Showing posts with label Cortisol Stress Hormone. Show all posts
Showing posts with label Cortisol Stress Hormone. Show all posts

Thursday, January 26, 2012

Thursday's Therapy - Sleeplessness and the Adrenal Glands ~via FoxNews.com/health








Thursday's Therapy

Sleeplessness and the Adrenal Glands

~via FoxNews.com/health




Interesting news we thought might be pertinent for us weary child-loss grievers in regard to our sleeplessness possibly being related to our overly-stressed adrenal glands...

From

"Are you tired all the time?"


Written By Eleni N. Gage

Published January 25, 2012

Real Simple



Renewing your energy is possible, once you learn to combat common causes of fatigue.



Culprit: A Vitamin or Mineral Deficiency
Having low levels of iron or vitamin D or B12 can make you feel tired, anxious, and weak, says Irene Park, a nurse practitioner in New York City. Many experts believe that a significant percentage of the U.S. population is deficient in vitamin D. “And lower levels of vitamin D can cause muscle weakness and pain,” says Keenan. Also, if you’re a woman of reproductive age, you’re statistically at greater risk for iron-deficiency anemia.

The only way to tell if you’re low in any vitamin or mineral is to see your doctor for a blood test. Meanwhile, to bolster your body’s stores, consider taking a multivitamin with at least 100 percent of your daily requirement of vitamins and minerals. (Experts generally advise that healthy adults also supplement with 1,000 to 2,000 international units of vitamin D daily.)



Culprit: The Blues
Research has indicated that people with depression may be four times more likely than the nondepressed to experience unexplained fatigue. Aerobic exercise—specifically, 30 minutes or more three to five days a week—is effective at treating mild to moderate depression, and may minimize the sleepiness associated with it. If that doesn’t help, however, speak to your doctor, who may recommend talk therapy or a mood-boosting medication, like a selective serotonin re-uptake inhibitor (SSRI). If your depression and related fatigue seem to strike more frequently in winter, you could have seasonal affective disorder (SAD). Treatment for SAD may include using a special light box, says Marla Wald, a psychiatrist at Duke University Medical Center, in Durham, North Carolina. But venturing outside for about 20 minutes a day can provide similar benefits, she says.



Culprit: Your Adrenal Glands
They’re responsible for secreting the fight-or-flight hormones adrenaline and cortisol, which surge as a response to stress—whether the prehistoric-days type, like being chased by a tiger, or the modern-day version, like financial worries or your mother-in-law. But when you’re feeling stressed all the time, those glands may become overworked and can tire out—a condition commonly called adrenal fatigue, says Keenan. The inability to secrete enough cortisol during the day can cause energy dips, then spikes at night that can interfere with restful sleep.


To give your adrenal glands a chance to recharge, Keenan recommends meditation, which she thinks of as parking the body in neutral. “Meditation has the effect of slowing down the production of cortisol for a while,” she says. Try sitting quietly and clearing your mind for at least five minutes a day. Vitamins B5 and C have also been shown to support adrenal function, says Jacob Teitelbaum, the Kona, Hawaii–based medical director of the Fibromyalgia & Fatigue Centers and the author of From Fatigued to Fantastic! ($17, amazon.com). He recommends getting at least 50 milligrams of B5 and 500 milligrams of C daily. Other stress-reduction techniques work well, too. “Exercise is particularly effective,” says Park.










Wednesday, September 7, 2011

Thursday's Therapy - Self Care: "Conscious Living" Amidst Grief and Trauma ~by Tommy Prince





Thursday's Therapy


Self Care:


"Conscious Living"


Amidst Grief and Trauma


~by Tommy Prince







I was elementary-school age, at a summer day camp with my younger brother. In one of the more memorable activities of camp, the camp counselors took us out to one of the area lakes (Knoxville has about five lakes within it) and then put three life-jacketed kids in a small sailboat by ourselves (3 kids per boat, with around 6-8 boats in all), and set us off to sail with the wind at our back, so we could only follow where the wind was blowing. There was no teaching involved; we had to just get in and figure it out by ourselves, and learn the hard way. The only thing we knew to do was sail with the wind at our back. We used the rudder to steer somewhat, mostly side to side.


The instructions were, that when the whistle would blow, it would be time to turn around, and come back in! Well, the whistle blew. But we had no idea what to do to get our boat turned around. So, in order to come back in, I jumped out of the boat, and by swimming and kicking my legs, I was able to push the tail of my boat around so that the front of the boat was headed back to shore. Great idea, but big problem, I couldn't get back in the boat! When I attempted to get back in, I tilted the side of the boat down and a LOAD of water rushed in with me, and my brother, three years younger than me, shut his eyes, threw his head back, and started screaming for dear life, thinking we surely were going to drown!





Sound familiar? How many of us grievers swimming in the depths of our grief with no sight of land anywhere, begin to wonder,


"Am I just going to drown in all this grief???"


The camp counselors were in a motor boat and came around to all of us to tow us back in eventually. Now, maybe I am looking for a camp counselor to get me out of this grief morass, but there's not one to be found, it seems!






Bessel A. van der Kolk, M.D., stress and trauma expert, highly recommends the book, Full Catastrophe Living: Using the Wisdom of Your Body and Mind to Face Stress, Pain, and Illness by Jon Kabat-Zinn, Ph.D. ~ I love this quote in the introduction to the book:



"Sailors have to develop a sense of mindfulness about them, watching all the elements, and learning to work with the wind to get them where they need to go.


"If you hope to make use of the own force of your problems to propel you, you will have to be tuned in, just as the sailor is tuned in to the feel of the boat, the water, the wind, and his or her course. You will have to learn how to handle yourself under all kinds of stressful conditions, not just when the weather is sunny and the wind blowing exactly the way you want it to.


"We accept that no one controls the weather. Good sailors learn to read it carefully and respect its power. They will avoid storms if possible, but when caught in one, they know when to take down the sails, batten down the hatches, drop anchor, and ride things out, controlling what is controllable and letting go of the rest. Training, practice, and a lot of first-hand experience in all sorts of weather are required to develop such skills so that they work for you when you need them. Developing skill in facing and effectively handling the various "weather conditions" in your life is what we mean by the art of conscious living."


~Jon Kabat-Zinn, Ph.D.






Angie and I are in the "training" stages of learning to deal with this tsunami of grief by first learning to condition our bodies to be effective instruments to manage our grievous stress. After learning I had a sporadic range of volatility in my blood pressure that could be very dangerous to my cardiovascular system, I had to learn to do what I could do to manage that problem first. So I began my daily aerobic training for 20 minutes a day, first thing in the morning, before any coffee could be had!


This was after many sessions of negotiating with my doctor that I did plenty of yard work, and that should suffice for aerobic exercise, etc. Finally he lowered the boom, in regard to conquering the blood-pressure monster:


"You can do this! But, you have got to do this 20 minutes of aerobic exercise EVERY DAY! You will find that you will begin losing weight, you will lower your cholesterol level, and your blood pressure will normalize and not fluctuate so much."


Given several months of sporadic working out, hitting a lick here and there when I "felt like it," I finally got down to business. Amazingly, 16 days after starting such a 20-minute-in-the-morning-aerobic-exercise-regimen (plus watching my salt, watching my diet, getting 8-hours of sleep), I discovered I had lost ten (10) pounds, and my blood pressure had normalized throughout the day. (I had to buy my own blood pressure monitor.) So I am feeling pretty upbeat about getting my body better conditioned to handle the tumultuous stress of my child-loss grief.




I went to a neighborhood planning meeting last night and came home very bummed out and depressed because I had gotten triggered. So, out of curiosity, I took my blood pressure to see what it was. For the first time since getting everything normalized over the past seven days, my blood pressure had shot up into the abnormal range, and I realized that cortisol had begun to course through my system from being triggered. Within the hour, with deep breathing and meditation, I was able to get my blood pressure back into the normal range. I am training myself to be mindful of what is going on inside my body so that I can take better care of myself. I am learning that my grief and trauma "will follow me all the days of my life," so I am doing what I can to learn to manage it through "conscious living" amidst my trauma and grief.











Picture, thanks to FotoSearch.com

Wednesday, February 16, 2011

Thursday's Therapy - TRAUMA Therapy Toolbox - Guided Imagery: Why Psychotherapy's "Talking Cure" Doesn't Always Work in Child-Loss Grief and Trauma





Thursday's Therapy


TRAUMA Therapy Toolbox


Guided Imagery:


Why Psychotherapy's "Talking Cure" Doesn't Always Work

in Child-Loss Grief and Trauma


~Belleruth Naparstek

with A Guided Imagery Sample








Rebalancing Biochemistry


Trauma survivors experience extreme swings in their biochemistry, from the jolts of cortisol, epinephrine, and norepinephrine that accompany flashbacks, nightmares, and intrusive memories, to the body's built in pharmacy of relaxants and endogenous opioids. Most of the time the body rebalances on its own after a traumatic event, returning to normal homeostatic business as usual within a few weeks or months.


Most people, however, experience at least several weeks immediately following a traumatic event when their systems are stressed and out of balance, and when cortisol levels are significantly, abnormally elevated. This is the biochemical counterpart to feeling


  • anxious,
  • hypervigilant,
  • angry,
  • tearful,
  • panicky
  • upset,
  • irritable,
  • fearful,
  • rageful, or
  • terrified.


Should these symptoms become chronic over several years, the survivor runs the paradoxical risk of then chronically underproducing cortisol, with depressed levels that are punctuated now and then by occasional alarm states that shoot it through the roof. Suppressed cortisol is usually associated with


  • depression,
  • numbness,
  • joylessness,
  • emotional flatness,
  • inaccessibility,
  • fatigue,
  • listlessness,
  • dissociation, and
  • disconnection.


When chronically dysregulated stress hormones infuse the bloodstream for an extended period of time, they can wear away


  • heart muscle,
  • block arteries,
  • create muscle pain,
  • initiate immune and
  • autoimmune problems, and
  • shrink specific areas of the brain.



The Right-Brain Connection


Brain development expert Bruce Perry has studied how a traumatized brain is compelled to train its focus away from language and verbal content, and to fix instead on nonverbal danger cues--


  • body movements,
  • facial expressions,
  • tone of voice and the like,



searching for threat-related information.


Cognition and behavior are mediated by the more primitive parts of the brain--the brain stem and midbrain--at the expense of abstract thinking and the absorption of language and ideas.


Only when sufficiently calmed can attention be focused on ideas and the meaning of words.


This is why interventions that are based on a strictly cognitive, problem-solving approach cannot impact terror-driven behavior.


The primitive brain and midbrain cannot process cognitive solutions aimed at the higher cortical functions.



But imagery, with its


  • calming voice tones,
  • soothing music and
  • symbolic representations of safety,


can settle down hypervigilant brain functioning and allow the higher brain to get back to doing its job.




~Bellaruth Naparstek, excerpts from

Invisible Heroes: Survivors of Trauma and How They Heal




*****




Below is an example of guided imagery by the renowned trauma expert Belleruth Naparstek for you to experience the impact of relaxing, meditating, and imagining sweet healing thoughts that are guided by a very gentle voice of a well-trained trauma therapist. May it bring you some peace today:





Guided Imagery Sample

~by Belleruth Naparstek,

renowned Trauma Therapist









Excerpts from ~Bellaruth Naparstek, Invisible Heroes: Survivors of Trauma and How They Heal, pp. 59-60

Thursday, March 25, 2010

Thursday's Therapy - Your Brain and Stress





Thursday's Therapy


Your Brain and Stress




This article explains so much of what I see going on in my body amidst my traumatic and complicated grief! Let me know what you think in regard to what your own physiological responses to grief have been...


Those aggravating things that go wrong in the day and those irritating things that go bump in the night – disrupting routines and interrupting sleep – all have a cumulative effect on your brain, especially its ability to remember and learn.

As science gains greater insight into the consequences of stress on the brain, the picture that emerges is not a pretty one. A chronic overreaction to stress overloads the brain with powerful hormones that are intended only for short-term duty in emergency situations. Their cumulative effect damages and kills brain cells.



How Your Brain Responds to Stress

Did you know that the emotional and physical responses you have to stress are set in motion by a series of chemical releases and reactions? Find out what is really going on inside your body and why not all stress is bad.


"Attack of the Adrenals" – A Metabolic Story

The ambulance siren screams its warning to get out of the way. You can't move your car because you're stuck in a bumper-to-bumper traffic jam that reaches as far as the eye can see. There must be an accident up ahead. Meanwhile the road construction crew a few feet from your car is jack-hammering the pavement. You are about to enter the stress zone.

Inside your body the alert goes out.

"Attention all parasympathetic forces. Urgent. Adrenal gland missile silos mounted atop kidneys have just released chemical cortisol weapons of brain destruction. Mobilize all internal defenses. Launch immediate counter-calm hormones before hippocampus is hammered by cortisol."

Hormones rush to your adrenal glands to suppress the streaming cortisol on its way to your brain. Other hormones rush to your brain to round up all the remnants of cortisol missiles that made it to your hippocampus. These hormones escort the cortisol remnants back to Kidneyland for a one-way ride on the Bladderhorn. You have now reached metabolic equilibrium, also known as homeostasis.


Inside Homeostasis

When a danger finally passes or the perceived threat is over, your brain initiates a reverse course of action that releases a different bevy of biochemicals throughout your body.

Attempting to bring you back into balance, your brain seeks the holy grail of "homeostasis," that elusive state of metabolic equilibrium between the stimulating and the tranquilizing chemical forces in your body.

If either one of the stimulating or tranquilizing chemical forces dominates the other without relief, then you will experience an on-going state of internal imbalance. This condition is known as stress.

And it can have serious consequences for your brain cells.



Parasympathetic and Sympathetic Nervous System

The sympathetic nervous system (SNS) turns on the fight or flight response. In contrast, the parasympathetic nervous system (PNS) promotes the relaxation response.


Like two tug-of-war teams skillfully supporting their rope with a minimum of tensions, the SNS and PNS carefully maintain metabolic equilibrium by making adjustments whenever something disturbs this balance.


The strongmen on these teams are hormones, the chemical messengers produced by endocrine glands. Named after a Greek word meaning "to set in motion," hormones travel through the bloodstream to accelerate or suppress metabolic functions.


The trouble is that some stress hormones don't know when to quit pulling.


They remain active in the brain for too long - injuring and even killing cells in the hippocampus, the area of your brain needed for memory and learning.


Because of this hierarchical dominance of the SNS over the PNS, it often requires conscious effort to initiate your relaxation response and reestablish metabolic equilibrium.




The Emotional Brain – Limbic System


The primary area of the brain that deals with stress is its limbic system. Because of its enormous influence on emotions and memory, the limbic system is often referred to as the emotional brain....


Whenever you perceive a threat, imminent or imagined, your limbic system immediately responds via your autonomic nervous system – the complex network of endocrine glands that automatically regulates metabolism.


The term "stress" is short for distress, a word evolved from Latin that means "to draw or pull apart." The Romans even used the term districtia to describe "a being torn asunder." When stressed-out, most of us can probably relate to this description.




Distress Signals from Your Brain


Your sympathetic nervous system does an excellent job of rapidly preparing you to deal with what is perceived as a threat to your safety. Its hormones initiate several metabolic processes that best allow you to cope with sudden danger.


Your adrenal glands release adrenaline (also known as epinephrine) and other hormones that increase breathing, heart rate, and blood pressure. This moves more oxygen-rich blood faster to the brain and to the muscles needed for fighting or fleeing. And, you have plenty of energy to do either, because adrenaline causes a rapid release of glucose and fatty acids into your bloodstream. Also, your senses become keener, your memory sharper, and you are less sensitive to pain.


Other hormones shut down functions unnecessary during the emergency. Growth, reproduction, and the immune system all go on hold. Blood flow to the skin is reduced. That's why chronic stress leads to sexual dysfunction, increases your chances of getting sick, and often manifests as skin ailments. With your mind and body in this temporary state of metabolic overdrive, you are now prepared to respond to a life-threatening situation.




Getting Back to Normal


After a perceived danger has passed, your body then tries to return to normal. But this may not be so easy, and becomes even more difficult with age.


Although the hyperactivating sympathetic nervous system jumps into action immediately, it is very slow to shut down and allow the tranquilizing parasympathetic nervous system to calm things down.


Once your stress response has been activated, the system wisely keeps you in a state of readiness.




Stress is Not All Bad


Bear in mind that an appropriate stress response is a healthy and necessary part of life. One of the things it does is to release norepinephrine, one of the principal excitatory neurotransmitters. Norepinephrine is needed to create new memories. It improves mood. Problems feel more like challenges, which encourages creative thinking that stimulates your brain to grow new connections within itself.


Stress management is the key, not stress elimination. The challenge in this day and age is to not let the sympathetic nervous system stay chronically aroused.


This may require knowledge of techniques that work to activate your relaxation response.





Next week, we will see how this out-of-control, run-amuck cortisol affects our memory amidst our grief.

Meanwhile, I hope you have a relatively stress-free week!










http://www.fi.edu/learn/brain/stress.html


Wednesday, October 14, 2009

Wednesday's Woe - “How Many of You Wanted to Die?”




Wednesday's Woe

“How Many of You Wanted to Die?”


A couple of months ago, at The Compassionate Friends (or TCF, a group for parents who have lost a child in death) meeting, the group leader asked a room full of about 25 people, “How many of you in here, at some point, wanted to die? Or maybe you just wouldn’t mind if God would take you on Home to be with Him?" The entire room of grieving parents raised their hands…


**********

Tommy:

This time last year, a darkness came over me I couldn’t shake. The pain that came over me was a sadness and despair that was so consuming, it felt to me that the only relief from it would be just to go ahead and die. I didn’t seem to have the ability to bounce back; I wasn’t able to come out of the hole.

The grief had been to this degree for two years, and I had not been able to counter the sadness, despair, and depression. After these first two years of grief over losing Merry Katherine, the sadness was getting worse, not better. At that time, I opted to go on an anti-depressant which I continue to this day, a year later. If I miss my medication for a few days, the sadness and despair return with a vengeance.


Angie:

I didn’t actually want to die. I felt dead already (from the heavy toll grief was having on me) and wondered how I would ever live again. I do remember thinking if God wanted to take me on Home, that would be fine with me.

All I could do was cry, grieve, pray, read my Bible, be with my husband or other intimate family. A year ago, to compound this emotional devastation, I had a serious bike wreck. I probably would not have survived had I not had a helmet on as I was traveling quite fast down a rough mountain trail, hit a root with my wet tires, and my bike threw me off face-first. I did not have time even to break the fall with my hands. As it turned out, sharp rocks gashed a hole in my face. I also broke my shoulder blade (which I’ve been told only happens in severe crashes). However, I was very thankful to be alive and to be able to walk to meet the ambulance as far as it could come down the rough trail.

But the shock of such a fall sent shots of cortisol through my system. Cortisol is a stress hormone that can wreak havoc with you physically and/or emotionally. Emotionally, I regressed. Any medications I was already on to manage depression and hormone swings were nullified. I had a severe setback emotionally.


My setback seemed to trigger a correlating setback in my husband, on top of the severe darkness he was already experiencing. And of course, when my husband saw blood streaming down my face with a gash over my right eye, and then saw the cracked helmet, he too had cortisol shooting through his system. And riding his bike behind me, watching me as I was thrown face-first onto the rocky path with other bikers riding fast behind us, he thought he was losing me right before his eyes. He was traumatized to say the least.


We were a mess. We had gone on the bike trip to try to soothe some of our hurt, and now our emotional pain was compounded severely. God had to take us by the hand to walk us through the morass. We could barely be there for one another, we were both in so much agony! Somehow, with God’s help, we made it through, though still quite shaken that we could have such a setback in the middle of already devastating grief.


I too make sure I don’t miss any of my medications, or I know I’ll be thrown headlong into dysfunction...


**********


In the words of a fellow-griever in last Sunday’s TCF meeting,


I was unprepared for “the long insanity” that grief (over the loss of one’s child) throws you into. Grief impacts every way you function; everything is now on shaky ground. I never imagined it would be so painful that grief even would impact normal behavior (normal day-t0-day routines).


**********

A "New Normal"?

So, during this same meeting, I asked our leader,


What do you mean when you say we will (over time) find our "new normal"?

Can you tell us what a "new normal" would look like?


Our TCF leader’s description of a “New Normal” for grieving parents who have lost a child included these dynamics:



Ø When you wake up in the morning, you no longer want to die.


Ø You accept – the old you is gone; it will never be back.


Ø You accept that grief’s pain will always be a part of your life now.


Ø You are able to set some goals in your life versus not really caring what you do.


Ø You can laugh again and not feel you are being disrespectful to your child.


Ø You find some meaning in your child’s death and your resulting grief.


Ø You realize you could not control the loss that happened to you, but you can decide what you want to do with what happened to you. (Our leader and his wife decided they wanted to help other grieving parents, and so they are here faithfully, graciously helping us grieving parents month-after-month.)



May God bless each of you as you work through your potentially-debilitating child-loss grief…








TCF - The Compassionate Friends