• AI and the human brain both are blank slates whose functionality depends on what is loaded into them.
• Your capacity to navigate life depends on the quality of data and the “algorithm” loaded into your brain.
• Poor data or inept processing skills creates ongoing and progressive dysfunctional thoughts and behaviours.
• Your “trauma story” is not a “story”. It is a dynamic state, and you have a choice in directing it.

There is a striking similarity to computer-based learning called artificial intelligence (AI) and the human brain. AI has the capacity to process sensory input, analyze it, and arrive at conclusions as well as make decisions. There is also a marked difference in that AI cannot react to the internal sensations from the body’s physiology (body’s chemistry and function) because there are no neurochemical support systems for AI. Every living creature reacts to its environment through collecting sensory input, analyzing it by the millisecond, and the signals are sent out to regulate the physiology to that of “threat” or “safety.” These internal sensations are called “interoception,” and interpreting these signals is the basis for the evolution of human consciousness.¹

Co-regulate??

Thoughts are a major form of sensory input and emotions are what you feel; they reflect your physiological state (how the body functions). Much of human physiology is regulated through the vagus nerve, which is close proximity with your facial muscles. Through a complex set of interactions, we are able to “co-regulate” with others with the first step being that of determining if the other person is “safe” or not.

AI can only react to electronic signals and can process them without any sense of threat or safety. Even if facial recognition could determine safe or dangerous, there would just be an electronic response that mimicked this state, but there is no chemistry to feel.

AI vs. your brain

The cognitive capacity of AI to accurately analyze vast amounts of data, and arrive at new insights, far outstrips the human brain. It can create art that elicits emotions (physiology) in humans, but another AI machine will be unable to “feel” anything. It also cannot co-regulate with another machine or human, although it may appear that way on the surface. For example, when patients were evaluated by an AI machine compared to physician, the AI machine was much more effective in allowing a patient to feel heard and safe.²  Of course, if a clinician is stressed and feeling rushed, the co-regulation will be in the wrong direction.

But here is the real problem with the human condition that is being highlighted by AI. It is clear that the effectiveness of AI depends on two core factors. The first being the quality of the data being inputted and second that the “rules” of processing the data or the algorithm.

Jinho/AdobeStock

For example, if you simply download the rules of chess into AI without any strategies of how to use it, nothing of significance will happen. For AI to develop a mastery of chess, the data and the approaches need to be “taught” by a chess master. Then it can analyze the approaches, mistakes, good moves, and eventually become a better player than the master.

What if you inputted the wrong rules or if you trained it with someone like me who really only knows the rules and can only see one or two moves ahead. There is little or no chance of the computer gaining enough experience to compete at a high level, much less become a grand master. The computer can improve on good and also enhance incompetence. In the business world, inputting bad data into AI costs industry a lot of money. AI is developing tools and approached to understand when bad data is being gathered and the results are not going in the right direction. Could it salvage my chess game someday? Maybe.

The human database

Let’s get back to the human brain. I often refer to David Eagleman’s book, Livewired, where he clearly describes the incredible neuroplasticity of the human brain.³ It will adapt to almost any input to optimize your chance of survival. But what he describes so well is how dependent we are on our parents for physical survival compared to most mammals. Even more clear is that ALL of our consciousness is constantly programmed every second from birth by sensory input from inside and outside of us. We are who everyone thinks we should be and eventually those “voices” become our own. There are an infinite number of data points and most of it is around molding our “identity”, behaviors, accomplishments, and surviving. Additionally, most of us are not taught effective coping skills and even fewer are taught to nurture joy.

Consider the extreme form of poor input and coping skills of being raised in an abusive environment. All a child needs from his family is to feel safe, be safe, educated, taught relationship skills, and feel nurtured. That’s it. That is not what many of us get. So, the download in our brains from the beginning is “flawed data,” we are not taught to process it, we are too busy surviving to feel safe, and we don’t have the skills to nurture creativity. So, our processing system is full of bad data, analyzed by the wrong set of rules, and our life trajectory may spiral out of control.

OlegD/AdobeStock

The real trauma story

Trauma is stored in your body, but maybe in a different way than you might think. There is a trend to develop a “trauma” story. The real trauma story is reflection of the trend of your entire challenging life. Your “personal AI” will continue to add dimensions and depth to it. You may be rapidly evolving in the wrong direction depending on what “data” has been loaded into it. This is especially true if your “processing system” is also flawed. It is ongoing until you become aware of the nature of the data that is contained in your brain up to this second and you learn more effective methods to process it.

There is good news in that by changing the nature of your input and the way you process it, you can program in any reality you wish. What doesn’t work is trying to rearrange the old data and “fix” the flawed operating system. The first step is becoming aware of the nature (not the details) of the data that has been downloaded into your brain. Equally important is understanding the ways of processing your input to break into these swirling circuits and get your brain moving in the right direction.

To have a good life, you must live a good life. It requires skills and practice.

References

1. Damasio, Antonio. Feeling and Knowing: Making Minds Conscious. Vintage Press, 2022.
2. Ayers JW. 2023. Comparing Physician and Artificial Intelligence Chatbot Responses to Patient Questions Posted to a Public Social Media Forum. JAMA Internal Medicine.https://jamanetwork.com/journals/jamainternalmedicine/article-abstract/2804309
3. Eagleman, David. Livewired. Canongate Books, 2021.

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A representative definition of “Authentic Self”

This is a piece from “A to Zen” from the Internet that represents a common line of thinking about the term, “authentic self.”¹ The problem is that in the human experience, our powerful behavioral patterns win out and these enviable traits are buried. Then it becomes even more frustrating when we can’t live up to our “standards.” The cycle continues in that we may actually engage in destructive behaviors even though we know better.

In general, when talking about someone who is authentic, we mean that they are genuine, honest, and real.

An authentic person is someone who is comfortable in their skin and doesn’t feel the need to put on a front to fit in and be accepted by others. They know who they are, and they don’t hide it.

They understand their purpose and follow their life’s passion. They don’t chase after money, status, and possessions and are not immorally competitive, for they are not fearful of anyone.

However, this doesn’t mean they don’t live a wealthy life and enjoy nice things, but they define and strive for success to their own standard. 

7 SIGNS YOU ARE AN AUTHENTIC PERSON

1. YOU ARE ACCEPTING OF YOURSELF AND OTHERS

2. YOU HAVE A HEALTHY EGO

3. YOU HAVE A REALISTIC PERCEPTION OF REALITY

4. YOU ACCEPT MISTAKES (AND LEARN FROM THEM)

5. YOU ARE EMOTIONALLY MATURE 

6. YOU ARE CONSIDERATE TOWARDS OTHERS

7. YOU DON’T FEEL THREATENED BY OTHERS

What if you don’t have these traits? The problem is that few of us consistently exhibit many of these admirable qualities. Where would you have learned them if you were raised in a chaotic environment? Even if we possess some of them, how often do they get sabotaged, and how many of us have all of them. If the authentic self becomes an “internal standard” of being, then our self-critical voices will chime in to remind us how often we don’t (can’t) live up to these ideals, we are less accepting of ourselves, more frustrated, inflamed, and will experience more mental and physical pain.

Your ”authentic self”

Your authentic self is right here in front of you. It is the summation of your life programming from your parents, siblings, peers, teachers, employers, societal norms, and the marketing world. In other words, you are the product of who everyone else has told you to be. These messages are internalized and become your own inner voice telling you how you should be. The outcome is a lot of noise in your brain of self-judgement and that of others. We call it “self-esteem.” It is a mismatch of your powerful unconscious brain versus your conscious one. It is endless and wears you down.

David Eagleman in his brilliant book, Livewired, points out that humans are uniquely dependent on their parents for physical survival compared to most mammals. A baby is completely helpless and cannot survive on its own for many years.²

The emotional brain is even more complex in that we have language with an infinite number of possibilities. We are programmed by every moment of our lives, which means none of us are the same. Humans give meaning to everything, and no two people can look at a physical object in the same way. Thoughts and concepts are much more complex, and we are downloaded first with concrete concepts, then abstract ideas, and we don’t develop deep philosophical thinking for many years.

We are completely at the mercy of our environment as to what is inputted into our brains. What becomes more problematic is that thoughts and ideals are perceived as real to a given person as a car or table.³ They become our version of reality or life filter. Once this life lens is set, it becomes reinforced over a lifetime – unless you choose to become aware of it and change it.

Who are you?

So, we are who the world has told us we should be. We have programmed behavioral patterns that are the foundation of our existence. Most of them result from the basic need to survive. Few of us are taught how to nurture joy. Who are we?

You are who you are today. You can see yourself by becoming aware of what you react to, what makes you anxious and angry, what are your behaviors and attitudes towards yourself and others, how much personal responsibility you take for your actions, and what level of compassion and empathy you FEEL for others.

For example, most of us know that compassion is a good idea. But what happens when you are upset. You may say or do things that you are not proud of, and compassion goes right out the window. It is because compassion is a conscious construct and anger automatically arises from your unconscious brain. It is a million to one mismatch. It is that reaction in the moment is who you are because something in the present connected you to something threatening (or perceived as such) in the past. You are there and not here. It is also who you are.

“Love Your Enemies”

Anthony DeMello in his book, The Way to Love, has a chapter called, “Love Your Enemies.” He points out that if someone angers you, you should thank them. The problem is not them, but in you. Their words or actions triggered a response in you that allows you to have more awareness of what is inside of you.⁴ It is challenging in that it still feels like the other person causing the problem, but it is you that is being triggered. The exception, of course, is physical or emotional abuse. Anger is a necessary protective reaction.

Your real “Authentic Self”

This all sounds a bit hopeless but there is a lot of hope once you realize the depth of your programming and how it is playing out today. The key word is, “awareness.” Once you are aware of how your past is continually playing out in the present, you can direct where you want your brain to develop going forward. It continues to change every second and the term is called, “neuroplasticity.” The sequence is 1) awareness 2) separation 3) reprogramming. Without awareness, you’ll continue to be mired in the past.

As you learn to take full responsibility for every one of your actions without judgement, you can create any reality you want by consistently making better choices, and the above-mentioned traits can be nurtured daily.

This new evolving person is still your authentic self. You just don’t have to keep searching for it.

References

1. By Marissa on” A to Zen Life,” June 11, 2022. https://atozenlife.com/authentic-person/
2. Eagleman, David. Livewired. Cannongate Books, Edinburgh, UK, 2020.
3. Feldman Barret, Lisa. How Emotions are Made. Houghton, Mifflin, Harcourt, New York, NY, 2018.
4. DeMello, Anthony. The Way to Love. Bantam Doubleday Dell Publishing Group. New York, NY, 1995.

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A story of healing

This is a letter that was submitted to the “Stories of Hope” section of my website.

I had back pain which became sciatica- it got worse and worse and I could only walk 50 yards. I read Isobel Whitcomb’s piece in Slate, where she discussed doing a Dr Hanscom workshop- I thought ok, let’s give it a try and within about 5 minutes my pain had gone from a 7 or 8 to a 2 or 3. 4 months later, I’ve got no pain at all- I’m running 2 or 3 times a week. My boss thinks I should advertise myself as a healer and throw chicken bones at people’s pain before giving them a “special pen” to write down all the pain. I am incredibly grateful to Dr Hanscom- he has changed my life.

Breaking down the healing journey

Expressive writing is the foundational tool of healing all chronic pain – mental or physical. It is rarely the definitive solution, although the shifts can happen quickly and be profound. The originator of the approach is Dr. James Pennebaker, who is an academic social psychologist in Austin, TX. He published the first paper in 1986 and over 2000 papers since then have documented its effectiveness.

The response from this person’s boss response is typical. It seems unlikely that such a simple approach can have such profound effects. But the data is deep and the benefits are consistent. Expressive writing was what began my journey out of pain after suffering from 17 different mental and physical symptoms for over 15 years. I discovered it accidentally and I did not understand what had happened until many years later. All my symptoms are gone and have not returned for almost 20 years. I layered on many other tools and eventually a healing sequence has evolved that has helped many people. However, expressive writing is always the one necessary starting point.

Interestingly for me, is that if I slack off on my expressive writing for two or three weeks, some of my symptoms will return. The most common one is burning in my feet, ringing in my ears, and skin rashes will come and go. Even 30 seconds of writing makes a significant difference. I now view the exercise as part of my regular mental hygiene.

Dr. Pennebaker has summarised the research in his book, Opening Up by Writing It Down, 3rd edition. Just a few of the effects include:

• Faster wound healing
• Decreased anxiety, anger, and depression
• Lower viral load in HIV
• Improved symptoms of asthma, rheumatoid arthritis, and other autoimmune disorders
• Better athletic and academic performance

Why does this approach work?

We asked this question to Dr. Pennebaker and he is quite open in that none of us really know. His feeling is that it is a process that allows people to give substance to “secrets” that every human being has in some form. Just by the nature of consciousness we all have thoughts we are not particularly happy about or even ashamed of. Also, most of us have taken actions or been in situations we regret. Of course, we don’t want to share them with anyone, but we don’t have to. Just putting them down on paper gives them substance and separation. He pointed out to our study group that keeping secrets requires a lot of mental energy. Since 20-25% of our entire body’s fuel consumption goes towards running our brains, you’ll eventually wear out. And with time these secret circuits become much stronger. You cannot do battle with them. You can only separate from them and is the reason that expressive writing is a necessary step to begin the healing journey.

The core of the healing journey

There are two separate but linked skill sets to the healing journey. Both are equally as important. One is learning to process your survival circuits that humans call anxiety and anger. The other is moving your conscious brain into the life you want. But you can’t move forward while being enmeshed with your past. The expressive writing is the beginning exercise to break you loose. I have not seen anyone really heal without using a version of this tool. The main “risk” is that your life will change, but you get to choose the direction.

References

1. Pennebaker, JW and JM Smyth. Opening Up by Writing It Down: How Expressive Writing Improves Health and Eases Emotional Pain Third Edition. The Guilford Press, New York, NY, 2016.

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“Don’t turn the ball over!”

Which brings us to the Golden State Warriors, who have become an NBA basketball dynasty. There are many facets to winning a game, involving strategies and skills that are well beyond my comprehension. However, one aspect of winning is minimizing the number of times you turn the ball over. Each time you turn the ball over, you open the door to making a bad pass or having the ball stolen by the opposing team. But it also involves a different energy than free throws, shooting, conditioning, and ball handling. There are many factors causing ball turnover; it always means less control.

The Warriors are legendary for their ability to move the ball around quickly, and you would expect a higher number of turnovers. It was a topic prompting discussion in multiple public forums, and decreasing turnovers must have been a focus of the team. However, something I read in the newspaper one day caught my attention: The Warriors had decided to quit worrying about turnovers and just play.

It was inspiring to watch their performance improve. Not long after, they went on to win the NBA championship.

Their experience is a classic example of “the ironic effect.” Trying not to think of something not only causes you to think about it more, but it also sets off a documented trampoline effect, you’ll think about it a lot more. Focusing on the highest level of performance is much different than “not trying to make mistakes.”

Skiing “not to lose”

My son is a world-class mogul skier and won the Junior Nationals championship in dual moguls two years in a row. He then hit many rough spots, including multiple significant injuries. One of them was a high-speed fall than caused his left shoulder to dislocate. He was moving so fast that he thought he was going to die as he hit the snow and narrowly missed a tree. He lost some of his edge of being infallible. He didn’t quit; he began skiing, “not to lose.” Of course, at that level, you also can’t win. His efforts to improve kept getting sabotaged in spite of an incredible commitment to conditioning and practice. In the midst of a few more injuries, including nine concussions, he really struggled.

He engaged the expertise of an athletic performance coach, David Elaimy, with an emphasis on connecting with one moment at time and visualizing what he wanted to accomplish. He also understood the powerful effects of expressive writing, writing down thoughts then destroying the paper they’re written on. It is the one exercise that breaks up the need for mental control, which is the driving force behind the ironic effect and repetitive thought patterns.¹

As he stood at the starting gate for his last attempt at qualifying for the U.S. ski team, my son carved in the snow  the word, “fail” with his ski pole, then trusted himself to execute what he already knew how to do—ski at the highest level. He went on to ski the best run of his life and qualified for a shot at the Olympic Freestyle team. For other reasons, a skier who finished below him was chosen for the team. But he did it. He broke through and performed to his potential under extreme pressure.

What does this have to do with pain?

There are two separate but tightly linked areas of expertise involved in resolving mental and physical pain.

One is learning how to process stress by developing a “working relationship” with your powerful survival fight-or-flight response. By learning the tools to stop fighting it, you can place your attention on what you want to accomplish.

The other is learning to nurture yourself and actively create the life you want. Few of us have been taught these skills.Your nervous system and body’s physiology will shift from an activated defensive state to that of safety, with profound benefits to your mental and physical health.

Winning is not the same as “not losing”

By trying “not to turn the ball over,” your powerful unconscious brain is trying to help with that effort, but it is also taking attention and energy away from what you desire. Focusing on what you want to accomplish is a more effective way of enjoying your life.

I have no idea whether the Warrior’s coaching staff was aware the ironic effect. I am even not sure whether turnovers dropped much. But the switch likely allowed them to focus more attention on execution.

Successfully dealing with ironic effect has a major influence on people’s quality of life. I have witnessed hundreds of people heal. that way. Deep healing cannot occur while you are in a sustained defensive mode, in fight or flight. Life is meant to be more than just surviving. Becoming a “professional” at living your life allows you spend less time feeling stressed, and decreases your exposure to fight or flight physiology. To win, you must practice winning.

References

1. Wegener DM. The Seed of Our Undoing. Psychological Science Agenda (1999)/ 10-11.
2. Wegener, D.M., et al. Paradoxical effects of thought suppression. Journal of Personality and Social Psychology (1987); 53: 5-13.

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The post The Golden State Warriors and the “Ironic Effect” appeared first on Back in Control.

• Your brain is incredibly neuroplastic and can change quickly in whatever direction you choose.
• We automatically know how to feel pain. What about feeling pleasure? It gets buried in the stresses of life.
• Play and social connection are inherent in all of us and using feel and visualization to connect with it will create a rapid shift.
• Enjoying life in so many dimensions is a unique human trait, and we can thrive if it is nurtured.

When you are experiencing relentless pain, life becomes heavy. You are just trying to keep your head above water from dealing with stress. Your life devolves into surviving in addition to carrying a pain burden. You may have forgotten what it’s like to live your life with deep joy and excitement. We have suggested that creating a positive vision for your life and pursuing it  shifts your brain onto more pleasant circuits. Another dimension of process is connecting to feelings of freedom and pleasure from your past. It may initially take some effort to find them, but they are there. I would suggest an ongoing process that I have personally found helpful.

Connecting

Find a quiet time and place where you can just think and possibly go into a meditative state. Think back to an event in your life when you felt carefree and joyous. It could any number of situations at any point in time. Visually take yourself back there, remembering as many details as you can. Possibilities include:

• Dreams/ goals
• The weather/ temperature
• The conversations
• Attitudes
• Friends/ who you were with
• The activities
• Specific feelings and emotions
• What music, movies, sports, and art did you enjoy during this period?
• Are there songs and artists that you were particularly connected to?

Face and connect with your current reality

Spend as much time as you can with this exercise and repeat it often. Once you have really internalized some of these joyous experiences then sit down and fully experience your present life – pain and all. What happened to your sense of play and excitement?

• Compare it visually and emotionally to one of the times mentioned above.
• Note the gap.
• Make a commitment to get joy back and hold onto it. It requires repetition to change your brain.
• When you fall back into The Abyss (it happens frequently), again note the difference compared to your great moments.
• Don’t worry about making a “plan.” This is an exercise of feeling and waking up parts of your nervous system that have been dormant.

Pain or pleasure?

Believe it or not, you have a choice. You remember that one of the cardinal rules of healing is not sharing your mental or physical pain with others, especially with your family. It is completely understandable why you would want to, but where is your brain developing? I just talked to a gentleman who stated that over 90% of his waking hours are spent in either complaining about his pain and medical care or searching for a solution. Almost everyone in chronic pain does this, including me – for 15 years. I definitely had forgotten what feeling good felt like.

This exercise represents the opposite experience. As you connect with the best part of your brain, your body chemistry is dramatically altered into a safety profile where your body can rest, regenerate, and heal. We also know that optimism and a positive attitude directly lower inflammation in your body, and therefore the pain.¹This is not a light psychological game. It is a powerful way to alter your body’s chemistry.

A movie?

Watching a movie connected with a past pleasurable experience is also effective in waking up your brain. It is slightly different than just watching a funny movie to distract yourself. One movie that caught me off guard many years ago was “Happy Gilmore.” I had just flown in from Seattle to Sun Valley and I was exhausted. I was laying on the floor next to my son, who was about 15 at the time. Somehow, it seemed like one of the most entertaining movies I had ever seen. I don’t recall ever laughing so hard for so long. It connected me to a moment in time that I won’t forget. I have watched it at least 20 more times over the years, and it still lightens my mood. For each person, it will be a unique movie, song, or event.

Interestingly, for those of you who have seen it, there is a section where Adam Sandler goes to his “happy place” when he is stressed. The movie is simply silly, but this part happens to be right on with regards to using visualization to pull yourself out of a hole.

Visualization

It is well-known that performers do repeated visualizations before individual events, whether it is in music, sports, performing arts, or even surgery. Circuits are being burned into your brain that allow you to perform without overthinking. How else could an ice skater, concert pianist, or mogul skier perform such feats so quickly. In a book that I have recommended to my patients for years, The Talent Code,² the author points out that some teams have their tennis players swing a racket without a ball for three months. Why not apply these same tools to making pleasure your default mode?

Stories from the Mountains: Connecting to the Intelligence of the Heart 

Recap

The goal of this exercise to wake up dormant parts of your brain. Play and pleasure become buried by pain and survival. It is different than creating a vision or a business plan. You are reconnecting to the powerful emotional part of your brain. You can nurture it and watch it “wake up.” Feeling these sensations and experiencing these memories is key. Remember, reconnect, and “wake the fun up.”

Questions and considerations

1. Consider how the quality of your life has been taken away by being in chronic pain. No one warned you about this possibility when you were in high school.
2. Take a moment to remember a time when you were excited about the future and what you might experience and accomplish.
3. This exercise is a process to refuel feelings of enjoyment that have been buried, but not gone. Remember, pain circuits are permanent, but so are pleasurable ones.
4. As you nurture the more enjoyable aspects of your brain, you’ll use the pain areas less and they will atrophy. By trying to “fix” your pain, you’ll reinforce them.
5. Healing occurs as you become proficient at processing stress/ pain, but you also have to move into the part of your brain that involves play.
6. Anxiety is a threat physiological state of flight or fight, and play is a safety physiological state of rest and regenerate. Where would you like to spend your time?

References

1. Dantzer R, et al. Resilience and immunity. Brain, Behavior, and Immunity (2018); 74:28-42. doi.org/10.1016.j.bbi.2018.08.010
2. Coyle Dan. The Talent Code. Random House, New York, NY, 2009.

The post Feel the Life You Want  first appeared on Back in Control.

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• Most of us intellectually understand that the only moment we have in life is this very one. That is it.
• Being in medicine for over 40 years has shown me the incredible unpredictability of life. Life changes in second – sudden heart attack, bad car accident, diagnosis of terminal cancer, and the list is endless.
• But our minds play tricks on us by constantly worrying about the future and hanging onto regrets from the past.
• This problem arises from our unconscious mind that is protecting us. It is continually scanning the present looking for situations from the past that were perceived or were actually dangerous.
• So, your actions today are a result of your cumulative perceptions of what is safe – or not.
• You can’t control this response but by using tools to stay connected to the moment, its impact is lessened.

Commitment to change is one thing but sticking with it is challenging. One way to help yourself along is to bite off small bits at a time and proactively make the choices all day long. It will become a habit and your norm. A starting point is repeatedly asking yourself a simple question, “Who do I choose to be today?”

A tough start to my day

One morning I woke up feeling low, having just completed eight straight 15-hour workdays, including a long weekend. As I lay there exhausted on a Tuesday morning, I reviewed my choices: either 1) stay in bed feeling sorry for myself; or 2) give thanks for the opportunity to help so many patients during the week, be grateful for how well the week went, and meet my work-out group early at the gym. I chose the second alternative. I got up, worked out, went into the office, and gave 100% to each patient and my staff. I’m not saying it was easy; but it turned out to be a great day.

Proactively choosing how to experience your day is the farthest thing from “positive thinking.” No one is asking you to pretend to be happy when you are coping with a difficult situation, especially your ongoing pain. On the contrary, you must be aware of the depth of your frustration before you can choose to live a full and productive life with or without pain – or decide to enjo. Positive substitution—filling your life with positive experiences— is the essence of neurological reprogramming.

A Tough Beginning

Recently, I was talking to a friend’s teenage son. This kid was good-looking, athletic, and personable; yet he felt isolated, insecure, anxious, and emotionally unstable. He continually compared himself to others and tried to fit in. He was also justifiably upset about his family situation. His father, who was extremely critical of him, had essentially abandoned him by moving out of the country. I  understood where he was coming from, since his experience was not much different from mine at his age.

About halfway through our conversation I realized that he too, had a choice. I pointed out that, after years of stress, he had remained remarkably intact. He could choose to be proud of his resilience in the face of adversity and use this gift to take on new challenges. I could see his eyes light up.

Some suggestions

FOMO (Fear of Missing Out) seems to be rampant in this modern era. Maybe it is because we are overwhelmed with options? What we are missing out on is enjoying our day. It is a deeply embedded thinking pattern that doesn’t resolve over time. It requires specific approaches.

You can’t “solve” FOMO. By trying not to be this way, you’ll actually reinforce these circuits. The answer lies in cultivating connection, meaning, and purpose. Trying to be “happy” actually doesn’t work due to the “ironic effect.”¹

• Nurture deep gratitude for you have. It may not be as much as you want but focus on it.
• Compare your situation to those who are less well off than you. It may not seem possible in light of your pain but start somewhere.²
• Become aware of how frantic you get about your “to do” list and how endless it is. It is endless for all of us.
• Then don’t put ANYTHING on your list that you are not going to do TODAY.
• Frequently practice active meditation or breath work to calm yourself. It is one tool that connects you to the moment you are in.
• Listen to some of your favorite music – especially if it is connected to enjoyable experiences from the past.
• What is one thing you can do today that brings you pleasure? – a cup of coffee  your favorite donut; a call to a close friend; a compliment to a family member or friend; anything. There is an endless of list of small deeds that can change your day.

Recap – Your choice

What do you want out of your life? Is it more than being a sufferer enduring pain? Do you really want to live your one life this way? Of course not, you may be thinking. But trust me. It is unlikely that you will magically wake up one morning and find your troubles gone. Focusing on solutions is an ongoing conscious choice because your powerful unconscious brain automatically gravitates towards the problems. There are no shortcuts.

So, who do you want to be today? Choose carefully because you will either be reinforcing old neurological circuits or creating new ones. What is your choice this year, this month, today, the next 15 minutes, or this minute? Carve a few minutes out every morning to ask yourself that question, ponder your options, and commit to whatever choice you make.

Questions and considerations

1. The impact of chronic pain on your life has been documented to be that of having terminal cancer – except worse.³ So, first of all, honor your own suffering and give yourself a break.
2. Depending on the severity of your suffering, you may not feel like nurturing a better life, even for a few minutes. This is one point in your journey that you must begin somewhere, and the next 10 minutes is the place.
3. Then you have to keep repeating it, whether you feel like it or not.
4. Even when you are feeling better (and it will happen with practice), you’ll still gravitate towards the negative because that is what your powerful unconsciousness brain is supposed to do – protect you from danger.
5. To have a good life, you have to live a good life. It is just the way your nervous system works.

References

1. Wegner DM. The seed of our undoing. Psychological Science Agenda (1999); Jan/Feb:10-11.
2. Dalai Lama. The Art of Happiness. Penguin Random House. New York, NY, 1998.
3. Fredheim OM, Kaasa S, Fayers P, Saltnes T, Jordhøy M, Bortchgrevink PC. Chronic non-malignant pain patients report as poor health-related quality of life as palliative cancer patients. Acta Anaesthesiol Scand (2008); 52:143-148. 

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• It is easy to become focused on problems to the point where you forget what you really want out of life.
• Most of us complain about problems – our own, other’s, society’s,, and the those of the world.
• But what do you want? What is the vision of your life? How do you want to achieve it? What is your time frame?
• Or are you so used to complaining, that you have lost sight of all of this?
• Unfortunately, this mind set fires up your immune system, sensitizes your nervous system, and physically increases your mental and physical pain.

One of the most important aspects of healing is our life outlook. Realistic and positive goal-setting is a core aspect of stimulating constructive neuroplasticity. Your brain will develop wherever you place your attention. It is up to you to decide what you want your life to look like, what you want in it, and then pursue those dreams. Otherwise, you are still focused on the problem, not the solution.

I asked each patient exactly why they were seeing me and what they wanted. Of course, the answer was usually, “I want to get rid of my pain.” It is an understandable request, but it doesn’t work. One of the paradoxes of healing is that you can’t fix yourself. The solution lies in moving away from neurological pain circuits and into the life you desire.

It is critical to connect with your personal life vision, regardless of the level of your pain and suffering. How else will you be able to move forward?

“It’s always something”

There are always significant obstacles to achieving what you would like. When you are young, it is lack of knowledge and resources. Then you are deeply enmeshed in your education and training. You may have started a new family. Finances frequently require “giving up your dreams” in order to just make ends meet. Life keeps coming at us and our hopes become ever more buried. The added burden of physical and mental pain further compounds the suffering.

If you think about the big picture, we all have a lot of dreams, but we seldom execute to attain even a fraction of them. What happened?

It is not true that people stop pursuing dreams because they grow old.                                        

They grow old because they stop pursuing their dreams.

Gabriel Garcia Marquez

I agree with this quote except I have a different take on it. People grow old because their dreams are crushed by anxiety.

A vision?

We are so programmed to survive that we don’t understand the importance of creating a vision and then following through on it. And where would most of us have learned this skill? It would have been helpful to have been taught this early in our educational experience. Since we are not able to effectively process our stresses, we are trapped, anxious, and angry. It might even seem normal – except that we eventually may get crushed by it all. Positive thinking won’t break you out of this powerful cycle.

It is important to first free yourself from anxiety by developing a “working relationship” with it. It is necessary for survival and a gift. It is learned set of skills. Then you can move forward, and your creativity can emerge. But this is still not enough. What is your vision? What brings you joy? What do you really want out of your life?

Assume that your life is a “business” and that there are certain short and long-term goals you would like to achieve.  As with any business start-up, the chances of success are low without a written plan – the more detailed the better.  Outside input and discussions with involved parties adds important dimensions. Creating a personal business plan is a step that will help you achieve your goals.

Some starting questions

Where am I now?

Where do I want to go?

How am I going to get there?

Dare yourself to dream again and be realistic about what is possible. Then do it.

Where am I now?

Don’t pull any punches with this one. If you are engaged with this course, chances are that your quality of life has been crushed. Get every aspect of your misery out on paper, then organize it into categories, and don’t tear this up. Then redo it and get more focused. You have to understand the magnitude of the problem as well as the specifics before you can solve it. Also remember that the healing journey is rooted in connecting to you and your body’s capacity to heal. What is inside of you, being trapped in pain, is a lot of negativity. You must connect with it and stay connected with it. Hope comes from learning to tools to navigate out of this mess and not from positive thinking. Embracing your skepticism is the starting point.

People often respond with the idea that they can’t move forward because they are in pain. That is true, and why the early part of the healing journey is focused on ways to break loose to move forward with or without the pain. You cannot “fix” your pain. The solution lies in moving away from it and into more functional and pleasurable neurological circuits.

Break your misery into its components. There is the mental and physical pain. What are activities that you can no longer do? How is the medical system not meeting your needs? What is the effect of your pain on your relationships and work? How much are you enjoying sitting around the house and being at the mercy of disability system? Is this the way you want to live the rest of your life?

Where do I want to go?

This step is more difficult than the first one. You may be so consumed by your pain, that all possibilities seem to be gone. But go big! This is just an exercise that you’ll eventually bring to life. It isn’t possible to jump from chronic pain to the life that you want. But on the other hand, there is no chance of attaining the life you desire without having an idea what that looks like.

Take pain out of the picture. Getting rid of your pain cannot be one of the goals. Life is unpredictable. Pain comes at you in many unpredictable ways. You’ll develop skills to process adversity more effectively, but it will always be a part of your life. If you choose to remain upset by life’s challenges, your body will remain inflamed, and you’ll continue to suffer. Look at obstacles as opportunities to practice your skills and move forward. This is not positive thinking; it is a positive vision.

Be specific and apply your vision to all aspects of your life.

How am I going to get there?

No vision will be accomplished without a plan. Again, look at the various parts of your life and what would you like to achieve in each arena regardless of the pain? Every plan needs to be executed and there are always obstacles. Part of the “how” is surmounting them.

You now have to pull mental and physical pain back into the picture as one of the obstacles. It is there, your life is being adversely affected, and what steps are you going to take to break free from it? Each person is unique and will find their own way. Even though you must move forward in spite of your pain, maximizing your treatment is a necessary part of your plan.

This is the place where you look at pain and decide on your relationship to it? If you choose to remain a victim of it (and you are), you are stuck. If it just another obstacle to be dealt with, you are on a strong healing path.

Recap

As you stimulate your brain to change (neuroplasticity), you can direct your brain to create and move into enjoyable circuits. Similar to learning a new language, this just doesn’t happen by continually trying to fix your problems. You have to practice living a more enjoyable life in order to have a more enjoyable life.

We all know how to complain. Who doesn’t? Unfortunately, the biggest obstacle to healing is that many people do not want to give up the power of pain, in spite of their misery. It took me many years to see this, and it is sad.

What do you actually want? Do you want to hold on or move forward? You can’t do both. Once you attain clarity and create a plan, you have a high chance of achieving it and thriving. A suggested template to create your personal business plan is part of this leg of The DOC Journey.

Questions and considerations

1. Have you considered that you have been suffering for so long that it seems normal to you? This is especially true if you were raised in an abusive home situation.
2. Surviving and fixing is our default mode. It is instinctual and powerful. Why would we even consider other options?
3. Anxiety and anger are powerful and dealing with these emotions dictates much of our behavior. It is why you must simultaneously learn tools to process and neutralize them in order to move into your vision.
4. We all know what we don’t like and have no trouble sharing our complaints. But what do you want?

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• All of our actions this minute are determined by all of your past experiences up to this very second. Each of us has a unique perspective on life.
• Awareness involves seeing past your own personal biases and seeing the world more as it actually is.
• You cannot change anything until you know where you are starting from.
• You must allow yourself to feel your mental as well as physical pain before you can reprogram in new circuits.
• Without awareness, healing is impossible.

 Awareness is a necessary step on your journey to health, as what you’re not aware of can and will control you. If you’re unaware of the impact of your circumstances/ stresses on your body’s neurochemical response, you will be ruled by feelings that you have no idea of where they are coming from.

 Additionally, how can you solve a problem in any realm if you don’t understand the relevant aspects of it; especially if the problem is complex? Consider the complexity of building a skyscraper or launching a spaceship. There are endless details that have to not only be addressed but mastered. None are unimportant.

When the Challenger space shuttle exploded in 1986, killing the seven crew members, it was discovered that a small “O-ring” leak was the root cause of the explosion. What is disturbing was that there was knowledge of the potential problem from the beginning in 1971 that was repeatedly covered up. So, the people making the final decisions were not fully aware of it as the signal was given to launch the spacecraft. However, the complexity of the Challenger launch pales when compared to the intricacy of the human organism.

The human body

There are about 30 trillion cells in the human body and 80 billion brain cells. Each neuron is connected to 10,000 other neurons. This central control system maintains a precise balance of the body’s chemistry, organ function, acid base balance, metabolism, blood flow, temperature, heart rate, and this list is almost infinite. Every bodily function is balanced by opposing input  that maintains these delicate reactions. The baseline state is called, “homeostasis.”

You, through various sensors, are in constant contact with the external and internal environment to monitor and control your responses in order to survive, regenerate, and thrive. Pain is just one of the many sources of sensory input. You cannot interpret or treat a patient’s symptoms (reactions to the environment) without understanding the world they live in and also their coping capacity.

But one step deeper is the need for the patient to become fully aware of all the factors that are affecting his or her’s bodily functions. The only person than can really figure this out is you. The way you process the world around you is based on your unique early childhood programming. It is the “filter” by which you interpret sensory input – whether it is physical or mental. If you were raised in a chaotic family without feeling nurtured and safe, you have been programmed to view the world from a hypervigilant perspective. So, your baseline existence is on “high alert.” This creates a chronically defensive neurochemical state in your body and the data shows the people become ill with serious diseases and don’t live as long.¹

Defining Awareness

Awareness is seeing the world as it actually is – not just through your interpretation of it. Pure awareness is essentially impossible in the human experience; we all look at life through our pre-programmed perceptions of reality that starts to develop at birth. But the closer we can come to pure awareness, the more functional we can be as human beings.

Awareness is the key to developing meaningful relationships; in a one-on-one encounter, the greater your capacity to see a situation through the other person’s eyes, the greater chance of developing intimacy. As important awareness is seeing the effects of your behaviors on others. Intellectually, we understand the importance of awareness, and yet most of us continue to struggle with gaining true awareness. Why is that? Consider the following:

• Anxiety clouds awareness, but we are often not aware of our anxiety until it becomes disruptive.
• Awareness and anger cannot co-exist. When you are angry, the blood supply is shifted from the neocortex (thinking centers of your brain) to the lower survival centers. By definition, it is not possible to accurately assess all the variables of a situation and come up with a creative solution.
• We all know that nothing really is accomplished in a heated argument. Anger is destructive.
• This situation is worse when you are trapped by chronic mental or physical pain. The most challenging aspect of healing is breaking through this barrier and nurturing awareness.

Becoming Aware

There are several types of awareness that are necessary to learn for you to solve your chronic mental and physical pain.

• Understanding the nature of chronic pain. It is a neurochemical problem that is rarely amenable to structural interventions such as injections and surgery.
• Becoming aware of the principles underlying the solutions. They are centered around rewiring around the unpleasant (and permanent) circuits in your brain and also learning how to lower your body’s inflammatory response to threat.
• Awareness of how your environment is affecting your sense of well-being. For example, if you are in an abusive relationship, no medical interventions will counteract your body’s need to survive. The root cause must be addressed, and every situation is different
• What was your home life like during the first 12 years of your life? Was it loving, supportive, and nurturing or chaotic? It sets the stage for how your brain develops the rest of your life.

Awareness – the foundation for stimulating neuroplasticity

 Using techniques and approaches that stimulate your brain to physically change structure is a core concept in solving chronic pain. All of our basic survival skills are memorized and are automatic. For example, you don’t think about which muscle to fire next when you walk or talk. How about learning an athletic or artistic skill? The same holds true for unpleasant experiences, such as disruptive thought patterns or pain. Just like riding a bicycle, they are permanently embedded in your nervous system. In order to reroute or create new and more enjoyable circuits, you have to be aware of what is already there. If you are continually doing battle with an unknown opponent, how effective are your efforts going to be?

Also, these survival circuits are hardwired in and not responsive to rational interventions. We spend a lifetime trying to solve or outrun these survival sensations, yet you might as well be talking to the engine of your car. The only approach (and it is effective) is reprogramming them with awareness and repetition.

So, one basic aspect of solving pain, is to allow yourself to feel it. You might say, “I am already in pain and feel terrible.” But what is usually happening is that we are suppressing emotional pain, which is processed in a similar area of the brain. If you don’t allow yourself to feel emotional pain (being vulnerable) then you will experience physical symptoms. There is no place to run.

The basic steps of stimulating neuroplasticity are:

• Awareness
• Separation
• Reprogramming

You have to feel to heal.

Chronic pain is resolvable once you become aware of its nature, your reactions to it, the relevant variables that affect your perception of it, and learning your set of tools to drop it down and reprogram your nervous system.

Recap

You cannot solve any problem unless you understand it in detail. Chronic pain is a complex problem, and each person has a unique experience. Being aware of all of the factors that affect your pain is critical. You also cannot move forward until you understand where you are at right now.

Every living creature has to be continually aware of its circumstances to ensure survival. Humans have another layer added in the form of language and consciousness. To enjoy rich and fulfilling relationships requires being aware of another’s needs as well as your own. When you are trapped in pain, awareness cannot exist as the blood supply shifts away from the thinking centers of your brain to the lower survival centers. You attention is only on you.

Breaking through this barrier to awareness is a challenge, but once it occurs, life becomes an abundance of opportunities instead of an endless barrage of challenges.

Questions and considerations

1. Many people are so used to being in a survival mode that they are not aware of the possibility of living a great life. Could this be you?
2. Even though you might be miserable, somehow the idea of change is more threatening, and you may not try anything. How badly do you want to heal? Many people when confronted with that question, actually do not want to change.
3. Pain and anger are addicting. They feel powerful and no one wants to give it up. Understanding this scenario is important.
4. Awareness requires you to feel the pain and stop fighting it. Then healing can occur.
5. It is easy to be aware of other’s “flaws.” Are you able to see your own?

References  

1. Keller A, et al. Does the perception that stress affects health matter? The association with health and mortality. Health Psychol (2012); 31:677-684. doi:10.1037/a0026743

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• Understanding the nature of chronic disease and the principles behind the solutions, allows you to fully engage in your care.
• Characteristics that keep us alive are what also create disease states.
• Chronic pain is a neurological diagnosis that has profound effects on your body’s physiological state. Existing in flight or fight breaks down your body.
• Survival depends on the protection of anxiety and anger. Letting go of trying to fight or change them releases energy to live your life.
• The essence of chronic illness is living in sustained threat and the solution lies in finding safety.

Here is a review of some characteristics of staying alive, which are the same ones that cause illness and disease.

Your health is dependent on the amount of time your body is in a physiological state of threat compared to feeling safe. Life is dependent on feeling safe in order to regenerate and also dealing with threats in order to survive. But, when you are exposed to sustained threat physiology, your body will break down.¹

Physical and mental symptoms are the result of each organ system in your body uniquely responding to your body’s chemical makeup.² In addition to the multiple physical symptoms, the sensations created by the flight or fight inflammatory state are called anxiety and anger. They are the result of threats, not the cause. They are also powerful, uncontrolable, amoral, destructive, and necessary to maintain life.

The starting point

Picture a complex circuit board that has trillions of etched-in circuits that represent your lifetime of programming. These circuits are not alterable for several reasons. First, they are memorized, similar to riding a bicycle.³ Second, any time you spend trying to analyze and figure them out is counterproductive. The more attention you pay to these patterns of activity, the more they are reinforced. Finally, as the powerful unconscious brain is estimated to process 20 million bits of information per second⁴ (compared to your conscious brain only processing 40 bits per second), rational interventions alone, such as talk therapy, cannot hope to make a dent in these circuits. It is like trying to move a high mountain peak with a shovel. It is not going to happen and much of your life’s energy is consumed in the process of trying.

It sounds discouraging. You have these permanently embedded pain circuits in your brain and the harder to try to fix them, the more they are reinforced. They are also necessary and much more powerful than your conscious brain. So, what do you do?

Solving the unsolvable

Understanding that you cannot solve or improve these unpleasant circuits is the first and necessary principle behind the solution. You must put down your shovel and move on. Instead of trying to “fix yourself,” new strategies are needed to create fresh circuits in your brain. Most of these approaches utilize methods that connect with the unconscious part of your brain with repetition. It’s similar to diverting a river into a different channel. You begin with small steps to create these new channels, but eventually the water’s flow will aid the process.

So why would we ever take anxiety or anger personally? They are inherent for survival but have little, if anything, to do with who we are. By letting go of trying to solve an unchangeable situation, you’ll experience a huge energy surge that allows you to move forward.

The second principle is that since it is impossible to fix your pain circuits, you must develop or shift onto a new set of circuits that aren’t painful. There are many ways of stimulating these changes, and the process is called, “neuroplasticity.” It is similar to installing a new virtual computer on your desktop. With repetition, it is remarkable how quickly these changes happen. Since your brain will develop wherever you place your attention, you must move towards your vision instead of continually trying to fix yourself. As you embrace wellness, you’ll crowd out pain.

Third, you cannot move forward until you have let go of the past. This is difficult because when you are trapped by a chronic disease, you are legitimately angry. However, you are also stuck. There are ways to effectively process anger and there are tremendous benefits to learning these tools.

Fourth, The DOC Journey is simply a framework that organizes your thinking and presents tools in a way that you can apply them in a focused manner. The steps in healing are:

• Awareness – you have to understand a problem before you can solve it.
• Treating all aspects of pain simultaneously – it is similar to fighting a forest fire. Every treatment can contribute to a good outcome, but nothing will work in isolation.
• You take control of your care. Since chronic pain is complex and you are a unique individual, each person’s situation is incredibly complicated. You are the only person that can possibly solve it with guidance. If you are not in charge, nothing can happen.

Fifth, a core concept of The Journey is awareness. It includes awareness of:

• Your emotions
  • Suppressed emotions are especially problematic
• The impact of your actions on others and theirs on you
• The nature of chronic pain
• The principles behind the solutions to chronic disease
• Your specific diagnosis
• Your vision of what you want your life to look like

Finally, since your sense of well-being and health is dependent on the composition of your body’s physiological state, all of your efforts are intended to stimulate it directly or indirectly into a safety state. There are three areas of focus:

• Input – how you process your stresses
• The state of your nervous system – calm or hypervigilant
• Output – it is desirable to remain in balance or safety and minimize the amount of time you are in a threat state.

The desired safety state allows you to feel content and secure, have a slower metabolic rate (rate you burn fuel), less inflammation, and lower levels of stress hormones. Optimizing your body’s physiological state from threat to safety has a profound effect on your health and quality of life.

Recap

The solutions to solving and preventing chronic disease lie in understanding the principles behind them. Embedding these of concepts allows you to continually practice them. This is in contrast to randomly learning techniques to fix yourself. The process gives you control of regulating your body’s physiology from one of threat state to safety.

Questions and considerations

1. Consider that it is your whole body that responds to your immediate set of circumstances in order to optimize your chances of survival. Your nervous system is the processing center for sensory input and an integral part of the reaction. There is absolutely no separation of the mind and body and why even the use of the term, “Mind Body” is inaccurate.
2. Why would you take your powerful survival reaction personally? It is intended to feel so unpleasant so as to force you to act. It is what you possess and not who you are.
3. You’ll be taken on a journey that will allow you to depersonalize this flight or flight reaction. It is just a part of your daily life.
4. Take some time to review the above principles of solving chronic disease. They will eventually enter every aspect of your life and become automatic. As you spend a lesser amount of time in a threat state, you will be able to move forward into a new life and thrive.
5. You can’t fix chronic disease. You must let go and move into wellness.

References:

1. Torrance N, et al. Severe chronic pain is associated with increased 10-year mortality: a cohort record linkage study. Eur J Pain (2010);14:380-386.
2. Schubiner H and M Betzold. Unlearn Your Pain, 3^rdMind Body Publishing, Pleasant Ridge, MI, 2016.
3. Hashmi, JA et al. Shape shifting pain: Chronification of back pain shifts brain representation from nociceptive to emotional circuits. Brain (2013); 136: 2751 – 2768.

4. Trincker, Dietrich. 1965 lecture at the University of Kiel. German physiologist

The post Common Links to Chronic Disease – RUTs are Relentless first appeared on Back in Control.

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He defines resilience as, the process that allows individuals to adapt to adverse conditions and recover from them. Stress susceptible individuals have a different immune system profile than that of resilient individuals. He reviews the four most notable factors that affect resiliency and therefore the reactivity of the immune system. It is desirable for the immune system to quickly respond to an acute threat and equally important for it to quickly calm down. In fact, short-term stresses enhance immune function. But chronic psychological stress tends to suppress the immune response.

The psychological factors are:

• Positive affect – “can do” attitude
• Personal control
• Optimism
• Social support

It works both ways

Although, being exposed to chronic threats is problematic, how you process them is critical. One study showed that a positive affect (happiness, joy, excitement, enthusiasm, and contentment) predicted better self-rated health than hunger, shelter, and safety. (2). A classic example is the story of Viktor Frankl, an Austrian psychiatrist who found a way to thrive in the midst of the horrors of a concentration camp. He relates this incredible experience in his autobiography, Man’s Search for Meaning. (3)

Social connection was shown to counteract increased mortality in men over 50 exposed to high levels of stress over a seven-year period. (4)

It also works the other way around. When the immune system is chronically activated it can induce many unpleasant reactions. The brain is also compromised of glial cells that support the neurons and also throw off small proteins called cytokines. Under threat, inflammatory cytokines are produced that sensitize the nervous system. The inflammation can induce some of the physical manifestations of depression such as poor appetite, fatigue, and insomnia. Eventually, thinking capacity is affected. The immune system directly affects the psychological state of the person and the psychological state affects the immune system.

He also reviews the role of diet on the microbiome of the gut and poor-quality diet reduces resilience and is a risk factor for major depression. (1)

These are just a few points from his extensive review paper regarding the relationship between a person’s ability to adapt to adversity affecting the immune response but also the state of the immune response affecting the capacity to effectively deal with adversity.

You can retrain your brain

The good news is that a person can be trained to be more resilient in all of these domains. The DOC Journey is one program that presents a framework that allows participants to systematically address each of these areas.

• Sense of personal control – learning tools to regulate your body’s stress response is powerful.
  • For healing to occur, you must take control of your own care – and life.
  • You must quit blaming – period. There are no shortcuts to this step.
  • Knowledge is power and allows more control over your decisions.
  • Learning organizational tools enables you to execute your plans based on your vision.
• Positive affect
  • Positive thinking is problematic in that you are just suppressing negative thinking. If something is unpleasant, there is no benefit in pretending otherwise. However, a positive outlook focuses your brain on where you want to go and is a core aspect of the program.
  • Look at obstacles as challenges as an opportunity to practice your skills rather than viewing yourself as a victim.
  • “Do” instead of “try”
• Optimism
  • By understanding the nature of the problem and the principles behind the solution bring a tremendous amount of hope back into a person’s life. Being stuck in chronic pain without any idea how to navigate your way out is possibly one of the worse experiences of the human condition. It is ironic that being in The Abyss of pain is inflammatory and physically exacerbates the pain.
• Social connection
  • Group sessions have been the hallmark of The DOC Journey since 2013. We quickly noticed the healing power of a group in where you can share and feel safe. We have been excited in that our twice-weekly virtual sessions have been as effective as our in-person workshops. We have historically been perplexed why this has been the case but have learned that oxytocin (social bonding hormone) is strongly anti-inflammatory. Other hormones such as dopamine (rewards), serotonin (anti-depressant), growth hormone, and GABA chemicals (anti-anxiety) also create a profound sense of safety and contentment.

The video below is a compilation created from the experiences of some of our participants in our weekly group sessions. I am continually inspired by their persistence and determination to keep moving forward. Sharing in a safe environment is powerful. I have personally benefited and have greatly enjoyed getting to know this group.

The DOC Journey Q&A – The Power of Social Connection

References:

1. Dantzer R, et al. Resilience and immunity. Brain Behav Immun (2018); 74:28-42. doi:10.1016/j.bbi.2018.08.010
2. Pressman SD, Gallagher MW, Lopez SJ, 2013 Is the emotion-health connection a “first-world problem”? Psychol. Sci (2013);24:544–549.
3. Frankl V. Man’s Search for Meaning. Beacon Press, Boston, MA, 1959, 1962, 1984, 1992, 2006.
4. Rosengren A, Orth-Gomer K, Wedel H, Wilhelmsen L. 1993 Stressful life events, social support, and mortality in men born in 1933. Br. Med. J (1993); 307:1102–1105.

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