Then someone told Sarah she was losing her mental capacities. I explained that several studies had revealed that brains shrink in the presence of chronic pain, but re-expand when the pain abates. (1) I encouraged her not only to continue using the DOC tools, but also to re-connect with prior interests. Over the next six months, her depression lifted and she became more energized and interactive. She also regained much, if not all, of her alertness and reasoning abilities. Instead of focusing on dementia, she had re-set her sights on moving forward.

At one point Sarah brought in some dolls that she had created over the years as a therapeutic tool in her recovery. I asked her to write a letter telling the fascinating story of her dolls, so that I could share it with you.

Sarah’s Letter

To my mentor, Dr. Hanscom:

Some time ago you took pictures of my “emotional dolls.” I had shut down physically and emotionally, lost in pain and fear. I had forgotten all the biofeedback training that had helped me years before, and could not escape my desperation. I had no purpose, no reason to live. It was then my physical therapist referred me to you. Your program set me on the right track.

We all have our hurts, some more tragic than others. By telling my story I can be proud of turning suffering into achievement.

The Big Doll

When I was in my late 20’s I began to have severe headaches on the left side of my head. My family doctor diagnosed migraines, taught me about food triggers and exercise, and prescribed Imitrex. But the pain became so bad that when I wasn’t hoping that God would take me, I considered getting a lobotomy or going anywhere in the world that could rid me of this.

When the number of debilitating migraines reached 4 – 5 per week—sometimes landing me in the hospital for days at a time—my family doctor sent me to the Diamond Headache Clinic in Chicago. Dr. Seymour Diamond used a multidisciplinary approach that included biofeedback therapy, cranio-sacral work, and yoga. Through nutritional counseling I learned more about food triggers. Whenever I sensed a migraine coming on, I retreated to a dark room.

But no matter how much I tried, I could not ignore the terrifying, head-eating monster behind the left side of my head, ready to stick its fangs into my left eye. While I was visualizing the monster, I remembered a visit to the Milwaukee County Museum. At a Far East exhibit was a frightening, human-sized doll with huge teeth, a dangling tongue, bulging eyes, hanging breasts, and skulls in its hands. That was my monster, I thought. That is what my migraine looks like.

Then I had an idea. What if I sculpted a doll that looked like the hideous monster that sits behind my left ear? I began to create a doll out of cloth. When I was done, I hung it in my sewing room where I could see it every day. Now this doll, not I, contained all the migraine pain I ever experienced. It could not hurt me—it was only a doll. If I got a mild migraine, which I did about once or twice a year, I remembered it was not my migraine, but the doll’s. I was free and immensely grateful to Dr. Diamond for giving me tools to live a pain-free life.

The Bike Accident

When I was in my 30’s, The Boeing Company hired my husband as an engineer and me as a draftsperson. Life was remarkable with no pain. I stopped using Dr. Diamond’s biofeedback techniques but embraced a rigorous physical fitness regimen. I became a serious triathlete. Every day I biked to work, ran during my lunch hour, biked to a gym and lifted weights or went swimming for an hour or two in the lake across the street from my house.

By my 49th year, I had a good job with a promising future and won most of the races I entered. I was elated to have been accepted to the Ironman Kona Hawaii Triathlon Championships, a 140.6-mile race. I had all summer to train, and I trained hard.

One day I rode my bike to Bellevue, Washington, to join some other bikers on a 100-mile training ride. When I got to the meeting place, a hotel parking lot, my wheel caught a hole in the driveway. I cantilevered over my handlebars, hitting my head on the concrete, and passed out. When I woke up, emergency personnel were all around me, cutting my brand new $65 biking sweater off me. Badly injured, I was put in an ambulance and taken to the hospital, where I had a neck surgical fusion and a wrist reconstruction. The pain never went away. Eventually I had two-level fusion through the front of my neck.

The Small Doll

I lost all that identified me—my job and the ability to run, swim, and bike. I found it difficult to do most tasks. All my friends were athletes, so we no longer had anything in common. After a while I stopped seeing them. The only people I saw were doctors and physical therapists.

I saw no sense to life, no purpose, and felt nothing but the prospect of one surgery after another. My suffering had no limit; If one day was bad, then I knew the next would be worse. I had fallen into a dark pit, an uncharted underworld of loneliness and despair. It was time to sew another doll. I visualized a two-sided face with features on both sides. On one side was the person I wanted others to judge me by.

The opposite side showed who I thought I really was. On this side I jabbed a pair of scissors in my heart and put a mirror in my hand that reflected the word “Fear.” I pierced “my body” all over with copious amounts of needles and other sewing notions, to represent the pain that I had endured for the last 20 years.

Today I am doing well. Dr. Hanscom, thank you for all the training. On the few days I start to slide back into the darkness, I can find my way back to loving myself. Life is potentially meaningful under any conditions. What matters is the capacity to turn life’s negative aspects into something positive and constructive; to make “the best” of any situation. Just focus on all the beauty that surrounds us.

Dolls, as objects of our creative imagination, will, if we invite them, take us to play again in the house of our childhood past and perhaps bestow upon us a future we hadn’t imagined.

—Cassandra Light, The Way of the Doll: The Art and Craft of Personal Transformation

Self-healing

Sarah’s story illustrates several aspects of successfully treating chronic pain, which include: 1) de-adrenalizing your nervous system 2) creating new neurological circuits 3) shifting back on to enjoyable ones.

One of the more important exercises I recommend in my book is to consider one of happiest times of your life and spending an hour recalling as many details as you can. Then experience the feelings. Your brain will begin to wake up as you reconnect. Her dolls pulled her back into a better place. Making the dolls is also an enjoyable activity that shifts your brain onto more relaxing circuits and your adrenaline levels will decrease. Play

It’s Anxiety, Not Dementia

Why is mental function compromised in the presence of chronic pain? First of all, the stress hormone, adrenaline, decreases the blood supply to your brain’s frontal lobe. Second, obsessive thoughts cause the brain to get stuck on a few repetitive circuits, making them more embedded, blocking your creativity, and causing portions of your brain to be under-used. The most tragic part of this sequence is that, with this diminished brain function, you are less willing and less able to learn new ways to heal. In other words, the pain blocks its own treatment.

I, too, experienced a cognitive decline during the worst part of my burnout; but eventually I regained all my faculties plus an added creative bonus–an interest in writing poetry. I predict that research will eventually show much of dementia to be anxiety-induced. It is not necessary—or recommended—to “combat” your illness or try to “fix” yourself. Instead, you can employ the DOC tools and watch the miraculous process of self-healing. Solving the unsolvable

Not only is Sarah doing well, she emanates joy. She is mentally sharp and moving forward quickly with her life. It has been a remarkable experience for me to witness this transformation.

1. Seminowicz DA, et al. “Effective treatment of chronic low back pain in humans reverses abnormal brain anatomy and function.” The Journal of Neuroscience (2011); 31: 7540-7550.

The post Out of the Valley, with Dolls first appeared on Back in Control.

The post Out of the Valley, with Dolls appeared first on Back in Control.

Consider the following:

Thoughts are the mental link to the environment that allows you to assess your situation second by second in order to make choices that allow you to first survive and then thrive. If our thoughts are pleasant our bodies will secrete chemicals such as oxytocin, growth hormone and dopamine that create a sense of relaxation and well-being.

Conversely, if you feel stressed then your thoughts will create a chemical environment consisting of adrenaline, cortisol and other hormones that create a sense of insecurity and dread. You will be motivated to control you or the situation to alleviate these feelings of anxiety. If you cannot escape or solve it, you will feel trapped and angry. If you are in a constant hyper-vigilant state, then your body will be continually on overdrive. It is like driving your car 70 mph down the freeway in second or third gear. It will break down much sooner than if you were in 5th gear and cruising.  Anxiety, Anger and Adrenaline

I am aware that life is not easy. Very few people can live their lives on “cruise.” Additionally, avoiding stress also becomes its own stress. You cannot run from your thoughts, which can torment you regardless of your environment. In fact, when I was in the most severe period of my Obsessive Compulsive Disorder (OCD) my mental distress was worse when I was less busy. OCD, BTW, is manifested by intrusive thoughts and extreme anxiety. Some day I will write about my battle with it in more detail but the only metaphor I can use to describe the experience is “having a hot branding iron on my brain”. The misery being in that hell of unrelenting anxiety is indescribable. OCD is no fun and not funny – extreme mental pain

Control

One of the main antidotes to anxiety is control. When you lose control your body will kick in more adrenaline to physically help you solve the problem. For example, if you were physically fighting someone for food to feed your family, the adrenaline boost would up your odds of winning. Unfortunately, just thoughts of danger can create the same chemical response even when there is no physical threat. Now you are in trouble because you have no way of physically solving the problem and there is not an endpoint.

Neurophysiologic Disorder (NPD)

There are many terms to describe the physical consequences of sustained levels of stress chemicals in your body. Some of them include Mind Body Syndrome (MBS), Tension Myositis Syndrome (TMS), Central Sensitization Syndrome (CSS), and Stress Illness Disorder. The term I have chosen is “Neurophysiologic Disorder” (NPD). Your thoughts are the neurologic input to your nervous system that creates a physiological response. We are programmed to gravitate towards the reward chemicals and avoid the stress ones. Within a pretty wide range we are able to conduct our lives in a functional and enjoyable manner – except when we can’t. There are solutions to the problem, which are the focus of my book. However, consider the effects of not addressing it.

These next few paragraphs were part of a proposal to address the effects of high ACE (Adverse Childhood Experiences) scores beginning in elementary school that are directly linked to your responses to stress.  Aced Out

Effects of Untreated NPD and Anxiety

There are several ways that untreated Neurophysiologic Disorder (NPD) manifests itself. Remember that the main focus of the school project is to deal with the lifelong impact of adverse childhood events. The worse the ACE load, the higher will be the anxiety a child brings into the classroom. The devastating impact on mental and physical health of a high ACE score is well documented. This does not even take into account the power struggle that occurs amongst these students to deal with unrelenting anxiety. Bullying, at the moment, is not even counted in the ACE score.

First, NPD can directly cause over 33 different physical symptoms. Medicine is focused on treating symptoms instead of the root cause of a fired up nervous system. Many of these conditions will begin in childhood, such as migraine headaches, insomnia, anxiety, eating disorders, stomach pain, etc. My Battle with NPD

Second, anxiety is the result of sensory input also that drives anger. One common cause of anger is loss of control. When you lose your ability to control your anxiety the anger will become intense. Anger is always destructive, including self-destructive. Although it may not become manifested during school years, it eventually results in complete disregard for personal health. This is an addition to the symptoms directly caused by the MBS. My observation is that complete neglect of your health is akin to a “slow suicide.”

Third, anger is abusive. Chronic pain creates and indescribable depth of frustration. When you are angry, it is all about you. It is a survival response and you lose awareness of the needs around you. Lack of awareness is the essence of abuse. Families of patients in chronic pain become the targets of this deep anger, and hence the cycle of adverse childhood events continues. There is a high chance that these children will act out their frustrations at school. Also, their parents have modeled anger as the normal way of dealing with adversity. Pain = anger = abuse

Unrelenting anxiety/anger cause profound physical effects on your body. Another week I will present the data regarding mental health and life span. It is not a pretty picture.

Your Unconscious Brain

I am aware that no one intellectually wants to be sick or unhealthy. The solution lies in addressing pre-programmed behavioral patterns that are part of the unconscious brain. The unconscious brain is much more powerful than the conscious brain. Your conscious brain energies manifesting as “good intentions” or “will power” have no chance of solving the problem. You must utilize strategies that stimulate your brain to rewire. You cannot “fix” yourself because your attention is still on you. Solving the Unsolvable

The DOC project is a framework intended for you to organize your thinking in a manner to connect with your own body’s capacity to heal. Your unconscious brain will resist this process to the max. Just sit down with Stage 1 on this website and start the therapeutic writing as described in Step 2. Your brain will begin to change and you will be able to move forward.

So my feeling is the mental health is the highest priority. Your body’s chemistry is optimized, you are able to enjoy your life with your family and friends, and your capacity and motivation to care for your health will be higher.

Why are New Year’s resolutions so hard to keep?

The post Mental or physical health – Which is more Critical? first appeared on Back in Control.

The post Mental or physical health – Which is more Critical? appeared first on Back in Control.