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Relaxation & Stress
Management
Basic Elements
by
Dharmadeva
Thanks to
Victor S. Sierpina, MD
Effective
Relaxation & Stress Management
• Effective programs recommend some or all of
the following:
– Time management (p...
Some Simple Techniques
• Muscle relaxation (including yoga postures,
stretching)
• Deep breathing (diaphragmatic breathing...
Relaxation Response
• Simple techniques can induce the
relaxation response
• This results in a decrease in physiological
e...
The Relaxation Response
• Due to:
– use of mental focusing devices
– passive attitude to distracting thoughts
• While bein...
Basic Steps to Elicit the
Relaxation Response
1. Focus word
2. Sit quietly in a
comfortable position
3. Close your eyes
4....
Simple Practice for the
Relaxation Response
•
•
•
•

Lie down
Hands on lower belly
Hypnotic, low, “FM radio” voice
Focus w...
The ‘Mini’ Relaxation
• Stuck in traffic? Worried about something?
• Minis may be the key to help you!
• Take a deep breat...
Mindfulness as ‘Minis’
• Pay attention to your breathing as you awake, and
from time to time through the day, ensure relax...
Indications of when the
Relaxation Response is Required
• Stress related diseases:
– Anxiety
– Headache
– Sleep problems
–...
More Indications for the
Relaxation Response
• Symptom reduction for:
– Pain control
– Grief
– Relationship issues
– Impro...
Specific Conditions Requiring
the Relaxation Response
• Reduction of negative stress effects help:
– Hypertension
– Asthma...
The Stress Reaction
- Flight or Fight
• Researched by Selye, Cannon, Benson in Canada
and USA
• Looked at:
– Physiological...
Stress hormone axis activation
causes release and response of:
• Hypothalamic-pituitary hormones –
adrenocorticotropic hor...
Readings:
Relaxation Response
• The Wellness Book, H. Benson, E. Stuart; Simon
and Schuster, 1992
• The Relaxation Respons...
More Possibilities
• Mind-Body Medicine — A Clinician’s Guide to
Psychoneuroimmunology, A Watkins; Churchill
Livingstone, ...
Integrative Healthcare:
Complementary and
Alternative Therapies
for the Whole Person

By: Victor S. Sierpina, MD
FA Davis,...
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Relaxation Response

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Relaxation Response

  1. 1. Relaxation & Stress Management Basic Elements by Dharmadeva Thanks to Victor S. Sierpina, MD
  2. 2. Effective Relaxation & Stress Management • Effective programs recommend some or all of the following: – Time management (prioritizing) – Exercise – Mind-body approaches – Self-actualization methods
  3. 3. Some Simple Techniques • Muscle relaxation (including yoga postures, stretching) • Deep breathing (diaphragmatic breathing, involves rhythm) • Visualizations or imagery (in a subtle form it can also be called ideation) • Delicate vibrating sounds (most subtle are mantras, can be with music) • Meditation
  4. 4. Relaxation Response • Simple techniques can induce the relaxation response • This results in a decrease in physiological effects of: – Muscle tension – Metabolism – Blood pressure – Heart rate – Breathing rate
  5. 5. The Relaxation Response • Due to: – use of mental focusing devices – passive attitude to distracting thoughts • While being fully aware (mindfulness) • Brings: – deep, relaxed, abdominal breathing – inner contemplation and concentration – a subtle inner rhythmic flow
  6. 6. Basic Steps to Elicit the Relaxation Response 1. Focus word 2. Sit quietly in a comfortable position 3. Close your eyes 4. Relax muscles 5. Breath slowly, naturally, and repeat focus word (e.g. an uplifting mantra) 6. 7. 8. 9. Assume passive attitude Continue 10-20 minutes Daily practice When distracting thoughts occur: • return to focus word • concentrate on visualization • ensure rhythmic breathing
  7. 7. Simple Practice for the Relaxation Response • • • • Lie down Hands on lower belly Hypnotic, low, “FM radio” voice Focus word in: OCEAN & focus word out: PEACEFUL - IN and then OUT OR • Focus word in: BABA NAM & focus word out: KEVALAM - IN and then OUT • On inhale, diaphragm expands fully (feel belly rise) • On exhale, diaphragm contracts (suck belly button to spine)
  8. 8. The ‘Mini’ Relaxation • Stuck in traffic? Worried about something? • Minis may be the key to help you! • Take a deep breath and hold several seconds, letting it out slowly • Do while repeating focus words (uplifting mantras) • Check with hand on navel & breathe slowly: – expand abdomen when breathing in; and – contract abdomen when breathing out
  9. 9. Mindfulness as ‘Minis’ • Pay attention to your breathing as you awake, and from time to time through the day, ensure relaxed breathing before sleep • Notice physical signs of tension and take some mindful breaths to release tension • Pay intense attention to the present moment – the Cosmic flow of flowers, birds, beauty in the environment
  10. 10. Indications of when the Relaxation Response is Required • Stress related diseases: – Anxiety – Headache – Sleep problems – Muscle tension – Irritable bowel
  11. 11. More Indications for the Relaxation Response • Symptom reduction for: – Pain control – Grief – Relationship issues – Improving communication – Job related difficulties – Enhancing self-efficacy
  12. 12. Specific Conditions Requiring the Relaxation Response • Reduction of negative stress effects help: – Hypertension – Asthma – Chronic Obstructive Pulmonary Disease – Heart disease – Diabetes – Immune problems / HIV – Cancer – Infertility
  13. 13. The Stress Reaction - Flight or Fight • Researched by Selye, Cannon, Benson in Canada and USA • Looked at: – Physiological effects of stress on the body – Its acute and chronic effects • en.wikipedia.org/wiki/Fight-or-flight_response
  14. 14. Stress hormone axis activation causes release and response of: • Hypothalamic-pituitary hormones – adrenocorticotropic hormone (ACTH) • Adrenal cortex hormones – corticosteroids • Adrenal medulla hormones – epinephrine & norepinephrine • Alteration in post-synaptic sympathetic tone
  15. 15. Readings: Relaxation Response • The Wellness Book, H. Benson, E. Stuart; Simon and Schuster, 1992 • The Relaxation Response, H. Benson; William Morrow, 1975 • Beyond the Relaxation Response, H. Benson; Times Books, 1984
  16. 16. More Possibilities • Mind-Body Medicine — A Clinician’s Guide to Psychoneuroimmunology, A Watkins; Churchill Livingstone, 1997 • Mind/Body Medicine: How to Use Your Mind for Better Health, D Goleman, J Gurin; Consumer Reports Books, 1993
  17. 17. Integrative Healthcare: Complementary and Alternative Therapies for the Whole Person By: Victor S. Sierpina, MD FA Davis, Philadelphia, 2001

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