Exercise Is Therapy Quotes

Make a schedule for yourself that incorporates time for phone calls to catch up with your annoying family and friends, sex with your boyfriend, exercise, dinners, therapy, parties, texting, social networking, mani-pedis, shopping, and the work that’s gonna get you paid to maintain the lifestyle you so desire! Create boundaries and structure! You have to be your own parent!

When a person is in emotional pain, it’s hard to be rational and to think of a good solution. Nevertheless, many of the coping strategies used by people with overwhelming emotions only serve to make their problems worse.

This is data as you have never known it: it is data as therapy. It is understanding as a source of mental peace. Because the world is not as dramatic as it seems. Factfulness, like a healthy diet and regular exercise, can and should become part of your daily life. Start to practice it, and you will be able to replace your overdramatic worldview with a worldview based on facts. You will be able to get the world right without learning it by heart. You will make better decisions, stay alert to real dangers and possibilities, and avoid being constantly stressed about the wrong things.

I was in therapy for a bit. Now I do CBT exercises.” “Do you, though?” Strike asked mildly. “Because I bought vegetarian bacon a week ago, but it’s not making me any healthier, just sitting there in the fridge.

Criticizing yourself all the time or being overly judgmental of a situation is like wearing dark sunglasses indoors.

I must choose to believe, to care, to hold dear. I keep going. I go to therapy. I try a different medication. I meditate, even though I despise meditation. I exercise. I wait. I work to believe, to hold dear, to go on.

It must stink to know everyone’s future but your own. (Danger) You’ve no idea. It’s actually cruel in my opinion. But then maybe it doesn’t matter after all since futures can and do change. Something as simple as you’re supposed to turn right down a street one day…and in your bones you know it, and yet for reasons no one understands, you decide to debunk fate and go left. Now instead of meeting the spouse of your dreams and having a house full of kids, you get flattened by an ice-cream truck and spend the next five years in physical therapy. And all because you exercised free will and turned the opposite way on a whim. (Alexion)

Depression is a serious problem, but drugs are not the answer. In the long run, psychotherapy is both cheaper and more effective, even for very serious levels of depression. Physical exercise and self-help books based on CBT can also be useful, either alone or in combination with therapy. Reducing social and economic inequality would also reduce the incidence of depression.

Happiness is a state of mental,physical and spiritual well-being. Think pleasantly,engaged sport and read daily to enhance your well-being.

Remember, sometimes pain can’t be avoided, but many times suffering can. Take,

By failing to engage it in intellectually challenging activities, your brain will fail to grow new connections, and it will indeed become disorganized and ultimately dysfunctional. The converse is also true for both body and brain. If someone who has not been physically active for a sustained period starts a program of physical therapy and regular exercise, she can regain her muscle mass and tone within a matter of months. The same thing is true of your brain.

The single biggest factor determining recovery and remission from Myalgic Encephalomyelitis (M.E.) at this point is undoubtedly appropriate rest in the early and/or severe stages of the illness. The importance of avoiding overexertion in M.E. can not be overestimated.

However, do not confuse distraction with avoidance. When you avoid a distressing situation, you choose not to deal with it. But when you distract yourself from a distressing situation, you still intend to deal with it in the future, when your emotions have calmed down to a tolerable level. The

In hindsight, I see it was my decision not to let go. I didn't know how, though some days I focused completely on it: using therapy, distraction, exercise. Other days I left myself wildly grieve. Finn affects it all: every conversation I have, what I choose to wear, what books I read, what films and shows I watch. There's that Buddhist quote, (S)he who angers you owns you. She owned me. I allowed it. She controlled me. I knew this feeling of misery would pass, that what I needed was time, but I was impatient. Unfortunately, we must live through the present to get to the future, writes Hanif Kureishi in his novel Intimacy.

I once met a woman who'd been in therapy... and it seemed like the big thing she'd learned was to ignore everything she thought in the first hour of the day. That's when the negative stuff will try to bring you down, she said, and she was right about that but not much else. You come back from the night with your head and your soul empty, and bad things try to fill you up. There's a lot to get exercised about, if you let it. But if you've got a task, something to fill your head and move your limbs, by the time you've finished it the day has begun ands you're onto the next thing. You're over the hump, like I said.

Speech therapy is an art that deserves to be more widely known. You cannot imagine the acrobatics your tongue mechanically performs in order to produce all the sounds of a language. Just now I am struggling with the letter l, a pitiful admission for an editor in chief who cannot even pronounce the name of his own magazine! On good days, between coughing fits, I muster enough energy and wind to be able to puff out one or two phonemes. On my birthday, Sandrine managed to get me to pronounce the whole alphabet more or less intelligibly. I could not have had a better present. It was as if those twenty-six letters and been wrenched from the void; my own hoarse voice seemed to emanate from a far-off country. The exhausting exercise left me feeling like a caveman discovering language for the first time. Sometimes the phone interrupts our work, and I take advantage of Sandrine's presence to be in touch with loved ones, to intercept and catch passing fragments of life, the way you catch a butterfly. My daughter, Celeste, tells me of her adventures with her pony. In five months she will be nine. My father tells me how hard it is to stay on his feet. He is fighting undaunted through his ninety-third year. These two are the outer links of the chain of love that surrounds and protects me. I often wonder about the effect of these one-way conversations on those at the other end of the line. I am overwhelmed by them. How dearly I would love to be able to respond with something other than silence to these tender calls. I know that some of them find it unbearable. Sweet Florence refuses to speak to me unless I first breathe noisily into the receiver that Sandrine holds glued to my ear. "Are you there, Jean-Do?" she asks anxiously over the air. And I have to admit that at times I do not know anymore.

Some seek the comfort of their therapist’s office, others head for the corner pub and dive into a pint, but I choose running as my therapy. It was the best source of renewal there was. I couldn’t recall a single time that I felt worse after a run than before. What drug could compete? As Lily Tomlin said, “Exercise is for people who can’t handle drugs and alcohol.” I’d also come to recognize that the simplicity of running was quite liberating. Modern man has virtually everything one could desire, but too often we’re still not fulfilled. “Things” don’t bring happiness. Some of my finest moments came while running down the open road, little more than a pair of shoes and shorts to my name. A runner doesn’t need much. Thoreau once said that a man’s riches are based on what he can do without. Perhaps in needing less, you’re actually getting more.

Another, related issue is that longevity itself, and healthspan in particular, doesn’t really fit into the business model of our current healthcare system. There are few insurance reimbursement codes for most of the largely preventive interventions that I believe are necessary to extend lifespan and healthspan. Health insurance companies won’t pay a doctor very much to tell a patient to change the way he eats, or to monitor his blood glucose levels in order to help prevent him from developing type 2 diabetes. Yet insurance will pay for this same patient’s (very expensive) insulin after he has been diagnosed. Similarly, there’s no billing code for putting a patient on a comprehensive exercise program designed to maintain her muscle mass and sense of balance while building her resistance to injury. But if she falls and breaks her hip, then her surgery and physical therapy will be covered. Nearly all the money flows to treatment rather than prevention—and when I say “prevention,” I mean prevention of human suffering.

The uncomfortable, as well as the miraculous, fact about the human mind is how it varies from individual to individual. The process of treatment can therefore be long and complicated. Finding the right balance of drugs, whether lithium salts, anti-psychotics, SSRIs or other kinds of treatment can be a very hit or miss heuristic process requiring great patience and classy, caring doctoring. Some patients would rather reject the chemical path and look for ways of using diet, exercise and talk-therapy. For some the condition is so bad that ECT is indicated. One of my best friends regularly goes to a clinic for doses of electroconvulsive therapy, a treatment looked on by many as a kind of horrific torture that isn’t even understood by those who administer it. This friend of mine is just about one of the most intelligent people I have ever met and she says, “I know. It ought to be wrong. But it works. It makes me feel better. I sometimes forget my own name, but it makes me happier. It’s the only thing that works.” For her. Lord knows, I’m not a doctor, and I don’t understand the brain or the mind anything like enough to presume to judge or know better than any other semi-informed individual, but if it works for her…. well then, it works for her. Which is not to say that it will work for you, for me or for others.

For people who are depressed, and especially for those who do not receive enough benefit from medication of for whom the side effects of antidepressants are troubling, the fact that placebos can duplicate much of the effects of antidepressants should be taken as good news. It means that there are other ways of alleviating depression. As we have seen, treatments like psychotherapy and physical exercise are at least as effective as antidepressant drugs and more effective than placebos. In particular, CBT has been shown to lower the risk of relapsing into depression for years after treatment has ended, making it particularly cost effective.

With a strange logic, [Rod Liddle] asserts that because ME patients deny that they have a psychiatric disorder, this proves they have a psychiatric disorder. Meanwhile, people are quietly dying of ME. ME sufferer Emily Collingridge died, aged 30; Victoria Webster died at just 18. People don’t die from ‘exercise phobia’. ME is not ‘lethargy’ and ‘aches and pains’, as Liddle claims. Severe ME is lying in a darkened room, alone, in agonising pain, tube-fed, catheterised, too weak to move or speak.

we see cardiac diastolic dysfunction in almost every case... there are patients whose diastolic dysfunction is so low/poor that they would fit well into a cardiac ward awaiting transplant... The whole idea that you can take a disease like this [M.E./Chronic Fatigue Syndrome] and exercise your way to health is foolishness. It is insane.

While in principle groups for survivors are a good idea, in practice it soon becomes apparent that to organize a successful group is no simple matter. Groups that start out with hope and promise can dissolve acrimoniously, causing pain and disappointment to all involved. The destructive potential of groups is equal to their therapeutic promise. The role of the group leader carries with it a risk of the irresponsible exercise of authority. Conflicts that erupt among group members can all too easily re-create the dynamics of the traumatic event, with group members assuming the roles of perpetrator, accomplice, bystander, victim, and rescuer. Such conflicts can be hurtful to individual participants and can lead to the group’s demise. In order to be successful, a group must have a clear and focused understanding of its therapeutic task and a structure that protects all participants adequately against the dangers of traumatic reenactment. Though groups may vary widely in composition and structure, these basic conditions must be fulfilled without exception. Commonality with other people carries with it all the meanings of the word common. It means belonging to a society, having a public role, being part of that which is universal. It means having a feeling of familiarity, of being known, of communion. It means taking part in the customary, the commonplace, the ordinary, and the everyday. It also carries with it a feeling of smallness, or insignificance, a sense that one’s own troubles are ‘as a drop of rain in the sea.’ The survivor who has achieved commonality with others can rest from her labors. Her recovery is accomplished; all that remains before her is her life.

Futures can and do change, something as simple as you're supposed to turn right down a street one day... In your bones u know it, and yet for reasons no one understands, you decide to debunk fate and go left. Now instead of meeting your spouse of your dreams and having a house full of kids, you get flattened by an ice-cream truck and spend the next 5 years in physical therapy recovering from the injuries; or worse you die from it. And all cause you exercised free will and turned the opposite way on a whim.

A modern fad which has gained widespread acceptance amongst the semi-educated who wish to appear secular is the practice of meditation. They proclaim with an air of smug superiority, ‘Main mandir-vandir nahin jaata, meditate karta hoon (I don’t go to temples or other such places, I meditate).’ The exercise involves sitting lotus-pose (padma asana), regulating one’s breathing and making your mind go blank to prevent it from ‘jumping about like monkeys’ from one (thought) branch to another. This intense concentration awakens the kundalini serpent coiled at the base of the spine. It travels upwards through chakras (circles) till it reaches its destination in the cranium. Then the kundalini is fully jaagrit (roused) and the person is assured to have reached his goal. What does meditation achieve? The usual answer is ‘peace of mind’. If you probe further, ‘and what does peace of mind achieve?’, you will get no answer because there is none. Peace of mind is a sterile concept which achieves nothing. The exercise may be justified as therapy for those with disturbed minds or those suffering from hypertension, but there is no evidence to prove that it enhances creativity. On the contrary it can be established by statistical data that all the great works of art, literature, science and music were works of highly agitated minds, at times minds on the verge of collapse. Allama Iqbal’s short prayer is pertinent: Khuda tujhey kisee toofaan say aashna kar dey Keh terey beher kee maujon mein iztiraab naheen (May God bring a storm in your life, There is no agitation in the waves of your life’s ocean.)

...patient evidence has repeatedly found that cognitive behaviour therapy is ineffective and graded exercise therapy can make the condition worse.

You can reach maximum performance by engaging in physical activities.

Though there is only a slight gradient from our house to the main road, it could have been the North face of the Eiger. I just could not get up it.

Writing quotes is physiotherapy for the brain.

The claim that patients can recover [from ME/CFS] as a result of CBT and GET is not justified by the data, and is highly misleading to clinicians and patients considering these treatments.

Choose a color that reflects how you’re feeling today. 2.Draw a circle with that color. 3.In that circle, use lines and shapes to draw an image or images to identify how you’re feeling today. 4.Name your art.

. . .If you ever, ever feel like you’re nothing you’re perfect to me. You’re so mean When you talk about yourself, you are wrong Change the voices in your head Make them like you instead. . . excerpted from “Perfect” by Pink

What is different about meditation and a number of other practices like talk therapy or exercise or sound nutrition is that we are deliberately shaping our brains, intervening in the building process. Someone once argued that there is no choice

The recommendation of graded exercise has caused untold physical damage to thousands of people. In fact, a 2018 survey found that 89% of ME sufferers experienced worsened symptoms after increasing activity. If graded exercise were a drug, it would have lost its licence.

The word dialectic (in dialectical behavior therapy) means to balance and compare two things that appear very different or even contradictory. In dialectical behavior therapy, the balance is between change and acceptance (Linehan, 1993a). You need to change the behaviors in your life that are creating more suffering for yourself and others while simultaneously also accepting yourself the way you are. This might sound contradictory, but it’s a key part of this treatment. Dialectical behavior therapy depends on acceptance and change, not acceptance or change.

Brain development studies have shown that a traumatized brain is impaired in its ability to focus on language or verbal content. Instead, it tends to focus on processing nonverbal danger cues—body movements, facial expressions, and tone of voice—as it searches for information about danger and threat.

Follow your doctor’s orders. For me that means antidepressants and behavioral therapy. Exercise thirty minutes a day, six days a week. Get sunlight, or if you can’t, use light therapy. Do not overuse your light therapy lamp even though you want to. Treat yourself like you would your favorite pet. Plenty of fresh water, lots of rest, snuggles as needed, allow yourself naps. Avoid negativity. That means the news, people, movies. It will all be there when you’re healthy again. The world will get on without your seeing it. Forgive yourself. For being broken. For being you. For thinking those are things that you need forgiveness for. Those terrible things you tell yourself? Can you imagine if the person you love most were telling themselves those things? You’d think they were crazy. And wrong. They think the same about you. Those negative things you are thinking are not rational. Remember that depression lies and that your brain is not always trustworthy. Give yourself permission to recover. I’m lucky that I can work odd hours and take mental health days but I still feel shitty for taking them. Realize that sometimes these slow days are necessary and healthy and utterly responsible. Watch Doctor Who. Love on an animal. Go adopt a rescue, or if you can’t, go to the shelter and just snuggle a kitten. Then realize that that same little kitten that you’re cradling isn’t going to accomplish shit but is still wonderful and lovely and so important. You are that kitten. Get up. Go brush your teeth. Go take a hot shower. If you do nothing else today just change into a new pair of pajamas. It helps. Remember that you are not alone. There are crisis lines filled with people who want to help. There are people who love you more than you know. There are people who can’t wait to meet you because you will teach them how unalone they are. You are so worthy of happiness and it will come.

We don’t treat each other very well, I suppose. Even from the start. It was as though we had the seven-year itch the day we met. The day she went into a coma, I heard her telling her friend Shelley that I was useless, that I leave my socks hanging on every doorknob in the house. At weddings we roll our eyes at the burgeoning love around us, the vows that we know will morph into new kinds of promises: I vow not to kiss you when you’re trying to read. I will tolerate you in sickness and ignore you in health. I promise to let you watch that stupid news show about celebrities, since you’re so disenchanted with your own life. Joanie and I were urged by her brother, Barry, to subject ourselves to counseling as a decent couple would. Barry is a man of the couch, a believer in weekly therapy, affirmations, and pulse points. Once he tried to show us exercises he’d been doing in session with his girlfriend. We were instructed to trade reasons, abstract or specific, why we stayed with each other. I started off by saying that Joanie would get drunk and pretend I was someone else and do this neat thing with her tongue. Joanie said tax breaks. Barry cried. Openly. His second wife had recently left him for someone who understood that a man didn’t do volunteer work.

This reorienting is not an attempt to avoid or discount clients' pain and ongoing suffering. Rather, it is a means to help them observe, firsthand, how their chronic orienting tendencies toward reminders of the past recreate the trauma-related experience of danger and powerlessness, whereas choosing to orient to a good feeling can result in an experience of safety and mastery. As clients become able to do so the new objects of orientation often become more defined and & Goodman 1951). Rather than attention being drawn repeatedly to physical pain or traumatic activation, the good feeling becomes more prominent in the client's awareness. This exercise of reorienting toward a positive stimulus can surprise and reassure clients that they are not imprisoned indefinitely in an inner world of chronic traumatic reexperiencing, and that they have more possibilities and control than they had imagined. These orienting exercises need to be practiced again and again for mastery.

CBT is a much publicised and debated psychotherapeutic intervention for ME/CFS….The premise that cognitive therapy (eg. changing ‘illness beliefs’) and graded activity can ‘reverse’ or cure this illness is not supported by post-intervention outcome data. In routine medical practice, CBT has not yielded clinically significant outcomes for patients with ME/CFS.

Contrary to popular belief, sitting in front of the television or computer is a poor way to relieve stress. Instead, stress relief is an active process. There are many time-tested methods of stress relief, including mindfulness meditation, yoga, massage therapy and exercise. Studies on mindfulness intervention found that participants were able to use yoga, guided meditations and group discussion to successfully reduce cortisol and abdominal fat.

And so they easily suppose that this truce, owing to helplessness, is victory and that they have convinced the other man. But in fact, instead of winning him over, they have merely applied a kind of shock therapy — only it was never 'therapy.' They have smothered the first little flame of a man’s own spiritual life and a first shy question with the fire extinguisher of their erudition. By such performances a person can really be smothered and strangled!

My psychiatrist told me that when things get rough I should consider my battle with mental illness as if I were “exorcising a demon” and I was like, “Well, no wonder I’m failing so miserably. I’m shit at exercising.” Then she called me out for deflecting with humor, and explained: “You are exorcising a demon. It’s not something you can do alone. Some people do it with a priest and holy water. Some do it with faith. Some do it with chemicals and therapy. No matter what, it’s hard.

Due to persistently high elevation of stress hormones, which causes a reduction in the size of the hippocampus, survivors are often less able to put things in context and/or make critical distinctions about what is and what is not threatening in the present. Without this necessary discernment, survivors become more and more impulsive and less and less inhibited. In effect, what survivors are left with is a constantly hyperaroused autonomic nervous system, an inability to distinguish past from present threat.

Can you tell me why you added weight to your gown?" Dr. Chu asked. Another trick question. Bones shrugged. "I wanted you to think I was gaining weight." Dr. Chu nodded. "We need accurate records for every patient." (Our job is to make sure you gain as much weight as possible while you're here.) Dr. Chu leafed through Bones's file, checking off little boxes. "Since you lost weight--even with two stainless steel knives sewn into your gown, it's obvious you've been purging. Either by vomiting or--" (We have closed-circuit cameras and hidden microphones in your room.) "Or engaging in unauthorized exercise." (Bingo!) "I know this may be difficult," Dr. Chu said. "But the nutritionist and I have decided to raise your calories." (We won't be satisfied until you resemble a scrap-fed hog.) "Are you listening to me son?' Bones's eyeballs hurt from so much nodding. "Yes, sir." (Fuck you!) "One-hundred calories isn't as bad as it sounds." Dr. Chu dropped his voice, forcing Bones to learn forward in his chair. "That's it for now.

Regardless of a patient's true motives to get out of bed, I always applaud on the inside. That's what physical therapy is all about. To get them out of bed. To coax them down to the rehab gym. To do their strengthening exercises. To buy into the program. All in order to prepare them for the day they will eventually walk again. But I downplay my enthusiasm at a soldier's pain-tinged request for fear he'll figure out that's what I've been trying to get him to do and rebel. It's always better to make it seem like it is their idea all along.

As a physician bedridden with myalgic encephalomyelitis (ME) for more than a decade who is totally dependent on others, all thanks to a major relapse caused by GET, I am in a unique position to answer how harmful GET and cognitive behavioral therapy (CBT) really are. The basis of these therapies is false illness beliefs, meaning that it is all in the mind. These beliefs ignore all of the evidence that ME is a physical disease, such as intracellular immune dysfunctions, which not only restrict exercise capacity but also worsen with exercise (2).

ACEs instead of obesity, exercise and nutrition would still have been an important part of that. It wasn’t our initial intention to treat our patients’ toxic stress with dodgeball and cooking classes, but we were pleasantly surprised to see how much the kids improved when we added healthy diet and exercise incentives to therapy. I sat down to check in with the moms and grandmas each week, and they reported that when they changed their children’s diet and their levels of exercise went up, the kids slept better and felt healthier, and in many cases, their behavioral issues

Imagine you’re diagnosed with epilepsy: what would you think if you weren’t referred to a specialist but taken to a psychiatrist to treat you for your ‘false illness beliefs’? This is what happens to Myalgic Encephalomyelitis (ME) patients in the UK. They are told to ignore their symptoms, view themselves as healthy, and increase their exercise. The NHS guidelines amalgamate ME and Chronic Fatigue Syndrome, assuming symptoms are caused by deconditioning and ‘exercise phobia’. Sufferers are offered Graded Exercise to increase fitness, and Cognitive Behavioural Therapy (CBT) to rid them of their ‘false illness beliefs’.

Prediabetes is easily identified through clinical measurements such as insulin resistance, fasting glucose levels, and glycated hemoglobin (HbA1c, often abbreviated to A1c). Unfortunately, we act on these measurements far less frequently than we should. Early interventions are far easier and far more effective than the more complex and generally ineffective therapies available to treat advanced diabetes. In most cases, all it takes to reverse prediabetes are some straightforward lifestyle choices, including a decrease in dietary sugar and an increase in exercise. These changes require some discipline but are generally simple and even pleasurable.

On 13th December 1988 Brynmor John MP died from ME/CFS. His experience of the illness was all too familiar: ‘Though there is only a slight gradient from our house to the main road, it could have been the North face of the Eiger. I just could not get up it’. He found himself unable to dress; the slightest exertion exhausted him and it took days to regain his strength. He was irritated by the profusion of psychiatric comment and was trying to ensure better understanding of ME/CFS (Perspectives, Summer 1991:28‐30). Brynmor John suddenly collapsed and died as he was leaving the House of Commons gym after having been advised to exercise back to fitness.

Basics of Good Self-Care Exercise moderately but regularly Eat healthy but delicious meals Regularize your sleep cycle Practice good personal hygiene Don’t drink to excess or abuse drugs Spend some time every day in play Develop recreational outlets that encourage creativity Avoid unstructured time Limit exposure to mass media Distance yourself from destructive situations or people Practice mindfulness meditation, or a walk, or an intimate talk, every day Cultivate your sense of humor Allow yourself to feel pride in your accomplishments Listen to compliments and expressions of affection Avoid depressed self-absorption Build and use a support system Pay more attention to small pleasures and sensations Challenge yourself

Patients who develop ME/CFS often lose the natural antidepressant effect of exercise, feeling worse after exercise rather than better. Patients may have a drop in body temperature with exercise. Thus fatigue is correlated with other symptoms, often in a sequence that is unique to each patient. After relatively normal physical or intellectual exertion, a patient may take an inordinate amount of time to regain her/his pre-exertion level of function and competence. For example, a patient who has bought a few groceries may be too exhausted to unpack them until the next day. The reactive fatigue of post-exertional malaise or lack of endurance usually lasts 24 hours or more and is often associated with impairment of cognitive functions. There is often delayed reactivity following exertion, with the onset the next day, or even later.

I am well aware that certain exercises, tasks setup by the facilitator, can practically force the group to more of a here-and-now communication or more of a feeling level. There are leaders who do these very skillfully, and with good effect at the time. However, I am enough of a scientist-clinician to make many casual follow-up inquiries, and I know that frequently the lasting result of such procedures is not nearly as satisfying as the immediate effect. At it's best it may lead to discipleship (which I happen not to like): "What a marvelous leader he is to have made me open up when I had no intention of doing it!" It can also lead to a rejection of the whole experience. "Why did I do those silly things he asked me to?" At worst, it can make the person feel that his private self has been in some way violated, and he will be careful never to expose himself to a group again. From my experience I know that if I attempt to push a group to a deeper level it is not, in the long run, going to work.

Polyvagal Theory proposes a neurophysiological model of safety and trust. The model emphasizes that safety is defined by feeling safe and not by the removal of threat. Feeling safe is dependent on three conditions: 1) the autonomic nervous system cannot be in a state that supports defense; 2) the social engagement system needs to be activated to down regulate sympathetic activation and functionally contain the sympathetic nervous system and the dorsal vagal circuit within an optimal range (homeostasis) that would support health, growth, and restoration; and 3) to detect cues of safety (e.g., prosodic vocalizations, positive facial expressions and gestures) via neuroception. In everyday situations, the cues of safety may initiate the sequence by triggering the social engagement system via the process of neuroception, which will contain autonomic state within a homeostatic range and restrict the autonomic nervous system from reacting in defense. This constrained range of autonomic state has been referred to as the window of tolerance (see Ogden et. al. 2006; Siegel, 1999) and can be expanded through neural exercises embedded in therapy. See: throughout

If you're involved in a motorcycle accident, this can result in devastating injuries, permanent disability or perhaps put you on on-going dependency on healthcare care. In that case, it's prudent to make use of Los Angeles motorcycle accident attorneys to assist safeguard your legal rights if you are a victim of a motorcycle accident. How a san diego car accident attorney Aids An experienced attorney will help you, if you're an injured motorcycle rider or your family members in case of a fatal motorcycle accident. Hence, a motorcycle accident attorney assists you secure complete and commensurate compensation because of this of accident damages. In the event you go it alone, an insurance coverage company may possibly take benefit and that's why you'll need to have a legal ally by your side till the case is settled to your satisfaction. If well represented after a motorcycle collision, you may get compensation for: Present and future lost income: If just after motor cycle injury you cannot perform and earn as just before, you deserve compensation for lost income. This also applies for a loved ones that has a lost a bread-winner following a fatal motorcycle crash. Existing and future healthcare costs, rehabilitation and therapy: these consist of any health-related fees incurred because of this of the accident. Loss of capability to take pleasure in life, pain and mental anguish: a motorcycle crash can lessen your good quality of life if you cannot stroll, run, see, hear, drive, or ride any longer. That is why specialists in motor cycle injury law practice will help with correct evaluation of your predicament and exercise a commensurate compensation. As a result, usually do not hesitate to speak to Los Angeles motorcycle accident attorneys in case you are involved in a motor cycle accident. The professionals will help you file a case within a timely fashion also as expedite evaluation and compensation. This could also work in your favor if all parties involved agree to an out-of-court settlement, in which case you incur fewer costs.

DRY SAUNA Numerous cultures use sweat lodges, steam baths, or saunas for cleansing and purification. Many health clubs and big apartment buildings have saunas and steam baths, and more and more people are building saunas in their own homes. Low-to-moderate-temperature saunas are one of the most important ways to detoxify from pesticide exposure. Head-to-toe perspiration through the skin, the largest organ of elimination, releases stored toxins and opens the pores. Fat that is close to the skin is heated, mobilized, and broken down, releasing toxins and breaking up cellulite. The heat increases metabolism, burns off calories, and gives the heart and circulation a workout. This is a boon if you don’t have the energy to exercise. It is well known in medicine that a fever is the body’s way of burning off an infection and stimulating the immune system. Fever therapy and sauna therapy are employed at alternative medicine healing centers to do just that. The controlled temperature in a sauna is excellent for relaxing muscular aches and pains and relieving sinus congestion. The only way I made it through my medical internship was by having regular saunas to reduce the daily stress. FAR-INFRARED (FIR) SAUNAS FIR saunas are inexpensive, convenient, and highly effective. Detox expert Dr. Sherry Rogers says that FIR is a proven and efficacious way of eliminating stored environmental toxins, and she thinks everyone should use one. There are one-person Sauna Domes that you lie under or more elaborate sauna boxes that seat several people. The far infrared provides a heat that increases the body temperature but the surrounding air is not overly heated. One advantage of the dome is that your head remains outside, which most people find more comfortable and less confining. Sweating begins within minutes of entering the dome and can be continued for thirty to sixty minutes. Besides the hundreds of toxins that can be removed through simple sweating, the heat of saunas creates a mild shock to the body, which researchers feel acts as a stimulus for the body’s cells to become more efficient. The outward signs are the production of sweat to help decrease the body temperature, but there is much more going on. Further research on sauna therapy is destined to make it an important medical therapy.

Remind yourself where you come from. I spent the majority of my life running away from Utah, from the life I led there, from the memories I associated with those early years. It felt very someone-else-ago to me. London changed me profoundly. When we were dancing on DWTS together, Jennifer Grey called me one night. She was having trouble with her back and wanted to see a physiotherapist. “Can you come with me?” she asked. She drove us through a residential section of Beverly Hills. We pulled into a house with a shed out back. Oddly, it didn’t look like a doctor’s office. There was a couch and incense burning. An Australian guy with a white beard came in : “Hey, mates.” I looked at Jen and she winked at me. This was no physical therapy. She’d signed us up for some bizarre couples therapy! The guy spoke to us for a while, then he asked Jennifer if she wouldn’t mind leaving us to chat. I thought the whole thing was pretty out there, but I didn’t think I could make a run for it. “So, Derek,” he said. “Tell me about your childhood.” I laid it all out for him--I talked for almost two hours--and he nodded. “You can go pick him up now.” I raised an eyebrow. “Pick who up?” The therapist smiled. “That younger boy, that self you left in Utah. You left him there while you’ve been on a mission moving forward so vigorously. Now you can go get him back.” I sat there, utterly stunned and speechless. It was beyond powerful and enlightening. Had I really left that part of me behind? Had I lost that fun-loving, wide-eyed kid and all his creative exuberance? When I came out of my therapy session, Jennifer was waiting for me. “If I’d told you this was where we were going, you wouldn’t have come,” she said. She was right. She had to blindside me to get me to grapple with this. She’s a very spiritual person, and she saw how I was struggling, how I seemed to be in some kind of emotional rut. Just visualizing myself taking the old Derek by the hand was an incredible exercise. I think we often tuck our younger selves away for safekeeping. In my case, I associated my early years with painful memories. I wanted to keep young Derek at a distance. But what I forgot was all the good I experienced with him as well: the joy, the hope, the excitement, the wonder. I forgot what a great kid Derek was. I gave myself permission to reconnect with that little boy, to see the world through his eyes again. It was the kick in the butt I needed. Jennifer would say, “Told ya so.

Although there are certainly a number Hair Loss regarding treatments offering great results, experts say that normal thinning hair treatment can easily yield some of the best rewards for anybody concerned with the fitness of their head of hair. Most people choose to handle their hair loss along with medications or even surgical treatment, for example Minoxidil or even head of hair hair transplant. Nevertheless many individuals fail to realize that treatment as well as surgical procedure are costly and may have several dangerous unwanted effects and also risks. The particular safest and a lot cost efficient form of thinning hair treatment therapy is natural hair loss remedy, which includes healthful going on a diet, herbal solutions, exercise as well as good hair care strategies. Natural thinning hair therapy is just about the "Lost Art" associated with locks restore and is frequently ignored as a type of treatment among the extremely expensive options. A simple main within normal hair loss treatment methods are that the identical food items which are great for your health, are good for your hair. Although hair loss may be caused by many other factors, not enough correct diet will cause thinning hair in most people. Foods which are loaded with protein, lower in carbohydrates, and have decreased excess fat articles can help in maintaining healthful hair as well as preventing hair loss. For instance, efa's, seen in spinach, walnuts, soy products, seafood, sardines, sunflower seed products and also canola acrylic, are important eating essentials valuable in maintaining hair wholesome. The omega-3 and also rr Half a dozen efas contain anti-inflammatory properties that are valuable in maintaining healthier hair. Insufficient amounts of these types of efa's may lead to more rapidly hair loss. A deficiency in nutritional B6 and also vitamin B12 can also result in excessive hair thinning. Food items containing B vitamins, like liver organ, poultry, seafood and soybean are important to healthier hair growth and normal thinning hair treatment. Both vitamin B6 and also vitamin B12 are simply within protein rich foods, which are needed to preserve natural hair growth. Vitamin b are incredibly essential to your diet plan to avoid extreme hair thinning. Certain nutritional vitamins as well as supplements are often essential to recover protein amounts which in turn, are helpful in stopping thinning hair. Growing b vitamin consumption in your diet is an effective method to avoid or perhaps treat hair damage naturally. Alongside the thought of eating healthily regarding vitamins, nutrients and also vitamins and minerals are also the utilization of herbal treatments which are good at preventing hair thinning as a organic thinning hair therapy. One of the herbal remedies producing healthcare head lines will be Saw Palmetto. Although most studies regarding Saw palmetto extract happen to be for your management of prostatic disease, more modern numerous studies have been carried out about its effectiveness for hair thinning. The actual plant has been seen as to operate in eliminating benign prostatic disease by lowering degrees of Dihydrotestosterone, the industry known cause of androgenic alopecia, the medical phrase regarding man or woman routine hair loss. While there isn't any clinical trials supporting this herb's usefulness being a normal hair thinning treatment, there is certainly some dependable investigation proving that it could decrease androgen exercise within

THE VISION EXERCISE Create your future from your future, not your past. WERNER ERHARD Erhard Founder of EST training and the Landmark Forum The following exercise is designed to help you clarify your vision. Start by putting on some relaxing music and sitting quietly in a comfortable environment where you won’t be disturbed. Then, close your eyes and ask your subconscious mind to give you images of what your ideal life would look like if you could have it exactly the way you want it, in each of the following categories: 1. First, focus on the financial area of your life. What is your ideal annual income and monthly cash flow? How much money do you have in savings and investments? What is your total net worth? Next . . . what does your home look like? Where is it located? Does it have a view? What kind of yard and landscaping does it have? Is there a pool or a stable for horses? What does the furniture look like? Are there paintings hanging in the rooms? Walk through your perfect house, filling in all of the details. At this point, don’t worry about how you’ll get that house. Don’t sabotage yourself by saying, “I can’t live in Malibu because I don’t make enough money.” Once you give your mind’s eye the picture, your mind will solve the “not enough money” challenge. Next, visualize what kind of car you are driving and any other important possessions your finances have provided. 2. Next, visualize your ideal job or career. Where are you working? What are you doing? With whom are you working? What kind of clients or customers do you have? What is your compensation like? Is it your own business? 3. Then, focus on your free time, your recreation time. What are you doing with your family and friends in the free time you’ve created for yourself? What hobbies are you pursuing? What kinds of vacations do you take? What do you do for fun? 4. Next, what is your ideal vision of your body and your physical health? Are you free of all disease? Are you pain free? How long do you live? Are you open, relaxed, in an ecstatic state of bliss all day long? Are you full of vitality? Are you flexible as well as strong? Do you exercise, eat good food, and drink lots of water? How much do you weigh? 5. Then, move on to your ideal vision of your relationships with your family and friends. What is your relationship with your spouse and family like? Who are your friends? What do those friendships feel like? Are those relationships loving, supportive, empowering? What kinds of things do you do together? 6. What about the personal arena of your life? Do you see yourself going back to school, getting training, attending personal growth workshops, seeking therapy for a past hurt, or growing spiritually? Do you meditate or go on spiritual retreats with your church? Do you want to learn to play an instrument or write your autobiography? Do you want to run a marathon or take an art class? Do you want to travel to other countries? 7. Finally, focus on the community you’ve chosen to live in. What does it look like when it is operating perfectly? What kinds of community activities take place there? What charitable, philanthropic, or volunteer work? What do you do to help others and make a difference? How often do you participate in these activities? Who are you helping? You can write down your answers as you go, or you can do the whole exercise first and then open your eyes and write them down. In either case, make sure you capture everything in writing as soon as you complete the exercise. Every day, review the vision you have written down. This will keep your conscious and subconscious minds focused on your vision, and as you apply the other principles in this book, you will begin to manifest all the different aspects of your vision.

Are vegetarian diets an effective alternative, or complement, to drugs and surgery? Although studies designed to answer this question are limited in number and small in size, their results are encouraging. In 1990, Dr. Dean Ornish demonstrated that a very low-fat vegetarian diet (less than 10 per cent calories from fat) and lifestyle changes (stress management, aerobic exercise, and group therapy) could not only slow the progression of atherosclerosis, but significantly reverse it. After one year, 82 per cent of the experimental group participants experienced regression of their disease, while in the control group the disease continued to progress. The control group followed a “heart healthy” diet commonly prescribed by physicians that provided less than 30 per cent calories from fat and less than 200 milligrams of cholesterol a day. Over the next four years, people in the experimental group continued to reverse their arterial damage, while those in the control group became steadily worse and had twice as many cardiac events. In 1999, Dr. Caldwell Esselstyn reported on a twelve-year study of eleven patients following a very low-fat vegan diet, coupled with cholesterol-lowering medication. Approximately 70 per cent experienced reversal of their disease. In the eight years prior to the study, these patients experienced a total of forty-eight cardiac events, while in over a decade of the trial, only one non-compliant patient experienced an event.

Life Path # 11: You are highly intuitive and you are gifted with amazing psychic abilities. Without any effort you become a source of inspiration for other people. You have this innate ability to connect the subconscious and the conscious and the higher and the lower realms. You are a natural psychic. Eleven is the life path of many prophets, inventors, historical leaders, religious leaders and artists. They usually don’t progress early in life but they are destined to accomplish more than other life paths. When they reach the age of maturity (35-45) their success starts to bloom. Confidence is the key to success for the Eleven. Your tremendous potential needs equally tremendous confidence for you to realize your dreams. Without confidence, you are reduced to nothing. As a higher vibration of the number 2, you have many characteristics, talents and tendencies inherent to the Twos. You have to guard your nervous system from stress. Seek out peace and harmony and you will find it in nature. Exercise and diet is necessary for you. Just like the number 2, you love harmony and peace and you possess a refined taste for beauty. You are best suited to anything that requires healing like physical therapy, acupuncture, massage and counseling. As a partner, you know what your partner needs and desires.

After a patient of his with pneumonia coughed in his face, Vink’s energy and endurance quickly tanked. He estimated that from one day to the next he lost 70-80% of the power in his legs. Very quickly this former marathoner was unable to walk 30 yards without having to rest for 15 minutes. He also experienced severe dizziness, headaches (for the first time in his life) and problems sleeping. Graded exercise therapy (GET) caused him to relapse further and he ended up bedridden.

The study by Falk Hvidberg et al. [69] confirms the findings from the health status report by Komaroffet al. from 1996 [70]. It also means that nothing has changed in the health situation of ME/CFS patients in the last 20 years and that means that the current 2 available treatments, CBT and GET, which have been heavily promoted for more than 20 years as the treatments for ME/ CFS, which most ME patients have tried, because they desperately want to get better, are not effective at all, or even harmful, as patients have been saying for a long time [32] which was confirmed and objectified by Black et al. [31].

The largest and most recent ME Association survey (ME Association, 2015) of patient evidence on the acceptability, efficacy and safety of CBT, GET and Pacing involved 1428 respondents. In this case, 73 per cent of respondents reported that CBT had no effect on their symptoms and 74 per cent reported that their symptoms were made worse by GET.

...exercise has not been shown to produce a long term cure for ME/CFS and studies have not shown that exercise reverses the pathophysiological changes found in this illness... ...for many patients, adding an injudicious exercise program has caused post exertional malaise and deterioration of function

Activities of daily living utilize energy and are in themselves, exercise. These activities may constitute an optimum amount of exercise for some patients or an excessive amount of exercise for others while for some patients, adding a suitable exercise program (exercise therapy) can improve function and quality of life.

rule of thumb for patients craving sweet: Start with a big glass of water. Wait fifteen minutes. If you are still wanting sweet, have fat first in the form of a heaping teaspoon of coconut oil with cinnamon, a few macadamia nuts, a hard-boiled egg, or a piece of jerky. Wait another fifteen minutes. If you are still craving sweet, then perhaps go for it (and by that we mean a piece of dark chocolate [85 percent cocoa or higher] or ¼ cup of dark berries). Then go for a walk so as not to start a binge. Exercise regulates the sweet tooth by releasing endorphins. But most important, find the sweetness in your life—with nature, loved ones, or within yourself—not within a bag of M&M’s. For more ideas about this, the book Nourishing Wisdom by Marc David has been a classic in the emotional nutrition world for over fifteen years.

Smart Acupuncture Pointers That Will Boost Your Knowledge How much have you learned in the past about acupuncture? Acupuncture is often symbolized by the patient, face-down, with needles protruding from their bodies in various locations. Perhaps it would surprise you to know that acupuncture is really very beneficial; although, you must be informed to make a wise choice regarding treatment. Read this post to learn all that you can about it. There is a lot more to acupuncture than the treatments involving needles. This medicinal practice is associated with a philosophy. You should learn more about the philosophy of acupuncture to adopt a healthier lifestyle. There are plenty of meditation exercises, home remedies and other practices you can use to introduce acupuncture in the different aspects of your life. Keep in mind that it may take some time for you to feel the full benefits from your acupuncture treatments. It may take more than one or two visits to find relief from pain or improvement in your conditions. Make sure you are ready to commit to the full program recommended. If you want to know more about acupuncture, but fear needles, see if your practitioner is familiar with laser treatments. This type of acupuncture uses lasers instead of needles. This does not hurt at all, and lots of people claim that it works really well in relieving their conditions. You should drink plenty of water before you attend your scheduled acupuncture session. It has been shown that people who are well hydrated respond better to treatments. While you should not consume a lot of food before a session, it is a great idea for you to drink a good amount of water. Herbs Talk to a doctor about anything you are taking if you plan on having acupuncture treatments. If you are currently taking medication, herbs, or supplements, you need to speak to your doctor about what you can continue to take. They may have to make changes to what you're taking before or in between your acupuncture treatments. Ask your acupuncturist if there are certain herbs you should consume in between sessions. Remember, this is a holistic practice. There are many different things to it compared to Western medicine. Herbs are a big part of it. They can help relax your body and remove any sort of pain left over from your session. Before your procedure, the acupuncturist may recommend herbal treatments. Such herbs can be helpful, but they may result in undesirable side effects or harmful drug interactions. Therefore, talk with your doctor before starting any herbal regimen. Are you currently taking any medications, vitamins, or herbs? If so, get in touch with your doctor and ask him whether or not you can continue to take these things before and during your acupuncture sessions. You would hate for your acupuncture sessions to be less effective because you did not know you weren't supposed to take any of these things. Hopefully, you are more comfortable with the idea of scheduling an acupuncture appointment. Acupuncture can be very beneficial. Follow the tips presented here to make the most of your therapy by visiting rosholistic.com

My very high lactate levels after this trivial walk also show that this trivial walk is very strenuous exercise for me which I have been doing twice a day for a number of years and if exercise would really be the answer to this disease, on the one hand I would not have fallen ill with this disease and on the other I would have long exercised myself back to full fitness as my very high lactate levels show that I do my upmost.

Patients find GET harmful Since patient surveys ask whether symptoms got worse, therapies can also be ranked in terms of which cause the most harm. In three large surveys, GET consistently ranked highly for harm, meaning that a higher proportion of patients reported that their symptoms worsened with GET than with other approaches. GET ranked 2nd most harmful of 20 therapies, 1st of 25 and 1st of 15 (Action for ME, 2014: 19; The ME Association, 2010: 10; Action for ME, 2008: 13, respectively).

For a trauma survivor, yoga, when practiced with awareness of breath and sensation, can be a gentle way to begin to reoccupy her body. When living in a body feels safe again, yoga postures can be used therapeutically to hold and then release the trauma stored there. Often the emotional and physical releases happen without reference to the story, so the survivor is no longer trapped in the victim role.” ~Amy Weintraub

Many who were able to walk when they embarked on a course of graded exercise dropped out of the treatment in wheelchairs or bedbound.

In summary, patients with CFS are not “deconditioned”. Neither their muscle strength nor their exercise capacity is different from that of other sedentary members of the community (>70%). We remain unaware of any incontrovertible evidence that the various “exercise training” programs suggested in previous articles improve either the physiological or clinical status of people with CFS.

Though Graded Exercise helps some, the ME Association reports 74 per cent of ME patients are harmed by the therapy, with some made permanently disabled. Dr Julia Newton ran electrical pulses through muscle biopsies; Dr Van Ness tested anaerobic thresholds of ME patients – both studies demonstrated ME patients are damaged by exercise.

What about the claim, by the PACE trial, that Graded Exercise Therapy and CBT can treat ME? This is a trial where you could enter moderately ill, get worse in the trial, and be declared ‘recovered’ at the end. Even the recent follow-up study conceded that, long-term, Graded Exercise and CBT are no better for ME than doing nothing. Investigative journalists and academics alike have dismissed the PACE trial as ‘clinical trial amateurism’. Like MS or epilepsy, which were also once wrongly believed to be psychiatric disorders, ME is a neurological disease, and the World Health Organisation lists it as such. I am too weak to walk more than a few metres, needing to lie in bed 21 hours a day. With the little energy I have, I am an ME patient activist.

Stay in your own lane. Comparison kills creativity and joy.” For me, swimming is the trifecta of health—meditation, therapy, and exercise—but only when I stay in my own lane, focused on my breathing and my stroke.

Mental force affects the brain by altering the wave functions of the atoms that make up the brain’s ions, neurotransmitters, and synaptic vesicles. By a direct action of mind, the brain is thus made to behave differently. It is in this sense of a direct action of mind on brain that I use the term mental force. It remains, for now, a hypothetical entity. But explaining phenomena like the self-directed neuroplasticity observed in OCD patients undergoing Four Steps therapy, like the brain changes detected in those of Alvaro Pascual-Leone’s piano players who only imagined practicing a keyboard exercise, like the brain changes in Michael Merzenich’s monkeys who paid attention to incoming sensory stimuli—explaining all of these phenomena and more requires a natural force of this kind. Mental force is the causal bridge between conscious effort and the observed metabolic and neuronal changes.

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STRESS was very probably the trigger.

biomedical view, for its part, increasingly recognizes the power of things like meditation and traditional talk therapy to render concrete structural changes in brain physiology that are every bit as “real” as the changes wrought by pills or electroshock therapy. A study published by researchers at Massachusetts General Hospital in 2011 found that subjects who practiced meditation for an average of just twenty-seven minutes a day over a period of eight weeks produced visible changes in brain structure. Meditation led to decreased density of the amygdala, a physical change that was correlated with subjects’ self-reported stress levels—as their amygdalae got less dense, the subjects felt less stressed. Other studies have found that Buddhist monks who are especially good at meditating show much greater activity in their frontal cortices, and much less in their amygdalae, than normal people.n Meditation and deep-breathing exercises work for similar reasons as psychiatric medications do, exerting their effects not just on some abstract concept of mind but concretely on our bodies, on the somatic correlates of our feelings. Recent research has shown that even old-fashioned talk therapy can have tangible, physical effects on the shape of our brains. Perhaps Kierkegaard was wrong to say that the man who has learned to be in anxiety has learned the most important, or the most existentially meaningful, thing—perhaps the man has only learned the right techniques for controlling his hyperactive amygdala.o

chapter with a quotation from the Greek Stoic philosopher Epictetus, but we could just as easily have quoted Buddha (“Our life is the creation of our mind”)2 or Shakespeare (“There is nothing either good or bad, but thinking makes it so”)3 or Milton (“The mind is its own place, and in itself can make a heaven of hell, a hell of heaven”).4 Or we could have told you the story of Boethius, awaiting execution in the year 524. Boethius reached the pinnacle of success in the late Roman world—he had been a senator and scholar who held many high offices—but he crossed the Ostrogoth king, Theodoric. In The Consolation of Philosophy, written in his jail cell, he describes his (imaginary) encounter with “Lady Philosophy,” who visits him one night and conducts what is essentially a session of cognitive behavioral therapy (CBT). She chides him gently for his moping, fearfulness, and bitterness at his reversal of fortune, and then she helps him to reframe his thinking and shut off his negative emotions. She helps him see that fortune is fickle and he should be grateful that he enjoyed it for so long. She guides him to reflect on the fact that his wife, children, and father are all still alive and well, and each one is dearer to him than his own life. Each exercise helps him see his situation in a new light; each one weakens the grip of his emotions and prepares him to accept Lady Philosophy’s ultimate lesson: “Nothing is miserable unless you think it so; and on the other hand, nothing brings happiness unless you are content with it.”5

Somatic therapy uses a variety of exercises to bring flexibility back to your physiological state so that your nervous system is responsive to the present context, as opposed to the threat or overwhelm from the past.

exciting application is in physical therapy, where virtual reality combined with AI can create immersive, engaging therapeutic exercises. This approach can motivate patients, making therapy more enjoyable and effective. Moreover, AI-powered assistive technologies can significantly enhance the quality of life for those with physical or cognitive disabilities. For example, AI-enabled communication devices can help those with speech impairments express themselves, promoting their social inclusion and independence (“AI Enhancing Human Experience in Healthcare, ” 2021).

I’ve seen too many people spill their guts in group therapy believing that this will make them feel better, only to discover that revealing their deepest, darkest secrets invariably makes things a thousand times worse. Once you know that someone’s uncle molested her while her stepfather recorded it so they could sell the videos on the dark web, or that the cute guy you had a crush on when you were fourteen spent the first seven years of his life believing he was a girl because that’s how his mother dressed and treated him and at sixteen he was still struggling with gender issues, or that your new roommate’s parents tracked every morsel of food that passed her lips and if she gained so much as half a pound, she had to work out for hours in an exercise room that was more like a torture chamber, it’s hard to forget. I remind myself I want to do this. Trevor may have initiated this interview, but I am here by choice.

In Japanese tradition, there is an art form called kintsugi where cracks in a broken bowl are filled with gold. Instead of hiding its history, the broken piece is repaired, and the cracks are made beautiful. The message in this art form is that there is beauty in breaking, healing, and transforming.

down to the family or person in question. Besides medication and therapy, it is important to have a healthy lifestyle when dealing with ADHD symptoms. It is often recommended that those with ADHD focus on building healthy eating habits, getting in as many vegetables, fruits, and whole grains as they should. Protein should also come from lean sources. Daily physical exercises or routines also help and should be designed with the age and capabilities of the person in mind. It helps to have less time with screens, whether television, cellphones, or any other electronic device. Also, adequate sleep does amazing things for the ADHD mind.

The ability to empathize also plays a role in relation to our own body. Our bodies are in essence foreign to ourselves. It responds to all kinds of stimuli -food, other people, all kinds of situations- and they do so autonomously, without our knowledge of volition. We can learn to feel our body throughout our lives, for example through certain movement-based arts or meditation, by attentively observing the effects of all kinds of factors (nutrition, exercise, etc) on our body, possibly by repeatedly putting our physical experiences into words during psychoanalytic therapy. Whoever listens to his body and learns to understand its language holds the key to health. The feeling with one's own body is more important than any medicine and also more important than any "objective" rational knowledge, of for instance, healthy food.

of menopause—not to mention a potentially increased risk of Alzheimer’s disease, as we’ll see in chapter 9. Medicine 2.0 would rather throw out this therapy entirely, on the basis of one clinical trial, than try to understand and address the nuances involved. Medicine 3.0 would take this study into account, while recognizing its inevitable limitations and built-in biases. The key question that Medicine 3.0 asks is whether this intervention, hormone replacement therapy, with its relatively small increase in average risk in a large group of women older than sixty-five, might still be net beneficial for our individual patient, with her own unique mix of symptoms and risk factors. How is she similar to or different from the population in the study? One huge difference: none of the women selected for the study were actually symptomatic, and most were many years out of menopause. So how applicable are the findings of this study to women who are in or just entering menopause (and are presumably younger)? Finally, is there some other possible explanation for the slight observed increase in risk with this specific HRT protocol?[*3] My broader point is that at the level of the individual patient, we should be willing to ask deeper questions of risk versus reward versus cost for this therapy—and for almost anything else we might do. The fourth and perhaps largest shift is that where Medicine 2.0 focuses largely on lifespan, and is almost entirely geared toward staving off death, Medicine 3.0 pays far more attention to maintaining healthspan, the quality of life. Healthspan was a concept that barely even existed when I went to medical school. My professors said little to nothing about how to help our patients maintain their physical and cognitive capacity as they aged. The word exercise was almost never uttered. Sleep was totally ignored, both in class and in residency, as we routinely worked twenty-four hours at a stretch. Our instruction in nutrition was also minimal to nonexistent. Today, Medicine 2.0 at least acknowledges the importance of healthspan, but the standard definition—the period of life free of disease or disability—is totally insufficient, in my view. We want more out of life than simply the absence of sickness or disability. We want to be thriving, in every way, throughout the latter half of our lives. Another, related issue is that longevity itself, and healthspan in particular, doesn’t really fit into the business model of our current

Evaluative

When I am grieved in spirit, or vexed in temper, by the unavoidable cares of my little world, I go out and -work- in my garden; and in the healthful exercise of body, and the beautiful soul-subduing quiet that pervades the place, and steals like a healing balm over my mind, I soon forget my troubles.' -- ELIZABETH CARRINGTON MORRIS, Article for -American Agriculturalist-, April 1846.

I’d actually say that trashy simulated concern in the media helps perpetuate the myth that therapy is somehow self-indulgent. I suppose by nature it is a little, but so are all attempts toward better health, like brushing your teeth twice a day or getting a little exercise now and again.

Over the years, I tried to cope with therapy, exercise, meditation, and supplements, but my family’s judgmental comments still rattled me and sent me spiraling.

Crucially, this exercise is not about all the problems we face and the pleasant or painful emotions we encounter each day. It is about the meaning we find in both the toughest and easiest days. It does not ask us to wait until everything is fine before we start living as the kind of person we want to be. It gets us thinking about how we can consciously choose to live by our values, whatever is going on around us.

IRCC Announces Eligible Programs for PGWPs Immigration, Refugees and Citizenship Canada (IRCC) has updated its guidelines regarding the programs eligible for a Post-Graduation Work Permit (PGWP). As of November 1, international graduates applying for a PGWP must meet additional field of study requirements to qualify for this essential work permit. Eligible Fields of Study for PGWPs The eligible fields of study for the PGWP correspond to the occupation-based Express Entry categories introduced by IRCC in 2023. These categories are aligned with national labor market demands and include the following: • Agriculture and Agri-Food • Healthcare • Science, Technology, Engineering, and Mathematics (STEM) • Trade • Transport Eligible programs in these fields are classified using the Classification of Instructional Programs (CIP), a systematic approach to describing and categorizing educational programs in Canada, akin to the National Occupation Classification (NOC) system used for job classification. Below is a summary of selected instructional programs eligible for the PGWP, along with their respective CIP codes: CIP 2021 Title CIP 2021 Code Field of Study Category Agricultural business and management, general 01.0101 Agriculture and agri-food Animal/livestock husbandry and production 01.0302 Agriculture and agri-food Plant nursery operations and management 01.0606 Agriculture and agri-food Animal health 01.0903 Agriculture and agri-food Agronomy and crop science 01.1102 Agriculture and agri-food Special education and teaching, general 13.1001 Healthcare Exercise physiology 26.0908 Healthcare Physical therapy assistant 51.0806 Healthcare Polysomnography 51.0917 Healthcare Cytotechnology/cytotechnologist 51.1002 Healthcare Computer programming/programmer, general 11.0201 STEM Chemical engineering 14.0701 STEM Engineering mechanics 14.1101 STEM Water, wetlands and marine resources management 03.0205 STEM Computer graphics 11.0803 STEM Electrician 46.0302 Trade Heating, air conditioning, ventilation and refrigeration maintenance technology/technician 47.0201 Trade Machine tool technology/machinist 48.0501 Trade Insulator 46.0414 Trade Plumbing technology/plumber 46.0503 Trade Heavy equipment maintenance technology/technician 47.0302 Transport Air traffic controller 49.0105 Transport Truck and bus driver/commercial vehicle operator and instructor 49.0205 Transport Flight instructor 49.0108 Transport Transportation and materials moving, other 49.9999 Transport

A day spent in the arms of nature is enough to cure all of the harms wrought by pain.

Wait just a moment, please.” He looked around as if making sure they weren’t observed, then led her rather forcefully to the side of the house where the moon and lamplight did not touch them. “Let go!” He did. “Miss Erstwhile, I believe it is in your best interest to tell me what you are doing out here.” “Walking.” She glared. She did not particularly enjoy being dragged by her arm. His eyes darted to the servants’ quarters. To Martin’s exact window. It made her swallow. “You are not doing something foolish, are you?” In fact, she was, but that didn’t mean she had to stop glaring. “I don’t know if you realize,” he said in his unbearably condescending tone, “but it is not proper for a lady to be out alone after dark and worse to cavort with servants…” “Cavort?” “When doing so might lead to trouble of the worst nature…” “Cavort?” “Look,” he said, slipping into slightly more colloquial tones, “just stay away from there.” “Aren’t you all righteous concern, Mr. Nobley? Five minutes ago, I’d planned on changing careers and becoming a dairymaid, but you’ve saved me from that fate. I’ll kindly release you back to the night and return to my well-bred ways.” “Don’t be a fool, Miss Erstwhile.” He returned the way he’d come, from the back of the house. “Insufferable,” she said under her breath. No, she wasn’t going to go to Martin’s, curse him, but she wasn’t going to run back to her room either, if just to spite Mr. Nobley. The man deserved to be spited. Or spitted. Or both. Though boring and cold and hateful, Mr. Nobley was the most Darcy-esque of them all, so she despised him with vigorous enthusiasm. Perhaps, she hoped, the exercise would count toward therapy and her ultimate Austenland recovery. “Grab my arm, will he?” she said, getting a speck of satisfaction by muttering like an old crazy woman. “Call me a fool…” She walked around the park in angry circles. Her fingers were cold, and her thoughts wandered to memories of spending so much time in the bath as a kid that her fingertips crinkled like raisin skin. Wrinkly skin reminded her of Great-Aunt Carolyn, with her extravagantly soft fingers and conspiratorial eyes. She bought me this gift, Jane thought. Use it well, you floppy-brained, hopeless idiot, and stop trying to fall in love with gardeners. With anyone.

WAHLS WARRIORS SPEAK In August 2012, I was diagnosed with multiple sclerosis. The symptoms came on suddenly: tingling and numbness in my right arm and right and left hands, bladder urgency, cognitive issues and brain fog, lower back pain, and right-foot drop. One Saturday, I was playing golf, and by the next Friday, I was using a cane to walk. I was scared and I did not know what was happening. I was started on a five-day treatment of IV steroids. I began physical and occupational therapy, and speech therapy to assist with my word-finding issues. Desperate, I searched the Internet and read as much as I could about multiple sclerosis. I tried to discuss diet with my neurologist because I read that people with autoimmune diseases may benefit from going gluten-free. My neurologist recommended that I stick with my “balanced” diet because gluten-free may be a fad and it was difficult to do. In October 2012, I went to a holistic practitioner who recommended that I eliminate gluten, dairy, and eggs from my diet and then take an allergy test. About that time, I discovered Dr. Wahls, whose story provided me hope. I began to incorporate the 9 cups of produce and to eat organic lean meat, lots of wild fish, seaweed, and some organ meat (though I still struggle with that). My allergy tests came back and, sure enough, I was highly sensitive to gluten, dairy, eggs, soy, and almonds. This test further validated Dr. Wahls’s work. By eliminating highly inflammatory foods and replacing them with vegetables, lean meat, and seaweed, your body can heal. It’s been four months since I started the Wahls Diet, and I’ve increased my vitamin D levels from 17 to 52, my medicine has been reduced, and I have lost 14 pounds. I now exercise and run two miles several times per week, walk three miles a day, bike, swim, strength train, meditate, and stretch daily. I prepare smoothies and real meals in my kitchen. Gone are the days of eating out or ordering takeout three to four times a week. By eating this way, my energy levels have increased, my brain fog and stumbling over words has been eliminated, my skin looks great, and I am more alert and present. It is not easy eating this way, and my family has also had to make some adjustments, but, in the end, I choose health. I am more in tune with my body and I feed it the fuel it needs to thrive. —Michelle M., Baltimore, Maryland

Health is the greatest strength.

You’ll then use your responses to the Valued Living Questionnaire in the following exercise, which will help you move toward engaging in what you value.