Yoga for Behavioral Therapy

This blog is in response to the hopeful article “How Yoga and Breathing Help the Brain Unwind” that is in high circulation in the yoga therapy community. To summarize the Psychology Today article, a study was recently shared showing that the neurotransmitter GABA, which suppresses the stress response, increases with yoga and breathing techniques. The study included individuals with depression, anxiety, PTSD and substance abuse.  In the very least, this is one more evidence based study that yoga and breathing techniques should be integrated into treatment plans. The real power of the study remains to be seen, however, as it is suggested that yoga and breathing techniques could potentially be used as a stand alone therapy for behavioral diagnoses that involve imbalance in the autonomic nervous system.

So that is the gist of the landmark news… but…the article is shared with a cautious reminder of the importance of choosing  yoga and breathing practices that are appropriate for the individual. Sadly, what prompted me to write this is that in the same week I read the study (not just the article in Psychology Today, but the actual study because I’m geeky about good news), I heard another disheartening story about someone who was ‘prescribed’ yoga for pain care, and reported that the yoga increased the pain and caused emotional distress.  If yoga or any of it’s facets, such as meditation or pranayama, have been recommended to you by a doctor or mental health expert to help treat PTSD, substance abuse, depression, anxiety or MDD (a combination of the two), or chronic pain, seek out a yoga therapist or teacher with the appropriate training. Unfortunately, medical professionals often put yoga under one big umbrella. Unwittingly, their advice can send someone to a class that is physically exhausting or overwhelming (sympathetic arousal). All yoga heals, but yoga to heal requires the proper guidance and a willingness to do the work.

Yoga is an accessible practice. There is no reason to participate in what I think of as the American version of super-sized, fast-paced upside-down asana if it does not relieve suffering.  There are many different traditions, styles and teachers; the postures are not a requirement for healing. A translation of Yoga Sutra 1.3 summarizes the use of yoga for behavioral health: “In a state of yoga (or wholeness as I call it), the different preconceptions and products of the imagination that can prevent or distort understanding are controlled, reduced or eliminated.” Yoga recognizes that relieving suffering is different than finding joy. Relief is a cold fist finding a warm hand to hold it.  It is small steps up a mountain, sometimes with blisters, but we don’t need to climb alone.

My initial purpose in taking up yoga was to manage anxiety and panic attacks. Some questions I learned to ask myself when seeking out new teachers or classes:
Does the teacher empower me?
Am I practicing loving-kindness yoga or trauma yoga?
Do I feel safe?
Can I just be myself?
Does this practice help to change my perspective?
Am I challenged and can I successfully meet some of the challenges?
Can I let go of self-judgement?
Am I appreciated?
What knowledge am I gaining?

If we choose asana (physical postures) we hold poses to leave the mind and enter the body. In this way, yoga helps us to cultivate our somatic or felt sense where we notice bodily sensations and stay present in them.  We shift from thinking (except and reject) to awareness (observation); or from the head to the heart.  This can be an entirely new experience in itself.  When we understand that our behavior is a blend of instinct, emotion and knowledge, witness consciousness wrapped in love enables us to feel pain and still go forward, staying focused. Eventually, as our bodies remember what relaxation is (parasympathetic system- that GABA creator,) it gets easier to stay in alignment. Our intuitive bodies remember their natural state.  We get the green light even when the difficult stuff comes. It takes time to fix ourselves, but in addition to having confidence in our care givers, we have the tools built into our bodies to help.

Yogi’s like to use the term enlightenment to describe a feeling of wholeness.  My favorite explanation of enlightenment comes from Judith Lasater: “One way to view enlightenment is a radical shift in perspective. Nothing outside you has changed…you have changed, and rather paradoxically, you have not changed, but have become what you already are.”

Namaste, Megan

PS – This is a photo of a parhelion or sun dog as it is commonly called. Parhelion means “beside the sun” in Greek and forms as a result of the sun refracting through hexagonal ice crystals . When I saw this the other morning, it reminded me that just as the sun can bend the light, my mind is like a prism that can bend my own Light to make it a bit brighter.