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Depression Busters for Caregivers

Get Your Own Oxygen

The majority of visitors to this blog don’t come in the front door. They bypass all of my content and go straight to the 5% or so that my wife Anna wrote. Her content receives more than half of all traffic.

Why?

She would say my writing is lousy. I think it’s because she writes from the perspective of a carer. Some of her posts have struck a chord with other carers, of which there are an awful lot, and gone viral. Well, mini-viral.

Looking after yourself as a carer is a big, often unacknowledged issue. Depending on the source, somewhere between 1/5 and 1/3 of carers for people with chronic illnesses have mild to severe depression. I have no doubt that the range is higher for carers of mentally ill folk.

There is a good set of slides on Beliefnet written by Therese Borchard, called 12 Depression Busters for Caregivers . If you are caring for someone I recommend it as an easy, humorous and very helpful read.

Here is an excerpt from “Secure Your Own Oxygen Mask”:
It always goes back to the ten-second spiel you get right before your plane takes off. “In the event of an emergency, an oxygen mask will drop from the compartment above you. Please fasten your own mask before assisting others.” Or, on Southwest airlines, they say, “Now would be a good time to choose your favorite kid.”

Click to read more of 12 Depression Busters for Caregivers .


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Relaxation Technique 2: Calming Music
First off, I want to apologize for the lack of posts lately. First my internet went down and I had to replace my modem and router and I went through a few days of serious internet withdrawals. Now my husband has been sick with strep throat and possibly the swine flu-ahh! Tonight is the first time I feel like I have some time to relax and actually think. So my relaxation hasn’t been where I have wanted it to be so far this month, thats for sure. I have made the deep breathing techniques one of the first things I do when I start to panic so I am glad that I have already been able to incorporate that into my normal routine.

Awhile back I used to have a player on the site that had some music that I found to help me to relax. Music has a way of lifting depressed moods and touching souls.

Edmund J. Bourne says, “Whether you use music while driving, as a background while at work, or in the foreground when you want to take time out to relax, it is one of the most powerful and time-honored methods for letting go of anxiety or worry. If you use the music to assuage anxiety, be sure to select pieces that are genuinely relaxing rather than stimulating or emotionally evocative” (bold and italics added)

I grew up playing the piano and used to teach lessons. I have always found that playing the piano and listening to piano music really helps me to get lost from my daily worries and really feel at peace.

A couple of my favorite piano musicians are John Schmidt and Jim Brickman. I feel a little vulnerable sharing this with you for some reason. I think its just because its so special to me, and its a part of me, a part of my heart, and I don’t want people to think its stupid. But I’ll take the risk because I think the following is worth it.

While this song isn’t Jon Schmidt’s most relaxing one, it is the most AMAZING peice I have ever heard. He is so talented and I have been trying to learn this song for years, but its sooo hard. He actually uses his entire arm for several of the notes near the end. Its titled, All of Me. You can check out a live performance here:

Here is another one of my favorites by him:

Just listening to these to put on here is putting me in such a happy mood, I love it.
And now for a really relaxing one, this is by Jim Brickman. The song is called Lake Erie Rainfall and it has a special place in my heart because I grew up literally down the street from Lake Erie and that lake truly is home to me. Being away from it now for 9 years really makes me homesick when I listen to the song, but its also a very peaceful song. I hope you enjoy it as much as I do.

And finally, the first Jim Brickman song that I ever heard is still one of my all time favorites. Its just a beautiful song.
The following are some songs that aren’t necessarily relaxing like Enya or Yanni relaxing, but they are cool songs that I used to listen to to help me feel better about my anxiety:
Natasha Bedingfield- Wild Horses:
Frou Frou- Let Go
Daniel Bedingfield- Gotta Get Through This (acoustic):

And finally, Jem- It’s Just a Ride:

I like to listen to music in the car, when getting ready for the day, and when cooking dinner. Most of what I listen to is on the more mellow side specifically because it helps me to relax more. Thanks for listening! What kind of music do you listen to, to unwind and relax? I’ve also started a topic about this on the forum if you would rather leave your suggestions there.

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SPOILER ALERT! Giveaway coming really soon!
A Special Heads Up: Monday morning I will be announcing another giveaway. And this time there will be THREE WINNERS! It’s only going to last for one week, so be sure to check back so you can enter to win! There will be more than one way to enter, and they are SuPeR easy.

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Relaxation Technique 1: Abdominal Breathing

One of the easiest and very effective things you can do to get into a deep state of relaxation quickly is to take deep breaths.
 
What is abdominal breathing?
Abdominal breathing is a way to breathe from your stomach area (abdomen) to fill your entire lungs with air. Your lungs are like balloons that should fill up and empty all the way. Your body gets the most benefit when you use your entire lungs. Many people who are under stress breathe in short and shallow breath from the chest. This is not the best way to breathe because it only uses the upper parts of the lung. Breathing from your chest can increase muscle tension. -www.seattlechildrens.org

How to Breathe From Your Abdomen and Not Your Chest:
Place your hand on your abdomen. Breathe in deeply from your nose, slowly pulling in as much air as you can. Keeping your hand on your abdomen, slowly release the air through your mouth. Make sure you release the air from your abdomen area. You should feel your hand depress slightly as this happens. -ehow.com

The Calming Breath Exercise:

One of the easiest things to do when you start feeling anxious is to focus on your breathing. Most people with anxiety tend to breathe in short quick breaths. If your like me, in a horror movie when you get scared you might hold your breath altogether. In movies you see when people start hyperventilating (or taking quick short breaths) they have them breathe out of a brown paper bag. That actually works because it forces you to take deeper breaths because of the lack of oxygen.
So here is a really simple exercise that can help you out tremendously.
  1. At least once a day either when you are anxious or just when you have a time that you can sit and focus, breathing from your abdomen inhale through your nose slowly to a count of 5.
  2. Then HOLD YOUR BREATH for a count of 5.
  3. Release the breath slowly from your nose or mouth, counting to 5 again (or counting backwards from 5 to 1, whichever you prefer). Make sure to exhale fully.
  4. Take two breaths in your normal rythm and then repeat steps 1-3 for 3-5 minutes, or until you reach a 0 on your anxiety scale.
Another tip that you can do while you exhale is to say a phrase or a positive affirmation in your head that is meaningful to you. Something like “this too shall pass” or “I can do this” or “I can take as small a step forward as I choose”; whatever works for you. When you do these actions it forces your body to react in the opposite way you would if you were scared or frightened which in turn can make your anxiety symptoms calm down. It’s also a nice trick you can do no matter where you are, subtly, without having to make a scene. Once you get really good at it, you can do it right in front of someone as they are talking to you and they won’t even notice. I have done this in restaurants, church, in meetings at work, everywhere.

Some other breathing exercises include:

  • Watch your breath. This is called mindfulness. Sit or lie in a comfortable position with your eyes closed. Focus your attention on your breathing, and do not try to change it. Watch it go in and out. If it changes, keep being aware of it, almost like you are watching someone else. This is a way to relax and balance your body and mind. This method can also work to decrease pain. --www.seattlechildrens.org
  • Focus on breathing out. Keep watching your breath, and do not try to change it. Think only of breathing out. When you push more air out, you will automatically take more air in. Breathe deeply and feel yourself relax. --www.seattlechildrens.org

Warning:
There are not too many down sides to abdominal breathing exercises. Just be careful not to overdo it. If you do too much at once, you could pull a muscle that isn’t used to being worked very hard or, at the very least, make yourself feel a little lightheaded. Take your time standing up from the prone position. -ehow.com

Time Frame:

Abdominal breathing exercises only take a few minutes every day. Spending 10 minutes a day or every other day can make you healthier. Use these relaxing breathing techniques before you go to bed or first thing in the morning. You’ll feel relaxed and rejuvenated. -ehow.com

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I am going to be in SELF Magazine!
In January’s Edition of Self Magazine, they are having an article on how you may think that you have insomnia, but it may actually be something else. I don’t know how much of it will be contributing to anxiety, but I have been talking with editors from the magazine and they want to put my story in! They may or may not mention the blog, but I am super excited, and super nervous too! When I told my sister she said she was jealous of my 15 min. of fame and I said, “Oh yeah, I’ll be famous for having a mental illness, real glamorous!” lol

In the past I have posted about my experiences with insomnia and anxiety if you are interested in the topic.

I am thinking it will be in newsstands at the beginning of December, but I don’t know for sure. Be sure to check it out and let me know what you think!

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Monthly Challenge: November 2009- Relax!

Thanks to everyone who participated in last month’s challenge of learning more about our brains and anxiety. I learned so much and it brought me a sense of empowerment and understanding that is !
For this month’s challenge, I want to focus on learning more about how to relax. While taking a hot bath or watching TV can be relaxing, in order to really have a noticeable effect on our anxiety we need a regular daily practice of some form of relaxation that will decrease all of the things that get raised when we are in the fight or flight mode (heart rate, blood pressure, respiration, muscle tension, etc.)

“If you have an especially stressful life, your sympathetic nervous system may always be poised to react to a crisis, putting you in a state of constant tension. In this mode, you tend to react to small stresses the same way you would react to real emergencies. The energy that accumulates in the body to meet this “emergency” must be discharged in order to bring your body back into balance. Repeated episodes of the fight or flight reaction deplete your energy reserves and, if they continue, cause a downward spiral that can lead to emotional burnout and eventually complete exhaustion.” -www.healthy.net
This month I want to learn and share with you any relaxation techniques that help me with my anxiety. I’ll be posting about things like abdominal breathing, visualization, calming music and sounds, etc. Anything that will help someone achieve deep relaxation. The challenge is for you to make the time to try them out and/or have your own journey to find relaxation techniques that work for you- and incorporate these techniques in some form or another into your daily life. Then post what you have learned on the discussion forum so we can all try it out! 

“Regular practice of deep relaxation for 20 to 30 minutes on a daily basis can produce, over time, a generalization of relaxation to the rest of your life. That is, after several weeks of practicing deep relaxation once per day, you will tend to feel more relaxed all the time.” -Edmund J. Bourne

Some other benefits of deep relaxation include:
  • reduction of general anxiety
  • preventing stress from accumulating
  • increased energy level and productivity
  • improved concentration and memory
  • reduction of insomnia and fatigue
  • increased self confidence
and more. So who is with me? Who is ready to take this on and make it a priority in your life? Couldn’t we all use a little more down time?
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Anxiety and Our Brains- Part 6: The Cortex
The thinking part of the brain is a thick covering called the Cortex. It deals with social information: thinking about thinking and emotions, as well as thinking about what others are thinking and feeling.The following parts of the cortex are good to know about in relation to anxiety:

  • The anterior cingulate gyrus (ACG), the filter and amplifier of information
  • The orbitofrontal cortex (OFC), the place where working memory is held
  • The prefrontal cortex (PFC), the CEO where all information is ultimately received, analyzed, and responded to

The Anterior Cingulate Gyrus (ACG)



This area of the cortex organizes information. It gathers data from the limbic system and the hippocampus and puts it into a contex that your Prefrontal cortex can understand and analyze. 


“When the ACG does not have a good balance of neurotransmitters, it can get stuck on negative feelings and be unable to shift them forward, thereby making it less efficient at sending analysis back onto the amygdala. If your ACG gets stuck, qualities you may see and feel are worry and rumination on negative thoughts, oppositional behavior, or inflexibility about trying new options or responses to situations.” -The Ten Best-Ever Anxiety Management Techniques

 

The Orbitofrontal Cortex (OFC)


This area commands the process called working memory, or short term storage. It holds pieces of information just long enough to complete tasks of everyday mental functioning. When this part of the cortex is working properly, people have good impulse control, making decisions based on information. 


When the neurotransmitters in the OFC are in balance, you feel optimistic and hopeful. This is important so that you can control your fears with optimistic, problem solving activity.


The Prefrontal Cortex (PFC)

This part of the brain is where all of the information from your body and other parts of your brain is ultimately received and responsive decisions are made based on that information. It creates solutions to problems. When the neurotransmitters in this area are out of balance, the thinking is impaired.

The most interesting part of this section of the book that I found is the following:

“Anxiety management techniques aim to control your anxious symptoms primarily through the left brain, using words, analysis, and decision making to control the rest of your brain and your body.Psychotherapy methods that activate other parts of the brain are certainly available, and neccesarily so, because difficult problems such as resolving long-standing trauma, changing the impact of childhood experiences, or altering dark moods such as despair, require different work than just anxiety management techniques. If your anxiety stems from a history of trauma, than you will likely need psychotherapy to to release the impact of that trauma. Your anxiety may be hard to diminish or it may repeatedly return if deeper therapeutic work is not done.” -The Ten Best-Ever Anxiety Management Techniques
I hope you have all been learning as much as I have with this monthly challenge. Keep sharing on the forum! The November challenge will be announced on Sunday, along with a new discussion thread. I am really excited for it!

Related Posts:

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This post is information paraphrased from The 10 Best-Ever Anxiety Management Techniques which is my monthly challenge book.



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Anxiety and Our Brains- Part 5: The Basal Ganglia

“A ganglia is a concentrated group of neurons. The basal ganglia (BG) are several ganglia that work together to induce motivation, create energy to meet goals, and even coordinate physical movement with the emotion. The basal ganglia are located under the cortex (covering) of the brain, where you do your thinking, and cover the limbic area. One part of the BG, called nucleus accumbens, is specialized to interpret pleasure when it receives the messenger dopamine. When you do something that stimulates dopamine and it flows through to this part, you feel good. This makes you want to repeat whatever you were doing that made you feel good. For this reason, the BG strongly affect motivation and energy.

A person with a good supply of dopamine in the BG will feel motivated and full of energy or high drive, but if the GABA is not working effectively, then the energy can get too high and result in tension. Additionally, even for no real reason but just out-of-the-blue because GABA” (a neurotransmitter responsible for slowing down activity in the brain so that you can stop brain cells from firing off messages) “is not working as it should, over excited activity in the neurons of the BG can trigger panic attacks. In the case of BG energy, some is good, a lot can give you drive but make you tense, and too much can flip over into panic.” -The 10 Best- Ever Anxiety Management Techniques by Margaret Wehrenberg.

“Increased basal ganglia activity is often a finding we have seen with anxiety disorders. When there is increased activity on the left side it is often associated with anxiety and irritability (expressed anxiety) and when there is increased activity on the right side there is often anxiety, social withdrawal and conflict avoidance. Increased activity in the temporal lobes has also been associated with anxiety. When there is also increased cingulate activity a person may have trouble with repetitive thoughts about his or her anxiety.” -Amen Clinics

Picture is a brain scan of a 28 year old woman with chronic anxiety, conflict avoidance. Note the increased right basal ganglia activity.(the middle part of the picture where it is red). 
Pretty soon it will be time for our November Challenge! Stay tuned to find out what it will be!
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Minimalism and Tyranny of the Urgent

Too Many Priorities Just Now

I’ve been MIA for a while, but back now and straight onto my hobby-horses. Minimizing and prioritizing.

There is a book from way back called “Tyranny of the Urgent”. I haven’t read it myself, but about 20 years ago I read a series of companion studies. The lessons have stuck with me. I am constantly sizing up the urgent and comparing with the important.

This year I’ve enjoyed throwing out, culling and recycling, in the first major purge of my life. I’m amazed at how much I appreciate the things that I’ve kept, now that I can see them.

An interesting post on Becoming Minimalist draws a parallel to our priorities. Being minimalist is more than removing physical belongings. It includes deciding what is important and takes priority every day, and decluttering the urgent distractions.

Read the full post here.


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I am going to be on TV online!!!
For those that are interested, I am going to be on a live tv show that airs on the internet at http://www.healthyplace.com/. You can check out the preview here. The show airs tomorrow, Tuesday the 20th at 7pm CST. The topic is living with Social Anxiety Disorder. And with it being live, this may be a chance for you to see me anxious in real life! Talk about a hundred reasons to be nervous about this! But I want to get the word out and help those who are struggling so I’ll do it.

Wish me luck!!!

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