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.

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.

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

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.

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.

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.

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.

You can reach maximum performance by engaging in physical activities.

Writing quotes is physiotherapy for the brain.

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.

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

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.

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.)

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.

Instead, he discovered the surprising fact that longevity and health are mostly determined in today’s America not by diet, exercise, or cholesterol in the blood but instead by the presence of and the quality of people’s closest relationships. Those findings held worldwide.

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.

And you can sometimes tilt the playing field in your own favour. You don’t discreetly lift the surface of a game of table football (or foosball) unless you’re an outrageous cheat. It’s acceptable to do so, however, if your opponent is the one in your mind who keeps saying ‘stop being alive’. Going for a brisk walk or having a cup of tea are a couple of harmless ways to change the chemistry of your body enough, maybe, to change your frame of mind. At least, it works for some of the people some of the time. If your opponent wants you dead, tilt the table. Tea, exercise, talking therapy, meditation, prescribed anti-depressants . . . different things tilt different tables. Whatever works for you.

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

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

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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.

Science can now illuminate why approaches like psychodrama, 12-step programs, group therapy, journaling, bodywork, yoga, exercise, and massage work; why one-to-one therapy can help us learn a new style of attachment; why changing the way we live and the nature of our relationships can change the way we think and feel, and vice versa; and why quick fixes don’t work but why a new design for living does.

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:

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).

What to Do Tonight Spend private time with your child, ideally without electronics. Take turns with each child if you have more than one, so that the ratio is one-on-one. It is remarkably healing for kids and will help you to enjoy them. It also makes them feel like they are your number one priority. If you’re highly anxious, do something about it. Treating anxiety is one of the best things you can do for yourself and your family. Consider participating in cognitive behavioral therapy: you can learn very effective strategies for identifying and “talking back to” the distorted and unproductive thoughts that contribute to high anxiety. Learn to meditate. Take a yoga class. Be very regular in your exercise routine. Spend time in nature. Get more sleep. Socialize more with friends if it helps you feel calm. Avoid making decisions for your child based on fear. If you find yourself thinking, “I’m afraid if I don’t do this now, then—” stop. Do what you feel is right now, not what you feel you have to because of what you’re afraid will happen if you don’t. If your child is struggling, schedule a short time every day for you to worry about his or her problems. Literally write it into your planner. This will let your brain know that it is safe not to worry all day long. Remember who’s responsible for what. It cannot be your responsibility to see that everything goes well for your children at all times. If you are very worried about your teenager and have talked through the issues together many times, write your child a short letter summarizing your concerns and offering any help the child might need. Then promise that you will not bring the issue up again for a month. When you break your promise (because you will) apologize and recommit to it. Get out a piece of paper and draw a vertical line in the middle. In the left-hand column, write statements such as the following: “It’s okay for Jeremy to have a learning disability,” “It’s okay that Sarah doesn’t have any friends right now,” “It’s okay for Ben to be depressed right now.” In the right-hand column, write down the automatic thoughts that come to your mind in response (likely rebuttal) to these statements. Then question these automatic thoughts. Ask questions such as, “Can I be absolutely sure that this thought is true?” “Who would I be if I didn’t believe this?” This kind of self-questioning exercise, developed by author and speaker Byron Katie and others, can serve as a useful tool for discovering the thoughts that trap you into negative judgments.18 Create a stress-reduction plan for yourself. Can you get more exercise? More sleep? What calms you down and how can you do more of it? Don’t make yourself available to your kids at the expense of your own well-being. Wall off some “me” time. Model self-acceptance and tell your kids what you’re doing.

This is true not because God does not exist to be experienced, but because we in Western culture have a very reduced experience of God. God is present to us, but we are no longer present to God because we are no longer contemplative. Our contemplative faculty - like a limb that has been immobilized in a cast and is now healed and healthy but unable to function without rehabilitation - needs exercise and therapy. Or, like a weightlifter who has overdeveloped certain muscles to the detriment of others and has distorted his natural body, we have overfocused on one part of our consciousness and neglected another to the point where our natural consciousness is distorted. We are living the unexamined life, and its price is a practical atheism. Fortunately, it can be overcome by contemplative awareness. God will be seen in ordinary experience when ordinary experience is fully open to him.

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

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.

Did you know that people with mental illness can have strong mental health? More often than not, mental illness and mental health are used interchangeably, however they do not mean the same thing! Every person has mental health, but not every person will have a mental illness. Mental health is the ability to adapt to change, be resilient in difficult circumstances and live a full and passionate life. Mental illness on the other hand is diagnosed by a professional (psychologist etc.) and require a well-managed plan, therapy and occasionally medication. Mental health is improved by journaling, yoga, exercise, healthy boundaries, good diet and active self-care!

ChiroCynergy - Dr. Matthew Bradshaw - Chiropractic in Leland, NC CHIROPRACTIC “NO CRACKING” MANIPULATION Chiropractic is a health care profession that focuses on disorders of the musculoskeletal system and the nervous system, and the effects of these disorders on general health. Chiropractic care is used most often to treat neuromusculoskeletal complaints, including but not limited to back pain, neck pain, pain in the joints of the arms or legs, and headaches. Doctors of Chiropractic – often referred to as chiropractors or chiropractic physicians – practice a drug-free, hands-on approach to health care that includes patient examination, diagnosis and treatment. Chiropractors have broad diagnostic skills and are also trained to recommend therapeutic and rehabilitative exercises, as well as to provide nutritional, dietary and lifestyle counseling. Call us: (910) 368-1528 #chiropractor_Leland_nc #best_chiropractor_Leland_nc #chiropractor_near_ Leland_nc #chiropractic_in_Leland_nc #best_chiropractor_in_Leland_nc #chiropractic_near_me #chiropractor_near_me #family_chiropractor_in_Leland_nc #female_chiropractors_in_Leland_nc #physical_therapy_in_Leland_nc #sports_chiropractor_in_Leland_nc #pregnancy_chiropractor in_Leland_nc #sciatica_chiropractor_in_Leland_nc #car_accident_chiropractor_in_Leland_nc #Active_Release_Technique_in_Leland_nc #Cold_Laser_Therapy_in_Leland_nc #Spinal_Decompression_in_Leland_nc

applied mindfulness = awareness + acceptance + action

I would also exercise caution when mixing SSRI antidepressants and microdoses of psilocybin because they both affect the serotonin system in the brain. While an adverse reaction combining SSRIs with a microdose isn’t likely according to Fadiman’s site, as we’ll discuss in Chapter 14, these kinds of antidepressants can lessen the effects of full-dose psychedelics and will likely do the same with microdoses.

Throughout life we tend to believe our thoughts much more than the signals of the body.

Now, you can just turn up the volume of positive thinking and try to focus on that. You will have two channels blasting different things out loud.

In the 1980s, a psychologist named James Prochaska developed the transtheoretical model of behavior change (TTM) based on research showing that people generally don’t “just do it,” as Nike (or a new year’s resolution) might have it, but instead tend to move through a series of sequential stages that look like this: Stage 1: Pre-contemplation Stage 2: Contemplation Stage 3: Preparation Stage 4: Action Stage 5: Maintenance So let’s say you want to make a change—exercise more, end a relationship, or even try therapy for the first time. Before you get to that point, you’re in the first stage, pre-contemplation, which is to say, you’re not even thinking about changing. Some therapists might liken this to denial, meaning that you don’t realize you might have a problem. When Charlotte first came to me, she presented herself as a social drinker; I realized that she was in the pre-contemplation stage as she talked about her mother’s tendency to self-medicate with alcohol but failed to see any connection to her own alcohol use. When I challenged her on this, she shut down, got irritated (“People my age go out and drink!”), or engaged in “what-aboutery,” the practice of diverting attention from the difficulty under discussion by raising a different problematic issue. (“Never mind X, what about Y?”)

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.

As Richard Gaskill and Bruce Perry reported in their 2013 paper, “The Neurobiological Power of Play,” research shows that a person’s ability to play into adulthood impacts overall joy, physical health, and life satisfaction. No matter the age, the human brain benefits and thrives from engaging in play.

Brett Rebuck would like to work in healthcare and is planning to complete a Doctor of Physical Therapy qualification to help him make this dream a reality. After studying a degree in exercise science, Brett Rebuck discovered his love of helping people rehabilitate via exercise.

Modern psychology likewise embraces this inward lens, suggesting that the way to a happy life is to change how we look at the world and our place in it. From mantras and meditation to therapy and habit change, true joy is an exercise of mind over matter, not matter over mind.

to therapy because their stories are not working, often because they get causation wrong. They blame themselves for things that are not their fault, or they blame others for things that are. By going over life stories again and again, therapists can help people climb out of the deceptive rumination spirals they have been using to narrate themselves. They can help patients begin the imaginative reconstruction of their lives. Frequently the goal of therapy is to help the patient tell a more accurate story, a story in which the patient is seen to have power over their own life. They craft a new story in which they can see themselves exercising control. I

Only when tensions or pain in the body arise do we pay attention to what is happening.

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.

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.

What Rhymes with Therapy" is a unique self-help book that offers psychological guidance for depression, anxiety, grief, anger, trauma recovery, and relationship issues. The book’s distinction is that the guidance is written in the language of rhythm-and-rhyme poetry. Each poem comes complete with a full description of the therapeutic intervention and exercises that can be used to implement the ideas into real life.

Exercise: Scheduling Alone Time Over the coming week, schedule at least one hour of alone time. You may need to get up earlier or go to bed later. If you work, you could get creative with your lunch hour. For example, you could schedule three 20-minute reading breaks throughout the week. No matter how busy your lifestyle, you need to take time for yourself. In fact, the busier your life, the more important it is!

Exercise: What Does Good Luck Feel Like? Imagine that tomorrow morning, you wake up to learn that you’ve won the lottery or inherited a huge sum of money from a relative you didn’t even know existed. Give yourself a moment to really get into this fantasy. What are you seeing, hearing, thinking? Now ask yourself these questions: How do you feel? After the initial shock has worn off, are there any other feelings mixed in with your happiness? Are all of them pleasant?

Exercise: Who Really Has a Perfect Life? Have you ever envied someone who later turned out to be struggling with serious problems? Perhaps they had relationship problems, health problems, or other troubles they were hiding from you or the rest of the world? Now flip it around—what do you hide from the world? Perhaps you are a very open person who shares all of their problems, but most people edit their lives to make them seem happier and less chaotic than they are in reality. This exercise is a reminder that no one is perfectly happy or successful all the time. As the saying goes, assumptions are dangerous things to make! Wouldn’t you feel silly if you wasted time envying someone, only to later discover they are secretly struggling with lots of personal problems?

Exercise: Why Are You Awesome? You’ll need to work with a trusted friend or family member during this exercise. Ask them to help you make a list of your best qualities. You can do this alone, but it’s often hard to see ourselves as we really are, so getting a second opinion makes the exercise more powerful. Next to each trait, write down three pieces of evidence. For instance, if you regularly help your elderly neighbor with their shopping, that would be strong evidence that you are kind and caring. Read through the list and evidence when you need a boost. To get the most from it, add extra traits and evidence whenever possible.

Exercise: What Kind of Communicator are You? Based on the descriptions above, how would you describe your communication style? Some of us are a mix of two styles. You might use different styles depending on who you’re talking to.

After Kim started swimming in the cold waters of the bay, she noticed a change in her severely nerve-damaged right leg: it had more feeling in it. She had a theory that she ran by her physicians in those early days. “All the blood is sucked from your extremities to protect your organs when you get in that cold water,” she explains, in her lilting New Zealand accent, during one of our marathon phone calls after work one evening. (When she’s not training or traveling the world for swims, she has until recently been working as a director of community engagement for Adobe, the software company.) “Couldn’t it be possible that when the blood rushes back into those extremities after you warm up again, that you’re getting a kind of oxygen therapy? That there’s a higher rate of it being flushed around your body?” Her doctors said they could see the validity in it, with oxygen circulating at a much faster rate than if Kim were sedentary or even exercising on land. The result: her nerves were regenerating at a swifter pace relative to that of the previous two years.

Allow at least two hours between exercising and going to bed.

Exercise: Progressive Muscle Relaxation 1. Lie down in bed and close your eyes. 2. Breathe in. As you inhale, scrunch your toes. Squeeze the muscles as hard as you can. Hold this position for a few seconds. 3. Exhale. Relax your muscles. 4. Inhale and tense the muscles in your calves. Hold for a few seconds, then release and exhale. 5. Continue this pattern—inhale and tense, exhale and release—with all your major muscle groups. Finish with your facial muscles.

Exercise: How Does Anxiety Limit Your Life? Working on anxiety is scary. You will need to move beyond your comfort zone and embrace the things that frighten you. To keep yourself motivated, take a moment to write down how anxiety limits your life and why you want to get better. How will things look when you are no longer afraid?

If I worry all the time, I’ll… If I didn’t worry, I would… When I realize how much time I spend worrying, I think… Worrying makes me feel… I first started having anxiety problems when… When you completed the exercise above, did any of these beliefs come up?

Exercise: Logical Errors & Anxiety Go back to the chapter on CBT and depression. In that chapter, we looked at how logical errors keep depression going. Which of these errors do you think fuels your anxiety? Why? Can you give specific examples?

Exercise: Putting Your Fear into Words In a single sentence, summarize the main source of your fears. For example, “I am afraid of speaking to people I don’t know,” “I am afraid of cats,” or “I am afraid of visiting the dentist.” This exercise gives you a starting point for your therapy and focuses your mind. Having figured out your root fear, you can start to put together a plan of action. Exercise: Make A Fear Ladder Following the steps above, make your own “fear ladder.” Try to think of 5-10 situations. Be precise. For example, if you are afraid of elevators, are you scared of elevators in department stores, office buildings, or other settings? Are you scared of traveling one floor, three floors, or from top to bottom of a building?

Exercise: Monitoring Anxiety Levels Every time you expose yourself to a situation that makes you anxious, give yourself an anxiety score before and after each attempt. For instance, you may give yourself a score of 9 before putting yourself in an anxiety-inducing situation, and a 5 afterward. Your goal is to lower your anxiety to a score of 0-2. It’s okay if this takes longer than you might like!