Authored by Lynn Salmon-Easter

Summertime brings thoughts of sunshine, carefree schedules, vacations and weekends away at the cabin. Is summer a season that replenishes and restores you? For some of us, summer simply is not a time of year that rejuvenates. As I continue to explore and deepen my understanding of being a highly sensitive person (HSP), I have come to realize summer is a season that holds challenges and triggers for me.

According to leading expert Elaine Aron’s bestselling book, “The Highly Sensitive Person," the highly sensitive trait impacts 15%-20% of the population. Being a highly sensitive person is a scientific personality trait also known as sensory processing sensitivity (SPS). HSPs are naturals when it comes to picking up on subtle cues or stimuli that other people miss. This is due to a nervous system and brain that process deeply and are more in tune with subtleties in the environment.  As a result, highly sensitive people do best with plenty of rest and downtime to regulate their nervous system and replenish their body and mind. 

Are you wondering if you might be a highly sensitive person? If so, you can take this sensitivity quiz developed by expert and sensitivity psychologist, Julie Bjelland. 

Unfortunately, it can be common for those of us that are highly sensitive to feel misunderstood and out of sync with the rhythms of mainstream society. For many years, I convinced myself summer is a season to relish and love. As I have gained greater knowledge about the genetic trait of high sensitivity, I have become more in tune with my personal needs and better acquainted with the environments that overstimulate my body, brain and nervous system. 

Last summer, I became acutely aware that heat, noise and disruptions to my daily routine are all things that stress and overwhelm my nervous system and body. With this realization, I have finally been able to make sense of the seasonal feelings of dread and anxiety that are ushered in with the season of summer for me each year. 

Personally, summer often feels like the odds are stacked against me, with high heat, humidity, noise from road construction and air conditioners plus longer days with fewer hours of sleep. These triggers can all add up to be a formula that challenges me physically and makes me feel like my mental wellness may come unhinged at any moment.

Not all highly sensitive people will find summer to be challenging. In fact, much of the population adores summer, which can make ‘summer blues’ that much more stifling. If summer makes you feel mostly miserable and everyone else seems so happy hanging out in the summer sunshine, it can can make you feel that much more isolated and out of sync with society. 

Specific symptoms of ‘summertime blues’ can look like:

• low moods 
• lack of energy or motivation
• Irritability 
• Anxiety

If your symptoms begin to include loss of appetite, weight loss, trouble sleeping, or you no longer have interest in hobbies or activities that usually excite you, please seek professional help. Summertime SAD (seasonal affective disorder) is a more serious form of ‘summertime blues’ and affects 1 out of 10 people that suffer from seasonal affective disorder.

If you struggle with low moods and lack energy during the summer months, below are some tips that have tamed my ‘summertime blues’ and blahs. I hope these tips might be helpful for you too.

Identify Your Summer Triggers 
It is not exactly known why individuals impacted by ‘summertime blues’ are affected, but it is thought increased heat, higher humidity, longer days and disruptions to routine and schedules may play a role. By identifying your personal summertime challenges, you can begin to develop a plan to manage your triggers in healthy and sustainable ways.

Create A Routine  
If you have struggled with low moods or depression personally, you will know that having a reliable routine is one of the best ways to keep depression symptoms at bay. Unfortunately, summer usually unmoors our daily rhythms and routines and can create chaos within even the most calm individuals and families. Following a consistent schedule each day of the week can assist in stabilizing your moods as well as your life.

Prioritize Sleep
With the longer days of summer, it can be challenging to get enough shut eye to stay feeling mentally well. Purchasing blackout shades or curtains can help create an environment that is conducive for sleeping more hours within a given night. For highly sensitive people, sleep is imperative and is one of the trusted ways to work through the increased information HSPs take in each day. Many sensitive individuals do best with 9-10 hours of sleep each night.

Commit to Self-Care
One of the greatest challenges highly sensitive people face is an overstimulated nervous system. As highly sensitive individuals, self-care is an essential part of our equilibrium and wellbeing. If you are highly sensitive and summer is a season that creates challenge and triggers for you, self-care practices will be imperative so you can get you through the warmer months with sanity and ease. Bodywork like massage, acupuncture, Reiki or any other type of service that nourishes you can be supportive and helpful in calming your nervous system and body. If finances limit your access to services, find creative low cost ways to support your sensitive soul. Here are a few ideas:

• Make herbal sun tea — try this lavender rooibos sun tea
• Place your feet in an ice bath 
• Keep moistened washcloths in the refrigerator or freezer to create your own chilled compresses. Add a few drops of your favorite essential oil to the washcloths before you refrigerate or freeze them. This simple addition of essential oil will elevate the experience and delight your senses.

Stay Cool
The increased heat and humidity of summer seems to inflame body, mind and emotions. Finding ways to stay cool can help temper irritability and any physical discomfort. Heading to the movies to sit in a cool dark theater can be a perfect remedy or take a dip in a natural lake or nearby swimming pool. Air conditioning can be a good option as well, but for those that are sensitive to noise, you will need to balance the benefits of being cool with the disruptive drone from the air conditioner. 

If the season of summer is not refreshing and replenishing for you, please know you are not alone. Focus on activities you enjoy during the summer and give yourself plenty of time for rest. Carve out space in your life and clear your calendar, so you can begin to naturally counteract the stimulus and triggers that overwhelm your nervous system. Continue to commit to simple acts of self care, so you can find relief from the sweltering summer moments. 

REFERENCES
Seasonal Affective Disorder by Mayo Clinic

5 Signs You Have The ‘Summer Blues’ by health enews Staff

Summertime Blues Really Are a Thing by UCI Health

Summertime Sadness: 11 Ways to Chase Away the Warm-Weather Blues 
By Michell Pugle and Medically Reviewed by Alison Young, MD

Summertime Sadness by Tala Ciatti

Being a Highly Sensitive Person Is a Scientific Personality Trait. Here’s What It Feels Like  by Juli Fraga

Authored by Olivia Beisler

Authored by ​Olivia Biesler, NBC-HWC

I sometimes ask my clients “what makes you happy?” Some people have an answer straight away: “my grandkids, painting, and traveling." Others take longer to answer or the list is quite short. Others, especially clients who struggle with depression, anxiety, and/or stress, seem taken aback by the question and can’t think of anything that currently brings them happiness. The answer is then usually phrased as “well, I used to do *insert activity here* but I haven’t in a long time." 

So what does help make you happy? If you google that phrase, you find a lot of lists that boil down to the same things: get outside, spend time with friends, meditate, volunteer, practice gratitude, exercise. And those are helpful. I wanted to create a different list, however, one that explains both the what and why of things we can do to cultivate happiness in our lives. 

But first, it’s important to clarify a few things about happiness. First, no one can be happy all the time. In fact, experiencing negative emotions or moods is key in being able to appreciate positive or neutral moods and emotions. Secondly, happiness is an individual feeling for people: what makes one person happy might not make another person happy. Thirdly and finally, you can decide whether cultivating happiness is important to you. It might not be and that’s ok. A wonderful article in the Guardian talks about why happiness is important (“Why Does Happiness Matter?”, 2014). In short, it says that happiness makes us healthier, more productive, nicer, and more altruistic, all of which have positive impacts on our community. 

So how can we cultivate happiness in our lives? The list below is a collection of ideas and practices I have pulled from articles, my own coaching, and my personal experiences. I hope they help spark some creative thinking in your own life!

1. Practice mindfulness. So often we only express appreciation for positive things when things are going badly. When I have a cold, for example, it makes me truly appreciate being able to breathe through my nose after my sinuses have cleared. Only after a week (or many weeks) of cloudy days does a day of sunshine make me realize how much I have missed seeing blue sky and felt the warmth of the sun through my office window. Remembering to be mindful of these wonderful things more often helps keep the happiness alive and fresh in my mind, which can help me sustain the feeling of happiness longer. 
2. Remember that happiness levels off. If something happens that brings us a burst of happiness, say a pay raise or a new house, we adjust to it fairly quickly. Mindfulness can help with this: it helps us appreciate the present and how we’ve arrived there. Expressing gratitude can help as well. Another thing that can help is to write down or journal how you feel during bursts of happiness so you can have a record to look back on and relive. I have a video of myself talking about an exciting moment in life and when I go back and watch it, I feel that same feeling again and again. 
3. Practice doing things that used to make you happy or might make you happy even if they don’t right now. Happiness is an emotional state. You can practice being happy just like any other skill. Things like positive affirmations, finding one positive for every negative, engaging in a hobby, talking to a friend, all can help you “learn” how to feel happy. With practice it becomes easier. How can you practice happiness in small ways during your day?
4. Switch the idea of “feeling happy” to “feeling valued”. This idea is encapsulated in the article “What It Means to Matter” by Dr. Isaac Prilleltensky. His idea is that when we both feel valued and add value to our community, we become happier and healthier. What does feeling valued look like for you?
5. Remember that circumstances matter. The old saying used to be “money can’t buy you happiness” and some older studies showed that after a certain amount of income, happiness plateaued. Newer studies, however, seem to contradict this. Having our basic needs met and being able to indulge in wonderful experiences does impact happiness. Circumstances aren’t everything though. As usual, it’s a balance of things: circumstances, personality, mindset, and practices. 
6. Happiness can be a mixture of emotions. For some it’s excitement, joy, and thrill, for others it’s contentment, fulfillment, and love. You can also experience different types of happiness: a burst of joy at unexpected news versus the prolonged contentment that things are going well for you. What does happiness feel like for you? Can you identify different types of happiness in your life? Do you tend to value some types of happiness over others? 
7. Identify things that bring you short-term happiness versus long-term happiness. These things look different: enjoying a latte vs putting money in your savings account. Hanging out with a friend vs exercising for your future health. Take stock of what your list looks like and how balanced it is. Pay attention to what percentages of each type support your mental and physical health. Do you need to do more short-term or long-term? What would it feel like?
8. Find activities, hobbies, and/or practices that get you into a “flow” state, also known as “being in the zone”. This article from Headspace articulates the benefits of flow well: “What is a flow state and what are its benefits?” Headspace defines flow as a “very active, moving meditation” and “it can leave us feeling ecstatic, motivated, and fulfilled”, all of which are emotions that are linked to happiness. 

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We all are living with new stressors and rapid changes. Some clients of mine express guilt at seeking happiness while so many others are struggling. When we talk about finding happiness or work on adding more of it to our lives there needs to be an acknowledgement that we have the opportunity and privilege to do so. There is also the acknowledgement that small moments of happiness, flow etc keep us motivated, fulfilled, and able to move forward. Acknowledging these things and finding balance can be difficult, but is ultimately immensely satisfying. I hope this article allows you to spend some time thinking about what brings you happiness as well as the benefits it can add to your wellbeing. 

Authored by Olivia Biesler, NBC-HWC

Remember when the concept of hygge caught on in the US? In 2016 an article on hygge was published in the New York Times (“Move Over Marie Kondo: Make Way for the Hygge Hordes”) and many more came after it. Hygge is the concept of comfort or coziness that helps bring contentment and peace to your life/environment. It has an element of mindfulness to it: recognizing moments that are special and letting yourself relax and enjoy them. Hygge caught my attention then because I realized that those moments of mindfulness came when I allowed myself to look at winter (a prime time for hygge related coziness) as a time to prioritize rest and rejuvenation. 

We often think of summer vacation as the time to rest and relax, however, I can’t be alone in thinking that my summers are more packed and busy than my winters are. As an avid gardener, spring, summer, and fall are my busiest times. My schedule is filled with outdoor activities, nights out enjoying the warm weather, socializing, lake or cabin time, family get-togethers. Looking at my friends and family who have children, their summers are full of playdates, camps, trips, and finding ways to entertain their kids while they aren’t in school. There is something about the start of winter that allows me to breathe a sigh of contentment, knowing that I can hunker down for a season and turn my focus a bit more inward, or to projects I have not gotten to for many months. 

If we think about nature, winter is a time for hibernation, sleep, managing resources, and prioritizing basic needs like food and warmth. Plants die back and retreat underground. What would happen if we took that concept and translated it into our lives? What valuable lessons can we take from nature and use to bring contentment, stress-reduction, rest, and relaxation into our daily life and/or environment? 

Scaling Back
Taking our cue from plants and certain animals, we can see that scaling back is something that has many benefits. Many plants get rid of their above-ground parts, reducing themselves down to roots. Animals like bears, groundhogs, and fish either hibernate or slow their systems down. Winter can be a time of reducing things down to necessities and honing in on what’s important. 

How does that translate to humans? It can mean being more mindful of our energy output and input. This could mean saying “no” more, holding up our boundaries, taking a moment to ask our mind and body what it needs/wants before saying “yes” to something. It could be prioritizing time alone, relaxing activities like reading, and sleeping more or taking weekend naps. What would scaling back look like in your life? Some benefits you might see are less stress, more enjoyment of the present moment, more time for yourself, and feeling more rested and relaxed.

Getting Outside
Not all animals hibernate in the winter and not all plants die back. My bird feeders are full of chickadees, cardinals, and junkos and the squirrels are busy underneath them (and sometimes on them). Evergreen trees break up the gray and white vistas and remind us that spring will eventually come. Getting outside in the winter, if possible, is important. If you are able, simple winter walks are a wonderful way to get fresh air, move your body, and enjoy the unique beauty of the winter scenery. Even standing or sitting outside for five to ten minutes a day can have benefits. It can be a time to practice mindful breathing or mindful movement. It can be a time to practice gratitude for the warmth of the indoors, the coziness of our beds, and the sweetness of hot chocolate or tea. 
Getting outside can give our minds and bodies an important break from work or other activities and increase circulation, which can boost our mood, energy, and creativity, as well as provide health benefits for both mind and body. 

Coziness and Warmth
Prioritizing warmth and coziness during winter reminds me of squirrels curled up in leaf-lined tree hollows and little birds puffing up their feathers until their bodies are round. Prioritizing warmth and coziness for myself means intentionally creating a space of calm and softness in my house. This can include doing some cleaning, finding a blanket, some candles, and settling down with a craft. 
It also, however, means finding the time to use that space. The biggest barrier I see for clients and myself is not that we don’t have time. Rather, it’s convincing ourselves that spending time in that space is valuable and worthwhile. We can so often be sucked into the productivity mode that is the norm for Americans and see time for coziness and rest as being lazy or selfish. How can you prioritize rest this winter and take time to appreciate the benefits it provides? 

Internal Work
Perhaps because I end up doing so much outdoor work with gardening in the spring/summer/fall, I tend to take more time in the winter to do more internal work and self-care during the winter. If we look towards nature for inspiration we can see this too: it’s a time of turning inward and contemplation, a time to build up energy so when spring comes we have seeds to sow and ideas to plant. Winter can be a time to make plans for spring/summer, put in place habits of rest/relaxation before we get busy again, and enjoy creature comforts like hot soup, electric blankets, wool mittens, crunchy snow, fires, baths/saunas, cuddling with loved ones or pets, or whatever comes to mind when you think of cozy comfort. 

It can also be an amazing time to practice mindfulness along with those creature comforts. Practicing mindfulness while doing an activity you enjoy is a great way to train your brain in the habit of mindfulness and makes it easier for you to use mindfulness in situations that are perhaps less enjoyable, say in stressful situations or more emotional ones. 


What would prioritizing rest and relaxation over the winter look like in your life? What would be the benefits? Can you see yourself adding any of the above practices into your life? I encourage you to take 30 minutes one day and either write down or think about what you currently do to take advantage of the winter season and what you might want to add (or take away!). Remember, prioritizing rest and self-care is how we are able to refill our tank of energy so we can show up both for ourselves and the people and community around us.  

Authored by Dr. Jones

As we head into winter and the days get shorter, for many people that can mean a change in mood. It is not uncommon to feel a little sluggish or that you want to hibernate and eat more comfort foods this time of year. However, for some, low winter moods can be more serious.

Seasonal affective disorder (SAD) is characterized by recurrent episodes of depression, usually in the late fall and winter, alternating with periods of normal or high mood the rest of the year. There is still debate in the scientific community over whether SAD is a distinct mental illness or a specific type of major depressive disorder. According to the National Institutes of Mental Health (NIMH), common symptoms of SAD include fatigue, hopelessness, and social withdrawal; depressions are most often mild to moderate, but they can be severe.

Thankfully, there are many natural approaches that can be helpful for maintaining a healthy mood in the winter months!

Light Therapy 
Light therapy consists of regular, daily exposure to a “happy light,” which artificially simulates high-intensity sunlight. You spend about 30 minutes sitting in front of the light after waking up in the morning. The light box should provide an exposure to 10,000 lux of light and emit as little UV light as possible.

Psychotherapy
Psychotherapy (or talk therapy) can help you identify and change negative thoughts and behaviors that may be making you feel worse, learn how to manage stress, and learn healthy coping methods.

Mind-Body Connection 
Fostering the mind-body connection through techniques like reiki, yoga, tai-chi, meditation, music therapy, or art therapy can help alleviate stress and help you feel more grounded.

Exercise
Regular exercise can boost the immune system, elevate mood, and manage stress by modulating our stress hormone cortisol. If you are able to exercise outside, even better.

Nutrition 
Stick with a consistent, whole-foods diet, and avoid processed foods as much as possible. Vegetable intake is especially important for making sure that you are getting enough micro- and macronutrients in your diet to support the production of your neurotransmitters which regulate your mood.

Sleep
Getting regular, uninterrupted, quality sleep (7-10 hours per night for most of us) is hugely important for maintaining not just our mood, but also our overall health! 


Besides basic lifestyle modifications, you may also want to consider the following supplements (talk with your naturopathic doctor or healthcare provider to determine a safe and appropriate dose):

Vitamin D 
Vitamin D is essential to many of our body’s processes and plays important roles in regulating our serotonin (one of our main happiness hormones). Normally our bodies can create vitamin D when our skin is exposed to sunlight. Unfortunately if you are in a northern latitude such as Minnesota, the spectrum of sunlight you need to make vitamin D is not accessible in the winter!

B Vitamins
The B vitamins are water soluble vitamins that are precursors to hundreds of biochemical processes in our bodies. They are most abundant in foods such as meat, fish, and dairy, so if you are vegetarian or vegan supplementing with B vitamins may be extra important - especially if you are combatting low mood.

Probiotics
These “friendly bugs” help more than just the gut and influence many body systems such as the nervous system, respiratory system, kidneys, and skin. They are also known to modulate inflammation and our immune responses.

Fish Oil
The omega-3 fatty acids found in fish oil can be helpful in improving mood and inflammation. Our central nervous system has the second highest concentration of lipids in the human body, which make omega-3 fatty acids particularly essential for normal nervous system development and function.

And many more…:
There are many herbs, vitamins, amino acids, and energetic forms of medicine that can be helpful in treating SAD, elevating mood and maintaining wellness. Naturopathic doctors are extensively trained in botanical medicine and nutrition and can help you find a supplement regimen that is safe, effective, and tailored to you. It is helpful to always keep your doctor fully informed of all medications, supplements and herbs that you are taking so that they can help you avoid drug-herb and drug-nutrient interactions and potential adverse side effects.

If you have concerns about low winter mood please reach out to the Wellness Minneapolis team. We are here to support you!


Resources:

1. What is seasonal affective disorder?
2. Seasonal affective disorder (SAD)
3. What is seasonal affective disorder (SAD)? 
4. Food for Mood: Relevance of Nutritional Omega-3 Fatty Acids for Depression and Anxiety

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Authored by Dr. Brittany Stamer

Sleep is medicine - and really good medicine at that. Yet for some people it can be very elusive. Let’s discuss what insomnia is and some simple lifestyle changes that could improve your sleep. 

Insomnia is defined by the CDC as “an inability to initiate or maintain sleep” while the DSM-V estimates that 1/3rd of the population reports symptoms of insomnia! 

Addressing insomnia - no matter what part of the night or early morning it happens - is very important. This is because different phases of sleep restore our body in different ways. Non-REM and REM sleep are the two significant portions of our sleep. Non-REM (non-rapid eye movement) sleep is most prevalent in the beginning of our sleep cycle and is more physically restful, whereas REM (rapid eye movement) sleep lengthens as the night goes on and is considered more mentally restful. 

Being that restful sleep is so important for our health, creating a bedtime routine can be very helpful in creating quality sleep. This is often referred to as ‘sleep hygiene.’ Below are some simple steps to ready our bodies for sleep. 

1. Turn off technology 1 hour before bedtime. This means no TV, computer, or phone use before bed. The blue light on these devices keeps our melatonin low. We want the hormone melatonin to be high at night to promote sleep. 
2. Use blue-light blockers. If you have to or enjoy using technology before bed blue blockers are a great option. They block blue light, and therefore allow our melatonin to naturally increase, promoting sleep. There are some fashionable ones available now as well! 
3. Limit alcohol. This may seem counterintuitive, because alcohol is a depressant and culturally encouraged to promote sleep. However, alcohol can actually cause you to feel awake a few hours after drinking. 
4. Get your ideas out of your head. A running mind can be hard to quiet before bed. Keeping a journal to write down your thoughts, worries, or concerns can be helpful before bed. You can do this in a creative fashion as well, such as writing some poetry or a letter to yourself. Also, writing tomorrow’s to-do list near the end of your work day can help you keep those tasks off your mind for the rest of the night. 
5. Use the bed for sleep (and sex) only. Our brains are very good at association. We want our bodies to associate the bedroom with sleep. This means no TV, phones, eating, or doing work in bed. We want our bodies to be prepared for sleep when we lay down in the bedroom. 
6. Limit large amounts of liquid 1 hour before bed. Hydrating is a very important part of health, but to minimize waking in the night to urinate try to limit large quantities of liquid right before bed. 
7. Drink tea. Ritual medicine is a beautiful way to tune into your body and prepare yourself for relaxation. Drinking tea before bed is a sweet way to create ritual and also incorporate herbs into your day allowing you to connect more with nature. You can explore herbal tea that is helpful for sleep. Some of my personal favorites are chamomile and lemon balm. Just make sure to drink a smaller amount or drink the tea 1 hour before bed. 
8. Take a bath. Taking a bath with Epsom salts is even better. Epsom salts naturally contain magnesium and is absorbed through the skin in a bath. Magnesium is known to be helpful for relaxation of the mind and muscles, amongst many other health benefits. Magnesium is needed for the production of melatonin in the body as well, so it helps with sleep on multiple levels. 
9. Eat protein throughout the day. Fluctuations in our blood sugar can keep us awake at night, especially low blood sugar, as it can cause the release of adrenaline. Making sure to eat protein throughout the day can keep blood sugar steady and can minimize highs and lows in the night, possibly improving sleep. 
10. Keep the bedroom cold. Sleeping in a comfortably chill room can optimize sleep. Our bodies naturally cool down before sleeping and often prefer a cooler room to sleep in. I often set my thermostat to 67-70 degrees. 
11. Keep your bedroom dark. Just as we don’t want blue light from our screens affecting our melatonin, we don’t want other ambient light affecting it either. If possible, eliminate night lights, alarm clock glow, and lights outside of your bedroom. 
12. Allow for 8 hours of sleep. Allow for this amount of time every day of the week as this number of hours is optimal for overall health. 
13. Avoid caffeine after 2-3PM. Caffeine increases cortisol which is commonly known as our “stress hormone”. It can make us feel more awake or in a fight, flight, or freeze state of mind. Caffeine also can inhibit melatonin, our sleep hormone. Morning coffee or other types of caffeine, such as green or black tea, is usually fine, but stopping consumption before the afternoon hours can help with keeping us relaxed before bed.  It is good to be aware that even chocolate has a small amount of caffeine and can affect sensitive individual’s sleep! 

These are some simple ideas to help improve the quality of your sleep. If these don’t improve the quality of your sleep, there may be a deeper pathology occurring that a health practitioner should help you evaluate and treat. 

Now, go and enjoy some beauty rest! 



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References: 

• Sleep And Sleep Disorders. CDC. December 10, 2014.
• Melatonin. Textbook of Natural Medicine. 
• Insomnia Disorder. Diagnostic and Statistical Manual of Mental Disorders – 5. 

Authored by Dr. Hamilton

One way of measuring our health is our capacity to be resilient. In other words, health is not about feeling strong and centered in every moment but finding the tools to return to center and regain strength in the face of stress and change.

What does it mean to be resilient and why is it important?

Dan Siegel, a renowned psychiatrist specializing in interpersonal relationships, mindfulness and emotions, coined a term related to our best zone of resiliency referred to as the window of tolerance. Our window of tolerance describes the physiologic and emotional bandwidth we have available to respond to various stressors in our day.  

The ways that you respond to each stressor can be seen as either a movement towards up-regulation or down-regulation: you either rise to meet a perceived challenge or relax to deescalate tension, receive connection and discharge stress. 

When your nervous system is inside the window of tolerance, these adjustments help you to stay inside a comfortable range of sensation. You feel resilient and able to handle change flexibly. Within this range, you are able to center yourself, your breathing and heart rate are normalized, you have access to full cognitive abilities like concentrating, making rational decisions and observing your own performance in situations. You can communicate well and connect with the people around you. You can learn new information and experience joy and pleasure.

What about when you find yourself outside your window of tolerance?  

When your nervous system perceives that you aren’t safe, you might find your heartbeat racing, your breathing shallow or your thoughts racing. This is the physiological territory of fight-or-flight. You may feel as if you have less control over your response to stress (increased impulsivity). You may be more likely to snap, be argumentative, or act out of fear, anxiety or control. Or you may feel the need to leave the situation.

Other times, especially if a perceived stressor is even further overwhelming, it may put you into a freeze state. Despite the need to respond, movement and motivation feel next to impossible. Your heart rate, breathing and emotional tone may be low. You might experience temporary or longer states of depression. To some people this state feels like a place of powerlessness, shutdown, collapse or immobilizing paralysis.  

Why does all of this matter?  

It’s important to recognize that all of these states come from a place of evolutionary wisdom and survival. Our physiology is working appropriately when it activates us to either defend ourselves or leave unsafe situations. Similarly, freeze states allow us to rest, numb or survive overwhelming situations - or people - until it’s safe or productive to respond again (The primitive intelligence of immobilization is what allowed a prey species to play dead, tricking its predator into losing interest in the hunt while conserving energy for escape.).

Can nervous system states inter-relate with our health?
 
Absolutely. For example, constant nervous system activation can influence a host of symptoms like high blood pressure, anxiety, shallow breathing, digestive distress, racing thoughts, difficulty learning new information or insomnia, to name a few. Freeze states can overlap with symptoms of depression, loss of appetite or suppressed digestion, fatigue, dissociation, heavy or excessive sleep.

So, how can we apply all of this? 

"The human nervous system is eminently suitable for change." – Moshe Feldenkrais

When you’re more aware of your own nervous system’s thresholds, you gain greater agency over it. You can learn when it’s best for you to practice up-regulating to respond to a stress, or practice down-regulating to discharge tension or deescalate. It’s helpful to have a healthcare provider who is conversant in nervous system states and whether or not these patterns might be particularly important in your symptom picture. 

All of this has broad and far-reaching implications in both our interpersonal lives and social world as safety, stress, resiliency, stability, healing and power are all deeply inter-dependent.

In the meantime, here are some good reminders to help you nourish resiliency in your nervous system:

• MAINTAIN RHYTHM & REGULARITY: Our bodies (and hormones) love routine. Regular schedules of sleeping, waking, eating, working, exercising, resting and connecting builds your body’s capacity to handle stressors as they arise. 
• ADOPT SKILLFUL PRACTICES TO RECENTER YOURSELF: Breathwork practices, music, mindfulness practices and movement/exercise that engage both the left and right sides of the body are helpful tools to modulate and re-center. You may need different styles of each to suit your specific centering needs. 
• KNOW YOUR TRIGGERS AND SET BOUNDARIES: Set limits on interactions that trigger unnecessary nervous system activation or collapse.  
• LEARN HOW TO WORK WITH TRAUMA + OVERWHELMING SENSATION: If you do go into fight, flight or freeze mode, get curious about it. You may want to work with a somatic (body-based) therapist to help make sense of these processes. Visit here for examples of embodied resiliency-building skills.
• NURTURE SAFE, CO-EMPOWERING RELATIONSHIPS: “A measure of liberation will be found in our capacity for intimacy.” – Prentis Hemphill. Human connection and community builds our sense of resiliency, especially when there is space for mutual support.
• OBSERVE AND REFLECT: Take time to review your daily habits and patterns. Notice when you tend to leave your window of tolerance and consider whether it feels necessary or not to repeatedly engage the same way with particular stressors. 

We’ve been so conditioned to conceive of our bodies and minds as separate. Nervous system patterns are one of the many lenses showing us how inseparable from one another they really are.  Destabilized physical health can influence mental and social health and vice-versa. Take care of all of you, take care of each other and reach out for help when you need.

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Resources:
1. The Developing Mind: How Relationships and the Brain Interact to Shape Who We Are by Dan Siegel
2. The Pocket Guide to Polyvagal Theory and the Transformative Power of Feeling Safe, Stephen Porges
3. Healing, Resilience, and Power, Prentis Hemphill & Resilient Strategies Team via La Cura podcast
4. Resiliency Building Skills to Practice for Trauma Recovery, infographic by Heidi Hanson
5. Your Resonant Self, Sarah Peyton

Authored by Dr. Jones

​Many people are often curious about what it is like to work with a naturopathic doctor for mental health conditions such as stress, insomnia, anxiety, depression, bipolar, ADHD or PTSD. Since May is Mental Health Awareness Month, I thought that now is the perfect time to address some of the most common questions I have been getting asked when it comes to addressing mental health concerns from a naturopathic standpoint.

I have depression and anxiety that I have been struggling with for a long time. What is your approach like?

First, I gather a lot of information about you and your health concerns. This is done by you filling out my intake form (it’s long...but very helpful in us getting the most out of our first appointment together!), and by me taking an in-depth history during our first appointment. Holistic and preventative healthcare is enhanced dramatically when the practitioner has a complete picture of the patient physically, mentally, emotionally and spiritually, so I try my best to be thorough.

Next, my initial treatment plans often focus on “laying the foundations” of good health. This involves making sure that your “pillars of health” (nutrition, exercise, stress reduction and sleep) are all optimized so that your body has everything it needs to heal and function properly.

Finally, I will add in more “potent” treatments that are tailored to your needs - these are often things like herbal medicines, pharmaceutical-grade supplements, therapeutic diets or lifestyle interventions that address your most problematic symptoms specifically. For those with mental health concerns, treatments often focus around making sure that your body has the biochemicals (building blocks) that it needs to make the neurotransmitters (brain chemicals) that regulate your mood. I also always recommend that if you are not already seeing a therapist, that you start seeing one.

I work with patients collaboratively so that their treatment plans are as effective as possible, while still being “do-able” for their lifestyles and budgets. We are always looking for the root cause of your concerns so that treatments can address your specific healthcare needs.


I’m on a mental health medication. What do you think about that? Can I still work with you?

I frequently see people having a lot of shame around being on mental health medications (antidepressants, anxiolytics, mood stabilizers, etc.). I think especially because I work in natural healthcare, people are nervous that I’m going to scold them for not doing things “naturally” or for needing to take “chemicals,” however this is not the case!

First of all, somewhere around 1 in 6 Americans take psych meds, so if you are on one, you’re definitely not alone. Second, much like fingerprints, everyone’s brain chemistry is a little different. Some people need the support of medication to live happy and fruitful lives. Third, for some, mental health meds can literally save lives.

​My personal goal for working with people with mental health concerns is to get them into remission. Sometimes that involves taking a medication, and sometimes it does not. I’m satisfied so long as we are able to come up with a treatment plan that lets you enjoy your life to the fullest and also be healthy and safe.

It is also important to know that naturopathic doctors are trained extensively in drug-herb and drug-nutrient interactions to avoid any potential negative side effects. It is helpful to always keep your doctor fully informed of all medications, supplements and herbs that you are taking, and to not start a new medication or supplement without contacting your doctor.

This COVID-19 pandemic has been really difficult on my mental health. Any tips?
I love the CDC’s recommendations for Being Kind to Your Mind. There is a ton of info on their website, but here are the top 5 tips in a nutshell:

1. PAUSE. Breathe. Notice how you feel
2. TAKE BREAKS from COVID-19 content
3. MAKE TIME to sleep and exercise
4. REACH OUT and stay connected
5. SEEK HELP if overwhelmed or unsafe

I especially want to highlight #2 - it’s important to stay up to date on news so that you can continue to act safely and do the right thing from a public health perspective, BUT is spending an hour everyday on the Department of Health’s website, scrolling through Facebook posts about COVID-19, listening to daily podcasts about COVID-19  and the like really going to change your day-to-day behaviors? I’d hope that you are already doing good things like washing your hands frequently and properly, abiding by stay-at-home orders and respecting social distancing. Do yourself a favor and limit your news intake to 5 minutes per day or to what you need to read for your work and then LOG OFF.

I have a newly diagnosed mental health condition. Do you have any good resources for where I can learn more? WebMD isn’t cutting it...

​NAMI (National Alliance on Mental Illness) is an awesome organization that has chapters in every state. Their website has a ton of free education and resources for people with mental illness, and they do a lot to fight stigma, provide support, educate the public and advocate for policies that support people with mental illness and their families.


If you are struggling with a mental health concern big or small, please reach out. I am here to support you as are all the other practitioners at Wellness Minneapolis!

Compiled by #TeamWellness

In a time of so much uncertainty, we're all needing anchors to keep us grounded and calm. Here is a list of resources to help you relieve stress and worry during the COVID-19 pandemic.

LIVE MEDITATION OPPORTUNITIES

• Team Wellness is hosting a daily Community Meditation Break Monday through Friday via Zoom. Learn more here.

MUSIC/SOUND:

• Luther from Lazerbeak
• Brain Waves app
• Relaxing music
• NPR's Isle of Calm playlist on Spotify
• Anything from Brian Eno
• For a burst of joy: Stevie Wonder! 

PODCASTS

• Tara Brach
• Thich Nhat Hanh Dharma Talks
• Bliss & Grit

YOGA

• Yoga with Adrienne
• Do Yoga with Me
• Glo
• Yoga Anytime Online

HOME WORKOUTS

• Dumbbells
• Barre
• Alchemy365 Anywhere

MOVEMENT

• Embodied Resilience with Jane Clapp
• Movement and Creativity: Feldenkrais
• Shaking Qigong

MEDITATION

• ​10-Minute Guided Imagery
• Calm Breathe Bubble
• Headspace app
• Progressive Muscle Release

BREATHING EXERCISES

• Triangular Breathing
• 4x4x4 Breathing

HOME SELF-CARE

• Eating on a regular schedule
• Walking outside
• Epsom Salt baths
• Using essential oils: 
  • Calming: lavender, clary sage, jasmine
  • Uplifting: orange, grapefruit, bergamot
  • Energizing: peppermint, lime, eucalyptus, basil
• Worry Coping Cards - good for the whole family!
• Herbal tea: chamomile, lavender and lemon balm are especially nourishing for the nervous system

Please share other resources that are serving you in the comments below. Sending you love from our respective social distances! 

Authored by Lynn Salmon-Easter, Reiki Master

Taking an Epsom salt bath is an ancient practice that can be carried into contemporary times. Epsom salt is a naturally occurring mineral that was discovered in the 17th century bubbling up from an underground spring. The mineral received its name from the town of Epsom in Surrey, England where it was first discovered. Although this mineral is called Epsom salt, it is not actually salt at all, but rather a pure mineral compound of magnesium, sulfate and oxygen. Studies have shown magnesium and sulfate are both easily absorbed through our skin—making the associated health benefits of Epsom salt accessible to all.

Epsom salt has numerous health benefits:

• Eases stress and relaxes the body
• Calms the nervous system
• Relieves pain and muscle tension
• Helps muscles and nerves function properly
• Eliminates toxins from the body

Magnesium plays a number of positive roles in the body such as reducing inflammation, helping to produce serotonin (a mood-elevating chemical) which creates a sense of relaxation and calm, reduces irritability by lowering the effects of adrenaline, improves sleep and concentration and helps muscles and nerves to function properly. 

Sulfates help to improve the absorption of nutrients, flush toxins and heavy metals from the cells, ease muscle pain and eliminate harmful substances from the body. 

When you add Epsom salt to your bathwater, your skin being a highly porous membrane, absorbs the minerals and starts a process in your body called reverse osmosis. This process in turn pulls salt from your body along with harmful toxins. 

Why take an Epsom salt bath?

As a highly sensitive person (HSP) I often absorb other people’s energy. This means I absorb the good and bad energy alike. I used to be a total dabbler when it came to Epsom salt baths. I had heard all about the benefits these baths hold, but I was not able to make them a regular part of my routine. It was not until I stepped into my role as a Reiki master practitioner that I committed whole-heartedly to an Epsom salt bath ritual with regularity.

I have found the combination of Epsom salt + baking soda (added to my bath) proves to be a powerful concoction which clears my life of unwanted and negative energies. Baking soda is the ‘secret ingredient’ that cleans out lingering and negative energies from our aura and softens and smoothes our skin to boot. 

My weekly Epsom salt bath ritual is simple and continues to demonstrate I am able to bring balance, harmony and clarity back into my life on a regular basis. I am now a firm believer in Epsom salt baths and I continue to recommend weekly baths to each and every client that comes through my Reiki room.

Recommendations for an Epsom salt bath:

1. First things first. Clean your tub! Nothing ruins a relaxing bath like floating lint or hair (yuck!!).
2. Fill the tub with water. The temperature of the water can range from warm to hot depending on what you desire
3. Add 2-3 cups of Epsom salt + 1 cup baking soda to the bathwater 
4. Give the water a swirl to mix in the Epsom salt and baking soda
5. Soak for a minimum of 20 minutes. Stay longer if desired.    

It is best to refrain from using soaps or shampoos while soaking in an Epsom salt bath. These products may inhibit the effectiveness of the Epsom salt and baking soda. I usually soak for 20-30 minutes and then wash my hair and body right before I drain the tub.

Uh-oh, I don’t have a bathtub!

If you don’t have a bathtub in your home, no worries. You can always create an Epsom salt foot bath and experience similar results. It would be ideal to soak your entire body in a bath, but a foot bath can be a great solution when a bathtub is not available.

Recommendations for an Epsom salt foot bath:

1. Obtain a small basin
2. Fill basin half full with warm or hot water depending on your desires
3. Add 1/2-1 cup Epsom salt + 1/4 cup baking soda to the water
4. Soak for a minimum of 15 minutes or longer if desired

Wellness for ALL

Epsom salt and baking soda are affordable and easily obtained at your local drugstore, grocery store or local health food store. When purchasing Epsom salt, be careful to read the package. Many brands have added fragrance which can irritate the skin or contaminate your bathwater with harmful chemicals.


References:
How to Take Epic Epsom Salt Baths
Epsom Salt Baths: An Old-School Way to Feel Better Fast?
Epsom Salt Uses & Benefits

Authored by ​Lynn Salmon-Easter, Reiki Master

Is your energy and motivation lacking lately? With the winter solstice right around the corner some of us may be feeling a bit lackluster. The winter solstice marks the shortest day of the year bringing us the least amount of daylight and the longest night in the calendar year. December 21st or 22nd usually marks the winter solstice in the northern hemisphere.
 
With shortened days and the decrease in sunlight in fall and winter, we can begin to feel a downward spiral in our moods. You may find yourself feeling apathetic, lethargic or you may feel more down and less social overall. Although feeling more gloomy during the colder and darker days of winter is quite common—and is often referred to as the ‘winter blues’—usually these feelings do not inhibit us from enjoying our everyday life.
 
Winter Blues or Seasonal Affective Disorder?
 
If your winter blues begin affecting the day-to-day aspects of your life such as work, relationships or your overall enjoyment—you may be facing a more serious form of depression known as seasonal affective disorder (SAD). According to Mayo Clinic, SAD is a type of depression that relates to the change in seasons and is reoccurring each year for those affected. 
 
Typical signs and symptoms of SAD may include:

• Feeling depressed most of the day, nearly every day
• Losing interest in activities you once enjoyed
• Having low energy
• Having problems with sleeping
• Experiencing changes in your appetite or weight
• Feeling sluggish or agitated
• Having difficulty concentrating
• Feeling hopeless, worthless or guilty
• Having frequent thoughts of death or suicide
  
  

According to the World Health Organization, depression is the leading cause of ill health and disability worldwide. Depression is a mental disorder that affects more than 300 million people globally. Statistics show more women than men are generally affected by depression.
 
Whether you are contending with a mild case of the winter blues or the more intense seasonal affective disorder, symptoms often start out subtle at the beginning of the fall and become progressively more severe through the winter months with relief arriving along with the sunnier days of spring or summer.
 
Please know it is completely normal to have some days when you feel down or unmotivated, but if you begin to have loss of appetite, you are not able to get motivated to do activities that usually bring you joy and you are experiencing trouble with sleeping or oversleeping—it is advised you seek professional help. It is especially important to see a professional when your sleep and appetite patterns have shifted, you turn to alcohol for comfort and relaxation or you feel hopeless.
 
How can Reiki help bring relief to those suffering from the winter blues or depression?
 
For those of us feeling more gloomy than normal at this time of year, self-care and self-focus may help to bring our mental, physical and emotional selves back into alignment. A Reiki session can put us back in touch with ourselves and lead us back to relaxation and joy.
 
Here are several benefits of receiving a Reiki treatment:

• Helps to clear blocked energy in our body so our energy can flow freely again
• Replenishes and restores our vital life energy
• Rebalances and resets our nervous system
• Reduces anxiety and tension
• Assists in releasing old energy patterns and/or beliefs
• Helps us to feel lighter, more grounded and calmer
• Reconnects us with our heart and our true self or life purpose
• Promotes deep relaxation and healing

 
Although it is common that the winter blues and SAD usually melt away with the arrival of spring or summer, there is no need to suffer through the darkest days while waiting for the sunlight to reappear. Reiki is always right here, ever-present and willing to assist with relief, renewal and rejuvenation.
 
Learn more about what to expect from a Reiki session here. 
​
References:
How Reiki Can Help Reduce Stress & Anxiety
How Reiki Help You Beat The Winter Blues
Reiki For Depression
How Reiki Helps Depression
More Than Just the Winter Blues

Authored by Lynn Salmon-Easter, Reiki Master

Recently, I have taken a deep dive into learning about being a highly sensitive person (HSP). I am realizing more and more how rituals and routines stabilize and bring a sense of calm and peace to my life. Are you wondering if you might be a highly sensitive person? You can learn more here about being an HSP and see if this temperament resonates with you. The more familiar I become with the HSP temperament, the better I am able to identify my triggers and challenges during each season and time of the year. I believe it is important for us to be in touch with our triggers so we can appropriately plan self-care to counterbalance the challenges presented to our system.
 
We are quickly moving into autumn. For me, autumn is a time to regroup, find my routine and begin to commit more regularly to an internal and spiritual practice. Summer is a chaotic season for me, I relish in the regularity and routine autumn brings. I realized for the first time in my life how loud of a season summer is: construction, motorcycles, radios and air conditioners. I am relieved to be moving into the cooler and more contemplative feeling of autumn. The loud noise of summer in conjunction with the high heat temperatures overstimulate my system and make me realize why summer has not been a favorite season for me. I hope summer fills you up! If not, this is great information for you so you can begin to add in those increments of self-care to offset the challenges the season may present for you.

Lets take a minute to reflect on what may be working for you or what may be challenging:

• Which season revitalizes you and gives you the most energy?
• What time of year is the most challenging for you and why?
• When during your day or week do you feel the most challenged and stressed out?

As we begin to layer our rituals and routines into our life they create a healthy tapestry of habits and patterns. As we begin to live out of these daily patterns and routines we are stabilized by what is coming next rather than living out of our fear or the stress of not knowing. About five years ago my daughter started asking if we could get a family dog. At the time we owned an aged cat. Initially, I was not keen on the thought of getting a dog. We had been devoted cat owners up until that point. Each and every year, my daughter continued to inquire about getting a dog and I got more curious and willing to consider the request. I am an individual that craves routine, but I am not very good at implementing structure and routine in my life. I have always thrived and been most happy when external circumstances have created ritual and routine for me. Ultimately, my daughter’s wishes were granted and in April of 2017 we adopted a 6-year-old female greyhound and named her Harriet. This pup has been an equalizer for me and has helped me to rebalance my mental wellness. Each and every day since we have adopted Harriet, I more happily get out of bed, get dressed and walk her first thing in the morning. The ritual and routine of dog walks has been an amazing help for my mental state and attitude. I have struggled with anxiety and depression most of my life. Exercise and being out in nature help me to regulate my challenged mental states. The regularity of walking my dog 3-4 times a day has its challenges in a busy modern life, but I have found the routine and the payoff to far outweigh the challenges.
 
So, what if you don’t own a dog or you do not want to become a dog owner. Don’t worry. You do not need to adopt a dog to turn your life around. Begin building in your 3-5 minute rituals one at at time and then begin stacking and layering these rituals into a routine that feels restful and restorative for you. If something is not resonating or working, change it. Stay curious to help combat overwhelm and come back to basics.
 
As you traverse the upcoming months, please keep the basics in mind and draw upon balance by settling into some nourishing and supportive routines. This will help you to incrementally stabilize and reset your nervous system and moods.

Here are some suggestions of balance and equilibrium I have found to work well for myself and my family:

• Take time to decompress
• Allow time to adjust to change
• Focus on meaningful relationships
• Find healthy ways to resolve conflict
• Leave enough time to accomplish your tasks (or take tasks off your list)
• Arrive to your destinations early
• Get plenty of sleep
• Stay hydrated
• Eat healthy meals made with real food
• Go caffeine free
• Create a nurturing space for yourself in your home
• Use low lighting to soothe
• Venture out into nature and surround yourself with beauty of all kinds 

​
References
The Psychology of Daily Routine by Brianna West

Authored by Dr. Sara Jean Barrett

We have trillions of microorganisms (bacteria, viri, parasites) living in our intestinal tract. This is called the microbiome or gut microbiota. Your microbiome starts to develop the moment you are born and complete colonization occurs within the first three years of life. Factors such as mode of delivery, antibiotic exposure, and feeding patterns determine the health of your particular microbiome. The microbiome is constantly in flux the rest of our lives. What we are exposed to, how we eat, our stress levels and more all influence our microbiome. For example, exposure to furry pets in infancy and young childhood reduces the risk of atopy (allergies, eczema and asthma) and being overweight by increasing levels of certain organisms. It is even more beneficial if you grow up on a farm! Starting at birth, our microbiome helps train the developing immune system. The commensal (good) microbes can directly attack the disease causing microbes signaling to the human immune system when to launch an attack. This training also includes teaching the immune system to ignore harmless stimuli (such as pollen or even self tissue). Without this critical training we are more at risk for conditions such as autoimmune disease and allergies. When our gut microbiome is in a stable, harmonious place this is called ‘symbiotic’. When our microbiome is unstable or out of balance it is called ‘dysbiotic’. We are finding that a dysbiotic flora or dysbiosis is a factor in many conditions. Our microbiome plays a significant role in many aspects of our health ranging from the obvious gastrointestinal conditions such as IBS, constipation, diarrhea, and inflammatory bowel disease to the less obvious such as psychological resilience, mental health, autoimmune disease, allergies and much more.
 
We know what we eat significantly impacts the health of our bodies and it also significantly impacts our microbiome. For example, one study found that switching from a low fat, plant polysaccharide rich diet to a high fat, high sugar (standard American diet) shifted the entire microbiome in one day. One day! The majority of our microbiome lives in our large intestine and they feed off of the food we eat. At the end of this article I list out some ways to feed your beneficial flora.
 
Last year a comprehensive review of recent research in the microbiome-gut-brain axis revealed that the vagus nerve plays an important role in the communication between the gut and brain. The exciting part is that the information is bidirectional. That’s right, your ‘gut instinct’ is now backed by science. They have even gone as far as looking at the microbiota of people who stay calm during stressful events and found they share common microbiome traits. So there might be a correlation between resilience and your microbiome. Are you getting a sense of just how important the microbiome is to your health? Data published in March of this year shows that social stressors can change the microbiome in hamsters and that the bacteria present in the GI tract prior to social interactions predicted outcomes of those interactions. The hamsters that ‘won’ in the social interactions had similar microbiomes. Pretty incredible.
 
What do we do with all of this information? Don’t run out and spend a lot of money on one of these new stool tests that will tell you all about your microbiome. They are interesting but not very clinically useful, yet. I am excited about the possibilities for medicine as we continue to learn more. Predicting health based on your microbiome and altering it to improve your health is very exciting. For now, consider how your eating habits and vagal nerve health can positively influence your microbiome.
 
Take home tips:
 
As mentioned above the vagus nerve is an important connection between the gut microbiome and the brain. Healthy vagal tone is indicated by a slight increase in heart rate when you inhale and a slight decrease in heart rate when you exhale. You can increase your vagal tone with any of the following activities:

• Deep diaphragmatic breathing with a slightly longer exhale
• Loving kindness meditation
• Singing, especially singling loudly enough to us the muscles in the back of your throat.
• Gargling at least once daily, loudly to use the muscles in the back of your throat.
• Laughter- the deep belly shaking eye watering laughter.

 
You can keep your microbiome healthy by:

• Consuming fiber daily from a variety of sources. It is an important food source for your microbiome. Most patients in my practice are not consuming enough fiber in their diets. I recommend around 30-35g daily on average but that changes depending on the individual.
• Minimizing processed and high sugar foods in your diet.
• Consuming fermented foods
• Avoiding excessive use of antibiotics.

 
Resources:
Yang, Irene, Elizabeth J. Corwin, Patricia A. Brennan, Sheila Jordan, Jordan R. Murphy, and Anne Dunlop. “The Infant Microbiome: Implications for Infant Health and Neurocognitive Development.” Nursing Research 65, no. 1 (2016): 76–88.
Tun, Hein M., Theodore Konya, Tim K. Takaro, Jeffrey R. Brook, Radha Chari, Catherine J. Field, David S. Guttman, et al. “Exposure to Household Furry Pets Influences the Gut Microbiota of Infants at 3–4 Months Following Various Birth Scenarios.” Microbiome 5, no. 1 (April 6, 2017): 40.
Turnbaugh, Peter J., Vanessa K. Ridaura, Jeremiah J. Faith, Federico E. Rey, Rob Knight, and Jeffrey I. Gordon. “The Effect of Diet on the Human Gut Microbiome: A Metagenomic Analysis in Humanized Gnotobiotic Mice.” Science Translational Medicine 1, no. 6 (November 11, 2009): 6ra14.
Lima-Ojeda, Juan M., Rainer Rupprecht, and Thomas C. Baghai. “‘I Am I and My Bacterial Circumstances’: Linking Gut Microbiome, Neurodevelopment, and Depression.” Frontiers in Psychiatry 8 (2017).
Georgia State University. "Social stress leads to changes in gut bacteria." ScienceDaily. ScienceDaily, 8 March 2018.

Authored by Amber Hanson, LN

Have you ever had that experience of pulling into your garage after work and realizing you have no idea how you got there?  It is kind of like your brain is on autopilot. This is an example of habit in action. When you do the same thing day after day your brain doesn’t need to think as much about doing, it just does. In the case of driving it is a little scary to check-out like that but for something like going on a run when you get up in the morning or taking a few deep breathes when you start to feel stressed out, habit is great.

Contrast that with motivation. Motivation can be powerful as well – it is the desire to do something. I like to think of it as the spark. The thing with motivation is that for most people it is fleeting. Take, for example, reading an article about someone completing their first half marathon. The article is inspiring, it makes you want to run a half marathon.  You decide tomorrow morning you will get up early and go for a run. Fast forward to the next morning when your alarm is going off an hour earlier than usual – are you still feeling motivated?  For some the answer is yes, they hop out of bed and go for a run. For many of us the answer is no, hitting the snooze button is much more appealing in the moment.

Back to the driving example, you didn’t always work at the same place or live in the same house, so your brain needed to learn the driving route before it could be habit. It is the consistent repeating of a behavior - over and over and over again - that turns it into habit. The good news? You can teach yourself new habits!  The not so good news, it is going to take some practice. But the reward is that new behaviors switch from fleeting motivation to autopilot habits.

The formation of a habit always starts with a cue (like leaving work), followed by a response (driving home), and a reward (seeing your family). Responding to a cue in the same way over and over creates a habit.  Do you remember when you first started at your new job location?  You had to think about which streets to take and when to turn, pay attention to the locations of traffic signals and signs, and think about not driving to your old job location. Maybe you even turned the radio off the first time you drove the route so your brain could concentrate with less distractions because it was working hard to figure out this new thing. That experience of first driving to a new job is an example of building or changing a habit.

To form a new healthy habit, you need to practice your response to a cue repeatedly until it becomes automatic. To break an unhealthy habit, you need to become aware of your cues so you can stop the automatic behavior that follows. To develop a habit like running in the morning the cue of the alarm clock needs to elicit the response of getting out of bed and changing into running clothes. You need to break the response of hitting the snooze button. The reward for running might be more energy and a sense of accomplishment. Hitting the snooze button on the other hand might feel good in the moment but the reward is short lived.

Thankfully a number of people have studied habit and habit changes and pulled together some tips to help the rest of us. A few of my favorite come from Gretchen Rubin’s book Better Than Before, a book full of tips on breaking and establishing habits. Here are a few strategies to try when changing a habit with examples.  

1. Monitoring. This might look like writing what you eat in a food diary or tracking the miles you run during your workout. Monitoring helps you pay attention to things you want to change, keeping it top of mind. A monitoring tool like a food diary can also help you discover cues to certain behaviors.
   
   
2. Accountability. This could be making a workout date with a friend or scheduling an appointment with a licensed nutritionist to improve your diet. Having an appointment makes it harder to make excuses not to do something.  And when working with a professional, if you are struggling with change, they can help you break the change down into more manageable pieces and help you work through what is blocking your progress.
   
   
3. Build a Foundation. This is the idea that if you have some basics in place it is easier to cultivate new healthy behaviors. To build a strong foundation, I often encourage clients to start a morning routine.  It can be as easy as making the bed every morning, drinking a glass of water before having coffee, or stretching for 5 minutes after getting out of bed. Consistently doing these smaller behaviors proves to yourself you can establish a habit. And doing them first thing in the morning gives that sense of accomplishment for the whole day which can lead to additional healthy choices throughout the day.
   
   

These are just a couple of many strategies that can be used to change the spark of motivation into a sustainable habit. Not every strategy works for every person so try out a few different options and see what works for you and, of course, if you need additional accountability and support schedule an appointment!

Authored by Bri Dunbar, LAMFT

 
I often hear from my clients that they are struggling with an uncomfortable feeling, something like deep grief or immense anger. They describe experiences of suffering and often express a desire to “make it go away”. Their hope is that therapy will end their experience of the difficult feeling, that there will be easy shifts or magic pills that will allow them to opt out of feeling the feeling.
 
They have tried hiding from the feeling through ignoring it or avoiding it. They have tried running from the feeling through means of escapism or staying overly busy. They have tried fighting the feeling by pushing it out and forcing it away. But it comes back, or stubbornly, never really leaves. This feeling is here to stay and it needs to be felt.
 
In these circumstances, I encourage my clients to move INTO the feeling. To get curious about its nature, to be willing to consider its information and to give it time to do its necessary work.
 
There is a Rumi poem that I love to share with these clients in order to introduce an alternative perspective on uncomfortable and difficult feelings.
 
The Guest House
This being human is a guest house.
Every morning a new arrival.
A joy, a depression, a meanness,
some momentary awareness comes
as an unexpected visitor.
Welcome and entertain them all!
Even if they are a crowd of sorrows,
who violently sweep your house
empty of its furniture,
still, treat each guest honorably.
He may be clearing you out
for some new delight.
The dark thought, the shame, the malice.
meet them at the door laughing and invite them in.
Be grateful for whatever comes.
because each has been sent
as a guide from beyond.
 
So, what does it mean to sit with an uncomfortable feeling? To welcome it in?
 
If you have an established meditation practice or feel drawn to this method, try that. Sit still. Be quiet. Soften the mind. Notice what you carry.
 
But it also doesn’t need to be quite so formal. It would be worth trying a silent walk, a warm bath, or sitting alone in front of a view.
 
Wherever you settle, you could try the instructions below for sitting with the uncomfortable feelings that you carry. Not with an intention to “fix” them, or rid yourself of them, but instead, to learn from them and to allow yourself an opportunity to REALLY feel them.

• Find a space that feels safe and comforting.
• Notice the feeling (grief, frustration, jealousy...) that has proven uncomfortable to carry.
• See if you can find a location in the body where this feeling resides. Take your time. An internal scan from head to toe might help this process.
• Once you have identified a location where you hold this feeling, rest your palms there to draw awareness to this space and your attention to this feeling.
• Now, get curious. Does this feeling have a name? How about a color? Can you feel its texture? Is there any other sensory input you can take in? Is is hot? Is it sharp? Is it damp?
• Set aside judgment of how you want it to be or not be. Just notice it as it is.
• Now lean into it. Can you immerse yourself in it? Can you really free yourself to feel?
• When you’re ready, offer yourself comfort and compassion. Express a gratitude for this feeling and the work it is doing in you.
• Slowly and gently draw your awareness back to your surroundings. Take a few deep breaths. Transition back into your day.
• Circle back to this practice whenever you notice yourself avoiding feeling the feeling.

 
This is what it is to welcome a feeling and to treat it like an honored guest. And in doing so, you honor yourself, your whole self, and your experience of this situation.

Authored by Dr. Q

Authored by Dr. Anna

Question: How many times have you played out some version of the cycle below?

This is so real. Right down to the Cheetos.

Many of us play out some version of this cycle most of our adult lives. And let’s face it: this approach has a short shelf life. We get the temporary and hopeful high of “I’m doing something about this!!” followed by the swift slap of disappointment when it turns out maybe it wasn’t realistic to think we could wake up to work out everyday at 5:45 AM when we haven’t A) worked out or B) gotten up before 8am in literally months.

Insert self-berating comments and disparagement here that inches us towards the “F it’s” where we abandon the initiative all together and submit to our Cheeto eating ways before cycling back to “the decision” to get it together...lather, rinse, repeat.

My job is to help people be realistic and successful in their change attempts and yet I find myself over and over again getting caught in the enticing quick fix fantasy of a self finally improved. And through trial, error, and repetition I’ve been able to recognize this delusion more quickly and steer myself towards an approach that actually helps me to make changes that stick. This is where I turn my head manually away from self-improvement that plays itself out in a ideal perfectionism land, toward self-acceptance and self-compassion in the face of the realities, messiness, and resistance encountered by all of us in the process of changing anything.

So what does this mean? It means taking your goal list and cutting it in half. It means being realistic in your expectations of what you can do. It means baby steps that, when made, you applaud with fervor. It means offering self-compassion and validation when you slip. It means holding ourselves in high regard even when we only make it to day 2 of Whole 30 (wow the examples just flow, not mine of course). It means surrendering - not to our bad habits but to our humanness and the fundamental truth that basically I’m good enough. Could I get a little better? Yes. Am I going to be a person who (insert complete opposite personality and traits here)? Likely not.

I use the “good coach” metaphor a lot with my clients. When I think of some of my best coaches I recall that they pushed me hard but within reason of what I was capable of based upon my current skill level at the time. I knew they believed in me and kept an eye on and belief in my full potential. Perhaps most importantly, their support and encouragement wouldn’t waiver when I messed up. We need this inside of us when we try to grow and change and yet many of us have a brutal internal critic that pounces on us the minute we even try, the minute we mess up, the minute we don’t sustain for as long as planned. It makes it super duper hard to take the risk to change when under such intense critical scrutiny.

But I don’t want to get complacent. I want to keep improving myself you say. You can. The fact of the matter is that a foundational bed of self-acceptance creates the conditions in which these changes, hopes and dreams are most likely to come to fruition and take. Furthermore, knowing that we have our own self support no matter what creates a safe emotional environment to risk in the first place.

6 Things You Can Do To Approach Change Differently:

1) Set Yourself Up To Win - Just like asking a 2nd grader to read high school material would be a set up for failure- asking ourselves to perform, complete, achieve, sustain something that is several steps ahead of where we are currently just sets us up for failure. For most of us, change happens one teeny tiny inconsequential step at a time directly in front of where we currently are.

2) Enter Radical Self Acceptance - The thing is. Sometimes it’s really hard to accept where we currently are. We don’t want to look at our budget or our weight or our job or our social life because it’s loaded with regret, or shame, or loss. Radical Acceptance is a concept that I come back to again and again as it does not mean we like something it just asked that we accept it radically (it has to be radical because it’s so challenging to do) so that we can move forward. Try something. Think about something you are really struggling with right now. Bring this to mind and place your open palms on your lap facing the sky. This gesture symbolizes that you are open to the reality of your present situation (you may still hate it so hard) but you can nonetheless be open..and see if your chest doesn’t open a little. If a bit of lightness enters. Now repeat this a million times as you stay with yourself each baby-step of the way.

3) Turn Your Actual Head - Okay maybe not actually. But imagine a forked road ahead of you. One is the typical path of self-improvement the other is self-acceptance. Actively choose to accept yourself while still holding your best interest and goals in mind. Keep re-directing yourself back to that path over and over and over again.

4) Be Realistic About the Change Process - On average people have a messy and repetitive route through the stages of change. It takes time and circling through. It’s not a light switch were we just decide and it happens. It’s a process- and not a linear one. That’s how it is for all of us. Oh, and the amount of time you think you should be able to accomplish or achieve x,y,z--double it--at minimum.

5) Expect Resistance - Resistance to change is natural, expect it, embrace it, work with it. Remember that cornstarchy gak we made in 3rd grade science? How when you applied force it was hard and unmoveable yet when you’d relax your hand it would melt through your fingers? Treat resistance like gak in your own change process. Loosen your grip and let it come and go. The harder you fight and force the more likely it will stay stubbornly unmoved.

6) Connection Helps - Whether you are trying to change a habit or heal a long-standing wound. Don’t go it alone. Gather your supports and accountability buddies to help you through whatever you are facing. This could be a best friend, a therapist, a journal, an on-line forum.

Authored by Bri Dunbar, LAMFT 

I hear a lot of talk about the self-care practice of setting boundaries. I also hear a lot of misunderstandings about how to skillfully set boundaries in ways that effectively serve a purpose and are respected by those around us.
 
Unfortunately, as a society, we seem to have misappropriated the idea of boundary setting as a means for keeping difficult people at arms length or as a method of avoiding the work of repairing a complicated relationship. This process lacks intentionality and discernment. Sometimes “boundary setting” can even be applied reactively and vengefully to punish someone who has enacted a perceived injustice upon us.
 
So, how can the narrative of boundary setting be shifted? How can we think of boundaries differently in order to use them effectively? How can we apply and communicate our boundaries in a way that grows from true self-care practices?
 
For me, the critical shift is the idea that the setting of a boundary has more to do with protecting something INSIDE the boundary lines and is less focused on what we aim to keep outside. Let’s apply an analogy.
 
Picture a beautiful backyard oasis. The greenery is lush. The noise level is low. The sunshine is warm. You have tended to this space with great care and are proud of what you have created. This represents your wellbeing, your healthy inner life, the bounty of your good self-care practices.
 
Now, picture the space outside of your backyard. A dirty alley filled with trash. Loud and obnoxious neighbors. An overgrown and weed filled eye sore. This represents whatever (or whomever) in your life feels life a threat to your wellbeing.
 
Imagine there is a tall cedar fence that separates your beautiful and well-tended space from the ones that surround you. The fence is solid and strong, but pleasant to look at. It smells good and enriches the space you’ve created. This represents your boundary. The fence exists whether you view it from inside your yard or outside. And serves the same simple purpose; to delineate between the two environments. But, with a focus on what you value and what you want to protect, as opposed to what you want to keep out, you shift the tone of boundary setting. Step INSIDE your yard and view the fence from that perspective to understand how it serves you best. Yes, the fence does block your space from the unpleasant environment beyond the fence, but that’s not its primary purpose. Its primary purpose is to allow you to better enjoy what you have built and grown INSIDE your own yard.
 
This visualization gives you a chance to filter your boundaries through the lens of healthy habits and relationship dynamics. It comes from a place of true self-care and self-love. This removes reactive responses from the process of boundary setting, and extracts any unhealthy intention to act punitively in putting up a boundary in your life. That new warmth radiates when expressing these boundaries to others in your life and the line drawn may be better understood, better received, and better respected.  
 
This is, in my opinion, the healthiest application of boundaries. To protect something that you value, something that you have worked hard to nurture. Not, solely, to keep something toxic out
 
What boundaries have you set recently, does anything change when you apply this analogy? Is there new awareness about why this boundary would be beneficial? Is there new language to communicate that to any relevant parties?
 
Also, just a reminder, fences have gates! Part of the practice of setting a boundary may also be to leave a bit of intentional flexibility and permeability to let others in as you see fit when circumstances change.
 
Happy boundary setting! :)

Authored by Erica Wallace Moore

It's that time of year again. The holiday season is right around the corner. While this season jingles with activity, for some of us, this time of year can be physically, mentally, and emotionally overwhelming.

Let's face it, you're down to the last push before the end of the year. A year that has already challenged and matured you. And for the next two months you may be spending a lot of time with friends and family. You may be at tables weighed down by meat, mashed potatoes and pies. You might even host a dinner or two. You will eat a lot. And you will shop. You'll spend money. Your boss or your significant other might expect your presence at a holiday party. You've got a tree to put up and decorate, or you've got plane tickets for a week's worth of travel.

That's a lot of doing.

Don't get me wrong. I absolutely love this time of year. 

The annual ritual of connecting with family is so deeply set in my Root Chakra going all the way back to my childhood. But I too have my moments. Times when I need a break from the insanity of the holidays. 

Staying grounded and protecting your energy can seem impossible at this time of year, but I promise it's a worthwhile skill to practice cultivating. 

If you're looking for ways to stay perfect through the holidays, this ain't it. But what you will find here are several practical ways to stay present and sane through the holiday season:

1. Set Boundaries
I cannot stress how important this practice is. You might experience the pressure of being pulled in many directions, decisions, as well as the pressure to say yes to everything. If an activity feels like too much than it's worth, ask yourself whether or not it's really worth doing. Additionally, setting boundaries for your budget and your meals can help you remain present as you step toward the new year.

2. Set Aside Alone or Down Time
After any considerable amount of doing, your body needs moments to be. For all the doing that the holidays requires, create intentional space for yourself to just be. This also includes rest and indulging in your self care. Give yourself a gift.

3. Set a Meaning
Have you ever had a holiday when you ask yourself: "Why am I doing all this stuff? What does it even mean?" Sometimes it's so easy to go through the motions of expectations that we lose meaning. Decide what the holiday season means to you and honor it. Does the season mean family, thankfulness, caring? Or perhaps it reminds you of loss. Don't ignore the emotional significance of the season. Maybe you can give to a cause or charity, volunteer, or create a new ritual. Write a letter or light a candle to a loved one. 

4. Set Up a Holiday Journal
This one is simple: whatever frustrations arise for you, write them out. You may find yourself more aware of your holiday triggers and be able to be more gentle with yourself.

5. Set Time for Creativity
Part of the holiday frustration for me is the amount of consumerism that we all get invited to partake in. I find it comforting as a reminder that though my children want gifts from the toy store, I'm still at my core a co-creator of the universe. Whatever your creative gifts are (baking, cooking, sewing, crocheting, knitting, drawing, writing, singing, acting, dancing, photography, etc), throw yourself into your creativity. 

6. Set Goals for the New Year
Setting a goal for the new year helps to keep you present and grounded because you can be reminded that the holidays are temporary and you still have this big, great life to live. And you get to pause, reflect and ritualize your presence and your new beginnings into the new year.

​If you're really looking for a way to ground yourself, or if you are new to the idea of what it means to be grounded, I would absolutely love to work with you! Or perhaps you are looking forward to the new year and you desire new goals and new intentions in which case, I would also love to be able to work with you!