Dr. Majid Fotuhi

Keep Calm & Get Some Headspace

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Keep Calm & Get Some Headspace

Do you ever have trouble clearing your mind of stressful or negative thoughts? Do you ever experience physiological symptoms such as racing heart or sweating when you think about negative thoughts for prolonged periods of time? If you answered yes to these questions, particularly the first one, you should first understand that it is sometimes normal for your body and mind to get stressed out. However, if you feel as though your body is perpetually in a state of stress – like when you are going about your daily routine – that is not normal. While there are a couple of solutions that you can take to address these feelings and symptoms, such as visiting your primary care physician or psychiatrist for a quick fix (i.e., medication), there is one helpful practice that does not require a prescription – meditation.

Your Brain on Meditation

Before you scoff or roll your eyes at the mental image of you sitting cross-legged on the floor with your hands positioned softly on your knees, hear me out. Meditation has been shown to positively affect your health in a number of ways (Innes & Selfe, 2014). Research has shown that even meditating for brief periods (i.e., five times a week for eight weeks) helps reduce perceived stress, depression, anxiety, sleep disturbances, and improve physiological health. Clinicians have even been looking at meditation as a way to improve symptoms associated with Mild Cognitive Impairment (MCI) and Alzheimer’s Disease (Innes & Selfe, 2014). While the research supporting this idea is not vast, observational studies and small clinical trials have seen benefits, in participants with different memory disorders.

Research conducted by the University of Pennsylvania Medical Center showed that more experienced meditators showed significantly higher blood flow to brain regions such as the parietal cortex and prefrontal cortex, areas involved in emotion processing and executive functioning (Fotuhi, 2014). Other studies have shown increased activation in the hippocampus and the hypothalamus, areas responsible for memory and autonomic functioning (i.e., respiratory rate, heart rate, fight-or-flight responses, etc.). You might be thinking, but I’m not experienced! Will I still see benefits even if I’m just starting out? Yes! Even novices will demonstrate increased activation in brain regions responsible for paying attention and emotion regulation after a short period. With practice, however, your brain will literally increase in size, particularly in regions associated with sensory processing, memory, enteroception (i.e., a sense that helps you recognize what’s going on inside of your body), and attention (Fotuhi, 2014; Innes & Selfe, 2014).In addition, meditation promotes activity in the alpha zone, otherwise known as the calm, cool, and collected state of mind. You’ll likely notice this even the first time you try it out.

The Different Ways to Calm your Mind

If you’re one of those who claims that you don’t have enough time in your day to meditate, I’m calling your bluff. Everyone can find five minutes. Trade a five-minute session of scrolling through social media for five minutes of meditation. I assure you that your brain and body will thank you for it and, let’s be honest, Instagram can wait. If you’re shaking your head because you really can’t find five minutes in your day to do it, practice the 7-7-7 instead. What is that? It’s a deep breathing exercise. You inhale for a count of seven, hold for a count of seven, and exhale for a count of seven. You’re breathing all day without noticing, I’m just asking you to take a couple of minutes to deepen the breaths and focus on it. If that doesn’t sound appealing to you, you can try the 5-4-3-2-1 grounding technique – thanks Keller (our team’s social worker/therapist)! This involves pointing out five things that you see, four things that you hear, three things that you feel (internally or externally), two things that you smell, and one thing that you taste. You can do this anytime, whether you’re stopped at a red light or washing your hands.

On the other hand, if you can find five to ten minutes to meditate each day or every other day, fantastic. Before you start reading about and fretting over the different types of meditation and which one might work best for you, take a deep breath. While it’s true that there are different methods you can try (e.g., guided, unguided, insight, calming, etc.), know that there is no “right” way to meditate. Also, there are applications that structure sessions to include techniques from each method such as “Headspace” and “Calm.” During meditation sessions, you’ll learn about techniques such as focusing attention, body scanning, and noting, to name a few. For a quick glimpse into these techniques, keep reading.

  Focusing Attention: This one circle’s back to the deep breathing I was talking about earlier. All you’re trying to do is focus your attention on your breath. You may find it difficult at first, and that’s okay!

Noting: If you recognize that your mind is starting to wander, don’t get upset; just “note” it and refocus on your breaths. By noting, I mean identify what broke your focus. Was it a feeling or a thought? Once you do that, guide your attention back to your breathing.

Body Scanning: This technique helps to connect the mind and body. Imagine sunlight flowing slowly from the top of your head to your toes. While scanning, imagine the light alleviating any aches or tension along the way.

Review and Quick Tips

Bigger, calmer brain. Remember, practicing meditation not only improves your physiological and psychological health, but boosts brain growth.

You don’t have to say “ohm.” As you’ve learned, there are different ways to meditate. Try an app such as “Headspace” or “Calm,” or check out a guided meditation on Youtube. If you’re not ready to do that, try the 7-7-7 breathing technique or the 5-4-3-2-1 grounding technique.

-Don’t give in to the fight or flight. Your stress-response might activate and tell you to flee – don’t do it. Meditating regulates autonomic functioning (e.g., stress-response). So, if you meditate, you may be less likely to make dumb mistakes when in dangerous situations.

If you struggle with anxiety and are looking for non-medication alternatives, including meditation and neurofeedback, NeuroGrow Brain Fitness Center is here to help! You can call our office at 703-462-9296 or click here to schedule an appointment.

This blog was written by Brianna Sirkis and edited by Dr Majid Fotuhi.

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Your Brain on Alcohol: How Much is Too Much?

If you’ve kept up with your readings – meaning our blogs – you’ll recognize the term “brain shrinkers.” However, if you’re new to our posts and thus have no clue what a brain shrinker is, no worries, I’ll give you the gist. Brain shrinkers – what I’ll refer to as “shrinkers” moving forward – consist of anything that cause your brain to shrink over time. This includes psychological disorders such as depression and anxiety, chronic stress, lifestyle habits such as poor diet choices, lack of physical activity, drug and alcohol abuse, insomnia, so on and so forth. And while I could spend this time discussing why and how each shrinker damages your beautiful brain, I’m not going to do that. Instead, we’re going to talk about the one shrinker that’s most intoxicating. You know the one – booze.

Before you fall down the proverbial rabbit hole and start worrying that I’m going to tell you to stop drinking altogether, wait to hear what I have to say. Frankly, I don’t care about the single glass of wine that you have with dinner a few times a week. Even moderate alcohol consumption, defined by the Center for Disease Control (CDC) as one to two drinks (which can be one or two of  a) 12 oz. beer with 5% alcohol; b) 8 oz. malt liquor with 7% alcohol; c) 5 oz. wine with 12% alcohol; d) 1.5 oz. of 80-proof with 40% alcohol) per evening is not cause for serious concern, although some research has shown that it can increase a woman’s likelihood of developing breast cancer by 0.55% over the course of her lifetime. What I’m most concerned about, however, is a pattern of heavy alcohol use. No, that one night two weeks ago when you drank five or more alcoholic beverages on a single occasion (i.e., binge drinking) does not qualify. However, if you’re a man consuming 15 or more drinks in a week, or a woman consuming eight or more drinks in a week, that’s cause for concern.Description: A close up of a glass Description automatically generated

Your Body on Alcohol

So, what happens when you drink? Well, as you down your first beer, that liquid gold is absorbed through your stomach lining into your bloodstream, followed by diffusion into your body’s tissues. After 20 minutes, your liver starts to metabolize the alcohol; one ounce every hour. So, if you drink until your blood alcohol content (BAC) reaches the legal limit (0.08), it’ll take about five and a half hours to leave your body. While the amount of time it takes to expel the alcohol from your system does not vary widely from person to person, several factors do effect BAC and the amount of time it takes to reach the legal limit.

Factors that affect absorption and tolerance:

Biological Sex: Dehydrogenase, the enzyme that breaks down alcohol in your tummy, is lower in women than in men. So, if Jill and her buddy Joe drink the same amount in the same amount of time, Jill will have a higher BAC.

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Hormones: They impact your body’s ability to process alcohol. Drinking the same amount of alcohol during menstruation will result in higher BAC.

Body Fat/Weight: Women usually have greater percentages of body fat and lower percentages of water compared to their male counterparts. So, even if Ann and Dave weigh the same, Ann will likely achieve a higher BAC at a faster rate.

Your Brain on Alcohol

It takes roughly five minutes for alcohol to reach your brain and 10 minutes for you to notice behavioral/emotional changes. You know that feeling of euphoria that you get within several minutes of starting to drink? Yeah, that’s normal, it happens during the early stages. Subsequent stages of alcohol consumption include depression and disorientation (0.05 BAC), excitement (0.09-0.25), and confusion (0.18-0.3), to name a few; increase in BAC gives rise to new feelings and behaviors.

As I’m sure you know, drinking impacts several regions of the brain. When you’ve reached the “excitement” stage and are experiencing slurred speech, blurred vision, feelings of impulsivity, and loss of fine motor skills, that’s a result of your frontal, occipital, temporal, and parietal lobes being affected. If we’re being technical, what’s really happening is alteration of neuron membranes, enzymes, ion channels, and receptors. What’s important for you to know is that moderate drinking and rare binges won’t have any long-term effects on your brain. As Dr. Fotuhi states in his book “Boost Your Brain,” “drink no alcohol and your brain will experience the usual degradation that happens with age; drink some and you’ll see reduced damage; drink too much and injury to the brain shoots through the roof.”

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That brings me to the topic of long-term brain damage. As I’m sure you’ve heard before, alcohol abuse kills brain cells. The areas impacted the most include your cerebellum, cortex, and hippocampus, the areas responsible for hand-eye coordination, balance, decision-making, and general task and cognitive performance. Abuse of alcohol also damages myelin (i.e., the protective coat around the axon of the neuron; the highway that enables chemical messages to get from one neuron to another), which results in severe nerve damage. Some alcoholics may even develop a disorder called Wernicke-Korsakoff syndrome, a disease that causes vision, coordination, walking, memory, and learning impairments.

Reminders:

You can drink, just don’t overdo it. One glass of wine with dinner won’t do you any harm, but if you’re a male having more than 15 drinks within a week, or a female having more than eight drinks within a week, that’s way too much.

Be nice to your liver. Remember, the liver starts to metabolize drinks after one hour. If you drink until your BAC reaches the legal limit, it’ll take around five and a half hours to completely expel it from your body.

Different factors affect BAC. If you’re a female and you’re drinking with your male friend, remember that you will achieve a higher BAC in a shorter amount of time – blame higher percentage of body fat, hormones, and dehydrogenase levels!

-You drink too much, but you don’t know what your next step should be. Contact the National Drug and Alcohol Treatment Referral Routing Service, available at 1-800-662-HELP. You’re not alone. Don’t be afraid to ask for help.

If you want to learn more about the effects of alcohol on the body or brain and how you can improve your brain function, check out Dr. Fotuhi’s Brain Fitness Program at mfotuha.maktechaccessories.com/.

This blog was written by Brianna Sirkis and edited by Dr. Majid Fotuhi.

References:

How Alcohol Impacts the Brain

Alcohol’s Effect on Brain and Behavior

Alcohol and Public Health

This is Your Brain on Alcohol

Factors that Affect How Alcohol is Absorbed and Metabolized

 

Your Brain on Stress

Stress levels are on the rise in America. While stress affects your day-to-day quality of life, it can also create a host of health conditions and impact your brain both structurally and functionally. In order to prevent this damage, it is important to understand the connection between your brain and stress. what stress is actually doing to your brain.

When you experience stress, the brain triggers the release of a hormone called cortisol into your bloodstream. Small amounts of cortisol can help you focus and take action in a high pressure situation; for example, you can function better when you sit down to take a test or when you meet a not-so-friendly bear on your camping trip. However, too much cortisol can shrink the brain, damage your memory capacity, and impair communication between different regions of the brain.

Damage to Memory

In a particularly stressful time of life, you may have more trouble remembering your doctor’s appointment or where you left your car keys. This is because stress directly impacts short term memory and can inhibit your ability to make long term memories. Studies show that even mild exposures to stress before a memory retention test result in worse scores. Research also shows that individuals with higher levels of cortisol had smaller hippocampi – the region of your brain that is critical for learning and memory. This is because stress can kill brain cells and make it harder for new neurons to survive. If you have fewer neurons in your hippocampus, your memory function will decline and over time you will have a higher risk for developing Alzheimer’s disease. Too much stress can erase the benefits of lifestyle factors that have been shown to be helpful for better cognitive performance and longevity (factors such as eating healthier, exercising, learning new skills, and sleeping well).

Damage to Executive Function

Not only does stress make it harder for you to remember the name of the coworker you just met, researchers found that individuals who experience chronic stress, have less gray matter (or brain volume) in their prefrontal cortexes. This region of the brain right behind your eyes is important for tasks such as planning, decision making, problem solving, self-control, and emotion regulation. This could explain why you experience more frequent mood swings, or why making a simple decision may feel more difficult during periods of high stress.

Damage to Communication

High levels of cortisol in the bloodstream, especially for long periods of time, can shrink and impair several areas of the brain. But stress can also change how the different brain regions communicate with each other. New research has found that chronic stress can result in the abnormal overproduction of myelin; a fatty substance that helps speed up the transmission of electrical signals between neurons.

Too much myelin can disrupt the brain’s sensitive balance of communication. Studies found that in people who developed PTSD, excess cortisol from stressful experiences led to an excess of myelin. The excess production of myelin may have strengthened the connection between the part of the brain responsible for learning and memory (the hippocampus) and the part responsible for fight-or-flight responses (the amygdala). A faster connection between these two areas can result in stronger fear responses to a given situation. These findings suggest that increased cortisol may make it more likely for someone to develop depression, PTSD, or other mental disorders because the excess myelin disrupted the brain’s normal communication patterns. This new area of neuroscience research suggests that when it comes to the brain, too much of a good thing – high levels of myelin and stronger connections — can potentially do more harm than good.

While reading this article, you may have felt your own stress levels rise as you learned about the negative impacts of stress. However, because of something called neuroplasticity, the brain has an incredible capacity to bounce back and repair itself. Introducing a few routines in your day-to-day life such as meditation, exercise, and getting the proper amount of sleep can significantly reduce your cortisol levels and protect your brain from the effects of stress. The good news is that a just few simple practices can significantly boost the level of neuroplasticity in your brain and make you feel calmer and happier.

If you’re interested in learning more about improving your brain function and memory, please visit us at www.neurogrow.com.

This blog was written by Lizzie Lewis, and edited by Dr. Majid Fotuhi.

Social Media and Eating Disorders: What's the Connection?

Social media has changed the way we connect with each other and the ways we think about ourselves. The number of people using these platforms skyrocketed in recent years and society is only just beginning to understand its negative effect on body image. While there is no single cause of eating disorders, researchers have found strong links between social media use and the development of eating disorders.

Eating disorders are a major public health issue and can cause serious long-term health problems including heart failure, neurological damage, and gastroparesis. Sadly, data shows that the number of eating disorders cases is on the rise, especially among adolescents. 69% of children now have their own smartphones by the age of 12, and 72% of teens now use social media daily.  Only recently have studies begun to examine how those platforms impact an individual’s self-concept.

Since human beings are inherently social creatures, the lure of social media is clear. While these platforms offer many opportunities for new connections and interactions, they also allows for rampant social comparison. Popular culture promotes a particular type of appearance as “ideal”, which currently centers around thinness. Before social media, people may have seen this standard on TV or in magazines, but now they have the opportunity to actively engage with it in a social context.

Social media has a highly interactive format and encourages connection, not only with friends and peers, but also to various celebrities, models, and brands. It feels far more personal and offers the illusion that the user is less emotionally separated from the people they admire or aspire to emulate. Thus, these platforms have potential to create a deeper emotional impact on their users than they may be aware of.

While there are many positive aspects to these platforms, there is also a potential for significant damage. With its interactive format, social media offers a constant and active space to engage in social comparison. With photo and video editing features, beauty standards become increasingly unrealistic and can easily lead to severe body dissatisfaction. Young people, women especially, have been found to be particularly vulnerable to the effects of social media.

Teens, “tweens” (children aged 8-12), and young adults are in a time characterized by many bodily and developmental changes, all while attempting to figure out who they are. In this stage, they are wired to be more absorbed in their social relationships and they are more likely to internalize feedback they get from their surroundings as they attempt to form their own identity. Additionally, the parts of the brain responsible for reasoning and decision-making are not yet fully developed, which can increase the risk for confusing the perfectly edited photos or videos on social media for actual reality. Not only do these combined factors increase the risk for negative body image, but also the risk of developing anxiety and depression.

When examining this phenomenon, one study found that having even just one social media account was associated with greater thin ideal int

 

ernalization, body surveillance, and drive for thinness in a large sample of adolescent girls. Additionally, higher numbers of friends or followers and more time spent on social media platforms was correlated with higher level of body dissatisfaction. Other studies found that those who used social media consistently were more likely to have negative body image and engage in disordered eating behaviors such as food restriction and compulsive exercise. Overall, research has consistently shown that there is a strong connection between developing an eating disorder and social media use.

While there are multiple factors that determine whether an individual develops an eating disorder, research shows that use of social media increases the risk, especially in adolescents. This does not mean that you should never use social media. However, it does mean that you should be aware of how it may be affecting your own self-image and self-esteem in order to prevent this damage.

Disordered eating behaviors often go hand in hand with anxiety. If you are feeling unusually stressed out or anxious lately, check out this post to learn how neurofeedback at NeuroGrow Brain Fitness Center can help! To schedule an appointment, click here or email us at info@neurogrow.com.

This blog was written by Lizzie Lewis, and edited by Dr. Majid Fotuhi.