Lifestyle Tips to Ease Your Anxiety and Improve your Mental Health

If you find yourself in a frequent state of excessive uneasiness or apprehension, you may be experiencing an anxiety disorder. Often anxiety is felt emotionally—like feeling dread, overwhelmed or panicked, but occasionally these emotions are accompanied with physiologically symptoms like breathlessness, heart racing, sweating, chest pain or discomfort. If these sensations sound familiar to you, know that you are not be alone. Anxiety disorders are one of the most common mental illness in the United States and affects nearly 1 in 5 people at any given time.  

Freud believed anxiety reflected inner emotional conflict, but now we have a more biologic understanding of anxiety. Research demonstrates that anxiety results from the interplay of many factors including genetics, diet, environmental exposures, chronic illnesses and social and emotional well-being.  If we want to quiet the anxiety in our mind, we need an approach that supports each of these factors. 

Consider the following lifestyle tips for addressing anxiety:

START HERE

1. Eat an anti-inflammatory diet. Our mental health is an extension of our overall health. If our body is inflamed or deficient in nutrients, then your mental health will suffer. Food is the most important environmental factor when it comes to repairing your brain and keeping your body healthy. Eating well is an act of radical self-love. It unfortunately doesn’t come cheap, and often requires immense effort, but if you’re looking for the keys to the kingdom of feeling good, then look right in front of you on your plate.

   An anti-inflammatory diet focuses on nutrient-dense, unprocessed, whole, real food. It includes an abundance of vegetables; well-sourced meat, fish, and poultry, fermented foods, nuts and seeds; fruit; and plenty of healthy fats such as olive oil, avocado, coconut oil, and fatty fish. What is not present is sugar, refined carbs (i.e., bread, crackers, pasta, cookies, even seemingly healthy vegan or gluten-free replacement foods), and inflammatory oils, such as canola oil.

   Research from the new and exciting field of nutritional psychiatry is demonstrating the power of food to influence our mood. Check out these great resources for more details:

   • This Is Your Brain on Food: An Indispensable Guide to the Surprising Foods that Fight Depression, Anxiety, PTSD, OCD, ADHD, and More by Uma Naidoo

   • Brain Changer: The Good Mental Health Diet by Felice Jacka

   • Eat to beat Depression and Anxiety: Nourish Your Way to Better Mental Health in Six Weeks by Drew Ramsey

2. Actively manage stress. Our response to stress is regulated by a complex set of interactions between two parts of our brain—the hypothalamus and the pituitary glands and the adrenal glands. This subsystem of the body is often called the HPA axis. It is responsible for triggering the release of hormones needed to respond to stress. In pathologic anxiety, this HPA axis may become dysregulated. The normal cues to turn off the production of stress hormones are missed, and you may be left feeling stressed despite the threat being gone. Taking proactive steps to manage stress can help keep the HPA axis healthy. Activities like meditation and yoga are well documented to help relieve anxiety and depression. These not your cup of tea? Try other reflective practices like journaling, making music or even coloring mandalas. The trick is to find a practice that resonates and make it happen. Check out these resources to get started:

   • Relaxation apps: Headspace, Calm, The Tapping solution, Heartmath

   • The Body Keeps the Score: Brain, Mind, and Body in the Healing of Trauma by Bessel Van Der Kolk

3. Prioritize sleep. Lack of sleep activates the stress circuit and inhibits our relaxation. Our modern life often keeps us up and plugged into our devices much later than we should be. The circadian rhythm of the human body works best when we fall asleep approximately three hours after sunset and wake with the sunrise. Try going to bed by 10 pm every night. Avoid blue light emitted from devices that can suppress your production of sleep promoting melatonin. Exposure yourself to bright light in the morning by opening the curtains, going for a walk or sitting with a lightbox. Check out these resources to get started:

   • Lightbox from Amazon

   • Blue light blocking glasses from Amazon

   • Why We Sleep: Unlocking the Power of Sleep and Dreams by Matthew Walker

4. Exercise regularly. Exercise alone is a powerful tool to treat anxiety. In as little as 10 days it can make a dramatic difference. The best exercise is the one you enjoy and will faithfully complete, but studies suggest that resistance training may have a slight advantage over aerobic exercise at reducing anxiety.

ADVANCED PROTOCOL

Start with the basics, but if anxiety is still problematic further evaluation and more targeted treatment may be needed. 

1. Get a medical evaluation. Imbalances of hormones (thyroid, insulin, estrogen/progesterone, etc.) blood sugar problems, nutrient deficiencies, untreated infections and toxic exposure may be contributing to your poor mood. A comprehensive discussion and laboratory evaluation with your physician are important. 

2. Monitor your Heart Rate Variability (HRV). HRV is the measure of the variation in time between each heartbeat. It is regulated by a primitive part of our nervous system called the autonomic nervous system (ANS). If a person is in a fight-or-flight mode, the variation between heartbeats is low. If one is in a more relaxed state, the variation between beats is high. The healthier our ANS the faster we can switch gears between fight-and-flight and relaxation, showing more resilience and flexibility. 

   HRV can be easily monitored and improved. There are a number of tracking devices and training apps available on the market that are specifically designed to help address anxiety. For more information check out heartmath.com, Oura ring, and Elite HRV to get started. 

3. Try tapping. Emotional freedom technique (aka tapping or psychological acupressure) is an alternative treatment for physical pain and emotional distress. It has been extensively investigated for anxiety and has been shown to dramatically improve symptoms. Similar to acupuncture, tapping focuses on the meridian points—or energy hot spots based on Chinese medicine. Tapping is easy to learn and can be completed anywhere with no side effects. Learn more here. 

4. Consider medication and/or supplements. Optimizing lifestyle is always the best place to start addressing anxiety. However, there is a place and time to add targeted supplements and medication. If the above strategies are not providing adequate relief or more urgent relief is needed, talk to your physician about making a treatment plan. 

If you’ve been feeling anxious, I hope you’re able to put some (or all) of these practices into place. I always recommend being in care with a good mental health provider to help you see your blind spots and give you support, but I’m hopeful that most people can heal their anxiety without medications and the side effects that often come with them.

If you’re experiencing depression or anxiety and need support, please call the National Depressive/Manic-Depressive Association Crisis Call Center’s 24-hour hotline at 1-800-273-8255.

Keep Calm and Moving

There have been so many changes to the world in such a short amount of time. For most of us our weekly rhythms of work, family time, exercise and stress management have been disrupted.  Given current social distancing recommendations, daily exercise might look like streaming an online yoga flow from home, taking a jog outside while responsibly keeping your distance from others, or simply doing some squats between conference calls. Regardless, getting into a groove at home is important for our physical and mental health. Maintaining a regular exercise and mindfulness routine is helpful to relieve anxiety and help build physicial and mental resiliency. Aiming for a least twenty minutes a day is a good target.

Enjoy some of these helpful links to bring some calm and movement back into your routine.

Yoga

Yoga is an ancient meditative practice that has many well documented health benefits. It is easy to do at home and can help promote a sense of calm.

• Indianapolis based “The Yoga Studio” is offering free yoga classes and meditation sessions via Instagram stories (@indyyogastudio). Their schedule is posted here.

• Yoga with Adriene on Youtube is a free on-demand resource that is great whether you are new to yoga or have years of experience.

High-Intensity Interval Training (HIIT)

HIIT is a type of aerobic exercise that involves alternating periods of regular intensity with short bursts of high intensity activity for 30 to 60 seconds duration. HIIT training is very time efficient and offers a great workout in as little as seven minutes. Check out these links to get started:

• The New York Times' Scientific 7- minute workout

• The workout app "Workout for women" offers free 4-60 minute routines that can easily be mixed and matched for variety and targeted body work. There is something for everyone in this app.

Meditation 

The benefits of meditation are numerous and supported by science. Many people start meditating to manage stress, reduce anxiety, and to cultivate peace of mind. But, there are thousands of studies documenting other less-known mindfulness meditation benefits including improved mood, lower cortisol, greater happiness and decreased inflammation.

• Headspace is a subscription-based app. During this trying time, the company is offering free access to supportive guided meditations called Weathering the storm. If you are a healthcare provider or an educator, the company is also offering free access to meditations to target your needs as well. 

Staying home in this season is our way to care for each other. Hopefully these resources help you care for yourself and find small joys in the new routine.

(This post is not sponsored. Relish Health does not receive anything in return from any link included here.)

Lifestyle Tips to Ease Your Anxiety

If you find yourself in a frequent state of excessive uneasiness or apprehension, you may be experiencing an anxiety disorder. Often anxiety is felt emotionally—like feeling dread, overwhelmed or panicked, but occasionally these emotions are accompanied with physiologically symptoms like breathlessness, heart racing, sweating, chest pain or discomfort. If these sensations sound familiar to you, know that you are not be alone. Anxiety disorders are one of the most common mental illness in the United States and affects nearly 1 in 5 people at any given time.  

Freud believed anxiety reflected inner emotional conflict, but now we have a more biologic understanding of anxiety. Research demonstrates that anxiety results from the interplay of many factors including genetics, diet, environmental exposures, chronic illnesses and social and emotional well-being.  If we want to quiet the anxiety in our mind, we need an approach that supports each of these factors. 

Consider the following lifestyle tips for addressing anxiety:

Basics Protocol to Relieve Anxiety:

1. Eat an anti-inflammatory diet. Our mental health is an extension of our overall health. If our body is inflamed or deficient in nutrients, then your mental health will suffer. Food is the most important environmental factor when it comes to repairing your brain and keeping your body healthy. Eating well is an act of radical self-love. It unfortunately doesn’t come cheap, and often requires immense effort, but if you’re looking for the keys to the kingdom of feeling good, then look right in front of you on your plate.

   An anti-inflammatory diet focuses on nutrient-dense, unprocessed, whole, real food. It includes an abundance of vegetables; well-sourced meat, fish, and poultry, fermented foods, nuts and seeds; fruit; and plenty of healthy fats such as olive oil, avocado, coconut oil, and fatty fish. What is not present is sugar, refined carbs (i.e., bread, crackers, pasta, cookies, even seemingly healthy vegan or gluten-free replacement foods), and inflammatory oils, such as canola oil.

2. Actively manage stress. Our response to stress is regulated by a complex set of interactions between two parts of our brain—the hypothalamus and the pituitary glands and the adrenal glands. This subsystem of the body is often called the HPA axis. It is responsible for triggering the release of hormones needed to respond to stress. In pathologic anxiety, this HPA axis may become dysregulated. The normal cues to turn off the production of stress hormones are missed, and you may be left feeling stressed despite the threat being gone. Taking proactive steps to manage stress can help keep the HPA axis healthy. Activities like meditation and yoga are well documented to help relive anxiety and depression. These not your cup of tea? Try other reflective practices like journaling, making music or even coloring mandalas. The trick is to find a practice that resonates and make it happen. 

3. Prioritize sleep. Lack of sleep activates the stress circuit and inhibits our relaxation. Our modern life often keeps us up and plugged into our devices much later than we should be. The circadian rhythm of the human body works best when we fall asleep approximately three hours after sunset and wake with the sunrise. Try going to bed by 10 pm every night. Avoid blue light emitted from devices that can suppress your production of sleep promoting melatonin. Exposure yourself to bright light in the morning by opening the curtains, going for a walk or sitting with a lightbox. 

4. Exercise regularly. Exercise alone is a powerful tool to treat anxiety. In as little as 10 days it can make a dramatic difference. The best exercise is the one you enjoy and will faithfully complete, but studies suggest that resistance training may have a slight advantage over aerobic exercise at reducing anxiety.

Advanced Protocol to Reduce Anxiety:

Start with the basics, but if anxiety is still problematic further evaluation and more targeted treatment may be needed. 

1. Get a medical evaluation. Imbalances of hormones (thyroid, insulin, estrogen, etc.) blood sugar problems, nutrient deficiencies, untreated infections and toxic exposure may be contributing to your poor mood. A comprehensive discussion and laboratory evaluation with your physician are important. 

2. Monitor your Heart Rate Variability (HRV). HRV is the measure of the variation in time between each heartbeat. It is regulated by a primitive part of our nervous system called the autonomic nervous system (ANS). If a person is in a fight-or-flight mode, the variation between heartbeats is low. If one is in a more relaxed state, the variation between beats is high. The healthier our ANS the faster we can switch gears between fight-and-flight and relaxation, showing more resilience and flexibility. 

   HRV can be easily monitored and improved. There are a number of tracking devices and training apps available on the market that are specifically designed to help address anxiety. For more information check out heartmath.com and Elite HRV to get started. 

3. Try tapping. Emotional freedom technique (aka tapping or psychological acupressure) is an alternative treatment for physical pain and emotional distress. It has been extensively investigated for anxiety and has been shown to dramatically improve symptoms. Similar to acupuncture, tapping focuses on the meridian points—or energy hot spots based on Chinese medicine. Tapping is easy to learn and can be completed anywhere. Learn more here. 

4. Consider medication and/or supplements. Optimizing lifestyle is always the best place to start addressing anxiety. However, there is a place and time to add targeted supplements and medication. If the above strategies are not providing adequate relief or more urgent relief is needed, talk to your physician about making a treatment plan. 

If you’ve been feeling anxious, I hope you’re able to put some (or all) of these practices into place. I always recommend being in care with a good mental health provider to help you see your blind spots and give you support, but I’m hopeful that most people can heal their anxiety without medications and the side effects that often come with them.

If you’re experiencing depression or anxiety and need support, please call the National Depressive/Manic-Depressive Association Crisis Call Center’s 24-hour hotline at 1-800-273-8255.

Use your Fork to Improve your Feelings

Our brain is both our greatest asset and the home to the hungriest cells in our body. Remarkably, this 2-pound organ has energy needs similar to our body’s muscles. The complex electrical connections that occur in our brain are responsible for not only our heart beat and sensations, but also our memories and mood. The nourishment we consume at each meal provides the energy and building blocks that create the connections that constitute our brain. No matter your current state of mental health, your genetics, background or situation, the core of your personal wellness is your food.

While we may think about how to feed our muscles to maintain strength or build mass, we don’t often give much thought to what our brain may need. Below are a few guidelines that may help you nourish this underappreciate organ.

1. Your brain needs a steady source of energy. The standard American diet is known for a high sugar content. Sometimes the source of sugar is obvious like a glass of soda, but sometimes the source is less obvious like pasta or bagels. These refined foods cause your blood sugar to increase quickly. Your body responds by rapidly releasing insulin. The insulin lowers the blood sugar, but can also trigger your blood sugar crash. This process, called reactive hypoglycemia, is responsible for carb and sugar cravings which lead to anxiety, headaches, irritability, and ultimately depression. A case of the “hangries.” Cravings are your brain’s way of reminding you it needs steady fuel to function.

High blood sugar causes also inflammation, which is one of them most significant risk factors for depression. Balancing blood sugar is an effective treatment for depression and anxiety.

2. Your brain needs nutrients. Eat real food. Processed food is made from ingredients that have been stripped of their nutrients. Filling up on package lunchables or low-quality granola bars means we are missing out on many nutrients. Refined flours and sugars lack the vitamins and minerals that are contained in their whole forms. Our brain needs basic building blocks like Omega-3 fatty acids, B vitamins and key minerals like magnesium and zinc to perform its basic function. Your mood is the first casually when there are insufficient levels of these nutrients. Your mental health suffers even before your physical health begins to deteriorate. A nourished brain is a resilient brain.

3. You have a second brain and it needs nourishment too. Our gut is home to trillions of bacteria. These bacteria help us absorb our nutrients, make some of our vitamins and directly communicate with our own cells to impact our immune system and mental health. Our intestinal wall is one of our borders with the outside world. The food we eat directly affects this community of organisms that have a direct connection to our brain (ever felt butterflies in your stomach or had a “gut feeling”?). A diet rich in fruits, vegetables and fiber favors the growth of bacteria that are beneficial to our overall health, while a low-fiber, high-fat diet favors the growth of less helpful species. Eating a diet rich in produce helps ensure that you get adequate nutrients and maintain this delicate and important bacterial community. Just as emotions can sent messages to your gut, food can send messages to your brain.

Delicious Treatment For Your Mood

Good Mood Food

Delicious Treatment for your Mood

Our brain makes up about 2% of our body mass, but represents up to 20% of our energy need. With so much energy consumption, it has been theorized that the food and fuel we consume would affect how the brain functions which is related to how we feel at any given time. In a new study released in the journal BMC Medicine, we now have confirmation that the food on our plate plays a role in our mood.

In the study a Mediterranean diet was used to treat clinical depression.  From a set of participants with depression, researchers randomly selected two separate groups. Both groups were provided weekly social counseling to help their depression. However, the first group consumed a diet rich in whole grains, fruits and vegetables; and received weekly guidance from a dietician. The second group did not make any food modifications. After three months, researchers found that 32% of the participants that changed their diet were experiencing remission of their depression. This occurred in only 8% of the participants who had no dietary changes.

A Mediterranean-style diet has historically documented benefits for heart health and cancer prevention, and now it has shown benefit in improving our mood. Curious about how to adopt a Mediterranean diet or want advice on using lifestyle to improve your mood? Come see me at Relish Health.

If you are experiencing depression and need support, please call the National Depressive and Bipolar Support Alliance Hotline at 1-800-273-8255.