Sleep Hygiene: How to get a better night’s sleep

Feeling Calm And Comfortable.What is Sleep Hygiene?

Sleep hygiene refers to good sleep habits. Just like you might have good oral hygiene practices (i.e. brushing your teeth or flossing), you can also have good or bad sleep habits that contribute to the quality of your sleep. Though there are sleep medications that can aid sleep in the short term, adopting good sleep hygiene practices can help in the long term with sleeping difficulties.

Why is sleep important?

Sleep can have several health benefits that include, but are not limited to:

  • Clearing the brain of toxins
  • Restoring the body physically
  • Processing information and memorizing
  • Regulating mood
  • Strengthening the immune system

What is “Good” Sleep Hygiene?

The following is a list of tips and tricks to develop a better sleep hygiene and routine around sleep. It may be challenging for individuals to adopt all of these sleep habits, but even a couple can make a difference.

  1. Routine – Go to bed the same time every day and get up at the same time every day (including weekends and days off).
  2. When you are tired, go to sleep – It is better to only go to bed when you are tired rather than lying awake for an extended period of time.
  3. Avoid caffeine, alcohol and tobacco – If you are going to have coffee, best to consume it in the morning and not into the evening. If you are going to have tobacco or alcohol, it is best to avoid it 4-6 hours before going to bed.
  4. The bed is for sleeping and sex – Avoid using the bed for watching television, eating, working, etc.
  5. Avoid taking naps during the day – This will make sure you feel tired when you do go to bed.
  6. Develop a sleep ritual – This might involve having a calming tea, breathing exercises, or relaxing stretches before bed. This will look different for everyone.
  7. Do not watch the clock – Watching the clock when you are trying to sleep can reinforce negative thoughts regarding sleep.
  8. Use a sleep diary – Sleep diaries allow you to track progress and know how well or not so well you actually sleep. They also allow you to notice patterns that could be adjusted. They can also be a helpful tool for your health care provider when discussing where treatment needs to go if you still struggle with sleep.
  9. Exercise – Exercise is a good lifestyle habit to develop, but should be avoided at night. Exercise is best done in the morning or early afternoon.
  10. Regular healthy eating – Having a heavy meal too close to bed can disrupt sleep. Therefore, avoiding heavy meals before bed can be beneficial.
  11. Make the bedroom a sleep healthy environment – Making the bedroom as dark as possible and quiet as possible sets the stage for good sleep.
  12. Keep your daily routines the same – If you have a disrupted sleep, try to keep the activities you planned the same as it can reinforce the sleep disturbance.
  13. Avoid Screens – It is important to avoid screens when you are trying to fall asleep. The lights from a TV screen, computer screen, or cell phone can be stimulating and keep you awake as opposed to helping you fall asleep.

Have you benefitted from reading this blog? Know someone that would benefit as well? Share, Like, Comment, or Tweet this article, and let me know what you think.

Some of the information provided above may not be appropriate for everyone, please consult with your doctor before trying any of the above. If you are interested in Naturopathic Medicine and wanting a different approach to your health care needs, contact Elisha Cook via the contact portion of this website.

 

 

Why a lot of quick – fix weight loss programs and supplements DO NOT work

Girl - Weight LossBillions of dollars are made in the weight loss industry. Many people strive to gain the perfect physique and pay much in order to reap the gains. Unfortunately, amongst many programs that do work to help people lose weight and keep it off, there are many programs that do not work in the long run. As a result, I hope to help debunk some of the mythical ideologies that some of these programs purport to work.

The Myths:

You can lose weight without diet changes and exercise. 

In order to maintain weight loss goals, you need to change your diet and increase exercise to a level that balances energy in and energy out. This differs between everyone, and so, you may require more or less calories, and more or less exercise than another individual.

You can lose a lot of weight all at once and keep it off.  

Unfortunately, this myth is the worst one of them all. In order to achieve weight loss that will last, an individual should not exceed losing 1-2 pounds per week. That being said, when an individual initially undertakes changing their diet and exercise patterns, they may undergo more than 1-2 pounds of weight loss per week, which is normal. Anything beyond the 1-2 pound weight loss puts an individual’s body into what I call “starvation mode”. As a result of this state, the body is more likely to accumulate weight because of fear of when it will get its “next meal”. In addition, if the individual “falls off the tracks” in regards to their weight loss program and gains back the weight they lost, they will most likely gain back more than what they initially lost, because once again, the body fears that it will not survive if put into another “starvation mode” and so uses the increased weight to protect itself.

You can go back to the way you were eating after discontinuing the program.  

As was mentioned above, without appropriate diet and lifestyle changes, one cannot maintain weight loss. Therefore if you are eating more restricted and suddenly go back to the way you were eating before, you are more likely to gain weight. That being said, that does not mean you can never have a treat or have a cheat day. As I tell many patients, everything in moderation, including exercising and diet. You have to adopt a diet and lifestyle that will ultimately be realistic for you.

You can severely restrict calories for some time and still be healthy.  

Once again, this myth is debunked by the explanation behind the debunking of the second myth. You will put your body into a starvation mode with severely restricted calories, resulting in an overall weight gain.

You can take a pill and it will help you to lose weight and keep it off.

Anything that causes you to lose more than 1-2 pounds per week is not sustainable. This includes various weight loss supplements. In addition, many of the weight loss supplements that do have profound effects have ingredients in them that can be harmful when taken long term. A naturopathic doctor may choose to put you on a supplement to help you through a plateau season, but beyond that, supplements will not help you maintain weight loss in a realistic manner.

Bottom Line: Aside from changing your diet, exercise and lifestyle, you cannot be guaranteed to maintain the weight loss that you gain. In order to keep it off, you need to maintain a lifestyle that consists of healthy dietary habits; adequate exercise; and appropriate lifestyle measures including adequate sleep, stress management, and everything in moderation. If you are interested in achieving weight loss that will work for you, consider contacting myself, and let me help you develop a weight loss strategy that will help you maintain the weight loss that you acquire.

Have you benefitted from reading this blog? Know someone that would benefit as well? Share, Like, Comment, or Tweet this article, and let me know what you think.

Some of the information provided above may not be appropriate for everyone, please consult with your doctor before trying any of the above. If you are interested in Naturopathic Medicine and wanting a different approach to your health care needs, contact Elisha Cook via the contact portion of this website.

Health Benefits of Sun Exposure

Autumn Girl enjoying nature on the field. Beauty Girl Outdoors rMany public health campaigns are aimed at reducing sun exposure to address potential skin cancer risks and concerns. However, completely abstaining from sun exposure in general could be more detrimental to your health than good. As with many of the recommendations I give, everything in moderation. That being said, 10-15 minutes of direct sun exposure (including not having sun glasses on but obviously not looking directly into the sun) can have many different health benefits. Please be aware that this timing might be different for individuals who are sun – sensitive or those taking medications that increase your sensitivity to the sun. It is also important to use sun protection when the UV index is above 3.

This blog serves to provide you, my readers, with some information on how your health may improve from soaking up some sun.

Vitamin D Production

It is difficult to talk about sunlight exposure without talking about vitamin D. Our bodies need sunlight in order to produce vitamin D, which could benefit many conditions including depression, cancer, colds, illness, seasonal affective disorder (SAD), immune functioning.

Improved Sleep

With adequate sun exposure, we allow the natural processes and hormone regulation in our bodies to take place, specifically for melatonin. When we are exposed to sunlight (or artificial light) in the mornings, we are able to produce melatonin sooner in the evening, leading to an easier time falling asleep at night. This has been shown to be beneficial for insomnia, premenstrual syndrome, and SAD.

Mood Enhancement

Neurotransmitters are also impacted by sunlight, specifically serotonin. Serotinin is what I like to call a “happy neurotransmitter”. It helps to elevate mood and bring about mental clarity in general when it is in adequate supply. Serotonin is directly impacted by melatonin, and so, serotonin becomes higher when we receive enough sunlight exposure. As a result, the serotonin received could help with depression, SAD, poor energy, and poor concentration.

Immune System Regulation

Sun exposure can aid the immune system through many different mechanisms. Ultimately it helps the immune system remove immune cells that might attack your own body (self – reactive T cells) and thus prevent or help with the management of autoimmune conditions such as Rheumatoid Arthritis, Psoriasis, Vitiligo, Multiple Sclerosis, Cancer, and some forms of Hypothyroidism.

Decrease Oxidative Stress

Though too much sun exposure can cause oxidative stress, adequate amounts can help limit oxidative stress. This can help with gene repair and limit DNA damage.

Increase Endorphins

Direct sun exposure has also shown to increase blood levels of endorphins, which could help to decrease pain and improve mood overall.

Have you benefitted from reading this blog? Know someone that would benefit as well? Share, Like, Comment, or Tweet this article, and let me know what you think.

Some of the information provided above may not be appropriate for everyone, please consult with your doctor before trying any of the above. If you are interested in Naturopathic Medicine and wanting a different approach to your health care needs, please contact Elisha Cook at the Contact portion of the website for more information.

Source: http://www.ncbi.nlm.nih.gov/pmc/articles/PMC2290997/

Naturopathic Approaches for Depression

Depression - Narrative photoDepression can be a very crippling condition to experience despite it being classified as a mental health condition. However, there are treatments that can help, that can be provided through your naturopathic doctor. A Naturopathic doctor can use the following therapies to achieve therapeutic benefits in depression:

  • Traditional Chinese Medicine and Acupuncture
  • Botanical Medicine
  • Nutrition, Diet and Lifestyle
  • Hydrotherapy
  • Homeopathy
  • Physical Medicine

Ultimately, the goal of treatment will be to treat the root cause of disease. This will be different for each individual based on the cause of depression for that specific individual, eg nutrient deficiency vs. grief. As a result, the following list offers examples as to what goals might be developed for a treatment plan for an individual:

  • Correct for deficiencies
  • Reduce stress or Improve stress management
  • Improve coping mechanisms
  • Improve mood
  • Alter lifestyle and diet to increase mood and reduce stress
  • Improve gut microbiology and digestion

How can Traditional Chinese Medicine (TCM) help?

TCM views the body differently than western medicine. TCM theory suggests that when there is an imbalance in the body system, disease manifests. Each “organ” is associated with an emotion: Heart with joy and is the center of one’s personality, liver with anger, spleen with worry, lungs with grief, and kidneys with fear. As one can see, all of these organs could play a part in depression, and so, individual cases are taken, and the root cause is determined. Once a specific diagnosis is made, a treatment plan is created, and may involve using acupuncture, herbal formulas, diet, or lifestyle, all with the purpose of bringing the body back into a state of balance.

Specifically regarding acupuncture, acupuncture has been shown in some studies to be beneficial for depression and decreasing symptoms associated with depression. The following link offers one such study where benefits were received from acupuncture. http://www.i-healthbenelux.nl/pages/comp.concept/Clin_Psychiatry_2006.pdf

How can Botanical Medicine help?

Botanical formulas have similar effects to medications, often without the side effects, however this is not true for all herbs and plants. Specific herbs or plants will be selected based on their properties and combined based on the specific individual’s presentation of depression. For example, one person may need help with sleep, where as one may need help with stress, both in combination with needing help with mood. Some beneficial properties that some useful herbs may have include: nervine, anti – depressant effect, sedative and adaptogenic.

There are several plants that have more research behind them in regards to their use in depression, but other plants exist that are effective as well. Research has shown that such plants are beneficial for various degrees of depression. The following link offers one such study where the benefits of various plants were outlined: http://www.europeanneuropsychopharmacology.com/article/S0924-977X(11)00071-X/abstract

How can Nutrition and Diet help?

Depression can be aggravated or caused by various nutritional deficiencies. Therefore, it may be necessary to correct for these deficiencies in order to treat the root cause of the depression. In addition, various changes to one’s diet can help to improve mood and decrease inflammation (and thereby decrease inflammation in the body, which may contribute to the depression). Based on your specific case, several classes of action may be recommended for you, and thus foods or supplements recommended. These actions might include: anti-oxidant, mood – boosting, or anti – inflammatory.

Research has shown that not only are nutritional deficiencies associated with depressive symptoms, but specific dietary patterns can be associated with depression. For example, diets that were higher in fruits and vegetables were associated with less depressive symptoms, where as diets that were deemed lower in fruits and vegetables were more likely to be associated with depression (http://www.biomedcentral.com/content/pdf/1475-2891-8-31.pdf).

How can Hydrotherapy help?

Hydrotherapy involves alternating hot and cold water applications to achieve the following goals: promote detoxification and relaxation, increase circulation, improve immune system functioning, promote digestion, and decrease pain. Based on all of the following actions, hydrotherapy could be beneficial for depression based on different root causes. For example, if an individual is depressed because they are stressed, hydrotherapy may be beneficial by helping the individual to relax.

Hydrotherapy can be performed via a number of methods: constitutional hydrotherapy, sauna, peat bath, Epsom salt baths, or alternating hot and cold showers. These therapies may not be available at every naturopathic doctor’s clinic, but if you are interested in these therapies, they can be performed by myself, Elisha Cook, at the Robert Schad Naturopathic Clinic (416-498-9763).

Very little evidence has surfaced for the efficacy of hydrotherapy to treat depression, however, the research that has surfaced has been quite promising. The article link provided below shows a study where depressed patients were given hydrotherapy treatments ending in cold (most hydrotherapy ends in cold for approximately 30 seconds), that caused anti – depressive effects soon following treatment (http://www.sciencedirect.com/science/article/pii/S030698770700566X).

How can Homeopathy help?

Homeopathy is an energy medicine that involves finite doses of a substance that are diluted in water, which amount to a higher therapeutic dose overall. In this form of medicine, individualized remedies are chosen based on the individual’s specific symptoms and presentation. Each person requires a different remedy based on their unique presentation. Homeopathy does not interact with any medications, making it quite useful especially if you are taking other medications.

In recent studies, homeopathy has been shown to be just as effective as anti – depressant medication in the relief of depressive symptoms. In addition, other studies have shown homeopathy to be 58% effective (http://www.readcube.com/articles/10.1111%2Fj.20427166.2012.01163_5.x?r3_referer=wol&show_checkout=1).

How can Physical Medicine help?

Physical medicine involves a number of different potential therapies. These therapies might include massage, naturopathic manipulation, ultrasound, laser therapy, electroacupuncture, or Gua Sha. The general effect of these therapies includes relaxation, increased circulation, decreased pain, and decreased inflammation. Similar to what was mentioned above, depression may be decreased or alleviated based on these potential effects.

Research has shown that patients with depression may benefit from massage therapy (http://journals.lww.com/jnrtwna/Abstract/2004/03000/The_Effect_of_Acupressure_With_Massage_on_Fatigue.7.aspx).

How can Lifestyle changes help?

Various lifestyle factors can play a role in depression. By improving sleep, exercise, scheduling, and stress management, it is possible that some individuals may have reduced depressive episodes. In addition, the way that an individual thinks can influence mood. By addressing negative thought patterns, poor sleep patterns, lack of exercise, or stress management concerns, one may experience decreased depressive episodes. Naturopathic doctors are trained to help individuals through lifestyle counselling, and can use methods use as motivational interviewing or cognitive behavioural therapy to do so.

Research is quite extensive regarding exercise and its benefit on depression. Even as little as two times per week has been shown to benefit depression (http://condor.depaul.edu/hstein/NEMSSAH.pdf).

Have you benefitted from reading this blog? Know someone that would benefit as well? Share, Like, Comment, or Tweet this article, and let me know what you think.

Some of the information provided above may not be appropriate for everyone, please consult with your doctor before trying any of the above. If you are interested in Naturopathic Medicine and wanting a different approach to your health care needs, please book an appointment with Elisha Cook at the RSNC (416-498-9763), and let me help you achieve your health goals.