Supporting Anxiety & Depression Through Yoga Therapy
As we enter another lock-down due to COVID-19, the angst in the air is palpable. I have heard from many this week that this time around, they are just not sure how they will cope. With the holidays coming up, it is a new experience this pandemic can add to its long resume. I wanted to offer a case study on how Yoga Therapy can help support our mental health. This is my way of contributing to my community, and the world. I feel called to share.
Jessica* is navigating life in her 20s and all the changes that can come in this youthful, yet sometimes tumultuous decade. She is sweet and speaks softly and presents with a calming, grounding demeanor, although that is far from how she explains her inner experience. Jessica’s goals for seeking Yoga Therapy are to support her anxiety and depression, as it changes each day. She also hopes to feel more connected to her body and feel a sense of belonging to herself.
Jessica can clearly describe where in her body she feels anxiety; chest and belly, neck, face, and eyebrows. and the way depression presents; feels like general heaviness in her body. She also reports feeling a disconnection to her body over-all. Her biggest life challenges right now are recovering from traumatic experiences, unemployment, and navigating medical leave from school. Jessica attends silent retreats of the Vipassanā tradition. She finds the retreats very challenging, but also life changing. I notice Jessica often closes her eyes, even while talking.
One of the tools of Yoga Therapy is educating the client in yogic philosophy. The intention is to empower one with ancient knowledge and to offer new language outside of the labels of anxiety or depression.
The emphasis is always to first meet ourselves where we are at and then invite in the other quality to balance.
The Gunas
The Gunas are natures 3 fundamental forces. All the qualities of the world contain the Gunas: Rajas, Tamas, and Sattva. Rajas is the quality of energy, wakefulness, and movement. Tamas is the quality of inertia, stillness, and sleep. Sattva is harmony, balance, transcendence. Sattva arrives when the balance of rajas and tamas is met in each unique being. It is the goal of Yoga. Just like the ever-changing state of energy, Sattva too is always shifting. What brings us balance at one point, may not always. That is why present moment awareness is so important on our journey of wellbeing.
When one experiences both anxiety and depression, an understanding of the Gunas can help them to understand themselves. It gives them a way to check in with the aspects of nature present in their own being each day. From there, their Yoga practice and daily choices can reflect the state of energy they are currently in and what may help bring them to balance.
Excess rajas leads to overwhelm, stress, insomnia, anxiety. Excess tamas leads to lethargy, resistance to change, excessive sleeping, and depression. I explain to Jessica how one may experience excess rajas in the mind and tamas in the body and vice versa. When we feel excess rajas, we want to bring in tamas to balance. When we feel excess tamas, we want to bring in rajas to balance. The emphasis is always to first meet ourselves where we are at and then invite in the other quality to balance.
Jessica’s Practice
One session, Jessica let me know she was feeling very tamasic so she decided to have a cup of coffee. That led to her feeling stressed, overwhelmed, jittery, and rajastic by the time she came in to see me. At other times she has come in feeling lethargic (tamas) in the body, and anxious and fearful (rajas), in the mind. Yoga Therapy invites us to practice Swadhaya (self-study) to observe how anxiety and depression can shift and present in an individual on any given day. From there the practice can vary depending on what mood is most predominant.
Slow, yet dynamic flowing movements with even breathing are best when someone is feeling more anxious and the energy needs to integrate. When I notice Jessica’s movements and breath becoming more even and fluid, I invite in static holds for 3-5 breaths. At the end of the physical practice forward folds invite in the energy of tamas to ground. If Jessica was feeling more tamasic that day, I would offer her a restorative back-bend to bring in Rajas to balance. The utilization of props in either case helps to prevent strain on the body and shift the focus on calming the mind. During longer held forward folds the mantra “I am here” supports anxious or depressed minds. I guided Jessica to inhale to the crown of the head, saying silently “I am”, and to exhale to the seat: “here”.
Silent meditation is usually not recommended for those coping with anxiety and depression. Guided meditations that may include mudras or mantras may be more useful in order to “throw the mind a bone”. Otherwise, silent meditation can feel overwhelming for one whose thoughts are racing or who tend towards negative self-talk. We began practices with guided visualization, mudras, or guided breath awareness. A practice such as Breath of JOY with the sound LAM is a staple in Jessica’s Yoga Therapy plan. Breath of Joy is an active breath-centered breathing exercise meant to uplift and energize.
Jessica explains that Yoga Therapy has helped her get to know herself more, connect with her body and mind, and to empower her to find practices and activities that help support her in creating more balance in her mood.
Bhramari (bee breath) with Shanmukti mudra is sattvic breathing practice Jessica really enjoyed. When she was feeling more tamasic (depressed), 1:1 even ratio breathing helped uplift. Even breathing supports balanced energy. When she was feeling more rajastic (anxious), 1:2 ratio breathing was supportive. The longer exhale is more calming. Tradak meditation on a candle flame was a practice I chose for Jessica to invite her to engage with her surroundings with eyes open. Jessica was surprised at how helpful Tradak mediation was for her, since she typically practices silent meditation with eyes closed. She reported it helped her feel focused and centered. Since Jessica’s primarily practice is silent meditation, I often ended with just a few moments of silence together. This provided her with something familiar.
Moving forward:
Jessica explains that Yoga Therapy has helped her get to know herself more, connect with her body and mind, and to empower her to find practices and activities that help support her in creating more balance in her mood. She looks forward to continuing to attend silent meditation retreats with the new knowledge and tools of breath work, mantra, and movements to prepare to sit silently. She also reports that even if she does struggle with her silent meditations, she now feels that there is not something wrong with her, she just may be out of balance!
Amy Gaster C-IAYT, RYT 500, practices Yoga Therapy with individuals and small groups through-out New Haven County, CT and from anywhere online via Zoom. Amy works with individuals to support them in their experience of chronic pain, mental and emotional well-being, and back pain, utilizing a client-led approach incorporating accessible tools of Yoga. Find her in Instagram, facebook, and her website: yogawithamylauren.com
*Name has been changed to protect the client’s privacy.