Healing from soul exhaustion and emotional depletion

Greenery surrounds the house, climbing up the fences. To get in you walk up the driveway under a canopy of oak and plum branches. Flowers peek shyly from pots or the rock walls that hold up the terraces climbing our steep hill. There are greenhouses for the vegetables, a large, semi-wild herb garden and a cluster of quacking ducks wandering around.

I test out as an introvert on those personality questionnaires and this is the world I have made for myself. It took years to build and in the winter it can be pretty rugged. But in the summer there is a balance of solitude and connection. I have friends and connections all over the world. I spend much of the day conversing long distance amid both physical and intellectual work.

Image by Arie Farnam

Image by Arie Farnam

Sometimes the conversation is with a friend thousands of miles away, sometimes with a forum on a particular topic and sometimes it is a one-sided conversation in which I argue with authors I am listening to through an audio book while I weed the zucchini bed. 

And this past year there has been a troubling repetition in many of those conversations. Friends, family, acquaintances and even a lot of authors talk about a deep exhaustion weighing them down. Some call it depression or burnout and some have diagnoses, but others just feel utterly depleted. Not everyone thinks it's worse than before, and some of us only struggle with it some of the time, but the spread of this malaise is worrying. 

Has the purpose and passion gone out of your world? Do you struggle to get out of bed in the morning? Is your sleep troubled and full of stressful, anxious dreams? Do you find it easier to sleep in the day time and almost impossible to get through the day without a nap? Do you just feel half asleep, disconnected or out of sync most of the time? 

If so, you're not alone. I feel it too, sometimes for weeks at a stretch.

Sometimes these symptoms can herald clinical depression and if they interfere with your daily life, it is helpful to seek out the advice of medical professionals. But often these symptoms come from a kind of deep depletion or "soul exhaustion." This may or may not be accompanied by depression. It can occur following professional or emotional burnout, significant loss and grief, major life changes or periods of intense work and activity. 

Soul exhaustion is worrying even when only one person describes it. When it is spread through whole communities the need for a change is urgent.

Image by Arie Farnam

Image by Arie Farnam

Ignoring soul exhaustion can lead to severe medical complications, including depression, chronic fatigue, anxiety, cancer and a host of systemic disorders. Depletion must be treated as a real expression of need and because it is so widespread in my circle these days, I have decided to address it here.

Most of my home medicine writing is about herbs and there are some herbs that can help at specific points in dealing with soul exhaustion, but much of what we need when we are depleted doesn't come from either traditional or alternative medicine. It comes from changes in our environment and routine.

First, here are a list of symptoms. A severely depleted individual may experience:

  • A desire to sleep much longer than normal,
  • Disrupted, overly light and restless or leaden and motionless sleep at night,
  • Frequent need to sleep during the day,
  • Difficulty waking up in the morning or after daytime sleep,
  • Difficulty motivating one's self to carry out basic daily functions (getting up, daily routine, work, household),
  • A sensation of body heaviness,
  • Even small movements may feel like hard work,
  • Heightened sensitivity and anxiety, being on edge,
  • Great difficulty in dealing with even minor changes in daily routine or small crises,
  • A sensation of being out of step with time, a dreamlike sensation even when awake, a feeling that everything is in slow motion,
  • Strange physical symptoms without medical explanation, such as deep aching throughout the body, tension headaches, stomach troubles, dizziness and/or ringing ears,
  • Muscle weakness and great difficulty exercising,
  • Intensified emotions and strong changes in emotion, sudden tears upon hearing a story which may not seem at first glance to be particularly sad, unbearable anger and feelings of helplessness over injustices,
  • Feelings of deep loneliness, even when surrounded by people,
  • Loss of customary hopefulness and optimism, feeling jaded and hopeless about life or one's purpose,
  • Loss of interest in hobbies, causes or passionate work, or where interest may remain energy does not follow,
  • Chronic anxiety or panic attacks.
  • Individuals who are normally forgiving and warm can become bitter, angry or jealous and have difficulty explaining exactly why or the reasons are much bigger than any momentary disagreement.
Image by Arie Farnam

Image by Arie Farnam

It will be different in different individuals but there is a pattern to these symptoms. And moreover, a person struggling with soul exhaustion will often know there is something wrong and those around them will know it, but when asked we cannot give clear or concise descriptions of our symptoms. Yet the sense of deep change and trouble remains. 

There are a number of possible underlying causes for soul exhaustion. However, not every person who experiences these types of events will be dangerously depleted. There many factors and depending on the severity of the causes and symptoms, medical help may be needed. 

Soul exhaustion may result from:

  • Family or other significant breakups,
  • The loss of someone close,
  • The loss of a home, job or business,
  • Illness or disability in the individual or family members,
  • Life changes that drastically disrupt daily routine and goals
  • Being trapped long-term in a toxic, abusive or ostracizing home, work or social environment,
  • Unresolved past trauma, either physical or emotional,
  • An inability to say no to the constant demands of others without regard to the individual's needs,
  • Pushing one's self too hard in work or in physically and emotionally demanding circumstances until the point of burnout or collapse,
  • An unhealthy diet, substance abuse and/or electronics or other addictions,
  • Exposure to toxic substances, heavy metals or environmentally polluted areas,
  • Overwhelming past regrets or events in the past that make it difficult to focus on the present,
  • Being unable to break free from repetitive, purposeless or draining work,
  • Experiences of discrimination, hate speech or attacks based on characteristics over which the individual has no control (often but not limited to race, ethnicity, religion, gender, sexual orientation, disability, economic or social class),
  • Physical, economic, geographical and social barriers to fulfilling one's potential and achieving meaningful self expression,
  • Worries and anxieties about future security, the safety of loved ones, debts or other looming problems,
  • And pressures from social injustices, extreme econimic inequality and ecological devastation.

It is unlikely that one of these causes alone will result in an individual becoming deeply exhausted and depleted, unless that one factor is extreme. However, a combination of these factors can be devastating.

This is particularly significant because many medical lists often leave off the broader social and environmental contributors. I placed them in the latter part of the list, not because they are less important but because they are more complex. In any event, this isn't a list for someone else to use, so much as it is for individuals to look at their own factors.

One theory about the increase in deep exhaustion holds that it is a biological response to our bodies' ability to sense ecological danger. Particularly with the rapidly increasing effects of climate change and extreme whether that have caused economic disruption and large human migrations in some areas of the world, our bodies are reacting to our sense of biological interconnection, which is sounding alarms that cause anxiety and--after lengthy periods in which we can't escape or make a meaningful impact to solve the crisis--soul exhaustion.

That leaves me with the crucial and urgent question of what an individual can do about this deep depletion, given the often on-going underling causes. 

Here are some things that can alleviate the exhaustion and give the individual a chance to rectify at least some of the underlying causes.

Garden gate path sunshine trees lush green - my pic.jpg
  • Prioritize time for restful and replenishing activities (sometimes called "self care"). We can not take care of those who depend on us, if we are too depleted ourselves. Replenishment isn't selfish or idle. Quite the opposite. Expecting others to pay attention to what we need, figure it out and make sure we get the needed replenishment is far more self-absorbed than taking the time to do it ourselves. Often replenishment comes from adequate sleep, reading or time spent in nature, but it can also come from engaging in one's personal interests without pressure or pursuing spiritual studies.
  • Rest as much as necessary. Sometimes--especially when rest has been neglected--this means a great deal of sleep and rest. Illness, disability, extreme types of work, previous trauma and other factors may make greater than average rest necessary over the long-term. This is not a shameful circumstance but rather a fact that cannot be denied without unacceptable costs.
  • Turn off technology and spend time doing fulfilling things that use other senses and body movements, such as reading or absorbing stories in other ways, baking, crafting, creating art, listening to music, experiencing nature, singing or playing music, exercising, immersing ourselves in water and being around people who sooth us and bring out our laughter; 
  • Take time for spiritual practices and growth. This can mean participating in a specific tradition, doing yoga or other movement-based spiritual practices, lighting candles and creating an uplifting atmosphere, meditation, drumming or chanting, going into nature for extended periods, observing the sun, moon and stars or learning about specific things like the healing uses of stones or scents and reading systems such as the Tarot or i-Ching for inner understanding.
  • Consume fresh fruits and vegetables which have not been chemically treated. We must adapt our diets to include as much unprocessed or lightly processed foods and as much locally produced fresh foods as possible. Pay particular attention to avoiding highly processed foods that don't contain a lot of nutrients, even though they may be widely regarded as "healthy" such as packaged bread or white rice. It is important to include some foods that simply bring a moment of satisfaction and joy to the individual. Eating healthy should not mean boring food. Find favorite healthy foods and pick a few favorite not-so-healthy foods as well.
  • Drink teas made with detoxifying herbs; Because people who experience deep exhaustion have often been exposed to toxic chemicals or heavy metals and because anxiety and other emotional distress actually produces toxins in the body, it is important to consider detox. Dandelion root, nettle, red clover and burdock teas are helpful and should be drunk daily for two to three weeks and then stopped for several weeks. If you have a tendency toward anemia, a blood test for anemia may be in order. In this case, caution is also advised with nettle tea, which can flush iron from the blood as it cleans other, harmful heavy metals out of the body. 
  • Take herbal teas, tinctures and extracts of herbs for energy and mood regulation. If you feel a slump of low energy in the morning or the middle of the afternoon and have a tendency to go for coffee or cola in order to power on through the work, try to schedule rest, while drinking green tea and eating lightly sweetened chocolate instead. These also contain stimulants and taste delicious but they act in a more sustainable way in the body. Rhodiola supplements can also help to stimulate the brain once a lot of rest has been had.
  • If negative thinking accompanies a lot of the low energy and keeps rest from being fully absorbed, some anti-depressant herbs such as lavender, lemon balm and St. John's Wart can be helpful. For these purposes I often use tincture because it is best to take them for several days (up to two weeks) in a row but tea will also work nicely if you can make sure you will be able to take it every day. Observe carefully because moods are a matter of delicate body chemistry. Not everyone will find the same herbs useful. St. John's Wart relieves depression for me, but a friend of mine experiences insomnia instead. Be aware of any allergies you may have, take notes on what you are trying, pay attention to any adverse reactions and consult with medical professionals.
  • When negative thoughts and critical "self-talk" intrude, we shouldn't either deepen it or push it away automatically. Feel the emotions associated with this self criticism and any assumptions of the judgments of others. Acknowledge those feelings and hold the part of yourself that is criticized gently. Spend the time necessary to understand the negative thoughts without falling into them.
  • Consider negative words you say about yourself, such as "I'm so fat!" or "What an idiot!" Even if you mean them ironically or as a kind of joke among friends, consider changes to the words that will help to relieve negativity. "That's my attempt at prepper storage" can replace "fat" comments. Or "obviously I have too much on my mind" can replace recriminations over forgotten items or errands. Those are just examples which don't deny reality or outlaw humor, but they are less blaming and judgmental. 
  • Set aside a few moments, perhaps as part of spiritual practice or at some other time when the daily routine is not too hectic, to focus on breathing exercises, smile-muscle exercises and/or meditation on loving yourself and absorbing the love around you. This may also be a time for a practice of gratitude. One year I listed at least one truly good thing that happened during the week at the end of every week in my calendar. Then I read them at the end of the year. It seemed like a bit of a hockey exercise but it turned out to be really astonishing. I know good things happen, of course, along with the hard stuff, but reading it all together was more of an experience than you might think.
  • Read jokes, tell jokes and find ways to increase laughter. Laughing really matters and in times of hardship and strife, it may be at a deficit. You may have to actually seek out jokes and plan silly things in the beginning, if you have been really depleted by difficult circumstances, but bringing back laughter is as important as anything else on this list. 
  • Practice grounding and balancing our energy. Many of the people who are so depleted today are depleted precisely because we are high-energy, active and passionate people. This energy is a great gift, but it can also come with its own challenges. Whether you currently have abundant energy or feel depleted, exhaustion can be helped and prevented by grounding. Grounding can be as simple as spending time in nature. Gardening and other sustenance-producing activities that get your hands into the earth are particularly helpful. But it can also be done even when nature is temporarily unavailable. You can stand or sit during your daily quiet time or spiritual practice, take a few deep breaths and visualize tree roots going down from your feet and/or tailbone into the earth. It may mean visualizing the tree roots twining down through a few floors of a building, through some foundations and concrete, but get them there in visualization. Continue a few more deep breaths and focus on absorbing the steady, sustainable energy of the earth.
  • Find useful things to do to improve the environment and community around ourselves, when energy permits. This last is crucial and yet it can't be done very effectively at the deepest points of exhaustion. Research and specify things you personally can do to improve the ecological and social environments. These may be very small things or large things. Use your particular abilities, talents and blessings. If you have money, that may help a great deal. If you don't, there are other ways. While you may have physical difficulties, many people who are doing the work of environmental and social justice need help with non-physical tasks. The opposite is also true. You may not know precisely what to do, but many organizations can use a pair of strong and quick hands. Doing this kind of work, either as part of your "real job" or during your off hours not only helps to elevate the conditions that exhaust you, it also plays a vital role in preventing exhaustion and rebuilding strength after you have rested. 

It is important to remember through all this that the time it takes to recover from soul exhaustion varies widely and depends on the same factors that cause depletion in the first place. Every person's circumstances are different and healing doesn't always abide by human schedules. Judging ourselves or others for a slow recovery will only slow that recovery further because such judgments contribute to depletion. In the end, resilience is fostered most by a combination of solidarity and intuition.

Be well and nurture joy. I welcome your comments and especially any typos found in my blogs. this week I am particularly exhausted as well, so you may just find some. 

4 herbs to soothe side effects of drugs and chemo: Home medicine cycle 39

I rarely visit my local doctor. I treat myself, my family and sometimes my friends primarily with simple herbs that I grow myself. I’ve successfully dealt with a lot of cuts, bruises, sprains, rashes, allergies, ear aches, stomach trouble, strep throat, anxiety. depression, parasites, viral infections, chronic coughs, flu, fungal infections, nerve and muscle cramps, immunological problems, ADHD, chronic eczema and more. 

But there a few things I can’t handle. First on that list is surgery. When it comes to surgery I have to put on a paper nightie and surrender all control to the medical establishment. And that is definitely not my favorite thing.

Creative Commons image by Jacqueline of flickr.com

Creative Commons image by Jacqueline of flickr.com

This past month I had to undergo high-risk eye surgeries on each eye with a two-week break in between. I was born with a congenital eye condition and I’ve always been legally blind. Now at 40, it finally caught up with me and it was a choice between losing what vision I have or undergoing surgery. The surgeon admitted my case was very difficult and he felt like he was setting out to “discover the North Pole.” 

This meant that there was no room for experimentation or error. For the first time, my herbalist knowledge seemed completely useless.

From experiences when I was younger, I already knew I don’t react well to anesthesia but the surgeon said it would be necessary. In fact, the first surgery entailed about an hour and a half of anesthesia, much longer than I’ve ever undergone before. It took me about two hours more to even become fully awake again. And then I was sorry I was. 

My operated eye barely hurt at all, but I was sick to my stomach and all around miserable from the toxins in the anesthesia for five days. Even ten days after the surgery, I still wobbly and easily tired, as if I was recovering from a serious illness. 

During the first two days all I could really stomach was salt crackers and ginger tea. In my groggy state, I was not very good at treating my own discomfort, but I did manage to remember and ask for ginger. The ginger helped and soon I could eat a bit, if I first drank a cup of very strong ginger tea.

When my brain started working again, I remembered my herbalist research and specifically some studies that mentioned that ginger is used to reduce nausea and mitigate the effects of toxins in chemotherapy, surgery and radiation treatments. I wondered if ginger could help with the toxins in the anesthesia and topical antibiotics I was dealing with. However, the results of the research appeared to indicate that high doses of ginger right BEFORE toxic exposure may have much greater beneficial effects than merely consuming ginger after the fact.

So, for three days before my second surgery, I consumed about eight ounces of fresh ginger per day in tea and food. And after that second surgery, the grogginess of the anesthesia was gone within an hour. I barely felt nauseated at all. I continued to drink ginger tea and be gentle to my stomach. But my energy and strength returned much more quickly, resulting in a recovery less than half as long as the first.

The surgeries were successful. My world-class surgeon Petr Novak did an excellent job in a complex situation. My family and friends provided much needed physical and emotional support. In all this, And I learned a bit about how herbs can help work together with modern medicine, rather than separate from it.

Detoxifying herbs

I have read a lot about detox treatments and natural medicinals for those undergoing chemotherapy or taking pharmaceuticals with potentially harmful side effects. Many posts and books on the subject list less than organic compounds and almost all push certain products and brand names. Some list things like colloidal silver, which while possibly a useful natural antibiotic is still a heavy metal and more likely to be part of the problem than part of the solution in this case. These are red flags for me. My approach to home medicine is based on the use of simple herbs that can be grown or found near your home. 

Creative Commons image by Alex Graves

Creative Commons image by Alex Graves

While these herbs are not without risks and I carefully note warnings or potential problems in my posts, they are herbs that have been used medicinally for thousands of years and have been proved in the ultimate test of time across many different cultures. They are also herbs that I have tried myself or seen in action.

While I encourage all herbalists, whether professionals or home herbalists, to keep up on the ongoing research on herbal medicinals, there is nothing like personal experience to give a deep understanding of what an herb can do. Before I used large doses of ginger to protect myself from a known reaction to pharmaceutical toxins, I had read the optimistic-sounding research but I had little understanding of how it would actually work. 

I have four herbs to list that I use for detox and protection from toxins. These are all considered low-risk herbs which are consumed by many people as foods. Certainly, each individual is different and you should exercise caution with any herbal medicine and consult with your doctor, particularly if you take any regular medications. However, these herbs are among those that are usually safe and protective in action. Unlike many herbs and other detox treatments, these four can often be consumed by pregnant women and those with fragile health.

Ginger

Ginger acts in the body as a gentle stimulant and protector. It protects the integrity of cells and helps to flush out toxins, particularly many of those connected with pharmaceuticals.

Several studies have shown that women who underwent chemotherapy for the treatment of breast cancer used ginger aromatherapy effectively to curb resulting nausea. In other chemotherapy studies ginger extracts have been found to significantly reduce post-chemo nausea. Many herbalists say holding a piece of ginger in your mouth while undergoing chemotherapy markedly reduces nausea.

Another study has found similarly beneficial effects for patients experiencing nausea after surgery involving anesthesia. Radiation therapies also entail similar cell damage and exposure to toxins. Several studies have shown treatment with ginger extracts before exposure to radiation helped reduce the risks to animals (including severe radiation sickness and death) of the exposure. 

My own experience bears out these results. And even more exciting to me is the fact that I was able to achieve these results without having to depend on a processed ginger extract or essential oil. I was able to eat pleasant ginger curry and drink three or four cups of strong ginger tea per day (brewed by grating fresh ginger into hot water and letting it steep without boiling). The use of ginger as a simple was sufficient to significantly improve my recovery after my second surgery. 

Ginger has a vast array of other medicinal uses beyond detoxification and protection. Further studies and recipes for everything from coughs and migraines to cancer and Alzheimer's can be found in my home medicine post on ginger here

Red Clover

Red clover is a humble, almost ubiquitous plant with some surprising properties. Some studies claim it fights breast. prostate and skin cancer. Other research shows its effectiveness in mitigating the side effects of chemotherapy as well as toxic inflammation associated with cardiovascular disease. It has also been used for women's health during menopause.

My only personal experience with red clover is in preventative skin care. I am at an age where it is a good idea to monitor one’s skin for strange new moles or bumps that grow instead of going away. Some years ago, I had such a mystery bump on my leg and I was considering going in for testing. 

But then I read about the efficacy of fresh red clover in preventing skin cancer. I thought I’d just try it out while I waited for my dermatology appointment. But when I mashed up a fresh red clover bloom and stuck it on the bump with a band aid, the effect was dramatic. This bump which had grown and itched and bugged me for months despite all the other herbal sales I tried, subsided and nearly disappeared within three days. And it stayed gone. I occasionally put another red clover bloom on it for prevention, but it has never troubled me since, though it has returned to the normal-sized mole it used to be. 

I can’t generalize from such a one-off personal experience. I definitely suggest you take any suspicious moles and bumps to be tested. Skin cancer is nothing to play around with. The red clover treatment also works far better in the summer when red clover is fresh and in bloom, but it’s something to keep in mind.

Nettle

Nettles are often considered a noxious weed and a mere annoyance. However, they have some powerful beneficial effects and are delicious steamed and seasoned with butter and lemon.

Image by Arie Farnam

Image by Arie Farnam

Stinging nettles lose their sting when cooked, steeped or dried. The chemical compounds which cause a localized allergic reaction in many but not all people (the sting) break down when exposed to heat or UV rays. What is left is beneficial in many ways and strongly anti-allergenic.

I use nettles in my home primarily as anti-allergy medicine, often with dramatic results. See my post on nettles and allergy rashes here.

But there are other uses for nettles. Many herbalists use them for spring detox protocols. The usual recommendation is a cup or two of nettle tea every day for three weeks, no longer. This will flush an amazing amount of heavy metals from the body and often leave the patient feeling significantly more energetic.

However, there is an important warning to go along with this. The compounds in the nettles that help to rid the body of toxins make no distinction about iron. Iron is a heavy metal and toxic in larger amounts. Nettles flush it out. If you do have too much iron in your body, this could be helpful. But some people have an iron deficiency, leading to anemia.

The only time I have tried a nettle detox, it exacerbated my preexisting anemia and I was chronically tired and had to take iron supplements for weeks afterward. I don’t recommend longer nettle detoxes for anyone who struggles with anemia. I would recommend it if you are concerned that you may have been exposed short-term to toxic heavy metals and want to ensure that they don’t accumulate in your body. 

The action of nettle tea and nettle greens used as food to flush put heavy metals is well documented and unquestionable. It’s just a good idea to take it seriously and exercise caution. They are delicious but they are also real medicine.

Dandelion

Dandelion has been considered a "detoxifying" or "tonic" herb for centuries. Many herbalists recommend a "spring tonic" which consists of drinking dandelion root tea (sometimes combined with nettle leaves or burdock root) for a couple of weeks in the spring to cleanse the body of the chemical residues of winter smog and mold. This can be very helpful and result in a burst of energy.

The chemical reactions that make this tonic work, lead to even more startling uses. 

A study has found that dandelion and other herbs protect DNA against damaging toxins. Dandelion is particularly valuable in protecting the liver from toxins, including alcohol poisoning. This is why dandelion is used in drug and alcohol detox and rehabilitation.

Dandelion root has also been found to combat the formation of cancerous tumors in mice and to assist in the treatment of prostate and breast cancer. Even more exciting is a study that shows dandelion to be potent in treating chemo-resistant melanoma, one of the most dangerous cancers for younger people. It may also protect against chemically induced lung injuries.

In short, science is just beginning to make use of the wonderful ability of dandelion root to mitigate the harmful effects of the toxins that have proliferated in our modern environment. How fortunate that dandelions are as prolific as the dangers.

Dandelion also acts as an anti-viral, anti-microbial, anti-bacterial and anti-inflammatory agent. It can help in the treatment and prevention of a list of digestive problems including intestinal infections and chemical-induced pancreatitis. Further details about dandelions can be found in my home medicine post on the herb here.