Author Info for Lise Van Susteren, MD Coming Soon

Stacey Colino

STACEY COLINO is an award-winning writer specializing in health and psychology. Her work appears in U.S. News & World Report, Prevention, Family Circle, Parade, and Parents. She lives in Chevy Chase, MD.

Photo © Judy Licht

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A Doctor’s Simple Tips on How to Get Better Sleep

Thanks to groundbreaking research, we have recently learned that every cell has its own timekeeper that can be thought of as a local clock. Deep within the brain, in the hypothalamus, lies a master clock that regulates all the local clocks, making sure that each one is set to the same time. This complex, coordinated process is in sync with the alternating cycles of day and night and with all the degrees of changing light that occur in a 24-hour period as Earth rotates on its axis. Called the “circadian rhythm”—from the Latin words circa, which means “going around,” and diem, meaning “day”—this internal process regulates the human body’s sleep-wake cycle, among many other functions. 

The master clock (think of it as circadian rhythm central) sends hormonal and nerve signals throughout the body, synchronizing the cells’ clocks to the day-night, light-dark cycle of life. On a continuous basis, the master clock can determine what time it is based on messages from photoreceptor cells in the retina that register light conditions outside and report these to the brain via specialized pathways. 

Meanwhile, the cellular clocks keep local time, making sure that various activities locally are timed right and are appropriately coordinated with other cells and organs. This is why, for example, key enzymes are produced at certain times, blood pressure and body temperature are controlled, hormones are secreted, the gut microbiome is populated with the right balance of bacteria, and gut motility is appropriate for the hour. 

Living in harmony with the way we have evolved brings physiological and emotional balance, creating a good fit between our bodies and minds, between what we’re doing and how we’re designed to function. Honoring our body’s natural rhythms helps stabilize our mood, become more resistant to stress, feel less physical pain, and generally feel and function better physically and mentally. It’s an essential step in cooling and calming emotional inflammation. 

The following are some ways you can adjust your habits so that they support your body’s inherent rhythms: 

  • Put yourself on a sleep schedule. Establish a regular sleep-wake schedule so that you go to bed at approximately the same time each night and wake up at the same time each morning. It’s fine to vary your bedtime by an hour or two occasionally, but don’t sleep in more than an extra hour on the weekends (unless you’re sick); otherwise, you will end up disrupting your sleep pattern for the next night. 
  • Identify your slumber sweet spot. Most adults need seven to nine hours of sleep per night to feel and function at their best. Once you figure out how much you need, determine what time you need to get up in the morning and work backward to set an appropriate bedtime; or, you can identify what time of night you typically feel sleepy and then set a wake-up time accordingly. 
  • Brighten your mornings. When you get up in the morning, expose yourself to bright, natural light to stimulate alertness, enhance your mood, and help calibrate your circadian rhythms. Take a brisk walk outside or have breakfast in a sunny spot. If you struggle to reset your internal clock to the “awake” setting in the morning, consider buying a commercial light box that emits 10,000 lux, which mimics a bright, sunny day. Sitting in front of such a light box for 30 minutes in the morning, perhaps while you have breakfast or read the newspaper or newsfeeds, has been found to stimulate alertness and improve mood. Alternatively, you could opt for a desk-lamp-style light box for your desk at work. 
  • Adjust your indoor lighting. Fascinating research has found that office workers who are exposed to greater amounts of light in the morning fall asleep more quickly at night. They also have better sleep quality and better moods, including less depression and stress, than those who are exposed to low light in the morning. 
  • Darken your evenings. There is another good reason to make sure that your bedroom (or wherever you sleep) is dark: When people are exposed to light during the night, their total daily melatonin production is suppressed dramatically, by as much as 50 percent. In other words, that nighttime light exposure throws the body’s 24-hour hormone production schedule off-kilter. It’s also wise to install a dimmer switch on the overhead light in the bathroom—or use a dim night-light—so that bright vanity lights don’t stimulate your senses and alertness while you’re taking care of bathroom business before hitting the sack or if you get up during the night.

Ultimately, honoring your body’s natural rhythms requires taking back control of your nights and days. It’s about putting time on your side and making conscious choices about the way you want to live so that you can restore your internal equilibrium, physiologically and psychologically. 

Yes, changing your behavior requires giving up the patterns you chose, consciously or not, in the past, and making the switch does take some effort and resolve. But if you make it a priority to stop upsetting your body’s internal rhythms and start living in sync with your body’s inherent needs, the payoffs will be well worth the effort. Your mood is likely to end up on a more even keel, and your energy will increase. Your physical health will probably improve and your emotional equilibrium will, too. Think of it this way: By respecting your body’s rhythms and doing whatever you can to maintain their regularity, you’ll be resetting your internal emotional thermostat, which will improve the way you react to and deal with the stresses and strains that are unavoidable in our modern world.

This is an excerpt from Emotional Inflammation: Discover Your Triggers and Reclaim Your Equilibrium During Anxious Times by Lise Van Susteren, MD, and Stacey Colino.

A Music Playlist for Better Sleep

To help you achieve the best night of rest, we recommend falling asleep to this relaxing music playlist, Music for Better Sleep, available through Sounds True on Spotify.


Lise Van Susteren, MD, previously served as a clinical professor of psychiatry at Georgetown University. She is a go-to commentator about anxiety and trauma for television (including CNN, Good Morning America, NBC, VOA, and Fox News), radio (NPR, Minnesota Public Radio, and others), print media (including the Washington Post, the Wall Street Journal, Newsweek, the Huffington Post, and CQ Magazine), and online outlets (such as Live Science, U.S. News & World Report, Global Health NOW, and many others).

As a thought leader and activist, Dr. Van Susteren addresses issues related to trauma and emotional inflammation through her roles at the Earth Day Network and Physicians for Social Responsibility. She is considered an expert in the psychological effects of climate change.

Stacey Colino is an award-winning writer specializing in health and psychology. In addition to her work as a book collaborator, she is a regular contributor to U.S. News & World Report and AARP.org. Her work has appeared in the Washington Post Health section, Newsweek, Parade, Cosmopolitan, Real Simple, Health, Prevention, Woman’s Day, Harper’s Bazaar, Parents, and Good Housekeeping, among other magazines and newspapers.

Buy your copy of Emotional Inflammation at your favorite bookseller!

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Growing through the Peak of Your Pain

A doctor of Chinese medicine who was a famous bonesetter in China once said to me with a heavy accent, “Here, you [meaning Americans] don’t like to feel pain. You don’t like to suffer.” He said this as he wrung my neck as one would a chicken’s, snapping it back and forth in a way I had never experienced. I screamed as if he were breaking my bones.

For a month prior, I hadn’t been able to move my head to the left or right. My left arm was nearly immobile. I had just started a new job that probably should have ended the moment my body locked up. I went for acupuncture, then pain pills; used ice and hot water bottles. I went to medical doctors, and they X-rayed the area and gave me more pills and a brace to keep my head still—the kind used for whiplash. I later tried one of the best chiropractors in the city, and she gave me the number of a neurosurgeon, thinking I had a herniated disk and would need surgery. I did not seek out the surgeon and stayed in pain for weeks. Finally, a friend from my job gave me the number of her doctor, the famous bonesetter mentioned above. I called him at 10:00 pm that night. That’s how much pain I was in. To my surprise, he answered the phone. He said, “Come in. I wait for you.”

I said, “Now?”

“Yes!” he said. “You have pain, come now.”

Wow, I thought. Now that’s a healer. It didn’t matter that it was the middle of the night.

My partner at the time drove me across the Bay Bridge to San Francisco, and I met my friend from work at the healer’s office. She had come to translate from Mandarin to English. The place was tiny, with photos on the wall of city dignitaries and other famous people who were his clients.

“Hi.” The bonesetter smiled like a boy. “I’m Dr. Fu.”

I sat down in his small room and showed him my X-ray. He threw it on the floor without looking at it. He took the brace off my neck and threw that on the floor, too, right next to the X-ray. Then he twisted me into a pretzel. I howled, yelped, screamed, and hollered.

All of it. No wonder he had me come when no other patients were there. He told me to breathe, and I did my best. Suddenly, at the peak of the pain, I felt my muscles release in my neck, shoulders, and back. It was in fact a miracle to me. I had suffered so long.

I carried my brace and X-ray out in my hands. It was as if I had never been in pain or unable to move. The night sky filled with stars made me feel like I was on another planet. I was in bliss. When I returned to work, everyone was shocked. Was it a miracle, or was it the ability to withstand a greater amount pain to be free of the pain? I would have never imagined that I needed to go deeper into the pain, deeper into the darkness of it. All I had wanted was out.

We are averse to pain and suffering and understandably so, given our American sensibility. We have access to a large market of remedies, products, spiritual paths, and, yes, gateways to the freedom from suffering. I wonder how many times we have diverted our own freedom when we have discovered there is more pain, more trouble, more darkness ahead and we keep adding on remedies. What is the mindset, along with fear and terror, that causes us to avoid our suffering rather than go deeper into seeing what is there? Yes, I should have quit that job on the spot when the pain started, even though I had been there for only a few weeks. I didn’t know at the time, but the pain that was deep inside was because I wanted something different for my life than the job I had accepted. The pain was my impatience, and it was at the same time physical pain in real time. I didn’t wait to allow that“something different” to be revealed in the darkness.

Since all paths—religious, spiritual, or without name—intersect in the place of darkness, darkness is the place where the mind is forced to detach itself from whatever it has grabbed onto in life. And in that nothingness, in that dark place, we awaken.

What of darkness terrorizes us so that we run from it, rather than go deeper into it? How can we bear dark times, or, more explicitly, horrifying times, with the skill of an awakened one? Misery, struggle, and sorrow are not the sole intentions of this life. Yet we can respect our interrelationship with everything in the world, including the suffering in, around, and between us. Is there a way to live in unsettling times that we have forgotten?

Excerpted from Opening to Darkness: Eight Gateways for Being with the Absence of Light in Unsettling Times by Zenju Earthlyn Manuel.

Osho Zenju Earthlyn Manuel, PhD, is an author, poet, ordained Zen Buddhist priest, teacher, and artist, whose diverse background, education, and experience all provide a unique integral and cultural perspective within the space of religion and spirituality. She is the author of The Shamanic Bones of Zen, The Way of Tenderness, The Deepest Peace, and more. Manuel is a native of California and now resides in New Mexico. Learn more at zenju.org.

Sará King: Liberatory Technology from the Future

We live in an age of astounding technological wonders. Yet there is great fear and uncertainty around where it’s taking us all. The multitalented Dr. Sará King is a neuroscientist, education philosopher, public speaker, and codirector of Mobius, a nonprofit committed to the creation of “liberatory technology” as a countercurrent to the harm perpetuated by much of our modern technology. 

In this thought-provoking podcast, Tami Simon speaks with Dr. King about her life and work, covering a variety of intriguing topics including the critical skill of self-compassion; intergenerational trauma and the relationship between the personal and the collective; how to shift to a freeing perspective on our suffering; the pain inflicted through the practice of othering; empowerment, awe, and curiosity; gratitude for our ancestors whose dreams become our reality; the metaphoric medicine bowl visualization; metta (or lovingkindness) practice; weaving together the multiplicity of selves within us; technology that contributes to our sense of interdependence and well-being; and more.

Note: This episode originally aired on Sounds True One, where these special episodes of Insights at the Edge are available to watch live on video and with exclusive access to Q&As with our guests. Learn more at join.soundstrue.com.

Daniel J. Siegel: IntraConnected: Discovering MWe (Me ...

We may have a mental understanding that all of life is one inseparable whole, yet how do we actually feel into this reality? And how do we relate to others and the world from this felt awareness? Dr. Daniel J. Siegel is a visionary creative thinker, professor, and founder of the field of interpersonal neurobiology. With Sounds True, he has authored numerous audio programs and courses, and his internationally bestselling books offer us an empowering new understanding of our bodies, our minds, and our mutual interdependence. 

In this podcast, Tami Simon speaks with Dr. Siegel about his book IntraConnected: MWe (Me + We) as the Integration of Self, Identity, and Belonging. Listen now as they explore the direct experience of being the whole of life; interconnection versus intraconnection; honoring the inner, the inter, and the intra; E. O. Wilson’s concept of consilience; the promotion of “linkages” as the basis of well-being; quantum physics and the study of energy; the Wheel of Awareness practice; the three-pillar practice of focused attention, opening awareness, and building kind intention; the power of wandering and “relaxing the flimsy fantasy of certainty”; our survival instincts and the investment in being separate; how mindfulness practice interrupts the “anticipatory brain” and brings us back to presence; the multiple pandemics of our time, and the lie that our identity is only in the “solo self”; how the tapestry of reality is of love and connection; seeing yourself as a verb instead of a noun; pervasive leadership, and how we’re all called to assist in “the Great Turning”; and more.

Note: This episode originally aired on Sounds True One, where these special episodes of Insights at the Edge are available to watch live on video and with exclusive access to Q&As with our guests. Learn more at join.soundstrue.com.

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