Various research is now testing the effectiveness of massage
therapy. At the Touch Research Institute at the University of Miami
Medical School, 48 different studies are currently underway to determine
the effectiveness of massage on problems such as anorexia and bulimia,
drug addiction, asthma, and diabetes. In one ongoing study looking at
massage's effects on tobacco addiction, smokers were taught to massage
their ears and hands when they craved a cigarette. After one month, they
had reduced the number of cigarettes smoked and their cravings for them
by 40 percent. There will be a follow-up at three and six months to see
if the results hold. "Massage provides a distraction that takes away from
the nervous-habit aspect of smoking," says Tiffany Field, Ph.D., the
institute's director.
HATHA YOGA
Hatha yoga, the yoga of postures—where people hold positions for
varying lengths of time, stretching and contracting their muscles and
breathing deeply—is one component of the ancient practice of yoga. It
simulates the relaxing effects of the parasympathetic nervous system and
removes tension from all the major muscle groups. According to Joseph
LePage, founder and director of Integrative Yoga Therapy in Aptos,
California, certain postures actually massage internal organs, helping
dispel toxins that may have built up in the liver and kidneys from
substance abuse.
"Hatha yoga allows people to get back in touch with themselves, and
get into a frame of mind where they can experience what it is to be well,
and not drug dependent or anxious," explains Peter Stein, M.A.,
addictions specialist at the North Charles Institute for the Addictions,
a private treatment facility in Boston, Massachusetts. According to a
recently completed clinical trial by Howard Shaffer, Ph.D., director of
the Division on Addictions at Harvard Medical School, hatha yoga is as
effective as traditional group therapy in treating heroin addicts
enrolled at a Boston methadone maintenance clinic. Those who practiced
yoga for 75 minutes once a week and received individual therapy once a
week reduced their drug use, criminal activity, and cravings as much as
those who went to group therapy once a week and had individual
counseling.
Joyce, 37, a manager at a gourmet food store in the Boston area,
has combined hatha yoga with talk therapy for four years as a part of her
methadone maintenance program. Although methadone has been essential to
her getting off heroin, she now wants to give it up. "Yoga helps me
become more aware physically, and then become aware mentally of what's
going on with me, and of how the things I do affect other people," she
says. "Five years ago, I'd have told you I'd be on methadone for the rest
of my life. But now I'm in a different frame of mind."
Joyce has begun slowly detoxing off methadone, which is itself a
physically addicting drug whose withdrawal symptoms are cold sweats,
inability to sleep, impatience, and discomfort. "In yoga, you have to
hold postures for so long, and while you're holding them, you're saying
to yourself 'I know this hurts, but I know I have to do it, I can and
want to do it myself.'" That experience of feeling and withstanding the
physical pain in hatha yoga helps Joyce know she can withstand the
physical pain of methadone withdrawal.
"When people think of nutrition, I want them to think of the
biochemical substances that are essential for maintaining optimal brain
chemistry," says nutritionist Joan Mathews-Larson, Ph.D., founder of the
Health Recovery Center (HRC), a private abstinence-based addiction clinic
in Minneapolis, Minnesota. After people change their diets and supplement
their food intake with the right amount of amino acids, essential fatty
acids, vitamins, and minerals, they can begin to deal with their
alcoholism, drug abuse, anorexia, or bulimia, says Julia Ross, M.A,
executive director of Recovery Systems, a private eating-disorder and
drug-abuse facility in San Francisco, California.
With the proper nutrition and supplements, the brain manufactures
chemicals—like norepinephrine, a neurotransmitter that seems to increase
energy and boost mood; serotonin, another important neurotransmitter; and
endorphins, the brain's natural opiates—that are needed to regulate mood
and behavior.
Optimal nutrition may also correct the possible deficiencies that
contribute to alcoholism or substance abuse. "The question," says Alan
Gaby, M.D., editor of the Nutrition and Healing newsletter, "is what are
the proper supplements? I treated an alcoholic who couldn't control his
drinking, but with glutamine, an amino acid, he was able to go back to
social drinking and handle it." For cocaine addiction, Dr. Gaby says the
amino acid tyrosine is often recommended. Tyrosine is a building block
for norepinephrine.
Richard Firshein, D.O., a New York City osteopath whose holistic
practice emphasizes nutritional healing, says one theory is that
addiction may be triggered by low levels of serotonin. By restoring
healthy levels, one of the underlying causes of addiction can be taken
away. Firshein prescribes a combination of amino acids and a
high-carbohydrate diet to boost tryptophan, the building block for
serotonin.
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