This document discusses mind-body approaches for treating stress and anxiety. It describes techniques like biofeedback, guided imagery, hypnosis, yoga, tai chi, and mindfulness meditation that can help regulate the mind and body. These practices may shift brain activity to the left prefrontal cortex and enhance emotion regulation. Regular practice can also promote neuroplasticity and increase neurogenesis. The document outlines conventional medical treatments for anxiety disorders and emphasizes an integrative care approach including lifestyle changes, mind-body therapies, and addressing any underlying medical conditions.
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This technique has generated a lot of buzz lately. But what is it really?
A short, fun and colorful way to explore neurofeedback, how it works, in addition to research and skepticism behind it.
More info at: www.myndlift.com
This technique has generated a lot of buzz lately. But what is it really?
A short, fun and colorful way to explore neurofeedback, how it works, in addition to research and skepticism behind it.
Academic peak performance training via neurofeedbackntheva
A pdf detailing how you can achieve peak performance in your academic life, increasing your IQ and stabilizing your EQ. All via simple home based software and hardware and through the science of Neurofeedback. Contact Dr. Theva Nithy for further details, ntheva@gmail.com
Neurofeedback for Peak Performance, Meditation, TherapyJonathan Banks
Neuro feedback is the most powerful form of brain training available. Is neurofeedback effective and what are the benefits you can expect to experience?
Athletic peak performance training via neurofeedbackntheva
A pdf detailing how you can achieve peak performance in your athletic and physical life, increasing your mental strength and stabilizing your EQ to address pre-performance anxiety. All via simple home software and hardware and through the science of Neurofeedback. Contact Dr. Theva Nithy for further details, ntheva@gmail.com
Stress management & relaxation techniques - Dr. Shelagh WrightArthritis Ireland
While we tend to think of stress as inherently negative (distress), it’s also recognised that there is a positive form of stress – referred to as eustress – which includes motivation, excitement, and energy. There are two emotions that are particularly associated with the stress response – anger and fear, which respectively result in the desire to fight or flight.
Dr Shelagh Wright provides a fascinating overview of what happens to the human body in dealing with stress – looking at the nervous system, the neuroendocrine system, etc. She says that the experience of chronic pain is potentially the most damaging form of stress. To effectively survive persistent pain, one needs to learn how to manage it and its stresses.
For people living with fibromyalgia, these insights are particularly relevant. Fibromyalgia is a common chronic widespread pain disorder; neurochemical imbalances in the central nervous system are associated with central amplification of pain perception.
Following Lazarus and Folkman (1984), Dr Wright highlights that effective coping depends on resources related to health and energy, positive belief, problem-solving skills, social skills and material resources. She explains strategies such as emotion-focused coping (e.g. stress control techniques), relaxation techniques (e.g. diaphragmatic breathing or pranayama in yoga), progressive muscular relaxation, autogenic training, and cognitive behavioural therapies.
By practicing approaches such as these, people can learn to better deal with stress and experience a more balanced life.
Dr Shelagh Wright is a chartered psychologist and registered nurse. Having qualified with Wirral Autogenic Training Centre in 2001, she retrained as an autogenic therapist with the British Autogenic Society in 2016 and established her business, AutogenicTrainingIreland.
Abnormal mental states and behaviours in MSMS Trust
Learning outcomes:
Recognition and treatment of depression and anxiety in MS
Recognise sudden changes in emotional state (laughter, crying, anger)
Recognition of mania and psychosis in MS
Cognitive impairment
Academic peak performance training via neurofeedbackntheva
A pdf detailing how you can achieve peak performance in your academic life, increasing your IQ and stabilizing your EQ. All via simple home based software and hardware and through the science of Neurofeedback. Contact Dr. Theva Nithy for further details, ntheva@gmail.com
Neurofeedback for Peak Performance, Meditation, TherapyJonathan Banks
Neuro feedback is the most powerful form of brain training available. Is neurofeedback effective and what are the benefits you can expect to experience?
Athletic peak performance training via neurofeedbackntheva
A pdf detailing how you can achieve peak performance in your athletic and physical life, increasing your mental strength and stabilizing your EQ to address pre-performance anxiety. All via simple home software and hardware and through the science of Neurofeedback. Contact Dr. Theva Nithy for further details, ntheva@gmail.com
Stress management & relaxation techniques - Dr. Shelagh WrightArthritis Ireland
While we tend to think of stress as inherently negative (distress), it’s also recognised that there is a positive form of stress – referred to as eustress – which includes motivation, excitement, and energy. There are two emotions that are particularly associated with the stress response – anger and fear, which respectively result in the desire to fight or flight.
Dr Shelagh Wright provides a fascinating overview of what happens to the human body in dealing with stress – looking at the nervous system, the neuroendocrine system, etc. She says that the experience of chronic pain is potentially the most damaging form of stress. To effectively survive persistent pain, one needs to learn how to manage it and its stresses.
For people living with fibromyalgia, these insights are particularly relevant. Fibromyalgia is a common chronic widespread pain disorder; neurochemical imbalances in the central nervous system are associated with central amplification of pain perception.
Following Lazarus and Folkman (1984), Dr Wright highlights that effective coping depends on resources related to health and energy, positive belief, problem-solving skills, social skills and material resources. She explains strategies such as emotion-focused coping (e.g. stress control techniques), relaxation techniques (e.g. diaphragmatic breathing or pranayama in yoga), progressive muscular relaxation, autogenic training, and cognitive behavioural therapies.
By practicing approaches such as these, people can learn to better deal with stress and experience a more balanced life.
Dr Shelagh Wright is a chartered psychologist and registered nurse. Having qualified with Wirral Autogenic Training Centre in 2001, she retrained as an autogenic therapist with the British Autogenic Society in 2016 and established her business, AutogenicTrainingIreland.
Abnormal mental states and behaviours in MSMS Trust
Learning outcomes:
Recognition and treatment of depression and anxiety in MS
Recognise sudden changes in emotional state (laughter, crying, anger)
Recognition of mania and psychosis in MS
Cognitive impairment
Mindfulness, Meditation & Thought Field Therapy (TFT) for Recovery & Relapse ...Dr. Andrea Pennington
Research shows that through prolonged mindfulness practice the insular region of the brain is thickened leading to increased self-awareness, emotional regulation and emotional wellbeing. Further, a reduction of anxiety and emotional reactivity by the amygdala suggests that individuals with addictions and eating disorders may find relief and support by learning mindfulness-based practices.
Dr. Pennington has implemented acupuncture, mindfulness meditation & meridian tapping training to executives recovering from burnout and clients with binge eating disorder and other process addictions. Through her research and clinical practice she created a secular 5-step mindfulness meditation, the Attunement Process Meditation TM which fosters impulse control, resilience & stress reduction.
Experience shows that The Attunement Process Meditation TM empowers people to build 10 essential resilience traits for wellbeing and relapse prevention, including: non-judgmental awareness, present moment attention, acceptance, adaptability, self-compassion, physiological stress reduction, letting go/surrender, emotional intelligence, self-generated positive emotion and gratitude.
Thought Field Therapy (TFT) is a type of Energy Psychology which includes tapping along the various meridians as described in Chinese medicine. These acupoints, when tapped, can unblock energy, pain and remove traumatic memory.
What is it?
Integration of mental, emotional and physical aspects of the whole individual to optimize wellness and address disease with emphasis on resolving underlying causes via mind functionality and behavior.
Why is it beneficial?
Mental processes and states can take place in our conscious or unconscious mind. This is why we can have reactions to situations without being aware of why we are reacting.
The subconscious mind controls vital bodily functions including heartbeat, respirations, digestive process, hormones, etc.
The subconscious mind controls habits.
Emotions can affect our physiology and are experienced in a conscious and unconscious level.
There is an increased risk for developing disease for individuals experiencing
either acute or chronic stress (Krantz, Sheps, Carney, and Natelson, 2000; O.Connor, C.M.,Gurbel, P.A., and Serebruany, V.L., 2000).
A presentation on the benefits of mindfulness for Judges at the Orlando, 2016. As important as the medical, psychological and stress reducing aspect of mindfulness are, the ability to pay sustained, nonjudgmental attention in the courtroom - without the distortion of habit, bias, or assumptions - may lead a judge to treat people and manage a courtroom in a manner that encourages confidence in our system of justice.
Pulmonary Thromboembolism - etilogy, types, medical- Surgical and nursing man...VarunMahajani
Disruption of blood supply to lung alveoli due to blockage of one or more pulmonary blood vessels is called as Pulmonary thromboembolism. In this presentation we will discuss its causes, types and its management in depth.
These lecture slides, by Dr Sidra Arshad, offer a quick overview of physiological basis of a normal electrocardiogram.
Learning objectives:
1. Define an electrocardiogram (ECG) and electrocardiography
2. Describe how dipoles generated by the heart produce the waveforms of the ECG
3. Describe the components of a normal electrocardiogram of a typical bipolar leads (limb II)
4. Differentiate between intervals and segments
5. Enlist some common indications for obtaining an ECG
Study Resources:
1. Chapter 11, Guyton and Hall Textbook of Medical Physiology, 14th edition
2. Chapter 9, Human Physiology - From Cells to Systems, Lauralee Sherwood, 9th edition
3. Chapter 29, Ganong’s Review of Medical Physiology, 26th edition
4. Electrocardiogram, StatPearls - https://www.ncbi.nlm.nih.gov/books/NBK549803/
5. ECG in Medical Practice by ABM Abdullah, 4th edition
6. ECG Basics, http://www.nataliescasebook.com/tag/e-c-g-basics
micro teaching on communication m.sc nursing.pdfAnurag Sharma
Microteaching is a unique model of practice teaching. It is a viable instrument for the. desired change in the teaching behavior or the behavior potential which, in specified types of real. classroom situations, tends to facilitate the achievement of specified types of objectives.
The prostate is an exocrine gland of the male mammalian reproductive system
It is a walnut-sized gland that forms part of the male reproductive system and is located in front of the rectum and just below the urinary bladder
Function is to store and secrete a clear, slightly alkaline fluid that constitutes 10-30% of the volume of the seminal fluid that along with the spermatozoa, constitutes semen
A healthy human prostate measures (4cm-vertical, by 3cm-horizontal, 2cm ant-post ).
It surrounds the urethra just below the urinary bladder. It has anterior, median, posterior and two lateral lobes
It’s work is regulated by androgens which are responsible for male sex characteristics
Generalised disease of the prostate due to hormonal derangement which leads to non malignant enlargement of the gland (increase in the number of epithelial cells and stromal tissue)to cause compression of the urethra leading to symptoms (LUTS
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TEST BANK for Operations Management, 14th Edition by William J. Stevenson, Verified Chapters 1 - 19, Complete Newest Version.pdf
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Recomendações da OMS sobre cuidados maternos e neonatais para uma experiência pós-natal positiva.
Em consonância com os ODS – Objetivos do Desenvolvimento Sustentável e a Estratégia Global para a Saúde das Mulheres, Crianças e Adolescentes, e aplicando uma abordagem baseada nos direitos humanos, os esforços de cuidados pós-natais devem expandir-se para além da cobertura e da simples sobrevivência, de modo a incluir cuidados de qualidade.
Estas diretrizes visam melhorar a qualidade dos cuidados pós-natais essenciais e de rotina prestados às mulheres e aos recém-nascidos, com o objetivo final de melhorar a saúde e o bem-estar materno e neonatal.
Uma “experiência pós-natal positiva” é um resultado importante para todas as mulheres que dão à luz e para os seus recém-nascidos, estabelecendo as bases para a melhoria da saúde e do bem-estar a curto e longo prazo. Uma experiência pós-natal positiva é definida como aquela em que as mulheres, pessoas que gestam, os recém-nascidos, os casais, os pais, os cuidadores e as famílias recebem informação consistente, garantia e apoio de profissionais de saúde motivados; e onde um sistema de saúde flexível e com recursos reconheça as necessidades das mulheres e dos bebês e respeite o seu contexto cultural.
Estas diretrizes consolidadas apresentam algumas recomendações novas e já bem fundamentadas sobre cuidados pós-natais de rotina para mulheres e neonatos que recebem cuidados no pós-parto em unidades de saúde ou na comunidade, independentemente dos recursos disponíveis.
É fornecido um conjunto abrangente de recomendações para cuidados durante o período puerperal, com ênfase nos cuidados essenciais que todas as mulheres e recém-nascidos devem receber, e com a devida atenção à qualidade dos cuidados; isto é, a entrega e a experiência do cuidado recebido. Estas diretrizes atualizam e ampliam as recomendações da OMS de 2014 sobre cuidados pós-natais da mãe e do recém-nascido e complementam as atuais diretrizes da OMS sobre a gestão de complicações pós-natais.
O estabelecimento da amamentação e o manejo das principais intercorrências é contemplada.
Recomendamos muito.
Vamos discutir essas recomendações no nosso curso de pós-graduação em Aleitamento no Instituto Ciclos.
Esta publicação só está disponível em inglês até o momento.
Prof. Marcus Renato de Carvalho
www.agostodourado.com
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Are you curious about what’s new in cervical cancer research or unsure what the findings mean? Join Dr. Emily Ko, a gynecologic oncologist at Penn Medicine, to learn about the latest updates from the Society of Gynecologic Oncology (SGO) 2024 Annual Meeting on Women’s Cancer. Dr. Ko will discuss what the research presented at the conference means for you and answer your questions about the new developments.
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Acute scrotum is a general term referring to an emergency condition affecting the contents or the wall of the scrotum.
There are a number of conditions that present acutely, predominantly with pain and/or swelling
A careful and detailed history and examination, and in some cases, investigations allow differentiation between these diagnoses. A prompt diagnosis is essential as the patient may require urgent surgical intervention
Testicular torsion refers to twisting of the spermatic cord, causing ischaemia of the testicle.
Testicular torsion results from inadequate fixation of the testis to the tunica vaginalis producing ischemia from reduced arterial inflow and venous outflow obstruction.
The prevalence of testicular torsion in adult patients hospitalized with acute scrotal pain is approximately 25 to 50 percent
These simplified slides by Dr. Sidra Arshad present an overview of the non-respiratory functions of the respiratory tract.
Learning objectives:
1. Enlist the non-respiratory functions of the respiratory tract
2. Briefly explain how these functions are carried out
3. Discuss the significance of dead space
4. Differentiate between minute ventilation and alveolar ventilation
5. Describe the cough and sneeze reflexes
Study Resources:
1. Chapter 39, Guyton and Hall Textbook of Medical Physiology, 14th edition
2. Chapter 34, Ganong’s Review of Medical Physiology, 26th edition
3. Chapter 17, Human Physiology by Lauralee Sherwood, 9th edition
4. Non-respiratory functions of the lungs https://academic.oup.com/bjaed/article/13/3/98/278874
1. Mind/Body Approaches to Stress
and Anxiety
Jennifer Phelps, MD
Phelps MD Integrative Medicine
2. Peace:
It does not mean to be in a place where there is no
noise, trouble or hard work, it means to be in the
midst of those things and still be calm in your
heart.
Author unknown
3. • Economic burden in 1998 $63.1 Billion
– Missed work, inc medical morbidity
– Treatment of panic disorder decreases healthcare
utilization and costs by 94%
(Langlieb, 2005)
– Anxiety has lifetime prevalence 25.1% 13-18 yr
olds
– 18% adults in any given year( NIMH,n.d.)
4. Mind-Body Modalities
• Biofeedback
• Autogenic training
• Guided imagery
• Hypnosis
• Yoga
• Tai Chi
• Meditation-Mindfulness, PMR, breathwork
6. Clinical Hypnosis
• Inner absorption, concentration and focused
attention
• Like a magnifying glass to focus the rays of the
sun and make them more powerful
7. Biofeedback
• Trains people to improve their health by
controlling certain bodily processes that
normally happen involuntarily such as heart
rate, blood pressure, muscle tension and skin
temperature
• Heart rate variability, EMG, thermal
biofeedback, and EEG
• Benefits-
BP, headaches, anxiety, depression, pain
8. Mindfulness
From a mind-body perspective, mindfulness
appears to "institute" a left-sided shift in
frontal electrical activity to support an
approach state as opposed to a withdrawal
state.
9. Mindfulness Meditation
• Shift to left frontal dominance
• Increased thickness of middle prefrontal
region
• Activation of middle prefrontal areas
• Activation of the Anterior cingulate cortex
10. Mind body practices
• Increased coordination of firing
• Activation of the superior temporal region
• Emotion regulation
• Capacity to disengage from top down brain
processes—caused by enhanced function of
the middle prefrontal areas of the brain that
arises from mindfulness practices
11. Mind
• The human mind is a relational and embodied
process that regulates the flow of energy and
information
• Knowing that our minds regulate this flow
enables us to feel the reality of these two forms
of mental experience and to act on them instead
of get lost in them
• We can learn to become more skilled at altering
our mind and brain by mind body practices.
14. Brain Plasticity
• Emerging research in neuroendocrinology
links stress and anxiety effects on neuronal
replacement, synapse turnover and dendritic
remodeling and the detrimental effects of
untreated anxiety (McEwen, 2012)
• This highlights the importance of effective
treatment approaches
15. • As Woody Allen said in the movie
Manhattan,"You know I can't express
emotions. I internalize, I grow a tumor."
17. neurogenesis
• 5-10K neurons each day average adult done in
animal models
• Impacts neurogenesis—stress inhibits growth
• Physical exercise enhances growth
18. Mental exercise
• Short amounts of practice can help
• If stop practicing after 2 weeks affects
19. Emotion Regulation
• Can be taught and aquired
• Important to manage everyday life
• Resilience maintenance of high levels of well
being in the face of adversity
• Positive emotions is associated with better
health
• Brain heart synchronicity in certain kind of
meditation-compassion meditation a fairly
dramatic synchronicity not in novices
23. 5 Major Diagnostic Groups
• Generalized anxiety
• Panic attacks
• Phobias
• Obsessive compulsive disorder
• Post traumatic stress disorder
24. Conventional treatment
• Psychopharmacology
-complete list of FDA approved found at NIH
website
• Antidepressants
-SSRI/SNRI, tricyclics, MAO, Benzos, B Blockers
• Psychotherapy
-talk therapy, cognitive behavioral therapy
-caution with internet based therapy
25. Integrative Care for Anxiety
• Important to screen for any medical
conditions that could mimic anxiety
• Examine meds and supplements
• Lifestyle changes
• Mind body or psychotherapy approaches
• Discuss risks and benefits of any therapy
26. Disease States assoc w anxiety
• Hypo/hyperthyroidism
• Vestibular dysfunction
• CHF/COPD/PE
• Cardiac arrhythmia
• Pheochromocytoma
• Pneumonia
• Hyperventilation
• Vit B12 Deficiency
• Porphyria
• Neoplasm
• Encephalitis
• Hyperadrenalism
• Substance OD
• Munchausen's
• Lead or pesticide toxicity
28. Lifestyle Factors
• Physical Activity
• Herring MP, Jacob ML, Suveg C, Dishman RK, O'Connor PJ. Feasibility of Exercise Training for the Short-Term Treatment of Generalized Anxiety Disorder: A
Randomized Controlled Trial. Psychother Psychosom. 81(1):21-28. Nov 22, 2011
• Ströaut;hle A, Stoy M, Graetz B, Scheel M, Wittmann A, Gallinat J, Lang UE, Dimeo F, Hellweg R. Acute exercise ameliorates reduced brain-derived neurotrophic factor
in patients with panic disorder. Psychoneuroendocrinology 35(3):364-8 Apr, 2010Nutrition
Nutrition
Cheatham RA, Roberts SB, Das SK, Gilhooly CH, Golden JK, Hyatt R, Lerner D, Saltzman E, Lieberman HR. Long-term effects of provided low
and high glycemic load low energy diets on mood and cognition. Physiology & behavior 98(3):374-9 Sep, 2009
• Bercik P, Denou E, Collins J, Jackson W, Lu J, Jury J, Deng Y, Blennerhassett P, Macri J, McCoy KD, Verdu EF, Collins SM. The intestinal
microbiota affect central levels of brain-derived neurotropic factor and behavior in mice. Gastroenterology.141(2):599-609 2011 Aug
• Sleep
• van der Helm E, Yao J, Dutt S, Rao V, Saletin JM, Walker MP REM Sleep Depotentiates Amygdala Activity to Previous Emotional Experiences.
Curr Biol. Nov 22, 2011
• Gujar N, McDonald SA, Nishida M, Walker MP. A role for REM sleep in recalibrating the sensitivity of the human brain to specific
emotions. Cereb Cortex. 21(1):115-23. Jan, 2011
29. Mind-Body Techniques for Anxiety
• Mindfulness and meditation
• Yoga
• Prayer/Spirituality
• Biofeedback
• Hypnotherapy
• Massage
• Music Therapy
• Energy Medicine
• Aromatherapy
Editor's Notes
Langlieb AM, Kahn JP. How much does quality mental health care profit employers? J Occup Environ Med. 2005 Nov;47(11):1099-109. National Institute of Mental Health (NIMH). Any Anxiety Disorder Among Children. [Web page]. NIMH Web site. Accessed December 5, 2011.
Subsequent surveys began showing that guided imagery was one of the more frequently used CAM therapies in oncology. Henry Bennett, a behavioral anesthesiologist, published a gold standard, randomized, placebo-controlled, double-blind study with 335 surgery patients and four different audio interventions, showing that the guided imagery alone significantly reduced blood loss, pre- and post-op anxiety and length of hospital stay.study by Blue Shield of California showed that this same guided imagery reduced cost per hysterectomy by an average of $2003.07 per procedure. Hospital-based guided imagery programs for surgery patients became commonplace. Along with the Health Journeys programs, the imagery protocols of Peggy Huddleston and Leslie Davenport became widely used.With MRI's of stroke and rehab patients demonstrating how imagining movement results in the same neurons firing as with actual movement; blood assays showing increased immune activity generated by imagining NK and T-cell proliferation;
(Nakao, 2003), showed that only relaxation-assisted biofeedback significantly decreased both SBP and DBP compared with sham Heartmath, NeurofeedbackCoherence Iswhen HRV waveform oscillates at a frequency of 0.1 Hz, synchronous with respriation Rate. Vagal activity, is increased, baroreceptors are stimulatedLehrer PM, Vaschillo E, Vaschillo B, Lu SE, Eckberg DL, Edelberg R, Shih WJ, Lin Y, Kuusela TA, Tahvanainen KU, Hamer RM. Heart rate variability biofeedback increases baroreflex gain and peak expiratory flow. Psychosomatic medicine 65(5):796-805 Sept-Oct, 2003
225 chronic pain (Back pain, HA, neck pain)patients- mean duration of pain 8 yrs. 60-72% moderately to greatly improved. 86% felt they had gotten something of lasting importance from the experience.Kabat-Zinn J, Lipworth L, Burney R, et al. Clin J Pain 2,159-73. 1987Anxiety- 24 patients w panic or generlized anxiety20/22 showed significant improvement on Beck and Hamilton anxiety and depression scale; significant decrease with panic attacks. Gains maintained after 3 years.In another setting, two randomized controlled experimental studies on students (medical, premedical, and behavioral science) with no known medical or psychiatric diagnoses showed improvement in a variety of psychologic parameters (decreased anxiety and depression, increased empathy, sense of control, and measure of spiritual experiences) (Astin, 1997; Shapiro, 1998Similarly a randomized wait-list controlled study of 90 cancer patients showed improvement in depression, anxiety, anger, and confusion and fewer physical symptoms (Speca, 2000
Davidson RJ, Kabat-Zinn J, Schumacher J, Rosenkranz M, Muller D, Santorelli SF, Urbanowski F, Harrington A, Bonus K, Sheridan JF. Alterations in brain and immune function produced by mindfulness meditation. Psychosomatic medicine 65(4):564-70 Jul-Aug, 2003Lazar SW, Kerr CE, Wasserman RH, Gray JR, Greve DN, Treadway MT, McGarvey M, Quinn BT, Dusek JA, Benson H, Rauch SL, Moore CI, Fischl B. Meditation experience is associated with increased cortical thickness. Neuroreport 16(17):1893-7 Nov, 2005Cahn BR, Polich J. Meditation states and traits: EEG, ERP, and neuroimaging studies. Psychological bulletin 132(2):180-211 Mar, 2006
“[A]t this point, we do not have definitive data to suggest how focusing attention in the present moment may harness neural circuits in a particular way, nor why these potential attentional mechanisms would result in such improvements in physiological, psychological, and interpersonal well-being” Dan Seigel
Further, the exertion of willful effort generates a physical force that has the power to change how the brain works and even its physical structure. Dr Schwartz calls this “directed mental force.” In 1986, Sir John Eccles, a Nobel prize-winning Australian physiologist proposed that the probability of NT release depended on quantum mechanical processes, which can be influenced by the intervention of the mind.
Tang YY, Lu Q, Geng X, Stein EA, Yang Y, Posner MI. Short-term meditation induces white matter changes in the anterior cingulate. Proceedings of the National Academy of Sciences of the United States of America 107(35):15649-52 Aug, 2010
McEwen BS, Eiland L, Hunter RG, Miller MM. Stress and anxiety: structural plasticity and epigenetic regulation as a consequence of stress. Neuropharmacology.62(1):3-12. Jan, 2012We can use the power of the mind to change the firing patterns of the brain and thereby alter our feelings, perceptions, and responses.
When Freud listened to his hysterical patients, the patients themselves revealed the deeper layer of their suffering and the underlying currents of their physical symptoms and resultantly, meaningful symbolic connections began to emerge. When patient's minds were encouraged to speak aloud about previously resisted or denied truths about their situation, their bodies no longer had to speak those truths through physical symptoms.Returning to the impact of mind on body, the “body that speaks” narrative explores the impact of the mind on the body and more specifically, the impact of the subconscious mind, and we shall see, mind-body approaches/modalities can have the impact of shifting the interface between the subconscious and the conscious mind. The end result to this shift is that awareness is augmented so that more is in the field of awareness, and one is more aware of choices that are possible in the moment that are supportive to health, balance, and vitality.
Positive emotion assoc with Cortisol diurnalHigher in morning than eveningThose who fail to recover to lower level at night have more health issuesStanford paper mets breast ca cortisol not down at end of day died sooner
Dr. Schwartz had his OCD patients engage in intensive self-directed neuroplasticity through what he called Relabeling, Re-attributing, Refocusing, and Revaluing (the 4 Rs). Patients who undertook this therapy experienced considerable relief from OCD symptoms and their brain scans indicated a lasting realignment of brain-activity patterns. They were able to reorganize their brains by intentionally modifying their thoughts and behaviors. The important point for Schwartz is not simply that modified thoughts and behaviors permanently altered patterns of brain activity, but that such modifications resulted from, as he calls it, “mindful attention”—conscious and purposeful thoughts or actions in which the person adopts the stance of a detached observer (Schwartz, 2002)
Davidson RJ, Kabat-Zinn J, Schumacher J, Rosenkranz M, Muller D, Santorelli SF, Urbanowski F, Harrington A, Bonus K, Sheridan JF. Alterations in brain and immune function produced by mindfulness meditation. Psychosomatic medicine 65(4):564-70 Jul-Aug, 2003Lazar SW, Kerr CE, Wasserman RH, Gray JR, Greve DN, Treadway MT, McGarvey M, Quinn BT, Dusek JA, Benson H, Rauch SL, Moore CI, Fischl B. Meditation experience is associated with increased cortical thickness. Neuroreport 16(17):1893-7 Nov, 2005Cahn BR, Polich J. Meditation states and traits: EEG, ERP, and neuroimaging studies. Psychological bulletin 132(2):180-211 Mar, 2006
6 wk study 30 women 2x weekly, controls waitlisted: worry symptoms signif reduced in exercise group 60%resistance, 40%aerobicBrain Derived neurotrophic factor BDNF protects neurons and encourages growth and maturation. Low levels implicated in anxiety depression Signig improvement after 30 min exercise.Chronic stressinduces hypothalamus=pituitary-adrenal axis Increased cortisol and exercise improves thisCaffeine/glycemic load46 adults at Tufts showed worsening mood on HG load diet as opposed to LG load dietGut flora studies in mice demonstrate a complex interaction b/t gut flora and BDNF-flora can influence behavior independent of factors ANS, Gastrointestinal neurotransmitters, inflammationStrong association of insomnia with anxiety and mood disorders.Absence of REM is common with anxiety and studies show decreased
Hofmann SG, Sawyer AT, Witt AA, Oh D. The effect of mindfulness-based therapy on anxiety and depression: A meta-analytic review. J Consult Clin Psychol. 78(2):169-83. Apr, 2010Vollestad J, Sivertsen B, Nielsen GH. Mindfulness-based stress reduction for patients with anxiety disorders: evaluation in a randomized controlled trial. Behaviour research and therapy 49(4):281-8 Apr, 2011Ospina MB, Bond K, Karkhaneh M, Buscemi N, Dryden DM, Barnes V, Carlson LE, Dusek JA, Shannahoff-Khalsa D. Clinical trials of meditation practices in health care: characteristics and quality. J Altern Complement Med. 14(10):1199-213. Dec, 2008Patients rating higher Gastrointestinal specific anxiety correlate with higher anxiety, inc GI symptoms and inc depression Jerndal P, Ringström G, Agerforz P, Karpefors M, Akkermans LM, Bayati A, Simrén M Gastrointestinal-specific anxiety: an important factor for severity of GI symptoms and quality of life in IBS. Neurogastroenterol Motil. 22(6):646-e179. Jun, 2010