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October 20, 2008

"Yoga for the Nervous System: Healing Anxiety, Insomnia and PTSD"

Shavasana The above title -- promising, no?! let's hope it also delivers -- is the name of a "weekend intensive" class being given in mid-November at the famous Kripalu Center for Yoga and Health in the Berkshires (Western Massachusetts, close to the New York border.)  Information about the class is linked here.

(For more links to blog posts where we've talked about yoga and PTSD, click here. For more about the larger topic of mind-body medicine, which includes yoga, click here. For more on a yet still more comprehensive topic, PTSD and Complementary and Alternative Medicine, which includes mind-body medicine, click here.)

According to the Kripalu Center's brochure:

"Unlock the power of your mind-body network to relax your physical body, calm your mind, and quiet your nervous system.  Conditions such as anxiety, insomnia and post-traumatic stress disorder (PTSD) involve hyperarousal of the nervous system along with the mental, emotional and physical [aspects of our] bodies.  If this activation becomes chronic, the neuro-emotional patterns that result can compromise your physical health, emotional well-being, and creative potential.

Fortunately, the neural pathways to relaxation and calm exist in each one of us.  Those pathways simply need to be discovered and activated repeatedly to alter the state of the nervous system.

This transformative weekend intensive will include:

  • Elemental Yoga, a transformative, therapeutic, alignment-based, slow vinyasa practice;
  • Meditation;
  • Restorative yoga; and
  • Pranayama (breathing) exercises designed to balance the nervous system and emotional [aspects of the] body;


Psychologist and yoga therapist Bo Forbes will draw from her extensive experience in clinical psychology and mind-body therapeutics to help you learn to activate the neural pathway[s] to relaxation and catalyze the emergence of your extraordinary inner potential.

About Bo Forbes:
Bo Forbes, PsyD, E-RYT500, is a leading clinical psychologist, yoga teacher, and yoga therapistBo Forbes in the Boston area.  She is the founder of Elemental Yoga, director of the Center for Integrative Yoga Therapeutics in Cambridge, Massachusetts, and a contributing writer for Yoga Journal and Body & Soul magazines. 

(There's also an interesting interview with Bo Forbes on the topic of "Narrowing the Gap between Insight and Change: Yoga, Psychotherapy and the Body," linked here.


NOTE: The class says it is for those with "some yoga experience" as a pre-requisite.

Editor's note: For general yoga instructional videos, or yoga for stress videos, see thefollowing, mentioned in the sidebar (column to the left): Gaiam: Yoga For Beginners; Gaiam: Yoga for Stress Relief (With The Dalai Lama); Gaiam: AM/PM Yoga For Beginners (with The Dalai Lama & 10 Routines); and Yoga Journal: Yoga Journal's Yoga for Stress With Dr. Baxter Bell.

September 20, 2008

A Mind-Body Medicine Approach to PTSD - Conference Oct. 11th and 12th - West Coast

Gjorgji-Nikoloski The Institute for Transpersonal Psychology in Palo Alto, CA will hold a seminar on 

Mind-Body Approach to PTSD," October 11th and 12, 2008, featuring a Center for Mind-Body Medicine faculty member, Gjorgji Nikoloski, M.D..  According to the ITP's website, linked here, the program will be a 


"one and a half day workshop that teaches: the scientific basis for mind-body medicine; the depth and power of our unique small group approach; and the use of a range of the most effective tools for self-care and stress management.

Comprehensive materials and hands-on experience will prepare you to integrate our mind-body model into your work in a wide variety of settings, including private practice with individuals and groups, hospital work, educational programs and work with populations affected by war, abuse, terrorism and other forms of trauma.

Our approaches are fundamental to relieving the stress that contributes so significantly to all chronic illnesses, and to comprehensive and integrative approaches to the treatment of PTSD.

The featured presenter, Dr. Nikoloski is a Psychiatrist and Mental health clinician who has worked with child adolescent services and the Community Mental Health Clinic in Guelph, Ontario Canada. He began as Faculty of Mind-Body Medicine in Kosovo in 1999 and Founded the Center for Mental Health and Psychosocial Support in Skopje, Macedonia in1999. He is on the Board of Directors of the Coalition for Work with Psycho-trauma and Peace (CWWPP) in Vukovar, Croatia.  (A more extensive bio for Dr. Nikoloski is linked here.)

To purchase tickets to this event, click here."

July 21, 2008

There's a Revolution Going On: Users Rate Their Drug and Non-Drug Treatments for PTSD

IStock_000005128146XSmallWe're just about to wrap up our series here -- a cycle of blog posts about the various treatments available for PTSD from the pharmaceutical, Complementary and Alternative Medicine ("CAM"), and mind-body medicine worlds. We've talked about bodywork therapies that show promise. Heck, we've even talked about street drugs like marijuana and ecstasy that appear to have some beneficial effects as well! (Sheesh -- we're not recommending them, per se -- we're just trying to do a comprehensive look at everything reasonable that's out there, that might help sufferers.)

We started this cycle of blog posts back in the beginning of June, with one about how the military was expanding its concept of treatment options to include some "revolutionary" non-drug approaches, linked here.  (We'll add to the cycle of posts over time as the need indicates, but the bulk of it is already done on this topic. This post also builds on a previous post, which talked about how a layperson can learn more about the effects and side-effects of medications prescribed, as well as where to learn about possible warnings when used in combination with other medications.  That post is linked here.) 

One of the most interesting developments is something I get to share with you now -- that a year or so ago when I first learned about it, was not robust enough to be of much value to PTSD sufferers.  Perhaps by now it really is.  The "it" I'm talking about here is something called "Revolution Health," the brainchild of AOL co-founder and marketing genius Steve Case, a project he began in 2005, after he left AOL.

Revolution Health is a number of things, but particularly for our purposes here's it's an online "community" of other patients who give their impressions, pro and con, of the treatments they're using for various illnesses and conditions -- including PTSD -- and not just of all the popular pharmaceutical medications, but also the non-drug therapies as well.  Finally, in one place, patients can check out what other people's experiences of the same drugs or therapies they've been prescribed, along with more straightforward information about the treatments themselves, the possible side-effects.  Clearly, for something like this to work, there need to be a LOT of people checking in and providing their impressions. 

When I first checked out the site, those numbers just weren't there.  It's not so exciting, interesting, or frankly even helpful to learn what three people think of a medication or a non-drug treatment like acupuncture or craniosacral therapy -- it gets a LOT more interesting as more people participate.  Such seems to be the case these days (no pun intended) -- but act quickly -- the site has been experiencing layoffs, and with Web businesses, even those founded by geniuses like Steve Case, you never really can count on how long they'll be around.  So be sure to check out what interests you while you still can.

This is what the site said a year ago about itself, which is still good advice:

This service is in its infancy, but our philosophy is that if millions of people participate, it will emerge as a useful tool for people as they consider their treatment options. Please note that treatments include a mix of some that are designed to directly treat a condition, some that treat side effects, some that provide symptomatic relief.

While individual real-life experiences can be a valuable health resource, they must be viewed in the context of evidence-based data and are not a substitute for medical advice. You should always consult a qualified health care professional before beginning, changing or stopping a treatment.

Now let's get down to business:

Want to learn how other participants rank, rate and review the various treatments for PTSD, both drug and non-drug? (Currently there are dozens suggested!), say, Duloxetine? Click here, for a list of the various, searchable treatments. (Better yet, click herefor them ranked by users in order of effectiveness!)  Want to take a look specifically at the pharmaceutical drugs for PTSD? Click here.  How about the various non-drug treatments for PTSD?  They're there, too, by name.  (You can sort either set of results by "most helpful," "most recent," and "highest effectiveness" on any individual treatment (of the 363) or on the category as a whole.)

Note: Be aware that not everyone who's weighing in with their opinion on what treatment they're loving or hating for PTSD has combat trauma-induced PTSD.  They may have PTSD from some completely other cause.  However, as far as relatabilty goes, this is the best we're gonna get for now -- a "Revolution Health" for veterans only does not appear to be in the works.  Ahhh, but we can dream, can't we?!

To reinforce the warning, though -- given the fact that nothing's permanent on the Web, especially "revolutionary business models," get in -- get your information -- and get out -- in case the website goes away, and/or the company goes out of business.  We sincerely hope that Revolution Health sticks around, because it's performing a useful AND innovative, visionary function --  but even more than that, we want YOU to get the information you're looking for, while you still can.  Oh, and if you sign up to be a member -- I believe that it's free -- you can also contribute your ratings to the user-generated rankings.

There's a Revolution going on...in health care.  Get yours now, while it lasts.

Editor's note: The usual "yada."  Be sure to consult with a qualified health care practitioner before changing or implementing a course of treatment, to make sure that the choices you make are appropriate and best for you.  We are presenting this material as information only, and it's not to be construed as medical advice.  If we could, we would; but we can't, so we won't.  There, we've said it.

June 16, 2008

Healing Hands: Cranio-Sacral Therapy, Veterans and PTSD

UpledgerBefore we leave off talking about Complementary and Alternative Medicine (CAM) therapeutic strategies for dealing with PTSD (usually, in addition to other approaches, not instead of other approaches) -- as we have been discussing lately on this blog, an index to which is linked, here -- it's important to mention one other therapeutic technique: Cranio-Sacral Therapy, developed by Dr. John Upledger (pictured at left).  You'll have to go elswhere -- like the Upledger Institute's website, linked here -- to learn more about the practice -- it would take too long to explain here, because there are several schools of thought on why it might work, and it's a fairly esoteric practice to begin with.  But...an important but...it is a bodywork therapy, akin to massage but not the same as massage, which has shown some effectiveness in improving the symptoms of PTSD.   Digging around on the Upledger Institute's site may help you learn about who practices it in your area of the country, but that is unlikely to be a completely comprehensive list.

For those who believe -- and it surely isn't everyone who does, but many do -- that the physical body "stores" trauma, craniosacral therapy attempts to "release" the stored trauma through the very light, deft touch of the craniosacral therapist.  Not everyone who's been through trauma wants to "talk about it," or "take medications for it" -- for those who are comfortable with a massage-like experience, craniosacral therapy is an opportunity to see if trauma can be cleared, lightly or substantially, using a different method.  (Rumor has it that the Navy and/or the Marine Corps, on the West Coast, is experimenting with using craniosacral therapy to treat PTSD -- more news as that develops.)

Dr. Upledger, and another West Palm Beach, FL-area craniosacral therapist, who I have known for years, and who used to practice together, worked in a novel program years ago to treat Vietnam veterans who were struggling with the effects of PTSD.  In their program were a handful of veterans and at least one medical nurse who had served during Vietnam.  The treatment program allegedly helped some, didn't help some others, and had at least one anomaly as a result: a patient who died in an unrelated car accident, soon after he reported to his family, unfortunately, how much relief he was gaining from the program.  So the results were mixed, but in general, more positive than negative.  (There was even some interest from a famous Hollywood filmmaker, who shall remain anonymous, but who's a big fan of veterans and the Vietnam experience, in filming the experience of veterans undergoing the treatments, but that created controversy for the program, and the idea was eventually dropped.)

Years later, Dr. Upledger did more work with other veterans, and at least one of them, Steve Shumelda, LMT, an ex-military guy with injuries of his own, including PTSD -- was so impressed by the treatments that he gave up whatever he was doing for a living before, and studied craniosacral therapy instead.  He has a practice in South Florida now, and has written about his experience with craniosacral therapy.  You can read more about the Upledger Institute's work with veterans and PTSD, here.

Dr. Upledger has apparently done a video that is available via his Institute on PTSD and veterans and craniosacral therapy.  You can contact their office to see about purchasing a copy.  For additional resources to read up on the topic of craniosacral therapy, veterans and PTSD, click here for a separate blog entry we did recently that consolidates a few in one place.  To read about Vietnam veteran and former Navy corpsman Steve Shumelda, LMT's experience with PTSD and craniosacral therapy, click here.

CranioSacral Therapy, PTSD and Veterans Resources

The Healing Hands(This is a drawing by a young child who had PTSD but clearly was not a veteran, given to his CranioSacral practitioner, illustrating what he felt to be her "healing hands.") 

Some resources about CranioSacral therapy and PTSD (this list is not meant to be exhaustive):

An article written by Dr. John Upledger, founder of CranioSacral Therapy, published in the November, 2001 issue of Massage Today magazine, on "The Role of CranioSacral Therapy in Addressing Post-Traumatic Stress," linked here;

An article from the January, 2001 issue of Massage Today magazine, written by the magazine's editorial staff, called "The Power of Touch: Promising Studies on Treatment of Post-Traumatic Stress Disorder," linked here;

An article from the Internationa Alliance of Healthcare Educators (IAHE) newsletter, date unknown but possibly current/2008, written by the Upledger Institute, called "Upledger Research Effective for Vietnam Vets," linked here;

An article from the Upledger Institute's newsletter, apparently from 2007, entitled "CranioSacral Therapy Breaks 20 Year Cycle of PTSD," linked here.  That's the article that talks about Vietnam veteran and former Navy corpsman Steve Shumelda, LMT's experience with PTSD and craniosacral therapy, which predated his career path change.  That article is linked here.

June 02, 2008

Just Say "Om" - Yoga and Meditation for PTSD

Shavasana Long before Mehmet Oz, M.D., was a regular guest on "Oprah" -- long before the Army started contemplating whether Complementary and Alternative Medicine had a place in treating PTSD, blogged about here -- there was yoga, and there was meditation.  For thousands of years, these techniques for helped adherents gain flexibility, quiet the mind, and often, restore some inner peace.  CAM for PTSD is in the news recently, but a book by well-regarded Rodale Press, from a dozen years ago, mentions both yoga and meditation, as well as sound healing, as possible therapies for PTSD.  Here's what they have to say:

Stress reduction is an essential part of recovery from post-traumatic stress disorder, says Stephen A. Nezezon, M.D., yoga teacher and staff physician at the Himalayan International Institute of Yoga Science and Philosophy in Honesdale, Pennsylvania.  To lower stress, he says, you can try a daily routine of breathing exercises, mediation, and yoga poses.

Do the complete Yoga breath exercise (see link here) whenever you’re feeling stressed, suggests Alice Christensen, founder and executive director of the American Yoga Association.  Meditation helps clear your mind and teaches you to relax, she says.  For the poses, select three or four from a Yoga daily routine.  Christensen recommends varying the poses daily to keep your interest high and to strengthen different parts of your body.  Dr. Nezezon says you should include at least one relaxation pose, such as "the corpse" (pictured above), "knee squeeze," or "baby," in your daily yoga routine.

Dr. Nezezon also recommends doing the "alternate nostril breath" (explanation linked here) each day as a way of helping you regain emotional balance. 

Source: New Choices in Natural Healing: Over 1,800 of the Best Self-Help Remedies from the World of Alternative Medicine, Edited by Bill Gottlieb, Editor-in-Chief, Prevention Magazine Health Books.  Emmaus, PA: Rodale Press, Inc. (1995).

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For more information about yoga, try these highly-rated instructional videos, produced by Gaiam, an excellent source for such material: Yoga for Beginners, Yoga for Stress Relief (with the Dalai Lama), and AM/PM Yoga For Beginners (with The Dalai Lama & 10 Routines),  You can also try reading about Yoga on About.com (linked here), subscribe to the Yoga Journal, or watch the Yoga Journal's video on Yoga for Stress.  (All hyperlinks lead you to the material described.)

 

For more information about meditation, sometimes referred to as "the inner Yoga," try these videos by Gaiam, an internationally-recognized source of high-quality instructional material about various bodywork therapies, including yoga.  Meditation for Beginners, and/or Relaxation and Breathing for Meditation.  You can also try books at Amazon.com by American author, Jon Kabat-Zinn, Ph.D., featured in an excellent Bill Moyers series on PBS years ago called Healing and the Mind.  Kabat-Zinn is Professor of Medicine Emeritus and founding director of the Stress Reduction Clinic and the Center for Mindfulness in Medicine, Health Care, and Society at the University of Massachusetts Medical School in Worcester, Massachusetts.  Kabat-Zinn teaches mindfulness meditation as a technique to help people cope with stress, anxiety, pain and illness, and leads workshops and retreats on the power of mindfulness, such as the one linked here (registration is full, but there is a waiting list).

August 20, 2007

Back from Hell: Treating PTSD with Massage and Other Bodywork Therapies