The Relaxation Response
Once you decide that the situation is no longer in danger, your brain stops
sending emergency signals to your brain stem, which in turn stops sending panic
messages to your nervous system. Three minutes after this is activated,
your stress response burns out. The parasympathetic nervous system is
activated and your metabolism, heart rate, breathing
rate, muscle tension and blood pressure, all return to normal levels and
homeostasis is achieved.
In the late 1960's, working in the same room in which Harvard Medical
School's Walter Cannon had worked 60 years earlier, Mind/Body Medical Institute,
President Herbert Benson, M.D., found that there was a counterbalancing mechanism
to the fight-or-flight response. Just as stimulating an area of the hypothalamus
can cause the stress response, so activating other areas of the brain results in
its reduction.
The relaxation response is a physical state of deep rest that changes the
physical and emotional responses to stress (e.g., decrease in heart rate, blood
pressure, and muscle tension). There are several ways in which to illicit the
relaxation response. To view Herbert Bensons simple six step approach,
watch the Flash presentation.
Other techniques to elicit the relaxation response are:
- Progressive Muscle Relaxation- The PMR procedure teaches you to
relax your muscles through a two-step process. First you deliberately apply
tension to certain muscle groups, and then you stop the tension and turn your
attention to noticing how the muscles relax as the tension flows away. Through repetitive practice you
quickly learn to recognize—and distinguish—the associated feelings of a tensed
muscle and a completely relaxed muscle. With this simple knowledge, you can
then induce physical muscular relaxation at the first signs of the tension
that accompanies anxiety. And with physical relaxation comes mental
calmness—in any situation. UP
- Autogenic Training-
Requires considerable time and discipline to learn, has more far-reaching
benefits than simple muscle relaxation. Autogenic training teaches
you to create a feeling of warmth and heaviness throughout your body, thereby
experiencing a profound state of physical relaxation, bodily health, and
mental peace.
- Diaphragmatic Breathing-
A simple breathing technique that we all should learn. Click on the link.
- Imaging/Visualization- Just as your thoughts and imagination
can induce the stress response, so too can it reverse it. By imagining
you are in a safe and secure place you can significantly reduce stress.
- Meditation- The practice of uncritically attempting to focus
your attention on one thing at a time. (Martha Davis 1996).
- Exercise- Perhaps the simplest, best way to turn down the
activity of our fight or flight response is by physical exercise. Remember
that the natural conclusion of fight or flight is vigorous physical activity.
When we exercise, we metabolize excessive stress hormones—restoring our body
and mind to a calmer, more relaxed state.
Research has indicated that some precaution should be taken when considering
relaxation techniques and their respective appropriate uses. Some side effects
can occur.
- Clients who suffer from affective or thought-disturbance psychosis, or use
nonpsychotic fantasy excessively, relaxation may in fact exacerbate these
symptoms.
- Clients who are on medication like insulin, sedatives/hypnotics, or
cardiovascular should be carefully monitored.
- Clients struggling with panic states would better be suited with a more
concrete relaxation paradigm. The very nature of panic creates a
diffuse, free-floating worry, loss of control and insecurity and some
abstract relaxation approaches.
- The emergence of repressed material.
- Lowering blood pressure may produce dizziness and headaches.
- Decrease in blood sugar levels may follow deep relaxation.
- Fatigue
Detailed use of these techniques and others are beyond the scope of this training. We
encourage additional training to become proficient users of these types of
relaxation techniques. We recommend the Relaxation and Stress Reduction
Workbook as part of your resource list.
Diaphragmatic Breathing
The Relaxation Response-
Diaphragmatic Breathing
There are two ways to breathe.
Most people
breathe in a slightly abnormal fashion. They tend to hold in their
stomach, make little use of the diaphragm, and breathe using the muscles
of the upper chest, neck, and shoulders. This style of breathing becomes
automatic, and the body adjusts volume and rate as it does in
diaphragmatic breathing.
Thoracic or chest breathing depends
on the more rigid system of muscle action in the neck, chest, and
shoulder area. This means that the lungs are given less room to expand
or contract and that the body must work harder. As breath volume is
lowered, breathing must be speeded up in order for the body to maintain
its chemical balance.
Now consider when the body is going
through a stress reaction and there becomes a greater need for oxygen.
Chest breathing becomes hard work with less productivity.
Diaphragmatic Breathing
The diaphragm should be the main
muscle of breathing, because its location in the body gives it the most
room to move in a piston-like fashion. Below it are the soft organs and
the belly, which can expand outward when a deep breath is needed. Above
the diaphragm are the lungs, which are also soft and pliable. Other
parts of the body also assist in breathing. If you tighten and pull in
your stomach, you push more air out of your lungs, because you put
pressure on the underside of the diaphragm-piston. If you let your
stomach pooch out, the diaphragm has more room to move down into the
area of the soft organs and you take in more air.
But the muscles between the ribs all
up and down the chest, especially those between the more flexible lower
ribs, can also work to make the rib cage bigger. Air comes in, again
because there is more space to fill. Even the muscles of the neck,
shoulders, and upper back assist in the breathing process. More oxygen,
less effort.
The relaxation
response undoes what stress has been doing to you. The relaxation
response brings about decreased muscle tension, lowered heart rate and
blood pressure, a deeper breathing pattern, calming of the belly, and a
peaceful, pleasant mood. The problem we face in managing stress is that
the stress reaction is more easily elicited than the relaxation
response. The stress reaction happens immediately without any effort on
your part. A loud noise at this moment would startle you, and the stress
reaction would speed through your body. A stress reaction happens
automatically while the relaxation response must be purposefully sought
and brought under control. While the relaxation response will occur
naturally as when you sit on the beach watching the ocean; hectic modern
society does not give us many chances for such natural elicitation. To
control our stress we must engage in an intentional practice of creating
the relaxation response.
Technique of Diaphragmatic Breathing:
This
technique consists of taking three slow breaths to slow things down.
Count silently and slowly to three when you breathe in (through your
nose); and push your stomach out rather than your chest. This allows
you to breathe with your diaphragm and to get a deeper breath. Breathe
out on a slow count of six - through your mouth.
The
rhythm goes like this:
Breathe
in
........1............2............3
Breathe
out
........1............2............3.............4.............5...........6
Repeat
two more times
Be sure
that you pace your breath so that you have some breath left by the time
you get to six. If you feel light-headed, then just slow it down a bit.
Practice
this several times each day and you will then have it available in a
stressful situation. This simple technique can slow and even stop the
fight-or-flight response.
Conclusion
This ends the overview of stress, its sources, types, and
physiological reactions to stress. The purpose of
this overview is to increase your awareness and sensitivity to stress.
As you continue, you will to learn that much of this work is about managing stress
reactions. Onsite work requires a sound understand of the
fight/flight/freeze response but even if this did not happen there are
or have been elevated stress levels. Likewise, traumatic stress
left unattended to can lead to significant impairment physically and
psychologically. Early intervention including pre-event training,
response, and appropriate crisis intervention strategies will help
mitigate the effects of traumatic stress.
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