I had a couple of heart attacks more than twenty years ago. Part of the after care was a program of sessions or classes, including exercise, healthy living lectures, relaxation and mindfulness stuff, provided weekly for a while by the NHS.
I think this could be very relevant as a post stroke program. After looking through this book I thought it was worth sharing a little of what I found there.
‘Mindfulness Skills Workbook for Clinicians and Clients’
by Debra Burdick
Something I came across you might like to examine:
TOOLS FOR EXPLAINING NEUROPLASTICITY
Tool 2-10: What is Neuroplasticity and Why Do We Care?
BACKGROUND: Neuroplasticity is the ability of the brain to change itself. MRI studies, SPECT scan studies, and EEG studies confirm the ability of mindfulness practice to change brain structure as well as brain functioning. Studies show improvements in self-regulation, mood, well-being, self-esteem, concentration, sleep, health, addictions, memory and so much more. Therefore, mindfulness practice is an excellent way to trigger positive neuroplastic changes in the brain.
SKILL BUILDING: Explain that the brain’s ability to change itself is called neuroplasticity.
Use the two exercises (Paths in the Grass and Paper Folding) in Handout 2-10 (below) to illustrate how neuronal pathways are “worn” into the brain. Discuss how this may be helpful, such as when we learn something new, or harmful if the brain gets stuck in a negative pattern such as anxiety or depression. Use the handout to explore how doing something a different way starts to change the pathway, which can be very helpful when shifting out of negative mood states or anxious tendencies.
REFLECTION: Help clients explore how the process of neuroplasticity may be helping them or keeping them stuck by asking: What positive or negative things do you do repeatedly that may have worn a “pathway” in your brain? Do you notice yourself responding automatically to things without stopping to think and choosing a response? Are there any pathways you would like to reinforce or eliminate? Does fear or anxiety play a role in your life? In what ways do you feel stuck?
Handout 2-10-1
What is Neuroplasticity and Why Do We Care?
PATHS IN THE GRASS
Close your eyes and picture a lawn of green grass.
Now imagine that someone walks across the grass diagonally from one corner of the lawn to the opposite corner.
Notice how the grass changes. Perhaps the grass is a bit matted down where they walked.
Now imagine lots of people walking across the grass following the same path.
After a while, notice that some of the grass is dying where so many footsteps have fallen.
Imagine that this process continues until there is a path worn in the lawn where there is no longer any grass—just a dirt path worn smooth from all the foot traffic.
This is like the process of neuroplasticity in the brain. According to Hebb’s axiom, neurons that fire together wire together (Hebb, 2009), and dendrites increase in size and efficiency when something is repeated over and over.
So, like the path worn in the grass, the neuronal pathway gets stronger and stronger with repetition. Mindfulness practice is an effective way to create more healthy “pathways” in the brain.
Now imagine the lawn with the path across it. Notice what happens to it over time when no one walks on it anymore. The grass slowly starts to grow where the path was until at some point there is no longer a path at all.
Mindfulness practice can help rewire the brain so it no longer automatically responds with anxiety, or anger, or fear, or feeling stressed. Mindfulness helps to decrease the negative pathways in the brain.
Handout 2-10-2
Paper Folding Exercise
- Ask clients to fold a piece of paper, then fold it again, and then again.
- Have them unfold it and fold it again where it was already folded.
- Ask them if refolding is faster and easier than folding in the first place.
- Relate this to moving information along a well-travelled path of neurons.
- Discuss whether it is easier for your brain to think something new or the same thought.
- Ask them if it is easier to learn something new or do something you have done before.
Pheww.
Did you get through all that?
Sit calmly and comfortably now and recover.