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.

It’s summer (hurrah!) and this season’s theme at West Norwood Therapies is water.  I have been exploring water and the human body and why hydration is so critical.
 
Water is essential for life and for our bodies to function optimally.  On average water makes up around 60% of body weight in men and 50-55% in women (this can vary depending on age and body composition).
 
Drinking enough water each day is essential for the function of all the cells in the body, it helps us to: regulate body temperature, keep eyes and joints lubricated, helping to rid waste and transport nutrients, helps convert food into energy, protects the nervous system, prevents infection, and keeps organs functioning properly.
 
Some organs contain much more water than others and I found it staggering to learn that the brain and kidneys possess the highest percentage of water: a whopping 80-85%, followed by the heart and lungs 75-80%, muscles, the liver and skin are 70-75%, blood is 50%, bones are 20-25% and lastly teeth at 8-10%.   This helps to put into context how dehydration can have so many symptoms and consequences.
 
The current UK recommendation is to drink 6-8 glasses of fluid per day, more specific recommendations about the quantity needed at different ages are shown below:
(provided by the European Food Safety Authority (EFSA):

The EFSA assume that 20% of fluid intake comes from food and 80% comes from drinks.
It is also important to note that doing strenuous activity or living in hotter or more humid climates may need more than the above.
 
The body works hard to find balance and drinking too little or too much water can have severe consequences.  The warning signs of dehydration include:

• Feeling thirsty or lightheaded
• A dry mouth
• Headache, delirium
• Tiredness (fatigue)
• Having dark coloured, strong-smelling urine
• Passing urine less often than usual (less than 3 or 4 times a day)
• High heart rate and low blood pressure
• Muscle cramps
• Constipation

 
As mentioned above the brain contains 85% water, dehydration can also impact on cognitive function with difficulty in concentrating, impacting mood making us prone to feeling angry, anxious, and irritated.
 
It’s important to note that on the flip side at the extreme end of consuming too much water, can lead to hyponatraemia, a very serious condition that causes extremely low sodium levels in the blood.
 
It is more common for people to suffer with the symptoms of dehydration.
 
The best way to avoid dehydration is to keep track of how much fluid you drink and drink water throughout the day.  It’s ideal to avoid excessive caffeine drinks as they have a diuretic effect on the body, as does alcohol.  Of course, I am not staying to cut them out but to just be mindful of intake and ensure you’re having an adequate water intake too.
 
If you have been unwell with a fever or diarrhoea, playing sports or have been sweating a lot in high temperatures: drinking coconut water or a sports drink or rehydration drink can help to replenish your electrolytes and essential salts and minerals.
 
Swap sugary drinks for sugar-free or no added sugar and dilute squash drinks to reduce the sugar content.
 
If you don’t like the taste of water you can try sparkling water or try adding a slice of lemon or lime, some berries or cucumber.

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.

The plan was a midsummer 3 day social / retreat in Scotland, meeting up for the first time in her homeland with WNT founder, Jennie Duck, who manages WNT remotely from rural Ayrshire. After all the social cancellations, postponements and thwarted arrangements that Covid wrought on us all we had thought that this one was in the bag. We meet regularly on Zoom and Jennie makes the occasional trip South, but this was to have been our first trip to see her there since she moved several years ago and our first residential social together.
 
Planned in March, excitement seeded, accommodation reserved, trains booked and therein lay the rub. It wasn’t covid that scuppered our plans it was the train strike. Driving that distance was out of the question with all train traffic moving to the roads so we cancelled. We were all gutted. 
 
So, plan B a picnic in Brockwell Park! Sadly no Jennie, of course.  And, just to be clear this was a ‘keep it simple’ kind of picnic – not a wicker basket or gingham tablecloth in sight. Bring a sandwich, with the emphasis on getting together and making the most of the sunshine.  Lauren, bless her, did however make the most gorgeous lemon and poppyseed cake with gooey tangy lumps of lemon flesh, elevating it up a notch or two! It was a glorious lunchtime together, a modest affair, a chance to catch up face to face. Alas, not quite what we had planned but when life cancels the trains and gives you lemons, make the delicious lemon and poppy seed cake below and have a picnic.
 
If you are not a regular to Brockwell Park do checkout it’s many surprises.  The walled garden, the Community Greenhouses, the views of the city from between the café and the tennis courts, the lido, children’s paddling pool and playground.  Our beloved park has so much to offer everyone.
 
Enjoy your summer!

Lemon and Poppy Seed Cake
Serves 10-12
 
This cake is huge with deliciously tangy pieces of lemon pulp to tantalise the tastebuds, so great for sharing at large summer picnic. Says it serves 10-12 but goes further than that. Not healthy (don’t even look at how much sugar it contains) but hey, once in a while!
 
Ingredients:
7-10 unwaxed lemons (1kg)
 
              Wet:
210g unsalted butter, melted
275g buttermilk
145g honey
95g grapeseed or other neutral oil
6 large eggs
1 egg yolk
 
              Dry:
530g plain flour
440g sugar
25g black poppy seeds
5g baking powder
5g bicarb of soda
5g salt
 
For the glaze:
250g icing sugar
2 lemons juiced
40g honey
 
Grease and flour a 2.8 litre Bundt Pan.
 
Heat oven to 190C, fan 175, Gas 5.
 
Zest the lemons (outer yellow only), reserving the zest.
On a plate to catch the juice, cut ends of each lemon and cut away peel. Remove the pulp from the membranes. Keep all the juice and the pulp cut into 1 inch chunks.  Squeeze extra juice from the membranes and discard. This should give about 15g zest, 170g pulp, 70g juice.  Top up with extra lemons. That is the fiddly bit done.
 
Whisk together dry ingredients. In a separate large bowl whisk together wet ingredients. Mix wet and dry and stir well to combine.  Add lemon zest, pulp and juice and mix well.
 
Pour batter into bundt pan and bake 60-70 mins, checking after 60 mins – press top of cake and it should bounce back.
Cool cake in the pan for 45 minutes, loosen with a spatula and carefully turn onto a wire rack, with a wide pan underneath to catch any excess glaze.
 
To make the Glaze simply whisk the ingredients together and then pour over the cake in a steady stream. Leave to set for 15mins.
 
Enjoy!

ow important is it to have the right food on your plate?

I usually see a divide amongst my friends and clients when it comes to diet and food.

Some people just eat for the joy of it, not caring much about if they eat a lot of carbs or meat. Whilst other people can be “almost” obsessive about what they eat. May that be superfoods, very specific vegetables and meat, etc.

So what is the correct attitude to diet?

Well, I of course could not give a simple answer to such an important question. Especially as I am not a dietician.
However when it comes to Chinese medicine, we always strife for balance. Walking the middle path.

Sure, it is important to have a varied diet -according to both food energetics, colours, food groups- but I find it much more important to look at how people eat and digest.

In my experience, our mental health and eating habits combined has a much stronger effect on our digestion and general health than the types of food we eat. Do not get me wrong, I am not saying that we should all eat white bread, milk and sugar 3 times a day. I am referring to the fact that if you have a varied intake of vegetables, fruits and meats/nuts, you should not worry too much about whether it is organic or not, or how many superfoods and brown rice you include in your diet.

What is important then?

1. Structure and rythmn
It is generally important to follow a rythmn in our daily life. Structuring our days around our meals and sleep can provide with a healthy l. So we priorities ourselves, our nourishment amongst other responsibilities.

2. Rest
Taking breaks between meals (3-4 hours) gives our digestive system a rest, as opposed to continuous snacking which will overwork our Spleen and Stomach.

3. Focus /mindfulness
Eating should be about the food and our nourishment. The taste, texture, colour, smell of our food should be in the focus of our mind when we eat. Not TV, Netflix, news, daily tasks or plans for the week.
Let’s do ourselves a favour and eat mindfully. Just when we decide on the food we eat, we should apply the same mindfulness during our time of nourishment.

4. 2/3
There is a Chinese saying that you should only fill your belly 2/3 of the way, so there is space for Qi to do the digestion.
Overeating is overtaxing on our digestive system. Finding the correct amount of food that does not leave us hungry, but also doesn’t makes us sleepy is essential.
5. Fluids
It is important to drink plenty of fluids during the day, however it is best to avoid drinking with our meal. If you have a weak digestion, you may find it beneficial to drink digestives 20 minutes prior to your meals. Or if your meal seems to settle in heavy (lots of fats/oils) you may find drinking a (half) shot of clear spirit (I recommend Bison vodka for flavour 😛) also very beneficial.
On a different note. There seem to be a misconception about the amount of fluid we all need to drink. Generally speaking of we want to hydrate ourselves we have to include fluid-ful vegetables in our diet. Soups, curries, tomatoes, courgettes, etc.

6. 100 steps
Digestion does not stop when we finish eating. On the contrary. It’s fairly important that we rest after a meal for about half an hour. The Chinese has been recommending 100 slow steps after eating. As (slow) walking aids the intestinal movements (peristalsis) and thus digestion.

7. Avoid going to bed on a full stomach
Simple as that, we should not be wasting our energy on digestion whilst we are sleeping. More over, it is most beneficial to have a bigger gap (intermittent fasting) in our day when our digestive system is to rest.

8. Anxiety = IBS
Last but not least, looking after our mental health is perhaps the most important of tasks that we need in order to have a healthy digestion. I’ll talk about this more in detail another time.

So these are only a few points that are in my opinion are just as (if not more) important than the quality of the food we eat.

Thus if you are suffering with any digestive issues, you may find it beneficial to go through this list before you start cutting out your favourite foods.

Of course Acupuncture is an amazing tool to help/reset the digestive system. So if you feel you need some additional support in that regard. Do not hesitate to get in touch.

Happy Eating!