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Mind Your Body

A Revolutionary Program to Release Chronic Pain and Anxiety

4.5 (433 ratings)
24 minutes read | Text | 9 key ideas
In "Mind Your Body," the enigma of chronic pain is peeled back to reveal a profound truth: our bodies often echo the silent cries of our minds. Nicole Sachs, a seasoned psychotherapist, invites readers into a world where back pain, migraines, and even elusive conditions like Long Covid find their roots in unresolved traumas and emotional upheaval. This isn't just theory—it's a lifeline. Sachs introduces her transformative JournalSpeak practice, a beacon for those trapped in the relentless cycle of medical dead ends and despair. Here, the path to relief isn't paved with pills or procedures but with understanding, emotional release, and the radical rewiring of your nervous system's responses. In a landscape where traditional medicine falters, Sachs offers a revolutionary approach: healing begins within.

Categories

Nonfiction, Self Help, Psychology, Health, Mental Health, Audiobook, Adult

Content Type

Book

Binding

Hardcover

Year

2025

Publisher

Avery

Language

English

ASIN

0593716930

ISBN

0593716930

ISBN13

9780593716939

File Download

PDF | EPUB

Mind Your Body Plot Summary

Introduction

I still remember the day pain took over my life. It was an ordinary Tuesday morning when I bent down to pick up a pencil and felt a searing jolt through my lower back. What should have been a temporary discomfort became a constant companion, following me through specialist appointments, countless medications, and treatments that offered little relief. Like many who suffer with chronic pain, I began to believe this was simply my fate - a body betraying me with no explanation, no cure, and no end in sight. This experience is far more common than most realize. Millions of people worldwide live with chronic pain that medical tests cannot fully explain and conventional treatments fail to resolve. What if the answer lies not in more scans, procedures, or medications, but in understanding the profound connection between our emotions and physical sensations? This revolutionary approach suggests that many forms of persistent pain stem from the brain's desperate attempt to protect us from difficult emotions. By exploring the relationship between repressed feelings and physical suffering, we can unlock a pathway to healing that traditional medicine often overlooks - one that addresses not just symptoms but their emotional roots. Through understanding the brain science behind pain, practicing emotional liberation, and developing self-compassion, this journey offers something precious that many have lost: not just relief, but a way to reclaim agency over your body and your life.

Chapter 1: The Science Behind Pain: How Your Mind Processes Physical Sensations

Michael Porter Jr., a professional basketball player with the Denver Nuggets, had undergone three separate back surgeries by his mid-twenties. Despite being a top NBA recruit with extraordinary talent, his career was constantly jeopardized by debilitating back pain and sciatica. The traditional medical approach offered him temporary relief at best, with each surgery followed by pain-free periods that eventually gave way to even worse flare-ups. The specialists gave him diagnoses like "degenerative disc disease" that sounded permanent and frightening. Frustrated and desperate, Porter eventually discovered the work of Dr. John Sarno and began exploring the mind-body connection. He learned that the brain can generate real physical pain as a protective mechanism when faced with unconscious emotional stress. This wasn't just a theory - it was backed by neuroscience showing how the amygdala (the brain's threat-detection center) can trigger the fight-or-flight response, creating muscle tension, inflammation, and pain when it perceives danger - even emotional danger. For Porter, this understanding was transformative. He began implementing journaling practices to release repressed emotions and meditation to calm his nervous system. Despite his structural abnormalities remaining unchanged on scans, his pain diminished dramatically. Within months, he was playing the best basketball of his career, maintaining consistent minutes on the court without pain interruptions for the first time since turning pro. His story illustrates a critical truth: pain signals are the brain's way of protecting us. Just as we feel physical pain when touching a hot stove to prevent tissue damage, our brains can generate chronic pain to divert us from emotional experiences it perceives as threatening. This protective mechanism becomes problematic when it's no longer serving us - when the pain itself becomes more limiting than the emotions it's trying to shield us from. What makes this understanding so revolutionary is that it doesn't dismiss the reality of physical pain but instead reframes its origin. The pain is not "in your head" - it's genuinely felt in the body. However, for many chronic sufferers, the solution isn't in manipulating the painful body part but in addressing the nervous system's misguided attempts at protection. By understanding this distinction, we can begin to recalibrate our relationship with pain and open pathways to healing that were previously inaccessible.

Chapter 2: Unmasking the Emotional Reservoir: Understanding Your Body's Language

Lieke, a 35-year-old travel journalist from the Netherlands, found her active life completely derailed after contracting COVID-19 at the beginning of the pandemic. While the initial infection cleared, she began experiencing a cascade of debilitating symptoms that medical professionals now recognize as long COVID. Extreme nausea, chest pain, respiratory burning, racing heart, brain fog, and such intense weakness she couldn't shower independently became her daily reality. Previously an adventurous globe-trotter who exercised regularly, Lieke was reduced to lying on her couch, unable to concentrate or even answer text messages. The isolation was devastating. Having broken up with her boyfriend just before the pandemic, Lieke faced her illness alone while terrifying news about the virus dominated headlines. Her symptoms persisted for eight months despite various treatments. One healthcare provider suggested her body was stuck in a sustained fight-or-flight state, but offered no solutions for how to address this fundamental problem. Everything changed when Lieke discovered the concept of the "emotional reservoir" - the idea that repressed emotions accumulate in our bodies until they overflow, triggering physical symptoms as protection. Through podcasts and research, she learned that when our nervous systems perceive our unexpressed emotions as more threatening than physical symptoms, they'll create pain or illness as a diversion. For Lieke, this made profound sense. During the pandemic, she'd experienced immense fear, uncertainty, grief, and isolation that had nowhere to go. She began a daily practice of emotional expression through writing - a technique called JournalSpeak - allowing herself to acknowledge her deepest fears, frustrations, and losses. She wrote about her terror of dying alone, her anger at friends who disappeared when she needed them most, and her shame about not recovering as quickly as others. By giving voice to these "unthinkable" emotions, she began teaching her nervous system that feeling them wouldn't destroy her. Gradually, her symptoms improved. She started taking slow walks, then longer ones. Her energy returned, her brain fog cleared, and eventually, she reclaimed her passion for travel and adventure. Today, Lieke has a completely different relationship with her emotions and her body. Rather than seeing symptoms as enemies to fight, she recognizes them as messengers pointing to emotional experiences needing attention. This transformative understanding reveals that our bodies communicate through sensations what our conscious minds may not be ready to acknowledge. Physical symptoms become a language all their own - not random malfunctions but meaningful signals from a nervous system doing its best to protect us. By learning to decode this language instead of fearing it, we can address the emotional undercurrents driving our physical discomfort and allow our systems to return to balance, creating space for healing that no medication or procedure could provide.

Chapter 3: JournalSpeak: Practicing Emotional Liberation Through Writing

Charlotte was just ten years old when she got her first pointe shoes for ballet - a major achievement and the fulfillment of a dream. Dance was her passion, and she took multiple classes weekly, advancing beyond others her age. A few months later, she noticed painful protrusions below each ankle. Her mother, concerned these might be injuries from starting pointe work too young, took her to specialists. The diagnosis was sobering: accessory navicular bones, which in dancers often become inflamed. The orthopedist called her case "one of the worst" he'd seen and predicted she would need surgery. For Charlotte and her mother (who happened to be the author), this was devastating news. But rather than immediately scheduling surgery, her mother researched the condition further. She discovered that many people with accessory navicular bones are completely asymptomatic, and even more troubling, she found accounts of dancers who underwent surgery but continued to experience pain afterward, some even having to quit dancing entirely. Armed with this knowledge and her understanding of Mindbody medicine, Charlotte's mother proposed an unusual approach. Instead of focusing on the structural abnormality, they would address Charlotte's emotions through a specific writing practice called JournalSpeak. Together, they made a list of things that might be causing Charlotte worry, anger, sadness, or fear. Though initially skeptical, Charlotte agreed to write about these feelings, expressing them freely without judgment. Remarkably, her symptoms began to improve. The pain and inflammation gradually subsided, even though the structural abnormality remained unchanged. The ice packs she once relied on were forgotten. As the years passed, Charlotte continued to use JournalSpeak whenever symptoms flared - whether it was Achilles tendinitis from trying a new sport or anxiety when starting middle school. Today at sixteen, she dances classical ballet over twenty hours weekly, performs in prestigious productions, and experiences no pain from her accessory navicular bones. What makes JournalSpeak different from ordinary journaling is its specific focus on accessing and expressing repressed emotions. Unlike gratitude journals or daily reflections, JournalSpeak invites us to give voice to the "unacceptable" feelings we normally suppress - rage, grief, shame, terror. It creates a safe container to express thoughts we'd never say aloud, allowing our nervous systems to register that we can survive these emotions without needing physical symptoms as distractions. The process works because it directly addresses the emotional reservoir that fuels chronic symptoms. When we write without filters or judgment, we give ourselves permission to acknowledge the full spectrum of our emotional experience, signaling to our protective brain systems that these feelings aren't actually dangerous. This breaks the cycle of repression and physical manifestation, allowing our bodies to release patterns of pain and tension that may have persisted for years or even decades.

Chapter 4: The ANSR Framework: Allow, Name, Stay, Release

Barb was a high-achieving, active person who prided herself on daily 5 AM gym sessions, mud races, hiking, skiing, and traveling the world for her husband's ultramarathon competitions. When a seemingly minor car accident led to chronic back pain and debilitating sciatica, her identity and future plans were suddenly in jeopardy. She consulted multiple orthopedists, underwent physical therapy, acupuncture, epidural injections, chiropractic adjustments, and took various medications - all without relief. Her pain intensified until she could no longer sit or drive, and she found herself working from her living room floor with her laptop on her belly. The breaking point came when doctors suggested she "look at her life" but offered no guidance on what that meant. Desperate, Barb remembered a book she'd purchased years earlier about the mind-body connection. Reading it awakened a possibility she hadn't considered - that her chronic pain might be her brain's misguided attempt to protect her from difficult emotions. Though skeptical, she had exhausted all other options and decided to try a different approach. This is when Barb discovered the ANSR framework - Allow, Name, Stay, Release - a systematic process for working through emotional material that might be driving physical symptoms. First, she had to Allow herself to acknowledge that repressed emotions could be influencing her pain. This wasn't about blaming herself but recognizing that her nervous system might be stuck in fight-or-flight mode. Next, she learned to Name these emotions through daily JournalSpeak practice, giving voice to feelings she'd previously considered unacceptable or dangerous. The Stay component proved most challenging. Rather than running from uncomfortable emotions through distraction or denial, Barb practiced sitting with them, sending a message of safety to her nervous system. She discovered that when she stopped fighting her feelings, they didn't overwhelm her as she'd feared. Finally, she experienced Release - not through forcing or willing her pain away, but as the natural outcome of the previous steps. As her emotional reservoir lowered, her symptoms began to subside. The ANSR framework revolutionized Barb's relationship with her body and emotions. Today, she is free of chronic pain, working, exercising, and traveling again. Her structural diagnoses remain, but they no longer dictate her experience. By understanding that her perceptions directly affected her physical reality, she was able to shift from fear to curiosity, from resistance to acceptance. This framework offers a roadmap for anyone struggling with chronic conditions. It acknowledges that healing isn't about positive thinking or denying physical sensations, but about creating a different relationship with our emotional landscape. When we stop perceiving our core feelings as predators to flee from and instead meet them with awareness and compassion, our nervous systems can finally relax their vigilance, allowing our innate healing capacities to function as designed.

Chapter 5: Confronting Resistance: When Your Brain Fights Against Healing

Sonja was a dedicated dancer when, at age 24, she experienced what seemed like a pulled muscle while stretching. But instead of healing, the pain intensified and inexplicably spread to her other leg. Within weeks, she was unable to walk, forcing her to quit dancing, stop her university studies, and leave her pharmacy job. Despite consulting multiple doctors and physical therapists, her condition worsened, with pain spreading throughout her body. The diagnosis finally came: complex regional pain syndrome (CRPS), a condition considered incurable by conventional medicine. The pain became so unbearable that Sonja couldn't cook, clean, or walk more than a few steps. Even in her dreams, there was no escape from the agony. At 25, she felt like she was 95, and the hopelessness drove her to make a devastating decision - if she wasn't better by Christmas, she would end her life. Two weeks after this dark choice, Sonja discovered information about the mind-body connection. She learned that chronic pain often occurs because emotions aren't fully processed, and that journaling in a specific way could potentially free her from suffering. Though skeptical, something resonated, and she began practicing JournalSpeak twice daily. Remarkably, within just five days, her pain levels started decreasing. Two weeks later, she experienced a profound moment - looking out at snowflakes dancing in the wind, she realized she could go outside and walk in the park, something that had seemed impossible for months. What Sonja encountered during her healing journey illuminates a crucial aspect of recovery: resistance. As she began improving, she noticed that her pain would sometimes intensify or move to different areas of her body. She experienced days of doubt, exhaustion, and the temptation to give up. This wasn't a sign of failure but a natural part of the process - what practitioners call the "symptom imperative," where the brain, still seeking to protect us, shifts symptoms as a last-ditch effort to maintain the status quo. Resistance appears in many forms - as skepticism ("this can't possibly work for me"), exhaustion that seems to come from nowhere, a sudden intensification of symptoms, or the persistent voice of inner criticism. These reactions aren't random; they're the brain's protective mechanisms fighting to maintain familiar patterns, even harmful ones. The brain seeks homeostasis and views change, even positive change, as potentially threatening. Understanding resistance transforms it from an obstacle to a signpost. When we recognize these reactions as part of the healing process rather than evidence it isn't working, we can continue moving forward. Sonja did exactly this - instead of being discouraged by symptom flares, she saw them as confirmation she was on the right track. Today, she dances again, both recreationally and competitively, with minimal pain. Her journey taught her that persistence through resistance is essential, and that healing, while not always linear, is absolutely possible when we commit to the process despite our brain's initial protestations.

Chapter 6: Inner Child Work: Healing Your Past to Free Your Present

Johanna spent nearly two decades searching for answers to her mysterious and debilitating health problems. From age 20 to 38, she accumulated twenty-three separate diagnoses, including IBS, cardiac arrhythmia, scoliosis, and lupus. She invested nearly $100,000 in specialists, tests, and treatments, all without finding relief. Her symptoms were constantly changing - tremors, joint pain and swelling, migraines, back pain, irregular heartbeat, eye inflammation, nerve pain, and various gynecological and gastrointestinal issues. Perhaps most frightening was an episode of anaphylactic shock with no identifiable trigger, leading to yet another diagnosis: idiopathic anaphylaxis. Her suffering intensified during an emotionally abusive relationship in her early thirties. Even after escaping that situation and finding happiness with a loving spouse, her physical symptoms persisted. Conventional medicine offered no solutions, only more tests, more diagnoses, and more confusion. When Johanna discovered the mind-body approach, she experienced immediate relief from constant pain, which strengthened her belief in the connection between her emotions and physical symptoms. However, it wasn't until she began exploring inner child work that her healing accelerated dramatically. Through this process, she discovered that a young part inside her never felt important or worthy of attention except when she was sick. This realization came into sharp focus during a retreat when she sat next to someone with a special chair for tailbone pain - despite never having experienced tailbone issues before, Johanna suddenly developed intense tailbone pain. She recognized this as her inner child's unconscious attempt to receive special treatment and care. Through regular dialogue with this vulnerable part of herself, Johanna began to understand its fears and needs. Rather than judging or trying to eliminate these patterns, she approached them with curiosity and compassion. She discovered that her inner child had learned to equate illness with love and attention. By acknowledging this pattern and finding healthier ways to meet these legitimate needs, she began to release the physical symptoms that had served as substitutes for emotional nourishment. Inner child work operates on the understanding that many adult patterns originate in childhood experiences where our authentic emotions were unwelcome or unsafe to express. These unmet needs and unexpressed feelings don't disappear; they remain active in our unconscious, influencing our reactions and physical health. By creating a safe space to listen to and validate these younger aspects of ourselves, we can heal old wounds and release the physical manifestations they've generated. This approach recognizes that we all carry these younger selves within us, and they often emerge when we're triggered or stressed. Rather than seeing this as weakness or regression, inner child work views it as an opportunity for integration and healing. By developing a compassionate relationship with all parts of ourselves, especially those that have been neglected or rejected, we can transform not just our physical symptoms but our entire relationship with life. For Johanna, this work was the missing piece that finally freed her from decades of chronic illness, allowing her to live fully in a body she now trusts and appreciates.

Chapter 7: Self-Compassion: The Essential Tool for Nervous System Regulation

Clare suffered from chronic pelvic pain and vulvodynia for over twenty years, a condition that proved resistant to all conventional treatments. Despite traveling to specialists in the UK, Australia, and the United States, trying numerous medications, physical therapy, and even attempting to "just ignore it," nothing provided relief. The persistent, embarrassing nature of her condition led to depression and hopelessness. Her breakthrough began when a physical therapist suggested her symptoms might have an emotional component - a recommendation she initially resisted. After months of hesitation, Clare consulted a counselor who introduced her to Dr. John Sarno's work on the mind-body connection. Reading his book Healing Back Pain, she recognized herself in the description of the typical TMS personality type - someone who strives to be good, well-liked, and perfect, with intense self-criticism when making mistakes. This revelation started her healing journey, but progress was slow. She understood intellectually that her pain stemmed from repressed emotions, but struggled to implement this knowledge. A significant obstacle was Clare's difficulty identifying and expressing her feelings. In therapy sessions, she often responded with "I don't know" or "Nothing" when asked about her emotions - a common pattern among those with chronic pain. This disconnection from emotional awareness made it challenging to access and release the repressed feelings fueling her symptoms. The turning point came when she discovered JournalSpeak and began approaching her practice differently. Instead of striving for perfection in her journaling (another manifestation of her people-pleasing tendencies), Clare learned to treat it like an exercise program or learning an instrument - something requiring regular practice without expectations of immediate results. Most importantly, she began cultivating self-compassion, recognizing that her chronic perfectionism and harsh self-judgment were contributing to her nervous system dysregulation. Self-compassion became Clare's essential tool for healing. She practiced speaking to herself with the same kindness she would offer a dear friend facing similar challenges. Rather than berating herself for symptoms or setbacks, she responded with understanding and patience. She recognized that her stoic tendencies - always holding things close to her chest and maintaining hyperindependence - were part of the problem, not the solution. Through community support and consistent practice, Clare's symptoms gradually resolved completely. Today, she continues JournalSpeak once weekly as preventive maintenance, and manages occasional symptom flares with the tools she's developed. Her relationship with her body has transformed from adversarial to cooperative. She understands that sensitivity and the desire to please others don't need to be eliminated but can be balanced with self-care and healthy boundaries. Clare's story highlights the crucial role of self-compassion in healing chronic conditions. When we perpetually judge ourselves harshly, we keep our nervous systems in a state of threat, preventing the rest-and-repair mode necessary for healing. Self-criticism is not motivation but self-sabotage, especially for those already prone to perfectionism and people-pleasing. By cultivating a gentler inner voice and treating ourselves with the same care we would offer others, we send powerful signals of safety to our nervous systems, allowing them to release the protective patterns that manifest as physical symptoms.

Summary

Throughout these stories of transformation, we witness an essential truth: the body speaks what the mind cannot say. From Michael Porter Jr.'s recovery after three failed back surgeries to Lieke's journey beyond debilitating long COVID, from Charlotte's healing of severe foot pain to Johanna's freedom from twenty-three separate diagnoses, each narrative illuminates the powerful connection between our unexpressed emotions and physical suffering. These aren't miracle cures but scientifically-grounded processes of nervous system regulation that anyone can learn. The path to freedom from chronic pain begins with understanding that your symptoms aren't your enemy but messengers pointing to emotional experiences needing attention. By practicing JournalSpeak to release repressed feelings, employing the ANSR framework to process emotions systematically, working compassionately with your inner child, and cultivating self-compassion, you can send signals of safety to your nervous system and allow your body's natural healing capacities to flourish. This journey isn't about denying physical reality but reframing it - recognizing that while the pain isn't "in your head," the solution might not be in physically manipulating your body. As you implement these practices with consistency and patience, you may discover that what began as a quest to eliminate pain becomes something far more valuable: a pathway to emotional freedom, authentic self-expression, and a profoundly new relationship with yourself.

Best Quote

“The only way to engage in new things is to either believe they will matter or decide you’re willing to be curious.” ― Nicole J. Sachs, Mind Your Body: A Revolutionary Program to Release Chronic Pain and Anxiety

Review Summary

Strengths: The review highlights the personal success story of the reviewer, who experienced significant relief from chronic conditions using Nicole Sach's method. The book is praised for addressing misunderstandings about chronic pain and explaining the neuroscience behind chronic conditions and nervous system dysregulation.\nOverall Sentiment: Enthusiastic\nKey Takeaway: The reviewer strongly endorses Nicole Sach's book, "Mind Your Body," as a transformative resource for those suffering from chronic pain and anxiety, emphasizing the importance of understanding the mind-body connection and the potential for significant symptom relief through Sach's method.

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Nicole J. Sachs

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Mind Your Body

By Nicole J. Sachs

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