Horticultural Therapy: The Healing Power of Growing Things

“Gardening is fundamentally an act of enormous hope because everything you do in the garden is for the future.” Barbara Frum, 1937—1992, Canadian Broadcast Journalist

As a child growing up on the farm, I always had work to do. When my “townie” friends were watching reruns of Gilligan’s Island, I was… well… also watching Gilligan’s Island. But AFTER THAT I would be working. Farm chores like feeding the pigs were part of my daily routine. And in the summer months we spent time weeding and harvesting and preparing the fruits and vegetables for freezing or canning. These foods would, for the most part, sustain us for the winter until the next summer when it was harvest-time again.

At the time, I can’t say I really appreciated it, but what a gift it has been as an adult. Without knowing it – and admittedly somewhat reluctantly – I developed a relationship with plants that is largely missing in urban North America today. Here, food is served in a restaurant or heated in a microwave. And there is often only a vague understanding that our food is grown “out there in the country somewhere”. For many other people in the world, knowledge about how plants grow is essential for survival. But, I would argue, without that knowledge people here are missing out on a basic connection that is not only essential for sustainability, but is fundamental to our health.

People need plants – for food, for clothing, for shelter, and for medicine. It makes sense that spending time experiencing how they grow is beneficial to our psychological and physical well-being. In fact, experience is showing just that. Horticulture therapy – the practice of using plants and gardening activities to facilitate therapy and rehabilitation – is being used successfully in hospitals, schools, long-term care facilities, correctional centres and rehabilitation centres all over North America. When people work with plants they feel better. The magic and wonder of helping a seed become a plant can be a curative experience. Depressed patients start to see hope for the future. Anxious patients are given a tangible focus. People with schizophrenia can become more grounded in reality. People with drug addictions feel a more positive sense of self-worth and get closer to stopping the cycle of dependency. And elderly patients can rekindle their will to live and provide hope for the future.

Homewood Health Centre, a psychiatric hospital in Guelph, has the largest and longest running horticultural therapy program in Canada. There, clients are able to learn the skills required to nurture plants and experience their therapeutic value. Homewood is racking up both anecdotal and empirical evidence that horticulture therapy is an effective therapeutic tool in modern-day healthcare programming.

Horticultural therapy can, of course, be healing on an informal basis as well. Almost everyone can reap the benefits from gardening. Even residents without a home garden plot can get dirt under your fingernails by balcony-gardening or getting a community garden plot or even taking a Saturday afternoon in the summer to pick your own fruit.

My own “horticultural therapy” occurs every summer when I maintain and nurture a medicinal herb garden. As a naturopath, I understand that having the possibility to grow some of my own food is so rewarding and beneficial in many ways to my health. On our community property, I’ve been growing herbs like lemon verbena, mint and goji berries that I dry for teas to be used in the clinic. It’s a weekend hobby that is providing a local source of medicine for our patients at Healing Path. All the while, I am continuing my relationship with plants in my professional life that I developed as a child. Only now, I actually enjoy it.

Many herbalists believe that people respond best to the medicinal herbs that are grown in their own community. We have a fundamental connection to our local geography; therefore, the plants that we need should be grown locally. My garden is that source. I harvest each plant knowing that its healing properties will one day help one of my patients along their healing journey – a most gratifying and meaningful experience. Barbara Frum’s quote that gardening is “an act of enormous hope” was never more applicable.

I love helping my herbs grow – planting, mulching, weeding, harvesting, drying – to my surprise, it no longer seems like work. But (also surprisingly) when I watch Gilligan’s Island now, I find most of the jokes dull and the plotlines inane. An ironic twist, and potentially a sign that I’m… er… getting older.

Getting dirt under your fingernails can provide not only that connection to plants we need for mental health, but, as well, growing your own food can reduce the environmental costs associated with food production. It’s also healthier for us to eat locally. I believe the same could be said for herbal medicine. This is the very reason I started my own medicinal herb garden. It will be a source of moderate exercise and fresh air. And forming a relationship to the plants that become our food also encourages a return to a whole foods based diet – the most important challenge to many people achieving optimal health.

To understand how care is delivered, visit our naturopathic medicine services page.

Is Our Drinking Water Safe?

Our household’s Brita water jug recently stopped working properly. Okay, actually I dropped it. Out of sheer laziness, after several weeks, I realized I still hadn’t purchased a replacement. I wondered if the Brita filter was really the most appropriate water filtration system for our household. I’m a naturopathic doctor – maybe I should be installing a top of the line solid carbon block reverse osmosis filtration system under the sink? On the other hand, what if no filtration system is necessary? We do pay taxes that go to ensuring a “safe” drinking water supply. I began to do some research and to delve more deeply into the available options for drinking water in the City.

OUR TAP WATER

Our municipal water must meet health-related guidelines set by the Ontario Ministry of the Environment. The City of Waterloo and the Region work together to provide safe drinking water for the residents. The results of their testing are reported in yearly Water Quality Reports. The three main health concerns in drinking water for any municipality are: harmful bacteria (such as e. coli), minerals (such as lead, copper), and chemicals (such as agricultural pesticides). A safe water supply must address these three potential hazards.

HARMFUL BACTERIA

In Waterloo, the water is tested for harmful bacteria on a weekly basis. The Region uses chlorine (and chloramines) to kill the bacteria. The level of chlorine is periodically adjusted to ensure a steady supply. In fact, since the E. coli tragedy in Walkerton, requirements for chlorine levels in Ontario municipal water have risen.

HARMFUL MINERALS

Minerals that are the most harmful to human health include lead, mercury, copper, and cadmium. Lead and copper can leach into our water supply from old pipes and faucets.

CHEMICALS

Industrial and agricultural chemicals persist in nature, are leached into the soil and filter into our groundwater and surface water. Some agricultural pesticides can cause various cancers, hormone mimicry and disruption, and neurological problems. However these effects are dependent on length of exposure and exposure to other chemicals.

According to the Water Quality Reports, most of the minerals and chemicals are only tested every three years. Should we be concerned? Certainly none of the tests on the water quality reports exceeded safe limits according to the report. But is testing once every three years sufficient?

I talked to Tim Wettlaufer, utilities organizational leader of the City of Waterloo. Does he think I should filter my drinking water? “We provide a potable product,” says Wettlaufer. “Our bacteriological sample proves that every week. However things can happen in the system. We have full confidence in our water, but it’s a comfort level for each person.”

To help in my quest, I enlisted local smart person Julie Stauffer, author of “The Water You Drink: Safe or Suspect” (New Society Publishers, 2004). So is the water safe to drink? “Generally speaking, yes,” says Stauffer. “Despite incidences such as the E. coli deaths in Walkerton, I think there are very low chances of contracting water borne illnesses in Ontario. There are much greater environmental concerns out there. More people die from poor air quality in Ontario than a contaminated water supply”.

But what about the chemicals in the water? Stauffer: “That is a concern. We are exposed to many chemicals in the environment, including our drinking water – things like pesticides and industrial solvents. We don’t know the long-term cumulative effects of exposure to so many chemicals in our water, air, and food – even at low levels.”

Of all the water-related health issues, Stauffer is most concerned with lead – especially in children. “It’s worth checking the water quality reports for municipal findings, and also worth checking the pipes in your home.” Lead was found in piping in homes older than 30 years and used in solder after that.

So if our municipal water could contain low-level pesticides and harmful minerals like lead, what are the options?

BOTTLED WATER

Because of concerns over water quality, many Waterloo residents buy bottled water by the case. But this option is an air quality nightmare. Plastic bottle factories create and release toxic wastes. The bottles need to be trucked into the community contributing to greenhouse gases. And, according to Alternatives Journal (volume 29.2, 2003), “there is little evidence that it is of higher quality than municipally treated water.”

HOME REVERSE OSMOSIS (RO) SYSTEM

A home RO system removes chemicals, bacteria and 98% of minerals. This system costs several hundred dollars, and unfortunately wastes a lot of water – around 2-3 parts to 1 part purified at best. The system also removes naturally occurring healthy minerals as well as the harmful ones, and could leave the consumer depleted of much needed minerals.

HOME DISTILLATION SYSTEM

Also costly, a home-based distillation system does a great job of removing minerals and bacteria. However the distillation process uses a lot of electricity and strips the water of naturally occurring healthy trace minerals.

LARGE REFILLABLE JUGS

Some residents are using refillable jugs and purchasing their water at places such as the Water Market (75 Bridgeport Road East). There you can purchase RO, distilled or spring water. This seems like a reasonable option, particularly for people who are already dealing with a toxic overload in their system and require the purest water they can find*. There is minimal manufacturing of plastic, minimal transportation, and the water is pure. Although there are still some of the associated environmental impacts listed above (energy use, water wastage, shipping).

ACTIVATED CHARCOAL FILTER

Activated charcoal filters are the cheapest and most widely used water filtration option (BRITA or PUR are common brand names). Filters are attached to your kitchen water tap or used in a jug. This filter will reduce or remove minerals such as chlorine and lead, and some chemicals. It does not remove micro-organisms. Stauffer approves of this method with a cautionary note: “Unfortunately by decreasing the chlorine in the water, you increase the risk of bacterial contamination if you leave the water out at room temperature or don’t clean the jug regularly. And if you don’t change the filter frequently enough, it may actually release all the contaminants it has collected.” When choosing a filter, make sure its certified NSF 53 (health effects) and 42 (aesthetic effects)**.

THE VERDICT

So what did I decide? By weighing the financial, environmental and health concerns with all the different options, I went with a brand new activated charcoal filter. The filter reduces or removes many of the harmful minerals and chemicals that may not be tested regularly. It tastes better than tap water. And our municipal water system is taking care of the harmful bacteria.

I purchased a faucet mount this time. This way, the water doesn’t sit in a plastic jug and we avoid any cancer-causing chemicals leaching from the plastic into the water. Plus now dropping it is out of the question!

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*Talk to your naturopath about Hair Mineral Analysis to determine toxic exposure to minerals.

**For more information on certification of water filters, go to www.nsf.org , click on Consumer, then choose Water Treatment Devices.

Thanks to Julie Stauffer, and to staff members at The Region of Waterloo and the City of Waterloo. Water Quality Reports are available online at the City of Waterloo’s and Region’s websites.

Information about available care can be accessed through naturopathic medicine at CARESPACE.

Okinawa – The Secret to Longevity

Okinawa is a series of islands off the coast of Japan. The people there have the longest life expectancy and the longest health expectancy in the world. They also have the largest percentage of centenarians (people over the age of 100) – many of them still healthy, active, and living independently.

The Okinawan elders health profile is truly remarkable. The three leading killers in the West – coronary heart disease, stroke, and cancer – occur in Okinawa with the lowest frequency in the world. Breast cancer is so rare that screening mammography is not needed, and most aging men have never heard of prostate cancer. Human beings have been searching for the elixir of youth throughout recorded time. Have the Okinawans found it?

Reports of this impressive longevity in the 70’s, sparked the Okinawan Centenarian Study – a 25 year scientific study of the Okinawan elders – in order to identify the factors that contribute to their outstanding health and long lives. The program wound down in 2001 and the study’s leading scientists released soon afterwards a book entitled “The Okinawa Program” compiling this research. For this article, I have picked out some of the key lifestyle and dietary practices of the Okinawan people that we can adapt in our own lives to help ensure longer and healthier lives.

Diet

The Okinawans’ diet is quite different from the standard North American diet. It is based on whole grains and vegetables and includes fish, seaweed, and soy products. Complex carbohydrates (such as rice) make up 55% of their total calories, and they have very limited simple sugars, dairy and red meat. All foods are allowed in moderation, but the overall balance is what matters. Observe the table comparing the composition of the average American Diet to the Okinawan Elder’s diet.

An important key to their approach to food is in calorie restriction. Okinawans eat as much as 40 percent fewer calories than we do! Their smaller stature (on average) accounts for part of this difference, however the researchers suggest that it may be one of the most important factors in why they live so long. Eating fewer calories has long been considered protective against cancer and other chronic illnesses and has been identified as a consistent and reproducible method of increasing longevity in animal studies. The reason is this: the more calories you eat, the more calories are burned, and the more free radicals are created. Free radicals are unstable cells that cause damage to cells, which is one of the main causes of aging. Okinawan elders have low levels of free radicals in their blood.

High antioxidant intake is also protective against free radical damage. Antioxidants from vegetables and legumes are in abundance in the Okinawan diet, another important factor.

A CARESPACE dietitian or naturopath can be the gateway to help you incorporate this diet in your everyday routine. They can provide you with more information to make sure that this is a good choice for your lifestyle!

Food Group American Okinawan Elders

Meat/poultry/eggs 29% 3%

Calcium-rich foods (e.g., dairy) 23% 2%

Fruit 20% 6%

Vegetables 16% 34%

Grains 11% 32%

Flavonoid Foods (e.g., soy) <1% 12%

Omega-3 foods (e.g., fish) <1% 11%

Exercise

Most older Okinawans are lean and physically fit from a lifetime of activities such as gardening, walking, traditional dance, and martial arts such as karate and Tai Chi. These activities are an important part of the Okinawan culture and help connect the mind with the body. Karate was developed right in Okinawa. Karate and other martial arts provide well-rounded fitness combining anaerobic and aerobic activity as well as increasing flexibility.

Seikichisensei is an Okinawan martial arts master close to one hundred years old who still teaches and occasionally competes. In fact, at a match on New Years Eve in 1999, Seikichisensei was pitted against a thirty-something former World boxing Association Flyweight champion from Okinawa. The old master ended the match victorious after twenty minutes, with one quick blow. The young boxer was heard leaving the ring muttering, “I cant believe it…he beat me…he beat me.”

Psychospiritual Health

Okinawans have a rich history of spirituality and observing religious rituals. In fact traditional shaman healing prayers and rituals, along with herbs and acupuncture, are integrated into their health system alongside modern medicine. The Shaman is needed to address the spiritual imbalance thought to be at the root cause of illness. Their spirituality is described as a blend of Taoism and its reverence for nature, Confucianism and its respect for others, and native spirituality.

As in North America, the women are more religious than the men. But unlike here, it is mostly the Okinawan women who are the spiritual leaders and shamans. Interesting to note, the women outlive the men on average by 8 years – a more substantial gap than in most countries. We can only speculate if their spiritual pursuits and leadership roles are giving them a longevity advantage.

The Okinawan Centenarian Study involved personality testing that showed the elders scored low on feelings of “time urgency” and “tension”. They have a less rushed, more easy-going approach than here in the West. The elders’ optimistic outlook on life and adaptability helped them cope with the many stressful life events. The elders scored high in “self-confidence” and “unyieldingness” and tended to have a more dominating personality with a strong will and independent spirit. The positive cultural attitudes in Okinawa towards the elderly may be contributing to their confidence and sense of well being.

Lessons Learned

The Okinawan study makes a number of interesting observations about longevity and health. It certainly makes a compelling argument for living more like the Okinawan elders – eating less red meat and more fish, pursuing a rich spiritual life, and getting a handle on our stress response. These ideas aren’t all that new – a lot of it just confirms what we already know from current research. In Okinawa however, the social structure supports a healthy lifestyle (everyone’s doing it!); whereas here in the West the rat race, fast food culture and consumerism, are the mainstream. Making healthy choices is more of an effort and “goes against the grain”.

But this study shows how seeking out these pursuits are invaluable. Start a meditation group, take Tai Chi, and reach for that carrot and you may just find yourself anticipating the next turn of the century party!

Tips for Living Like an Okinawan Elder!

  1. Practice stress management techniques that help connect the mind with the body (ex. Martial arts, meditation, yoga)
  2. Make spiritual health a priority
  3. Eat until you’re 80% full
  4. Eat more vegetables (at least 7 servings per day)
  5. Plant a garden.
  6. Work less!

For an outline of care pathways, visit our naturopathic medicine treatment page.