Creating a Safe Space for Healing

Take a moment to reflect on a visit you have had with a provider (doctor, dentist, physical therapist, etc.) for an issue you have had. Consider if there has been a time where something did not feel quite right- perhaps you did not feel listened to or you were interrupted. Or maybe the plan of action that was suggested (medication, procedure, or exercise) did not feel aligned with your values, beliefs, or otherwise consistent with what you felt like the best treatment would be for your unique situation. What about the language, verbal and non-verbal, that the provider used? Did you ever feel talked down to, disregarded, or rushed? Were you treated as an equal player in your healing journey, or was your condition described as something that was out of your control, requiring care that only the practitioner could provide? 

The manner in which care is provided is extremely important, and is a significant determinant of the outcome that is achieved.

Unfortunately in our current healthcare system, there are several factors that can hinder the healing process. Aside from the Western mentality of treating symptoms rather than the root causes, the environment in which care is provided also plays a significant role in outcome. Many clinics are extremely busy, with therapists and doctors pressured to achieve unrealistic productivity standards. A shortage of practitioners as well as systemic issues related to the pandemic play into this situation as well. These factors will certainly impact a practitioner’s ability to provide their undivided attention and to engage in deep listening. In fact, the average amount of time before a doctor interrupts a patient is 11 seconds! For physical therapists, it is not much better at around 15 seconds. This leads to a sense of rush, and greatly impacts the communication and therapeutic relationship between patient and practitioner. In addition to time pressure, many clinics are set up to trigger our sympathetic nervous system (fight or flight) with bright lights, loud noises, and lack of privacy. Interacting with a rushed provider in this kind of environment instills a sense of unease within us as well, and can limit our ability to feel safe and comfortable.

At the Wellness Station, we take these factors into account. We recognize the importance of creating a strong therapeutic alliance, as the patient-provider relationship is an extremely significant element of the healing process. We strive to keep our environment conducive to healing by providing our care in a relaxing environment with appropriate aesthetics, adjustable lighting, and gentle background music upon request. We are able to provide individualized care for our patients for close to an hour every session without a sense of rush.

The environmental factors that we implement allow us (patient and provider) to operate in a parasympathetic state, the rest and digest division of our nervous system. This safe time and space allows our patients to feel comfortable letting their walls down and developing a trusting relationship with the practitioner. By creating this safe environment for healing, the patient and practitioner can dive deeper into the care that will be the most suitable, sustainable, and effective.

Consider these factors when you are engaging in your movement program at home or at a studio or gym. How is the environment affecting your ability to pay attention to your body and develop a positive relationship with yourself? What are some changes you might make to your environment to create a safe space and time for healing?

Written by Jacob Tyson, DPT - Physical Therapist, Yoga Instructor and The Wellness Station Team

Finding Peace & Balance

Last month, we discussed how “overdoing it” is done far too often at the expense of our mental and physical health.

How can we counteract the tendency to overdo in order to find more peace and balance in our lives?

Can we do this while still getting done what we need to do each day, as well as working towards our greater goals? 

Besides completely changing the values of our culture, we can make micro adjustments in our daily lives. One option is re-prioritizing. How can we fill up our kettle so we start each day at 100%? Think about the sources in your life that are draining your kettle, and the sources that are replenishing you. Are there certain people or activities that may be draining your energy, and is there a way to spend less of your time and your energy in these situations? How about activities or people that recharge you? Laughing with loved ones, taking a warm bubble bath, going for a walk in nature, delicious healthy foods…

On a neurological level, activities that are taxing and draining will be fueled by the sympathetic nervous system (e.g. fight or flight), in which our heart rate increases, stress hormones such as cortisol and adrenaline flood our system, and physical and cognitive resources are expended. On the other hand, restorative activities allow the parasympathetic nervous system to take over, which slows the heart rate through chemicals such as acetylcholine, promotes feelings of well-being, and replenishes our resources. We must find a balance between both of these states of our nervous system in order to achieve our goals without burning out. Think about what you might re-prioritize in your life that may help shift the balance towards parasympathetic activation.

Another option other than re-organizing your daily activities is to consider the overall intensity that you put into each activity. Is there a way to embody a sense of calm and ease while you are doing something that you normally consider stressful and draining? We have it drilled into our heads that we should give 110% to everything, which from an energetic balance standpoint is actually impossible! How can we be more easy in our bodies and minds so we don’t drain our physical and cognitive resources as quickly?

Think about an activity that is taxing, either physically, mentally, or both. How about doing chores, such as washing dishes? Are you rushing, gripping objects too hard, and holding extra tension in your body such as hiking your shoulders up to your ears? See if you are able to wash dishes with less effort, more ease, and overall less intensity. You might find it to be a more enjoyable experience.

Next time that you notice you are feeling anxious, rushed, or uncomfortable, think about “resetting” by taking three long, slow breaths, trying to focus entirely on these breaths and nothing else. Then continue on, perhaps noticing that a subtle shift has occurred in your experience. If we are able to drain less tea from our kettle with everything we do, we will never approach a low kettle. The more we can slow down and be more mindful about what we are doing, the more we will be able to do over the long term. This will allow us to perform better in our daily lives and be more present for our loved ones.

Written by Jacob Tyson, DPT - Physical Therapist, Yoga Instructor and The Wellness Station Team

Overdoing: To Do or Not To Do?

We live in a culture that is “go go go”, where we prioritize doing far more than not doing. Many of us juggle excessive work hours, family and household responsibilities, hobbies, fitness and wellness practice, social lives, errands, appointments, and more. We are often left with little to no down time, and when we do have this down time, we may spend it in ways that are less than ideal for restoring balance and peace back into our lives. This constant rush can be stressful and taxing on our bodies and minds, and due to time constraints we begin to have to pick and choose what we do. Self-care and sleep may be underprioritized, setting us up for burnout.

Think about yourself as a tea kettle: a 100% full tea kettle means you are in a state of optimal health, energy, comfort, peace, happiness, and overall well-being. The less tea you have in the kettle, the less bandwidth you have, which can manifest in irritability, exhaustion, reduced performance, as well as mental and physical health challenges if this continues over time.

If our goal with the “go go go” mentality is to achieve and succeed, but this mentality actually can set us up for failure over the long term, isn’t this entirely counter productive?

Think about what sources in your life are draining your tea kettle, and what sources are helping to fill up your kettle. Consider both external and internal factors. External may be people, situations, and activities, whereas internal may be thoughts, beliefs, behaviors, emotional reactivity, and movement patterns. What changes can you make in your life to ensure you have a full kettle? After all, an empty kettle serves no one!

Coming Next Time: Some useful strategies for avoiding “overdoing” based on neuroscience and principles of mindfulness.

Written by Jacob Tyson, DPT - Physical Therapist, Yoga Instructor and The Wellness Station Team

Seeking Nature for Inner Healing

In our modern lives, there is often a degree of disconnect between us and the natural world.

Many people consider themselves as separate from nature, as if nature is this thing or activity that may or may not be part of one's life. It can be easy to fall into this kind of lifestyle, as so many of our lives are lived primarily inside, contained within boxes that separate us from plants, wildlife, fresh air, and sunshine. By living life in this way, we are depriving ourselves of beauty, novel experiences for our minds and bodies, functional exercise, and even vitamin D from the sun.

Without nature, we lose the balance in our lives, which can lead to very undesirable consequences.

In fact, the word "disease" can be related to loss of balance- "dis" meaning "apart" or "away", and "ease" meaning "undisturbed state", "comfort", or "well-being". Putting these words together describes a departure from the undisturbed state, a loss of balance and harmony.1

How can nature lead us back into balance? We have an innate human instinct to connect with the natural world. Many of us seek nature when we are not feeling well, or may realize we feel much better after disconnecting with screens and reconnecting with what is real in the world around us. Our bodies know how to heal themselves, but sometimes we may be preventing this process by disconnecting with the world around us.

Nature is our teacher, the divine force that can help guide us towards a path of healing.

We look to nature to learn how to solve problems naturally, whether we may be inspired by the supportive community of a forest, the love of a mother bird caring for her young, the dynamic energy of a rushing river, or the geological masterpieces of mountains, canyons, and glaciers.

Connecting with nature and time spent outdoors has measurable health benefits for the mind and body. In fact, many doctors are recommending "forest bathing", which is an ancient Japanese practice that involves immersing oneself in nature using all of the senses. Regular time spent in nature can improve emotional well-being, decrease blood pressure, increase energy levels, and lower stress hormones such as cortisol.2

The eclectic blend of sights, sounds, smells, and feelings can help calm our nervous system. The constantly varying terrain of walking outdoors stimulates our minds and bodies in new ways. This can help to improve balance, strength, reaction time, and will help us avoid loss of mobility and repetitive stress injuries that we get as a result of only interacting with flat, human-made environments. Spending time connecting with nature also helps us internalize the crucial connection between taking care of our planet and taking care of our own bodies, as we are not separate from nature.

Time with nature is our reminder that we evolved with nature, and chronic separation from the natural world is ultimately incongruent with the way our biological systems function.

At the Wellness Station, we encourage our clients to spend more time outdoors whenever possible. What are some easy ways to get more nature in one's life?

1. Make going on a walk a daily practice. Consider walking on a trail away from busy roads, where there may be many trees, flowers, and creeks.

2. Do exercise outside! Take a yoga mat or a blanket to a flat surface outdoors and move your body.

3. Meditate outside. Pay attention to all of your senses.

4. Keep the windows open for more fresh air.

5. Plan a trip or social event with outdoor activities planned, which may include hiking, sight-seeing, swimming, or any other enjoyable activity.

6. Get into gardening!

Written by Jacob Tyson, DPT - Physical Therapist, Yoga Instructor and The Wellness Station Team

References:

1)    https://www.semanticscholar.org/paper/The-Wisdom-of-Biophilia%E2%80%94Nature-in-Healing-Huelat/08e18ab071a4a468a3aa820aa2d797e168fe0c59

2)    https://www.nytimes.com/2018/07/12/well/take-a-walk-in-the-woods-doctors-orders.html

Body Scans Can Help You!

Body scans are a very helpful tool that apply mindfulness meditation to the physical sensations of the body. This is an excellent practice for improving mind-body connection, calming the nervous system, and training our mind's ability to bring attention to pleasant, unpleasant, and neutral sensations without judgment.

Improving mind-body connection:

Body scans can improve mind-body connection (aka kinesthetic awareness) simply by bringing attention to various body parts. When focusing attention to an area, we are strengthening neurological connections that regulate the bidirectional flow of information between the brain and the body part. We can also start to recognize patterns of where we hold tension in our body, where we have more difficulty relating to, and where we can more easily focus attention. This can translate to becoming more aware of certain body areas, which can help us improve our self-image and efficiency of movement. As our body is our home for the entirety of our lives, it is useful to get to know your anatomy from the inside out!

Calming the nervous system:

Body scans are a meditative practice that train us to bring our attention to the present moment. Rather than allowing our minds to wander with worries of the future and regrets of the past, we are practicing the ability to focus attention on sensations of the present moment. This can help shift us into a more parasympathetic state of the nervous system, which allows our bodies and minds and relax and restore. This will help to relieve stress and anxiety, as well as improve our health, well-being, and relations to ourselves and to others.

Exploring various sensations:

The intention of a body scan is to bring attention to all kinds of sensations in the body, including those from the skin, muscles, joints, and even our organ systems. These sensations may be pleasant, unpleasant, or somewhere in between. The point is not to assign judgment to an unpleasant feeling, but rather notice the sensation for what it is (e.g. pressure, tightness, ache, tingling) and to recognize what happens when we stay with it without trying to change anything. This can improve our ability to bring attention to real-time sensations through a lens of separation and objectivity, rather than letting emotions such as fear run wild when pain arises during our daily activities.

Here is an example of how to perform a "five lines" body scan:

1. Rest comfortably on the floor or bed in a position. Consider lying flat on your back with your legs extended and arms resting by your sides, or use any props to get more comfortable.

2. Begin to settle in, slow down your breath, and close your eyes.

3. The body scan will involve the five "lines" of your body: each of the four limbs, as well as the spine from the pelvis to the head.

4. Right leg: bring attention to the right side of the pelvis, sensing what part is touching the ground. Sense this space from side to side, back to front, noticing any sensations (e.g. buzzing, tingling, tickling, pressure, temperature, clothes against the skin, skin against the ground, etc). If no sensations are present, notice that too. Then let your attention slowly travel down to the hip, down the thigh, to the knee, calf, ankle, heel, arch of the foot, ball of the foot, and toes. You can then let your attention travel back up to where it came from towards the right side of the pelvis. Take as much time as you need, noticing if it is more difficult to move your attention quickly or slowly.

5. Repeat this process for the left leg. Notice differences between the two legs.

6. Right arm: bring attention to right shoulder blade in the back, collarbone in the front. Let attention travel towards the right shoulder, then upper arm, elbow, forearm, wrist, hand, all the way to the fingertips. Then travel back up in reverse.

7. Repeat this process for the left arm. Notice differences between the two arms.

8. Spine: bring attention to center of pelvis, the sacrum bone against the ground. Slowly travel the attention to the low back, feeling your abdomen in three dimensions. Notice that as you breath, the size of this area changes. Feel what part of your spine is connected to the ground, and what is not. Then slowly travel towards the mid back, rib cage, upper back, base of the neck, neck, head, face, and finally the crown of your head.

9. Rest completely, noticing what the attention is drawn to now. 
 

At The Wellness Station, we ensure that body scans are a regular part of our client's mindfulness practices. We may begin or end sessions with a guided scan, as well as create or recommend a recording for home use.

Written by Jacob Tyson, DPT - Physical Therapist, Yoga Instructor

and The Wellness Station Team