Friendly Warning: this blog post is a long one. It’s been curated to give you everything you need to know so you can turn around your adrenal fatigue and a whole lot more.
PLEASE READ THE ENTIRE POST. If you drop off too early, you won’t receive all of the juicy education and my special tips so you can come out of adrenal (and life) overwhelm. This article has a few layers that come back full circle, so stick with it.
Ready to start?
I recently sent you a chat I had with one of my students Heather.
We talked about the relentless burnout she had been living with — the physical and emotional health woes that come with burnout and especially adrenal fatigue and how she started to become her own medicine with my help.
Here’s the short version of her story:
(By the way, this story, I’ve come to learn, is a story that many folks share!)
Working way too much.
Doing for everyone, but not oneself.
Not able to listen to the body’s signals to rest. (Or, um, ignoring them for fear that if you stop, you won’t be able to keep going… sound familiar?)
Overwhelm that starts to feel like fatigue.
MORE fatigue and exhaustion. (You can’t ignore it anymore.)
Maybe some body pain.
Body systems start to get sick.
Sleep is no longer restorative.
Digestion goes wonky.
You get sick.
You can’t recover. (No matter how much green juice, cleansing and gratitude-loving-compassion practices you do!)
All you want to do is SLEEP. (But even though you sleep, it isn’t restful sleep)
Feelings of shame and defeat take over. (Thoughts like “What is wrong with me?” start to enter)
You’re forced to stop. No more pretending.
The body says no! (1)
Neurochemical Nugget for You
In this scenario, one of the body systems that gets taxed to the max is the adrenal glands and their sidekicks the kidney organs.
These little adrenal glands sit on top of your kidneys and when put under the fire (under constant pressure 24/7 with no time to rest) the adrenals produce our main stress chemicals: adrenaline and cortisol.
Mr & Mrs Kidney do overtime too!
Because they’re getting the stress chemicals from the adrenals gland 24/7, via the bloodstream, they increase their activity by doing MORE of their job (even though they don’t have to), which is the filtration of blood and fluids.
(Imagine lots of running on the spot frantically!)
They’re increasing that filtration PRESSURE like crazy.
(Imagine a river raging at full tilt all the time.)
This greatly increases blood pressure.
It wears out the blood vessel walls. Thins them out. Makes ‘em weak.
(Think of that raging river eroding the riverbanks on either side – see it?)
THEN, this constant GO-GO-GO never allows the immune system to fully reset so it can go into repair and regeneration mode. Tissues starts to lose their resiliency, but because they are tough and fairly adaptable (to a certain degree) no signs or symptoms are experienced. (Yet)
FACT: The adrenals (and kidneys) are one of the last organ-gland systems to go, they will hang in there for a long time, but when they get exhausted, you can be sure that everything else is, too.
Here’s a Breakdown of Those Two
Stages of Adrenal Fatigue
Stage 1) This first stage of revved up “GO-GO-GO” lifestyle that I’ve just outlined can persist for a while.
(For years and even decades!)
Meaning, those adrenals and kidneys “HOLD ON” & “HANG ON” and keep the other systems *JUICED UP* via the secretion of adrenaline and cortisol. And by *JUICED UP* I mean, the adrenaline keeps the heart, muscles, immune system and brain ACTIVE so the organism (you) can keep living (surviving) under this high stress.
(That river keeps raging because there’s water stored up in the reservoir and/or the snowpack.)
You know those people that seem to always go-go-go and who say “Yeah, I NEVER get sick!” (it’s common, you know them), yet they are burning their candles at both ends. And it seems almost odd that they can keep going.
(Kind of like they are *Super Human*, which is interestingly enough a term I keep seeing popping up all over the place lately. I’d sure love to test these superhumans super-adrenals and see how well they are doing. Just sayin’!)
This GO-GO-GO stage is stage one.
Common signs and symptoms in this first stage:
Trouble sleeping or not even feeling tired at all.
Digestion that is just starting to be less regular, is sporadic and sluggish.
Staying focused and thinking clearly becomes harder.
Anxiety, angst, jitters and a constant ‘buzzing’ kind of hangs around your brain, and it is easier to just keep going than to stop and actually feel this high frequency, agitated energy.
… but, eventually, that GO-GO-GO JUICE runs out when there’s nothing replenishing it.
(Imagine if there were only summer months with no winter to replenish the snowpack or, no rain? Soon, there’d be no more water in that river, right? Things would become dried up really fast!)
At this point, those adrenals and kidney are exhausted. They reached their version of dried up. They can’t do their job anymore, which is to pump and filter the body’s fluids and balance things out (the kidneys), and the adrenals don’t have the energy to pump out adrenaline anymore to keep the body systems going. Cortisol no longer fluctuates and it actually flatlines in its daily responsiveness.
Common signs and symptoms:
Pangs of overwhelm and that sense that “I can’t keep going like this”
Pain and tightness in the muscles, especially the mid-back and low-back where those kidneys and adrenals live.
More irritability and trouble focusing and staying on your ‘game’ creep up.
If we fail to address this at the root level, that kidney/adrenal level, the next stage ensues:
Stage 2) Burnout. Illness. Utter exhaustion. Listless. Lifeless energy states.
This is when you can’t push through anymore.
This is the point at which the body really does say “NO!”
By this time, the constant secretion of stress chemicals (cortisol being the big culprit) has damaged the body’s cells and the brain so much that many of the body’s systems start to show it (remember, those chemicals get transported ALL around the body, not just in the area of the kidney. The heart, immune system, digestion, muscles, brain and more).
Signs and symptoms:
Executive function and the capacity to think and learn declines
Immune function declines and even attacks the body (think: autoimmune disease)
Heart function deteriorates because those blood vessels were put under that raging pressure via adrenaline pumping 24/7 and the toxic levels of cortisol inflames them and they lose their vitality and resiliency.
Digestion really starts to slack and the cells of the gut lining no longer repair properly causing leakiness between the cells (i.e., leaky gut) and bloating becomes a massive problem (i.e., irritable bowel syndrome, aka: IBS) because the autonomic nervous system is shot (due to the 24/7 go-go-go fight/flight energy) and is no longer giving clear signals to move the food along the digestive tract.. so stuff starts to stall and back up. 🙁
There’s no more of the high-revving energy of Stage 1 to keep us going, and feelings of depletion, illness and even depression become the norm.
We must work at the level of the kidney/adrenal and survival instincts interface.
Doing this GETS to that ROOT of the issue.
(It’s not enough to just take supplements, change your diet, sleep and be mindful to help those exhausted adrenals… and YES, healthy eating and rest is important, but it’s not enough.)
Rewiring patterns of activation (or survival instincts) in the nervous system is vital.
Here’s How You Do This
When I work with my clients, helping them recover from adrenal fatigue and the other signs and symptoms of ill-health that often comes with it, it’s never a one-size fits all approach, nor do we just do “one thing” and then they get better.
It’s essential to have a multi-disciplinary approach that brings in not only the mind and body, but a few more pieces that I want to tell you about.
I’ve found in my work with my clients that there are 3 key steps that they typically never encounter in their healing journeys and when they start to implement these steps into their recovery and treatment plan they start to heal at a very deep level and their adrenals really can recover which in turn allows for repair and recovery of their entire body.
Here are those 3 steps:
Education on the biology of our stress response and our autonomic nervous system, and how those systems influence our body function, physical sensations, emotional health and our higher brain centres.
Building strong self-awareness and embodiment from a biological level
Neurosensory exercises that build self-awareness so that you can eventually work directly with the kidney/adrenal interface
Here are those steps in greater detail:
STEP 1. Education on the biology of our stress response and our autonomic nervous system, and how those systems influence our body function, physical sensations, emotional health and our higher brain centres.
I once had a mild disagreement with a very nice guy at a conference around whether or not it was important to teach our clients how the autonomic nervous system (ANS) actually works.
(Quickly: in case you are new here, the ANS governs functions of the body that we don’t need to think about like our heart beating, digestion and things like the release of our adrenal chemicals when under stress or threat.)
He, like me, was doing some form of mind-body work that worked at the level of the parasympathetic nervous system.
The parasympathetic nervous system is the branch of our ANS that is often touted as the “rest-digest” portion of our body’s nervous system. This system helps to slow down our body physiology and it does this in two ways, either for:
a) protection and/or defense when under threat (i.e., going into shock and shutdown),
b) rest, repair and regeneration, as well as for social interactions and being “human” (this is the place human beings “should” be living in most of our time).
Now, back to the guy at the conference…
He didn’t believe it was important to give people the full breakdown of how this intricate system works. For example how our stress responses, whether real or perceived, are triggered, and how this arousal sends off a cascade of bodily responses that are neurochemical, hormonal, physical etc., that work to help protect a person in the short-term, or can actually harm a person when turned “ON” for too long. He felt it more important that people just got *results.* He said something along the lines of,
“People don’t care how it works – they only care if it works.”
While I know this to be true for some, we run into a few problems with this mindset.
The first is that in only giving someone a formula and telling them “just do this” and “in this order”, is no different (in my opinion) than giving a pill, potion or remedy and saying, “Take this and call me back in a few days.”
Sure, it might work wonders but what happens in those off chances (and there’ll be lots of those off chances) that it actually doesn’t work for someone?
Those in this scenario, where the “magic pill” doesn’t work, are left not understanding WHY this isn’t working for them, and they automatically assume that there’s something wrong with them.
Secondly, this gives the power to the person delivering the promise and never gives the client a chance to *understand* the process, so that they can be powerful medicine for themselves.
I know there’ll be people who will never give two hoots about how they tick on the insides and they’d much rather stay ignorant to the process (if this is you – then stop reading this now – I can’t help you), but from what I’ve witnessed in all my years doing this, the moment you give a person the education from a fairly deep level, they begin to activate their healing from the inside out.
For me I guess I’m in the camp of:
So, why wouldn’t you want to know how those insides tick? Why wouldn’t you want to start taking the matters of your health and long-term well-being into your own hands?
My Bottom Line:
When you can actually learn the intricacies of your own biology and how you respond to stress and how stress has affected you in the past, you can begin to re-route the toxic reactions to this stress in a much more intelligent way.
When you get more biological knowledge on board you can begin to dampen and even eliminate unnecessary stress toxicity which means two things:
A decrease in an overall “pressure” throughout the body and its organs and vessels, mainly because there’s less adrenaline being pumped out of the adrenal glands. (Remember that river analogy at the start of this article – of the riverbeds being worn down from constant flow of water? Now that raging river can start to flow more gently.)
Less cortisol is being pumped around in the blood which means less chemical toxicity to the body’s organs and the brain. Of course we need cortisol to be released at specific times of the day, but we don’t want it on 24/7. When we can get ahead of our stress responses and bring more biological awareness and attention to ourselves and not continually simmer and bathe in stress toxicity we slow down our aging process by reducing the wear and tear on our bodily systems.
STEP 2. Building strong self-awareness from a biological level
One of my favourite mind-body quotes is from Moshe Feldenkrais who was (and still is) one of the main pioneers of neuroplastic healing
“You can’t do what you want, unless you know what you do.”
Maybe read that again, really S L O W L Y …. (it’s a step we often neglect when matters of health are concerned.)
Feldenkraisian learning cultivates self-awareness via intention-based movement as a way to “talk” to the nervous system. This “talking” sets up feedback loops via the sensory aspects of our body’s nervous system which a) directly impact our movement function, and b) indirectly impact the deeper levels of brain and autonomic nervous system function.
Now I’m going to bring another nugget of expertise from Dr. Gabor Maté who is a leading authority on the cost of hidden stress. He writes in his book When The Body Says No,
“Awareness also means learning what the signs of stress are in our own bodies, how our bodies telegraph us when our minds have missed the cues. In both animal and human studies, it has been observed that the physiological response is a more accurate gauge of the organism’s real experience that either conscious awareness or observed behaviour.”
This means that after we get that education on board (Step 1), we need to cultivate this second step of self-awareness and embodiment from a biological level, because, as Maté points out, our internal physiological responses (our biology) is a better indicator of how stressed out we are, as compared to how we might “feel” we are doing, or how we may “look” on the outside.
Now, think about that for a moment: have you ever heard of someone who was given a terminal medical diagnosis and yet they’ve “appeared” to be “really” healthy. As Gabor Maté has recounted in his book When The Body Says No, The Cost of Hidden Stress, when you look at the personal histories of these people, and how they cope with stress, especially their emotions(1), they are masters at suppressing and “pushing through” their stress. They are masters of the phrase, “everything is fine.”
They even may appear “superhuman.” (A trait we tend to praise in our western cultures!)
In fact, they might look fine, but inside their physiology, they’re really struggling. All too often, they aren’t even aware of how much they’re holding in because it has been their norm for so long.
Quite often they’ve learned their suppressive tendencies and habits from their family and society. Ideals that most of us have heard such as, “Oh, we never were allowed to cry”, or that all too common stereotype of “that stiff upper British lip,” which abounds in households and western cultures.
Science is showing us over and over again, that we are more the by-product of our environment. Not our genetics.
The other reason I commonly see people not expressing themselves, and unable to feel anything or express any emotion, is because from a very young age they realized it wasn’t safe to do so. Therefore slowly, over infancy and childhood, the damage gets done, and by the time adolescence is reached, the patterning is solidly grooved in.
For these people, and by “these” people I mean many of us, what feels like normal to them is actually, from a physiological reality, taxing them out to the max and incredibly unhealthy.
How do we learn to become better listeners of our biological landscape?
After all, if we can’t notice how our stress chemistry is firing off in the first place, how can we actually de-stress?
Here are a few tips to get you started:
Start to become more aware of your environment. This is called “orienting” to the environment.
Start noticing and paying attention to your body and its sensations, no matter how small.
Start following your impulses. Simple biological impulses like the need to go to the bathroom, when you are thirsty, tired, cranky etc.
As simple as these three tips might be, it’s a start to unlocking the load of constant stored up stress.
Our cultural norm is to stay in our heads for a large part of our day (life) and in doing so we cut off our body from our immediate world and when this happens we no longer hear our biological signals. Do this for enough time and we are oblivious to how starved our bodies are for self-care and support and nourishment.
For example, a person gets home after a LONG day of work, staring at a screen and they are tense in their neck, jaw, shoulders and lower back. By being in their thoughts and upper brain centres all day, they have not once tuned in to their body signals that were actually giving them the message that things were “tightening up” – there was never a chance for a momentary pause of re-set and relief.
Signals such as their raised shoulders, their clenched jaw, their tight abdominals were unknown to them. The signals of thirst and dehydration weren’t on their radar. And then they think it’s the job’s fault, but in fact it is their lack of awareness that has led to the rising of their stress and tension levels throughout the day.
When I teach my clients and students the simple exercise of orienting to their environment, which involves pausing frequently in a very specific kind of way throughout the day, they often report that they feel more alert, less tense and much more able to enjoy their evening. For example, their sleep might start to improve because they’ve actually lowered their stress neurochemistry at regular intervals throughout their day, meaning their adrenaline and cortisol is getting a chance to re-set, metabolize and “let-down” so it isn’t on high all the time.
Another scenario that can happen when a person takes time throughout the day to re-set is that they desire more meaningful connections (be it with themselves so they can engage in joyous and pleasurable activities, or with family/friends).
Connection and social engagement is what humans are built for. But, we can only take full advantage of it when we are not in a constant state of either a) arousal, that GO-GO-GO kind of energy (Stage 1 of adrenal fatigue) or b) in that more depressive state of shutdown and low energy, low metabolism (Stage 2 of adrenal fatigue).
When we can start to learn the language of our biological signals and, most importantly, embody them, we can become more tuned in to how our stress responses activate in high-pressure situations. Once we get to this stage of self-awareness we can start to use the stress signals as our allies and we can turn our stress into our medicine.
My Bottom Line:
When we bring more awareness to our surroundings and stay in the present moment via our biology we set the stage for more chances to actually notice our body signals in our physiology (how the body feels, the bodily sensations, emotions etc.).
In my work I’ve come to observe that we can’t have a one-size-fits-all approach to mindfulness and awareness practices because some people feel too much and others having trouble feeling at all.
Because of this individuality, I’ve discovered that when we can learn about the biology of our stress response systems (Step 1) and then grow self-awareness and embodiment from a biological perspective (Step 2) we start to move towards rewiring our adrenal (stress) responses.
When we get this biological awareness back on board we don’t miss the important cues that our body is giving us.
From here we are one step closer to re-setting and repairing the body and its systems that have been affected by the constant onslaught of stress chemicals coming from the adrenal glands.
3: Neurosensory exercises that build self-awareness so that you can eventually work directly with the kidney/adrenal interface
This is where the real deep healing begins so that this important interface can start to get its juice back.
To develop better biological smartness and repair exhausted adrenals and the accompanying biochemistry understanding neuroplasticity is a must.
Neuroplasticity is simply the body’s ability to change, heal, grown and re-learn.
By “body” I mean ALL that is within the body.
Not just the muscles and movement patterns, but the way a person and their nervous system responds to stress and stimuli. Put another way – how a person is wired.
How a person ends up defaulting to patterns that are more harmful than helpful is far beyond the scope of this article, but suffice it to say that our “actions” and “reactions” are incredibly complex and therefore we need an approach that is equally rich in complexity.
When we are wired towards more unhealthy, risky and toxic stress-inducing behaviours, it’s quite common that when someone brings in healthier patterns and choices, it actually feels suspiciously threatening to the person’s psyche, as well as their physiology and biochemistry. The system says “I’m not so sure this is the right way, we’ve figured out how to live this other way – what the heck is going on?!”
Or to use a good ‘ol bus riding analogy
For years and years you got to work by riding on a rickety old bus, with a senile driver that swerves at every pothole and slams on the brakes with every turn and, although you know your life’s in danger with this guy, you kind of get used to it and you know what to expect, how to brace, how to protect. After all this time, you even feel a little attached to the driver, he’s senile and a bit dangerous, but hey – he’s got character!
So when you get on a new bus with a safer more confident driver, and his skills are so smooth that you hardly feel the ride your system goes on a bit of alert. But then maybe you start to see the scenery and notice the other passengers because you aren’t in constant survival mode. You even find yourself feeling so safe that you drift off and take a nap! But before too long that internal (survival) system of yours say: “Wait a second, this is NOT what we know! Where’s the old guy, get me off this bus!”
The physiology and all its merrymen kind of panic due to the unfamiliarity. Even though the higher brain that can reason with all of this, knows you are in better hands.
This is the conundrum when embarking on the rewiring of old patterns: it may be better for you, but it’s perceived as a threat. (This is why Step 1, getting some solid psychobiological education on board is essential in order to heal the adrenals: we must know what signs to look out for; such as that new bus driver and his safety feeling ‘odd’ and the tendency to run back to the good ‘ol senile guy that feels familiar.)
The practices required to reset and rewire these pathways that we have grooved so well into our body-mind and relational systems requires working DIRECTLY with said pathways.
Leave out these specific pathways and it would be like blindfolding you when you are on that old rickety bus with the old guy driving and transporting you over to the new bus with the better driver while both buses are still moving (as you might see in a stunt maneuver in an action film): you get on that new bus, but you haven’t taken the time to learn the necessary foundational skills to stomach the new ride, you have no idea how you got there and so it feels unsafe (even though it is better for you, safer for you).
Introducing The Body-Mind-Environment Connection
The type of neurosensory practices I teach involve bringing what I have coined the Body-Mind-Environment Connection, or BMEC. When we can practice at this multidimensional level that exists in the human system and within the human relationship to the environment, we, step-by-step, reset and rewire our neuropathways at the root level.
This BMEC type of practice requires a development of awareness that is what I call “multi-tasking” awareness. This type of awareness means that there’s never a need to only focus on one solitary element of human experience, but rather a wide focus on the moving parts of bodily function and its relational interactions with the world.
This type of focus requires practice, and much like learning a martial art such as Judo or Karate, there are levels that one must work through so as to gain enough solid foundation to move to the next level.
This kind of body-mind-environment-connection practice is never mastered – it’s a continual work in progress, but it’s worthwhile lifestyle if you are keen on successful longevity.
If you are intrigued on how this is done, then I’ll be the first to say that it can’t be explained via words – practice is essential.
If you’re still reading, then there’s a high probability that something has perked your interest here. Maybe you have an inkling to try this out, but you hesitate because you’ve tried so many other things to heal your adrenals, the burnout and the overall sense of fatigue and dis-ease – I get it if this is you. But trust me here, this sequential learning and experiential practice does work. (I’ll encourage you to listen to Heather’s chat with me if you’d like to hear a first-hand account of someone’s experience with this work).
Get this under your belt and into your biology and you’ll get ahead of your stress responses.
If you’ve got fatigued adrenals and are showing signs and symptoms as I mentioned in Stage 1 and 2, then it’s essential to learn about the biology of your stress. From my experiences, just the psychoeducation alone is enough to catalyze a person into the right direction (Step 1), then add more self-awareness, embodiment skills (Step 2), plus some neurosensory exercises that specifically target the kidney-adrenals (Step 3), and you’re on the right track to healing this ever-important kidney/adrenal interface.
OK, that was a a lot. And I want to commend you if you’ve got to this point in the article.
I hope this has been useful to you and I do hope you take this knowledge and use it wisely so you can get on a path that’ll help you get to the root of adrenal fatigue and exhaustion.
As you’ve learned, when you can heal at this deep level, many of the other body systems, and also how we interact with ourselves and our world, change for the better.
Here’s a quick recap:
I can’t stress enough the importance of education (Step 1).
Gaining more self-awareness and embodiment from a biological level (Step 2).
Practicing specialized neurosensory exercises that address the kidney/adrenal interface head on, which will help to rewire, reset and reroute old grooved neuropathways that no longer serve and can actually be harmful to health and healing (Step 3).