stressors – Grow Mindfulness

Mind Your Brain

In the previous post, I discussed the ravages of Alzheimer’s disease on the mental. emotional and physical capacities of the affected person. I particularly emphasised the importance of self-care for the carer whose life is increasingly disrupted and made more stressful because of the cognitive, emotional and financial drain on their personal resources.

Alzheimer’s disease and the associated disorder of dementia are becoming increasingly prevalent in society as our populations age. The Alzheimer’s Association maintains that there are 342,000 people in Australia living with dementia and 44 million worldwide. The Harvard Medical School notes that Alzheimer’s disease is the major cause of dementia.

When you come into close contact with someone who is suffering from Alzheimer’s disease or other forms of dementia, you begin to realise the need to savour your brain as a source of wonder in everyday life. As you see the progressive loss of key faculties by another person, you begin to realise how much we rely on our brains to live effectively and happily in our day-to-day existence.

It is often only when we lose something, or see others lose something that we value, that we begin to really appreciate what we have. The same is true of our brains. And yet, as Andy Puddicombe points out in a YouTube video, we spend more time looking after our hair or car than we do our brains – the source of our thoughts, creativity, happiness, and practical skills. Andy suggests that all It takes is 10 mindful minutes each day to begin to mind our brains.

Protective measures

The Harvard Medical School, in their publication on Alzheimer’s disease and its treatment, suggest a range of protective measures that people can take to either avoid Alzheimer’s or to slow the progress of the disease. They point out however that scientists have not found a cure for Alzheimer’s or found definitive ways to prevent its occurrence – there are still many unknowns in relation to the disease, including the actual impact of genetic factors. The Harvard Medical School, however, notes that lifestyle factors are a major influence on preventing the disease or slowing its progress.

In line with many other sources such as the National Institute of Aging, the Harvard Medical School recommends exercise, diet, weight reduction, restful sleep and mental stimulation as protective measures. They remind us that what is good for our brain and body is also good for our heart.

The Harvard Medical School provides health reports on the benefits and techniques for different exercise routines. They particularly stress the multiple benefits of walking in their publication Walking for Health, including the positive impacts on blood pressure, memory, heart health and weight. Walking is one of the easiest and most accessible forms of exercise and they suggest that it is a good place to start for people who are not used to exercising. In a related article they identify 5 Surprising Benefits of Walking.

The recommendation re restful sleep accords with the research by Stanislas Dehaene, author of the book How We Learn: The New Science of Education and the Brain. Stanislas highlights the key role of sleep in consolidation of learning – in making our learning explicit and building “unconscious competence”.

Mental stimulation as a way to mind your brain

The Harvard Medical School maintains that while level of education has a positive effect on maintaining a healthy brain (through the process of creating “cognitive reserve” in the form of neurotransmitters and brain cells), what is more important as you age is to engage in activities that stimulate the brain. They suggest, like the Institute of Aging’s recommendations re “cognitive training”, that mentally stimulating activities such as playing music, reading, writing, doing puzzles and playing games, can help to develop and maintain a healthy brain despite physically ageing. There are many very active and inspiring octogenarians who provide testament to this possibility.

Minding your brain through mindfulness

Harvard Medical School, in the previously mentioned publication on Alzheimer’s, illustrates how this disease actually shrinks the physical brain as a result of the ”massive loss of brain cells” – which, in turn, “damages areas involved in thought, planning, memory, mood and behavior”. In contrast, Richard Davidson and Daniel Goleman in their book, Altered Traits: Science Reveals How Meditation Changes Your Mind, Brain and Body, reveal that mindfulness meditation actually increases the neo-cortex area of the brain.

They also contend that mindfulness meditation can shape your brain to build resilience. Drawing on the science of meditation they maintain that focused meditation and aligned action can develop the traits necessary for personal resilience – positive connections, awareness, insight into your inner landscape, clarity of purpose and a permeable self.

One of the positive effects of mindfulness meditation is better use and development of your working memory which is an area negatively impacted by Alzheimer’s disease. The act of paying attention facilitates short term memory thus enabling better retention and use of information for improved decision-making and behavioural choices. Harvard Medical School has a series of articles on improving your memory and a comprehensive report on how to keep your brain healthy in the face of age-related memory loss.

Specific mindfulness activities have particular effects relevant to minding your brain. Tai Chi, for example, enables you to deepen the mind-body connection as well as improve physical health, psychological well-being and overall energy levels (thus facilitating other forms of exercise such as walking).

Reflection

Harvard Medical School emphasises the need to mind your memory to offset the occurrence of memory lapses which are a natural part of the ageing process. Looking after our memory can be one of the many protective measures that we can employ to prevent or delay the onset of Alzheimer’s disease and its multiple debilitating effects.

As we grow in mindfulness, through meditation and other mindfulness practices such as Tai Chi, we can enhance our working memory, build resilience, develop our physical brain, and improve our overall psychological well-being which further reduces the strain on our brain brought on by life’s stressors. Developing the habit of mindfulness is a very sound and healthy resolution for the New Year.

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Image by Mabel Amber 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.

Alzheimer’s Disease – Self-Care for the Carer

If you have a family member or friend suffering from Alzheimer’s disease you may find yourself suddenly thrust into a carer’s role, often with little preparation and understanding of that role. The tendency is to “soldier on” through all the difficulties and ignore the emotional toll on yourself. However, there are many resources and people willing to help and mindfulness can play a role in your self-care.

You may be witnessing the cognitive and behavioural decline of someone you love who not so long ago was vital, well-read, highly competent, intelligent, and very aware of current events and global trends. Now you are having to contend with the emotional, financial, and time-consuming toll of caring for someone who has Alzheimer’s (on top of your daily work and life with their own challenges).

Dealing with the symptoms of Alzheimer’s disease

You may have to deal progressively with some or all of the following effects that Alzheimer’s has on your loved one:

Disorientation: losing track of where they are; thinking that they are in hospital or just out of hospital when neither is true; thinking they are in a location where they lived many years prior; assuming that their location is somewhere that happened to be mentioned in casual conversation.
Rapid memory loss: forgetting what they set out to do and constantly forgetting in the course of some action, e.g., finding their phone, having a shower, locating an object – the result is that everything takes so much longer and tests your patience (despite your good intentions).
Loss of practical skills; unable to do normal daily tasks such as cooking, keeping accounts, paying bills, driving the car or operate the TV remote.
Mood or personality changes: going from pleasantness to anger and aggression, happy to discontent, calm to agitated, confident to fearful, purposeful to suffering apathy and inertia; or any of the other possible mood/personality swings.
Indulging in unusual behaviours: constantly packing up the house expecting to be moved, indulging in unsafe behaviours (e.g., ladder climbing when they are unsteady), tendency to wander and lose their way (even in very familiar territory).
Confusion: forgetting who individuals are and their relationships, constantly losing things, thinking that a past event is happening in the present and preparing for it with some anxiety.
Difficulty with self-expression: unable to find the words to express what they want to say.

Each of these symptoms is taxing for the carer as well as the person suffering from Alzheimer’s. As a carer, you may not know what to say, you can become confused about what is true and what is imagined, and you can become uncertain about the best way forward and the decisions that need to be made.

Self-care for the carer

There are many things that a carer for an Alzheimer’s sufferer can do to proactively care for their own welfare and psychological health:

Inform yourself about Alzheimer’s disease – understanding the disease helps you to make better decisions, reduce some of the uncertainty you are encountering and provides insights into how best to help the person experiencing Alzheimer’s. One of the best resources around that is also very readable is Harvard Medical School’s report, Alzheimer’s Disease: A guide to diagnosis, treatment, and caregiving. This publication details the symptoms of the disease, the impact on the brain and its structure, progression pathways, and, most importantly, incorporates a special section on Caregiving: Day-to-day challenges and beyond. Understanding the decisions that need to be made, the options available and their impacts, makes it easier to make sound decisions amid the uncertainty and disruption surrounding the role of carer for an Alzheimer’s sufferer.
Gaining support from relatives and friends: typically, there is a tendency to “go it alone”, however, the role of carer for an Alzheimer’s sufferer is incredibly personally taxing. Harvard Health describes caring for someone with Alzheimer’s as “one of the toughest jobs in the world “ and that your own life will be “dramatically altered” in this carer role. It is vital that you “share the load” with relatives and friends where possible, e.g., with tasks such as visiting the person who is experiencing Alzheimer, talking through decisions, or sharing the financial burden.
Drawing on professionals and networks: It is important to draw on the collective knowledge of expert medical professionals such as the family doctor and appropriate specialist services such as a geriatrician or gerontologist. There are also support networks such as Alzheimer’s Association that provides support groups and professional information informed by research. There are also carer support groups, such as Arafmi, for people caring for those suffering from a mental illness or “psychosocial disability”.
Exercise: physical exercise can reduce stress, enhance capacity to deal with stressors and provide the opportunity to “clear the head” and /or think more clearly about decisions to be made and options that can be explored.
Take time out: taking time for yourself such as a weekend or week away. This is more manageable if you have already shared your situation with family and friends and drawn on their support. It would also enable you to be more mindful about your own life and needs and options going forward.
Developing mindfulness practices: mindfulness has a wide range of benefits that can assist in your role of carer. For example, mindfulness can help you build resilience; manage uncertainty; develop calmness; deal constructively with difficult emotions such as anger, resentment, and frustration; and improve your psychological health overall.

Reflection

Alzheimer’s is an incredibly draining illness both for the sufferer and the carer. It takes its toll emotionally, physically, cognitively, and financially. It is vitally important for carers to be very conscious about the need for self-care and to be committed to being proactive about mindfulness practice. As carers grow in mindfulness, they are better able to manage the multiple stressors involved and to achieve a level of equanimity even amid the disruption, uncertainty and turbulence involved in caring for someone with Alzheimer’s. There are numerous resources available to assist carers and help them to make sound decisions and take wise action.

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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.

How to Be With Stress Rather Than Avoid It

Dr. Nate Klemp and Eric Langshur provide an interesting perspective on stress management in their article, Being With Stressful Moments Rather Than Avoiding Them. They contend that if we use mindfulness to do away with or avoid stress, we are not being mindful – we are not being with what is. They contend that our beliefs about stress frequently impede our capacity to deal with stress in our lives – our beliefs serve as a disabler rather than an enabler. Nate and Eric suggest a process that enables us to be with the stress rather than avoid it.

Stressors take many forms

There are many stressors that can occur in life through adverse situations, damaging relationships or one-off conversations. What is a stressor for one person may not be for another, partly because of the self-stories that we perpetuate. Our experience of stress varies over time – in one period of our lives, we can be relatively stress-free, while in another we can experience a range of stressors that build up and make us lose our patience and equilibrium.

Stress can arise at home through the suffering of a daughter or son, through conflict in intimate relationships or financial problems impacting our quality of life. Stress can arise at work through job overload, role conflict or ambiguity, conflict with colleagues or dealing with an unskilled manager. Stress is cumulative over time with each form of stress adding to another.

Our limiting beliefs about stress

Nate and Eric identify two primary beliefs that impede our capacity to deal with stress and lead us to try to avoid stress – which is an ever-present reality in our daily lives:

The belief that we should get rid of stress from our lives – that we should always be in a state of ease and wellness. This belief can lead us to use mindfulness meditation to avoid stress rather than engage it as it is happening. The authors suggest that denying or trying to remove stress is not being mindful because mindfulness involves being “with whatever is arising, pleasurable, painful, comfortable, or uncomfortable” – not denying what is happening in our thoughts, feelings and bodily experience.
The belief that stress is bad – that is should be avoided at all costs. Research shows that our “stress mindset” can change our experience of stress and that stress, provided it is not chronic, can be good for us because it promotes personal growth, both mentally and physically. Kelly McGonigal suggests ways to make stress our friend.

The combination of these beliefs can aggravate our experience of stress because it can lead us to feel resentful or angry that our sense of ease has been disturbed or destroyed.

Being with stress

Nate and Eric, who are the authors of the book Start Here: Master the Lifelong Habit of Well-Being, offer a process to enable us to be with stress rather than avoid it. They describe this process as Notice-Shift-Rewire:

Notice – in common with other meditation practices, their process involves noticing what is. This requires us to be with our full experience – our feelings, our bodily sensations and our thoughts. They particularly focus on the thoughts/mindset relating to “stress aversion” – the desire to be free of all stress.
Shift – this requires shifting from judging the experience of stress as “bad” and acknowledging, non-judgmentally, the way we are experiencing the stress.
Rewire – staying with what we are experiencing in all its manifestations while letting go of attempts to avoid the stress.

As we grow in mindfulness through meditation practices that help us to be with what is, we can develop our capacity to deal with stress, rather than avoid or deny it. The Notice-Shift-Rewire process can help us to be really present to what we are experiencing, more effectively “navigate stress” and build our resilience.

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Image by DanaTentis 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.