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Yoga in the heart of the city

Yoga for Depression

By Marie Ishida (YA 500 Teacher Training Course Case Study 2008)

WHAT IS DEPRESSION?

When you are having trouble sleeping, eating, concentrating, making decisions, feel down, have a lack of motivation, crying spells or fast heartbeats, you may suffer from depression or anxiety.
These symptoms are very common and almost all people have experienced them at least once. This means depression and anxiety are common diseases that you can overcome simply. If, however, you miss an awareness of these signals (the above symptoms) from your body or mind, it could lead to a more serious condition.
Depression and anxiety is increasing worldwide, and unfortunately depression appears to be getting younger too. By WHO (World Health Organization) statistics "Depression is affecting about 121million people worldwide. It is becoming more prevalent with the background of our society - terrorism, wars, rising prices etc…"
The current global financial crisis is thought to be a cause of an increase in the suicide rate in the United State, as more people succumb to depression from economic worries.

Depression and Anxiety disorders are not the same, although they seem very similar. Depression generates emotions such as hopelessness, despair and very low energy levels. Anxiety disorders are from experiences of fear, panic or anxiety in situations that most people wouldn't feel anxious or threatened. The person suffering may experience sudden panic or anxiety attacks without any recognized trigger, therefore they live with a constant worry or anxiousness about the attacks themselves. Without treatment, such disorders can restrict ability to work, maintain relationships or even leave the house.

 

CAUSES OF DEPRESSION:

Biological factors

Chemicals in the brain (*Serotonin, Noradrenalin and Dopamine), are essential messengers which are called neurotransmitters and help to regulate mood, concentration, memory, sleep and appetite.
*Serotonin; Boost your sense of well-being, self-esteem, calm and security.
Noradrenalin and Dopamine; Gives you strength, vitality and a sense of power.

Internal and external factors

Internal:
Genetic predisposition
* Traumatic events (e.g. Losing loved one, past bad experiences)
* Personality * Medical conditions including hormonal disorders
* Medications/Drugs
.
External:
* Lifestyle factors (E.g. stress, lost job, illness, lack of nutrition, sleep and exercise)

Personality characteristics factors

An individual tends to get depressed who…
experiences high levels of anxiety, is a "worrier" or is irritable * is shy or reserved * is self-critical or has low self-worth * is hypersensitive * is a perfectionist * has a self focused style.

 

YOGIC APPROACH FOR DEPRESSION:

Asana practice
Aim:
* Get muscle strength and keep your body and posture alignment.
* Get a stable mind and mood elevator.
* Get awareness of your body.
Inversion poses
Benefits:
*Gaining strength of postural muscles to help keeping alignment.
*Stimulating blood flow into the brain which leads to increased serotoninproduction.
* Rejuvenating the body and mind.
* Shoulderstand(Salamva Sarvangasana)/ Headstand(Sirsasana)/ Legs up the wall Pose (Viparita Karanni).
Extension poses
Back Bendings
Benefits:
* Improving circulation and stimulating the nervous system.
* Lifts your spirits and helps clam, agitated or nervous energy.
* Generating an overall feeling of elation and well-being.

Easy asana practice for Depression

Mountain Pose with Arms overhead (Tadasana)

Downward Facing Dog Pose
(Adho Mukha Svanasana)

Standing forward bend
(Parsarita Padottanasa-supported head)

Easy cross legs
(Supported head)

Bridge Pose ( Setu Bandhasana)
Modification: This modification helps relieve anxiety and high blood pressure and can benefit suffering from depression or nervous exhaustion.
If you feel tired it is still back a bending pose.
Reclining Bound Angle Pose (Supta Badha Konasana)
This pose can help relieve stress, clear your mind and calm nerves. Improves respiration and circulation, helps ease repression and quiets an anxious mind.
Shavasana (Corpse Pose)
This is a wonderful pose to develop and keep your internal focus. It helps you relax completely.
Key point; Close your eyes and let everything relax. You have nowhere to go, nothing to strive for and nothing to worry about

Meditation practice
Aim:
* Calm your mind.
* Observe your mind and accept your reactions.
* Face to yourself, truth and recognize an oncoming bout of depression.
For depressed people, meditation helps them to recognize an oncoming bout of depression and they can then organize their life and accommodate it. Many people are still unclear why they feel down and stuck in the dark hall. Meditation tells you what distracts you, and you realize that you can manage your life. This is one of the ways to reduce symptoms of depression.

Breathing technique
Aim:
* Allows you to control your breath.
* Brings an awareness of your breath.
* Develops a calm mind.
Scientists have studied the effects of relaxation and deep breathing on the body and have found that a person can consciously alter functions once thought to be autonomic (unconscious), including heart rate, digestion and even cellular function.
Patricia Walden in the book "The Woman's Book of Yoga & Health" says that deep and healing inhalations lift your sprits and long slow exhalations soothe your nerves. The book also said that conscious breath links the body, mind and spirit together. Obviously, relaxed and conscious breathing gives us a feeling of safety and a positive outlook on life.

Yoga philosophy
Aim:
* Learn from Ptanajali Sutra and use for self-understanding.
* Find the ways that toward better life

Patanjali describes four pathological states that accompany these obstacles:
* Suffering
* Depression
* Anxiety
* Unsteady breath

It can be managed and even ameliorated with the following Eight Limbed Path (Ashta-anga):
* Yama (Restraint)
* Niyama (Observance)
* Asana (Posture)
* Pranayama (Breath control)
* Pratyahara (Withdraw of the senses)
* Dharana (Concentration)
* Dhyana (Meditation)
* Samadhi (Cosmic consciousness)

If you keep doing regular yoga practice, you would gradually lean Eight Limbs through own practice even we don't know much Sanskrit words. Just being on the mat and doing practice regularly then you will realize one day practice is fantastic, strong body, steady breathing and good concentration but one day the practice is not good and can't concentrate because of busy mind or tired and so on. This awareness and process is yoga. Yoga practice teaches us these philosophy naturally and keeps our body and mind health and strong. Yoga practice also leads us toward a better person and helps cool judgments and calm attitude.

Food/Lifestyle
Aim:
* Pay attention to your body.
* Eat the right meal and get a good mood and healthy mind.
The food that you eat could be affecting you mood and mind. Vitamin Bs, Omega 3 fats, Tryptophan and Protein can help to increase serotonin, which means they can work the same as antidepressants and thankfully we can take these from our diet.
Tryptophan is one of the amino acids and serotonin is made from tryptophan. It can find from protein rich foods. (Rich protein foods increase levels of dopamine and noradrenalin.) Taking enough tryptophan in your body may promote a calm mind and helps to get a good sleep. If you are not getting enough tryptophan, you will show symptoms of depression.
Omega 3 fat - Salmon, mackerel, herring, Tuna, Flaxseed oil, Perilla (Shiso) oil etc.
Vitamin B6 - Sunflower seed, Soy bean, Soy products, Banana, Avocado, Dried Prune, Tuna, Bonito etc.
Tryptophan (Protein) - Soy bean, Sesame seed, peanut, cashew nut, Almond, Sunflower seed, Pumpkin seed, Cheese etc.

 

SUMMARY:

In recent years, doctors have increasingly focused on treating depression by changing the biochemistry of the brain, specifically using drugs to raise the levels of chemicals in brain system such as serotonin. This is the mechanism of action of most commonly prescribed antidepressants.
But there are many other ways to treat depression such as psychological therapies or exercise and yoga practice. There are many different type of depression so it is important to discuss with someone who is a specialist or family and friends and somehow begin action for the treatment of symptoms.
Many people still have a negative view of antidepressant medication. I believe that if you can face and see your inner being using yoga, you will become more sensitive, therefore you can control yourself and you can manage between your body, mind and medication. If so, you would be no longer dependant on medication to treat depression.

Apparently some side effects of antidepressants and symptoms of depression tend to overlap and create a negative cycle. Do you think that antidepressants really work? Antidepressant can help to boost your feel good neurotransmitters but they never get to the root of the problem. In other words, they never fix what made you depressed in the first place and to treat the symptoms we need to address the root of suffering.

With my experience of depression this year, I realized through this case study that I'm still a person who gets depressed easily BUT I can overcome depression easily as well. I can manage my depression by using yoga practices. I can feel that I'm becoming a more sensitive, emotional person, but then when I begin feeling down I can also feel that subtle awareness of my body and mind on an emotional level. It came through from asana practice with my body condition or from meditation with the state of my mind and from moments in my daily life. Through this case study I can see how your individual attitude is most important as it depends on how much you are willing to make an effort, a resolution towards overcoming your weakness and how much you love yourself. Yoga helps to build up a strong mind and body with self reorganization. It brings balance to the mind and body.

Yoga can't solve your issues directly. It means only YOU can solve it by yourself. Yoga is just a tool that helps you face the root of cause depression. Yoga gives you strength physically and mentally through the practices to cope with such issues.
This process is called Yoga and it is the journey to improve and develop personal awareness and confidence.