Gratitude is the attitude to help you thrive after cancer

I’ve been feeling extra grateful this week, knowing that it is the 4 year anniversary of my bilateral mastectomy (having completed 6 cycles of chemo before that), and it’s got me thinking about the many benefits of gratitude practice, especially for us cancer survivors. Sometimes it just hits me how healthy and strong and resilient I feel, how almost surprised I am at that, and how truly grateful I am to feel so well and so full of life. I wanted to share a little today, so that others who are earlier on in their cancer journey might be inspired to give a try to gratitude practice, and see how significant the benefits can be in helping one navigate through all of cancer’s challenges and recover to a place of amazing strength and beauty.

4 years ago I had no idea that I could ever get to this point, feel the way I feel today, or be able to live the life I am now living. For starters, I didn’t know for certain that I would even still be here. And beyond the simple accomplishment of surviving, I didn’t know if I would be able to be truly thriving. I was afraid of the possibility of debilitating effects of surgery, weakness, late chemotherapy side effects, chronic fatigue, memory loss, lymphedema, pain, and on and on. It was absolutely overwhelming the many things that I was afraid of. And for good reason. They are all potential side effects of cancer and cancer treatment. So if you’ve had the same fears, don’t beat yourself up about it. However, do recognize that allowing yourself to stay in a whirlwind of fear and negativity doesn’t do you much good. One awesome and easy way to help yourself out of those funks is to use gratitude practice.

Gratitude practice helps interrupt and distance us from negative or toxic emotions, and the ruminative thought vortices that often follow those types of emotions. Gratitude strengthens and encourages healthy emotions and thought patterns, making us feel happier, more joyful, more optimistic, and more relaxed. Gratitude practice also helps us feel more connected to other people, leaving us more open, understanding, and compassionate, which helps foster better relationships. Finally gratitude practice helps us feel more at peace, more accepting and trusting of our situations, even strengthening spiritual connections if you are so inclined.

You’ve probably also heard that there is a well of scientific literature on the proven benefits of gratitude practices. In various different situations, gratitude practice has been associated with improved mood, higher levels of energy, self-esteem and self-efficacy, improved sleep, enhanced peace of mind, reduced stress, and even lower markers of chronic inflammation (and you all know that chronic inflammation is a bad actor in heart health, cognitive function, cancer, and much more!). So it isn’t just woowoo, or some kind of witchcraft. Legit science confirms that gratitude practice makes us feel better in so many ways. So wow, why would we NOT practice gratitude?!

There are many ways to practice gratitude. You could just start a gratitude journal, and write daily about anything for which you are grateful. You could even write about it on facebook! You can practice gratitude meditations. You can focus on gratitude during your yoga practice. You can write letters of gratitude to others. Or you can just try to express gratitude more often in day to day life situations.

I’ll share with you a few of the things on my gratitude list for today. I’m grateful for the miracles of modern medicine. Without the chemotherapy, herceptin, and perjeta that I was fortunate enough to receive, who knows if I would even be alive (I am also now grateful to be off of these medicines because the diarrhea sucked big time). Also, without the surgical advances, I might have had much more debilitating effects from bilateral mastectomy and axillary node dissection (20 something nodes removed). Don’t get me wrong, I DO have side effects from my surgery and radiation. It isn’t perfect. It hurts sometimes and my shoulder is a little wonky. But it is WAAAAY better that what women had to deal with years ago. So yes, even though it isn’t perfect, I remain grateful (here is a perfect example of how gratitude practice helps you shift away from the negative thought/emotion, reframing it to a positive one). I’m grateful to so many lovely people who sent prayers and good vibes for my recovery. I’m grateful to family and friends who helped take care of me, both physically and emotionally, through it all.

Finally, I’m grateful to my yoga practice. If you’ve read any of my other blog posts, you know how much I believe yoga helped me recover to where I am today. Yoga taught me resilience, patience, acceptance, gentleness and compassion for myself. Yoga also empowered me, and helped me see that I could get strength and function back, in many ways becoming even stronger than before cancer. Yoga helped me feel more connected to and in tune with my body, including the new changes that came with cancer, as well as others that come as a normal function of aging. And yoga has helped me look within, finding that place of stillness, peace, light, and joy that is always there, despite whatever storms might be going on around me. Yoga is always on my list of things to be grateful for because it truly changed my life.

Oh, and one more thing. I’m grateful that I learned to practice gratitude. 😉 Give it a try. It really does work.

Namaste

Did you know yoga can reduce the joint pain and stiffness related to your breast cancer treatment?

Just a quick post today to let you know about the research that demonstrates that yoga is effective in reducing the joint pain and stiffness commonly caused by the estrogen lowering medications, aromatase inhibitors. As you know, many breast cancers are related to estrogen, and estrogen blocking/lowering medications are proven to significantly reduce the risk of cancer recurrence and death in women who have that type of breast cancer. Unfortunately, like everything, these medications have some side effects. One of the most common is a joint pain and stiffness syndrome which can be very bothersome and even limit your activities. Medication treatments like anti-inflammatories aren’t terribly effective, and some women even stop taking their life-saving cancer treatment because the side effects are so troubling.

Guess what! There are several scientific studies that demonstrate that yoga practice can really help! These studies show yoga practice is safe AND results in a statistically significant improvement in pain, stiffness, functional ability, flexibility, balance, and quality of life! I’ll post links to several of the studies below. And the awesome thing is that yoga practice is simple, non-pharmacologic, accessible to anyone, and can be practiced at your own pace and in the comfort of your own home! Please join us to learn how to safely start your own yoga practice and get all of these benefits. We would love to help you feel better and thrive after breast cancer!

Namaste

https://www.ncbi.nlm.nih.gov/pmc/articles/PMC4610866/

https://journals.sagepub.com/…/10.1177/1534735411413270

https://link.springer.com/article/10.1007/s10549-015-3351-1

How self-awareness can optimize health and happiness after breast cancer

Eckhart Tolle is my all time favorite author. His simple spiritual messages speak to me so deeply, and relate so beautifully to the wisdom of yoga philosophy. One of the important things that yoga teaches us is to gain more self-awareness. This can take several avenues, including heightened awareness of the body, as we learn to tune in more to the movements of our bodies in asana practice, the flow of breath in asana, pranayama, or meditation, and even the more subtle movement of energy throughout the body in all of our practices and in daily life. Improved body awareness can be so important, especially in cancer survivors, in helping us heal, tolerate and even thrive during our treatments, and then regain strength and endurance when we are ready. It is so common in modern culture to just push our bodies to do whatever we think they should be able to do, without really listening to whether this is working for them or not. For example, waking up and guzzling down some caffeine to get you ready for a long work day, mindlessly consuming something quick while staring at your computer through lunch, followed by some carbs to combat the afternoon energy slump, then forcing yourself to go to the gym after work because it is the “healthy” thing to do, quickly eating dinner in front of some junk tv before collapsing into bed so you can do it again tomorrow, may seem like a “normal” way to conduct your life. But if you really think about it, does it even make sense that this lifestyle is good for your body? And do we ever listen to our bodies’ exhaustion, sluggishness, foggy mind, tension, anxiety, or chronic health conditions and wonder if our bodies are trying to tell us something? Yoga helps us to be more aware, to listen to our bodies and to be able to tune in to what they really need and what makes them feel best and operate most efficiently, both while we are dealing with cancer and beyond.

This increased awareness that yoga teaches us also relates to our ability to tune in to our own thoughts and emotions, improving our ability to observe them without being mindlessly swept away in the ever-changing currents. When we learn to observe ourselves more mindfully, we are then able to really feel how these different thought patterns and habits affect us. For example, when you get swept away in anger at someone who treats you badly, how does that make you feel? Tense, pained, hot, gasping for breath, or exhausted? On the other hand, how do you feel when you are generous and compassionate with someone, or you lend a hand and really help another? Calm, tranquil, open-hearted, and joyful? Perhaps your responses are different than these, but you get the idea that if we are mindful and learn to truly pay attention to what is going on in our bodies and our minds, then we can recognize when things are not optimal and we can choose if we want to make any changes to help ourselves.

So this is what Eckhart is getting at when he says “Be at least as interested in what goes on inside you as what goes on outside. When you get the inside right, the outside will fall into place”. Whereas if we are not mindful, and we are always focused outside of ourselves (on our deadlines, our goals, the stack of work on our desks, comparing ourselves to others, getting that last chemo, or getting that 10,000 steps) it is easy to lose sight of ourselves and what we really need to be doing to stay healthy in body and mind. But if we learn to pay close attention to everything we do and how it makes us feel, then we can choose to prioritize the activities and thought patterns that make us feel our best. In this way we have the power to make our lives healthier, happier, and more joyful.

For example, how would a 20 minute walk around the block feel instead of working through lunch? If you feel a little more energy and clarity of mind, then stick with that habit. If it just stresses you out more because you lost 20 minutes you could have been working, then that option isn’t for you.

How would you feel if you took a couple of deep breaths and just ignored the insult from the snarky relative or rude coworker, rather than allowing yourself to perseverate on all of the reasons why they are wrong (even if it is true), recognizing that this just causes you undue stress and tension?

How do on-line support groups make you feel? Inspired and motivated, learning new ideas from others? Or does it just make you feel bad and judge yourself if you didn’t exercise or eat as healthy as they did?

How do you feel when you take some time to relax and read a book? Or take a bubble bath? Or go to that yoga class you like? Or take a walk in the park? How do you feel when you work all weekend? Or when you have coffee for lunch? Or when you agree to do something you didn’t want to do or didn’t have time to do? How do you feel when you snap at a loved one out of frustration and tiredness? How do you feel when you think about how frustrating cancer treatment is or when you let yourself get caught in fear of recurrence? How do you feel when you focus on the things in your life for which you are grateful?

Just begin to notice how every little moment in your day feels to you. And try not to think about how you think it should make you feel, or what everyone else thinks about it. How does it really make YOU feel. And then you can work from there. Maybe no major changes are needed. But maybe just the smallest adjustment to your schedule or your habits, thought patterns, and interactions might make a huge difference in how you experience your days. And the icing on the cake is that this growing sense of awareness, of mindfulness, in and of itself, will make you feel better as well.

It’s your life. So pay attention to what is going on inside you and do what you can to make it a good one.

Namaste

Finding equanimity even in the face of cancer’s struggles

This is one of my all time favorite quotes, and I don’t even know who said it. I saw it first on a refrigerator magnet many years ago, long before cancer and before I was even interested in yoga philosophy. It touched me then, and it resonates with me even more deeply now. “Peace. It does not mean to be in a place where there is no noise, trouble, or hard work. It means to be in the midst of those things and still be calm in your heart”.

I mean, it’s easy to be peaceful and calm when everything is going great, when life is just flowing along perfectly, and it feels like the universe is conspiring in your favor, right? It’s when things get tricky or difficult and we face serious obstacles that we test our inner peace and equanimity. Equanimity is defined as mental calmness, composure, and evenness of temper, especially in a difficult situation. It is related to resilience, and in my opinion, is one of the most important qualities we can cultivate in ourselves if we want to be truly happy. Because let’s face it, life isn’t always easy, and things aren’t always simple and perfect, no matter how hard we work, how honest and good-hearted we are, nor how hard we try to always do the right things. Life is messy, and complicated, and challenges are just a part of it (perhaps the most important part in helping us learn, grow, and develop as humans, but that is a topic for another post).

So if we can learn to develop equanimity, resilience, and inner peace, we can traverse those difficult times and challenges without so much suffering. Because of course we suffer when we get so angry, when we lash out at others, when we blame others, when we wallow in self-pity, when we get stuck in vicious cycles of negativity, sadness, despair, and maladaptive coping strategies. This is not to say that anger and frustration and sadness aren’t normal emotions and appropriate responses to many of life’s challenges. They totally are. But developing equanimity and resilience means that we can notice those emotions when they come, recognize them for what they are, and then stop them from hijacking our bodies and minds, and instead choose another response that makes us feel better. We can learn tricks and tools, like mindfulness practices, breathing practices, listening to some beautiful music, getting out in nature, or creating some art or poetry, to help us.

As you know if you are a cancer survivor or have watched a loved one battle cancer, having cancer can be one of the most trying and frightening experiences of our lives. Our lives are literally threatened, we undergo complicated surgeries that can leave long-lasting pain and scarring, we receive treatments that make us feel like we are actually dying, we worry about our loved ones and how we’ll be able to continue to function in our normal lives, and on and on. You know the challenges. So for us, it is more important than ever to learn to be equanimous, to be resilient, to be able to remain calm in our hearts despite everything going on around us. And doing so helps us to be able to see and feel the joy, the beauty, the richness, and the love that are still there in every moment of our lives, rather than allowing all of that goodness to be covered over by our difficulties. Don’t miss out on that goodness. It is there. Just look around.

Yoga asana practice and yoga philosophy have been so important in helping me develop these qualitites. From teaching me better awareness of my body and mind, to training the nervous system to not fly off the handle under physical strain, and empowering me to instead choose to breathe calmly and activate the relaxation response, this practice trains us to be masters in equanimity and resilience. And in so doing, yoga has taught me to be truly at peace, even in the midst of noise, trouble, or hard work. I am forever grateful to yoga for that.

Join me in practice if you want to learn more.

Namaste

The miracle of letting go of things, thoughts, or habits that are not serving us

I trust everyone had a lovely holiday, full of peace, joy, family, and friends. Since we finished our blog series on the 8 limbs of yoga, I can now go back to blogging about whatever is on my mind. Are you excited? LOL. I’ve been thinking this week about the coming New Year, and the fact that 2020 is finally coming to a close. Before we can really begin to set intentions and plan for 2021, I think it is helpful to spend a little time thinking about anything that we would like to leave behind in 2020.

Obvious things that come to mind right away include covid19, political ugliness, social unrest, and travel restrictions. I’d love it if we could leave these unpleasantries right along with 2020. But of course, as we all know, we don’t have much control over things that go on around us (aside from doing our part to maintain healthy conditions and vote). What we CAN do is work on how we respond to these things that are happening around us. Unfortunately the stress and trauma of 2020 may have led some of us to display some of our less healthy habits and thought patterns. This might include things like anger and judgement toward those with different beliefs than ours. Maybe we’ve been judging and criticizing ourselves for not reading 100 books or learning some new skill, like some of our friends did. Maybe we’ve allowed fear to dominate our minds and create divisiveness, loneliness, sadness, or despondency. Maybe we’ve been living in the past, longing for old times and therefore missing any of the great things that are going on right here in the present. Maybe we’ve become sluggish and lost motivation for some of our healthier habits like exercise or healthy eating. Maybe we’ve just been more irritable with those closest to us because we are frustrated with the limitations on our freedoms and activities. For us cancer survivors, maybe we’ve had even more fear than normal, with worries about getting sick at the office, not being able to get treatment in a timely manner, or not being able to get the follow up we need. Or we have felt especially isolated with support groups and exercise classes being cancelled or going on line, leaving us yearning for human connection. All of these are completely understandable responses to the crazy year that we have all just been through. So first, let’s just extend ourselves a little compassion and understanding.

However, we can then exercise some introspection, and we can see how some of these responses create more suffering than is necessary, and how we might be able to relieve some of that suffering within ourselves if we can just learn to let go of those unhealthy patterns and responses, replacing them with more loving kindness. So I invite you to think about some of the challenges of this past year. Consider how you responded to those challenges, and whether you could flip that narrative at all. Instead of “I hate being stuck at home”, we might let go of that urge to get out and think “Wow, what an opportunity for cultivating stillness and remembering how much I enjoy the simple comforts at home”. Or instead of “My husband is driving me crazy being cooped up in this house all the time”, we let go of our irritability and judgement and think “wow, what a blessing to get to spend more time together with this person who I love dearly, and who, while they may have different ways of doing things than I do, is really working hard to do the best he can for our family”. Instead of “I feel so isolated and afraid, and I don’t think I can get through cancer like this”, we could realize “This crazy year made it possible for us to more easily connect to people all over the world who are going through the same thing, and I can text or video chat with them anytime to get a much broader scope of support and advice”. Instead of “Damn, I can’t believe all the stress eating I’ve been doing, and how awful I look with this 15 extra pounds”, we drop the self-judgement and think “It has been a really stressful year, and this was the way I tried to cope and soothe myself, but I know I’m not alone in that, and together with my friends, I’m going to make a list of healthier habits to cultivate next year”. Finally, instead of “I can’t believe how stupid those people are who voted for XYZ, don’t they see how awful their choice is”, we drop the judgement and try a little empathy, with “I don’t understand their perspective, but I’m sure they are doing what they think is best, for whatever reason, and I respect that, and hope for the best for all of us”.

As Jack Kornfield says, “Letting go is the path to freedom”. Holding on to our anger, our judgements, our strong feelings about how things should be, or our preferences and aversions, keeps us trapped in the same old cycles of thoughts, behaviors, and habits. If you had an awesome year and felt fabulous and joyful through it all, maybe you already have it all right and you have nothing that you need to change. But I think most of us felt stuck, frustrated, fearful, angry, or irritated, at least a few times this year. If we want to be free, free to quiet our minds, free to open our hearts, free to live a life of joy and peace, then we must practice letting go of anything that is getting in our way. Take this final day or two of 2020 to reflect on the year, and then consider what may be getting in the way of where you’d like to take yourself in 2021. Be patient with yourself, as it may take some practice, but try letting go of any of those things and see if you feel a little freedom and lightness emerging.

Happy New Year and Namaste

Enlightenment is not as far away as you might think

Today we’ll discuss the final, or 8th limb, of Patanjali’s 8 Limbs of Yoga, Samadhi! What a journey we’ve been on. And thank you for sticking with it! Again, as a recap, we’ve looked at the yamas and niyamas, as guidelines for healthy thought patterns, habits, and behaviors, relating both to how we interact with the world around us and with ourselves. We then traveled through the physical practice of asana, which gets our bodies in good health, trains our bodies and minds to be resilient and adaptable, and reinforces many of the things that we learned in the yamas and niyamas. We then explored pranayama, or breath control practices, which also heal and then maintain the health of the body, trigger the relaxation response, and give us tools to calm ourselves easily when we are challenged. Pratyahara helps us begin to be able to focus our awareness inward, rather than on the people and things going on around us. Dharana trains us to focus and concentrate, giving us the ability to shift our awareness to the object of our choice (and we can choose healthier objects of focus rather than those old dysfunctional things we might have focused on before). And in Dhyana, the effort to focus and meditate falls away, and instead we ease into meditative awareness as a state of being. This brings us to the 8th limb, samadhi.

Like many things in yoga philosophy, samadhi can be variably explained. It is often described as meaning “bliss” or “enlightenment”. But these words themselves can carry different meanings, from one person to the next. So I love this quote from Eckhart Tolle, “The word enlightenment conjures up the idea of some superhuman accomplishment, but it is simply your natural state of felt oneness with Being”. Eckhart commonly uses the word “Being”, with a capital B, referring to an alert state of presence, of complete immersion in the present moment, where we are free of thought and the burdens of the thinking mind, emotions, and judgements, where we are at one with the very power of life itself. He describes this state of Being as our true essence, our true nature, which is always there, but is just often buried by a thousand thoughts and our obsession with the past or the future. But when we are able to go deeper than (or transcend, however you like to look at it) this distracting activity of our minds, we can truly realize this underlying state of alert presence, of divine consciousness, of Being. And this feels peaceful, blissful, relaxed, and free.

Another quote that I love on the topic is from Thich Nhat Hanh, who says “Awakening is not changing who you are, but discarding who you are not”, meaning a letting go of all of the things that are not a part of our true selves and our deeper essence, allowing us to drop everything that clouds us from full self-realization. There are so many things that we think of as part of us: our careers, our experiences, our families, our beliefs, and our traumas. But those things do not truly define us in this deeper sense. I may be a doctor, or a yoga teacher, a daughter, a wife, an American, or a cancer survivor, and those are important parts of my lived experience. But do those things really define me?! As cancer survivors, this is one that we really struggle with sometimes, because we can allow this particular experience to really take over our consciousness and our lives if we aren’t careful. Of course it is an important, life-changing, and extremely challenging part of our experience, and it may affect us deeply and teach us things that no other experience can. However, underneath all of that, lies our true essence, our Being. And getting in tune with this place is what samadhi is about.

Importantly, samadhi isn’t a concrete finish line, like once you reach it you are done and there in a blissful paradise forever. This is something that we must continue our practice for, because it is easy to fall back into old patterns of destructive thinking, maladaptive habits, and routines that can again obscure our connection with ourselves. The thinking mind, with all of its regrets for the past or worries about the future, is sneaky, and without ongoing practice, can knock us off of our path to enlightenment, or bliss, or true self-realization. We continue to practice the 8 Limbs of Yoga to stay on the path.

Just as importantly, we must remember that getting in tune with samadhi does not mean there will be no more challenges in life, nor that every single moment will be perfect and without suffering. Samadhi means that we are in touch with a place where we are able to traverse life’s ups and downs without attaching or averting, without the judgements of our minds and our likes and dislikes, maintaining a state of equanimity from which we can remain blissful regardless of our surroundings.

It is easy to see how the 8 Limbs of yoga, and glimpses of samadhi, might be of particular use to us as cancer survivors. As I’ve discussed in other posts, cancer imposes many challenges that make normal life and everyday experiences a little more difficult. Cancer adds just another layer of clouds that can cast an obscuring shadow over our blissful Being. But with a little practice, we can uncover our true selves and see them shine with clarity again.

The most important thing to remember about samadhi, or bliss, or enlightenment, or self-realization, or whatever you want to call it, is that is isn’t as far away as you might think. You don’t have to run off to the Himalayas or to a year long meditation retreat. It is truly right here, in our everyday lives, if we can just learn to tune in to it. And it doesn’t have to be super complicated, or fancy, or sophisticated. Probably fireworks will not go off, nor will you see light emerging from the crown of your head. But if you notice that you are having more and more moments when you feel truly present, peaceful, at ease, blissfully and richly experiencing the simplest joys in your day, if you navigate a stressor with more grace, you know you are having success on the path, and you are in tune with your true self. Just keep practicing, and you will feel it.

Namaste

A serene encounter with reality has to be good

Continuing along in our discovery of Patanjali’s 8 limbs of yoga, this week we will take a look at the 7th limb, dhyana, sometimes described simply as “meditation”. But, for me, it requires a little more description to get the full flavor of what dhyana truly means. It is not just “meditation”, as in “I’m sitting on my cushion and doing my meditation”, but perhaps better explained as meditative absorption, or a state of alert awareness in which we are no longer “trying” to meditate or “doing” meditation, but rather we ease into meditative awareness as a state of being. We are no longer actively trying to focus and concentrate (as in the 6th limb, dharana), and no longer actively thinking about or judging the focus of our concentration. Instead, we relax into a state of keen awareness and stillness (inner stillness even though we might be physically moving), in which that state of doing transforms into our state of being and profound clarity arises. Some describe this as being “in the flow” or “in the zone”, as a condition in which we feel a free flow of our energy and awareness, unencumbered by the thinking mind, generally imbued with some sense of peace or joy.

You all know how I love quotes and I couldn’t choose just one today. A few of my favorite quotes about meditation include Thich Nhat Hanh’s “In mindfulness, one is not only restful and happy, but alert and awake. Meditation is not evasion: it is a serene encounter with reality”, Deepak Chopra’s “Meditation is not a way of making your mind quiet. It is a way of entering into the quiet that is already there – buried under the 50,000 thoughts the average person thinks every day”, and Osho’s “Meditation is a surrender, it is not a demand. It is not forcing existence your way. It is relaxing into the way existence wants you to be. It is a let-go”. Each of these quotes so eloquently describes what is really happening in meditation, or dhyana.

Importantly, you don’t have to sit in a certain position or on a special cushion to enter into dhyana and get the benefits of meditation. This state can be entered into in the midst of our other daily activities. My favorite style of meditation is actually the moving meditation that I can sometimes achieve during my yoga asana practice. I say sometimes because I’m not always able to transcend my pesky thoughts and reach that place, but when I can, the yoga practice carries with it even more magic than ever. Sitting meditation is the style most people associate with the term meditation, but there are many options, including walking meditation, any number of mindfulness practices, mantra meditation, loving kindness or metta meditation, and many others. Moreover, many people are able to reach a state of dhyana, or meditative absorption, while doing other activities like painting, singing, gardening, hiking, playing with children, or whatever gets you out of your head and into the flow. So open your mind and explore the idea of dhyana and what methods might work for you. If you are a runner or a swimmer and you know that those activities are what get you into that flow state, then keep doing those! If sitting meditation or yoga work best for you, keep doing those! But remember not to try to force anything to happen. Then you’ll just be getting in your own way. Just keep practicing, and it will come.

Why should we do these practices? Most are familiar with some of the benefits of meditation, including things like stress relief, improved mood, reduced fatigue, improved concentration and efficiency. But there are other fascinating benefits including improved blood pressure, pain control, reduced signs of aging and memory loss, improved immune function, reduced inflammation, and improved self-awareness. Many of these benefits have been studied and documented in cancer survivors as well as the general population. It is easy to see how cancer survivors would benefit especially, and ASCO (American Society of Clinical Oncology) now recommend meditation for cancer survivors based on the proven benefits! But just as TNH says above, meditation is not evasion. We don’t use it to escape from our life or our problems, but instead to allow ourselves to experience our current situation with clarity, serenity, equanimity, and freedom from the judgements of the thinking mind and the emotions that accompany them. Ahhhhhhh, how refreshing! And this simple practice doesn’t require expensive or complicated equipment; just you, your awareness, and some time and effort!

So give it a try! Many cancer centers now offer meditation classes. You can also learn on line, or read a book ( https://yogawithleona.com/2020/07/10/book-review-time-again/). But as with everything in yoga, be patient and compassionate with yourself. This is a practice, with no right or wrong way, and no winners and losers.

Namaste

The mind is a beautiful servant, but a dangerous master

Osho had it right on this topic. The mind, indeed, is a beautiful servant, but a dangerous master. This brings us back to our journey through the 8 limbs of yoga, today arriving at the 6th limb, dharana, or focused concentration. By way of a quick review, we’ve been through the 1st limb, the yamas, or the external observances or guidelines for how we interact with the world around us. The 2nd limb is the niyamas, or internal observances, guidelines for how we interact with and conduct ourselves. The 3rd limb is asana, or physical practices, the 4th is pranayama, or breathing practices, and the 5th is pratyahara, or withdrawal of focus from the external to the internal.

So now, in the 6th limb, or dharana, we learn to focus our awareness on one point, which can be our breath, a mantra, or any item of our choice. We learn to consciously direct our awareness to this single point, and then maintain it there for some period of time. As you know, this is not easy. Most of us are all too familiar with the monkey mind, or a mind that rapidly darts from one thought to the next, seemingly without any reason. In yoga these disturbances of consciousness are often referred to as the vrittis, or the fluctuations of the mind. One minute I’m thinking about my grocery list, and then all of a sudden I’m rehashing some grievance from 10 years, ago, and the next minute thinking about what I’m doing this week, maybe a doctor’s appointment, and then maybe back to the grocery list, or maybe onto something like the meaning of life or what is there beyond our universe. Our minds are naturally busy, and this is what they do if we don’t learn to direct them a little better. And this is where that “dangerous master” idea comes in. If we do not learn to direct our thought patterns in a way that is good for us and supports us on our chosen path (whether that is just happiness, or growth, self-realization, or enlightenment), this monkey mind can easily turn into a vicious cycle of negative thoughts which stir up negative emotions and then result in us behaving in ways that aren’t our best. For example, we’re all familiar with that rabbit hole of fear and negativity that we sometimes find ourselves in when we have some routine cancer follow up scheduled. I have bloodwork and a PET scan coming up, and I know from experience that one way I could allow my mind to go is this: what if the labs show my tumor marker is up, and the PET scan shows a recurrence, because I do have that weird pain sometimes, maybe that is a bone metastasis, if I have a recurrence can I really tolerate more treatment, shit I don’t know how I’ll tell my family, maybe it’d be better if I just didn’t treat it, I’ll just run away so nobody has to see me die…. and OMG, where did all of that come from?! Nothing is even wrong. I feel great, and that funny pain I mentioned is obviously just a soreness related to my exercise regimen, and I know that if I just think clearly and rationally. There is NO reason for me to be thinking any of this bad stuff. But our minds can be tricky, and get us into some really ugly places if we allow them to. I’ve mentioned before this phenomenon called negativity bias, where it is our brain’s natural tendency to focus on negative things, because evolutionarily that protected us from threats. But for most of us, we don’t really need that to be our predominant state. Obviously our minds are not a bad thing, and we need them to help us function in the world, but we must not let them become our master. We must learn to allow them to function as the beautiful servants that they are, without them taking over and wrecking our peace. We must train them to bring us back from these negative spirals, and instead remind us of all the good going on inside of us and around us.

Sooooooo, dharana, or one-pointed focused concentration, is training us to bring our awareness to one object, and to then maintain it there. Naturally, our minds will wander, and this is where the practice comes in. We just patiently practice, over and over again, gently bringing our awareness back to that point. And eventually, over time, we are able to stay focused, our minds learn to wander less, we are less fidgety, and more relaxed. Those fluctuations of the mind begin to settle, like the waves on a stormy sea settling down, until the mind becomes a vast body of tranquility and peace. Of course, those stormy seas with come again from time to time, but if we practice dharana, we will be able to calm them easily and return to our natural place of bliss and serenity.

So how do we do it? Well yoga asana is a great place to begin, as it takes much focus and concentration to be able to hold our bodies in certain positions for the prescribed time during our practice. Simple meditation practices, such as focusing on the sensations of the breath, or counting the breaths back from 10 are also great places to start. Just know that your mind will wander at first, and don’t get frustrated. Just as if you were training a frisky puppy, gently and lovingly redirect your awareness back to your point of focus each time it wanders. There are innumerable other meditation practices you can try as well, from candle gazing to mantra recitation, mindfulness practices, and more. There are even a number of phone apps these days that can get you started in your practice.

Yoga and all of the yogic practices are so good for us, in training our minds to work for us, not against us. Keep practicing friends. And I will too, so I can get through this upcoming testing without a meltdown. 😉

Namaste

Book Review: The Places That Scare You

Taking another short break from our journey through the 8 limbs of yoga, let’s look at another fantastic read.

When I saw this title, I just knew I needed to read this book. For breast cancer survivors, myself included, fear is one of the biggest hurdles we face in learning how to thrive after treatment. Pema Chodron’s The Places That Scare You; A Guide to Fearlessness in Difficult Times is a must read for anyone looking to learn how to navigate the ups and downs of life with more equanimity, a more open mind, and a more peaceful heart. Whether your challenge is breast cancer or any other normal life hurdle, like divorce, financial struggles, loss of a loved one, or natural disaster, this book will help you learn to overcome the habitual thought patterns and behaviors that feed our fears, anxieties, and suffering.

Fear is one of the things I talk about a lot with my cancer thriver friends. No matter how good we feel, how far out we are from diagnosis, or how great our prognosis is, fear of recurrence is just something that is always there, lurking in the back of our minds. And fear of recurrence has so many facets: fear of more treatment and its attendant toxicities, fear of disability or loss of vitalilty, fear of having to tell our families, fear of death, fear of how that will affect our loved ones, and on and on. And these fears can crop up at any time, sometimes prompted by some new pain or other unrelated illness, sometimes prompted by annual imaging or bloodwork, sometimes when we see someone else experience a cancer recurrence, and sometimes for no reason at all. But then, for whatever reason, our brains descend into this vicious cycle of worst case scenarios, visualizing all the awful possibilities, until we make ourselves physically ill and overcome with fear and dread.

While this is a common, completely natural, and normal reaction to traversing cancer survivorship, we would all probably love to learn some tools that might help us reduce the suffering that this cycle of fear causes. And this is where this book comes in. Pema Chodron is an American Buddhist nun, and a prominent Buddhist teacher, known for her kind, humble, humorous, and gentle wisdom. Drawing from a number of different Buddhist teachings, she offers the reader a number of different tools meant to help us navigate life’s ups and downs with more grace and ease, and less suffering and angst.

Importantly, this teaching reminds us that it is not ideal to try to squelch or forcefully suppress our negative emotions, nor to be harsh with ourselves when we lapse again into patterns that we know are not in our best interest. We learn to be gentle and compassionate with ourselves, sometimes just learning to sit with whatever the situation is and let it be, whether that is anger or irritability or fear or sadness. When we learn to really be present with ourselves in times of difficulty (instead of trying to escape using our old habits, be they alcohol, over-exercising, busy-ness, consumerism, or what have you), we develop an openness to all of life’s experiences, an understanding of the reality of life as ever-changing, a loving-kindness toward ourselves and all of our imperfections, and a compassion for others going through similar experiences that makes us feel more connected. We learn to let go of our fixed opinions, our judgements, our attachments, and our aversions, in favor of a more open mind and heart. Instead of letting the difficulties of our lives harden us and make us jaded and closed off, we learn to lean in to the experiences and come out instead more peaceful and tender-hearted. In all of these ways, then, we begin to transform. Things that used to scare us or make us angry no longer hold that power over us, as we naturally learn to respond in healthier ways. And as we do so, our daily experience becomes more tranquil, more relaxed, and more joyful, even on the difficult days.

Going through cancer is a serious challenge. Literally life-threatening and life-changing. So it isn’t easy to just learn a trick or two and all of a sudden be fine and perfect. It takes practice. But we really can learn to overcome many of its challenges more easily if we put in the effort and the time and just believe in ourselves. We have that power.

If any of this sounds good to you, pick up this book. I just finished reading it for the second time, and I know it will be one I’ll want to read over and over again on my journey.

Namaste

Going within

Continuing along in our discovery of Patanjali’s 8 limbs of yoga (we’re having fun, right?!), let’s explore the 5th limb, pratyahara. Although the 8 limbs don’t need to be practiced in any certain order, and it isn’t like you have to graduate from one limb to move on to the next, I do believe that developing some practice in the first 4 limbs definitely helps us as we move further along in our journey. And that is definitely true as we move into pratyahara.

Pratyahara is sometimes described as a withdrawal of the senses, or a withdrawal of our awareness away from the senses, a turning inward, or a focusing of our awareness inward, away from the outside world, away from our thinking mind, and toward our inner space, that place of peace, our true self, our higher self. We’ve mentioned the idea of yoga as an inner journey, or a work-in, and pratyahara is key to that exploration. Importantly, it isn’t a forceful stomping out of our thinking mind or our sense perceptions, but a gentle shift away from them and toward our inner space. I like to think of pratyahara as turning a bright spotlight from one direction to another, and as we develop the ability to consciously shift that light of awareness, we not only proceed along that path of inner exploration, but we also master the ability to shift our awareness at will. So that when old habitual behaviors or thought patterns begin to arise, we are able to quickly and easily pivot away from them and toward the healthier habits we are developing.

So why do we need pratyahara? Well, because it is so common, in modern culture, for us to be constantly fixated on the outside world, on our outer experience, driven by what we see in the news or on tv, what we hear on the radio, the things that we taste or smell, what is going on in social media, what the advertisers tell us we need, whatever activities we have to do with work or the other responsibilities that keep us busy. We are trained to constantly be thinking of and striving for that next experience, that next dinner out, that next career milestone, that next photo for instagram, that next pair of yoga pants (#attacked). And we spend very little time just being. Just sitting still with ourselves, exploring how we truly feel deep inside, considering what we truly want (not what our bosses, friends, or the media tell us we should want), taking in a beautiful sunset or really relishing that delicious cup of coffee. As you know, staying focused always on the outside world keeps us feeling anxious, worried, and inadequate. While turning our awareness inward and focusing more on our inner space cultivates peace, contentment, and joy.

As cancer survivors, not only do we have all of the normal things to be distracted by and worried about (will we get that next promotion, who went on a better vacation and posted it all over social media, whose kid is better at soccer or got a better scholarship than ours, what is happening to the economy, etc), but we also have a whole host of other pretty heavy concerns that can overwhelm our minds (will I live to see my kid get married, will my husband still be attracted to me, will I be able to get through this round of chemo, will I still be able to do my job so I can keep my health insurance, will the cancer come back?). So it is completely natural and expected that our minds can get swept away in a whirlwind of anxieties. Pratyahara can be a huge help, teaching us to bring our focus and attention away from all of those worries, and instead tuning in to our inner space, our inner peace, that sanctuary inside of us where everything actually is ok (even if it isn’t on the outside).

So back to the idea of how the first 4 limbs help us cultivate pratayahara. Practicing the yamas and the niyamas helps us to be better able to re-orient our minds, to notice those unhealthy thought patterns, and to see when we are getting swept away, or when we are focusing outside on things that truly aren’t important. Asana practice is a perfect training ground for focusing our awareness inward, on our bodies, our breath, and our inner energy. This is why I’m always saying thing like “stop and breathe a moment and just feel your body”. This is practice and training to be able to turn our awareness inward at will. When we practice it over and over on our mats, we get good at doing it, so it will happen more easily out in life when we are challenged. Pranayama, similarly, almost automatically leads us out of our thinking mind, by triggering that relaxation response deep in our nervous systems, setting us up to be able to easily slip into pratyahara.

So these 8 limbs of yoga truly are a masterful and methodical path that will lead us to a healthier, happier, more peaceful, and more joyful life. IF we just take the time to practice them. Do yourself a favor and give yourself the gift of yoga.

Namaste