Acupuncture: The Treatment of Seasonal Affective Disorder

Seasonal affective disorder (SAD), a type of depression, is a debilitating problem that interferes with the quality of life of thousands of patients, especially during the fall, winter and early spring.

This syndrome seems to be a worldwide phenomenon and occurs cross culturally, especially in countries far from the equator. Clinical symptoms that reappear regularly with the seasonal changes include lethargy; difficulty concentrating; depression; negative thoughts; elevated cravings for carbohydrates with corresponding overeating and weight gain; hypersomnia (excessive sleepiness); tiredness in the morning; diminished libido; and decreased social interaction. Patients typically become more anxious by the end of the summer as they anticipate the coming months, during which less sunlight is present and their symptoms return. (acupuncturetoday.com, written by Skya Abbate)

Clinical experience reveals that patients may have other mental problems as well, such as substance abuse disorders, personality disorders and anxiety disorders, which as comorbdid conditions, further exacerbate the degree of the SAD patient's symptoms. Flaws and Lake define SAD as "a variant of bipolar disorder characterized by cyclic manic, depressive or mixed mood states that are somehow triggered by external clues to changing seasons, including principally, increased or decreased day length. Individuals with SAD tend to become depressed during the autumn months and manic during the springtime."1 This is a complicated disorder that may accompany many severe illnesses such as cardiovascular and endocrine disease, and for which a patient should seek qualified professional help. Seasonal affective disorder does, however, respond well to treatment with Oriental medicine.

Seasonal Affective Disorder (SAD) is an example of how a change in seasons can affect our emotional and physical wellbeing. Between 4 and 6 percent of the U.S. population suffer from SAD. It is more commonly observed in those who live at high latitudes (areas farther away from the equator to the north and south). Seasonal changes are generally more extreme in these regions, supporting the idea that SAD is caused by changes in sunlight availability.

While SAD can occur during summer with limited symptoms such as weight loss, trouble sleeping and decreased appetite, its winter symptoms tend to be more severe. Winter-time sufferers of SAD can experience fatigue, increased need for sleep, decreased energy levels, weight gain, increase in appetite, difficulty concentrating and increased desire to be alone.

The TCM yin and yang forces of the seasons coincide with those of the body. The Yellow Emperor’s Classic of Medicine states that, “People and nature are inseparable.” While yang’s warmth, activity and brightness work through out the spring and summer months, yin’s passivity, coldness and darkness begin in autumn and continue until spring equinox. Therefore, the winter months, which represent the height of the yin cycle and the water element, can cause those whose constitution tends toward yin to feel the effects of this season more acutely.

Western medicine currently treats seasonal affective disorder with light therapy and sometimes with antidepressants. This is because energetic imbalances, which are associated with emotional and physical disturbances in the body, can become more pronounced after a change in weather and sunlight. The downside to these light therapies is that they carry side effects such as eyestrain, headache, irritability, fatigue, insomnia, palpitations, high blood pressure and reduced libido. Also, these therapies do not address the underlying problems, but merely offer symptom relief.

Acupuncture is a natural alternative to light therapy or antidepressants. Acupuncture, which has shown promising results treating depression by releasing serotonin and noradrenaline-norepinephrine, has no side effects. Together with a treatment plan created by a licensed acupuncturist, acupuncture can improve balance of mood and energy, relieving the patient from the burdens of a depressed, unbalanced system.

The winter months are associated with the kidney system, which is the base of qi, our vital energy. The kidney creates fire and warmth and provides energy to other organs. As our bodies use up energy keeping warm, they begin to crave quick sources of new energy in high calorie foods, which are stored as fat to keep the body warm. These foods do not sustain energy levels in the body, nor do they properly nourish the kidney, and with this energy depletion we tend to feel more lethargic and sensitive to our surroundings. This is why winter is a time to seek replenishment of body, mind and spirit.

Nourishment in all areas of life is especially important during the winter months when SAD is most common. Although many people head indoors during winter, it is important to continue outdoor activities to expose yourself to daylight, and to take part in activities that support inner balance. Physical and mental stress, as well as poor sleep and nutrition, further deplete the body’s energy and leave you susceptible to illness. You should rest and conserve energy, but also spend time with friends and loved ones, cultivate your inner dialogue and eat a well balanced diet. Eating less fruits, increasing whole grain intake and plenty of warming foods such as soup, is a great way to nourish the kidney system.

Oriental medicine can restore the balance our bodies seek during seasonal transitions. While the tendency is to look inward or become preoccupied with one area of our health, such as maintaining energy and keeping warm, it is important to remember that balance in everything from your diet to your living environment is essential in sustaining a positive outlook and a healthy mood. (pacificcollege.edu)

Beyond Probiotics: How Meditation Heals The Gut

Why You Have Two Brains

The powerful "emotion ⇆ stomach" connection is a common cultural reference:

"Trust your intuition, trust your gut... I’m so nervous, I have butterflies in my stomach... I have a gut feeling to reject this job offer... What a gut-wrenching experience."

This link is now showing up in many cool and interesting scientific ways. With more than 100 million nerves lining your so called "second brain," the gut / enteric nervous system (ENS) is actually composed of the very same tissue(s) as your central nervous system (CNS).

Why The "Gut-Brain Axis" Is Essential To Health

In fact, many doctors are now saying that our deeply intertwined "first" real brain and "second" gut brain (sometimes called the gut-brain axis) are actually one system, not two.

While it can’t do calculus, write a novel, or pass an exam — your gut certainly can orchestrate a symphony of neurotransmitters, hormones, and electrical impulses.

Beyond helping you digest food, your gut has its own brain-like neural network, playing critical roles in keeping you healthy, including regulating inflammation and commanding your immune system.

So, will simply eating right keep the gut-brain axis in balance? Not necessarily. Here we will go into why your state of mind is so critical to gut health, and why meditation is the missing link above and beyond diet.

"Imaginary" Disease: Why The Mind Is Key To A Healthy Gut

To illustrate the mind-gut link, have you ever heard of the guy afflicted with the "incurable, unknown origin" chronic disease? After visiting a dozen or so doctors, they all have one simple but bewildering diagnosis: "it’s all in your head"! This happens much more than we think.

In fact, gastroenterologists have compiled more than 20 of these "all in your head" GI tract diseases (FGIDs), which account for the vast majority of clinical visits.

So, what’s the reason for these mysterious illnesses? Diet? No, because many of these folks have already tried everything, and why the doctor has labeled their affliction effectively "psychosomatic."

Why Your Ability To Handle Stress Controls The Gut-Brain Axis

The culprit is a known offender, sitting atop the health police’s most wanted list — stress.

Even after switching to a healthy diet, stress explains why many "second brain" gut-related diseases still stick around.

Strengthening the link, research has shown that psychological trauma can lead to digestive problems, inflammation, ulcers, IBS, IBD, Crohns, & more.

In light of these new findings, it is obvious that healing the gut is impossible without addressing our ability to manage emotion and stress. How you think does affect your health.

How To Heal Your Gut With Your Mind: Meditation

As the #1 stress conquerer, meditation is the top contender for the "gut-health" championship belt. Who are the other competitors in the ring, duking it out? Probioticspsychobiotics, diet, and prescription drugs.

(Note: Boxing metaphor aside, when it comes to your highest health, all of the above options certainly have their rightful place, of course.)

Here is one study firmly planted in meditation's corner:

Study: How Meditation Turns Off "Bad" Gut Genes, While Helping 1,000+ More

For 48 patients suffering irritable bowel syndrome (IBD) and inflammatory bowel disease (IBD), a 9 week study at Massachusetts General Hospital changed everything.

Meditation had somehow managed to beneficially alter more than 1,000 genes, including suppressing the nasty protein complex arsonist (NF-kB) responsible for igniting (inflaming) the immune system and GI tract.

Said co-senior study author, Dr. Towia Libermann: "In both IBS and IBD, the pathway controlled by a protein called NF-kB emerged as one of those most significantly affected by the relaxation response."

With monumental implications, meditation effectively disables the genetic trigger linked to so many nasty gut/non-gut related diseases (anxiety, depression, MS, Autism, Parkinson’s, & more), while short-circuiting the body’s endless stress response cycle.

To illustrate the implications, if a pack of mischievous bears were the lone culprits behind your twisted-up micriobiome, then meditation would chase them back into their cave for a "permanent winter hibernation."

The Takeaway

Your gut is incredibly important for overall health. Diet, while important, does not guarantee a healthy microbiome. As evidenced by the "gut-brain-axis," your ability to handle stress is (arguably) more important than diet, along with genes.

Luckily, meditation not only dominates stress like Michael Jordan over the '92-'93 Phoenix Suns, but also orchestrates a Mozart-like symphony expressing only your "cream of the crop" genes.

This article originally appeared on eocinstitute.org

Massage Therapy for Mental Wellness

Knead Out Stress

We know that massage therapy is of great benefit to sport injuries and muscle soreness. But it is also an effective way to improve your mental health.

Massage therapy is a popular treatment for the relief of sports injuries, strains, and muscle soreness. But its benefits are more than just physical: it is also an effective way to alleviate depression and anxiety—and improve sleep quality.

Although life stresses are unavoidable, we can counter negative feelings and insomnia with the positive benefits that massage therapy offers.

Why massage therapy?

Massage has been practised for centuries. In ancient India massage therapists kneaded patients with herbs and oils to relieve tiredness, increase energy, and improve overall health. In fifth-century Greece Hippocrates was quoted as saying, “The physician must be experienced in many things, but assuredly in rubbing.” And it’s no secret why massage is still popular today—it feels wonderful.

For overall mental wellness

According to Heidi Ezzat, a registered massage therapist (RMT) practising in Pitt Meadows, BC, “Massage therapy is an excellent tool in treating anxiety, depression, and insomnia because it helps your body to relax, which in turn helps you to de-stress.”

She explains that massage therapy is effective in treating these disorders because “the state of calm [achieved] allows one to have a better chance of using coping skills that have been acquired in other therapies such as counselling.”

Depression
According to Health Canada, 11 percent of men and 16 percent of women will experience severe depression over the course of their lives. Studies show, however, that massage therapy can be an effective tool for dealing with depression.

In a study published in Support Care Cancer (2010), breast cancer patients who received two 30-minute massages weekly for five weeks reported significant reductions in depression and anxious depression compared to those who received no massage therapy.

In addition, a meta-analysis of 17 studies conducted by Taiwanese researchers found massage therapy was strongly associated with relieving depressive symptoms.

Anxiety
Health Canada reports that of all mental disorders, anxiety conditions top the list. They estimate that 10 percent of Canadians suffer anxiety in some form. But anxiety can be reduced by the positive effects of massage.

Turkish researchers measured burn patients’ anxiety levels before and after massage therapy sessions. Over the course of a five-week period participants showed a significant reduction of symptoms, including itching, pain, and anxiety from the first treatment to the last.

Poor quality sleep
Statistics Canada reports that 3.3 million Canadians (13.4 percent of Canadians over the age of 15) suffer from insomnia. Fortunately, massage has also been shown to improve sleep quality.

Researchers reported the positive effects therapeutic massage had on breast cancer patients’ sleep quality (Journal of Alternative and Complementary Medicine, 2009). Participants reported better sleep quality post-massage in addition to reduced anxiety and chemotherapy side effects, and increased quality of life.

Mental wellness versus muscle soreness

Massage therapy can effectively treat a variety of conditions and disorders; however, the therapist will tailor your treatment course of action based on your particular symptoms and concerns.

According to Ezzat, most massage therapy appointments begin the same way: the client fills out a case history form and an assessment is conducted by the therapist. Based on the information collected, the therapist and patient work out a plan to address the patient’s treatment goals.

However, when treating a patient with a mental health issue, Ezzat says “the environment in the treatment room is especially important, such as temperature, music, and lighting.” She also encourages patients to be still and quiet for part of the treatment so that patients can “tune in to their bodies, breathe deeply, and begin to let go and relax.”

Treatment team

Although massage therapy has been shown to help effectively treat depression and other mental health issues, Ezzat suggests that those with severe problems “should be managed and treated primarily [in conjunction with] the patient’s family doctor and/or naturopathic doctor’s recommendations.”

She explains that there are many tools that a patient suffering from a mental health problem can make use of, and massage therapy is one of those tools. However, sometimes several tools are needed. Ezzat says, “I treat many patients who report benefits from receiving counselling and massage therapy at the same time.”

How often should you go?

The frequency depends on the patient’s specific treatment goals. However, Ezzat recommends, “When someone is starting massage therapy, it is best if they come for several sessions, and according to their condition and schedules that could be once a week or twice a week.”

She reports that most people experience improvements within the first three massage therapy sessions, but long-standing, chronic conditions may take longer. Once patients feel a significant improvement, Ezzat recommends they continue treatment once a month, or more frequently, if they desire.”

Finding a massage therapist

Although RMTs receive similar training across the country, therapists have their own styles and preferred areas of practice. Below are some tips to help you find the right massage therapist for you.

Word of mouth
Speak with someone who’s had appointments with a specific therapist to find out how difficult it is to get in, what approach they favour (light pressure versus deep tissue massage), and much more.

Massage therapy associations
Most provinces have their own massage therapy associations, which can often be found online. Check the websites for RMT listings in your province.

Try a few out
The first therapist you go to may not be the right fit—that’s okay. You may have to try out a few before you find someone who suits your needs. Alternatively, you may prefer to make appointments according to who is available.

This article originally appeared on alive.com and was written by Amy Wood

Yoga to Improve Posture: Self-Assess Your Spine + Learn How to Protect It

Your mom was right: You'll look better and feel great if you stop slouching and stand up straight. Yoga can help you do just that — in a way that honors your spine's natural curves. Here's a guide to assess and improve your posture.

Are you a slumper? A swayer? Chances are you're one or the other to some degree—despite Mom's best efforts all those years ago to get you to sit up straight and stop slouching. She probably told you that you'd look and feel better if you worked on your posture, and she was absolutely right. But if you're like most people, you rolled your eyes and ignored her, or straightened up until she wasn't looking. And you probably didn't give posture much more thought at all until you walked into your first yoga class and tried to stand in Tadasana (Mountain Pose).

When you're a beginner, it's surprisingly complicated to master the art of rooting down through the feet while lengthening up through the spine, keeping your chest open without jutting your lower ribs out, and keeping the legs muscles strong and lifted without tensing the belly or jaw. But ultimately, Tadasana demands just one simple thing: that you stand in a way that supports the natural curves of a healthy spine. So why is it so difficult? And why do we work so hard to master good posture in yoga—leaving class feeling taller and healthier—only to slump down in the car seat on the way home or revert to a swayback when we heft our overstuffed yoga bags onto our backs?

In short, modern life conspires against good posture. We spend our days sitting at desks, staring at computer screens. When we travel, we do it in cars or—worse—airplanes. We lounge around in overstuffed chairs designed more for looks than for lumbar support. And we pay people to mow our lawns, tend our gardens, and remove our trash so we can spend more time working or driving or sitting. Non-sedentary cultures—with a few exceptions—don't have the same epidemic of back and neck problems that we do. Picture a woman gracefully balancing a large basket of food on her head. To carry such a heavy weight, she must have a perfectly aligned spine and strong posture-support muscles. You don't get that kind of alignment and strength from sitting around and watching the tube. You can, however, get it from a regular yoga practice.

See also Stop Slouching! Improve Posture with Bow Pose

Better Posture Principles: Try this 3-Part Strategy

To create great alignment for your body, I recommend a three-part strategy. First, build awareness by assessing your posture and your lifestyle. Next, create a yoga prescription for your specific postural problem by incorporating a few simple poses into your regular practice. Finally, take your newly developed awareness of your alignment issues and apply it throughout your daily life.

Before tackling the how-tos, however, it's important to understand the anatomy of proper posture. Whether you're sitting or standing, your spine has natural curves that should be maintained. They are a mild forward curve (like a gentle backbend) in the neck and lower back, and a mild backward curve in the upper back and midback. As you practice yoga, you learn to maintain these optimal curves in many standing poses, in most sitting poses, and in inversions like Sirsasana (Headstand) and Adho Mukha Vrksasana (Handstand).

If any of these curves are habitually flattened or overly curved, abnormal posture can get locked into the body. A wide variety of abnormal curves can occur, including a flat neck and a flat lower back, but we'll focus on the two most common problems: a hunched upper back (known as excessive kyphosis), which is usually linked with a jutting forward of the head (known as forward head) and, at the other end of the spectrum, an extreme sway in the lower back (known as excessive lordosis). These extreme curves contribute to many of the painful problems—muscle strain, joint pain, and disk problems, to name a few—that physical therapists and other health care practitioners treat every day.

Maintaining just the right curves is only part of the equation, however; to function efficiently, your skeletal structure also needs to be aligned vertically. That means when you're standing, your ears should be over your shoulders, your shoulders over your hips, and your hips over your knees and ankles. When any body part falls out of that vertical line, the adjacent support muscles will feel the strain. For example, years of having a forward head will cause the muscles of the upper back and neck to become tired and achy from holding up the weight of the head against the pull of gravity.

So, while you needn't nag yourself about slouching, you may discover that the simple act of straightening up can change your life. If you train your body to maintain the normal spinal curves and keep your posture vertical and spacious when you're standing or sitting upright, you're likely to feel better all over. And that's something to write home about.

See also Kathryn Budig’s Perfect-Posture Secret: Anti-Slouch Yoga Strap Trick

Do You Slump or Sway? Take the Assessment

The first step toward changing a bad habit is to recognize that you have a problem, right? So, let's start your posture-improvement program by building awareness of your postural pitfalls. You can assess your spinal curves by standing against a doorjamb. When you stand with your heels very near the jamb, you should have contact at your sacrum (the upside-down triangular-shape bone a few inches above your tailbone), the middle and upper back (thoracic spine), and the back of your head. With normal spinal curves, your lower back (lumbar spine) and neck (cervical spine) won't touch—there should be about an inch of space between the doorjamb and the vertebrae of your lower back. But if you can slide your whole hand into the space, you have a swayback, or excessive lordosis.

Standing at the doorjamb also provides valuable feedback about kyphosis and forward head. If you notice that your chin lifts up when you place the back of your head against the jamb, you probably have excessive kyphosis in your thoracic spine. The combination of excessive kyphosis and forward head is common, and it puts significant strain on your neck muscles and intervertebral disks.

It's also worth noting that you could have a combination of postural problems, such as an increased kyphosis with an excessive lordosis. In that case, it's usually best to focus on creating proper alignment in the pelvis and lower back first, and then work your way up the spine.

After your assessment, take a close look at the furniture you use every day at work, home, school—anyplace you spend a significant amount of time. Supportive beds and chairs and a carefully set-up desk and computer workstation will facilitate good alignment. On the other hand, a saggy bed, poorly designed chair, and keyboard at the wrong height will set the stage for degenerating posture. Make the best furniture choices you can to support your journey to better spinal health.

Better Posture Poses for Yogis with Desk Jobs

While sitting is not the root of all evil, it does contribute to both kyphosis and lordosis. Most people unwittingly tip their head forward and down while working—to see the papers on their desk or read what's on their computer screen. Often the arms also pull forward to reach the keyboard. It's easy to see how this contributes to a sagging, droopy posture.

When you hunch forward at your desk, the chest collapses and compresses the heart, lungs, and diaphragm. Hunching also strains the back muscles, causing them to overstretch and become weak. If you're collapsed in a kyphosis, the key to breaking the habit is to stretch the muscles of the chest, increase the flexibility of the thoracic spine and ribs, and strengthen and shorten the muscles of the back. Supported backbends stretch the pectoralis major, so they're an excellent way to open the chest. They also increase the mobility in the stiffest part of the spine—the thoracic.

To strengthen and shorten the muscles that support the midback, practice Salabhasana (Locust Pose) and Bhujangasana (Cobra Pose). Both are effective strengtheners for the long muscles that run parallel to the spine along with the muscles that help support and position the shoulder blades (the trapezius and rhomboids in particular). In a slumped posture, the shoulder blades usually fall forward toward the chest and hunch up toward the ears. Both Bhujangasana and Salabhasana train the midback to hold the shoulder blades in their normal position, which is down away from the ears and flat against the back ribs.

See alsoFix the Slouch: 4 Poses for Upper Crossed Syndrome

Sitting all day can also contribute to serious misalignments in the lower back and pelvis. Prolonged sitting shortens the hip flexors—the muscles (including the iliopsoas, rectus femoris, and tensor fascia lata, to name just a few) that cross the front of the hip. If you sit for many hours every day without stretching your hip flexors regularly, they will gradually lose their normal length, causing the pelvis to tilt forward (known as an anterior tilt of the pelvis) when you're standing. A strong anterior tilt usually causes an excessive lordosis or swayback, which contributes to chronic tightness and pain in the lower back muscles. It can also cause lower back pain by compressing the facet joints, the small joints along each side of the spine where the vertebrae overlap one another. The facet joints weren't designed to bear much weight, and compression can wear away the cartilage lining the joints, causing arthritis. Unfortunately, you may not know that your cartilage is wearing away until, after many years of sitting, standing, and walking with excessive lordosis, you find yourself living with a chronically painful arthritic lower back.

See alsoFix the Slump: 4 Poses for Lower Crossed Syndrome

If you fall into the swayback category, focus on lengthening and stretching those tight hip flexors in your yoga practice. Add lunges and Virabhadrasana I (Warrior Pose I) to your daily practice or, at the very least, do them two or three times per week. You can, of course, include this stretching as part of Sun Salutation, but it's optimal to hold the hip flexors in a stretched position for one to two minutes. Try adding a good long hip flexor stretch later in your practice, when the muscles are warm, and focus on breathing, relaxing, and lengthening the muscles that cross the front of the hip.

Also, practice a posterior tilt by lifting the front pelvis up off the front thigh and drawing your tailbone down toward the floor in lunges or Virabhadrasana I. This action will create space and release compression in the facet joints in your lower back.

In addition to practicing these actions, you can reduce the anterior tilt of the pelvis, support your internal organs, and help reduce the risk of lower back injuries by strengthening the abdominals. Exercises like curl-ups and crunches emphasize the upper abdominals. But if the upper abdominals become overly strong and tight, they can restrict breathing and actually pull down on the rib cage, contributing to an increased kyphosis and flattening the normal curve of the lower back. Instead, practice postures like Navasana (Boat Pose) and Urdhva Prasarita Padasana (Leg Lifts) to strengthen the lower abdominals, which are most important in supporting the lower back and pelvis.

See alsoThe Yoga of Smartphones: How to Avoid “Tech Neck”

Daily Yoga Practice for Better Posture: Virasana

Whether your problem area is the upper back, lower back, or both, I recommend that you sit for a few minutes once or twice a day in Virasana (Hero Pose). It is a wonderful position to reinforce good posture habits, because it teaches proper alignment in all the spine's curves. After a brief daily Virasana practice, you can more easily integrate your alignment awareness when you sit during the day. Just remember to apply the same cues you learn in Virasana when you sit on your couch or at your desk.

After you get settled in Virasana, place one hand on your lower back. Now tuck your tailbone under—you'll actually be sitting on it. As you do this, feel how you slump over and your lumbar spine flattens. Now move in the opposite direction by rolling your pubic bone toward the floor. Your pelvis will tip forward and you'll have excessive lumbar lordosis, which you can also feel with your hand. Now move back and forth between those two extremes until you find the point balanced in between, where you can sit directly on your sitting bones and feel a healthy alignment for your pelvis and lower back.

Next, bring your awareness to your upper back. To reduce kyphosis, imagine lifting your breastbone up away from your heart and lungs as you engage your back muscles to lengthen your spine upward. As you lift up, don't increase the curve of the lower back or let your lower front ribs jut forward. Let the shoulder blades fall away from the ears, and spread your collarbones broadly without pinching the shoulder blades toward the back spine.

Moving farther up the spine, make sure you don't have a forward head. I don't recommend that people with a forward head put a finger on their chin and push their head back, because doing so can create an overly flattened, uncomfortable neck. Usually, just reducing the kyphosis will bring the head closer to its normal alignment, with the ears over the shoulders. You can also try putting the flat parts of your fingers across the back of your neck and dropping your chin. Feel how the curve of your neck flattens and the tissues become hard. If you lift your chin and look up at the ceiling, you'll feel the back of your neck curving excessively and compressing. Now come back to the middle position, where your chin and gaze are level—you should feel a soft curve, slightly toward a backbend.

To reinforce good alignment while standing, come back to the doorjamb-assessment position. You can use this position several times a day—without putting on yoga clothes or getting out your mat—so you learn by feel how to stay vertical and maintain the normal curves while standing.

Lengthen your spine up the doorjamb by reaching the crown of the head toward the ceiling while your shoulders melt down away from your ears. If you tend to have excessive lordosis, you may find it's much easier to reduce the lumbar curve by bending your knees. If that's the case, your hip flexors are probably tight and your abdominal muscles are weak. To work on strengthening the abdominals, stand at the doorjamb, bend the knees slightly, and draw your tailbone toward the floor and your back waist toward the door-jamb.

Don't contract the abdominals so hard that you collapse in the chest or can't breathe—remember that the goal is to have a mild (not excessive or completely flat) curve in your lower back, combined with an open chest and a chin that's level to the ground. (If your chin and gaze tend to go up when you take your head to the doorjamb, your kyphosis is probably still causing a forward head. It will take time to reduce the kyphosis; in the meantime, don't force your head to the doorjamb. Keep working to lift your breastbone, without overarching your lower back, and stay in the position in which you can keep your chin and gaze level.) Finally, step away from the doorjamb, training your body to remember the feeling and your mind to remember the cues to good vertical posture. When this happens, you'll be standing in Tadasana (Mountain Pose).

Furniture for Better Posture

With a critical eye, take a look at the furniture you use most often or might buy in the near future. No matter how fashionable it is, don't bring home a couch with a long seat, which will cause you to slump backward as you search for support. If you already have one, keep plenty of cushions on hand to fill in the space between the back of your hips and the back of the couch. That's true for any type of seat; when the backs of your calves hit the front edge of the seat and there is a gap behind you, fill in the gap so your back is supported and upright.

If possible, try a kneeling chair, which comes closest to Virasana off the floor. With a regular chair, if you're short in stature, use a stool for your feet so they don't dangle in midair and contribute to strain in the lower back. If you're tall and your knees are higher than your hips when you put your feet on the floor, you could easily fall into a backward slump. Solve this problem by raising the chair seat—if it's as high as it will go, sit on a cushion. In a pinch, you can sit toward the front edge of the seat and pull your feet back so the knees are lower than the hips. This shape is similar to that of Virasana.

When you work on the computer, make sure the screen is at a height at which you can look straight ahead or just slightly down at it. Learn to touch type so you don't have to look down at the keyboard, and get a book holder or inclined desk to bring reading materials closer to eye level. Set up your keyboard—you might need a keyboard tray—so your forearms are parallel to the floor.

Best Sleeping Positions for Proper Posture

The best sleep positions for most people are on their back or side; sleeping on the stomach is the biggest no-no. (If you have excessive lordosis, sleeping on your stomach will exaggerate it, especially on a bed that's too saggy or soft.) If you sleep on your back, don't increase the forward head habit by piling pillows under your head. It's better to use one down pillow, which conforms to the shape of your head and neck, or a foam pillow formed with neck support and an indentation for the back of your head. If you're lying on your side, be careful not to pull your head forward.

Seal the Yoga Practice for Better Posture, and Repeat

Once you've done your physical assessment, looked at your furniture, and added poses to your arsenal, there's just one very important thing left to do—practice, practice, practice. With frequent repetition, old habits and patterns can be replaced with new and healthy ways of moving, standing, and sitting. But it's important to remember that change takes time. I tell my students and clients to expect to work for a year before new posture and movement habits become automatic. Muscles don't lengthen or strengthen overnight. As you stretch out the tight areas and strengthen the weak ones, your body will gradually find its way to a more balanced alignment.

It's also important to notice how you feel when your posture is good. Does your body feel at ease? How's your mood? Your energy level? Likewise, notice how you feel when your posture is bad. Are you feeling down or rushed or tired? When do your bad habits creep up on you?

The goal here isn't to achieve perfection; it's simply to find the healthiest alignment—one that makes you feel simultaneously strong and at ease—given your body structure. This will take time, patience, and perseverance.

Take comfort in knowing that yoga trains your mind as well as your body. As you continue to devote yourself to your practice, you will become more present in your body and more aware of your alignment, and you will begin to naturally make choices that will improve your health and your quality of life. Over time, the combination of increased awareness and physical training will allow your improved alignment to spill out into other areas of your life. Before you know it, you'll feel at ease as you practice good yoga alignment while you're perched at your desk, standing at the copier, and sitting at dinner. You'll be doing yoga during all of your waking hours. And who knows? You might just impress your mom!

This article originally appeared on yogajournal.com and was written by Julie Gudmestad