Category Archives: Anxiety

How a Schedule Can Help You Sleep Better

From Psych Central by Polly Campbell

The fancy digital, pedometer-bracelet thingy around my wrist tells me I slept six hours and 25 minutes with four interruptions. As I struggle to awake, my body can tell you, that isn’t nearly enough.

An estimated 70 million Americans are sleep-deprived, according to the National Sleep Foundation and the Centers for Disease Control and Prevention. Many nights, I am among them.

Aside from the health risks associated with inadequate sleep, such as depression, memory and attention issues, mood disorders, and the higher risk of physical illness, researchers at the University of Oxford now believe a lack of sleep or poor sleep quality may also contribute to brain shrinkage. That thought alone might keep you up at night.

Sleep is essential to repair and restore the brain, says lead researcher Claire Sexton. If the repair process is interrupted by a sleepless night, brain function also can be affected. In her study, participants who experienced poor sleep also showed brain shrinkage in the three lobes of the brain linked to decision-making, movement, emotions, thoughts, memory and learning, according to the study published in the journal Neurology.

It doesn’t take a study to remind us that sleep is essential, but for many getting a good night’s sleep begins long before bedtime.

Parents of young children talk often and even obsess about how to get their kids to sleep. When my daughter was a toddler, we put her on a sleep schedule.

Every night beginning an hour or so before bed, we followed the same routine, a ritual of sorts, to help her wind down and get primed for sleep. We turned off the television, dressed her in her pajamas, brushed her teeth, snuggled in the rocking chair, read books, and finally, after she was tucked in with lights out, we sang some little songs. By the time we left her room, she was, most nights, ready to rest.

A sleep schedule or consistent sleep-priming routine also can help adults get better sleep. Here are five things to include in your routine:

Turn off all devices. Starting two hours before bed, shut down the smartphones, computers, televisions sets and other electronics that emit blue light waves. This light throws off our natural rhythms, making it harder to sleep.

Eat early and wisely. If you are an evening snacker, nibble on a few crackers and a slice of cheese, or another small protein/carb combo at least two hours before bed. Also lay off caffeine and alcohol in the evening hours.

Turn down the lights. When darkness falls, turn off (or at least dim) the lights in the house. Our bodies are sensitive to the natural day and night light patterns called circadian rhythms. When the sun rises, the light helps us wake up and become alert and our bodies secrete cortisol. When darkness falls, our bodies are infused with sleep-inducing melatonin. But here’s the rub: artificial lighting throws off those biological rhythms, suppresses the release of melatonin, and makes it hard to sleep. Keeping things dark at night and exposing yourself to natural light during the day will help.

Release the niggling negative thoughts.   After you’ve created a sleep-promoting environment, choose a relaxing activity such as meditation, a hot bath, deep breathing exercises, journal writing or something else that allows you to release the day’s stress. Sometimes, I practice mindfulness while brushing my teeth and washing my face as a way to release bad feelings and promote calm.No matter which you choose, do use this time to quietly observe, without judgment, your thoughts and concerns and then release them. This will keep you from ruminating into the early hours

Go to bed. Finally, after you’ve gone through your sleep routine, head to bed, turn off the light and lie down. Even if you don’t feel like sleep, it’s important that you develop the habit by lying down in bed and getting up at the same time, every single day. It may take a few days, but soon your body will catch on that it’s time to sleep when you lie down in bed.

In this hectic, heavily-booked culture we live in, a sleep schedule may seem like a cumbersome way to get rest. But anything that will help you sleep better will also improve your physical health, daytime productivity, mental resilience and even your relationships. Sleep could just be the simplest way to boost overall health and happiness.

Polly Campbell is a sought-after motivational speaker and the author of two books, Imperfect Spirituality: Extraordinary Enlightenment for Ordinary People and How to Reach Enlightenment.

Get a Hold of Yourself: 3 Kinds of Deep Breathing

3 Kinds of Deep Breathing everydayhealth.com» by Therese Borchard on June 9, 2013

Deep breathing has become increasingly important in my recovery from depression and anxiety because I recognize that shallow breath contributes to my panic. In fact, at my worst hours, I would use a paper bag to keep from hyperventilating.

The practice of deep breathing stimulates our parasympathetic nervous system (PNS), responsible for activities that occur when our body is at rest. It functions in opposite to the sympathetic nervous system, which stimulates activities associated with the flight-or-fight response. I like to the think of the PNS as the calm sister and the sympathetic nervous system as the non-sympathetic crazy sister on the verge of a nervous breakdown. You know that woman in the movie “Airplane” that’s wigging out (watch this clip), and there is a line behind her of people with weapons saying “Get a hold of yourself.” The woman represents the sympathetic nervous system, and the long line of folks with bats, ropes, purses, etc. are members of the parasympathetic nervous system trying to calm the panicked passenger.

Of all the automatic functions of the body—cardiovascular, digestive, hormonal, glandular, immune–only the breath can be easily controlled voluntarily, explain Richard P. Brown, M.D. and Patricia L. Gerbarg, M.D. in their book, “The Healing Power of the Breath.” They write:

By voluntarily changing the rate, depth, and pattern of breathing, we can change the messages being sent from the body’s respiratory system to the brain. In this way, breathing techniques provide a portal to the autonomic communication network through which we can, by changing our breathing patterns, send specific messages to the brain using the language of the body, a language the brain understands and to which it responds. Messages from the respiratory system have rapid, powerful effects on major brain centers involved in thought, emotion, and behavior.

In their eight substantive chapters, the authors discuss several techniques of deep breathing to reduce stress and anxiety. They start off with three basic approaches which provide the building blocks for the others:

Coherent Breathing

Coherent breathing is basically breathing at a rate of five breaths per minute, which is the middle of the resonant breathing rate range. I achieve this if I count to five inhaling and count to five exhaling. The five-minute rate maximizes the heart rate variability (HRV), a measurement of how well the parasympathetic nervous system is working. Brown and Bergarg explain that changing our rate and pattern of breath alters the HRV, which causes shifts in our nervous system. The higher the HRV the better because a higher HRV is associated with a healthier cardiovascular system and a stronger stress-response system. Breathing at a rate that is close to one’s ideal resonant rate (around five breaths per minute) can induce up to a tenfold improvement in HRV.

Resistance Breathing

Resistance breathing is exactly what its name suggests: breathing that creates resistance to the flow of air. Per the authors:

Resistance can be created by pursing the lips, placing the tip of the tongue against the inside of the upper teeth, hissing through the clenched teeth, tightening the throat muscles, partly closing the glottis, narrowing the space between the vocal cords, or using an external object such as breathing through a straw.

All that sounds a bit complicated to me. Breathing should be easy, right? So I simply breathe out of my nose, which, according to Brown and Bergarg, creates more resistance than breathing through the mouth. I do think it’s interesting when they explain that singing and chanting – all musical sounds created by contracting vocal cords—are forms of resistance breathing, and that is why they provide that relaxed sensation you can get meditating (if you CAN meditate).

Breath Moving

Breath Moving is when, well, the breath moves. Courtesy of your imagination. Brown compares this exercise to an internal massage. I’m not sure I’d go that far. I like the real deal. However, I do think sending your breath on a little journey around your body – as long as it doesn’t get too lost — does help you keep your concentration on the exercise and not on your to-do list because counting to five can get a little old. For example, here’s part of a circuit the authors offer in their book:

As you breathe in, imagine you are moving your breath to the top of your head.

As you breathe out, imagine you are moving your breath to the base of your spine, your perineum, your sit bones.

Each time you breathe in, move the breath to the top of the head.

Each time you breathe out, move the breath to the base of the spine.

Breathe in this circuit for ten cycles.

The history of Breath Moving is fascinating. According to the authors, the technique was created in large part by the Russian Christian Orthodox Hesychast monks around the eleventh century. The monks would teach the technique of moving the breath to the holy Russian warriors to help protect them from harm and to empower them as they defended their territory against invaders.