Dr. Richard P. Brown & Dr. Patricia Gerbarg
 
Invite You to
  
Have A Healthy Mind
  
A Newsletter for Integrative Treatments
 January - March 2014 

 
Integrative Psychiatry

This year we are moving forward with new mind-body research and program initiatives. In the research section below you will find an abstract of a randomized controlled study in patients with Inflammatory Bowel Disease (Ulcerative Colitis and Crohn's Disease) by Jacobs, Gerbarg, Scherl, Stevens, Brown et al. and a study showing cognitive improvements and genomic changes in patients with schizophrenia (Smith,Boules, Maayan, Gerbarg, Brown, Visceglia, et al.). A recent randomized controlled study in schizophrenic patients by Jayaram, Varambally, Behere, et al. (Indian J Psychiatry 2013) showed that oxytocin levels rose significantly in those who participated in yoga. This is an important finding that supports our hypothesis that mind-body practices can improve bonding, connectedness, and relationships by increasing prosocial hormones such as oxytocin, the "cuddle hormone." A randomized controlled study with Principal Investigator, Dr. Chris Streeter (Boston University Medical Center) is underway to explore the effects of Iyengar Yoga and Coherent Breathing on brain GABA levels in adults with depression.

 

The need for mind-body programs for children of all ages is acute. Children need to learn healthy methods to cope with stress, self-regulate emotions, focus attention on learning, acquire social skills, and overcome the adverse effects of excess academic pressure, family dysfunction, abuse, peer pressure, and trauma due to medical illness, violence, terrorism, and war. Some withdraw into fantasy video games. Many turn to dangerous escape methods such as substance abuse, violence, or gang involvement. We are encouraging groups working with children to network, share ideas, and find creative ways to introduce effective mind-body programs in schools, mental health systems, social services, military family services, hospitals, and disaster preparedness and relief programs.  Towards this end we are participating in the Breathe and Heal for Children workshop April 4-5, 2014 in Geneva NY. In addition, a workshop on teaching mind-body practices to children is being planned for the Columbus Day weekend (Oct 10-13, 2014) at Kripalu.  (See below)

 

Although several mind-body treatments have shown benefits in relieving combat-related stress and trauma among veterans and active duty military, so far, none have shown strong, consistent results.  Developing effective, affordable, non-stigmatizing approaches for military PTSD and brain trauma is essential for the recovery of thousands of brave men and women and their families. (Brown RP and Gerbarg PL. Complementary and Integrative Treatments in Brain Injury in Textbook of Traumatic Brain Injury, Second Edition, edited by Silver JM, McAllister TW, and Yudofsky SC, American Psychiatric Press, Inc. Washington, DC, 2011. Pp. 599-622.) Breath~Body~Mind workshops have been given to veterans, active duty recently deployed soldiers, and women veterans with military sexual trauma with positive effects. We are looking to provide more such programs and we encourage collaboration with military basis and veterans organizations. (Gerbarg, P. & Brown, R. (2011). Mind-Body Practices for Recovery from Sexual trauma. In T. Bryant-Davis (Ed.) A Guide to Recovery and Empowerment, Rowman & Littlefield, 199-216.)

 

Join Our List

Join Our Mailing List
 
How to Use Herbs, Nutrients, and Yoga in Mental Health Care
Available at  www.wwnorton.com

healing power of the breath
Available at
www.amazon.com 

Non Drug Treatments for ADHD
Available at

Rhodiola Revolution
Available at
Quick Links

 

Dr. Richard P. Brown 

& Dr. Patricia Gerbarg 

 

Heather Mason
The Minded Institute

 

Serving Those who Serve

 

Amy Weintraub
LifeForce Yoga

 

 Respire-1 CD
 
Kripalu Center for Yoga
www.kripalu.com

Joyful Breath Yoga Therapy 
Joy Bennet 
www.joyfulbreath.com  
 
The b r e a z e
Samuel Jakob Kirschner

Manage Your
Subscription

If you wish to be removed from our email list, or if you would like to update your email address,
please see the links at the bottom of this newsletter.

Conferences, Workshops, and Webinars

Learning to Teach Breath~Body~Mind Practices

Featured Teachers: Amy Weintraub and Samuel J Kirschner

New Research

 

Learning to Teach Breath~Body~Mind Practices

 

Many yoga teachers and healthcare professionals write to ask us how they can learn to teach B~B~M practices to their students, clients, and patients.

 

     Whether you want to add some B~B~M techniques to your current therapeutic repertoire or whether you want to become a certified Breath~Body~Mind teacher, it all begins with participation in the basic Breath~Body~Mind Workshop.  Once you have learned the core techniques, the next step is to practice regularly, preferably at least 20 minutes once a day.  This will begin the process of self-healing, balancing and strengthening of your nervous system, stress response, and emotional well-being.  If you are unable to attend a workshop in person, you can begin by working with The Healing Power of the Breath, our book and CD set. You can also participate in our live webinar scheduled for August 15-16.

     After practicing for several months, you may apply to participate in the 6 day teacher Training Program at Kripalu (July 27-Aug. 1, 2014). There you will learn how to teach the core B~B~M techniques. We encourage new graduates to start by teaching one-on-one and by assistant teaching in B~B~M workshops to gain experience in working with groups. Additional workshops and teaching opportunities further develop teaching skills. See below for upcoming B~B~M Workshops.
 
______________________________

 

SAVE THE DATES for 2014

See more details and registration information below. 

  

March 14-16   Breath~Body~Mind™ Workshop - Kripalu Yoga Center, Lenox MA 
      (http://www.kripalu.org/presenter/V0004595/richard_p_brown)

March 23 -  24 or 25 Breath~Body~Mind™ Workshop with Serving those Who Serve       (www.STWS.org) Manhattan

April 4 - 5 2nd Annual Breathe and Heal Children. Focused on mind-body programs         for children to improve emotion regulation, attention, and behavioral problems. In       Geneva, New York. 

May 3 - 7  American Psychiatric Association Annual Meeting in New York
     May 4   12:30-2 pm - #5135 Mind-Body Programs for Psychiatry residents
     May 5   9 am-4 pm - Course #5311 - Breath~Body~Mind™ Experiential
     May 6   9 amd-12 - Symposium #5232 - CAM for ADHD
     May 7   9-10:30 am - Workshop Mind-Body treatments for for Schizophrenia

June 5 - 7  SYTAR Symposium on Yoga Therapy and Research

June 23 - 27  Breath~Body~Mind™ at the Cape Cod Institute 

July 27-Aug 1 Breath~Body~Mind™ Level 1 Teacher Training, Kripalu Yoga Center

Aug 15 - 16  Breath~Body~Mind™ Workshop and Live Online Webinar Fellowships         of the Spirit, Lilly Dale, NY

October 10 - 13 Teaching Mind-Body Programs for Children. Kripalu Center

 
 

 _____________________________

 

 

Breath~Body~Mind® Workshop for Transformation and Well-Being

March 14 - 16, 2014

Dr. Richard P. Brown, Dr. Patricia Gerbarg

Kripalu Center for Yoga & Health, Lenox, MA 01262

 

Based on extensive research, this workshop with medical doctors Richard P. Brown and Patricia Gerbarg combines a variety of effective breathing techniques to relieve stress and improve mood, mental focus, and heart and lung function. These benefits have been enjoyed by health-care practitioners, yoga teachers, military veterans, individuals with anxiety, depression, PTSD, ADD, cancer, Lyme disease, lung problems, toxic exposures, and victims of terrorism, war, and natural disasters. Many people who have practiced these techniques say they have been transformed, and that they never would have imagined something so simple could be so powerful and helpful.

This workshop includes movement, breathing, and relaxation techniques designed to:

  • Increase your stress resilience and renew your energy
  • Release tension, dispel anxiety, quiet your mind, and help you sleep soundly
  • Increase lung capacity, oxygenation, and cardio-respiratory health
  • Improve recovery from negative life experiences or trauma
  • Connect you to your inner self and others
  • Improve relationships and empathic abilities.

Dress in casual layers and eat lightly before opening night. Tuition includes manual and Breath-Body-Mind Level-1 CD.

Note Prior to this workshop Recommended reading, listening, practicing: Richard P. Brown, Patricia Gerbarg, book and CD set The Healing Power of the Breath

Coherent Breathing using Steve Elliot's CD Respire-1 Coherence, available at www.coherence.com

This program is eligible for CE Credits

Information and Registration: toll free: 1-800-741-7353 http://www.kripalu.org/presenter/V0004595/richard_p_brown

_______________________________________________

 

Breath~Body~Mind© Workshop Level 1

Dr. Richard Brown and Dr. Patricia Gerbarg

Sponsored by Serving Those Who Serve (www.STWS.org)

Day 1: Sat. March 23, 2014 from 9:00 am to 5:00 pm

Day 2: either March 24 from 3 - 6 pm or March 24 from 7 - 9 pm

Location: TBA in Manhattan

 

Open to the general public, the 9/11 Community, Veterans, Military personnel, survivors of Hurricane Sandy, survivors of school attacks, and health care providers

Breath~Body~Mind is a unique fusion of breath, movement and meditation techniques derived from yoga, Qi Gong, orthodox Christian monks, Buddhism, and modern science. These powerful self-regulation techniques relieve anxiety, improve focus and increase well-being. Coherent Breathing, Resistance Breathing, and Breath Moving enhance and optimize brain, heart, and lung function while stimulating the healing, calming, recharging parts of the nervous system. Open Focus meditation can be used to relieve physical and emotional pain. Bring mats, blankets, pillows, etc. to feel warm & comfortable sitting and lying on the floor.  

Registration:   www.stws.org. Contact: Nehemiah at 212-531-2276 or Jose at 212-580-8043

 

Serving Those Who Serve (STWS), a non-profit group provides services to people suffering from physical and emotional illnesses related to the NY September 11th World Trade Center Attacks. The 9/11 Community includes First Responders, Ground Zero workers, WTC workers and their families, and area residents. STWS sponsors our Breath~Body~Mind© program for relief of physical and emotional distress as well as for personal development. Workshops are open to the public and a portion of the profits are donated to STWS. In addition to positive feedback from participants, preliminary research data indicate significant improvement in anxiety, depression and post-traumatic stress symptoms.

 

STWS also provides Ayurvedic herbs (at cost) to help detoxify people exposed to chemical fumes from the WTC attacks and from working at Ground Zero.  James J. Dahl, Ph.D., Research Director, Phoenix House Foundation, and Dr. Katherine Falk reported on a web-based survey of 50 people affected by the WTC attacks who were treated with Breath~Body~Mind and these Ayurvedic herbs. All 50 respondents had significant improvements in long standing, intractable respiratory symptoms, fatigue, and depression that had not responded to standard treatments. This article appeared in Alternative Therapies in Health and Medicine. Jan/Feb 2008; 14(1):24-48.  


 

2nd Annual Breathe and Heal....Children
with Dr. Richard P. Brown and Dr. Patricia L. Gerbarg

April 4 - 5, 2014
Friday 8:15 am - 6 pm & Saturday 9 m - 12 noon

Geneva, New York

 

Emotion dysregulation, attention disorders and behavioral problems have a negative impact on academic and social development. Teachers and healthcare providers need new tools to help students overcome the effects of stress, overstimulation and trauma. Breath~Body~Mind™ teaches simple movements, breathing and relaxation methods that can be used in classrooms, at home and in medical settings to enable students to feel calmer and more focused. 

 

Dr. Brown and Dr. Gerbarg will review scientific studies demonstrating that Breath~Body~Mind™ practices improve emotion regulation, stress resiliency, anxiety, PTSD, attention, cognitive function and behavior. They will also guide participants through experiential learning of the practices. School teachers will describe how they have successfully incorporated these techniques into their classrooms.

Information and registration: http://www.haveahealthymind.com/images/Breathe_and_Heal_Children-4-14.pdf

_____________________________________________________

 

The Cape Cod Institute

National Seashore at the Nauset School, 100 Cable Road, Eastham, MA

 

Evidence-Based Breath~Body~Mind Techniques

 for Personal Transformation, Stress-Resilience, and Wellbeing

Richard Brown & Pat Gerbarg

June 23-27, 2014

 

Turning on the body's innate healing systems is the most effective, sustainable approach to mental and physical health.  Through scientific study, specific mind-body techniques are being developed to rapidly and safely relieve emotional distress, psychiatric disorders, physical illnesses, and pain, and to enhance emotion regulation, interpersonal relationships, and performance in school, work, athletics, and the arts.

 

Breath~Body~Mind programs teach Qigong movements, breathing practices and meditations for self-development and for work with mental health patients, military groups, medical patients, and adults and children affected by mass disasters. Children in hospitals, schools, and special educational settings have also benefited. The neurophysiological basis for the effects of breathing practices will be discussed in concert with relevant clinical studies.

Participants will learn the core Breath~Body~Mind movement, breathing, and meditation practices. Each session includes didactic and experiential components.

 

Monday: Voluntarily Regulated Breathing Practices and Experiential

  • Voluntarily Regulated Breathing Practices (VRBPs) open a portal to the autonomic nervous system, whereby it is possible to send messages through interoceptive systems that have profound effects on perception, cognition, emotion processing and regulation, and stress response systems
  • Experiential: Qigong Movements - 2 Golden Wheels and 4-4-6-2; Breathing - Coherent, Resistance (Ujjayi), Breath Moving, "Ha" breath; Body Scan, Open Focus Meditation, Group process

Tuesday: Neurophysiology and Clinical Studies and Experiential

  • Neurophysiology of PTSD and Clinical Studies of Breath~Body~Mind for Generalized Anxiety Disorder, Military PTSD, Inflammatory Bowel Disease, and Schizophrenia (Genomic and Cognitive Effects)
  • Qigong Movements 3 Golden Wheels and 4-4-6-2; Breathing - Coherent, Resistance, Breath Moving, "Ha" breath; Body Scan, Beginning Open Focus Meditation with Heart Focus

Wednesday: Mass Disasters and Experiential

  • Clinical studies of breath-focused programs following mass disasters: 2004 Southeast Asia Tsunami, 9/11 World Trade Center Attacks, Gulf Horizon Oil Spill, war, and slavery in Sudan. This presentation includes film clips of programs for disaster relief following the earthquake in Haiti, liberation of slaves in South Sudan, and work with polio victims in Sudan 
  • Qigong Movements 4 Golden Wheels and 4-4-6-2; Breathing - Coherent, Resistance, Breath Moving, "Ha" breath; Body Scan, Open Focus Meditation for Dissolving Pain

Thursday: Neuro-psychoanalysis, Trauma, and Bonding and Experiential

  • Clinical cases of rapid, permanent resolution of long-standing trauma formations and PTSD symptoms-anxiety, disconnectedness, numbing, and somatic delusions-illuminate processes through which breathing practices activate innate neuro-psycho-immuno-endocrinological systems involved in neuroplasticity, healing, homeostasis and resetting of the nervous system to 'normal'
  • Qigong - 4 Golden Wheels and 4-4-6-2; Breathing - Coherent, Resistance, Breath Moving, "Ha" breath, Vibrational Breathing; Open Focus Meditation for Dissolving Pain, Group process
  • Demonstration of how to teach breathing practices to patients. Participants practice teaching breath techniques with faculty supervision

Friday: Practice Teaching and Healing with Sound

  • Qigong - 4 Golden Wheels, 4-4-6-2; Breathing - Coherent, Resistance, Breath Moving, "Ha" breath, Vibrational Breathing; Open Focus Meditation for Pain
  • Participants practice teaching breath techniques with faculty supervision
  • Group Healing Process using sound

See: http://www.cape.org/2014/richard_brown_patricia_gerbarg.html#sthash.fETTOTR9.dpuf

 

 
The Cape Cod Institute is known for the excellence of the courses and workshops it offers for psychotherapists, organizational consultants and members of other professions who apply behavior science in their work. The week-long programs, taught by leading thinkers and doers, draw participants from every continent. Classes take place in the mornings of a five day week, leaving the remainder of the time free for study, leisure, and networking with colleagues in a beautiful setting. The Cape Cod Institute was founded by Gilbert Levin, Ph.D. while a professor at the Albert Einstein College of Medicine. Gil has been a researcher, teacher, and program developer for more than forty years and is now professor emeritus in epidemiology and psychiatry. 

See: http://www.cape.org/about.html#sthash.zM6OEtx9.dpuf

_______________________________________

 

 

Breath~Body~Mind® Teacher Training

July 17 - Aug 1, 2014

Dr. Richard P. Brown, Dr. Patricia Gerbarg, Heather Mason, Joy Bennett

Kripalu Center for Yoga & Health  Lenox, MA 01262

 

Training for therapists, healthcare providers & yoga therapists at Kripalu Center for Yoga in Lenox, MA. This is a 6-day certificate training program with CEUs for yoga teachers, therapists, health care providers, and disaster relief workers with Dr. Richard Brown, Dr. Patricia Gerbarg, Heather Mason (The Minded Institute), and Joy Bennett (Joyful Breath Yoga Therapy). Learn how to incorporate healing techniques into your personal practice and therapeutic work. Learn how to practice and teach trauma-sensitive movement, breathing, and meditation. Watch for listing/registration at www.kripalu.org.

 

Preparation: It is highly recommended that you complete at least one B~B~M weekend workshop and practice the breath techniques regularly prior to this training (see March-June Workshops above). Alternatively, you may choose to learn and practice the techniques by studying The Healing Power of the Breath. An additional practice CD is the Respire-1 CD available at www.coherence.com.  Exceptions can be made for those with prior experience in teaching breathwork.

 

Registration: http://www.kripalu.org/presenter/V0004595/richard_p_brown

                     or call 1-800-741-7353

This Program is eligible for 22 CE Credits 

 
Required Reading: 
The Healing Power of the Breath by Richard P. Brown & Patricia L. Gerbarg. Shambhala Press 2012. Winner 2013 Nautilus Silver Book Award

Recommended reading: RP Brown & PL Gerbarg, Non-Drug Treatments for ADHD. 2012 (WW Norton). Winner 2013 Nautilus Gold Book Award.

RP Brown, PL Gerbarg, and PR. Muskin, How to Use Herbs, Nutrients, and Yoga in Mental Health Care 2009 (W.W. Norton). Winner National Best Book Awards 2009 - Health Alternative medicine -First Place; Living Now Book Awards 2010 - Health/Wellness -Bronze; International Book Awards 2010- Health: Alternative Medicine - First Place

________________________________________

 

Live and On-Line Webinar Breath~Body~Mind®

August 15-16, 2014

Dr. Richard P Brown & Dr. Patricia Gerbarg

Fellowships of the Spirit, Lily Dale, NY

 

Come to Lily Dale, NY or join us online from the comfort of your home or workplace. You will be able to learn healing movement, breathing, and relaxation practices as well as participate in the discussion live. Watch for more information. Fellowships of the Spirit, Phone (716) 595-2159.

 


 

LifeForce Yoga® Practitioner Training 

for Depression and Anxiety: Level 1

Kripalu Center for Yoga and Health

Amy Weintraub LifeForce Yoga®

 

Amy Weintraub, MFA, E-RYT 500, director of the LifeForce Yoga® Healing Institute and author of groundbreaking Yoga for Depression and 
Yoga Skills for Therapists, has been a pioneer in the field of yoga and mental health for more than 20 years. She trains health and yoga professionals and offers workshops for practitioners. The LifeForce Yoga protocol is being used in residential treatment centers, hospitals, and by health-care providers throughout the world. Amy is involved in research on the effects of yoga on mood, and has produced an award-winning library of evidence-
based yoga and meditation CDs and DVDs for mood management.

 

Dr. Richard P Brown and Dr. Patricia Gerbarg will serve as guest faculty on Thursday July 11.

Registration and information: http://www.kripalu.org/presenter/V0000253 or 800-741-7353 

______________________________________

 

 

Featured Teachers - Amy Weintraub and Samuel Jakob Kirshner

 

Amy Weintraub Created LifeForce Yoga. Author of the highly the acclaimed books Yoga for Depression and Yoga Skills for Therapists. Yogafordepression.com

 

Jan 12-19, 2014 Tucson, AZ  LifeForce Yoga Practitioner Training For Depression & Anxiety - Level 1

Learn and practice simple Yoga tools to empower your clients and students to manage their moods. CEUs for mental health professionals and yoga teachers.  Yogafordepression.com/practitioner-training/

 

Feb 6-10, Paradise Island, Bahamas Yoga for Mood Management: LifeForce Yoga Practitioner Training, Part A - Experiential workshop is open to all with Yoga experience.  Take this program for your own self-care. CEUs for mental health professionals and yoga teachers. Sivanandabahamas.org/course.php?course_id=3738

 

Feb 14-17, Stockbridge, MA - Kripalu Center  LifeForce Yoga for Your Mood: I Am Bliss and So Are You. Come home to the joy that is your birthright as Amy guides you through practices to clear the space and let your radiant Self shine.  CEU's  yogafordepression.com/events/i-am-bliss-and-so-are-you-workshop-description/

 

Mar 14 - 16, Watsonville, CA - Mount Madonna  LifeForce Yoga to Manage Your Mood: Depression & Anxiety. Learn and practice yoga breathing, mantra chanting, mudras and accessible postures.  CEUs. Yogafordepression.com/events/lifeforce-yoga-manage-your-mood/

 

Mar 20 - 23, Washington, DC  Psychotherapy Networker Symposium. Amy will be leading morning yoga, afternoon meditations, a full Creativity Day workshop, along with a clinical presentation featuring yogic tools to manage depression and anxiety.   www.psychotherapynetworker.org

 

Mar 28 - 30, Silver Spring, MD - Willow Street Yoga   Body-Mind over Mood: Empowering Self-Regulation. These timeless yoga techniques are appropriate for home practice, yoga classes, yoga therapy and clinical mental health and medical settings.  All are welcome, regardless of. CEUs. http://willowstreetyoga.com/workshops-events

 

Apr 4 - 11, Buckingham, VA - Satchidananda Ashram LifeForce Yoga Practitioner Training for Depression & Anxiety - Level 1.   Learn and practice simple Yoga tools to empower your clients and students to manage their moods. CEUs for mental health professionals and yoga teachers. Yogafordepression.com/practitioner-training/

 

Apr 24 - 27, Minneapolis Yoga Conference. Amy will be presenting at this conference discussing yogic tools to manage depression and anxiety.  www.mplsyogaconference.com

 

May 23 - 26, Stockbridge, MA - Kripalu Center LifeForce Yoga and Internal Family Systems for Your Anxious Parts.  Experience a gentle evidence-based yoga protocol to help you self-soothe and clear your mind, as you work with your manager parts, your acting out parts and those tender young exiled parts from a place of compassionate self-awareness that is your Self.  CEU's. http://kripalu.org/presenter/V0000253/amy_weintraub

 

May 30-Jun 1  Big Sur, CA - Esalen  LifeForce Yoga to Manage Your Mood: Depression & Anxiety.  Let Amy help you design an individualized practice to meet your own constitution. CEUs. www.esalen.org/workshop/weekend-may-30-june-1/lifeforce-yoga%C2%AE-manage-your-mood

 

Jul 6- 3, Stockbridge, MA  LifeForce Yoga Practitioner Training for Depression & Anxiety - Level 1

Simple Yoga tools to empower your clients and students to manage their moods. CEUs for mental health professionals and yoga teachers. Yogafordepression.com/practitioner-training/

 

Oct 17-19, Buckingham, VA - Yogaville  LifeForce Yoga to Manage Your Mood: Depression & Anxiety

In this inspiring workshop, you will learn breathing exercises, easy postures, guided meditations, and other tools for managing your mood. CEUs for Yoga Teachers. Yogafordepression.com/events/lifeforce-yoga-manage-your-mood/ 

_________________________________

 

Samuel Jakob Kirschner Created The b r e a z e

 a 5-step practice of breathing and connecting to love and ease.

 

Samuel brings his deep experiences of life, his study of mind-body practices, and his love of music and dance to his teaching. He is a guest teacher for many of our programs.  A gifted teacher of teenagers, he is also talented in working with people who have mental health issues, for example as one of the mind-body teachers in our study of schizophrenic patients. Students enjoy his playful humor and creative use of movement, imagery, and music. As Samuel writes, "Moving ourselves from fear, stress, and control to breath, heart and soul, we are helping the world to move toward more well-being, calm and joy. We can be Artists of living @ the pace of the breath, in a sacred manner and in celebration, moment by moment, breath by breath."

To read the story of how Samuel, by surviving his personal crisis, developed b r e a z e, visit http://www.artistsofliving.com/samuel-j-kirschner/.

Samuel offers the 21 - day E-course b r e a z e. http://www.artistsofliving.com/21-days-of-the-breaze/

 
 _____________________________
 

 New Research

 

Poster No. P1064. 78th Annual Meeting American College of Gastroenterology, 

San Diego, CA 10/14/13  

The Effect of Breathing, Movement, and Meditation on

Psychological and Physical Symptoms and Inflammatory Biomarkers in Inflammatory Bowel Disease: Randomized Controlled Trial

 

Vinita Jacobs MD, Patricia Gerbarg MD, Laurie Stevens MD, Brian Bosworth MD, Richard P. Brown MD, Fatiha Chabouni MD, Ersilia M. DeFilippis, Ryan Warren, Michael Harbus, Paul J. Christos DrPH, Ellen Scherl MD

 

Jill Roberts Center for Inflammatory Bowel Disease, Weill Cornell Medical College, NY, Dept of Psychiatry, Columbia University College of Physicians and Surgeons, NY, Dept of Psychiatry, New York Medical College, NY, Division of Biostatistics and Epidemiology, Weill Cornell Medical College

 

Background: Conventional treatments for Inflammatory Bowel Disease (IBD) focus on ameliorating symptoms and inflammation through pharmacological interventions and patient education to enhance medication adherence. Due to the limitations in the efficacy of conventional medical treatments, many patients turn to complementary and alternative medicine (CAM). Although studies have found that mind-body practices can reduce symptoms and inflammatory markers in medical conditions, there are very few studies of their effects on IBD.

Objective: To evaluate, as adjunctive treatments, the short and long-term effects of the Breath-Body-Mind Workshop (BBMW) followed by weekly follow-up sessions on QoL, anxiety, depression, perceived stress, physical symptoms, and inflammatory markers in patients with IBD in comparison to an Education Seminar.

Methods: 30 patients with IBD were randomized to either the BBMW intervention group or the Education Seminar (ES) control. Patients continued their conventional treatment regimens throughout the study. BBMW provided 9 hours of group instruction over 2 days, including gentle Qigong movements, Coherent Breathing at 5 breaths per minute and a brief relaxing meditation. The control group received education sessions on IBD management for the same number of hours as the BBMW intervention. The following measures were obtained at baseline, 6 weeks, and 26 weeks:

                Brief Symptom Inventory (BSI-18) - 18 items assess physical and psychological symptoms. 

                Beck Anxiety Inventory (BAI) - 21 items. 

                Inflammatory Bowel Disease Quality of Life Questionnaire (IBDQ) 

                Beck Depression Inventory (BDI) - 21 items. 

                Perceived Disability Scale (PDS) - 10 items. 

                Perceived Stress Scale (PS) - 30 items.

                Fecal Calprotectin and C-Reactive Protein (CRP) - inflammatory markers

Results:Median change in scores from baseline: There was significantly greater improvement (reduction) in BSI at 6 and 26 weeks in BBMW group compared to ES control. At 26 weeks BSI scores worsened in ES group. There were significant improvements in mean scores on BSI, BAI, and IBDQ for BBMW group at week 6 and improvements persistent at week 26 in BBMW group compared to the baseline. There were statistically significant improvements in mean scores on PDS and PS at week 26 in BBMW group compared to ES control.  At week 26, Mean C-reactive protein (CRP) values showed significant improvement in the BBMW group compared to baseline (p = 0.01). No significant change occurred in CRP in the ES group.

Conclusions: Breathing, movement, and meditation interventions that emphasize Voluntarily Regulated Breathing Practices (VRBPs) may have significant and long lasting benefits for IBD symptoms, quality of life, anxiety and depression, as well as inflammation, as indicated by a significant reduction in C-reactive protein. The Beath~Body~Mind™ workshop is a promising adjunctive treatment for IBD that warrants further study.

________________________________

 

 

Presented at 14th International Schizophrenia Congress, Orlando, Florida, April 22, 2013.

 

Effects of Yoga on Cognition, Psychiatric Symptoms, Weight and Biochemical Changes in Chronic Schizophrenic Patients

  

Robert C. Smith MD PhD, Merlyn Mathew BA, Lawrence Maayan MD, Patricia L. Gerbarg MD, Richard P. Brown MD, Elizabeth Visceglia MD, Henry Sershen, PhD, Abel Lajtha PhD, Sylvia Boules MD, James Auta, PhD, Alessandro Guidotti, MD, John M. Davis, MD

 

National Kline institute for Psychiatric Research, Dept Psychiatry NYU Medical School, Psychiatric Institute University of Illinois, New York Medical College, Columbia University Medical School

  

Introduction:  A few studies have suggested that Yoga may be effective in improving psychiatric symptoms, quality of life, and cognition in schizophrenic patients. Studies in non-psychotic patients with type -2 diabetes show Yoga effects on weight reduction and improvement in glucose-lipid parameters.  Studies in non-psychotic patients have also shown reduction in cortisol, TSH and alteration in ACTH response. Studies of response in glucocorticoid receptors in brain and blood cells have shown that behavioral treatments related to maternal care, maternal depression or stress and childhood abuse can alter glucorticoid receptors and their epigenetic control. We present results from a preliminary study of the effects of Yoga on these multiple aspects of clinical, cognitive, and biochemical response in schizophrenic patients.

Methods: We conducted a study of Yoga in 21 chronic schizophrenic outpatients (schizophrenia or schizoaffective diagnosis) who participated in 12 weeks (1-hour sessions 3x/week) of Hatha Yoga (group 1) or later a modified Yoga concentrating more on Qigong movements and procedures (group 2). Both groups practiced Coherent Breathing, gentle breathing at 5 breaths per minute with equal inhalation and exhalation. Patients entered had BMI ≥27.5, and/or fasting glucose >100mg. Subjects were evaluated at baseline and end for a) Cognition (RBANS), b) Psychiatric Symptoms (PANSS), c) glucocorticoid receptor mRNA in lymphocytes, and  d) appetite measures in response to a test meal. They were evaluated monthly fore) fasting glucose and lipid measures, f) cortisol, ACTH, TSH, and g) weight and waist measures. Statistical analysis used paired sample t-test and repeated measures analyses of variance.

Results: 3 months of 1-hour Yoga treatments 3 times per week produced significant  increases in Cognitive Scores  on  RBANS Total Scores  and Sum of Index Scores (P=.001) and increases in RBANS sub-scores of  Attention, Delayed Memory, Figure Copy, Visual- Spatial Construction, Semantic Fluency and Language Index.  There were no significant changes in PANSS scores, although there was a trend for decrease in Depression factor (P=.08) and PANSS General Factor (P=.06), and other scores showed a slight trend for decrease. There were no significant changes in weight or glucose and lipid measures, but Waist and Hip circumference significantly decreased (P=.001). In test meal volume of meal consumed as decreased after Yoga treatment. There was a trend (P=.2) for increase in serum ACTH and a tendency for increased cortisol in Yoga group 2. Serum cortisol and ACTH were highly correlated at baseline (r=.69, P=.001), but not correlated by 8 or 12 weeks of Yoga treatment (r's= 0.07.-.0.13). In preliminary analysis of data from Yoga group 1, 9 patients showed approximately 50% increase in lymphocyte glucocorticoid receptor mRNA (GR mRNA 4.51 vs. 2.08, P=.030).

Conclusions: Our results suggest that Yoga improves cognitive function in schizophrenic patients and may modify glucocorticoid receptor function.  Studies with appropriate controls, including exercise controls, are needed to further specify these effects. Longer periods of breathwork while walking may produce stronger effects.

___________________________________

 

 

 Scientific Insights on some Healing Effects of Mind-body Practices

 

Breath~Body~Mind workshops teach natural methods to enhance stress resilience, mental and physical energy, and connectedness to the true self.  Coherent Breathing and Breath Moving awaken the three important energy centers for wisdom, love, and vitality.

Whenever we adapt to change, stress occurs, depleting energy reserves and leaving impressions within our mind-body nervous systems. Accumulated stress creates layers of reactions and defenses that block access to our true, natural self and interfere with our perception of others. Gentle Qigong movements, Breath Practices and Open Focus meditation enhance mental clarity and awareness of our self and others.

Breath practices provide a portal to directly communicate with the body's interoceptive (internal sensory) network, the moment-to-moment dialogue between the mind and the body. By changing the pattern or our breathing we can change the messages sent from the body to the brain and thereby influence how we think, feel, perceive, and regulate autonomic functions, including heart rate, blood pressure, digestion, energy utilization, immune function, and stress response.

For more in-depth scientific information, see our books, radio interviews and articles listed in our biographies on this website.

____________________________________________

   

 Scientific Notes on some Healing Effects of Mind-body Practices


Breath~Body~Mind workshops teach natural methods to enhance stress resilience, mental and physical energy, and connectedness to the true self. Coherent Breathing and Breath Moving awaken the three important energy centers for wisdom, love, and vitality.

Whenever we adapt to change, stress occurs, depleting energy reserves and leaving impressions within our mind-body nervous systems. Accumulated stress creates layers of reactions and defenses that block access to our true, natural self and interfere with our perception of others. Gentle Qigong movements, Breath Practices and Open Focus meditation enhance mental clarity and awareness of our self and others.

Breath practices provide a portal to directly communicate with the body's interoceptive (internal sensory) network, the moment-to-moment dialogue between the mind and the body. By changing the pattern or our breathing we can change the messages sent from the body to the brain and thereby influence how we think, feel, perceive, and regulate autonomic functions, including heart rate, blood pressure, digestion, energy utilization, immune function, and stress response.
For more in-depth scientific information, see our books, radio interviews and articles listed in our biographies on our website.
 ___________________________________

Reprogram With Healthy Habits and Warm Fuzzies:  
Trumping Addictions and Compulsions
By Patricia Gerbarg, MD & Richard P Brown, MD
 
Humans are incredibly adaptable, brilliant learners. Advances in neuroscience show that we have a brain that is capable of changing itself [1]. While this confers enormous survival advantages, it also burdens us with unintended consequences: We can be reprogrammed to take pleasure from and crave almost anything...

 

 Book Awards

 

"The Healing power of the Breath"  

Nautilus Book Award - 2013 - Winner Second Place Silver  

Living Now Book Awards 2012 - Meditation/relaxation - Winner First Place Gold Medal

 

"Non-Drug Treatments for ADHD"

Nautilus Book Award - 2013 - Winner First Place Gold  

Independent Publisher Book Awards 2012 - Psychology and Mental Health - Winner First Place Gold

 

"How to Use Herbs, Nutrients, and Yoga in Mental Health Care"

National Best Book Awards 2009 - Health Alternative medicine - Winner First Place

Living Now Book Awards 2010 - Health/Wellness - Winner Bronze

International Book Awards 2010 - Health: Alternative Medicine - Winner First Place

International Book Awards 2010 - Psychology/Mental Health - Finalist

 

 

About the Authors

 

Richard P. Brown, MD, Associate Professor in Clinical Psychiatry, Columbia University Medical Center, NY is a psychopharmacologist and a certified teacher of Aikido (4th Dan), Yoga, Qi Gong, and meditation.

 

Patricia L. Gerbarg, MD, Assistant Professor in Clinical Psychiatry, New York Medical College, has a clinical practice in psychiatry and provides consultation for research on mind-body practices.

 

© Copyright to RP Brown and PL Gerbarg 2013