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Mind Body MedicineThe Amygdala and the emotional brain: when fear overrides the rational.

The Amygdala and the emotional brain: when fear overrides the rational.

The amygdala is involved in producing and responding to non-verbal signs of anger, fear and defensiveness. Learning and responding to stimuli that warn of danger involves neural pathways that send information about the outside world to the amygdala, which in turn, determines the significance of the stimulus and triggers emotional responses like freezing or fleeing as well as changes in the inner workings of the body's organs and glands.

Damage to the amygdala interferes with the effects of emotions on memory. If the amygdala is severed from the rest of the brain, the result is a striking inability to gauge the emotional significance of events, a condition called 'affective blindness': growls, screams, angry voices, and other negative signs may lose their meaning and become incomprehensible as afferent cues.

There is growing evidence that indicates that the amygdala enhances and directs our perception and attention regarding emotions other than fear pleasure or disgust, for instance calling to attention key parts of our brains and making them more responsive in forming memories and associations. By attuning the brain to all manner of threats and pleasures not just the snake on the path but the scowl on your boss's face and the smile on your child's the amygdala thus helps confer emotional significance on a wide range of experience. We've known for decades that fears are extinguished not because they fade, but because new, less threatening associations take their place. The rat hears a once-threatening sound repeatedly without pain, and a neutral association slowly replaces the fearful one. You hear often enough the once-lacerating song you long ago enjoyed with your ex-lover, it loses its bite. Researchers have recently found that this process relies on a calming of the amygdala via the medial prefrontal cortex.

What is known about the amygdala is that it has a dual sensory input system. Both inputs run from the eyes, ears, and other sense organs to the thalamus. At that point the inputs diverge. One pathway leads directly to the amygdala while the other first passes through the cortex. Each input causes a distinct and specialized behaviour. The amygdala is specialized for reacting to stimuli and triggering a physiological response, a process that would be described as the "emotion" of fear. After this, the stimuli of the activation of the amygdala is transmitted to the cortex. This is a distinct difference from a conscious feeling of fear.

One could say that a life without amygdala is a life stripped of personal meanings. Animals that have their amygdala removed or severed lack fear and rage, lose the urge to compete or cooperate, an no longer have any sense of their place in their kind's social order; emotion is blunted or absent.

In the book 'Questions about emotions', Paul Ekman and Richard Davidson describe the case of a man whose amygdala had been surgically removed to control severe seizures. He became completely uninterested in people, preferring to sit in isolation with no human contact. While he was perfectly capable of conversation, he no longer recognized close friends, relatives or even his mother and remained impassive in the face of their anguish at his indifference. Without an amygdala, he seemed to have lost all recognition of feelings as well as any feeling about feelings.

After the central nucleus has been destroyed, animals no longer show signs of fear when confronted with stimuli of adverse events. As a result, their blood level of stress hormones is lower. Neurons of the central nucleus send axons to region of the brain responsible for the expression of the various components of emotional responses to aversive stimuli. The aversive stimuli would elicit non-specific responses controlled by the autonomic nervous system (eyes dilate; heart rate and blood pressure increase; breathing increases and there is secretion of stress-related hormones). These results suggest that the autonomic and endocrine responses controlled by the central nucleus are responsible for the harmful effects of long-term stress. Physical changes such as freezing when facing aversive stimuli, take place in the lateral nucleus of the amygdala.
Occasionally, there can be debilitating problems associated with hyperactivity of the amygdala. Being the storehouse for the memory of fear, it can misinterpret signals from the body and cause inappropriate actions. This can lead to panic. Panic is a heightened stage of anxiety and fear feeding itself in a positive feedback loop and jumping to faulty conclusions, which focus on impending danger, madness, harm, or death. Physically, the body undergoes many changes that ready it for extreme action. There is a marked secretion of glucocorticoids and catecholamines which increases the blood glucose levels. Also, increase production of epinephrine and norepinephrine, which has the effect of vasodilation of blood vessels in skeletal muscles. Other symptoms of the sympathetic-adrenergic stimulation involve modifications of breathing, increased temperature, localized sweating, decreased motility of the stomach, bowels, and intestines, constrictions of sphincters in the stomach and intestines, as well as piloerection (little hairs stand up) when attention is shifted away from the anxiety-provoking stimulus, less fear is observed.

Antonio Damasio's research has found that patients whose link between the amygdala and neocortex has been damaged exhibit extremely poor decision-making skills. The amygdala is a storehouse of emotional reactions. People without access to this storehouse are rather like a rambler without a compass; they can spot alternative paths, but they have no idea how to evaluate them. The amygdala can sometimes cause emotional dumbness, as with over-hasty actions and emotional hijackings, but Damasio's research suggests that it is also required for emotional wisdom. We need to train and listen to the amygdala, not suppress it. For example, freezing is often the first thing people and other animals do when sudden danger appears. Predators respond to movement, so freezing is overall probably the best single thing to do first, at least it was for our distant ancestors. If they had to think about what to do first, they'd have been so caught up in the thought process they'd probably fidget around and then get eaten.

The connection to the amygdala is very quick, a direct connection, but not very precise, because most of the sensory information goes via the other path, up to neocortex, where it is analysed through several circuits while a response is formulated. But the amygdala, meanwhile assesses the sensory data to see if it has emotional meaning and can trigger a response while the neocortex is still sorting things out. Emotions may be very difficult to control because the amygdala turns on other parts of the brain before the thinking brain, the neocortex does. Because the amygdala has diverse connection to parts of the brain that control the autonomic nervous system, as well as connections to the cortex, which is responsible for conscious experience, there is a convergence, giving it a central role in emotional life, so it can mobilize the body to respond with a strong emotion, particularly fear, before the thinking brain quite knows what is happening. Scientist have discovered that there is an anatomical connection between the frontal cortex and the amygdala. From recent experiments, it appears that one important function of this connection is for the frontal cortex to regulate or turn off the amygdala.

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Cancer Fatigue

Cancer-related is one of the most common side effects of cancer and its treatments. Like fatigue, cancer fatigue is whole-body exhaustion that you feel no matter how much sleep or rest you get. Cancer fatigue takes exhaustion a step further: You feel physically, emotionally and mentally exhausted most of the time. Cancer fatigue may last a few weeks (acute) or for months or years (chronic).

To improve energy effectively, we provide modalities ranging from mindfulness-based cognitive therapy therapies, to herbal medicine and targeted nutritional interventions.

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Our acupuncture services, including traditional acupuncture, medical acupuncture, and laser acupuncture, are designed to stimulate the body's natural healing processes, reduce pain, and improve overall health. In addition to acupuncture, we provide specialised physiotherapy services aimed at restoring movement, improving function, and alleviating pain Our commitment to quality care is reflected in our dedication to continuously improving our services and staying abreast of the latest advancements in medical and complementary treatments.

We are devoted to helping our patients achieve the best possible health outcomes through compassionate, comprehensive, and patient-centred care.

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Helping you to thrive into enduring wellness after the conclusion of cancer treatments is our goal. At Vitawell Wellness we understand that an optimised immune system comes from a foundation of basics. Quality of sleep, exercise, enjoying nature, and practising meditation are incredibly important elements to aid in your recovery.

Our holistic approach focuses on rebuilding all the components that form your unique profile, from weight and movement to mind-body connection; from good energy to healthy weight; from sleep to finding happiness in small things.  Recovery also depends upon restoring imbalances in your immune system, nervous system, neurotransmitters, gut health, adrenal and hormonal systems. At Vitawell Wellness we will provide you with the essential tools and the appropriate program to achieve and to maintain optimal health and enduring wellness.

Stress Management

The state of mind impacts health through the mind-body connection. We believe that  that body and mind are one, that the mind feeds the body just as the body feeds the mind. Since emotions, feelings, thoughts, beliefs, actions, and behaviour impact and literally shape wellbeing, we provide the necessary tools to  strengthen your mental and emotional inner life.

We strive to help you cultivate and maintain hope, calm, optimism, and inner-peace. We want to know how you feel; we listen and support you in regaining power with positive actions, step-by-step into wellness. 

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After the conclusion of cancer treatments, we strongly recommend that you follow our clinical detoxification program. At Vitawell Wellness we are aware tht some common side-effects from chemotherapy or radiation therapy treatments can have lasting effects such as brain fog, loss of energy and gastro-intestinal dysfunction.

We strongly believe in the power of detoxification as a method of steadily reducing toxins` accumulation and regaining strength, balance, and imporve wellness. Our personalised program is sensible, gentle but effective, and includes stress reduction technique and lifestyle changes.

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The relationship between cancer, diet, energy, muscle mass and optimal weight is extremely important. At Vitawell Wellness we focus on addressing your current nutritional status and develop the right diet for you.  "One size does not fit all" principle applies to your diet. Each person is unique and therefore variability exists between nutrient-sense diets.

We provide personalised and appropriate dietary plans before, during and after cancer treatments. We provide 7 day menu plan, shopping lists and recipes that reflect food preferences and sensitivities. The menu plans are easy to follow. Each food is selected for its specific content of nutrients. Healthy foods positively support your whole person wellness.

For some, reaching wellness means improving body weight, muscle mass, digestion, assimilation and gut microbiome. 

For some, reaching wellness means reducing body weight, improving muscle mass, digestion, bowel function and gut microbiome. Obesity and overweight have been shown to increase cancer risk.

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The Functional Medicine model is an individualised, patient-centred, science-based approach that empowers patients and practitioners to work together and to address the underlying causes of disease and promote optimal wellness.

Functional Medicine is gaining attention as a new approach to care in large institutions and Universities around the world. This is leading to new approaches to investigate ways to research outcomes of Functional Medicine designed to discover and remedy root causes of problems instead of suppressing symptoms. Random controlled trials are beginning to be conducted, and a new body of literature is beginning to emerge in this realm as a result.

Nutritional Medicine

Nutrition medicine is a personalised medicine that deals with primary prevention and addresses underlying causes instead of treating symptoms for serious chronic diseases. By shifting the traditional disease-centred focus of medical practice to a more patient-centred approach, nutritional medicine individualises the patient's nutritional needs based on genetic, environmental, and personal considerations.

Nutritional medicine focuses on shifting dietary habits to optimise personal health stimulating the powerful inert healing mechanism within each person by providing nutrient protocols and specialised diets for each individual need.

Herbal Medicine

Herbalism today is based on remedies and techniques tried and tested through generations of use, but increasingly re-evaluated in the light of modern medical refinements. A key feature of herbalism is that remedies are used to support and modify disturbed body functions.

Herbal medicine is the oldest and still the most widely used system of medicine in the world today. It is medicine made exclusively from plants. It is used in all societies and is common to all cultures.

Herbal medicine is increasingly being validated by scientific investigation which seeks to understand the active chemistry of the plant. Many modern pharmaceuticals have been modelled on, or derived from, phytochemicals found in plants. Increasing research on herbal medicine demonstrates that liquid botanicals play a critical role during, before and after a diagnosis of cancer.

Individualised Plans

Cancer requires negotiation and navigation. Decisions must be made. Directions must be pursued. The decisions and directions often occur in the middle of stress, fear, trauma, and many other challenging emotions. The skills with which people negotiate and navigate their cancer journey are better supported by combining conventional treatments with evidence-based natural medicine.

At Vitawell Wellness, we design individual programs to support you regardless of your diagnosis and the stage of your cancer. We collect all critical information about your state of health and help you in your decision-making process with the wisdom and the experience that comes from years of clinical practice. We work in alignment with what you think, feel, say, and do. In this way, we honour your self-awareness, your knowledge and views and integrate them in safe practices.