Still running
 
In my previous blog I had just taken up running regularly as a vehicle for keeping mind and mental state in good health. So here is a little update a few months along deep into mid-winter.
 
I am still running - three times most weeks, for about 40 minutes and really enjoying it. The after-effect of brightness and energy in mind and body, even if the actual run sometimes felt like hard work, is really very nice.
 
It definitely has been harder to get up when it’s dark and out of the door in the mornings during the winter. North is in my blood so temperature is not a deterrent and frosty ground a more pleasant experience than the mudslides our parks often turned into this time of the year and I also quite enjoy getting out in bad weather, better running than walking in the rain. Then afterwards it’s so nice to get back in and indoors feels lovely dry and warm. It’s more the general tiredness of January and winter with its short days, a time when, if possible, it’s okay to linger a little longer in bed and take it a bit slower.
 
This coming week, February 1st, marks the halfway point between winter solstice and spring equinox. This day is also called Imbolc or st Bridgids day.  From now on the acceleration in daylight per day is becoming more noticeable week by week. Amusingly, this day has lately gain notoriety due to an increased interest in old Irish and Gaelic traditions, a side effect from the many Brits looking into Irish roots in pursuit of a passport in the wake of Brexit and is now celebrated in several places in London.
 
When it comes to avoiding slipping into depression, one of the purposes of the running regime, it is obviously impossible to know and compare how I would have felt if had not been running regularly. The dread and despair that I often experience around this time of the year, so familiar and recognisable I know it will pass, like a winter season of mind, but sometimes it sticks and turns into depression. This year it feels okay.
 
The structure of running is helpful and having regular dose of joy and satisfaction from keeping up with the commitment is good mood boost but the sense of strength and vitality is the biggest benefit I experienced so far.

I have taken up running again, this time conducted as a little experiment to see how - or if - it affects my state of mind. Bluntly put, I’d like to see if it works to combat depression.
 
My state of mind has been a bit low and dull, feeling uninspired and finding it hard to make decisions as well as difficulty concentrating. Perhaps that’s normal sign of ageing or symptomatic of my lifestyle with increased screen time and social media indulgence.
 
According to psychiatrist Anders Hanson, running 30-45 minutes 3 times a week at 70% effort for at least 6 weeks would create changes in the brain that help with depression. My understanding is that there is a substance produced in the hippocampus and cerebral cortex in the brain called BDNF (Brain Derived Neurotrophic Factor) that protects, repairs and stimulates new brain cells. Having low levels of this substance is associated with depression. Medication increases these levels as does exercise.
 
I have taken antidepressants in the past and found them helpful to some extent but not really making much difference long term and at this point it doesn’t feel necessary to seek them out.
So, after finding a book on my bookshelf in the great unread section by Dr Anders Hansen writing about the benefits exercise in general, and running in particular, has on the brain as well as hearing him speak on Rangan Chatterjee’s podcast, Feel Better Live More, episode 38, I decided to give it a go. A simple explanation for these  benefits is that our biology is still more in line with being a hunter gatherer and not suited for the abundant, convenient world we now live in. Shorter sessions of 20-30 minutes would also make improvements in the functions of the brain such as memory and creativity.
 
The plan is to work up to the 45min sessions and keep it up for 6 weeks and see how I feel and then keep going with three times a week 30-45min sessions. It sounds a realistic and doable plan to have and curious to see how this will take me through the winter. No doubt shorter days and harsher weather will be a bit of challenge.
 
Luckily, I have always liked running when I’m fit enough and I enjoy the striding movement. It’s a nice way to explore an area be it park, wood or neighbourhood. It is also a very accessible and simple way to exercise. No need for fancy memberships, class schedules or expensive equipment. Just put shoes on and go. I like the freedom of that.
 
I am now 4 weeks in and it is a joy. Perhaps it’s the lovely, mild autumnal weather that brings a pep to my step. Starting out being in general good health and having a comfortable walking gait has been helpful (don’t run before you can walk as the saying goes) in having making it very pain free so far. Not focusing on speed or distance makes it very carefree.
 
The first two weeks I went for 20-30 min sessions and this last week increased it to 45 min a couple of times.

As to how my mind is: Feeling a lot more inspired than I did a couple of weeks ago, but if that is down to the actual running or to setting and following a plan it’s hard to say. Having an intention with what you do, whatever it is, is also one of these things in life that can shift the mood.

As the nights begin to draw in and we withdraw inside a little more it can be more challenging to plan your days with a baby or toddler, and to look after your own well-being and fitness. Well, the good news is there are a wealth of opportunities out there, activities you can do with your baby or children and classes for yourself with your baby or at those precious moments you have to yourself.  Just getting out and meeting up with other mums and dads can make a whole world of difference as you adjust to parenthood. Maybe you are looking for something specific or just want to browse and see what’s out there.
 
I came across a website, Happity, that makes searching for classes and events in your area a doddle. It covers everything from pregnancy through the baby and toddler years to age 5. Prices vary, some are free and some low cost from as little as £2.
 
Among them are:

• Pregnancy: yoga, pilates and hypnobirthing and doulas. At West Norwood Therapies we offer pregnancy treatments which I have outlined below.

 

• Postnatal parent focussed (most are with your baby): mum’s and dad’s fitness, yoga, pilates, ballroom dancing, social gatherings, quizzes, comedy and even Baby Drag Bingo! Plus breastfeeding support and first aid courses. A special mention for the Gatherings at Knowles below.

 

• Baby and toddler: music, swimming, storytime, massage, signing and play groups.

 

• Older preschool: music, swimming, athletics, football, tennis and other ball games, languages, theatre, dance and play groups.

 
I know from my own experience and that of probably every parent I know just how important these groups are through this phase of life.  If you are struggling with post-natal depression Happity also have a dedicated area of their website which includes links to useful resources.  Check out their blog, too.
 
I’d like to make a special mention for Gather-ed as they offer something a little different and I think much needed. They offer 1:1 support, workshops and group gatherings with experienced facilitators including midwives - ‘gently facilitated discussions on themes and topics relevant to parenthood…and are a space for honest, authentic conversations’. Wednesday mornings at Knowles in West Norwood, other classes in East Dulwich.
 
Pregnancy Treatments at West Norwood Therapies
Finally, we can help to support you throughout your pregnancy with our treatments at West Norwood Therapies:

• massage (with Erika)
• reflexology (with Laura)
• acupuncture (with Philippa and Mike)

 
Acupuncture: Some women choose to have regular acupuncture to support them throughout their pregnancy, but commonly it will be to help with a particular issue. In the early stages of pregnancy women often seek help for morning sickness and at the latter stages for breech presentation and birth preparation.  For birth preparation there are advantages to starting treatment at 36 weeks but with the all-clear from your midwives we can also offer treatments when you are overdue and facing an induction.
 
If you are trying to conceive Laura and Philippa also offer fertility focussed treatments, too.
 
Please just get in touch if you’d like to find out more.

I live in Scotland right by the river. It has always been a fantasy of mine to live right by a river – a swimmable river – and sometimes I have to pinch myself to know that this is in fact my life.

Normally I am itching to get in for my first swim of the year and this has been as early as April in our 5 years here. I have fantasies of going for a dip every day of the year at some point, but with young children and various life demands I am not aiming to achieve this anytime soon. But over the summer months I love to go in for mini-dips, mega-dips, paddles and full submersive swims.

But this year I haven’t wanted to! With this theme of swimming for our summer news I volunteered to write about my first swim of the year and promptly regretted it when I realised that it would involve, well, going for a swim.

I have a 9-month-old baby now as well as a 7yr old home-educated child and time has become so hazy and precisely precious all at once. We still live like in lockdown, we are both self-employed working from home and being alone is a hard thing to find at present. Having a shower now constitutes self-care time and I find myself having to choose between things that I used to value as daily activities. I can do some yoga OR tend to my veg patch. I can wash my hair OR go for a run. Swimming in the river involves a change of clothes, a short walk and a shower – that’s like 4 days personal activities all in one.. 😉

I kept thinking of the benefits I get from swimming outdoors – the freshness, the absolute presence in nature, the warm glow afterwards, the sense of achievement – and wondering when I would find these more urgent than a bit of time on my yoga mat or rescuing the beetroot from the weeds.

It didn’t come – but my family did! I come from a family who grew up swimming in rivers and the sea. My mum used to say, “I’m always happy by water” and perhaps as a family of Ducks it is no surprise that we are all energised and nourished by water and being in it.

This was a different experience than the solo experience which boosts my emotional, mental and physical health by the combination of headspace, nature, exercise and freedom. This was fun, community, connection, joy, sharing AND nature, exercise and freedom!

As I read the interviews Tessa has done with her swimming clients and Philippa’s input on swimming around perimenopause, I can see the place for doing these things in community, for the joy that can only come from sharing and doing things together. The poet Ross Gay writes about his experience focusing on delight and joy “Which is to say, I felt my life to be more full of delight. Not without sorrow or fear or pain or loss. But more full of delight. I also learned this year that my delight grows—much like love and joy—when I share it.”

Then I read Erika’s words on our senses and understand that I still want to go for my solo swims, to nurture my interior landscape as well. Maybe the weeds can defeat the beetroot this year and I can get in an extra few dips…

At a recent party on a chilly evening in the garden I asked a friend in a strappy dress if she was warm enough, she lightly replied “Oh, yes, I have my own personal weather system”. Made me chuckle but menopause is no laughing matter. Some women sail through but for others the symptoms can be unbearable and debilitating and can take a huge toll on just about every aspect of life.  It can be a time when women feel at a loss with the changes that are happening to them, bewildered by them.  Getting the balance between seeing them as a medical issue and a transformative time of adjustment can be helpful in easing women through this phase of life with greater serenity and joy, with a combined approach offering great benefits.
 
Among the most common symptoms are hot flushes, night sweats, mood changes, tiredness, vaginal discomfort, loss of libido and brain fog, but it affects women very differently and you may experience a range of other physical, mental and emotional symptoms. They can start as women enter the perimenopausal phase, often in their mid 40s, sometimes earlier, usually but not always accompanied by changes in their menstrual cycle.
 
From a medical perspective getting diagnosed is the first step to understanding the changes you are going through and finding solutions that suit you, including HRT.  The options can be simple with far reaching benefits. Finding the right choices for you will not only help you to feel better but importantly also help to protect your future health, particularly cardiovascular and bone health.
 
From a lifestyle perspective nutrition, exercise, sleep, relaxation and strong social and emotional connections provide the foundations for your wellbeing, regardless of whether or not you take HRT. Acupuncture can also play a supportive role in helping women ease through the transition, connecting mind with body, with proven benefits for some of the associated symptoms including hot flushes, low mood and anxiety, poor sleep, aches and pain.
 
I have included a link to a resource with a wealth of info at the end, including medical, lifestyle, social and political info. Now, for an overview of exercise and then a brief focus on swimming, our topic for this summer newsletter, in relation to menopause.
 
Exercise
From perimenopause onwards physical activity can help to prevent muscle loss which occurs naturally as we age, support a healthy weight reducing the risk of chronic disease and improve cardiovascular, respiratory and bone health. Exercise will build strength, support the joints and alleviate the aches and pain, and the mood enhancing benefits of exercise can help in the way we perceive pain. Additionally, it can help with sleep and generally help you to feel better. If you have specific health issues that limit your activity then seek appropriate advice and support.
 
As a guide try to get about 30 minutes of moderate exercise 5 times a week but if you are new to exercise then start light with 10 mins a day and build up gradually.
 
Aim for a combination of exercise each week:

• Aerobic exercises for cardio (dancing, brisk or up-hill walking, jogging, cycling, swimming, water aerobics, tennis, climbing stairs)
• Strengthening exercises for muscles, bones and joints (weight machines, rowing machine, hand-held weights, resistance bands or body weight exercises like yoga, pilates, squats, lunges and press ups).
• Stability and balance exercises (yoga, tai chi and pilates, sitting on an exercise ball, standing on one leg)
• Stretching exercises to maintain flexibility of joints and fascia, maintain range of motion, improve posture and reduce pain (yoga, tai chi and pilates).

Cold water swimming is anecdotally very helpful to relieve hot flushes and some of the other symptoms of menopause.  It has proven stress relieving and anxiety reducing benefits which can last for several days, and also helps immunity.  We are fortunate to have Tooting and Brockwell Park lidos on our doorstep. During the winter especially, they are places with a strong sense of community and camaraderie. If you intend to swim into the winter months then start swimming during the warmer summer and autumn months so that you can gradually acclimatise. As the temperatures cool check out the cold water swimming guides so that you adjust safely and do not overdo your exposure to the cold.

More Information
If you are seeking more information the Balance-Menopause website, set up by menopause specialist Dr Louise Newson, is a good place to start for understanding more about the perimenopause  and menopause and finding support, with an app to track symptoms if you wish.  Their mission is to make menopause support inclusive and accessible to everyone globally, with some extremely useful free resources. If you have symptoms then seek out a menopause trained specialist to confirm diagnosis and guide you through treatment choices - HRT, alternative options and lifestyle advice all have a role to play.

We have five main senses that we all are likely to be very familiar with and three or four lesser known senses. These are connected to sensory organs.

Our main senses:
                                     Vision  - eyes                                     
Touch - skin
             Hearing - ears             
Smell - nose
Taste- tongue
 

The lesser known senses are perhaps just ones that have not been incorporated into everyday thinking about senses. There are several and it varies depending on how much you break them down into finer systems and functions.
 
Balance – the vestibular system – tells us whether we’re in equilibrium or not, and whether we’re in motion or not. We have the inner ear to thank for that one.
The sense of pain – nociception – is nerve or tissue damage felt in the skin, joints, bones, and internal organs.
Proprioception or position
Temperature
There is also interoception related to how things feel on the inside for example  blood pressure, sense of stretch in the bladder
 
Through external sensory input our brains interpret nerve signals and conjure up a picture that gives us all a unique view of the world.

Colour adds a dimension to seeing and we all experience colour differently. The artist Cezanne described it as where the brain and the universe meet. Practicing a wider sensory awareness will create a richness in life and is useful to bring calm and presence.

A simple way to bring to ground yourself and reduce anxiety is tuning into the five main senses:
 
What can I see: looking around, pick large or small items to focus on, try to notice the colour, texture, and patterns.
What can I touch: notice skin whilst taking palm to palm, fabric of clothes, any object you can pick up and touch, putting hand (or body) into water.
What do I hear: near, far, from different directions and volume.
What can I smell: you can bring things to your nose but also notice if and what you can pick up from the air.
What do I taste: if you don’t have anything at hand think about distinct flavours as you remember them like lemon, coffee, something sweet,
 
Noticing and observing the sensations from the surroundings brings you into the space and present to the moment. It also orientates you into the now, geographically and in time. In addition it will also subtly enrich and broaden any experience.

With anxiety we are away worrying about what may or may not happen, sometimes completely fictional but the fear appears real. Becoming present in the moment this way aids the distinction between factual and fictional fears. For example; good to hear a car approaching whilst out walking rather than being away in the mind somewhere else, worrying about things that might or might not happen. 
 
Since we have a focus on water and swimming with our blogs from West Norwood Therapies this summer, a suggestion from me is to bring your senses into interactions with water. Apart from taste for obvious reasons.  When immersing into water notice the sensations on the skin, sense the texture, temperature and scent. The sea water is very different to a lake or pool in texture, scent and colour.
Listen for the sounds both being in, under and around water.
If you are by the coast, gaze out at the offing, where the sky meets the ocean. Pay attention to the sounds  sounds and smells and you can have an awe-inducing full body/mind experience.
Observe water move - be it waves of the sea, swirling brook, big water fall or rain is mesmerising and meditative, adding the sound and smell of it the experience swells.
Stepping out just after rain, scenting the petrichor brings calm and joy.
 
Bring your senses to your summer water adventures and see if it will increase experience of awe and joy.

In 1982, the International Dance Day was first celebrated marking the birthday of Jean-Georges Noverre (1727-1810), the creator of modern ballet. International Dance Day was started to spread the message of the benefits of dance, celebrate dance and bring people together.

The benefits of dance, to me, are endless. It is physically invigorating, allows creativity to blossom and encourages a social atmosphere. For me, dance is therapy. There is a sense of letting go, of releasing and feeling lighter in yourself. It is a full
body experience, including the mind and spirit. If you’re feeling a bit stressed or a bit stuck in a routine, I highly encourage you to put on some music and let your body follow it. Most likely you will feel a little self-conscious in yourself at first, and it will
feel hard to find the first ‘move’. Don’t worry about moves or steps, just start off by swaying a little to the music and let your body follow naturally in the flow of movement. It doesn’t have to be a spectacular ‘dance’, we are just dancing.

As a professional dancer, a lot of my life is consumed by dance. Maintaining technique and broadening my versatility of styles is something that I work on every day. When you’re a dancer by trade, you’re a dancer in life. This day is a celebration for those who see the value and importance of the art form ‘dance’, and acts as a wake up call for governments, politicians and institutions which have not yet recognised its value to the people and to the individual.

The pandemic has hit all of us hard, but especially the dance and theatre industry. We have not been allowed to perform for over a year now. For some, it has been too much and artists and friends have already started pursuing other careers. But for those that have remained through it all, I have seen the sheer guts and resilience of dancers and artists, fighting for their artistry and freedom to dance. Dancing in living rooms, bedrooms, kitchens, gardens, and zooming in to classes from all over the
world because we simply can’t stop.

We can’t stop because dancing feels good! I believe there’s a dance style out there for everyone and encourage you to find yours. Here’s a ‘short’ list: ballet, jazz, modern, tap, contemporary, swing, lindy hop, hip hop, jive, ballroom, salsa, samba, street jazz, krumping. Look and see what there is in your local area, classes will be back in the studio from 17th May!

And when you’ve started your new dance hobby, look after your body by coming to see me at West Norwood Therapies for a sports massage! I absolutely love how being a dancer informs my work as a massage therapist. I'm particularly interested in improving clients’ range of movement and flexibility to give them freedom in their bodies.