Here’s a different orientation to sustainability: Our disposition. With all the 24/7 news featuring uprisings, wars, mass shootings, etc. – all likely to increase our anxiety levels and hurt our daily quality-of-life experience, it seems very appropriate to an exploration centered on “Sustainable Living.” Comments afterwards.
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Mindfulness exercises can be as effective
as anxiety drugs, study shows
Breathing and body exercises helped relieve anxiety as effectively
as medications over an eight-week study of 208 people
The Washington Post
January 23, 2023
Practicing mindfulness to relieve anxiety can be just as effective as medication, new research shows.
A recent study published in JAMA Psychiatry showed that people who received eight weeks of mindfulness-based interventions experienced a decrease in anxiety that matched those who were prescribed escitalopram, a common anti-anxiety medication that is often prescribed under the brand name Lexapro.
A seven-point scale was used to assess anxiety among 208 participants, with a score of seven representing extreme anxiety and a score of one being normal. In both the medication and the mindfulness groups, the average score after treatment dropped from a moderate level of anxiety to a mild level of anxiety.
Both groups began the study with similar baseline scores (4.44 in the mindfulness group and 4.51 in the medication group.) By the end of the study, anxiety scores in both groups had declined to an average of 3.09 on the anxiety scale, a statistically similar change that showed the treatments to be equally effective.
Mindfulness practices such as breathing exercises have been used to treat anxiety for a long time, but this is the first study showing how effective they can be in comparison with standard treatments for anxiety disorders, said the study’s lead author, Elizabeth Hoge, who is a psychiatrist and director of the Anxiety Disorders Research Program at Georgetown University.
She believes the findings help support the use of mindfulness as a viable intervention that may be better than traditional treatments for some people, such as those who aren’t comfortable seeing a psychiatrist or who experience negative side effects from medication. Hoge said …
“We can’t yet predict who will do
better with which type of treatment.
But there’s nothing that says you
couldn’t do both at the same time.”
Breathing, body scans and mindful movement
Mindfulness treatments used in the study included breath awareness exercises, which involve paying attention to your breath as you allow thoughts to rise, then pass through your mind before letting them go. Importantly, the practice isn’t about trying to change your breath, Hoge said, but about focusing on your breath as a way to ground yourself if any anxious thoughts arise.
Participants also completed exercises such as a body scan, which involves paying attention to different parts of the body, and mindful movement, which includes stretching the body into different positions and noticing how each movement feels.
Those who received the eight-week mindfulness intervention attended a weekly 2.5-hour-long class with a mindfulness teacher, completed daily at-home exercises for 45 minutes, and attended a one-day mindfulness retreat five or six weeks into the course.
When anxiety becomes a habit
The reason mindfulness may help with anxiety is that it can interrupt a negative feedback loop in the brain, said Jud Brewer, director of research and innovation at Brown University’s Mindfulness Center and chief medical officer at Sharecare, a digital health company. Brewer believes that anxiety is a habit driven by negative reinforcement in the brain.
When we have a situation or thought that triggers our anxiety, worrying about it can feel rewarding in the brain. Brewer said …
“It can give people a sense of control
even though they don’t have any more
control than if they didn’t worry.”
Trying to stop worrying using willpower doesn’t work, he said, because it doesn’t change the way your brain works. But mindfulness can help train your brain to have new habits because it helps you to recognize that worrying is not rewarding and provides an alternative sense of control that feels better than worrying, Brewer said. He helped develop an app for mindfulness training called Unwinding Anxiety and in a small, randomized study, showed that using the app significantly reduced people’s anxiety.
How mindfulness can change the brain
Other studies have shown that practicing mindfulness can rewire the brain, leading to long-term changes in behavior and thinking, said Sara Lazar, an associate professor at Harvard Medical School.
In people who worry a lot, a part of the brain called the default mode network can become overactive, causing their minds to wander toward negative or anxious thoughts more often, Lazar said. But research shows that meditation and mindfulness exercises can help turn off this part of the brain and make it less active by training people to refocus, she explained.
Mindfulness training also has been shown to reduce activity in the amygdala, a part of the brain that helps regulate fear, stress and other emotions, she said. And, her research suggests that these types of changes can be long lasting. Lazar said …
“People who go through these pro-
grams, even if they discontinue, con-
tinue to report benefits months later.
It’s like learning to ride a bike, even
if you stop, you can do it again.”
Gripped by anxious thoughts
Julie Rose, 48, of Provo, Utah, decided to try mindfulness in 2018 when she realized that while medications helped with her anxiety, she needed additional coping strategies. She was finding it hard to focus at her job as a podcast host and had trouble sleeping. Her anxious thoughts “gripped” her, she said, and trying to control them by ignoring them or redirecting her anxious energy wasn’t helping.
She signed up for eight weeks of mindfulness classes. At first, she didn’t feel like the breathing or bodily awareness exercises were working — she still had anxious thoughts and felt like she couldn’t quiet them.
Then after a few weeks, she realized that though she couldn’t stop her anxious thoughts, with meditation, she could acknowledge them in a way that they passed more easily and quickly. On days that she meditated, she slept better and felt better overall. She said …
“I used to think this was stupid but it
really works. It allows the anxiety to
keep on moving right on through me.”
How to practice mindfulness for anxiety
The more someone practices mindfulness, the more they will benefit, but even doing a few short exercises a few times a week can lessen anxiety, said Katherine Cullen, a licensed psychotherapist at Juniper Therapeutic Services in New York. While many studies on mindfulness involve a more significant time investment of over eight weeks, Cullen often suggests her patients start small with a simple breathing exercise for two minutes a few times a week.
She said that, at first, mindfulness exercises may feel uncomfortable, because people aren’t used to dealing with their emotions or anxious thoughts. She said …
“Think of it like exercise. You
might go for a walk after being in-
active for a while and it might feel
uncomfortable. The key, like with
exercise, is to be consistent about it.”
If someone is interested in trying mindfulness exercises, she advised they shouldn’t change their medications without consulting their prescribing physician or psychiatrist, and they should look for a practitioner or coach who is certified in Mindfulness Based Stress Reduction, which is an evidence-based form of mindfulness training. People can also try searching for centers affiliated with the nonprofit, Buddhist organization Insight Meditation Society, many of which offer donation-based mindfulness classes. Cullen said …
“If you’re new to mindfulness and
have never done it before, I would
strongly encourage you to do it with
someone else. It’s really helpful
to have someone there to actively
guide you through it and answer
any questions you might have.”
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As I’ve come to see “Sustainable Living” as living 100% with what nature provides – which isn’t really all that difficult to do, and do quite economically – and living with as enjoyable a quality-of-life experience as possible, then living with varying levels of anxiety seems very relevant to “sustainability.”
I often ask D if the incidence of violence, shootings, crime and war is actually increasing or if it’s always been there but is simply being reported more, with all the 24/7 mainstream “If it bleeds, it leads” and social media outlets. I also asked how integral D sees anxiety – which we’ve all felt on various occasions in our life – to sustainability. I was anxious … for D’s response …
“The amount of information that a human receives in today’s world can easily be overwhelming.
“Meditation, breathing exercises, gentle body movements, walking in nature, and journaling can all help mitigate the overwhelming feelings and emotions that can arise. All these practices absolutely help. And even simple deep breathing can calm one in the moment. We greatly encourage everyone to take up at least one of these mindfulness techniques.
“In addition, separate oneself from news cycles. Your smartphone is extremely addictive and can promote anxieties if one is too attached to it. Our recommendation is to give yourself technology breaks while you sleep and even for days at a time.
“When one has anxiety, your nervous system and thought patterns focus on the “What ifs” and does not allow for relaxed thinking and feeling. When you practice mindfulness, your body learns to release the tensions that build up from those “What ifs” and can focus. You’ll likely make better decisions.
“Over time, your nervous system, including the brain, will be able to find calm faster and easier, and thus allow your nervous system to slow down. And your nerves will heal.”