The Gym For Your Mental Health

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Getting The Most Out Of Therapy

If you’ve never had therapy, what image do you have of it? Perhaps you imagine a bearded and bespectacled man in a suit, impassively making notes on a clipboard. Perhaps you imagine an empathetic woman, with tissues and camomile tea on standby.

The reality is: the experience of therapy can vary, a lot.

In its results, too! Sometimes we may try therapy and think “well that was a waste of time and money”. Sometimes we may try therapy and it’ll change our life.

So… Is there any way to make it less of a lottery?

First: knowledge is power

And while the therapist-client relationship certainly shouldn’t be a power struggle, you do want to be empowered.

So, read about different styles of therapy, and also, read some how-to guides for self-therapy. We’ve recommended some before in previous editions of 10almonds; you can check those books out here:

This will serve two purposes:

  • You’ll know what to expect out of a therapist
  • You can more efficiently “get to work” in therapy

It also, of course, could help you already, without even going to therapy!

Second: begin with the end in mind

A person who does not know what they want to get out of therapy, will likely not get much out of therapy. Or rather, their first task will be to figure that out. So, figure it out in advance, if you can.

Maybe you have a problem that has a specific name, for example poor self-esteem, anxiety, stress, depression, trauma, neuroticism, phobia, etc.

This isn’t Alcoholics Anonymous, and in this case you don’t want a lifetime of “Hello, my name is ______ and I have ______”, if you can help it.

So, what do you want?

  • Maybe you want to be able to go to social events without feeling anxious
  • Maybe you want your relationship(s) to be more secure and fulfilling
  • Maybe you want to no longer have nightmares about that traumatic thing
  • Maybe you want to be able to greet each day’s tasks with confidence and without overwhelm

…etc.

A good therapist will help you to set such goals (if you haven’t already), and attain them.

If you’re going the self-therapy route, then this is your job now!

It will probably start with the question: imagine that everything currently troubling you is now healed.

What would that look like, to you?

Third: get a good match for you

Unless you are going entirely the self-therapy route (which can work for some), you will want a therapist who’s a good match for you.

It may take a degree of “suck it and see” trial runs before you find the right one, but that takes time and money, so you’ll want to streamline the process as much as you can. If you do this well, you may be able to find a good therapist for you first time.

For this, personal recommendations (such as from friends) may help more than exmaining academic and institutional affiliations.

Yes, you want a well-qualified therapist who is a member in good standing of a respectable regulated body… but whether your therapist is easy for you to “get on with” will matter at least as much as whether their approach is psychodynamic, or 4th wave CBT, or IFS, or whatever seems popular in your time and place.

Bear in mind:

  • Some therapists are specialized in helping with some kinds of things and not others. It will obviously help if the therapist you choose is specialized in the thing you are seeking help for.
  • Some therapists may be able to relate to you better (or not), based on simple factors of who they are. To this end, while your therapist certainly doesn’t have to be a mirror image of you, factors like age, gender, race, etc can be relevant and may be worth considering, depending on what you are seeking help with, and what factors impact that thing.

Prefer keeping things to yourself?

Therapy isn’t for everyone, but having a good relationship with oneself definitely is. You might want to invest in one of the books whose reviews we linked above, and you might also get value from previous Psychology Sunday articles, which you can find in our archive (every seventh edition here has a Psychology Sunday main feature):

Click Here To Check Out The 10almonds Archive

To borrow the catchphrase of Dr. Kirk Honda (a therapist and therapy educator with decades of experience):

❝Take care of yourself, because you deserve it; you really, really do.❞

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  • Arugula vs Dandelion Greens – Which is Healthier?

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    Our Verdict

    When comparing arugula to dandelion greens, we picked the dandelion greens.

    Why?

    Will anything unseat dandelions from their place as the queen of the greens? Not today, that’s for sure:

    In terms of macros, dandelion greens have more than 2x the fiber, which is significant, as well as more carbs and protein, making it the more nutritionally-dense choice all around macros-wise, though really, it’s the fiber that wins it for them here.

    In the category of vitamins, arugula has more of vitamins B5 and B9, while dandelion greens have more of vitamins A, B1, B2, B3, B6, B7, C, E, K, and choline, all by generous margins too. An easy win for dandelion greens in this round.

    When it comes to minerals, arugula has more magnesium and zinc, while dandelions have more calcium, copper, iron, manganese, phosphorus, potassium, and selenium. Another win for dandelion greens.

    One more category, polyphenols. We’d be here until next week if we listed all the polyphenols that dandelion greens have, but suffice it to say, dandelion greens have a total of 385.55mg/100g polyphenols, while arugula has a total of 0.10mg/100g polyphenols. Easy arithmetic today: dandelions have more than 3855.5x the polyphenol content that garden cress does.

    So, “eat leafy greens” is great advice, but they are definitely not all created equal!

    Let us take this moment to exhort: if you have any space at home where you can grow dandelions, grow them! They’re great for pollinators, too 🐝💕

    Want to learn more?

    You might like:

    What’s Your Plant Diversity Score?

    Enjoy!

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  • 6-Minute Core Strength – by Dr. Jonathan Su

    10almonds is reader-supported. We may, at no cost to you, receive a portion of sales if you purchase a product through a link in this article.

    We don’t normally do author biographies here, but in this case it’s worth noting that Dr. Su is a physiotherapist, military rehab expert, and an IAYT yoga therapist. So, these things together certainly do lend weight to his advice.

    About the “6-minute” thing: this is in the style of the famous “7-minute workout” and “5 Minutes’ Physical Fitness” etc, and refers to how long each exercise session should take. The baseline is one such session per day, though of course doing more than one set of 6 minutes each time is a bonus if you wish to do so.

    The exercises are focused on core strength, but they also include hip and shoulder exercises, since these are after all attached to the core, and hip and shoulder mobility counts for a lot.

    A particular strength of the book is in troubleshooting mistakes of the kind that aren’t necessarily visible from photos; in this case, Dr. Su explains what you need to go for in a certain exercise, and how to know if you are doing it correctly. This alone is worth the cost of the book, in this reviewer’s opinion.

    Bottom line: if you want core strength and want it simple yet comprehensive, this book can guide you.

    Click here to check out 6-Minute Core Strength, and strengthen yours!

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  • The Longevity Nutrient – by Dr. Stephanie Venn-Watson

    10almonds is reader-supported. We may, at no cost to you, receive a portion of sales if you purchase a product through a link in this article.

    This is about C15:0, the first essential fatty acid to be discovered in nearly a century.

    It was discovered by the author, a marine biologist (there are many benefits) who was hired by the US Navy to lead a program to improve the health of their dolphins.

    She discovered that dolphins were aging at a rate inversely proportional to the amount of C15:0 in their diet (which was found by examining specific diets, and then working out what the common factor was).

    While not everything that works for non-human animals holds true for us, dolphins are large intelligent mammals, with big brains and long lifespans, that experience most of the same age-related problems that we do.

    So, it was put to the test in humans also, and found to be highly beneficial. Like the dolphins, we can get it from our diet, but unless we want to eat incredible amounts of fish every day, our options become limited. Most foods don’t contain enough; dairy usually does contain it but at the quantities needed, would have more harmful effects. So for most people, supplementation seems the sensible option.

    On which note, the author does also sell C15:0 supplements, so there is some conflict of interest, but the information throughout is very well-sourced (proportionally much bigger bibliography than most books of this kind have), and she details the scientific rigor of the testing she, her team, and other researchers did along the way.

    The style is mostly narrative, with a lot of science—she tells the stories of how things were pursued and discovered. It makes for fairly engaging reading through what could otherwise have been a rather dry topic.

    Bottom line: you could, of course, skip this book and simply go get yourself some C15:0 or not. However, it’s good to understand things, not only as a point of human endeavor, but also because on a psychological level, we’re more likely to benefit if we do. So, this book is highly recommendable reading.

    Click here to check out The Longevity Nutrient, and enjoy the dolphin-powered benefits!

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  • What Menopausal HRT Does To Your Brain

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    ❝There’s been a controversy over hormone therapy use. There was a study back in 2002 called the Women’s Health Initiative, and its results scared everybody out of using estrogen therapy. For a long time, people stopped prescribing and using those therapies, thinking that it was going to lead to negative outcomes. Since then, there’s been a lot of revisiting of those findings and discovering that there were some problems with them❞

    ~ Dr. Amber Watts

    We at 10almonds previously covered the (deeply flawed) WHI study, discussing its (many) faults, here: Cancer & HRT: What’s Safe?

    And followed it up with such news as: New Evidence: HRT Doesn’t Increase Cancer Risk Even If You Have The Genes For It

    But that’s all about cancer. What about the brain?

    Sooner or later…

    Should we put off menopausal HRT for as long as possible?

    Or should we hurry to get it as soon as it becomes clinically relevant?

    The first thing to understand when it comes to HRT and brain health, is the critical role that sex hormones play in Alzheimer’s pathogenesis and progression.

    We wrote about that, here: Alzheimer’s Sex Differences May Not Be What They Appear

    But HRT’s effects on the brain are more far-reaching than just that, as explained in our article: Your Brain On (And Off) Estrogen

    To answer the “sooner or later” question, researchers (Dr. Robyn Honea et al., wherein the “et al.” includes as second-listed author the Dr. Amber Watts we quoted up top), analyzed 459 women aged 65–80 and found that greater lifetime exposure to female hormones, particularly estrogen, was associated with brain structures generally linked to healthier brain aging.

    This was true even from quite small doses: women who had used hormonal birth control had larger gray matter volumes in parts of the temporal, occipital, and frontal lobes compared with those who had never used it.

    In particular, women who used both hormonal birth control earlier in life and menopausal hormone therapy later in life showed greater brain volume in parietal and temporal regions, along with thicker cortex in areas including the posterior cingulate, a region often affected early in Alzheimer’s disease.

    Not only was it found that women who experienced menopause at a later age, resulting in longer exposure to female hormones, had greater cortical thickness in several brain regions vulnerable to Alzheimer’s disease, but also, people who underwent early surgical removal of the ovaries (thus creating a surgically-induced early menopause) definitely benefited from early exposure to hormone therapy, too.

    As for why this happens?

    Estrogen is neuroprotective. It’s beneficial for white matter integrity. It helps protect neurons and strengthens neural connections.

    It is also important for vascular function. One of the things we get wrong about estrogen is people think of estrogen as this thing that has to do with reproduction. But really, estrogen is very important for a lot of different body systems. It’s important for the brain, it’s important for the heart, it’s important for bone density, and it’s important for the immune system.❞

    ~ Dr. Amber Watts again

    A refreshing read, in times when even the use of hormonal birth control, let alone menopausal HRT (which involves much higher doses than those needed for contraceptive purposes), is often demonized, including (invariably unsourced) claims of being harmful to the brain.

    You can read the paper in full, here: Lifespan exposure to hormone therapies and structural brain morphometry in older women

    Want to learn more?

    You might like this book we reviewed:

    The Menopause Brain – by Dr. Lisa Mosconi

    Take care!

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  • My mind keeps on going blank. How worried should I be?

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    We’ve all been there. Whether it’s at a crucial moment of an exam, walking into a room for a specific purpose, or making an impromptu speech, your mind goes blank.

    It can be frustrating, stressful or worrying.

    But what’s really going on in your brain? And when should you go to your GP for a check-up?

    LordHenriVoton/Getty

    What is mind blanking?

    One of the earliest observations in psychology is that our thoughts usually produce a stream of consciousness, flowing almost constantly.

    Often our attention and thoughts are focused. Other times, our mind wanders.

    But less often (perhaps about 15% of the time) our mind goes completely blank. So in recent years, researchers have begun trying to find out why.

    Mind blanking can happen when we intend to retrieve a memory, and find it gone. This could be completely forgetting the answers to questions in an exam, or forgetting why we walked into a room.

    It can also happen when we are not aware of thinking at all. Someone might ask us a question, and we realise we had “zoned out”.

    Sometimes this zoning out is due to our mind wandering, and we are aware of our thoughts. However, at other times, when we’re not sure where our mind went, this is mind blanking.

    Some people are much more likely than others to say their mind goes blank. These include people with ADHD (attention deficit hyperactivity disorder) or anxiety.

    Mind blanking is also more common in certain kinds of dementia, such as Lewy body dementia, and in people who are sleep deprived, or after intense physical exercise.

    Let’s start with the brain

    To understand what causes our mind to go blank, we need to start with how our brain usually pays attention and learns new memories.

    A key brain network involved in these processes is the executive attention network. This is a network of interconnected brain regions that’s important for being alert, paying attention and feeling motivated.

    These brain areas are connected to regions in the outer layer of the brain, the frontal and parietal cortex, which support our planning, decision-making and sensory integration.

    This executive attention network is used both for passing information to our memory systems for storage, and then later retrieving those memories when we need them.

    One of the key brain chemicals that supports this network is noradrenaline, also known as norepinephrine. This controls our alertness and readiness for action.

    So what happens when our mind goes blank?

    Disruption in any part of the executive attention network can impact the brain’s ability to pay attention and retrieve memories, leading to a blank mind.

    When we’re sleep-deprived

    Fatigue caused by sleep deprivation or sleep disorders can impact the alerting part of the network.

    When we are very tired, we can experience “local sleep”. This is where the activity in parts of our brains is sleep-like even if we are awake. This can cause the attention system to temporarily shut off, which researchers think may lead to mind blanks.

    Neuroimaging research shows parts of the executive attention network are “deactivated” during mind blanking.

    This likely explains what causes the “zoning out” kind of mind blank.

    When we’re stressed

    High levels of stress or anxiety, such as what we might experience in an exam room, can result in high levels of noradrenaline. This puts the body in “fight or flight mode”.

    This focuses our attention on immediate threats, reducing its ability to retrieve what it sees as non-essential memories, such as information you’ve been revising the day before.

    When we’re multi-tasking

    If the executive attention network doesn’t encode a memory efficiently in the first place – because for example, we were multi-tasking or distracted – then it might not be easily retrieved later on. This can also lead to a mind blank.

    When is it time to see your GP?

    While mind blanking is common and usually no cause for concern, frequent mind blanking can be a sign of a medical condition.

    Some conditions that affect these attention network systems, include depression, anxiety, dementia or stroke. A condition that affects the memory systems themselves, such as Alzheimer’s disease, can also look like mind blanking, as can some kinds of seizures.

    So, generally speaking, if you’ve noticed mind blanking becoming more common, if there has been a sudden onset of symptoms, or if your friends or family have raised concerns, see your GP for a check-up.

    If you’ve noticed any changes to your ability to undertake your daily activities, or you find yourself confused or disorientated, you should also see your GP.

    If you go to your GP for a check-up, they may take a medical history, and ask you some questions to assess your thinking and memory skills.

    They may also refer you for neuropsychological or neurological assessment, or request a brain scan (like a CT or MRI scan) to check for any brain changes caused by stroke or dementia.

    Sophie Andrews, Associate Professor and Lead, Healthy Brain Ageing Research Program, Thompson Institute, University of the Sunshine Coast

    This article is republished from The Conversation under a Creative Commons license. Read the original article.

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  • The Breathing Cure – by Patrick McKeown

    10almonds is reader-supported. We may, at no cost to you, receive a portion of sales if you purchase a product through a link in this article.

    We’ve previously reviewed this author’s “The Oxygen Advantage”, which as you might guess from the title, was also about breathing. So, what’s different here?

    While The Oxygen Advantage was mostly about improving good health with optimized breathing, and with an emphasis on sports too, The Breathing Cure is more about the two-way relationship between ill health and disordered breathing (and how to fix it).

    Many kinds of illnesses can affect our breathing, and our breathing can affect many types of illness; McKeown covers a lot of these, including the obvious things like respiratory diseases (including COVID and Long COVID, as well as non-infectious respiratory conditions like asthma), but also things like diabetes and heart disease, as well as peri-disease things like chronic pain, and demi-disease things like periods and menopause.

    In each case (and more), he examines what things make matters better or worse, and how to improve them.

    While the style itself is just as pop-science as The Oxygen Advantage, this time it relies less on anecdote (though there are plenty of anecdotes too), and leans more heavily on a generous chapter-by-chapter scientific bibliography, with plenty of citations to back up claims.

    Bottom line: if you’d like to breathe better, this book can help in very many ways.

    Click here to check out The Breathing Cure, and breathe easy!

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