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acceptance and commitment therapy, anxiety, depression, forgiveness, Miami holistic health coach, Miami psychologist, self compassion, Valentine's day,

How to nourish and cherish the love in your life . . .

In Psychology and Wellness

With it being Valentine’ day today, you may have big plans with your partner (e.g., boyfriend, girlfriend, wife, husband, etc.) to celebrate the love that you both share.  If you are single, you may experience the anticipation, excitement or nervousness of your first “big date” with someone you recently met or you may dread the occasion as a “Hallmark” holiday that affirms that you are unlovable because you have no special date.  Whether you already have special plans, look forward with optimism or would simply prefer that Valentine’s day did not exist, there are several important qualities that you can develop to love your partner, remember your “first date” or affirm and love yourself.

Learning to communicate openly and directly is both effective and demonstrates your vulnerability to your partner, allows you to be authentic, “voice” your emotions and is affirming to your partner.  Many “mishaps,” misunderstandings and resentments are avoidable by simply learning to speak clearly.  If you’re single and alone, introspection and honestly “asking” yourself what nourishes you and helps you to experience your life as “sweet” requires both self-compassion and “facing your demons.”

Do you experience shame and feel “unworthy” because you believe that no one could ever love you if they knew the “real” you?  Instead of acting and behaving as your mind tells you you “should,” being kind and gentle with yourself allows others to connect with you.  Being authentic with yourself and acknowledging your needs is important in recognizing your own “humaneness.”  By learning to be authentic and vulnerable, you cultivate a sense of belonging, acceptance and connection with your partner, other people and yourself.

In order to sustain and cherish the love in your life, it is important to also learn to notice, pay attention and forgive. We all commit errors, make mistakes and act in ways that only with the perspective of maturity and growth we later regret or feel contrite about in life.  As the English poet Alexandar Pope has eloquently stated “to err is human; to forgive, divine.”

You cannot avoid the pain that invariably comes from acting in a manner that you now would act in differently.  In seeking to minimize or avoid your pain, you also cut yourself off from experiencing human virtues like joy, love, appreciation and gratitude.  So in order to cultivate and nourish these “feel good” emotions, you must be willing to make room for the pain in your life.  So whether you are celebrating Valentine’s with the love of your life or are alone, learn to notice how you feel, allow and make room for all emotions and authentically “voice” your experiences in order to make this year and the rest of your life special.

To your health and success

Dr. Sandoval

To learn more about how working with a psychologist, holistic health coach and personal trainer can help you to enhance your health and well-being, call or email Dr. Sandoval to schedule  consultation.  

The information, published and/or made available through the www.drjosesandoval.com website, is not intended to replace the services of a physician, nor does it constitute a physician-patient relationship. This blog is for informational purposes only and is not a substitute for professional medical advice. You should not use the information in this post for diagnosing or treating a medical or health condition. You should consult a physician in all matters relating to your health, particularly in respect to any symptoms that may require diagnosis or medical attention.  Any action on the reader’s part in response to the information provided in this blog is at the reader’s discretion.

depression, Miami holistic health coach, Miami psychologist, New Year's resolutions, substance abuse, weight loss,

What’s your WHY?

In Psychology and Wellness

If you’re like most people, the holidays are loads of fun and may mean lots of time catching up with friends and family as well as a lot of good food.  With all the holiday parties, sweet indulgences and merry “toasts” to celebrate the fast approaching New Year, it’s easy to get off track with your health and well-being.  2023 is right around the corner and if you’re like most people you’ll set new resolutions believing that you’ll finally achieve your desired goals (e.g., losing those last stubborn 10 lbs. that don’t seem to ever go away, finally quit smoking or having your last drink of alcohol).

While setting a resolution for the New Year may lead to short term gains, it is unlikely to lead to your desired outcome without having a deeper life purpose and a WHYdentity.  The reality is that 95% of people who go on a diet will gain all the weight they lost within 5 years.  In order to reach your goals and commit long term, it is essential that you dig deep within to understand what makes you feel alive, helps you to experience gratitude and makes your life “sweet.”

Your life’s purpose, values and your WHY serve as a compass to you that will help you to experience vitality.  You may want to lose weight in order to play with your children, quit smoking so that you can jog outdoors and spend time with nature or stop drinking because you want to develop intimate relationships with your circle of peers and family instead of spending another night at the bar alone.

Once you have clarity regarding your WHYdentity and life’s purpose, set reasonable short term goals that are concrete and begin taking action steps on them right now.  Your values and life’s purpose will energize you to achieve your short term objectives.   Moreover, it is important that you build life structures and scaffolds to support you in obtaining your desired goals and commit long term.  If you want to lose weight, surround yourself with people who will support you and who have similar habits to the ones you wish to cultivate long-term.  If you want to stop smoking or drinking alcohol do not spend time with people who do so and may enable you to reach for another puff or cocktail and instead surround yourself with people who practice yoga or who meditate (e.g. the majority of people who drink alcohol and smoke do so to “blow off steam” and relax).

As you make progress and move towards committing long-term to what you value, you may find that you have a new circle of friends and lose your ties with old friends.  As you cultivate your willingness to extend beyond your comfort zone, make room for the painful private experiences that may arise (e.g., depression or guilt because you no longer spend time with an old friend) and do what is uncomfortable to create lasting change, remember to pause, celebrate and savor each step along your journey.

To your health and success,

Dr. Sandoval

To learn more about how working with a psychologist and holistic health coach can help you to enhance your health and well-being, call or email Dr. Sandoval to schedule a free consultation.

The information, published and/or made available through the www.drjosesandoval.com website, is not intended to replace the services of a physician, nor does it constitute a physician-patient relationship. This blog is for informational purposes only and is not a substitute for professional medical advice. You should not use the information in this post for diagnosing or treating a medical or health condition. You should consult a physician in all matters relating to your health, particularly in respect to any symptoms that may require diagnosis or medical attention.  Any action on the reader’s part in response to the information provided in this blog is at the reader’s discretion.

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How letting go will help you to experience gratitude and love . . .

In Psychology and Wellness

Traditionally, Thanksgiving Day marks a celebration and expression of gratitude.  Gratitude and the acknowledgment for all of the positive aspects in your life during which you acknowledge your basic needs being met (e.g., a roof over your head to sleep, clean water, food), the material goods in your life, friends, family and loved ones.

Several  studies have found that when you cultivate gratitude, you are more likely to be happy, cope more adaptively and increase your relationships with the people who you love.1,2,3 You are also less likely to get stressed or depressed and will engage in fewer negative coping behaviors, such as substance abuse.4

Acknowledging the positive aspects in your life may be challenging for you; particularly, when you focus or hold on to negative emotions like frustration, anger and resentment. Holding on to negative emotions towards situations and people in your life can exacerbate the painful conditions you are trying to avoid or change.

Fortunately, there are simple steps you can take to cultivate a grateful heart and reap its many psychological benefits. In order to have an attitude of appreciation, you must first release and let go of any negative emotions that you are holding on to in your life. Like any skill, you must also practice appreciation in order to cultivate an attitude of gratitude.

To help you release negative emotions, try the traditional Hawaiian practice of Hoʻoponopono. This traditional practice of forgiveness or reconciliation will help you to open your heart and mind to the many blessings in your life. It is defined in the Hawaiian Dictionary as a “mental cleansing: family conferences in which relationships were set right through prayer, discussion, confession, repentance, and mutual restitution and forgiveness.”

To practice, simply bring to your awareness to the difficult situation or person with whom you are holding on to a negative emotion. As you visualize the situation or person, repeat in your mind and affirm “I’m sorry,” “Please forgive me,” “Thank you” and “I love you.” Let go of the need to find blame, be gentle and refrain from judging yourself.  Continue the practice for 5 – 10 minutes. Do this every day for a few weeks and you will experience a shift in your heart and be more open and receptive to the good graces in your life.

As you let go of the negative emotions that are holding you back and cultivate gratitude, you will also want to keep a gratitude journal.  Start each morning reflecting on the people, situations or aspects of your life for which you are grateful. You can use The 5 Minute Gratitude Journal that has prompts for you to write down 2 aspects each morning. Gratitude journals have been found to help people experience more positive emotions and reduce painful feelings like depression in many psychological studies.5

In order to sustain and cherish the love in your life, it is simultaneously important to learn to notice, pay attention and forgive. We all commit errors and act in ways that only with the perspective of maturity and growth we later regret or feel contrite about in life.  As the English poet Alexandar Pope has eloquently stated “to err is human; to forgive, divine.”

You cannot avoid the pain that invariable comes from acting in a manner that you or your loved one now would act in differently.  In seeking to minimize or avoid your pain, you also cut yourself off from experiencing human virtues like joy, love, appreciation and gratitude.  So in order to cultivate and nourish these “feel good” emotions, you must be willing to make room for them and hold them lightly.  So this week on Thanksgiving Day, learn to notice how you feel, allow and make room for all emotions and cultivate gratitude by releasing the painful emotions that hold you back and notice the abundance in your life.

To your health and success,

Dr. Sandoval

To learn more about how working with a psychologist and holistic health coach can help you to enhance your health and well-being, call or email Dr. Sandoval to schedule a free consultation.  

  1. Algoe, Sara B.; Fredrickson, Barbara L.; Gable, Shelly L. “The social functions of the emotion of gratitude via expression.” Emotion, (2013) 13(4), 605-609.
  2. Emmons, R.A., McCullough, M.E. “Counting blessings versus burdens: An experimental investigation of gratitude and subjective well-being in daily life.”   Journal of Personality and Social Psychology. (2003) 84(2), 377-389.
  3. Gordon, A.M.; Impett, E.A.; Kogan, A.; Oveis, C.; Keltner, D. “To have and to hold: Gratitude promotes relationship maintenance in intimate bonds. “ Journal of Personality and Social Psychology (2012) 03(2) 257-274.
  4. Grant, A. M.; Gino, F. “A little thanks goes a long way: Explaining why gratitude expressions motivate prosocial behavior.” Journal of Personality and Social Psychology. (2010)  98(6), 946-955.
  5. Lyubomirsky, Sonja; Dickerhoof, Rene; Boehm, Julia K.; Sheldon, Kennon M. “Becoming happier takes both a will and a proper way: An experimental longitudinal intervention to boost well-being.” Emotion (2011)11(2), 391-402.

The information, published and/or made available through the www.drjosesandoval.com website, is not intended to replace the services of a physician, nor does it constitute a physician-patient relationship. This blog is for informational purposes only and is not a substitute for professional medical advice. You should not use the information in this post for diagnosing or treating a medical or health condition. You should consult a physician in all matters relating to your health, particularly in respect to any symptoms that may require diagnosis or medical attention.  Any action on the reader’s part in response to the information provided in this blog is at the reader’s discretion.

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How simple mindfulness practices can help you to enhance your wellbeing and reduce your distress . . .

In Psychology and Wellness

Mindfulness is the practice of intentionally bringing your attention to your here and now experiences with an attitude of curiosity, openness and non-judgment.  Many studies have shown that mindfulness practices can help you to reduce stress, worry, symptoms of binge eating, many anxiety disorders and ADHD.1, 2

Mindfulness practices, including yoga, yoga breathing exercises and qi gong, can also help you to enhance your emotional well-being, immune system , concentration and focus as well as help you to reduce symptoms of depression, reduce your blood pressure and trigger your “rest, digest and heal”  response (i.e., it activates your body’s parasympathetic nervous system).3, 4, 5, 6,7,8,9

While establishing a formal practice for mindfulness meditation is ideal, using informal practices and learning yoga or qi gong is simple and equally as effective.  Below are simple, informal practices that you can learn to help you disengage, reduce stress and enhance your well-being.

  • Notice Sounds: Notice 5 sounds.  As you notice the sounds, be aware of the moment when your mind identifies the sound and adds a label or judgment.  It is in the nature of the mind to identify, categorize, label and judge every experience you bring your attention to.  With practice, you will simply notice the sounds and be in the spaciousness of your awareness before your mind adds a label or judgment.
  • Mindful Breathing: Take 10 mindful breathes.  Pay attention to every sensation in your body as you inhale and exhale.  The rise and fall of your chest or abdomen. The rate and depth of each breath.  The cool sensations as you inhale through your nostrils and the warmth as you exhale out your mouth.  The expansion and collapse of your lungs as the air flows in and out of your body.  Take time throughout your day to disengage from the task at hand, pause and take 10 mindful breaths.
  • Mindful Eating: Notice the colors and shapes.  Notice the smells of the food.  As you bring the food to your mouth, notice the intention to eat and your body’s production of saliva in the anticipation of the food entering your mouth.  As you chew, notice the sounds of the food and the chomping of your teeth that the chewing produces.  Notice the feel and texture of the food. Your tongue positions the food precisely where it needs to be in order to chew.  Notice the taste.   Be aware of the moment and intention to swallow the food.
  • Mindful Touch: Touch a loved one or practice self-massage.  As you pay attention, notice all the sensations on your skin.  Tingling, warmth, coolness, itching, pain, tension, pleasure, lightness.  Be aware of any judgments or stories that your mind adds to the experience as you touch.  It is natural for your mind to add judgments and preferences about yourself and others.  Without struggling, simply notice the judgments, and gently bring your awareness back to the sensations in your body.
  • Mindful Walking: Walking is a controlled act of falling.  When you walk mindfully, have the intention of noticing every aspect of your body as you raise your foot to take a step.  Monitor the sway of your hips.  Notice the tension in your calf as you raise your foot, the pull in your thigh and the pressure upon landing on your heel.  Alternate and again monitor the movement of your body as you lift the opposite foot.  Be aware of the movement of your shoulders, hips and arms as you balance yourself to walk.  As your mind wanders, gently redirect your attention back to your breath and the movements of your body.  To help you maintain your focus, you may want to mentally label each step.  “Left, Right, Left, Right.”
  • Alternate Nostril Breathing (Yoga breathing exercise): Close your right nostril with your right thumb and inhale through your left nostril. Do this for a count of four seconds. Immediately afterwards close your left nostril with your right ring finger and little finger while you simultaneously removing  your thumb from your right nostril and exhale through this nostril. Do this for a count of eight seconds. Complete your cycle by inhaling through your right nostril for a count of four second and follow by closing your right nostril with your right thumb and exhale through your left nostril for a count of eight seconds.  Start by doing three cycles, adding one per week until you are doing seven cycles.

To your health and success,

Dr. Sandoval

To learn more about how working with a psychologist and holistic health coach can help you to enhance your health and well-being, call or email Dr. Sandoval to schedule a free consultation.

  1. Klein, AS, Skinner, JB and Hawley, KM.  “Targeting binge eating through components of dialectical behavior therapy: Preliminary outcomes for individually supported diary card self-monitoring versus group-based DBT.” Psychotherapy. (2013). 50(4), 543-552.
  2. van de Weijer-Bergsma, E,  Formsma, AR, Bruin, EI,  Bögels, SM. “The effectiveness of mindfulness training on behavioral problems and attentional functioning in adolescents with ADHD.” Journal of Child and Family Studies. (2012). 21(5), 775-787.
  3. Witek-Janusek, L, Albuquerque, K, Chroniak, KR, Chroniak, C,  Durazo-Arvizu, R, Mathews, HL.  “Effect of mindfulness based stress reduction on immune function, quality of life and coping in women newly diagnosed with early stage breast cancer.” Brain, Behavior, and Immunity, (2008). 22(6), 969-981.
  4. Sarang, P and Telles, S.  “Effects of two yoga based relaxation techniques on heart rate variability (HRV).”  International Journal of Stress Management. (2006). 13(4), 460-475.
  5. Vempati, RP and Telles, S.  “Yoga-Based Guided Relaxation Reduces Sympathetic Activity Judged from Baseline Levels.” Psychological Reports. (2002). (90), 2 487-494.
  6. Srivastava, RD, Jain, N, and Singhal, A. “Influence of Alternate Nostril Breathing on Cardiorespiratory and Autonomic Functions in Healthy Young Adults.” Indian Journal Physiology and Pharmacology. (2005). (49), 4, 475–483.
  7. Subramanya, P and Telles, S.   “Effect of two yoga-based relaxation techniques on memory scores and state anxiety” BioPsychoSocial Medicine. (2009). (3), 8.
  8. Tsang HW, Fung KM, Chan AS, Lee G, Chan F. “Effect of a qi gong exercise program on the elderly with depression.” International Journal of Geriatric Psychiatry. (2006). (21), 9, 890–897.
  9. Oh, Byeongsang, Sun Mi Choi, Aya Inamori, David S.Rosenthal, and Albert S. Yeung. “Effects of Qi gong on depression: A systemic review.” Evidence-Based Complementary and Alternative Medicine (2013). doi:10.1155/2013/134737

The information, published and/or made available through the www.drjosesandoval.com website, is not intended to replace the services of a physician, nor does it constitute a physician-patient relationship. This blog is for informational purposes only and is not a substitute for professional medical advice. You should not use the information in this post for diagnosing or treating a medical or health condition. You should consult a physician in all matters relating to your health, particularly in respect to any symptoms that may require diagnosis or medical attention.  Any action on the reader’s part in response to the information provided in this blog is at the reader’s discretion.

anxiety, depression, digestive disorders, dopamine, enteric nervous system; gut microbiome, gut dysbiosis, Miami holistic health coach, Miami psychologist, probiotics, serotonin, vagus nerve,

What’s inside your gut may be the reason for your poor health . . .

In Psychology and Wellness

Many health conditions and psychological symptoms originate in your gut.  Your enteric nervous system, or “second brain,” is home to an abundance of neurons and produces an array of neurotransmitters. It is also where trillions of microorganisms (collectively known as your gut microbiome) reside.  You are, in fact, only 10% human as each of these microorganisms has its own DNA and they outnumber the total number of cells in your body by at least 10.  Your microbiome weighs an average of 3-6 pounds.  These tiny microorganisms include bacteria, yeast, fungi, mold and parasites and they play an enormous role  in determining your health.

While capable of functioning independently, your enteric nervous system and central nervous system “speak”(i.e., via the vagus nerve)  to one another all the time.  In fact, about 90% of your body’s serotonin (a feel good neurotransmitter) and 50% of your dopamine is produced in your enteric nervous system by your gut microbiome.

People who experience various digestive disorders and psychological syndromes including food allergies and intolerances, frequent gas and bloating, diarrhea and constipation, symptoms of anxiety or depression, schizophrenia and ADHD or who suffer from auto immune conditions frequently  have an imbalance of gut microorganisms; a condition known as gut dysbiosis.1,2,3

Many lifestyle factors affect how your gut functions and the health of your gut microbiome.  The standard American diet that is full of refined sugars and processed foods, stress, “dirty” electricity (i.e., nEMFs), poor quality and insufficient sleep, pesticides, herbicides, antibiotic medications and birth control pills negatively impact the health of the friendly probiotic bacteria in your gut.4

Animal studies have found that the administration of antibiotics leads to a significant increase in fearful behavior.  Conversely, the addition of probiotic supplements has been found to decrease such anxious behavior.5 Human studies have also found that the administration of beneficial probiotic supplements significantly reduces symptoms of anxiety and depression.2

An important principle to adopt to ensure optimal health and prevent many physical and mental health problems is to make sure that you include probiotic rich fermented foods in your diet.  Traditionally fermented foods, like sauerkraut and kim chi, are rich sources of friendly bacteria and yeast and help to support your immune system because they contain many B vitamins, omega-3 fatty acids, digestive enzymes, lactase and lactic acid, and other immune chemicals that fight off harmful bacteria and cancer cells.   Aim to eat multiple servings of probiotic rich fermented foods every week to support your overall health and well-being.

To your health and success,

Dr. Sandoval

To learn more about how working with a psychologist and holistic health coach can help you to enhance your health and well-being, call or email Dr. Sandoval to schedule a free consultation.

  1. Messaoudi, M, Lalonde, R, Violle, N,  Javelot, H, Desor, D, Nejdi, A,  et al.  “Assessment of psychotropic-like properties of a probiotic formulation (Lactobacillus helveticus R0052 and Bifidobacterium longum R0175) in rats and human subjects.”  (2011). British Journal of Nutrition. 105, 755–764.
  2. Neufeld, KA and Foster, JA.   “Effects of gut microbiota on the brain: Implications for psychiatry.”  (2009).   Journal of Psychiatry and Neuroscience. 34(3); 230-1.
  3. Natasha Campbell-McBride, M.D. (2010).  Gut and Psychology Syndrome: Natural Treatment for Autism, Dyspraxia, A.D.D., Dyslexia, A.D.H.D., Depression, Schizophrenia.
  4. Inhan-Garip A1, Aksu B, Akan Z, Akakin D, Ozaydin AN, San T.  Effect of extremely low frequency electromagnetic fields on growth rate and morphology of bacteria.  International Journal of Radiation Biology.
  5. Bravo, JA, Forsythe, P, Chew, MV, Escaravage, E,  Savignac, HM, Dinan, TG, et al.  “Ingestion of Lactobacillus strain regulates emotional behavior and central GABA receptor expression in a mouse via the vagus nerve.” (2011). Proceedings of the National Academy of Sciences. 108, 16050–16055.

The information, published and/or made available through the www.drjosesandoval.com website, is not intended to replace the services of a physician, nor does it constitute a physician-patient relationship. This blog is for informational purposes only and is not a substitute for professional medical advice. You should not use the information in this post for diagnosing or treating a medical or health condition. You should consult a physician in all matters relating to your health, particularly in respect to any symptoms that may require diagnosis or medical attention.  Any action on the reader’s part in response to the information provided in this blog is at the reader’s discretion.

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How externalizing your awareness can rein in your mind’s stories . . .

In Psychology and Wellness

If you experience bouts of anxiety, worry and depression or you obsess with unproductive and painful thoughts, you’ll likely benefit by learning to cultivate and externalize your awareness.  You may believe that suppressing what your mind tells you or replacing your mind’s stories with better thoughts or self-affirmations will lead you to live your life in alignment with your values.  Long-term; however, trying to not to think about your mind’s many stories is not effective and very often increases your suffering.

Research suggests that instead of helping you to experience more vitality, attempting to control your mind and get rid of the many painful thoughts and emotions that you experience will actually increase your pain (i.e., the rebound effect).1 Rather than attempting to control your mind and attempting to suppress your painful private experiences, learning to monitor your thoughts and simply notice the frequency, duration and situations in which they occur is both simple and effective as it will allow  you to focus on creating a life of meaning and purpose.

To separate your actions from your unproductive private experiences and help you to get into your life, you can self-monitor by physicalizing each occurrence of a painful thought, feeling or memory with a tally counter.  Using this simple object will help you to interrupt any covert behavioral patterns that lead to your suffering, realign and proceed in the direction of what you value (e.g., being a loving parent, using your creativity in your work, helping other people in your community, being healthy in order to play with your children).

While at first this may lead you to experience more discomfort as you realize how your control strategies have been ineffective in eliminating your pain, over the long term you will create a rich and meaningful life that measures up to your life’s purpose as you continue to self-monitor,  expand and externalize your awareness.

To your health and success,

Dr. Sandoval

To learn more about how working with a psychologist and holistic health coach can help you to enhance your health and well-being, call or email Dr. Sandoval to schedule a free consultation.  

  1. Abramowitz , JS, Tolin, DF and Street, GP.   “Paradoxical effects of thought suppression: a meta-analysis of controlled studies.” (2001). Clinical Psychology Review, 21(5) 683-703.

The information, published and/or made available through the www.drjosesandoval.com website, is not intended to replace the services of a physician, nor does it constitute a physician-patient relationship. This blog is for informational purposes only and is not a substitute for professional medical advice. You should not use the information in this post for diagnosing or treating a medical or health condition. You should consult a physician in all matters relating to your health, particularly in respect to any symptoms that may require diagnosis or medical attention.  Any action on the reader’s part in response to the information provided in this blog is at the reader’s discretion.

meditation, exrcise, depression

Meditation Plus Running as a Treatment for Depression

In Media & News

By GRETCHEN REYNOLDS
March 16, 2016

Meditating before running could change the brain in ways that are more beneficial for mental health than practicing either of those activities alone, according to an interesting study of a new treatment program for people with depression.

As many people know from experience, depression is characterized in part by an inability to stop dwelling on gloomy thoughts and unhappy memories from the past. Researchers suspect that this thinking pattern, known as rumination, may involve two areas of the brain in particular: the prefrontal cortex, a part of the brain that helps to control attention and focus, and the hippocampus, which is critical for learning and memory. In some studies, people with severe depression have been found to have a smaller hippocampus than people who are not depressed.

Interestingly, meditation and exercise affect those same portions of the brain, although in varying ways. In brain-scan studies, people who are long-term meditators, for instance, generally display different patterns of brain-cell communication in their prefrontal cortex during cognitive tests than people who don’t meditate. Those differences are believed to indicate that the meditators possess a more honed ability to focus and concentrate.

Meanwhile, according to animal studies, aerobic exercise substantially increases the production of new brain cells in the hippocampus.

Both meditation and exercise also have proven beneficial in the treatment of anxiety, depression and other mood disorders.

These various findings about exercise and meditation intrigued researchers at Rutgers University in New Brunswick, N.J., who began to wonder whether, since meditation and exercise on their own improve moods, combining the two might intensify the impacts of each.

So, for the new study, which was published last month in Translational Psychiatry, the scientists recruited 52 men and women, 22 of whom had been given diagnoses of depression. The researchers confirmed that diagnosis with their own tests and then asked all of the volunteers to complete a computerized test of their ability to focus while sensors measured electrical signals in their brains.

The researchers found that the depressed volunteers showed signaling patterns in their prefrontal cortex that are associated with poor concentration and focus.

Then the researchers had all of the volunteers begin a fairly rigorous, supervised program of sitting, followed by sweating.

To start, the volunteers were taught a form of meditation known as focused attention. Essentially entry-level mindfulness meditation, it requires people to sit quietly and think about their respiration by counting their breaths up to 10 and then backward. This practice is not easy, especially at first.

“If people found their thoughts wandering” during the meditation, and especially if they began to ruminate on unpleasant memories, they were told not to worry or judge themselves, “but just to start counting again from one,” said Brandon Alderman, a professor of exercise science at Rutgers who led the study.

The volunteers meditated in this way for 20 minutes, then stood and undertook 10 minutes of walking meditation, in which they paid close attention to each footfall.

Then they clambered onto treadmills or stationary bicycles at the lab and jogged or pedaled at a moderate pace for 30 minutes (with five minutes of warming up and five minutes of cooling down).

The volunteers completed these sessions twice a week for eight weeks. Then the researchers retested their moods and their ability to focus and concentrate.

There were significant changes. The 22 volunteers with depression now had a 40 percent reduction in symptoms of the condition. They reported, in particular, much less inclination to ruminate over bad memories.

Meanwhile, the members of the healthy control group also reported feeling happier than they had at the start of the study.

Objectively, the volunteers’ results on the computerized tests of their ability to focus and their brain activity also were different. The group with depression now showed brain cell activity in their prefrontal cortex that was almost identical to that of the people without depression. They could concentrate much better and hone their attention, attributes that are believed to help reduce stubborn rumination.

“I was quite surprised that we saw such a robust effect after only eight weeks,” Dr. Alderman said.

He and his colleagues theorize that the meditation and exercise may have produced synergistic effects on the brains of their volunteers.

“We know from animal studies that effortful learning, such as is involved in learning how to meditate, encourages new neurons to mature” in the hippocampus, he said.

So while the exercise most likely increased the number of new brain cells in each volunteer’s hippocampus, Dr. Alderman said, the meditation may have helped to keep more of those neurons alive and functioning than if people had not meditated.

Meditation also may have made the exercise more tolerable, he said, since some studies indicate that being mindful of your breathing and your body during workouts increases people’s enjoyment of the exertion.

“I’ve started meditating,” said Dr. Alderman, a long-time athlete.

Of course, this was a small study and the scientists did not follow their volunteers long term, so they do not know if any mood improvements linger. They also have no idea whether similar or even greater benefits might occur if someone were to run and then meditate or to practice both activities but on alternating days. They plan to study those questions in future experiments.

ADHD, anxiety, binge eating, depression, Miami holistic health coach, Miami psychologist, qi gong, worry, yoga,

How simple mindfulness practices can help you to enhance your well being and reduce your distress . . .

In Psychology and Wellness

Mindfulness is the practice of intentionally bringing your attention to your here and now experiences with an attitude of curiosity, openness and non-judgment.  Many studies have shown that mindfulness practices can help you to reduce stress, worry, symptoms of binge eating, many anxiety disorders and ADHD.1, 2

Mindfulness practices, including yoga, yoga breathing exercises and qi gong, can also help you to enhance your emotional well-being, immune system , concentration and focus as well as help you to reduce symptoms of depression, reduce your blood pressure and trigger your “rest and digest response” (i.e., it activates your parasympathetic nervous system).3, 4, 5, 6,7,8,9

While establishing a formal practice for mindfulness meditation is ideal, using informal practices and learning yoga or qi gong is simple and equally as effective.  Below are simple, informal practices that you can learn to help you disengage, reduce stress and enhance your well-being.

  • Notice Sounds: Notice 5 sounds.  As you notice the sounds, be aware of the moment when your mind identifies the sound and adds a label or judgment.  It is in the nature of the mind to identify, categorize, label and judge every experience you bring your attention to.  With practice, you will simply notice the sounds and be in the spaciousness of your awareness before your mind adds a label or judgment.
  • Mindful Breathing: Take 10 mindful breathes.  Pay attention to every sensation in your body as you inhale and exhale.  The rise and fall of your chest or abdomen. The rate and depth of each breath.  The cool sensations as you inhale through your nostrils and the warmth as you exhale out your mouth.  The expansion and collapse of your lungs as the air flows in and out of your body.  Take time throughout your day to disengage from the task at hand, pause and take 10 mindful breaths.
  • Mindful Eating: Notice the colors and shapes.  Notice the smells of the food.  As you bring the food to your mouth, notice the intention to eat and your body’s production of saliva in the anticipation of the food entering your mouth.  As you chew, notice the sounds of the food and the chomping of your teeth that the chewing produces.  Notice the feel and texture of the food. Your tongue positions the food precisely where it needs to be in order to chew.  Notice the taste.   Be aware of the moment and intention to swallow the food.
  • Mindful Touch: Touch a loved one or practice self-massage.  As you pay attention, notice all the sensations on your skin.  Tingling, warmth, coolness, itching, pain, tension, pleasure, lightness.  Be aware of any judgments or stories that your mind adds to the experience as you touch.  It is natural for your mind to add judgments and preferences about yourself and others.  Without struggling, simply notice the judgments, and gently bring your awareness back the sensations in your body.
  • Mindful Walking: Walking is a controlled act of falling.  When you walk mindfully, have the intention of noticing every aspect of your body as you raise your foot to take a step.  Monitor the sway of your hips.  Notice the tension in your calf as you raise your foot, the pull in your thigh and the pressure upon landing on your heel.  Alternate and again monitor the movement of your body as you lift the opposite foot.  Be aware of the movement of your shoulders, hips and arms as you balance yourself to walk.  As your mind wanders, gently redirect your attention back to your breath and the movements of your body.  To help you maintain your focus, you may want to mentally label each step.  “Left, Right, Left, Right.”
  • Alternate Nostril Breathing (Yoga breathing exercise): Close your right nostril with your right thumb and inhale through your left nostril. Do this for a count of four seconds. Immediately afterwards close your left nostril with your right ring finger and little finger while you simultaneously remove your thumb from your right nostril and exhale through this nostril. Do this for a count of eight seconds. Complete your cycle by inhaling through your right nostril for a count of four second and follow by closing your right nostril with your right thumb and exhale through your left nostril for a count of eight seconds.  Start by doing three cycles, adding one per week until you are doing seven cycles.
  • Practice being S.A.F.E.10S.A.F.E.

To your health,

Dr. Sandoval

To learn more about how working with a psychologist and holistic health coach can help you to enhance your health and well-being, call or email Dr. Sandoval to schedule a free consultation.

  1. Klein, AS, Skinner, JB and Hawley, KM.  “Targeting binge eating through components of dialectical behavior therapy: Preliminary outcomes for individually supported diary card self-monitoring versus group-based DBT.” Psychotherapy. (2013). 50(4), 543-552.
  2. van de Weijer-Bergsma, E,  Formsma, AR, Bruin, EI,  Bögels, SM. “The effectiveness of mindfulness training on behavioral problems and attentional functioning in adolescents with ADHD.” Journal of Child and Family Studies. (2012). 21(5), 775-787.
  3. Witek-Janusek, L, Albuquerque, K, Chroniak, KR, Chroniak, C,  Durazo-Arvizu, R, Mathews, HL.  “Effect of mindfulness based stress reduction on immune function, quality of life and coping in women newly diagnosed with early stage breast cancer.” Brain, Behavior, and Immunity, (2008). 22(6), 969-981.
  4. Sarang, P and Telles, S.  “Effects of two yoga based relaxation techniques on heart rate variability (HRV).”  International Journal of Stress Management. (2006). 13(4), 460-475.
  5. Vempati, RP and Telles, S.  “Yoga-Based Guided Relaxation Reduces Sympathetic Activity Judged from Baseline Levels.” Psychological Reports. (2002). (90), 2 487-494.
  6. Srivastava, RD, Jain, N, and Singhal, A. “Influence of Alternate Nostril Breathing on Cardiorespiratory and Autonomic Functions in Healthy Young Adults.” Indian Journal Physiology and Pharmacology. (2005). (49), 4, 475–483.
  7. Subramanya, P and Telles, S.   “Effect of two yoga-based relaxation techniques on memory scores and state anxiety” BioPsychoSocial Medicine. (2009). (3), 8.
  8. Tsang HW, Fung KM, Chan AS, Lee G, Chan F. “Effect of a qigong exercise programme on elderly with depression.” International Journal of Geriatric Psychiatry. (2006). (21), 9, 890–897.
  9. Oh, Byeongsang, Sun Mi Choi, Aya Inamori, David S.Rosenthal, and Albert S. Yeung. “Effects of Qigong on depression: A systemic review.” Evidence-Based Complementary and Alternative Medicine (2013). doi:10.1155/2013/134737
  10. Mindful, taking time for what matters. (2016) (6) 29.

The information, published and/or made available through the www.drjosesandoval.com website, is not intended to replace the services of a physician, nor does it constitute a physician-patient relationship. This blog is for informational purposes only and is not a substitute for professional medical advice. You should not use the information in this post for diagnosing or treating a medical or health condition. You should consult a physician in all matters relating to your health, particularly in respect to any symptoms that may require diagnosis or medical attention.  Any action on the reader’s part in response to the information provided in this blog is at the reader’s discretion.

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How externalizing your awareness can rein in your mind’s stories . . .

In Psychology and Wellness

If you experience bouts of anxiety, worry and depression or you obsess with unproductive and painful thoughts because you’ve experienced trauma (e.g., PTSD), you’ll likely benefit by learning to cultivate and externalize your awareness.  You may believe that suppressing what your mind tells you or replacing your mind’s stories with better thoughts or self-affirmations will lead you to live your life in alignment with your values.  Long-term; however, trying to not to think about your mind’s many stories is not effective and very often increases your suffering.

Research suggests that instead of helping you to experience more vitality, attempting to control your mind and get rid of the many painful thoughts and emotions that you experience will actually increase your pain (i.e., the rebound effect).1 Rather than attempting to control your mind and attempting to suppress your painful private experiences, learn how to monitor your thoughts and simply notice the frequency, duration and situations in which they occur.  It  is both simple and effective as it will allow  you to focus on creating a life of meaning and purpose.

To separate your actions from your unproductive private experiences and help you to get into your life, you can self-monitor by physicalizing each occurrence of a painful thought or feeling with a tally counter.  Using this simple object will help you to interrupt any covert behavioral patterns that lead to your suffering, realign and proceed in the direction of what you value (e.g., being a loving parent, using your creativity in your work, helping other people in your community, being healthy in order to play with your children).

While at first this may lead you to experience more discomfort as you realize how your control strategies have been ineffective in eliminating your pain, over the long term you will create a rich and meaningful life that measures up to your life’s purpose as you continue to self-monitor,  expand and externalize your awareness.

To your health and success,

Dr. Sandoval

To learn more about how working with a psychologist , holistic health coach, and personal trainer can help you to enhance your health and well-being, call or email Dr. Sandoval to schedule a free consultation.  

  1. Abramowitz , JS, Tolin, DF and Street, GP.   “Paradoxical effects of thought suppression: a meta-analysis of controlled studies.” (2001). Clinical Psychology Review, 21(5) 683-703.

The information, published and/or made available through the www.drjosesandoval.com website, is not intended to replace the services of a physician, nor does it constitute a physician-patient relationship. This blog is for informational purposes only and is not a substitute for professional medical advice. You should not use the information in this post for diagnosing or treating a medical or health condition. You should consult a physician in all matters relating to your health, particularly in respect to any symptoms that may require diagnosis or medical attention.  Any action on the reader’s part in response to the information provided in this blog is at the reader’s discretion.

anxiety,depression,Miami holistic health coach,Miami psychologist, multiple sclerosis,obesity

How to safely reduce inflammation in your body . . .

In Psychology and Wellness

Several chronic diseases are mediated by your body’s inflammatory response. Conditions such as multiple sclerosis, depression, anxiety, arthritis, obstructive pulmonary disease, cardiovascular disease and even obesity are mediated by chronic inflammation.1, 2,3 When you experience an acute infection or sustain an injury to your body, your immune system mobilizes an inflammatory response to neutralize the infectious agent or initiate a healing response.  Your body cannot combat acute infections or heal damaged tissues without inflammation. Conditions like heart disease, however, are the outcome of low grade, “silent” inflammation that is systemic and chronic.

Many over the counter and pharmaceutical medications (e.g., NSAIDs like ibuprofen, COX-2 inhibitors such as Celebrex) exist to reduce inflammation in your body.  While these drugs do lower inflammation in your body, they bring with them several side effects (i.e., ranging from mild skin reactions and stomach ulcers to more serious conditions such as heart attacks, thrombosis or strokes).  Thankfully, you can balance your immune system and modulate your body’s inflammatory response by changing your lifestyle.

Evaluating your body’s response to and avoiding common food allergens (i.e., shellfish, soy, dairy, corn, gluten, peanuts, citrus, mold, fermented foods) and minimizing anti-nutrients like phytic acid  and  oxalates which interfere with mineral absorption and lectins that set off an alarm in your immune system as well as  balancing your ratio of omega 6 to omega 3 fatty acids will go a long way towards balancing your body’s inflammatory response.  Your body’s inflammatory system is regulated by your immune system and hormone-like substances known as prostaglandins.

Prostaglandins are enzymatically derived from fatty acids and exert their physiological effect at localized tissue sites.  Omega 6 fatty acids act as the building blocks for inflammatory prostaglandins.  Omega 6 fatty acids are found primarily in nuts and seeds, processed vegetable oils, grains, legumes and conventionally raised animal foods.   Omega 3 fatty acids help your body to produce anti-inflammatory prostaglandins.  Rich food sources include small cold water, fatty fish, grass fed and pasture raised animals, dark green, leafy vegetables and some nuts and seeds.  Ideally, you will eat a 3:1 to 1:1 ratio of omega 6 to omega 3 fatty acids.  Unfortunately, the average American eats very SADly (Standard American Diet) nd consumes a 16:1 ratio of omega 6 to omega 3 fatty acids.4

In order to decrease your levels of systemic inflammation, prevent many chronic diseases and optimize your health, you must reduce your intake of unnecessary omega 6 fatty acids.  Processed vegetable oils used for cooking and in most processed foods are often high in omega 6 fatty acids.  Instead, cook with animal fats or plant sources of saturated fat that are more stable and do not oxidize easily.  Tallow, suet, butter or ghee (grass fed) and coconut oil or extra virgin  olive oil  are healthy choices.  In addition, make sure you increase your intake of long chain omega 3 fatty acids (i.e., EPA and DHA) by including food rich sources at least twice a week.  While long chain omega 3 fatty acids have powerful anti-inflammatory effects in the body, plant sources of medium chain omega 3 fatty acids such as ALA are important for optimal health.  Nuts, seeds and leafy dark greens are rich sources of medium chain omega 3 fatty acids.  Make sure you include several servings a week.

To reduce systemic inflammation and optimize your health, you must also reduce your intake of refined and starchy carbohydrates.  Excessive consumption of quickly digested carbohydrates (i.e., high glycemic index) contributes to the production of pro inflammatory Advanced Glycation End products (AGEs) that wreak havoc inside your body.  AGEs are formed when simple sugar molecules bind to protein or fat without the enzymes necessary to control the reaction.  You can also reduce AGEs by using low heat cooking methods such as steaming or light sautéing and reducing your consumption of animal proteins that have been browned or charred.

Regular exercise can also help to further reduce systemic inflammation by enhancing your body’s production of the anti-inflammatory, cytokine interleukin (IL)-10.6 Cytokines are chemical messengers that work to orchestrate your body’s immune system and inflammatory response.  Aim to exercise for 30 to 45 minutes, four to five times per week to achieve optimal results.    And, remember to have fun and play with your workouts.  Vary your workouts and try adding brief, intense exercise routines a couple times a week.

Healthy Fats

  • Long chain omega 3 fatty acids: grass fed, pasture raised animals or wild caught, cold water, small fish. (e.g., sardines, herring, anchovies, sock eye salmon, bison, beef, venison, lamb).
  • Medium chain omega 3 fatty acids: dark leafy greens, walnuts, seeds (chia, flax, hemp, sacha inchi).
  • Omega 6 fatty acids: nuts, seeds (black currant, chia, flax, hemp, sesame, sacha inchi, pumpkin).
  • Saturated fats: grass fed, pasture raised animals, butter, ghee, tallow, suet, coconuts.
  • Monounsaturated fats: avocados, olive oil, olives, grass fed, pasture raised animals, nuts (almonds, macadamia, cashews).

To your health and success,

Dr. Sandoval

To learn more about how working with a clinical psychologist, personal trainer, and holistic health coach can help you to enhance your health and well-being, call or email Dr. Sandoval to schedule a consultation.

  1. Perry, VH.   “The influence of systemic inflammation on inflammation in the brain: implications for chronic neurodegenerative disease.” Brain, Behavior, and Immunity. (2004), 18 (5): 407–41.
  2. Salim, S, Chugh, G, Asghar, M.  “Inflammation in anxiety.” Advances in Protein Chemistry and Structural Biology. (2012.) (88):1–25. doi:10.1016/B978-0-12-398314-5.00001-5.
  3. Sin, DD and Paul Man, SF.   “Why Are Patients With Chronic Obstructive Pulmonary Disease at Increased Risk of Cardiovascular Diseases? The Potential Role of Systemic Inflammation in Chronic Obstructive Pulmonary Disease.” Circulation. (2003), 107:1514-1519.
  4. Simopoulos, AP. “The importance of the ratio of omega-6/omega-3 essential fatty acids.” Biomedicine and Pharmacotherapy. (2002), 56(8):365-79.
  5. Gundry,S.R. The Plant Paradox: The Hidden Dangers in “Healthy” Foods That Cause Disease and Weight Gain.
  6. Ostrowski, K, Rohde, T, Asp, S, Schjerling, P, and Pedersen, BK.  “Pro-and anti-inflammatory cytokine balance in strenuous exercise in humans.” Journal of Physiology. (1999), 15; 515(Pt 1): 287–291.

The information, published and/or made available through the www.drjosesandoval.com website, is not intended to replace the services of a physician, nor does it constitute a physician-patient relationship. This blog is for informational purposes only and is not a substitute for professional medical advice. You should not use the information in this post for diagnosing or treating a medical or health condition. You should consult a physician in all matters relating to your health, particularly in respect to any symptoms that may require diagnosis or medical attention.  Any action on the reader’s part in response to the information provided in this blog is at the reader’s discretion.

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