The Amygdala and the emotional brain: when fear overrides the rational.

The amygdala is involved in producing and responding to non-verbal signs of anger, fear and defensiveness. Learning and responding to stimuli that warn of danger involves neural pathways that send information about the outside world to the amygdala, which in turn, determines the significance of the stimulus and triggers emotional responses like freezing or fleeing as well as changes in the inner workings of the body's organs and glands.

Damage to the amygdala interferes with the effects of emotions on memory. If the amygdala is severed from the rest of the brain, the result is a striking inability to gauge the emotional significance of events, a condition called 'affective blindness': growls, screams, angry voices, and other negative signs may lose their meaning and become incomprehensible as afferent cues.

There is growing evidence that indicates that the amygdala enhances and directs our perception and attention regarding emotions other than fear pleasure or disgust, for instance calling to attention key parts of our brains and making them more responsive in forming memories and associations. By attuning the brain to all manner of threats and pleasures not just the snake on the path but the scowl on your boss's face and the smile on your child's the amygdala thus helps confer emotional significance on a wide range of experience. We've known for decades that fears are extinguished not because they fade, but because new, less threatening associations take their place. The rat hears a once-threatening sound repeatedly without pain, and a neutral association slowly replaces the fearful one. You hear often enough the once-lacerating song you long ago enjoyed with your ex-lover, it loses its bite. Researchers have recently found that this process relies on a calming of the amygdala via the medial prefrontal cortex.

What is known about the amygdala is that it has a dual sensory input system. Both inputs run from the eyes, ears, and other sense organs to the thalamus. At that point the inputs diverge. One pathway leads directly to the amygdala while the other first passes through the cortex. Each input causes a distinct and specialized behaviour. The amygdala is specialized for reacting to stimuli and triggering a physiological response, a process that would be described as the "emotion" of fear. After this, the stimuli of the activation of the amygdala is transmitted to the cortex. This is a distinct difference from a conscious feeling of fear.

One could say that a life without amygdala is a life stripped of personal meanings. Animals that have their amygdala removed or severed lack fear and rage, lose the urge to compete or cooperate, an no longer have any sense of their place in their kind's social order; emotion is blunted or absent.

In the book 'Questions about emotions', Paul Ekman and Richard Davidson describe the case of a man whose amygdala had been surgically removed to control severe seizures. He became completely uninterested in people, preferring to sit in isolation with no human contact. While he was perfectly capable of conversation, he no longer recognized close friends, relatives or even his mother and remained impassive in the face of their anguish at his indifference. Without an amygdala, he seemed to have lost all recognition of feelings as well as any feeling about feelings.

After the central nucleus has been destroyed, animals no longer show signs of fear when confronted with stimuli of adverse events. As a result, their blood level of stress hormones is lower. Neurons of the central nucleus send axons to region of the brain responsible for the expression of the various components of emotional responses to aversive stimuli. The aversive stimuli would elicit non-specific responses controlled by the autonomic nervous system (eyes dilate; heart rate and blood pressure increase; breathing increases and there is secretion of stress-related hormones). These results suggest that the autonomic and endocrine responses controlled by the central nucleus are responsible for the harmful effects of long-term stress. Physical changes such as freezing when facing aversive stimuli, take place in the lateral nucleus of the amygdala.
Occasionally, there can be debilitating problems associated with hyperactivity of the amygdala. Being the storehouse for the memory of fear, it can misinterpret signals from the body and cause inappropriate actions. This can lead to panic. Panic is a heightened stage of anxiety and fear feeding itself in a positive feedback loop and jumping to faulty conclusions, which focus on impending danger, madness, harm, or death. Physically, the body undergoes many changes that ready it for extreme action. There is a marked secretion of glucocorticoids and catecholamines which increases the blood glucose levels. Also, increase production of epinephrine and norepinephrine, which has the effect of vasodilation of blood vessels in skeletal muscles. Other symptoms of the sympathetic-adrenergic stimulation involve modifications of breathing, increased temperature, localized sweating, decreased motility of the stomach, bowels, and intestines, constrictions of sphincters in the stomach and intestines, as well as piloerection (little hairs stand up) when attention is shifted away from the anxiety-provoking stimulus, less fear is observed.

Antonio Damasio's research has found that patients whose link between the amygdala and neocortex has been damaged exhibit extremely poor decision-making skills. The amygdala is a storehouse of emotional reactions. People without access to this storehouse are rather like a rambler without a compass; they can spot alternative paths, but they have no idea how to evaluate them. The amygdala can sometimes cause emotional dumbness, as with over-hasty actions and emotional hijackings, but Damasio's research suggests that it is also required for emotional wisdom. We need to train and listen to the amygdala, not suppress it. For example, freezing is often the first thing people and other animals do when sudden danger appears. Predators respond to movement, so freezing is overall probably the best single thing to do first, at least it was for our distant ancestors. If they had to think about what to do first, they'd have been so caught up in the thought process they'd probably fidget around and then get eaten.

The connection to the amygdala is very quick, a direct connection, but not very precise, because most of the sensory information goes via the other path, up to neocortex, where it is analysed through several circuits while a response is formulated. But the amygdala, meanwhile assesses the sensory data to see if it has emotional meaning and can trigger a response while the neocortex is still sorting things out. Emotions may be very difficult to control because the amygdala turns on other parts of the brain before the thinking brain, the neocortex does. Because the amygdala has diverse connection to parts of the brain that control the autonomic nervous system, as well as connections to the cortex, which is responsible for conscious experience, there is a convergence, giving it a central role in emotional life, so it can mobilize the body to respond with a strong emotion, particularly fear, before the thinking brain quite knows what is happening. Scientist have discovered that there is an anatomical connection between the frontal cortex and the amygdala. From recent experiments, it appears that one important function of this connection is for the frontal cortex to regulate or turn off the amygdala.

Recipes

Feeling overwhelmed by conflicting advice on what to eat during or after a cancer diagnosis? Manuela believes that food should be a source of joy, not confusion.

Explore her collection of nourishing recipes designed to support your body and well-being.

Each meal is designed to provide essential nutrients.

Start cooking and take a positive step toward better health today.

Empower through Knowledge

 With a solid foundation of knowledge, you become a powerful partner in your care. An empowered patient knows to ask critical questions about the evidence behind a complementary medicine therapy, its potential benefits, and any risks or interactions with conventional treatments.

Manuela disseminates evidence-based research helping you engaging into a genuine collaboration and working together to build a safe, effective, and holistic treatment plan.

By seeking out and understanding information, you move from being a passive recipient of care to an active participant in your own healing.

Metabolic Balance

Your body is unique, and so are your nutritional needs.

Manuela offers the internationally renowned Metabolic Balance program. Whether you are underweight or overweight, this personalised nutritional program helps you achieve optimal health, effectively rebalancing your body composition.

The program includes positive mindset techniques to support your emotional/stress eating problems, personal food preferences, meal ideas & recipes, and nutritional education. Prevention at its best!

Functional Medicine

Since 2001, the Institute for Functional Medicine (USA) has been directly accredited by Accreditation Council for Continuing Medical Education. The strict post-graduate training education is based on current science, evidence, and clinical reasoning and evaluated for its effectiveness. Manuela has obtained the internationally recognised Board Certification for Functional Medicine.

Supporting cancer patients with personalised and complementary lifestyle-based interventions helps reduce side effects of cancer treatments and improve outcomes.

Functional medicine plays a much-needed role in cancer care, emphasising low-risk therapeutic approaches that optimise a patient’s health during their survivorship journey.

Calm

The state of mind impacts health through the mind-body connection. There is a nexus between body and mind are one. The mind feeds the body just as the body feeds the mind.

Since emotions, feelings, thoughts, beliefs, actions, and behaviour impact and literally shape wellbeing, Manuela focuses on strengthening your mental and emotional life.

She strives to help you regain and maintain hope, calm, optimism, and inner peace. Manuela wants to know how you feel; she listens and empowers you with positive actions, step-by-step into wellness.

Regain Energy

Cancer-related is one of the most common side effects of cancer and its treatments. Like fatigue, cancer fatigue is whole-body exhaustion that you feel no matter how much sleep or rest you get.

Cancer fatigue takes exhaustion a step further: You feel physically, emotionally and mentally exhausted most of the time. Cancer fatigue may last a few weeks (acute) or for months or years (chronic).

To improve energy effectively, Manuela provides modalities ranging from mindfulness-based cognitive therapy therapies to herbal medicine and targeted nutritional interventions.

Clinical Detox

After the conclusion of cancer treatments, Manuela strongly recommends that you follow her clinical detoxification program.

After the conclusion of medical treatments, side-effects have lingering issues preventing a good recovery.

Manuela’s personalized program is designed to help you regain strength, balance, and wellness through a sensible, gentle, and effective detoxification process. It’s a path to a renewed you.

Personalised Diets

As a Clinical Nutritionist, Manuela provides personalised and appropriate dietary plans before, during and after cancer treatments.

She focuses on addressing your current nutritional status and develop the right diet for you. 

“One size does not fit all” principle applies to your diet. Each person is unique and therefore variability exists between nutrient-sense diets.

Manuela provides a detailed 7 day menu plan, shopping lists and recipes that reflect food preferences and sensitivities. The menu plans are easy to follow. Each food is selected for its specific content of nutrients. Healthy foods positively support your whole person wellness.

Preventive Care

We are increasingly aware that we face countless health challenges every day. Some of them will significantly contribute to a cancer diagnosis. We also have the tools to modify these challenges. Making proactive choices about your diet, increasing physical activity, managing stress, optimising hormonal balance, and minimising environmental exposures is a direct and potent strategy for your future health.

Manuela utilises validated Functional Medicine tests and blood work to identify the root causes of health issues and evaluate how different body systems interact and function. This approach aims to optimize overall health and well-being by addressing imbalances and deficiencies

Nutritional Medicine

Nutrition plays a foundational role in our health, influencing everything from our energy levels and mood to our susceptibility to illness. Nutritional Medicine is not just about avoiding unhealthy foods; it is about strategically using food and evidence-based nutritional supplements as therapeutic tools.

This approach recognises that each person’s nutritional needs are unique, influenced by their genetics, lifestyle, environment and specific health conditions.

Herbal Medicine

Herbal medicine is the oldest and the most widely used system of medicine in the world today. It is medicine made exclusively from plants.

Herbal medicine is validated by rigorous scientific research which has explored the complex chemistry of plants. Many modern pharmaceuticals have been modelled on, or derived from, phytochemicals found in herbs. Increasing research on herbal medicine demonstrates that liquid botanicals play a critical role during, before and after a diagnosis of cancer. Your safety is her priority. Manuela always conducts a thorough check for any potential interactions or contraindications between your herbal and medical treatments

Manuela seeks to provide only the highest quality full spectrum herbal extracts available.

Pathways to regain and maintaining wellbeing before, during and after cancer

Cancer requires negotiation and navigation. Decisions must be made. Directions must be pursued. The decisions and directions often occur in the middle of stress, fear, trauma, and many other challenging emotions. The skills with which people negotiate and navigate their cancer journey are better supported by combining conventional treatments with evidence-based natural medicine.

Manuela is dedicated to designing individual programs to support you regardless of your diagnosis and the stage of your cancer. She collects all critical information about your state of health and help you in your decision-making process with the wisdom and the experience that comes from years of clinical practice. She works in alignment with what you think, feel, say, and do. In this way, she honours your self-awareness, your knowledge and views and integrate them in safe practices.

Manuela started her practice in 2007 in London, followed by Singapore and Sri Lanka where she headed a cutting-edge Integrative Cancer Centre. Manuela has been supporting people living with cancer and their families in South-East Queensland since 2014. Manuela  is a PhD candidate, Centre for Healthcare Transformation, Queensland University of Technology; she has also completed a Master of Philosophy, Faculty of Medicine and Health, University of New England; a Master of Public Health in Nutrition, University of Queensland; a Master of Health Science in Herbal Medicine, University of New England and Bachelor of Complementary Medicine  . Manuela is a Board Certified Practitioner of Functional Medicine, with the prestigious Institute for Functional Medicine, Gig Harbour, USA; she is a certified Metabolic Balance and Fitgenes Practitioner.

Manuela maintains memberships and active training with the Australian Traditional Medicine Society (ATMS), the Nutrition Society of Australia (NSA), the Society of Integrative Oncology (USA). Manuela is also a member of Australasian Society of Behavioural Health and Medicine (ASBHM)

Manuela is a Co-Chair Health Literacy and Health Behaviour Subcommittee (IHLA), Boston, United States; a co-editor of a peer reviewed journal; a co-author of chapter books; a contributing author for multiple publications, a keynote speaker – National and International events; and podcaster. She is a workshops coordinator and facilitator for multiple events

Manuela has lectured at the College of Naturopathic Medicine (CNM, UK); at the Endeavour College of Natural Medicine (Brisbane and the Gold Coast)

Manuela Boyle consults exclusively by appointment is Brisbane and Online.