Relaxing Leaves You Feeling Ill
All week long, I fantasized about how good it would feel when my wife and I arrived in Hawaii. I worked extralong days that week so I could leave for vacation knowing that every important task was completed and that I could fully enjoy our getaway. On the night before our departure, I left my office with a sense of closure, but I still felt tense knowing there was much to do when I got home. The next day, we awakened early and dashed to the airport. The traffic was horrendous, and after barely arriving on time, we checked our bags and ran to board our plane. Once on the plane, I began to slow down. But I knew there were still 7 hours standing between me and fully letting go. By the time we checked in at our hotel, I could hear the ocean calling my name. We dropped everything, put on our bathing suits, and hurried to the beach. I assumed the slight fatigue, heaviness in my limbs, and lightheadedness I felt were just a result of being tired from the long haul of getting there. Before I knew it, I had fallen into a deep sleep. I awakened a few hours later to find that while I was sleeping, I had become sick. Somehow I had managed to develop a sore throat and earache. How could this be? Wasn't relaxing, sleeping, and being on vacation one of the best things I could do for my health? How was it that I had managed to remain healthy all year long, despite putting in long hours, and now, when I was doing all the right things, I got sick?[pagebreak]Shifting Gears
What I experienced is called the Let-Down Effect. Most people believe that illness only occurs during the throes of stress. In actuality, one of our most vulnerable times for illness is immediately following a period of high mental and physical activity, when we're finally able to let go and relax. Ironically, at the same time we let down our guard physically and mentally, the body's immune system is also letting down its guard. Relaxation itself, however, is not the problem. It's when we suddenly shift from a state of High Activation (when we feel high energy, great joy, anger, tension, or anxiety) to Low Activation (when we feel relaxed, quiet, calm, or tired). Here's why. When the body is under stress, the adrenal glands react by releasing hormones called corticosteroids, which help mobilize the body's defenses. The immune system then releases natural killer cells throughout the body to beef up its defenses against infection. Once the short-term stress is over, however, the body is no longer on high alert, and the troops are called back. As a result, our immune defenses are thinned, leaving us more vulnerable to the very illnesses that they have so effectively been able to defend against. To make matters worse, high levels of prostaglandins, which began accumulating while the body was under stress, suppress the immune system even further.That's when feelings of fatigue and exhaustion begin to unfold, and the Let-Down Effect sets in. Mentally, we perceive ourselves as letting go or relaxing. But from your body's point of reference, the shift from a state of High Activation to a state of Low Activation means a shift from immune system alert to immune system collapse. This explains why many of my headache patients developed headaches not in the throes of stress, but rather once the stress was over, such as at the end of their day or on weekends. The pattern was most glaring in patients of mine who frequently developed colds and sore throats. I noticed too, that symptoms of patients with chronic pain caused by arthritis, back problems, stomach disorders, or fibromyalgia tended to worsen during the Let-Down phase. The key to avoiding the Let-Down Effect is to gradually shift from a level of High Activation to Low Activation so that you relax and keep your immune defenses on alert. I'll show you how in just minutes a day. [pagebreak]Stop Making Yourself Sick
Here are four easy-to-learn tools you can use in just minutes a day to stop the Let-Down Effect. They work by slightly energizing or activating your body, which prevents you from making the transition to relaxation too rapidly, causing the suppression of your immune system. Do them two or three times a day for the first and second day after a period of High Activation or stress has ended or at the earliest signs of the Let-Down Effect, which is preceded by tiredness, difficulties in concentration, or a heaviness. #1: Mental Problem-Solving Rapid problem-solving conducted under time constraints has been found to boost activation of the immune response. Do the following tasks as quickly as possible.Know Your "Speed"
Think of your activation levels in terms of miles per hour. Going from a speed of 80 mph to a speed of 30 mph in a matter of hours or even a day can send you right into the Let-Down Effect. To avoid it, you have to learn to reduce your speed gradually by slowing to 60 mph the first day and then to 30 mph the next. Become aware of situations that are High Activation for you and the sensations they can trigger. 100 mph Situation: Intense anger, trauma Physical Sensation: Rapid heartbeat, dizzy, shallow breath 90 mph Situation: Project deadline approaching; participating in a competitive sport Physical Sensation: Anxiety, pressure 80 mph Situation: Late to work, stuck in traffic Physical Sensation: Tension, tightness, nervous 70 mph Situation: Giving an important presentation Physical Sensation: Feeling "on," focused, scared, or nervous 60 mph Situation: Running errands Physical Sensation: Alert, active mind50 mph Situation: Pleasurable evening with friends Physical Sensation: Warmth, relaxed 40 mph Situation: No pressing demands Physical Sensation: Calm, quiet 30 mph Situation: Vacation Physical Sensation: Peaceful, still 10 mph Illness[pagebreak]Do You Have the Let-Down Effect?
Do you find yourself becoming illMarc Schoen, PhD is a licensed clinical psychologist and an assistant clinical professor in the School of Medicine at UCLA.