Tag: isnt

  • When Insight Isn’t Enough: An Interview with Juliana Sloane on Imagination, Hypnotherapy, and Deeper Transformation

    When Insight Isn’t Enough: An Interview with Juliana Sloane on Imagination, Hypnotherapy, and Deeper Transformation

    Meditation practice can bring remarkable clarity. Over time, practitioners often become more aware of their thoughts, emotions, and recurring patterns. But awareness alone does not always translate into change. Many meditators can clearly recognize habits of mind such as anxiety, self-criticism, or people-pleasing and still find themselves repeating the same patterns.

    Maybe it is the same relationship dynamic that keeps returning. Or the same inner voice of doubt that appears again and again during practice.

    What happens when recognizing a pattern still does not shift it?

    So what happens when recognizing a pattern still does not shift it?

    Juliana Sloane, a meditation teacher and hypnotherapist, works with practices that explore how deeper, subconscious layers of the mind and nervous system shape our behavior. In this conversation with Mindful, she discusses why understanding our patterns does not always lead to transformation, how imagination and altered states can open new pathways for change, and how mindfulness practitioners might recognize when something arising in practice is asking for deeper attention.


    Angela Stubbs: The topic I originally pitched for this conversation was “when insight isn’t enough.” Many people can recognize their patterns or understand why certain behaviors repeat in their lives. But insight alone does not always lead to real change. From your perspective, why is that?

    Most of the people who come to work with me already have a great deal of self-awareness. But despite that awareness, they still feel stuck. They cannot stop the anxiety. They cannot stop holding themselves to impossible standards. They keep entering relationships that are not right for them.

    Juliana Sloane: There are certainly situations where insight alone can be enough. Someone has an “aha” moment, something shifts internally, and the pattern loosens. But honestly, that is a fairly small percentage of cases I see, especially when it comes to deeply entrenched patterns and habits.

    Most of the people who come to work with me already have a great deal of self-awareness. They often have meditation practices, they have been to therapy, and they are interested in personal growth. They can clearly articulate what their patterns are.

    But despite that awareness, they still feel stuck. They cannot stop the anxiety. They cannot stop holding themselves to impossible standards. They keep entering relationships that are not right for them.

    These kinds of patterns are not just intellectual. They are deeply embedded habits of the mind and nervous system. People have often been repeating them for years, sometimes their entire lives. Over time those repetitions form very strong neural pathways that steer someone back into the same familiar pattern.

    Understanding the pattern can be helpful, but we also need ways to work with the deeper conditioning that keeps recreating it.

    A very common thing I hear is, “I have done a lot of work on this issue. I understand it intellectually. But something still feels stuck.”

    Angela Stubbs: How do people begin to recognize when something might need deeper exploration rather than continued observation or reflection?

    Juliana Sloane: Usually, by the time someone comes to see me, they already have a sense that something deeper is going on. A very common thing I hear is, “I have done a lot of work on this issue. I understand it intellectually. But something still feels stuck.”

    The feeling that there is ‘something deeper’ to explore is often a good sign someone might benefit from working with these layers of knowing and experience that lie further beneath the surface.

    The biggest time someone might not be ready is when they are hoping for a quick fix that doesn’t require their active participation. We’re not waving a magic wand, we’re actively engaging with the mind, body, and nervous system to create the change that’s needed.

    The work I do is about helping people develop tools to navigate their own inner worlds and access their own resources, insight, and wisdom. Ultimately, the goal is for people to feel more empowered in their own process and to realize that many of the answers they are looking for are already within them.

    Angela Stubbs: If many of these patterns live outside conscious awareness, what is happening beneath the level of the thinking mind?

    We tend to think that if we understand something intellectually we should be able to change it. But most of our behaviors and emotional responses are shaped by processes happening beyond the level of conscious thought.

    Juliana Sloane: A lot of the patterns people struggle with are operating outside conscious awareness. We tend to think that if we understand something intellectually we should be able to change it. But most of our behaviors and emotional responses are shaped by processes happening beyond the level of conscious thought.

    Over time repeated experiences form strong patterns in the mind and nervous system. Those patterns can become automatic, even to the extent that they begin to simply feel like part of who we are. Even when someone understands the pattern, they can still find themselves pulled back into it again and again.

    Awareness can help us recognize what is happening, but the deeper conditioning that drives those patterns may still be operating underneath.

    In many ways the conscious mind is only a small part of what is shaping our experience. If we are only working at that level, we are leaving a lot of the mind untouched.

    Angela Stubbs: You often use the word trance in your work. For readers who may not be familiar with that idea, what do you mean by trance?

    Juliana Sloane: When people hear the word trance, they often imagine something unusual or mysterious. And it certainly can feel magical, but that doesn’t mean it’s inaccessible. Trance is actually a very natural state of consciousness that people move in and out of all the time.

    People’s ideas about hypnosis typically come from stage shows or older models where someone appears to ‘take control’ of another person’s mind. But that is not really how modern hypnotherapeutic work functions. Hypnosis is much more collaborative and empowering than people often imagine. The person entering trance remains aware and engaged in the process the entire time.

    For example, when you are completely absorbed in a movie or a book and lose track of time, that is a kind of trance state. Your attention becomes focused and the usual analytical thinking mind quiets down.

    In those moments the mind becomes more open to imagery, emotion, intuition, and deeper layers of experience. In trance-based practices we are intentionally working with that state of focused awareness so people can explore those deeper layers of their own inner experience.

    Angela Stubbs: There are a lot of misconceptions about hypnosis. What do people often misunderstand about it?

    Juliana Sloane: People’s ideas about hypnosis typically come from stage shows or older models where someone appears to ‘take control’ of another person’s mind.

    But that is not really how modern hypnotherapeutic work functions. Hypnosis is much more collaborative and empowering than people often imagine. The person entering trance remains aware and engaged in the process the entire time.

    What happens is that the analytical thinking mind begins to relax a little. We start to get out of our own way, which allows deeper layers of the mind and our own awareness to become more available.

    Rather than controlling someone, the practitioner is helping create conditions where a person can explore their own inner experience in a different way and become an active agent of change in their own subconscious mind.

    In many modern contexts we think of imagination as something childish or unserious. But imagination is actually one of the most potent ways the mind communicates.

    Angela Stubbs: You speak about the role of imagination in this work. That can be surprising for people who tend to think of imagination as something unreal.

    Juliana Sloane: In many modern contexts we think of imagination as something childish or unserious. But imagination is actually one of the most potent ways the mind communicates.

    During a focused meditative or hypnotic process, things like imagery, metaphor, and archetype are often steeped in meaning. They’re not just ‘our imagination’ running wild, rather, they are symbols encoded with our beliefs, experiences, world view, memory, and so much more. In our day to day life, we often gloss over the power this holds. When people go into a hypnotic or trance-like state, those hidden metaphors, somatic experiences, and images naturally emerge for us to actively work with them. 

    Rather than dismissing those experiences as “just imagination,” we can begin to see them as powerful tools. Sometimes these experiences point us to deeper emotional patterns and allow us to process and integrate our experiences more fully. Sometimes they allow us agency to experience what it’s like to overcome obstacles or respond differently to things that used to trigger anxiety, self-doubt, or fear. For example, professional athletes do this all the time when they mentally rehearse breaking a record or performing at their best. Your brain doesn’t actually discriminate all that much whether you’re shooting the basket or envisioning shooting the basket– it takes that information and it runs with it. So when you’re working with a hypnotherapist, you’re using these tools to help your mind, body, and nervous system explore and integrate new options and ways of being. 

    Angela Stubbs: How do you see this work relating to mindfulness practice?

    Juliana Sloane: I don’t see this work as replacing mindfulness practice. In fact, I think mindfulness creates the foundation for this to be possible in the first place.

    Meditation helps people develop awareness of their thoughts, embodied experience, emotions, and patterns. That awareness is incredibly valuable because you cannot work with something if you don’t notice it.

    What often happens is that when people develop a meditation practice, they begin to clearly notice patterns in their thinking, reactions, and the way they approach their world. They find they can observe those patterns clearly, but it does not necessarily shift things in their day-to-day life.

    Practices that engage deeper layers of the mind can allow people to explore what might be underneath those patterns in a different way. Rather than replacing mindfulness, this kind of work can deepen the process that mindfulness begins.

    Practices that engage deeper layers of the mind can allow people to explore what might be underneath those patterns in a different way. Rather than replacing mindfulness, this kind of work can deepen the process that mindfulness begins.

    Angela Stubbs: Are there signs that something arising in practice might be inviting deeper exploration?

    Juliana Sloane: Often it is when a pattern—for example, anxiety, or self-criticism, or a repeated issue with work, relationships, or life—continues to show up again and again, even when someone is very aware of it.

    A person might recognize the pattern in meditation or in therapy. They understand where it comes from and they can see it happening in real time. But despite that awareness, it keeps repeating.

    That can sometimes be a signal that the pattern is rooted in deeper layers of the mind or nervous system.

    Those moments can become invitations to explore the pattern in a different way and to approach it with curiosity rather than trying to force it to change through understanding alone.


    Editor’s note:

    In a forthcoming article for Mindful, Juliana Sloane explores how meditation and hypnosis practices can support people living with chronic illness, including ways these approaches may help individuals relate differently to pain, fatigue, and the emotional challenges of long-term health conditions. Keep an eye on our homepage.



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  • America’s Doctor Shortage Isn’t a Training Problem — It’s a Retention Problem. RM GME Is Driving Change.

    America’s Doctor Shortage Isn’t a Training Problem — It’s a Retention Problem. RM GME Is Driving Change.

    For years, the national conversation around America’s physician shortage has focused on expansion. More medical school seats. More residency slots. A larger training pipeline. Yet increasing volume alone has not translated into equitable access to care.

    The deeper issue may not be how many physicians the country trains, but where they ultimately choose to practice and whether they remain there.

    The Association of American Medical Colleges projects a shortage of up to 86,000 physicians by 2036. As of September 2024, nearly two-thirds of primary care Health Professional Shortage Areas were concentrated in rural communities. The challenge is not only supply. It is distribution and retention.

    Without structural intervention, expanding training capacity risks reinforcing existing geographic imbalances.

    Residents Medical Center of Graduate Medical Excellence, known as RM GME, was built around that premise.

    Reframing Workforce Strategy

    RM GME develops and sponsors graduate medical education programs in partnership with hospitals and healthcare systems, with a strategic focus on rural and safety-net institutions. In 2024, the organization achieved accreditation as an ACGME sponsoring institution, allowing it to oversee residency programs under its own institutional framework.

    “We recently became an ACGME-accredited sponsoring institution. Our first independently sponsored residency program launches in California, and our intention is to replicate that model in underserved markets nationwide — Dr. Michael Everest, founder of RM GME.

    The organization positions itself not as a placement intermediary, but as a graduate medical education infrastructure model designed to align training with long-term community workforce needs.

    The Overlooked Variable: Residency Churn

    A persistent but under-addressed dynamic in healthcare workforce policy is residency churn. Physicians frequently train in underserved environments, only to relocate to larger metropolitan systems after graduation. Hospitals that invested in their development face renewed shortages. Communities lose continuity of care.

    Research published in Health Affairs and the Journal of Rural Health has consistently shown that physicians are more likely to practice in the type of community where they complete their residency. Training location influences practice location. Yet many residency programs remain concentrated in already saturated urban centers.

    “Workforce stability begins during training. If we want physicians to practice in underserved communities long term, we have to build programs that are rooted in those communities from the outset. — Dr. Everest”

    RM GME-supported programs emphasize continuity through a guiding principle of post-training community engagement. Residents are encouraged to continue practicing in the same region for a period of at least three years following graduation, reflecting the program’s long-term community investment philosophy.

    “This is not about coercion or compliance. It reflects institutional values and strategic intent. When a community invests in training physicians, the goal is lasting impact. — Dr. Everest”

    Rather than relying on contractual retention mechanisms, the model focuses on designing programs where long-term practice aligns naturally with professional growth and community integration.

    Infrastructure That Supports Sustainability

    Retention is not secured by philosophy alone. Physicians training in rural and safety-net settings often operate with fewer academic resources than their counterparts in large academic medical centers. To address this gap, RM GME integrates AI-supported educational tools that provide adaptive knowledge assessment, conversational academic support, and personalized exam preparation.

    For residents balancing demanding clinical schedules, structured academic reinforcement can influence confidence, performance, and long-term professional satisfaction. In RM GME’s framework, educational infrastructure is part of the workforce strategy.

    If physicians feel supported during training, the likelihood of sustained engagement increases.

    A Model That Tests a Larger Hypothesis

    Loan forgiveness initiatives and financial incentives have attempted to address geographic disparities for decades. While they have produced incremental improvements, rural shortages persist.

    RM GME’s approach tests a different hypothesis. Durable workforce reform may depend on embedding graduate medical education directly within underserved communities and aligning institutional design with continuity from the beginning.

    “Our focus is long-term workforce alignment. Training physicians is essential. Ensuring they remain where they are most needed is what ultimately determines impact. — Dr. Everest”

    If the physician shortage is fundamentally a distribution crisis, the future of workforce reform may depend less on expanding seats and more on rethinking where those seats are placed.

    As RM GME scales its ACGME-accredited sponsorship model, its community-rooted approach will serve as a case study in whether structural GME design can influence where America’s physicians choose to build their careers.

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  • Thanks for the Stuff that Isn’t Just Stuff and Gratitude for What Matters Most

    Thanks for the Stuff that Isn’t Just Stuff and Gratitude for What Matters Most

    Barry Boyce, Mindful’s founder, reflects on the ravages of Hurricane Sandy in 2012, and is thankful for people who remember what matters most, especially in trying circumstances. 

    Something I’ve always loved about Thanksgiving is that we’re mostly thankful for the people (and some good food) and not for “the stuff.” Even with the attendant commercialization that marks the official beginning of The Holiday Season, this brief pause seems to focus on what matters most. 

    For a seemingly increasing number of people the blessed four-day weekend at this time does seem to involve some retail hysteria, but for many families I talk to, it’s still a few days that are focused on the most basic of values. One of my most favorite Thanksgivings was two years ago when I found myself alone with my mother at her nursing home. In a conventional sense, there may have been little for either of us to be thankful for. Her circumstances were reduced, the food could hardly be described as tasty, and other family members were in far flung places having their own Thanksgivings. 

    And yet, we were thankful. Thankful for the company, and just to be breathing air together. We took a long ride in the countryside and my mother opened up and talked about her own mortality in a way she had not before. That too was a thankful moment. We can give thanks for those times when we can be open with someone else about fears and thoughts that by custom we’re not supposed to reveal. Shortly after the next Thanksgiving, my mother did indeed die. I’m ever grateful for that last Thanksgiving with her and the frankness of the conversation 

    This year, I’m particularly inspired by the example of the clothing designer Eileen Fisher and the response of her company to the predations of Hurricane Sandy. Fisher, who launched her business in Tribeca in 1984, made a quality-of-life move upriver to the lovely, un-hectic bedroom community of Irvington in 1992. Known for being a values-conscious retailer and employer (and a mindfulness meditator), by all accounts Fisher has treated her people well, kept her eye on environmental values, and been very community conscious. Her spacious riverfront headquarters includes a second-floor space for yoga and whatnot and a ground floor space where a meditation group has been gathering during off-hours for a few years. 

    On the Monday morning Sandy hit, Fisher’s headquarters filled with water to the height of two file cabinet drawers in some places, her facilities manager told the New York Times. The large plate glass window of her nearby retail store and community gathering space were shattered by the storm. A strikingly beautiful red couch went floating freely and relocated itself to another part of the store. Mud was everywhere in headquarters and store alike. The company’s New Jersey warehouse was shuttered, as was the Manhattan design center, power was spotty, transportation was hampered by gas shortages, shipments were frozen. 

    Twelve dumpster-loads and eight mobile storage units of goods were damaged, to the tune of $1.5 million. And yet Ms. Fisher told the Times, “It was just stuff.” 

    Her composure and equanimity are inspiring, not to say that of her staff, who mobilized on all fronts, to make sure not only that a cleanup could begin quickly and the engine of commerce set in motion again, but also that employees could be paid and offered interest-free loans or advances if they needed cash during the crisis. With few desks to inhabit, they cadged meeting space where they could and car-pooled to save on gas. While everything is far from in full working order weeks after the storm, Eileen Fisher is back in business.

    As Stephanie Clifford wrote in the Times, there was “an almost out-of-body detachment on executives’ part to see past the emotion of sewage-soaked shirts and stained rolls of fabric to the prize of reopening a ravaged business.” That’s a great description of resilience. We might say it’s only a business, but businesses put food on the table and make life for communities. And when a business has a human face, even in crisis, that’s worth being thankful for.



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  • Why Recovery Isn’t Just Physical

    Why Recovery Isn’t Just Physical

    Car crashes, workplace injuries, and slip-and-fall accidents often leave visible evidence—fractures, bruises, and scars that mark the path to physical healing. Yet beneath those surface wounds lies another battle entirely. The emotional and psychological effects of an accident can linger long after the body mends, quietly shaping how victims think, sleep, and interact with the world.

    This invisible aftermath is often misunderstood or ignored. As legal advocates at Therman Law often note, true recovery is not just physical—it’s emotional, mental, and social. A settlement that covers hospital bills but not therapy or emotional trauma only tells half the story.

    From chronic anxiety and insomnia to relationship strain and depression, post-accident stress can have lifelong repercussions. Understanding its hidden toll is the first step toward full recovery and justice.

    The Body’s Shock Response: When Survival Mode Stays Stuck

    Immediately after an accident, the body’s “fight-or-flight” system floods the bloodstream with adrenaline and cortisol. These hormones help victims survive the crisis—but when that heightened state lingers, it can create chronic stress.

    The American Psychological Association (APA) lists car crashes among the top triggers for acute stress disorder (ASD) and post-traumatic stress disorder (PTSD). Victims often report flashbacks, panic attacks, and hypervigilance—reacting to sounds or sensations that remind them of the incident.

    These reactions are the body’s attempt to process trauma. But when the stress response fails to shut down, it can evolve into a long-term psychological injury, often just as disabling as a physical one.

    When the Body Heals but the Mind Doesn’t

    Modern medicine can repair broken bones and torn ligaments, but emotional trauma doesn’t follow the same timeline. Many accident victims appear “fine” in the weeks after an event, only to develop anxiety, depression, or irritability months later—a condition known as delayed-onset stress.

    The National Institute of Mental Health (NIMH) warns that chronic stress can weaken the immune system, increase inflammation, and raise the risk of heart disease. In other words, ignoring emotional healing can slow physical recovery and even cause new health issues.

    That’s why Therman Law encourages victims to seek both medical and psychological evaluations early in their recovery process. Emotional pain deserves the same attention—and compensation—as physical injury.

    Sleep: The Silent Casualty of Trauma

    One of the first casualties of post-accident stress is sleep. Victims often struggle with nightmares, restless nights, or the inability to fall asleep at all.

    The Sleep Foundation notes that trauma-induced insomnia can severely hinder healing since deep sleep is when tissues repair and the brain processes stress. Over time, chronic sleep loss intensifies anxiety, pain sensitivity, and mood swings.

    Therapists often target sleep restoration first using approaches such as Cognitive Behavioral Therapy for Insomnia (CBT-I) and mindfulness techniques. Restoring sleep isn’t just about feeling rested—it’s about rebuilding the foundation of recovery.

    The Social Ripple Effect: Isolation After Injury

    Many accident survivors withdraw from social life, often subconsciously. They may stop driving, avoid crowds, or decline invitations to places that trigger memories of the event. What starts as self-protection can evolve into isolation.

    According to the Harvard T.H. Chan School of Public Health, social isolation significantly increases the risk of depression and cognitive decline. Losing social contact also deprives victims of a vital recovery tool—emotional support.

    Attorneys at Therman Law frequently observe this pattern in clients. They advocate not only for financial recovery but for holistic well-being—encouraging survivors to rebuild social connections and access trauma-informed therapy.

    Chronic Pain and Emotional Feedback Loops

    Pain and emotion are deeply intertwined. Persistent pain activates brain regions tied to mood regulation, such as the amygdala. When pain continues, anxiety and depression intensify, which then heighten the sensation of pain—a vicious feedback loop.

    The Cleveland Clinic reports that people with chronic pain are three times more likely to develop mood disorders. That’s why experts recommend integrated treatment plans combining physical therapy with psychological care.

    Unfortunately, most recovery systems still separate the two. Breaking this loop requires recognizing that mental and physical recovery are not separate paths—they’re the same journey.

    The Financial Burden of Recovery

    Physical and emotional recovery is often complicated by financial pressure. Medical bills, missed work, and insurance delays can turn healing into a full-time source of stress.

    A study published in the American Journal of Public Health found that nearly 60% of accident victims report financial strain as a major obstacle to recovery. Chronic financial stress elevates cortisol levels, delaying wound healing and weakening immunity.

    Here, experienced legal representation makes a tangible difference. Firms such as Therman Law help victims secure compensation not only for medical expenses but also for pain, suffering, and emotional trauma—so they can focus on healing rather than survival.

    The Hidden Victims: Families Under Strain

    An accident doesn’t affect only the person injured. Spouses, children, and caregivers often experience “secondary trauma”—the distress of watching a loved one struggle physically and emotionally.

    Research from the National Center for Biotechnology Information (NCBI) shows that family members of trauma victims frequently develop anxiety, sleep disturbances, or depressive symptoms. Over time, strained communication and financial hardship can further destabilize family life.

    Rehabilitation experts recommend family counseling as part of the recovery process. When loved ones understand trauma’s emotional ripple effects, they’re better equipped to provide empathy rather than frustration.

    Healing the Mind: Proven Paths to Recovery

    While trauma recovery is highly individual, certain evidence-based therapies stand out. Cognitive Behavioral Therapy (CBT) helps victims reframe negative thoughts and rebuild confidence. For those with severe PTSD, treatments such as Eye Movement Desensitization and Reprocessing (EMDR) and prolonged exposure therapy—endorsed by the U.S. Department of Veterans Affairs—have shown remarkable results.

    Equally vital is gradual re-engagement with daily life. Driving again, walking in familiar places, or reconnecting socially helps rewire the brain’s fear response. Healing happens not just in therapy rooms, but in the act of reclaiming normalcy.

    When Emotional Harm Enters the Courtroom

    For decades, personal injury law focused mostly on visible, measurable damages. But today, courts across the U.S. increasingly recognize the reality of emotional suffering. Claims for pain and suffering, emotional distress, and loss of enjoyment of life are becoming integral parts of personal injury cases.

    Firms such as Therman Law routinely integrate psychological evaluations into claims, ensuring victims are compensated for invisible injuries that affect their quality of life. This legal shift underscores a cultural awakening: emotional trauma deserves the same seriousness as physical harm.

    Beyond the Body: Redefining True Recovery

    Healing from an accident is not just about fixing what’s broken—it’s about restoring wholeness. Yet too often, victims are told they’re “fine” once physical wounds close, even as their mental scars remain raw.

    Recognizing post-accident stress as part of total recovery isn’t indulgence—it’s essential healthcare. The mind and body are inseparable, and recovery remains incomplete until both are healed.

    As Therman Law reminds clients, justice means more than financial compensation. It means ensuring victims reclaim their peace of mind, emotional balance, and sense of safety. True healing isn’t defined by the absence of pain, but by the return of life’s normal rhythm—the ability to breathe deeply again, sleep soundly, and feel safe behind the wheel or walking down the street.

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  • 12 Minute Meditation for Noticing What’s Present and What Isn’t

    12 Minute Meditation for Noticing What’s Present and What Isn’t

    Explore this mediation inspired by the Japanese concept of ma, which refers to “the spaces between everything.”

    Today’s practice offers a unique approach to training our attention and invites us to explore the empty spaces that exist all around us and inside us. 

    For instance, we might think of the space between the plants in the garden, or between the notes in a song. It can also be emotional space, like the silences in a conversation. Or the little gaps between our thoughts and emotions. 

    Often, we don’t even notice these empty spaces—but bringing our awareness to them can reveal new meaning and beauty. By exploring the space in-between through this mindfulness practice, we also enhance our creativity, noticing skills, and awareness. 

    A Guided Meditation for Noticing What’s Present and What Isn’t

    1. This practice is inspired by the Japanese notion of Ma, the idea of examining that space that exists between everything that’s not actually empty, but is full of potential. 
    2. Start by finding a comfortable posture. When you’re ready, you can simply begin to lower or close your eyes, whichever is most comfortable for you.
    3. Now, bring awareness to your breath. Watch and feel the rise and fall of the inhale and exhale. Then, tune also to the spaces between. What is the moment when the exhale finishes before it turns into the inhale? Or the inhale turns into the exhale? Allow your awareness to rest in the stillness between your breaths. 
    4. Next, turn your attention to your heartbeat, your pulse. See if you can find that in your body, the sensations or sounds of your heartbeat, and the spaces between each heartbeat.
    5. Whether you’re sitting or laying down, notice now spaces where your body makes contact with the world. What’s behind or underneath you? Feel where your skin makes contact with your clothing, and tune your awareness to these sensations and the spaces between. 
    6. Scanning through your body, notice sensations as you might in a body scan, deeper in your body. See if you can pick up on the spaces between, where you notice almost no sensation, or between sensations in space or in time. 
    7. Shifting to your other senses now, just listen and notice the sounds around you. Near or far, left or right. Notice all the sounds, and the sounds even within sounds, as well as the spaces and the silences between the sounds. Tune into smells and tastes as you breathe, noticing where these land and the spaces between. 
    8. Allow your eyes to open and be aware of when they go from closed to open. Holding your eyes steady, just notice what you see around you and within your field of vision. Furniture or other objects in the space around you. The shapes of all the objects in your field of vision, as well as shapes and sizes of the spaces in between. Beyond the objects, see the walls, the corners where walls come together. Rooms and the spaces between them. Is there perhaps something new you’ve never noticed before? When does light become shadow? Colors and hues—when does one color become the next? Continue to notice these and other spaces between in the physical space around you.
    9. You can also explore your own mind, your own experience of the space between thoughts, emotions, memories in your mind. Rest there when you find it. Explore what’s happening, what could be happening, the potential in all of these spaces between. Continue here for the next few moments.
    10. As you continue with the rest of your day, keep staying attuned to spaces between. Between inside and outside. The shapes between the clouds or the stars in the night sky. The lull between the waves of the ocean. Stillness between the raindrops. Space between you and other people, physical and emotional. Between a joke and a laugh, a question and an answer. Between waking and opening your eyes. Continue to seek out, explore, and rest in all of these spaces between and see if your perspective doesn’t slowly begin to shift on the world around you, and the world inside of you. 

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  • Longevity Isn’t Just About Optimizing Physical Health—Here Are the Other Things that Count

    Longevity Isn’t Just About Optimizing Physical Health—Here Are the Other Things that Count

    There’s been a growing shift in the fitness, health, and wellness industry.

    The promise of “immediate results” will probably never lose its sparkle.

    But, as a good portion of our population (hi, Boomers!) moves into their “silver” years, conversations around optimizing lifespan (how long you live) and healthspan (how long you live with a high quality of life) are also on the rise.

    People are more interested than ever in longevity, which, these days, means the combination of a long lifespan and a long healthspan. (Historically, longevity and lifespan were synonymous.)

    Trending too is the concept of biological age—essentially, how “old” your cells are, determined by their health and functioning. (Compare this to chronological age, which just refers to how many years you’ve been on this planet.)

    Increasingly, people want to improve their overall health—for the long haul.

    Of course, the wellness market is responding to this trend with supplements, ultra-specific diet plans, I.V. therapy, cold plunges, and other fringe modalities that promise to reduce or slow biological aging.

    While some of these therapies are questionable, the movement that inspired them is great; For many of us in the health and fitness industry, the shift toward holistic health and long-term wellbeing is a welcome one.

    At PN, we’ve held and promoted this expanded view of health for a while now.

    Over 150,000 health & fitness professionals certified

    Save up to 30% on the industry’s top nutrition certification

    Help people improve their health and fitness—while making a great full-time or part-time living doing what you love.

    We call it Deep Health

    Deep Health is a “whole-person, whole-life” phenomenon that involves thriving in all dimensions of the human experience.

    This framework of health includes six interdependent dimensions that influence and interact with each other.

    Wheel image shows six dimensions of health: social, physical, emotional, environmental, mental, and existential

    These six dimensions are:

    ✅ Physical health

    The one we all know best, and what people have historically thought of when thinking about health.

    This is how your body feels, functions, and performs.

    We measure physical health with blood work—such as your cholesterol and hormone levels and your blood pressure—as well as performance metrics like V02 max and demonstrations of strength, and subjective measures like energy and pain levels.

    ✅ Emotional health

    This is about feeling a full range of emotions, but having more positive than negative feelings.

    You can recognize, regulate, and appropriately express your emotions directly, maturely, and honestly. You have the resilience to recover from strong emotions, and calm yourself when you become stressed, anxious, or upset.

    ✅ Environmental health

    This is about being and feeling safe and secure, as well as being and feeling supported by your everyday surroundings.

    You have access to resources (health care, healthy food, clean air and water, nature) that support your goals and wellbeing.

    ✅ Mental or cognitive health

    This is related to how well you think, learn, remember, and creatively problem-solve.

    Your mind is sharp, and you’re able to be your most productive and do your best thinking.

    This dimension also includes your mindset, capacity for insight, and your perspective and outlook on the world.

    ✅ Existential or purposeful health

    Some might think of this as spiritual or soul health.

    You have a deeper “why” or purpose for your life; you feel part of a “bigger picture.”

    You have a strong sense of yourself and your intrinsic self-worth. You work to fulfill your purpose by choosing behaviors that align with your identity and values.

    ✅ Social or relational health

    This is about connecting and interacting well with others.

    You develop and maintain authentic, fulfilling relationships. You have a sense of belonging, and you feel respected, “seen,” valued, and supported by others.

    If you have Deep Health, it’s almost a guarantee…

    You’re experiencing a life well-lived. A vibrant, thriving life that’s healthy in every sense of the word.

    Not surprisingly, such a life is also statistically more likely to last longer, with more of those years being enjoyable.

    (For more on Deep Health, plus how you can use the concept to transform your own—or your clients’—health, read: The “Deep Health” coaching secret)

    High-impact habits to boost Deep Health (and by extension healthspan, longevity, and biological age)

    While there are many things that can impact healthspan, longevity, and biological age, the following will give you the best return on investment.

    These aren’t always the “sexiest” actions, nor are they likely to sound “cutting edge” (partly because they’ve been tested by time and robustly proven by decades of research).

    But—if you’re looking to maximize Deep Health for as long as possible—they’re the things worth spending your time on.

    The most important thing is being active.

    If there’s a “magical panacea” out there, it’s exercise.

    Before you start beating yourself up for not being “a gym person”…

    Any activity helps…

    …At any dose.

    Whether you clean your yard, vacuum, play games with your pets or kids, or just do a little walking, tell yourself, “I’m doing great!”

    Because you are. These activities make a positive, measurable difference.

    If you want to level up, get in a mix of aerobic or cardiovascular exercise, strength training, and stability work (like yoga, tai chi, or balance-challenging exercises).

    Again, these can be in whatever amounts you can, in ways you enjoy.

    For quintuple stars, aim for at least 150 minutes per week of moderate aerobic exercise (or 75 minutes of intense aerobic exercise), plus two or more strength and stability training sessions per week. (If you do these activities with friends—bonus!—now you’re boosting social health too.)

    In general, the more activity the better. (So long as you enjoy it—and your body is recovering adequately.)

    A thoughtful diet—and a mindful approach to other substances—is big, too.

    Rather than focus on food you “shouldn’t be eating,” center your attention on the abundance of foods that serve your health and wellbeing.

    We’re talking:

    • Lean proteins (which can come from animals and/or plants, like fish, chicken, tofu, eggs, tempeh, Greek yogurt)
    • A rainbow of fruits and vegetables (fact: different colors provide different nutrients and benefits, so aim to eat all of the colors regularly)
    • Minimally-processed carbohydrates (whole grains, beans and lentils, starchy tubers like potatoes and sweet potatoes, and winter squash)
    • Healthy fats (from nuts, seeds, avocados, extra virgin olive oil, nut butters, and a little dark chocolate)

    For help choosing higher-quality versions and a wide variety of the above categories, check out one of our most popular infographics: ‘What should I eat?!’ Our 3-step guide for choosing the best foods for your body

    To stay hydrated, drink plenty of water. For variety, emphasize mostly zero-calorie drinks like unsweetened tea and coffee. (If you’re confused about how much fluid to drink every day, you’ll love the “pee chart” in this article: ‘How much water should I drink?’)

    Avoid smoking or chewing tobacco, and if you drink alcohol, do so lightly to moderately.

    And of course, getting quality sleep and regulating stress makes everything better.

    Get enough quality sleep by prioritizing and protecting the time you rest.

    Make your sleeping area as comfortable, quiet, and dark as possible. Figure out when you need to get to bed to get seven to eight hours of sleep, and ideally, start winding down with a relaxing bedtime ritual about half an hour to an hour before that time.

    (Want to learn more about why sleep is so important—and how to get more of it? Check out our infographic: The power of sleep)

    To build your emotional resilience and stress tolerance, incorporate soothing, self-regulating activities daily.

    These activities are somewhat subjective (some people find it relaxing to sit and meditate, while others find it to be an opportunity for restless anxiety to boil over). However, “crowd favorites” include: breathing exercises, time in nature, various forms of self-expression (journaling, art, movement), or just a good soak in the tub.

    One of the most important mindsets to adopt to help your mental and emotional health—although it can benefit all areas of life—is a growth mindset.

    People with a growth mindset tend to view challenges and adversity as opportunities to grow, evolve, and learn. And turns out, this kind of perspective isn’t just good for your mental and emotional health, it boosts longevity, too.

    Research shows that, compared to less optimistic individuals, those with a more positive attitude and a growth mindset about aging had a 43 percent lower risk of dying from any cause, and lived about 7.5 years longer.1 2

    Lastly, don’t underestimate the power of finding your people—and a purpose.

    Seeking and nurturing positive, supportive relationships is one of the best things you can do for your health.

    And not just for your social health. Research shows that people who are satisfied with their relationships have better emotional health,3 cognitive health,4 and even physical health.5

    In fact, one of the longest studies on human health—the Harvard Study of Adult Development, which tracked participants for nearly 80 years—showed that feeling happy and satisfied in one’s relationships was one of the best predictors of overall health, happiness, and longevity.6

    (Feel like your social health could use a boost? We’ve got three strategies to improve connection in your life, right here: Is social health the secret to total-body health?)

    Having a strong sense of purpose bolsters our health and longevity too.7 8

    Interestingly, a sense of purpose seems to help people live longer, even when controlling for other markers of psychological well-being. So there’s something uniquely beneficial about having a strong purpose that’s different from, say, being happy.

    A purpose can take time to uncover, but you can facilitate that discovery by devoting regular time to the “big questions” in life:

    • Who are you, really?
    • What do you want your life to be about?
    • How do you want to live?
    • More practically: What gets you out of bed in the morning? (Is it your family, or showing up for your clients? Or something else?)

    But Deep Health isn’t just something you want to achieve—it also serves as a framework to help you make choices.

    When you understand how Deep Health works, it can also help you answer the often vague and perplexing question, “How can I feel better?”

    Knowing about your own Deep Health can tell you which area of your life to prioritize right now that will make the biggest impact on your overall health.

    How to use Deep Health to help you prioritize next actions.

    Start by assessing your current Deep Health to get a baseline status. Click on the image below to access your own free assessment.

    Deep Health Assessment

    How’s your health… REALLY? Let’s find out.

    Depending on what’s going on in your life right now, you might get a Deep Health score that looks like this:
    Image shows sample Deep Health score of 46 out of 90 points.

    Or like this:

    Image shows sample Deep Health score of 77 out of 90 points.

    Or this:

    Image shows sample Deep Health score of 33 out of 90 points.

    Whatever your results (and no judgment on the numbers), the distribution of your score can tell you:

    • Where you’re currently thriving
    • Where you have the largest opportunities for growth and improvement
    • Where you might be able to make some easy improvements
    • Which dimensions, if you improve them, might best help you reach (and sustain) your goals

    Your personalized assessment will make some suggestions. (The below is a sample screenshot.)

    Image shows sample Deep Health recommendations, which in this case are to prioritize emotional and environmental health.

    But of course, it’s entirely up to you where you decide to focus, and what actions you choose to take next—if any.

    Let’s walk through an example

    Let’s say you’ve recently become interested in optimizing health and longevity.

    You’ve been listening to podcasts, you’ve read the articles about people “reversing” their biological age, and you feel fired up about it.

    You haven’t felt so passionate or inspired about your health in a long time, and you’re excited to try some of the strategies recommended in those podcasts and articles. (You want to be 27 again! At least, your cells do.)

    At the beginning of this journey, let’s imagine your Deep Health looks like this:

    Image shows sample Deep Health score of 54 out of 90 points.

    Kind of “so-so” all around. Definitely, there’s room for improvement.

    Of course, in reality, there’s infinite pathways you could take. But let’s imagine two scenarios…

    Scenario A: Biohack like a beast

    After seeing your Deep Health score, you decide to simply tackle everything at once:

    • You subscribe to a longevity-boosting supplement program, that has you taking about 20 different tablets and powdered elixirs per day.
    • You start practicing 16:8 fasting (in each 24-hour cycle, you fast for 16 hours, and eat within an 8 hour window), eating only two meals per day.
    • You start eating fully plant-based, getting in tons of veggies, fruits, and legumes, and start tracking your macros meticulously.
    • You incorporate four 45-minute zone 2 cardio workouts a week (you heard that’s the amount needed to see significant benefit to your mitochondria).
    • You also add two 60-minute resistance training sessions a week.
    • You start taking cold plunges at the gym multiple times per week, and are even considering buying a cold plunge tank for your home.

    For two weeks, you feel on top of the world.

    Then, not so much. (You’ve actually grown to hate that green sludgy stuff you drink every morning.)

    You continue to show up anyway with a gritty determination, and for months, follow your protocol as best as you can.

    You forego social events, finding yourself grouchy and irritable. (When everyone else is munching on buttery canapés, you’re counting down the hours until your next feeding window.)

    Every day feels like a Sisyphean effort, and you begin to wonder what the point of all of it is. You can’t imagine doing this for the rest of your life, which you’re (now ironically) trying to extend.

    Eventually, all this white-knuckling in pursuit of optimal health starts to take a toll. On you, your marriage, your social life, and your mental and emotional wellbeing. And you want to know if all of this effort and suffering are worth it.

    After several grueling months, you gather some data.

    Your blood work looks awesome. You’re definitely leaner. And your biological age test tells you your rate of aging has slowed and your cells have gotten younger.

    You’re… winning?

    You decide to reassess your Deep Health, and it looks like this:

    Image shows sample Deep Health score of 50 out of 90 points.

    Your physical health has gone way up, but your emotional, social, mental, and existential health have all gone down. Overall, your Deep Health is somehow worse! (Argh!)

    It becomes clear to you: While your “do all the things” protocol might help you live longer—it’s definitely not helping you live better.

    Scenario B: Dig deep for Deep Health

    In this scenario, you take a different approach.

    Seeing your Deep Health starting point, you consider that list of “high impact habits” above.

    You’re not sure which one to start with though, so you take some time to think about why you’re really interested in this whole longevity thing.

    What’s your deeper purpose for wanting to live a longer, healthier life?

    You think about your family, and tears come to your eyes when you conjure up the thought of your children having children, and imagining yourself tumbling around with a bunch of rambunctious grandkids. You want to be healthy, strong, and capable of playing with them.

    This deep purpose aligns with your identity too. You’ve always been a “family guy,” and now you add a new layer on top of that: You decide to become the kind of person who makes their health and wellbeing a priority, so they can be there for their family for as long as possible.

    With this new, revised identity and a clear purpose in mind, you begin to make some changes over time.

    • You focus on eating protein at most every meal, and up your fruit and vegetable game too.
    • You practice self-compassion when you can’t or just don’t get in as much protein or produce as you’d like. You also work on viewing your choices on a continuum—rather than simply “good” or “bad.” This flexibility helps you feel a sense of freedom in your diet, and feels a little more realistic, long-term.
    • Instead of going for the “perfect” four cardio sessions, you aim for two a week, for as long as you can fit in (which sometimes is only 20 minutes, but you do your best). Any extra sessions are a bonus.
    • You’re diligent with your resistance training, but you cap them at 30-45 minutes, twice per week (occasionally you only have 20 minutes for these sessions too, but you focus on consistency over perfection).
    • You begin going for outdoor walks after dinner with your partner—sometimes inviting a few neighborhood friends, too—and enjoy the deep yet fun conversations you have about work, family, and life (and, let’s be honest, some good neighborhood gossip).

    After several satisfying months, you gather some data.

    Your blood work has improved. You’ve leaned out a touch too. Your rate of aging has also slowed and your biological age has decreased, seemingly just as much as Scenario A.

    But the biggest difference: You enjoyed this process.

    You found it not only physically beneficial, but also socially enriching, mentally and emotionally enlightening, and deeply meaningful.

    You reassess your Deep Health, and it looks like this:

    Image shows sample Deep Health score of 67 out of 90 points.

    Your physical health has gone up (though not quite as high as Scenario A), and so has your emotional, social, mental, and existential health. Your overall Deep Health is now undeniably, significantly up.

    The funny thing: It didn’t even seem that hard.

    Moreover, you feel more inspired and energized than ever to take even more steps to further invest in your health and wellbeing.

    This is the power of Deep Health.

    It’s not just about improving your biological age or increasing your healthspan (which mostly center on physical health metrics).

    Striving for Deep Health means working to thrive in ALL areas of your life—not just the physical. Because no single aspect of your health functions alone.

    With the push towards longevity and healthspan, and the focus on things like biological age and “biohacking” for optimal aging, it can be easy to forget that we already know the fundamentals of what it means to experience a life well lived.

    The truth is, scientists don’t know everything that improves our biological age. Or even the best ways to measure it.

    However, if you’re thriving in all dimensions of your health and wellbeing—in other words, achieving Deep Health—you can bet you’re doing all of the things that matter most in living a long, healthy, rewarding life.

    References

    Click here to view the information sources referenced in this article.

    If you’re a coach, or you want to be…

    You can help people build sustainable nutrition and lifestyle habits that will significantly improve their physical and mental health—while you make a great living doing what you love. We’ll show you how.

    If you’d like to learn more, consider the PN Level 1 Nutrition Coaching Certification.

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