Treament of IBS should focus on head as well as gut 

Source: Treament of IBS should focus on head as well as gut : Family Practice News

The pathophysiology of irritable bowel syndrome (IBS) was the focus of a presentation given by Dr. Anthony J. Lembo at the 2nd annual Digestive Diseases meeting in Philadelphia.
Specifically, Dr. Lembo discussed the debate about whether diagnosing the condition should focus on a patient’s gut or head; that is, if enhanced perception of a bowel disorder can lead to visceral hypersensitivity and altered motility, which results in a diagnosis of IBS when, in fact, the issue is psychosomatic. Dr. Lembo, a professor at Harvard Medical School and Beth Israel Deaconess Medical Center, explained that there is a growing shift toward diagnosing IBS as a brain-to-gut interaction rather than as something based purely on limited motility. Patients presenting with comorbid conditions such as depression, migraine, anxiety, neuralgia, chronic fatigue or pain, or fibromytosis are all more likely to not only have IBS, but to have more severe symptoms and lower quality of life.

Dr. Anthony J. Lembo
“When I see a patient who has a lot of these symptoms together, I realize that I need to be very aggressive and use a multimodal approach,” said Dr. Lembo. “I talk to their other physicians, and do more of the brain treatment, psychological treatment, CNS drugs, as well as some peripheral ones.”
For these reasons, Dr. Lembo said that the current Rome III criteria for treatment of IBS are not sufficient to be used on their own in diagnosing and treating IBS, saying “IBS is a heterogeneous disorder with both peripheral and central mechanisms” that must be treated as such. In treating the central nervous system, Dr. Lembo discussed 5-HT3 antagonists, serotonin modulators, antidepressants, and placebos. Peripheral treatments can come in the form of either diets, fiber regimens, antibiotics, GC-C agonists*, 5-HT3 antagonists, and probiotics/prebiotics, although efficacies and approvals vary.”

Bunny Besley adds comment:

Treatment involving both medication and psychologial intervention gives a more holistic approach and hypnosis is indicated as having successful outcomes to reduction of symptoms caused by the stress reaction in the gut.

Posted in IBS

If Your Relationship Is Failing, Here’s Why.

If there was one thing you could do to heal your relationships, would you do it? I’m the kind of person who loves to understand the deeper reasons behind

Source: If Your Relationship Is Failing, Here’s Why. ~ Dr. Margaret Paul

“If there was one thing you could do to heal your relationships, would you do it?

I’m the kind of person who loves to understand the deeper reasons behind behavior, and I’ve spent most of my life learning about what creates loving or unloving relationships. In the 43 years I’ve been counseling couples, I’ve discovered that there really is one major cause of relationship problems—one issue that if you address and heal, changes everything.

The one cause: self-abandonment.

When you abandon yourself emotionally, physically, spiritually, financially, relationally and/or organizationally, you automatically make your partner responsible for you. Once you make another person responsible for your feelings of self-worth and well being, then you attempt to manipulate that person into loving you, approving of you and giving you what you want. The controlling behavior that results from self-abandonment creates huge relationship problems.

Let’s look at the various forms of self-abandonment and how they result in relationship conflict and power struggles, or in distance and disconnection.

Emotional self-abandonment.

When we were growing up, many of us experienced much loneliness, heartache, heartbreak and helplessness. These are very big feelings, and unless we had loving parents or caregivers who helped us through these feelings—rather than being the cause of them—we had to find strategies to avoid them.

We learned four major ways of avoiding these core painful feelings of life, and these four ways now create our feelings of anxiety, depression, guilt, shame and anger, as well as relationship problems.

  1. We judge ourselves rather than accept ourselves.

Did you learn to judge yourself as a way to try to get yourself to do things “right” so that others would like you? Self-judgment creates much anxiety, depression, guilt, shame and emptiness, and can lead to many addictions in order to avoid these feelings. Self-judgment also leads to needing others’ approval to feel worthy, and your resulting controlling behaviors to gain others’ approval can lead to many relationship problems.

  1. We ignore our feelings by staying up in our head rather than being present in our body.

When you have not learned how to manage your feelings, you want to avoid them. Do you find yourself focused in your head rather than in your body, more or less unaware of your feelings?

We emotionally connect with each other from our hearts and souls, not from our heads. When you stay in your head as a way to avoid responsibility for your feelings, you cannot emotionally connect with your partner.

  1. We turn to various addictions to numb the anxiety, depression, emptiness, guilt, shame and anger that develops when we judge ourselves and ignore our feelings.

Addictive behavior, such too much alcohol, drugs, food, TV, gambling, overspending, work, sex and so on, can create much conflict and distance in relationships.

  1. We make our partner or others responsible for our feelings.

When we emotionally abandon ourselves, we then believe it is someone else’s job to make us feel loved and worthy. Do you try to control your partner with anger, blame, criticism, compliance, resistance or withdrawal to get him or her to give you what you are not giving to yourself? How does your partner respond to this controlling behavior?

Many relationships fall into a dysfunctional system, such as one person getting angry and the other withdrawing or resisting, or both getting angry or both withdrawing. In some systems, one is angry and the other is compliant, which seems to work until the compliant partner becomes resentful. In all of these systems, each person is emotionally abandoning themselves, which is the root cause of the dysfunctional relationship.

Financial self-abandonment.

If you refuse to take care of yourself financially, instead expecting your partner to take financial responsibility for you, this can create problems. This is not a problem if your partner agrees to take financial responsibility for you and you fully accept how he or she handles this responsibility. But if you choose to be financially irresponsible, such as overspending, or you try to control how your partner earns or manages the money, much conflict can occur over your financial self-abandonment.

Organizational self-abandonment.

If you refuse to take responsibility for your own time and space, and instead are consistently late and/or a clutterer, and your partner is an on-time and/or a neat person, this can create huge power struggles and resentment in your relationship.

Physical self-abandonment.

If you refuse to take care of yourself physically by eating badly and not exercising, possibly causing yourself severe health problems, your partner may feel resentful by having to take care of you. Your physical self-abandonment not only has negative consequences for you regarding your health and well being, it also has unwanted consequences for your partner, which can lead to conflict and power struggles.

Relational self-abandonment.

If you refuse to speak up for yourself in your relationship, and instead become complacent or resistant, you are eroding the love in the relationship. When you abandon yourself to another through compliance or resistance, you create a lack of trust that leads to conflict, disconnection and resentment.

Spiritual self-abandonment.

When you make your partner your source of love rather than learning to turn to a spiritual source for your dependable source of love, you place a very unfair burden on your partner. When your intent in the relationship is to get love rather than to share love, then you will unfairly lean on your partner for attention, approval, time or sex. When you do not take responsibility for learning how to connect with a spiritual source of your own for sustenance, your neediness can create relationship problems.

Spiritual self-abandonment is related to emotional self-abandonment, in that you cannot commit to 100% responsibility for yourself without a strong connection with a spiritual source of love and wisdom.

Learn to love yourself rather than abandon yourself.

Learning to love yourself is the key to a loving relationship. When you learn to connect with a personal source of spiritual guidance and access the love and wisdom that is always within you, you learn to fill yourself up with love. While self-abandonment creates an inner emptiness that relies on others to fill you, self-love creates an inner fullness. Self-love fills your heart and soul with overflowing love so that, rather than always trying to get love, you can now share your love with your partner.”

The course that can CURE insomnia: One hour therapy session that ‘banishes anger from the bedroom’ helped 73% of people | Daily Mail Online

A therapy session which coached people to use their bed only for sleep – rather than the frustration and misery of sleeplessness – helped many, say Northumbria University.

Source: The course that can CURE insomnia: One hour therapy session that ‘banishes anger from the bedroom’ helped 73% of people | Daily Mail Online

Coping With Stress And Insomnia? 4 Ways To Deal When You’re So Stressed Out, You Can’t Sleep | Bustle

You know that feeling when you can’t sleep, like, ever, and it’s absolutely ruining your life? It’s stressful. And it’s even more stressful when you know that stress is the thing keeping you awake.Insomnia has many different causes, but if your inability to get any shut-eye kicked in right when

Source: Coping With Stress And Insomnia? 4 Ways To Deal When You’re So Stressed Out, You Can’t Sleep | Bustle

The Truth About Diets.

The Truth About Diets

The western world is suffering from an obesity epidemic and the slimming business is a mulitmillion pound industry, constantly churing out the next new fangled diet plan or fitness regime.

I received blog today from my original trainer, Adam Eason which I wanted to share with you here:

By Adam Eason, Anglo European College of Hypnotherapy:

“The old world view of only eating ‘low-fat’ is dead, the old-school perspective of ‘low calorie diets’ are dead, the old school view of just ‘exercising and exercising and exercising’ to lose weight is dead….These old, outmoded perspectives have been central to what people believe is healthy for the past few decades and the world is now suffering from an obesity epidemic and diabetes is rife. The new world view is busting these myths. There are so many common myths and I’m going to banish some of them here for you today as well as telling you about the new trends and what science tells us is better for us instead. Today I want to give you three main points you can take away with you and those three points alone, if you action them will make massive change to your size, shape and weight.

According to research findings published in the Journal of Sports Medicine earlier this year, it is overeating sugar and carbohydrates that cause obesity and not a sedentary lifestyle as is popularly thought.

The researchers state “Our calorie laden diets now generate more ill health than physical inactivity, alcohol, and smoking combined” !!

They go on to add;

“It’s time to wind back the harms caused by the junk food industry’s public relations machinery,” the authors wrote. “Let’s bust the myth of physical inactivity and obesity. You can’t outrun a bad diet.”

Exercising regularly is a contributing factor to well-being and good health, but it is not the singular answer and governments of Western Countries are examining their public health advice currently because of the advancing evidence to support this.

You can’t outrun a bad diet. That is, you can’t eat poorly and think that exercise and activity will combat it, research proves this to be a myth.

This does NOT, however, mean that you need to ‘go on a diet.’ Having a healthy diet is very different to taking up a fad diet or a diet comprising of supplements, or a very low calorie diet whereby you feel starved, or a diet whereby you have to count calories (calorie counting is also proven to be ineffective with regards to weight reduction).  There are some major conclusions that research suggests about dieting, and they are as follows:

  1. Dieting does not work. 
  2. Dieting may make you more overweight, especially in the long run. 
  3. Dieting may be bad for your health. 

Companies with big budgets and a vested interest in the massive diet market do not share such research findings. With this in mind, I have made significant changes to the food I eat and the way I eat in recent times. I do not drink anywhere near as much alcoholic drinks as I used to, but the main distinguishing features of how I eat is that my diet is one that has no processed carbs or sugar. It is filled with lots of healthy, whole foods that satisfy me and support my active lifestyle.

That is my second main point today then (following the point that “you can’t outrun  a bad diet”) – that dieting does not work. It often leads to yo-yo dieting whereby a person reduces their weight, puts it all back on again, then tries to lose it again. However, it becomes an endless task because people who go on a very low calorie diet for the second time lose weight more slowly even if they take in the same number of calories as the first time. The body develops defences to deal with this and the more often it happens, the more difficult it is to reduce the weight.

Other things happen too when we diet; people become obsessed with food and eating, thinking about it constantly and sometimes obsessing about it. The body of someone who has yo-yo dieted responds by hoarding energy and our usual activities use up less calories (including sleeping burning less calories, the research suggests!), we give off less energy in body heat and we often become lethargic, and all the naughty foods start to taste even better than before.

We often relapse, we yo-yo and we feel doomed to a lifetime of being overweight. This is a myth, just because we have always been overweight, or were only ever not overweight as a child, it does not mean that has to be true for us for the rest of our lives. People seem to get into an overweight mindset and they seem to believe things about being overweight that simply are not the case. ​


There are many other myths about being overweight, let me give you a couple of the big ones:

  1. a)As I have already suggested, the idea that physical inactivity is a major cause of obesity is not really proven to be true.

People that are considered to be fat are usually less active than thinner people, however inactivity is probably caused more by being overweight than the other way around.

  1. b)The notion that being overweight indicates a lack of willpower is a whopper of a myth. Today’s society often makes being fat a shameful thing and we hold people personally responsible for their weight. Being overweight equates to being weak-willed and slobby. This is helped by the fact that our friends and people in the media that have chosen to reduce weight do so dramatically and in a fairly short period of time. Know this though; almost everyone returns to the old weight after shedding pounds by dieting. The more diets people try, the harder the body works to defeat the next diet. There are plenty of genetics involved in how much we weigh and when dieting, people also have to compete against an even tougher opponent; our biological defence against starvation. We win some small victories through determined application of our conscious will, but more often than not, we lose the longer term war.
  1. C)There is also a myth that overweight people have an ‘overweight personality’ which is also wrong. There has been plenty of research conducted looking at the correlation between fatness and personality and it has shown that obese people do not have any major differences in personality to those who are not obese. it might be more correct to suggest that overweight people adopt a mindset, which is great news, because that can be managed and a new mindset can be engineered, more on that later….

There is agreement from researchers that anyone can lose weight in one or two months on just about any diet, and there is also agreement that you are almost certainly going to put it all back on again within a few years (some authors suggest that you’ll actually put it all back on again and then some). You all know people who have adopted diets, regimens and plans or attended groups that has seen them reduce weight impressively only to put it back on again. Just look at many of the celebrities who did so in the public eye:

Oprah Winfrey: She followed the Optimist plan and became slimmer and slimmer on TV, losing 67 pounds in a few months. Then the following year, she gradually put it all on again and no longer sang the praises of the diet and in fact condemned it.

Vanessa Feltz, Fern Britton, Anne Diamond, Sharon Osbourne: Here in the UK we’ve seen many reduce weight and publicly put it all back on again after following a variety of fad diets and interventions.

If the science had been consulted before hand by these people, they may have not gone on those diets in the first place. Very low calorie diets have been proven to fail in the long term for most people who embark upon them. There is no diet in the world today that can boast figures and statistics to prove it works in the very long term. With most diet studies in fact, the longer the follow-up, the poorer the results.

People need to be able to maintain a proper eating plan. It may be useless or very difficult to eat less food, but it is incredibly important to eat healthier food and food which satisfies us. There is evidence to suggest that the right mindset therefore helps, and it is my belief that the right mindset is the single most important thing when it comes to reducing weight and maintaining it for the long term.

In fact, when dieting inevitably leads to failure and helplessness this leads to another cost of dieting – depression. When your fallible will-power competes with your unyielding biological defences, you know who comes out on top more often, don’t you? You get reminded of that failure each time you look in the mirror, you feel guilty every time you order a huge dessert at the restaurant, and you feel like your desire for everything that contributes to you being overweight is beyond your control…. and all of this makes us depressed. Especially when the media glorifies those that are young and thin; those continual messages we get from the media contribute to our depression, even if it is subtle.

There is much more to this, there is so much more, we still do not know the answer when it comes to diet, exercise, genetics and many other factors that contribute to our physique. What’s more, there is a lot of evidence that we can utilise to give ourselves the best possible chance of achieving more for the long term.

My third point, is that if you want to abandon fad diets and ways of losing weight rapidly, if you want to adopt a course of activity that suits you best, if you want to feel good about doing it and take control of your appetite, then you need to address your psychology and emotions.

  1. You can’t can’t out run a bad diet.
  2. Dieting does not work.
  3. You need to address your psychology and emotions in order to reduce weight effectively and for the long term.

What is the solution?

You can action the information that I have shared so far. Stop dieting, eat healthy whole foods, do not rely wholly on extra exercise, and find out how to use your psychology to advance the results you get. It all starts and ends in the mind.

In order to eat right, in order to exercise or up your activity levels at all, the key is that you need motivation. Real motivation. You need self-discipline, drive, you need belief in yourself, you need to communicate with yourself effectively, you need a mindset to help your approach to food, to help with the way you perceive yourself, and to prevent emotional eating. And you need to do these things in the way that the evidence suggests is the most effective way of doing it all. That’s where hypnotherapy comes in.

An individual’s perception of themselves, beliefs about themselves, way of communicating with them self and the psychological attitude that individual has towards their own physique plays a vital role in achieving the body you want. It precedes and underpins everything else that individual does.

You need a long-term psychological strategy if you wish to maintain that body once you have achieved it. Each time you lose weight and put it on again, it becomes harder to lose again and keep it off.

You need a long term plan, a strategy that ensures you can prevent relapse, that can help you make healthy choices, feel fortified and in control of who and how you are.

You need a long term strategy that will help you engage in heightened activity if you choose to and if you want to, a strategy that ensures you can make the steps forward with how you eat in a way that is not dieting at all, and a strategy that gives you skills to serve you for the rest of your life.”

 

Hypnosis…Will I lose control?

Hypnosis…Will I lose control?

This is a question that often crops up when speaking to people who are uncertain about hypnotherapy. Will I be under your control and unable to resist doing anything you ask?

The answer is that in therapy, this is your process and my role in this is to help you uncover the underlying structures that serve to maintain any issues you have been experiencing and then to change them. Some forms of therapy may be more suggestive that others, but at no time would you be ‘in my power’.

Read the following journalists report as she experiences hypnotherapy for the first time.

http://www.swindonadvertiser.co.uk/leisure/hobbies_art/11781592.Just_relax_It_s_only_hypnotherapy/

For more information please call or email me.

Bunny

Hypnosis & CBT for Social Anxiety

Hypnosis & CBT for Social AnxietyIMG_0058

Social anxiety particularly social anxiety disorder is among the potential obstacles that may prevent someone from living life to the fullest. Although everyone goes through this kind of anxiety in childhood they usually grow out of it.

Simply put social anxiety is characterised by a discomfited or fearful reaction when in a social event and usually involves worrying about being judged or evaluated by others. It can arise from a fear of embarrassment criticism or rejection. As a result the individual feels insecure as though they aren’t good enough.

Social anxiety disorder an exacerbated form of this type of anxiety can actually result in the quality of life being reduced since it interferes with both socialisation and everyday activities. Just a little less than 20% of adults aged 18 and older suffer from some degree of social anxiety.

While some people eventually get over it, others have much more difficulty doing so and for these people, hypnotherapy and CBT offer a solution in overcoming this fear. Many people experience irrational fear states at some time in their lives, but if these fears or phobias become severe it may lead to anxiety or panic attacks which can interfere with day to day activities.

This is true in some cases of social anxiety with the resulting fear being so strong that people will go to great lengths to avoid social situations. It’s also possible that people may have difficulty with relationships in their family and this unstable base can make the problem worse.

My therapy is a blend of hypnosis and CBT which is designed to help people deal with any trauma and underlying negative beliefs or thought processes which serve to maintain these limiting fears and to allow them to create new perceptions and responses to the world around them.

How you are today is a direct result of your experiences and your learnt reactions to them. Of course we can’t change your past, but as humans we do have the logic, rational and intelligence to recondition ourselves to how we would like to be, rather than simply accept our conditioned, emotional responses. Therapy helps you understand why you formed these unwanted reactions, but more importantly, how to change them. You may find that some conditions naturally improve with age and time, but why wait when therapy can speed up the process and release you from overactive anxiety?

Most people find a series of 3 – 4 sessions, or a one off intensive appointment is enough to give you the tools needed to change. For more information, please phone or email me

Bunny Besley BSC (Hons)

07748647489

bunny@hypnotherapy-colchester.com

CBT and Hypnosis to Break Old Habits

mountain lookout bushwalk

CBT and Hypnosis to Break Old Habits

Breaking old habits can seem difficult without support and guidance. We are predisposed to perform actions, thoughts and behaviours according to our habitual responses and the body sends you signals of discomfort when you attempt to change. Hypnosis can help you with these changes.

We could  use just willpower but this often leads to an internal battle between opposing forces, and in any war there is only attack or retreat unless a treaty can be negotiated.

Habits are formed throughout our lives in accordance to some particular need at the time, be that to gain a habit such as walking or driving, or a habit of protection from unwanted feelings and emotions. All too often we unwittingly develop habits which were intended to try and avoid some negative experience, but when this habit is repeated over time we often get exactly what it was you were attempting to avoid.

These habits  become  automatic subconcious responses, triggered when you ‘feel’ a certain way in a particular situation. We have preprogrammed ourselves to react to this feeling according to that old experience and if we simply accept this feeling without challenge,  we will stay stuck with it. When we learn something that has become automatic, we tend to develop a closed mind about the feeling or behaviour. We find it very difficult to open up to change because the mind tends to protect automatic behaviour and emotions.

Using CBT and hypnosis works on both conscious and subconscious level. Through conscious awareness you can use your logical and rational intelligence to alter your perception and update your behaviours and through hypnosis your subconscious needs can be transformed, leaving you free  to create new emotional responses and behaviours without having conflict in your mind.

 

Posted in CBT