Tips for Making a Change for the Better!

If you are contemplating making a change for the better, perhaps losing weight, improving your eating habits, getting help for anxiety or depression, or resolving issues in a relationship, you are at a stage of awareness.   But what you need to really move forward and begin doing rather than thinking about change is a level of emotional arousal and emotional energy. Use emotional energy to garner the momentum you need to make the change.  We know from research that knowing facts about a problem or dilemma is not enough to create behavior change. So stir things up a bit.  Here are some suggestions:

Create your own promotional materials.  Film yourself YouTube style and monitor your progress with a succession of videos.  Or paint or draw or create posters that are unique to your goals, post them at home and work and ramp up your emotional energy.

Start a group or join a group. There is a reason why joining and participating with a group of people with similar goals is a successful endeavor for many.  Participation can be emotionally energizing via the support you get from others in the group.

Use meditation, visualization and imagination. Take time out each day be in the moment, to reflect, visualize your goal and imagine how you will feel.   The emotional release you may experience may help you to move forward with the needed momentum so that you will be successful in reaching your goal.

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How self-efficacy can help!

When challenged with dealing with chronic illness or trying to adhere to a weight loss program, a wellness program or a diabetes management regimen, researchers have found that people who have a sense of “self-efficacy” may be more successful in adhering to their plan.
Even if other psychosocial supports - such as family or support group, are not all favorable, a strong sense of self-efficacy can offset these difficulties.

The concept of self-efficacy was proposed by Bandura (1977) and was developed within the framework of what is called “social learning theory.” The self-efficacy model defines self-efficacy as the individual’s perception of his or her ability to carry out a given behavior or group of behaviors.  This sense of self efficacy has an effect on the person’s emotions (feelings), cognitions (thoughts), and motivation in difficult or threatening situations such as facing life-long self management of illness or health maintenance.   In other words, if a person faced with the demands of self-management gains a sense of self-efficacy, then mood, and  thoughts and his/her motivation may be enhanced and in turn, contribute to success in self-care of one’s health.

The Mind-Body Connection and You

There is now both reliable and valid scientific evidence from the fields of behavioral medicine, neuroendocrinology, neuroimmunology, neurobiology, and nutrition science to support the conclusions that our autonomic, endocrine and immune systems are not autonomous, but instead work in concert with each other.  These systems engage in interactive dialog with each other, and communicate with our limbic emotional system and perception/sensation systems to maintain health and also fight disease.

Research over the past 30 years has seen considerable advances into the scientific understanding of the immune system.  Science has now established the knowledge that the mind (psychology), the brain (neurology) and the body’s natural defenses (immunology) communicate with each other in a bidirectional flow of hormones, neuropeptides and cytokines.  This growing field of research is called psychoneuroimmunology (PNI).     Consider this: there is now irrefutable evidence that all of the body’s defense systems are under the control of the central nervous system (CNS).   In other words, every idea, thought and belief has a neurochemical consequence.  Neuropeptides flow from the CNS, impinging on specific receptions on the leukocytes, thus regulating their function.  What researchers know then, is that the CNS has the potential to critically inhibit or enhance immunity through two major neuroimmunomodulatory pathways:  the neuroendocrine and the autonomic nervous systems.

What can you do as a patient, whether you are struggling with a chronic illness, newly diagnosed with a threatening disease or health and working toward goals to improve your overall health and well-being?

Begin by examining your stress levels. How do you manage?  Do you feel good about how you cope or do you know that you are frequently stressed beyond your ability to cope? Ask for help.   Examine your health beliefs and ask questions of your health care providers.  Ask for psychological support for stress management, or help with depression, anxiety or other diagnosis.  Read and learn all you can about the biopsychosocial aspects of your condition.  Rely on scientific evidence, scientific based websites and reputable publications.  Question and learn about complimentary and adjunct support and discuss with your health care providers, including your medical doctor and your psychologist.
For an excellent academic overview on this topic:  Mind-Body Medicine: A Clinician's Guide to Psychoneuroimmunology; edited by Dr. Alan Watkins ISBN:  0 443 05526 2

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