Brain Fog - Yoga can help.

If you are finding that you’re forgetting the names of people you know, why you went into a room, what you were talking about mid sentence, if you’re unable to find a word, feeling empty headed or confused, you are not alone. Brain fog effects many women during peri-menopause and menopause but for most, it will pass.

I recently attended an educational workshop on menopause with functional medicine practitioner, Tanya Borowski who is exceptionally knowledgeable. I am also reading a book called Hormone Repair Manual by Lara Briden. These two sources suggest ideas that may help you keep your brain healthy:

Oestrogen therapy. To really benefit, we would be better starting it 5 years before our final period or at menopause at the latest. If the average age of menopause is 51, the best time to start is 46. Neuroscientist Roberta Diaz Brinton suggests in Briden’s book, that taken after menopause, oestrogen therapy may actually contribute to dementia, however more research is needed.

Progesterone is also important for brain health. It supports GABA receptors in the brain. GABA is a mood enhancing neurotransmitter. Together oestrogen and progesterone support many brain functions, including the hippocampus (the memory centre) so it is worth discussing a combination of hormones with your health practitioner when considering HRT.

Diet and lifestyle. Tanya Borowski, says we cannot simply replace hormones without adapting our lifestyle. Both Briden and Borowski recommend that you:

• Reverse insulin resistance (with a Ketone diet).

• Soothe your nervous system.

• Develop healthy sleep habits.

• Minimise alcohol and drink more water.

• Engage in movement of any kind but strength training in particular.

• Take supplements - in particular magnesium and taurine, B12, choline and MCT oil.

The good news from the perspective of Yoga and Mindfulness is that many of the practices we engage in at Birchwood Yoga support brain function. GABA receptors are usually supported by progesterone so when this hormone is lost, we experience raised levels of anxiety and stress. Research by Chris Streeter et al, shows that GABA is released when we practice Yoga. GABA helps promote relaxation and reduces stress, anxiety and even symptoms of PMS according to Lisa Mosconi, author of The XX Brain. Meditation improves brain structure and function and the pace of Slow Mindful Yoga helps build physical strength and mental resilience. In combination with the breathing practices and long savasanas your nervous system gets soothed. Win, win!

Lessons learned from holding on too tightly.

If I could use one word to describe the way I’ve been feeling lately, it would be discombobulated. It’s been two years since we were in full lockdown in the UK. Life has changed for us all and whether we know it or not, it’s affected us on a tissue level. The fear, anxiety and stress went deep because we had to brace ourselves and now we’re living with constant uncertainty from the virus, the economy, the climate and the war in Ukraine.

I didn’t realise until my back went into spasm, just how much I had been holding on; quite literally bracing myself. I leapt from one crisis to another - the pandemic, the death of my father in law, the stress of starting a new course, deadlines and learning difficulties, keeping my business afloat and family issues; it all led to my becoming dissociated from myself.

I had known I needed to put the breaks on. I needed to stop, recentre and ground myself. I needed to feel what was happening on the inside, but my course exams were looming and I kept saying “not yet.” So my body floored me! That’s how it works energetically. “Now you’re listening aren’t you,” it said.

It’s been a humbling experience, not least because I know that what I do (or rather, don’t do) affects others. As Brene Brown would put it, I’ve been doing my best. And as I type this, the little gremlin in the back of my mind just said, “Yes, but your best isn’t good enough is it?” My job now is to silence that gremlin with kindness and self compassion.

The tools I learnt studying Yoga Therapy for the Mind will help me. As I say to my clients who take the De-Stress your Mid-Life course, these tools are life long skills that we will return to over and over again. To be human is to be fallible. But the most important thing is that we learn from our mistakes. And my mistake was not prioritising self care.

So lessons learned are:

• Doing your best is good enough.

• Taking time every day for self care is not selfish, but invaluable.

• Celebrate every success, no matter how small.

• Ask for help when you need it.

• The boys are capable of looking after themselves, so let them!

I hope in some way, you resonate with some of this and find it useful to hear my story.

Can you be too self aware?

One of the best things about Yoga is becoming more self aware. But is it possible to become too self aware? Self awareness can sometimes be perceived as narcissism. I think there are levels of self awareness, with disassociation at one end and narcissism at the other. In the middle is a healthy balance. So how do you get there?

Disassociation is common when you have spent your life trying to avoid painful feelings; likely from a traumatic experience or chronic stress. The brain’s way of protecting you from the pain is to keep the body in freeze mode and prevent you from feeling. To move beyond this may require talking therapy but at some point we need to connect with the physical feelings in the body. The process can be slow and disquieting but with safety measures in place, the end result is knowing yourself, understanding what these feelings mean and being resourced with skills to manage overwhelm and restore homeostasis.

If we navigate this road mindfully, we can find that middle ground. We can recognise what the body and mind require before it becomes overwhelming and if it does (which it will; life has a way of throwing us a curve ball sometimes), we can learn to be with the experience, not to resist it.

We move into narcissism when we over analyse; spend too much time wondering why we experience one feeling or another and endlessly talking about it. It’s a bit like googling every symptom you have and believing you are ill; the modern form of hypochondria and it’s boring for everyone around you. I know, I’ve been there! And you might too if you’ve been mentally unwell. It’s part of the natural process of getting to know yourself again. The important thing is recognising when to back off and return to the middle ground.

The beauty of being self aware is in the wisdom of the body. When you stay present to your experience, the body will guide you. When I get on my mat, I let my body and my energy guide me to where it needs to go. With support, time and practice, you can too. It’s an amazing place to be and very rewarding too!

Mental Health at Menopause - Tips for staying sane!

This month saw Mental Health Awareness week and Wake up to the Menopause week on BBC Breakfast. As both subjects are passions of mine, I couldn’t decide which to write about. So I’m combining the two!

Around the time of the menopause one of the most common symptoms is increased anxiety. It is also true that if you have suffered from trauma and it is as yet unresolved, you are likely to find it rearing its ugly head at menopause.

I’ve mentioned the benefit of Ashwaghanda before but this adaptogenic herb is a wonder. An adaptogen is a herb that supports your body acclimate to stress. Stress is the root cause of anxiety so anything you can do to prevent or manage stress will also help.

Often at the transitional time of menopause, women are at their most busy; running a business or working long hours, managing family life, coping with elderly parents; all of which is stressful. Making time for yourself is the most important thing you can do. Women are notoriously bad at this. We feel guilty if we step away from our family. We feel that we SHOULD be there for everybody else, but this is stressful and you run the risk of compassion fatigue. Yes, it’s a thing!

Doing something that is relaxing, allows you to switch off mentally and that calms your nervous system will benefit. Literally step away from technology for a time.

Research shows that spending time in nature is fabulous for your mental well-being, so why not go for a brisk walk in the park or the countryside. Spending time with others, especially if they are understanding of what you are going through is extremely supportive. After all, a problem shared is a problem halved as they say. Find your tribe and regularly spend time with them.

If you are suffering from depression and finding it difficult to function, there are many things you can do. Rhodiola is another adaptogenic herb that can help with stress, anxiety and depression.

If you are taking ANY other medication, it is always worth speaking with your GP to make sure it is safe to take supplements. However, you might consider speaking with your GP anyway as according to Dr. Rosemary Leonard, author of Menopause - the Answers, anti-depressants can also suppress other menopausal symptoms.

Diet is important. What you eat can effect your mental health. Speak to a nutritional therapist if you need to but the two most important things to cut down on are alcohol and sugar. Alcohol may be your go to when you are stressed but the high you receive from the release of GABA is short lived. You go for another drink and another and soon find that you only feel that same high after a bottle.

Sweets, chocolate and carbohydrates are another choice when stressed but will spike your blood sugar levels and maybe even give you a high, but you will crash down very soon after and feel hungry again. At menopause we tend to gain weight around the middle which usually heightens your risk of cardiovascular disease. Plus the weight gain doesn’t help your self esteem if you are already suffering mentally.

From a yogic perspective, practicing daily will support your mental, physical and physiological well-being. Observe your energy levels and mental state and consider whether to practice some grounding techniques, strong poses or gentle stretches. There is something for every mood and even a breathing technique that cools your hot flushes. Pranayama is magical for mental well-being, as is chanting and meditation. Ten minutes of practice a day is better than one hour a week. If you come to a class, try and practice at home too. You are welcome to photograph my lesson plan to remind you of what you enjoyed.

Cardiovascular exercise really benefits you physically and mentally. I know it can be difficult to fit it in but ask your family to help. Perhaps they can cook for themselves once a week so that you can go to a class . You might take a ten minute walk before eating your lunch. Little and often is better than nothing at all and really boosts your mood.

The most important thing is NOT to suffer in silence. You are not alone. I am a great believer in choice so do your research, never dismiss advice, try something and if it doesn’t work, try something else; whether that is homeopathy, herbs, medication, yoga, meditation or counseling. What works for your best friend might not work for you, so keep an open mind.

Community, support and exercise will greatly benefit. Reach out to me or anyone else who might be able to help. If women are ill informed about menopause, men are going to be less so. TELL your partner and family what you need; it might be the only way you get your needs met.

Talk about the menopause. The more you do, the better educated future generations will be and the easier the transition will be for our daughters.

Go well . Namaste.

Anneliese