All blog posts from Dr. Allott are provided for educational and informational purposes only. As Dr. Allott is also a licensed medical practitioner, we must make it clear that nothing on the blog is intended to constitute medical advice, consultation, recommendation, diagnosis, or treatment. If you are concerned about your health, please seek appropriate care in your area.


Mica’s Story Part 3: Your Brain, Body, Mind and Relationships Are All Connected

jill-dimond-_DcWDLQqOj8-unsplash (1).jpg Photo by Jill Dimond on Unsplash

Welcome to part 3 of our new newsletter format: storytelling (catch up on Mica’s story here). We’re embedding the principles of optimizing brains and bodies™ into a storyline. The people in this story are fictional. Any similarities to real people are by chance. At the end of the story is a commentary and resources that you might find interesting. We enjoy this new approach. Do you? Your feedback and engagement will help determine if we will continue. 

To recap what has happened in our story: After starting to have panic attacks, two months after her mother's death, Mica decides to find a therapist. A friend referred her to Tayna. During her first appointment, Tanya provided Mica with a box of juice and a bag of nuts, explaining that it would help lower her anxiety in the moment - which it did seem to do. In between appointments, Mica did notice that her anxiety does get louder if she goes too long without eating. We left off mid-way through her second appointment with Tayna.


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Having had the juice and nuts, and feeling calmer knowing that she doesn’t have to talk about her mother right away, Mica relaxes into her chair as Tanya gets out a blank piece of paper and draws four circles on the page. Each ring is named: body, brain, mind, and relationships.

"Here’s one way I think about your life. Your body is your power supply, it powers your brain and mind and allows you to engage in relationships. If you don't have a good power supply, your brain can’t work properly, your mind can become distorted, and you don't have enough energy for relationships. Mica, what do you know supports your power supply?"

Mica thinks for a moment, "Sleep. When I get 7 or 8 hours of sleep, I do better. I was a pretty good sleeper most of my life, but now I’m waking in the middle of the night with my mind racing about all sorts of stuff: work, my sister, but mostly about my Mom."

Tanya can see Mica slump with the comment about her mother. She’s not sure that Mica is ready to open that box, so she says, "Yes, sleep impacts your power supply, or energy. What else?"

Mica says, "Well, food. I noticed this week that the longer I go between meals, the more anxious I get. If I continue to wait to eat because I am not hungry, I get tired. Two weeks ago, during work, I actually went out to the car to take a nap. But now that I think about it, I hadn’t eaten anything at all that day. I was trying to keep it together, but then I just crashed."

Tanya replies, "Yes, what we eat and when we eat can have a big impact on how we feel. We’ll talk more about that in a minute. Anything else that might impact your power supply?"

Mica considers the question, "Well, relationships do. Some of my friends were so supportive when my mother was dying, and others were really expensive in terms of my energy. I had one friend that I just had to stop getting together with because she would always talk about when her grandmother died when she was 14. I felt bad, but my sister kept saying to me that I’m not her therapist." Tanya quietly encourages Mica to continue talking by agreeing, "Yes, who we spend time with can greatly impact our energy." Then she paused. The silence built for a moment, and then Mica looked down at the ground, "What my head is saying to me can also be exhausting." Tanya asks compassionately, "What do you mean, 'what your head is saying'?" Mica, still looking at the ground, explains "Well, I have this voice in my head when I’m nervous that tells me that I’m going to fail, that I’m stupid, or that I’m going to rejected. That voice can exhaust me."

Tanya says, "Do you know that most people have a not-so-nice inner voice? It’s this critical voice that often brings people into therapy. I think of it as the inner critic which arises from the brain." Tanya points to the circle that is labeled Brain. "Hopefully, our work together will help decrease the intensity of that voice. Part of why I want to focus on your power supply first, and not your brain, is because one of the factors that influences the intensity of your inner critic is how much sleep you get, what and when you eat, and whether you move your body.”

Tanya continues, “The brain is the hardware. Most of what we do and think comes from the brain. It can create loops that sound critical or often repeats or even create untruthful stories. The brain has two parts to it. I think of them as the smart-responsive cortex brain and lizard-reactive-limbic brain. Both are really important and have their own purposes, and they each should be used in the right time and place. The lizard-reactive-limbic brain is responsible for our survival and a lot of automatic behavior, like brushing your teeth in the morning. Panic attacks arise out of this survival brain. The smart-responsive-cortex is where we do our active, creative thinking, problem-solving, and we when we’re using this part of our brains, we tend to be more comfortable and compassionate. This is the part of your brain that can observe yourself; it’s curious about what is going on. It tends to be more present moment-future oriented, while the reactive lizard brain is more past oriented. People often think about therapy in terms of understanding relationships. I suspect that, at some point, we might talk about your mother and your sister. But first I want to make sure that your brain has the power supply to do that work. What do you think about that?"

Mica looks right at Tanya with an open face and says, "I like that idea. It’s like making sure my brain has all the resources to rewire itself before I ask it to do more hard work. Supporting my Mom took a lot of energy. I don't think I ever asked myself if I had the energy or resources to do it, I just had to do it. But it makes sense to take some time to improve how I care for myself before I start to do more emotional work. I know I haven’t been doing the best in terms of eating and sleeping. And I used to be more active, meeting my friends to walk or playing on a softball team. But when I had to take care of my Mom, I stopped all that."

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Tanya reaches for a handout with a head on it with descriptions of energy supply. "Typically, what does your energy run. Ten is lots of energy to do things but not manic. One is not enough energy to get out of bed."

Mica replies, "Most days, I’m at a 5. I just get the basics done. I go to work, and I come home and then just watch TV. In the evenings I just feel exhausted, so maybe a 2 then."

Tayna looks at the time and says, “Maybe we can spend the next couple of sessions working on increasing your power supply. This is the handout I mentioned earlier (in part 2) on getting enough protein throughout the day. It talks about experimenting with eating protein every 2-4 hours. Do you think you can do that experiment between now and the next appointment? Page 3 of the handout has examples of protein-rich meals and snacks.”

Mica replies, “Sure, I’ll give it a try and I’ll watch the video. How perfect do I have to be in the experiment to feel a difference?”

Tanya quickly replies, “For me, perfect is never needed. You can just tell me what you did and we’ll look to see what the effects are. I want you to just notice what works for you and what doesn’t. No perfection needed.”

Mica stands up and gathers her handouts and belonging. “I’ll see you in two weeks. Have you been following this virus thing? I heard that the governor is going to shut down the state. What will happen with your business?”

Tanya says, “I was just talking with a colleague about that before your appointment. If anything changes with me, I’ll call you and we’ll figure something out. You can always call me if you have a question when we learn more from the governor.”

Mica, “Ok, thanks for your help.” And she walks out the door.


Warm Beverage Conversation

When I first started writing about Mica the rhythms of life were changing on the individual scale but not on the global scale. I thought I could write about Mica and Tayna and it could apply in almost any month or year. Now that’s not true. Mica and Tayna are going to have to enter the cataclysmic changes we have all experienced. They’ll need to use all their tools to maintain their power supply!

How is your power supply doing? What has been helping you to sustain it or improve it, especially during high-stress times?  Please share with us how you are doing and what you are doing to sustain yourself. Next month we’ll share the repossess to the 2-question survey below

Mica's Story Part 2: Not Eating Increases Anxiety

Welcome to part 2 of our new newsletter format: storytelling (catch up on part 1 here). We thought we would embed the principles that we promote into a storyline. The people in this story are fictional; any similarities to real people are by chance. At the end we provide commentary and material that you might find interesting. We are continuously looking for ways to help you and the people you connect to be at your best. This is a new approach for us; your feedback and engagement will help determine if we continue in this new format.


jill-dimond-_DcWDLQqOj8-unsplash (1).jpg Photo by Jill Dimond on Unsplash

Mica heads to her second therapy appointment early. Parking can be tricky in the part of town that her new therapist, Tanya, practices. Sure enough, the first parking spot she finds is three blocks from the office. At first, she is annoyed. Her annoyance quickly moves into panic; she’s afraid she’s now going to be late for her appointment. Her inner critic starts to tell her that Tanya won’t see her if she arrives late. Part of her doesn’t believe that, but she doesn’t want to find out that it’s true so she’s walking as fast as she can. As she’s rushing down the street it occurs to her that it’s almost 5 pm and she had lunch at noon. Mica remembers that Tanya had offered some education about how food and anxiety are related. In her first appointment with Tanya, she had provided some juice and nuts, a lizard brain treat, which had really helped reduce Mica's anxiety in the moment.

Mica had tried the lizard brain treat idea once during the week. She had been at an after-work social gathering. Just as she had walked in the door, a co-worker had called her over to meet one of his friends, who had also just lost her mother. Mica knew that he was trying to be kind; however, as this woman started to talk about her mother and hospice, Mica could feel her panic begin to rise. Instead of standing there until it was a full-blown panic attack. Mica excused herself to get food and a drink. There were eggs rolls for appetizers, and she got herself a beer. The beer instantly helped. But Mica worried about the attractiveness of using beer to manage grief and anxiety. Mica's mother was an alcoholic and she didn’t want to follow in those footsteps. As Mica sipped her beer, she had wondered if a virgin bloody Mary might work just the same. As Mica reaches Tanya's office, she wonders if she can discuss using beer to stop panic attacks and ask if virgin bloody Mary’s will work instead… Or is it better to not discuss alcohol at all?

When Mica reaches Tanya’s office, she sees the basket of juice and nuts and feels grateful. Tanya said in the first appointment that she could help herself to the snacks. This seemed to be a good time to try the experiment. Mica realized that she was 5 minutes early for her appointment, but some part of her still felt panicky about being late, that she was drinking to control her anxiety, that she might have to discuss her mom in her second appointment with Tanya.

Mica drank the juice and had just started eating the small bag of nuts when Tanya opened the door to her office. With a smile, Tanya says "I’m glad you helped yourself to the juice and nuts? Come in!" They both settle into their respective chairs. Tanya asks, "Do you have any thoughts or questions from last week?" Mica says, "Yes, last week you gave me juice and nuts to calm my anxiety. I noticed this week that my anxiety is much higher the longer I go without eating and getting food seems to help. Do you know why that is?"

Tanya says, "I’ve had some training on this. How I understand it is that your smart-responsive-cortex brain needs glucose to think. When it’s running low on glucose for dealing complex situations, the brain hits the panic button and releases adrenalin. This will be additive with whatever adrenalin that is already in your system and escalates your sense of panic. Juice and nuts provide the brain with fuel, so there is no need for the extra adrenalin. So less anxiety. I have a handout on how to feed your brain and body if you’re interested. Other clients have found it helpful. Sometimes I focus on making sure you have the resources within your body and brain to talk about the hard stuff --like losing your mother. Would you like to learn how to use food to reduce your anxiety in this appointment or is there something you would prefer to talk about?

"Yes, I would like to learn more about using food to reduce anxiety?"

Tanya replied, "Good. We will go over the handout, and I’ll also give you a link to a video. Maybe we will save the last 20 minutes so you can tell me a little bit about your week."

"Great!" replies Mica. She can feel herself relaxing into the chair. She wonders to herself if it’s the juice and nuts, or that she likes learning, or that she’s relieved to continue avoiding talking about her mother…

Here’s the handout and the video that Tanya shared with Mica.


Warm Beverage Conversation

If you are a therapist or connector (mentor, parent, coach, friend, spouse), how do you encourage people to be at their best and to use food to reduce high emotions, such as anxiety, irritation, or agitation? What questions come up when you offer them a lizard brain treat?

Part 1: Mica Tries Therapy for Panic Attacks and Resources for Starting Therapy

Storytelling is such a powerful way of learning, we thought we would embed the principles that we promote into a storyline. The people in this story are fictional; any similarities to real people are by chance. At the end we provide commentary and material that you might find interesting. We are continuously looking for ways to help you and the people you connect to be at your best. This is a new approach for us; your feedback and engagement will help determine if we continue in this new format.


jill-dimond-_DcWDLQqOj8-unsplash (1).jpg Photo by Jill Dimond on Unsplash

Mica remembers having anxiety her whole life. Even as a little kid, she was always worrying about her family. When her mother drank, she would yell at Mica and her sister about being stupid and lazy. As Mica made her way through school and then started working, she has been able to control her anxiety or step through it. However, five months ago her mother died suddenly of cancer. Mica was there when the doctor gave her mother the diagnosis. As cancer took control of her mother's body, Mica was the one to care for her. Her older sister, Luca, lived in another state and came as often as she could.

At first, Mica was grieving, which she understood. However, two months ago, Mica had her first full-blown panic attack. Now the panic attacks are starting to happen weekly, and her anxiety is so much higher than she ever remembered. A close friend referred her to her trusted therapist, Tanya.

Mica was nervous about the first appointment. However, just walking into the office seemed to help. She was taking action and asking for help. After getting through the initial paperwork, Tanya opened with "Over the phone, you said that you were hoping therapy could help with your anxiety and panic attacks. Can you tell me a little more about what’s been happening and when this all started?"

As Mica explained about the loss of her mother, the stress of care-taking, and the onset of the panic attacks, her words came faster and faster, her breathing shallower and shallower. Tanya found the right moment and said, "I’m so sorry about your mother. It sounds like the last six months have been really hard. You’re doing a great job bringing me up to speed, and I can see that it’s tough for you. Can I ask you some questions about your life today?"

Mica, feeling like she had been holding her breath, took a deep breath before answering "Sure, that would be fine."

Tanya said, "This may seem off-topic, but I’m wondering what you typically eat in a day. How we fuel our bodies has an impact on how our brains process information and how we feel in our bodies."

Mica was surprised by the question and somewhat relieved because it wasn’t about her Mom. "I used to be pretty good about having 2-3 meals a day. And when I was caring for Mom, I would eat with her to help her get calories in because she was losing weight so fast. But now, I’m never hungry. I usually eat small snacks like muffins, candy, and chips sometime during the day. After work, I stop and get a sandwich or salad, and ice cream. I eat most of the salad or sandwich. Now that I think about it, ice cream is my main meal...”.

Tanya asks, "Have you had anything to eat today?"

Mica replied, "No, not really."

Tanya looks compassionately at Mica, "Can I offer you some juice and nuts? I think part of why you might feel anxious right now is that your brain is not fueled very well. Meeting a new person can be stressful, some fuel for your brain might be helpful. Generally, juice and nuts help people to feel better in about 5 to 10 minutes. Would you like me to get you some?" Mica recalled now that there was a basket of juice boxes and little bags of nuts in the waiting room. She thought to herself; those must be for the other anxious people who see Tanya. Mica replied, "Please, that does sound helpful."


In this starting story about Mica and Tanya, Tanya offers Mica a lizard brain treat to help fuel Mica's brain and body. Since Mica has not eaten all day, her body is likely using hormones to stimulate her liver to create glucose for her brain. One of those hormones is adrenalin. The adrenalin is shifting her from her smart-responsive cortex brain to her reactive-limbic-lizard brain. This could be accelerating Mica's anxiety.

The basics of a lizard brain treat are that they contain an easily absorbed sugar that will quickly reach the brain and turn off the demand for glucose, reducing the adrenalin and supplying the body and brain with a fast-burning fuel (juice that contains sugars). Following this with a slow-burning fuel (nuts that contain protein) will help people stay in their smart-responsive cortex brains longer, which provides a more stable filter for thoughts and emotions. Here is a link to more information about lizard brain treats.

If we were sitting together having a warm beverage, here are some questions I would be excited to ask:

  • How do you feel when you’re around someone who is in their reactive-limbic-lizard brain?

  • What lizard brain treats have you tried for yourself and others? Were they helpful?

  • Are there times or places in your life where you might be able to help someone by offering a lizard brain treat?

  • Do you have a way to carry, store, or offer lizard brain treats to offer to people who might be in their reactive-limbic-lizard brain?

If you have the time and want to share with us, we’re curious about your experiences with the questions above. Also – do you have questions about providing lizard brain treats to the people you connect with who might have anxiety, irritation, or agitation?

Let us know!

More Resources:

I am often in the position to refer people to mental health professionals both in my professional life and in personal life. Helping someone like Mica understand how to find a therapist and what is going to happen in therapy are important parts of getting them to take action to get help. I have included some useful articles that may help you or someone you connect to.

Research:

  • Here is a link to one of the most important studies that shows diets high in processed food are a contributing cause of depression and anxiety


Let us know what you think!