Balancing Your Emotions with Your Breath

by Nina

Close-Up of the Falls by Melina Meza

As I wrote in Your Breath: The Key to Your Nervous System, while you cannot tell your nervous system directly to slow your heart beat, digest your food more quickly or to start relaxing right this minute, you can control your breath. And because your heart rate tends to speed up on your inhalation and your heart rate tends to slow on your exhalation, this enables you to consciously access your nervous system. By intentionally taking in more air (either by speeding up your breath or by lengthening your inhalation) you can stimulate your nervous system. And by taking in less air (by slowing your breath or lengthening your exhalation), you can calm yourself down.

Last week, I wrote about emotional counter-poses that you can use to balance your emotions. You can use various yogic breath practices in the same way. You can use breath practices when nothing serious is wrong but you’re just feeling slightly hyper (see anxiety or stress) or slightly down (see clinical depression). And you can also use them as a supplement to other treatments if you are suffering from anxiety, agitated depression, clinical depression or chronic stress.

(Note that yogic breath practices have evolved over thousands of years as yogis experimented on themselves and passed on discoveries their students. And while some schools of yoga teach yogic breath practices (pranayama) to beginners, the type of yoga that I’m trained in, Iyengar style, considers breath practices to be so powerful that pranayama is introduced very gradually. So if you start experimenting with breath practices to balance your emotional condition, do take it easy.)

Anxiety and agitated depression. Because anxiety and agitated depression—which is anxiety based—are so often related to an overactive sympathetic nervous system, for these two conditions it’s best to focus on your exhalation. You can simply work on exhaling completely or lengthen your exhalation a beat or two (by pausing after your exhalation is complete). Or, you can try a more formal practice that focuses on lengthening the exhalation, such as Viloma with interrupted exhalation, where you actually pause twice during your exhalation and once at the end. This is the practice that Iyengar himself recommends in Light on Life in his “Asanas for Emotional Stability” practice.

If manipulating your exhalation causes you to feel any agitation whatsoever, stop the practice. In addition, practices that lengthen your inhalation or even that bring your awareness to the inhalation (which can cause you to unintentionally lengthen or deepen your inhalation) may aggravate your condition, so you may want to avoid them.

If you’ve noticed that you are a chest breather—a type of breathing that seems to be associated with anxiety—and it doesn’t make you feel more anxious to work with your inhalation as well as your exhalation, you could practice abdominal breathing. In abdominal breathing, you focus on slowly inhaling into and exhaling from your belly rather than your chest, as you intentionally keep your abdominal area relaxed. You could lie on your back, and place a block or other light weight, such as a 1 pound bag of rice, on your belly to bring awareness to your abdomen, and keep your abdomen relaxed as you slowly inhale and exhale. Or, if lying on your back makes you anxious, you could lie in Crocodile pose (on your belly with your arms out to the sides, elbows bent, and forehead resting on stacked hands) so you can feel your abdomen moving toward and away from the floor as you slowly inhale and exhale.

You can also use any of these techniques if you're just feeling mildly hyper and want to calm down.

Clinical depression. For clinical depression, which tends to make people feel heavy and lifeless, focusing on your inhalation or breathing more quickly can stimulate your nervous system and bring you out of your lethargy. This is one reason why an active vinyasa practice, such as the Ashtanga series or Sun Salutations, can be helpful to those with clinical depression because when you move with your breath, you tend to breathe more quickly and take in more oxygen. So for you, it may be helpful to focus on your inhalation. You can simply work with inhaling more completely or lengthen your inhalation by holding it for a beat or two. Or, you can try a more formal practice that focuses on lengthening the inhalation, such as Viloma with interrupted inhalation, where you actually pause twice during your inhalation and once after. In Yoga As Medicine, Timothy McCall recommends Ujjayi breathing, which tends to lengthen both the inhalation and exhalation, as well as the version of Viloma with interrupted inhalation

Some people who are depressed tend to have a slumped posture, with a collapsed chest, so focusing on opening your chest and inhaling into that area can be beneficial. In Yoga As Medicine, Timothy quotes Patricia Walden, who herself has suffered from clinical depression, saying:

“When you start focusing on your breath, and taking the breath into your chest and breathing deeply, you begin to feel the presence of your breath. What comes with that is a feeling of life returning, a feeling of warm that percolates throughout your chest at the beginning, but then throughout your entire body.”

You can also use any of these techniques if you're just feeling mildly depressed or blue.

Because stress is often a trigger for clinical depression, it’s possible that working with your exhalation as described for anxiety rather than your inhalation, could be helpful for you. So don’t hesitate to give it a try if you feel so inclined. As I said in my post Anxiety, Yoga and the Front Body, when it comes to emotional balance, anything that makes you feel better is working.

Stress. Because chronic stress is the result of an overactive sympathetic nervous system, it makes sense to focus on pacifying your nervous system by working with your exhalation as I described for anxiety. However, from my observations of people doing pranayama, some people find any kind of pranayama relaxing (I, myself, do not, by the way). If you do find all breath work relaxing, go ahead and do whichever breath practice quiets your mind and relaxes you. Simply slowing your breath in general, with long, slow inhalations as well as exhalations, could be helpful in reducing stress. Practices where you speed up your breath will no doubt stimulate your nervous system. So if you are doing an active vinyasa practice to burn off your excess energy, end your yoga practice with a calming breath practice or an emotional counter-pose (see Balancing Your Emotional Body With Counter-Poses) that triggers the relaxation response.

Balancing Your Emotional Body With Counter-Poses

by Nina

Last week in my posts about anxiety Anxiety, Yoga and the Front Body and Soothing Yourself With Supported Forward Bends, I discussed yoga poses to rely on when you’re feeling anxious (supported inversions and forward bends) and yoga poses to avoid when you’re in that state (backbends, twists, and Sun Salutations).

It makes sense if you’re in a crisis period to practice the poses that calm you down and avoid stimulating poses that might exacerbate your condition. However, if you’re in a state of chronic anxiety, avoiding backbends, twists, and many of the active poses for a long period of time will move your body toward imbalance. The same is true if your practice is focused on any emotion-based condition, such as agitated depression, clinical depression, or even just chronic stress.

In this case, I feel it is better to return to a more well-rounded yoga practice (see A Week of Yoga Practice) but consider how you end your practices. By choosing an appropriate counter-pose to end your practice, you can counteract any negative emotional effects of your practice without negating the beneficial physical ones. That way, you can move on to the rest of your day with your nervous system and emotions more in balance. Some people with anxiety or agitated depression even find that beginning with a very active practice can help burn off excess energy, which makes the soothing or relaxing counter-poses at the end of the sequence more effective (or even possible, as it can be hard to stay still when you’re feeling very anxious).

My post Yoga and Your Emotions describes the emotional effects different types of poses have on most people. So if you’re interested in practicing for balancing your emotions, take a look at that and consider how a given practice (standing pose, Sun Salutation, twist, backbend, forward bend, restorative) might affect your current emotional state. Then choose one or more counter-poses—especially passive poses that can be held for long periods of time—that you can add on to the end of your practice to counteract the poses that were the main focus of the practice. For example, if you’re already feeling anxious or hyper yet need to practice backbends for the health of your body, you can end your backbend sequence with a long supported inversion, such as a Chair Shoulderstand or Legs Up the Wall pose, to calm yourself down. 

Anxiety and Agitated Depression. We’ve already said that supported inverted poses and supported forward bends are the best poses to counteract anxiety. These may also be helpful for agitated depression as that is anxiety based. So at the end of a more active sequence, try resting in Supported Child’s pose for a few minutes and then practice Legs Up the Wall pose (Viparita Karani) for 10 minutes or more. If Child’s pose is uncomfortable for you or you can’t kneel for some reason, try a Supported Seated Forward Bend with a chair (see Soothing Yourself With Supported Forward Bends), with a straight back. If Legs Up the Wall pose doesn’t work well for you, try Easy Inverted Pose (Featured Pose: Easy Inverted Pose). If having your front body exposed makes you feel vulnerable, try covering yourself with a blanket. 

Clinical Depression. On the other hand, for people who are suffering from clinical depression, forward bends, with their inward turning quality, can cause you to brood. For you, therefore, a couple of mild, active backbends, such as Purvottanasana (Reverse Plank pose) or Bridge pose, would be good counter poses after practicing a forward bend sequence. Generally speaking, an active practice is best for those with clinical depression, especially one that includes backbends, because that helps counteract feelings of lethargy. But if you are tired and want to practice restorative poses, focus on passive backbends rather than forward bending poses, and be sure to end your sequence with a backbending position, rather than a forward bending one. Rather than doing Savasana flat on your back, try doing it with your torso supported by a bolster or stack of blankets, so your chest is open and your back is in a slight backbend. Or, maybe even reverse the typical pattern of a practice, begin your sequence with resting poses and moving slowly onto more active ones so you are left feeling a bit energized. Often I'll end a restorative sequence by standing in Mountain pose and inhaling as I raise my arms overhead into a slight backbend and exhaling as I return my arms to my sides. 

Stress. For people who are suffering from chronic stress, standing poses, Sun Salutations, backbends, and twists can be over stimulating. So try to end a sequence that is focused on any of those types of poses with any long supported inversion, such as Legs Up the Wall pose or Easy Inverted pose, or any restorative pose that you enjoy.

Even a long Savasana of 10 minutes or more, with a mental focus, such as your breath, would be helpful as an emotional counter-pose (see Savasana Variations) or any form of yoga nidra (see Audio Tracks tab above). Stressed out people tend to skip these ending poses because they think they don’t have time and that restorative poses are not “productive.” However, when you’re suffering from chronic stress, the most beneficial practice for you is some type of conscious relaxation (see The Relaxation Response and Yoga). As with anxiety, you may need to first burn off excess energy with a more active practice, but always leave time for conscious relaxation at the end of your sequence.

 I, myself, have been practicing like this for many years, with focused, nervous-system pacifying sequences during particularly challenging times, and balanced sequences with emotional counter-poses the rest of the time. But what if you, like many other people, do not practice often at home and do most of your yoga practice in classes or with videos? In this case, there is no reason why you can’t do just the counter-pose after the class or video. For example, if an evening backbend practice has left you feeling agitated or even just hyper (I can’t tell you how many people have told me that backbends at night cause insomnia), there’s no reason why you can’t just practice a supported inverted pose or conscious relaxation on your own before bed. This will help pacify your nervous system and may even lead to better sleep.

Soothing Yourself with Supported Forward Bends

by Nina

As I discussed yesterday in Anxiety, Yoga and the Front Body, supported forward bends can be wonderfully quieting and soothing. You can use these poses to calm yourself when you’re feeling anxious or to turn inward when you’ve been over-stimulated. However, you do need to set up for them properly. By that I mean that the poses need to be completely comfortable. If they’re not completely comfortable for you, they’re going to be irritating and maybe even aggravating, which defeats the whole purpose of practicing them.

To be comfortable in these poses, you need to:

• Pick the seated position that is best for your body (crossed legs, straight legs or wide angle legs). Experiment and see which of the three poses described below are most effective for you.
• Choose the propping (bolster, pillows, stack of blankets or chair) that is truly comfortable for you. Be honest with yourself about the height you need to be comfortable, rather than imitating a photograph.

Crossed-Legs Forward Bend

If your hips are more flexible than the backs of your legs, you might prefer sitting with crossed legs (Sukasana) as in the following two photos.

Unless you are super flexible, start by sitting with crossed legs on a height, such as a folded blanket, with the bolster, stack of blankets, or chair in front of you. Then, bending from your hip joints without rounding your back, slowly fold forward. When you reach the full extension of your spine, allow your back to gently round as you come down toward the prop. (If rounding irritates your lower back, do the version with the chair and keep your back straight.)

Fold your arms, with elbows out to the sides, and stack your hands on the prop. Then rest your forehead on your hands, gently tugging your forehead skin down towards your eye. Stay for two or three minutes (or longer if it's delicious), switching the cross of your legs half way through.

Straight Legs Forward Bend

If your legs are more flexible than your hips (this is somewhat atypical but some people—like me—have this body type), you might find it easier to do the pose with straight legs (Paschimottanasana), as in the next two photos.

Unless you are super flexible, start by sitting with straight legs on a height, such as a folded blanket, with the bolster, stack of blankets on top of your legs or chair over them. Then, bending from your hip joints without rounding your back, slowly fold forward. When you reach the full extension of your spine, allow your back to gently round as you come down toward the prop. (If rounding irritates your lower back, do the version with the chair and keep your back straight.)

Fold your arms, with elbows out to the sides, and stack your hands on the prop. Then rest your forehead on your hands, gently tugging your forehead skin down towards your eye. Stay for two or three minutes (or longer if it is delicious), keeping your legs lightly active.

Wide Angle Forward Bend

People who are relatively flexible in both the hips and legs often find wide angle legs (Upavistha Konasana) the most comfortable position for a forward bend, as shown in the next two photos. Unless you are super flexible, start by sitting with wide angle legs on a height, such as a folded blanket, with the bolster, stack of blankets, or chair in front of you. Then, bending from your hip joints without rounding your back, slowly fold forward. When you reach the full extension of your spine, allow your back to gently round as you come down toward the prop. (If rounding irritates your lower back, do the version with the chair and keep your back straight.)

Fold your arms, with elbows out to the sides, and stack your hands on the prop. Then rest your forehead on your hands, gently tugging your forehead skin down towards your eye. Stay for two or three minutes (or longer if it is delicious), keeping your legs lightly active.

Sequencing

Of course, there is no reason why you can’t do more than one of these poses or all three. And by doing more than one pose, you’ll increase the quieting effects. If I were to sequence them, I do them as follows:

1. Seated Crossed Legs Forward Bend (Sukasana)
2. Wide Angle Forward Bend (Upavistha Konasana)
3. Straight Legs Forward Bend (Paschimottanasana)

But you can sequence these poses in any way that feels good to you. Before practicing these poses, you might like to do some Reclined Leg Stretches (see Reclined Leg Stretch Sequence) as stretching your legs and hips beforehand can make the forward bends more comfortable. And if your lower back feels irritated after the forward bends, I recommend doing Legs Up the Wall pose (Viparita Karani), with your lower back supported by a bolster (tailbone hanging just off the bolster) as a counter pose. In Viparita Karani, your lower back is in a slight backbend, which will help restore the curve to your lower back, but since the pose is overall a quieting one, it allows you to maintain the quieting effect of your practice.

Finally, some people just do not enjoy the effects of a long forward bend; they find that the poses elicit an unpleasant, heavy feeling that is kind of deadening rather than soothing. If that’s true for you, supported inverted poses (see Just In Time for the Holidays: Inverted Poses) may be better options. Remember, when working with yoga for emotional wellbeing, your own reactions to the poses should be your guide.

Anxiety, Yoga and the Front Body

by Nina

I’m going to be tackling the subject of anxiety in the coming weeks, and I thought that I’d start today by addressing an aspect of yoga for anxiety that is rather, well, subjective. Much of the information we have on the blog is science based, whether we’re citing scientific or medical studies, or exploring anatomy as Baxter did yesterday in Which Way Should Your Shoulder Blades Go?. However, when it comes to the yoga and the emotions, there is very little science that we can turn to for guidance. Fortunately, when working with our emotions, our own experience is key. I mean, with emotions, it’s not like, say, cancer. As Andrew Solomon wrote in his book about depression, The Noonday Demon:

"It is my absolute belief that in the field of depression, there is no such thing as a placebo. If you have cancer and try an exotic treatment and then you think you are better, you may well be wrong. If you have depression and try an exotic treatment and you think you are better, then you are better."

The same is true for anxiety. So for people who are feeling anxious, one strategy is to start taking a look at how certain yoga poses make them feel. And this might lead to the discovery that poses that are generally considered “relaxing,” such as Reclined Cobbler’s pose or Savasana, might actually be increasing your anxiety. That’s because for many people, just lying on your back, with your front body exposed, can make your feel vulnerable. Perhaps this is a primitive, instinctive reaction because we are descending from four-legged animals, and for them lying on the back means taking a submissive position and exposing their vital organs. But who really knows? All I can say is that yoga tradition tells us this reaction is common, and I’ve confirmed this theory with many yoga practitioners who suffer from anxiety. Likewise, opening the front of your body in a backbend or twist is considered stimulating and can therefore also feel agitating and increase your anxiety.

Maybe Not So Relaxing!

So my suggestion is that when you are in a state of high anxiety or are battling chronic anxiety, consider avoiding poses where you are lying on your back or are opening your chest. Definitely avoid active backbends and twists, and consider avoiding even passive, restorative backbends and twists. In general, look to forward bends for soothing and calming effects. Supported Child’s pose is a good option.

Maybe More Relaxing....

Supported seated forward bends with your head and arms resting on a bolster or, if your hamstrings are tight, the seat of a chair, are generally very soothing. But even an active forward bend practice, especially for those who are more flexible, can be quite effective for reducing anxiety.

And instead of doing Savasana, consider doing Crocodile pose. Fold a yoga blanket in a rectangle and place it cross-wise on your mat. Then lie down with your lower belly on the blanket (this reduces the over-curving of your lower back that tends to occur when you lie on your belly). Take your feet slightly apart from each other and fold your arms so your elbows are out to the sides and your forearms are parallel with the front edge of your mat with your hands stacked. Then rest your forehead on your hands, gently tugging your forehead skin down toward your nose (an action that seems to be very calming, who knows why).

If closing your eyes in any of the forward bends or prone poses causes you to brood or worry, let your eyes remain open, with a soft, diffuse gaze.

In the end, always allow your own experiences in these poses to be your guide. What if you find that forward bends and prone poses cause you to feel more anxious rather than less so? In that case, I’d say, by all means, avoid them. And what if you were to say that backbends make you feel less anxious? To that, I’d answer, go for it. Traditionally twists are considered stimulating and potentially agitating, and therefore probably not a good solution for insomnia, but I once had a student who said twists made her sleepy. Hearing her say that was a lesson for me that I keep returning to when I teach yoga for emotional wellbeing.

Supported Forward Bends: Peaceful Poses for Stress, Anxiety, Neck Pain and Headache Prevention

by Nina

We finally took some new photographs, and now I’ve got a portfolio of my favorite poses for stress management and anxiety! So I thought that today I’d introduce you to some of favorite quieting poses: supported forward bends. A supported forward bend is one where you use a prop, such as a bolster, stack of blankets or a chair seat to support your head and arms as you stay in the pose. Relaxing onto the support helps remove straining from the pose and enhances the quieting quality of the forward bend. These are gentle, inward-turning poses that both calming and nurturing.

You can do supported forward bends in two forms: standing and seated. Standing supported forward bends are particularly good for stress as they are partial inversions. See Just in Time for the Holidays: Inverted Poses for information about why inverted poses, including partial inversions, are so beneficial for stress management.

Because the supported seated forward bends are less active than the standing versions, they are more quieting. And because you’re resting the weight of your head and relaxing your neck, these poses may also help with neck pain and headache prevention. I love supported seated forward bends, especially when I’m feeling anxious, however, some people do not enjoy supported seated forward bends, finding them rather too quieting, in other words, sort of deadening. And they’re probably not the right poses for people suffering from depression. So you’ll have to try for yourself and see what you think.

In general, when setting up for these poses, it’s important to be honest with yourself about how many props you need to be truly comfortable. The aim here isn’t to feel a stretch, much less any pain, but to use the pose to quiet yourself physically and emotionally.

As you come into the pose, bend from your hip joints and keep your back straight. This will help prevent back strain that comes from rounding your back. If you need to sit on a folded blanket to encourage the bend from your hips—most of us do—then add that prop as well (see photo).

When you bring your head onto the prop, do not force your head down. If your head doesn’t reach easily, you need a higher prop. For the Standing Forward Bend, you can stack two blocks, with one on the lowest height and the second on the highest. Stacking two blocks end on end, however, is unstable, so be honest with yourself and get your chair! (Besides, if you compare, most chair seats are lower than two blocks end on end, anyway—check it out and see.)

If you want to sequence these poses, I recommend starting with the standing versions first—they are better for warming up your legs and hips, and are more active—and then moving onto the seated ones. Of course, any of these can be done alone, or as part of any restorative or stress management sequence (we’ll have some of those coming in the near future). And there’s no reason at all why you can’t end an active practice with a supported seated forward bend of your choice, followed by Savasana.

1. Standing Forward Bend (Uttanasana), with your head on a block or chair
2. Widespread Standing Forward Bend (Prasarita Padottanasana), with your head on the floor or on a block or chair
3. Wide Angle Pose (Upavista Konasana) or Seated Crossed Legs, with your head on a bolster or chair
4. Seated Forward Bend (Paschimottanasana), with your head on a bolster or chair

I hope these poses bring you peace.

Update: Wondering where those photos are? It turns out, they're not quite ready yet. We took them, but I don't have access to them this afternoon. I'll add them to this post as soon as I get them, so check back again.

Yoga is a great thing but...

by Nina 

Stop Sign by Brad Gibson

“Yoga is a great thing but it is not everything or the only thing.”

That’s the sentence that popped into my mind while I was practicing yoga yesterday afternoon (a very enjoyable backbend practice, by the way). In the back of my mind, I was obviously mulling over a post I read on the It’s All Yoga Baby blog (see when the yoga doesn’t work: depression, failure & the purpose of practice), in which Roseanne talked about her depression and her feeling that she is “failing” at her yoga practice.

“Underneath it all, however, is a vague sense that I’m failing at my practice, that I’m as broken and fucked up as I was before I committed to yoga (chronic and clinical depression was what drove me to practice in the first place), that the practice isn’t working. There’s also the vague sense that I’m not allowed to be feeling this way – there are many stories of miraculous healing from depression (and everything else) through yoga, but nobody talks about the relapses. I feel like I’m doing something wrong.”

I’ve already mentioned in a couple of previous posts (see Practice As Many As You Can and Authentic Yoga) how reading Yoga Body by Mark Singleton brought home to me once again that most of what we consider to be “yoga” these days was developed in the 20th century. This means that, contrary to what some teachers claim, the yoga we know and practice these days is not some thousands-of-years-old practice that is the answer to everything, including depression and anxiety, as well as physical injuries and illnesses (though it can definitely help with those things for certain people). And I think those in the yoga community who promote it as such, do us all a disservice. Because the result for people like Roseanne is that when yoga doesn’t provide the answer for them, they feel as if they are at fault, that they are doing something wrong, or that they have “failed” in some way. And the truth is, yoga was probably only used to treat depression and anxiety starting in the 20th century.

When I teach yoga for emotional well-being (including depression, anxiety, stress, etc.), I always add that I while I consider yoga to be a powerful tool for improving mental health, it may not be the only answer for you. In fact, you may need to use it as a supplement to western medicine, including drugs and/or therapy. And I recommend that if you are in a crisis, you should consult with your family doctor or a mental health professional. You need to do whatever it takes to help you get better. And, please, no guilt or shame about this!

The truth is, many years ago, before I became serious about yoga but while I was taking regular classes, I had two nervous breakdowns (the diagnosis was agitated depression), within a five-year period. And I’m convinced that, especially during the second breakdown, that my family doctor and the drugs she prescribed for me prevented me from being hospitalized. Later on, life style changes, including a regular home yoga practice, helped me reduce the stress in my life that seemed to be the main trigger for my illness. And I’ve been well since then. But just as important, I believe that yoga has also helped me come to a state of self acceptance regarding my condition. And this included both overcoming my feeling of shame about taking medication for depression (my therapist encouraged me to stay on a low maintenance dose) and starting to talk—and write—about my experiences as a way of possibly helping others.

I want to be very clear that I’m not here giving any medical advice here. This post is not intended to tell anyone what the best way is to heal from depression. I just felt that it was very important to state that as wonderful as I feel yoga is, I believe it has its limits. And there's no shame in that. Really, all I’m trying to say here is summed up by the sentence that I opened this post with:

“Yoga is a great thing but it is not everything or the only thing.”

Anxiety, Meditation, and Yoga Nidra

by Baxter

I couldn’t help but feel a kind of traveling yoga teacher kinship with Timothy as I read his post from yesterday Autumn, Healthy Aging and the Ayurvedic Dosha Vata!  My September and October are so packed with stuff (mostly all good and exciting, but just a lot!) that I have found myself feeling ungrounded as well. On my recent teaching weekend in Montana and Wyoming (big, dry, windy places!), I would even say a bit of anxiety crept into my mind and body. In addition, a 6:00 am flight had me feeling pretty tired at the start of things as well. I considered doing my usual asana practice, but then my intuition suggested another path: sitting meditation. So I did just that. For the next four days, I meditated for 20 minutes, twice a day. And quickly, I began to feel more rested and mentally grounded than I had for weeks. 

But there have been other times when I have been so wiped out and frazzled that even sitting meditation seemed like too much energy to expend. Fortunately, I had another tool in the old yoga toolbox for just such an occasion: yoga nidra! 

We’ve introduced this practice before, but this seems like a good time of year to re-introduce it and remind you of its possible benefits for anxiety. One hallmark feature of an anxious mind is the tendency to have urgent, repetitive thought patterns full of worry and fear that are hard to turn off. This leads to difficulty concentrating on normal everyday tasks or anything else for that matter, trouble focusing on communication with others, and perhaps most troubling, difficulty relaxing mentally and physically enough to get good rest.

Enter yoga nidra. In the yoga nidra practice, you are encouraged to set yourself up in the most supportive and delicious Savasana (Relaxation pose) you can put together, so that your body talk does not interfere with the yoga nidra process. Since most of us confronted with anxiety are searching desperately for help, the beginning of the yoga nidra guided rest offers us the opportunity to formally set an intention or resolve, known as the sankalpa.  It is stated by the swami who developed this relatively modern yoga practice that the resolve you set at the start of yoga nidra can lead to significant transformation in your life. Let’s hope so!

Marsh by Brad Gibson

From there on out, your only job is to follow along with the guiding voice that is taking you through the yoga nidra practice, while making a commitment to staying gently alert and awake for the journey. It’s recommended that you not use an eye pillow, which tends to trigger a reflex in the eyes that make you too sleepy. My friend and yoga teacher teacher Sharon Olson uses colorful bandanas as eye covers, as they are light enough to avoid that reflex. By setting your focus on following the exterior voice of the teacher closely and being guided through a series of sensing exercises and visualizations, you effectively short-circuit the constant stream of your everyday mind. In fact, it is likely that your brain wave patterns shift from the daytime active ones to the patterns associated with meditation brain states, such as alpha and finally theta waves. (I have yet to see research to support this, but techniques similar to yoga nidra have been used in other fields of inquiry with such results.)

And even though you are trying to stay awake in yoga nidra, if you do fall asleep for part or all of the session, you get a well-deserved nap. The more regularly you do the practice, the more likely you are to stay lightly awake and reap the benefits of the “relaxation response” we have written about elsewhere. Usually, yoga nidra is taught live by a teacher who guides you or a class through the 20-45 minute practice, or you can find many recordings of yoga nidra that can serve the same purpose. I have two loaded on my smart phone (from Richard Miller and Rod Stryker), so I can do yoga nidra anywhere I happen to be, including on an airplane, despite having to do it sitting up!  And for those who may have forgotten or did not know, we have a short yoga nidra available for you to try right here on the blog (click on the Audio Tracks tab at the top of the page).

And to my lovely student, Bobby, in Redlodge MT, I will do my best to record a full-length yoga nidra this fall for all of you try.

Yoga Solutions for Anxiety

by Nina

In the last few of weeks, two different women I know told me they were having panic attacks. As their life circumstances were very different as were their symptoms, the private lessons I gave them ended up being very different as well. That’s the beauty of yoga (and the private lesson), which allows you to customize your solutions to a particular person’s needs and concerns. But before I started to write about my yoga solutions for anxiety, I felt some background about anxiety and how yoga helps would be useful. So I asked Baxter to write a general post about the topic, which we put up on the blog yesterday (see 9/11 Anxiety and Yoga). 

Now that you know something about how yoga helps with anxiety, I’ll tell you what I explained to both women about the basic strategy for combating anxiety and panic attacks. For each of them, we needed to come up with two things:

1. One or more techniques for heading off an anxiety or panic attack when it occurs. This is a short-term goal that can help you deal with your current condition more effectively.
2. A regular yoga practice to pacify the nervous system. Since anxiety and panic attacks are related to chronic stress, practicing some form of relaxation on a regular basis can help prevent the anxiety and/or panic attacks from occurring in the first place.

In the first case, the woman’s mother had recently died, after she had been at her mother’s bedside in the hospital for weeks. Her panic attack had come in the middle of the night, when she was alone in bed. After some experimenting, we decided together that the best technique for heading off a full-blown panic attack would be a breath practice where she consciously extended her exhalation. Although even just breath awareness can help with a panic attack or anxiety, having a specific exercise to do helped her focus more on her breath instead of just “watching” it. The good news is that she later reported back to me:

“The breathing has totally helped me, and it even helped me during the day when I was starting to freak out at a restaurant!”

For long-term relaxation, we experimented with some supported poses. In the end the one that suited her best was Legs Up the Wall pose, a supported inversion that triggers the relaxation response. Since she was very active already with ballet lessons and wasn’t a regular yoga practitioner, we decided that starting with a mini practice of this one pose for 10 to 20 minutes a day would be the best approach for her.

In the second case, the woman had recently moved to the Bay Area, away from family and friends, to go to graduate school and had already tended in the past to suffer from anxiety. Her panic attacks came in the daytime, when she was fully awake and getting ready to face her day in her new home. I also taught her the same breathing techniques of simple breath awareness and extending the exhalation but she didn’t seem interested in doing breath work. She was hyper and restless and wanted to do asana! And the thought of sitting still to meditate or lying down to practice breath awareness or yoga nidra made her feel even more anxious.

So for this woman, we decided the best strategy would be to do a very strong asana practice in the morning to head off the anxiety and to prepare herself for relaxation by tiring her out a little. I recommended sun salutations and standing poses possibly followed by forward bends (which some people find calming), but suggested that she stay away from backbends. Although backbends can be uplifting they also tend to energize you, and if you’re anxious and hyper that can be too much. Then I urged her to practice either a supported inversion or meditation at the end of her practice to pacify her nervous system. After trying every single supported inversion (see Inverted Poses), it turned out that the one that felt most comfortable and relaxing to her was a Supported Bridge pose with straight legs. I recommended that she practice this pose at the end of her practice from 10 to 20 minutes to pacify her nervous system.

As you can see from these two cases, yoga solutions for anxiety can greatly vary, depending on the person’s particular situation, yoga experience, and personal preferences. But as Baxter mentioned yesterday, there are three different possibilities for treating anxiety: pranayama, meditation, and asana. You can use them in any combination that works for you, and hopefully you’ll soon be able to reap both short-term and long-term benefits

Note that although a guided Savasana or yoga nidra can be tremendously helpful for anxiety (yoga nidra in particular has been very successful for treating veterans with PTSD), neither woman seemed inclined to try these practices. Having suffered from anxiety myself, I could understand that just the thought of lying down for a long period of time while you are awake is intolerable. However, if anyone out there is suffering for anxiety and wants to try either of these practices, click on the Audio Tracks tab at the top of the page to find Baxter’s relaxation tracks.

9/11 Anxiety and Yoga

by Baxter

Some years ago, when Nina and I were working on a series of yoga classes for stress management, I read the book The Relaxation Response by Dr. Herbert Benson, and an interesting finding from the work he did has stuck with me. He noted that his blood pressure patients who meditated regularly not only saw improvements in their blood pressure readings, but they also had certain substances in the blood stream that increased or decreased.  One of those substances was lactate, or lactic acid, which is a byproduct of cells using sugar or glucose for fuel. It had already been noted back in the 60s that folks with anxiety disorders often had elevated levels of lactate in their bloodstream compared to individuals without anxiety. Since meditation seemed to lower lactate levels, it seemed like a great potential treatment.

More recently, an article in Scientific American looked at lactate and other markers in the body that could account for why some folks develop panic disorders, an extreme form of anxiety. Studies done in the last two years point to the pH in the brain as a possible causative factor in the experience of fear, and by extension, anxiety. It seems a more acidic pH in the brain is associated with more active trigger of the fear centers in the brain. In fact, there are receptors at individual synapses, the spaces between to nerve cells, that respond to elevated levels of acid. In the area of the brain strongly associated with the emotion of fear, the amygdala, this increase in local pH can trigger fear responses.

They also noted that carbon dioxide levels, when increased in the blood stream and the brain, lead to greater acidity. And other studies have demonstrated that patients with panic disorders are more likely to have an event if they inhale a higher concentration of CO2, compared to non-anxious individuals. These researchers also addressed the lactic acid phenomena that Dr. Benson noted years before: patients with panic disorder tend to generate excess lactic acid in their brains. We all generate lactic acid in our brains as sugars are burned as fuel, but in people with panic attacks, even normal mental activity to lead to an accumulation of lactic acid in the brain.

So if an increase in pH in the brain could be a trigger for anxiety and panic attacks, either due to a real or simply a perceived danger, whether due to CO2 build up or lactic acid build up in certain areas of the brain, how could yoga diffuse this situation? Well, way back in the 60s it was already observed that the “relaxation response” that arose from simple meditation practice could lower the pH in the blood stream. This might indicate that it could be lowered in the brain, too. So I’d give high marks to establishing a regular meditation practice, even if only for ten minutes at a time. Secondly, certain pranayama practices could theoretically lower blood CO2 levels slowly and gradually, especially those that favor a longer exhale over inhale ratio.  hat sounds like it would be worth a trial as well. And finally, the authors of the study noted that: “one of the many beneficial effects of aerobic exercise training (like running or cycling) is that metabolically active tissues (including the brain) become more efficient at consuming–removing—lactic acid.”  And although not all yoga asana practices are aerobic, some are to a certain degree. So, physiologically, your asana practice, especially if it is more vigorous, could be the third prong in your yoga tools approach to anxiety, panic attacks and fear.

Here is a link to the 2010 SA article here so you can get more details on the work I’ve alluded to: scientificamerican.com. And may you and yours be safe and anxiety free this 9/11 anniversary. 

Yoga Sutra 1.2: Restricting the Whirls of Consciousness

by Nina

My young cousin asked me last night about the history of the form of yoga that she’s been practicing lately. I told her that it was a very recent form of hatha yoga, but added that all the hatha yoga we’ve been doing in the United States was developed in the 20th century. We then talked about the part of yoga that was, indeed, very ancient, and I tossed out some of the definitions of yoga from the classic scriptures. One of them was this from The Yoga Sutras:

Yoga cittavritti nirodha

Yoga is the restriction of the whirls of consciousness.

I like this particular translation of sutra 1.2 because it translates the compound word “cittavritti” as “whirls of consciousness.” I not only find that very poetic, but also very accurate in terms of how the mind works. The word “vritti” has many definitions, including "waves" and "fluctuations," but whirls reminds me of the revolved yoga poses that also contain the word “vritti,” such as Paravritti Trikonasana and Paravritti Parsvakonasana. So for me, whirls evokes revolving, turning, and circling. And when we’re depressed or anxious or mentally stressed out, aren’t we tormented by the our whirls of consciousness, by negative thoughts and emotions that cycle over and over? What if I miss my deadline? What if the plane crashes? What if I can’t fall asleep tonight? Or, if only my lover hadn’t left me. If only I wasn’t so helpless/afraid/overwhelmed. If only my parents had loved me more.

In Andrew Solomon’s wonderful book on depression The Noonday Demon, he describes the difference between clinical depression and agitated (or anxiety based) depression, saying that clinical depression is an obsession with the past or, as I like to put it, all those “if only” thoughts. On the other hand, he says that agitated depression (or anxiety for that matter) is an obsession with the future, or as I put it, all those “what if” thoughts. Do either of those states of mind sound familiar? And if so, don’t you think it would wonderful to be able to “restrict” or “cease” or “quiet” those whirls of consciousness?

Spring Blossoms, Clouds by Nina Zolotow

Yoga was initially developed (or perhaps “evolved” is a better word) for that purpose. Thousands of years of different kinds of yoga practice have resulted in a lot of different methods for “restricting the whirls of consciousness” or quieting the mind, including meditation, breath practices, and chanting, as well as asana practice.

And, for me, this concept is the basis for using yoga for your emotional wellbeing. When I teach workshops on this topic, I always talk about this translation of sutra 1.2. Because my general principle for using yoga for emotional wellbeing is simply this: Start by becoming aware of the vrittis, of the way your mind gets caught up in them. And then observe how different yoga practices affect them.

FEATURED POSE: WARRIOR 2

by Baxter and Nina

This week’s featured pose is one of Baxter’s favorite poses for osteoporosis (see here). In addition to building bone strength, Warrior 2 strengthens your arm and leg muscles. This pose also improves your balance and stretches your inner thighs. The variations we describe below make it accessible to almost everyone (it can even be done on a chair).

Baxter prescribes Warrior 2 for:

• osteoporosis
• balance problems
• anxiety (it burns off excess energy and is “grounding”)

Warrior 2 Pose (from Moving Toward Balance)

General Instructions:Step your feet wide apart (about the length of your legs). Turn your right foot out about 90 degrees and your left foot in slightly, so the toes of your back foot line up with the long edge of your yoga mat. Inhale and extend your arms out to your sides. Then exhale and bend your right knee toward 90 degrees (but not further), making sure your right knee is aligned with your middle right toe. If it’s comfortable for you, turn your head to gaze over your right hand. Repeat the pose on your left side.

Recommended Timing:30 seconds (8 breaths) for beginners, working up to 1 minute (12 to 16 breaths)

Some helpful variations:

1. To build arm strength, leave your arms up while changing from the right side to the left.

2. If you have balance problems, practice with your back to a wall, with the hip of your front leg touching the wall. If balance is a serious concern, you can touch your hands to the wall as you bend your knee and while you stay in the pose.

3. If you are generally weak or tight in the hips, practice the pose with your back heel touching the wall. This is also useful to get a clear sense of the straightness of your back leg.

Cautions: If you have knee problems, don’t bend your front knee quite as deeply. Make sure it stops just shy of being over the front ankle. In addition, standing with your feet a bit closer than the 4 to 4 1/2 feet apart that is usually recommended can also help. And if your knee is acutely painful, you could sit on a chair with your front thigh supported by the chair seat to take all weight off your front knee.

Warrior 2, with feet closer, knee less bent (from Moving Toward Balance)

CHRONIC STRESS: AN INTRODUCTION

by Nina

An ongoing theme that we’ll be exploring in depth on this blog is the negative effects of chronic stress on long-term health and the need for stress management as an important aspect of healthy aging. So perhaps it’s a good time for me to define exactly what we mean by “chronic stress” and to let you know a little about why it is such a serious problem.

I learned about dangers of chronic stress the hard way. Back in the early nineties, I had a job as the documentation manager and lead technical writer at a software start-up company, while at the same time I was raising two children. As you might imagine, the pressure was intense as our small company struggled to meet our first deadline, the first test of the product by real customers (who needed my manuals to teach them how to use the product!). As the deadline approached and I started working overtime, I began having difficulty sleeping. I also started losing weight because the stress made me so feel nauseated that I lost my appetite. Eventually I was so anxious, exhausted and nauseated that even though I met my deadline (and the company went on to success), I couldn’t bounce back to normal health. It took a year and half of therapy, medication, and lifestyle changes to recover completely.

Wounded Bird by Brad Gibson

Feeling stressed is not always a bad thing, however. It’s your body’s normal response to perceived danger or extreme physical activity (often called the “fight or flight response”), which is vital in keeping you safe and active. When you encounter a stressful situation, whether it is a grizzly bear or a stack of tax forms, your body releases hormones (adrenaline and noradrenaline) to provide you with the energy and alertness needed to cope with the situation. And anyone who has almost been run over an SUV knows the feeling: heart racing, rapid breathing, gut clenching. This is because in stress mode, your nervous system stimulates your organs and mobilizes energy by:

• raising your blood pressure
• increasing your heart rate and the blood supply to your skeletal muscles (and away from your gut)
• dilating your pupils and bronchioles, providing improved vision and oxygenation
• generating needed energy by breaking down sugar and fat stores for immediate use

Between stressful situations, your body needs to rest, recover, and acquire new energy, so your nervous system responds by:

• lowering your blood pressure
• reducing your heart rate, diverting blood back to the skin and gastrointestinal tract
• contracting your pupils and your bronchioles for reduced oxygenation
• stimulating your salivary gland secretion, accelerating digestion, and promoting normal movement of food through the gut

But what if the stress is long term? When you almost get hit by a car, escape from a bear or finish your taxes, the incident is over quickly and you bounce back to normal soon after. But if the stress is ongoing or “chronic,” maybe because of continuing job pressures (like mine at the software company), marriage problems, health problems, and so on, your nervous system is continuously on the alert and this can overtax your body potentially causing:

• heart disease
• hypertension (high blood pressure)
• insomnia and/or fatigue
• digestive disorders
• headaches
• chronic anxiety or depression
• weakened immune system

(Hmm, I just counted, and it seems I developed almost half of those symptoms, rather impressive in a weird sort of way.)

Of course, these symptoms are not only unpleasant but will seriously compromise your long-term health if you can’t manage to bring them under control. In addition, several age-related diseases, such as Alzheimer’s, Parkinson’s, and Diabetes are exacerbated by stress, and some theories of aging itself (such as the telomere theory I discussed last week) propose stress as a factor in the aging process itself.

I hope you’re not getting too stressed out by reading all of this! I credit yoga with helping me stay well since that breakdown. And in the coming weeks, we’ll be offering many different alternatives for managing your stress even as you take on the many challenges that life has to offer.