immunosurveillance
.
Plasma cytokine gamma interferon orchestrates or regulates anticel-
lular activities and turns on specifi c parts of the immune system.
If you are able to develop a sense of humor about yourself, you ’ ll
fi nd that incredibly liberating. It ensures that you don ’ t take your
current situation and yourself too seriously. Laughing at yourself
allows you to see yourself as part of a greater whole. By not taking
yourself too seriously, you can let things slide off you and not “ sweat
the small stuff. ” I ’ ll describe how humor boosts your body and brain
in greater detail in chapter 7 . For now, just be aware that by develop-
ing a sense of humor, you ’ ll cultivate positive thoughts and feelings.
Maximize the time that you spend in the emotional state that
you want to be in so that it comes naturally to you. You want it to be
your default mood. Do everything that you can do to promote the
thoughts, perspective, and behaviors that kindle a positive mood.
Light Chemistry
Many depressed people keep the drapes drawn because they don ’ t
want to let the outside world in. This is a bad strategy, because it
cuts them off from natural light and changes the biochemistry of the
brain. Low levels of light have been associated with depression.
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The brain picks up signals from the retina of whether it is dark or
light outside and sends that information to the pineal gland. If it is
dark, the pineal gland will secrete the sleeping hormone melatonin,
which is sedating. If it is light outside, the pineal gland won ’ t secrete
melatonin. Melatonin is very similar in chemical structure to sero-
tonin. When there is an overabundance of melatonin, it competes
with serotonin, and the serotonin level decreases. Low serotonin is
correlated with depression.
Low light is the operative mechanism in people who are suffering
from seasonal affective disorder (SAD). People with SAD often fi nd
themselves becoming more depressed during the winter, when there
are fewer hours of daylight. A disproportionate number of people in
the northwestern United States and in northern Europe suffer from
SAD because of the overcast skies and shorter days in the winter.
Therefore, if you ’ re depressed, you should maximize your exposure
to natural sunlight.
One of the treatments for SAD is to sit under a full - spectrum
light. Sunlight is better, of course, but if you live in an area with low
levels of light in the winter and you suffer from SAD, check into
getting a full - spectrum light.
To take advantage of the benefi t of light chemistry, maximize the
natural light that you receive during the daytime so that you will
help your brain chemistry promote good feelings. The emphasis is
on natural light because you need a full spectrum of light. By the
way, you ’ ll also need to provide yourself with a dose of vitamin D,
which is important for your immune system.
Aerobic Boosting
Exercise has numerous positive side effects. It boosts your mood in
a variety of ways. For example, exercise enhances oxygenation of the
blood. When blood is transported to your brain, you feel alert and
calm. Exercise also lowers the acidity in your body, which increases
your energy level.
Your muscles are endowed with a rich blood supply. Just as
exercise promotes better blood fl ow to the muscles and results in
an energized feeling, so, too, does stretching. By stretching your
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muscles, you force or pump the used and deoxygenated blood back
to your lungs for refueling. This blood fl ow is complemented by the
replenishment of reoxygenated blood in your muscles. Stretching
promotes refreshed and invigorated muscles and the release of
tension.
Exercising forces an increased output of norepinephrine, which
revs up the heart rate. This increased output of norepinephrine also
occurs in the brain. A higher level of norepinphrine can boost your
mood. Some antidepressant medications increase the transmission
of norepinephrine.
Study after study has shown that exercise is an antidepressant.
It does not have to be confi ned to a specifi c method, such as run-
ning. You can get an aerobic boost by climbing the stairs, raking the
leaves, or taking a brisk walk.
Research has shown that exercise is one of the easiest ways to
promote neuroplasticity and neurogenesis. I ’ ll describe how that
occurs in chapter 8 . For now, just remember that when you combine
exercise with changing the way you think, you powerfully boost your
mood.
Constructing Narratives
As I have explained, the two hemispheres function differently. Your
right hemisphere is more holistic and more emotional. Your left
hemisphere, though more linear, is also the interpreter of your expe-
riences. Interpreting or labeling helps you to make sense of your
experiences. Psychologists call this a narrative.
Think of yourself as the narrator of your life. For example, per-
haps you are facing a challenge because your old neighbors moved
out and new neighbors have moved in. You considered your old
neighbors to be irreplaceable. The new neighbors, meanwhile, have
a completely different lifestyle. You can construct a positive narra-
tive that describes how you are now being given an opportunity to
get to know people whom you have never been exposed to before.
Although it was sad to see your old neighbors go, your new neighbors
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present a new interpersonal adventure. You ’ ll rise to the occasion to
embark on this new adventure.
Your left hemisphere utilizes language and puts your narratives
in a linguistic form. Since your left hemisphere is more positive, if
you maximize its ability to put a positive spin on your narratives, you
cause your brain to rewire with a positive perspective.
You modify your memories each time you remember them. Your
left hemisphere can activate and change those memories with a
positive spin. It also helps you to cultivate a positive narrative about
what you will remember.
Neither hemisphere is good or bad. Your two hemispheres must
work like equal partners. Your right hemisphere is important for the
subjective essence and for autobiographical memory. It sees the whole
picture, but it needs the input from your left hemisphere, which
provides details and a positive spin.
The Power of Belief
Belief and specifi c types of thinking patterns can have a power-
ful effect on your mood. In recent years, research has illustrated
how changing your thinking patterns can affect your mood. Brain -
imaging studies have shown different patterns of brain activity with
different types of treatment for depression. Cognitive - behavioral
therapy (CBT) activated the hippocampus, whereas Paxil lowered
the activity of the hippocampus. CBT appears to turn down the over-
activity of the OFC, which is involved in endless ruminations. CBT
cuts through the negativistic thinking and replaces it with realistic
thoughts that quiet down the useless activity in the frontal lobes.
The new positive and realistic thoughts are coded into memory
through the hippocampus, but this does not necessarily occur with
Paxil. Also, after a person stops taking Paxil, there is a rebound of
depression. In contrast, when CBT is stopped, what the person
learned is remembered. In addition, a signifi cant number of people
do not respond to antidepressants. When these medications do
work, they must be taken on a long - term basis. Both the placebo
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effect and antidepressant medications activate the same areas of
the brain, the cortex.
The controversial power of belief has been addressed in psy-
chiatry by comparing the effects of placebos to medication. For
example, Irving Kirsch of the University of Connecticut reported
that between 65 and 80 percent of responses to antidepressant
medication can be duplicated by placebos.
Researchers at the University of Toronto addressed the phenom-
enon of response to placebos by taking a look at brain physiology.
They showed that depressed patients who believed that they were
taking a powerful antidepressant medication, but were actually tak-
ing a placebo, nevertheless experienced changes in their symptoms
that were related to changes in brain glucose metabolism.
At least some of the benefi ts of taking medication are due sim-
ply to believing that it will work. The placebo effect highlights the
power of belief, and the effect is not limited by mood.
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