Thursday, February 13, 2014

Bessel van der Kolk is my hero - and yoga is my medicine

For all my therapy geek friends (you know who you are): have you heard of Bessel van der Kolk, a Dutch psychiatrist who's doing research on things like yoga and EMDR? If not, go look him up. You won't be disappointed.

I spend 8 hours on Tuesday with Dr. van der Kolk in a live webcast from Hawaii. The topic was "Trauma, Attachment and Neuroscience." Sounds interesting, huh? Basically, the seminar delved into how trauma  re-wires the brain and the way we relate to the world. It's not so much that trauma leaves an imprint of a certain memory in our minds; rather, it makes us less able to live happily in the present. It does this by changing our brain: everything from the brain stem (breathing, sleeping, eating), to the thalamus (interpretations of the body), amygdala (emotional arousal and motivation), and frontal cortex (thinking). Dr. van der Kolk explained that trauma treatment must ALWAYS address the body, because the lower brain and limbic system are ALWAYS affected. Too often, "Western European" therapies focuses only on the frontal cortex (ahem, "cognitive therapy"), and ignore the body. (Dr. van der Kolk made no effort to conceal his frustration that body therapies are not acknowledged for their mental health benefits.)

Dr. van der Kolk conducts research at the Trauma Center at JRI in Massachusetts. He's gotten good results wth using yoga, EMDR, and other body-based therapies, because these treatments teach people how to self-regulate, and promote integration of the upper and lower brain. He also recommends drama therapy, t'ai chi, drum circles, and anything that involves a rhythmic interaction between people. One of my favorite clips was of a 10-year-old boy who was throwing a ball around with an occupational therapist. His mother arrived, and started chatting about her own problems. The boy threw her the ball; she caught it, threw it back, but COMPLETELY missed the boy. This happened 3 or 4 times; each time she threw the ball to the same place, and each time it missed the boy's waiting arms. Suddenly he yelled, "STOP THROWING IT OVER THERE!" As the OT helped the mother and boy play catch with each other, Dr. van der Kolk explained how being "in tune" with people is one of the most basic joys of life, since we are hardwired for social interaction. This demonstration showed how a simple activity like playing catch could make a family feel cohesive again. Just imagine how doing yoga, dance, or making music together can help you feel more "in sync" with humanity!

Among other things, this seminar powerfully confirmed the effect of yoga on the brain. Since I re-started my daily yoga practice (only 4 weeks ago), I've noticed changes in how I perceive things. The other day I was napping on the couch, and suddenly I felt viscerally connected to the colors and shapes around me; I was transported back to a summer's day when I was very young, and the green grass and the taste of lemonade were fresh and new to my senses. I find it easier to relax, even when I don't feel well. I went to a meeting at my church, and noticed I was able to take in every detail of the conversation effortlessly. The next day, the committee chair asked me to proofread the minutes; I thought, wow, that's never happened! And last but not least, I laugh more. Something about yoga is helping me connect with my environment. I'm just waiting to see how this body-centered, mindfulness practice will continue to transform the way I live, breathe, and think. Do you have a story about how mindfulness practice has changed your life?

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