Adrenal Fatigue

Adrenal Fatigue

Prior to writing this article, I understood what adrenal fatigue was relative to my own experience and those of my clients. After doing some additional research in an effort to impart the most comprehensive overview to my readers and increase their understanding on the subject; it turns out, funnily enough, that I still had much to learn including the fact that I currently meet the criteria for Adrenal Fatigue.

This is such a wonderful reminder that we are always teaching what it is we most need to learn. So let’s begin to learn about this subject together by finding out what adrenals are, where they’re located, and what function they serve.

Adrenals are two triangular-shaped glands that sit on top of the kidneys and are approximately 1.5 inches wide and 3 inches long. They are made up of two parts; the adrenal cortex and the adrenal medulla.

The adrenal cortex is the outer part of the gland and produces hormones that are vital to life such as cortisol which helps regulate metabolism and helps the body respond to stress and aldosterone which helps regulate the blood pressure.

The adrenal medulla is the inner part of the gland and produces adrenaline, also known as epinephrine, which is the hormone that helps the body spring into action in response to stressful situations by increasing heart rate, rushing blood to muscles and the brain and spiking blood sugar by helping convert glycogen to glucose in the liver. Norepinephrine, also known as noradrenaline, works with epinephrine in responding to stress causing the narrowing of blood vessels which can, over time, result in high blood pressure.

Corticosteroid hormones balance stress response, energy flow, body temperature, water balance, and other essential processes. The adrenal cortex produces two main groups of them – the glucocorticoids and the mineralocorticoids which chemically control some of the most basic actions necessary to protect, nourish, and maintain the body.

Glucocorticoids include hydrocortisone, commonly known as cortisol which regulates how the body converts fats, proteins, and carbohydrates to energy and helps regulate blood pressure and cardiovascular function. It also includes corticosterone which is the hormone that works with hydrocortisone to regulate immune response and suppress inflammatory reactions.

If stress is causing your cortisol levels to be elevated, this anti-inflammatory effect becomes too strong. This effectively stops your immune system from working properly and this weakened state can last as long as whatever is causing the stress. Without a properly functioning immune system, you become vulnerable to disease. When the adrenals become fatigued they struggle to release the necessary amount of hormones causing the immune system to over-react to pathogens resulting in chronic inflammation, auto-immune diseases and decreased strength, focus and awareness.

As you can see, the adrenal glands play a large role within the endocrine system by regulating and maintaining many of our vital internal processes. Adrenal Fatigue is now being referred to as the Syndrome of the 21st Century by many holistic physicians and therapists despite the fact that the scientific community refuses to acknowledge its existence.

This is interesting when you consider that it is now widely recognized even within the scientific community that most, if not all, chronic dis-ease expressions have inflammation as an underlying antecedent which is a hallmark symptom of adrenal fatigue.

The following is a list of symptoms which are strong indicators that your adrenals may be fatigued:

  • Difficulty falling asleep;
  • Difficulty waking up;
  • Require a stimulant like coffee to wake up and get going;
  • Experience afternoon lows between 2 and 4pm; increased energy around 6pm; evening lows between 9 and 10; followed by a second wind around 11pm;
  • Easily stressed;
  • Headaches;
  • Weight gain;
  • Auto-immune issues;
  • Low thyroid functioning;
  • High blood pressure;
  • Low blood sugar;
  • Crave salty and/or sweet foods;
  • Nighttime snacking;
  • Feelings of apathy, irritability and anxiety;
  • Muscle and joint pain;
  • Digestive issues;
  • Inability to relax;
  • Inability to balance sodium, potassium and magnesium levels in the blood;
  • Foggy thought processes; inability to maintain mental focus;
  • Inability to recover appropriately from exercise.

Stress is a specific response by the body to a stimulus, such as fear or pain that disturbs or interferes with normal physiological equilibrium. It can be physical, mental or emotional; chronic or acute. We now live in a very busy world in which we are exposed to 24-hour mainstream and social media coverage of violent, stressful, painful, and fearful stimulus.

In addition, lifestyle stressors such as lack of sleep, poor diet, use of stimulants, striving for perfectionism, ‘pushing through’ a project or a day despite being tired, staying in unhappy relationships, and working every day in a stressful environment all contribute to impaired adrenal function. Our physical bodies are just not hard-wired to withstand such chronic interference and still be able to maintain normal equilibrium despite social conditioning that tells us every day that our value and worth increases with how much we do. The concept of just ‘being’ is extremely counter-intuitive and de-valued in our society.

Effective treatment for Adrenal Fatigue includes a combination of a healthy diet, minerals, vitamins, amino acids, herbal support, exercise, and proper sleep. In reference to the supplements listed below, muscle testing is strongly recommended to determine the appropriate dosage for each individual:

  • Organic, high quality proteins;
  • Organic vegetables and fruit;
  • Omega 3 fatty acids manage inflammation and minimize the loop that feeds into higher cortisol production;
  • Mineral sea salt in food or water;
  • High doses of Vitamin C which mitigates high cortisol response while inducing an anti-inflammatory response;
  • Vitamin B Complex; all B vitamins are critical for the entire adrenal cascade; Vitamin B5 helps to activate the adrenal glands;
  • Magnesium is essential to the production of the enzymes and the energy necessary for the adrenal cascade;
  • Liquid herbal adrenal support by Herb Pharm strengthen and restores the adrenals and includes organic Eleuthero root, organic Licorice root, organic Oat ‘milky’ seed, organic Sarsaparilla root, and organic Prickly Ash bark;
  • Free Form Amino Acid Complex provides all the necessary building blocks for the production of body proteins; has a broad application for both mental and physical functions; supports hormone, enzyme and antibody formation; supports healthy nervous system function;
  • L-Theanine is a calming amino acid that works by increasing GABA which is a relaxer and creates a sense of well-being in the brain;
  • L-5-Hydroxytryptophan (L-5-HTP) is a naturally occurring amino acid that converts to Seratonin and Melatonin enhancing relaxation and sleep.

In addition to making dietary and supplemental changes, lifestyle changes are usually required to rebalance the brain and the body long-term. This is a subject that is often explored in many of my therapy sessions with clients. If one truly desires to enhance their over-all sense of well-being, then every arena in one’s life needs to be excavated and explored.

Toxic and stressful relationships including one’s work environment are just as debilitating to the mind and body as a poor diet. A lack of self-care and a tendency to overextend ourselves is a reflection of how little we value ourselves and is always being informed by our imprinting and conditioning. The road to recovery from all things physical, mental, and emotional requires a re-orientation on the subject of self-care. Learning that self-care is nothing more than an expression of self-love is a critical part of everyone’s healing journey.


About the Author: Kate O’Connell

Kate O’Connell is a Licensed Professional Counselor with a private clinical practice in Charlottesville, VA addressing the therapeutic needs of children, adolescents, couples, and families. Her extensive training in intensive in-home therapy working with at-risk, underserved populations enables her to facilitate positive outcomes for her clients dealing with a variety of mental health issues. In addition to her clinical training, Kate has studied and trained with many different teachers and healers  operating from within a variety of different spiritual frameworks and healing modalities. She integrates this knowledge into her clinical practice and blends these modalities with her clinical skills, offering clients a truly holistic approach to their personal healing experience. Kate’s style of therapy is a synthesis of all of her training which includes Cognitive Behavioral Therapy, Family Systems Therapy, Play Therapy, Psychoeducation, Narrative Therapy, Sand Tray Therapy, Mindfulness Practice and Energy Medicine. She works effectively with children, adolescents, couples, and families addressing a multitude of mental health issues which include, but are not limited to, anxiety, depression, oppositional defiance, suicidal ideation, eating disorders, trauma, abuse, cutting, divorce, custody, substance abuse, anger, grief and loss.

You can read more from Kate on her blog www.shakingoffthemadness.com or find out more about her clinical practice www.oconnellkate.com.

4 Comments

Noelle

Forgive the long comment, but while this idea intrigues me (and I appreciate the advice in the article), there are some serious, serious problems with the way this author makes her case. I feel these need to be addressed, especially in a context where we all claim to be interested in truth. Please bear with me. I have two major contentions, and I hope anyone interested in furthering the cause of holistic health as valid will take the time to consider them.

1) First: I would be *really* careful about throwing the scientific community under the bus by claiming they “refuse” to acknowledge the existence of adrenal fatigue. It’s simply not true. This article, interviewing someone from Mayo Clinic (among others!!), is critically cautious, but FAR from dismissing the idea out-of-hand — they are simply comparing the theory with observed facts and calling for appropriate balance in drawing conclusions. In fact, there’s even a recognition that we only have partial information, implying openness to learning more in the future: http://articles.chicagotribune.com/2010-08-21/health/ct-met-adrenal-fatigue-20100821_1_adrenal-failure-adrenal-glands-unexplained-fatigue

Furthermore, Addison’s disease is very much a recognized disease, with — surprise! — adrenal insufficiency as its central cause and problem. Clearly the scientific community is not universally ignoring these things or trying to hush the concept up; and I would not call caution on their part willful blindness! The ability to take new ideas in stride and balance without becoming overly loyal to any of them or jumping quickly to conclusions, is what science is all about. Is this always done? Of course not — but in this case, that seems to be exactly what’s going on. Reluctance to support a theory is not the same as refusing to acknowledge it!

2) There’s a major logical fallacy in the following quote, and frankly this sort of reasoning is one of the reasons holistic health ends up getting a bad rap (to my dismay). Can you find it? “[T]he scientific community refuses to acknowledge [adrenal fatigue’s] existence. This is interesting when you consider that it is now widely recognized even within the scientific community that most, if not all, chronic dis-ease expressions have inflammation as an underlying antecedent which is a hallmark symptom of adrenal fatigue.”

This fallacy is called “begging the question” and is a particularly bad form of circular reasoning. It entails using the conclusion that’s being questioned (“Adrenal fatigue is a real diagnosis”) as part of the argument supporting its truth (“Chronic diseases share symptoms with adrenal fatigue; therefore it must be a real diagnosis.”) Obviously when you’re trying to prove something, you can’t use the thing in question as proof for its own existence. Either she’s begging the question here, or she’s contradicting herself about whether the scientific community recognizes adrenal fatigue in the first place, rendering the argument moot. Either way, it does not shed good light on the holistic health world’s ability to use sound reason — and this is coming from someone who is very interested in holistic health.

Let me just point out that I shared this article with my mom, who has R.A. So I’m not out to discredit the concept. But I get frustrated when people get sloppy about defending favorite theories, to the point where those critical are seen as “against” the idea and dismissed out of hand. That’s not how we foster open thinking! And without open thinking, real knowledge dies. Only ideas open to challenge can become useful…otherwise they become dogmas.

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Shannon

I have another idea as to why this author and many other “alternative practitioners” may make comments like the one you’ve just criticized. There may very well be an emotional undercurrent in the style of expression, but there is more than likely a very real, observation that many MD’s do dismiss it in the doctor’s offices. As a lay person doing my own reading and studying about health for 25 years, adrenal fatigue has been discussed and recognized by alternative health modalities, but never by my doctors. I have experienced their reluctance, skepticism, even arrogance, and advice to stop reading “that stuff” by many MD’s over the years, starting when I was 16 years old. The medical profession began to lose my trust and respect back then as a youngster. Science is slowly confirming these “alternate” views now, but where you probably sense irritation from writers as above, it’s probably because we’re saying, “let’s get on with it! Who’s got 20 more years to wait for the official medical establishment’s stance when we’re suffering now?” There’s understandable irritation, anger and especially suspicion towards the medical field when it’s taking this long for the establishment to recognize fully and start helping the millions of people with the growing numbers of chronic diseases.

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Sharon H

Why does the medical establishment find it so hard to accept that adrenal fatigue is a valid condition. Having been under almost constant stress for about 12 years my adrenals simply could no longer function anywhere near normal, having been so completely drained.

It irritates me that when some of us lay people do much research and suggest a condition like this, we are looked upon almost as hypochondriacs. Why such unwillingness? After all, there is still so much we do not know about the human body, so just tossing this out into the trash is both depressing and insulting. Or are some doctors afraid of ridicule by their peers? In any case, it’s very frustrating indeed. Excellent article on this “orphan” condition.

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When things feel hard or the world feels big, children will be looking to their important adults for signs of safety. They will be asking, ‘Do you think I'm safe?' 'Do you think I can do this?' With everything in us, we have to send the message, ‘Yes! Yes love, this is hard and you are safe. You can do hard things.'

Even if we believe they are up to the challenge, it can be difficult to communicate this with absolute confidence. We love them, and when they're distressed, we're going to feel it. Inadvertently, we can align with their fear and send signals of danger, especially through nonverbals. 

What they need is for us to align with their 'brave' - that part of them that wants to do hard things and has the courage to do them. It might be small but it will be there. Like a muscle, courage strengthens with use - little by little, but the potential is always there.

First, let them feel you inside their world, not outside of it. This lets their anxious brain know that support is here - that you see what they see and you get it. This happens through validation. It doesn't mean you agree. It means that you see what they see, and feel what they feel. Meet the intensity of their emotion, so they can feel you with them. It can come off as insincere if your nonverbals are overly calm in the face of their distress. (Think a zen-like low, monotone voice and neutral face - both can be read as threat by an anxious brain). Try:

'This is big for you isn't it!' 
'It's awful having to do things you haven't done before. What you are feeling makes so much sense. I'd feel the same!

Once they really feel you there with them, then they can trust what comes next, which is your felt belief that they will be safe, and that they can do hard things. 

Even if things don't go to plan, you know they will cope. This can be hard, especially because it is so easy to 'catch' their anxiety. When it feels like anxiety is drawing you both in, take a moment, breathe, and ask, 'Do I believe in them, or their anxiety?' Let your answer guide you, because you know your young one was built for big, beautiful things. It's in them. Anxiety is part of their move towards brave, not the end of it.
Sometimes we all just need space to talk to someone who will listen without giving advice, or problem solving, or lecturing. Someone who will let us talk, and who can handle our experiences and words and feelings without having to smooth out the wrinkles or tidy the frayed edges. 

Our kids need this too, but as their important adults, it can be hard to hush without needing to fix things, or gather up their experience and bundle it into a learning that will grow them. We do this because we love them, but it can also mean that they choose not to let us in for the wrong reasons. 

We can’t help them if we don’t know what’s happening in their world, and entry will be on their terms - even more as they get older. As they grow, they won’t trust us with the big things if we don’t give them the opportunity to learn that we can handle the little things (which might feel seismic to them). They won’t let us in to their world unless we make it safe for them to.

When my own kids were small, we had a rule that when I picked them up from school they could tell me anything, and when we drove into the driveway, the conversation would be finished if they wanted it to be. They only put this rule into play a few times, but it was enough for them to learn that it was safe to talk about anything, and for me to hear what was happening in that part of their world that happened without me. My gosh though, there were times that the end of the conversation would be jarring and breathtaking and so unfinished for me, but every time they would come back when they were ready and we would finish the chat. As it turned out, I had to trust them as much as I wanted them to trust me. But that’s how parenting is really isn’t it.

Of course there will always be lessons in their experiences we will want to hear straight up, but we also need them to learn that we are safe to come to.  We need them to know that there isn’t anything about them or their life we can’t handle, and when the world feels hard or uncertain, it’s safe here. By building safety, we build our connection and influence. It’s just how it seems to work.♥️
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#parenting #parenthood #mindfulparenting
Words can be hard sometimes. The right words can be orbital and unconquerable and hard to grab hold of. Feelings though - they’ll always make themselves known, with or without the ‘why’. 

Kids and teens are no different to the rest of us. Their feelings can feel bigger than words - unfathomable and messy and too much to be lassoed into language. If we tap into our own experience, we can sometimes (not all the time) get an idea of what they might need. 

It’s completely understandable that new things or hard things (such as going back to school) might drive thoughts of falls and fails and missteps. When this happens, it’s not so much the hard thing or the new thing that drives avoidance, but thoughts of failing or not being good enough. The more meaningful the ‘thing’ is, the more this is likely to happen. If you can look behind the words, and through to the intention - to avoid failure more than the new or difficult experience, it can be easier to give them what they need. 

Often, ‘I can’t’ means, ‘What if I can’t?’ or, ‘Do you think I can?’, or, ‘Will you still think I’m brave, strong, and capable of I fail?’ They need to know that the outcome won’t make any difference at all to how much you adore them, and how capable and exceptional you think they are. By focusing on process, (the courage to give it a go), we clear the runway so they can feel safer to crawl, then walk, then run, then fly. 

It takes time to reach full flight in anything, but in the meantime the stumbling can make even the strongest of hearts feel vulnerable. The more we focus on process over outcome (their courage to try over the result), and who they are over what they do (their courage, tenacity, curiosity over the outcome), the safer they will feel to try new things or hard things. We know they can do hard things, and the beauty and expansion comes first in the willingness to try. 
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#parenting #mindfulparenting #positiveparenting #mindfulparent
Never in the history of forever has there been such a  lavish opportunity for a year to be better than the last. Not to be grabby, but you know what I’d love this year? Less opportunities that come in the name of ‘resilience’. I’m ready for joy, or adventure, or connection, or gratitude, or courage - anything else but resilience really. Opportunities for resilience have a place, but 2020 has been relentless with its servings, and it’s time for an out breath. Here’s hoping 2021 will be a year that wraps its loving arms around us. I’m ready for that. x
The holidays are a wonderland of everything that can lead to hyped up, exhausted, cranky, excited, happy kids (and adults). Sometimes they’ll cycle through all of these within ten minutes. Sugar will constantly pry their little mouths wide open and jump inside, routines will laugh at you from a distance, there will be gatherings and parties, and everything will feel a little bit different to usual. And a bit like magic. 

Know that whatever happens, it’s all part of what the holidays are meant to look like. They aren’t meant to be pristine and orderly and exactly as planned. They were never meant to be that. Christmas is about people, your favourite ones, not tasks. If focusing on the people means some of the tasks fall down, let that be okay, because that’s what Christmas is. It’s about you and your people. It’s not about proving your parenting stamina, or that you’ve raised perfectly well-behaved humans, or that your family can polish up like the catalog ones any day of the week, or that you can create restaurant quality meals and decorate the table like you were born doing it. Christmas is messy and ridiculous and exhausting and there will be plenty of frayed edges. And plenty of magic. The magic will happen the way it always happens. Not with the decorations or the trimmings or the food or the polish, but by being with the ones you love, and the ones who love you right back.

When it all starts to feel too important, too necessary and too ‘un-let-go-able’, be guided by the bigger truth, which is that more than anything, you will all remember how you all felt – as in how happy they felt, how loved they felt were, how noticed they felt. They won’t care about the instagram-worthy meals on the table, the cleanliness of the floors, how many relatives they visited, or how impressed other grown-ups were with their clean faces and darling smiles. It’s easy to forget sometimes, that what matters most at Christmas isn’t the tasks, but the people – the ones who would give up pretty much anything just to have the day with you.

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