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[post_content] =>
What do you like about your anxiety?
This is a question I’ve asked many of my patients. Unsurprisingly, almost everyone’s initial response is “nothing.” But over time (especially in people who are determined to get the most out of their unpleasant experiences) I’ve seen anxiety become a gift that re-orients people in a profound way.
I’ve learned many strategies for managing anxiety directly, some of which I shared in my
last article. They can really help. However, my greatest intention isn’t merely that we can effectively manage anxiety when it arises, but that our basic orientation is to be attuned to what’s good, what’s working, and what we
love about life.
So this time I’m going to share self-care practices to guide you back to the love beneath that fear.
It’s true that fear isn’t usually a
healthy expression of love, but sometimes it is – like when love spurs fear in a parent and they rush into harm’s way to save a child. Most of the time we’re afraid, though, the underlying love is so contorted by the mind that it doesn’t feel like love at all. It just feels nasty and horrible, and we get into a vicious circle whereby the feeling prompts fearful thoughts and the thoughts heighten the feelings, and so on.
But deeper than all of that craziness, we love life, we love ourselves, and we love others. I would like to invite you this week to bring your anxious feelings back to the loving point of their origin.
1) Practice good posture. Having a straight spine automatically helps you to breathe more fully. It also has a subtle effect on your mood. It’s easier to feel threatened, weak, or like a victim when you’re slouching; conversely, when you sit or stand tall, with a straight spine, you’ll naturally feel clearer and more confident.
2) State the facts (in the morning and always). What you do in the morning affects your whole day, so start with a brief and enthusiastic session of truth telling. What is good right now? Are you alive? Are you breathing? Did the sun rise again? Do you have enough to eat? Say it.
Who do you choose to be today? A light-hearted person? A truth-telling person? An emissary of love in the world? A devoted servant to the highest good of the world? Say it.
Pausing, noticing, and stating the facts about what’s good in your life is like hitting the save button. It programs your mind to continue to spot the good stuff. It reconfigures you for peace.
And stating the facts during fearful times is like becoming a warrior with a razor sharp sword. With your loving fierceness, you cut through the collective illusions and emotional fog, reminding yourself and others,
We didn’t jump into the world just so we could cower from life. The truth is bigger (and better) than the story we’re telling each other.
3) Get connected to the elements. Spend time in nature, ideally including some direct contact of skin to earth and natural bodies of water. Some people with anxiety also report that they feel much better with sun exposure. Others feel a benefit from sitting in front of a fire or even several candles. Besides helping to realign you with the rhythm of the natural world, it’s also a nice break from your electronic devices and media.
4) Establish a daily routine and stick to it. Predictability helps stabilize a wayward mind and helps the body get into a consistent rhythm. This means setting a regular bedtime and wake time, having meals at the same time each day, exercising on a regular basis at the same time, meditating at the same time, bathing at the same time, etc. Of course, your routine shouldn’t be strict in a way that generates stress if you stray from it – it’s something you do out of kindness for yourself.
5) Love actively. There’s no use in trying to obliterate fear. That would be like trying to destroy the sound of ‘middle C’ on a piano. Fear is a frequency of energy. No matter how you train yourself to cut it out of your life, you can always call it up again. Instead, focus on the love beneath.
What do you
love that your mind tells you is threatened? Give your attention to loving what you love instead. Love is so much stronger and bigger than fear, and unlike fear, love is a unifying and creative force. If you’re out of practice, find the things that are easiest to love, like kittens and donuts, and feel the love opening your heart. Then practice expanding that love to envelop yourself, your neighbor, your houseplants . . . and your fear. Then go bigger.
All along, keep opening your heart. Just imagine it opening like a golden ring in the center of your chest. Learn to feel when it closes, and patiently open it again and again and again.
Love will prevail. Always.
Dr. Peter Borten
[post_title] => The Antidote for Fear that May Surprise You
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[post_content] => It’s almost time for the Thanksgiving feast, and I know many people feel it’s a challenge to avoid gorging themselves and feeling guilty. So I’d like to offer some thoughts on the subject, along with a great recipe for a vegetarian gravy that’s (somewhat) healthier than the usual stuff but every bit as delectable.
This recipe came originally from my wife Briana’s grandfather John Moore, passed down by her dad, also John Moore, to her, and by association to me. There’s something special about following these family recipes – even if they change over time. At the start, deliciousness was the only guiding principle. Then Briana wanted to make it vegetarian, and I wanted to make the flavor a bit more complex and add some spices that might even help to balance digestive-overwhelm.
First let’s talk about overeating and feeling guilty. I’ve written about this in the past, and I’ll say it again: the single most healthful change a person can make to how they eat is to stay fully present during the act of eating.
More than keto or intermittent fasting or veganism or any other diet, being totally engaged and conscious while eating will automatically change how you eat, what you eat, and how you feel afterwards. Furthermore, it will teach you what does and doesn’t work for your body, and it will add a whole new dimension of depth and connection to the act of nourishing yourself. I’ve known people to spontaneously abandon unhealthy behaviors like gambling and codependent relationships when they became more awake to their nutrition and allowed themselves to experience all facets of that process – being both the loving giver and the grateful receiver of their own loving care.
I know there’s going to be good conversation and an abundance of excellent food. Staying conscious while eating doesn’t mean you can’t have it all. In fact, you’ll actually have a more fulfilling experience of all of it – both the food and the company – if you stay present. It might take twice as long to eat half as much food, but you’ll be able to walk away from the table rather than hobbling.
Now for the recipe. As it’s presented below, it contains gluten and dairy, but it can easily be modified to have neither.
Ingredients:
- Butter – ¾ to 1 cup (a stick of butter is a half cup) – or ghee, or coconut oil, or vegan butter substitute
- Onion – half to whole, depending on how much you like onion – finely diced
- Mushrooms (optional) – any kind, though I prefer crimini or another variety that isn’t chewy – approximately 1 cup, finely diced
- Garlic – 5 cloves, crushed
- Flour (normal or gluten-free) – ¾ cup to 1 cup – roughly the same amount of flour as the amount of butter you used
- Vegetable broth – 4 cups (have a few more cups on hand). I like the Better Than Bouillon Organic Vegetable Base and Organic Mushroom Base, and I often mix the two together. It comes in a glass jar and one jar makes many cups of broth, so it’s tasty, compact in your fridge, and eco-friendly.
- Soy sauce or tamari (gluten free soy sauce) – 4 tablespoons
- Worcestershire sauce (optional) – 1 to 2 teaspoons – note, it usually contains anchovies
- Rosemary, chopped – approximately 1 tablespoon fresh or 1 teaspoon dried
- Sage, chopped – approximately 1 tablespoon fresh or 1 teaspoon dried
- Fresh ginger – finely grated – approximately 1 tablespoon
- Nutritional yeast (optional) – 1 to 2 tablespoons
- Good quality salt and black pepper
Directions:
In a large deep pan over medium heat, sautee the onion, mushroom (if using), and garlic in the butter (or butter alternative) until it begins to brown (about 5 minutes).
Slowly add the flour, soy sauce or tamari, nutritional yeast (if using), and worcestershire sauce (if using). Work it with a spoon or spatula to form a smooth paste. Stir occasionally, allow it to become evenly browned.
Gradually add the broth, using a whisk or hand blender to blend it with the flour paste.
Add the ginger, sage, and rosemary, bring to a boil, then immediately reduce to a simmer, and simmer low for about 5 minutes.
At this point the gravy should be delicious and an ideal consistency.
If you need to thin it, add more broth or (if you don’t want to make it more salty) hot water.
If you want to thicken it, add more flour to a small amount of broth in a bowl and whisk or hand blend to make smooth, then add and continue to whisk into the gravy until the desired consistency is achieved. If it’s much too thin, this could also be achieved with corn starch or arrowroot powder – mix 1 tablespoon at a time in a small amount of water or broth until dissolved, then add to the gravy and bring to a boil again, stirring constantly. Repeat as necessary to thicken further.
If you want to give it more kick, add extra ginger, garlic, black pepper, or crushed red pepper.
If it’s not salty enough, add either more salt, or (if it needs more body altogether) add more soy sauce or tamari.
If it lacks body, you may add additional nutritional yeast, a little powdered clove, or a pinch of garam masala.
Serve abundantly over virtually everything or drink by the glass. If you make this gravy I’d love to know how it turns out – along with whatever of your own modifications made it even better! And if you experiment with eating mindfully, I would love to know what’s different about the eating process and how you feel afterwards. Also, when you practice mindful eating, what obstacles do you encounter?
Be well,
Peter
[post_title] => Mind-Blowingly Good Vegetarian Gravy – and How to Leave the Table Feeling Good
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Over the past few decades we’ve seen a number of trends in popular supplements and so-called “superfoods.” First there was ginseng and echinacea, then ginkgo and St. John’s wort, then green tea, glucosamine, kombucha, fish oil, chia, maca, bone broth, magnesium l-threonate, vitamin D, and so on. Often, there’s a widespread hope that this substance is going to give us vibrant health, make us happy, perhaps even solve all our problems.
Turmeric has been on the charts for some years now, so I wanted to write about its uses and limitations – and why we need to take a broader view on health and supplements. First, it’s important to state that there’s some value to nearly all of these substances. Sometimes it’s a rather modest value for a fairly small subset of the population (like kombucha, most of which is essentially an overpriced mildly-caffeinated acidic soda with a little probiotic activity), other times it’s a significant value for a larger portion of the population (like vitamin D and magnesium). A food or supplement doesn’t need to be life-changing for everyone in order to be important; the key is that we’re realistic about what it can do and knowledgeable about who stands to benefit from it.
For several years, turmeric has been hot stuff in the West, though it has been used for at least 4000 years in Asia. Native to India, it’s a prominent herb in Ayurvedic medicine, though it’s even better known for its place in Indian cuisine and its use as a dye. Its particular yellowish-orange color is almost synonymous with Indian culture. It probably appeared in Traditional Chinese Medicine (TCM) about 1500 years ago, but has always been a relatively minor herb in that system.
In both Ayurveda and TCM, turmeric is almost never taken as a single herb. Rather, it’s utilized in a formula of multiple herbs that’s prescribed by a trained practitioner, based on the specific constitution and presentation of the person who will be consuming it. However, as with many adopted herbs, Americans generally take it on its own, without any understanding of its traditional application or the diagnostic framework of the systems that have utilized it for so long. Consequently, many probably conclude that herbs aren't very effective medicines.
This is really the crux of what limits Westerners in their use of herbs – lack of context. The systems through which herbs have been historically defined and applied include methods for determining when and how and with whom to use them. One of the things that makes Ayurveda and TCM so special is that their diagnoses and their interventions utilize the same philosophical framework and terminology. That is, there’s a seamlessness between diagnosis and treatment. For example, for a TCM diagnosis of liver Qi stagnation, the treatment is clear because there are herbs and acupuncture points that specifically unblock stagnant liver Qi.
In contrast, knowing the Ayurvedic properties of turmeric – a pungent vipaka, a heating virya, a light, dry guna, which enters the digestive, circulatory, respiratory, and female reproductive srotas – is meaningless if we’re working from a Western biomedical diagnosis such as lung cancer, because the languages and philosophies don’t match. We can only guess at equivalencies.
For any given symptom presentation, there might be half a dozen or more possible diagnoses of the actual cause. When we take an herb without a diagnosis, it has a limited chance of working as we hope, because we may or may not have the underlying disease pattern that this herb addresses. It might even make things worse.
When we take an herb based on properties revealed by modern research – such as antibiotic, diuretic, or anti-inflammatory – it might work if we’ve correctly identified that we have the biomedical diagnosis corresponding to this biomedical terminology. But we miss out on accessing the body of wisdom developed by the traditions that have utilized the herb for centuries. It’s more like taking a brand new, poorly-understood drug, usually with very little human research behind it.
Years of discussion and trial-and-error in traditional plant-medicine systems reveals important nuances, and synergies with other herbs. Without that context, however, scientists were able to discover that turmeric possesses anti-inflammatory properties. Hooray! People started taking turmeric by the handful. But it didn't work as well as predicted. Later research revealed that unless the inflammation was in the digestive tract itself, the herb (specifically a compound called curcumin) wasn't likely to reach its target. Absorption into the bloodstream, it turned out, was very poor.
Eventually, researchers discovered that with absorption-enhancers, they could get more curcumin into the bloodstream. They came up with two main devices. The first is to combine it with a compound called
piperine that helps it pass through the lining of the digestive tract. The second is to attach it to a form of fat known as a
phospholipid, that's what our cell membranes are made of. This helps it move into cells more readily. Interestingly, equivalents of both strategies were utilized for centuries (if not millennia) in India. Piperine is a constituent of black pepper and a similar herb called pippali (long pepper), with which turmeric has been traditionally combined. And turmeric is also routinely taken with ghee (clarified butter) which happens to be rich in phospholipids!
In TCM, turmeric is called jiang huang, which means “yellow ginger.” Based on its primary function, it’s categorized as an herb that promotes blood circulation. Therefore (through that handy-dandy seamlessness of diagnostic and therapeutic terminology), it is used to treat conditions of stagnant blood. When we have a condition of blood stagnation, often the tongue takes on a slightly purple color and the veins on the underside of the tongue become more prominent and blue or purple. The pulse at the wrist feels “choppy” or “wiry.” The complexion often becomes dark. In women, the menstrual blood might be clotty and dark. And most obvious, there is usually pain – often sharp, stabbing pain in a fixed location.
Also, low grade blood stagnation – essentially impaired circulation – is thought in TCM geriatrics to be an almost inevitable part of the aging process. Whenever we see an older person with cold and/or purplish feet, hardened skin of the lower legs and feet, prominent purple and blue veins, and perhaps a history of cardiovascular disease and/or diabetes, it’s likely that a TCM practitioner would make a diagnosis of blood stagnation. Biomedically speaking, it’s probable that such an individual has chronic inflammation, and we could therefore think of the herbs that address stagnant blood as likely possessing anti-inflammatory properties, like those ascribed to turmeric.
In such cases, an herb like turmeric might be utilized, but if we look at the actual practice of TCM, we find it’s not especially popular among the herbs in its category. That’s probably because there are about thirty other herbs in this category, and thousands of years of tradition have shown that other herbs do just as good of a job – if not better than turmeric.
In addition, with a palette of thirty herbs to choose from, we have a great deal of specificity available to us. There are blood movers with an affinity for the head, or the abdomen, or the shoulder (one of turmeric’s affinities), or the legs, or the arms, or the back. There are mild blood movers and strong blood movers. There are blood movers with an ability to break up masses or to heal broken bones. There are blood movers that soften tight muscles and tendons and promote healing of unhealing wounds. And there are ways to combine them in order to make them exponentially more effective; to direct them to certain parts of the body; to prevent side effects, and so on.
Since I’m lucky enough to have all these herbs at my disposal (and the training to know how to use them), turmeric isn’t exceptional to me. It’s just an herb that got noticed by Westerners. There are thousands of others that are equally impressive. But don’t get me wrong – I love it, as I love all herbs, and I do occasionally recommend it.
If you don’t have training in traditional herbal medicine and you don’t have access to a practitioner who can help determine if it’s good for you, at least it’s a very safe herb. You can try it, and if it doesn’t work, you’re unlikely to do yourself any harm (though I still recommend checking with your doctor).
If you’re going to take turmeric, be sure to take it in a form that’s going to be well absorbed (unless you’re meaning to target your digestive tract). That means combining it with black pepper, long pepper, or piperine (and a little ghee may help, too); or using a brand that binds curcumin with acetylcholine (such as Meriva); or a brand that utilizes very small particles (such as Theracurmin).
Because I don’t have the ability to teach you traditional diagnosis through this format, we're actually best off banking on what the research shows. And while there's a lot of hope that it does many things, the only thing that it's been really clearly proven to do (on its own) is alleviate inflammation and some of its expressions. Pain, swelling, arthritis, and even hidden inflammatory processes will usually improve with ongoing consumption of turmeric/curcumin (assuming you’re using an absorption-enhancer). The degree of improvement varies. Sometimes it’s dramatic, other times subtle. Just remember that because you may or may not have the underlying diagnostic pattern that makes you a good candidate for turmeric/curcumin, it might not work.
I’d like to finish by discussing some broader measures for reducing the “stagnant blood” (and accompanying inflammation) that we’re prone to in our elder years. First, there’s exercise. Ideally, this isn’t the exercise of going to a gym and using weight machines (though if that’s what you like, keep doing it) – it’s the exercise of walking to the store, riding a bike to work, digging in the garden, shoveling snow, and above all, playing.
Second, reduce your sugar intake. If there’s one part of our diet that provokes inflammation and thickening of the blood more than any other, it’s sugar. By sugar, I mean caloric sweeteners of all kinds (and also white flour). If you’re up for improving your diet, you’d also do well to reduce or eliminate processed meats, deep fried foods, and margarine. Meanwhile, increase your consumption of fresh fruits and vegetables, nuts (dry roasted or raw), and oily fish. Third, if you smoke, quit. Smoking is terrible for circulation.
Finally, the best way to keep blood (and energy, and life itself) flowing is to be light-hearted. The circulatory system is an extension of the heart, and a light, open, joyful heart is best able to pump blood to all parts of us (much in the way it’s open to people and experiences of all kinds). Meditate (metta or lovingkindness meditation is especially good for this purpose). Laugh. Find ways to de-stress. Breathe deeply. Engage with community. Accept. Forgive. And love. Love yourself, love your family, love your environment, just love as much as you can. Even if you were to drop dead tomorrow, this is the stuff your soul wants you to prioritize.
Be well,
Dr. Peter Borten
[post_title] => I’ve Been Taking Turmeric for a Year But Still Haven’t Found My Soulmate!
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What do you like about your anxiety?
This is a question I’ve asked many of my patients. Unsurprisingly, almost everyone’s initial response is “nothing.” But over time (especially in people who are determined to get the most out of their unpleasant experiences) I’ve seen anxiety become a gift that re-orients people in a profound way.
I’ve learned many strategies for managing anxiety directly, some of which I shared in my
last article. They can really help. However, my greatest intention isn’t merely that we can effectively manage anxiety when it arises, but that our basic orientation is to be attuned to what’s good, what’s working, and what we
love about life.
So this time I’m going to share self-care practices to guide you back to the love beneath that fear.
It’s true that fear isn’t usually a
healthy expression of love, but sometimes it is – like when love spurs fear in a parent and they rush into harm’s way to save a child. Most of the time we’re afraid, though, the underlying love is so contorted by the mind that it doesn’t feel like love at all. It just feels nasty and horrible, and we get into a vicious circle whereby the feeling prompts fearful thoughts and the thoughts heighten the feelings, and so on.
But deeper than all of that craziness, we love life, we love ourselves, and we love others. I would like to invite you this week to bring your anxious feelings back to the loving point of their origin.
1) Practice good posture. Having a straight spine automatically helps you to breathe more fully. It also has a subtle effect on your mood. It’s easier to feel threatened, weak, or like a victim when you’re slouching; conversely, when you sit or stand tall, with a straight spine, you’ll naturally feel clearer and more confident.
2) State the facts (in the morning and always). What you do in the morning affects your whole day, so start with a brief and enthusiastic session of truth telling. What is good right now? Are you alive? Are you breathing? Did the sun rise again? Do you have enough to eat? Say it.
Who do you choose to be today? A light-hearted person? A truth-telling person? An emissary of love in the world? A devoted servant to the highest good of the world? Say it.
Pausing, noticing, and stating the facts about what’s good in your life is like hitting the save button. It programs your mind to continue to spot the good stuff. It reconfigures you for peace.
And stating the facts during fearful times is like becoming a warrior with a razor sharp sword. With your loving fierceness, you cut through the collective illusions and emotional fog, reminding yourself and others,
We didn’t jump into the world just so we could cower from life. The truth is bigger (and better) than the story we’re telling each other.
3) Get connected to the elements. Spend time in nature, ideally including some direct contact of skin to earth and natural bodies of water. Some people with anxiety also report that they feel much better with sun exposure. Others feel a benefit from sitting in front of a fire or even several candles. Besides helping to realign you with the rhythm of the natural world, it’s also a nice break from your electronic devices and media.
4) Establish a daily routine and stick to it. Predictability helps stabilize a wayward mind and helps the body get into a consistent rhythm. This means setting a regular bedtime and wake time, having meals at the same time each day, exercising on a regular basis at the same time, meditating at the same time, bathing at the same time, etc. Of course, your routine shouldn’t be strict in a way that generates stress if you stray from it – it’s something you do out of kindness for yourself.
5) Love actively. There’s no use in trying to obliterate fear. That would be like trying to destroy the sound of ‘middle C’ on a piano. Fear is a frequency of energy. No matter how you train yourself to cut it out of your life, you can always call it up again. Instead, focus on the love beneath.
What do you
love that your mind tells you is threatened? Give your attention to loving what you love instead. Love is so much stronger and bigger than fear, and unlike fear, love is a unifying and creative force. If you’re out of practice, find the things that are easiest to love, like kittens and donuts, and feel the love opening your heart. Then practice expanding that love to envelop yourself, your neighbor, your houseplants . . . and your fear. Then go bigger.
All along, keep opening your heart. Just imagine it opening like a golden ring in the center of your chest. Learn to feel when it closes, and patiently open it again and again and again.
Love will prevail. Always.
Dr. Peter Borten
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