Thought Attacks Cause Heart Attacks

Make no mistake, negative stressful worried thinking can lead to a heart attack. “We human beings,” states Robert Sapolsky of Stanford, “generate all sorts of stressful events purely in our heads, setting off wild emotions that provoke our bodies into an accompanying uproar, and it is all linked to mere thoughts.” Our brain cannot tell the difference between a real threat and one the mind made up. It treats fact or fiction the same way, triggering the release of toxic fight or flight stress hormones, like adrenaline, making us anxious, stressed and negative, and overworking our cardio-vascular system. Overtime, these reactions increase the risk of heart disease, the #1 cause of death in America. Chronic stress can develop into the aggressive, controlling workaholic that medical science calls Type-A personality,  making a person seven times more likely to develop coronary artery disease.

I am not referring to a small segment of the population. Stress affects a whopping 75 percent of us, according to the Stress in America survey, the nation’s most reliable stress barometer, and nearly half of us lie awake at night worrying about the future.

The irony is that all this stress and worry is the result of believing thoughts that, more often than not, are untrue. Research has found that 85 percent of what people worried about never happened, and of the 15 percent that did come to pass, 79 percent resolved the problem better than expected. That means that 97 percent of the time people are stressing over something when there is nothing to worry about.

Thus, if we are worried, the overwhelming odds are it is the result of  fearful thinking setting off primitive brain processes, which spike blood pressure and heart rate and switch our emotional state to threat mode, when no real threat is present.

As a result, what we will tend to see is some degree of gloom and doom and for as long as it lasts we will believe what we see is real because of its emotional charge. It can become an endless looping stress-provoking thought process damaging our heart until it eventually kills us. People I have coached or trained readily acknowledge the fallacy of their fear and worry yet continue to be stressed. Why? Because genetics can wire this kind of knee jerk reactivity into the brain, which means the problem is not entirely our fault. It is fair to say, The devil made me do it.

Here’s the Good News in All the Bad News

Genetics and past traumas can wire our brain for a hyperactive stress response system, dragging our mind and our day into these self-defeating bouts of anxious, worried, stress-provoking thinking that compromise our well-being. The good news is we can literally rewire those faulty neural-circuits through a change in attitude,[1] enabling us to quiet the lower brain’s fight or flight reactions easily when they raise their ugly head and to address problems with the intelligence and creativity of our higher brain. There is also growing evidence that a shift in attitude to the positive can also down-regulate the stress gene reversing a genetic disposition to stress.[2]

Making this shift is simpler than you might imagine and tangible change can occur quickly. Here are some of the simple steps, when done consistently, begin to build and sustain the positive mindset that breaks the fall into primitive brain processes that can lock us into a life of stress:

  • Drive home in the slow lane and listen to calming music instead of the news on the drive home.
  • Once in a while, choose the longest line at a store and stand in it, letting go of your mind’s sense of hurry and choosing to be at peace.
  • Take breaks during the day and go for a walk or just look out a window for a few minutes and let your mind go. Watch the wind blow or the sun shine or the rain fall and take in the beauty of life
  • Smile more today.
  • Practice listening better, judging less, forgiving more, and holding people with an unconditional positive regard.
  • Buy a small gift for a loved one.
  • Call a friend or relative you haven’t talked to in a while.
  • Practice receiving compliments graciously.
  • Accept that your imperfect and that life is unfinished business.
  • Practice making the conscious choice to be peaceful and happy inside, regardless of what is happening outside.
  • When you feel conflict today, tell yourself, “I am not going to let this person or situation control how I feel.”
  • Measure your success at the end of each day by asking yourself … was I kind … did I stop to smell the roses … was I respectful to others … did I forgive … did I choose to be happy … did I turn stress into excitement and excitement into believing … was I grateful …was I at peace

[1] Sonya Lyubomirsky, Ph.D., The How of Happiness: A New Approach to Getting the Life You Want (New York: Penguin Group, 2007), 19-22.

[2] Dusek JA, Otu HH, Wohlhueter AL, Bhasin M, Zerbini LF, et al. Genomic Counter-Stress Changes Induced by the Relaxation Response. PLoS ONE 3(7): e2576. doi: 10.1371/journal.pone.0002576 (2008).


Harnessing the brain system that practically puts us inside each other’s minds

We tend to believe that the judgmental thoughts we silently think in our head are inconsequential, since no one hears them. We also might think the same about the positive regard and good will we quietly extend to others. The fact is, both are of great consequence.

Our facial expressions, body language, emotional subtleties, and even our hidden intentions all register inside the other person’s brain, giving us away. We read each other’s brains all the time and we have the mirror neuron system to blame or thank for it.

This system was discovered in 1996, when neuroscientists observed that the exact same brain region active in a monkey eating a peanut was also active in a monkey without a peanut who was simply watching the other eat. Since then, a mountain of research has been conducted on mirror neurons, which turns out to be highly developed in human beings. Dr. Marco Iacoboni of UCLA, a leading mirror neuron researcher, states: “Mirror neurons allow us to understand the mental states of other people and practically puts us in each other’s mind.”

Mirror neurons track the emotional flow, body language, voice, and even the subtle meanings of one another. There are forty-three muscles in our face that produce facial expressions for the seven basic human emotions we experience — fear, anger, sadness, disgust, surprise, contempt, and happiness. Each of these emotions and their physical expression are the same for everyone around the world.

For example, with fear eyebrows pull up and together, upper eyelids pull up, and our mouth stretches. Each fear-based facial movement prepares us for a fight-or-flight stress reaction. With happiness, the muscle around the eyes tighten, “crow’s feet” appear around the eyes, our cheeks raise, and our lip corners raised diagonally. The signs are subtle but once learned, we instantly discern the mood a facial expression conveys.

Mirror neurons are what makes our emotional state contagious and why, biologically, hostility bumps up your blood pressure and kindness lowers it. It’s why friends are healing, and enemies are toxic. When we see someone suffering or overjoyed, our mirror neurons make us feel the suffering or the joy.

So, how does this relate to leadership. It is the way the brain’s mirror neuron system and your attitudinal stance work together to create meaningful, forward moving relationships. In generating positive interpersonal connection, research shows that there are three attitudes that comes into play.

  • First is your willingness to drop roles and facades to be authentically yourself. This mirrors in the people you lead as the freedom to be themselves, which leads to greater self-expression and self-direction.
  • Second is your unconditional positive regard for your employees, which mirrors in them as the self-worth and belonging that builds trust and self-confidence.
  • Third is your empathy for your employees, which mirrors as the self-awareness and self-acceptance that fosters positive personality change.

Relate to employees in this way and there will be nothing coming from you that they need to defend against. These three attitudes work the same way with families and friends. With the right practice, you can cultivate this attitudinal stance and rewire your brain to embody it. I present an approach you can put to use in Chapter 12 of my book The End of Stress, Four Steps to Rewire Your Brain.

All images unless otherwise tagged are with the permission of

Super Hero Consciousness

Our mind increases in strength and power when we free it from the worry and anxiety that make us stress repeatedly and unnecessarily. I say unnecessarily based on research which found that 85% of what we worry about never happens[1]. Stress fragments the mind and a fragmented mind keeps us in survival mode, where life becomes more about just making it through the day than about excelling and flourishing. We can become stuck in routines, unable to go beyond it to test ourselves and break the psychological limits we’ve been programmed into believing. When we stop thinking primarily about ourselves, our problems and our limits; when we let go of fearing failure and drop the insecurity that says were not good enough, we undergo a truly heroic transformation of consciousness that literally stimulates the brain to make a human being powerfully creative [2]. Then we discover, in the words of Bruce Lee, that “there are no limits, only plateaus that we must go beyond.” This is what it means to live a heroic life.

Change but our mind and our world changes accordingly. Our state of mind creates the life we live. The difference we make in the world depends on the way we choose to live our life, and the biggest difference comes from allowing love, joy, purpose and inner peace to be the statement our life makes every day through all our endeavors.

Mother Teresa once said that she used to believe prayer changed things, but found that prayer changes us, and we change things. Essentially, we become the change we want to see in our world, which in turn changes our world, to paraphrase Gandhi.

This heroic transformation of consciousness begins with taking total responsibility for our life, which is the heroic part. From there it proceeds to becoming crystal clear about what matters most to us. Thomas Merton wrote, “All problems are resolved and everything is made clear simply because what matters is clear.” And neuroscience has established that what matters most in sustaining brain power is a dynamically positive and peaceful mindset [3]. It is a state of mind producing brain states that not only predict greater success, health and happiness; it also produces those transcendental moments when we feel at one with creation.


The mental strength gained from a positive and peaceful mindset does not happen by itself; it requires a daily practice that accentuates the positive within us, gradually rewiring our brain to make calm, creative and optimistic our brain’s set point. Achieving a positive mindset is simpler than you might believe and change can happen quickly, within four to eight weeks with a consistent practice.

You can get started right now by viewing the 8-minute video below entitled Accentuate the Positive. This is the second video in a 12-part video miniseries called Radical Peace, which you will find at

[1] Robert L. Leahy, Ph.D., The Worry Cure, Random House, 2005, pg. 15
[2]John Kounios et al., “The Prepared Mind: Neural Activity Prior to Problem Presentation Predicts Subsequent Solution by Sudden Insight,” Psychological Science 17 (2006): 882–90.
[3] Joyce Shaffer, Ph.D., Neuroplasticity and Positive Psychology in Clinical Practice: A Review for Combined Benefits. Psychology, 3, 1110-1115. 

We Get What We Expect to Get

In 1979, Dr. Helen Langer of Harvard conducted the now famous experiment with men in their late seventies and early eighties who were languishing in a nursing home [1]. Langer observed that the men were being treated as physically and mentally inept by nursing home staff and even family members. But Langer theorized that the men’s decline might not actually be an inevitable consequence of old age but due to the men internalizing the low expectation of others. To test her theory, Langer took the men on a one-week retreat where they could revisit a time when they were strong, vital and intelligent. She accomplished this makeover by turning the environment at the retreat house into what it would have looked like two decades prior in 1959.

The men wore clothes that were fashionable in 1959, ate the food they ate then, carried photo IDs of how they looked in that year, and were encouraged to behave as they had twenty years before. The men were also given newspapers and magazines from 1959 to read, shown films and television programs popular that year, and even the parking lot was staged with automobiles from the 1950’s. Langer thought that all this staging would generate a kind of placebo effect, tricking the men into believing they were younger, which, biologically, would establish the mind-body connection that would make them younger.

The results were astonishing. Compared to the control group of of other elders who went on an ordinary retreat, the “time traveling” men showed improvements in joint flexibility and manual dexterity. Their arthritis began to retreat, blood pressure dropped, and their IQ’s improved. Some of the men who previously couldn’t bend over to tie their shoe were tossing a football around as they waited for the bus that would take them back to the low expectation world in the nursing home.

Langer’s experiment was one the first studies to prove that mind over matter is real. Science now knows that our expectations mobilize vast inner resources and directs those resources toward fulfilling a desired outcome. Irving Kirsch of Harvard Medical School and Maryanne Garry of Victoria University teamed up to survey all the studies on the power of expectation[2] and the body of evidence they found shows that once we anticipate that a desired outcome could happen, good or bad, we set in motion a chain of thoughts, attitudes, and actions that work together to actually make it happen. It is now being called the Expectancy Effect.

“The effects of suggestion,” Dr. Garry states, “are wider and often more surprising than many people might otherwise think. If we can harness the power of suggestion,” Garry concludes, “we can improve people’s lives.” [3]

Just imagine the level of success an organization could achieve if it harnessed this power. Think of your own life in terms of tapping your children’s potential, improving your health, or building your financial security. Happily, mobilizing the Expectancy Effect to one’s advantage is simpler than you might think. I describe how to do it in Chapter 13 of my book The End of Stress.


1.      Ellen J. Langer, Counterclockwise: Mindful Health and the Power of Possibility(New York: Random House, 2009), 5–12.

2.      R. B. Michael, M. Garry, and I. Kirsch, “Suggestion, Cognition, and Behavior, “Current Directions in Psychological Science 21, no. 3 (2012): 151–56.

3.      The Power of Suggestion: What We Expect Influences Our Behavior, for Better or Worse,” News, Association for Psychological Science, June 6, 2012

Black Belt in Inner Peace #33

Number 33: Receiving

My family and friends threw me a birthday party and during the planning I became aware that I was shutting down emotionally, wishing I could call the party off. When I meditated on what was turning my heart cold, I discovered it was a very old shame reaction I thought I’d healed … a feeling of unworthiness and undeserving of being celebrated. Obviously, my sense of shame needed more work.  So, at the party, I committed myself to being vulnerable whenever I started to shut down emotionally, moving through it toward opening my heart to receive whatever form of love someone was extending at the time. It was uncomfortable but gradually those moments of receiving became the best birthday presents I’ve ever received.