Yoga
as an Intervention in the Treatment of Alcohol and Substance Abuse Recovery
LAURA
BEGIN
Yoga:
Theory, Culture, and Practice
Final
Research Paper
Lesley
University, Cambridge, Massachusetts, USA
INTRODUCTION
Addiction is a primary, complex brain
disorder. It is characterized by compulsive drug seeking and use, despite
harmful consequences, and by long-lasting chemical changes in the brain which
interfere with a persons ability to think clearly, exercise good judgment,
control behavior, and feel normal without using drugs (Flewelling, 2009). Drug
use is on the rise in this country and 23.5 million Americans are addicted to
alcohol and drugs. That’s approximately one in every ten Americans over the age
of 12- roughly equal to the entire population of Texas (Boshears, 2011).
There are many reasons or thoughts to why
people become addicted to alcohol and drugs, commonly it is thought of as a
genetic disorder, a way to self sooth because of a traumatic experience, or
living in an environment that finds substance abuse normalized. Whatever the
case, only about half of the people addicted to drugs seek help and a much few
percent continue to stay sober after treatment. New research shows that,
application of comprehensive spiritual lifestyle interventions may prove
effective in treating substance abuse, particularly in populations receptive to
such approaches (Khalsa, 2008). In this paper is will be focusing on why yoga
may be affective to people suffering from drug and alcohol addiction. Also, how
society and culture influence the yoga as a recovery tool for addiction. Lastly,
I will be discussing what types of yoga are commonly used in America to help
treat addiction.
I chose this topic because I have been in
recovery from alcohol and heroin for about six years. I luckily got sober and
more important stayed sober since a young age. During my time in a residential
program for girls under eighteen suffering from substance abuse, I was
introduced to yoga. However, this was not part of our daily routine but more of
a group every once and a while. I found yoga relaxing and helped with my mental
state. Once leaving the residential program I continued to practice yoga on and
off. I was not sure why practicing yoga felt important and calming to me but I
knew that it helped me stay sober during difficult challenges in my sobriety. I
am curious to know why yoga is helpful to people in recovery and how it is
effective.
YOGA
AS A TOOL FOR ADDICTION RECOVERY
According to Khalsa (2008), “Yoga and meditation have also been widely adopted as
therapeutic practices for a wide variety of psychological conditions such as
anxiety and depression, medical conditions which have an underlying stress-
related component, and a number of neuromuscular conditions (p. 68).” This is
typically because of the meditation component, which is known to increase self-
awareness of both psychological and physical states. Yoga and meditation have
been proposed as an effective treatment for substance abuse and addictive
behavior.
Yoga is thought to reduce
stress and tension and, improvement of impaired mood such as reduction of
depression and anxiety, and induction of a peak experience or higher state of consciousness
which replaces the attraction of substance induced high and establishes of
improved self-esteem and a better philosophical relationship and understanding
(Khalsa, 2008). Because of these outstanding effects, several addiction
treatment programs have incorporated yoga as a contributing technique in
treatment programs. By providing an outlet that can satisfy their craving or
urge to use in a healthy and safe way can help them cope in recovery.
Research examining
mediation and yoga practices incorporated into substance abuse care suggests
that there mind-body practices help to improve aspects of quality of life
including improved mood, sleep quality, physical functioning, and overall well
being (Bower et al. 2005, Gordan 2008). Mood flocculation and disturbed sleep during
the bregining of recovery is a common side affect. Creating and having a tool
to self-sooth these issues can help a person who is on the verge of using. This
is an important aspect because of the commonality of these issues. Providing
mind-body practices to patients is also empowering to the patients. It gives
them a sense that they are in control of their recovery.
TYPES OF YOGA IN TREATMENT PROGRAMS
One study was done in a ninety-day residential treatment
program using Kundalini Yoga and Meditation. Three Kundalini yoga classes were
held per day and mediation and yoga practice was taught to the residence along
with their families. They were also put on a mostly vegetarian diet, herbs,
vitamins and spices for cleansing and rebuilding the body system the results of
this study showed the people who left the program and continued their practice
of yoga stayed sober compared to the people who stopped doing yoga upon
graduation of he program (Khalsa, 2008).
Hatha yoga which is the yoga of postures where people
hold positions for varying lengths of time as been shown to help addicts and alcoholics.
Apostolides states, “ It simulates the relaxing effects in the parasympathic
nervous system and removes tension from all the major muscle groups (p. 37).”
Hatha yoga allows people to get in touch with themselves on a spiritual level
and relesses endorphins which helps fight depression.
In all of the research that I found that any type of
movement yoga that is practiced in residential treatment programs for alcohol
and addiction recovery had beneficial affects on the patients. Also the
practice of silent medication and breathing exercises helped patients significantly
throughout their recovery. Yoga, medication and breathing techniques are a helpful
tool that people suffering from alcohol and drug addiction can use at anytime.
FORMATS THAT YOGA CAN HELP IN RECOVERY
Only a few substance
abuse research studies have evaluated the affectedness of yoga. In one study
comparing different treatment methods, yoga-treated subjects have showed
normalization of their cortisol and catecholamine’s (Surahmanyam,
Satyanarayana, & Rajeswari, 1986). The detoxification proccess of substance
and alcohol can be one of the most difficult times. It is common for people to relapse
during the detoxification process because it is so strenuous and exhausting on
the body and mind. In a study of withdrawal symptoms in drug addicts, a fifteen-day
yoga exercise intervention has statistically greater improvements in these
symptoms than did an untreated control group (Chauhan, 1992). This being said
yoga has a great strength in the treatment of alcohol and drug treatment.
In research that I
have found, most programs do not recommend yoga as the sole solution to recovery.
It is thought of as an extra tool to use in adjacent with the twelve-step
recovery plan. Cunningham (2003) who is a gentle yoga for healing instructor
states, “ incorporating the 12-step philosophy into a yoga practice
participants will learn to concentrate on positive sayings while they stretch
into poses (p. 7).”
SOCIETY
AND CULTURAL INFLUENCE
In the West, the two pioneering researchers in mind-body
medicine were Benson and Jon Kabar- Zinn. Benson focused on a Tibetan meditation
practice called tum-mo this group claimed to increase their body temperature
through special meditative techniques and deep relaxation. The research found
that the Tibetan group were able to increase their body temperature through their
mind. Kabat- Zinn developed a combination of Buddhist mindfulness meditation,
yoga postures, and a body scan technique. This practice was called
Mindfulness-based Stress Reduction (MBSR) has been extensively scientifically
investigated in the West and is useful for helping to ease psychological and
physical effects of some chronic illnesses and produces changes in brain
activity and biological processes ( Davidson et al. 2003, Grossman et al. 2004,
Ott et al. 2006).
I believe that society searching for a new way to heal
and treat ailments is what has made yoga in the West so popular. Looking into
the history of how yoga and meditation came to be a helping tool for different ailments
all the tecniques began in the East. Researchers studied and practiced with
these cultures to bring their techniques into the West. These teachings have
become an important aspect in almost everyone’s life whether it is yoga to be
healthy and fit or yoga for pain management or yoga for deep relaxation. Yoga
that has been adopted by the West and has many different uses for us.
Chaoul states, “In
the West, yoga is often referred to as mind-body technique from Asia, usually
categorized as medication and yoga (p. 144).” This style of yoga of brief medication
and the movement of yoga posses is the most common practice in alcohol and drug
rehab programs. I did not find any research or past studies on rehab programs
in the West using a more traditional or Eastern view of yoga. However I believe
a rehab program that strictly provided yoga as a sole recovery treatment for
alcoholics and addicts would not work as well as incorporating yoga with the twelve-step
program.
The aspect of breath
or energy-breath is a core aspect of all Asian practices. Although all of the
different countries call energy something else an have there own distinct
mind-energy-body practice they all emphasize the aspect of energy- breathe or
breath- energy (Chaoul p. 144) Some examples of these different types of energy
is called qi in Chine, prana in India and lung in Tibet. Some of the mind
energy practices are T’ai chi in China, Hatha Yoga in India and Tsa lung in
Tibet. According to Chaoul, “ In the West, the scientific community is more
comfortable considering these practices within the area of mind-body medicine,
as there is still insufficient evidence to support the realm of “ energy
medicine (p. 150).” However, as we know, many studies are now being conducted
and proving that these forms of medicine have a positive impact on many
different populations, including addiction.
The role of mind, emotion and behaviors in health and well-being
was part of traditional Chinese, Tibetan, and Ayurveda medicine and other
medical traditions of the world. Choaus states,
“ Many people are now
turning to these ancient practices as a way to reduce stress as there is now
substantial evidence showing the negative health consequences of sustained
stress on health and well being through profound psychological, behavioral, and
physiological effects These psychological and behavioral effects of stress may
include increased negative effect, post- traumatic stress disorder, increased
health-impairment behaviors (e.g., poor diet, lack of exercise or substance
abuse), poor sleep, and decreased quality of life (p. 148).”
Although there is not much concrete evidence that yoga is
capable of preventing illness and helping with many mental disorders more
research is pointing towards positive effects of yoga on the body and mind.
These practices have been preformed in the East for thousands of years and they
have one of the lowest rates of psychological disorders and diseases. Which
shows that the yoga practice and good diet have a positive influence in many
aspects of a person’s life.
WHY
IT WORKS
Doctors,
Psychologists, psychiatrists, psychotherapists, Social workers, and other
clinicians are embracing the healing powers of yoga in clinical practice to treat
everything from depression to food addiction to autism. In 2010, American
Family Physician published an article by Saeed and colleagues recognizing yoga
as a legitimate treatment for depression and anxiety. More recent studies have
shown that yoga increases the levels of the neurotransmitter gamma- aminobutyic
acis (GABA) in the brain. This is significant because people who are suffering
from stress, anxiety depression and substance abuse are all found to have low
levels of GABA. Yoga can treat this, regardless of which came first and what is
causing the addictions (Kelly, 2014).
A
regular yoga practice also helps people develop the discipline needed to succeed
in 12-step programs, which often are used as the primary method of treatment
for many substance users. The mindfulness practice taught in yoga and the slow,
controlled breathing are tools to help curd impulse control, something
substance abusers struggle with. Yoga also can have a positive effect on the
lymphic network, nervous system, and the immune system, all of which work
together to play a role in emotional well-being and overall health (Kelly,
2014).
There
are many contributing factors to why yoga is helpful to recovering alcoholics
and addicts. Along with physical benefits like getting back into shape there
are may psychological benefiting for patients taking yoga classes. According to
Cope (2002), “Yoga helps its participants practice slow, regular breathing
while stretching their muscles, lengthening their spines, and enhancing
flexibility. Tests conducted on those practicing yoga have demonstrated lower
blood pressure and slowed hear rates and respiration (p.253).” It is also
thought that patients have control over their recovery and treatment.
In the field of complementary and alternative medicine,
yogic practices can be categorized as both “energy medicine” and “mind-body
medicine” (Chaol, 2010). This means that
yoga can be done in many forms and can help in many different aspects of a person’s
life. For instance the thought of “energy medicine” works with the energies of
the body, which can help motivate a person in recovery to stay on track with
the healthy lifestyle. “Energy Medicine” helps people understand the link of
mind and body by proper breathing and sound exercises. According to Chaol, “
Scientific research has also shown that these practices modulate brain activity
and diminish the psychological and biological effects of stress (p. 144).” Stress
it a typical factor in anyone’s life but especially a person who is new to
recovery.
A person new recovery is typically dealing with a lot of
stress. They are now responsible for there actions and aware of what there past
actions did to the people that they care about. If I person new in recovery
does not have the proper tools and coping skills to deal with stress they will
most likely relapse. Teaching yoga that can be done at anytime a person feels
the need to distress is an important aspect to teach in programs. An easy technique
a person can teach is an aspect of energy medicine, which is breathing. A
simple breathing technique a patient can use on there own time could help them
through a difficult situation.
CONCLUSION
In
conclusion, yoga has slowly become a positive tool for people in recovery from alcohol
and substance abuse. People who suffer from this disease typically have impulse
control issues, depression, anxiety, mood issues, and sleep disorders during
the beginning stages and throughout their recovery. Yoga has been found to help
all of these side affects one way or another. Much new research shows that
having yoga in a person’s daily practice can help the person stay sober. There
are many different types of yoga that can be using in rehab programs. Some of
the common types of yoga are modern postural yoga, which uses yoga poses
through movement, meditation, and also chanting. All of these have calming
affects of the body and the mind, which insure a better chance in recovery.
An
important aspect of yoga being used as a tool for recovery is that yoga can be
done almost anywhere. A patient can be taught special breathing techniques or
poses that they can be used on their own when they are feeling stressed or
triggered. This gives the person a feeling of power to be able to stop their
cravings and negative thoughts and will inevitable keep them sober. It is important
to note that the practice of yoga is not a sole solution to the treatment of
alcohol and drugs. It is to be used in adjacent to the 12-step program and
other coping tools incorporated in the program.
BIBLIOGRAPHY
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Yoga really helps in treatment of every disease. Its really great to know about yoga benefits from the article. I am doing yoga to increase my metabolism rate and to improve my stamina. online yoga video are really helpful for beginners like me who want to do yoga at their home.
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