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The CHRONDI Creed: A Guide for Parkinson’s Warriors

CHRONDI Creed

The challenges of any chronic disease require the mental attitude of a warrior. Like the code of the samurai, the CHRONDI Creed is both a guide for battle and for living.

CHRONDI is an acronym from the first letters in the words chronic disease. The letters stand for each part of the creed as follows: C – compassion, H – happiness, R – rehabilitation, O – others, N – nature, D – death, and I – individuality.

Following is the CHRONDI Creed and its self-affirming dialogue. This is followed by a description of each self-affirming statement in this chronic disease warrior’s creed.

C – Compassion: I will act compassionately toward others and find gentleness toward self.

H – Happiness: I will seek the inner bliss of happiness that is not material in nature.

R – Rehabilitation: I will apply courage and mindfulness to my part in fighting the disease.

O – Others: I will genuinely communicate to others my experiences and maintain an attitude of gratitude for their help.

N – Nature: I will take time to embrace nature and all its beauty.

D – Death: I will find the courage to face the terror of “death” (loss) and not let it control me.

I – Individuality: I will continue to express my individuality and my purpose, beyond the disease.

These CHRONDI Creed statements are short “I” statements that not only can be self-affirming, but also they can change how a disease affects one’s life. If these statements become an inner dialogue, a way of thinking and acting, then they can contribute to quality of life.

Compassion as a way of thinking and acting is the foundation of the CHRONDI Creed. It is a state of being that is expressed both externally and internally. In the face of chronic disease, this is certainly difficult. But it doesn’t have to be perfect saintly compassion. It can start with small steps, such as taking the time each day to do something for someone else. In addition, this sense of a gentle kindness can be applied with a kind word to self, such as: “You did well today.”

Happiness is not tied to material things, although it may appear to be. Rather, happiness is tied to an internal state of being often connected to events, not possessions. We are happy because we feel happy. A state of bliss can accompany times when an event generates ecstasy — a bliss of happiness. Happiness is an important part of well-being in the face of chronic disease. Returning to the bliss can be as simple as finding things we enjoy and taking time to laugh out loud.

Rehabilitation means that we will do our part to support all treatment modalities that are used to fight the chronic disease.

The term others stands for all relationships in our lives. The statement is a promise to speak in an authentic manner with a sense of gratitude.

Nature, and all its beauty, when incorporated into life can make a difference in our well-being. A stroll through the woods or a park while maintaining a quiet mind can add to our quality of life. Gardening is also therapeutic.

Death” has quotes around it because it refers to the death of those things the disease has taken and will continue to take. There is “terror” in facing this “death.” Terror management takes courage and practice to find a calm center in the middle of the storm.

Expressing individuality is balanced against the time used by the chronic disease, the thought and emotion that the chronic disease consumes. Find your inner voice, your unique identity, and your purpose. Let that light that is you continue to shine forth.

The CHRONDI Creed is a list of statements I have used to help me as a warrior against the ever-worsening effects of Parkinson’s disease. Not for a single day can I achieve a level of perfection with all aspects of the creed. Perfection is an illusion, perhaps a nightmare. Rather, I hold these statements as an inner dialogue, a path to follow, a gentle guide for living. It is in this way that the CHRONDI Creed improves my quality of life.

How does the CHRONDI Creed sit with you?

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Note: Parkinson’s News Today is strictly a news and information website about the disease. It does not provide medical advice, diagnosis or treatment. This content is not intended to be a substitute for professional medical advice, diagnosis, or treatment. Always seek the advice of your physician or another qualified health provider with any questions you may have regarding a medical condition. Never disregard professional medical advice or delay in seeking it because of something you have read on this website. The opinions expressed in this column are not those of Parkinson’s News Today or its parent company, BioNews Services, and are intended to spark discussion about issues pertaining to Parkinson’s disease.

The post The CHRONDI Creed: A Guide for Parkinson’s Warriors appeared first on Parkinson’s News Today.

Moderating Impulsivity: Train the Brain to Stop the Train

impulsivity

Brain training happens all the time. The goal of Parkinson’s disease (PD) rehabilitation is to use training to limit the effects of the condition. When training the brain, it is important to be mindful of what it is doing while implementing a practice of mental attentiveness. This specific type of mindfulness is aimed at compensating for issues connected to PD. The rehab program seeks to put a skilled conductor inside our brain, one who is trained to slow down, and eventually stop, the impulsivity train.

The application of mindfulness as mindfulness-based stress reduction (MBSR) has yet to provide clear scientific evidence for its efficacy in treating Parkinson’s patients. The problem is that these studies are poorly designed. However, this is not the same as saying mindfulness is unhelpful. Mindfulness, when practiced frequently, may result in changing the brain structure in PD patients.

To train the brain to stop the train of impulsivity, we act and think in a new way to change the structure of the brain. It is made to be plastic and to change in response to what we do with it.

When properly applied to PD and impulsivity, mindfulness is composed of three parts: mental attentiveness (focusing attention where it is needed), slowing down the impulse, and changing the course. When putting a rehabilitation plan in place, mindfulness, using these three components, should be directed at the triggers of impulsivity and its three checkpoints (see the diagram below, which was explained in my previous column).

The following table below explains the application of mindfulness to impulsivity:

Graphic by Dr. C (T.O.O.T.S. refers to Time Out On The Spot)

 

The key to impulsivity management is to eventually turn the training into a habit — to almost automate responses to the heightened responses that occur at each checkpoint. This is how we put our brain train conductor to work to stop the train of impulsivity (or at least slow it down) most of the time.

What have you found to be successful in controlling your impulsivity?

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Note: Parkinson’s News Today is strictly a news and information website about the disease. It does not provide medical advice, diagnosis or treatment. This content is not intended to be a substitute for professional medical advice, diagnosis, or treatment. Always seek the advice of your physician or another qualified health provider with any questions you may have regarding a medical condition. Never disregard professional medical advice or delay in seeking it because of something you have read on this website. The opinions expressed in this column are not those of Parkinson’s News Today or its parent company, BioNews Services, and are intended to spark discussion about issues pertaining to Parkinson’s disease.

The post Moderating Impulsivity: Train the Brain to Stop the Train appeared first on Parkinson’s News Today.