves of the trees, the sound of rain hitting the ground, the whistle or song of adjacent birds.  In paying attention to the sounds of birds we can notice sounds above, below, beside and in front of us – sometimes as small finches flitter amongst small, colourful bushes.  Along with the sounds of the birds, we can pay attention to the colours, size and form of the birds we observe.

Attention to nature through conscious awareness can engender calm and contentment, increase our resourcefulness and enhance our sense of connection with all living things.  Through immersing ourselves in nature we can experience gratitude for the air we breathe, the sights and sounds we experience, and  the feelings of awe and wonder.  We can appreciate how nature helps us to reset, broaden our perspective, reduce our agitation and heal us.  We can bathe in nature’s beauty, aliveness and adaptability.

Reflection

I’ve been reading Kate Legge’s novel, Kindred: A Cradle Mountain Love Story, that traces the story of Gustav Weindorfer and Kate Cowie who fell in love with each other and with Cradle Mountain in Tasmania.  They were both amateur botanists and members of the Field Naturalists Club of Victoria, established in 1880.   They set about establishing eco-tourism in Cradle Mountain and Gustav is credited with strongly promoting (and achieving) the development of a national park in the area so that its beauty could be enjoyed by all nature lovers.  Cradle Mountain is now visited not only  by thousands of tourists but also by scientists from all over the world. 

Kate Legge gives us a glimpse of Cradle Mountain and its surrounds through the eyes of dedicated botanists, Gustav and Kate, as they travelled the mountains collecting, documenting and preserving plant specimens some of which they sent to Germany, Austria and Britain.  In 1903, before Kate and Gustav were married, Kate presented a paper to the Naturalists Club about Mount Roland in the region of Cradle Mountain.  She expounded on the magnificent view from the top of the mountain and contended that botanists and geologists alike “must pause to admire it, with that silent outreach of the soul toward eternal beauty”.

Gustav himself frequently recorded his travels and discoveries as he indulged his “wanderlust” through nature.  He wrote letters for his botanist colleagues around the world, reports for the Naturalist Club and articles for newspapers.   One such article published in 1910 in The Weekly Courier describes Holidays in the Cradle Mountains in these effusive words, capturing sights and sounds of the mountain as he gazed in awe and wonder:

…through the silent darkness of this supreme mountain solitude stole the murmuring sound of rippling water leaping from rock to rock, gladly escaping from the sombre shadows of the lake to the sunshine of the valley. [Notice how the alliteration with the letter “s’ evokes silence penetrated by awesome sights and sounds]

Kate Legge, herself a mountaineer as well as author and journalist, found inspiration for her writing in walking mountain trails.  In a chapter in her later book, Infidelity and Other Affairs, Kate discusses her “walking life”.  She likens walking to writing – “walking is one foot in front of the other, just as writing is one word before another”.  Other similarities she identifies are obstructed progress, concentration and shifting attention, movement towards and away from a destination.  For Kate, walking is “thinking time” that provides a “fresh perspective”.   She maintains that walking “rejuvenates the body and the mind and gives rise to rumination”.  Kate shares the perspective of naturalist Henry David Thoreau who advocates “sauntering” and who communed with nature “on daily rambles, rarely taking the same path twice”.   She suggests that with this approach we can succumb to a “meditative trance” as we scan the horizon or focus “on small miracles”, such as a “leaf curled in a web”.

So often “shoulds” get in the road of our communion with nature – the “doing” deadlines that are often self-imposed.  However, when we make the time to grow in mindfulness through natural awareness, we can really appreciate the benefits of nature and our connection with our natural environment.

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Image by Penny 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.

Surrender: A Pathway to Gratitude

In the May Creative Meetup, sponsored by the Health Story Collaborative, we focused on the theme of “surrender”.   The discussion proved to be both inspiring and insightful with participants freely sharing their wisdom born of their lived experience of dealing with chronic illness or disability.  One area we looked at was the act of “letting go” of what is holding us back – our old beliefs, self-doubts, negative self-stories, fears, and expectations of ourselves and others.  Associated with surrender, too, is the possibility of shedding an identity that no longer works for us.

Another sub-theme was that of “giving up” as Lily Tomlin comments, “to give up all hope of a better past”.  It also means accepting ourselves “as we are” with all our foibles, mistakes, deficiencies, hurts, disappointments, losses and limitations.  It involves accepting that we are not perfect and, in the process, opening ourselves to life’s challenges and vicissitudes.   It is about achieving equanimity through acknowledging the fragility of the human condition.  Our facilitator for the Meetup, Jennifer Harris, shared a passage from Jeff Brown in which he encourages us “to celebrate how far we have come”, noting that the “river doesn’t ask itself why it is not an ocean”.

Negative self-talk – an impediment to creativity

In their book, What Happened to You?, Dr. Bruce Perry and Winfrey Oprah point out that personal trauma can lead to a distorted worldview, sensitivity to cues (triggers) and negative self-messages.   In reflecting as part of the Creative Meetup process, I realised that my adverse childhood experiences contributed to my sense that I was “not good enough” and, at times, that I was actually an “impostor”.  

Seth Godin, best-selling author of 21 books, maintains that this kind of negative self-talk is an impediment to creativity and the realisation of our potential.  There were times in my life when I was full of self-doubt and beset with “fear of failure’ or inability to achieve my desired outcomes.  I also felt discouraged by resistance to organisational changes or innovations I was trying to create.

Seth Godin contends that uncertainty about outcomes is integral to the concept of creativity – we “go out on a limb” or “leap into the unknown” when we attempt to develop something new or introduce a change to the way things are done.  For Seth, the chance of failure is always present when you are being creative.  He argues that focusing on process rather than outcomes can free us from fear and enable us to explore new opportunities unimpeded by uncertainty.  

Seth reinterprets the concept of “impostor” to acknowledge that whenever we are being creative the outcomes are uncertain.  In that sense, we will feel that we are “fake” or not the “real thing” because we cannot guarantee the outcome – a natural sensation in the face of uncertainty.   The ”impostor syndrome” can occur whether we are engaged in writing, facilitating, managing people or undertaking some other creative activity.

Gratitude for social support

Social support can take many forms and may involve groups or individuals.   Sometimes it is being  supported by a group, such as the Creative Meetups, where you share your stories, challenges and insights.  At other times it may involve emotional and intellectual support from someone who helps you overcome fear of failure.  When I reflected on the theme of surrender, I became acutely aware of the many people who have helped me during my life to achieve significant outcomes despite my ingrained self-doubts – to help me “let go” of the fear and embrace the creative challenge.  This reflection, in turn, engendered a strong sense of gratitude towards all of these individuals who have had a positive influence in my life by believing in me and my capabilities. Some outstanding examples include:

  • My Mother, a devout Catholic, who supported my education at a private school and believed that I was destined to be a priest and was capable of successfully undertaking the relevant study and training.  To that end, I joined a Contemplative Order and completed five of the six years required for ordination as a priest.  However, I left before my final year owing to illness and external factors.  During my training, I excelled in my studies, was exposed to the emerging fields of Existentialism and Phenomenology, enjoyed the practice of silence and learnt to meditate and sing Gregorian Chant.  It was a life of incredible richness and balance – with strong group social support, challenging learning, daily prayer and meditation, sport and recreation and work on the farm owned by the Order.
  • Charlie Venning, my boss and mentor in the Brisbane Taxation Office, who believed in me to the point of promoting me to be Chief Internal Auditor, Manager of 90 staff engaged in collecting AUD700 Million of taxpayer revenue and, eventually, an Executive Director.
  • Peter Sullivan, a visionary Executive who worked in the Canberra Head Office of the Australian Taxation Office.  Peter had such a strong belief in my capabilities that he engaged me over a number of years to work on three significant national projects involving the organisation-wide development of the Taxation Office.  Peter always believed that I was capable of achieving more than I ever dreamed was possible.
  • Emeritus Professor Ortrun Zuber-Skerritt, author/co-author of 50 books, who first engaged me in 1989 to be the Government representative on the First International Symposium on Action Research in Higher Education, Government and Industry held in Brisbane.  In 1991, Ortrun and I were founding executive members of the Action Learning and Action Research Association which continues today and has had a significant role in promoting action learning and action research on a global basis through World Congresses, international conferences, publications and speaking engagements.  I was President of the Association for five years from 1992. Ortrun proved to be my mentor, PhD supervisor and friend of more than 30 years.  When I doubted my capacity to do a PhD, she encouraged me strongly and provided me with ongoing support.  I have become one of her international “critical friends” for her book writing and provided concept editing for some of her books as well as book reviews. I have also contributed chapters to four of her books and a chapter, The Practical Visionary, to the book produced to honour her lifelong contribution to action learning and action research.   Ortrun is a visionary who has enviable tenacity, resilience and resourcefulness – part of her German inheritance.
  • Reg Revans, Father of Action Learning, I met Reg Revans in 1990 when he was a Keynote Speaker at the First World Congress on Action Learning and Action Research.  Ortrun was Convenor of the Congress and had invited Reg.  I picked up Reg from the airport when he arrived in Brisbane from the UK and took him to his motel opposite Griffith University.  Reg asked if I could show him the QE11 Stadium, the site for the 1982 Commonwealth Games which was adjacent to the University.  In 1930, Reg had represented Britain at the Commonwealth Games and won a silver medal in the triple jump and long jump. After taking him on a car tour of the site, I joined Reg for dinner at his motel and his charisma was evident to all in the restaurant – he was a great storyteller.  Reg inspired everyone at the Congress and his work continues to inspire me today.  I completed my action learning PhD in 1996 drawing heavily on Reg’s work and his book, The Origins and Growth of Action Learning.  My colleague, Julie Cork, and I have conducted over 70 longitudinal, action learning programs for managers over the last 16 years (involving more than 2,000 managers). We are currently co-authoring an action learning book for managers based on our experience in our manager development programs.  Julie, too, has been a very positive influence on me through her belief in my facilitations skills, my understanding of action learning, and my knowledge of manager and organisation development, as well as her willingness to explore the unknown and to collaborate on creating innovative programs.
  • Dr. Bob Dick taught me about organisation development and facilitation skills at the University of Queensland in the 1980’s when I undertook my MBA majoring in training and development.  Bob had an acknowledged, unique, participative style of teaching.  I have modelled my facilitation/co-facilitation of more than 1,000 workshops on his style.   Bob also provided mentorship for me when I was engaged in organisation development activities in the Taxation Office over a number of years.  We have also worked together to promote action learning and action research and to co-author a book on this topic.  I highly value our 40 years of friendship and collaboration.
  • Selva and Param Abraham who had an unshakeable belief in my action learning expertise and sound knowledge of the Tertiary Education Sector.  They are founding owners and now co-owners of the Australian Institute of Business (AIB) – accredited to doctoral level and the largest provider of MBA’s in Australia.  During my 32 years working in an adjunct capacity at AIB (1985-2017), I designed postgraduate courses, was a member of the Academic Board and eventually, Chair of the Research Committee. I also contributed substantially to the organisation’s ongoing accreditation within the Australian Higher Education System.   In my final year when I retired as a Professor of Management, I was honoured with the award of Emeritus Professor.
  • My State Director in the Federal Government Department of Social Security who appointed me as HRM Director as an external applicant (against the trend of internal promotions) and, subsequently, Director, Corporate Services, with responsibility for training and development, human resource management, staffing levels and pay for 3,000 staff in 30 locations across Queensland.  He eventually recommended me for secondment to Griffith University where I spent 11 years as an academic.
  • Emeritus Professor Fals Borda of the Bogota University who believed in my capacity to co-convene a World Congress on Action Learning and Action Research, held in Cartagena, Colombia (South America) in 1997.  The Congress was attended by 1,800 people from 61 countries.  I arranged seeding money for the Invitations to Present; participated as a member of the International Planning Committee as well as an Expert Panel Member; acted as Coordinator of the Organisational Development Stream; and officially opened the Congress with Orlando.  The occasion led me to conduct an impromptu workshop on action learning and organisational change with a group of postgraduate students who were Spanish-speaking.  One of their number acted as interpreter as I progressively explained a major action learning, organisational development project that was the subject of my PhD.
  • Seth Godin, among other things, was the creator of the social media platform, Squidoo (2005).  The platform enabled people to create Squidoo Lenes (effectively individual, modular websites) on any topic – a very strong encouragement to write and share knowledge and understanding.  Revenue from the site, generated through affiliate links/modules, was shared with authors and charities.  Squidoo was also an active community of writers from across the world and became the source of two of my long-standing friendships with my German counterparts, Anne Corcino and Achim Thiemermann, who were resident in America.  Together we collaborated in 2011 with two resident German programmers, Hans Braxmeier and Simon Steinberger, to build the Wizzley social media site – an online community of writers still operating today.   Seth and Squidoo proved to be a great inspiration for my writing and I became a “leader’ in the platform with more than 100 Squidoo lens.  I then went on to create a 6-month social media training program and developed a blog and e-book on Squidoo Marketing Strategies.  Seth provided personal encouragement when he featured my biographical Squidoo lens in his monograph, For the Love of Squidoo, commenting positively on my interesting career and humourous article, An Ethnographical Study of Cartagena Taxi Drivers.   Unfortunately, Squidoo became one of the dead websites after a very successful run and was sold to HubPages – which proved to be a sad day for Squidoo advocates.  Seth, a globally acknowledged marketing guru, has a blog on which he writes daily posts.  Seth’s blog has been a long-standing inspiration for my own blog on mindfulness.  I started writing posts daily too but this became too much when I had to conduct workshops in multiple locations across the State.   However, since 2016, I have created in excess of 750 posts on this Grow Mindfulness blog.

I am conscious that, owing to time and space, I have not done justice to the level of influence that these people have had on my career and life.  I am also conscious that I have omitted other people who strongly influenced me in a positive way such as Emeritus Professors David Limerick and Richard Bawden

Reflection

It is clear to me that social support is critical for personal development and the realisation of a person’s potential.  It also has a significant healing power.  The social support, both individual and group support, that I have enjoyed over many years has enabled me to overcome some of the residual effects of adverse childhood experiences.   Social support enables us to surrender – to let go of negative self-stories, to build self-efficacy, open new horizons and go beyond where we have travelled before.  I can relate strongly to the metaphor, Standing on the Shoulders of Giants – an allusion to achieving intellectual and emotional progress by building on the ground-breaking understanding of those who have gone before.  

In reflecting on the social support provided by the individuals who helped me to let go of my self-doubts and fear, I am filled with gratitude for their positive contributions to my career and life.  Surrendering by “letting go” thus provides a pathway to gratitude.

As we grow in mindfulness through reflection on our life journey and appreciation of all who have helped us on our way, we can gain renewed strength to move forward and contribute to a better society.  The Creative Meetups sponsored by the Health Story Collaborative have a key role in this endeavour by enabling writing, reflection and storytelling for health and personal development.

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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.

The Healing Power of Social Support

Social support can take the form of having friends, family or other people who can be a source of support in difficult times, such as chronic illness, death of a loved one or ongoing disability.  They can provide emotional, companionship or resource support and enhance our self-image while offering different perspectives on what we are encountering.

Social support can be provided through a formal social network where people with common interests come together to achieve specific outcomes such as fitness, charitable work or a hobby (as with the Australian Men’s Shed).  Alternatively, they can be informal where a number of people come together on a regular basis to share a coffee and have a chat.

The benefits of social support

Julia Baird, author of Bright Shining: How Grace Changes Everything, highlights the mental health benefits of social support and points to the research that shows the “poor mental health” that results from isolation and loneliness.  She refers to a homeless support group organised by St. Vincent de Paul Society that she joined and noted that there was “no pretence”, people “just being who they are”.  The healing power of this transparency and normality was evident in the homeless participants developing a positive self-image and contributing from their perspective and reality.

Social support is one of the three components for sustainable recovery from trauma, along with appreciating the complex nature of trauma and its impacts and adopting a holistic approach.  Research and clinical practice have demonstrated that social support builds resilience in trauma sufferers – they realise they are not alone, are encouraged to pursue their healing process, are reinforced in their healing efforts and learn vicariously from others who are experiencing difficult emotions and challenging situations.   The resultant sense of connectedness contributes to positive mental health.

The GROW organisation over many years has demonstrated that mutual social support has contributed to recovery from many forms of mental illness for hundreds of people (as documented in testimonial stories by participants).  The peer-to-peer support process facilitated by a nominated leader within the “lived experience” group, promotes personal development and ongoing recovery – a process that may take a number of years.

Reflection

Social support helps participants to develop a sense of being cared for as well as feeling that they can seek assistance from others in understanding and managing their challenging situation.  People gain a strong sense of belonging and connectedness through sharing their personal challenges, their success strategies and their progress towards healing.  They grow in mindfulness as they share their stories and write about their insights, gaining increased self-awareness and heightened self-esteem.

Creative Meetups, provided by the Health Story Collaborative, is a powerful social support system in that it combines the healing power of social support with the healing power of storytelling.  Participants feel fully supported by others engaged in compassionate listening or sharing their stories of challenging situations resulting from chronic illness, disability or their carer role.  The following poem expresses the sense of social support that can be gained through the Creative Meetups:

Social Support

When we share our stories of personal challenges, we realise that we are not alone.
We draw strength from others experiencing and managing more difficult circumstances.
We sense that we belong and feel connected to something outside of ourselves and our pain.
We can be ourselves, free of pretence, unencumbered by the need to be “better than”.
We build trust, savour our relationships and look forward to the next encounter.
There is something magical and disarming about the process that leads to changing perspectives and healing.

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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 and the resources to support the blog.

The Pervasive Impact of Negative Beliefs About Aging

Dr. Becca Levy, Yale professor and world leader in the psychology of aging successfully, has written a groundbreaking book that is brilliant in its conception and exhaustive in its research foundation.  The book is titled Breaking the Age Code: How Your Beliefs About Aging Will Determine How Long and Well You Live.   Becca draws on global research, undertaken by herself and colleagues in the field, to demonstrate that our age beliefs impact positively or negatively not only our physiology but also our mental health.  Negative age belief, perpetuated through the media and our social environment, can lead to mental and physical ill-health and a diminished quality of life.  In contrast, positive age beliefs can enable us to transcend the limitations of aging in terms of mental acuity, physical strength, flexibility and longevity.  Becca draws on numerous stories of people from all walks of life – artists, musicians, actors, athletes, carers, and health professionals – to illustrate the very real impact of beliefs about aging.

How our negative aging beliefs are formed

Becca demonstrates the impact of nursery rhymes and cartoons on the early formation of our age beliefs.  These typically negative portrayals of aging are further reinforced by social media, films, newspapers and everyday social conversations.  The pervasive marketing of a desirable body image and associated cosmetic propaganda (a Trillion-Dollar industry), have served to embed a negative image of aging in our psyche.   We now have “age-defying” skin treatments that remove wrinkles and make our skin glow, along with a pervasive negative stereotyping of menopause (loss of youthfulness, sexual drive, physical prowess and energy).

The impacts of negative age beliefs on institutions and individuals

The resultant negative age beliefs underpin the growth of ageism – “discrimination against older people because of negative and inaccurate stereotypes”.  This discrimination is reflected in institutional bias, in interpersonal communications and relationships, and self-talk/limiting behaviours.  Becca gives examples of institutional discrimination in employment, the acting and legal professions and hospital protocols.  She explains that her research confirms that many health professionals have negative age beliefs and act on them.  Our language in conversations can betray an ageist mindset, for example, when we talk about “having a senior moment” (Becca devotes a chapter to this phenomenon and highlights the amazing memory of deaf people and the role of memory in the oral transmission of indigenous knowledge).

The last mentioned arena of negative age beliefs, the intrapersonal, is difficult for an individual to realise and acknowledge.  Becca surprised herself by her ageist mindset when she suffered an injury while running in a charity event.  Despite her professional knowledge of aging, she immediately attributed the injury to her middle-aged body “succumbing – all too early – to the ravages of age”.  She assumed that her running days had come to a “premature end”.  It was only when her husband, a doctor, explained that she only had a “badly pulled muscle” that she was able to recognise and acknowledge the personal impact of her negative mindset about aging.  Like many people, Becca was shocked that ageism was influencing her own thinking.

I can relate to Becca’s personal injury story.  I was diagnosed with multilevel spinal degeneration, in part, as a result of playing tennis for more than 60 years, including many years at a competitive level.  My doctor told me that I would have to give up tennis because the injury was the result of “wear and tear”.  Initially, I put the degeneration down to aging (I was 76 years old at the time) and decided that my body was no longer able to cope with the rigours of tennis.  For some reason, unknown to me, I decided to seek a second opinion.  The second medical practitioner gave me a referral to an exercise physiologist who provided me with a series of progressively more challenging exercises over a period of six weeks.  By the end of this period, I was able to return to playing tennis and have been doing so for six months (I play social tennis weekly at night).  This brought home to me that a negative mindset about aging can actually prevent us from exploring and undertaking remedies for health issues. We can adopt a helpless frame of mind that impedes our chances of improving our health, physically and/or mentally. 

Reflection

Becca reveals through her research and storytelling that our negative age beliefs can influence our behaviours, our ability to recover from illness and injury, our quality of life, and life span.  It behoves us to become aware of the influence of ageism on us, to become conscious of our negative thought patterns and to be aware of our resultant limiting behaviours (including our willingness to seek ways of healing).

As we grow in mindfulness through reflection and mindfulness practices such as meditation, we can become more aware of our thought processes and their impact and develop increased self-awareness, including knowledge of our habituated behaviours.   Tara Brach and Jack Kornfield teach us about The Power of Awareness developed through mindfulness meditation.

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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 and the resources to support the blog.

Mast Cell Activation Syndrome and Covid-19: The Invisible Link

There has been a lot written lately about Long Covid and its differential impacts on individual’s health.  More recently research has highlighted a connection between Covid-19 and Mast Cell Activation Syndrome.  It is important at the outset to reinforce the need to consult a medical practitioner for treatment of individual health symptoms.  We can too easily make assumptions about what is occurring for us if we go it alone.   For example, I assumed that my numb feet were the result of peripheral neuropathy caused by Long Covid.  When I consulted my medical practitioner, I  discovered, through the X-Ray that he requested, that my assumption was wrong – the actual problem was multi-level spinal degeneration.   However, it is important to consult practitioners who are open to multiple explanations of chronic symptoms, such as those induced by allergies and food sensitivities.  Often, this may involve a medical practitioner who has a holistic perspective and/or is  qualified in functional medicine.

I recently participated in a Creative Meetup conducted by Health Story Collaborative.  During the meeting, Diane Kane responded to a discussion by a number of participants who were experiencing Long Covid symptoms such as loss of sense of smell, brain fog, and allergies.  When I mentioned my ongoing battle with food sensitivities and allergies, Diane shared some information about Mast Cell Activation Syndrome (MCAS).  She explained that her website is a research hub for MCAS.  On the website, Diane shares her own extended patient story as well as research resources including a video presentation on MCAS by Dr. Larence B. Alfin, author of Never Bet Against Occam: Mast Cell Activation Disease and the Modern Epidemics of Chronic Illness and Medical Complexity.

What is Mast Cell Activation Syndrome?

Dr. Kelly McCann in a video podcast interview explains that mast cells are a key part of our normal immune system.  Their role is to watch for invaders that would cause injury to our bodies.  They reside everywhere in our bodies from our head to our feet, and typically live in areas of our body that are at our interface with the environment, e.g. our skin, our blood vessels and our nerves.

Mast cells are responsible for delivering chemical messengers, called “mediators”, such as cytokine and histamine, that produce an inflammatory response to the perceived invader, e.g. a virus, environmental chemicals, mold, or the flu.  Kelly points out that research has shown that mast cells play a major role in the “cytokine storm” that causes an inflammatory response to Covid-19.  If the “foreign invader” is overcome (e.g. we recover from Covid or the flu), “everything quiets back down again” and ‘inflammation goes away”.

However, for some people mast cells become over-active, “hyper-vigilant” and hyper-responsive” – a condition identified as Mast Cell Activation Syndrome (MCAS).  What happens then is that our body “misperceives things”, some of which are actually good for us, e.g. healthy foods.  Hence, we can end up with food sensitivities and allergies (to things like smells, chemicals and some foods).  Kelly makes the point that because of the pervasiveness of mast cells in our body, “anything in our body could present as a mass cell activation symptom”, e.g. brain fog.

Kelly explains that Mast Cell Activation Syndrome is “a spectrum” – ranging from mild to extreme.  A key feature of MACS is that over time, without intervention, there will be an “escalation in the inflammatory or allergic symptoms” of an individual.  The inflammatory response can be exacerbated by what Kelly calls “hits”, e.g. a virus, sustained exposure to mould, or a tick bite (leading to Lyme Disease).  For example, the progression of mast cell activation syndrome could be signalled by the worsening of food sensitivities for an individual.    

Diane’s personal health story

Diane created her website as a means of education and advocacy about the independent science research being conducted on mast cell activation syndrome.  Her own story is really about the extreme end of the spectrum of MCAS and is one of resilience, persistence and hope – a great source of inspiration for anyone experiencing MCAS symptoms.  Diane’s multi-dimensional health problems persisted over 46 years.  Despite visiting 80 consulting doctors and undergoing “extensive evaluations” at 15 major hospitals and suffering multiple anaphylaxis attacks over 20 years, she was not diagnosed with MCAS until 2017 when she visited Dr. Ali Rezale of the Cedars-Sinai Medical Center

Dr. Rezale and Dr. Alfin are working with Diane to improve her health overall.  In the meantime, Diane is working on writing a book titled, The MCAS and Covid-19 Theory: A Multidimensional Epigenetic Phenomenon.   As an experienced medical researcher and author who suffered long-term symptoms of MCAS, she is well-qualified to document her story and the growing body of relevant scientific research.  Diane provides draft copies of early chapters of her book on her advocacy website. 

My health story

I have experienced multiple “hits” as described by Dr. Kelly McCann.  Having had asthma as a child, I am prone to respiratory problems and allergic reactions.  While I overcame the asthma by the time I was 12 years old, since then I have contracted pneumonia three times, RSV (Respiratory Syncytial Virus) three times and Covid-19 in 2021.   In 2017, I experienced major eczema covering my whole body, following 8-weeks of intensive antibiotics to heal an infected leg (resulting from an operation to remove a melanoma).   Since then I have experienced continuous food sensitivities and allergy which are increasing in breadth and depth to the point that there are very limited things I can eat or drink without negative side effects. 

Dr. Kelly McCann explains that there are two things going on with MCAS – a trigger(s) and reaction(s).  Both need to be addressed.  In terms of food triggers, I can relate to Dr. Kelly McCann’s comment that she was gluten-free, dairy-free and unable to eat a long list of foods.  As Kelly suggests in her presentation, I have been undertaking an elimination process trying to identify specific foods (especially those high in histamine or salicylates) that cause aggravation of my symptoms so that I can remove them from my diet. 

In regard to reactions, Kelly argues that there is a need to dampen the hyperactivity of the immune response.  My naturopath, Dr. Mark Shoring, agrees with a tentative diagnosis of MCAS in my case, and recommended initially a course in Chinese skullcap (Scutellaria baicalensis), a herb identified by Mt Sinai Health System in New York as being “used in traditional Chinese medicine to treat allergies, infections, inflammation, cancer, and headaches”.  This treatment, along with Turmeric, is designed to dampen down my hyperactive immune response. So, my somatic strategies, at the moment, include identifying and eliminating aggravating foods and drinks while simultaneously calming the inflammatory response of my immune system.

Mind-body connection and healing practices

Kelly maintains that she experiences the influence of the mind-body connection everyday in her clinic when working with patients.   She points out that the impact of mind-body connections is developed through our early family and developmental experiences.  Unfortunately, we are often prone to misperceive these experiences or develop false beliefs that lead to emotional problems such as low self-esteem and emotional dysregulation.  She argues that we have to envisage the health challenge confronting people with MCAS in terms of a three-legged stool – Mast Cell Activation, Limbic System Activation (our emotional centre) and Vagus Nerve Dysfunction (the main nerves of the parasympathetic nervous system).

Kelly mentions a number of practices that can help retrain the limbic system to get our “mental/emotional loops” and habituated behaviour under control, e.g. Dynamic Neural Retraining System, the Gupta Program and Cathleen King’s Primal Trust Program.

Vagus Nerve Dysfunction can lead to people with MCAS becoming stuck in fight/flight/freeze behaviour which can impede healing.  Kelly maintains that the approach required here is stimulation of the vagus nerve to help people to get “back into parasympathetic rest and digest”.  She suggests approaches to achieve restoration of balance, e.g. breathing exercises, meditation and devices such as EmWave, HeartMath and Rezzimax.  Kelly mentioned that she uses mind-body techniques in her clinical practice when the person she is treating is receptive to these approaches.

Reflection

I think it is important to remember that MCAS impacts each individual differently.  The impacts are influenced by our biology and the number and severity of what Kelly calls “hits”.   There are so many confounding variables involved that self-diagnosis is likely to mislead us.  However, this should not stop us from being proactive, e.g. identifying and reducing or eliminating our triggers.  Actively seeking to grow in mindfulness can help us to stimulate the vagus nerve, activate our relaxation response and overcome negative thoughts.

Reading about Diane’s experience prompted me to revisit my naturopath and discuss his diagnosis of my food sensitivity and allergy experience.  He explained that his recommended treatment approach was based on the assumption that I was experiencing MCAS.

During one of my Creative Meetups, also attended by Diane, we listened to a reading of William Stafford’s poem, The Way It Is.  Listening to this poem and the subsequent discussion in the Meetup group prompted me to write a poem about my food sensitivities and allergy:

The Inflammatory Thread in My Life

There are many things I can’t eat
fruit, gluten, dairy and red meat.
I feel left out that I can’t share
even with delicious family fare.
I crave something sweet
but the cost is too steep.
Hives and rashes make me really itchy
legs and feet are shamefully icky.
Wine is off the table, not that I am unable
it’s the swollen ankle, that renders me unstable.
The endless cycle of elimination
to discover the source of inflammation.
It’s harder to share a meal with my wife
what I’ve done for forty years of my life.
Covid-19 has a long arm
it’s still doing me harm.
Almond croissants are my passion
a loss of consciousness my reaction.
Butter was a food sensitivity
It’s now a dangerous allergy.
Food and drink are tainted rewards
a mindset change to move forward.
It’s a long journey with a clear destination
It takes patience, perseverance and dedication.

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This post is provided for information purposes only and is not intended to replace personal medical advice provided by a trained medical practitioner.  Please seek advice from a qualified professional before deciding on treatments for yourself or other members of your family.

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Image by Ingo Jakubke 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 and the resources to support the blog.

Recovering from the Shock of a Relationship Breakup

Dr. Michael Acton, psychologist and relationship expert, spoke about the shock of a relationship breakup at the 2023 Mental Health Super Summit.  He suggested that a relationship breakup is like a car wreck – there is not only shock but also confusion. 

The natural and common reaction is to leap into another relationship for comfort and support.  Loss of a relationship can be very disorientating and incredibly disturbing.  People lose a sense of who they are while others in their relationship circle no longer know how to relate to them (particularly when they only knew the individual as part of a couple).    Some people in the circle choose avoidance, a few offer emotional support.

Michael likens the impact of a relationship breakup to being “lost in a dark tunnel”.  He suggests that disorientating shock occurs even for a person initiating a breakup.  The initiator can be frozen by indecision, alternating between “staying’ and “leaving”.  Indecision can then permeate every aspect of their life and especially their work environment and work tasks.

Michael provides specific advice for people in a toxic and narcissistic relationship in his book, Learning How to Leave: A Practical Guide.  The book is designed to empower sufferers of abuse from toxic relationships whether they are in an intimate relationship, a business relationship or in a family where domestic violence or coercive control exists.

Michael also maintains that grief models such as that of Elisabeth Kubler Ross are not adequate to describe the shock of a relationship breakup.  Unlike the loss of a loved one through death, a relationship breakup means that the other party still retains “agency” and can continue or initiate abuse physically, emotionally and/or financially. 

Physical violence can be threatened by well-meaning relatives of the separated partner.  The separated partner can also control mutual funds, or “take them (their former partner) to the cleaners”. One of the more emotionally exacting and potentially damaging action the separated partner can take is to withhold access to their jointly conceived children.

Michael is currently working on a book with a new model to address relationship breakups, Fork in the Road (available in 2024). 

Jelena Dokic’s relationship breakup

In a previous post, I discussed the physical abuse Jelena suffered at the hands of her father and the coercive control he exercised over her and her mother.  What was the greatest shock for Jelena was the sudden breakup of her relationship with her partner of 19 years, Tin Bilic.   In 2021, Tin, who was with his father in Croatia at the time, announced by a FaceTime call just before Christmas Day that, “We are done”.  Jelena describes the shock, pain and hurt she suffered as a result in her second memoir, Fearless: Finding the Power to Thrive

The shock of the breakup with Tin left Jelena in disbelief – she could not comprehend why the breakup occurred (no explanation was given).  There were no precursor major fights.  The shock of the relationship breakup was intensified because Tin had been “her rock” since 2002 – he stood by her at her lowest point in 2005 when she was “overweight, depressed, bankrupt and on the verge of ending her life”.

Jelena described Tin as the kindest person she had ever known (taking after his mother who had been a real support for Jelena with her kindness, respect, belief and model behaviour).  The permanent separation occurred after five months of temporary separation occasioned by Tin having to support his father who was in grief following the death of his wife Slavia in 2019.  The  uncertainty and trauma being experienced by Jelena at the time were compounded by the extended COVID lockdown in Melbourne..

Recovery from trauma: Jelena Dokic

Jelena acknowledges that she is still a “work-in-progress” following the multiple traumatic events she experienced in her life.  However, she has been able to overcome the disabling effects of trauma and has established herself in a new career as an international Tennis Commentator, author and public speaker. 

Jelena has been proactive in dealing with her trauma.  Following her relationship breakup with Tin, she sought therapy from a psychologist and he has proven to be a “lifesaver”.  Additionally, she identified a range of factors that helped her on her healing journey:

  • Supportive people – In Jelena’s early years as a junior tennis player, Lesley Bowrey was a tremendous support showing her kindness, belief and respect (while sharing a strong “work ethic”).  Tin himself and his mother, Slavia, were kindness personified and helped Jelena restore her self-belief.  Tom Woodbridge provided tireless support for her transition to author and Commentator and provided emotional support following her breakup with Tin.  Jelena frequently acknowledges the positive influence on her healing of the supportive people in her life.
  • Daily morning routine –  Jelena described the “mindful pause” that she takes for 45 minutes each morning. This routine involves stopping, savouring a cup of coffee, and admiring nature, especially the sunrises.  She learnt from Slavia to savour the “simple things in life”. 
  • Expressing gratitude – Jelena is very conscious of the research that demonstrates the healing effects of gratitude.  She writes in her gratitude journal on a weekly basis about the things in her life that she is grateful for (and re-reads the journal daily to remind herself of these blessings).  She also writes on a post-it note each week identifying three things that she is grateful for (and displays the note on her fridge as a reminder).  Jelena maintains that “practising gratitude brings calmness and joy to my mind and my life”.
  • Writing and public speaking – Jelena reiterates the healing power of storytelling and credits her storytelling in her memoirs as a major factor in her trauma recovery.  She notes in her memoirs that her storytelling in her public talks and presentations is not only healing for her but also for others who are experiencing trauma. This vicarious benefit is reinforced every time she meets people in public who have read her memoirs or listened to her talks.
  • Practising kindness – Jelena has a whole section in her Fearless memoir on “happiness, healing and kindness”.  She emphasises the power of kindness to “change lives and the world”.  Jelena acknowledges that she has had to teach herself how to be kind to others and to herself (given the family violence she experienced and the devastating impact on her self-esteem and self-love).
  • Empathy – Jelena in her generosity has used her resources and contacts to advocate for sufferers-survivors who have experienced what she has gone through – child abuse, body-shaming, family violence, social media trolling, eating disorders, and mental health issues.
  • Meditation and mindfulness – Jelena indicated that she practices meditation to achieve calmness and overcome anxiety.  Her other practices such as her “morning pause”, walking in nature, connecting to animals in a sanctuary, all contribute to her capacity to grow in mindfulness.  In many ways, Jelena puts into practice the principles for happiness and resilience promulgated by Hugh Van Cuylenburg in The Resilience Project: Finding Happiness Through Gratitude, Empathy and Mindfulness (G.E.M.).

Reflection

Jelena provides a source of inspiration for many people through her storytelling and her courage to work on her healing from trauma.  She demonstrates that as we grow in mindfulness we can shed our negative self-image, develop compassion and overcome life’s challenges.   We can learn to overcome our maladaptive responses and restore our self-image. 

The Health Story Collaborative provides the resources, encouragement and support to help you to write and share your health story.  I have found the free, monthly Creative Meetups (Writing for Expression and Healing) to be a very supportive and inspiring group who are proactive in oral and written storytelling to improve their health and overall wellbeing.  The group is non-hierarchical involving people with different levels of writing ability and a variety of health issues (including trauma-related illnesses and Long-COVID induced disabilities).

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Image by Avi Chomotovski 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 and the resources to support the blog.