Gill Stannard

Showing posts with label insomnia. Show all posts
Showing posts with label insomnia. Show all posts

Monday, May 25, 2009

Meditation

The word meditation, is derived from two Latin words : meditari(to think, to dwell upon, to exercise the mind) and mederi (to heal). Its Sanskrit derivation 'medha' means wisdom.


There are many adjectives I have heard lately when I ask people to describe their life: busy, frantic and chaotic are in the top five. Never has anyone answered calm, serene or peaceful. This anecdotal evidence comes primarily from people working or studying in a large city, where many feel pressured juggling many roles in life.

Meditation is a conscious state of calm and clarity. The key to meditation is awareness, yet it is not about thinking. It is all about being in the moment and conscious rather than drifting off to sleep. A common form of meditation is “mindfulness”, where initially the attention is drawn to the observing your breath and nothing else.

There are many forms and styles of meditation, some associated with a spiritual practice (such as Buddhism) and others that are not. They all have the same aim of calming the mind to encourage a state of awareness.

While meditation doesn’t change what is going on in our world it can help us alter the way we respond to it. In a way it “heals the mind” to help us be less reactive to the stresses of daily life.

How do you meditate

If you have never meditated before I would suggest that you take a class as many of the problems that most people encounter that hinder the practice of meditation are universal. A skilled teacher can guide you through these and help you find a remedy for them.

To begin with most of us can feel physically or emotionally uncomfortable when we learn to “sit”. While our back may ache or we feel plagued by an uncontrollable itch, it is what an unquiet mind can throw at us that can be even more disconcerting. Sometimes learning to meditate can be the first opportunity in a very long time that our psyche finds a ‘break in the traffic’ to bring up buried thoughts or feelings. Working with an experienced meditator can help you work with this. But be aware that sitting down the first, or even the tenth, time may not be an instantaneous road to bliss. Despite its simplicity, it can be hard work initially.

Like many other things in life, meditation is referred to as a “practice”. Even someone who has practiced meditation for years can have different experiences when they sit. It is a work in progress.

Can regular meditation improve your health

Regular meditators often appear calmer, less stressed and have a greater clarity of mind. But is there any evidence to back this up?

Evidence based medicine provides rigid guidelines to prove or disprove anecdotal evidence such as this. One of the problems when it comes to meditation is that rats cannot be taught to meditate.

Most studies in this area use mindfulness meditation in some form and tend to be small studies. This may be because the biggest source of funding in medical research is from pharmaceutical companies. They want a return on the investment in the form of being able to sell a drug or device. As meditation can be taught for free or low cost, it does not attract the kind of money needed to meet the criteria for the large, repeatable studies.

There is small study evidence to support that meditation can increase immunity (from CD4 cell and other immune markers in HIV to increasing the positive biological response to the flu vaccine), decrease stress, reduce blood pressure, help us sleep better and help us deal with chronic pain.

There is evidence to show that even for novice meditators, brain activity changes with meditation. To distil complex neurological information into a few simple sentences, the changes in brainwaves include less Beta, the thinking and stress related brain wave and more Alpha, Theta and Gamma - the relaxation and meditation brain waves. A fascinating study that took MRI’s of Buddhist Monk’s brains found significant changes in the architecture of the brain. Sara Lazar, the study's leading author summarized this as, "The area where we see these differences is involved in both the modulation of functions like heart rate and breathing and also the integration of emotion with thought and reward-based decision making – a central switchboard of the brain,"“

The take home message regarding the research behind meditation is that the small studies to date provide positive evidence that it can benefit both body and mind but what I would say is “the proof of the pudding is in the eating”, try it for yourself and see how you feel.

What if you’ve tried to meditate and feel you can’t do it, is there any other way to get the benefits of mindfulness?

If you’ve given meditation a go, especially in the form of classes over a number of weeks and find it too challenging, I’d suggest you try an active form of exercise that involves a meditative element such as chi gong, tai chi or yoga classes (that end with a decent period of yoga nidra).

A guided relaxation CD may also be a useful tool to begin to calm down and relax.

It also helps to keep off caffeine and alcohol and cultivate a practice of being in the moment as much as possible. For example doing mundane tasks like doing the dishes consciously stay with the job you are doing, feel the warmth of the water, really look at each dish as you clean it and take note of how often your mind drifts away from being in the moment. Like meditation, this is something requiring frequent practice to get the hang of it.

One aspect of meditation is that it is also about what we are not doing for a period of time. When we meditate (usually for 20-40 minutes) the time is not spent on a computer, watching TV, thinking, talking, arguing or working

Disconnecting from screen-based entertainment (TV, computer, video games etc) may be a first step to achieving calmness and clarity.


Learning meditation

There are many places to learn meditation, the following are my favourites.

The Friends of the Western Buddhist Order is a worldwide organisation that teaches two forms of meditation – mindfulness and Metta (loving kindness). I have personally found this to be very effective. They teach meditation without necessarily promoting Buddhism making it very accessible to people regardless of belief structure.

The Melbourne CAE (adult education) usually has a variety of meditation courses on offer.

The Gawler Foundation has meditation retreats, workshops and ongoing groups.

Melbourne Life Coach Kate James runs regular meditation classes and has inexpensive guided meditations available from her website.

Monday, February 25, 2008

alternatives to Stillnox to have a safe night's sleep

In response to the bizarre and allegedly fatal adverse reactions to a common sleeping pill the National Prescribing Service has released a statement advising consumers to avoid Stillnox and try non-pharmaceutical methods of treating insomnia.
NPS CEO Dr Lynn Weekes says, “We recommend that consumers use non-medicine strategies to solve sleeping problems including regular exercise, relaxation and avoiding stimulants such as coffee, tea, cola and other caffeinated drinks.”

For those who are battling with the sleep demon or are looking for safer alternatives to help you sleep check out the comprehensive notes from last year’s show on insomnia.

Monday, February 26, 2007

In search of a good night sleep

Sleep – something so easy for one person can be a nightmare for another.

There are as many causes of sleep disturbance as there are insomniacs, so what works for one person may not be effective for another. Likewise the same person may have different episodes of sleeplessness with varying causes and remedies.

Some common causes of insomnia

Environment – too hot, cold, noisy, light, uncomfortable! Ideally we need to be slightly cool and have a comfortable bed in a dark, quiet, room (easy, huh!)

Moods – depression and anxiety can be both causes and consequences of insomnia. Pharmacological drugs used to treat these conditions can also alter sleep architecture and compound the problem.

Stimulants – this might be obvious but coffee, tea, green tea, cola, chocolate, guarana and other caffeinated drinks cause us to be more alert and therefore find it more difficult to sleep. In a sensitive individual, a cup of coffee even 12 hours before bed can stop you from falling asleep! Nicotine also has this effect.

Alcohol – While a drink or three before bed might make you fall asleep more easily, ever noticed how you wake up a few hours later? Other than nocturia (needing to pee at night), alcohol rearranges your sleep phases interfering with restful sleep and exacerbates low blood sugar. Sometimes you wake up because you are actually hungry but don’t know it. Or maybe the kebab you had before bed has triggered a dose of reflux.

Drugs – almost every recreational drug known to man has some kind of negative effect on sleep patterns in the long or short term. While taking amphetamines and E have an obvious side effect of keeping us awake, using marijuana to get off to sleep in the long term tends to create a psychological (and possibly physiological) dependency – creating a situation that we believe we won’t sleep unless we smoke.

Some health conditions and medication – PMS, menopause, heart disease, GERD, thyroid disorders, cortisone…to name a few.

Cycle disrupters – travel, shift work, irregular work/life hours, parenting, being a primary carer.

Sleep apnoea – a condition where the soft tissue in the back of the throat swells or sags while we are trying to sleep – disrupting the air intake causing the brain to wake us up, repeatedly throughout the night. Snoring is associated with this, but also being chronically tired on waking. Being overweight, drinking alcohol, various nose and throat abnormalities and high blood pressure are some of the issues associated with this condition.

Some ways of working with your sleeping problems

Create the most ambient environment you can to sleep in. Try cotton sheets and cotton or wool blankets rather than feather doonas (they can cause your core body temperature to raise during the night). If you can’t wear earplugs think about creating white noise. Get blackout curtains. Change the orientation of your bed and see if that helps.

If your pets or partner disturb your sleep – try sleeping in another room if that is possible (you can love them more after a restful night’s sleep).

Make sleep a priority – create a routine where you have sufficient wind down time before bed and at least 8 hours in the sack. Try to go to bed and wake up at the same time each day.

Try not to watch TV, use a computer or play screen based games for an hour before bed. Never have a TV in the bedroom!

Have a week without caffeine, alcohol or nicotine and see how if it helps your sleeping pattern. See a hypnotherapist to help you quit smoking.

Note: nicotine patches and gum can cause insomnia

Have at least half an hour (preferably much more) in natural light every day to stimulate melatonin production and exercise during the day.

Get some extra help relaxing – try yoga, massage, warm baths, relaxation cds.

a hot footbath before bed can help you feel grounded and sleepy

Try “brain dumping” doing some free writing in a journal, or even writing a list.

Natural Remedies

There is a plethora of sleep inducing herbs, homoeopathics, essential oil blends and other goodies on the market. Here are some favourites.

Herbs: Scullcap, passionflower, chamomile. A good strong cup of organic, loose, chamomile flowers half an hour before bed is the safest option if you are on medication (note: if you have an allergy to any member of the daisy family avoid chamomile). St Johns wort is a great relaxant, but shouldn’t be taken with any prescribed medication unless it has been cleared by your herbalist or doctor. Likewise chaste tree berry, not traditionally thought as a sedative – might reset your sleep clock.

Essential oils: Lavender, jasmine and chamomile are relaxing oils. But like with herbs, quality is important. Of the three lavender is the cheapest but make sure it is a pure essential oil. A drop in the bath, oil burner or on your wrist.

Homoeopathics: Over the counter blends are the easiest way to try these. Check your local healthfood store or pharmacy. There are also combinations for jet lag that are worth a try.

Supplements: A balanced B vitamin is useful to take for stress. It’s best to be taken during the day, away from caffeine. Before bed magnesium, zinc or a combination of magnesium and calcium can help relax muscles. These are especially good if you feel tense or suffer from “Restless Legs” or cramps.

Don’t fight insomnia. Try not to get fixated on the holy grail of an 8 hour, uninterrupted sleep. The anxiety that comes from obsessing on not sleeping is counterproductive. Think positively. If you can’t sleep try meditation or a relaxation exercise and focus on the positive benefits from these exercises. If you have no pathological reasons for your insomnia, realise this is a phase and believe it will pass.

Stop feeding the insomnia monster!




More info on sleep patterns, stages, insomnia, side effects of drug and other treatments – from an orthodox medical viewpoint