Showing posts with label alternative therapy. Show all posts
Showing posts with label alternative therapy. Show all posts

Cold Showers as efficient therapy for depression




Depression can be a
really devastating psychological disease, and treatments  may range from antidepressants with substantial
side effects to electric shock therapy for critical patients conditions, resent
researches suggest that a simple cold shower might sometimes cure, and even
prevent, debilitating mood disorders.






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Virginia Commonwealth University School of Medicine
Research





As the name implies,
cold showers therapy is done by subjecting the patient body to cold
temperatures of the running water, creating a physiological response in the
body and subsequently the brain. A recent study at the Virginia Commonwealth
University School of Medicine established that depressed patients who were
treated with cold showers showed a significant improvement in mood.





The treatments
consisted of cold showers that were 20°C for 2 to 3 minutes, performed once or
twice daily over several months. The evidence suggested that exposure to cold
activates the sympathetic nervous system, increases the blood level of
beta-endorphin and noradrenaline, and increases synaptic release of
noradrenaline in the brain. Additionally, due to the high density of cold
receptors in the skin, the cold shower sent electrical impulses from peripheral
nerve endings to the brain, which resulted in the anti-depressive effect.






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How it works?





Cold therapy helps
with depression by creating the same type of physiological stressors that have
been experienced by primates through millions of years of evolution, such as
brief changes in body temperature produced by a cold swim. It’s theorized that
lack of this type of thermal exercise may impede adequate functioning of the
brain.





As the temperature
of a human body drops below the level required for health, various reactions
occur to protect the core--that is, the abdominal organs and brain--from
damage, even at the expense of the extremities. The brain is literally
insulated against extreme cold, and it will begin to suffer symptoms of damage
only at the point of advanced hypothermia, long after muscular symptoms such as
shivering first appear. This assumes that the core temperature is not dropping
very rapidly, as when a person is submerged in cold water.





The average healthy
temperature of a human body is 36.1 to 37.5° C, or 96.9 to 99.5° F. Hypothermia
is defined as any temperature below 35° C or 96° F. This is the beginning of
stage 1 hypothermia. Brain function becomes noticeably impaired only during
stage 2, which begins at around 33°C or 93°F. The person may exhibit confusion.
Many of the symptoms, which may appear as potentially neurological (including
lack of coordination, stumbling and labored speech) are in fact muscular in
nature. As part of the body's effort to protect the internal organs, the
vasomotor response constricts blood vessels in and near the skin. Consequently,
the individual’s hands, face, and legs lose function, although the brain is
largely unaffected.





Temperature jolts to
brain may have a similar effect as the phenomenon of homeopathy, whereby small
doses of something harmful may actually promote healing by stimulating the
body’s repair and recovery systems. Electric shock and deep brain stimulation
treatments operate on a somewhat similar principal, only with frightening
potential side effects, such as memory loss and cognitive impairment.





The study's author,
Nikolai Shevchuk, believes the biological explanation revolves around a part of
the brainstem known, appropriately enough, as the locus ceruleus, or "blue
spot."





"The possible
antidepressant effect may also have to do with the mild electroshock delivered
to the brain by a cold shower, because of the unusually high density of cold
receptors in the skin," he added, explaining that these nerve endings are 3-10
times higher in density than those registering warmth.





Shevchuk proposes
that depression may be caused by two factors. The first is a genetic makeup
that predisposes an individual to the disorder. Prior research has documented
that depression can run in families, but since some sufferers report no prior
family history and many people develop depression later in life, genes don't
appear to explain all cases. He suspects a lifestyle lacking sufficient
physiological stress, such as brief changes in body temperature, may also be a
contributing factor.






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Kundalini Yoga Viewpoint





Interesting enough,
that the new findings of the Western researchers support the recommendations,
which have been practiced for long by Eastern practitioners. Gurudev Khar
Khalsa, a Sat Nam Rasayan healer and Kundalini Yoga teacher confirms that cold
showers can be very efficient tool to combat, and even prevent depression.





Cold showers have
the following positive effects:


* Brings blood to
the capillaries, therefore increasing circulation throughout the body.


* Cleans the
circulatory system.


* Reduces blood
pressure on internal organs.


* Provides flushing
for the organs and provides a new supply of blood.


* Strengthens the
parasympathetic and sympathetic nervous systems.


* Contracts the
muscles to eliminate toxins and poisonous wastes.


* Strengthens the
mucous membranes, which help resist hay fever, allergies, colds, coughs.





Many health problems
are reduced or even eliminated over time by providing proper circulation of the
blood to the affected area using the cold shower massage.





"Ishnan"
is the term used in the old days when people in India referred to cold showers
(very cold showers). "Ishnan" is the point at which the body, by its
own virtue, creates the temperature that it can beat off the coldness of the
water. This happens when the capillaries open with the onset of the cold water.
They close again during the course of the cold shower and it is at that point
that all the blood rushes back to flush the organs and the glands. This process
allows the glands to renew their secretions and "youth" (i.e. young
glands) again returns to the body."






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Cold shower
guidelines and restrictions





  • The proposed treatment procedure would
    last several weeks to several months. It would consist of one or two cold
    showers a day at 20 ° C (68 ° F) for 2 to 3 minutes, proceeded by a 5
    minute gradual adaptation to lessen the shock.

  • Many practitioners recommend 2 or more
    cold showers a day.  This is particularly essential if you are
    working on shifting a physical or emotional problem.  The majority
    recommend at least 3 a day. First thing in the morning, when you get home
    from work and before you go to bed. Other therapists suggest that for some
    people cold shower and other water procedures y not be suitable
    immediately before bedtime and just after awakening. For these people, they
    are commended during the day, when the body is active. The reason is that
    cold water quickly affects the central nervous system, eliminating fatigue
    so these people will have difficulties to fall asleep.

  • Shower in cold water until your body temperature rises and no longer
    feels cold, but toasty and warm. Make sure the bathroom is heated. Never
    get out of a cold shower into a cold room.

  • If you find it difficult to start with
    the recommended procedure, start small and gradually work up to the
    recommended procedure duration of 2 minutes. Start with 15 – 30 seconds,
    and begin with your feet then move to your knees and legs.  Gradually
    introduce the cold water to all parts of your body.  Some
    practitioners say it’s not absolutely necessary to get your head wet,
    just your face and back of neck (an important energy location).

  • Little and often is far more effective
    than eight minutes at once.  Be mindful if you are feeling weak,
    listen to your body and start with small steps.

  • Cold showers should not be taken during a women's time of
    menstruation. A woman needs extra rest and gentleness during her menses.
    Taking a cold shower is too much for the reproductive system during
    menstruation. Also, cold showers are not recommended for women after the 7-th
    month of pregnancy.

  • Cold showers are not recommended for men
    immediately after ejaculation. At the moment, the male body is focused on
    making new sperm cells and semen, so cold showers can be a bit too
    stressful.

  • One more potential restriction is related
    to the people with eating disorders and substantially underweight. This
    usually goes along with having a low body temperature and a general
    metabolic weakness which might prevent your body from generating enough
    heat to withstand the cold temperatures.

  • Cold showers may be dangerous immediately
    after a vigorous workout. It is better to start with hot and finish with cold
    to avoid muscle cramping.

  • If you use contrast shower (cold-warm-cold-warm…), always finish
    with cold water.







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Some history





In the 1820s, a German farmer named Vincenz Priessnitz started touting
a new medical treatment called “hydrotherapy,” which used cold water to cure
everything from broken bones to erectile dysfunction. He turned his family’s
homestead into a sanitarium, and patients flocked to it in the hope that his
cold water cure could help them. Among his clientele were
dukes, duchesses, counts, countesses, and a few princesses to boot.





Priessnitz’s hydrotherapy soon spread to the rest of Europe and
eventually to the United States. Celebrities and other famous folks
took to it, like, well, a duck to water and helped popularize the cold water
cure with the masses. For example, Charles Darwin was a huge proponent of
hydrotherapy. The first hydrotherapy facility opened up in the U.S in 1843,
right when the sanitarium craze hit America. By the end of the 19th century,
over 200 hydrotherapy/sanitarium resorts existed in the U.S., the most famous
being the Battle Creek Sanitarium founded by John Harvey Kellogg.





The popularity of hydrotherapy began to decline in the 20th century as
many in the medical field moved to drugs to treat illnesses. As doctors
concentrated on conventional medicine, more holistic methods began to be seen
as quackery. While hydrotherapy was prescribed less and less to cure illnesses,
doctors continued to use it to treat injuries such as strained muscles and
broken bones. You’ll find athletes today taking ice baths to speed their
recovery from injuries and intense workouts.











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Kava Kava and Clinical Depression




What is Kava Kava?





Kava Kava (Piper
Methysticum), also known as Kava, Cava Cava, Cava, Cawa Cawa, Awa, Ava, Sakua,
and Yaqona is an herbal plant that can be found growing in the Polynesian
Islands. As a relative of the black pepper plant, it has similar heart shaped leaves
and flowers as the black pepper plant as well as a similar peppery taste. Many
believe that it is extremely beneficial in countering the symptoms of
depression, anxiety, and stress when it is in ingested.





History





Kava kava is native to some islands of the South Pacific, including
Vanuatu and Fiji. Vanuatu is one of the world's
foremost suppliers of kava kava. It has been used for centuries in Fiji and
Hawaii to reduce fatigue, combat anxiety and enhance sleep.






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Preparation





Kava kava must undergo preparation before it can be used to treat
depression or anxiety. The plant must grow for four years before it can be harvested.
The roots are then cut from the plant, peeled, washed and ground. They are then
steeped in water, and the root pieces are removed by straining the liquid
through cheesecloth. The resulting liquid is ready to drink.




The ground root pieces can also be dried and used in supplement capsules.





Consumption





Kava Root (the only
part of the plant that is used) is largely employed in many cultures as a celebratory
drink much in the same way that alcohol is used in the West. It helps mark
momentous occasions such as weddings, public festivals, political powwows and
holidays, and it is even used in ceremonies honoring the dead. Unlike alcohol,
kava does not produce or stimulate aggression. It does not condemn the user to
a dreaded hangover, unlike alcohol.





Kava Kava can be
purchased in liquid form, powdered form, as an extract or tincture, or in
tablet or capsule form. In some places, the root itself is actually chewed
which provides a much more concentrated dosage than any other preparation of
the herb. The most popular way to consume Kava Kava is in the form of a tea.






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Therapeutic Effects





Many people find
other uses for kava, including many medicinal ones. It’s interesting to note
that kava has been shown to help ease anxiety, depression as well as producing
a restful sleep. It is used by athletes, businessmen and diplomats to help
“take the edge off” and focus concentration.  Widely prescribed throughout
Oceania and Europe to treat hyperactivity in children, it has also been used to
aid children who have difficulty sleeping on occasion.





People report the
following positive effects on health and well-being:


• Relaxes muscles.

• Calms nerves.

• Creates a general feeling of well-being.

• Induces a feeling of peace, relaxation and contentment.

• Enhances mental alertness and concentration.

• Can be successfully used as an herbal aphrodisiac.

• Reduces inhibitions and makes people more sociable.





It is not exactly known how
kava functions in the body yet, but it seems to influence a neurotransmitter
called gamma-aminobutyric acid, or GABA
in the brain, making it
similar to benzodiazepines such as Valium and Xanax, according to an article
in the international journal "Planta Medica," which reported that
kava facilitated the transmission of GABA. In a 1990 "European Journal of
Pharmacology" article, researchers reported that kava was able to inhibit
uptake of another neurotransmitter called norepinephrine. In an article in the
October 1998 issue of the journal "Progress in Neuro-Psychopharmacology
Biology and Psychiatry," researchers found that one of the kavalactones,
D,L-kawain, has been shown to affect dopamine, resulting in an increase in this
neurotransmitter. According to Drugs.com, there are conflicting reports about
kava's effects on serotonin. Based on the current research, it is difficult to
say exactly how kava affects neurotransmitters --- of which the human body has
many --- but at a minimum, it affects GABA, norepinephrine and dopamine.



The kavalactones in kava are
able to pass through the blood-brain barrier and act as sedatives and
analgesics, as well, meaning that if you are experiencing the irregular sleep
cycles often found in individuals suffering from depression, kava can help with
that, as well!





Consumers’ Experience





When first ingested,
users will experience a numbing of their lips, tongue, and sometimes even their
stomach that is caused by the blood vessels constricting. Kava Kava has an
intoxicating effect which, which depending on the dosage taken, some might
compare to that of drinking alcohol or using marijuana. When taken in
moderation, most users experience a great sense of relaxation and well being
combined with the ability to think clearly. It can also induce a restful,
dreamless sleep. This can be extremely therapeutic to those that suffer from
depression. In some cases, if the dosage is too high, individuals will enter a
euphoric or dream like state that may be undesirable and can be avoided simply
by lowering the dosage.






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Side Effects





For the most part,
other than the initial numbness of the lips, tongue, and stomach, there are no
reported side effects from Kava Kava as long as it is used in moderation. In
fact, some have replaced alcoholic beverages with it because they get the same
effect without waking up with a hangover the next morning. However, when used
excessively, there are some reported side effects and/or health problems such
as a hypertension, yellow, scaly rash, shortness of breath, eye irritation, and
changes in red and white blood cells and platelets.





Kava Kava and Liver Damage





In the early 2000's, demand for Kava rose dramatically as it began to make
its way into the mainstream. For many years, it was also being prescribed in
parts of Europe to treat anxiety as well; something that the pharmaceutical
companies were surely taking notice of. Shortly thereafter, reports of liver
damage by a handful of people in Europe began to emerge. Unfortunately, doctors
were quick to blame Kava, and soon, entire countries were banning this
historically safe and effective herbal supplement. Three of those countries
included the United States, Canada, and Germany. Others quickly followed suit
and the legal status of kava was suddenly in serious jeopardy.





But, the health industry fought back with a vengeance. Leading that fight
was the International Kava Executive Council. Even though they were outgunned
by governments, pharmaceutical companies and the media, the herbal industry was
able to provide more than enough evidence that the ban was unquestionably
unjustified. Furthermore, the IKEC showed that the conclusions that were reached
should never have been reached in the first place, as it became clear that Kava
was nothing more than a convenient scapegoat for the reported liver damage. As
the evidence was being submitted, ongoing research was also being conducted by
a number of independent laboratories and universities behind the scenes, partly
because a worldwide ban on kava kava could be devastating for several economies
throughout Oceania.





Fortunately, within a small span of time, several key pieces of evidence
emerged. Perhaps the most notable one came from from the University of Hawaii,
as reported by the Honolulu Advertiser in early 2003. It turns out that there's
a poison in the leaves and peelings (bark) of Kava called pipermethystine. And,
not surprisingly, this poison could potentially lead to liver damage.





It turns out that once the demand for Kava skyrocketed, there wasn't
enough Kava root to fill the demand. Suppliers then knowingly or unknowingly
bought the leaves and peelings of Kava plants (the parts that are always thrown
away as waste material) from unscrupulous growers. Up until that event, the
only parts of the Kava plant that were traditionally used throughout its 3,000
year history were the roots; never the peelings or the leaves. On a related
note: further research revealed that the handful of people who suffered liver
damage also consumed alcohol on a regular basis, restoring Kava's place in the
herbal medicine chest as a safe, effective, and pleasant herbal supplement.





Unfortunately, the damage had already been done. Countries started to
lift their bans on Kava in 2003-onward, but kava was now synonymous with
"but it causes liver damage." Nothing could be further from the
truth, but the media had accomplished its task, and restoring Kava's reputation
has been an uphill battle ever since.





So, where do we stand with the "kava legal status" question?
Happily for many, the United States lifted its ban completely, Canada lifted
its ban on Kava if it's imported by individuals for personal consumption, and
even Germany, where much of the original controversy arose, lifted its ban on
Kava in 2007. Except for a handful of countries such as Norway, Australia, and
Sweden, Kava is indeed legal throughout the world once again! The Canadian
Health Ministry even gave permission to export Kava to Canada, provided it was
only to private individuals.





Dosage





The most significant
anti-anxiety studies show that an effective daily dose of kava is 70-210
milligrams of kavalactones. The amount of kava to take depends on your purpose
for using it and your individual sensitivity to the effects of kavalactones.





Death or severe
illness from exclusive use of kava has not been reported in any medical
literature.





No standard dose
exists for kava. According to the University of Maryland Medical Center, a
typical dose may be between 150-300 mg, taken between one to three times daily.
However, the dosage recommendations on the labels of kava supplements will vary
according to the brand. Do not take kava kava for more than three months
without the close supervision of your physician.





Recent Research





In the recent, 2009,
study, researchers at the University of Queensland in Australia have found a
traditional extract of Kava, a medicinal plant from the South Pacific, to be
safe and effective in reducing anxiety. Lead researcher Jerome Sarris, a PhD
candidate from UQ’s School of Medicine, said the placebo-controlled study found
Kava to be an effective and safe treatment option for people with chronic
anxiety and varying levels of depression.





“We’ve been able to
show that Kava offers a natural alternative for the treatment of anxiety, and
unlike some pharmaceutical options, has less risk of dependency and less
potential of side effects,” Mr. Sarris said.





Each week
participants were given a clinical assessment as well as a self-rating
questionnaire to measure their anxiety and depression levels. The researchers
found anxiety levels decreased dramatically for participants taking five
tablets of Kava per day as opposed to the placebo group which took dummy pills.





“We also found that
Kava had a positive impact on reducing depression levels, something which had
not been tested before,” Mr. Sarris said. In 2002 Kava was banned in Europe, UK
and Canada due to concerns over liver toxicity.





While the three-week
trial raised no major health concerns regarding the Kava extract used, the
researchers said larger studies were required to confirm the drug’s safety.





“When extracted in
the appropriate way, Kava may pose less or no potential liver problems. I hope
the results will encourage governments to reconsider the ban,” Mr. Sarris said.






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Summary





While Kava Kava has
been shown to help alleviate some of the debilitating symptoms of depression,
it should never replace any prescription medication or traditional therapy
without first consulting with a physician. It is important to remember that
what works for one person might not necessarily work for another and what might
be safe for one person might be dangerous to another. Kava Kava is an extremely
potent herb for depression that can have some undesirable effects if it is
misused. Work with your physician to determine if it is right for you…









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Music Therapy is Effective for Depression Treatment

With origins believed to date back as early as Aristotle and Plato, music therapy has become an alternative to traditional cognitive and behavioral therapies.  Michigan State University developed the first college curriculum in 1944 in response to a positive impact music therapy had on veterans of WWI and WWII. Music therapy successes are based on the utilization of creative lyrics, in addition to harmony, to stimulate the senses of a patient. In doing so, music therapy provides an impact to the physical, cognitive, emotion and social well-being. More recently, music therapy has begun to incorporate into the treatment of eating disorders, ADHD and depression with a benefit exhibited to both genders and across various age groups.



In the treatment of depression, music therapy provides spoken words in addition to harmony in an effort to provide inspiration and promote wellness.  Music therapy alleviates pain and promotes calmness by slowing the heart rate and other bodily functions. It is through the therapy that a patient will feel more adept to expressing emotion and begin to feel a motivation to fight against the disease. 


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Recent Studies


Music therapy might help ease the symptoms of depression, though its effectiveness as a stand-alone intervention is not certain, according to a recent review of five small studies.


Four of the studies found reduced depression symptoms in participants receiving music therapy compared to those who did not. The fifth study did not find any difference.


The benefits of music appeared greatest when providers used theory-based therapeutic techniques rather than “winging it.”


“In the four studies where there was an impact, there was a very coherent theoretical framework, a very coherent explanation of what went on in the session and obvious reasons why the therapists were there,” said lead author Anna Maratos. “In the study that showed no effect, there didn’t seem to be any theoretical underpinning to the intervention. We have no idea why the therapist was there, really.”


Therapeutic interventions included listening to music in groups, body movement and painting to music, and improvised singing.


The review appears in the most recent issue of The Cochrane Library, a publication of The Cochrane Collaboration, an international organization that evaluates medical research. Systematic reviews draw evidence-based conclusions about medical practice after considering both the content and quality of existing medical trials on a topic.


Maratos, head of profession for Arts Therapies at the Central and Northwest London NHS Foundation Trust, and colleagues looked for randomized controlled trials that compared music therapy with other, more traditional interventions for depression. They found a dearth of rigorous research.


Because there was little or no uniformity in study approaches, study populations or therapeutic techniques, the researchers did not pool the results for meta-analysis.


Maratos said that although the fifth study did not meet reviewers’ eligibility criteria, it was included because it was the only study with a certified professional coordinating the sessions.


The reviewers defined music therapy as an intervention designed to improve health status that included musical interaction between therapist and patient within a structured theoretical framework and in which outcomes were born of music, talk inspired by music or therapeutic relationships.


Each study author determined his or her own definition of standard care, on the other hand, which included pharmacological, routine hospital and cognitive therapeutic treatment.


Three studies focused on adults aged 60 and older; one study looked at adults between ages 21 and 65; and one focused on 14- and 15-year-old adolescents.


Although the studies did not show a definitive cause-and-effect relationship between music therapy and clinical improvement in depression, the authors found a positive correlation. They attributed the unevenness of the studies’ results to the varied uses of music by therapists in the studies and the relative weakness of some researchers’ methods.


The researchers found unusually high levels of participation and compliance among patients receiving the interventions.


Shara Sand, Psy.D., clinical assistant professor of psychology at Yeshiva University in New York City, agreed with researchers’ conclusion that meta-analysis was not possible in the review, but said that the evidence of music’s influence on mood makes the research question interesting.


“It does make me wonder: What is standardized treatment [in music therapy]? There’s really a whole avenue of research that should be done,” Sand said.


She adding that music therapy broadens the range of interventions available to people who might shy away from traditional approaches: “There’s often an isolation and alienation; a difficulty connecting and with relatedness” for people with depression, and the music therapy might offer a less threatening option.


Maratos said that her own status as a licensed music therapist spurred her interest in doing the review and added that music therapy is a state-sanctioned mental health treatment in the United Kingdom.


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The Graduate School of Art Therapy Study


Researchers from the Graduate School of Art Therapy, Daejeon University, Daejeon, South Korea, tested whether group music therapy is effective for improving depression, anxiety and relationships in 26 patients allocated to either a music intervention group or a routine care group.


The music intervention group received 60 minutes of music intervention for 15 sessions (one or two times weekly).


The study found that after 15 sessions, the music intervention group showed significant improvements in depression, anxiety and relationships compared with the control group.


The authors concluded that despite the positive results, objective and replicable measures are required from a randomized controlled trial with a larger sample size and an active comparable control.


There is evidence that music that reflects the listener's personal preference is more likely to have desired effects. It is possible that music through headphones during medical procedures could interfere with the patient's cooperation with the procedures. Further research is needed in this area.


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Entrainment List for Depression


For successful music therapy, the entrainment list for depression should be made based on an individual's musical tastes. Classical and pop music tend to be the easiest styles to use when producing a progression from depression to neutral/happy. Sometimes country or rock will work as well, but heavy metal music is not usually a good choice.


The following factors are important to consider when trying music as an anti-depressant:
  • The most important factor is the meaning of each song to the person listening.

  • Ten to 14 songs make up the ideal list.

  • The first three songs are increasingly depressing and the fourth is the most depressing.

  • The fifth song is slightly brighter – hope has been introduced.

  • Subsequent songs become happier until a neutral or slightly happy mood is reached by the tenth song.

  • If desired, a few more songs may be added to reinforce the desired mood (relaxed, happy, carefree, inspired, etc.).

The person experiencing the depressed mood should find a comfortable position either sitting or lying down. Then he or she should listen to the playlist from start to finish.


During the depressing songs, it is important to thoroughly feel and experience the sadness or hopelessness, rather than attempting to fight it off. Continuing with the rest of the list should naturally improve the mood; it is unlikely that the person will get "stuck" in a very depressed state (unless the entrainment list is not completed). The natural anti-depressant effect of the music will bring the person out of the undesired mood and into a neutral or happy state.




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