The Center for Mind-Body Medicine

In Haiti: Yehlie's First Communion

I am honored to be at Linda’s daughter Yehlie’s first communion – surprised at first, quickly engaged, and soon moved.

The church turns out to be a metal shed, spacious, vaulted, open on one side, doing duty on other days as classroom,  auditorium and gymnasium. There are permanent concrete bleachers against the long wall, and for today worn wooden pews imported, in stately rows facing the altar and lectern that are even now being carried in. The communicants’ chairs are arranged in several rows of nested crescents. Yellow flowers overflow the basketball hoops at either end of the floor.

Parents, siblings and friends fill the pews and bleachers, smiles breaking out in greetings, cameras at hand. Sweet music pours from surprisingly faithful speakers. Nine and ten year old girls in strawberry jumpers sit opposite me, close to the altar – the choir – looking expectantly toward where the younger children will enter as they take their place in the church and with their God.  Such gentle order in the midst of Haiti’s general chaos.

100 or 120 little girls in white dresses with wide fluttering skirts and white crowns of linen flowers enter -walking, skipping a little, so pleased and proud. During the course of the morning’s service I notice that each one has a different hairstyle, curls and braids, straight and natural, falling in cascades or caught up in geysers, billowing toward every point of Nature’s compass, saying, I imagine: “This is how I like it” or “This is how my mom and I like it”. Some are obvious leaders, engaged from moment one, with the girls in the next chairs, or eyes bright with ones across the way. Others are more internal, sitting with some poise or fidgeting for a comfortable place.

I count only a few boys, heads shaved, in white dress shirts and grey pants, bow ties like red blossoms under their chins.

Linda’s family and friends make sure I am comfortable, out of direct sunlight, able to follow the service. I am bathed in their kindness, the little girls’ pleasure and anticipation, the sweet yearning of the choir’s voices and the words of the hymns calling, crooning, praising: “Ton amour nous appelle” (Your love calls us); “Merci mon dieu pour ton amour, pour le don de la vie.” (Thank you god for your love, for the gift of life.”) My heart cracks and I cry with appreciation for these girls and their parents and the priest, and the joy and hope they – and now I – feel.

When it is time for the “kiss of peace” everyone is thrilled to share and receive the love.  I am too.

Training Haitian Healers: Father Fredy Stops By

On our first night in Port-au-Prince, while  Lee Ann and I are going over the next day’s schedule, Father Fredy appears at our table on the Plaza Hotel’s terrace.

Fredy is whippet-thin and angled slightly forward, a living emblem of his eagerness to share what he has been learning and doing even before the CMBM training begins on Tuesday. “The children who have lost their homes and parents are the ones I work with most. I have them breathe deeply to relax and then draw their biggest problem and imagine its solution – a new home, people who care for them. And then we sing together, and I ask them to imagine that place they have created.”

© CMBM

He has also worked with parents who, displaced and frantic since the earthquake, have been abusing their children – having them do dialogues with their “problem” (the abuse), and the unending frustration that seems to compel them to it. For the first time they are able to talk about what shames them, to gain a little perspective.

“They thank me,” Father Fredy says, a huge smile opening his face.

“On the anniversary of the earthquake,” he goes on, “I used an image of a river. I told  our whole congregation to imagine they were on its banks, that the river was helping to take away the memories and the sorrow. They were so happy. ‘It’s just like we are there’, they said.”

Father Fredy is still fresh but Lee Ann and I are getting tired. We do a ”dialogue with a symptom” and he realizes something that is just below the surface of his consciousness. “I know I should be tired too. I want to help, but it is too much – seven days a week, long, long hours. I am awake when I should be asleep and then I fall asleep during the day when I should be awake. My Inner Guide says I have to change that,” he says, laughing.

“You have planted a seed,” he tells us, before we all go off to bed. “Other ways, like medication and just talking, weren’t working or were too difficult, or even if good, like prayer, were not enough. But this seed is now becoming a tree and it is bearing fruit.”

We are in Port-au-Prince this week doing an Advanced Training in Mind-Body Medicine with 120 Haitian health, mental health and education professionals and caregivers. Please look for more posts in the days to come. More info on our Global Trauma Relief program in Haiti can be found here.

Our Work, Alive in Haiti

This weekend I’ll be headed back to Haiti with my team of international faculty, to continue training Haitian caregivers in Mind-Body Skills that they can bring to their traumatized families, the more than 1 million who still live in tent camps, colleagues, patients, and students at their workplaces. This is the next step as we create a nation-wide program of psychological self-care for Haiti. I can’t wait to be back in Port-au-Prince with our faculty, and the wonderful, caring group of Haitian professionals we’re gathering together and training to be the nucleus of society-wide change.

Haitian caregivers in our training, at our Port-au-Prince Office. © CMBM

You may remember our first training in December 2010, which was cut short by election riots. Here are a couple of moving testimonials from attendees who are practicing what they learned . . . Saint-Juste Desir, Teacher at the Public school in Raymond and at the Family Care Program for Better Future International, in Cayes-Jacmel, Haiti, writes:

At the end of December, I lost one of my cousins who was about 30. I was really shocked because she was not sick. So hearing the news shocked me very hard. After that I could not sleep at night, I also had headache. By chance, I recalled the CMBM training and I decided to try it so I could sleep. I tried the “soft belly technique” and I slept all night. Since then, I use it every night before going to bed.

As I am a teacher, after the training in December, I was teaching math to my students. I realized that they were tired and could not concentrate. I asked them if they would like to experience some relaxation techniques. They agreed. I put music, I asked them to stand up and we did some “shaking and dancing” for about 5 to 10 minutes. After that we continued working with no problem. They were relaxed and they asked me why I didn’t do that with them before. They loved it.

I expect to know more techniques during the Advanced Training so I can help myself better and also help my students.

Jacques Africot, Project director, Better Future International, from Jacmel, Haiti, writes:

The technique I use the most is the “soft belly”. It can be practiced anywhere, any moment. It is the easiest technique for me to calm down my nerves, reduce my stress. Any time, I feel stressed or depressed I use it.

An Experience that surprised me:  I was talking to a friend and she was suffering in her breast. I asked her if she wanted to make an experience. She said yes. I put a soft music and I asked her to close her eyes. After some deep breathing, I started to guide her slowly with the “body scan technique.” After finishing, she was smiling: Her pain was completely gone. I was myself surprised.

I practiced different CMBM techniques with my children: soft belly, shake and dance, drawing, imagery.  I realized that after practicing those techniques they sleep better. Less nightmares, no headache if someone had one before we practiced it. And they sometimes ask me to practice with them.

I expect that the advanced training will give me more techniques to guide others.

By the time our training is finished—the end of February– these Haitian caregivers will all be taking the CMBM model out into the wider world and leading “small groups.” Each person will begin helping others manage their own stress and anxiety (still lingering from the January 12th 2010 earthquake, cholera outbreaks, and continued hardship and displacement).  If each caregiver leads 1 group of 10 Haitians, that means the 120 caregivers we’re training will immediately be able to reach a minimum of 1200 Haitians in rural areas as well as cities; and that number will grow as our trainees continue to use these skills with the individuals and in classrooms and with additional small groups.

Making Haiti a community of healers—that is our goal. “This program,” as our Haitian Program Director Linda Métayer has said, “is a gift to the Haitian people.

Haitian Participants at CMBM Training © Mark Silverberg for CMBM

If you’d like to support us as we bring this gift to the Haitian people, please click here.

The Key to Haiti's Happier 2nd Anniversary

Sometimes, on this first anniversary of the earthquake, it feels like very large, steady hands are needed to pull together the two sides of the gaping wound that is Haiti, hands that Michelangelo might fashion for this purpose.

I find myself looking around as we circulate through tent camps with little food and water, no health care or education or employment for the tens of thousands of people I see, for the hundreds of thousands who still live like this all across the region. “How can this be?” I shout – but only inside my head – how can we, Americans, the world community, all of us, let this continue? Our hearts were touched a year ago. Politicians said the right things, famous people answered phones on television and lent their shine to the pleas for help. Billions of dollars were pledged. Where are they? Why is there scant organization, no plan, so little mercy and fellow feeling?

It worries me, as much for ourselves–the privileged, literate, and apparently protected– as for those who live exposed to heat and rain and hurt.

In one of our workshops on January 11, 2011, the day before the  anniversary, two men – a priest who tends a devastated parish and an accountant who has left his paying job to bring whatever order he can to two tent camps– share their drawings. (Read more about CMBM’s drawing exercise in this earlier Haiti entry.)

The accountant, a large serious man, sees himself  planted in the midst of a quilted crop of families, cooking fires and plastic sheeting; the priest’s drawing of his slim black-clad figure is bright with God’s light refracted through a mirror framed in rainbow colors. The drawings of their “biggest problems” are,    with no other guidance, no consultation, virtually identical. One side of the pages shows effort – to salvage and succor, hands reaching out, shovels in the earth – and a row of disconnected figures: “the ones who could help but don’t”  “the rich and powerful who do not care.” They are barely sketched, drained of color.  On the other side of the page, the people in the camps are suffering, but they do have bodies and expressions.

We need to offer them help, ourselves, in order to be human; and we need this at least as much as they need our help. That is the key to a happier future anniversary.

Stress relief workshop with children in Petionville tent camp, 1.11.11

Haiti's Earthquake Anniversary: Building Blocks

© Mark Silverberg for CMBM

As the anniversary of Haiti’s catastrophic January 12, 2010, earthquake approaches, physical and emotional symptoms that were ebbing or had disappeared, are rising. We hear it everywhere as we– Linda Metayer, our Haiti program director, and I–move through a day of visits and talks with staff at the General Hospital and the Ministry of Health, as well as with kids and adults in tent camps in Petionville, a suburb of Port-au-Prince that is a city of half a million.

Headaches have intensified, and sleep is ever more disturbed by sudden awakenings and half remembered nightmares. Irritability and anger sweep people away in rage at children, who are themselves agitated by neighbors who are too close and too ever-present, too troubled and helpless, too painfully mirroring their own suffering.

Everyone knows in their bodies, as well as from the calendar, that the anniversary is coming, but there is little plan for public ceremony that might make remembrance and mourning easier, and bring hope for a happier future. The program that Linda Metayer and Rene Domercant (a Ministry of Health official who attended our first training in December) have organized at the General Hospital is a happy exception.

After an introduction by Dr Jocelyn Pierre-Louis, one of the Ministry of Health’s leaders and a strong supporter of CMBM’s program, Linda, Rene and I speak. Our talks are nicely paired: Linda and I discuss the extent of psychological trauma and the practical steps people can take to heal themselves and their communities psychologically, and I teach slow, relaxing soft belly breathing and get everyone to move their body. A number of these professionals appreciate the immediate effectiveness and ease of the techniques – “I feel so calm,” says one; “So calm I went to sleep,” adds another, and everyone laughs, recognizing the tension that keeps them awake and the need for rest. “I felt tears come,” another woman adds – all the emotion that needs to be released, I suggest, and she nods.

Afterwards Rene, who is an engineer as well as a psychologist, shows slides from a manual for safe rebuilding: foundations propped and buttressed so they are no longer unbalanced and unstable, second stories supported by first floors that have sustaining walls. Each slide is paired a “Don’t” in red which can lead to collapse in a future earthquake, a “Do” in green – the safe way to sustain a dwelling and save lives. These slides will be shown everywhere in Haiti and distributed in booklets, Rene tells us.

What a pleasantly surprising symmetry and pairing: principles and building blocks for new safe houses, and for emotional and physical self-care–a hopeful beginning for the new year.

© Mark Silverberg for CMBM

To be continued tomorrow–the anniversary of the Haiti earthquake . . .

Helping Haitians to Heal, Part 3

CMBM Training, Days 2-3, continued

During the training, we do a drawings exercise, a sequence of three pages: one of “one’s self,” “one’s biggest problem” and “the solution to the problem”- and they are as always a revelation. They display what is inside each person and the images of one participant so often are a mirror for those of others.

The biggest problem of one physician here is shown as a clot of black guilt and fear and shame, of inhibited action and feeling buried under a mountain. She is straining for faith, toward a distant Jesus, and to do what must be done. But she feels unable to move or believe. In the third drawing all the conflicted colors of the mountain are striped in an arc du ciel, a rainbow. “ I was buried,” she says, “and now in this drawing I can see myself free, imagine myself again with my God.” (To learn more about our drawing exercises, read this post, “CMBM’s Drawing Exercise Resonates in Haiti,” when we introduced it in June.)

A participant shares what she learned during the drawings exercise (photo by Mark Silverberg for CMBM)

“I have in my drawings,” says Linda, the psychologist who coordinates our Haiti program, “dropped the mask of sunny happiness that I felt I had to put on. I have allowed myself to feel the loss of my father last week. And dancing and crying,” she adds, pointing to her third drawing, “I have found the authentic happiness inside myself.”

(photo by Mark Silverberg for CMBM)

Checking in emotionally on the second day, my group members find their own choked-off voices- amazing how many cough and clear their throats and say they have forgotten how to say how they feel. They speak and are heard, listened, and they recognize that they are actually here with others who care and not alone. A nun and teacher who at first had felt so lonely as the only religious (woman) in the group realizes that she is not alone at all, “My images of pain and sadness are so similar to those of others. Showing you my drawings, telling you about them, I feel you are my sisters, and my brothers too.”

After the first day our participants are already using what they have learned. Several speak of “traffic meditation,” pulling over to the curb amidst Port-au-Prince’s daily madness, soft belly breathing (click here for a short guided meditation) until they are “calme” and “douce,” peaceful, soft and amazingly unhurried. A psychologist at odds with her teenage son reports asking him to breathe deeply with her and dissolving the tension that had led to fights, “…every night since the earthquake.” Several say that deep breathing and shaking and dancing had allowed them to sleep peacefully for the first time ever since January 12th.

Here is a short video of Linda Metayer, our Haiti Clinical/Program Director, describing what she feels Haitian trainees are gaining here:

(video by Mark Silverberg for CMBM)

Going to Israel and Gaza

Dear Friends,

I’m getting ready to get on the plane for Tel Aviv, and begin this round of work in Israel and Gaza. (Read about our current work in the middle east here.)  You can get more info on the work we’ve done in psychological trauma relief in Kosovo, Israel, Gaza, and in the US here.

We plan to spend a few days working in Israel with our team of CMBM-trained professionals there, then (hopefully) make our way into Gaza to train 150 more professionals (on top of the 90 already trained) in mind-body skills that will help them to help heal the widespread terrible anxiety, anger, depression, posttraumatic stress disorder, and grief resulting from the latest conflict. We believe this work will eventually reach hundreds of thousands of people in Gaza, not to mention Israel–we believe we’re the only program working in both Israel and Gaza.

Right now, we’re just hoping to get in and start making a difference to the people who have suffered so much from this conflict.  This work is so difficult, and so necessary. We hope you’ll hold the safety of our team and the success of our mission in your minds and hearts— 

Sending all my best,

Jim

Health care reform cannot wait, must not wait, and will not wait

Dear Friends,

 I spent Monday afternoon, February 23, 2009, testifying on the strengths of integrative healthcare and our hope for healthcare reform at the hearing, “Principles of Integrative Health: A Path to Health Care Reform” by the Senate Committee on Health, Education, Labor, and Pensions (HELP). The video is comprehensive—click to read shorter coverage in the Huffington Post.

 My colleagues (including Wayne Jonas, M.D. of the Samueli Institute, Robert Duggan, M.A., M.Ac. (UK), Dipl.Ac. (NCCA), of Tai Sophia, and others from institutions and the private sector) and I sincerely hope the time has come to change from a “disease-care” system to one truly centered on the patient and our wellness as a nation. Our current system is expensive, and ineffective at keeping us healthy. Turning to costly drugs ridden with side effects before trying natural approaches and wellness techniques is bankrupting our treasury and our health as a nation.

 More to come—check out the video, and check back here for updates. It’s a very busy time for us here at the Center!

 Best,

Jim

We Must Consider CAM for Depression

Dear Readers,

Despite a hectic schedule this January, I’m hoping to keep my blog up-to-date with the exciting events in my practice and at The Center for Mind-Body Medicine (CMBM).

A quick look at my schedule/to-do list:

I’ve just finished leading (along with Kathie Swift, MS, RD, LDN, my co-director) The Center for Mind-Body Medicine’s professional training program in nutrition, Food as Medicine, in San Francisco.

We’re also moving forward with our exciting work with the US Military training health and mental health professionals who are working with active-duty military as well as in the Veterans Administration to use mind-body techniques with vets returning from Iraq and Afghanistan with severe depression, PTSD, and traumatic brain injury. Over 100 of these professionals came to the first phase of our professional training program in mind-body medicine in Minnesota in October 2008. Here’s some data on the difference our training made to them. Most of them are returning for our advanced training–where we teach them how to lead the same kind of mind-body skills groups in which they participated in the first training—this weekend, from January 31-February 4th, once again in Minneapolis.

We’re also moving ahead with a research study funded by the Department of Defense on the use of our model with traumatized veterans and their families.

Last but not least, 30 of us–health professionals, policy makers, and just plain folks–gathered together in my home to develop a report to make recommendations for a National Health Plan to the Daschle/Obama Health and Human Services Administration. We’re continuing to explore ways for CMBM to be involved in creating a top-down support for truly universal and integrative health care for all Americans.

In other news, a recent op-ed of mine was published in the Clinical Psychiatry News, entitled “We Must Consider CAM for Depression.” You can read this succinct argument for wider use of integrative therapies, versus drug-centric treatment, here (you will have to create an account on this website to access it if you don’t already subscribe to CPN, though–sorry.) I was also published in the New York Times science section, writing about a friend and colleague of mine in Gaza going through the terrible bombings there. Read that one here.

Let me know your thoughts about what we’re doing, how we’re doing it, and how we’re bringing it out into the world! I’ll be in touch too.

Jim

The UltraMind Solution: Fix Your Broken Brain by Healing Your Body First by Mark Hyman, MD Review by James S. Gordon, MD

The UltraMind Solution: Fix Your Broken Brain by Healing Your Body First
by Mark Hyman, MD, Scribner’s: New York: 2009

Review by James S. Gordon, MD

I just finished The UltraMind Solution, a wonderful, ground breaking book that gives new and eminently practical insight into the causes and treatment of mood, behavior, and cognitive disorders. It’s a book I recommend to all of you without reservation.

The UltraMind Solution is by Mark Hyman, MD, a highly skilled, integrated Family physician who is a Center for Mind-Body Medicine Board Member, and a core faculty person in our Food As Medicine training. In The UltraMind Solution, Mark suggests that the most effective and, indeed, scientific way to address the epidemic of psychiatric disorders (affecting 1.1 billion people worldwide) is not with psychotropic drugs that treat postulated alterations in neurotransmitters, but with nutritional therapies that address the underlying biological imbalances that ultimately may disturb neurotransmitter functioning.

The UltraMind Solution is based on the principles of “functional medicine,” a systems approach to chronic disease and to the physical and emotional problems that beset our population. It is a road map for both patients and practitioners, a clear, thoughtful, guide to the ways the body can become imbalanced, and to the simple, natural methods-largely food and supplements-that can be used to restore the imbalances in the entire body, and most particularly, the brain. It’s a book that significantly deepened my own understanding of biological factors in depression. I believe, as well, it will enhance the information on biology that I present in my book Unstuck: Your Guide to the Seven Stage Journey Out of Depression.

In a series of clear, well documented chapters, Mark discusses the “7 keys” to his program, and the ways that readers can use them. These keys include optimal nutrition, hormone balancing, decreasing inflammation, improving digestion, enhancing detoxification, increasing energy metabolism, and calming the mind. In The UltraMind Solution, Mark includes more than 400 well-chosen scientific references and dozens of case studies, together with diagnostic questionnaires. He offers as well clear steps that readers can take to use this information to help and heal themselves. You can learn more about The UltraMind Solution by going to the following website: http://www.ultramindhealth.com/cmbm.

Mark is also presenting a six part webinar series for clinicians on applications of functional medicine to brain and mood disorders. In particular, he will discuss diagnostic and therapeutic approaches to ADD/ADHD, autism, dementia, and depression. Access to these webinars is complimentary for practitioners who obtain a copy of The UltraMind Solution by going to the website below.

http://www.ultramindhealth.com/cmbm

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