This episode in the Mental Health Mini Series, I, your host Amber-lee, take you through one of my favourite techniques, Progressive Muscle Relaxation (PMR). This technique nourishes your mind and soul having a deep impact on your mental health and physiological responses to stress. Motherhood introduces unique psychological stresses, making us vulnerable to conditions like depression and anxiety. Yet, PMR stands out as a versatile tool, offering relief and resilience across life's stressful seasons; from depression and anxiety, sleep issues to managing chronic pain, stress, and more. PMR enhances emotional regulation and physical relaxation. This episode doesn't just highlight the science behind PMR's benefits; it also guides you through a practical PMR exercise by This Way Up, designed to equip you with a technique that can transform your mind and body in the perinatal period.

Join me from 7:38 in to begin PMR.

Disclaimer: While the content of this podcast is intended to provide support and guidance, it is not a substitute for professional medical or mental health advice. The techniques and practices discussed here are general in nature and may not be suitable for everyone.

If you are experiencing significant distress, mental health concerns, or trauma, I encourage you to seek support from a qualified mental health professional. Additionally, if at any point during this episode you feel overwhelmed or triggered, please turn it off and talk to someone or do something that is helpful to you.

Finding Support in Australia:

PANDA.org.au 

1300 726 306

COPE.org.au

Beyond Blue 1300 224 636

Gidget Foundation

Black Dog Institute 1300 851 758

Resources and References:

The Way Up: https://thiswayup.org.au/ (your mental health professional can give you free access to ThisWayUp’s resources and courses as long as they have an account).

Abera, M., Hanlon, C., Daniel, B., Tesfaye, M., Workicho, A., Grima, T., Rasmus, W., Andersen, G., Fewtrell, M., Filteau, S., & Wells, J. C. (2022). Effect of relaxation interventions in pregnant women on maternal and neonatal outcomes: A systematic review and meta-analysis. *medRxiv*. https://doi.org/10.1101/2022.11.17.22282468

Ahmadi M, Rahimi F, Rosta F, AlaviMajd H, Valiani M. Effect of Progressive Muscle Relaxation Training on Postpartum Blues in High-risk Pregnant Women. J Holist Nurs Midwifery. 2019; 29(4):192-199. https://doi.org/10.32598/JHNM.29.4.192

Tan, X. Y. J., Choong, S. Y. X., Cheng, L. J., & Lau, Y. (2021). Relaxation interventions for improving sleep outcomes in perinatal women: A systematic review and meta-analysis of randomized controlled trials. Journal of Midwifery. Volume 103. https://doi.org/10.1016/j.midw.2021.103151

Toussaint L, Nguyen QA, Roettger C, Dixon K, Offenbächer M, Kohls N, Hirsch J, Sirois F. Effectiveness of Progressive Muscle Relaxation, Deep Breathing, and Guided Imagery in Promoting Psychological and Physiological States of Relaxation. Evid Based Complement Alternat Med. 2021 Jul 2;2021:59 24040. doi: 10.1155/2021/5924040. PMID: 34306146; PMCID: PMC8272667.

TRANSCRIPT:

Today, we're going to be doing one of my favourite exercises for your mental health. I love, love, love this exercise. I'm going to be taking you through a sequence of progressive muscle relaxation. I know it's a bit wordy, but I promise you, you're going to thank me later. So progressive muscle relaxation, or otherwise known as PMR, it works by engaging the body's natural relaxation response. So that involves activating the parasympathetic nervous system. So that's the rest and digest, the branch responsible for calming the body. After stress or danger subsides, right? So when we experienced stress that the sympathetic nervous system often referred to as the fight, flight, freeze, fawn response, that becomes activated leading to an increased heart rate, rapid breathing, muscle tension, among many other physiological changes.

Progressive muscle relaxation counteracts this stress response by systematically tensing and then relaxing different muscle groups. This process triggers a cascade of physiological responses that promote relaxation throughout your body and hopefully your mind. And as muscles relax, your heart rate decreases, your breathing becomes deeper and slower, your body blood pressure lowers, and the stress hormones like cortisol diminish. And these changes signal to the brain that the perceived threat has passed, shifting the body into a state of rest and recovery. So over time and with regular practice, PMR can help retrain the nervous system essentially. That's pretty exciting if you ask me, so you can actually teach your Stress response or your brain to respond more calmly to stresses this not only reduces immediate feelings of tension and anxiety, but also promotes that long term resilience against stress deal and cope with stress a little better.

So I thought PMR would be a really great one for mums to be doing and practicing. Now this is something that I did when I laid down in bed at night because I found it really difficult after my second born to fall asleep and I just felt wired and heightened and I definitely was tense. It was like I was stiff as a board on my mattress. It's like I didn't, I was so stiff I couldn't feel my mattress. That's how I would describe it. So this is something that I. Incorporated into my daily routine. So every night when I went to bed, I would do a progressive muscle relaxation from head to toe, and I loved it. I felt my body sinking deeper and deeper into that mattress until I fell asleep. And sometimes I wouldn't even finish because I was just so calm and so relaxed that I would fall asleep. So that is my hope for you.

Now, progressive muscle relaxation has lots of evidence to show that it helps with depression and anxiety. So I hope that with you practicing this, you actually feel those changes within your body and within your mind.

I want to say that this is not something that I would say is a cure necessarily. It's just a really great way to manage stress. It's a really great way to decompress to defuse and to put ourselves back in that parasympathetic nervous system state without further ado, let's get started. I will say that this progressive muscle relaxation is the actual one that I practiced and you also can do a progressive muscle relaxation technique in a matter of 30 seconds. Don't feel like you've got to be doing this all body experience. It's like I remember driving in the car. And I would be clenching my fists and then relaxing my fists and just even doing something as basic as that would trigger my nervous system to go, Oh yeah, I am safe and Oh yeah, I can calm down and everything's going to be fine.

So I'm giving you the full blown PMR technique today. But. Take it as you will. I have taken this particular exercise from ThisWayUp. I did that course quite a number of years ago. A psychiatrist gave me like a login for it and I loved it so much for perinatal mental health. So a big shout out to ThisWayUp.org.au They are incredible with what they're doing.

Let's get started. Just find a quiet space where you feel like you won't really be interrupted for a couple of minutes. Dim the lights if possible. Now there are no rules. You can leave your eyes open or you can close them. Close them, whichever you prefer, and also try not to tense your muscles too tightly.

So this should not be uncomfortable or painful. So we only want to go to about 60 or 70 percent capacity. Okay. So just keep that in mind while you're doing this exercise. And don't worry if your mind wanders during this exercise either. I always say, don't put too much pressure on yourself. When you're doing something like this, we can kind of get all worked up in our head about how we're not doing it right, or how maybe we're failing at it or that we can't relax. I don't want you to get caught up in those thoughts. I just want you to come as you are and just allow yourself to be impatient. Allow yourself to feel the way that you feel. You may also feel like this is a waste of time. And that may be because you're not used to feeling relaxed.

So I just want you to pay attention to what your body and your mind are saying and doing throughout this exercise. Cause it can be really interesting if we get curious about ourselves.

Okay. First, find a comfortable position and allow your attention to focus on your It's only on your body. Close your eyes.

Let them rest lightly on a spot in front of you. Let's start with a few relaxing breaths. Take a deep breath through your abdomen. Hold for a few seconds and exhale slowly.

Again, as you breathe, notice your stomach rise and your lungs fill with air.

As you exhale, imagine the tension in your body being released and flowing out of your body.

And again, inhale

and exhale.

As you go through each step now, remember to keep breathing.

Now let's begin. Move your attention to your forehead. As you inhale, tighten the muscles in your forehead by raising your eyebrows as high as you can. And