Is Stress Making You Sick and Sad? Inflammation in the Body Linked to Depression

Photo: ALAMY

Photo: ALAMY

Is Stress Making You Sick and Sad? Inflammation in the Body Linked to Depression

Today’s post was a tandem project by Dr. Tianna and Ginger.  

Emerging evidence demonstrates that there is a connection between inflammation and depression.  When your body is in a state of constant, low-level inflammation, you may feel sad.

Recent research is encouraging, and shows that feeling sad or depressed is not just “in your head.” The stigma of depression has ruined many lives, and this stigma has created barriers to getting help.  For example, a mother will not easily admit to feeling depressed for fear that social services will show up at her front door to take her children away.  Military veterans risk damaging or losing their career or chance for upward mobility in rank, if they admit to feeling less than stellar in the psycho-emotional department.

But the recent news underscores that depression is not a weakness or something you did, but rather a complex state of events in the body that happened to you.  Feeling depressed is nothing to be ashamed of, and certainly should not be hidden or “swept under the proverbial rug.”  If you have inflammation in your body, which is easily identified with a blood test,  you are at serious risk for developing chronic disease, not just depression.

Other disease processes are connected to inflammation levels in the body as well, including premature aging and cardiovascular disease, cardiopulmonary disease, metabolic disorders like diabetes, neurological disease, some types of cancer, and even autoimmune diseasesRead more about the role of inflammation in accelerated aging

 

A review article presents the science of stress and depression (Littrell, 2012).

  • Stress decreases immune function, activating monocytes and macrophages that release inflammatory cytokines.
  • Studies have shown that those induced by stress show signs of depression, correlated with high levels of inflammatory cytokines.
  • Animal and human studies show that if you infuse the body with inflammatory cytokines, they present with signs of depression.
  • Depression reflects an inflammatory state in the brain (brain-derived neurotrophic factor is likely involved). An inflammatory state in the brain can be induced by inflammatory cytokines in the periphery or by psychological stressors.
  • Psychosocial stress and depression contribute to a greater risk for infection, prolonged infectious episodes, and delayed wound healing, all processes that can fuel pro-inflammatory cytokine production. However, stress and depression can also directly provoke pro-inflammatory cytokine production in the absence of infection or injury (Kiecolt-Glaser, 2010).


Are You Depressed? 

If you are feeling any of the depressive symptoms, seek help.  Take this QUICK QUIZ  to see if you are feeling more than just sad or down.  Persistent stress, trauma, adipose tissue/obesity, and/or pain can also be factors in creating chronic inflammation in the body.

 

What Can You Do?

A CRP test can be a first step in identifying inflammation in the body, which puts you at risk for depression.

Other proactive measures you can take are diet, exercise, and movement with meditation therapies, like yoga.  Stress management is an important benefit of practicing yoga, since it has been shown to affect the inflammatory process in the body.

  • Yoga and meditation have been studied to assess their role in decreasing systemic inflammation. There was a study done to compare markers of inflammation in novice and experienced yoga practitioners to assess the potential of yoga’s stress-reduction benefits. Across a battery of inflammatory assays, 60% of novices produced higher levels of inflammatory markers compared to 24% of experts at baseline levels.  And 40% of experts produced low levels of inflammatory products compared to 0% of novices. 
  • We know the science behind diaphragmatic breathing and it’s ability to regulate the autonomic nervous system (ANS) by way of its proximity to the vagus nerve, as well as the sympathetic chain.  And we are capable of teaching awareness or “mindfulness” of the bodies’ physiological responses (muscular tension, rapid breath, actions/reactions). The practice of controlled breath acts to down-regulate the hypothalamic-pituitary-adrenal axis, reducing the heart rate, lowering blood pressure, and easing respiration (Sengupta 2012).
  • Diet is another way we can alter the inflammation in our bodies.  Diets that promote inflammation are high in refined starches, sugar, saturated and trans-fats, and low in omega-3 fatty acids, natural antioxidants and fiber from fruits, vegetables, and whole grains (Kiecolt-Glaser 2010).
  • Higher fruit and vegetable intake are associated with lower oxidative stress and inflammatory pathways in the body. Refined sugars and starches can rapidly alter blood glucose levels. This postprandial hyperglycemia can increase production of free radicals as well as pro-inflammatory cytokines (Kiecolt-Glaser 2010).
  • Studies have shown that nutraceuticals can affect the inflammatory process in the body. Turmeric (or curcumin), ginger and cinnamon have been shown to alter the inflammatory pathways (Aggarwal 2010).
  • Other spice nutraceuticals may also have an affect on obesity and insulin resistance by way of their effect on inflammatory pathways. They suggest this because of the similar structural homology hat exists between curcumin, capsaicin (red chili), piperine (black pepper), eugenol (cloves), cinnamaldehyde (cinnamon), and gingerol (ginger).  These spice-derived nutraceuticals have been shown to inhibit oxidation of low-denisty lipoproteins (LDL), demonstrating anti-oxidant properties (Aggarwal 2010).
  • Polyunsaturated fatty acids (PUFAs), particularly ratios of omega-3 (n-3) to omega-6 (n-6) fatty acids, have also been shown to have influence on the inflammatory processes in the body. Omega 3 PUFAs can be found in Flaxseed (oils, seeds),Fish (salmon), Chia seedsWalnutsBasilOreganoCloves, or by supplements.

Read more about avoiding premature aging and disease through adopting an Anti-Inflammatory Lifestyle.

Resources

Sources

  1. Kiecolt-Glaser, J. (2010). Stress, food, and inflammation: Psychoneuroimmunology and nutrition at the cutting edge. Psychosom Med72(4), 365–369. doi: 10.1097/PSY.0b013e3181dbf489.
  2. Kiecolt-Glaser, J., Christian, L., Preston, H., Houts, C., Malarkey, W., Emery, C., Glaser, R., & , (2010). Stress, inflammation, and yoga practice. Psychosom Med.72(2), 113. doi: 10.1097/PSY.0b013e3181cb9377.
  3. Kiecolt-Glaser, J., Belury, M., Belury, R., Belury, W., & Glaser, R. (2011). Omega-3 supplementation lowers inflammation and anxiety in medical students: A randomized controlled trial. Brain Behav Immun25(8), 1725–1734. doi: 10.1016/j.bbi.2011.07.229.
  4. Littrell, J. (2012). Taking the perspective that a depressive state reflects inflammation: implications for the use of antidepressants. Frontiers in Psychology,3(297), 1-18. doi: 10.3389/fpsyg.2012.0029.
  5. Sengupta, P. (2012). Health impacts of yoga and pranayama: A state-of-the-art review. Int J Prev Med3(7), 444–458.
  6. Additional sources are linked directly in the article.

About the Authors

Tianna Meriage-Reiter PT, DPT, PYTTianna Meriage-Reiter, PT, DPT, PYT

Dr. Meriage-Reiter began her practicing yoga in 2006.  It wasn’t until she began studying with Professional Yoga Therapy Studies (PYTS), that she began to see that her practice might have been causing her harm – the physical positions were not safe for her body and the fast-pace was wreaking havoc on her nervous system.  PYTS helped her to begin her own personal journey towards more mindful living and allowed her to pass this on to her patients. She now uses the science of physical therapy bridged to the mind-body connection of therapeutic yoga to provide her patients / clients with the tools to heal themselves.

She holds a bachelor’s degree in Physiology & Neuroscience from UCSD and a Doctorate of Physical Therapy degree from UCSF/SFSU.  Presently, she works in an outpatient clinic, working with post-surgical rehabilitation, sports and work related injuries, spinal pain and other painful conditions. She also teaches therapeutic yoga classes in Alameda, California and is available for private physical therapy in-home or in-studio.  Find out more atwww.mindbodymovement.org or email her at info@mindbodymovement.org.

 

 

Ginger August Jazz 2012Ginger Garner PT, MPT, ATC, PYT
Ginger is the author and founder of Breathing In This Life. When she isn’t practicing integrative physical therapy or writing/teaching curriculum in medical therapeutic yoga, she sings the blues away using music as medicine.

 

 

 

Can Yoga Be Used as Medicine (Part Two)

Can Yoga Be Used as Medicine, Part Two

This is the second part in a two part series that discusses how you can talk with your doctor or therapist about yoga as medicine.

At work teaching Yoga as Medicine in an interactive lab for a community physical therapy class during a medical continuing education yoga conference. September 2012

Year after year, I hear the same story when new patients come to me: “I got hurt doing yoga at a studio or at home.”  The other phrase I commonly hear is “my doctor/therapist told me not to do yoga.”

I have even had my own doctor and multiple colleagues in the field of therapy tell me not to do yoga.

After lengthy conversations and over a decade of educating health care professionals about how yoga can heal orthopaedic (and other types of) injuries, health care professionals are slowly starting to shift away from the common misconception that yoga is only about flexibility.  However, this doesn’t change that only 6.5% of health care professionals in a 2008 Yoga Journal Market Study were reported to recommend yoga to their patients.

Why?

Two reasons health care providers in orthopaedics aren’t currently recommending yoga to their patients:

1. They are scared their patients will get hurt and they will be held responsible (and rightfully so).

As licensed health care providers we are legally bound to our patients. We take the Hippocratic oath to “first do no harm.” We are held liable for what we prescribe and the treatments we administer.

In contrast, yoga is not currently regulated in the United States. Anyone can teach yoga. As a result, there is no way of knowing if someone is qualified to teach the subject matter of which they claim expertise. This is especially true when it comes to teaching movement, which has historically been the domain of the scope of practice of physical therapy, a board licensed allied health care field whose entry level competence now requires a doctorate degree.

For example –

In my recent past I had a new patient come to me for healing because a yoga teacher had instructed her to perform axial loading (standing on her head) during full cervical extension (leaning your head all the way back) so that (in the words of the teacher) “she could prepare to do backbends.”  This dangerous movement, by the way, has nothing to do with bending the spine backward, which is also called spinal extension.

Ultimately and because the instruction from the yoga teacher, my patient suffered a tear in the dura mater of her spinal cord which resulted in cerebrospinal fluid (CSF) leakage. This condition creates severe headaches and can contribute to severe injuries, such as paralysis or death. In the case of this patient, I taught her the “red flags” to identify unsafe yoga instruction, and strongly suggested she not return to the class/teacher where she was injured. Instead, I referred her to a licensed therapist who has been trained to use evidence based yoga as medicine.

In another case, I had a veteran yoga teacher (30 years +) come to me with chronic instability and pain in both shoulders. She had been taught downward facing dog in its traditional alignment and had performed chataranga pose (think push up) repeatedly over the years with poor form. However in traditional yoga she was considered to be performing these two postures in relatively “perfect” form.

2. They believe yoga means “stretching.”

Actually, not only do health care providers misconstrue the orthopaedic purpose of the yoga postures, yoga teachers and yoga therapists do as well. There are many conditions for which “stretching” is actually contraindicated (will do harm instead of good). These can include joint instability (which I commonly see in traditionally taught yoga postures), joint degeneration, myofascial restriction, neural tension, and most all acute injuries (meaning injuries of less than 2-6 weeks duration), just to name a few.

For example, more than 80% of Americans will experience low back pain at some point in their lives. However, most yoga to treat low back pain is focused on “stretching,” “broadening,” or “opening.” These terms usually involve a movement associated with stretching or mobilizing of some type.

However, orthopaedic physical therapists treating low back pain know that you cannot just “stretch” your way out of low back pain. Treating low back pain involves intricate evaluation and diagnostic techniques which measure neurophysiogical function, musculoskeletal integrity, stability, myofascial involvement, as well as neurovascular function, just for starters. Yoga, in my humble “integrative orthopaedic physical therapist yoga teacher” viewpoint – should be applied to attain stability in the individual.

Safer Yoga for Longevity and Better Quality of Life

Yoga affects our health directly, through practices which span far greater than just the physical poses. However, “American” yoga mostly relies on physical poses, coupled with breathing and some meditation. Because of so much focus on movement, (it) can actually end up closely resembling physical therapy.
Becoming a physical therapist requires a doctorate degree, and years of clinical study and experience. Contrast that with becoming a yoga teacher or “therapist,” which is something you can do with no background in medicine.

As a physical therapist I also took the time to earn a second degree and license in athletic training (sports medicine). In addition, I have studied yoga for almost 20 years now. It is in my own experiential practice, combined with my training in physical therapy and sports medicine that allowed me to realize that even with all my training, I have much more to learn about prescribing safe yoga.

How much more then do we need to realize as yoga teachers and “therapists” that what we are teaching is, often, unsafe. We need to challenge the accepted “norms of yoga posture alignment” and scrutinize them against the science and practice of physical therapy.

I realize that yoga, in its ancient form, which teaches full and sometimes extreme range of motion in the wrist, shoulders, hips, spine, knees, and ankles, must be reminded to practice what is preaches: non-violence (ahimsa). Until yoga and all of its complex movements, commonly called postures, are applied with an evidence base, I believe we will continue to see yoga injuries on the rise.

Yoga is a beautiful method for improving one’s health, well-being, and even one’s lifespan. Yes, longevity and high quality of life are two terms often synonymous with long term yoga practitioners.

You can continue to strive toward excellence and excel in nurturing your longevity through a yoga practice. It doesn’t have to costly or complicated. Learn how yoga can help you recover from or prevent injury. Learn how yoga can be your secret anti-aging weapon.

Yoga used in medicine has many benefits, some of which include:

  • Sports injury prevention and rehabilitation for the hip, knee, ankle, shoulder, elbow, and wrist
  • Low back injury prevention and rehabilitation
  • Spine injury prevention and rehabilitation
  • Women’s health – neuroendocrine regulation, hormonal regulation, and recovery from post-surgical, incontinence, pregnancy, and childbirth.
  • Stress management
  • Neurological injury rehabilitation, such as stroke, balance and vestibular issues, sensori-motor disorders
  • Other specific populations such as geriatrics, pediatrics, and functional gastrointestinal disorder populations

Here are some resources to help you talk with your doctor or therapist about using yoga for your health:

  • Visit www.gingergarner.com to learn more, and share information with, your doctor or therapist in order to show them that yoga is right for every body and every diagnosis.
  • Email me and I will help you talk with your doctor or therapist about using yoga to improve your health.
  • Find A Therapist near you that is licensed and is able to teach and prescribe yoga safely and effectively.

Stop Stress In Its Tracks, Day 3

Okay ladies, here are my last “real time” stress busters (for this week anyway).

1. Stress scenario: There is not enough time in the day to get everything done.
2. Solution: This is a tough one, but we must tackle it.

Identify time wasters:

  • Cut out TV. Completely. Even get rid of your TV. We did in 2004. We only recently got a small one so our kids can watch their DVD’s. Public television is the only channel my children watch now. My husband and I only watch State of the Union addresses, or in the case of an election year, we watch the political debates. Instead of wasting our time with TV, if we want to watch something important, we will order it via our Netflix account. In addition, there is no TV during any family time, such as dinners, and no more than 2 PBS shows or 1 movie (i.e. the time it takes to watch a movie) a day.
  • Cut back on Internet. We connect to the world via the Internet, so we get what we need and not what we don’t (ads, silly pop culture, violence on the evening news, etc.). I use the Internet for reading news, work, shopping, and some social and professional media (once/week usually). However we can still have the tendency to surf the net too much. Now we observe the following: No Internet or computers during the dinner hour, between 5-8 pm. No Internet during any family time. This means no texting, no cell phones, no TV, no outside interruption. Same goes for email. As I mentioned previously, try to only check your email two times a day. Hovering over your email all day is not productive.
  • Get rid of your land line & then don’t answer your cell phone. I stand by my Grandfather Garner’s philosophy. “Say what you need to say, and get off the phone.” Yes, even as a teenager, I stood firm on this philosophy. If you do not need a land line, then get rid of it. It will also save you some money each month. I only use my cell phone when I absolutely must. My whole family knows I do not like to use the phone. Now my cell phone rings only when the caller has something important to say.
  • Don’t buy tabloids or fluff magazines. Yes, I have been known to read a copy of House Beautiful as intensely as I teach a yoga class. However, our society should know better than to fuel pop culture demand for gossip magazines. You know, the ones that discuss celebrity’s private lives and make us feel either good or bad about our self image. It’s easy. Just don’t do it. Put that money you would spend into your children’s’ stock portfolios.
  • Don’t overdo a task. This is similar to talking on the phone. Only do it if you must. Think about what you are going to do before you are going to do it. For example, making a grocery list. I have this nifty list that divides whole foods into categories, so you can check a box and then go straight to that section in the store. No time wasted and no impulse buys.
  • Get rid of the clutter. This applies at several levels.
  1. Don’t bring junk mail into the house. Stand at your recycling bin and toss it as soon as you take it out of the mailbox. We all know physical clutter, this includes extra body weight, can create mental clutter. Better yet, take action to reduce or eliminate receipt of junk mail altogether.
  2. Get rid of one item for each new item you purchase. This especially applies to clothing and furnishings. Stop consumerism.
  3. Don’t have a junk drawer. I don’t. Every drawer in my house has a purpose. There is no need to waste a drawer, or any storage space, to hold junk. Either the junk can be re purposed, given away to someone who won’t consider it junk, recycled, or trashed.
  • Make things hover. I know this one is strange, but it is my favorite. My husband can vouch for that. Carefully plan your rooms. The more things you have sitting on the floor, the more cluttered (and less usable) a room feels. For anything that remains in one spot more than a week, you need a designated place and storage method for it. Mail, laundry (dirty and clean and the stuff that is in the “holding” area to be put away, ironed, or taken to the cleaners), reusable grocery totes, hats, shoes, wine. I try to create proper storage so things can “hover” – that way, I can whisk around the room and tidy up in a flash. Shockingly, I have no problem with my family, including my husband, leaving things all over the house. If you create a practical, user friendly method for organization, then it will be easier for your family to use that that to leave it on the floor. Trust me. Making things hover really works.

1. Stress: Immediate overload. You need help now!
2. Solution:

  • 10 minutes of Yoga. I used to practice for 90 minutes a day on average. Now, I actually practice for no more than 30 minutes 4-6 times a week, and am in better shape. (yes, I know. less is more.) Some days though, especially when my children were infants, I only got 10 minutes. It still got my pre-baby body back, and I had instant stress relief. Follow me on You Tube to get fit.
  • Time away from kids, or your job, etc. This can be anywhere from 10 minutes to 10 days! I know it is obvious, but as women, we never have time away. Take it today. Recharge.
  • Pray. Return to your spiritual roots. Faith and hope are our greatest weapons against burnout and stress. Believe. Meditate. Begin your day with hope. You can do it anywhere.
  • Volunteer. The surest way to help yourself is to help others. I observe my boundaries (see day 1 and 2 blog), but because I have identified and eliminated time wasters, I still have time to give. And, I am teaching my children a valuable lesson about helping those in need.
  • Focus on relationship building. We are not created to be independent, solitary, isolated creatures. Human beings were created for relationship. Cultivate them.
  • Count your blessings. Recognize milestones. Look at what you have accomplished, rather than what you have not. You are amazing!

3. Overall Benefits: More time for You. More time for Others. A Greater Appreciation for the human race. A second (or third) chance to Live and Love Life. A great way to Live in Gratitude.

Now I am going to settle into my own stress relief mode. Starting today, I am unplugging from technology for 1 whole week.
Yes, I am practicing what I preach.
“See” you in 1 week.

Stop Stress In Its Tracks, Day 2

Each day, I am guilty of multi-tasking. I’ve been known to brush my teeth while folding clothes and changing a diaper, for example. Today, the stress scenario is multi-tasking. What to do?

  1. Stress Scenario: Excessive multi-tasking. This is the most common stress inducer for working moms, I believe. In my case, I work a compressed schedule to try and maximize my family time. This means I will work intensive projects for a time, but then take time off in between. (i.e. weekend work followed by weekdays off OR waking up early to work before the kids get up and working after they go to bed at night OR working during their nap and then having my husband take over when he gets home so I can go to work for a few more hours. Many of you share this perpetual hamster wheel of a schedule. I used to work 7 days a week at all hours of the day and night, all year round. My family vacations were “neatly” packaged in business trips. When my first son was born, I went back to work when he was 5 days old. Even though I was working from home, business was still dictating my schedule. My newborn son should have had priority. On my first visit to my in laws after my husband and I were married, I brought work along – not just checking email, but addressing thousands of business mailers. My husband and I covered his mother’s dining room table with promotional mail to send out for my business. At the time the work seemed urgent. But when I look back on it now, I realize I was unable to detach myself from work. Business could have waited. I still didn’t learn my lesson when my second child was born. I answered work email through the entire first stage of labor. I timed my contractions while answering emails! I remember squatting next to the printer, working my way through a hard contraction (they were almost 2 minutes apart) on the birthing ball, while waiting on a document to print. The epitome of multi-tasking, I realize now it has caused me to LOSE more quality time than gain.
  2. Solution: Set boundaries. It took me some time before I “got” it. I would perpetually over schedule myself and even our family’s schedule. Case in point: I used to run a local studio and a national business simultaneously. Burn out anyone? When children came, I realized even more – I could not be superhuman. (oh yea, and “supermom” – well she doesn’t exist) Determine what you can pull back on and follow through. Just do it, as the famous Nike ad campaign exclaims. I cut back to part time hours for my local practice. I also work seasonally. In the month of July, I only work my national business so I can spend more time with my family. I also limit my number of national engagements to 12 or less. In other words, I won’t travel for work more than once a month. Yes, I made a conscious choice to chose family time over financial gain. In addition, only check emails twice a day. Anyone who knows me is well aware that I do not care for phone conversations. However, in turn, I ended up chained to my email (my own fault). Recently, I made a sweeping announcement to family, friends, and colleagues that I would not be answering email as quickly as I used to. You know what, no one got mad. Actually, everyone totally understood and agreed that they should probably do that too!
  3. Benefit: Breathing space. More time with family. Down training. I can spend stress free time with my family. No, I don’t miss the extra income. I am happily not a prisoner of cyberspace (aka email and Internet). And, I do not feel hyper-stimulated (deer in headlights, anyone?). So am I a master of “down training”, that is, making a conscious decision not to multi-task? No, I am not.

I must continuously remind myself to follow my own advice on a daily basis. This is important. I always earnestly strive to practice what I preach, and live by example.

So don’t berate yourself for falling off the “boundary wagon”. Get up, dust yourself off, and reestablish your boundaries. That’s what I do. That is why I am ending this blog now. My children call.

Tomorrow, another stress tip for time management woes.

Stop Stress In Its Tracks


Sometimes it creeps up on you, sometimes it crashes into you, sometimes it consumes you, but frequently it seems, stress seems to be just around the next corner. My day is going smoothly, and then something ALWAYS happens to interrupt my “zen” flow.

Reality! You wake up late or you wake up too early. You forget your cell phone or you accidentally wash (and dry!) your cell phone (me with pregnant brain during my second pregnancy). You grocery shop and then leave the groceries at the store (my cousin and dear friend, right after the birth of her second child). You make up your child’s bed neatly and, in the meantime, he or she is hard at work sabotaging your latest manuscript (kids love laptops, especially mine!). You go to work to provide family financial stability, but in the end you have no time to spend with the family you are working so hard for.

Mothers, the original gurus of multi-tasking, can have a pretty long “stress” list. In fact, the more we multi-task, the more stressed and less efficient we become. (can I get an amen there?)

So this week, I will share “real time” stress relief secrets. This means I will offer up stress relief tips that work in real life – like the ones I use while I try to get my kids to nap so I can finish this blog or the ones I use when the kids spew their oatmeal at each other as I (try to) concentrate on answering work email – you know – that kind of “real time”.

Even now, as I work, I am listening to my oldest sing his own nonstop rendition (by request) of happy birthday to his brother (it’s not his birthday) while they “nap.” So here it goes….

7 Ways to Stop Mommy/Wife Stress In Its Tracks:

  1. Stressful Scenario: The kids are not listening to you (boy if I had a nickel for every time this happened).
  2. Solution: Whisper, don’t shout. I use to shout, but after a year of chronically losing my voice I learned something neat. When I spoke in a tone closer to a whisper than a shout, my kids listened more. Also, stick around until you get the results you are looking for. In yoga speak, this means helping a student align their pose, then not moving on to the next student until they have achieved the safe alignment you want. The same is true with children. To get them to nap, I hung around outside their bedroom door. (I recently moved them into a shared room, so bed time has gotten very interesting.) Each time I would hear little feet on the floor, I would open the door and calmly remind them to stay in their beds. I also tossed in a carrot – I told them “we will have more time for fun after their nap if they go to sleep now.” The results were profound.
  3. Benefit: You don’t have to get anymore headaches from listening to your head roar. You can prevent wrinkles from not having to twist up your face in exasperation all the time. Your posture will improve because you can take the time to bend down on one knee and explain to them why they are in trouble, instead of hunching over or throwing your head back to get your voice to travel the furthest distance at the loudest volume possible. Lastly, your shouts become more effective when they are truly needed (like a dangerous situation of running into traffic, etc.), They will be less likely to think you are “crying wolf” and will be much more receptive to you. I get lots more “I wuv you’s (I love you’s) from my kids for shouting less and speaking gently more.
  1. Scenario: Your husband is not listening to you. (hmm, another nickel anyone?)
  2. Solution: One of my biggest pet peeves is repeating myself. And, there is nothing worse than repeating yourself when no one is listening. So when this scenario arises, I remind myself that no one is a perfect listener. In addition, not many people digest information after they’ve only heard it once. (can anyone pass that physics or biology test after only reading the information once?) Remind yourself that everyone is fragile and you are not the center of the universe. Your husband is likely as stressed as you are. Ask him what he may need to get off his chest as well. The fact is, how well can you pay attention to details if you are already overwhelmed with information (aka hyper stimulated)? If these reminders do not work, send your partner an email or write a short letter. Consider it a “love letter”. A means for really slowing down to say what you mean. When is the last time you wrote one a love letter to your partner? Do it today. Lastly, try to avoid working out problems during chaotic times. I am not a procrastinator. In fact, I am the anti-thesis of a procrastinator. But for working on marital bliss with your partner, sometimes procrastination is a good thing. Instead of trying to work through a disagreement while the kids are also melting down, postpone it. The immediacy of what you disagreed over will subside. Let yourself mellow for a while (not steep!), and see if you can speak about it when the situation has calmed itself.
  3. Benefit: Improved communication, hands down. By far, the biggest troublemaker in a relationship is lack of or ineffective communication. Usually, it is because of anger or expectations. (i.e. You get angry because expectations were not met. For example, “I thought you were going to pick up the groceries. or I thought Friday was our date night? or I cannot believe you said that to me.”) Explain what you mean, without animosity or hidden agenda. If you cannot do it out loud, do it in writing. Many times, you can explain things better if you write them out first, and you are less likely to let anger dictate your speech.
Stay tuned…5 More Stress Busters to come this week!

*photo taken in June of this year during a trip to Grandfather mountain. …a typical day in the life of any mother….

Sighs of Relief

There is a distinct difference in attitudes at our house when my husband and I take our boys and stay in our cabin, deep and high in the mountains of NC. A slight fraction of the size of our full time home, where we run our family, our business, and our technologically laden lives, the mountain retreat is a place where we early on decided there will be no invited technology or fussiness. This means no movie watching, tv’s, computers, internet, or even phones. We are always in a constant state of stocking the place with books for kids and us adults, and we have our favorite family photos for art, and plenty of music for therapy. We do have our cell phones in case of emergency only – we never use them for chatting. Like my grandfather always said, phones are not for entertainment. Say what you need to say and get off of it (phone). I have always stuck to that informal rule.

Our house sits on a ridge overlooking the Blue Ridge mountains, and although the house is ultilitarian, practical, and homely, the view is excessively majestic.

Funny enough, in our humble abode high above the clouds, is where we feel most grounded. Without the influence of the world, and our email – our family operates in greatest harmony. We spend time communicating more fully, working harder (there is wood to be chopped to stay warm, for example), and leaving a smaller carbon footprint. When we pull back from the fast paced lifestyle we deliberately inject ourselves into every day – we realize how unimportant our daily pursuits are compared to the eternity of our souls.

It begs to ask the question – if we are most content in a house 75% smaller, if we are more family focused, in harmony with nature, with the earth, with others around us (heck, we know all our neighbors in the mountains!) – then what good is staying on the fast track?
As my husband wrote to me today, and as so many wise people and ancient spiritual texts will agree, we know how to recognize contentment through enduring adversity. In other words, we have to mire through the “bad” to know how to recognize and enjoy the “good”.

We all have the opportunity to enact radical change in the world by making careful decisions about our own individual life. As I race forward through this workweek and enter into a nonstop work filled weekend, only interrupted by the thousands of miles I must fly to get there; my husband and children will be entering into the simplistic enigma of a more monastic type life. I wonder how we will interact when they return from their retreat weekend and the auto-adjustment of priorities that it provides, while I return from a fast paced 7 day work week, having flown thousands of miles after giving a 16 hour lecture over 2 days in a captivating super stimulated big city.

I would like to say that I should be grateful that I have work, that we are blessed to have a mountain retreat, and that I do not have the right to complain about anything. This is true – but the heart of the question still exists – the question we must all ask ourselves. Are we living the best lifestyle that we can, in harmony with the earth and others, are we over-consuming and under-appreciating, are we spending time doing what we should be doing, or what we think we should be doing, are we wasting time trying to please others, or are we working toward a greater good?

A close childhood friend of mine recently found me online and reconnected with me. Surprised as I was, I was grateful for this reconnection, as I always have wondered what happened to him through the years. I learned that in these decades that have passed, he has now come full circle (like so many of us). He is a minister and missionary. If you can think back to some of your childhood friends, you would probably be as shocked as I was to learn this about him. I was thrilled. Thrilled for him and for his journey. This weekend as I jet off to my urban work and as my husband travels into serenity, my long lost childhood friend now minister will be traveling to a remote town to give a week of his life helping Native American Indians rebuild their community. He is a missionary, and when I or anyone else hears of someone doing work like this – they breathe a sigh of relief. Ahh, we collectively say, here is the man or woman who is fighting the Good Fight, doing Good Work, and not for his own gain.

So I realize that what I am really wanting for me and my family – heck, for the whole world – is not so much a “permanent mountain retreat lifestyle” but a permanent attitude adjustment. An attitude of gratitude, that no matter what size my house is, or if I am covered up with work or out of work, whether I am working for a paycheck or working for free, whether I get to take a vacation or not, I will be content. We will all recognize that at any time, we have the control to relinquish micro-control over our lives and enjoy the view (no matter what the view is).

We can breathe a sigh of relief.

*a view from our mountain cabin, 2005