Meet Our Partners & Friends in the Fight Against Cancer ft. Biju Poulose, MD

Featuring:
Biju Poulose, MD
Michigan Behavioral Medicine
2525 Crooks Road, Suite 100
Troy, MI 48084
https://www.michigantms.com
248-731-7305

Dr. Biju Poulose began his medical training in India and completed his residency in psychiatry at St. Mary Mercy Hospital in Michigan. He is boarded with the American Board of Psychiatry & Neurology and practices with Michigan Behavioral Medicine. He fell in love with psychiatry in medical school. Drawn to its holistic approach and the opportunity to practice empathy, he sees a diverse group of patients including cancer patients and their caregivers.

Cancer can hold so much meaning for patients depending on their unique circumstances. Not only can challenges like anxiety, depression, or panic arise, but cancer can also have physiological impacts on brain chemistry, mood, and sleep. Both patients and their families can benefit from mental health support,” states Dr. Poulose.

Here at Associates of Integrative Medicine, we have masters level counselors who are specialists in anxiety, grief, and depression associated with cancer. But patients may wonder, when should I seek out psychiatric help.

Usually, it’s when we need pharmacological support, but Dr. Poulose cautions that there is a difference between a normal reaction to an abnormal situation, and something more complex and unmanageable. He adds, “Panic, anxiety, and fearfulness are all normal emotions. Providers should be comfortable accepting those normal emotions rather than labeling them as depression. However, chronic changes in sleep, appetite, or sense of pleasure may be indicative of something deeper.

Sometimes when we are in the middle of the fight, or even after, recovering and concerned about the risk of recurrence, we forget about the role stress can play in creating an environment in which disease flourishes. Dr. Poulose agrees, “Any and every means of de-stressing is a good one—whether it’s friends, exercise, good food, indulging in hobbies, sleep, music, or arts. Even stealing 15 minutes of quiet time, where your brain and body are not in constant chatter, can be very beneficial. Oftentimes, our minds can be compared to a car that is braked, but whose engine is constantly engaged. Mindfulness techniques are a great way to put the “car” of our mind in neutral. One of my favorite mindfulness experts is Dr. Ajahn Brahm, an Australian Buddhist monk, whose guided meditation you can check out here at the Buddhist Society of Western Australia:
https://bswa.org/”

Dr. Poulose shares our concerns about how problematic unmanaged stress can be. “Chronic stress is the real villain - whether it’s psychological, physical, or financial problems. These changes in the brain can lead to changes within the nervous system.” This underlies our emphasis on a holistic approach to survivorship. Staying open to the many ways we approach stress management can be a powerful tool in not just surviving, but thriving.


Interview taken by Raveena Mata, Medical Intern.

Stress Management

Tips on Managing Stress

by Jessica Blodgett, LLPC, Oncology Mental Health

Hello Everyone,

Whether it’s from COVID-19 updates, racial tension and police brutality on the news, fears surrounding treatment, or the many tasks of daily life, we are feeling immersed in stress and uncertainty like never before. 

Stress looks different for everyone, but regardless of how it shows up for you, it impacts us all in a mental, emotional, physical, and perhaps even spiritual way. It can keep you awake at night, cause tension and pain in your muscles, make your heart race or your thoughts swirl, and even contribute to cancer recurrence and growth. 

Knowing this, and how absolutely VITAL it is to manage stress, I wanted to take a moment to talk to you all about the importance of mindfulness. Mindfulness is the ability to create space between what you experience and your reaction. When we are traumatized and stressed, the space between the two narrows. 

By practicing mindfulness through things like breathwork, yoga, and meditation, we can bring our focus to the PRESENT moment, expand that space, and ultimately choose how we respond to the world around us. 

Mindfulness is an essential practice in stress management. I hope this list of tips, strategies, and resources can help make mindfulness a part of your daily life.

TIP #1: Try a news fast…pick a period of time that you will NOT get on your phone, TV, or radio, to listen to or read the news. 

The “news” is often NOT new and it may not be relevant to YOU. Remember: the media is a BUSINESS that is designed to talk about ANYTHING that will keep viewers engaged and make money, even if that means perpetuating FEAR. 

TIP #2: If you are new to meditation, try guided meditations or visualizations on Simple Habit, HealthJourneys.com, or Calm Masterclass. You can find more resources by simply Googling “guided meditation” to find videos, websites, or downloadable apps for your phone that contain meditations.

Blissful Deep Relaxation” from TheHonestGuys on YouTube is a lovely introductory video to guided meditation that can make meditation easier for those of us new to meditating.

I also recommend a meditation from HealthJourneys.com called “Fight Cancer” which can be found here. Listen to it daily. 

TIP #3: Try a body scan. Close your eyes, lie down, and inhale through your nose for a count of 4. Hold that breath for a count of 4, and exhale through your mouth for a count of 4.  Repeat FOUR times. 

Then scan your body from your toes up to your head. Look for where you are holding stress and focus on intentionally releasing that stress. 

For some this looks like visualizing a set of “healing hands” working out the tension, or a warm ball of light heating up the stress and melting it away; whatever you choose, it’s important to begin to recognize areas where stress lives in your body so you can gain control of releasing that stress. 

Try “Ten Minute Guided Body Scan” by The Meditation Coach on YouTube. Again, for those of us new to body scans or meditation, this video walks you through visualizing stress in your body and helping you to release it.

TIP #4: On Amazon or iTunes, buy or download “Soul of Healing Meditations” from Deepak Chopra and listen to the first four tracks. These powerful guided meditations help release resentment, cultivate acceptance, and teach you more about body scanning. 

TIP #5: Seek professional counseling. Counseling is an amazing way to develop self-awareness, coping skills tailored to your specific needs, gain emotional support, process trauma, or talk through your experiences in a safe, confidential environment. 

I see almost exclusively cancer patients and their families, and run a support group on Saturdays for bereaved spouses. To contact me, call (248) 798-2942 OR (269) 808-6422; or email me at jessica@aimnatural.com.

I am a Master’s level oncology mental health counselor, and one of only a few specialists in the state who sees cancer patients, their caregivers, and their families for the stress, anxiety, depression, and fear associated with a cancer diagnosis. I’m covered by insurance, and I do offer a sliding scale for those that don’t have insurance. 

TIP #6: Object Meditation is another way to ease into meditation. It’s important to cultivate a relationship with an object: a rosary, a crystal, a rock, a piece of fabric, etc. Try to choose something special or interesting and carry it with you. 

Once you have your item, utilize your SENSES to focus on that item. What does it feel like in your hand? How heavy or light is it? Does it have a smell? What kind of texture can you feel?

Using your senses to focus on the item can help GROUND you in the present moment; allowing you to mindfully focus on the here and now. 

Unsure of what item to use? Common chemotherapy drugs like Taxanes come from the bark of the Pacific Yew Tree; platinums come from the earth’s core and are the heavy metal often used in wedding bands; or the tecans, which come from the bark of the Chinese Happy Tree. All items that you can bond with and focus on through object meditation. 

TIP #7: With businesses opening and many people starting to be less cautious about staying sanitary, it’s easy to become stressed or worried about COVID-19. If you are worried about going out, take things slowly and don’t do anything YOU are NOT comfortable with. 

Try to take things in baby steps. First go to your yard, check in with how you feel and then take another step; perhaps have a family member or someone you trust come over and visit them outside for a while (with masks and a safe distance). 

The risk is real, but with caution and attention to your safety, you can begin to determine what you feel is safe for you.

TIP #8: Reading the right things can help you understand your stress and gain insight into how you can manage it effectively. I recommend titles such as “Why Zebras Don’t Get Ulcers” by Robert Sapolsky; “The Body Keep the Score” by Bessel van der Klok; or “Living Beautifully with Uncertainty and Change” by Pema Chodron. 

TIP #9: 4-7-8 breathing or SQUARE breathing is a breathwork technique that can lower your heart rate, slow your breathing, and help you focus on your surroundings. 

It goes like this: inhale through your NOSE for a count of 4, hold for 7, and exhale through your MOUTH for 8. Remember, always inhale through your nose when trying to lower cortisol. 

Try keeping a rubber band on your finger, or fabric on your wrist, that reminds you to do this breathwork. 

TIP #10: Practicing good sleep hygiene has phenomenal benefits for lowering stress. To practice good sleep hygiene, sleep in a dark, cool room and use air filters or plants to clean the air. Having specific plants in your home to purify the air around you can help with sleep as well as stress. “TED Talks TV: How to Grow Fresh Air” can be found online, and this amazing resource walks you through which plants you NEED in your home to help with air quality.

Minimize distracting noises by using a sound machine, or anything that produces “white noise” like a fan. You can even avoid those middle-of-the-night awakenings by having a tiny, protein-rich snack, and by taking 200-400mg of L theanine (a non-narcotic, non-habit forming, anxiolytic) at bedtime. L theanine can be purchased from BeWellWithAIM.com 

TIP #11: 27% of cancer patients struggle with PTSD. PTSD is when you have experienced a previous life trauma, perhaps a divorce, abuse, or some sort of betrayal…and the current medical experience triggers THOSE feelings.

When we become a patient, we go from a name to a medical record number, we are surrounded by decision makers that hold our lives in their hands, we can feel voiceless, powerless, and invaded.

This triggers the old wound, and a lot of feelings from previous life experiences come up. It could look like sleep disturbances, addiction, tearfulness, panic…this is PTSD. 

PTSD is something that you CANNOT manage on your own. It’s important to have a coach, like myself or another trained professional, there to guide you as you identify your triggers and learn to manage when your fears are coming up so you can cope better with today. 

TIP #12: Lean into your faith or spirituality. With so much uncertainty in the air, it’s important to connect to one another; and to explore our relationship with the Divine, whatever that may mean to you. 

Through religious or spiritual practices, we can feel connected to our communities, our neighbors, and our families, regardless of what may keep us apart. 

We can step outside of ourselves and feel in touch with the infinite as we pray, or read scripture, or meditate.

Regardless of what we may face, we can be reminded to be grateful and to look for the joy in the world around us. And in doing so, we can transform our experience. 

I genuinely hope you find these tips helpful. Remember, if you are feeling stressed or anxious, you are NOT alone. To get the help you need and learn more strategies that work for YOU, call me at (248) 798-2942 OR (269) 808-6422; or by emailing directly at jessica@aimnatural.com

Until we speak, be well.

Jessica

Mental Health and a Relaxing Breath

Hello everyone,

Struggling with anxiety during these uncertain times? Who isn’t? :)

Give me a call or send me an email (269-808-6422; jessica@aimnatural.com). Even if it’s just a few minutes to vent your feelings, or an hour to strategizing how to manage marital stress in close quarters, we can talk over your concerns and bill your insurance.

We are waiving copays at this time as a gesture from Dr. Roy, so there is NO cost to you to get help.

Over the coming weeks, I plan to share techniques and strategies for managing your emotions to help you achieve wellness.

I’m sure you’ve heard the term “breathing exercises” thrown around in conversation, but what exactly does that mean? Just as it sounds, breathing exercises are activities involving your breathing that can strengthen your ability to find a state of calm amidst the chaos of the world today. Here is a quick breathing exercise that can improve your mood in a matter of moments:

The Relaxing Breath
—Exhale completely through your mouth making a “whooshing” sound
—Close your mouth and inhale through your nose for a count of four
—Hold that breath for a count of seven
—Exhale completely through your mouth for a count of eight
—Repeat four or five times

Practice this daily to become more in touch with yourself, your emotions, and areas of tension in your body. Write it out on a notecard and carry it with you to pull out whenever you are feeling anxious or overwhelmed. Integrate relaxing breaths into rituals you already have in place, such as yoga or meditation. Whatever way you do it, it will help you feel more grounded and less anxious.

Reach out to me directly and set up a time for us to talk. I am here for you to support you through whatever you may be facing.

Be well.

Jessica Blodgett

Email:jessica@aimnatural.com
Cell: (269) 808-6422
Office tel: (248) 798-2942

Caring for Your Mental Health

Hello everyone,

With so much information flooding us at every turn, it’s easy to feel overwhelmed or confused or even yelled at.

Many media sources urge you to take care of yourself by not touching your face or washing your hands (which are excellent suggestions) but what about your mental health? How do we care for that when we face a real threat?

The answer isn’t always so straight forward.

My name is Jessica, and I’m one of the mental health counselors at Associates of Integrative Medicine. I specialize in crisis, anxiety, stress, trauma, grief and loss associated with a cancer diagnosis.

As we all settle in and shelter at home, my hope is to share strategies for managing your emotions.

To get the support you need, call me or send me an email (269-808-6422; jessica@aimnatural.com).

Even if it’s for a few minutes, I am here for you to discuss any concerns you may have or help you find the right strategies to improve your mood.

Dr. Roy is waiving copays for the time being as a gesture to you all, so there is NO cost to you to pick up the phone and get the help you need.

So, how do we begin to care for ourselves mentally/emotionally? The first step to caring for your mental health is identifying what you are feeling. Much like any health issue, how can you fix it if you don’t know what’s wrong? As many of us are experiencing more stress than usual in today’s climate, I want to share some tips for identifying stress in yourself.

Here are some common signs of stress you may be experiencing:
1. You’re easily irritated or quick to snap on those you love.
2. You’re struggling to find the motivation to keep up with everyday tasks.
3. You’re experiencing headaches, stomach aches, or body aches.
4. You feel tightness or tension in your muscles.
5. You feel exhausted all the time.
6. You feel like you are working hard all the time, but not making any progress.
7. There is so much to do, but you’re having a hard time deciding what to do first.
8. You are having trouble sleeping.
9. You aren’t putting effort into your physical appearance or taking care of yourself.
10. You have worrisome, racing thoughts.

If any of these sound like you, remember you are not alone. Take a moment to breathe, pause, reflect, and get in touch with yourself and the emotions you are feeling. Call a friend, read that book you’ve had on your shelf for months, clean out your junk drawer, go for a walk, or reach out to a professional like myself to talk it out.

Call or email me directly to set up a time for us to talk. I am here to support you no matter where you are at emotionally.

Until we speak, be well.

Jessica Blodgett

Email: jessica@aimnatural.com
Cell: (269) 808-6422
Office tel: (248) 798-2942