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Nature Loves the Truth

Would an orchid keep its bloom in a closet without water, fertilizer, or exposure to the light of day?  Would a palm tree last very long in Siberia?  Could a herd of elephants sustain itself in a concrete jungle?  Doesn’t Mother Nature demand that each form of life live according to a certain set of built-in truths or risk death?

What are the truths which control our human species?  Of course, there is the basic need for water, food and shelter.  Given the unity of body and mind, our physical needs slide over to a psychological realm where we aim to thrive, not only survive.  There is a vast array of emotional responses which reflect the experience of living in a human body, running the gamut from ecstasy to despair.  It is my belief that our nature is most at equilibrium if what we feel and what we show – to ourselves – are in sync.

Some emotions are easier to experience than others.  Our capacity for denial and suppression allow us to manage our emotions to a certain degree.  Sometimes we use denial to the hilt.  Sometimes this capacity for denial saves our lives.

But when we are stressed to the max, as is the case with infertility, if denial is not helping you, could it be hurting you?  I am not talking about denial of the infertility.  I am talking about denial of the feelings which cannot help but be evoked when something as profound as procreation is at stake.

How does one square denial as a bona fide coping mechanism against a “nature loves the truth” postulate?  This story is illustrative:

I was working with a woman who became a convert to the power of emotional truth.  Let’s call her Jane.  Jane was relatively sophisticated and understood that emotions land in the body in the form of symptoms, and that symptoms are the body’s wisdom trying to grab our attention.  She had a pain on the left side of her neck which was unresponsive to Advil, heat packs, ice packs or yoga stretches.  Deep tissue massage had given her relief, but shortly after getting off of the table, her neck went back into spasm.

She came in for a session totally frustrated.  I gave her a paper and pen and asked her to “journal,” stream of consciousness style, while I remained quiet.  I wanted her to be in touch with herself – in touch with her truth.  She wrote and wrote and suddenly looked up at me as if she had seen a ghost.  I asked her what had just happened.  She said that she had found herself writing about Mary who was a real “pain in her neck.”  She had not thought of her friend in this way, but when she wrote this, her pain went away.  Nature loves the truth.

Of course, the problem with denial is that it can be out of conscious awareness.  This notwithstanding, nature has a way of poking at our body, hoping that we’ll respond to the invitation to “get it.”  Jane was not going to get relief from her discomfort until she allowed her body to teach her how she was feeling.

Infertility is “treated” by the medical community on the basis of what scientific evidence is revealed by blood tests, sperm tests, post-coital tests and surgery.  That is fine and dandy.  Many grateful moms and dads are pushing strollers around because of the sophistication of modern medicine that seems sometimes to border on science fiction.

But for you, the patient, it’s only half of the story.  Stress levels can interfere with a logical conclusion to this approach.  It opens up a “treatment” approach to unexplained infertility, doesn’t it?  It also allows those with a clear diagnosis to “participate” in their medical care.  In both cases, self-awareness can make the difference between conception and disappointment.  I’ve seen it!

If in Jane’s case, the pain in her neck resolved when she identified the “truth,” imagine your power to contribute to the resolution of your fertility challenge.  This does NOT mean that your infertility is your fault!  It does mean that you can suspend the horrible feeling of being out of control and participate in discovering the truth of what you are feeling that, as they say, can set you free.

Excerpt from, “On Fertile Ground: Healing Infertility”

The following excerpt from my book speaks directly to those in an infertility struggle, but keep in mind that the tenets apply no matter what adversity you might be dealing with.

by Helen Adrienne, LCSW, BCD
Chapter 10
Gain from the Pain:
Would You Believe There’s an Upside?

So what do you stand to gain by suffering through the delay in getting your baby?  Your cheerleaders, who are on the other side of the infertility battleground, are eager for you to know what the experience meant to them so you can hang in there.  This book has been, among other things, an invitation for you to ponder how this experience could turn out to have been surprisingly beneficial.  Read these stories.  Which resonate?

Growth from adversity always involves coming to terms with something that you would never have chosen.  Looking for what is to be gained from any adversity is not what concerns you at first and may even annoy you.  But it is a way to assign meaning to your life and avoid living with bitterness.

Not Just Strength but Inner Strength

When I was a little girl my grandmother used to use an expression that I did not connect with at first.  She would say, “You should do such and such – it will put hair on your chest.”  Hair on my chest?   I was preoccupied with the not-so-hidden message that she thought it was better to be a man.  Eventually I understood that she was saying more than that.  She apparently thought that men had a corner on the strength market.  On another level, ‘such and such will make you strong’ was the communication I was supposed to derive from her words.  There are other less judgmental expressions of the “what doesn’t kill you will make you strong” ilk.

The issue is not just about getting strong.  It is about feeling strong, owning the strength that can build in the face of challenge.  The life force, the Popeye Effect, whatever you want to call it, is a hard-wired aspect of our nature.  It is just there, but some of us are more purposeful about developing it than others.  Developing inner strength can be both a conscious and an unconscious byproduct of adversity.

Melissa, an artist, put it this way: “If it had not been for this amazing challenge in my life, I would still be afraid of the great unknown and would wonder if I had the balls – I mean ovaries – to get through it.  I now know that I can and will get through anything.”

But some of us are born into environments where developing inner strength is not encouraged and may even be discouraged.   This kind of environment can rob us of the drive to feel and use our capacities, leaving us likely to form an inaccurate picture of ourselves.  Personalities, or aspects of our personalities, get formed around distortions.  When adversity brings us face to face with ourselves, we have a chance to course-correct.  All of us get tossed around by life.  As Gilda Radner once said, “If it ain’t one thing, it’s another.”  My point is that with awareness, if our sense of ourselves has gotten distorted, we can set the record straight.

Self-awareness can open us up what needs to be changed and your resolve to work toward change can be fortified.  And as you continue to navigate turbulent waters, self-awareness can bring you to a realization of what has changed due to your efforts.  Reveling in the self-awareness that develops cannot help but call attention to increasing levels of inner strength.  In the process, we stand to discover or rediscover who we were really born to be and as a consequence, connect with our in-born authenticity.  Inner awareness and inner strength make for a wonderful partnership and form the substrata upon which gains from pain accrue.

The Heart of the Matter

Seeking authenticity or connection to your in-born realness does not mean that you have been inauthentic.  It just means that the lessons that come from the impact of unavoidable stress give us a chance to evaluate what feels right and what does not.  It is up to us to recognize and honor the messages which bubble up from the inside.  Honesty about aspects of our life style which are not working or facing stress warning signals are gifts if you let them be.  Recognizing these messages can be challenging.  They can be quite subtle.  Sometimes we don’t have access to our true selves.  Sometimes our suffering can block access to hearing that inner whisper.  Sometimes we don’t hear what is coming from within even if it screams at us.  As Oscar Wilde once said, “Some of us trip over the truth.  Most of us get up and keep going as if nothing happened.”

Realness is simple when we are infants.  When we are hungry or uncomfortable, we scream.  When we are afraid, we scream.  When we are content, we are free to vocalize and play with abandon.

As we get older, with years of experiences stamped on our templates, that inner knowing and freedom to express how we feel can get glossed over.  The infertility diagnosis all but guarantees that even those of us who are usually in touch with what we are feeling, get bumped off track.  Now you have a chance to quiet yourselves, the better to learn to hear or see or feel – and trust – the whispers or shouts from within that can put you back on track.  You will feel the resonance of you truth if who you are is congruent with where you are going.  The synopsis of how others gained from their pain can be a beacon shining on what you can gain as well.  Read on.

Ellen’s Gains

Ellen, a photo editor, called me when I had already written seven chapters of this book.  “Was it too late to participate?” she asked.  I gladly set up an appointment to speak with her.

When I opened the door, I noticed immediately how well she looked.  Her facial features were soft and relaxed.  Her twin son and daughter were 14 months old and she was back to her very challenging job.  Yet she looked younger than her 42 years and younger than she had looked when she was in the midst of the infertility crisis.

Ellen told me that she had a breakthrough moment recently which made her say to herself, “Oh my God, I want to contact Helen and be a part of her book.  All of a sudden, I realized that I am using all of these things that I learned.  I’ve grown from this experience.

I realized the incredible joy that has resulted from our pursuit of this goal.  It is a miracle.  Miracles are possible if you really set your sights on them.  I am joyous every minute that I’m with the babies and never forget that feeling when I am away from them.”  No wonder she looked so good.

This breakthrough came at a point in time when Ellen had been feeling stressed and tired from her two full time jobs – work and motherhood.  She felt jubilant to realize that not only did being a mommy bring her to a place where joy, all kinds of joy,  were central to her life, but she now was realizing that she had the tools to apply to this next challenging phase of her life when the combination of parenthood and professionalism intensified demands on her.  When she realized that the self-awareness tools she had learned and used to get through the infertility crisis were the tools she could recruit now to deal with her new life stressors, she called me immediately because she wanted you, the reader, to know it.

In her twenties and again in her thirties, Ellen had participated in Outward Bound.  They had been the biggest challenges of her life.  Now she understood that infertility “was like Outward Bound in that it strips you to be face to face with yourself and shows you your inner strength.  I now know that infertility was the biggest Outward Bound of all.”  I might add that it can also be the biggest inward bound experience if you let it.

Ellen also wanted you to know that “when you are at the beginning of any challenge, it is never obvious which path you should take.”  She began her quest to parenthood at 39.  Herbs and acupuncture did not bring her FSH down.  Clomid and inseminations got her nowhere.  Ultimately, the third Reproductive Endocrinologist and the second Ovum Donation cycle was when she hit the jackpot.  Her babies were born when she was 41.

Authenticity for Ellen cuts a wide swath.  It resides in the awareness of her inner strength, in an unshakeable resolve to do everything possible to get to any goal, and in never letting herself move very far away from experiencing joy.  Along with joy has come an intense love. This struggle really opened her heart to the babies and her husband in ways that had been unimaginable.

Ellen also takes great pleasure in the awareness that her level of self-esteem has risen.  She has achieved a belief in herself and a faith that if she needs help, she can get help.  If she has one regret it was that she did not reach out to me for emotional help sooner, now thinking that the struggle might have been shorter.

An important aspect of living from a place of authenticity for Ellen that she wanted to be sure I shared with you, was the importance of acceptance.  “I realized along the way,” she told me, “that people who are successful don’t keep trying to do something the same way when it doesn’t work.  I had to step back from myself and look at the bigger picture with flexibility.  I accepted ovum donation and I was prepared to accept adoption if need be.” … .

For many more examples of how it is possible to benefit from struggling with infertility, read the rest of chapter 10 in On Fertile Ground: Healing Infertility.

Unexplained Infertility and the Mind/Body Connection: Food for Thought

When I first went into practice in 1979 as a psychotherapist serving infertility patients, the scuttlebutt was that any inability to conceive for which there wasn’t an explanation meant that research hadn’t yet clarified the person’s specific problem.  Today, much has been clarified and medical experts believe that if a correct diagnosis could be guaranteed, the number of those labeled “undiagnosed” would be very small indeed, rather than the 10% to 30% or more (depending upon whose statistics you look at) who fall in this category now.

Whether the diagnosis is incorrect or unknown, any couple who is told that the reason for their questionable fertility is unexplainable suffers in double time.  Each undiagnosed person with whom I’ve worked over these many years has said, “I wish I had a diagnosis – at least I’d know what I’m up against, and the doctors would know what to do.”

Medical reasoning, while it has merit, leaves out of the story what could be going on having to do with how our minds and bodies communicate with each other, often below our conscious awareness.  While we may not be mentally aware of how our subconscious mind interprets our experiences, our bodies hold this information for us.  Tuning in to our bodies by way of our intuition is how we stand to discover what our experiences mean to teach us.

Case in point: Many years ago, a woman came into my office and even before she was sitting on my couch asked, “Could this infertility be my fault?”  I told her that I was opposed to her blaming herself, but I was curious why she was inclined to do so.  A story tumbled out having to do with a medical condition which had made it impossible for her to get through the night without wetting the bed — until she was 16 when the problem, finally, was surgically corrected.  Meanwhile, her mother’s harsh criticism and judgment had had its impact.  After hearing her story I simply said to her, ‘Are you afraid that you will be the kind of mother that you had?’  She burst into tears.  And she conceived during the next cycle.

While we cannot say for sure that this is why she conceived, it is clear that her tears were tears of relief.  When our minds feel relieved, our bodies are less tense.  What else might loosen up besides our muscles and our breathing?  This lovely lady, by following her intuition and making an appointment with me, gave herself an opportunity to discover her greatest fear.  Lodged just below her conscious awareness was the byproduct of her life experience which manifested in the fear that she would imitate her mother’s style of mothering and her child would suffer the way she did.   She was even more relieved to come to understand in our session that with conscious awareness, determination, and perhaps a little guidance, she’d be a fine mother.  Her longing for parenthood came out from under her fear of repeating history.

The harshness and judgment with which this woman had been raised had come out in the form of self-blame, not a surprise when a small child assesses the environment and concludes that she’s not okay, not loveable, not worthy of kindness and compassion.  The up side of blaming herself is that it led to her discovery of what her body was holding for her – fear of being like her mother.

There are infinite intricacies to the interplay between mind and body. I am not saying that a personal issue causes infertility.  Fear of conception, even for a very good reason, may not be in your story at all.  And even if it is, you can’t be held responsible for something of which you are unaware.  You can choose to be responsible to yourself by following a hunch the way my patient did.

Here’s the food for thought:  Why do some fail to conceive even with the correct diagnosis?  On many occasions besides the one reported here, I have witnessed people choosing to face a fear which sits at the juncture between conscious and unconscious awareness, waiting for recognition so the body can release the grip it has on us when it’s trying to get our attention.  From my vantage point as a mind/body therapist, I invite you to give yourself a chance to “listen in” on the conversation that your mind and body may be having.  Would something release in you?

Anger and Infertility

Show me someone in a situation of infertility or questionable fertility and I’ll show you someone who is either: 1) openly angry, 2) coping with the very natural feeling of anger by denying it, or 3) using significant mental muscle to manage feelings such as impatience, disappointment and lack of control that are components of anger.

You always knew that someday you would have a family. Life went mostly as you planned it. Depending upon what aspect of the American culture you hearken from, you would have had certain expectations as to when the time would be right. The confluence of variables such as education, career path and meeting the right mate became settled and you were good to go. So you thought. Nature had another idea, and now your plan has exploded in your face. Struggling with infertility? Anger is a likely traveling companion.

In this age where women have been led to believe that they can have it all, to arrive at the brink of the next planned phase of life only to be met by what feels like a cruel joke is unbearable and enraging. And to make matters worse, it is typical in these times to buy into the myth that things should be easy. What makes the anger response to the infertility news so intense and yet so poignant is its attachment to an existential reality: the injustice of it all.

Your thoughts travel to how unfair it is. You can name a list of people who have children that they can only complain about. Then there is so-and-so who has children she didn’t plan. You may find yourself thinking about someone from work who regrets having had a child. You feel sorry for the babies and you and your spouse know that you would make wonderful parents and you’re so ready! How could this be happening? On good days, you feel your determination will get you through this nightmare. You and your spouse might even feel closer to each other because of this struggle. On other days, you could care less about rational thinking and derive a perverse pleasure from marinating in your anger.

Anger does have its rationale. To feel angry at your body for failing you, or angry at your spouse’s body for failing him/her, makes sense. So does anger at the insensitive comments of well-meaning family members, friends or coworkers. Insensitivity of any kind makes your blood boil. Your medical team may be highly skilled as technicians, but why hasn’t someone trained this doctor or that nurse or secretary to be more delicate with the presentation of facts or news? And let’s not even talk about insurance companies. In fact, there’s hardly an aspect of life that is untouched by this predicament. Decision-making about career, housing, vacations and money, when so much is up in the air, is enough to make anyone feel in a real frenzy.

But anger can be sneaky and present with the violence of a tsunami without the recognition that it was the earthquake out at sea that caused the tidal wave in the first place. Likewise within us, sadness, disappointment, jealousy and other emotions happen (like the earthquake), and sometimes without conscious awareness convert into anger (the tsunami). Anger can always be justified and is therefore an easier emotion to experience.  Anger’s energy legitimizes making its discharge feel like a relief; sadness, disappointment or jealousy demand self-reflection, which feels like a job for which you are in no mood. Though anger may seem easier, it is not without its cost. If we think about the energy it takes to be angry, we will realize that anger is a big emotion. Perhaps you want to scream, punch or stomp. If you have a habit of internalizing anger, it costs even more. Unless anger is attended to in one way or another, it simmers like a pot au feu. And like a pot au feu, is always hot.

Both the pot on the stove and the anger within us drain energy. Whether you are aware of feeling angry or not, if anger is part of the gestalt of infertility for you, then given the mind/body connection, the value in dealing with our anger has the enormous benefit of giving ourselves a respite from the physiology of stress. It is stressful to be angry. Although the anger is legitimate and may seem impossible to tame (unless a baby resulting from a full-term pregnancy could materialize in your arms NOW!) – taming anger is not impossible at all.

Years ago I conducted a study using 39 respondents from 7 mind/body support groups. For this study, the women were asked to fill out a questionnaire (which included 3 self-rating scales) before and after the 10-week group experience. My hypothesis was that by learning and practicing stress reduction techniques, participants could reverse the physiology of stress. These techniques are designed to intervene in the vicious cycle of stress from both mind and body perspectives.  I predicted that changes would be measurable on the self-rating scales as improved mood and outlook and lowered subjective experience of bodily stress. To my delight, the data from all 3 assessment instruments demonstrated a trend toward improvement in mood and outlook and a lessening of physical tension. The best news was that as a by-product of the mind/body interventions, there was a statistically significant decrease in levels of anger.

What does this tell us? For one thing, a mind/body support group for infertility patients, which includes instruction in a whole array of stress-reduction techniques, can be a real boon. These techniques must be practiced and if they are, we give ourselves a respite by returning our physiology to neutral as a balance for all of the demands on us at a difficult time. This alone, can make an enormous difference.

In addition, attending to our anger may mean teaming up with a therapist who can help acknowledge and examine, understand and discharge aspects of your anger which may be an emotional heirloom. An emotional heirloom is the inheritance of a family style of dealing with distress by imitating family elders. The process of imitation is largely unconscious and is so strong that it may as well be genetic. (But unlike the genetics of blue or brown eyes, emotional inheritance can be changed.) By becoming mindful of your anger, it is possible to transform the energy of it and thus dissipate it. This stops the leak of energy and allows for connection to feelings of well-being and emotional growth. This process ultimately enhances your sense of self rather than drains you – even under these painful circumstances. You always knew that someday you would have a family. You want to reclaim the confidence of this feeling and keep the space open for hope. Embrace the unwanted symptom of anger and learn from it.

Fear of Transformation

The following passage is from the Essene Book of Days.  It was given to my daughter and each of her classmates by the Dean of the college at their graduation ceremony.  College graduation is among the many life changes that can be anticipated.  Infertility is never anticipated.  Even though you are tossed unexpectedly into an unwelcomed set of circumstances, the wisdom of these words provides a valuable perspective to adopt when infertility renders your life unrecognizable.

FEAR OF TRANSFORMATION

Sometimes, I feel that my life is a series of trapeze swings.  I’m either hanging on to a trapeze bar swinging along or, for a few moments in my life, I’m hurtling across space in between trapeze bars.

Most of the time, I spend my life hanging on for dear life to my trapeze-bar-of-the-moment.  It carries me along a certain steady rate of swing and I have the feeling that I’m in control of my life.  I know most of the right questions and even some of the right answers.  But once in awhile, as I’m merrily (or not so merrily) swinging along, I look ahead of me into the distance, and what do I see?  I see another trapeze bar swinging toward me.  It’s empty, and I know, in that place in me that knows, that this new trapeze bar has my name on it.  It is my next step, my growth, my aliveness coming to get me.  In my heart-of-hearts, I know that for me to grow, I must release my grip on the present, well-known bar to move to the new one.

Each time it happens to me, I hope (no, I pray) that I won’t have to grab the new one.  But in my knowing place, I know that I must totally release my grasp on my old bar, and for some moment in time, I must hurtle across space before I can grab onto the new bar.  Each time I am filled with terror.  It doesn’t matter that in all my previous hurtles across the void of unknowing, I have always made it.  Each time I am afraid I will miss, that I will be crushed on unseen rocks in the bottomless chasm between the bars.  But I do it anyway.  Perhaps this is the essence of what the mystics call the faith experience.  No guarantees, no net, no insurance policy, but you do it anyway because somehow, to keep hanging onto that old bar is no longer on the list of alternatives.  And so for an eternity that can last a microsecond or a thousand lifetimes, I soar across the dark void of “the past is gone, the future is not yet here.”  It’s called transition.  I have come to believe that it is the only place that any real change occurs.  I mean real change, not the pseudo-change that only lasts until the next time that my old buttons get punched.

I have noticed that, in our culture, this transition zone is looked upon as” nothing,” a no-place between places.  Sure the old trapeze bar was real, and that new one coming towards me, I hope that’s real too.  But the void in-between?  That’s just a scary, confusing, disorienting “nowhere” that must be gotten through as fast and as unconsciously as possible.  What a waste!  I have a sneaking suspicion that the transition zone is the only real thing, and the bars are illusions we dream up to avoid the void, where the real change, the real growth occurs for us.  Whether or not my hunch is true, it remains that the transition zones in our lives are incredibly rich places.  They should be honored, even savored.  Yes, with all the pain and fear and feelings of being out-of-control that can (but not necessarily) accompany transitions, they are still the most alive, most growth-filled, passionate, expansive moments in our lives.

And so, transformation of fear may have nothing to do with making fear go away, but rather with giving ourselves permission to “hang out” in the transition between trapeze bars.  Transforming our need to grab that new bar, any bar, is allowing ourselves to dwell in the only place where change really happens.  It can be terrifying.  It can also be enlightening in the true sense of the word.  Hurtling through the void, we just may learn how to fly.

Infertility can feel like “hurt-ling” through space.  Despite the fact that you didn’t sign up for this challenge, you still get an opportunity to turn the tables on this unasked-for change.  In particular, learning mind/body stress reducing skills can go a long way to more effective coping, enabling you to ride this “tsunami” rather than be swamped by it.

You might enjoy reading the stories of the twenty-four former fertility patients of mine whom I interviewed in my book, On Fertile Ground: Healing Infertility.  As their skill with mind/body interventions grew, every one of them realized that the void created by their infertility actually was a fertile time, pregnant with possibilities for growth.  Every one of them, believe it or not, felt that they came out of this adversity not only with their families, but transformed into a new, improved version of themselves.

The void cannot be avoided.  But it can be utilized to your advantage.

My Latest Radio Interview

In case you missed my radio interview with Teresa Erickson on the value of a mind/body orientation when dealing with infertility, here’s a direct link. This show was enthusiastically received. (Please note Teresa provides a brief introduction about her program prior to moving into our interview).

Don’t miss it! Please tell your friends, family or colleagues whom you think would be interested in listening. And be sure to post your comments on this blog. I look forward to responding to you!

Diving Under the Turbulence of Infertility

As the summer season approaches, it occurs to me that riding the waves without getting swamped is a metaphor for infertility. You will find a useful tool for staying steady in the face of infertility turbulence with this following article.

Anyone who has ever frolicked in the ocean learns to avoid getting knocked over by the waves.  When a breaker is rolling toward you with its powerful churning energy, diving under it keeps you safe.

The imagery of the surf, with its potency and relentless momentum, is a fit metaphor for infertility.  Infertility has the power to knock over Godzilla.  In my 30-plus years of experience as a psychotherapist, I’ve seen infertility rob strength from the most stress-hardy.  But, I’ve also been privy to the resilience that carries to parenthood those who, like yourself, have suffered under the strain.

Where does resiliency come from?  The frenzy of infertility drains energy.  But many apply mental muscle to fight the good fight, which under the circumstances can feel like a car in overdrive with the emergency brake yanked up.  While applying mental muscle as a coping mechanism to push through the challenge can be effective, diving under the turbulence renews energy and builds resilience.  Diving under the turbulence can be learned and earned.  When under the turbulence, you let go of the infertility’s traumas and create a respite into which resiliency can flow.

The October, 2009 issue of Fertility and Sterility published a report of a study in which

“problem-focused coping” was contrasted with “letting-go coping.”  Problem-focused coping is about doing something different to alter the circumstances, whereas letting-go coping is about being in a different mindset by altering your emotional response to a situation that is out of your control.  While doing is not to be disparaged and has its place in the infertility struggle, it’s clear that infertility leaves everyone feeling out of control no matter what you seem to do.  Giving yourself a respite from the stress is what you can be in control of.  Letting go builds resilience for the next leg of the journey.  And, by the way, letting-go coping is “significantly associated” with pregnancy in the Fertility and Sterility report.*

If infertility is anything it is a total mind/body experience.  Mind and body cannot be pried apart.  The anguish of infertility goes beyond the mental experience of it.  As the mind tries to wrestle with the mental shock and the physical demands of trying to conceive, the mind/body expresses the stress in the form of physical, emotional, behavioral, cognitive, relational and spiritual symptoms.

So with mind and body in a frenzied state, how can one let go and dive under the turbulence?  Infertility patients worry that the past is a predictor of the future.  Little time is spent in the present moment, the only moment any of us have.  The present moment is also the place from which the opportunity to dive under the turbulence resides and where the chance to return the mind/body to a state of neutrality and receptivity to a pregnancy is highest.  There are lots of ways to dive under the turbulence: meditation, hypnosis, self-hypnosis and guided imagery are some of the better known among the letting-go techniques.  For purposes of this article, the Relaxation Response™ can be easily learned and earned.

The Relaxation Response™ ** utilizes the power of the breath as a built-in tranquilizer to calm the autonomic nervous system.  This means that if you breathe easily and rhythmically, as if all is right with the world even if you do not feel that it is, the brain stem responds by lowering blood pressure, heart rate and muscle tension and breaks the grip of other symptoms as well.  If simultaneously you say a word with a positive association such as “love” or “peace” to yourself every time you exhale, you can “let go” of the panic or depression which keeps the stress physiology of infertility at a feverish pitch.  This also keeps you in the present moment.

A variation of the Relaxation Response involves saying half of a phrase (such as “I am / at peace”) or prayer (“the Lord / is my shepherd,” for example) to yourself on the inhalation and the other half on the exhalation.  By repeating a word, phrase or prayer in your mind for 10 to 20 minutes, in co-ordination with your breathing, you dive under the turbulence.  You need to know that when you lose your place, let it go and start again.  Take a few moments and try it!

Staying focused on the breath and simultaneously on a positive thought breaks the spasm of stress and allows you “catch a breather” and build resilience.  The frenzy of infertility only intensifies if we can’t let go; conversely we find serenity if we can.  If the Relaxation Response becomes part of your daily routine, you will be pleasantly surprised at your power to manage stress.

Picture the experience of seeking cover under the churning surf.  Imagine what it would feel like?  Whether we dive under the churning surf or under the frenzy of infertility, the mind and the body can let go of fear.  We can enjoy relief.  And we can feel the power of resiliency to fortify us for the infertility endurance test.

*Nathalie Rappoport-Hubschman, M.D., Yori Gidron, Ph.D., Rivka Reicher-Atir, Ph.D., Onit Sapir, Ph.D., and Benjamin Fisch, M.D.  “Letting go” coping is associated with successful IVF treatment outcome, Fertility and Sterility, October, 2009, Volume 92, No. 4, pp.1384 – 1388.

** The Relaxation Response was pioneered over 30 years ago by Dr. Herbert Benson, founder of the mind/body medical institute at Harvard and author of the book by the same name.  Its efficacy has been field tested. When practiced regularly, the body reclaims a state of equilibrium that we lose when stress sends us flying into a state of physiological agitation.

Helen Adrienne, LCSW, BCD, has been a psychotherapist in private practice in New York City since 1979. Although she is a general practitioner for women, men and couples, she has specialized in working with infertility patients. Helen is trained in mind/body therapy and clinical hypnosis. She conducts mind/body stress reduction classes at NYU Fertility Center and educates mental health professionals on the parameters of infertility at national conferences. She is the author of On Fertile Ground: Healing Infertility, a book written for infertility patients and those who want to understand them and also provides support and advice on The Baby Manifest-O Blog created especially for those navigating the challenges of infertility and is a contributing blogger at Psychology Today.

The Placebo Effect and Infertility

Interest in the placebo effect in general medical care has undergone resurgence in recent years as emphasis on the mind/body connection has come to the center of medical science.  When state-of-the-art brain imaging techniques are used to study the placebo effect, the involvement of the mind in the mind/body unity can now literally be seen.

When it comes to infertility in particular, studies have shown that the impact of mind/body interventions have contributed to higher pregnancy rates than the control group.  Infertility is notorious for escalating stress to levels on a par with conditions that could be fatal such as heart disease.  The use of hypnosis and other mind/body meditative skills disengages the “bodymind” from this stress and allows a person to enter an “infertility-free zone.”  In this way, the physiology of stress is reversed and pregnancies are more apt to occur.

These days, women are clamoring for mind/body support—driven not only by what is in the press, but also by an intuitive “knowing” that since infertility is an ultimate mind/body phenomenon, limiting treatment solely to the body omits the impact of the mental frenzy on the mind/body unity.  It thereby omits the opportunity to feel back in control of your life.  Feeling out of control is universally reported to be the most difficult stress-inducing feeling to tolerate.  Whether the infertility is diagnosable or not, learning and engaging in self-care with mind/body coping options brings you in as a participant and therefore goes a long way to reestablish a sense of being back in control—not of the fact that you’re in an infertility challenge, but of how you’re in it.

As you probably know, the placebo effect is what happens when some people who are given a pill with an inactive ingredient get better because they think they are taking a real medication.  A variation on this phenomenon is when an injection of a medication is replaced with a shot of saline solution and improvement is maintained.  There have even been studies where fake surgery has resulted in healing!  The placebo effect can be so powerful that some medical studies find it is implicated in up to 70% of those whose health improves.

But central to the potential for a placebo-like response with infertility are two facts: 1. the role that positive belief plays in a positive outcome; and 2. the attunement between the doctor and patient regarding positive expectation. When the mind is involved in treatment, body chemistry can shift toward healing based upon belief, expectation and the rapport between the doctor and patient.  The mind and body are in constant conversation with one another.  Mind/body techniques directly impact what they “say.”

With infertility, the placebo effect is different than in standard research studies.  It’s not the doctor who suggests that the treatment is real when it might not be.  It is the patient herself who chooses to respect and experience the mind/body unity and voluntarily participates in self-care with mind/body stress reduction (non-pharmaceutical) techniques.

Investing what it takes to learn and utilize complementary techniques, along with support for mind/body interventions from your medical team, results in a vital partnership which goes a long way in reducing stress.  Modern medicine can and does create miracles; but adding mind/body self-care coping options completes the circle.  Your doctor’s skill pertains to your “seeds.”  Your skill pertains to tending the “soil” in which those seeds will take root.

Mind/body techniques simmer down the frenzy of infertility.  Keep in mind, however that there are other variables that play into conception: some could be biological and others emotional but outside of conscious awareness.  If a pregnancy should prove impossible, it is unfair to blame yourself.  Rather, turning to the use of mind/body interventions can serve you very well here, too.  By minimizing stress, they make way for the clarity needed to proceed to parenthood by other venues.  They also keep hope alive.

Here’s the takeaway: mind/body interventions can have a self-induced placebo effect.  They cannot hurt and they do help by reducing the inordinate stress of infertility.

Helen Adrienne, LCSW, BCD, has been a psychotherapist in private practice in New York City since 1979. Although she is a general practitioner for women, men and couples, she has specialized in working with infertility patients. Helen is trained in mind/body therapy and clinical hypnosis. She conducts mind/body stress reduction classes at NYU Fertility Center and educates mental health professionals on the parameters of infertility at national conferences. She is the author of On Fertile Ground: Healing Infertility, a book written for infertility patients and those who want to understand them and also provides support and advice on The Baby Manifest-O Blog created especially for those navigating the challenges of infertility and is a contributing blogger at Psychology Today.

Teaching Mind/Body Stress Reduction Techniques to Mental Health Professionals

Since my post last week, interest has grown exponentially with mental health professionals wanting to learn mind/body stress reduction techniques. If you’d like to be kept aware of the curriculum and training schedule I’m creating, please email me with your contact information. I also invite you to share this post with licensed mental health professionals whom you think would want to learn these methods. And, as always, please feel free to call me at 212-758-0125 if you’d like more information.

Infertility Program for Mental Health Professionals

The universe has an interesting way of operating. In the past week, I’ve had no less than five mental health professionals contact me asking me to teach them how to run a mind/body program. The great news is I’m in the midst of building a curriculum to teach this very thing. I’d love to share my learnings and provide you with the tools you need to create your own successful program.

I’ve started a list to keep interested professionals informed of the schedule, venue and content of this program. If you’d like to be on this list or know of peers/fellow colleagues who have an interest, please ask them to contact me via email (helen@mind-body-unity.com) or give me a call at 212-758-0125.