fragmented.ME …
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ME an invisible illness …

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I get really frustrated when people describe ME an an invisible illness. To me, calling ME invisible is potentially an offensive term to use. This is an illness that has had such profound effects on my life. I know it also affects millions of sufferers worldwide as well as those close to us too.

I’ve no idea who actually coined the term that any illness could be invisible, or where that specific description of determining ME as invisible came from. But, those that know me, or closely know anyone with any level of ME, can tell by simply looking at us that we are very sick, and even more so when we are extra unwell. This is all without even addressing the impact it has on what we can and cannot do.

It has just dawned on me that calling an illness invisible is about judgements. Judging someone and inadvertently implying that what they say they feel or experience isn’t real because they look fine. And so we, in order to try and not make judgements, we call it invisible. It gets us off the hook.

Oh I see now, it’s invisible so I don’t need to worry you may be lying about it, I can’t see anything, [even though I’d rather be able to see something in order to accept that you are genuinely ill], I can now ‘sort of’ accept you’re ill, it’s just invisible.

because we can’t visibly see anything outwardly.

FYI invisible is something that can’t be seen, felt or touched. Trust me. I feel it every single minute of the day.

This makes me really angry.

Because you can’t see it we have to call it an invisible illness so that others won’t judge us. What a load of old bo**ocks.

Based on my own experience, as well as researching invisible illness, a few recurring aspects stood out to me that I am going to cover below, addressing each aspect in relation to the different levels of ME.

definitions …

Let’s first take a look at how ‘invisible illness’ is defined:

invisible illness:
An invisible illness is one that does not exhibit externally visible signs or symptoms. Those with invisible illnesses and disabilities may have symptoms such as pain, fatigue, dizziness, weakness, or mental health disorders.

Wikipedia : invisible illness:
Invisible disabilities, also known as Hidden Disabilities or Non-visible Disabilities, are disabilities that are not immediately apparent, are typically chronic illnesses and conditions that significantly impair normal activities of daily living.

Given those descriptions then, I can begin to understand why maybe mild ME could be classed as invisible; because most of those symptoms mentioned are not always visible to the onlooker.

However, what about the actual sufferer. Are the symptoms invisible to them. Clearly not. Ask yourself, could you experience any symptom and claim it’s invisible. We are more than just what we see with our eyes.

We might also ask here if cancer is classed as an invisible illness. I do not know the answer but from my experience I would guess not. Yet, unless a cancer patient looses their hair due to treatment or are in their final stages of life, many cancer patients are living a life to the full and you would not know by looking at them that they have cancer. While in contrast, even those mildly affected with ME live a life that is a fraction of their previous ability and you can tell by the life they don’t get to live just how poorly these people actually are.

use your senses …

As noted above, we have five commonly accepted senses, not just our eyes. And so, our other senses will ensure that symptoms are visible, to those close to the sufferer at the very least. Yet, if an onlooker uses all their senses I am sure it will be easily clear for them to see any so called invisible illness. You just need to use your senses and to pay attention.

Furthermore, I can also assure that any level of ME beyond very mild, and definitely at the level of my own illness and symptoms, this illness is by no means invisible. Even those close, and not so close, to people classed as having mild ME will be able to see their loved one is very sick by comparison to their previous known health and activity state.

Taking this into account I’m wondering if we should ever be framing illnesses around others’ narratives and instead be using those of the sufferer, as they are actually the ones experiencing the illness.

recurring aspects …

When you have an illness that is classed as invisible you will keep meeting some recurring aspects or themes from other people. I have chosen just five of them to discuss further in the next sub sections.

#1 you don’t look sick …

If I had a penny, just one penny, for every time someone has said this to me I’d be mega rich.

y o u   d o n ’ t   l o o k   s i c k  …

What I’ve realised from being sick for so long is that there is a time in your life when youth covers over so much. So, if all people are looking at is how you look then they won’t see the illness. However, when you hit a certain age this no longer applies. For me it was when I became 48. It was around this time when I could look in the mirror and see my illness, written on my face, even when I didn’t have much active symptoms. And since becoming severe with ME I don’t think anything can cover over that. Not even youth can hide severe ME. Those with severe ME are often bedridden, wearing eye and ear coverings to block out sensations their poorly bodies cannot cope with. How can this ever be classed as unseen.

mild …

the mildly ill may not look as overtly sick, as often, especially if they have youth on their side, and makeup can disguise a lot too, but that does not mean they are not sick …

moderate …

at this stage you will definitely begin to look ill when you are actively ill and maybe even when you don’t feel so bad you might look unwell …

severe …

most severe are housebound and often bedbound, how can anyone claim this is invisible …

very severe …

most very severe ill patients spend 24/7 in bed and cannot hide the severity of the illness, they usually have their eyes and ears covered and block out as many sensations as possible …

#2 you need to …

For some reason, people feel invited to offer unsolicited advice to ME patients. Telling us quite freely that,

y o u   n e e d   t o  …

do ‘this or that’ and you will be cured. I’ve heard so many people claim they have the answer to ME and that if sufferers would only do ‘this or that’ they could get well if they really wanted to.

These kind of offerings will usually involve some new age wacko idea or some wonder food. Whatever, the helper suggests you need to do, the advice is unsolicited and without any thought for how they themselves might feel if they were seriously sick and someone trivialised their condition by suggesting that kale, of all fucking things, can cure you.

This is offensive, firstly because it implies that a sufferer hasn’t already tried everything known to mankind, which we will have. Secondly, by suggesting that the sufferer could and would do anything to get well, if they only wanted to.

Do yoga, do more, do less, take pain medications, don’t take so many pain medications … the ‘you need to …’ list is never ending.

mild …

actually yoga and meditation and pain medication, can all help us cope better with being ill, but it really can’t cure ME, just like it doesn’t cure cancer …

moderate …

for someone with moderate ME anything physical might be too much for them and so suggesting such may also cause them to feel negative about their illness and about you too, so if you value their friendship ‘you need to’ be quiet or be kind …

severe …

at the severe end you can’t even do yoga and trust me all you do is meditate, how do you think we get through such horrendous times …

very severe …

don’t ever expect anything from a severe ME patient, some of them can’t even communicate …

#3 you always cancel …

Please, don’t tell us we always cancel. This really makes us feel bad. We always, always, do everything in our power to not cancel unless absolutely necessary. Remember, we too are missing out.

y o u   a l w a y s   c a n c e l  …

It is so important that friends and family accept that any plans made with poorly ME people are tentative, only pencilled in. It is highly likely, that plans might be cancelled or rearranged. The sheer logistics of going somewhere when you have ME is too much for anyone.

mild …

being mild is a difficult place to be, you usually are still trying to pretend you’re normal, trying to ‘live’, so when a mild sufferer cancels it’s incredibly difficult for them to deal with …

moderate …

by the time you’re moderate, you’ve lost the friends and family who don’t understand how sick you are, so cancelling may be understood by those that have stuck around, but it’s even more difficult for the moderate sufferer to cope with because each cancellation means a bit more life lost to this awful illness …

severe …

those with severe ME may be able to have visitors but they still may have to cancel because the stimulation might be too much for them on the pre-planned day … be kind to these people …

very severe …

being in bed means you can’t go anywhere not even medical appointments … everything is too much …

#4 you should try …

This aspect can be closely tied to ‘you need to’ but its a tad more subtle, or more appropriately termed passive aggressive, in its approach.

y o u   s h o u l d   t r y  …

Instead of telling the receiver they NEED TO this implies they are only suggesting something might work. Still, it is usually offering unsolicited answers to unshared problems or unasked questions …

mild …

as above in the ‘you need to …’ section … and please don’t be so manipulative …

moderate …

as above  in the ‘you need to …’ section … and please don’t be so manipulative … 

severe …

as above  in the ‘you need to …’ section … and please don’t be so manipulative … 

very severe …

as above  in the ‘you need to …’ section … and please don’t be so manipulative … 

#5 you can’t possibly be …

Again, ‘you can’t possibly be’ comes unsolicited and claims the person with ME is exaggerating or making up their illness and symptoms. This is tantamount to calling us a liar or malingerer.

y o u   c a n ’ t   p o s s i b l y   b e  …

How can anyone claim that they know how someone else feels.

And why the f**k would anyone ever make up an illness that no one believes in … one that when you try to get financial assistance you are treated tantamount to a liar and malingerer.

No chance.

No likely.

If you were lying about being ill you’d be way more inventive and you’d pick something that at the very least people believed in and offered assistance, empathy and sympathy to those afflicted.

mild …

if when I was in the mild category of ME and people hadn’t questioned that I might be exaggerating the symptoms and their effects of my illness and they would have simply accepted my word, I can guarantee you that I would never have ended up severe … therefore, anyone who doubted me in anyway has helped me become housebound and bedridden …

moderate …

the same as mild but ten fold …

severe …

the same as mild but fifty fold …

very severe …

the same as mild but it’s way too late now … just be sorry you helped us get here and be extremely kind and gentle to us (that’s if you ever get to see us again) …

invisible!
not a bloody chance …

I think all of the above categorically shows that no illness can, or should, be termed as visible. It also shows how offensive it is to call any illness invisible, especially one like ME that impacts life so heavily.

On a final, and devastating note, just to add to the insult, research has shown that ME sufferers are up to six times more likely to die by suicide compared to the general population.

people  with ME are six times
more likely to commit suicide

in summary & in conclusion …

I think the symptoms of living with ME is enough to deal with. Yet, coupled with doubt, disbelief, unsolicited advice, and loss it is simply too much for us. Hence, the sixfold increase in suicide amongst those with ME.

Hopefully, these numbers will be be enough to move you to,

b e   k i n d  . . .

a personal concluding note …

Please, please, if you ever meet anyone who tells you they have ME, of any level, please be very gentle and kind to them …

Please feel free to contact me to share your outcomes or with any questions you may have.

 fragmented.ME xXx

Last Updated on 29/05/2021 by fragmented_ME

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My birth name is Denise, but I’m know as Bella to those who love me. I have a first class honours degree in education & psychology and a strong passion to keep learning and educating others ... I have severe ME/CFS and lots of other chronic illnesses and I started this blog as an expansion to my instagram page, where I advocate for chronic illness. I am married and have two grown up boys, or should I say young men. I have three gorgeous grandchildren, one boy and two girls. And despite being chronically sick and housebound I am mostly happy. 🥰

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10 steps to practicing Radical Acceptance
according to DBT’s founder, Marsha Linehan:

 

1.  Observe that you are questioning or fighting reality (“it shouldn’t be this way”)

2.  Remind yourself that the unpleasant reality is just as it is and cannot be changed (“this is what happened”)

3.  Remind yourself that there are causes for the reality (“this is how things happened”)

4.  Practice accepting with your whole self (mind, body, spirit) - Use accepting self-talk, relaxation techniques, mindfulness and/or imagery

5.  List all of the behaviors you would engage in if you did accept the facts and then engage in those behaviors as if you have already accepted the facts

6.  Imagine, in your mind’s eye, believing what you do not want to accept and rehearse in your mind what you would do if you accepted what seems unacceptable

7.  Attend to body sensations as you think about what you need to accept

8.  Allow disappointment, sadness or grief to arise within you

9.  Acknowledge that life can be worth living even when there is pain

10.  Do pros and cons if you find yourself resisting practicing acceptance

Logo of ijpsych

2009 Oct-Dec; 51(4): 239–241.
doi: 10.4103/0019-5545.58285: 10.4103/0019-5545.58285
PMCID: PMC2802367
PMID: 20048445

The biochemistry of belief

Address for correspondence: Dr. TS Sathyanarayana Rao, Department of Psychiatry, JSS University, JSS Medical College Hospital, M.G. Road, Mysore - 570 004, India. E-mail: moc.oohay@91oarsst
This is an open-access article distributed under the terms of the Creative Commons Attribution License, which permits unrestricted use, distribution, and reproduction in any medium, provided the original work is properly cited.

“Man is what he believes”

Anton Chekhov

Beliefs are basically the guiding principles in life that provide direction and meaning in life. Beliefs are the preset, organized filters to our perceptions of the world (external and internal). Beliefs are like ‘Internal commands’ to the brain as to how to represent what is happening, when we congruently believe something to be true. In the absence of beliefs or inability to tap into them, people feel disempowered.

Beliefs originate from what we hear - and keep on hearing from others, ever since we were children (and even before that!). The sources of beliefs include environment, events, knowledge, past experiences, visualization etc. One of the biggest misconceptions people often harbor is that belief is a static, intellectual concept. Nothing can be farther from truth! Beliefs are a choice. We have the power to choose our beliefs. Our beliefs become our reality.

Beliefs are not just cold mental premises, but are ‘hot stuff’ intertwined with emotions (conscious or unconscious). Perhaps, that is why we feel threatened or react with sometimes uncalled for aggression, when we believe our beliefs are being challenged! Research findings have repeatedly pointed out that the emotional brain is no longer confined to the classical locales of the hippocampus, amygdala and hypothalamus.[1] The sensory inputs we receive from the environment undergo a filtering process as they travel across one or more synapses, ultimately reaching the area of higher processing, like the frontal lobes. There, the sensory information enters our conscious awareness. What portion of this sensory information enters is determined by our beliefs. Fortunately for us, receptors on the cell membranes are flexible, which can alter in sensitivity and conformation. In other words, even when we feel stuck ‘emotionally’, there is always a biochemical potential for change and possible growth. When we choose to change our thoughts (bursts of neurochemicals!), we become open and receptive to other pieces of sensory information hitherto blocked by our beliefs! When we change our thinking, we change our beliefs. When we change our beliefs, we change our behavior.

A mention of the ‘Placebo’ is most appropriate at this juncture. Medical history is replete with numerous reported cases where placebos were found to have a profound effect on a variety of disorders. One such astounding case was that of a woman suffering from severe nausea and vomiting. Objective measurements of her gastric contractions indicated a disrupted pattern matching the condition she complained of. Then a ‘new, magical, extremely potent’ drug was offered to her, which would, the doctors proclaimed, undoubtedly cure her nausea. Within a few minutes, her nausea vanished! The very same gastric tests now revealed normal pattern, when, in actuality, she had been given syrup of ipecac, a substance usually used to induce nausea! When the syrup was presented to her, paired with the strong suggestion of relief of nausea, by an authority figure, it acted as a (command) message to the brain that triggered a cascade of self-regulatory biochemical responses within the body.[2] This instance dramatically demonstrates that the influence of placebo could be more potent than expected drug effect.

An important observation was that, part of the placebo response seemed to involve the meaning of the disorder or the illness to the individual. In other words, the person's belief or how she/he interprets (inter-presents or internally represents) directly governs the biological response or behavior. Another remarkable study involved a schizophrenic. This woman was observed to have split personality. Under normal conditions, her blood glucose levels were normal. However, the moment she believed she was diabetic, her entire physiology changed to become that of a diabetic, including elevated blood glucose levels.[3]

Suggestions or symbolic messages shape beliefs that in turn affect our physical well being. Several cases of ‘Disappearance of warts’ have been reported by Ornstein and Sobel wherein they ponder on how the brain translates the suggestions (sometimes using hypnosis) into systematic biochemical battle strategies such as chemical messengers sent to enlist the aid of immune cells in an assault on the microbe-induced miniature tumor or probably small arteries are selectively constricted, cutting off the vital nutrient supply to warts but not touching the neighboring healthy cells.[2]

Findings of carefully designed research indicate that our interpretation of what we are seeing (experiencing) can literally alter our physiology. In fact, all symptoms of medicine work through our beliefs. By subtly transforming the unknown (disease/disorder) into something known, named, tamed and explained, alarm reactions in the brain can be calmed down. All therapies have a hidden, symbolic value and influence on the psyche, besides the direct specific effect they may have on the body.

Just as amazingly life-affirming placebos are, the reverse, “Nocebo' has been observed to be playing its part too. It is associated with negative, life-threatening or disempowering beliefs. Arthur Barsky, a psychiatrist states that it is the patient's expectations – beliefs whether a drug or procedure works or will have side effects – that plays a crucial role in the outcome.[4]

The biochemistry of our body stems from our awareness.[5] Belief-reinforced awareness becomes our biochemistry. Each and every tiny cell in our body is perfectly and absolutely aware of our thoughts, feelings and of course, our beliefs. There is a beautiful saying ‘Nobody grows old. When people stop growing, they become old’. If you believe you are fragile, the biochemistry of your body unquestionably obeys and manifests it. If you believe you are tough (irrespective of your weight and bone density!), your body undeniably mirrors it. When you believe you are depressed (more precisely, when you become consciously aware of your ‘Being depressed’), you stamp the raw data received through your sense organs, with a judgment – that is your personal view – and physically become the ‘interpretation’ as you internalize it. A classic example is ‘Psychosocial dwarfism’, wherein children who feel and believethat they are unloved, translate the perceived lack of love into depleted levels of growth hormone, in contrast to the strongly held view that growth hormone is released according to a preprogrammed schedule coded into the individual's genes!

Providing scientific evidence to support a holistic approach to well being and healthcare, Bruce Lipton sheds light on mechanism underlying healing at cellular level. He emphasizes that ‘love’ is the most healing emotion and ‘placebo’ effect accounts for a substantial percentage of any drug's action, underscoring the significance of beliefs in health and sickness. According to him, as adults, we still believe in and act our lives out based on information we absorbed as children (pathetic indeed!). And the good news is, we can do something about the ‘tape’ our subconscious mind is playing (ol' silly beliefs) and change them NOW.[6] Further recent literature evidences provided knowledge based on scientific principles of biology of belief. There are limited studies on clinics of traditional beliefs and if we get more scientific data, we can use these traditional systems in clinical mental health management. Human belief system is formed by all the experiences learned and experimented filtered through personality.[7] The senses to capture inner and outer perceptions have higher brain potentials. Some questions that arise in this context are, does the integration and acceptance of these perceptions result in the establishment of beliefs? Does the establishment of these beliefs depend on proof demonstrations? The proofs might be the perceptions, which we can directly see or having scientific proof or custom or faith.[8,9] Beliefs are developed as stimuli received as trusted information and stored in the memory. These perceptions are generalized and established into belief. These beliefs are involved in the moral judgment of the person. Beliefs help in decision-making. Bogousslavsky and Inglin explained that, how some physicians were more successful by taking an account of patient beliefs. Beliefs influence factors involved in the development of psychopathology. They also influence the cognitive and emotional assessment, addictiveness, responses to false positives and persistent normal defensive reactions. Total brain function is required in stabilizing the belief and in responding to environmental system. Some of the brain regions and the neural circuits are very important in establishing beliefs and executing emotions. Frontal lobes play a major role in beliefs. Mental representations of the world are integrated with sub-cortical information by prefrontal cortex. Amygdala and Hippocampus are involved in the process of thinking and thus help in execution of beliefs. NMDA receptor is involved in thinking and in the development of beliefs. These beliefs are subjected to challenge. A belief that is subjected to more challenges becomes stronger. When a new stimulus comes, it creates distress in the brain with already existing patterns. The distress results in the release of dopamine (neurotransmitter) to transmit the signal.[10,11] Research findings of Young and Saxe (2008) revealed that medial prefrontal cortex is involved in processing the belief valence.[12] Right temporoparietal junction and precuneus are involved in the processing of beliefs to moral judgment. True beliefs are processed through right temporoparietal junction.[13,14] Saxe (2006) explained that beliefs judging starts at the age of five years citing example of judging of belief questions on short stories by the children.[15] Belief attribution involved activating regions of medial prefrontal cortex, superior temporal gyri and hippocampal regions. Studies by Krummenacher et al, have shown that dopamine levels are associated with paranormal thoughts suggesting the role of dopamine in belief development in the brain.[16] Flannelly et al, illustrated on how primitive brain mechanisms that evolved to assess environmental threats in related psychiatric disorders.[17] Also were highlighted the issues such as the way beliefs can affect psychiatric symptoms through these brain systems. The theories discussed widely are related to (a) link psychiatric disorders to threat assessment and (b) explain how the normal functioning of threat assessment systems can become pathological. It is proposed that three brain structures are implicated in brain disorders in response to threat assessment and self-defense: the regions are the prefrontal cortex, the basal ganglia and parts of limbic system. The functionality of these regions has great potential to understand mechanism of belief formation and its relevance in neurological functions/dysfunctions. Now it is clear that biology and physiology of belief is an open area for research both at basic and clinical level. The future directions are to develop validated experimental or sound theoretical interpretation to make ‘BELIEF’ as a potential clinical management tool.

Perceptual shifts are the prerequisites for changing the belief and hence changing the biochemistry of our body favorably. Our innate desire and willingness to learn and grow lead to newer perceptions. When we consciously allow newer perceptions to enter the brain by seeking new experiences, learning new skills and changed perspectives, our body can respond in newer ways –this is the true secret of youth. Beliefs (internal representations/interpretations) thus hold the magic wand of remarkable transformations in our biochemical profile. If you are chasing joy and peace all the time everywhere but exclaim exhausted, ‘Oh, it's to be found nowhere!’, why not change your interpretation of NOWHERE to ‘NOW HERE’; just by introducing a gap, you change your awareness – that changes your belief and that changes your biochemistry in an instant!

Everything exists as a ‘Matrix of pure possibilities’ akin to ‘formless’ molten wax or moldable soft clay. We shape them into anything we desire by choosing to do so, prompted, dictated (consciously or unconsciously) by our beliefs. The awareness that we are part of these ever-changing fields of energy that constantly interact with one another is what gives us the key hitherto elusive, to unlock the immense power within us. And it is our awareness of this awesome truth that changes everything. Then we transform ourselves from passive onlookers to powerful creators. Our beliefs provide the script to write or re-write the code of our reality.

Thoughts and beliefs are an integral part of the brain's operations. Neurotransmitters could be termed the ‘words’ brain uses to communicate with exchange of information occurring constantly, mediated by these molecular messengers. Unraveling the mystery of this molecular music induced by the magic of beliefs, dramatically influencing the biochemistry of brain could be an exciting adventure and a worth pursuing cerebral challenge.

REFERENCES

1. Candace Pert. Molecules of emotion: Why you feel the way you feel. New York, USA: Scribner Publications; 2003. ISBN-10: 0684846349.
2. Ornstein R, Sobel D. The healing brain: Breakthrough discoveries about how the brain keeps us healthy. USA: Malor Books; 1999. ISBN-10: 1883536170.
3. Robbins A. Unlimited power: The new science of personal excellence. UK: Simon and Schuster; 1986. ISBN 0-7434-0939-6.
4. Braden G. The spontaneous healing of belief. Hay House Publishers (India) Pvt. Ltd; 2008. ISBN 978-81-89988-39-5.
5. Chopra D. Ageless body, timeless mind: The quantum alternative to growing old. Hormony Publishers; 1994. ISBN -10: 0517882124.
6. Lipton B. The biology of belief: Unleashing the power of consciousness, matter and miracles. Mountain of Love Publishers; 2005. ISBN 978-0975991473.
7. Bogousslavsky J, Inglin M. Beliefs and the brain. Eur Neurol. 2007;58:129–32. [PubMed: 17622716]
8. Gundersen L. Faith and healing. Ann Intern Med. 2000;132:169–72. [PubMed: 10644287]
9. Mueller PS, Plevak DJ, Rummans TA. Religious involvement, spirituality, and medicine: Implications for clinical practice. Mayo Clin Proc. 2001;76:1225–35. [PubMed: 11761504]
10. Patel AD, Peretz I, Tramo M, Labreque R. Processing prosodic and musical patterns: A neuropsychological investigation. Brain Lang. 1998;61:123–44. [PubMed: 9448936]
11. Tramo MJ. Biology and music. Music of the hemispheres. Science. 2001;291:54–6. [PubMed: 11192009]
12. Young L, Saxe R. The neural basis of belief encoding and integration in moral judgment. Neuroimage. 2008;40:1912–20. [PubMed: 18342544]
13. Aichhorn M, Perner J, Weiss B, Kronbichler M, Staffen W, Ladurner G. Temporo-parietal junction activity in theory-of-mind tasks: Falseness, beliefs, or attention. J Cogn Neurosci. 2009;21:1179–92. [PubMed: 18702587]
14. Abraham A, Rakoczy H, Werning M, von Cramon DY, Schubotz RI. Matching mind to world and vice versa: Functional dissociations between belief and desire mental state processing. Soc Neurosci. 2009;1:18. [PubMed: 19670085]
15. Saxe R. Why and how to study Theory of Mind with fMRI. Brain Res. 2006;1079:57–65. [PubMed: 16480695]
16. Krummenacher P, Mohr C, Haker H, Brugger P. Dopamine, paranormal belief, and the detection of meaningful stimuli. J Cogn Neurosci. 2009 Jun 30; [Epub ahead of print] [PubMed: 19642883]
17. Flannelly KJ, Koenig HG, Galek K, Ellison CG. Beliefs, mental health, and evolutionary threat assessment systems in the brain. J Nerv Ment Dis. 2007;195:996–1003. [PubMed: 18091193]

Articles from Indian Journal of Psychiatry are provided here courtesy of Wolters Kluwer -- Medknow Publications

HRPacing ...

Description

Heart Rate Pacing is a technique used to stay within ones energy reserves. The anaerobic threshold (AT) is the heart rate at which aerobic energy surges. The threshold is often around about 60% of a ones maximum heart rate, though each person is different and an individual's threshold may vary from day to day or within a day.

(Note: Maximum heart rate is 220 minus ones age. For a 50 year old, 60% of maximum heart rate is (220 - 50) x 0.6 = 102 bpm.)

Features:

* Changes colour to indicate:

- Resting - (REST) Lavender

- Recovery (RECOVER) - Green (RHR + 10%)

- Exertion (EXERT) - Orange (RHR + 20%)

- Anaerobic Threshold (AT) - Red ((220-50)x0.6)

* Set an alert based on:

- reaching Anaerobic Threshold Zone, or

- custom set Maximum Heart Rate.

* Set the Anaerobic Threshold Tolerance from 0.6 (default) to 0.5 if desired.

* Set a custom interval between alerts (15 secs default).

* Displays 12/24 hour clock based on user settings in Fitbit profile.

ME Awareness Fundraising : Ten Books In Ten Months

 

I am fundraising for The ME Trust UK as part of ME Awareness 2021

I will be fundraising for ten months starting in May 2021 through to end of February 2022.

Please take the time to read what it is about and donate if you can.

I am going to read 10 books in 10 months and document them on my ‘ten books in ten months ...’ page.

Please click the link above or below to donate and help me raise as much money as we can
for The ME Trust UK

I have been sick since 1984. It took till 2001 for doctors to diagnose me with ME.
Initially, I was mildly sick then moderately but in recent years I’ve progressed to being severely affected.
I am housebound and often bedbound for months on end.

I really want to raise awareness and to raise money to help research #endME.

I am planning on reading ten books in ten months starting 12th May, which is international ME Awareness Day.
At one time in my life I could have read ten books in ten days. But this challenge will be hard for me to do.

So please please if you can support me and help raise money for the ME Trust UK

YOU CAN DONATE BY CLICKING THE LINK BELOW

ME Awareness Fundraising : Ten Books In Ten Months

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Thank you very much !

help me fund my preparation for rehabilitation treatments ...

... help me fund my ME treatment ...

you can choose to donate as much or as little by sliding the slider along

you can pay for the introductory workshop by donating £65

you can pay for an individual care plan by donating £71

Thank you very much !

help me fund my rehabilitation treatments ...

... help me fund my ME treatment ...

you can choose to donate as much or as little by sliding the slider along

you can pay for a monthly session by donating £71

Thank you very much !

help me fund my follow up treatments ...

... help me fund my ME treatment ...

you can choose to donate as much or as little by sliding the slider along

you can pay for an individual progression plan by donating £71

you can pay for a medical follow up by donating £121

Thank you very much !

ME Awareness Fundraising : Ten Books In Ten Months

 

I am fundraising for The ME Trust UK as part of ME Awareness 2021

I will be fundraising for ten months starting in May 2021 through to end of February 2022.

You will see this pop once in each week that you visit my site during this ten month period.

Please take the time to read what it is about and donate if you can.

I am going to read 10 books in 10 months and document them on my ‘ten books in ten months ...’ page.

Please click the link above or below to donate and help me raise as much money as we can
for The ME Trust UK

I have been sick since 1984. It took till 2001 for doctors to diagnose me with ME.
Initially, I was mildly sick then moderately but in recent years I’ve progressed to being severely affected.
I am housebound and often bedbound for months on end.

I really want to raise awareness and to raise money to help research #endME.

I am planning on reading ten books in ten months starting 12th May, which is international ME Awareness Day.
At one time in my life I could have read ten books in ten days. But this challenge will be hard for me to do.

So please please if you can support me and help raise money for the ME Trust UK.

YOU CAN DONATE BY CLICKING THE LINK BELOW

ME Awareness Fundraising : Ten Books In Ten Months

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