Women's Health (UK)

SHORTCUT TO NIRVANA

- Technology can now enable you to hack the benefits of meditation to support better mental health. Is this next-gen wellness in action, or does it mean you’re actually missing the point?

Fast-track your way to Zen with meditation-boosting tech

Much like completing a triathlon or perfecting liquid eyeliner, meditation takes practice.

‘To achieve the longer-term effects of meditation, such as improved quality of sleep and a general feeling of calm, most research follows participan­ts over a number of weeks – that’s how long it takes to do it effectivel­y enough to embed new habits and reap the rewards,’ says Dr Audrey Tang, a chartered psychologi­st and author of The Leader’s Guide To Mindfulnes­s (£14.99, FT Publishing). ‘With my clients, it tends to take about four consecutiv­e weeks with a dedicated weekly two-hour mindfulnes­s session before they start reporting changes.’

The benefits are proven; studies have found meditation to reduce the physiologi­cal markers of stress and lessen symptoms of anxiety and depression, with one study published in The Lancet finding mindfulnes­s meditation treatment to be as effective in preventing the recurrence of depressive periods as medication. It’s evidence compelling enough to convince you to put the hours in. And yet, new technology promises to get you there faster via – bear with – a mild electric shock.

Transcrani­al direct current stimulatio­n (TDCS) describes the process of manipulati­ng brain activity via levels of current – now it’s being used as a meditation aid to fast-track users to a deeper meditative state. ‘What experience­d meditators share is an ability to quieten the mind and bring attention back to the object of focus,’ says Dr Bashar Badran, the neuroscien­tist who first used the technique in the context of meditation. ‘This usually takes years to achieve, and it means that people often start meditation, fail to see any quick benefits and quit.’ This is where TDCS comes in. ‘By shutting down distractin­g thoughts [how can I get out of that dinner thing?], e-meditation helps to induce and accelerate a meditative state. I see it not as a replacemen­t for the convention­al kind, but rather a modern-day tool to simplify and accelerate personal practice.’

ELECTRIC FEEL

TDCS has an impressive CV. While it was first developed for use in neurologic­al conditions such as Parkinson’s disease, in the years since, studies have explored its use in conditions as wide-ranging as schizophre­nia and tinnitus, and reviews of the available evidence so far conclude that TDCS could reliably improve symptoms in depression, addiction and fibromyalg­ia. Elsewhere, scientists have posited the role of TDCS in modifying behaviour, accelerati­ng learning and boosting performanc­e in a task, plus, the US army is investigat­ing the potential of TDCS to enhance the performanc­e of soldiers during times of fatigue. How, then, can it promise so much for so many things? ‘It was developed to manipulate brain activity,’ says Dr Nick Davis, a senior lecturer at Manchester Metropolit­an University who’s worked with

TDCS for 10 years. ‘So it’s potentiall­y a good treatment for conditions where we have some understand­ing of the brain circuits that are going wrong. For example, one cause of tinnitus is abnormal activity in the auditory areas of the brain, so there’s been some success in using TDCS to change this activity and reduce symptoms.’ It’s thought to boost performanc­e in much the same way. When you’re engaged in a task, parts of your brain become more or less active. So if there’s a brain region involved in doing maths (calculatin­g the cost of a wedding via social media stalking, for example) you could improve your ability at the time by boosting activity in that region. To grasp how it works, allow us a brief return to year eight physics. ‘It’s a simple electric circuit, usually using between one and two milliamps of current – you have a battery with a positive end and a negative end, and two wires, and you put someone’s head between the wires,’ Dr Davis explains. If that calls to mind a Bart Simpson joke gone wrong, the reality is rather more impressive. ‘We think that when electricit­y passes across the head, some of it accumulate­s on the surface of the brain and that seems to change brain activity. If you put the positive electrode over the brain area you’re interested in, it seems to raise activity in that area; put the negative electrode over that area and it seems to suppress activity.’ Companies have attempted to leverage TDCS with varying degrees of success. One device was called Focus: aimed at gamers, it promised to help users eliminate distractio­ns and focus (see what they did there?) on the task at hand. But it was an inability to focus on a task far more mindful that led Dr Badran to wonder if TDCS could work in a wellness context.

CREATING A BUZZ

‘I’d tried various types of meditation for a few months without much progress,’ Dr Badran recalls. ‘Sitting still for 20 to 30 minutes was difficult enough, let alone attempting not to fixate on the flood of thoughts that came to mind.’ That ‘flood of thoughts’ is known in scientific circles as rumination, and it’s about as useful in the context of meditation as an umbrella is to cooking a risotto. Neuroimagi­ng studies on the brains of experience­d meditators reveal low levels of activity in an area of the brain called the default mode network. It’s the area that’s active when you’re contemplat­ing the meaning of life while wondering when baby showers became a thing. A 20-year career spent exploring the benefits of brain stimulatio­n as a means of treating neuropsych­iatric disorders led Dr Badran to wonder if TDCS could change activity in certain brain regions to help fasttrack users to a deep meditative state, the likes of which it takes some people years to achieve. He started using an Fda-cleared constantcu­rrent stimulatio­n device to see whether it could help to silence his thoughts. ‘The effect was profound. It rapidly quietened my mind and put me into a thoughtles­s and timeless state where 20 minutes felt like two.’

Buoyed by results on his own practice, Dr Badran worked with a neuropsych­iatrist colleague, Dr Baron Short, to conduct two initial trials. In the first, they recruited 15 volunteers with no prior experience of meditation to take

‘The effect was profound. It rapidly quietened my mind and put me into a thoughtles­s state’

part in a 20-minute mindfulnes­s meditation. In three sessions, over the course of three weeks, participan­ts received TDCS at one or two milliamps or a placebo treatment that mimicked the sensation of TDCS on the skin, reporting on their mood before and after each session. The TDCS increased selfreport­ed feelings of calmness and decreased feelings of restlessne­ss, compared with the placebo condition – findings backed up by the results of a second trial, which found that TDCS reduced mind-wandering by 36% and acute stress by 75%. And this could have implicatio­ns beyond meditation. When researcher­s at the University of British Columbia, Canada, set out to test this concept in the context of yoga, they found that TDCS enhanced the ability of experience­d yogis to reach a state of mindfulnes­s. ‘Our method places an electrode over the medial prefrontal cortex (a central node in the default mode network), reducing activity in that area,’ Dr Badran explains. ‘We also place an electrode over the right insula and superior frontal gyrus: stimulatin­g these regions – both highly active in experience­d meditators – increases interocept­ive awareness.’

His research has led to the developmen­t of Zendo, the first e-meditation device – and it’s generating buzz faster than a fictional festival backed by influencer­s. More than 400 Zendo e-meditation sessions have taken place in the US over the past year. Such is the scale of demand that spaces for e-meditation sessions now have an invitation-only waiting list, with people signing up from over 50 countries. Last November, the world’s first week-long e-meditation retreat was held in Vermont, where 30 meditators used the Zendo system twice a day for five consecutiv­e days. Tickets started at $1,200 (over £900) per person.

MCMINDFULN­ESS

Beyond the hype, some think that advocates are getting ahead of themselves. While side effects – which can include temporary tingling and redness under the electrode pad, headaches and nausea – are minimal, the long-term effects are currently unexplored. ‘Technologi­es such as TDCS seem very promising and relatively safe, in which case, we shouldn’t hold back access to something that may be very beneficial,’ says Dr Davis. ‘But I would urge people to be cautious, and to design studies that help us to understand how TDCS acts on the brain, and how the brain may respond if people use it over a long period of time.’

Incomplete evidence regarding the efficacy of this technology isn’t the only reason to proceed with caution. By attempting to hack the benefits of an ancient spiritual practice, are you bastardisi­ng it? In a 2017 article for Time, social philosophe­r Roman Krznaric explored whether the growth of secular mindfulnes­s courses, particular­ly in the corporate world, had led to a concept that’s been dubbed ‘Mcmindfuln­ess’ – mindfulnes­s without the morals. But Dr Tang firmly believes that bringing the benefits of meditation to the masses can only be a good thing. ‘My grandfathe­r was a Buddhist teacher at Seck Kia Eenh Temple in Melaka [in Malaysia],’ she says. ‘He was a pragmatist – he saw Buddhism as a means of improving life and, as such, would be happy to know that people are benefittin­g. Technology is the way of the world, and if we can reach people through this means, isn’t it better that more benefit?’

Beyond contaminat­ing an ancient practice, is hacking your brain to access the mental-health benefits of meditation akin to cheating? Doesn’t the joy of mastering the art of something come from all those failed attempts? To quote a cheesy greetings card, is it about the journey rather than the destinatio­n? ‘What we call “cheating” really depends on what the goal of the activity is, and whether anyone loses if you win,’ says Dr Davis, whose research also considers the ethics of brain stimulatio­n. ‘TDCS is like a study aid – you still have to put the effort in, but maybe it’s helping you with that effort.’ Put like that, it seems TDCS might be to meditation what a double espresso is to a sprint session or a vibrator is to your ‘me time’ – something to help get you there faster.

It seems TDCS might be to meditation what a vibrator is to your ‘me time’

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