Relaxation techniques
Overview
What are relaxation techniques?
Our fast-paced society often causes people to push their minds and
bodies to the limit, often at the expense of physical and mental
well-being. According to the Mind/Body Medical Institute at Harvard
University, between 60 and 90 percent of all medical office visits in
the United States are for stress-related disorders. Relaxation
techniques are helpful tools for coping with stress and promoting
long-term health by slowing down the body and quieting the mind. Such
techniques generally entail: refocusing attention (by, for example,
noticing areas of tension); increasing body awareness; and exercises
(such as meditation) to connect the body and mind together. Used daily,
these practices can over time lead to a healthier perspective on
stressful circumstances.
What are the types of relaxation techniques?
There are three major types of relaxation techniques:
- Autogenic training . This technique uses both
visual imagery and body awareness to move a person into a deep state
of relaxation. The person imagines a peaceful place and then focuses
on different physical sensations, moving from the feet to the head.
For example, one might focus on warmth and heaviness in the limbs,
easy, natural breathing, or a calm heartbeat.
- Progressive muscle relaxation . This technique
involves slowly tensing and then releasing each muscle group
individually, starting with the muscles in the toes and finishing
with those in the head.
- Meditation . The two most popular forms of
meditation in the U.S. include Transcendental Meditation (students
repeat a mantra [a single word or phrase],) and mindfulness
meditation (students focus their attention on their moment-by-moment
thoughts and sensations).
How do relaxation techniques work?
When we become stressed, our bodies engage in something called the
"fight or flight response." The fight or flight response refers to
changes that occur in the body when it prepares to either fight or run.
These changes include increased heart rate, blood pressure, and rate of
breathing, and a 300 to 400 percent increase in the amount of blood
being pumped to the muscles. Over time, these reactions raise
cholesterol levels, disturb intestinal activities, and depress the
immune system. In general, they leave us feeling "stressed out."
However, we also possess the opposite of the fight or flight
response—the "relaxation response." This term, first coined in the
mid-1970s by a Harvard cardiologist named Herbert Benson, refers to
changes that occur in the body when it is in a deep state of relaxation.
These changes include decreased blood pressure, heart rate, muscle
tension, and rate of breathing, as well as feelings of being calm and in
control. Learning the relaxation response helps to counter the ill
effects of the fight or flight response and, over time, allow the
development of a greater state of alertness. The relaxation response can
be developed through a number of techniques, including meditation and
progressive muscle relaxation. It is now a recommended treatment for
many stress-related disorders.
What are relaxation techniques good for?
Research suggests that meditation can help improve a person's quality
of life and reduce stress hormone levels.
Studies also show that relaxation techniques reduce the perception of
pain. One study found that among patients undergoing colorectal surgery,
those who listened to guided-imagery tapes before, during, and after the
operation had less pain and needed fewer pain medications than those who
did not.
Meditation has also been used as part of the treatment for
post-traumatic stress disorder in Vietnam veterans and to break
substance abuse patterns in drug and alcohol abusers. Relaxation
techniques can also enhance coping skills in migraine sufferers and
reduce stress as well as improve mood in those with cancer.
In general, studies show that with consistent practice, relaxation
techniques can potentially reduce symptoms or improve outcomes in the
following conditions:
- premenstrual syndrome
- pain
- irritable bowel syndrome
- anxiety
- infertility
- high blood pressure
- high cholesterol
- diabetes
- panic disorders
- chronic tension headaches
- fibromyalgia
- insomnia
- psoriasis
- arthritis
- hyperactivity in children, as in attention deficit hyperactivity
disorder (ADHD)
It is extremely important that usual medical care and advice be
followed for these conditions as well. Relaxation techniques are meant
to complement usual medical care.
Is there anything I should watch out for?
Relaxation techniques are considered to be very safe. There have been
unusual cases where people become more, rather than less, anxious when
using the techniques because of a heightened awareness of body
sensations. Even more rare are reports of pain, heart palpitations,
muscle twitching, and crying spells associated with the use of
relaxation techniques. When this happens, it is often related to the
process of relaxing and reflecting inward such that emotions become very
poignant.
Experts advise people with schizophrenia and other forms of psychosis
(thought disorders that distort reality) to avoid relaxation techniques.
Can I learn relaxation techniques by myself?
If you want to generally reduce stress and enhance well-being, you
can teach yourself some relaxation techniques. Look for videotapes and
audiobooks on popular techniques such as guided imagery and meditation,
and check for community classes in your area. If you have a specific
medical or psychological disorder or concern, however, it is best to see
a healthcare professional, such as a clinical psychologist or social
worker who teaches relaxation techniques as part of their therapeutic
practice. He or she will help you decide what relaxation method is best
for you.
Where can I find a qualified practitioner?
Numerous clinics and hospitals around the country have integrated
relaxation techniques into various healthcare programs. To learn more
about relaxation techniques and to locate healthcare facilities that
include them as part of their practice, contact:
- The Stress Reduction Clinic at the University of Massachusetts
Memorial Medical Center in Worcester, Mass. at 508-856-2656 or on
the Web at
www.umassmed.edu/cfm/clinical.cfm
- The American Holistic Medical Association in McLean, Virginia at
703-556-9245 or on the web at
www.holisticmedicine.org
- The American Holistic Health Association in Anaheim, California
at 714-779-6152 or on the web at
www.ahha.org
- The National Institute for Clinical Applications of Behavioral
Medicine in Mansfield, Connecticut at 800-743-2226 or on the web at
www.nicabm.com
- The Center for Mind Body Medicine in Washington, DC at
202-966-7338 or on the web at
www.cmbm.org.
Supporting Research
Annequin D, Tourniaire B, Massiou H. Migraine and headache in
childhood and adolescence. Pediatr Clin North Am.
2000;47(3):617-631.
Baider L, Peretz T, Hadani PE, Koch U. Psychological intervention in
cancer patients: a randomized study. Gen Hosp Psychiatry .
2001;23:272-277.
Barnes VA, Treiber FA, Turner JR, Davis H, Strong WB. Acute effects
of transcendental meditation on hemodynamic functioning in middle-aged
adults. Psychosom Med. 1999;61(4):525-531.
Baumgaertel A. Alternative and controversial treatments for
attention-deficit/hyperactivity disorder. Pediatr Clin of North Am
. 1999;46(5):977-992.
Calderon Jr. R, Schneider RH, Alexander CN, Myers HF, Nidich SI,
Haney C. Stress, stress reduction and hypercholesterolemia in African
Americans: a review. Ethn Dis. 1999;9:451-462.
Carlson LE, Ursuliak Z, Goddey E, Angen M, Speca M. The effects of
mindfulness meditation-based stress reduction program on mood and
symptoms of stress in cancer outpatients: 6-month follow-up. Support
Care Cancer. 2001;9(2):112-123.
Castillo-Richmond A, Schneider RH, Alexander CN, et al. Effects of
stress reduction on carotid atherosclerosis in hypertensive African
Americans. Stroke. 2000;31:568-573.
deLeon D. The relaxation response in the treatment of chronic pain.
In: Micozzi MS, Bacchus AN, eds. The Physician's Guide to Alternative
Medicine . Atlanta, Ga: American Health Consultants; 1999:335-337.
Domar AD, Clapp D, Slawsby EA, Dusek J, Kessel B, Freizinger M.
Impact of group psychological interventions on pregnancy rates in
infertile women. Fertil Steril. 2000;73(4):805-811.
Ernst E. Complementary therapies in palliative cancer care.
Cancer. 2001;91(11):2181-2185.
Hadhazy VA, Ezzo J, Creamer P, Berman BM. Mind-body therapies for the
treatment of fibromyalgia. A systematic review. J Rheumatol.
2000;27:2911-2918.
Holroyd KA, O'Donnell FJ, Stensland M, Lipchik GL, Cordingley GE,
Carlson BW. Management of chronic tension-type headache with tricyclic
antidepressant medication, stress management therapy, and their
combination: a randomized controlled trial. JAMA.
2001;285:2208-2215.
Hoodin F, Brines BJ, Lake AE 3rd, Wilson J, Saper JR. Behavioral
self-management in an inpatient headache treatment unit: increasing
adherence and relationship to changes in affective distress. Headache
. 2000;40(5):377-383.
Kabat-Zinn J. Full Catastrophe Living. New York, NY: Delacorte;
1990.
Kabat-Zinn J, Lipworth L, Burney R, Sellers W. Four-year follow-up of
a meditation-based program for the self-regulation of chronic pain:
treatment outcomes and compliance. Clin J Pain. 1987;2:159-173.
Kabat-Zinn J, Massion AO, Kristeller J, et al. Effectiveness of a
meditation-based stress reduction program in the treatment of anxiety
disorders. Am J Psychiatry. 1992;149(7):936-943.
Kabat-Zinn J, Wheeler E, Light T, et al. Influence of a mindfulness
meditation-based stress reduction intervention on rates of skin clearing
in patients with moderate to severe psoriasis undergoing phototherapy (UVB)
and photochemotherapy (PUVA). Psychosom Med. 1998;60(5):625-632.
Keefer L, Blanchard EB. A one year follow-up of relaxation response
meditation as a treatment for irritable bowel syndrome. Behav Res
Ther . 2002 May;40(5):541-546.
Lazar SW. Functional brain mapping of the relaxation response and
meditation. Neuroreport. 2000;11:1581-1585.
Leventhal LJ. Management of fibromyalgia. Ann Intern Med.
1999;131(11):850-858.
Lundgren S. Muscle relaxation training and quality of life in
rheumatoid arthritis. Scand J Rheumatol. 1999;28:47-53.
McGrady A , Horner J. Role of mood in outcome of biofeedback assisted
relaxation therapy in insulin dependent diabetes mellitus. Appl
Psychophysiol Biofeedback. 1999;4:79-88.
McGrady A, Graham G, Bailey B. Biofeedback-assisted relaxation in
insulin-dependent diabetes: a replication and extension study. Ann
Behav Med. 1996;18:185-189.
Morin CM, Hauri PJ, Espie CA, Spielman AJ, Buysse DJ, Bootzin RR.
Nonpharmacologic treatment of chronic insomnia. Sleep.
1999;22(8):1134-1156.
Ornish D, Scherwitz LW, Billings JH, et al. Intensive lifestyle
changes for reversal of coronary heart disease. JAMA .
1998;280(23):2001-2007.
Renzi C, Peticca L, Pescatori M. The use of relaxation techniques in
the perioperative management of proctological patients: preliminary
results. Int J Colorectal Dis . 2000;15(5-6):313-316.
Schneider RH, Nidich SI, Salerno JW. Lower lipid peroxide levels in
practitioners of the Transcendental Meditation program. Psychosom
Med. 1998;60(1):38-41.
Sultanoff BA, Zalaquett CP. Relaxation therapies. In: Novey DW, ed.
Clinician's Complete Reference to Complementary and Alternative
Medicine. St. Louis, Mo: Mosby; 2000:114-129.
Van der Klink JJ, Blonk RW, Schene AH, van Dijk FJ. The benefits of
interventions for work-related stress. Am J Pub Health.
2001;91:270-276.
Walker LG, Walker MB, Ogston K, et al. Psychological, clinical and
pathological effects of relaxation training and guided imagery during
primary chemotherapy. Br J Cancer. 1999;80:262-268.
Wichowski HC, Kubsch SM. Increasing diabetic self-care through guided
imagery. Complement Ther Nurs Midwifery. 1999;5:159-163.