Rest has become my word of the year. In a culture that glorifies constant doing, many of us are tired yet struggle to stop. This piece explores what happens when productivity starts to cost us our health, clarity and connection, and why rest is not indulgence but essential maintenance.

April is Stress Awareness Month. Stress may affect us all at some point in our lives. What is it and what tools can we put in place to reduce its effects?

Recent terminology used in the press and by politicians to discuss the pandemic has reminded me of the saying 'what we resist, persists'. Paraphrased from the psychologist Carl Jung, this means when we attempt to resist anything within our reality or present, the more that thing will remain in our reality or present. The more thought, effort and energy we place on trying to stop that thing, the more power we give to it. Another way this is expressed is in the Law of Attraction. This philosophical approach states that positive thoughts (which are a form of energy or vibration) produce more positive thoughts. Conversely, negative thoughts produce more negative thoughts.

In the 70s-80s we had a War on Drugs followed by a surge of drug use, addiction and drug-related crimes and incarcerations. It is estimated that 21 million Americans aged 12 years or older has one form of substance use disorder. In the 00s there was the War on Terror which led to acts of terrorism around the world, major wars, thousands of people killed, and millions displaced. Despite all of this, the war has lasted for over 19 years.

Military terminology and metaphors have also infiltrated healthcare. We often hear that someone is “battling cancer” or someone is “fighting a flu”. This suggests that somehow there is a winner or loser in this battle, that the patient must be “strong” throughout their process or that they were not strong enough to overcome their disease. Now we have been told there is a war on an invisible and deadly virus. We must “suit up” in personal protective equipment and healthcare workers are described as working on the “frontline”.

There are hundreds of stories around the world of couples, happily married for decades who, in old age, die within hours or days of each other. Take for example the case of Judy and Will Webb from Michigan who, at the age of 77, started to experience almost identical severe health issues. The couple who had been married for 56 years eventually died in hospice care on the same day from their illnesses. There are also similar cases of non-romantic pairs such as Carrie Fisher and her mother Debbie Reynolds. On 27th December 2016, Carrie Fisher died following a cardiac arrest. The following day her mother Debbie Reynolds, who she had an intense but close relationship with, died of a brain haemorrhage. Following their deaths, Reynolds son Todd Fisher said, “she wanted to be with Carrie”.

In the 1990s, Japanese scientist Dr Hikaru Sato began to identify signs and symptoms similar to a heart attack in people, usually women, who had recently experienced acute emotional stress. The condition became known as taktsubo cardiomyopathy, stress cardiomyopathy or broken heart syndrome. Although this condition is reversible and rarely results in death, bereavement or grief can cause serious physiological changes, some of which may be fatal. During times of increased stress, such as the death of a loved one, the body mounts an acute stress response including a surge of adrenaline, increased heart rate and blood pressure and reduced immune function. This may last for 6 months or a number of years. What is it that can cause a couple or close loved ones to die within hours or days of each other? The answer may not be taktsubo cardiomyopathy but it may still lie in the heart.

Psychoneuroendocrinology may sound like something straight out of a sci-fi movie but it is the interdisciplinary approach to “psycho” – psychology, psychiatry; “neuro” – neurology, neurobiology; and “endocrinology” – the study of our hormones. In a nutshell, the way in which our thoughts and emotions can affect our nervous, endocrine, immune systems and overall physiology. It is the butterflies we feel in our stomach before taking an exam or the racing heart when we see someone we are attracted to.

Psychoneuroendocrinology is a fairly new discipline that fuses together a range of health sciences that had previously overlooked the significance of the emotions in the onset, deterioration or improvement of disease. Stressful triggers, or our inability to adequately process them can be indicated in cases of asthma, eczema, digestive disorders and cancer.

One of the interesting things about this branch of medicine is that it helps us to understand, not only the way our emotions affect our own bodies, but also how our emotions can affect or be affected by others. For example, the hormone oxytocin is produced during breastfeeding. This conditioned response, the oxytocin reflex or “letdown reflex” may be produced when a nursing mother hears her baby cry or thinks about her baby. If the nursing mother is emotionally overwhelmed or in pain, the reflex may stop.

The festive season can be a stressful time of year for many people - with family obligations (despite how much we may love them), feelings of loneliness, financial worries, etc. 

Running through the park in the rain towards about 100 Park Run runners who looked at me as though I was lost or crazy. It made me recall a conversation I had earlier in the week with a small but ferocious young woman about the fact that not everyone will see the journey you have decided to take.

Many, many many moons ago Muay Boran was a huge part of my life. Following a terrifying first class, it shaped my life in ways I couldn’t imagine.

Over the last week or so I've noticed that the evenings are getting darker earlier and there is that slight nip in the air that signals colder days to come.

Despite the cold weather, I love autumn. The most stunning shades of gold, red and orange can be seen in nature and it is a time when we can start to reflect and welcome changes.

Check out these 10 tips to help you stay happy and healthy this autumn.