We must not, in trying to think about how we can make a big difference, ignore the small daily difference we can make which, over time, add up to big differences that we often cannot foresee.

-- Marion Wright Edelman

The effect of giving on mental and physical health seems to be in the air these days.  A new book by Cami Walker -- 29 Gifts: How a Month of Giving Can Change Your Life -- was recently brought to my attention.  Diagnosed with a progressive illness, holistic healer gave the author a prescription for feeling better:  giving a gift to someone every day for 29 days.  Walker's book is a description of how that benefited not only those who received, but how she -- the giver -- also reaped rewards.

Giving is a practice that researchers have studied.  The benefit seems to be about two things:  giving meaning and a biological boost that may be hardwired. Hands-on volunteering -- that is, work that involves direct contact with people -- seems to hold the most benefit (Psychology Today, 1988).  It is not clear exactly why this works, but the effect is unmistakable:  those with chronic pain feel better, are more able to cope, and possess improved moods.

This is what the professionals like to call a synergistic effect -- it is less cause and effect, and more a subtle weaving together of all the influences into a more healthful and positive state of being.

It doesn't have to be formal volunteer work.

On her new Web site, 29days.org, Walker invites comments and gives ideas about how to give.  She suggests that giving is a way to strengthen your health, along with exercise and medication.  It may be as simple as a note or a phone call.  In a recent article in Yoga Magazine, one of the authors describes her practice of baking a cake for someone every Saturday.  It may be adding a volunteer hour to your week, and doing a less structured act on other days.

If you decide to take on this opportunity, it seems that what is most beneficial is the daily practice that invites you to turn outward to someone else.  That is what reminds us that no matter what the state of our health, we have something to offer, and that there are those who need us.  The emphasis on thinking of others may relieve stress, and it certainly opens our hearts.

The web of connection and relationships made of kindness and openheartedness is the healing balm that spreads in every direction, even in ways we cannot see or know.

We are gearing up for those New Year resolutions.  Do you think you are ready to try the 29 days challenge?  If you do, let me know how it works for you, what you choose to do, and how you feel.

Have a blessed and lively holiday season, and may your New Year be healthy and full of opportunities to give and grow.

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"Emotional Wellness Helps RA" is the title of a recent post on PsychCentral that caught my eye:

http://psychcentral.com/news/2009/08/05/emotional-wellness-helps-ra/7550.html

The incidence of depression among people with RA is twice that of the general population.  An additional study found that when spouses and partners of those with RA are depressed it correlates with a poorer prognosis for the person with RA.

Being emotionally healthy is essential for those who have RA and for their family -- it can alter the course of the disease and supports better pain control.

So how do you become "emotionally healthy"?

What the studies look at is depression -- that feeling of hopelessness, powerlessness and the sense that things will never change.  Other symptoms of depression can be persistent anger, sleeplessness (or always wanting to sleep), or an overall grey feeling -- nothing seems good or worth looking forward to.

These feelings can creep up and subtly worsen over time.  Early intervention is the best way to stave off a more serious bout of depression.

Yet most people don't treat depression.  They hope it will just go away.  They don't want to be whiners, or feel "weak."  Many folks also don't want to take more pills or feel like they have another disease, so they just try to ignore those downbeat thoughts.  They try to "act" cheerful or okay.

The bad news is that this strategy doesn't work.  And depression is wily and tenacious once it takes hold.

Dealing with it early is the most effective approach.  Here are a few ways to start if you find yourself regularly feeling blue or blah:

Talk to Somebody

Find a neutral, supportive person who can listen.  It is best to rely on someone who knows something about depression -- a religious leader, or a medical support person like a nurse or therapist.  Many communities have free or low-cost clinics that can be a great place of help and hope.

Talking to a professional can help you put your concerns in the hands of someone who is an expert in these matters.  You will get lots of good advice and perspective.

Physical Movement

This is free, easy, and one of the most researched tools to combat depression.  I didn't say exercise because that can connote a huge program that feels too overwhelming before you even begin.  What helps is just getting your body in motion.  A short walk every day.  Moving some parts of your body -- stretching, breathing, whatever you can do.

The more often you get your self moving each day, the more it helps.

Humor

OK, you don't find very much funny.  But laughing out loud or a good chuckle lifts your spirits and shifts your brain chemistry.  What tickles each of our funny bones is very individual, so you may have to experiment.  Is it a silly spot on YouTube?  An old movie like When Harry Met Sally?  Jokes from the Reader's Digest?  Jon Stewart?

Give yourself the prescription of two funny contacts a day.

Create Community

Who is in your tribe?  Pain and depression lead to isolation, which makes pain and depression worse.  Where are your friends?  To whom do you talk?  Facebook friends and chat rooms are a good place to begin, but be willing to move on to real-time relationships.  Invite someone for coffee.  Go out for breakfast after church or temple.

I know, you don't feel like doing this.  It's hard.  I get it.  Your cave feels safe.  But you need to get into the world and be around people.  Set a goal.  One outreach in two days.  Then you can build from there.

One of my favorite blogs is The Happiness Project by Gretchen Rubin.  The other day she had this great line:  "The absence of feeling bad isn't enough to make you feel good -- you must strive to find sources of feeling good."

As always, you are in charge, and your sources of feeling good are particular to you.  Remember it is an active process -- not a passive one.  Follow the practice of identifying what these sources of feeling good are.  You have to be willing to act on what you know and feel.

Depression is tough -- but I know you can take the first step towards healing.

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I want to share a fantastic story that, while not related specifically to arthritis, is related to the struggle we all have to be our best human selves.

Dr. Jill Bolte Taylor was a 37-year-old neuroanatomist working for Harvard Medical School doing brain research, when she suffered a massive cerebral hemorrhage (otherwise known as a stroke) and, as she puts it, "became an infant in a woman's body."

It took her nine years to recover.

The story for which she wanted to live -- in order to tell -- was about her amazing experience of having the left side of her brain shut down, while maintaining full processing on the right side.

It was a very different sensation.  The right hemisphere is about connection and dissolving boundaries.  Dr. Taylor describes peace, serenity, unity, bliss.  She felt universally related -- a part of everything and everyone.

If you have a moment, watch this fascinating video below of Dr. Taylor discussing her ordeal and her life's work:

NOTE:  You can download audio, video and iTunes versions of Dr. Taylor's talk at the following link:

http://www.ted.com/talks/jill_bolte_taylor_s_powerful_stroke_of_insight.html

Dr. Taylor's recovery was intense and she reflects in her book, My Stroke of Insight  (Kindle Edition), what a journey it is to motivate one's self to do things that are painful and very, very difficult.  This part of her story is inspiring as she recounts her rehabilitation and slow progress -- and how she stayed motivated to continue.

Most compelling to me is her determination that we should all experience the right side of our consciousness, and find ways to "run that circuitry" on a regular basis, rather than solely relying on our left hemisphere to captain our destiny.

In an upcoming CreakyJoints podcast, Seth describes one way to access that feeling.  He did some stretching that aligned his mind with his body -- and he felt clear and open.

For some people it's their creativity that connects them with universal flow.  For some it's a willingness to give.  And for others this happens with mediation, prayer, music, worship, or nature walks.

Whatever opens those circuits for you, I urge you to do what Dr. Taylor suggests -- spend some time relaxing and allowing your right brain to dominate your consciousness.  You will be more peaceful and, through that, you will share that peace with those around you.

This can change the world.

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