Support Starts From Within

Aside

Support Starts From Within

40 Day Journey: 40 Steps For Growth & Inner Freedom
Day 3: August 7, 2014

Salamba Sirsasana

When your world is turned up-side down, literally or figuratively, it is the perfect opportunity to re-orient the self back into stillness and awareness of breath. Right now, sense how your breath is influencing and shaping your mind. – (Salamba Sirsasana in my home studio in Arcata)

Salamba Sirsasana: Supported Headstand
(sah-LOM-bah shear-SHAHS-anna)
sa = with;
 alamba = support or that on which one rests or leans ; sirsa = the head

We do not exist within a vacuum. No organism alive is separate or distinct from its environment. We all need support from time to time and opening up to receive support is a masterful skill all it’s own. Today, for me support starts attitudinally from within. It starts with inviting in a deep sense of trust, surrender and remembrance that my body, mind and spirit already intrinsically know balance and all I need do is lean into the practices I already have on board to keep me moving forward, toward my dreams and goals, regardless of the obsticles along the way. In headstand, our world view is both physically and metaphorically flipped upside down.

Right now I am a couple hundred dollars shy of paying my rent. Rent was due on the 1st. My insurance was due on the first as well. Today is the 7th. My sense of being financially self-supporting through my own contributions is definitely under pressure. The nitty-gritty details of meeting my basic survival needs seem cattywonkus to say the least. I’m still smiling. I have been all day. I have a sense that life is just providing me a rich opportunity to become more skillful at remaining calm and grounded even when my world seems spun around. If nothing about my external circumstances are to change in the next 12 hours what internal landscape do I want to cultivate? Anxiety is no fun and it certainly won’t change anything. I would rather remain calm, take some action steps from a place of joy rather than panic and be ready for whatever shifts are coming next. I want to choose to enjoy my life, even if my external circomstances seem to be less than joyful. Salamba Sirsasana, or head stand, literally means with support of the head. Today has been about observing my head space and developing a quality of mindful presence that allows me to feel supported from within. No. Matter. What. Nothing is going to happen today that the universe and I can’t handle together. <3

I want to hear how you are you handling the challenging moments. How does your “head-space” serve to hinder or support you? How do you find support from within?

Go Ahead, Provoke Me!

Aside

Go Ahead, Provoke Me!

“Over time invite and create ever more provocative situations to deliberately trigger the psyche to be disturbed, to be challenged, to feel perhaps overwhelmed in order to strengthen your capacity to remain in the witness.  It’s easy to be peaceful when there’s not provocation. It’s not so easy where there is. Welcome to marriage. Welcome to children. Welcome to your life. Those provocations that are happening externally, are only reflections of our inner lack of clarity, lack of resolution. So, the yogi works internally.” ~Yogarupa Rod Stryker
(Moon & Sun Vinyasa: Mastering the Mind, Awakening the Vital Force, Nov. 15, 2013)

40 Day Journey: 40 Steps For Growth & Inner Freedom
Day 1: August 5, 2014

Trikonasana in marsh sunrise

Sometimes the biggest battle is getting out the door and onto the mat. The early morning dewy marsh air amply rewarded my effort. – Arcata Marsh & Wildlife Sanctuary 8:30am

Utthita Trikonasana : Extended Triangle Pose
(oo-TEE-tah trik cone-NAHS-anna)
utthita = extended; tri = three, kona = angle

“The three angles (tri konas in Sanskrit) of a triangle make it one of the stronger and most stable shapes in nature…The triangle pose represents many sacred trinities in our world, such as the trinity of earth, space and heavens or that of birth, life and death. Trikonasana also symbolizes the three gunas, or qualities, that compose our bodies and minds.” (p. 36) Alanna Kaivalya & Arjuna van der Kooij, Myths of the Asanas: The Stories at the Heart of the Yoga Tradition.)

As I was riding my bike to the studio to teach my morning Hatha Flow Class, I was listening to a workshop lecture I attended last year with Yogarupa Rod Stryker. The day before I had been momentarily deeply disturbed by some personal family drama with my son’s father. It was this disturbance that inspired me to proactively choose to take intentional steps in the direction of my own personal growth.

When life is comfortable and free from challenges, it is easy to get complacent in my personal practice and neglect my continued commitment to inner growth. This summer has been far from easy. Life has provided me so many delicious opportunities and reminders to not only return to the grounded space of calm that can view my life from a place of tranquility but also to notice, question and work with the mirror that my external circumstances are providing me. Tantric philosophy states that there is nothing outside my body that does not exist within my body. There is nothing within me that does not exist externally in the world. If I take the view that what is happening in my body is a mirror for what is happening in my life, than I can also see that what is happening in my life is a reflection of what is happening in my psyche. 

Back to my bike ride…

I had just finished a sweet early morning solo yoga practice at the Arcata Marsh and was arriving  at Om Shala Yoga 15 minutes early to meditate before teaching. As I crossed the front door I saw two of my students arriving on bikes and being verbally and physically threatened by a large gentleman who had left his truck in the middle of the street to get out and scream at them over some perceived right-of way indiscretion. This gentleman returned to his truck only to stop and get out 3 more times all the while threatening physical violence and property damage and warning them that he will “remember what their bikes look like.” At that moment I hear Rod Stryker in my ear saying “It’s easy to be peaceful when there’s no provocation.”

We all get provoked. How we handle it at any given moment is our yoga, is the practice of inner asana or posture. Life is challenging. Suffering is a noble truth. The yogi works from within. Regardless of whatever swirling mass of chaos or raucous celebration is present in our lives at any given moment – our ability to drop into the witness is directly proportional to our experience of grounded, calm, ever-present spaciousness and awareness.

I came into the world on fire. I seek not to drown my fire but instead to stabilize and create a pitim (or hearth) for that fire in the sacred temple of my body at the center of my belly. Practicing trikonasana is a way to physically plant our feet firmly in the earth and our awareness in the present moment while opening our hearts to the vastness within us alongside the support of the universe. The top hand reaching to the sky is a reminder to reach into the highest aspects within us as we connect our material self with the broader consciousness of the entire cosmos. The triangle is a messenger that no matter the pressures behind us or in front of us, we can plug into the inherent stability within and reconnect with the truth and beauty that we are.

Provocation is child’s play.
I say bring it on.
It’s just a training camp for the experience of inner divinity.

Just for today, how can you use whatever is provoking you to take one small step back home to yourself?


I’m on a 40 Day Journey for personal growth. I’m taking baby steps. One. At. A. Time. Read more about it and join me here.

 

Kelly McGonigal: How to make stress your friend

Aside

Kelly McGonigal: How to make stress your friend

Source: TED: Ideas Worth Spreading • Kelly McGonigal • September 2013

Pearls of wisdom gleaned from Kelly McGonigal’s talk:

  • Oxytocin is a stress hormone.
  • When oxytocin is released in the stress response, it is motivating you to seek support.
  • When life is difficult, your stress response wants you to be surrounded by people who care about you.
  • When you change your mind about stress, you change your bodies response to stress.
  • When you reach out to others under stress either to seek support or to help someone else, you release more of this hormone, your stress response becomes healthier and your recover faster from stress.
  • Your stress response has a built-in mechanism for stress resilience and that mechanism is human connection.
  • How you think and how you act can transform your experience of stress. When you choose to view your stress response as helpful, you create the biology of courage.
  • When you choose to connect with others you can create resilience.
  • When you choose to view stress this way…you are saying you can trust yourself to handle life’s challenges and you’re remembering that you don’t have to face them alone.
  • Chasing meaning is better for  your health than trying to avoid discomfort … Go after what it is that creates meaning in your life and trust yourself to handle the stress that follows.

 

Healing Breath

Aside

Healing Breath

Source: Yoga Journal • Kate Holcombe • August 2012

Try these three simple practices to reduce stress, quiet your mind, and connect to your inner Self.

By Kate Holcombe

healingbreathSized

A few weeks ago, my seven-year-old son, Hayes, told me he was having trouble falling asleep. He said that he was having “many thoughts” at night and couldn’t stop his mind from thinking. I told him about a breathing practice that I had taught his older brother, Calder, a few years earlier, and I suggested that Hayes could try it while lying in bed at night to help him relax and fall asleep. The practice was simple: a few minutes of diaphragmatic breathing followed by a few minutes of consciously and gently extending each exhalation.

“Maybe you’d like to try it?” I said to Hayes. “I think it was helpful for your brother sometimes, and maybe it will help you, too.” Just then, Calder, who had been passing through the room, announced: “You’re wrong, Mom.” I held my breath, wondering if he’d tell Hayes that my advice wasn’t going to work. “It doesn’t help me sometimes,” he said matter-of-factly. “It helps me all the time.”

I was pleasantly stunned. I hadn’t realized that Calder was still using the practice I had taught him three years earlier. As I knelt on the living room floor to teach Hayes the same practice, I was reminded that pPranayama, the fourth of the eight limbs of yoga outlined in Patanjali‘s Yoga Sutra, does not have to be complicated.

Pranayama, which literally means “to extend the vital life force,” or prana, is an incredibly rich practice made up of many breathing techniques that vary in complexity from ones simple enough for a child to do to those appropriate only for advanced practitioners. While the best way to practice pranayama is under the guidance of an experienced teacher, there are simple techniques—such as gentle diaphragmatic breathing and comfortably lengthening the exhalation—that can be used at any time to transform not only your breath but also your state of mind.

In my work as a yoga therapist, I treat people struggling with a variety of issues, including depression, anxiety, sleep disturbances, chronic pain, and even life-threatening illness. Time and time again, I’ve seen simple pranayama practices reduce stress and anxiety; promote restful sleep; ease pain; increase attention and focus; and, on a more subtle level, help people connect to a calm, quiet place within so that they experience greater clarity and well-being on every level.

In the Yoga Sutra, Patanjali describes pranayama as a process by which you can break your unconscious breathing pattern and make the breath long, easeful, and smooth. Most people’s unconscious breathing patterns are anything but easeful and smooth; they tend to be tense, shallow, and erratic. When we are afraid or hear bad news, we often gasp—inhaling and then holding the breath. These breathing patterns can activate the sympathetic nervous system (often referred to as the “fight or flight response”).

One of the primary reasons that pranayama techniques that foster a long, smooth exhale (like the ones presented here) are so beneficial is because, when practiced correctly, they can support the parasympathetic nervous system and activate what is commonly known as the “relaxation response,” reducing stress and its effects on your body and mind. As a result, your resilience in the face of challenge or adversity increases, and your mind becomes more focused and still.

A Quiet Mind

The eight limbs of yoga outlined in the Yoga Sutra are a path to help you reach a state of Yoga, or focused concentration. But this focused concentration is not the end goal. As Patanjali tells us, the result of reaching this state of attention is that you experience clearer perception and a greater connection with your true Self.

When you’re connected with your true Self, it becomes easier to see what is not your true Self—your mind, body, thoughts, feelings, job, and essentially all of the changing circumstances around you. This discernment allows you to act from a place of the Self, and when you do that, you experience less suffering.

Pranayama is an important tool to get you to this state of more focused concentration, leading you to clearer perception, a greater connection with the Self, and ultimately a happier life. In Yoga Sutra 2.52, Patanjali writes, “As a result [of pranayama], the covering that blocks our own inner light is reduced.” In other words, through the practice of pranayama, you can reduce all of the mental noise—the agitation, distractions, and self-doubt—that prevents you from connecting with your own inner light, your true Self. In this way, pranayama can have a profound effect on your life.

The Practice

Though practice of pranayama is safest and most effective when guided by an experienced teacher who knows your needs and capabilities, there are several simple techniques you can try at home as long as you’re in good health and you don’t push beyond your capacity.

The three breathing practices that follow—relaxed, diaphragmatic breathing; Sitali (or Sitkari) Pranayama; and gentle “extended exhale” breathing—are a good introduction to pranayama. Each supports the parasympathetic nervous system, quiets the mind, and helps to bring about a state of more focused attention. As you continue to practice these techniques over time, you may start to notice when you are unintentionally holding your breath or breathing shallowly. You also may begin to associate patterns of the breath with your moods or states of mind. This self awareness is the first step toward using the practices of pranayama to help shift your patterns and, through regular practice, create positive change in your life.

Try each practice daily for a week and observe how it affects your body, breath, and mind in order to figure out which is best for you. You can do them at just about any time of day, though preferably not immediately following a large meal.

Basic Breath Awareness

This gentle introduction to diaphragmatic breathing teaches you how to breathe more fully and consciously.

Benefits: Quiets and calms the entire nervous system, reducing stress and anxiety and improving self-awareness.

Try it: At least once a day, at any time.

How to: Lie comfortably on your back with your knees bent and your feet flat on the floor about hip-distance apart. Place a palm on your abdomen and breathe comfortably for a few moments, noticing the quality of your breath. Does the breath feel tense? strained? uneven? shallow? Simply observe the breath without any judgment. Then gradually begin to make your breathing as relaxed and smooth as possible, introducing a slight pause after each inbreath and outbreath.

Once the breath feels relaxed and comfortable, notice the movement of the body. As you inhale, the abdomen naturally expands; as you exhale, feel the slight contraction of the abdomen. In a gentle way, try to actively expand the abdomen on the inhale and contract the abdomen on the exhale to support the natural movement of the diaphragm and experience the pleasure of giving yourself a full, relaxed breath. Continue the practice for 6 to 12 breaths.

The Cooling Breath

Sitali Pranayama is often translated as “the cooling breath” because the act of drawing the air across the tongue and into the mouth is said to have a cooling and calming effect on the nervous system. To practice Sitali, you need to be able to curl the sides of your tongue inward so that it looks like a straw. The ability to curl the tongue is a genetic trait. If you can’t, try an alternative technique called Sitkari Pranayama, which offers the same effects.

Benefits: Can improve focus; reduce agitation, anger, and anxiety; and pacify excess heat in the system.

Try it: Twice a day, or as needed during stressful times. Sitali and Sitkari Pranayama are particularly supportive when you’re feeling drowsy in the morning or during an afternoon slump when you need to improve your focus.

How to: Sitali Pranayama: Sit comfortably, either in a chair or on the floor, with your shoulders relaxed and your spine naturally erect. Slightly lower the chin, curl the tongue lengthwise, and project it out of the mouth to a comfortable distance. Inhale gently through the “straw” formed by your curled tongue as you slowly lift your chin toward the ceiling, lifting only as far as the neck is comfortable. At the end of the inhalation, with your chin comfortably raised, retract the tongue and close the mouth. Exhale slowly through the nostrils as you gently lower your chin back to a neutral position. Repeat for 8 to 12 breaths.

Sitkari Pranayama: Open the mouth slightly with your tongue just behind the teeth. Inhale slowly through the space between the upper and lower teeth, letting the air wash over your tongue as you raise your chin toward the ceiling. At the end of the inhalation, close the mouth and exhale through the nostrils as you slowly lower your chin back to neutral. Repeat for 8 to 12 breaths.

The Long Exhale

This 1:2 breathing practice, which involves gradually increasing your exhalation until it is twice the length of your inhalation, relaxes the nervous system.

Benefits: Can reduce insomnia, sleep disturbances, and anxiety.

Try it: Before bedtime to help support sleep, in the middle of the night when you’re struggling with insomnia, or at any time of the day to calm stress or anxiety. (In general, it’s best to avoid practicing 1:2 breathing first thing in the morning unless you’re experiencing anxiety. The relaxing effects of the practice tend to make it more difficult to get up and go on with your day.)

How to: Begin by lying on your back with your knees bent and feet flat on the floor, hip-width apart. Place a palm on the abdomen and take a few relaxed breaths, feeling the abdomen expand on the inhalation and gently contract on the exhalation. With your palm on your abdomen, mentally count the length of each inhalation and exhalation for several more breaths. If the inhalation is longer than the exhalation, you can begin to make them the same length over the next few breaths.

Once your inhalation and exhalation are equal, gradually increase the length of your exhalation by 1 to 2 seconds by gently contracting the abdomen. As long as the breath feels smooth and relaxed, continue to gradually increase the exhalation by 1 to 2 seconds once every few breaths. Make sure you experience no strain as the exhalation increases and keep going until your exhalation is up to twice the length of the inhalation, but not beyond. For example, if your inhalation is comfortably 4 seconds, do not increase the length of your exhalation to more than 8 seconds.

Keep in mind that even an exhalation that is only slightly longer than the inhalation can induce a calming effect, so take care that you don’t push yourself beyond your capacity. (If you do, you’ll likely activate the sympathetic nervous system, or stress response, and feel agitated rather than calm.)

If your breath feels uncomfortable or short, or if you’re gasping on the next inhalation, back off to a ratio that is more comfortable for 8 to 12 breaths. Then finish your practice with 6 to 8 natural, relaxed breaths.

Kate Holcombe is the founder and president of the nonprofit Healing Yoga Foundation in San Francisco

Ram Dass: Fierce Grace

Aside

Ram Dass: Fierce Grace

I love this man. This beautiful movie is about Ram Dass’s experiences aging and the radically life changing event of getting “stroked.”

“Healing does not mean going back to the way things were before, but rather of allowing what is now to move us closer to god.” –Ram Dass

Emotions in Motion

Aside

Emotions in Motion

Source: Yoga Journal • Donna Raskin 

You reach up and back, your chest opening into a supported backbend. Then, suddenly, you’re in tears. How did you move from serenity to intensity in just one moment?

By Donna Raskin

Last summer, Danielle Pagano hurried to her favorite yoga class feeling rushed but happy. Everything was fine until it came time to relax into Child’s Pose just before the end of class. With her head bowed and attention focused inward, Pagano, a 33-year-old vice president of an international investment company, began to cry. She spent the next few minutes struggling to contain herself, and wrote the experience off to exhaustion. When it happened again the following week—this time earlier in the asana progression—she was stunned.

What had at first been a relaxing hour for Pagano had become a stressful obligation. She realized that something significant had happened, but she refused to return to class until she felt confident that an emotional upheaval wouldn’t occur again. Not comfortable talking with her yoga teacher about it, Pagano skipped class for a couple of weeks, choosing instead to discuss the incident with her therapist.

Though Pagano didn’t know it, her experience is a common one, as are the concerns it raised for her: Was something wrong with her? When would she be able to stop crying? What did the people around her think? And why did this happen in yoga class and not, say, while she was eating lunch or taking a walk?

It’s a Good Thing

“The holistic system of yoga was designed so that these emotional breakthroughs can occur safely,” says Joan Shivarpita Harrigan, Ph.D., a psychologist and the director of PatanjaliKundalini Yoga Care in Knoxville, Tennessee, which provides guidance to spiritual seekers. “Yoga is not merely an athletic system; it is a spiritual system. The asanas are designed to affect the subtle body for the purpose of spiritual transformation. People enter into the practice of yoga asana for physical fitness or physical health, or even because they’ve heard it’s good for relaxation, but ultimately the purpose of yoga practice is spiritual development.”

This development depends on breaking through places in the subtle body that are blocked with unresolved issues and energy. “Anytime you work with the body, you are also working with the mind and the energy system—which is the bridge between body and mind,” Harrigan explains. And since that means working with emotions, emotional breakthroughs can be seen as markers of progress on the road to personal and spiritual growth.

That was certainly the case for Hilary Lindsay, founder of Active Yoga in Nashville, Tennessee. As a teacher, Lindsay has witnessed many emotional breakthroughs; as a student, she’s experienced several herself. One of the most significant occurred during a hip-opening class. She left the class feeling normal, but during the drive home became extremely upset and emotional. She also felt she’d experienced a significant shift in her psyche—something akin to a clearing of her spirit. Lindsay felt, as she puts it, released. “There is no question that the emotion came out of my past,” she says.

By the next day, her opinion of herself had taken a 180-degree turn. She realized she was a person who needed to constantly prove herself to be strong and capable, and saw that this was partly the result of an image instilled by her parents. Her spirit actually needed to recognize and accept that she was a proficient person and ease off the internal pressure. This realization, Lindsay says, was life-changing.

Not every spontaneous emotional event is quite so clear-cut, however. Difficult and stressful breakthroughs occur most often when the release involves long-held feelings of sadness, grief, confusion, or another strong emotion that a person has carried unconsciously throughout his or her life.

“Whenever something happens to us as a kid, our body is involved,” says Michael Lee, founder of Phoenix Rising Yoga Therapy, which is headquartered in West Stockbridge, Massachusetts(see “Therapy on the Mat,” below). “This is particularly true of trauma. The body comes to the defense of the whole being. In defending it, the body does things to stop the pain from being fully experienced.

“Emotional pain is overwhelming for small children, because they don’t have the resources to deal with it,” he continues. “So the body shuts it off; if it didn’t, the body would die from emotional pain. But then the body keeps doing the physical protection even long after the situation has ended.”

Painful experiences, Lee adds, can range from small, acute ones to intense, chronic problems. Still, the mechanism at play is unclear: “We really don’t understand the body-memory thing,” he says, “at least in Western terms.”

The Body-Mind Connection

In yogic terms, however, there is no separation between mind, body, and spirit. The three exist as a union (one definition of the word yoga); what happens to the mind also happens to the body and spirit, and so on. In other words, if something is bothering you spiritually, emotionally, or mentally, it is likely to show up in your body. And as you work deeply with your body in yoga, emotional issues will likely come to the fore.

In the yogic view, we all hold within our bodies emotions and misguided thoughts that keep us from reaching samadhi, defined by some as “conscious enlightenment.” Any sense of unease or dis-ease in the body keeps us from reaching and experiencing this state. Asanas are one path to blissful contentment, working to bring us closer by focusing our minds and releasing any emotional or inner tension in our bodies.

Though the ancient yogis understood that emotional turmoil is carried in the mind, the body, and the spirit, Western medicine has been slow to accept this. But new research has verified empirically that mental and emotional condition can affect the state of the physical body, and that the mind-body connection is real. (Newsweek and Time both dedicated issues to the topic last year.)

Many doctors, psychotherapists, and chiropractors are embracing these findings, and are now recommending yoga to help patients deal with problems that only a few years ago would have been viewed and treated solely in biomechanical terms.

Hilary Lindsay recently experienced this firsthand. “I woke up one morning with my body completely distorted,” she remembers. “I went to see a chiropractor, who told me plainly, ‘There’s nothing wrong with you physically.'” The doctor suggested she try a Phoenix Rising session, which she did. The practitioner put Lindsay into some supported yogalike positions on the floor. “He did not focus on anything more than, ‘Here’s this pose and how does it feel?’ I would say something; he would repeat my word and say, ‘What else?’ until I would say there was finally nothing else.” The therapist never analyzed or discussed what Lindsay said, but still, she felt he helped her to see her problem.

“When I drove off on my own, I realized my words had just painted a clear picture of my approach to life,” she says. “I saw a power-driven maniac who was probably in the process of driving herself nuts.”

As the day went on, she felt physically healed, and attributes that to the emotional outcome of the session, which the asanas helped her access. In other words, she was able to release the distortion in her body only by releasing her inner tension.

“I did not have any repeat of the symptoms,” Lindsay adds, “and I felt the calm that comes with knowing yourself a little more than you did before. The awareness does not occur like the lightbulb over the cartoon guy’s head. It doesn’t come ahead of its time. The student has to be ready to receive it.”

Forcing the Issue

Teachers are divided as to whether it’s productive to actually try to raise difficult emotions on the mat. “One shouldn’t really try to have an emotional release during asana, but if it happens, that’s fine,” Harrigan says, voicing what seems to be the majority opinion.

Ana Forrest, founder of the Forrest Yoga Circle studio in Santa Monica, California, is an experienced yoga teacher who has had her own emotional breakthroughs both on and off the mat. She is proud of her intention to push her students toward—and through—their own emotional blockages (see “Poses That Push You,” below). “It’s not that I push with my hands,” Forrest explains. “But when I work with people, I really ask them to go deep, and I educate them along the way. I tell them, ‘You’re going to hit what’s stored in there. Let it come up and be cleansed out of your cell tissue. It’s a gift of the yoga.'”

At the beginning of each class, Forrest asks her students to “pick a spot that needs extra attention, so you can connect to that spot and then feel what emotion is connected to it.” For example, when a student tells Forrest she’s just had her heart broken, Forrest offers this advice: “Challenge yourself to make every pose about moving energy into your heart.”

Her approach has worked well for many students, she says, but it’s not without controversy. “People challenge me on this all the time,” Forrest says.

Richard Miller, Ph.D., a yogi and licensed psychologist, says trying to cause an emotional release is a subtle form of violence, because it suggests that “you need to be other than you are.” A true yogic view focuses not on change, he argues, but on self-acceptance on the student’s part. “In that way, change and spiritual growth will unfold naturally,” he says.

Miller, who is also a contributor to The Sacred Mirror: Nondual Wisdom and Psychotherapy(Paragon, 2003), a collection of essays by meditation practitioners and psychotherapists, stresses that it’s important for teachers to neither comment on nor try to “help” a student through any release. “The moment we become helpers, we become hinderers,” he says.

Forrest, however, believes that “most people need help with this, as our culture doesn’t educate us on how to work in a healthy way with our emotions,” and that without assistance, many people will remain stuck. Students trust her, she says, because of her own traumatic past (which includes sexual abuse, she openly shares) and her experiences working through emotions. “I’ve had years and years of therapy,” she says. “I’ve still got twisty places inside of me, but I know how to accept and work with whatever memories need to come up.”

Forrest tells her students, “I’ve walked the road you’re on; I’m just about 10 miles ahead of you. But I still have a road to walk. I’m not enlightened, but I know what it is to have my spirit directing my actions.”

And it’s not just the student who learns from the teacher. Forrest says that through her students, she has grown from having “an emotional range of about four inches to a larger capacity—but there’s always a lot of room for breakthrough.”

Teardrops on the Mat

When a breakthrough does occur—even if it’s much-needed—it can be hard for a person to cope with it. “If there is a release of emotion in a particular asana, according to Patanjali‘s Yoga Sutra[II.46–49], the thing to do is relax into the pose, regulate the breathing, and focus on the infinite to become centered in the deepest aspect of one’s self,” Harrigan advises.

Harrigan thinks teachers should encourage their students to find a comforting and inspiring word or mantra to turn to anytime during class and to correlate with their breathing. “This is a centering device that is always at the student’s disposal, no matter how or when the emotional release occurs,” she says.

“I also recommend that people taking a hatha yoga asana class keep a journal of not just the physical experience but what goes through their minds and their emotional states,” Harrigan adds. “This way, they can consider the spiritual aspect of their lives very consciously.”

When a student is facing a welling-up of emotion, the most powerful action teachers can take is to simply offer him or her quiet support. “I would teach the teacher not to judge the event but to observe it with the discriminate buddhi [wisdom] faculty,” Harrigan says. In this way, teachers can help their students disidentify with the feeling but use it later for self-study, either in yoga class or out—as Danielle Pagano did with her therapist. It is always wise, Harrigan adds, for teachers to be on the lookout for students who might benefit from a referral to a psychotherapist.

It’s important for students to use their buddha minds too, and to get help when they need it. Whereas Lindsay felt released and was easily able to process her feelings on her own, Pagano knew she needed to talk with someone. There are times when a good therapist—as opposed to a good yoga teacher—is the right choice, agree all the teachers interviewed for this article.

Better yet, says Richard Miller, is a combination of the two approaches. “Some therapists don’t have an understanding of the universe as a oneness; instead, they often believe they are helping their clients to have better lives by supporting them in achieving certain goals or resolving specific issues,” he says. “Meanwhile, yoga teachers who speak only of hamstrings or Pigeon Pose are not communicating a true yogic view of enlightenment or inner equanimity.” The truth, Miller concludes, is that “we are not here to try to change ourselves. We are here to meet ourselves where we are.”

Poses That Push You

Asanas are not prescriptive for emotional issues in the same way they can be for issues in the physical body. But most of the yoga teachers interviewed for this story agree that some poses seem to initiate emotional responses more than others.

“Camel, hip openers, and lunges” Ana Forrest suggests. “Camel because of its immediate impact in exposing the heart, hip openers because they tap into the vital feelings stored in the area, and lunges because there’s a lot of unchanneled potential and power in the thighs.” Twists and backbends can also trigger an emotional release.

However, what works for one person may not work for another. You cannot demand release and expect a response, although you can certainly, as Forrest asks of her students, listen to your body and discover where it needs to untie an emotional knot. If your heart feels heavy, if your stomach is constantly in turmoil, if your inner child needs comforting, you can create an asana and pPranayama program specifically for your condition, the same way you might practice inversions or balancing poses if you want to challenge yourself physically.

—D.R.

 

Therapy on the Mat

As a longtime devotee of both the therapy couch and the yoga mat, I was curious how the two blend together in Phoenix Rising Yoga Therapy.

Michael Lee created Phoenix Rising specifically to help students cope with emotions. It combines assisted yoga postures, breath awareness, and nondirective dialogue based on the work of Carl Rogers, in which the therapist acts as a sounding board, repeating much of what the student says to allow her to stay with her own train of thought.

Lee drew inspiration from his own encounter with emotions on the mat in the early 1980s. He was living in an ashram where morning practice took place each day at 5:30. “Every day for a year and a half, the guy on the mat next to me would get about one-third of the way through class and begin to sob profusely,” Lee remembers. “Some people found it disturbing. One day, I said to him, ‘What’s going on?'”

“I don’t know,” the man answered. “I just get overwhelmed by sadness. I try to hold back a little so I don’t bother people.” It turns out that he had been experiencing these intense outbursts every morning for 10 years.

“The guru had previously instructed the man to just stay with his practice, because he believed his emotions would work themselves out through asana alone,” Lee recalls. “But even back then, I thought the experience required a more integrated approach.”

Lee talked with the man extensively about his experience and, in helping him, created Phoenix Rising Yoga Therapy. He launched the program at the DeSisto School for emotionally troubled teens in Lenox, Massachusetts, in 1986, building on his background in group dynamics from the psychology movements of the 1970s. (Lee is not a licensed psychotherapist.) Practiced by yoga teachers, bodyworkers, physical therapists, and psychologists, the method aims to bridge the gap between body and mind. Unlike traditional therapy—which might focus on eliminating a phobia or improving a skill, such as communication between spouses—Phoenix Rising sessions focus on helping people recognize their own body’s wisdom and get to the source of emotions that may be causing aches and pains, physical or otherwise.

I wanted to experience the method for myself, so I turned to Carol S. James, one of 1,012 Phoenix Rising Yoga Therapy practitioners around the world. We began by talking on a couch, where James asked me about my health, state of mind, and background. After telling her about a few things that were troubling my mind on that particular day, we moved to another area in the softly lit room, where we sat facing each other on a large, puffy mat. James asked me to focus on my breath, which brought me into the moment and allowed me to begin to talk.

Throughout the session, she moved me into very gentle supported poses (backbends, forward bends, and leg stretches), almost the way a personal trainer might stretch a client at the end of a workout. She asked me to tell her more about my thoughts, and repeated many of my words. The session sounded something like this:

“I feel sad that I’m 40 and alone.”

“You’re sad that you’re 40 and alone.”

“It’s surprising. I didn’t expect this to happen.”

“You’re surprised. Tell me more about that.”

And so on, until I found myself leaning back, physically, directly onto Carol and telling her more—a “more” I had never gotten to before.

The experience of physically leaning on someone while revealing myself to the person was one of the most profound I have ever had. During my session, I felt a connection to my deepest self, the self that is at peace. The combination of discussion and touch was sweet and deep.

At the end of the session, my heart was as open with love toward myself as it had ever been. The emotional breakthrough was not traumatic but physically and spiritually enlightening. I hate to glibly paraphrase Bob Dylan, but I truly felt released, and as Richard Miller said, I met myself right where I was, with love.

—D.R.

Donna Raskin is a yoga teacher and writer in Rockport, Massachusetts, and author ofYoga Beats the Blues (Fair Winds, 2003).

Military Battle PTSD With Yoga

Aside

Military Battle PTSD With Yoga

Source: Huffington Post David Wood • December 12, 2012

Yoga For Wounded Marines At a retreat for retiring Marines with combat wounds and PTSD, yoga teacher Annie Okerlin helps them work through pain, stiffness and anxiety and begin to relax. Pentagon-funded studies have shown yoga to be an effective therapy for combat trauma. (David Wood, The Huffington Post)

For a decade, troops returning from war with mental and physical trauma have been dosed with cocktails of numbing drugs and corralled into talk-therapy sessions, often with civilian clinicians who have no experience in combat and its aftereffects.

But alarmingly high suicide rates among veterans, as well as domestic violence, substance abuse and unemployment, suggested to some military doctors, combat commanders and researchers that conventional treatments aren’t always enough.

Now, one proven, effective treatment is gaining wide acceptance within hard-core military circles: yoga.

Once dismissed as mere acrobatics with incense, yoga has been found to help ease the pain, stiffness, anger, night terrors, memory lapses, anxiety and depression that often afflict wounded warriors.

“It’s cleansing — I really feel refreshed,” Marine Sgt. Senio Martz said after finishing a recent yoga session.

A stocky 27-year-old, Martz was leading his nine-man squad on a foot patrol through the lush poppy fields and rock outcroppings of the Kajaki district of southern Afghanistan 20 months ago when a roadside bomb knocked him unconscious and killed or wounded the Marines under his command. The blast put an end to his plans for a career in the Marine Corps. It also left him hyper-vigilant, a symptom of post-traumatic stress disorder, and carrying the joint burdens of guilt and shame: As a squad leader, it had been his responsibility to bring his nine Marines home safe.

“It’s a feeling of regret — failure — that really affects me now,” he said. “I didn’t see the signs that could have alerted me to warn them to get away.” He stared at the floor and then looked up with a tight smile. “I go on living where their lives have ended. I can’t help them now.”

Yoga gives him relief from the acute anxiety that forces him to listen to and sight-sweep everything around him, constantly checking the doors and windows, always on alert, poised for danger, with no break. It is hard for him to let go.

“I gotta push myself to try some of these techniques,” he admitted. “But last night after yoga, I had a good sleep. That’s a place I haven’t been in a long, long time.”

Martz’s experience is backed up by reams of scientific studies, including research funded by the Pentagon and the Department of Veterans Affairs. Researchers have demonstrated that trauma-sensitive yoga, which focuses on stretching, breathing techniques and meditation, can help patients regain their inner balance, calming that part of the brain that has become hyper-aroused under severe stress.

Trauma or prolonged stress can cause a malfunction of the parasympathetic nervous system, researchers say. That’s the part of the brain which enables the body to relax, easing pain and even helping unblock digestive systems — often a problem for wounded troops who get high doses of medication and not enough exercise.

In war zones, researchers have found, this parasympathetic nervous system often becomes “frozen” as the body gears up for danger by injecting adrenaline into the bloodstream, causing rapid breathing and pulse and hyper-vigilance — the “fight or flight” response.

That’s good and necessary self-preservation in times of peril that helps keep troops alert and alive. Back home, however, that hyper-vigilance is out of place and can cause insomnia, anxiety and outbursts of anger. Returning warriors with PTSD become dependent on drugs or alcohol “because they have no other way to calm themselves down,” said Dr. Bessel van der Kolk, a clinician and researcher who has studied PTSD since the 1970s.

Not all yoga helps. Some forms of yoga are used by special forces, for instance, to build muscle power and flexibility. But yoga teachers working with wounded troops have developed trauma-sensitive forms of yoga, including a technique called iRest. This adaptation uses meditation techniques in a soft and secure setting to reactivate the parasympathetic nervous system by drawing the patient’s attention and consciousness inward, rather than focusing on stress and the terrors that dwell outside, said yoga teacher Robin Carnes.

For instance, Carnes has learned that when she is giving a class to troops with hyper-vigilance, like Martz, she should first open all the closet doors and drawers, so that her patients don’t spend all their time fretting about what might be inside.

In 2006 Carnes, a veteran yoga practitioner and teacher, began working with wounded troops at Walter Reed National Military Medical Center, now located outside Washington, D.C. There, she led a Pentagon-funded program to develop trauma-sensitive yoga, and pioneered the techniques now called iRest. She later established an organization called Warriors at Ease to train and certify teachers to use the techniques with the military.

Drawing from traditional yoga, iRest teaches patients to firmly plant their feet and activate their leg muscles in poses that drain energy and tension from the neck and shoulders, where they naturally gather, causing headaches and neck pain.

“The goal here is to move tension away from where it builds up when you are stressed, and focus it on the ground so you feel more balanced and connected,” Carnes said.

When she started at Walter Reed, she said, she was working with eight wounded troops with physical and mental health injuries. Some hadn’t slept for more than two hours at a time, for years, she said. “They were immediately like, ‘I can’t do this, it won’t work, you have no idea what’s going on in my brain.’ I’d say, ‘Just try it, it’s helped others.’ And probably because they were desperate — nothing else had worked, including drugs — they did try it. And I saw, sometimes within the first day, they started to relax. Snoring! They’d tell me, ‘I don’t know what happened, but I feel better.'”

One of her patients was struggling with outbursts of violent anger, a common effect of PTSD, and had gotten into raging arguments with his wife. Several weeks into regular yoga classes, he went home one day “and his wife lit into him and he could feel a confrontation coming on,” Carnes said. “He told me that he’d taken a deep breath and told his wife he was going upstairs to meditate. And that was the first time he’d been able to do that.”

Practices like iRest and other forms of yoga are so clearly effective that now they are taught and used at dozens of military bases and medical centers — even at Little Creek Naval Amphibious Base in Norfolk, Va., home of the Navy SEALs, the branch of commandos who killed Osama bin Laden.

“I knew anecdotally that yoga helped — and now we have clinical proof of its impact on the brain, and on the heart,” said retired Rear Adm. Tom Steffens, a decorated Navy SEAL commander and yoga convert. Within the military services and the Department of Veterans Affairs, he said, “I see it growing all the time.”

Steffens, an energetic man with a booming voice, first tried yoga to deal with his torn bicep, an injury that surgery and medication hadn’t helped. He quickly became a convert, practicing yoga daily. Visiting with wounded SEALs a decade ago, he noticed that “the type of rehab they were doing was wonderful, but there was no inward focus on themselves — it was all about power as opposed to stretching and breathing.”

Before long, Steffens had helped start a foundation, Exalted Warrior, that holds yoga classes for wounded troops and their families at the Portsmouth Naval Hospital in Virginia, the James A. Haley VA Medical Center in Tampa, Fla., and elsewhere.

The military’s embrace of yoga shouldn’t be a surprise. After all, yoga — a Sanskrit word meaning to “join” or “unite” — dates back to 3,000 B.C., and its basic techniques were used in the 12th century when Samurai warriors prepared for battle with Zen meditation. Still, some old-timers are shocked to find combat Marines at Camp Lejeune, N.C. and amputees at James A. Haley VA Medical Center practicing theirDownward Dog and deep breathing techniques.

One early skeptic: Thomas S. Jones, a wiry retired Marine major general who likes to mask his love for Marines with a staccato parade-ground bark and a jut-jawed, prove-it approach to life.

Some years ago Jones started inviting wounded Marines to an intense, six-day retreat at a camp in the mountains of Pennsylvania to help them figure out what to do with the rest of their lives, to set goals and start working toward them. He quickly found that the Marines, struggling with physical wounds and PTSD, had trouble focusing. Someone mentioned that yoga might help. “Well, we’ve tried some ideas that didn’t work out and we threw them away,” Jones said dismissively, “but we’ll try it.”

And? “It has helped,” Jones told The Huffington Post in a slightly disbelieving voice. Yoga has since become a centerpiece of the retreat, called Semper Fi Odyssey. “This whole idea of relaxation, there’s a lotta guys who can’t do hardly anything physical, can still do yoga. And there’s a lot of value in meditation.”

The results, Jones and others have discovered, are indisputable.

study published earlier this year of 70 active-duty U.S. troops, then-based at Forward Operating Base Warrior, in Kirkuk, Iraq, found that daily yoga helped relieve anxiety, reduced irritability and improved sleep — even amid daily “gunfire and helicopter sounds.”

Progressive relaxation, calming breathing and relaxation techniques “reduce physical, emotional, mental and even subconscious tension that characterizes PTSD,” according to retired Air Force Maj. Nisha N. Money, a physician who recently served as chief of fitness policy for the Air Force.

“Guys with trauma — their center is out there,” said Annie Okerlin, flinging her arm outward. She’s a yoga expert who works with wounded warriors, families and staff therapists at the VA hospital in Tampa, Walter Reed and elsewhere. “What we do is gently and sweetly bring them back to their center, here,” she said, touching her chest.

Much of her work is with amputees. “I always tell the guys, ‘Your brain still thinks your leg is there, so we are going to speak to your brain as if your limb IS still there,”’ she said. “I tell them to flex the foot — spread your toes! — and the brain goes, ahhh, that feels good, I’m stretching — even though that limb is no longer there. It settles the brain down, because it’s doing its job, the blood flow increases, guys can feel their body again, the trauma fades. It’s beautiful!”

Working at Walter Reed, she once came across a double, above-the-knee amputee, who had been wounded by an IED. He was huddled in his hospital bed, his mother perched beside him on the edge of a chair, and for weeks he had refused to move, even for his physical therapy sessions. He admitted he was ashamed to be seen with his stumps twitching. Okerlin sat with him, leading him through some gentle breathing exercises. She could see him relax, and after a few minutes he fell asleep.

The next day he showed up for his physical therapy appointment to begin the healing.

With partially-paralyzed patients, Okerlin often has them lie on their back, put their hands on their rib cage and feel their breathing. One patient told her he was amazed to find he could feel a rush of energy toward his legs even though he still had no sensation in his legs.

Okerlin recently spent several days at a Semper Fi Odyssey retreat, teaching yoga and iRest to Marines with physical wounds, PTSD or traumatic brain injury. She has a warm and engaging style and works to establish a non-threatening environment in her sessions. “People who’ve been traumatized have lost their ability to feel secure,” she said.

As the wounded Marines settled onto floor mats, she told them, “You can close your eyes if that feels comfortable, but I will have my eyes open all the time watching,” emphasizing that they are safe and can relax. “There’s no wrong way to do this,” she said. “Are there any head injuries here?” she asked, and a wiseguy in the class called out, “We’re ALL head injuries!” to general chuckles.

At one point she had them on their backs, knees drawn up and held by their arms, a posture she tells them “massages the descending colon.” “This will help ensure you have that morning constitutional,” she told them cheerfully as they gently rocked back and forth.

Soon she had them focusing all their attention on their breathing, urging them to feel how each inward and outward breath lightly traces their spine. “Now I’m going to turn the lights out,” she said softly, “in three, two … one. If you fall asleep, that’s fine. If you’re snoring too loudly, I will come by and touch you on your right shoulder.”

On the mat next to Sgt. Martz were two Marines. One was Billy Wright, 49, who did two combat tours in Lebanon in 1983 and was later paralyzed from the chest down in a car wreck. He uses yoga breathing exercises to loosen up his muscles and joints that stiffen from long periods in his wheelchair. “Even lying on my back I can feel my hips flex,” he said. “Sitting in the chair, they get real tight and this loosens them up.”

The other was 24-year-old Joshua Boyd from Dry Fork, Va., a Marine lance corporal who did two combat tours in Iraq and came home wounded, with PTSD and mild TBI. He lost a good friend, a fellow Marine, who was killed by an IED. “They had stuck it inside a culvert,” Boyd said. “I had just gotten to Iraq and didn’t have IED training and I didn’t know what to look for. I didn’t look where I should have. It was my fault.”

After the blast, he said, he and his platoon collected the body parts.

At night, Boyd often jackknifes awake, yelling and sweating, dreaming of an intense firefight he experienced in Iraq in 2007. During this recurring dream, his wife is there in the middle of the battle and his buddies have abandoned them both while insurgents are closing in on them. He can feel them sense his weakness.

“I do have trouble sleeping,” he said sheepishly. During the long nights, he is often either deep in his nightmare, or terrified he is about to have it again.

But yoga has helped change the way he sleeps and dreams. “Yesterday I did the iRest session. I fell asleep,” he said. “When I got done, I felt so much more energized. I haven’t felt like that for years.”

Psychology beyond the Brain: What scientists are discovering by measuring the beating of the heart

Aside

Psychology beyond the Brain: What scientists are discovering by measuring the beating of the heart

Source: Scientific American • Adam Waytz • October 5, 2010

Image: David Marchal

The brain has long enjoyed a privileged status as psychology’s favorite body organ. This is, of course, unsurprising given that the brain instantiates virtually all mental operations, from understanding language, to learning that fire is dangerous, to recalling the name of one’s kindergarten teacher, to categorizing fruits and vegetables, to predicting the future. Arguing for the importance of the brain in psychology is like arguing for the importance of money in economics.

More surprising, however, is the role of the entire body in psychology and the capacity for body parts inside and out to influence and regulate the most intimate operations of emotional and social life. The stomach’s gastric activity , for example, corresponds to how intensely people experience feelings such as happiness and disgust. The hands’ manipulation of objects that vary in temperature and texture influences judgments of how “warm” or “rough” people are. And the ovaries and testes’ production of progesterone and testosterone shapes behavior ranging from financial risk-taking to shopping preferences.

Psychology’s recognition of the body’s influence on the mind coincides with a recent focus on the role of the heart in our social psychology. It turns out that the heart is not only critical for survival, but also for how people related to one another. In particular, heart rate variability (HRV), variation in the heart’s beat-to-beat interval, plays a key role in social behaviors ranging from decision-making, regulating one’s emotions, coping with stress, and even academic engagement. Decreased HRV appears to be related to depression and autism and may be linked to thinking about information deliberately. Increased HRV, on the other hand, is associated with greater social skills such as recognizing other people’s emotions and helps people cope with socially stressful situations, such asthinking about giving a public speech or being evaluated by someone of another race. This diverse array of findings reflects a burgeoning interest across clinical psychology, neuroscience, social psychology, and developmental psychology in studying the role of the heart in social life.

A key moment for the field came in 1995, when Stephen Porges, currently a professor of psychiatry at the University of Illinois at Chicago, put forth Polyvagal Theory, a theory that emphasized the role of the heart in social behavior. The theory states that the vagus nerve, a nerve likely found only in mammals, provides input to the heart to guide behavior as complex as forming relationships with other people as well as disengaging from others. A distinguishing feature of Polyvagal theory is that it places importance not on heart rate per se, but rather on the variability of the heart rate, previously thought to be an uninteresting variable or mere noise.

Since 1995, a broad spectrum of research emerged in support of Polyvagal theory and has demonstrated the importance of the heart in social functioning. In 2001, Porges and his colleagues monitored infants when they engaged in a social interaction with the experimenter (cooing, talking, and smiling at them) and when they encountered the experimenter simply making a still face—a frozen expression—toward them. Infants’ HRV not only increased during the social interaction, but also increases in HRV predicted positive engagement (greater attention and active participation by the infants) during this interaction. In adults as well, HRV appears to be associated with success in regulating one’s emotions during social interaction, extraversion, and general positive mood.

A number of recent findings converge on the role of heart rate variability in adaptive social functioning as well. One study by Bethany Kok and Barbara Frederickson, psychologists at the University of North Carolina, asked 52 adults to report how often they experienced positive emotions like happiness, awe, and gratitude and how socially connected they felt in their social interactions every day for a period of nine weeks. The researchers also measured the HRV of each individual at the beginning and end of the study by measuring heart rate during a two-minute session of normal breathing. HRV at the beginning of the study predicted how quickly people developed positive feelings and experiences of social connectedness throughout the nine-week period. In addition, experiences of social connectedness predicted increases in HRV at the end of the study, demonstrating a reciprocal relationship between heart rate and having satisfying social experiences.

Although high heart rate variability seems to have largely positive effects on people’s emotional state and their ability to adapt to their social environment, the story may soon become more complicated. For example, in unpublished research, Katrina Koslov and Wendy Berry Mendes at Harvard University have recently found that people’s capacity to alter—and in a sense regulate—HRV predicts their social skills. In three studies, Koslov and Mendes measured this capacity to alter HRV during a task involving tracking the location of shapes on a computer screen (completely unrelated to anything social), and demonstrated that people’s capacity to alter HRV during this task subsequently predicted both their ability to judge others’ emotions accurately and their sensitivity to social feedback (how much they responded positively to positive feedback and negatively to negative feedback). These findings suggest that although high HRV at rest may be adaptive for social engagement, the capacity to modulate HRV also promotes social sensitivity.

Writers from Ovid to Stevie Wonder have used the heart as a convenient metaphor to convey emotional responses toward others. Emerging research suggests, however, that this metaphor is an oversimplification. The heart has complex interactions with how we treat and evaluate others, how we cope with social stress, and how we manage our emotions, and research has only begun to explore the relationship between cardiovascular processes and social life. Although philosopher Blaise Pascal noted, “The heart has reasons that reason cannot know,” it is clear that psychological research is beginning to illuminate this mystery.

 

Harvard, Brigham Study: Yoga Eases Veterans PTSD Symptoms

Aside

Harvard, Brigham Study: Yoga Eases Veterans PTSD Symptoms

Source: Common Health | Reform and Realty • Rachel Zimmerman • December 8, 2010

The words “Department of Defense” and “yoga” aren’t often uttered in the same breath, let alone in a long, conscious, exhale.

But preliminary results from a small study funded by the U.S. Defense Department, and led by a Harvard Medical School assistant professor, found that veterans diagnosed with post-traumatic stress disorder showed improvement in their symptoms after ten weeks of yoga classes, including meditation and breathing, done twice a week, and fifteen minutes of daily practice at home.

William Haviland never considered himself a yoga kind of guy. He served in Vietnam in 1968 during the TET offensive. Ask him about his combat experience and out comes a torrent of trauma: “I remember the things that happened, I’ve seen people killed right before my eyes,” he says. Among his vivid recollections, more than 40 years after the fact: a sergeant lured into a booby-trapped village, then castrated by shrapnel; the screams of a woman being raped and tortured all night. “I have a stream of memories,” he says, many which come out during sleep. Haviland, 63, says he frequently attacked his wife in the middle of the night, after nightmares that he was being chased by a fast-approaching enemy. Yoga, he says “took me out of myself” and had a more profound calming effect than drugs or drinking.


“PTSD is a disorder involving dysregulation of the stress response system, and one of the most powerful effects of yoga is to work on cognitive and physiological stress,” says Sat Bir S. Khalsa, Ph.D., an assistant professor of medicine at Brigham and Women’s Hospital and Harvard Medical School, and the principal investigator of the yoga study. “What we believe is happening, is that through the control of attention on a target — the breath, the postures, the body — that kind of awareness generates changes in the brain, in the limbic system, and these changes in thinking focus more in the moment, less in the past, and it quiets down the anxiety-provoking chatter going on in the head. People become less reactive and the hormone-related stress cycle starts to calm down.”

One common symptom of PTSD is the dissociation of mind and body, feeling disconnected from oneself and one’s surroundings, as well as an experience of time displacement. The brain portrays the traumatic event as though it is live and active in the present even though it may have happened decades ago. The practice of yoga combines physical exercises, postures and breath regulation together with meditation and awareness in the present moment and Khalsa says this integrative characteristic of yoga is likely important in resolving this dissociative aspect of PTSD.

Joseph Muxie served in the military from 1977-1984. While stationed in England, he said, he experienced an unbearable assault that is at the core of his PTSD. After years of alcoholism and a stint in rehab, he saw an ad about the Brigham yoga study and decided to try it. “I think what the yoga has really allowed me to do is give me the ability to ground myself,” said Muxie, 51. “As a result, I’m more peaceful with myself in whatever moment I happen to be in.”

According to the VA, as many as 20% of veterans of the Iraq and Afghanistan wars have PTSD; 10% of Gulf War vets and 30% of Vietnam vets are diagnosed with the disorder. In addition, approximately 23% of women reported they were sexually assaulted in the military and 55% of women and 38% of men experienced sexual harassment while serving. Military Sexual Assault (MSA) is a known factor in PTSD.

Because the incidence of trauma is so high, Khalsa says, the DOD’s, Telemedicine & Advanced Technology Research Center, which paid a total of $600,000 for this study, is exploring new approaches to treatment.

In the Brigham study, which has so far evaluated only the first 9 subjects to complete the protocol, each veteran’s PTSD severity was assessed using a tool called CAPS, the clinician-administered PTSD scale. The patient is scored by a trained psychologist using the CAPS scale both before and after the yoga intervention to determine any change in the scope and intensity of symptoms, which can include flashbacks, nightmares and a pervasive hyper-vigilance. According to Khalsa, the average baseline CAPS score before yoga in the subjects was 73.0, and the average score post-intervention was 43.6. (The average reduction in CAPS score pre-to-post was 29.4.) Here are the subject’s individual scores, before and after yoga:

– 113; 81
– 81; 40
– 111; 21
– 37;33
– 62;36
– 53;15
– 84;78
– 66;72
– 50;16

So, for 6 subjects, their scores improved quite a lot with yoga; for 3, there was little change. Khalsa said that typically even well-known, highly effective treatments don’t work for every patient and he is still evaluating other measures to determine if the yoga had any other non-CAPS benefits. “These subjects may possibly have benefited in things like depression or anxiety, even though their overall PTSD CAPS score did not change much (as was observed in a preliminary yoga-PTSD study in Australia)… Human subject research is pretty messy.”

Ultimately, he said he hopes to evaluate a total of 60 subjects, including a control group, but so far, recruitment has been slow, due to yoga’s “new age” reputation and its association with women. “There’s some sense that sissies do yoga,” he said.

Jennifer Johnston, a yoga teacher, licensed mental health counselor and the project leader, said that beyond recruitment, yoga’s “hot” reputation has in some sense eclipsed its greatest assets. “Because yoga is so sexy now, certain aspects get forgotten,” she said. “Yoga is a path to reconnect all of the parts of yourself. It’s a self-care strategy. The poses are important, but the philosophy is how we do our lives. The magic is in the meditation, integrating it and taking the yoga off the mat and into your life.”

Yoga’s Stress Relief: An Aid for Infertility?

Aside

Yoga’s Stress Relief: An Aid for Infertility?

Source: The New York Times • Catherine Saint Louis • February 4, 2011
Tracy Toon Spencer teaches yoga to Jessica Tabibnia, left, and Kimberly Soranno, at the N.Y.U. Fertility Center.

KIMBERLY SORANNO, a 39-year-old Brooklynite undergoing an in vitro fertilization cycle as part of her quest to become pregnant, had gone to her share of yoga classes, but never one like that held on a recent Tuesday night in a reception area of the New York University Fertility Center. There were no deep twists or headstands; just easy “restorative” poses as the teacher, Tracy Toon Spencer, guided the participants — most of them women struggling to conceive — to let go of their worries.

“Verbally, she brings you to a relaxation place in your mind,” Mrs. Soranno said, adding, “It’s great to do the poses, get energy out and feel strong. But the most important part for me was the connection to the other women.”

Besides taxing the mind, body and wallet, infertility can be lonely. Support groups have long existed for infertile couples, but in recent years, “yoga for fertility” classes have become increasingly popular. They are the latest in a succession of holistic approaches to fertility treatment that have included acupuncture and mind-body programs (whose effectiveness for infertility patients is backed by research); massage (which doesn’t have specific data to support it); and Chinese herbs (which some say may be detrimental).

No study has proved that yoga has increased pregnancy rates in infertility patients. But students of yoga-for-fertility classes say that the coping skills they learn help reduce stress on and off the mat. For many, it’s a support group in motion (or lotus).

“As important as the yoga postures was the idea that women could come out of the closet with their infertility and be supported in a group,” said Tami Quinn, the founder, with Beth Heller, of Pulling Down the Moon, a company with holistic fertility centers in Chicago and the Washington area. “If you say come to my support group, women going through infertility are like, ‘I don’t need some hokey support group’ or ‘I’m not that bad.’ But with yoga they are getting support and they don’t even realize it.”

Holly Dougherty, 42, didn’t want to talk about her drug-infused slog through fertility treatment that began seven years ago. “I didn’t tell anyone,” said Ms. Dougherty, with the exception of her parents.

This changed after she started going to yoga-for-fertility classes taught by Ms. Spencer at World Yoga Center in Manhattan in 2005. The gentle poses helped take her mind off her setbacks, and each week, she found the community that she hadn’t realized she needed.

“Being able to open up in a safe environment with support and encouragement of others on the journey, everyone became each other’s cheerleader,” said Ms. Dougherty, now a mother of two who still socializes with students from Ms. Spencer’s class. “I learned to become so open about it.”

SMOKING, alcohol, caffeine and some medications can hurt fertility, as can being overweight or underweight, said Dr. William Schoolcraft, a medical director of theColorado Center for Reproductive Medicine, whose main branch is in Lone Tree. As for improving one’s chances with massage, diet or yoga? “That’s where the data gets murkier,” he said.

“We will never promise that you will get pregnant by doing yoga,” Ms. Quinn said. “We can tell you many women who have done yoga have gotten pregnant. But there’s no clinical data supporting the fact that yoga increases conception rates. The last thing we would want to do is give false hope.”

Stress, however, has been shown to reduce the probability of conception. Alice Domar, who has a Ph.D. in health psychology and is the director of mind-body services at the Harvard-affiliated center Boston IVF, said of yoga: “It’s a very effective relaxation technique, and a great way to get women in the door to get support. It’s a way to get them to like their bodies again.”

A handful of prominent medical centers have partnered with yoga teachers to offer classes. Pulling Down the Moon now holds its $210 six-week Yoga for Fertility programs at Fertility Centers of Illinois in Chicago (since 2002), and Shady Grove Fertility in the Washington area (since 2008.)

Recently, Dr. Domar, a psychologist whose research has shown that participation in a mind-body program can positively affect fertility, joined with Ms. Quinn and Ms. Heller to take wellness programs, including yoga and acupuncture, to infertility clinics nationwide. They have formed a new company, Integrative Care for Fertility: A Domar Center, and plan to open seven branches this year.

In 2009, the New York University Fertility Center in Manhattan brought in two yoga instructors to help patients. “We really do push it,” Dr. Frederick Licciardi, a founding partner of the center, said of its wellness programs that include mind-body work and acupuncture along with yoga. “We put it up front. We know they are doing it anyway. We want to show we are supportive that they are doing it.”

Some infertility clinics advise patients not to do vigorous exercise like running for fear of twisting their drug-stimulated enlarged ovaries. (This excruciating condition, called torsion, is rare, but surgery is often required if it happens with the possibility of losing the ovary, said Dr. Brian Kaplan, a partner at the Fertility Centers of Illinois, who advises his patients to limit exercise while taking stimulating drugs.)

But Dr. Domar, the executive director of a namesake center for mind-body health in Waltham, Mass., has found that some women are loath to give up their daily anxiety-relieving run during infertility treatments, or are “freaked out about gaining weight on fertility drugs.” In some cases, yoga is her bargaining chip. She tells those patients, “you can do hatha yoga and stay fit and toned, and give up your run.”

Ms. Spencer explained in an e-mail that for many patients, “There is a feeling of walking on eggshells and also that one false move may throw off the chances of success.” A class like hers lets them move and blow off steam, students said. “It’s like a can of worms,” she said in an interview. “You can’t stop women from talking to one another.”

But the relief can be quiet as well. Elaine Keating-Brown, 38, an elementary-school teacher in Manhattan who is in her last trimester after in vitro fertilization, found the yoga classes she took with Laura O’Brien, then at N.Y.U., helped her silence a tireless negative voice in her head. Her fertility-related worries felt endless, from “What happens if it doesn’t work?” to “financially, it’s not exactly cheap,” Mrs. Keating-Brown said.

But “once you’re in the yoga room, you haven’t got all that anymore,” she said, “you’re concentrating on you, and put those thoughts aside, put your body in a good place, and come out of class feeling a real feeling of relaxation and it’s going to be O.K. If it isn’t, it isn’t.”

Lori, a 32-year-old management consultant who asked that only her first name be used for privacy, lived with “the chatter in the back of her mind” so constantly after losing twins and suffering two miscarriages that she named that voice Constance in a yoga class she took at Pulling Down the Moon. After learning meditation techniques in class, Lori, the mother of a newborn, said she could observe, but not succumb to her negative thoughts. “I’m aware I feel that way,” she can tell herself when an anxious thought surfaces, “but I’m not going to let it overwhelm me right now.”

Ms. O’Brien summed up the infertility roller coaster this way: “You have to get screened all the time. You have to take certain drugs. You’re at the mercy of everyone telling you what to do and when to do it.” Now teaching $72 four-week fertility and flexibility workshops at Devotion Yoga in Hoboken, N.J., Ms. O’Brien added that loss of control is challenging, “especially for people in this part of the country, if they have a goal and work hard, they get it.”

“This throws that whole mentality out of whack,” she said. But yoga, she contended, helps type-A’s to learn that “you cannot control what’s happening to your body, but you can control how you feel about it.”

In 1998, when Brenda Strong first starting teaching fertility-focused yoga at the Mind Body Institute in Southern California, she said, “people were so ashamed and so isolated because no one else was talking about it.” In her classes, she facilitates conversation among yogis. “In yoga, suffering is caused by attachment to a result or by resistance,” said Ms. Strong, the actress who is the narrator on “Desperate Housewives” and herself has struggled with infertility. “There’s nothing that brings up these two things more: you’re attached to wanting to get pregnant and you’re resistant to the fact that you can’t.”

Medical acceptance of yoga as a stress reliever for infertility patients is slowly growing. In 1990, when Dr. Domar first published research advocating a role for stress reduction in infertility treatment, “I wasn’t just laughed at by physicians,” she said. “I was laughed at by Resolve, the national infertility organization. They all said I was perpetuating a myth of ‘Just relax, and you’ll get pregnant.’ ” At the last meeting for the American Society for Reproductive Medicine, Dr. Domar, now on the national board of Resolve, gave multiple talks, including one about how to help the mind and body work together in infertile couples.

On March 17, Resolve will host a tele-seminar on “Yoga for Fertility” led by Jill Petigara, who teaches in the Philadelphia area. “A lot of people want to boil it down to ‘If you relax, it will happen,’ ” Ms. Petigara, a former in vitro fertilization patient who adopted a son, wrote in an e-mail. “I absolutely feel that yoga can have a very positive impact on infertility, but infertility is a lot more than ‘just relaxing.’ ”