A mindfulness student recently experienced her body as beautiful during a body scan in class.  You may already have a positive self-image and feel good about your body. You may consider your body to be “the temple of the Holy Spirit.” Or you may have a negative body image, even hating your body. Whether you love your body or hate it, you can benefit from the body scan, a foundational practice from mindfulness-based stress reduction (MBSR).



Your compassionate human desire to take good care of others is critical to the well-being of your family, friends, co-workers and community – and taking good care of yourself is the foundation for your care of everyone else.  However, it is sadly true that we often take better care of others than we do of ourselves. It’s as if we need a new Golden Rule: Do unto yourself as you do unto others. We would never say or do to someone else some of the things we say and do to ourselves.



You and I have two primary modes of mental activity: the doing mode and the being mode. Although we are called human beings, we spend the majority of our time in the doing mode rather than the being mode.  Your “doing” mode is highly prized in our culture for schooling, work and career. It demonstrates your mastery and command of detail, data, thinking, intellect and your goal-oriented ability to get things done. We depend heavily on the doing mode to take care of all our daily affairs at home and work,….


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I will never forget my patient who developed Type 1, insulin dependent diabetes after her spouse was violently murdered. While there is no research supporting a causal link between the two, it seemed to us both that the intense emotional trauma of this sudden, tragic, life-altering loss was a contributing factor to the onset of her diabetes.

Since stress is a natural consequence of life, it cannot be reduced to zero, but effective management of stress can help prevent the onset of diabetes and help manage diabetes once it develops. Although we hear a lot about stress and intuitively know what it is, it isn’t easy to define. The American Institute of Stress says, “While everyone can’t agree on a definition of stress, all of our experimental and clinical research confirms that the sense of having little or no control is always distressful – and that’s what stress is all about” (www.stress.org).

Stress can involve your physical, mental, emotional and behavioral reactions to perceived danger. Even perceptions of danger that you are not consciously aware of can have an adverse impact on your physical, mental and emotional health. You are hard-wired to feel threatened by things that seem uncontrollable in your work life, home life and environmental surroundings. This lack of control often involves interpersonal relationships with other people and their behaviors, attitudes and positions of power or control over certain aspects of your life.

Due to our very old evolutionary hard-wiring, human beings respond to perceived threats by a set of responses, simplistically referred to as “fight, flight or freeze.” This hard-wiring was critical to our ancestors’ survival long ago. It helped them escape hostile predators and warring tribes. But today we can have this same reaction to our bank account balance, traffic, deadlines, co-workers, bosses, family members, computer hassles and our own internal experience of ourselves and the circumstances of our lives.

The short-term effects of the stress hormones cortisol and adrenaline include increases in certain bodily functions required to fight or flee, including blood flow to muscles and increased blood pressure, heart rate and breathing rate, as well as overall metabolic activity. If the stress is temporary, these changes usually return to normal without adverse health impacts. However, the long-term effects of elevated stress hormones include increased blood sugar (sometimes leading to or aggravating diabetes), high blood pressure, weight gain or loss, anxiety, depressionanger and irritability, muscle tension, head-aches, digestive problems, over or under-eating, sleeping too much or too little, impaired memory, teeth-grinding and many more symptoms.

Fortunately, there are several ways we can manage stress skillfully and effectively. Belonging to a supportive group of like-minded people who take health seriously and support one another is important. These groups may have special interests, such as physical activity, nutritional approaches to stress management or emotional well-being.

Sleep loss is a modern epidemic made worse by constant electronic connectivity and over-commitments. The most common complaint I hear from people who are having trouble sleeping is “I can’t turn my mind off.” Unlike our prehistoric ancestors who returned to baseline metabolic normality after the immediate threat was over, we can carry our internal and external stressors around in our head 24/7/365. You can learn to control this internal mental chatter. Several respected meditation programs can help you turn it down. There is increasingly good research supporting these programs’ effectiveness in stress management.

Transcendental meditation is a mantra-based technique that employs a silently repeated sound to gently focus the mind. Benson’s “relaxation response” is a similar approach that employs several mental and physical techniques to train the mind to remain focused and calm. Mindfulness-based stress reduction (MBSR) is a set of practices that utilize focused attention on the body, the breath, thoughts and emotions to train the mind to pay attention to the present moment. All three of these programs are highly regarded and highly recommended for relieving anxiety, depression, pain and the stress response that can aggravate diabetes.

The incidence of diabetes grew in every U.S. state between 50 percent and 100 percent between 1995 and 2010. This is a major public health problem, partly aggravated by stress. Thankfully, we have effective, non-drug approaches for managing stress. You can learn more from these sources:

•  National Institute of Mental Health Fact Sheet on Stress

•  Transcendental Meditation

•  Benson-Henry Institute for Mind Body Medicine (relaxation response)

•  Center for Mindfulness in Medicine, Health Care and Society


Dr. John Patterson is past president of the Kentucky Academy of Family Physicians and is board certified in family medicine and integrative holistic medicine. He is on the family practice faculty at the University of Kentucky College of Medicine and the University of Louisville School of Medicine, Saybrook University’s School of Mind Body Medicine (San Francisco) and the Center for Mind Body Medicine (Washington, D.C.). He operates the Mind Body Studio in Lexington, where he offers integrative medicine consultations

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