(A continuing  series of blogs on “The Last Best Cure“; one woman’s attempt to find joy and improve her  health while battling  an autoimmune disorder.)

“The good news is that we are not our thoughts.” – Clifford Saron, PhD, Center for Mind and Brain, UC Davis

People with Chronic Fatigue Syndrome and Fibromyalgia are advised to cut down the amount of ruminating they’re doing.  But according to a large Harvard  study, most of us — whether we’re healthy or ill — spend an extraordinary amount of time engaged in thinking about things other than what we’re doing.

Studies indicate that much of the time we're anywhere but in the present

Studies indicate that much of the time we’re anywhere but in the present

We’re not ‘being here now’;  we’re either thinking about something that happened earlier, or thinking ahead to the future, or we’re judging and assessing what’s before us.   Our minds are darting around and around – here, there, and everywhere.

“A human mind is a wandering mind, and a wandering mind is an unhappy mind.”

The most shocking finding of the Harvard study was how damaging a wandering mind is to our happiness.  They found that the degree to which our minds wander is inversely proportional to how happy we are.

That flitting mind that doesn’t seem to want to settle down on anything has been a part of my ME/CFS since the beginning, and perhaps for good reason. The cognitive findings in ME/CFS such as slowed information processing, reduced ‘working memory’, and difficulty turning off attention to innocuous stimuli suggest the disease has set the stage for a wandering mind.

Research in healthy people may provide some clues as well. Werner Erhard once said, “Thoughts are mostly about bad stuff.”  Studies show that about seventy percent of the things that happen to most people during the day are ‘relatively good’, 28% are neutral, and 2% are actually bad. Yet we spend most of our time ruminating and worrying about or getting upset by the 2% bad stuff.  It’s not as if we’re deliberately thinking about the bad stuff; it’s more as if it is ‘thinking us’. Our worries and our fears tend to grab us tightly and not let go.

If that’s true for healthy people, how much more must it be true for the chronically ill who have more bad stuff to deal with.

Contentment has it's own rewards some of which  are physiological

Contentment has it’s own rewards some of which are physiological

Donna knows intimately how easy it is to let the bad stuff take over, but she’s had flashes of experience with the other side as well. She knows that joy works, and that contentment helps both mentally and physically.  She remembered a time when a moment of intense joy momentarily ‘released her body’ from the grip of her illness. Her legs were still cold, blue and numb, but they also felt alive and tingling for the first time in ages.  At that moment she saw the possibility of healing.

Others have experienced similar situations.  A moment of intense joy that rippled through and enlivened his body left Johannes Starke intuitively feeling that he was on the path to wellness.  Dan Moricoli experienced a similar situation while walking down the hall of a building one day; he said it left a smile on his face that hasn’t left.

Like Donna, neither are fully recovered, but both have made major strides in their health and well-being. Both have also devoted significant time to the type of meditative and mind/body practices Donna is beginning to undertake, and both, importantly, are diligent at pacing themselves.

Referencing Moments of Joy and Contentment – At Will

Donna’s goal is to be able to reference those moments of joy and contentment at will. Instead of those negative feedback loops which have gripped her, she wants to create positive feedback loops that leave her feeling contented, joyful, and more alive — all the time.

The DNA Link

It’s not  just that she wants to feel better; she recognizes that being  angry, worried, etc.,  has physiological costs that she wants to avoid. We often talk   about problems with the two stress response axes in ME/CFS and FM: the sympathetic nervous system and the HPA axis. Another stress marker, however, has been implicated in both disorders that sits very close to home genetically – our telomeres.

TelomereDonna explained that these bits of DNA that terminate our DNA strands serve as ‘protective caps’ in the much the same way as shoelace ends keep them from fraying.  Telomere length has been associated with aging. They shorten as we age, and when they become too short the cell stops functioning and dies.  They’re also seen as a rough measure of cellular, and ultimately body, health.

Shortened telomeres have been associated with more pain with Fibromyalgia and telomere length was significantly reduced in the subjects of a CDC Chronic Fatigue Syndrome study presented at the 2014 IACFS/ME Conference in San Francisco.  There’s no telling how much the shortened telomeres reflect the stress of having an illness (associated with problems with the stress response), or result from the illness itself, or both. A 2003 study finding of reduced telomere length in athletes with ‘exercise induced chronic fatigue’, for instance, suggesting that muscle damage was the culprit. This outlined another possibility for ME/CFS or FM.

Reduced telomere length has also been considered a sign of premature aging and has been associated with increased incidences of disorders ranging from arthritis to osteoporosis to heart disease to depression.  Having traumatic events in childhood and ‘stress’ is also associated with shorter telomeres in adults.

Stress is a pretty malleable concept. Mothers caring for disabled children face considerably increased stress levels, but it was the mothers who felt they were under the most stress who had the shortest telomeres.  Given that, it wasn’t surprising to find that dedicated meditaters have higher levels of an enzyme (telomerase) that can lengthen our telomeres.

Mind-Cell Connection

“I like the idea that my brain talks to my DNA.”

That led Donna to suggest that “if we’re not our thoughts, then we can change our thoughts and if we can change our thoughts, maybe we can change our cells” as she referred to the ‘damaging chemical cocktail’ our body pumps out when we’re under stress.

Donna proposed that the more that she perceived her life as being “really okay”,’ i.e.,  the more she reduces the resentments, worries, judging and worst-case scenarios that have been coursing through her for years, the better chance her cells have to “restore and rejuvenate”.

Right / Wrong? Maybe neither....

Right / Wrong? May be neither….

I’ve been doing a practice where I take a stand that there’s no such thing as right or wrong; that things just are as they are.  That practice provides for me a different (and for me healthier) view or context from which to view the world. It provides “okayness” in the midst of all the turmoil I associated with having ME/CFS.  It’s not easy – many times these practices seem feeble in the face of the onslaught of worries, fears, and upsets that are present, but at other times they provide real contentment and peace.

Reconstructing Experience

As Dr. Saron at the Center for Brain and the Mind at UC Davis states, these types of practices help to “deconstruct” our reactive responses and reconstruct our experience.  The practice I’m currently doing allows for contentment to occur where struggle and upset occurred before.  It doesn’t cure me of ME/CFS, but it’s clear that it helps my body a bit.

Studies suggest that practices such as these reduce cellular stress and increase the lengths of our telomeres, allowing our cells to survive longer and perhaps for us to age less quickly. Several ME/CFS and FM studies suggest parts of our bodies may be aging more rapidly than normal.

Studies also show that meditation/mindfulness increases the strength of the pathways in the brain that reduce our emotional reactivity, improves concentration, and even reduces age-related decline of the amount of gray matter in the brain.

The Reactive Mind – A Normal Response?

This reactivity, by the way, is a normal response.   It’s the minds response to a body that’s seeking somehow to achieve balance and health.  Of course you’re worked up when you’re unhealthy. Of course your mind – absolutely astonished at what has happened to your body and life – is running at  a hundred miles an hour.  We are all of us, all the time, swept up in an enormous upset.

Not being able to exercise or even go on walks or make a living was never part of the plan. Being in pain was never part of the plan. Weakness was not what we expected. If all that had been part of the plan, that would be one thing, and we’d have a chance – but the plan was to be healthy, a contributing member of society, to have a family and follow the American dream.

Of course our minds are absolutely appalled at what’s happened. But being at odds with ‘what is’ not only makes life much more difficult, but it reduces our ability, as Donna puts it, to handle our situations with “more awareness and creativity”.

The good news is that we can change that mental orientation – and in the next chapter Donna begins her work on doing that.


Donna Jackson Nakazawa is a science journalist, author, and public speaker.  She tweets often about breaking medical news. Follow her tweets and check out her Facebook site and website and blog. 

She is the author of the The Last Best  Cure, The Autoimmune Epidemic, and Does Anybody Else Look Like Me? A Parent’s Guide to Raising Multiracial Children as well as a contributor to the Andrew Weil Integrative Medicine Library book, Integrative Gastroenterology, (Oxford University Press, April 2010).

Among others she is the recipient of the 2010 National Health Information Award, the 2012 international AESKU Award from the International Congress on Autoimmunity for her lifetime contribution to autoimmune disease research with the book The Autoimmune Epidemic.


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