Improve Mental Well-being

Category: Exercise

Rachel’s Reviving Remedies

In February 2024 I was invited by AVIXA to speak on a panel at ISE 2024, about mental health in the workplace. Although not an expert in this field, there has been much written on the subject and I shared my findings with the audience. I have included links to my favourite sources but there are many more for you to discover.

There have been several traumas in my life and most go back to my childhood. This is quite common and whilst traumas are often different they trigger a similar response in all of us and are the most common cause of long-term stress, depression and suicide. Gloomy or what? Do not be dismayed it can be reversed and there are remedies for short-term stress and ways of building resilience against medium-term stress. However, if you feel you cannot cope seek medical advice, especially for long-term stress.

Our responses to a situation depend on the context of what is happening. If the situation is traumatic the surrounding narrative should be shared with those you trust or written down. Internalising the trauma will prolong the shame and the blame we all attach to it.

You have to start somewhere and you may be surprised by what my list consists of but it is all backed up by expert research, see links provided. I also recognise we have to live our lives in our own way and this is just a guide to help us improve our mental state and longevity.

  1. On awakening try and remember your last dream and write it down. 
  1. Go outside for a morning walk, preferably within 1 hour of waking and if possible surrounded by nature, fields or trees – 4,000 steps or more is OK.  
  • Look towards the sun, or if overcast where the sun would be for as long as is practicable. This suppresses melatonin and resets your circadian rhythm. It also triggers the release of cortisol to help you wake up and stay alert during the day.
  • If you meet someone wish them good morning, strike up a conversation or at least smile.
  • Links: Dr Andrew Huberman – https://www.youtube.com/ watch?v=WDv4AWk0J3U
  1. Good quality nutrition, how much you eat and when you eat is essential for brain function and a healthy body. 
  • Cut out ultra-processed foods completely. 
  • Boost your gut biome and include amino acids, and protein, at least 30 different fruits and vegetables per week, this can be nuts, spices, herbs, vegetables, fruits and berries. You can also have lean meats and omega-3 fatty acids like oily fish for instance. 
  • Introduce fermented foods such as yoghurt, kefir, kimchee, sauerkraut and kombucha.  
  • Reduce the amount of alcohol consumed. 
  • There are three natural pathways for you to need to consume sugar and the brain’s preferred food is glucose. The food companies know this and put sweeteners in foods and drinks (including zero sugar) to trigger your brain to want more. Be aware too much sugar is bad for you and you will receive the right amount by eating the aforementioned. 
  • If you drink coffee make sure it is during the day, preferably the morning, to enable a good night’s sleep. 
  • Arrange a time of fasting every day, perhaps finish eating at 8 pm and have breakfast at 8 am. This gives the body and brain time to remove dead cells, build muscle from the day’s exercise and repair systems. The longer the fast the better the repair.
  • Links: Dr Andrew Huberman – https://www.youtube.com/watch?v=xjEFo3a1AnI,  Dr Michael Mosley – https://www.youtube.com/watch?v=DpnOVX0Dc5E, Professor Tim Spector – https://www.youtube.com/watch?v=xGY05t_sImc&t=22s
  1. After 40 years of age, you reduce muscle mass, speed and power so exercise is essential for a healthy body and mind and longevity. Daily movement, either cardiovascular or resistance training is very important. 
  1. We are sociable mammals and regular social interaction can impart many emotions to lift mood and happiness and increase metabolic rate and neural output. However, at work, for instance, there is no choice but to interact, therefore be aware of those you interact with. People can be grouped into three sections, those who give you net savings on stress (you feel at ease with), those who are neutral and those who are taxing. Try to avoid those in the taxing section. Link: Dr Lisa Feldman Barrett – https://www.youtube.com/watch?v=FeRgqJVALMQ&t=7385s
  1. Stress happens to all of us and there are tools to help manage and alleviate acute stress. The quickest and easiest way to alleviate acute stress in real-time is the physiological sigh, this immediately slows the heart rate down. Medium-term stress can be handled by training oneself to cope better under stress conditions. This involves taking cold showers or plunges and whilst immersed practising the physiological sigh to bring you to a state of normality. The more you practice the better you will be at regulating and coping with stress.  For long-term stress or at any point where you feel you cannot cope, seek qualified medical help. Links: Dr Andrew Huberman – https://www.youtube.com/watch?v=ntfcfJ28eiU, Dr Peter Attia & Dr Paul Conti – https://www.youtube.com/watch?v=HoGBkn_1Z14&t=6s
  1. You need good sleep to allow your brain and body to rejuvenate itself. The important factors here are the quantity, the quality, the regularity and timing (Chronotype) of sleep (QQRT). Try having 7 to 9 hours of the best possible sleep per night (no phones allowed). This should be in a darkened bedroom. Go to bed and arise within 30 minutes of your sleep routine to form a habit and enhance your circadian rhythm. Temperature plays a large part in sleeping and your bedroom should be cool – around 19°C. Place arms, hand and feet outside of the covers, take a hot bath or shower before going to bed – this will actually cool down your core temperature. Link: Dr Andrew Huberman – https://www.youtube.com/watch?v=h2aWYjSA1Jc&t=118s

Mental Health in the UK

Mental health refers to our emotional, psychological and social wellbeing. It affects how we think, feel and act. It also impacts how we cope, interact and form relationships with others, as well as our daily functioning. Most but not all mental health problems around the inability to cope are trauma-related, whether it be from childhood, watching bad things happen on the news, broken relationships or having a poor lifestyle. We have to deal with traumas every day but when the emotional impact outweighs the logic of the situation and we can no longer cope then anxiety and depression begin to take over.

The UK Office of National Statistics states that for the year, up to July 2023, the leading cause of death is heart disease followed by dementia & Alzheimer’s, cancer, strokes and lung diseases.

Leading factors for heart disease and strokes are high blood pressure, high cholesterol, diabetes, smoking & smoke exposure, obesity, unhealthy diet and lack of physical activity. Obesity rates for adults aged over 18 years have increased year on year and now stand at 26% of the population, with 64% estimated to be overweight.

Depression is caused by a combination of genetic, biological, environmental and psychological factors. Emotional distress and depression have been identified as new risk factors for coronary heart disease and those people with a known heart disease are at risk of suffering from depression. The two conditions often coexist. The risk factors for both conditions are similar, sedentary lifestyle, obesity, smoking, poor diet, overeating and excessive alcohol consumption.

Statistics show that anxiety disorders are the most common and can affect your body as well as your mind and can be different in each case.  The trend in the number of cases with mental health disorders reported has risen with self-harm and people having suicidal thoughts increasing the most.

  • Heart issues and other health conditions can lead to feelings of anxiety, depression and fear.
  • More than 15 million people (30%) of the UK population live with one or more long-term mental health conditions.
  • 1 in 4 people will experience a mental health problem of some kind each year in England. 1 in 6 people report experiencing a common mental health problem in any given week in England.
  • Antidepressant prescriptions have almost doubled in the last 10 years, with 85.6 million being issued in 2022.
  • 1.75 million people were in contact with NHS mental health services at the end of June 2023, the majority of these were with adult services.

The groups of people more at risk from mental health disorders are those facing social inequality and disadvantage, discrimination and social exclusion, and those going through traumatic experiences and differences in physical health. These include LGBTQIA+, black people, young women 16-24 years, the homeless, those taking illegal substances and those in contact with the criminal justice system. These groups face more traumas than most and it is their traumas that need to be addressed and understood to alleviate the situation.

It was estimated that in 2023 half of UK workers have ‘burnout’, mental ill health or work-related stress, costing the economy £28 billion annually. Signs of burnout are: feeling tired or drained most of the time. Feeling helpless, trapped or defeated. Feeling detached and alone in the world. Being cynical with a negative outlook. Having self-doubt and taking longer to complete tasks. Feeling overwhelmed.

Perimenopause and menopause in women affect performance. A survey of 2 thousand women instigated by the House of Commons Women and Equalities Committee found that 75% reported problems with memory and concentration with 69% reported feeling anxious or depressed.

The Covid pandemic caused many people to suffer from stress and the current cost of living crisis is having a large impact on coping with basic needs. The increase in people working from home has mixed results. For those not having the stress of travelling and being with family all day, it can be positive. For those working at home on their own, the lack of contact with other people can have a detrimental effect.

Much research has been done on the causes of anxiety and the current consensus is to have a healthy lifestyle. Of course, this has benefits for the whole of the body’s functions, especially those suffering from heart disease, the number one killer of people in the UK. The chemicals that are required for cognitive brain function come from the food we eat so, logically, we should consume food that will make our gut biome thrive.

The statistics point to a situation that is worsening and there are probably many contributing factors for this. Whether we like it or not the NHS provides a GP service that is governed by throughput of patients with 10 to 20 minutes allocated for a possible mental condition that requires more investigation. The prescription of drugs may be appropriate but in many cases just provides a short term fix which masks the underlying real problem. However, we should take the initiative to do as much we can to look after ourselves in order to try and prevent such conditions overtaking our lives, be curious of our self, take responsibility of interacting with others and being compassionate. Physical and mental health should be looked at as one because it is our biology that determines who we are and how we feel. A daily practice of looking towards the sun, breathing techniques, exercise, quality time with people, proper sleeping patterns in full darkness, proper nutrition, challenging your thoughts, keeping a diary of when you feel down, and connecting with nature will improve your mental well-being.

The Six Pillars of Mental Health

A daily routine to look after your biology – In my research I came across podcasts by Andrew Huberman, Ph.D and was impressed by the sheer output of subjects, that are peer reviewed and have a bearing on our well-being. He is a neuroscientist and tenured professor in the department of neurobiology, and by courtesy, psychiatry and behavioural sciences at Stanford School of Medicine. He has made numerous significant contributions to the fields of brain development, brain function and neural plasticity, which is the ability of our nervous system to rewire and learn new behaviours, skills and cognitive functioning.

Here is my summary of Dr Huberman’s Six Pillars of Mental Health:

  1. Sleep – Try having 7 to 9 hours of best possible sleep per night. Have a sleep routine to maximise this and form habits. Go to bed and arise within 1 hour of your habitual pattern to enhance your circadian rhythm.
  2. Light – view sunlight as early as you can after waking in the morning for between 10 and 20 minutes – you need to be outside to do this as windows filter out the lightwaves your brain needs. This practice will put you in a better mood and increase your focus and alertness. It will also help you to sleep at night. (Do not stare directly at the sun. If there is no sunlight face east in the lightest part of the sky). Darkness is as important when you retire to sleep – no lights, no looking at phones for 6 to 8 hours.
  3. Exercise – 180 to 200 minutes of Zone 2 cardio per week (low intensity, where you can just hold a conversation) plus VO2 max (intense aerobic exercise) at least once weekly. Daily movement, either cardiovascular or resistance training is very important. You can have 1 day of rest per week.
  4. Nutrition – consume sufficient amounts of calories per day ensuring it is quality nutrition. Macronutrients, proteins, fats, carbohydrates and micronutrients. Cut out ultra-processed foods altogether. Include cold fermented food, in your diet to boost your microbiome (Kefir, Miso, Sauerkraut, Kimchi etc). (Heating this will kill the live cultures).
  5. Social interactions – we are sociable mammals and regular social interaction can lift mood and happiness and increase metabolic rate and neural output. However, at work, for instance, we have no choice but to interact, therefore be aware of those you interact with. People can be grouped into three sections, those who give you net savings on stress (you feel at ease with), those who are neutral and those who are taxing. Try to avoid those in the taxing section.
  6. Stress Control – Stress happens to all of us and there are tools to help manage and alleviate acute stress. The quickest and easiest way to alleviate acute stress in real-time is the physiological sigh, this immediately slows the heart rate down. Medium-term stress can be handled by training oneself to cope better under stress conditions. This involves taking cold showers or plunges and whilst immersed practising the physiological sigh to bring you to a state of normality. The more you practice the better you will be at regulating and coping with stress.  For long-term stress or at any point where you feel you cannot cope, seek qualified medical help.

The podcast on this subject is called ‘Bolster Your Mental Health’. For a huge amount of information on neuroscience, health and science-related tools for everyday life visit: https://www.hubermanlab.com/ or view his podcasts.

Living in Harmony – Ancient Daoist Philosophy – Yin Yang

I have included ancient medicine philosophy because modern thinking now recognises that nature, exercise, breathwork, meditation, acupuncture and the gut biome, have an important part to play in our physical and mental health.

Daoist philosophy dates back to 500 BC and was founded in China. The Daoists followed their observations of nature and believed the world was made up of opposites and without these opposites, the world would not function. They viewed human existence as being no more important than any other living organism and for harmonious living there had to be a balance with nature. Life was seen as a journey similar to a river flowing, with a general idea that without any intervention most outcomes would be positive ones, therefore there was no need to overly worry about problems on the way. Qi (pronounced Chee) was the life force energy and had three centres or Dantian. The lower Dantian probably seen as the most important was in the centre of the body approximately 4 fingers width below the tummy button. The other two centres were in the chest near the heart and in the middle of the forehead between the eyebrows.

The Daoist symbol of Yin Yang has become a common icon of harmony and balance. The idea behind yin and yang is paradoxical. The black and white stands for two opposing forces that are also complimentary. This constant mutual attraction and repulsion causes contestant change, that manifests in what we call the universe. Phenomena like life and death, winter and summer, matter and emptiness are all physical manifestations of Yin and Yang. 

In the ancient masterpiece written by Lauzi called the Dao De Jing, he talks about the great mother, being the mysterious, receptive and passive force represented by the black part of the symbol, and the active force that is most visible and prominent, represented by the white part. The symbol has a black dot in the white area and a white dot in the black area, representing the idea that both parts carry the seed of one another. Day carries the seed of dawn and night carries the seed of dusk. 

There are no absolutes when considering what is Yin or Yang, it depends on the situation. This is what Lauzi wrote in Chapter 2 of the Dao De Jing:

  • Being and non-being produce each other
  • Difficult and easy complement each other
  • Long and short define each other
  • High and low oppose each other
  • Fore and aft follow each other

Yin represents a series of characteristics that are – generally – passive, empty, low, cold and dark in nature. Things like passivity and emptiness seem of little value, but they harbour an immense power. Yang can be described as the active element, that’s generally found in things like light, warmth, height, fullness, aggression and speed. One cannot exist without the other, and whether one is Yin or Yang depends on the relationship between the two. An example is the functionality of a mug. Yang is the material the mug is made of while the emptiness in it is the Yin element. The mug cannot function without both parts. Without the space in our universe, the solar system would not function. 

Society’s Yin passivity is essential for every form of accomplishment e.g. After a hard gym session, muscles are built in bed when the body can rebuild the muscle tissue. Yin is receptive to flowers waiting to be pollinated. Lauzi described Yin as soft comparing it to water in relation to hard Yang rock but water can shape rock over time through erosion. An atom has a positively charged core surrounded by negatively charged electrons and the Yin Yang pattern is the essence of binary code, which solely consists of ones and zeros. Lauzi wrote that no movement is possible if an opposite movement has not occurred:

  • If you want something to return to the source
  • You must first allow it to spread out
  • If you want something to weaken
  • You must first allow it to become strong
  • If you want something to be removed
  • You must first allow it to flourish
  • If you want to possess something
  • You must first give it away

Yin and Yang complement each other, create each other, support each other, regulate each other and transform each other. Non-doing or effortless action, also called Wu Wei by the Daoists, is a practice that harvests the power of both Yin and Yang—knowing when to act and when not to, so our actions won’t be strenuous but more in a flow state. By embracing Yin we become more receptive to the natural course of the universe and in many cases, there is no need to act, many problems solve themselves and taking action can worsen a situation. By backing off we enter a Yin state but the key is knowing when to act or not. Too much passivity can be as bad as too little. No matter what you do there will always be a dark and light side to everything. Without opposites, there is nothing to support yourself in the hierarchy of things.

Qigong

Most forms of Qigong (pronounced chee gung) originated from Daoist practices focused on cultivating and maintaining personal health. Included in those practices were exercises made up of postures, breathwork, and intention setting. The exercises initially mimicked the movements of animals and then evolved as people gained a deeper understanding of human anatomy and physiology. 

Qigong follows traditional Chinese medicine principles, which claim that Qi flows through our bodies. Accordingly, people tend to feel their best when Qi travels freely, but health problems can crop up if the energy becomes stagnant or blocked in certain areas of the body. Through simple poses and patterned breathwork, Qigong can remove obstacles to promote a healthy flow of Qi. Physical movements are coordinated with breath through the repeated practice of exercises. Once proper form is achieved, work on turning those exercises into moving meditation or finding the change in energy within the postures, movements, breathing patterns, and transitions can be practised.

The slow, gentle movements are believed to warm up your tendons, ligaments, and muscles; mobilise the joints; and promote the circulation of body fluids (like blood, synovial, and lymph). Meanwhile, deep breathing, which plays a central role in Qigong, calms the sympathetic (fight-or-flight) nervous system and activates the parasympathetic (rest-and-digest) side of your autonomic nervous system, which regulates involuntary processes like breathing, heartbeat, and digestion. By tapping into the parasympathetic nervous system, Qigong can help reduce stress and anxiety, which has many health implications. From the traditional Chinese medicine perspective, Qigong optimises the flow of energy in your body to help mitigate or attend to any number of conditions.

Acupuncture

The practice of acupuncture grew out of ancient Chinese phylosophy’s dualistic cosmic theory of the Yin and the Yang. The first documentation of acupuncture that described it as an organised system of diagnosis and treatment is in The Yellow Emperor’s Classic of Internal Medicine. Acupuncture points are believed to stimulate the central nervous system. This, in turn, releases chemicals into the muscles, spinal cord, and brain. These biochemical changes stimulate the body’s natural healing abilities and promote physical and emotional well-being.

The forces of Yin and Yang act in the human body as they do throughout the natural universe as a whole. Disease or physical disharmony is caused by an imbalance or undue preponderance of these two forces in the body, and the goal of Chinese medicine is to bring the Yin and the Yang back into balance, thus restoring the person to health.

An imbalance of Yin and Yang results in an obstruction of the life force, or Qi, in the body. Qi flows through 12 meridians, or pathways, in the body, each in turn associated with a major visceral organ (liver, kidney, etc.) and with a functional body system. Acupuncture is designed to affect the distribution of Yin and Yang in these channels so that the Qi will be enabled to flow freely and harmoniously.

Living in Harmony – Ancient Buddhist and Hindu Philosophy

Another set of practices based on Eastern philosophy that have gained popularity and acceptance in the West are Mindfulness, Yoga and Transcendental Meditation.

Mindfulness in Buddhist Psychology

Buddhist psychology is an in-depth examination of the self that aims to lead humans to a flourishing life, while mindfulness meditation is a central factor in helping one to live such a life. Buddhist psychology affirms that there is no such thing as a permanent, unchanging self and further contends that suffering pervades human existence and is chiefly caused by one’s greed, hatred, and delusion concerning what is felt and seen, as well as an illusory belief in the notion that there is an independent, permanent self. According to the Buddha, the only way to eradicate human anguish or suffering is to remove the attachment or craving of our mind toward various things or concepts to which we are attached. Mindfulness meditation is one of the most important elements of the Buddha’s “noble eightfold path” to end suffering and instil wisdom. Principally, mindfulness in Buddhist teaching is viewed as a fundamental pathway through which to become aware of the causes and sources of suffering and to attain enlightenment or awakening, thereby enabling the individual to be less egotistical and obtain insight into the state of “no self.” According to Buddhism and its Chan School, when an individual has truly acquired complete enlightenment or insight into the “non-self,” they will have achieved full freedom of the mind.

In the West, it is understood either as a process of self-observation, as a disposition or kind of cognitive ability as a set of skills for self-regulation or as a disposition or kind of cognitive ability. Although there is some confusion regarding the differing definitions of mindfulness in terms of awareness, attention, and attitude a widely adopted description is that it is a particular way of paying attention, a process of non-judgmental awareness, and an attitude of openness and acceptance. As an essential agent of functioning mindfulness, mindfulness meditation is a way of looking deeply into oneself in a spirit of self-inquiry and self-understanding by a process of dis-identification or de-centring concerning the contents of the mind, and an experiential movement into a broader domain of consciousness which can make us aware of what we are beneath the image of the ego. This detached awareness reduces an individual’s clinging to the contents of their mind that are associated with the person as themselves. Such a shift in perspective is called “re-perceiving” who found that this is predominantly how mindfulness works in therapy. Ultimately, the mindfulness of both Buddhism and psychology is viewed as an important way to understand the nature of the self and to obtain spiritual well-being.

Extensive evidence exists to suggest that cultivating a mindful or meditative attitude toward oneself and others, which we have conceptualised as the MS, is of great benefit to one’s health and well-being. As a theoretical prediction based on a review of empirical research, we posit that MS can also be an important intermediary between mindfulness intervention and mental health problems, and in promoting well-being. More generally, we propose that the MS is an applicable concept with which to describe and predict the higher level of self-development of those who grow up in a Buddhist culture and those who engage in a long-term practice of mindfulness meditation. However, further empirical study is required.

Indian Traditional Medicine – Ayurveda, Yoga and Transcendental Meditation

Ayurveda is considered one of the oldest of the traditional systems of medicine accepted worldwide. Ayurveda believes that the entire universe is composed of five elements: Vayu (Air), Jala (Water), Aakash (Space or ether), Prithvi (Earth) and Teja (Fire). These five elements are believed to form the three basic humors of the human body in varying combinations. Three humors; Vata dosha, Pitta dosha and Kapha dosha control the basic physiological functions of the body. Considering the bodily constitution, pathological history, the Dosha characteristics, lifestyle and environmental conditions in an individual’s routine lifestyle, Ayurveda has many treatment strategies for promoting well-being to individuals. 

Ayurveda employs five karmas (actions) that are used for the removal of toxins from the body tissues, rejuvenation of the body, cleansing and enhancing longevity. Ayurveda has eight disciplines for the treatment of internal medicine, psychological disorders, paediatrics, the study of geriatrics, surgical treatment, ophthalmological treatment and toxicological treatment.

Yoga originated in India in ancient times. Through its therapies and diagnosis based on pulse and analysis of the state of an individual, it suggests meditative exercises and lifestyle management to obtain tranquillity and improve health. The Asanas (postures) of Yoga are applied in various clinical and nonclinical conditions for curing various physical and emotional conditions.

The origins of Transcendental Meditation (TM) have been lost. Still, it is believed to have been delivered to man about 5,000 years ago by the Hindu god Krishna, then repeatedly lost and restored as outlined in the Bhagavad Gita and the teachings of Buddha and Shankara. It is thought to be a lost form of meditation that traces back to the Yoga Sutras and was derived from an old Hindu technique.

This knowledge of transcendence (traditionally known as yoga), which means the mind settling effortlessly into silence, is a powerful key for unlocking your inner potential for self-healing and personal growth because it is simple and natural and therefore works for everyone. Frequently, those who have learned, or even taught, other forms of meditation, are astonished when they learn TM that the simplicity and effectiveness of their new knowledge produce results that may have eluded them for years.

TM is not concentration or visualisation, nor is it control or even mindfulness. Using a mantra (or sound) upon which to gently and innocently rest our attention, we simply allow the mind the freedom to follow its natural tendency towards happiness, and it will settle spontaneously into silence. This unique approach, passed on during personal instruction by a teacher trained as directed by Maharishi Mahesh Yogi, comes from the ancient Vedic tradition of India.

The resulting peace (sometimes, and increasingly, blissful) allows the body also to gain very deep rest (much deeper than sleep), in which it can dissolve even its deepest stresses accumulated as a result of life’s worst traumas. As we emerge refreshed and revitalised from the silence of meditation, this has the potential to produce sometimes dramatic improvements in any area of our life, as indicated by a vast and ever-increasing body of research over the last 45 years. However, for most people, the biggest results come gradually and comfortably over time.

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