Self-Care Strategies

The New York Times     May 17, 2014

          "Many economists believe that health care costs will continue to rise. Even more distressing, the Affordable Care Act will likely reinforce current practice, which dictates surgical and pharmacological interventions that can be expensive, inappropriate, burdened by side effects and, often, ineffective.

          Forty years ago, as a researcher at the National Institute of Mental Health, I began to study inexpensive self-care strategies — then called “alternative therapies” — that might address the underlying biological and psychological imbalances that contribute to chronic conditions. These included nutrition, exercise and “mind-body” techniques like meditation, guided mental imagery and biofeedback.

          Since then, research has demonstrated that mind-body approaches reduce stress and improve mood and immunity. They decrease blood pressure in hypertensives, blood sugar in diabetics and pain. Dietary modification can play a major role in preventing breast, prostate and colon cancer, as well as in diabetes and heart disease. And exercise, which can help prevent all of these, can also alleviate depression.

          We spend about twice as much as many other industrialized nations on health care, often with inferior outcomes. Three-quarters of that spending is on chronic conditions, including heart disease, diabetes, cancer, arthritis, depression and chronic pain — exactly the ones for which self-care is best suited. Comprehensive programs that offer self-care in a supportive group are even more promising, for both treatment and prevention. This approach is also proving effective for psychological trauma.

          What was unexamined and alternative 40 years ago is now well researched. It should be fundamental. If we are going to reduce our ruinous costs and improve our declining national health, we must make self-care and group support central to all care."

JAMES S. GORDON
Washington, May 12, 2014

The writer, a psychiatrist, directs the Center for Mind-Body Medicine and was chairman of the White House Commission on Complementary and Alternative Medicine Policy appointed by President Bill Clinton. 

http://www.nytimes.com/2014/05/18/opinion/sunday/self-care-strategies.html?_r=2

Ian Forsyth   nationalgeographic.com