Wednesday, July 31, 2019

Some possibilities for developing healthy exercise and eating habits

HEALTHY EATING


(Disclaimer: I am not a nutritionist – this is presented from a mindful cognitive-behavioral point of view – MOST important: Plan.  Enjoy your food, Eat slowly and mindfully, and enjoy eating with your family/friends/etc.)



Make a plan to go online and a healthy vegetable recipe, once a week for 8 weeks, and keep rotating – this is enough to radically improve her diet and to help lose weight, along with at least 20-30 minutes walking outside a day (which is also almost as good, if not as good – according to much research - as a single dose of anti-depressant medication) 

suggestions for more “accessible” vegetables (find  your own online if these don’t appeal to you): 
healthy French fries (hardly more than 5 minutes prep time – or just buy frozen at Ingles), 
sweet corn mixed with salsa and fresh tomatoes, 
roasted (in oven) portabella mushrooms (with small amount of cheese),
 guacamole,
 roasted zucchini (with small amount of cheese if that helps),
artichoke with lemon/salt/pepper/mayonnaise dressing, 
add store bought salsa or spaghetti sauce to any of the dishessauté some onions and garlic in oil with salt and ground pepper to add extra flavor; squeeze on a bit of lemon or lime to taste

Discover one new healthy (fairly low sugar) fruit per week to make weight loss even easier (try a thin spread of healthy no-salt-added peanut butter on a slice of apple; spread banana on buttered toast with St. Dalfour sugar-free jam and fresh or frozen blueberries – takes five minutes and tastes better than pie).

Fastest weight loss of all: identify one highly processed, high calorie food to eat less of each week (high calorie sugar drinks, sugar snacks, salty chips, etc)

Google healthy substitutes for the most popular fast foods; pizza, Subway sandwich, pasta, burgers, fries, etc. Learn one a month. 

At the end of four months, you’ll have 16 healthy vegetable dishes, 8 healthy fruits, at least 4 healthy substitutes for fast food, and you’ll have eliminated 16 food items that are probably most responsible for weight gain.



Exercise and Food

If you're just starting an exercise routine, BE SURE you check with your doctor first!

As you probably know, exercise is definitely still considered great for weight loss, but it is only about 20% of the equation. Which means what seems to be a nightmare to figure out food - but it's actually quite simple. People aren't generally aware that Michael Pollan's summary - Eat real food, mostly plants, not too much - is consistent with over 50 years of nutritional science.

If you just cut down as much as possible on processed foods ("Unreal food" as opposed to real food) you're ahead of about 80% of Americans.

If you add to that a health portion of veggies - especially leafy greens and non-starchy vegetables like mushrooms, onions, cauiliflower, eggplant,  - and moderate amounts of fruit, you're even further ahead, and ALL diets agree on this.  The great thing about learning to love leafy greens and non-starchy vegetables is you can eat as much as you want without gaining weight. You literally can’t eat too much of these foods (as long as you don’t add heavy dressings or sauces!). And they are incredibly good for you. 

Quite modest (1-2 oz) of nuts and seeds (they're incredibly nutritious but can pack the pounds on pretty quickly), and after that, nobody agrees, but if it suits you, 1 cup each of grains and legumes, OR healthy eggs, fish, lean meat should be fine (that last part is where everyone argues but you can avoid all that just by being sensible).

The key is (a) eating food you love: (b) making it VERY easy (prepare a week worth of soup on Sundays; make oatmeal with fruit and nuts in the morning, learn 4 smoothies you love, make large salads and learn about 4 low-calorie salad dressings you love) (c) inexpensive and (d) healthy (and the last one does NOT have to conflict with the first, eating food you love).

Ok, now exercise. Virtually all exercise scientists agree that a healthy combination of cardio, strengthening and stretching , along with some balance exercises, is the best.

1. Cardio: Everyone now agrees this is the best thing for weight loss. The first principle for food is the same for exercise: "the best exercise is the one you will do - and keep doing the rest of your life". For 40% of Americans, that's walking. I do 3 aerobics classes a week that I love, but Jan and I also walk almost every day. We've been doing this for years and it never gets old - our neighborhood and as many parks and forests as we can find.
  

It's true that going out dancing, playing tennis and other similar activities is helpful, but generally for exercise, a bit more disciplined cardio is more efficient. But you can get that through swimming, cycling classes (actually, biking can be excellent too, especially if there are hills near you - and also if you want to be gentle on your knees) elliptical and more. But don't make it too complicated. if you dont' do anything else, just start walking (I keep a mini trampoline and light kettle bell - 8 pounds - in my home office and I take 3 or 4 breaks a day to spend a few minutes moving; frequent light activity throughout the day has recently been found to be excellent for health)

1a: High intensity cardio. HIIT: if you're new to this so you probably shouldn't do this, but it helps to know. When you're in better shape, you can do this just by going for a moderate 20 minute walk, and for 1 minute, 3 times, go a bit faster. Ideally HIIT involves going all out, but you DEFINITELY don't want to do that at this stage. I'm just mentioning it because it's part of an all round plan.

2. Strengthening - this is the one where you should be REALLY careful if you're a beginner. LOTS of people get injured with weights. I probably shouldn't say too much here, mainly because I don't have much knowledge in this area but also because it's best being shown in person. I would strongly second another person's suggestion to do at least one or two training sessions. The only thing I'll add is that there are only about 10 exercises that are almost universally considered the "best" - squats, deadlifts, lunges, presses, pulldowns and a few more; you're going to hear about virtually hundreds of different routines but if you pay attention you'll see they're often variations of the basics. Just Google "10 best weight training exercises."

3. Stretching - Pilates is great but if you don't get a good teacher you can also hurt yourself. yoga is amazing (despite what you heard, almost all sincere yoga teachers I know of admit that it's not enough in itself for strengthening OR aerobics). You may be able to find a combination yoga/pilates class. The only thing to keep in mind is you should ALWAYS do dynamic (moving) stretching before static (holding still) stretching.

4. Balance - usually included in any good yoga class.

so, have fun, that's the most important thing. if you love it, you'll keep doing it (or as some folks put it, “The best exercise is the one you DO!!!”

More resources

For Autism Information in the Asheville Area



FAMILY SUPPORT NETWORK

 The Family Support Network at Mission Children's Hospital offers an extensive lending library of resources related to raising a child with a wide variety of behavioral, developmental, physical and medical needs.  Our team provides Parent to Parent Matching as well as monthly Family Support Group Nights, educational workshops and individual support in navigating community resources/services.

The Family Support Network is located within MCH's Reuter Outpatient Center @ 11 Vanderbilt Park Drive. We accept referrals from all agencies, physicians and directly from families and community partners.  Fax referrals to (828) 213-0040. To learn more about their services, please call (828) 213-0033.  Kerrie Eaton is a particularly good contact person there.


About Mindfulness

THE POWER OF PRACTICING MINDFULNESS

Scientific research over the past 20 to 30 years has accumulated a large body of evidence showing a stunning array of conditions for which mindfulness provides relief of symptoms (and in some cases, cure).  These include:  

a.    Psychological issues, such as:
                                               i.     Depression
                                             ii.     Anxiety (including posttraumatic stress disorder)
                                            iii.     ADHD
                                            iv.     OCD
                                             v.     Autism
                                            vi.     eating disorders
                                          vii.     substance abuse
                                         viii.    personality disorders (including borderline personality disorder)
b.    and physical conditions, including: 
                                               i.     tension headaches and migraines
                                             ii.     back pain
                                            iii.     irritable bowel syndrome
                                            iv.     epileptic seizures
                                             v.     asthma
                                            vi.     symptoms of Parkinson’s disease


Effortless Mindfulness and Cognitive Behavioral Therapy

Here are some suggestions as to how to incorporate effortless mindfulness with cognitive behavioral therapy:

1.     Take a mental “snapshot” of the precise moment when something happened or someone said something that triggered your reaction, and “freeze” that moment in your imagination.

2.     Recognize that, if in that moment, you been centered in the pure awareness at the “hub” of the “Wheel of Awareness, “no matter how challenging the experience was and no matter how painful your emotional reaction, you’d have had the capacity to be present with it in a calm, open, undisturbed state of awareness. 

3.     Bring to mind your negative emotional reaction to the snapshot moment of the event, and attend to the reaction mindfully, compassionately, without judging it or trying to change it in any way.

4.     Bring to mind the negative reactive thoughts that arose which helped to shape your emotional reaction, and attend to those thoughts mindfully, without judging them or trying to change them in any way.

5.     Just sitting quietly, without making any effort, staying centered in the experience of simple, calm, open awareness, as you find yourself more and more able to calmly and compassionately attend to the event and the thoughts and emotions associated with it, see if you can catch a glimpse of a more constructive, more positive attitude toward what happened. Here are a few possible ways that might happen:

§  Your heart may open to the possibility that there are positive things about the person or event that your negative reaction prevented you from seeing.

§  You may sense apossibility that the event couldgive rise to something positive down the line.

§  A sense of appreciation may arise for the opportunity the situation has given you to weaken the negative neural pathways blockthe deeply fulfilling, joyful experience of open heartful awareness.

*  * *  *  *

Using Mindfulness to Improve Memory

Another value of mindfulness is in regard to memory, which could help with schoolwork. Regular mindfulness practice has been shown in a number of research studies to improve working memory. There are also basic mnemonics that improve working memory as well.. The principle is that memory works by making connections.  Neural pathways are laid down every time we gain a new piece of information. The strength of the neural pathway depends on (a) the amount of attention we give to that information; (b) the amount of emotion we feel when taking in the information; and (c) the number of connections we make between that new information and other pieces of knowledge. 

For example, if I see a new car, focus intently on the details of the car, am very excited to see it, and spend a little bit of time thinking about how it resembles and how it differs from other cars I’ve seen, I’m much more likely to remember it than if I just give it passing attention. This works to improve memory for virtually any aspect of life, from remembering a shopping list to learning a new language. Many websites teach methods of creating an imaginative, colorful story to weave together isolated facts. Most don’t mention the need to think through the new information, to connect it to prior knowledge and thus actively embed it in one’s memory. Taken together, these methods (thinking about how new information relates to old information, paying attention, investing it with emotional significance, and creating a story about various facts) are powerful ways of improving memory and generally improving academic and work performance.  If you practice mindfulness regularly at all – particularly the effortless mindfulness below – you’ll find it much easier to develop your memory.

Mindfulness websites

a.    Some simple mindfulness exercises
a.    The effects of mindfulness on visual spatial processing, working memory, 
a.     Research on how mindfulness improves processing speed
a.     Neuropsychologist Rick Hansen discussing effects of mindfulness on the brain


For Fun (and exercise - and a good challenge for attention!)


body music






Ocean Breathing




OCEAN BREATHING


This breathing exercise that has an immediate impact on the autonomic nervous system, resulting in quick relaxation. It is commonly referred to as “ocean breathing.”   

1.    Here are simple instructions
a.    Imagine you’re trying to fog your sunglasses to clean them. You’d naturally make a "haahhh" sound (make the sound as if you’re whispering it). Try that now. 

b.    Try to make this sound both when you inhale and exhale. 

c.    At first, keep doing this ocean breathing with your mouth open. 

d.    Then, make the same sound with your mouth closed.  Keep breathing in and out, with your mouth closed, making the “haaahh” sound. 

e.    Do this for about 5 to 10 cycles of breathing.  It will be more effective the slower you do it; ideally, you want to do about 5 cycles

f.     There are several things that can make this even more effective for relieving anxiety:

g.    There are several things that can make this even more effective for relieving anxiety:
                                               i.     Tense and release: on the inhale, gently tense the body; on the exhale, relax. 
                                             ii.     Add words: Inhaling, think the word “calm”; on the exhale, think the word “peace.” – or substitute words of your own preference.
                                            iii.     Lift the arms on the inhale, lower them on the exhale. Any number of physical movements will make this exercise even more effective. Generally the rule is “expanding” movements as you inhale and “contracting” movements as you exhale. If this is not clear, look up any beginner’s yoga video on  YouTube, or seek out a yoga teacher to explain this.

Doing these exercises for a minute or two at a time at various intervals throughout the day retrains the nervous system, getting it more accustomed to being in a relaxed mode.

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If you prefer to be guided through this, there is an audio on this page:


If you scroll down from the audio, you'll find a series of "Breathing Videos' to help guide you in slowing your breathing, with musical and visual accompaniment to make this much easier.

If you want to try moving while breathing rhythmically, you can try these videos:


Have fun!


Tuesday, July 30, 2019

Your Amazing Brain, and the Wheel of Awareness




Effortless Mindfulness – going to the center of awareness


The “Circle of Awareness”

Circles have been used for thousands of years to symbolize the relationship between awareness and the objects of awareness. In India, mandalas and yantras of various kinds, often illustrated with luminously beautiful imagery, have been created as ways to understand the relationship of spacious awareness and the vast universe of which we are aware.  Contemporary Christian contemplative John Main uses the wheel as a metaphor, and speaks of the “still point” at the center or ‘hub’ of the wheel.

Dan Siegel – psychiatrist and founder of the field of Interpersonal Neurobiology – has offered a scientific version of this ancient symbol. He created the “Wheel of Awareness” exercise to help people move toward greater mental, emotional, and interpersonal balance, ease, and effectiveness by understanding the distinction between awareness and the objects of awareness

Dr. Siegel has taught the exercise to thousands of people around the world many of whom report experiencing a profound peace, joy and spaciousness as a result.  In fact, the “Wheel of Awareness” exercise has been used regularly and successfully by children as young as 5 to learn to shift their attention from negative impulses and emotions to positive feelings and constructive behavior. There is an extensive explanation of its underlying principles in Dr. Siegel’s new book, “Aware.” The book “Masters of Mindfulness: How to Be Your Own Superhero,” written by black and Hispanic 5thgraders from Oakland, CA will likely be interesting to any child learning mindfulness. Yet another helpful book for learning some simple methods to help develop the brain is Dan Siegel’s book, “The Whole Brain Child.”   

Here is a guided exercise for the Wheel of Awareness: https://www.youtube.com/watch?v=ODlFhOKahmk

Here is a simple explanation of what the Wheel of Awareness is about:

Imagine, he says, that your awareness is like a wheel. In the center, the “hub” of the wheel, is the experience of simply being aware.  Around the “rim” of the wheel is arrayed everything you’re aware of – thoughts, memories, feelings, sensations, places, people – everything that is contained “within” the experience of awareness.   From the calm, peaceful hub, centered in the experience of simply being aware, it becomes possible to view whatever is dancing around out on the rim without judgment - simply being aware of it without letting it pull you this way or that.

 Ultimately, all mindfulness exercises, in one way or another, involve freeing your attention from the objects of awareness on the “rim” of the “wheel” where it tends to get absorbed, and shifting it back to awareness itself at the center of the wheel, the “hub.”     As you train yourself, through repeated practice, to anchor your attention at the hub of the wheel, what happens is that the calm awareness of the center gradually expands to encompass, and even embrace, everything out on  rim.  I refer to it as “effortless” because as you become more familiar with this awareness which is always present underlying all of our experience, you don’t have to “try” to get in touch with it. All that is required is a gentle shift of your attention, from the rim (from our customary experience of being absorbed in the objects of awareness) to the hub, the center of the circle, to the experience of simply being aware.

This all-embracing, all-encompassing, non-judgmental awareness is the ideal condition for exploring difficult thoughts, emotions and behaviors in way that makes them much easier to change.

Here are some simple written instructions for distinguishing the “Awareness” at the center of the wheel from the “Objects of Awareness’ around the rim of the wheel. 


DistinguishingAwareness from the Objects of Awareness

 Begin by noticing  two aspects of your experience:

1.     The objects and activities around you 
2.     The awareness, which notices them 

Now, in a moment, you’re going to close your eyes.  When you do, notice that although all objects have disappeared, your awareness is still present.  
After a few moments, you’ll open your eyes again…

Now with your eyes open, bring your attention to the sounds in your environment.  Again, focus your attention on the two aspects of your experience – 
the sounds, and the awareness by which you hear them. 

Notice . . . when a sound disappears, the awareness is still present.  Sounds come and go, but the awareness remains, unchanged.
 

Now shift your attention to the sensations in your body.  

Again, attend to the two aspects of your experience – the sensations themselves, and the awareness within which the sensations arise. 

         

Notice that the sensations may come and go, but the awareness remains, unchanged. 


Now bring your attention to the thoughts and images passing through your mind. Just watch as the thoughts and images arise and fade away without getting caught up in them.



Notice the two aspects of your experience - the thoughts and images, and the awareness within which they arise. 

         

Notice that while thoughts and images come and go, the awareness is unchanged.


Now shift your attention to your emotions.

Observe them compassionately, without judgment, and without making any effort to change them.  

        

Again, notice the 2 aspects of your experience – the emotions, and the awareness within which they arise.  

         
The emotions may change, they may even be intense, but the awareness itself remains calm and undisturbed. 

As you get up to go on to your next activity, see if you can stay mindful of the awareness within which all the sights, sounds, sensations, thoughts, images, and emotions that make up your experience arise and pass away. 

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Any time you want, in the midst of any activity, you can practicing noticing the distinction between awareness and the objects of awareness to get a deeper sense of the powerful potential that open, heartful awareness carries within it.