Category Archives: Hypnosis

Poor Sleep and Alzheimer’s Disease

I’ve decided to offer classes in using hypnosis to get better sleep–the first is scheduled for March 24 at 10 am. It’s nearly full, so I’ve scheduled a second on April 21, also at 10 am. If you’re interested, contact me, and I’ll send you the details.

Today’s post is about just one of many reasons this topic concerns me.

An article by sleep scientist Matthew Walker* in the October 2017 issue of New Scientist describes a mechanism through which Alzheimer’s disease disrupts memory consolidation—and the mechanism has to do with the poor sleep experienced by people with the disease. The cause itself is not clear, but the connection is clearly established, and it’s a compelling reason for us to address any poor sleep habits we may have.

The connection has to do with the effect of the buildup of toxic amyloid proteins characteristic in the disease, which over time reduces the amount of NREM (non-rapid eye movement) slow wave sleep we typically get during the night. And although it’s common to get less NREM sleep as we age, normal aging doesn’t usually affect the slow wave sleep we get.

Slow wave sleep is responsible for saved memories; in other words it’s involved in the process of shifting memories from short-term to long-term storage. The research shows that more toxic amyloid buildup is correlated with more disruption of slow wave sleep, and more loss of memory consolidation.

It turns out that the area of the brain that is predominantly affected by the disease is the frontal lobe, which is also the part of the brain that is responsible for starting our slow wave sleep phases. The research has confirmed that it’s not just a coincidence that people with Alzheimer’s disease have poor sleep—their poor sleep is qualitatively different from normal sleep changes associated with healthy aging.

Here’s a weird bit of the Alzheimer’s puzzle: how do the toxic plaques cause memory loss?

It’s puzzling because even though amyloid deposits only accumulate in some parts of the brain, they don’t accumulate in the areas of the brain associated with memory. So what is the connection between the disease and memory loss?

It took a sleep scientist to come up with an answer. Here’s his theory, in his own words:

We already knew that in young healthy adults, the slow brainwaves of deep NREM sleep effectively hit the “save” button on new memories, helping us retain what we have recently learned. Sleep also helps us access and thus remember past experiences.

If amyloid was blocking deep NREM sleep in Alzheimer’s disease, then perhaps this loss of youthful deep sleep prevents older adults from being able to save new memories and hold on to experiences past?

He designed a study to test this theory, giving patients new information at night and then testing their recollection the next morning, after monitoring their sleep. The results? Patients with more amyloid deposits in the middle frontal regions of the brain had the most severe loss of deep sleep, and they were unable to remember the new material.

The connection is there—disrupted deep NREM sleep is the missing link between amyloid and memory loss. So far, studies of older adults with sleep disorders confirat treating sleep problems slows the onset of Alzheimer’s Disease by up to 10 years.

Again, although the research does not show a causal relationship between poor sleep and Alzheimer’s disease, clearly getting better sleep now can reduce our risk significantly. And further, since the symptoms so disrupt quality of life, it makes sense to me that we choose to do whatever we can to protect our sleep, and our memory.

By the way, the studies also showed that just as prescription medications for sleep do not work beyond a small placebo effect in helping people fall asleep, they do nothing to mitigate the loss of slow wave sleep.

Sleep well tonight. Do contact me if you’re interested in exploring hypnosis to help you get healthy sleep, either one-on-one, or as part of a group.

* This post is a summary of part of Dr. Walker’s article, and any errors are mine.  Do check out his article–he’s a good writer.

How’s your sleep?

I ask this question of all my clients now, because I found that so many people I saw individually and in workshops mentioned poor sleep during the course of discussing other issues, from weight to anxiety, or anger, or chronic pain, etc. I now know that most of my clients have problems getting good sleep, whether or not that’s the issue they come to work on.

I’ve just had a fabulous week of great sleep!

Okay, I think this is an opportunity for one of those “There are two kinds of people . . . .” statements:  There are people who, on reading this, will feel a rush of emotions—envy, happy-for-you, irritation, or despair of ever experiencing that feeling of true rest. And there are people who are puzzled and wondering what all the fuss is about.

I suspect more people are in the first group, based on what I hear from clients, and from the CDC’s findings that 50-70% of people suffer from a sleep disorder.

I’ve had a long time to wrestle with getting enough sleep, and along the way I’ve learned a great deal about the kinds of things that can affect my sleep positively or negatively. And of course I’ve read pretty widely on the topic. Most of what I read is in the category of sleep hygiene—the things we can do to ourselves to get better sleep. Here’s a great list from the NIH, by the way.

But I recently read a great article in Scientific American online “The Secret to a Better Night’s Sleep: A sense of purpose?  The article refers to a study done at Northwestern University School of Medicine.  Here’s a statement from the study report’s conclusion: “a higher level of meaning and purpose in life among older adults is related to better sleep quality and appears to be protective against symptoms of sleep apnea and RLS.” 

How cool is that?

In my practice, I’ve been incorporating a focus on values with every client, initially because of studies like this one—studies confirming that when we focus on our values, we are more likely to experience positive progress toward the changes we want to see in our lives. And it’s truly transformative, I’m finding.

We can learn how to get better sleep, one step at a time, as we make simple changes to our environment, our behavior, and how we think about ourselves. It doesn’t sound simple, but I assure you, it doesn’t have to be hard.

I’m excited about this topic, and about what I’ve been learning about the science of sleep. One of my current projects is putting together a hypnosis workshop about how to craft your own great sleep experience. Stay tuned for more info. 

And Happy New Year! I wish you great sleep in the coming year.

Magic wands for change

I start a new series of hypnosis workshops in October, and it’s been fun to prepare the new classes and get ready for the ones I’ve been doing for years.  In fact, I’ve been working with people who struggle with weight issues for 10 years now, and I have learned so much from the people who have chosen to share their process with me. It’s a complex issue—so personal, and yet affected by so many family, or social, or cultural, or economic influences. I have so much gratitude for the years of learning from this work, and so much respect for the people involved.

Because it is such a complex issue, many people find themselves hopeless or overwhelmed, even though they would like to be able to do something to help themselves. And it’s hard to pick out the 1 thing that could help everyone who wants to do something about the problem. Everyone is different, and my personal magic wand might be just an ugly old twig to the next person.

But I do have a few magic wands to recommend, nonetheless. There’s a selection process, of course, since we are each unique, and when it comes to magic, it’s not one size fits all. It’s more like this: which one makes us feel strong, and helps us accept ourselves, just as we are—because that’s what it takes to fight the forces (personal, family, social, etc.) that contribute to feelings of hopelessness or overwhelm.

It’s a tall order, but fortunately we don’t have to make the choice blindly. A little bit of self-reflection can point us in the right direction. When we know what truly matters to us—our values—it’s easier to make the right choice. Besides, these are simple things; if you can’t decide, you could try them all and see what feels good.

Here are the magic wands I recommend—and by magic wand, I mean one thing—one small thing—that just about anyone can do just about any time, to start making progress on the path to a more healthy way of spending our days. The 3 magic wands below are listed in an order that matters to me, but the first one would not necessarily be the right first one for you.

Magic wand 1: Moving more.

Maybe that’s a goal of walking 10 minutes a day to start. (Or depending where you’re starting from, walking 20 minutes each day or more.) Maybe it’s dancing at the sink while you’re doing dishes. Maybe it’s stretching every time you get out of a chair. Maybe it’s taking a yoga class, or doing chair tai chi at the library. You get the drift: whatever you can reliably do and feel good doing.

Magic wand 2: Practicing gratitude.

This is about looking for something to be grateful for, maybe just one thing every day. Maybe you keep a journal or maybe you just stop and think about it at least once a day. Maybe you get more creative and decide it has to be something new and different every day, or set timers during the day.

Magic wand 3: Meditation.

Maybe you start with a 10-minute guided meditation from the internet, or maybe take a class or join a group, working up to your own daily practice. For me it’s mindfulness meditation, but there are lots of options out there.

Of course, there’s also nothing wrong with doing all three, or more. In fact, for some folks, at certain times, diving into a completely new lifestyle can be exhilarating and ultimately the right first step. (Perhaps this approach should be magic wand number 4.)

These sound like small things (except #4). And they are small, and they are simple, but they are also powerful. Somehow—and this is why I call them magic, because I don’t know how it works—these small things can each lead us to recognize that we do have the power to affect how we live our lives, and that is the true beginning of making change. 

Right now I’m grateful that I get to do this work, and looking forward to new classes, and people on the path to change.

New classes: on transforming stress, and dealing with pain

Two new classes this Fall quarter at Whatcom Community College, one on the new science of stress, and another on dealing with pain. 

Want to transform your relationship with stress? The new science on stress validates the power of our minds over the way we experience stressful events. On Thursday October 12th, I’ll present some of the myths and the new science about stress, and we’ll discuss the ways we typically react when we experience stress. We’ll also learn some simple ways to mitigate the harmful effects and boost the positives—and contrary to what we’ve been told, there are many positives that come out of stressful times.

Occasional or chronic pain is a reality for most of us at one time or another, and yet most pain medicines are problematic when used regularly—in fact, there is no cure for chronic pain. Typical common causes for pain include headaches, low back pain, nerve damage, recovery from surgery or other medical treatment, and other disabilities. Any of these can affect quality of life, including things like getting the sleep or activity we need to stay positive and healthy.

Hypnosis is a proven method for mitigating or reducing pain, and hypnosis has no side effects other than relaxation. In this class on October 26th, you’ll learn how, by practicing at home, you can use hypnosis to get more control over pain and its effects.

Register for either class at Whatcom Community College, by email, or by phone at 360-383-3200.

And by all means contact me with any questions about either of these new classes.

Learning patience and persistence from a large pile of heavy rocks

Last week I mentioned the adventures with heavy rocks that resulted in me spending too much sedentary time contemplating the effects of inflammation. (I’m doing well now, and I’m learning good stuff from a wonderful PT, so the outlook is much much brighter.)

Now I have a routine for strengthening my back and getting more flexible, so that I can get back to the yard project I wanted to do this summer—which leads me to the subject of motivation.

I’m the kind who does the exercises until I don’t hurt anymore, which has always seemed like a reasonable way to deal with aches and pains. But now I’m seeing that it really isn’t that simple—or at least not so simple as it seemed when I was much younger.

The reality is that if I want to do the yard project, I need a greater level of fitness than I’ve enjoyed in a long time. I won’t be able to finish it unless I get stronger, and getting stronger before the summer’s gone means I need to raise the priority—the exercises  and stretches need to happen every day. I know myself well enough to admit that won’t happen unless I make a routine, linking the physical therapy exercises with something I’m already reliably doing.

Although I say “every day,” and mean it, I also know it’s not a realistic expectation. Life regularly gets in the way of my plans, so I have to recognize and prepare for interruptions—that way I’m more likely to relax and enjoy the distractions, knowing I’ll be able to get back to the routine next day. In this case, my plan is, if I can’t do all the exercises, I will at least do the stretches—and it doesn’t matter when during the day I do them. And since I know life will interfere, I’m more focused on getting the work done on the days it’s easy to keep to the schedule. 

Here’s an outline of the basic idea:

  • Have a goal:  Get fit for yard project
  • Have a plan for daily work: Right now that’s about 25 minutes of exercises and stretches
  • Have a plan for when I can’t (or choose not to) do the work: Do the stretches and skip the harder stuff
  • Have a plan for getting back into the work after a day off: Raise it in the priorities for the day, and/or Enlist helpers to remind me, and/or Use a calendar to mark each day’s effort for a visual reminder 

This last one is more detailed, I think because at this stage I’m still fighting my tendency to see yesterday’s decision not to do the hard stuff as a failure on my part. Even though I know this tendency isn’t helpful, it’s a hard thought-habit to break. So I don’t want to feed it; instead I want the alternative of a reasonable response to those normal days when Plan A doesn’t work.

Another effect of this approach is that by recognizing the obstacles (including the emotional one of feeling shame when I miss a day), and making a plan for dealing with them, it’s easier to follow through. As a result, I become more patient with myself, and thereby more confident that I can make good progress toward my goal.

When I do my early morning routine self-hypnosis, my plan for the day includes doing the PT exercises, too. It all helps.

Fighting inflammation

In the aftermath of a overly ambitious attempt to move a large quantity of heavy rocks in a short amount of time, I’ve spent much of the last week thinking about inflammation, while being careful not to move very much, or very quickly.

Fortunately, the June 17 issue of New Scientist arrived with an article about inflammation:  what it is, why it’s a problem, and why nothing we usually try can fix it. Fascinating.

The article gives an overview of how inflammation works, as our natural response to injury or infection, or stress. The short version is that the symptoms of inflammation are the product of our immune system at work. But the system isn’t working as well as it should for more and more people, especially anyone who carries around more body fat, has type 2 diabetes, eats a lot of sugar, or has an autoimmune disease. What happens is that the system ramps up, but the natural process is designed to ramp down after its work is done, and for many, this step doesn’t happen.

However, inflammation that occurs as part of the body’s response to exercise—a good run, for example—does still seem to work just fine. The molecule that summons the immune response also summons the next wave of chemicals, called resolvins, that trigger the liver to clean up, reducing inflammation in turn. 

The amount of fat we carry affects inflammation levels because cytokines—the signaling cells that are released by stress, injury, or infection—are stored in body fat; the more fat we have, the more extreme our inflammation response. Also, when there’s a lot of body fat, the cytokines are more likely to leak into surrounding tissue, triggering the inflammation response.

Why is it a big deal that the inflammation response is active when it’s not needed? Cold symptoms are produced by the body’s attempts to deal with the virus. If the inflammation persists, the symptoms persist. That’s the simplest effect. Longterm, chronic inflammation has been linked with more serious effects: persistent infections, depression, and cardiovascular disease.

This is a very incomplete picture of what is doubtless a much more complicated issue—as new research comes along, there will likely be more and more theories about how and why inflammation acts as it does. But for now, this new knowledge doesn’t answer the question of “how do I deal with the aches and pains, the fatigue, or the high blood sugars related to chronic inflammation?”

But the article does give us a place to start. We can make sure our bodies get what they need to support a healthy inflammation cycle. (Of course, the first step should include talking to your doctor about this information and how it may affect you.)

We might as well start with the easiest thing first, and then find ways to add in the rest of the list, one step at a time:

  • Take a daily low-dose aspirin, if your doctor agrees it’s a good fit for you. It could protect your cardiovascular system, and aspirin is the one over-the-counter anti-inflammatory that doesn’t inhibit the production of resolvins.
  • Stretch—this doesn’t have to be hard. By all means, take a yoga class. But if you’re not a budding yogi or yogini, why not just stretch whenever you get up from a chair during the day?
  • Eat foods with omega-3 fats. There’s some discussion about what kinds we metabolize most effectively, but let’s just do the best we can with what’s available to us.
  • Get some physical activity—it stimulates production of anti-inflammatory chemicals, and cues the liver to metabolize fat. As little as 20 minutes has a beneficial effect.
  • Get motivated to keep fat below about 25-30% of body weight—a certain amount is protective, but more than about 25-30% body weight provides a lot of storage for the cytokines that fire up inflammation.

What’s really significant about this research is not that it reveals the workings of inflammation—this is just the beginning. It’s that it tells us what we can do about inflammation with the choices we make on a daily basis—it’s the usual suspects, the things we already know support all-round better health.  And it’s motivation to keep on that path. 

If you are fighting your own personal battle against inflammation, a step you might find helpful is to use this list as a focus for a morning self-hypnosis session, just to affirm your intention to be good to your body each day.  Also, since the immune system generally responds really well to hypnosis, why not include suggestions to calm the inflammation response?

Using mindfulness with difficult emotions

When I first began to get a handle on my own issues with weight, one of the great tools I found was Jan Chozen Bays’ book Mindful Eating. I’ve used it ever since in my classes and with individuals—if you haven’t looked at it, do. (It’s available at the Bellingham Public Library, in case you’re in my area.) That led me to my own meditation practice, and to discovering other writers in the field, like Tara Brach, a meditation teacher and writer I admire, and Rick Hansen, a research psychologist and also a meditator and writer.

(At this point I doubt I’ll ever be a good meditator, but I am a meditator, and I think for me perhaps the whole point is being a bad meditator. Paradoxically, it means I’m doing something right, when I’m aware of my thoughts and feelings straying from whatever I’m focusing on.)

Rick Hansen wrote Buddha’s Brain, and Hardwiring Happiness, both worth reading. But it’s Hardwiring Happiness, with its focus on our ability to develop or strengthen positivity as a personality trait that led me to a powerful insight that’s helped me with lots of other issues or situations.

I think we all have a resistance to feeling difficult emotions—it seems natural to me that we don’t want to feel fear or grief or rejection, among others. But the cost of being unwilling to face and feel those emotions can be pretty high in terms of our own growth and wellbeing. Think of the lost opportunities when we make a decision or act from our desire to avoid being uncomfortable, for example. Some of life’s most powerful moments can arise from difficult situations, after all.

In Hardwiring Happiness, Hansen offers techniques for facing those difficult emotions; one of the techniques he suggests is practicing strengthening our connection with the most positive emotions we’ve experienced, and then, when we’re ready to, allowing ourselves to feel both a positive and a difficult emotion at the same time. (It makes sense, doesn’t it, that we can and do feel more than one thing at a time?) The positive sensations become a kind of buffer against the  negative impact of the difficult ones.

I’ve used the technique this way: dwelling on the sensations associated with feeling loved and supported when I am also feeling stress and fear over an upcoming event. When I do this, I am able to bring the stress reaction under control, in a sense, as I remind myself that I am as prepared as I need to be for whatever’s coming. It allows me to see the stress reaction as a natural and possibly (on my good days!) even a beneficial force in a new situation.

Which reminds me—I’ll be doing two new workshops this coming fall at Whatcom Community College: one for dealing with chronic pain, and the other for transforming our experience with stress—and yes, we’ll be talking more about mindfulness (as well as self-hypnosis) in those contexts. I’ll post details as they become available. 

Positivity skills worth learning

Science Daily is a great resource if you’re interested in what’s happening in the world of science. I just read about a study at Northwestern University, part of a larger study by Judith Moskowitz on teaching positivity skills to enhance the experience of people dealing with illness or other high stressors. This study compared the benefits of teaching these kinds of skills versus prescribing (or increasing) anti-depressants for 159 patients recently diagnosed with HIV. About 17% of these patients were already on antidepressants.

Half the participants took 5 weekly classes focusing on eight positivity skills. After 15 months, the rate of antidepressant use had not changed in the group learning to cultivate feeling calm, happy, and satisfied, and 91% of them showed a reduction of the virus in their blood, compared with 76% in the control group, more of whom were then using antidepressants (35%).

Here’s the report’s description of the 8 skills they learned to practice:

  • Recognizing a positive event each day
  • Savoring that positive event and logging it in a journal or telling someone about it
  • Starting a daily gratitude journal
  • Noting a recent use of a personal strength
  • Setting an attainable goal each day and noting progress
  • Reporting a relatively minor stressor each day, then listing possible ways to reframe the event positively
  • Practicing a small act of kindness each day
  • Practicing mindfulness with a daily 10-minute breathing exercise, concentrating on the breath

Reading this, I’m reminded, once again, that there is a direct connection between active positivity and immune system function, and that we can support our own wellbeing—even when dealing with illness or other difficult stressors—with small daily actions.

Update: I have been doing a brief (10 minutes at most) self-hypnosis session in the mornings to remind myself of what I need to focus on–it helps with motivation, I find. Since I read about this study last week, I’ve been including using this list with a daily journal. It’s been great, although full of unexpected challenges, like focusing on when I’ve used personal strengths. One that I particularly appreciated is the reminder to be thoughtful about stressors; it feels really good when something difficult comes up to be able to view it in a positive way, instead of just trying to forget it as soon as possible.

Judith Moskowitz, the study’s author, is also doing the same work with diabetes patients, women with breast cancer, and caregivers of dementia patients. I imagine aspects of this could be helpful for people living with dementia as well.

An additional resource is a book I often recommend in my classes: Hardwiring Happiness by Rick Hanson. He’s a well-known psychologist and long-time meditator, and the author of Buddha’s Brain, about the neuroscience behind the effects of meditation on the brain. Hardwiring Happiness helped me make a breakthrough in realizing that I can move beyond my innate “negativity bias,” and giving me practical tools for developing and strengthening a more positive frame of mind.

Can anyone be hypnotized?

I hear people say they can’t be hypnotized, but in my ten years of practice, I have yet to meet anyone who really can’t. Sure, some people take to it more easily than others, but isn’t that true of any skill we learn how to do? We get better at things through practice.

Some practitioners use a “hypnotizability scale” to determine how easily hypnotized their clients are. I don’t, because it doesn’t really make any difference to me how easily my clients go into trance, or how deeply into trance they are able to go. The value of the hypnotic state can’t be measured by how deep the trance is.

Here’s a definition of hypnosis, just to make sure we’re starting on the same page: it’s a natural state of deep relaxation and intense focus, or concentration. (It’s really very simple, even though attempts to explain what’s happening in the brain can get pretty complicated.)

The first benefit of this hypnotic state is being able to experience such a deep relaxation. If we do nothing else during a hypnosis session, I guarantee that we will feel the benefit. How often do we normally allow ourselves to relax deeply? Or how often do we take the time for it? The time we spend distracting ourselves from the cares of our day doesn’t have the same effect, though it can be pleasant.

The benefits of the relaxation itself—the side effects of hypnosis—are powerful. They include measurable things like changes in blood pressure or blood sugar readings, as well as less quantifiable things like a positive mood boost or a sense of increased energy, or being able to get better sleep.

Those side effects are reason enough to give yourself some time in hypnosis every day. If you know anyone who could use a boost in this way, let them know I have a class in Self Hypnosis on April 13 at Whatcom Community College. Here’s a link to the registration page.

The placebo effect–an update

I’m fascinated by the placebo effect, and hypnosis as a way of activating it, so I was particularly interested in reading about some of the current research in Cure, A Journey Into the Science of Mind Over Body, by British science writer Jo Marchant.

But first I should clarify what a placebo is. Here’s a very mainstream definition from “an inactive substance or other sham form of therapy administered to a patient usually to compare its effects with those of a real drug or treatment, but sometimes for the psychological benefit to the patient through his believing he is receiving treatment.”

Here it is in black and white, the prevailing assumption that physical ailments require dosing with a “real” medical treatment, and that “psychological” benefits from “sham” treatments affect the mind but not the body.

To me, the word “placebo” instead refers to the mind’s ability to activate the body’s natural healing abilities, including, for example, the immune system. This explanation makes so much more sense when I think about the way we experience everything in this life through the dual lens of our bodies’ experiences and our minds’ interpretations of those experiences.

Cure is a fascinating look at some of the cutting edge research into the interaction between our thoughts and our physical experience. In particular, the meaning, or value, we find in the experience or the treatment makes the treatment more powerful, and more likely to result in either a cure or a lessening of symptoms.

In some cases, the mind-body connection changes both our experience of our physical state and changes the underlying condition, as in IBS, for example, which responds well to hypnosis. In other cases, although the symptoms get better, the underlying condition stays the same. For example, the pain we experience from a slipped disk becomes less severe when we use hypnosis, although the damage from the disc injury is unchanged.

I loved the book—available at the Bellingham Public Library—and its thorough discussion of the current research that’s challenging the old model of a separate, mechanical physical experience and a separate psychological experience of the mind. I recommend it.