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Listening in

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We are not just our bodies, but it is important to be aware of what they’re telling us. The more we pay attention to how we feel – in mind, body and spirit – the easier it will be to sense when something is not right. Then we can take steps to bring ourselves back into wellness.

Sometimes conflict arises, though, when we turn to medical professionals who have a one-size-fits-all approach to healing. Too often, that approach involves a prescription for medication as a first step rather than a second or third. Even though we might have doubts about the medication, sometimes we don’t speak up about them.

Dr. Herbert Benson, an authority on mind-body approaches, writes in his book, Timeless Healing, that “…when it comes to the medical profession, we are often intimidated or scared by the subject matter and we disregard our true feelings and reactions, even though brain research tells us that emotions are critically important decision-makers in our minds/bodies.”

Benson believes that physicians underestimate people’s desire and ability to make lifestyle changes, or to try other approaches that don’t involve drugs. He says, “Trust your instincts, and trust the doctor who values your impressions and assessments.” In other words, find the doctor who starts from the premise that you know your body best.

Of course, to know your body best means that you have to pay attention to it. Some of us are very in tune with the nuances of our bodies; others tend to be dissociated. But there are a number of mindfulness practices that help us become more aware.

  • Body scan – this practice involves bringing your attention to each body part, one at a time, starting say, at your left toe, and working your way up. The attention is passive observation only, without judgment.
  • Progressive muscle relaxation – this practice has you tense and tighten parts of your body one at a time, then relax them. It helps bring awareness to the difference in sensation between tension and relaxation.
  • Present moment awareness – by sitting quietly and focusing on the breath, we can often become aware of what kind of body sensations are connected to certain thoughts. If you find your mind drifting to something troubling, you may realize the place in your body that reacts with tension to that thought.

It is estimated that 70%-80% of all healthcare visits are stress-related or stress-induced. It makes sense to use lifestyle change rather than medication to treat many of them. We can start by becoming more alert to the interaction of mind and body, and by treating ourselves with compassion. I sometimes practice a compassion meditation from Frank Jude Boccio (found in Yoga Journal magazine) that includes the line, “May I hold myself with softness and care.” There is something about that statement that always reminds me of my innate value, and the need to treat myself well.

Hippocrates said, “The natural healing force within each one of us is the greatest force in getting well.”  Learning to tune into our bodies and trust in that force would make us all better healthcare consumers and custodians of the awesome gift we have been given.

Finding my balance

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After two long weekends in a row away from home, I am still struggling with a feeling of disequilibrium. Don’t get me wrong – both weekends were a lot of fun, and I don’t regret going away. It’s just that I feel off-balance from having so little time at home in between.

In the language of stress, this is what is called “eustress”. It’s the good kind of stress, the kind that comes with a happy event or something else that is desirable. But it still throws us off balance in a way that is similar to negative events. It knocks us out of our usual routines, and makes demands on our bodies and minds.

For some people, travel might be routine, but for me, not so much. The first thing that goes off-kilter when I travel is exercise. My careful routine of running, yoga, and weight-training two times a week is out the window. If I’m lucky, I get in one run and maybe some quick yoga.

Eating also changes. Sometimes the food choices aren’t so healthy, or the mealtimes are erratic, or there’s too much or too little of something. Fruit is something I don’t eat nearly enough of when I am away from home.

Sleep habits might also suffer. Strange or uncomfortable beds, noisy rooms, and time changes can all cause problems.

Mentally, the demands can be more subtle. If we’re traveling for pleasure, we try to shift to vacation mode, but work might still be on our minds, especially if we think about all the things that aren’t getting done while we’re away. If the trip is business-related, we might feel like we are missing out on family time. So we are not fully present in the place we’re supposed to be.

Then, just when we’re getting used to the place we’re in, it’s time to go home!

Now we’re faced with the work that is undone, the people who need our presence and the myriad details of our lives that need to be dealt with. Sometimes it can take days to catch up. Essentially, we are trying to regain “homeostasis”, our steady state.

David Agus, who has a new book out called The End of Illness, argues that to be healthiest, people need to keep to a regular daily schedule of eating, exercise, sleep and relaxation. Most people might find it difficult to eat meals or exercise at the same time every day as he suggests, but I can see how it might be very helpful during times of stress, whether that stress is eustress (good) or distress (bad).

When I get back from a trip, my sense of focus is poor. I don’t know which task to tackle first. The temptation is to skip exercise or sleep, and to use the time to catch up on all I’ve missed. That’s probably the worst thing that I could do. Getting back to my regular schedule will ultimately make me more productive.

Here’s what I’ve observed during my first days back:

  • Right before I left for my first trip, I started doing a 21-day meditation challenge on the Chopra Center web site. Although I missed a couple of days while I was away, I have been pretty diligent about doing the meditations once or twice a day since then. That has helped to keep me grounded and calm.
  • I’ve gone back to reasonably healthy eating, although I find that I am unusually hungry at odd times of the day. That’s probably the result of not eating on a regular schedule while I was away. But I’m expecting that in a couple more days, I’ll be back on track.
  • The exercise habit is kicking back in. It helps that the weather is warmer this week and I’ll be able to run outside over the weekend. That will also help with sleep and appetite.
  • By tomorrow, I’ll probably be caught up on my work, and I’ll feel good about that.

Am I looking forward to my next trip? Yes, but I’m glad it won’t be for at least a month. While I relish the challenge and stimulation of travel and new experiences, I’m happy now for the comfort and well-being of home and habit.

Happiness is…

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“We tend to seek happiness… when really happiness is a choice” says a piece of art that I’ve seen in a catalog. I try to live that idea, and last year I came across a video on the TED website that sums it up nicely. It is a talk by Srikumar Rao about not waiting to be happy until some event or change of condition happens. Rao believes that we are hard-wired for happiness (think of babies and how often they laugh). He essentially says that we have everything we need to be happy right now.

When we’re kids, we joyfully sing about happiness. “If you’re happy and you know it, clap your hands…” or as Charlie Brown sings, “…Happiness is anyone and anything at all that’s loved by you.” But when does that unbounded happiness of childhood start eroding, and all of the worry, inferiority and judgment of life take hold? Do we recognize happiness when it is right under our noses?

If you go on the Amazon web site and do a search for self-help books about happiness, 8,894 results come back. Clearly, people are spending a lot of time (and money) figuring out how to be happy.

My students have been working lately with the idea of locus of control. Having an internal locus of control means that you take responsibility for the outcomes of your actions, while an external locus of control suggests that you tend to blame other people or outside events for how things turn out. While it can be tempting, and maybe immediately gratifying, to shift control to luck or outside influences, people are generally healthier and handle stress better when they take responsibility for their own behavior and its outcome.

I think of happiness in a similar fashion. Why blame someone else because you are unhappy? Why wait for the right job or the right house or the right person to be happy? Why not make the decision to be happy right now, in this moment? It doesn’t mean everything will be perfect in your life; you just decide to be happy anyway, without waiting.

How can we recapture some of our hard-wired happiness? In every moment, we have a choice of how to respond. By consciously shifting our responses to gratitude and acceptance, rather than resistance and judgment, we can move one step closer to joy, contentment and happiness.

Robert Green Ingersoll once said, “Happiness is the only good. The time to be happy is now. The place to be happy is here…”

5 Intentions for a Happy Thanksgiving

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Six days and counting until Thanksgiving…what will your holiday look like? Calm or frantic? Happy or conflicted? Holidays can be stressful, often bringing out the worst in us if we let them. In yoga class, our teacher sometimes asks us to “set an intention” for the practice: something that we would like to focus on or work toward. In that spirit, here are my intentions for the next few days; maybe they will work for you too:

1. Spend time each day planning for the next one.

Time management gurus like Brian Tracy say that each minute spent planning will save 5 to 10 minutes in carrying out the task. This can be accomplished by sitting down each evening for 5 minutes to make lists, check the next day’s calendar, and block out time for priority tasks. Focusing on the most important tasks for each day, dividing them up to correspond with blocks of free time, and eliminating unnecessary tasks will help each day be more productive.

2. Ask for and accept help; take shortcuts when they serve me.

No one can do it all. So let go of the perfectionist tendencies and controlling instincts. Graciously allow others to help with the shopping, cook part of the meal, or set the table. Most likely they will be glad to be asked. Buy some foods already-prepared, especially the ones you don’t excel at or find tedious to prepare (gravy comes to mind!)

3. Take care of myself.

When people feel better, they can be more present for those they care about. During stressful holiday times, it is more important than ever to make health a priority. Exercising will give you more energy. Drinking plenty of water will help fight fatigue and improve appearance. Eating healthy in the days leading up to Thanksgiving feels good and allows for guilt-free splurging on the big day. And if stress catches up with you anyway, take five minutes just to sit and breathe.

4. Have fun each day.

Scheduling time for play or recreation is part of time management too. We all deserve a break to watch a funny movie or play a game with the family. These shared experiences will become part of everyone’s memories of the holiday.

5. Remember to be thankful.

Voltaire once said that “the perfect is the enemy of the good”, and the Thanksgiving holiday is a good time to think about what that means. Don’t strive for a perfect meal worthy of Martha Stewart, but one that will be joyfully eaten with family and friends. If your home isn’t perfectly cleaned and decorated, be glad that it is full of warmth and good cheer. Replace criticism of loved ones with appreciation, even with all of their quirks and imperfections.

As I celebrate Thanksgiving, I will keep these words of Thornton Wilder in mind: “We can only be said to be alive in those moments when our hearts are conscious of our treasures.”

Books

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Sometimes I tell people that reading saved my life. Yes, but it also made my life what it is.

When I was growing up, I was a shy child in a big family, and my parents had other problems besides the six of us. Reading was my escape from the stress of the household, from my fears, and from the world. Whenever anyone was looking for me, they knew I could be found with my “nose in a book” somewhere.

Reading opened up new worlds for me. I delved into adventure, mysteries, career women, and love stories. It showed me the possibilities that were out there for me if I could just be brave enough to go after them. Reading also comforted me, making me realize that other people had problems too, bigger than mine, and that they were not insurmountable.

Reading doesn’t really qualify as a relaxation technique in stress reduction, as it tends to activate and mentally arouse people most of the time. But reading for pleasure is a form of play or recreation. In that context, it serves to distract from stressors and give us a break from whatever else is going on in life. It turns out that reading for pleasure can allow people to either dull or heighten consciousness.  So if someone has a lot of fear or anxiety, reading can block some self-awareness; while if a person is in a more positive mental state, reading can heighten consciousness and allow more self-exploration.

Life is just better if you are a reader. A National Endowment for the Arts (NEA) report from 2007 called reading “transforming”, saying that it “awakens people’s social and civic sense” and that reading “correlates with measures of positive personal and social behavior”. In fact, people who are regular readers go to more concerts and theatre, exercise more, play more sports, and are twice as likely to volunteer.

Reading gives people a way of connecting to others, both through the empathy it arouses and by providing topics of conversation, ideas and common ground.

Studies on reading show a correlation between reading ability and more time spent reading; but it’s hard to say whether one causes the other. What we do know is that while reading ability continues to rise at the elementary school level, it declines in the teenage years. Time spent reading is down among both teenagers and adults; and both reading ability and the habit of reading for pleasure are declining in college graduates. It is not hard to guess one of the reasons why this is so. The drop in literary reading has correlated with the rise in Internet use.

Why be concerned? For one thing, reading less, and the lower academic achievement associated with it, are also correlated with less success in the job market. High-level reading and writing skills are highly sought by employers, and one of the biggest problems they cite in hiring. Reading ability helps us process an increasingly complex society, from understanding our health care options to knowing how to handle our finances. As the NEA report put it, “Reading is an irreplaceable activity in developing productive and active adults as well as healthy communities.”

Summer seems like a good time to begin or re-discover the habit of reading. (I have fond memories of the summer reading program at my local library.) Marcel Proust said, “There are perhaps no days of our childhood we lived so fully as those we spent with a favorite book.”  Why should that end with childhood?  Pick up a book today and see where your imagination takes you.

“A change is gonna come”

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My favorite line about change is one I saw a few years ago on the sign at a church near my house. It said, “When you change how you look at things, the way things look changes.” I love mulling over that line — it’s all about perspective, isn’t it?

Sometimes we choose to change, sometimes we expect change, and sometimes change is thrust upon us. But how we deal with it, from person to person or situation to situation, runs the gamut from graciousness to grumpiness to downright kicking-and-screaming resistance. The only constants are that change will happen and that we have a choice in how we react to it.

All change is potentially stressful, even if we welcome it, because it throws us off balance and out of our comfort zone. But since we cannot grow in our comfort zone, the ability to see change as a challenge or an opportunity has a lot of potential. It depends on what kind of meaning we attach to the change.

Daniel Gilbert, in his book, Stumbling on Happiness, wrote that “When the experience we are having is not the experience we want to be having, our first reaction is to go out and have a different one…It is only when we cannot change the experience that we look for ways to change our view of the experience…We find silver linings only when we must…”

Another way to change our view of experiences is to cultivate equanimity, or calmness.  In the August 2010 issue of Yoga Journal, Frank Jude Boccio talked about this quality of equanimity .  It is a “state of even-minded openness that allows for a balanced, clear response to all situations, rather than a response born of reactivity or emotion.” In other words, developing this quality within ourselves enables us see the truth of our circumstances more clearly, and to deal with them more appropriately.

An important aspect of cultivating equanimity is recognizing that we can’t control everything, much as we might want to. So it helps us accept the things that cannot be changed, as well as the things that aren’t important enough to change. It helps curb our tendencies to judge and resist the way things are.

Conversely, there are times when we want to make changes, and we rush to do too much at once. The starting point for all change is accepting where we are, and believing in our ability to change and to accomplish our goals. The most achievable goals involve small steps that, one after another, add up to big change. I always tell the people I work with at health fairs not to change too much at one time. Wait for one small change to become a habit, and then move on to something else.

Herbert Benson says that “change in our lives, because of our wiring and conditioned responses, is gradual and cumulative.” If you learned one way of doing something, you can unlearn it, but it will take time. So take a breath along with that first small step, and be patient with yourself.

 

Update on kids’ health

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After my last two posts about childhood obesity and the lack of time that kids spend outdoors, I was heartened to see this article in the Washington Post last weekend. It’s about a school in Frederick County, MD that started a running club, and all the benefits they have reaped from it. Here’s the link:

http://www.washingtonpost.com/local/education/fredericks-orchard-grove-elementary-school-is-making-strides-in-fitness/2011/05/25/AGC2LOEH_story.html