Author: Ryan S Patel DO, FAPA, OSU-CCS Psychiatrist

Yoga for PTSD

Exercise has been shown to help improve a variety of  mental health conditions (1, 2).

A recent study wanted to see if  yoga can help with  Post traumatic stress disorder, also known as PTSD (3).

What is PTSD (4)?

According to the National Institute of Mental health (PTSD) (4):

What was the study (3)?

After filtering through over 12,000 results, a review of 66 studies and 24 controlled studies were meta-analyzed.

What were the results (3)?

  • The review showed that both mindfulness and YOGA benefited ptsd symptoms regardless of the type of trauma experienced (3).
  • Benefit was greater if yoga or mindfulness was done more than 8 weeks (3).

How much and how often should yoga be done to benefit ptsd?

There is evidence supporting yoga done 1-2 times per week for 60 to 75 minutes per session to benefit PTSD (5).

What are some caveats?

  • There are many forms of yoga.  Students may find some forms of yoga more helpful than others.
  • Check with your healthcare provider to make sure that doing yoga is safe and appropriate for you.

Additional resources regarding Yoga:

  • Yoga classes through your school
  • Online resources for yoga
  • Yoga classes in the community such as:  gym, health and fitness club, yoga center or YMCA, community or religious organization, etc.

What are some precautions?

  • It may be best to check with your healthcare provider to make sure it’s safe for you’re to start an exercise program.
  • Individuals with a history of disordered eating or disordered exercise should check with their health professional before exercising.
  • It may be wise to stop exercise and seek professional help if you notice:
    • Increased depression, disordered eating, and other mental health concerns due to exercise.
    • Injury, pain, or decreased motivation
    • Obsessive behaviors
    • Other symptoms.
  • Exercise may not help without proper nutrition, so it may be wise to learn about proper nutrition and proper exercise technique, and exercise/nutrition plans, before starting to exercise.
  • It may be helpful to gradually start exercising to give yourself time to adjust to an active lifestyle.
  • It might take weeks months or longer for some people to get used to and enjoy the minimum activity guidelines.
  • Occasional weeks without exercise or light activity may be important to prevent injury.
  • Figuring out what works best for you may give you lasting benefits.

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By Ryan S Patel DO, FAPA OSU-CCS Psychiatrist

Disclaimer: This article is intended to be informative only. It is advised that you check with your own physician/mental health provider before implementing any changes. With this article, the author is not rendering medical advice, nor diagnosing, prescribing, or treating any condition, or injury; and therefore claims no responsibility to any person or entity for any liability, loss, or injury caused directly or indirectly as a result of the use, application, or interpretation of the material presented.

References:

  1. Patel R. Mental Health For College Students Chapter 9: Exercise strategies to improve mental health
  2. https://u.osu.edu/emotionalfitness/category/exercise-and-mental-health/
  1. Taylor, J., McLean, L., Korner, A., Stratton, E., & Glozier, N. (2020). Mindfulness and yoga for psychological trauma: systematic review and meta-analysis. Journal of Trauma & Dissociation, 21(5), 536–573. https://doi.org/10.1080/15299732.2020.1760167.
  2. https://www.nimh.nih.gov/health/topics/post-traumatic-stress-disorder-ptsd
  3. Yoga for the Treatment of Post-Traumatic Stress Disorder, Generalized Anxiety Disorder, Depression, and Substance Abuse: A Review of the Clinical Effectiveness and Guidelines [Internet]. Ottawa (ON): Canadian Agency for Drugs and Technologies in Health; 2015 Jun 22. SUMMARY OF EVIDENCE. Available from: https://www.ncbi.nlm.nih.gov/books/NBK304564/

Caffeine and academic performance

Oftentimes as students prepare for exams, they might find themselves not sleeping as much and using caffeine on exam day.

One study looked at whether this would help or not.

What was the study? (1)

  • Stepan and colleagues (1), had 276 participants do a  place keeping task (UNRAVEL) and a vigilant attention task (the Psychomotor Vigilance Task [PVT].
  • They were then randomly assigned to either stay awake overnight in the laboratory or sleep at home. (1)
  • In the morning, participants who slept returned to the lab, and all participants consumed a capsule that contained either 200 mg of caffeine or placebo (1).
  • After the caffeine absorption period, they had participants repeat those tasks.

What were the results? (1)

  • Investigators (1) found that caffeine helped both groups maintain attention; similar to other studies (2).
  • Caffeine DID NOT reduce place keeping errors in either group (1).

What does this mean? (1)

According to this study (1), if you are sleep deprived, caffeine may help you stay awake but may NOT help with academic performance.

What are some caveats?

  • Caffeine can also worsen anxiety for some people, which might not help with academic performance.
  • This is a small study and further study is needed to verify the results.
  • The benefit size may not be enough for everyone.
  • Individual results may vary.
  • 200mg caffeine may be too much for some people.
  • Getting adequate sleep may be a better strategy

What are some helpful strategies for sleep?

The American Academy of Sleep Medicine suggests the following ways to improve sleep (3):

  • Keep a consistent sleep schedule.
  • Get up at the same time every day, even on weekends or during vacations.
  • Don’t go to bed unless you are sleepy.
  • Other strategies:

What are some helpful resources for sleep?

By Ryan S Patel DO, FAPA

If you would like to be notified of a new post (usually once per month), please enter your email above.

Disclaimer: This article is intended to be informative only. It is advised that you check with your own physician/mental health provider before implementing any changes. With this article, the author is not rendering medical advice, nor diagnosing, prescribing, or treating any condition, or injury; and therefore claims no responsibility to any person or entity for any liability, loss, or injury caused directly or indirectly as a result of the use, application, or interpretation of the material presented.

References:

  1. Stepan ME, Altmann EM, Fenn KM. Caffeine selectively mitigates cognitive deficits caused by sleep deprivation. J Exp Psychol Learn Mem Cogn. 2021 Sep;47(9):1371-1382. doi: 10.1037/xlm0001023. Epub 2021 May 20. PMID: 34014758.
  2. Killgore WDS, Kamimori GH. Multiple caffeine doses maintain vigilance, attention, complex motor sequence expression, and manual dexterity during 77 hours of total sleep deprivation. Neurobiol Sleep Circadian Rhythms. 2020 May 31;9:100051. doi: 10.1016/j.nbscr.2020.100051. PMID: 33364521; PMCID: PMC7752712.
  3. http://www.sleepeducation.org/essentials-in-sleep/healthy-sleep-habits
  4. Patel R. Mental Health For College Students

Venting to manage anger? This might work better

We can all feel angry from time to time and people often think that venting anger will help us.  This might not be the case.  A recent study looked at what worked better to manage anger: activities that increased arousal (venting) or activities that decreased arousal (calming activities).

What was the study? (1)

Bushman and Kjærvik reviewed 154 studies including 184 independent samples involving 10,189 participants.

What were the results? (1)

The authors found that effects calming activities were more effective at managing anger than venting activities.

What are examples of calming and venting activities in this study? (1)

Examples of calming activities that helped manage anger, or activities that decreased arousal were: deep breathing, mindfulness, meditation.

Examples of activities that increased arousal that did NOT help manage anger were: hitting a bag, jogging, cycling.

What are some caveats? (1)

  • See the full study for further details (1).
  • The authors found that the results were stable over time for participants of different genders, races, ages, and cultures (1)
  • It also did not matter how the activities were delivered or taught:  (e.g., digital platforms, researchers, therapists),  group or individual sessions, field, or laboratory settings (1).
  • This means that one could teach themselves calming activities to help manage anger or learn it from technology or others, including professional settings (1).

Where or how can I learn these calming techniques? (1)

Check out previous posts or this link (3).

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By Ryan S Patel DO, FAPA

Disclaimer: This article is intended to be informative only. It is advised that you check with your own physician/mental health provider before implementing any changes. With this article, the author is not rendering medical advice, nor diagnosing, prescribing, or treating any condition, or injury; and therefore claims no responsibility to any person or entity for any liability, loss, or injury caused directly or indirectly as a result of the use, application, or interpretation of the material presented.

References:

  1. Kjærvik SL, Bushman BJ. A meta-analytic review of anger management activities that increase or
    decrease arousal: What fuels or douses rage? Clinical Psychology Review
    Volume 109, April 2024, 102414.  https://doi.org/10.1016/j.cpr.2024.102414
  2. https://news.osu.edu/breathe-dont-vent-turning-down-the-heat-is-key-to-managing-anger/?sfmc_key=0032E00002tKfusQAC
  3. Mental Health: Proven Techniques (lifehacks, biohacks) and Expert insights  for specific tools and techniques to learn calming strategies such as deep breathing, mindfulness, meditation, etc.