CenterPoint
Spring 2010  



newslettercontentsNewsletter Contents





Our Center Steps Up To the Challenge of Treating SuperStress

Current Research at The Center 

From the Practitioner's Corner:
5 Tips for Control of your Allergies from an Integrative ENT

From the Holistic Nurse's Corner:
The  ABC's on Allergy Season by Wanda Diaz, RN

Speaking of Healing: CenterPoint interviews...
 
 
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superstress1Our Center Steps Up To the Challenge of Treating SuperStress

Stress is a word with so many meanings that all anyone can gather from the term if you use it is that you're feeling somewhere between hassled to devastatingly exhausted. In using the word "stress", the inflection of your voice and the context of its use must qualify the degree to which you are suffering from it. That's a pretty vague description of a frequent symptom that's invading our lives.

The American Psychological Association's (APA) annual surveys on stress have shown that over the last four years Americans consistently have been struggling with extreme chronic stress, or SuperStress, as described in the recently released book, The SuperStress Solution (Random House, 2010), written by Dr. Roberta Lee at The CCHH. This is not your grandmother's stress of forty years ago. This stress that has four distinctive telltale features:

It's compounded: there's more than one source and reason for your stress

It's depleting joy in your life: the days are so wearing that moments of joy are missing. Things you normally look forward to don't seem to be bringing that spark to your life. You're in a state of burn out.

It's the kind of stress that makes life feel out of control. You just can't seem to get a handle on things.

Anxious is the new normal. Your default for approaching life has now settled into a perspective of mild to moderate anxiety. Any new task spells overload.

In short, this is the type of stress derived from our hectic 21st century lifestyle and life's recent unfortunate events.  It's the kind of stress that has overwhelmed your body to the point where it cannot recover very easily on its own. The 2009 APA study on stress revealed that 42 percent of Americans suffered from extreme stress or a stress-related illness (e.g. chronic headaches, insomnia, drop in libido, fatigue, anxiety or depression). From a patient care perspective one out of three patients saw their primary care doctors for a stress-related illness. From an employer's perspective this insidious pandemic sapped workplace productivity by $300 billion annually.

At the Center, we have begun to build multiple programs for individuals who want to take control of this problem. Special classes are offered as well as individualized stress reduction sessions, medical consultations for primary care and other integrative modalities including traditional East Asian medicine, acupuncture and other forms of bodywork, homeopathy and focused SuperStress consultations. Anyone interested in signing up for any of these programs can contact Bonnie Everhart at the Center (646-935-2248) or beverhart@chpnet.org

In April the Center began offering a Mindfulness Based Stress Reduction (MBSR) workshop led by Elaine Retholtz, M.S., L.Ac. who has offered these trainings in New York City since 2005. This eight-week course offers guided instruction in mindfulness meditation practices combined with gentle, mindful stretching and yoga exercises. This approach to life known as mindfulness, a state of heightened moment to moment awareness, is one of the most powerful antidotes to the loss of perspective that evolves out of a sense of being in a hurry. With a mindful frame of reference, though you may be surrounded by chaos, you are able to regain and retain a sense of inner calm.

Those who want a more focused and short relaxation training program can sign up for Aurora O'Campo's Stress Reduction Class. This is a one and a half hour session in a small group setting which teaches a variety of ways relaxation can be accessed including use of essential oils (concentrated oils from plants), self-hypnosis, Reiki, visualization and breathwork. Those wishing to have this training one-on-one can also schedule individualized sessions with Aurora O'Campo, MA, RN by calling the front desk. 

Some people derive immense benefit from re-examining their lifestyle habits and feelings. Caroline Werner, CSW, our holistic therapist, is available for integrated cognitive counseling sessions which examine the context of a stressful life. Ms. Werner formerly worked as an attorney and experienced stress first hand. After much reflection, she left her lucrative law practice and decided she would make a career change to offer counseling to those suffering from stress. She has also offered corporate stress reduction programs to many companies.

Several of our integrative practitioners address stress from a primary care lifestyle management perspective. Our acupuncturists use the pragmatic and long tested East Asian Medicine approach.

For those wishing to have a very structured integrative medical approach based on the book, The SuperStress Solution, you can have a consultation with its author, Roberta Lee, MD. This involves a full assessment of the psychological and physical aspects of chronic stress. You will also learn which of the five SuperStress types you are. For more information on superstress types go to www.superstresssolution.com.

Those virtually inclined (meaning wishing to receive information via the computer) can go to the Center's website and access the informative and instructive stress reduction module recently created by our Informatics Director, Marsha Handel and stress reduction expert, Aurora O'Campo .  Written for pre and post surgery stress management but applying to all forms of stress, four guided video and audio sessions are offered on breathwork, centering and grounding, guided imagery and biofeedback at www.preparingforyoursurgery.org/before_surgery/relaxation_techniques.html

Stress knows no socioeconomic boundaries or age. As we move through an increasingly chaotic age The Center will continue to offer its varied programs and individualized therapies to help people navigate and learn how to cope with SuperStress.

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research1Research

Chronic Pain and Integrative Management

The Research Department continues to recruit participants for an observational study on patients at the Center who see their healthcare practitioners for chronic pain. We are one of eight leading integrative clinical centers from around the country participating in this study.  The objective of the study is to better understand the effectiveness of a variety of indigenous or integrative interventions in patients with chronic pain.

You may be eligible to participate if you:

  1. Are age 18 and over

   2. Are a new or existing patient seeking treatment for chronic pain (pain lasting at least 3 months)

   3. Have the ability to read and write English and provide informed consent

   4. Are able to understand and comply with the requirements of the study

If you would like more information about this study, please call Jeanne Kenney at 646-935-2275.

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practcornerFrom the Practitioner's Corner

5 Tips for Control of your Allergies from an Integrative Ear/ Nose/Throat Doctor (ENT)

Allergy season is here, and for those of us troubled by spring allergic symptoms, now is the time for planning.   While nothing substitutes for a trip to the physician here are some useful tools that might give you relief in the interim.

 
  • Stay indoors.  Check pollen counts on the radio or internet before you leave the house in the morning. (Great source: www.Pollen.com)Though pollen levels vary over the course of the day, a pollen count (the measure of pollen levels in a given area over the preceding 24 hours) can tip you off when it's particularly hazardous outside. Many people start having trouble when the count reaches the 20 to 100 grains per cubic meter range. Note that the time of day when levels are highest is from 5:00 to 10:00 am and early evening and the time of day when levels are lowest is from mid to late afternoon.

  • Nasal irrigation can be useful.  I like the squeeze bottle ones - mix with the enclosed packets, bend your head forward.  While squeezing, pant like a puppy - it will keep the solution out of the back of your nose, so you can avoid that drowning feeling.

  • Take herbs or supplements that reduce inflammation.  Inflammation is one the biggest contributors to the allergic process in the body right behind repeated allergy exposure. Probiotics, Omega 3 and 6 fatty acids, herbal blends, essential oils and homeopathy can all be used to control and prevent symptoms. Quercitin, bromelain and stinging nettles are ones that should be on your radar screen. For dosing check: http://www.umm.edu/altmed/ConsLookups/Herbs.htm.  Eucalyptus and RC by Young Living Oils can be soothing to the lining of the nose when gently inhaled.  Histaminum by Boiron is a good start if you're considering adding a homeopathic option to your treatment.

  • Immunotherapy. Allergy shots are a conventional option that can be useful. However, there also exists sublingual immunotherapy-- a hot new topic for the allergy prone. The patient takes drops under the tongue that act like allergy shots reducing the immune response to the allergen. Like allergy shots this kind of treatment requires weeks to months.

  • Leverage diet to reduce allergy symptoms- even if you don't have food allergies, eating a healthy diet keeps inflammation at bay - and makes you less prone to an allergy attack even if it's your season. Check out the Mediterranean diet, or look at the Ultrasimple Diet, or Ultrametabolism by Dr. Mark Hyman. It's an easy way to incorporate more healthy foods into your lifestyle

 

Sezelle Gereau Haddon, MD specializes in integrative approaches to ENT illness in adults and children. Dr. Gereau Haddon perceives herself as a partner to patients with acute and chronic ailments of the head and neck.  She is a Fellow of the American Academy of Otolaryngology, Head and Neck Surgery and was in the inaugural class of Associate Fellows in the Program in Integrative Medicine at the University of Arizona, where she trained with Dr. Andrew Weil. She also holds an Associate Fellowship from the Rosenthal Center at Columbia University, where she was involved in research in complementary and alternative therapies. 

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nursingFrom the Holistic Nurse's Corner:

The  ABC's on Allergy Season by Wanda Diaz, RN

Allergy season is here. Knowing what to do to will help keep you sneeze and sniffle free this Spring.  Addressing indoor, environmental and internal triggers is the most effective strategy. Here are some basic recommendations:

 

1. Know and avoid your Triggers!  The most common indoor culprits are dust mites, animals, mold and airborne chemicals. Here are some simple solutions:

2. Dust Mites are microscopic but can often be controlled by vacuuming, sweeping and mopping.  Washing sheets and pillowcases weekly in hot soapy water and drying in high heat helps to eliminate them.  Using allergen proof covers on pillows, mattresses and box springs will minimize exposure.

3. Animals are another common allergen.  Most sensitivity is due to contact with dander, saliva or urine.  Replacing carpet and bathing your pets often may help to decrease symptoms. 

4. Mold is another common indoor culprit.  It's usually found in warm moist areas so beware and look for mold in bathrooms, potted plant soil, crawlspaces and basements.  Using a dehumidifier may help during warm humid temperatures throughout the year.

5. Airborn Chemicals can often trigger allergies.  Trying to stick with alternative or natural cleaning agents and fragrance free products may help to reduce symptoms.  Avoid synthetic fragrances in candles, detergents, lotions and deodorants. Investing in a HEPA air filter may help to diminish indoor exposure and triggers.


Beware of the pesky environmental triggers!

The most common are pollen, ragweed, trees, and grass among many more.  Be informed and find out what has the high count for the day.  This will give you an idea what you are up against!  If you spend a lot of time outdoors, be sure to remove your clothes and shower as soon as you get home.  Steam inhalation and nasal irrigation like the Netti Pot will help clear the sinus passages.  Sometimes sleeping with the air conditioner may help to keep these environmental triggers at bay. 

 

Control Internal triggers like stress, diet and nutrition.

Maintaining a routine of doing yoga, deep breathing, meditation and aerobics exercises will help to keep your respiratory system clear and open.

Many of the practitioners at The Center agree that reducing stress and avoiding sugar, fatty foods, and mucus-producing dairy foods can help alleviate allergy symptoms.

Stock your pantry with foods that stomp out inflammation, including those high in alphalinolenic acid (ALA), an omega-3 fatty acid found in flaxseeds, fish oil, and walnuts.  People with digestive disorders may also find that they suffer from frequent cold and allergies.  To counteract this taking a probiotic that contains both the lactobacillus and bifidobacterium strains like Culturelle, Jarrow-dophilus or Florastor may help to improve these symptoms.  As we know keeping well hydrated, adequate rest and knowing to prepare for the season will help to make this a healthy and sniffle free Spring!

Health and Happiness,

Wanda Diaz, RN

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cpinterviewsCenterPoint Inteviews ...Elaine Retholtz

 

Elaine Retholtz, who is currently giving the Center's first MBSR course on site. The Center is pleased to bring this valuable training on board as part of its stress reduction and mindful living /lifestyle options. CenterPoint interviews Ms. Retholtz to gain insights from her experience with MBSR. There will be future sessions this year and any who are interested in learning more information or signing up can contact Bonnie at 646-935-2248.


CP: What got you interested in teaching MBSR?

ER: I had been practicing mindfulness meditation for many years. In 2004 the woman who was the medical director at the nursing home where I worked participated in Jon and Saki's 7-day training program at Omega and came back very motivated and asked if I would teach meditation to the staff. She encouraged me to learn more about MBSR, and supported me in applying for and participating in the Practicum (and later the Teacher Development Intensive) through the Center for Mindfulness. It turned out to be a wonderful tool for sharing the benefits of mindfulness with my acupuncture clients and with the staff and residents of the nursing home. The facility is for people living with AIDS so there was clearly a lot of stress among the population. [Note Jon and Saki refer to founding creators of MBSR, Jon Kabat-Zinn and Saki Santorelli]

CP: How long have you been doing this kind of training? 

ER: After finishing the practicum in 2004 I began offering a modified program to the residents at the nursing home. Then, the following fall I started offering the traditional 8-week course through a community center on the Upper West Side.

CP: What is the biggest need you see in those that come to you for this training?

ER: Certainly people in chronic pain and those dealing with chronic illness are attracted to the courses. More and more I see individuals who are experiencing a lot of anxiety as well. And over the years, there's been a very significant increase in the number of individuals for whom dealing with job stress is the major motivating factor. Both sides of the equation: no balance because they are working 60 hours a week and have a spouse and kids, or anxiety about losing a job, or that they are underemployed. However, no matter what brings someone to an MBSR course, there is an enormous need to develop the tools to anchor ourselves in the present moment - to learn to disengage from our habits of rumination and worry about the past and future and to learn to be present in the only moment where we are actually alive: this present moment.

Elaine Retholtz has been practicing mindfulness meditation since 1988. In 2004, she completed the internship in Mindfulness Based Stress Reduction, and in 2005, the Teacher Development Intensive at the Center for Mindfulness in Worcester Massachusetts. She is also a graduate of the Spirit Rock Community Dharma Leaders Program. Elaine has been teaching the traditional 8 week MBSR program at the Jewish Community Center in Manhattan since 2005.

In addition, she adapted the MBSR program into a 3-day model suitable for use in institutions. At Tri-State College of Acupuncture, she teaches MBSR to first year students. Here she also guides students in cultivating mindfulness of the experience of learning to be acupuncturists and taking on the identity of healers.

As part of a facility-wide staff stress reduction initiative, she trained the staff at Rivington House, a residential facility for people living with AIDS. Pre and post measures of participating staff showed significant decreases in perceived stress and emotional exhaustion, and increases in self-compassion. As a result of her experience at Tri-State and Rivington House, she is very interested in using MBSR as a vehicle for institutional culture change.

Elaine is an associate teacher at New York Insight Meditation Center.

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Editor-in-Chief:  Roberta Lee, MD | Senior Editor:  Marsha J. Handel, MLS | 
 Assistant Editor: Hanniel Levenson