Friday, April 28, 2017

Functional GI Disorders: Gut-directed hypnotherapy (GHT) for irritable bowel syndrome (IBS)




Gut-directed hypnotherapy (GHT) in individual sessions is highly effective in the treatment of irritable bowel syndrome (IBS). This study aimed to assess the long-term effect of GHT in group sessions for refractory IBS.


METHODS:
A total of 164 patients with IBS (Rome-III-criteria) were screened, and 100 refractory to usual treatment were randomized 1:1 either to supportive talks with medical treatment (SMT) or to SMT with GHT (10 weekly sessions within 12 weeks). The primary end point was a clinically important improvement on several dimensions of daily life (assessed by IBS impact scale) after treatment and 12-month follow-up. The secondary end point was improvement in general quality of life (QOL; Medical Outcome Study Short-Form-36), psychological status (Hospital Anxiety Depression Scale) and reduction of single IBS symptoms. Analysis was by intention to treat.

RESULTS:
A total of 90 patients received allocated intervention. After treatment, 28 (60.8%) out of 46 GHT patients and 18 (40.9%) out of 44 SMTs improved (absolute difference 20.0%; 95% confidence interval (CI): 0–40.2%; P=0.046); over 15 months, 54.3% of GHT patients and 25.0% of controls improved (absolute difference 29.4%; 95% CI 10.1–48.6%; P=0.004). GHT with SMT improved physical and psychological well being significantly more than SMT alone (P<0.001). Gender, age, disease duration and IBS type did not have an influence on the long-term success of GHT.

CONCLUSIONS:
GHT improves IBS-related QOL, is superior to SMT alone, and shows a long-term effect even in refractory IBS.

WORD FROM HIRO KOO:
We offer gut-directed hypnotherapy for IBS in Hypnosis Specialist Centre (Hypnosis Integrative Hub) @ Life Care Diagnostic Medical Centre (Bangsar South, Malaysia). Feel free to whatsapp us for more info (+60167154419).


Source:
http://www.nature.com/ajg/journal/v108/n4/full/ajg201319a.html
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Sunday, April 23, 2017

[Event] Mood Management Workshop @ Life Care Diagnostic Medical Centre





Mood Management Workshop Module 1 - Brainwaves Analysis 

This workshop was led by registered clinical hypnotherapist and psychologist Hiro Koo. We have explored various techniques and strategies to best manage mood and stress issue.

This workshop also emphasize approaches for managing mood and brain arousal level. We have discussed a range of brainwaves pattern and how they relate to our emotion and stress level. 

Module 1 is also meant for the first step of healing:
Make your subconscious mind (brainwaves) conscious, so you can control your mood and life.

Friday, April 14, 2017

You May Be Able To Train Your Brain To Be Fearless - Neurofeedback Malaysia

A developing treatment called neurofeedback may help people suffering from anxiety and PTSD.


All your fears, stresses and anxieties have one thing in common. They are sensed by a pair of pea-sized patches of neurons, called the amygdala, sitting deep inside your brain. So what if you could control your amygdala? What if you could change your brain and become calmer and braver?
That idea has a particular appeal for people suffering from depression, anxiety and post-traumatic stress disorder. But it’s easier said than done. The amygdala is an old part of the brain that does its job automatically, without much care for commands from more conscious parts of the mind. You can’t just tell an oversensitive amygdala to quiet down.
But a brain training technique known as neurofeedback might help people find a way to change such involuntary and automatic brain processes. In recent years, the technique is being developed and refined to address mental health issues. The treatment involves monitoring a person’s brain activity in real time using electroencephalography (EEG) or functional MRI brain scans, and showing those patterns of activity to the person so they can try to boost or reduce them ― basically, changing how their brain functions.
In a new study published last month in Biological Psychiatry, researchers set up a series of experiments to use neurofeedback to teach several dozen people how to regulate their amygdala activity.
“People were able to use this new EEG model to learn how to control their brain activity in a deeply located brain area, the amygdala,” said Dr. Talma Hendler, a psychiatrist and neuroscientist at the Tel Aviv Center for Brain Functions in Israel. 

Reading brain signals from deep parts of the brain is difficult, especially with a cheap and accessible method. Functional MRI, or fMRI, can access these areas, but the device is a complex, gigantic magnet that you can’t just set up at home, even if you could afford it.
EEG, on the other hand, is cheaper and simpler. It mainly involves a few electrodes placed on the scalp. The downside of EEG is that it can’t accurately zoom in on structures deep in the brain.
So, the researchers combined the two methods. They used the detail provided by fMRI to tease out the amygdala’s signal from the electrical activity picked up by the EEG.
“[This method] enables home-based imaging that [targets] brain regions relevant for our mental health,” Hendler said. “It opens a wide horizon of treatment possibilities for the mentally ill, but also for everyone on a daily basis as an empowering tool for mental activity and well being.”
For the experiments, Hendler and her colleagues asked the volunteers to listen to a sound. They were then instructed to lower the volume of the sound by “exercising mental strategies.”
It sounds like a vague instruction. What are the mental strategies that can, seemingly telepathically, control the volume of a sound? No one really knows, and that’s sort of the point. People have to try many different ways of thinking ― thereby changing their brain activity ― until they stumble upon a desired activity pattern.
What the participants didn’t know was that the volume of the sound was programmed to change based on the electrical activity of their own amygdala, and it would lower if the participants managed to dial down that activity. In other words, they were listening to their own amygdala’s firing, disguised in a sound.
A series of tests afterward showed that this game seemed to help participants become more capable of regulating the activity of their amygdala. In response to viewing a series of images, for example, the participants’ amygdalas seemed less sensitive compared to those of people in another group given a fake neurofeedback treatment.
The participants in this study were healthy. But Hendler believes that people with mental health problems, too, would respond to training with neurofeedback.
“We already have indication for this (unpublished yet) that people suffering from depression, chronic pain and post traumatic disorders are able to learn and greatly benefit from such training,” Hendler said.
If the method proves useful in treating mental health conditions in the future, this low-cost, personalized treatment could be used at home to complement and sometimes substitute medications, Hendler said. 

Source:http://www.huffingtonpost.com/entry/neurofeedback-mental-health_us_57fbee6fe4b0b6a43034b431

Saturday, April 1, 2017

都会佳人Citta Bella | Life Magazines 生活杂志 - 2017年2月刊Bella Soul 之《疗愈好情绪》


为何一个人的情绪总是不由自主地失控?哪怕很多时候你我打从心底知道,我们是应当理智应对的,可仍旧免不了情绪大暴走。这是许多人一直关心的话题,而针对此问题,首先你需要了解一个真相,就是没有人的情绪是永远处于晴天状态的。

就算四季如夏的大马,也有刮风打雷下大雨的时候。情绪起伏不定,不是一种病,而是一件最自然不过的事情。或许你听说过,小孩子吃了甜的食物会比较过动,然而你或许不知道那实际上是血糖在影响着你的行为与情绪。饮食所牵引着的营养心理学、日常中的睡眠、人际关系和其他生理状态等都是影响情绪的因素之一。试问你又如何能单凭单向的意志力来控制好自我情绪呢?请放心吧,你并不是一个人在面对情绪的问题,大家都在生命旅程里经历情绪的海啸。
情绪问题人人都有,但为何所有人都无法了解我的感受?
在这世界上,没有一个人拥有相同的手指印;同样的,没有人可以同时拥有完全相同的经历,大脑与思绪。同理心,看似简单的三个字却是心理治疗师竭尽一生学习都不一定能完全掌握的技术,更何况是你身边的人呢?这就是为什么同样是和朋友倾诉,一些人总是让你感到释怀,一些人却让你感到窒息。并不是所有人都适合成为你的倾诉对象,适当的时候不妨寻找专业人士如心理治疗师、心理辅导员或催眠医师来宣泄情绪。寻找帮助并不是弱者的表现,而是爱惜自己的一种体现。
虽然时常逼自己保持理智、逻辑思考,怎么到最后自己却更容易紧张、焦虑和失控?
情绪就如海浪般,时而大浪时而小浪;没有人的情绪是如湖水般平静的。然而许多人为了却误解了平静的情绪就是最好的情绪,因此努力压抑与保持理性思考。这样做的话,久而久之会让你感觉对一切事物与情绪都感到麻木。此时的你其实是把脑海里的海浪强行抚平,随之而来的是无法控制的情绪海啸。失控、害怕、焦虑、孤独感、情绪低落以及抑郁等问题也可能随之而来。当你因情绪化而感到不安时,大脑是很难进行理性思考的。再糟糕的情绪也有舒缓的时候,任何的情绪都是不会持续一辈子的,很快的它们其实就会有所转变。
如何防止自己情绪失控?
每个人内心里都住着一位天真无邪的孩子,总是期望自己可以像小时候般开开心心的过日子。心情不好时,不妨闭上眼想象自己的内心里住着的那位小孩,告诉他:“我知道到你这些年来的感受,实在不简单。那些你无法控制的情绪,折腾得你好辛苦。这一路走来,我为你感到心疼。然而你也学习到了不少,就如现在你已经了解任何情绪都是短暂性的状态,并不是一辈子的。无论是多么糟糕的情绪,很快的都会有平静下来的时候。你也不必再让自己时时保持着亢奋的心情,因为情绪起伏就如海浪有大浪小浪般正常。我会陪你一起走过这段生命旅程,一起学习如何更爱惜自己。”


Source:
http://cittabella.my/post/2017/jan/soul/mentalstress