Life has its ups and downs, but finding purpose and changing routines helps.
An older adult patient once told me, “There are good decades and bad decades.” I remember the shock at hearing this — the patient was referring to the relationship with his wife. For many of us, 10 years seems like a very long time to struggle. How do we find joy when experiencing difficulties — or how do we at least make our struggles bearable?
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Life has its ups and downs, but sometimes challenging events occur all at once. When our world is turned upside down, it’s normal to feel a lack of joy. Health problems, losses, breakups, housing challenges, natural disasters — the list of severe stressors and traumatic events is long. Most adults will experience multiple severe traumas and losses throughout their lives. Loss of joy in these contexts is a natural part of the human experience.
For some people, however, the lack of joy persists or appears out of the blue. This may occur in a mood disorder like depression. The inability to feel pleasure (also known as anhedonia) is even part of the diagnostic criteria for depression, and it’s pretty common. Approximately 8% of US adults will experience depression in a given year, and approximately 20% will experience an episode of depression during their lifetime. A loss of joy may also accompany other mental illnesses, including psychotic illnesses and dementia. Certain medications, including (paradoxically) those that treat depression, can also cause emotional blunting and a loss of joy.
Joy and happiness are often used interchangeably. However, happiness technically refers to the pleasurable feelings (emotions) that result from a situation, experience, or objects, whereas joy is a state of mind that can be found even in times of grief or uncertainty. Thus, we can work on cultivating joy independent of our circumstances. Winning the lottery may trigger (short-term) happiness; spending time engaging in meaningful activities may result in long-term joy.
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Although the neurobiology of joy is complex, there are a few neurotransmitters that stand out in promoting positive feelings: dopamine, serotonin, oxytocin, and endorphins. The good news is that many changes to our lives can increase these neurotransmitter levels. For example, running may produce a “runner’s high;” spending time with a baby releases oxytocin, the “cuddle hormone” that makes you feel connected.
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The effects of neurotransmitters on the body are broad, from relaxing your muscles to speeding up your heart rate, but they may result in a final common pathway of promoting positive feelings. Whether it’s finding a sense of purpose or enjoying supportive relationships, the benefits on the mind and body are far-reaching.
During difficult times, it becomes twice as important to modify your routine, allowing yourself to experience joy. Here are some ideas, although it may take some trial and error to find what works best for you:
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Regardless of the changes you make to your mindset or to your daily routine, increasing your ability to find joy may provide long-lasting health benefits. Your immune system can be strengthened by your mental state (immune cells even have receptors for neurotransmitters). Interventions to increase joy may also decrease stress hormones, improve pain, and relieve depression. Finally, finding joy can help you live longer.
NOTE – This article was originally published in health.harvard and can be viewed here
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