sociability

Why social anxiety, introversion and loneliness can be lethal and a simple nutritional solution

January 10, 2020 By Trudy Scott 40 Comments

It was an honor to be selected as one of fifteen participants for The Future of Health presentations at Mindshare in August 2019. I presented this to my peers in the integrative health and nutrition space but it’s applicable to everyone and I’d like to share it with you today.

Here is my video presentation: Why social anxiety, introversion and loneliness can be lethal and a simple nutritional solution (click below to watch the video)

Here are some additional reading resources on much of what I cover in my 5 minute presentation:

Pyroluria is a social anxiety condition that is not well recognized in the medical community. It responds really well to a few key nutrients, with zinc and vitamin B6 forming the foundation. I cover this in this blog post: Pyroluria, high mauve, pyrrole disorder, malvaria, elevated kryptopyrroles and social anxiety.
Here is a link to the Pyroluria Questionnaire from my book The Antianxiety Food Solution (which has an entire chapter on the topic). I created this questionnaire using the work of Carl Pfeiffer and Joan Mathews-Larson, modifying it based on feedback I receive from my clients.
I discuss how I first discovered the pyroluria-introversion connection here – Am I an anxious introvert because of low zinc and vitamin B6? My response to Huffington Post blog. I wrote this in response to the Huffington Post article, “23 Signs You’re Secretly An Introvert”, by Carolyn Gregoire.
Here is the webmd loneliness article with this quote: “Loneliness has the same impact on mortality as smoking 15 cigarettes a day, making it even more dangerous than obesity” ~ Douglas Nemecek, MD, chief medical officer for behavioral health, Cigna
And this loneliness paper, Loneliness and Social Isolation as Risk Factors for Mortality: A Meta-Analytic Review
In this blog I write about how Increased sociability improves vagus nerve function: the role of social anxiety, pyroluria and low zinc

This is the the amazing and inspiring group of speakers who I shared the stage with:

Amie Apigan – Why Attachment is the New Field of Medicine
Lauryn Lax – Eating Healthy is Killing You
Jess Sherman – Raising Resilient Kids in a Complex World: Will we Rise to the Challenge
Terry Wahls – Creating an Epidemic of Health – My Radical Path
Susanne Bennett – The Kimchi Revolution: How an Ancient Food Can Transform the Future of Health
Razi Berry – Love is Medicine
Kaylea Boutwell – I’ve Got Your Back: Novel Pain Therapies Transforming Spinal Care Outcomes
Dana Cohen – Hydration: 8 Glasses a Day is not the Way!
Elisa Song – Breathing Life into Your Kids
Joel Sprechman – Creating 1M Super Poopers & Evolving Crohn’s Colitis
Katy Kimball – My Plan to Empty Your Waiting Rooms (the Real Root Cause of Poor Health)
Heather Paulson – Why Choose? Using the Best of Both Worlds to Experience Health with Cancer
James Maskell – Group Visits: How Functional Medicine Reaches the Vulnerable
Mehgan Walker – Life, Liberty and the Pursuit of Chronic Disease: Why Chasing Happiness is Making us Sick

(do let me know if you’d like me to share any of these presentations in the follow-up blog)

Mindshare 2019 green room — Here are some of us in the backstage “green room” and getting ready to go on stage!

We each had a maximum of 5 minutes to present and were not allowed slides or notes. The last time I had memorized my talks and had them timed was 15 years ago when I was in Toastmasters. Before that it was when I was in school. I wasn’t even sure if I could do it when I entered my proposal to speak. When practicing the day before I was still unsure I could manage. Because of my Lyme disease, my memory and word recall isn’t as great as it used to be.

If you pay close attention and you’ll notice the spot where I almost freeze – everything just went out of my head! I simply breathed in calmly, made an attempt to look like I had paused and was fortunate that most of the ending came back to me! Whew!

I’d love to hear what you think of my message and if it resonates with you or a loved one. Feel free to share your pyroluria score and how you score on the introvert questionnaire.

Please also share if you’ve seen the benefits of no social anxiety, introversion and/or loneliness (or much less) when on the pyroluria protocol.

Increased sociability improves vagus nerve function: the role of social anxiety, pyroluria and low zinc

December 13, 2019 By Trudy Scott 37 Comments

With the objective of taking a deeper dive into some of the favorite topics of the recent Anxiety Summit: Gut-Brain Axis, today’s blog is about the vagus nerve since Dr. Navaz Habib’s interview, Vagus Nerve Activation to Reduce Anxiety, was voted one of the favorites. I’m focusing on one tool that improves vagus nerve function that we didn’t have time to get into in great detail – and that is how increased sociability helps. It’s all good and well to recommend getting out and hanging out with more people but if you have the social anxiety condition called pyroluria it’s really challenging, hard work and very stressful. Added stress makes pyroluria worse so it becomes a vicious cycle.

Let’s start with the research that supports the connection between the vagus nerve and increased anxiety and mood problems. In the interview with Dr Navaz, we discussed this paper: Vagus Nerve as Modulator of the Brain–Gut Axis in Psychiatric and Inflammatory Disorders which states that “vagus nerve stimulation is a promising add-on treatment for treatment-refractory depression, posttraumatic stress disorder, and inflammatory bowel disease” and how stimulation of vagal fibers that go from the gut to the brain (afferent fibers) influences neurotransmitter production and “play crucial roles in major psychiatric conditions, such as mood and anxiety disorders.” The gut bacteria play a major role too, “partly by affecting the activity of the vagus nerve.”

In our interview we end with very practical ways to activate your vagus nerve

Deep breathing exercises (mentioned in the above paper, together with yoga and meditation) and cold showers (which makes you breathe harder)
Gargling and using the gag reflex
Humming, chanting and singing (I used these approaches for my vagus nerve issue after my terrifying plane ride. GABA also helped with the voice/throat spasms I experienced – more here on that)
Auricular acupuncture (which is also very effective for addictions)
And finally, social interaction or increased sociability, which I want to cover today

The research on the vagus nerve and being more social

Let’s look at the research on the vagus nerve or vagal tone and being more social. This paper, Upward spirals of the heart: autonomic flexibility, as indexed by vagal tone, reciprocally and prospectively predicts positive emotions and social connectedness, reports that that vagal tone and connectedness or being more social is a two-way street i.e. it’s reciprocal

“…increases in connectedness and positive emotions predicted increases in vagal tone” and
“Adults who possessed higher initial levels of vagal tone increased in connectedness and positive emotions more rapidly than others”

In summary, the more social and happy you are, the healthier your vagus nerve is and a healthier vagus nerve leads to feeling more connected and happy.

This study was done with adults in a community-dwelling setting over 9 weeks: “adults were asked to monitor and report their positive emotions and the degree to which they felt socially connected each day.”

Address pyroluria in those who have social anxiety

Pyroluria, the social anxiety condition, was not part of the study because it’s under-recognized as a factor in anxiety. I’d like to propose that we address pyroluria in those who have social anxiety in order to further improve social connectedness and their vagus nerve function.

Many folks with pyroluria put on a brave face in social settings and even “extrovert” which is extremely stressful. The added stress makes pyroluria worse (zinc and vitamin B6 are dumped in much higher amounts) so it becomes a vicious cycle.

Others, who are not willing to even show up because of their severe social anxiety, are not getting that social interaction and connectedness that is so crucial for improved vagus nerve function and better overall health.

Here is the pyroluria questionnaire and the pyroluria/introvert connection.

Connecting the dots further we have

research that reports that vagus nerve stimulation has potential in autism treatment and we know pyroluria and social issues are common in autism
one of the key nutrients for pyroluria, zinc, plays a role in vagus nerve function
another key nutrient in pyroluria is vitamin B6 and it plays a role in reducing inflammation
according to the vagus nerve study above, the vagus nerve “plays important roles in the relationship between the gut, the brain, and inflammation”
both zinc and vitamin B6 are needed for neurotransmitter production, so increasing both GABA and serotonin will further improve mood and reduce anxiety
and finally, the more social and happy you are, the healthier your vagus nerve is and a healthier vagus nerve leads to feeling more connected and happy

By addressing the social anxiety called pyroluria with a foundation of zinc and vitamin B6, we can increase sociability and thereby improve vagus nerve function.

UPDATE 5/7/2020:

Social isolation during the coronavirus pandemic – other vagus nerve exercises

This blog is very applicable now during the coronavirus pandemic. I’ve made an update because I feel we need to start thinking about the longer-term adverse impacts of social isolation and work on other ways to improve vagus nerve function during isolation or quarantine.

This can include any or all of the ways mentioned above: deep breathing exercises, yoga, meditation, cold showers, gargling/gag reflex, humming/chanting/singing and/or auricular acupuncture.

Do you find you have better vagus nerve function when you are more sociable? What of these vagus nerve exercises have you been doing and found helpful during isolation? Do you have any other favorite approaches like using essential oils or anything else?

Vagus nerve stimulation to treat respiratory symptoms associated with COVID-19

This paper reports benefits in 2 patients with coronavirus – Use of non-invasive vagus nerve stimulation to treat respiratory symptoms associated with COVID-19: A theoretical hypothesis and early clinical experience

Both patients reported clinically meaningful benefits from nVNS therapy [non-invasive vagus nerve stimulation].
In Case 1, the patient used nVNS to expedite symptomatic recovery at home after hospital discharge and was able to discontinue use of opioid and cough suppressant medications.
In Case 2, the patient experienced immediate and consistent relief from symptoms of chest tightness and shortness of breath, as well as an improved ability to clear his lungs.

The authors also share that “vagus nerve stimulation has been demonstrated to block production of cytokines in sepsis and other medical conditions.”

With this virus being novel and with everyone learning we are still appreciative of small case reports like this and hope to see bigger studies done. Until then there is other evidence of the overall importance of the vagus nerve in helping to regulate lung infection and immunity.

The nVNS therapy mentioned in the COVID-19 paper is an external device that delivers “a proprietary signal through the skin to either the right or the left branches of the vagus nerve in the neck.” It’s not something I’ve used personally or had clients use so please share if you’ve had success with this device or a similar device.

Loving social isolation and thriving during coronavirus

On the flip side we also need to consider that there are some individuals who are loving social isolation and thriving emotionally. I share some feedback from folks in my community:

Elissa: “As an introvert, my mental health has never been better ☺️. Loving isolation life.”
Drew: “Loving it in many ways. Dreading the hedonism starting up again…”
Tiffany: “My anxiety levels have decreased and I have decreased my anxiety meds! I think it’s because the demand to produce has decreased. I can actually move at my own speed in this world. I’m fortunate, though. My heart goes out to those people in medical fields. I really miss some things, like time with my dad, but we have made some adjustments, like driveway picnics.”
Katie: “I was praying for relief from the busyness. Definitely didn’t have this in mind and my heart hurts for those who are impacted. It has been a beautiful time of rest and restoration for my body and soul.”
Wendy: “My life is usually slow paced and introverted. Now it’s more so and I’m finding the less I do in a day, the better I sleep. I’m actually dreading getting back to “normal” with all the pressures put on us by extroverts. Yes I have sympathy for people suffering mentally by isolation, but for the first time I feel like my type of lifestyle is socially acceptable. I’m tired of life expectations being dictated by the extrovert half of the population.”

I appreciate these folks for sharing their valuable perspectives about thriving in these times. It reinforces how unique we all are.

If you’re struggling with social isolation…

How are you feeling and what are you most looking forward to doing once social isolation recommendations are relaxed?
I’m guessing you don’t have pyroluria but please share if you do?

If you are thriving in social isolation…

Would you consider yourself an introvert /a contented introvert?
Have you got pyroluria and has addressing it nutritionally in the past allowed you to be more sociable or at least less anxious when you are in crowds?
How are you feeling during social isolation and what do you love the most right now?
What are you not looking forward to once social isolation recommendations are relaxed?
And how do you plan to go back to the old “normal” or don’t you?

Please comment below and let us know where you are with social isolation during this pandemic – struggling or thriving? And what vagus nerve exercises are you using right now? Have you used an external device with success?

Knitting to ease anxiety, depression and dementia and give to a good cause

March 16, 2018 By Trudy Scott 3 Comments

Knit for Peace, a UK based charity that “matches knitters with good causes” has published an extensive review of studies that reports the many physical and mental benefits of knitting, including easing anxiety and depression, benefiting those with dementia, helping with chronic pain, promoting a sense of community and improving sociability.

There is evidence-based research that shows that knitting does the following:

Lowers blood pressure
Reduces depression and anxiety
Slows the onset of dementia
Is as relaxing as yoga
Distracts from chronic pain
Provides an opportunity for creativity (at a time of reducing capacity)
Increases sense of wellbeing
Reduces loneliness and isolation
Increases sense of usefulness and inclusion in society

Knitting for those in need is a volunteering activity that can carry on into extreme old age and can be undertaken by those whose sight, hearing and mobility are severely limited. It provides an activity that gives a sense of purpose. Knitting for charity makes people feel more useful and worthwhile. Self-worth is important post retirement, especially with physical decline.

They also surveyed their members about their knitting experiences. Here is some of the feedback they received:

You can read a summary of that report here and request the entire digital report here.

You’ll be able to read some of the heartwarming backstory of Knit for Peace in the above summary… how they “started as an income generation project for Hutu and Tutsi widows, victims of the Rwandan genocide and civil war” and grew to a similar project in India “bringing together Hindu and Muslim women in the slums of Delhi” and then “Knit for Peace groups were set up in Pakistan, Bangladesh, Nepal and Afghanistan.” … And then “when people in the UK heard about this project they asked if they could knit for the children of Afghanistan.” “Through word of mouth the idea spread, and we were soon receiving a positive tsunami of knitted goods.”

Positive feedback about knitting

I asked my community on Facebook if they knit and how it makes them feel.

Diane shared this: I noticed that knitting lowers my blood pressure but interesting to note that crochet lowers it even more. Maybe because the crochet is an easier pattern?

Catriona shared this: I did some knitting when I had horrible anxiety and depressive symptoms. Really helped keep me focused on the present, which made it hard to ruminate and worry while doing it. Like mindfulness. And you end up with a nice gift at the end of it.

Maria shared this: I don’t knit but I crochet a lot. Very therapeutic

Knitting is not for everyone

Knitting certainly isn’t for everyone. Bonnie shared this: Knitting did not lower my stress level at all. First of all, I don’t like to sit or stand still that much, it bothered my wrists and was not easy to pick up. I think I was more stressed from doing it. Mountain biking is my stress reliever!

Aminda shared this: Knitting leads me to want to poke out eyes with knitting needles lol. I’ll stick to my crossword puzzles. I’m super tired of being told I just have to try it and being treated like something is wrong with me because I find crafts the opposite of de-stress. I’m glad people love knitting… I’m just not one of them and I only got happier when I stopped trying to fit onto the mold.

If knitting isn’t for you don’t worry about it, rather find something that you love to do.

Knitting is for kids too

I was very fortunate to have my granny teach me when I was about 8 years old. We had such fun time together, making scarves, gloves, baby clothes for my dolls and then my baby sister and eventually jerseys/jumpers for myself. It was a very special bonding time and it’s a skill I’ll always have. My granny was fearful of storms and I’d like to think knitting helped ease some of her anxieties.

I feel we should be encouraging kids to knit too. Many anxious kids could benefit from anxiety relief and contribute to a worthy cause by giving away their finished items.

Christina shared this on the Huffington Post blog: I’m an elementary teacher and I have a knitting group at lunch on Wednesday’s! The kids love it! It promotes patience, concentration and perseverance! I have about 25 students ages 10-12, both girls and boys!

Some of the research

In this Norwegian study, Knitters in a Day Center: The Significance of Social Participation for People With Mild to Moderate Dementia, the main activity of elderly women with mild dementia was knitting. It was found that

the social activity of knitting facilitated conversations about different topics, required various forms of memory and problem solving, and involved different participant statuses. Being part of the knitting group appeared to help the participants maintain their skills and facilitated sociability.

In this study, Managing anxiety in eating disorders with knitting, 38 women with anorexia reported these benefits of knitting:

it lessened the intensity of their fears and thoughts and cleared their minds of eating disorder preoccupations (74%)
it had a calming and therapeuticeffect (74%)
it provided satisfaction, pride and a sense of accomplishment (53%)

Where do you start if you don’t know how to knit?

If you didn’t learn to knit as a kid and want to learn now or possibly want your child or grandchild to learn, knitting is inexpensive and easily learned. Here are some resources for you:

The Complete Beginner’s Guide to Knitting (DVD). “Beautiful and clear demonstrations can get you started knitting in just 30 minutes.” You’ll learn all the basic stitches, get a booklet with scarf patterns and other bonus goodies.
A good starter yarn such as Lion Brand’s Wool Ease is recommended. Avoid dark colors when you are first learning to knit.
Wooden needles like Brittany 10-inch long Single Point Birch Knitting Needles are also suggested, US Size 10, 10.5 or 11. They say to avoid the more slippery metal needles (although I used these and they were fine), and the “grippy” plastics. (All these links are my Amazon affiliate links)

Knit as part of a group and give to someone in need

Whether or not you’re new to knitting, consider getting a knitting group together for that wonderful community aspect and once you’ve knitted enough goodies for family and friends, start to send knitted goods to a charity such as Knit for Peace or take them to a local shelter.

If you work in a nursing home or long-term care facility, in a school or after-school program, or are part of a church group, I encourage you to get a group knitting program together. Or you could even get together with friends and start knitting.

Notice the calmness you feel when you knit and the joy of giving your finished product to someone in need.

We’d love to hear if you knit and when you learned? And how do you feel when you knit? Are you part of a community knitting group and who do you knit for?