Mind Games: How I Cope During a Chronic Illness Relapse (Part 2)


Coping with chronic illness and fibromyalgia relapse using mindfulness and other mental strategiesIn my last post, I wrote about my fatigue relapse last winter and my present pain progression this winter. My aim in writing these two posts is to share how I cope with illness setbacks, using ‘mind games’, in the hope they help someone else experiencing a relapse.

In essence, what I have learned is that I have the power of choice over what I focus my attention on each day. Through challenging negative patterns of thinking, being present, taking in the good, and pursuing an enjoyable hobby, I try to emphasize what enriches my life and let go of what doesn’t. Of course there are always bad days and I don’t believe any amount of positive thinking frees us from ever experiencing difficult times. I personally have found, however, that changing my worldview has dramatically lessened the amount of suffering I go through during relapses and has improved my quality of life. In Part I, I discussed 1) challenging negative patterns of thinking and 2) cultivating presence.

3) Take in the Good: Are you more likely to remember compliments or criticism?  If you’re like most people, you pick the latter.  That is because the human brain has a built in “negativity bias”, which allows us to learn from and protect ourselves from bad experiences.[i] Unfortunately, it can also make us anxious, irritable and depressed.  One way to rewire your brain so that it takes positive experiences into account, as well as negative, is to be intentional about what Rick Hanson calls “taking in the good”.[ii] This is akin to the old adage to “stop and smell the roses”. The first step is to be mindful of positive moments (to notice the roses) – the taste of a good meal, sharing a laugh with a coworker or hugging your partner. Practicing mindfulness meditation can help with this part, but you can also just start with the intention to take in the good today.  Secondly, pause for 20-30 seconds and focus your attention on enjoying the experience, instead of moving on to the next thing (focus on how pleasant the fragrance of the roses is). Finally, let the positive experience sink into you.  You can do this by visualizing a warm feeling spreading through your torso or by intellectually recognizing that by doing this exercise you’re literally rewiring your brain to tilt towards positive experiences.  If you do this several times a day, you can change the neural pathways in your brain so that positive experiences are ‘registered’ more in your overall outlook on the day.  This practice has been really helpful for my mental and emotional health while I deal of the challenges of chronic illness, especially during a relapse.

4) Pursue an Enjoyable Hobby: After my fatigue relapse, I withdrew from school because it was too demanding. With time on my hands, I decided I wanted to learn something creative. I looked for a hobby that wouldn’t hurt my painful upper back, and eventually settled on modern calligraphy. Last winter, calligraphy practice was often the one activity I did on a daily basis. Seeing my improvement as I wrote out the letters was a bright spot during that difficult period. This time around, I am learning how to digitize my calligraphy, with the hope of opening an Etsy shop sometime next year. Having a sense of personal accomplishment means so much to my mental wellbeing. Dr. Caudill notes that “Some patients feel so bad about their pain and their lack of a ‘productive life’ that they … feel they don’t deserve any pleasure” (2002, p. 83).[iii] Not only is it ok to pursue enjoyable activities, it’s actually critical for your mental health and stress management, which are important components of any treatment regimen. I can’t encourage fellow spoonies enough to find a hobby or creative outlet to focus on during a relapse or flare. Other activities I enjoy include online learning courses (free!) and writing/blogging. In order to get the most out of an enjoyable hobby, be present during these activites. Take in the good moments when you finish a project or learn a new skill. And focus on recognizing what you were able to do today, rather than what you weren’t. Negative thinking habits aren’t changed more easily than any other habit, but routinely practicing positive mental habits is a powerful way to improve your quality of life during a relapse.

[i] http://www.rickhanson.net/take-in-the-good/

[ii] http://www.rickhanson.net/take-in-the-good/

[iii] Margaret Caudill. (2002). Managing Pain Before it Manages You, NY:     Guilford Press.

Beginning Again: Living with the Ups and Downs of Life with Chronic Illness


My new article on Prohealth is about learning to relate differently to the inevitable ups and downs of life with chronic illness, through letting go, drawing on the inner strength all spoonies cultivate, and beginning again. 

Watching my goals, plans, and self-care routines careen out of control is sometimes harder for me to accept than the symptoms that come with a flare-up. Maybe it’s because I have always been a control freak, but the sense of helplessness, frustration and self-doubt that accompanies this situation is one of the most difficult aspects of living with fibromyalgia for me. This time, as I was venting about how it felt like my daily life had come tumbling down like a house of cards, a question occurred to me: What if the problem isn’t a failure to control or manage my schedule during a flare-up, but a failure to understand that living with chronic illness inevitably involves ups and downs?

My practice of mindfulness meditation has helped me find answers to this question. Renowned mindfulness teacher Sharon Salzberg writes that, in contrast to our conditioned belief that self-blame and fear of failure help us succeed, “ease in letting go and kindness in starting over is a lot more effective.”(1)

Finish reading here…  http://www.prohealth.com/library/showarticle.cfm?libid=29692

Self-Care as a Mindset: What I Learned at the #SelfCareMvmt Summit

SelfCare Mindset


On Monday evening I attended the first ever Self-Care Movement Summit in Toronto, Canada. We arrived at the Mars building, a downtown hub of innovative tech and entrepreneurial companies, to register and enjoy catered refreshments, before taking our seats in the auditorium. The audience, of around 250 people, represented the diversity of the people who live with chronic illness – young and old, with visible and invisible chronic conditions. We were there to listen to a series of panelists and speakers talk about their personal or professional experiences using self-care strategies to meet the everyday challenges of life with chronic illness. As these informative and engaging speakers discussed the multifaceted aspects of this topic, I came to new realization about the meaning of self-care. Self-care is both a set of practical strategies, and a mindset, a particular way of understanding and relating to the activities of everyday life.

The core of the self-care mindset that emerged throughout the evening was acceptance of life with chronic illness. As Margaret Trudeau, the keynote speaker, summed up – coming to the realization that “this is the hand you’ve been dealt and the hand you have to play”. But finding acceptance is a long process. Margaret Trudeau shared her health journey living with bipolar disorder and how she experienced the five stages of grief after her diagnosis – more than once. She said that, in her experience, the first step towards accepting life with chronic illness is forgiving yourself. Your illness is not your fault. During the patient panel, Kirstie Shultz discussed self-care as being kind to yourself, every day. In her presentation on mindfulness practice, Dr. Lucinda Sykes talked about the importance of observing and learning from our daily experiences, without judging ourselves. Overall, humor was woven through many of the talks as a way to live positively with chronic illness. For example, John Bradley named his book on Crohn’s disease the Foul Bowel. Kristen Coppens described her eight illness as a “chronic party”. These insights into the self-care mindset are about relating to ourselves in a new way as we address the daily challenges of life with chronic illness, in a compassionate, forgiving, non-judgmental, humorous way.

The second theme that emerged about self-care as a mindset was finding balance in the activities of everyday life. In the patient panel, Marinette Laureano talked about a holistic approach to her self-care practice, by balancing her faith, family, friends and fun in her daily life. Kirstie Shultz described the zero-sum game of fatigue and chronic illness – working to find the balance between activity and rest. Kristen Coppens discussed the challenges of balancing work and illness. In his talk on this subject, John Bradley discussed achieving success against your own measures, rather than letting your goals be defined by the external world. He described his own experience working with chronic illness, and how he found balance by trying to “be the tortoise and not the hare” in achieving work goals. Balance as part of the self-care mindset is more of an intention rather than a constant state, a learning process of respecting the limitations of chronic illness while participating in the daily activities of life.

The third aspect of the self-care mindset is becoming an advocate in your community. Robert Hawke reminded us that, as patients, we are experts with our own wisdom about our health. Dr. Lucinda Sykes discussed mindfulness as a practice of developing insight about ourselves and cultivating the collective wisdom of people living with chronic illness. She said the summit was a celebration of human potential and our heritage of resiliency down the generations. Grace Soyao, of Self-Care Catalysts, explained that the voices of people living with chronic illness need to be heard and that we have the knowledge to drive change. Change like patient-centred care in the healthcare system, increasing research about chronic illness and reducing stigma about living with chronic mental or physical illness.  It can be hard to share our illness stories. Robert Hawke noted that we prefer to share our shiny selves with the world, rather than our difficulties and challenges. But when we do share our stories and everyday self-care strategies with each other, as Filomena Servidio-Italiano said, “The ordinary becomes extraordinary.” As part of the self-care mindset, advocacy is about self-empowerment, connection with the chronic illness community and society at large, and celebrating the greatness in ordinary accomplishments that we face every day.

Acceptance. Balance. Advocacy. Connection. These are all critical elements of self-care as a mindset and a way of relating to the ordinary activities of daily life with chronic illness. We can learn to pace our efforts, to eat nutritiously, to exercise more, to use practical self-care strategies. These are important wellness tools. But underneath, cultivating a self-care mindset is the key to improving our health and wellbeing as we live with chronic illness.

I want to thank Self-Care Catalysts and Health Storylines for an inspiring and informative evening. I’m looking forward to participating in advocating for self-care as a movement!


Back to class: Mindfulness Based Stress Reduction


Meditation (Photo credit: holisticgeek)

I am about to go to the second class of my Mindfulness Based Stress Reduction (MBSR) course. In the summer I wrote several posts on reading the Mindfulness Solution to Pain and practicing meditations described in the book.  Mindfulness involves “paying attention on purpose, in the present moment, and nonjudgmentally, to the unfolding of experience moment to moment”, as defined by Jon Kabat-Zinn, founder of the MBSR program. I also posted on research showing how effective mindfulness practice is for chronic pain.

I have really enjoyed doing the assigned “homework” from the first class. The first part was to do a 30 minute body scan from the course CD. (A body scan meditation involves paying attention to different parts of your body for a few moments and observing the sensations you feel). This is the longest meditation I’ve ever done. The practices I have done before were breath meditations, usually only for a max time of 20 minutes. I really like the body scan because I am able to really focus and feel more in touch with what’s going on in my body. I feel like my mind wanders less then when I am doing breath meditation (focusing on your breath). It is very relaxing to have a break from your mind!

Of course, I’m not always in such a good mood when I go to meditate. Before I was meditating when I felt like it, which was usually when I already felt relaxed or calm. The idea of the MBSR program is that you commit to practice seven days a week for eight weeks – as Jon Kabat-Zinn says “you don’t have to like it, you just have to do it”. It sounds a little bit rigid but it’s really important while you are trying to establish meditation has a habit. When you go to practice and you realize you are stressed, agitated, and your mind is wandering everywhere, focusing can seem like the last thing you want to. But that’s when you realize how helpful mindfulness can be! It doesn’t necessarily produce calm every time. It does give you a chance to observe what is going on inside your head. Usually that helps me to figure out a more helpful way of dealing with things then spazzing out, or to recognize stressful patterns of thinking.

One thing I do have to keep working on is not to judge myself when I realized my mind has wandered off or I’m not feeling calmer/better after meditating. As the facilitator of my class says “if you have a mind, it’s going to wander”. You really can’t get into mindfulness with expectations about what it “should” do for you.

The other part of our homework was to try to eat mindfully at least once everyday. It’s really nice to realize how many sensations and moments are available to you if you stop to enjoy them. I love food, cooking and eating. When you realize how many times you just wolf down delicious meals… I always feel like my life is so limited now that I have fibromyalgia, so I think it’s really good for me to realize how much I do have around me to enjoy!

Mentally Mindful


In the past two weeks I finally moved into my new apartment and it is starting to feel like home. The silence and the space are so much more conducive to learning mindful living then the construction zone I lived in before. I did not feel very Zen during the move or unpacking, but that’s what I’m working on now. No time like the present!

The second part of chapter 2 in The Mindfulness Solution To Pain by Dr. Jackie Gardner – Nix talks about mental attitudes related to mindfulness. (I’m going to keep summarizing the key points that jumped out at me, and connections I made to my own life; I don”t want to put citations everywhere). Attitudes can be enabling or harmful to our well-being, and awareness about these attitudes can help us to strengthen positive ones and change negative ones.

The first attitude associated with mindfulness is being nonjudgmental. This is something that I have a long way to go to achieve! On Monday I was listening to Dr. Jackie Gardner – Nix’ guided meditation (more on this in a moment) and my practice was not going as well as last week. Every other breath I caught myself thinking things like “my breathing is too fast and shallow”, “why can’t I stay focused today?”, “I don’t think I’m ever going to get this right”. In the book, the authors point out that judgments about whether something is positive or negative are very black and white, and often miss the ‘gray’ nuanced part of experiences. Bad experiences can have silver linings, and good things aren’t always what they seem. Negative judgments can begin a domino effect of reactive emotions, tension and increased pain. Given the changeability and impermanence of things, judgments can really be a waste of time. I’m going to have to work on this in meditation practice and in the rest of my life too! Being off work on disability leave, as I’ve mentioned before, definitely leads me to be very judgmental about the lack of accomplishment, purpose, etc. I think they called this the inserting “superwoman overachiever cycle” in the last chapter!I really liked the observation made in the book that it can be freeing to experience situations or encounters with people and not judge them.

The second attitude associated with mindfulness is the beginner’s mind. To achieve this mental stance, you have to try to overcome your own biases, prejudices and preconceived notions, and not bring them to present situations or encounters. This reminds me of what my anthropology professors called ‘reflexive thinking’. Anthropologists believe that it’s impossible to cultivate a purely objective stand point, but by being aware of your own subjective point of view, you can still produce valuable insights and new knowledge about the culture you are studying. So this mindful attitude sounds to me like being an anthropologist studying yourself!

The third and fourth attitudes to cultivate are trust and patience. Trust that developing awareness will lead to change over time, and patience regarding how long that will take.

The next chapter (chapter 3) is about beginning a formal meditation practice. The authors define this as “intentionally setting aside a specific period of time… In your day to systematically cultivate mindfulness by focusing your attention moment by moment on some particular aspect of your experience, and actively noting when your mind wanders – as it always will – and then bringing it back to the focus” (Gardner-Nix and Costin-Hall, 2009). Usually breathing is the focus of mindfulness practice. I decided to buy Dr. Gardner-Nix’ CD of guided meditations, called ‘meditations for the mindfulness solution to pain’, which is available on iTunes. I thought it would be best to go with this one because it is designed to specifically accompany the book. The authors also recommend Andrew Weil’s “meditation for optimum health”, available from Sounds True (Google for website).  I also really like John Kabat-Zinn’s disc of guided meditations called “mindfulness meditation for pain relief”.  I’m not going to give a detailed summary of how to meditate because I think these resources to a much better job than I ever could. I did just want to mention the advice given at the end of this chapter to pace yourself while incorporating meditation into your daily routine – start with 5 min., slowly work up to 10, then 20, and so on. I’m at 10 minutes right now. I’d like to work up to 20, eventually without the guide, but for now I like listening 😉 p.s. I don’t sit cross-legged in serene white while meditating. I have to lie down with pillows under my legs on the couch or on the floor – fibrostyle. My body wouldn’t put up with that kind of sitting!

image courtesy of photostock at FreeDigitalPhotos.net

Zen master, not so fast

Hello again,
I was hoping to write a little bit sooner, but my plans were foiled by the construction zone that has sprung up outside of my apartment building. Thank God we are moving next week to an oasis of quiet – at least, I hope that’s what it will be! Maybe it’s just me, but since my fibromyalgia diagnosis I sometimes dream of living in a soundproof room. Barring that, hopefully some of this mindfulness work will make me Zen enough not to get woken up by every dripping tap, licking cat and snoring husband. On that note, on to chapter 2 of The Mindfulness Solution To Pain.

Dr. Jackie Gardner – Nix defines mindfulness as “the awareness that arises when we pay attention to what is happening in the present moment, nonjudgmentally”. I was struck by the poignant message made at the beginning of this chapter that many of the people who live mindfully, live with with a terminal illness. The authors say that it shouldn’t have to come to this extreme for you to pay attention to your life as it unfolds, rather than “realizing at some point that somehow you may have missed large swathes of life while it was passing you by”. Moreover, the chapter points out that mindfulness is not just about being aware of the pleasant moments. The authors claim that ignoring strong, negative feelings can deepen their affect on your health.

This really struck a chord with me. Although I haven’t really begun practicing mindfulness yet, the previous chapter (which was about the impact of childhood stressors on chronic pain in later adult hood) stayed in my mind during the week, and led to some interesting observations. I realized that every couple of hours I say something really negative to myself, and that a lot of these things relate to how my family operates. For example, I found myself saying things like “am I ever going to do anything with my life?” or “I haven’t done anything productive today!” In my family, personal worth is attached to accomplishment, and there is a lot of suspicion about long-term illness (that it is ‘all in your head’ and really about some kind of not yet dealt with emotional problem). I often struggle with feeling like my fibromyalgia is a failing rather than a misfortune and I guess I am repeating that daily by trying to accomplish things to make up for it. I think this is also why I was resistant at the beginning of the book when the authors gave some examples of people who were healed by realizing they had emotional issues. These examples repeat what I grew up with and cast doubt on the biological realness of my illness. In fact, the authors give a more complicated explanation for chronic pain. They claim that issues from your childhood (experiences, parental deficiency, or poor parental role modeling) might well be affecting you, but right down to your gene expression, immune function, nervous system reactivity and other biological operations. In that sense, it is both “all in your head,” in terms of negative patterns of feeling or thinking that elicit the body’s stress response, and real biological dysfunction (including slow healing, activating predisposed illness and pain signals), which can occur partly as a result. I think I’m starting to be aware of some of my own negative patterns.Dr. Jackie is reassuring though, when she says that “just seeing …[destructive habits] clearly is the first step by which they can change”. And also that “this too shall pass”.

I think that I will leave it there for this week. It has been pretty heavy stuff so far, so I may have to get some treats and watch some trashy reality TV tonight (I’ll confess that my guilty pleasure is watching keeping up with the Kardashians – don’t judge!). I’m looking forward to learning more about starting meditation in the next chapter. Have a great weekend!

Thoughts on Chapter 1, Mindfulness Solution to Pain

This is blog post number two about my journey reading The Mindfulness Solution to Pain by Dr. Jackie Gardner-Nix and Lucie Costin-Hall. In the first chapter the authors try to answer the question: why are some people more prone to disease, chronic pain or poor healing than others? The key take away from this chapter is that a combination of genetic predisposition and childhood stressors increase the probability that challenging life events in adulthood can activate illness or prolong healing. The underlying mechanism is the stress-response system, which is an important part of the mind-body connection.

Nature: Some of us are born with genes that predispose us to certain diseases, such as psoriasis or rheumatoid arthritis. However, we  may not “express” those genes unless adverse life experiences trigger them. Others may be born with a genetic makeup that makes them a “highly sensitive person”. This is based on the work of Elaine Aron, who has demonstrated a biological basis for a highly sensitive personality trait, which includes having a sensitive nervous system, being aware of subtleties in the environment and being overwhelmed in very stimulating surroundings.* Dr. Jackie Gardner-Nix argues that being highly sensitive can also mean being more sensitive to pain (supported by genetic research that shows that variations in the COMT gene can produce higher pain sensitivity in certain individuals). Furthermore, highly sensitive persons may be more negatively affected later in life by adverse events in their childhood. This discussion completely resonated with me – all my life people have told me that I’m too sensitive. Sensitive to too much light, too much noise, too many people, lack of sleep, lack of food, criticism, other people’s suffering, and now pain and touch… After I finish this book, I’d like to go on and read Elaine Aaron’s book, because I think it might explain a lot (I’m sure other chronic pain patients identify with this personality trait too).
Secondly, the authors talk about the negative physical effects of chronic stress. The stress response cycle includes increased heart rate, breathing, tensing muscles and increasing energy, while also slowing down the immune system and the gastrointestinal system. Stress can then slow healing, disrupt sleep and eventually disrupt your body’s ability to restore itself – leading to anxiety, depression, muscle tension, diarrhea and/or constipation, weight gain or loss, headaches, fatigue, and poor concentration, among other problems (Caudill, pg. 46). In turn, all these consequences of stress can worsen the perception of pain. In particular, I think that the stress – immune relationship is really important for fibromyalgia patients to keep in mind, in light of recent research that shows that people with fibromyalgia have immune depression at the cellular level.

Nurture: This book emphasizes that childhood stress is an important contributing factor to chronic pain in adulthood. This section was hard for me to read because it forced me to go back and re-examine difficult things that happened while I was young. The authors argue that childhood stressors can even affect gene expression, cause a weakened immune system or sensitize your nervous system to go on high alert “easily and frequently”. Challenging life events in childhood, parental deficiency, or poor parental role modeling can all affect a person’s ability to cope with stress as an adult. One of the core reasons is that negative emotional patterns or highly stressful thinking trigger the nervous system, and can cause a cascade of negative bodily effects through the stress response system. In my own childhood, my parents had an ugly divorce before I was five, which was characterized by loud,  angry fights, betrayals, and ultimately, nervous breakdowns. Although my parents each went on to recover and start over, the uncertainty and hostility left lasting scars. I thought I had left that all behind, and went on to become what Dr. Jackie calls the “superwoman high achiever”, determined never to make the same mistakes my parents made. Dr. Jackie says that a critical childhood caregiver can lead to this pattern of behavior. She says that the decreased function caused by an injury or disease in adulthood can, in turn, lead to anxiety about not getting ahead, causing greatly increased anxiety and heightened stress response, which can further prolong disability. This almost exactly describes my last year in which I went from starting a difficult graduate school program to crashing and burning because I tried to stick it out, even though my body was slowly falling apart due to my worsening fibromyalgia. I definitely made things worse by continuing, and causing more damage to my body – eventually getting to the point of having panic attacks because of the growing gap between what was expected and what I could do. Now I know that the high degree of anxiety was probably affecting my immune system, and impairing my ability to heal.

The book explains that mindfulness can help to repair the mind-body connection by helping you to manage stress and overcome negative emotional patterns of thought. I can’t wait to begin to learn these tools and a little bit more about what mindfulness means. Hopefully my blog post will be more about my personal experiences, and less about summarizing in the near future!

Caudill, Margaret A. (2009). Managing Pain Before it Manages You. TheGuilford Press: New York, New York.

Gardner-Nix, Jackie & Lucie Costin-Hall. (2009). The Mindfulness Solution to Pain. New Harbinger Publications: Oakland, CA.

Thoughts On the Intro to the ‘Mindfulness Solution To Pain’

Thoughts On the Intro to the ‘Mindfulness Solution To Pain’

This is my first blog post, so here we go! My first project for this blog is to track my journey towards living mindfully with chronic pain as I read a book called  the Mindfulness Solution to Pain (2009). In the introduction the authors tell us about how they came to facilitate mindfulness courses for chronic pain patients. A major theme that leaps out right away is the relationship between emotions and pain. ‘Dr. Jackie’ (Dr. Jackie Gardner-Nix) writes that in her practice she has noticed many patients whose pain improves because of positive emotional experiences like falling in love or going on vacation. ‘Lucie’ (Lucie Costin-Hall) describes how, during one terrible flare up, she read a book that made the connection for her between her own accumulated anger and her pain, which caused her pain to leave permanently. I found both of these observations to be alternately hopeful and alienating. On the one hand, I hope that this book will give me the tools to level out my volatile emotions and reduce my pain; but I am also skeptical that it could be as simple as making the connection between intense emotion and intense pain. I have already been in therapy for a few months, and have learned that tension in my relationships leads to the tension in my body – but my pain hasn’t gone away! I feel like most chronic pain patients already know that stress in their lives leads to increased pain in their bodies.

The key point in the introduction is that mindfulness offers a way to modify the emotional experience of chronic pain patients, which in turn can modify the pain experience. The authors are quick to point out that day in no way mean to suggest that chronic pain patients are psychologically deficient or less capable than normal people. However, in both Lucie’s story, and another example they give of a man who participated in one of their classes and was able to come off of his pain medications after practicing mindfulness regularly and doing some much needed soul-searching for a couple of years, the authors implicitly suggest that a core part of recovery involves dealing with your psychological baggage. This may be so, but what I find troubling about both examples is this suggestion that dealing with psychological issues will effectively cure you. Jon Kabat-Zin, the father of using mindfulness for chronic pain, is adamant that mindfulness is about finding a more helpful perspective on your situation, not about eliminating your pain. I’m sure the authors did not intend to suggest that mindfulness is a magic bullet approach, only to offer hope to people living in very frustrating circumstances. However, I think the examples are poorly chosen and even undermine the key message of the book. When I flip ahead through the rest of the book, though, it seems like the authors go on to tell a much more complicated story about the relationship between mind and body, which I’m looking forward to reading more about.

The introduction goes on to talk a little bit about the chemistry of thoughts. I thought this section was really interesting. The authors explain that your very thoughts are chemical reactions, which can trigger a cascade of biochemical responses in your body. For example, thinking very stressful thoughts can even weaken your immune system and make you more susceptible to you disease or impair your healing. This is very relevant for fibromyalgia patients because researchers recently discovered that fibromyalgia causes cellular immune depression (Behm et al. 2012). This makes me all the more eager to get going on my mindfulness journey! On to Chapter one!


Behm et al. (2012). Unique immunologic patterns in fibromyalgia. http://www.biomedcentral.com/1472-6890/12/25