The Key to Handling Stress and COVID-19

By Deepak Chopra, MD, FACP, Rudolph E. Tanzi, PhD, Michelle Williams, ScD, Ryan Castle, William C. Bushell, PhD, Kimberly Brouwer, PhD, and Paul J. Mills, PhD

Although COVID-19 is very easily transmitted from person to person, the risk of subsequent hospitalization and death primarily affects people who are already at risk because of old age, infirmity and/or chronic diseases such as cancer, diabetes, autoimmune illness, obesity, and heart disease. All of these chronic illnesses are associated with measurable low-grade inflammation in the body. The chronic low-grade inflammation that develops with advanced age has become known as “inflammaging”. Most people with chronic illness unknowingly have low-grade inflammation. Recent research points to a second finding: these same disorders are often accompanied by persistent low-grade anxiety and depression.

All of this as a background increases the danger for a person when acute illness strikes. In addition to the elderly and chronically ill, COVID-19 is causing acute respiratory illness and stroke sometimes leading to death in seemingly otherwise healthy younger individuals. The transition from SARS-CoV-2 infection to diagnosed COVID-19 is typically accompanied by a “cytokine storm.” Cytokines are proteins that are major drivers of inflammation, and their rapid increase, or “storm” is one of the body’s immune responses to acute threat.

In addition, studies have connected pro-inflammatory cytokines to the stress response; they regulate well-known stress hormones such as ACTH and cortisol. Three major systems are involved: the immune system, the central nervous system and the endocrine hormone system.

In the face of these connections, we are coming forward to suggest that complementary practices—deep breathing, yoga, and meditation—can play an important role during this pandemic. These practices have been confirmed by hundreds of scientific studies to bring down over-activity of the autonomic nervous system, calm the mind from anxiety, reduce the stress response, regularize heartbeat, and lower blood pressure. Together, all of these diverse benefits are associated with reducing the invisible presence of chronic low-grade inflammation, especially if added to good sleep, exercise, and proper diet.

We don’t fully understand how the immune response, linked to stress and inflammation, can turn lethal. As a response to cuts, wounds, invading pathogens, and other threats, prior to antibody formation, the body first responds with inflammation as a normal yet crucial healing function. But it has long been known that inflammation is paradoxical. Acute inflammation can over-react, harming or even killing the patient. (Instances of strokes and heart attacks among young COVID-19 patients might be linked to micro-cytokine storms in the brain and heart.)

The threat from low-grade chronic inflammation was not discovered until recently but seems to be widespread. It is unaccompanied by the swelling, burning, and redness of the skin that marks acute inflammation and therefore goes undetected by the patient or physician. Preventing and addressing chronic low-grade inflammation and its significant adverse consequences are urgent issues, even more urgent during a pandemic. There seems to be every reason to make the public aware how deep breathing, meditation, yoga, and other healthy lifestyle practices can help during this crisis and long afterwards.

 

Deepak Chopra™ MD, FACP, Clinical Professor of Family Medicine and Public Health at the University of California, San Diego
Rudolph E. Tanzi, PhD, Kennedy Professor of Neurology at Harvard Medical School/MGH
Michelle Williams, SM, ScD, Dean of the Faculty, Harvard T.H. Chan School of Public Health
Kimberly Brouwer, PhD, Professor and Chief, Department of Family Medicine and Public Health, Division of Global Health, Infectious Diseases Epidemiology, at the University of California, San Diego
Ryan Castle, Executive Director of the Chopra Library
William C. Bushell, PhD, medical anthropologist and research director of the Chopra Library
Paul J. Mills, PhD, Professor and Chief, Department of Family Medicine and Public Health, at the University of California, San Diego

How to Settle the Mind During a Crisis

By Deepak Chopra™, MD

At first only a few voices spoke of positive change after the COVID crisis ends, or at least becomes livable once again. Now one hears a chorus calling for change, much of it from younger people. The main message is about global cooperation and preparing better for the next pandemic. But I think people are pondering personal change, too. In the midst of widespread trepidation, what are the new goals that each of us might start pursuing right now?

The first goal should be a settled mind. Fear is persuasive and panic easily goes viral. At the best of times most people turn their backs on worrisome problems rather than dealing with them directly. But unless you have been diagnosed with an anxiety disorder, you can settle your mind and go beyond fear. The first steps to gaining mastery over fear are open to everyone, as follows.

  • Sit down and candidly talk about your level of anxiety. Assemble the adults in your family, and perhaps older teenagers.
  • Discuss your feelings in the context of getting past them.
  • Don’t dwell on anxious thoughts. When one arises, say to yourself, “This isn’t helping. Go away, I don’t need you.” Talking back to the voice in your head is actually effective.
  • Plan rationally for the situation you find yourself in. Problems can be divided into three categories: things you can fix, things you have to put up with, and things you should walk away from. Take each individual issue that faces you, and write down which category it falls into. Most people aggravate their worries through indecision. They vacillate between trying to fix something, putting up with it, and fantasizing about running away from it. Be clear in your reasoning, pick one strategy from the three, then stick to it.
  • Empathize with other people’s anxiety, but don’t make it a daily habit. Be helpful and reassuring. If this doesn’t work, you should tune out the most anxious complaints and focus on anything positive that emerges.
  • Be creative with your free time. Idle minds are fear’s playground.
  • Don’t obsess over the news. Limit your viewing time to short periods two or three times a day. This is a crisis unfolding in slow motion. You don’t have to keep up with it minute by minute.
  • Seek consoling and uplifting things to read and listen to.
  • Devote some time several times a day to sit quietly, close your eyes, and use deep, regular breathing to reach a settled state inside. If you are patient enough to practice regular meditation, do that.
  • Write down a vision of your future as you would like to live it after the crisis passes. Detail all the things you want to achieve and experience.
  • Foster hope in your immediate circle, but don’t make it up if you don’t actually feel hopeful.
  • Take time every day to do something that makes you smile and laugh.

As you can see, none of these things are mysterious. They are available to everyone, and if you seriously undertake it, the project of defeating fear is more than doable.

At a more inward level, you can also confront the misleading ideas that anxiety fosters, replacing them with positive ideas any time they recur. First, the false ideas that are typically born of fear:

  • If I worry, it shows I care.I have to worry because others around me don’t seem to.
  • By worrying I am fending off the worst things that might happen.
  • Sometimes the things I worry about come true, which justifies all the times they do not come true.
  • Worrying doesn’t hurt anybody, so why not worry?
  • The world is hard and life is difficult. It is only healthy to worry.
  • I know my worries make me feel bad, but that’s the price I am willing to pay.
  • A lot of people worry, so I am not alone. At the very least I get a lot of reinforcement on the news and in social media.
  • If I worry now, it’s a kind of insurance that will help me not be hurt in the future when bad stuff happens.
  • Worry shows my family that I love them.
  • If my anxiety touches others, they will want to help and take care of me without me having to ask.

Habitual worriers will recognize these familiar thoughts, and all of us entertain some of them in anxious times. But each thought is the product of fear. Clear, positive thoughts should be put in place of them, as follows:

  • Despite my worries, I am safe and cared for.
  • Any problem is best dealt with when it actually occurs.
  • Planning for a bad eventuality should be done once, take very little time, and then left alone.
  • If you have coped in the past, you can trust yourself to cope now and tomorrow.
  • Worrying is pointless as a way to solve anything. It blocks the part of the mind that actually solves problems.
  • If you feel bad from anxiety, your hurt is self-inflicted, and getting out of the hurt involves taking responsibility for your own reactions.
  • The people around you do not like you better because you worry about them. They find it a nuisance but do not want to oppose you, so they adapt and put up with it.
  • Worrying drives others away.
  • Worrying blocks a healthy sense of self because it is basically an expression of insecurity.
  • Anxiety doesn’t protect you from future hurt. It actually brings hurt into the here and now.
  • You are not your fears, but if you accept that you are, personal growth is blocked.

You might even find it helpful to take these two lists and discuss each item with people close to you. The project of overcoming fear knows no specific time and place. In normal times we should be gaining control over fear to the extent we can. Now, however, the need to settle the mind is more urgent than ever.

 

 

 

DEEPAK CHOPRA™ MD, FACP, founder of The Chopra Foundation, a non-profit entity for research on well-being and humanitarianism, and Chopra Global, a modern-day health company at the intersection of science and spirituality, is a world-renowned pioneer in integrative medicine and personal transformation. Chopra is a Clinical Professor of Family Medicine and Public Health at the University of California, San Diego and serves as a senior scientist with Gallup Organization. He is the author of over 89 books translated into over forty-three languages, including numerous New York Times bestsellers. His 90th book, Metahuman: Unleashing Your Infinite Potential, unlocks the secrets to moving beyond our present limitations to access a field of infinite possibilities. TIME magazine has described Dr. Chopra as “one of the top 100 heroes and icons of the century.”

Shakespeare, COVID, and the Plague

By Deepak Chopra, MD
Social isolation gives us time to examine our lives in a new light, suddenly faced with economic collapse, empty streets, current panic and future uncertainty, and death appearing out of nowhere—in other words, the conditions that confronted every person on a daily basis during the lifetime of Shakespeare. What feels horribly abnormal to us was routinely normal for him and every member of the human race in the 16th century.

In statistical terms, Shakespeare is just another survivor. Unlike his son, Hamnet, who died at 11, Shakespeare didn’t die as a child, nor did his mother die giving birth to him. He also escaped the plague. Ever since the Black Death swept across the globe in the 14th century, bubonic plague remained a threat, killing on average one to three people in every house where it struck. In Shakespeare’s lifetime, there were four plague years, 1582, 1592, 1603, and 1607, when London, including its theaters, shut down because of the disease.

Syphilis had arrived in Europe from the New World in 1495, first appearing in a French garrison outside Naples, and it quickly infected every level of society. But Shakespeare didn’t die of it, either, or of smallpox. He wasn’t murdered in the street even though there was no London police force. He couldn’t have been executed as a witch, not being a woman, although the practice was not only current but growing. Finally, unlike his father, John Shakespeare, Will’s life and reputation weren’t ruined overnight due to charges brought against him by Queen Elizabeth’s huge network of internal spies.

As a survivor, Shakespeare stands out because of his genius, but the horrible conditions surrounding him persisted more or less unchanged until the middle of the 19th century. The causes of plague syphilis, and deaths in childbirth started to emerge, and more mundane but equally life-saving advances occurred in public health, like the first sewer system in America, which was built in Chicago in the late 1850s.

If humans were simply higher primates with very big brains, survival would be the beginning and end of our story. The Darwinian model for survival requires only getting enough food and finding a willing mate so that you didn’t starve before you were able to pass on your genes to the next generation. Nothing much mattered after that momentous event.

Evolutionists persist in seeing Homo sapiens through the lens of basic survival, but we do all kinds of things to deliberately imperil our survival, from taking care of our weak and sick instead of abandoning them, to stockpiling nuclear warheads, just to make sure that total war can erupt if we feel like it. War, crime, and violence do nothing to improve human genes and in fact work against simple survival.

But if you put Shakespeare and the plague together, something mysterious emerges. Despite every threat of disease and death, crime, poverty, political oppression, and religious fanaticism (the Puritans in Shakespeare’s day railed against the London theaters as ungodly, but luckily they didn’t shut them down until 1642, 26 years after his death), not to mention widespread illiteracy, no public sanitation, and no police force, these horrendous circumstances didn’t wipe out creativity, discovery, love, compassion, and a vision of a higher ideals.

Homo sapiens is the only species that liberated itself from natural evolution, and this unprecedented achievement involved one thing only: going beyond. Not our higher brain but human nature envisioned life independent of physical circumstances. Miraculously, if you peer at the oldest cave paintings in Europe, such as those in Chauvet-Pont d’Arc, France, you don’t see primitive scratching from 30,000 years ago.

You see art. The animals depicted are done with confident, artistic lines that are also scientifically accurate, depicting a wide range of Paleolithic creatures precisely enough that they can be identified by species. No one knows why sophisticated cave paintings suddenly appeared. The Chauvet depictions lie deep in the darkest heart of the caves. No sunlight penetrated, so the painters worked by the quavering light of torches. In addition, since the animals were not right before them, they worked from memory of how each one looked.

This act of going beyond exemplifies a trait that belongs to the human condition, the trait of creativity for its own sake. In fact, even though the modern world owes everything to discoveries that improved life, the rise of technology and all the practical benefits it has brought, going beyond has always happened “in here” before anything could happen “out there.” Before the first primitive flint blades could be hacked out, the concept of “tool” and “weapon” had to come first. And before a concept can be born, there has to be a mind capable of concepts.

My point is that you and I, like our ancestors, are the product not of genetic evolution but the evolution of consciousness. We were liberated from the Darwinian scheme by self-awareness. In other words, we said to ourselves, “I just thought of what I’d like to do,” and with the combination of awareness, vision, and desire, we evolved into the human condition. The Greek word for beyond is meta, and we should apply it to ourselves more often. To be human is an expression of the metahuman. Shakespeare was a meta-genius, but everyday people are just as meta in their own way. Parents sacrifice for their children, even die for them, because they go beyond their own selfish needs. Any creative hobby is meta, because it has nothing to do with surviving.
The higher your vision, the more meta you are. Buddha was extraordinarily meta, but his followers, seeing the worth of his vision, had to be meta or Buddha would have preached in the wilderness. Likewise, without metahumans among Jesus’s disciples, Christianity would have perished on the cross.

The COVID virus has put everyday life in peril for countless people, but it has actually risen the level of self-sacrifice, service, sharing, cooperating for the common good, laying down political antagonisms, seeking a global solution, and reflecting upon what really matters. Those are all meta qualities; they are perfect examples of going beyond. The fact that we can see a future past the devastation of the pandemic is a meta trait of huge importance. We aren’t human without being metahuman. For me, this is the lasting lesson and the deeper meaning to be taken away form a terrible time.

 

DEEPAK CHOPRA™ MD, FACP, founder of The Chopra Foundation, a non-profit entity for research on well-being and humanitarianism, and Chopra Global, a modern-day health company at the intersection of science and spirituality, is a world-renowned pioneer in integrative medicine and personal transformation. Chopra is a Clinical Professor of Family Medicine and Public Health at the University of California, San Diego and serves as a senior scientist with Gallup Organization. He is the author of over 89 books translated into over forty-three languages, including numerous New York Times bestsellers. His 90th book, Metahuman: Unleashing Your Infinite Potential, unlocks the secrets to moving beyond our present limitations to access a field of infinite possibilities. TIME magazine has described Dr. Chopra as “one of the top 100 heroes and icons of the century.”

What Is the Best Self-Care during the COVID-19 Crisis?

By Deepak Chopra™, MD and Rudolph E. Tanzi, Ph.D.

Self-care should be uppermost in our minds during the COVID-19 crisis, for several urgent reasons. Self-care returns a sense of control over your own life. It gives you an integrative approach to mind and body. It aligns you with the best knowledge currently available about who is more at risk for developing acute symptoms after being infected.

Your immune status is complex, and in mainstream medicine the chief determining factor is traditionally considered to be genetic. However, there are strong links to underlying low-level chronic inflammation connected to lifestyle that is found in most if not all common disorders including heart disease, type 2 diabetes, some cancers, and even obesity. COVID-19 has a mortality rate that increases with age and pre-existing conditions, as we all know by now.

What is less publicized is that the hospitalization rate, which is very high at over 15%, also affects younger age groups even though their death rates are lower. In those who are most susceptible, the virus creates an acute and severe form of inflammation referred to as a “cytokine storm”, which then leads to severe symptoms and respiratory damage, even death. Cytokines are the chief protein mediators of inflammation in the body.

We can use this information about the dangers of having an elevated pre-existing state of low-level chronic inflammation to perhaps offset the possibility of the kind of acute inflammation that puts a person at risk for severe infection and hospitalization. Let me emphasize the “perhaps” caution. The research on low-level chronic inflammation grows by the year and is very significant. You can go to many websites or our recent book “The Healing Self” to discover the kinds of foods and lifestyles that are either inflammatory or anti-inflammatory.

But it is only in the field of integrative medicine that there is a cumulative understanding that anti-inflammation practices need to embrace mind and body. The general public, including mainstream doctors, are more often than not ill-informed of the research that connects meditation and yoga to the benefits of anti-stress, anti-inflammation, and anti-infection. Without a doubt, meditation and yoga have no side effects and are backed by decades of research over their benefits. To this has been added so-called “vagal breathing”, related to the ability of the vagus nerve to induce a relaxed state simply by doing regular deep breathing that equalizes breathing in and breathing out (there are numerous websites providing instructions on this simple but effective technique, which is now a standard recommendation for countering stress).

Biophysical anthropologist William C. Bushell points to the damage created by the body’s own immune defenses. To quote a recent article at Medium.com by Maureen Seaberg, “Bushell says that inflammation is the primary way COVID-19 kills. ‘Spread of the virus through the body leads to widespread and intensive activation of the inflammatory defenses throughout the body, though originally intended to combat the pathogen, but at this point instead resulting in widespread tissue damage, and fatally, to acute respiratory distress syndrome (ARDS), in which the lungs become flooded and respiratory failure ensues; the viral toxins themselves play a much lesser role in the tissue damage that ultimately can produce extreme critical disease states (pulmonary aspiration, septic shock), and potentially death.”

The uncharted frontier is whether chronic inflammation, which is thought to be widely prevalent in our stress-filled, junk food eating, sleep-deprived society, increases the odds that the body might erupt into acute inflammation, e.g. a cytokine storm, when infected with viruses like COVID-19. One can think of this storm as a kind of over-reaction by our immune system. The big question is whether low-grade chronic inflammation may set the stage for this over-reaction and increase the odds of a “cytokine storm” in the presence of a nasty virus like COVID-19. Meanwhile, meditation, yoga, vagal breathing, and other relaxation techniques might provide an edge in the current crisis by reducing the chronic inflammatory state of the body. We’ve joined Bushell and other concerned figures, including Michelle Williams, S.D., Dean of Harvard’s School of Public Health, in advising that meditation and yoga (in addition to a healthy diet and ample sleep) be included in front-line efforts against COVID-19.

The public is woefully uninformed about the mind-body benefits of these simple, effective measures, and every model of the pandemic foresees a huge overload on this country’s hospitals. The virus is more contagious and infectious than the flu, and it hospitalizes and kills a much higher percentage of cases. The message about COVID-19 and inflammation is very important. It needs to be received by all of us for our common well-being at any time, but most urgently, now, we all must strive to reduce our base level of chronic inflammation.

 

DEEPAK CHOPRA MD, FACP, founder of The Chopra Foundation, a non-profit entity for research on well-being and humanitarianism, and Chopra Global, a modern-day health company at the intersection of science and spirituality, is a world-renowned pioneer in integrative medicine and personal transformation. He is a Clinical Professor of Family Medicine and Public Health at the University of California, San Diego. Chopra is the author of over 89 books translated into over forty-three languages, including numerous New York Times bestsellers. His 90th book and national bestseller, Metahuman: Unleashing Your Infinite Potential (Harmony Books), unlocks the secrets to moving beyond our present limitations to access a field of infinite possibilities. TIME magazine has described Dr. Chopra as “one of the top 100 heroes and icons of the century.”
Dr. Rudolph E. Tanzi is the Kennedy Professor of Neurology at Harvard Medical School and Co-Director of the McCance Center for Brain Health at MGH. Dr. Tanzi has discovered numerous Alzheimer’s disease genes, including the first one, and is developing new Alzheimer’s therapies using human mini-brains pioneered in his laboratory. Dr. Tanzi has published 600 research papers, received numerous awards and was on the 2015 TIME100 Most Influential People in the World list. He has also co-authored several books, including “Decoding Darkness” and three bestsellers with Deepak Chopra: “Super Brain”, “Super Genes”, and “The Healing Self”. In his spare time, he plays keyboards with guitarist, Joe Perry of Aerosmith and other musicians.

Elite Task Force Assembles to Urge Addition of Meditation and Yoga to Help Fight COVID-19

The Safe and Proven Practices Have Anti-Inflammatory, Immunity-Boosting and Anti-Stress Benefits, Even for Beginners, Says the World-Class Team Led by Dr. Deepak Chopra and Top Scientists

By Maureen Seaberg

At a time when every hospital bed counts, experts led by Dr. Deepak Chopra including Michelle Williams, S.D., dean of Harvard’s School of Public Health; noted biophysical anthropologist William Bushell, Ph.D., Paul Mills, Ph.D., chief of behavioral medicine at the University of California, San Diego; Ryan Castle, executive director of the Chopra Library; and Rudolph E. Tanzi, Ph.D., Harvard professor of neurology, have joined forces to make the public aware of the many disease-fighting benefits of meditation and yoga.

They point out that these complimentary traditions can be added to our self-care and medical regimens and are safe, effective and easily done at home by the more than one billion people sheltering in place around the globe.

Most people know about the relaxation effects of the modalities, but not the many positive physiological changes they can create.

Many are also unaware that much of the damage done by infectious diseases, including even the most virulent ones, is the result of the person’s own immune or inflammatory response “over-reacting” to the infecting organism, says MIT-affiliated biophysical anthropologist William C. Bushell, who is the director of research and academic liaison for Chopra Library for Integrative Studies & Whole Health. Bushell is the original developer of this model based on work he has been doing for a decade in collaboration with Dr. Neil Theise and other scientists.

“There is also an extensive lack of knowledge that meditation and yoga possess significant anti-inflammatory properties, as well as anti-stress, and quite possibly anti-infectious properties as well,” he adds. “These positive properties of meditation and yoga result from directly influencing nervous system pathways, and also from stimulating circulating substances, which according to a small but impressive body of preliminary evidence, appears to include melatonin. Melatonin is another relative enigma to both the popular and scientific communities, but it has a wide range of powerful health-enhancing effects, including antiviral ones, and is actually now being intensively investigated by leading researchers as one medicine for COVID-19.”

Executive Director of the Chopra Library Ryan Castle explains that while meditation is widely considered to be an overall healthy activity, “its role in combating systemic inflammation is unique and powerful.” And that’s not all. He adds:

  • Meditation lowers levels of inflammatory markers, interrupting the vicious cycle of inflammation and allowing the body to down-regulate to stability.
  • Meditation has clinical efficacy at lowering the duration and/or severity of diseases.
  • Though any meditation is beneficial, active meditation that involves visualizations or guided imagery has significantly greater impact than simple mindfulness practice.
  • Meditation has beneficial effects on multiple immune functions and inflammatory processes, suggesting a truly systemic effect.
  • Meditation, especially when incorporating visualization and compassion components, has clinically significant effects on reducing the physiological and psychological damage of isolation and loneliness.
  • Visualization meditation has also been shown to improve production of the powerful immune modulator melatonin.

Bushell says that inflammation is the primary way COVID-19 kills. “Spread of the virus through the body leads to widespread and intensive activation of the inflammatory defenses throughout the body, though originally intended to combat the pathogen, but at this point instead resulting in widespread tissue damage, and fatally, to acute respiratory distress syndrome (ARDS), in which the lungs become flooded and respiratory failure ensues; the viral toxins themselves play a much lesser role in the tissue damage that ultimately can produce extreme critical disease states (pulmonary aspiration, septic shock), and potentially death (egs, Fu et al, 2020; Qin et al, 2020).”

For this reason, these experts say, meditation and yoga can provide a needed edge. At a time when people are experiencing extra time in isolation, the modalities have never been more needed or more easily done, says the team.

“In addition to its significant benefits of reducing inflammation and improving autonomic regulation, numerous scientific studies also demonstrate that regular meditation practice reduces stress and promotes the practitioner’s sense of equanimity, or centeredness,” says Paul Mills, Ph.D., of UCSD. “At these times of such heightened individual and social disruption, these psychosocial and spiritual benefits of meditation are invaluable.”

In coming days, the task force will make the practices even easier with free how-tos and guided videos. Check their website here.

Originally published by Medium