Oxytocin: There Is. No. Substitute.

Photo by Tobias Baumgaertner, Melbourne, 2020 https://www.bbc.com/news/in-pictures-55416365

“Tell me about your emotional support network,” I ask patients every year at their annual exam.

Our relationships kill us or save us, I am still convinced. 

How is your emotional support network? If you’re really honest: How secure are you in your relationships? How truly connected do you feel to the people in your life? In my mind, secure and connected relationships make up the core of our health and well-being. They are what give us deepest meaning and purpose, and what hold us up through any and all adversity.

This feeling of closeness, the ineffable sense of connection that inspires the most timeless and evocative poetry, that moves us to heroic acts, and that inexorably bonds lovers, friends, and especially mothers and children, is mediated in large part by oxytocin, the so-called love hormone. In the body it facilitates childbirth and lactation by contracting smooth muscle in the uterus and milk ducts. It plays a role in sexual arousal and orgasm. In the brain it promotes feelings of relaxation, trust, and belonging. It may even make us better at attuning to one another’s emotional cues. Levels rise when we connect with others, such as when hugging, dancing, and even reading or hearing stories. Interestingly, oxytocin also increases in times of stress, such as when we are separated from loved ones and feeling anxious. How fascinating and protective–I LOVE how nature works! The research seems new, but it may be that when cortisol rose under threat stress (of which social isolation is one of the most severe and dangerous), our ancestors whose oxytocin levels also rose survived better because it caused them to seek reconnection with the tribe, to stay close despite the drive to separate. Like so many things in nature and the body, the dynamic balance of opposing instincts gives us amazingly effective elasticity, flexibility, and adaptiveness–not only for survival but to really thrive.

Like other neurotransmitters, oxytocin’s presence in tissues is transient, stimulated and cleared in the course of normal cellular function. That said, the frequency, intensity, and consistency of tissue exposure to oxytocin has important consequences. More oxytocin correlates with improved mood, more secure attachment, and even increased pro-social behavior such as donating to charity and helping others in need. So how can we get more of this life-enhancing hormone in our systems? It’s about relationships, duh.

“She understood now. Treasure wasn’t something that could be picked up and carried off, that could be owned. Whatever happened here… could only happen here, and after it happened, it lived on inside you.”
The Conquering of Tate the Pious, Sierra Simone

Multitple times a week, I think my brain must be positively swimming in oxytocin. Ethos workouts with Jacob, Pam, Tim, Kasey, and now Andrew and Hailey stimulate it, for sure. I schedule regular meals and calls with close friends, and that always lifts me. These interpersonal contact highs defy verbal expression, truly. When I meet someone new I listen for their stories, engage my most sincere curiosity, and ask open ended questions to learn more about the very interesting person in front of me. We inevitably find something fascinating to share and expound on. I make these connections all the time, and the benefits last.

So therein lies the treasure. There simply is no substitute for the time and attention required to connect meaningfully in relationship with our fellow humans. Pictures in albums and shared on social media are great to commemorate, but they only matter because they bring back the feelings we had in communion–that warm and fuzzy, settled yet giddy, glad and joyous sense of true togetherness and connection. 

And it doesn’t necessarily need to be in person. Phone, video, letters–OMG letters! Read how The World Showed Up For Steven through www.moreloveletters.com, a website that allows people to request snail mail for their loved ones going through a hard time. Steven was widowed after 64 years of marriage and his daughter thought she could get maybe a dozen people to drop him a note. He received hundreds of letters, some that also included gifts of books, drawings, and invitations to Zoom meals. You are not alone. If that doesn’t raise someone’s oxytocin levels, I don’t know what does.

Cards, gestures, messages, collages, stories; hugging, laughing, crying, cuddling, making love–sharing love–that’s what it’s about, my friends. And it’s all kinds of love: romantic, platonic, fraternal, familial, collegial–Agape. Just the act of giving it heals us, even if we don’t necessarily get it back. *sigh*

I bet writing this post has elevated my oxytocin levels! As I think of my amazing friends, my loved ones, my patients, colleagues, and all of you readers–we are all connected! I feel it in my chest the most–full and calm–comforted the way a soft, heavy blanket feels on a cold night. If you want an oxytocin boost and blogging isn’t your thing, try these 12 suggestions. Or just do what the meme below says. Regardless, I hope you’re getting all the connection you need and want to live your best life, dear Reader. It’s what I wish for us all.

from Instagram

Bit Post: Resting Peace Face

Dillon Reservoir, Dillon Colorado, 2023

On the sidewalk
In the hospital
At the mall
In the grocery store aisle

In the elevator
At the dentist’s office
In the waiting room
Standing in line

Making eye contact
Ready to smile wide
At the cute baby
And their exhausted and attentive mama

Inviting greetings
Inciting connection
Noticed for how different
It feels to see and be seen

In a world that can feel so cold
So distant, lonely, and isolating

The Resting Peace Face
Our peaceful presence
In any space, among any humans
Could mean more than we can imagine

as seen on Instagram

Been basking in the love of friends and books lately.
Walking around with a noticeable half smile, even more than usual.
Waving every day to the crossing guard by Daughter’s school, and the homeless dude by Lake Shore Drive.
Just *feelin‘* it, y’all–reveling, soaking it up.

Not sure if smiling can actually beget happiness
Or if it’s only the other way around.
Does it matter?
How can we get more of it all, regardless?

I know that when someone smiles at me, I automatically smile back, and it feels good.
So why not do the world around me this little bit of good, wherever I am?
Costs me nothing.
And I (we all?) gain so, so much.

Onward, my friends. Life is short. Connect and heal. 
One smiling Peace Face encounter at a time.

Be Myself, Change Myself, Be the Change

Vail, Colorado, 2019

We are who we are from a very early age, maybe even before we are born. AND, we also constantly evolve throughout our lives. 

This is one of my favorite paradoxes.

Image shared on Instagram–one of my favorite quotes

I’m thinking a lot lately about Outer Peace. Our world swirls and bubbles with chaos and toxicity, so many psyches apparently living on the knife edge between tolerance and breakage, between breathing and screaming. How often are we tempted to yell, kick, throw things, or simply stop whatever we’re doing and just cry a while? How do we hold it together and simply function ourselves, much less help anybody else, and/or make any positive difference in the universe?

The longer I live the more I (re)learn that it’s about core values, goals, and trade offs, and not ego. Change is not about fighting. It’s Inner Peace in service of Outer Peace.

“Yesterday I was clever,” I knew better than everybody else. I was smart, and I wanted to show it. I came at rather than coming alongside, made simple and superficial assumptions, jumped to (often wrong) conclusions. This part of the quote expresses the necessary adolescence that we all go through in life–personal, social, and professional–the ‘know it all’ phase that our elders tolerate knowingly because their own elders did the same for them. Impetuous and defiant confidence, disregarding boundaries, testing and finding limits and resonances, if only subconsciously and often painfully. It is the organic growth and pruning of youth to early adulthood. If we’re lucky, we have mentors to guide us, helping us navigate the morass with fewer mental, emotional, and spiritual nicks, bruises, and fractures.

“…so I wanted to change the world.” Because it *should* all be a certain way, the way I think, because I know what’s right. Those who agree with me are my friends; those who don’t are not. I’m oversimplifying. But this is not far from a persistent mindset reality in our social groups well past physiologic adolescence, and not least among those who determine and enforce policy. Change the world how? According to my own world view and life philosophy, however rigid, narrow, and closed. I wonder about the (inverse?) correlation between how tightly we hold onto our rigidities and how far we have traveled, how diverse our experience, how many different cultures and realities we truly understand and empathize with? I submit that if we are honestly paying attention, if we open our eyes, minds, and hearts to the depth and breadth of any given human’s life experience, it instantly puts our all-knowing and arrogant ego in its place, which is at the back of the ‘world change’ bus.

“Today I am wise, so I am changing myself.” I am still clever–perhaps ever more so with age. With wisdom, however, I apply my cleverness in a different, more mindful, relationally intelligent way. I realize that power to change is not power over, it is power to. Strong arming (which includes coercing and shaming) rarely creates lasting, meaningful change, at least not without deep human cost. When I look inward first, seeing how I myself relate to and connect with that which I wish to change, therein lies my strength. I approach any problem from an ultimately human and humane perspective, which makes me more credible, more creative, more holistic in my problem solving. This is a big ask, requiring vulnerability and a willingness to step ‘way outside of my comfort zones. How does this give me any kind of peace? Don’t I risk losing myself, my identity entirely, when I make such daring attempts at real inclusiveness?

Who am I, that I can withstand this broadening, this profound stretching of perspective?

I am clear. I am centered. I am grounded, focused, and engaged–in my Why, in my Just Cause, in my commitment to playing the infinite game of human relationship and connection as long as I possibly can. To be me, my Best Self, means constantly evolving through lived experience, while hewing closely to my core values of honesty, integrity, curiosity, humility, generosity, and kindness. My inner peace comes from knowing, at the end of each day, that I did my best to show up this way, even when it was hard. 

It’s hard when I’m attacked, dismissed, or rejected for asking open, honest questions, for challenging social norms and ‘the way we do things,’ for facing and abutting over and over the rigid, the narrow, the closed. It’s hard when I discover my own rigidity, narrowness, and closures–oh man, that is tough to take. And the practices bring me back; they de-escalate, defuse, disarm, and rejuvenate: Breath. Mindfulness. Writing. Talking. Connection.

Inner Peace may not come immediately or even for a while after a disruption. But it does come, and each training episode strengthens my skills. The peace I eventually feel, then, grows and deepens; it integrates synergistically. It cannot help but then exude, at least while it lasts, until the next trial. Intervals between trials lengthen because what disrupted my peace last year rolls off of my consciousness today. Episodes shorten as I am able to breathe and regulate through them more effectively and efficiently. I become elastic, supple–strong and soft. My peace grows, and I grow with it, as does my capacity to share it.

I am me this whole time, learning, practicing, training, ad infinitum. I am me, rooted while growing. I am me, the change I wish to see in the world.