Do you have the keys to your internal pharmacy?

Did you know that you have a whole array of internal brain chemicals and hormones that are naturally occurring, but we often don't think about utilising in an optimal form?

As an ADHD and Executive Function Coach, and nurse in my early days, I have come to realise the great importance of people being aware of the agency that they have over their own body and brain chemistry. Most of us are not even aware of how we can harness or even optimise these processes, with no cost at all.

Monica Hassall - BN ACC

Director | ADHD & Executive Function Coach

Over the last few decades, there has been a greater demand for the products in the “external pharmacy”- both bricks and mortar and online pharmacies. These include medications for poor quality sleep, treating stress, anxiousness and even despondency. These outcomes of every day living can be cleverly disguised as insomnia, depression and anxiety disorders in some cases. While medications can be very much life-saving supports for an individuals mental health and well-being, I have observed a significant number of people over relying on them, and in fact not using them how they were intended. It occurred to me that many people could be prescribing themselves from the “Internal pharmacy”.

This is often where understanding the balance of our executive brain processes, our executive functions, and the fear/survival mode centre.

Our executive functions are cognitive or thinking processes that take place in the front part of the brain. This part of the brain is called the prefrontal cortex (PFC). These are the processes that guide our thoughts and therefore guide our behaviours and actions. Our executive function part of my brain is impacted and operated according to the available brain chemistry at that point in time. That's pretty important if you ask me.

Think of it this way- when we are under stress; real, perceived or imagined, the most primitive part of our brain springs into action, and we are jolted into survival mode flooding our systems with body chemicals such as cortisol and adrenaline. These chemicals are essential if we are under threat, but too often we perceive or imagine ourselves as being under threat and this leads to a chronic oversupply of these chemicals. Long term, this is not good for us at all and in fact can be quite detrimental to our long-term physical and mental health. When we don’t learn how to manage the perceived or imagined stress, the long term results can be dire. Many of us are hangry, sleep deprived, hyperventilating at tiny triggers, distracted and more. And all of these are completely preventable, at little or no cost, by simply connecting to our brain and body’s needs. Step in, “the Internal pharmacy.”


The lens of Executive Function

Our PFC houses the area of the brain where this “suite of skills” are being processed. There are many varying “checklist” of executive function (EF) skills, and I have landed on this blend.

7 Executive Functions

  1. Being self aware (and self monitoring)

  2. Attention regulation – distractibility, hyper-focusing, and shifting of attention when needed (for transitions)

  3. Working memory

  4. Planning and problem solving

  5. Inhibition (not doing things or saying things that get us into trouble!)

  6. Motivation / task initiation

  7. Emotional Regulation

Wow! There’s a lot going on in that space! This part of the brain is believed to be the last part of our brain to fully develop (and is a work in process still) and ironically the first part of our brain to “switch off” or at least largely shut down (it doesn’t completely go off line, but it does narrow) when under imminent threat. I mean, you don’t need to remember that you have a coffee date with your school friend next week if the building you’re in is on fire and you seriously need to evacuate for survival.


The Big 8

Here are the simple items we need from the internal pharmacy, alongside the easy ways to get them.

My client’s will often say “I know these things, but I'm just not doing them.” For me, creating a clear intention is the best way to start. Another client said “If you do most of these actions most days you can't help but feel better!” What I love about this list is that after nutrition and hydration, nearly all of these actions can be achieved at no cost. Yep, most of these are freely available to us. So let's start thinking about our body and brain chemistry and how we can be more mindful about it, and start prescribing from our “Internal pharmacy”. The keys are in your hand.

Nutrition and Hydration

“Let food be thy medicine, and medicine be thy food” . This ancient wisdom, a quote from Hippocrates sums this concept up perfectly. As water makes up approximately 60% the human body, and it is likely we can only live 4 days without access to fluids, it is top of the list. Followed closely by nutrition. We need these 2 factors to exist, so let’s get it right.

Internal Pharmacy Script

6-8 glasses of water per day (or more if needed)

Regular, well planned meals, with protein in at least 2 meals per day combined with a range of nutrients.

Protein in at least 2 meals per day- protein is a building-block nutrient for the production of dopamine.

Three colours of plant-based nutrients (a yellow vegetable, a green one and a white one- provides us with a decent range of vitamins, minerals and fibre.

The less “processed” the food, the better.

Check out Stacey’s amazing salad from her previous post!

Sleep

Good quality sleep is like a clean rinse cycle for our brains. Much like the lymphphatic system clears the circulatory system in the body, there is a more recently discovered “glymphatic system” that takes place mostly during “slow wave” sleep. This cleanses away protein wastes and metabolic products from the neurons. Our brain is actually very active while we are asleep, as learning processes are downloaded into deeper memory during sleep. Without decent sleep, we tend to be moody, easily overwhelmed, and triggered more easily. All of these behaviours impact our brain chemistry and furthermore, our brain network dominance. The Internal pharmacy needs to be clean and uncluttered.

Internal Pharmacy Script

  • Early sun exposure (sets melatonin release for later in the evening).

  • Regular sleep time if able.

  • Non- sleep deep rest or a 20 minute “power nap” during the day, if that is available to you.

Exercise

Exercise stimulates BDNF (Brain- derived Neurotropic Factor) which plays an important role in brain cell (neuronal) survival and production. It is essential for learning and memory.

Internal Pharmacy Script

  • When feeling fatigued during the day, some simple movements can stimulate not only dopamine for focus, but also norepinephrine and serotonin.

  • Move 3-5 times per week for 30 minutes.

  • Some green time outdoors.

  • Stimulates BDNF (a chemical response that is like “fertiliser for the brain”- with regards to learning.)

Breath work

If we can control our breathing, we can control our thinking.  Luckily, we are going to breath anyway, but controlling our breath can and does play a key role in the management of the executive functions, down regulating emotional outburst (think fight, flight and freeze response - this is known as top down regulation). Controlling breathing rate and down stream, our heart rate, impacts cortisol and adrenaline release.

Internal Pharmacy Script

Simple controlled breathing techniques such as box breathing or double inhale/one exhale.

Mindfulness

Serotonin has been found to be in higher levels after mindfulness meditation practice. Mindful presence, not just for ourselves, but for others, can truly be a bonding experience and produce oxytocin. Serotonin and oxytocin, often travel together.

Internal Pharmacy Script

A simple 1-3 minute daily practice can do wonders in training the brain to pay attention.

Bringing our thoughts to the current moment in an objective, non-judgemental way.

Social/Physical Connection

A simple 6 second hug, when appropriate can be calming and impact not only are oxytocin levels but also a serotonin levels. Oxytocin is also known as the “bonding” chemical.  Who doesn’t love a hug after a stressful day or a sad event. This is calming and connecting.

Internal Pharmacy Script

Being part of a group, a family, community or hobby group can create that bonded feeling.

Stress Adaptation/Self Reflection

Some mindset changes, as simple as optimism as opposed to stress can make a big impact on our brain chemistry. Simple practices such as reflecting on things we are grateful for, or being optimistic or enthusiastic can stimulate dopamine - as dopamine is the brain chemical of pursuit, which gives us focus. Observing our environment for 3 new things that we are grateful for, every day for jus 21 days, can re -set our brains to be more positive, as opposed to defaulting to looking for negative (or threats) in our environment. Using Binaural beats tracks or 8D or 9 D music can reduce stress responses.

Internal Pharmacy Script

Daily Gratitude

Binaural beats tracks or 8D or 9 D music

Humour

Who doesn’t love that feeling of just having had a huge “belly laugh”.

Laughter can reduce tension, increase endorphin release (from the pituitary gland and hypothalamus deep inside our brains) . It can increase body movements and thus increase oxygenation by stimulating the circulatory (blood carrying) system. It can also improve your immune system and even positively impact some forms of depression and improve bonding with others and self-esteem; more oxytocin…Winner!

Internal Pharmacy Script

Find appropriate humour to lighten up heavy situations

Revisit a favourite comedy show, episode, movie or podcast

Monica Hassall BN AGC

Director / ADHD & EF Coach

www.connectadhd.com

https://www.linkedin.com/in/monica-hassall-connect

Next
Next

Lifestyle Medicine To Unlock Potential