News from Maggie Phillips, Ph.D.
August 2010

Click a topic link below to jump directly to any section of this newsletter:
In This Issue
* August "Back to School" Sale
* Teleseminar Calendar
* Live Training Event Calendar
* Overuse Injuries in Kids' Sports
Calendar of Training Events

September 15
Teleseminar with Michael Yapko & Maggie
How to Treat and Prevent Depression in Children

September 25 - 26

Workshop with Maggie in Heidelberg, Germany

The Body as Ultimate Healer: Meeting Life with Your Whole Body

October 2 - 3
Workshop with Maggie
,
in Bonn, Germany
Master Class in Ego-State Therapy

October 6, 13, 20, & 27
Ecourse with Claire Frederick & Maggie

Clinical Intensive in Ego-State Therapy

October 8 - 10
Conference with Maggie in Heidelberg, Germany

Energy Psychology in Psychotherapy

October 16 - 17
Workshop with Maggie in Paris, France

Expanding Heart Coherence: Connecting with the Heart of Healing


November 9
Teleseminar with Robert Scaer & Maggie
Brain Neuroplasticity: Quantam Changes in the Treatment of Trauma and Pain

December 3
Teleseminar with Laurel Parnell & Maggie
Resource Tapping: Activating Your Healing Potentials Through Bilateral Stimulation

December 9-12
2 Workshops with Maggie in Orlando, Florida
Radical Self-Acceptance and Self-Forgiveness and
Empowering the Self Through the Heart of Healing

















Maggie Phillips, Ph.D.
2768 Darnby Dr.
Oakland, CA 94611
USA
510-655-3843
Greetings!

I hope August finds you with vacation plans that will help you expand beyond ordinary rhythms and bring much-needed rest, retreat, enjoyment, and perhaps even an adventure or two. This month, instead of a live teleseminar, we offer a "Back-to-School sale" to give you an opportunity to explore topics and products that you might not have had time to consider earlier in the year. We also give you a "sneak preview" of our fall teleseminar schedule and some live training events that are fast approaching. This will give you  a complete look at our training schedule for the rest of 2010 so you may want to highlight it or save it for later use. Our August news article features "Overuse Injuries: A Rising Blight on Kids' Sports" (scroll down to find this section).
 
Enjoy the rest of your summer,

Maggie Phillips
August "Back to School" Sale


imageWe are happy to announce special sales on a collection of some of our most popular "Ask the Experts" 2009-2010 teleseminar events and products. Although I agree that it's hard right now even to think about "getting back in gear" again for the fall, maybe this opportunity will provide a positive way to begin recommitting yourself to the study of what you most value. If you are affiliated with a group, receive a 25% discount when ordering for 2 people and a 50% discount when ordering for 3 or more people. These prices are good only through September 1st, so take a minute or two to order them now.
 
Boxed Sets

1.   Energy Psychology series: This boxed set includes two dynamic presentations - Fred Gallo's intriguing 3 hour e-course on his new model for creating wholeness, The Identity Method, and Michael Mayer's teleseminar QiGong and Bodymind Healing: An Integrated Approach to Stress and Pain. To learn more about this package and to order now, click here.

2.   Hypnosis series:  This excellent collection includes three 90 minute teleseminars:  Michael Yapko on Hypnotic and Strategic Approaches to Treating Depression, Steve Gilligan on Reclaiming the Exiled Self, and Bruce Eimer presenting How Self-Hypnosis Can Relieve Pain, Anxiety, and Stress. For more information about this package and to order now, click here.
 
3.   Mindfulness series: This set includes two inspiring selections - Brother David Steindl-Rast on Pathways to Gratefulness and Ron Siegel on Pathways to Mindfulness. For more information and to order now, click here.
 
All three special offers are available only through September 1st so please order now! Treat yourself, or consider gifts of learning for colleagues, friends, or family.
Teleseminar Calendar


website imageWe have an outstanding teleseminar calendar this fall. Please save the dates in your learning calendar. This month's article and our first teleseminar spotlight the start of the school year and "hot" issues for kids.
 

1. First, on Wednesday, September 15, from 9 am-10:30 am Pacific Time, I welcome Dr. Michael Yapko for a seminar on How to Treat and Prevent Depression in Children. If you have kids and/or work with children and adolescents, you won't want to miss this event. Some of our topics include:
 
· Early warning signs of depression in children
· Preventive steps to reduce a child's or adolescent's vulnerability to depression
· The role of genetics
· How parents can respond to minimize the impact of depression
· How depression in parents can seed depression in their children
· Your topic (to let us know in advance what topics are important to you, click here)
 
Sign up early, so your intention to participate won't be distanced by all the activity at end of summer and the start of school. Go to www.maggiephillipsphd.com/courses_teleseminars_my2.html
 
2. During the month of October, Dr. Claire Frederick and I will be leading a Clinical Intensive in Ego-State Therapy - featuring a series of teleseminars focused on complex clinical questions and your most challenging cases. If you've taken other training in ego-state therapy (which is a requirement for this e-course), then you already know what a valuable method it is to treat complex trauma as well as many other related issues including anxiety, depression, panic,  pain, and other atypical symptoms. For full details, including cost, and to register, go to www.maggiephillipsphd.com/courses_teleseminars_cf2.html
 
3. Dr. Robert Scaer joins me on Tuesday, November 9, from 9 am - 10:30 am Pacific Time for a stimulating seminar on Brain Neuroplasticity: Quantam Changes in the Treatment of Trauma and Pain. Our topics will include:
 
· How the brain repairs itself: Mechanisms of neuroplasticity
· Epigenetic research: Understanding how new experiences can change our DNA
· Reward pathways in the brain and how they motivate new pathways of thought, behavior, emotion, and sensation           
· The "plastic paradox:" How plasticity is both the good and bad news of the change process
· Neuroplasticity in children: Pediatric problems that predict later development of Post-Traumatic Stress Disorder and related syndromes

For more information and to sign up, go to: www.maggiephillipsphd.com/courses_teleseminars_drs.html
 
4. On Friday, December 3, from 9 am - 10:30 am Pacific Time, Laurel Parnell and I will present a teleseminar on Resource Tapping: Activating Your Healing Potentials Through Bilateral Stimulation. This seminar will illustrate tapping in resources through the bilateral stimulation approach used in EMDR (Eye Movement Desensitzation and Reprogramming). Our presentations will focus on how Laurel's "Tapping In" techniques can help re-balance the nervous system, activate the parasympathetic restoration cycle, and teach self-regulation to resolve many of the symptoms connected with the pain of trauma. For more information about Laurel, popular EMDR facilitator and author of Tapping In: A Step-by Step Guide to Activating Your Healing Resources With Bilateral Stimulation, please visit www.emdrinfo.com. For more information and to sign up for this teleseminar, go to: www.maggiephillipsphd.com/courses_teleseminars_lp.html

Live Training Event Calendar


I'm also excited about my upcoming live teaching events and hope you can join me in various corners of the world.
 
25-26 September           
The Body as Ultimate Healer: Meeting Life with Your Whole Body. Location: Milton H. Erickson Institute Heidelberg, Germany. Contact the office at: ursula.haerle@meihei.de. This workshop is designed to teach both the art and science of working with the wisdom and resources of the body to heal mind-body symptoms and health problems while reversing the effects of psychological and physical trauma. The model of Somatic Experiencing® (SE), based on the study of resiliency responses of animals and humans to threat, is used as a foundational method to provide gentle yet powerful interventions that can be incorporated into any practice setting.
 
Participants will learn how Somatic Experiencing® techniques can be used to detect and resolve constriction in the body and disregulation of the nervous system that contributes to a wide spectrum of clinical, medical, and learning problems. Presentations will address ways to empower clients through contact with their bodies' natural resources, strategies for reducing fear and anxiety, and techniques for rapid relief of acute and long-term stress reactions. Click here to learn more.
 
2-3 October
Master Class in Ego-State Therapy in Bonn, Germany. This is a unique experience taught at intermediate and advanced levels. A maximum of 12 participants will be accepted. Prerequisite requirements include 100 hours of past training in clinical, Ericksonian, and/or medical hypnosis, and completion of at least the foundations (beginning) level in Ego-State Therapy. This workshop will focus on ego-state therapy as a comprehensive method to repair post-traumatic fragmentation, dissociative and attachment difficulties, and intractable mindbody symptoms including anxiety, depression, health issues, and chronic and atypical pain.
 
Participants will review hypnotic and nonhypnotic techniques and methods useful for work with ego states connected with various post-traumatic symptoms. Click here to learn more.
 
8-10 October            
Energy Psychology in Psychotherapy conference, Heidelberg, Germany. Contact: Ursula Härle at ursula.haerle@meihei.de or visit www.meihei.de. This is an exciting conference with many experts from the US, Germany, the UK, and other countries participating in the faculty. Come join us to learn exciting new energy innovations against the autumn background of quaint Heidelberg.
 
16-17 October
Expanding Heart Coherence: Connecting with the Heart of Healing in Paris! Contact: Bernard Mayer at IETSP - mayer@ietsp.fr. This workshop will help professionals discover and practice various effective techniques, including EMDR, which can expand heart coherence as the center of healing for themselves and their clients. The format includes live and video demonstration, clinical case consultation, and experiential exercises.
 
Recent neuroscience has identified evidence that heart coherence and intelligence are essential to the healing process. Studies conducted by the Institute of HeartMath™ and other researchers have demonstrated that the energy field of the heart is 60 times larger and more than 500 times stronger than that of the brain, and that the heart sends many more messages to the brain than the brain does to the heart.
 
This workshop will teach participants how to develop and apply elements of heart intelligence and coherence to help heal PTSD, pain, depression, anxiety and panic, and stress reactions including intrusive flashbacks, rapid cycling negative thoughts, and sleep disturbances. A variety of all-natural techniques will be presented and practiced to expand heart coherence including heart-based breathing. Click here to learn more. (courses#4)
 
9-12 December
I will be presenting 2 workshops at the Brief Therapy conference in Orlando, Florida, home of Epcot Center and Disney World. Join me for Radical Self-Acceptance and Self-Forgiveness and Empowering the Self Through the Heart of Healing. Enjoy warm weather, good fun, and an intensive study environment. For more information and registration, visit www.brieftherapyconference.com.

Overuse Injuries in Kids' Sports


With school starting soon in many areas, it's a good time for us to renew our awareness about how sports can adversely affect the health of many children and adolescents through the increase of "overuse injuries."
 
Overuse injuries were once virtually unknown in young athletes. That changed with the emergence of organized sports and their emphasis on repetitive coaching drills, as well as the recent trend toward sports specialization in young athletes. Nationally renowned orthopedic surgeon, Dr. James Andrews, reports that he is seeing four times as many overuse injuries in youth sports than five years ago and more kids are having surgery for chronic sports injuries.
 
Experts attribute this increase to the fact that more youth today are specializing in one sport at an early age and training year-round. All these injuries can be linked to overuse, doing too much, too often. Gone are the days of switching to a new sport each season - the two or three-sport young athlete seems to be a thing of the past as the competition, access and seasons expand to year-round play.
 
Sports specialization seems to have come at a high price. Playing a variety of different sports throughout the year was a form cross-training that was extremely beneficial to a young body's physical development. Playing multiple sports at different times of the year gives some muscles a chance to rest while others are being worked. Now those same muscles and joints are used none-stop and have no recovery time.
 
In fact, training the same muscles year-round is believed to be the main cause of the rise in overuse injuries in young athletes. The repetitive stress can cause young bodies to break down and increase the risk of injury.
 
Overtraining syndrome frequently occurs in athletes who are training for competition or a specific event and train beyond the body's ability to recover. Athletes often exercise longer and harder so they can improve. But without adequate rest and recovery, these training regimens can backfire, and actually decrease performance. Conditioning requires a balance between overload and recovery. Too much overload and/or too little recovery may result in both physical and psychology symptoms of overtraining syndrome.
 
Common Warning Signs and Symptoms of Overtraining Syndrome include:
Washed-out feeling, tired, drained, lack of energy
Mild leg soreness, general aches and pains
Pain in muscles and joints
Sudden drop in performance
Insomnia
Headaches
Decreased immunity (increased number of colds, and sore throats)
Decrease in training capacity / intensity
Moodiness and irritability
Depression
Loss of enthusiasm for the sport
Decreased appetite
Increased incidence of injuries.
A compulsive need to exercise
 
It's hard to predict overtraining since everyone's body is different. It is important, however, to vary training through the year and schedule significant rest time.
 
Detecting Overtraining. If you suspect you or your child are overtraining, the first thing to do is reduce or stop your exercise and allow a few days of rest. Drink plenty of fluids, and alter your diet if necessary. Cross training can help you discover if you are overworking certain muscles and also help you determine if you are just mentally fatigued. A sports massage can help you recharge overused muscles.
 
There are several ways to objectively measure some signs of overtraining. One is by documenting heart rates over time. Track aerobic heart rate at specific exercise intensities and speeds throughout the course of training and write  down this information. If the pace starts to slow but resting heart rate increases and other symptoms are present, overtraining syndrome may be indicated. If tracking resting heart rates each morning indicate any marked increases from the norm, this may indicate a lack of full recovery.
 
A specific way to test recovery is to use the orthostatic heart rate test, developed by Heikki Rusko while working with cross country skiers. To obtain this measurement:
 
Lie down and rest comfortably for 10 minutes the same time each day (morning is best);
At the end of 10 minutes, record your heart rate in beats per minute.
Then stand up.
After 15 seconds, take a second heart rate in beats per minute.
After 90 seconds, take a third heart rate in beats per minute.
After 120 seconds, take a fourth heart rate in beats per minute.
 
Well rested athletes will show a consistent heart rate between measurements, but Rusko found that athletes on the verge of overtraining showed a marked increase (10 beats/minutes or more) in the 120 second-post-standing measurement. Such a change may indicate a lack of full recovery from a previous workout, fatigue, or stress, and it may be helpful to reduce training or rest another day before performing another workout.
 
A training log that includes notes about general daily moods can suggest downward trends and decreased enthusiasm. It's important to listen to body signals and rest when the body indicates tiredness. It's also useful to ask others their observations related to overtraining. Unfortunately, most athletes ignore these signs or wait too long before doing something. An important component of exercise is to measure training effects objectively and modify it before damage is done.
 
While there are many proposed ways to test objectively for overtraining, the most accurate and sensitive measurements are to note psychological signs and symptoms and changes in an athlete's mental state. Decreased positive feelings for sports and increased negative feelings, such as depression, anger, fatigue, and irritability often appear after a few days of intensive overtraining. Studies have found increased ratings of perceived exertion during exercise after only three days of overload.
 
Research on overtraining syndrome shows rest is the primary treatment plan. Some new evidence indicating that low levels of exercise (active recovery) during the rest period will speed recovery. Moderate exercise has also been shown to increase immunity. Total recovery can take several weeks and includes proper nutrition and stress reduction.
 
Many cases of overuse injury can result in serious difficulties including:

Patellar pain syndrome - an alignment problem in the knee caused by overtraining - is one of today's most frequent diagnoses, even though this condition had never been seen before in kids until the explosion of organized sports. Talk of stress fractures, tendinitis, and bursitis is no longer confined to pro athletes; today conversation about these topics can be overheard routinely in high school locker rooms.

Certain overuse sports injuries, such as "Little League elbow," which refers to shear damage to the growth cartilage in the elbow joint caused by repetitive whipping motions of the arm, are seen exclusively in child athletes because of the softness of their growing bones and relative tightness of their ligaments and tendons during growth spurts.

Other overuse sports injuries found mostly in children include osteochondritis dissecans of the knee and ankle (repetitive grinding together of bones in those joints causes damage to the growing surface cartilage, and may result in pieces of dead bone and cartilage dropping into the joint and causing serious damage); Osgood Schlatter's syndrome (inflammation at the point where the tendon connects the kneecap to the very top of the shinbone); and os calcis apophysitis (inflammation at the point where the Achilles tendon attaches to the heel).

Unlike acute sports injuries such as sprains, strains, bruises, and breaks, which the Consumer Products Safety Commission announces can result in four million emergency room visits every year, the exact prevalence of overuse injuries is difficult to ascertain. This is because the symptoms of overuse injuries develop over time, and do not require immediate emergency care. Suffice it to say overuse injuries in kids' sports are so common that pediatric sports medicine clinics such as the one at Boston Children's Hospital have opened to respond to the problem, and, as seen above, we've had to come up with medical names for them.

One of the most disturbing aspects of overuse injuries is their insidiousness. Often kids won't admit to being sore - they may just drop out of sports abruptly, often for life. When injuries go undetected, the damage to a growing child's hard and soft tissues can be permanent. Evidence suggests that overuse injuries sustained in childhood may continue to cause problems in later life - resulting in arthritis, for instance.

Since overtraining is the most common cause of overuse injury, the most effective way to prevent overuse injuries is to ensure kids are being coached by qualified personnel. The National Center for Sports Safety has just introduced a sports safety course called PREPARE. The course is available online at www.SportsSafety.org and covers important topics ranging from blisters and sprains to life-threatening head and neck injuries. PREPAREgives coaches and parents the knowledge and confidence to respond to emergencies until professional help arrives. If you are close to children who are participating in organized sports, you may want to encourage their coaches to take this course.

Another important measure is to make sure kids have a proper pre-season physical every year to rule out underlying conditions that might predispose them to overuse injury - These include anatomical abnormalities such as knock knees, flat feet, and swayback, for instance. Finally, if kids want to participate in strenuous sports, they should be fit enough to do so - a properly-performed pre-season physical should rule out fitness deficiencies, and recommend an exercise program.

It's exciting to see happy, healthy, confident youngsters with a glint in their eye expressing how much they are enjoying sports. By detecting and reducing overuse injuries we can make sports a safer and even more rewarding environment for these young athletes. Do your part by sharing the important information in this article with the children, adolescents, and their parents in your life!
 
 
Note: Our article is based on material developed by Dr. Micheli, who co-founded and is director of the world's first sports medicine clinic for children, located at Boston Children's Hospital. He is also the chairperson of the Massachusetts Governor's Committee on Physical Fitness and Sports, and a past president of the American College of Sports Medicine. Please visit http://www.childrenshospital.org/clinicalservices/Site1172/mainpageS1172P0.htmlWe've also included information from Elizabeth Quinn. For more information, see http://sportsmedicine.about.com/od/children/a/overusekids.htm.
 
Additional sources:
 
Uusitalo, A.L.T., Tahvanainen, K.U.O., Uusitalo, A.J., Rusko, H.K.: Does increase in training intensity vs. volume influence supine and standing heart rate and heart rate variability. Overtraining and Overreaching in Sport - Congress, Memphis, Tennessee, 1996.

Uusitalo, A., Hanin, Y., Rusko, H.: Effect of exhaustive training on mental state, autonomic regulation and hematological parameters. Int. Congress on applied research in sports, Helsinki, 1994.

Kirwan JP, Costill DL, Flynn MG, et al: Physiological responses to successive days of intense training in competitive swimmers. Medicine and Science in Sports and Exercise 1988;20(3):255-259
 
 
Thanks for reading.
 
Yours in health,
Maggie

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