What Do You Do if Mindfulness Does Not Reduce Your Symptoms of Anxiety or Depression?

I was approached recently by a young man who was experiencing severe anxiety.  He was able to cope well with his work but had all kinds of difficulties coping at home, including endless self-doubts, negative self-stories and an inability to relax or concentrate.  He indicated that he had “tried everything’ – meditation, mindfulness practices and reflection. 

He found, for example, that “reflection” only resulted in his entertaining negative thoughts about himself and re-visiting his destructive self-stories.  So, reflection for him resulted in a downward spiral rather than a release from self-deprecation.

What does “tried everything” mean?

The first consideration is how did he approach these attempts to develop mindfulness and reduce his symptoms?  Given the young man’s level of agitation, it was likely that his efforts were somewhat frantic and unfocussed.  One could question whether he engaged in a sustained meditation practice in a focused way, e.g. working on his self-stories with the aid of a meditation teacher or meditation group.

One of the issues is that there are so many different forms of meditation that it is tempting to “try them all” and flit from one form to another, without addressing your specific needs or the causal factors of your depression or anxiety.  This is where a professional psychologist or dedicated professional group could help.  Organisations like Beyond Blue and the Black Dog Institute can help by providing knowledge, resources, group support, access to programs and advice in identifying a suitable medical practitioner, psychologist or psychiatrist.  Other specialist carer support groups can assist people who are experiencing anxiety or depression as a result of caring for someone who has a long-term need for care and support.

The Mental Health Care Plan

You may need medication and/or the aid of an allied health professional to overcome depression and/or anxiety. In Australia, there is a specialist form of help that can be accessed through your local medical practitioner, the Mental Health Care Plan.   You explain your symptoms and needs to a doctor who develops a mental health treatment plan with you.  This may include medication, referral to an allied health professional such as a psychologist and/or other forms of activity designed to address your specific mental health condition.  Medicare will provide rebates for visits to an authorised health care professional where the visits have been the subject of referral by a medical practitioner as part of a Mental Health Care Plan.  The number of visits covered by Medicare rebate is 10 (subject to a confirming review by the doctor after the first six visits).

Advancing our understanding of the causes of depression and anxiety

Johann Hari, in his book Lost Connections, highlights recent research undertaken worldwide that shows that anti-depression medication can be effective in the short term to reduce symptoms but that, in the medium to long term, it typically has to be increased and can reduce in effectiveness over time.  In his book, Johann focuses on the social factors contributing to the global rise in depression and anxiety and proposes solutions that support rather than replace medication treatments, although some people are able to give up their medication after a period of successful use of one or more of these alternative approaches.

Johann identifies seven social factors that contribute to the rise in depression and anxiety, all relating to a loss of connection.  He describes them as “disconnection from”:

Johann acknowledges the research that shows that in some instances a person experiences depression and/or anxiety because of their genes or a brain change brought on by some life experience (pp. 143-155).

Reconnection: alternative anti-depressant treatments

Johann describes several ways to reconnect to overcome depression and anxiety.  These include reconnecting with others, with meaningful work, with nature and/or meaningful values. He also includes chapters on finding “sympathetic joy” while overcoming self-obsession (Chapter 20), and a compelling chapter on acknowledging and overcoming childhood trauma (Chapter 21).

What I found particularly intriguing, as well as very practical, was a chapter on “social prescribing” (Chapter 17).  In this chapter, Johann highlights the work of the Bromley-by-Bow Center which combines a medication approach (where deemed necessary) with hundreds of social programs.  This medical centre is very different to most doctor’s clinics that you would normally visit, both in terms of the orientation of the medical practitioner and the physical environment.  The emphasis is on listening, not medication prescription, and treatment is strongly oriented to “reconnection” strategies such as a walking group, employment skills group, start-up support to establish your own business and a casual group focused on “Create Your Future”.

What further intrigued me was the effectiveness of one project described by Johann through the experience of Lisa, who was experiencing severe depression.  The project was the brainchild of Dr. Sam Everington who was concerned about the over-reliance on anti-depression medication.  Basically, he assigned some of his patients to a community project focused on beautifying a strip of bushland that had become overgrown and neglected but was a popular walk-through. 

The group of people experiencing depression, who had difficulty interacting with anyone and typically kept to themselves, eventually started having conversations, sharing their life histories and their personal mental health challenges as well as plans to beautify the bushland strip.  They had to learn about the seasons, plants and their nutrition needs and how to plant and cultivate different kinds of plants.  They took pride in their project and started to gain confidence and competence.  A moving story was that of a person who had initially presented as very angry and aggressive who went out of his way to help two people who experienced learning difficulties.  Eventually, the members of the group decided to do a Certificate in Horticulture.

Johann pointed out that this creative project addressed two major reconnection needs – reconnection with others and with nature.  It can also be seen that each of these reconnections reinforces the other.

As we grow in mindfulness, we can be open to new ways of dealing with depression and anxiety.  We can learn to reconnect with key elements in our life that induce mentally healthy living, including mindful connection to others, spending time in nature, being grateful for what we have (rather than suffer “status anxiety”) and being willing to show compassion towards others.

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Image by Henning Westerkamp from Pixabay

By Ron Passfield – Copyright (Creative Commons license, Attribution–Non Commercial–No Derivatives)

Disclosure: If you purchase a product through this site, I may earn a commission which will help to pay for the site, the associated Meetup group and the resources to support the blog.

Accessing the Wisdom of the Body

Diana Winston, in her meditation podcasts through the Mindful Awareness Research Center (MARC), often begins by defining mindful awareness as paying attention to present moment experiences with openness, curiosity, and a willingness to be with what is.  In this context, openness and curiosity extends to our body as well as our thoughts and feelings.   However, we frequently take our bodies for granted and, more importantly, ignore our body’s signals.  The recent Wisdom of the Body Summit with 32 leading teachers and scientists, was designed to make us aware of the wisdom of the body and its innate intelligence.

In this post, I would like to explore some of the ideas advanced by Spring Washam who spoke during the Summit on Trusting Our Hearts, Intuition, Embodiment and Personal Power.  Spring is the author of A Fierce Heart: Finding Strength, Courage and Wisdom in Any Moment.  A central theme of Spring’s presentation was learning to access and trust the wisdom of our body.  She highlighted the intelligence of the body that is ever-present to us, if we would only stop and attune ourselves to its message.

Disembodied: out of touch with our body

Increasingly we live in our heads – engaged in endless thought processes, some of which lead to depression, others to anxiety.  We continually become absorbed by self-stories that lead to self-deprecation and self-recrimination.  In the process, we become disconnected from our bodies and cut ourselves off from the body’s intelligence, intuition and energy.  When we are disembodied, we are also disempowered.

Spring maintains that we should “press the pause button” so we can listen to our bodies, become conscious of what our heart is telling us is the right way to proceed.  We become numbed over time because we are constantly pushing ourselves to achieve, ignoring the signals from our body.  We need to become attuned to our body and the wisdom that resides within.

Embodiment: being in touch with the intelligence and wisdom of our body

Ways to tap into the wisdom of the body are mindful breathing, mindful walking, being in nature and feeling the earth through walking barefoot on the grass or sand.  Walking barefoot helps to develop proprioception – the body’s capacity (through its nerves, muscles and joints) to monitor its environment (e.g. the slope of the ground) and to make adjustments accordingly.  This is just one form of intelligence of the body – reflected in our capacity to know where our limbs are in space, even when we can’t see them.

Our bodies also store memories, including the emotions associated with memories – which is why people display unease and/or sadness when recalling a disturbing event or personal loss.  We can access these memories and emotions through getting in touch with our bodies through mindfulness practices such as a body scan.

Our bodies are continually taking in information from each of our senses at an astonishing rate (calculated to be around 11 million bits per second) and compressing the information to enable conscious processing and response. So, our bodies are incredibly powerful information processors that are also intuitive.  Sometimes our body can anticipate events before they happen – such as just before a car crash is about to happen.

Spring suggests that placing our hand on our heart is one way to access the heart’s intelligence, intuition and synchronicity.  She mentions the research done by HeartMath and the science behind the heart’s intelligence.  For example, the research has shown that “changing heart rhythms, changes emotions”, e.g. from frustration to appreciation.

As we grow in mindfulness through different forms of meditation and mindfulness practices, we can learn to tap into the innate intelligence, intuition and wisdom of our bodies. This will enable us to be grounded in the present moment, become more aware of our thought patterns and gain better control over our feelings that could be holding us back from living life more fully and meaningfully.

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Image by Michal Jarmoluk from Pixabay

By Ron Passfield – Copyright (Creative Commons license, Attribution–Non Commercial–No Derivatives)

Disclosure: If you purchase a product through this site, I may earn a commission which will help to pay for the site, the associated Meetup group and the resources to support the blog.

Reasons Why Meaningless Values Lead to Depression

In the previous post I explored Johann Hari’s discussion of the research demonstrating that disconnection from meaningful values – expressed as obsession with materialism – leads to depression and anxiety. In this post I will explore the reasons why this occurs. 

Four reasons why meaningless values lead to depression

In identifying why materialism leads to depression, Johann draws on the research of Emeritus Professor Tim Kasser and his colleague, Professor Richard Ryan, one of the acknowledged world leaders in understanding human motivation.  Based on their work and his own research, Johann identifies four main reasons for the consuming sadness experienced by people who relentlessly pursue materialistic values that focus on extrinsic rewards (Lost Connections, pp. 97-99).

1. Damages relations with other people

The research shows that people who primarily pursue materialistic values experience “shorter relationships” that are of lesser quality than their peers who focus more on intrinsic values.  Materialistic-oriented people are more concerned about superficial things such as another person’s looks, their ability to impress others and their material possessions, than they are about the innate qualities of the person.  Their focus on external qualities makes it more likely to end a relationship because they invariably find someone who possesses these external qualities to a greater degree.  Their self-absorption also means that their partner in a relationship is also more likely to separate from them.  People who are out to impress others as their major motivator are very poor at reflective listening as they are more likely to interrupt and divert a conversation so that the focus is on them and their accomplishments.  Listening is the lifeblood of a sustainable relationship and has profound effects on the its quality.

2. Deprives them of the joy of being in the present moment

Because a materialistic person is always seeking more or pursuing an elusive goal over which they have no control, they are more likely to be frequently frustrated and disappointed.  They tend to be driven and impatient in the pursuit of their external goals and they experience time-pressures continuously. It is difficult for them to be fully engaged in the present moment and to experience the joy that derives from present awareness.  The researchers point out, too, that the pursuit of materialistic values results in the inability to experience “flow states” – being in the zone where you are hyper-focused and highly creative and productive. 

3. Become dependent on how other people think of them

Other’s opinions become the driver for the materialistic person’s words and actions.  They seek to gain positive assessment by others of their looks, their possessions (e.g. clothes and cars) and their income and social standing.  They tend to pursue relationships for what they can get out of them in terms of extrinsic rewards.  They can never be satisfied and often engage in attempts to outdo others.  The researchers point out that materialistic-oriented people are also more sensitive to feeling slighted, even when no slight is intended – because of their sensitivity to others’ opinions, they can more easily feel criticised and be hurt by seemingly harmless comments.  This can result in their being “on edge” all the time when with other people.  Their sense of self-worth becomes “contingent on the opinion of others” which, in turn, can lead to negative self-evaluation and self-deprecation.

4. Frustrates innate human needs

Tim Kasser observed that a core reason why materialism leads to depression is that it ultimately frustrates a person’s innate needs – needs such as the desire for meaningful connection with others; realising a sense of competence in their endeavours; a sense of autonomy and being in-control; and wanting to do, and achieve, something meaningful in their lives.  Depression and anxiety will grow over time when these real, innate human needs are not met.

We can choose how we spend our time and energy

Johann observes that time is limited and that our day is like a pie with defined parameters.  The way we carve up our day – how we allocate our time to aspects of our life – will significantly affect whether we realise joy and happiness or depression and anxiety.  If we can align the way we spend our time to the pursuit of meaningful values, we can experience mentally healthy states of positivity, joy, happiness and gratitude. The more time we spend on materialistic goals, the lower will be our “personal well-being”.

As we grow in mindfulness through meditation and reflection, we are better able to notice the impact that the pursuit of materialistic values has on our quality of life – our relationships, our joy, our sense of self-worth.  We will have a clearer idea of how well we meet our innate needs and how we can improve on their fulfillment.  Importantly, we will better understand the sources of our frustration and anger and be able to improve our self-regulation.  By developing mindfulness, we will more often experience the joy of being in the zone – of experiencing “flow states”.

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Image by KarinKarin from Pixabay

By Ron Passfield – Copyright (Creative Commons license, Attribution–Non Commercial–No Derivatives)

Disclosure: If you purchase a product through this site, I may earn a commission which will help to pay for the site, the associated Meetup group and the resources to support the blog.

Being Disconnected from Meaningful Values Leads to Depression

In previous posts I highlighted the relationship between depression and being disconnected from what is meaningful in terms of work and in terms of relationships with other people.  In this post, I want to draw further on the work of Johann Hari’s book, Lost Connections, by focusing on the loss of connection to meaningful values.

Being disconnected from meaningful values

In Chapter 8 of his book (pp. 91-105), Johann identifies a third social factor contributing to the rise of depression and anxiety – disconnection from meaningful values.  In this section, he draws heavily on the ground-breaking research of Emeritus Professor Tim Kasser who explored in depth how our cultural values contribute to the rise of depression and anxiety in today’s Western society. 

Tim was motivated in his search for meaningful values through the music of Bob Dylan and John Lennon and his own independent inquiry into the nature of authenticity while studying at Vanderbilt University, a learning institution committed to curiosity.  Tim was curious about the reason why there was such an increase in the incidence of depression and anxiety in today’s world.  He spent more than 25 years researching and working with colleagues to find the answers.

Tim drew on the work of philosophers and research by others that established that the stronger a person focuses on materialistic values (such as wanting more money and possessions and wanting to be viewed highly by others), the more likely they are to experience depression.  He conducted his own experiments as well and learned that those who gave priority to materialistic values experienced less joy and lived a poorer quality of life than those who primarily pursued meaningful values.  Johann describes Tim’s research projects in detail in his book, Lost Connections.

Materialistic values pursue extrinsic rewards

Philosophers have identified two different types of human motivation – extrinsic and intrinsic.  Extrinsic motivation seeks an external reward in the form of money, status, recognition or being liked and admired. Intrinsic motivation, in contrast, is associated with internal personal rewards that flow from undertaking something for its own sake such as working to make a difference in the world, developing meaningful and supportive relationships, showing compassion towards someone in need or playing an instrument for the sheer joy it brings.  Materialistic values focus on extrinsic rewards and do not add meaning to a person’s life.

Tim engaged 200 people in completing a “mood diary” over a period so that he could establish the outcomes for people who primarily pursued extrinsic goals versus those who pursued intrinsic goals.  He was startled by the results – people who focused on, and achieved, extrinsic goals did not experience any appreciable increase in happiness in their daily life, despite the extraordinary amount of time and energy that they put into pursuing those extrinsic goals (e.g. gaining a promotion, purchasing a new car, buying the latest smart phone).   In contrast, people who pursued, and achieved, their intrinsic goals were “significantly happier” and experienced a decline in depression and anxiety.  These people set goals such as improving the way they related to others and supported those in need.

Johann points out that we all pursue both extrinsic and intrinsic goals and the associated rewards.  However, the challenge is to achieve the right balance – ensuring that materialistic values do not dominate our lives and lead to depression and anxiety.  We are constantly confronted with the choice of whether we pursue an extrinsic goal or an intrinsic one – such as whether we stay longer at work and earn more overtime money or go home to our young family and enhance our relationships with our partner and/or children.

I was recently confronted with such a choice – the choice between an extrinsic goal and an intrinsic one.  I was asked to write a book on action learning and the extrinsic rewards offered were to earn money for the work, receive royalties on an ongoing basis and, in the process, make a name for myself by way of my “legacy”.  The cost for me was to give up writing this blog on mindfulness, as the book would be all-consuming – I would have to give up what I consider to be making a real difference in some people’s lives (including my own) in favour of realising some extrinsic rewards.  I chose to turn down the offer to write the book and to continue to research and write about ways to grow in mindfulness via this blog.  The challenge for me was to put an important intrinsic goal ahead of offered extrinsic rewards.

We can become consumed by materialistic values and the associated extrinsic rewards by spending more and more time and energy in their pursuit, despite their achievement providing less and less satisfaction.  People, for example, chase the next promotion and movement up the ranks and are often prepared to sacrifice their personal values and joy to “get there”.

Western society encourages and reinforces materialistic values

Our consumer society cultivates extrinsic values and advertisers persistently encourage us to have the better car, to look better, to buy eye-catching jewellery, to upgrade our home (in terms of size and/or location) and to attract admiration.  Porsche, for example, in promoting its latest SUV, the E-PACE, describes the new “luxury” vehicle as having “head-turning good looks” – reinforcing the “look-at-me” values of Western society. 

The selfie revolution is another example of our pursuit of “looking good” on social media.  Technologists have pandered to this trend by developing the “selfie drone” which has now morphed into the “dronie” that enables you to focus on your group and yourself and also to back away to highlight your location, thus providing that extra “WOW factor”.  Some selfie drones even let you upload your shots directly to social media – meeting our need for immediacy and convenience. Taking selfies, by itself, does not mean you are pursuing materialistic values – some people use selfies solely for their family album or to share with family connections. The problem comes when taking selfies consumes us and their sole purpose is to establish our (superior) “value” in the eyes of other people.

Each year at Christmas time, there is a rush to have the latest and best toys/games/technologies that are available – what was the benchmark last year is now superseded by something more costly and peer pressure reinforces the “need” for this purchase.  Our children thus become indoctrinated very early into the “must have’ social norms and lose sight of what really makes them happy such as the sheer joy of playing a game with friends in the yard or park.

Our culture drives the desire for extrinsic rewards to the point where our elected officials feel it necessary to misuse their positions of trust to increase their own wealth through corruption.  More than fifty wealthy American parents were recently charged with admissions fraud through a scam designed to get their children admitted to “elite” universities.

Johann points out that multiple studies show that depression and anxiety will be experienced by people who pursue materialistic goals relentlessly – irrespective of their age, social standing or economic means.  He argues that just as junk food creates toxins in our bodies, “junk values” produce “psychological toxins” that invariably lead to depression and anxiety (p.97).

Becoming mindful about our lives and our values

Tim Kasser, in an interview in 2016, encouraged us to reflect on how we spend our time and energy.  He suggested that we look at what we really value and how that is reflected in our life.  He asks us to seriously look at how we act out what we claim to be important in our lives and how well we make time for the things that are important to us.

As we grow in mindfulness through reflection, meditation and mindfulness practices, we can identify the ways in which our words and actions do not align with the values that provide meaning and happiness in our lives.  We can explore ways to make better use of our time, not to pursue materialistic values, but to pursue intrinsic values that provide lasting satisfaction such as making a difference in the world, being fully in the present moment and connecting meaningfully with others. 

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Image by KarinKarin from Pixabay

By Ron Passfield – Copyright (Creative Commons license, Attribution–Non Commercial–No Derivatives)

Disclosure: If you purchase a product through this site, I may earn a commission which will help to pay for the site, the associated Meetup group and the resources to support the blog.

Depression, Loneliness and the Loss of Connection to Other People

In my previous post, I discussed the loss of connection to meaningful work as one social factor impacting the rise of depression and anxiety.  Johann Hari, author of Lost Connections: Uncovering the Real Causes of Depression, found through his research, and that of his colleagues, that another major contributor to depression is the growing disconnection from other people being experienced in Western societies today.  This disconnection from others has led to an epidemic of loneliness in Britain, America and Australia.  The U.K. Government, in recognition of this growing social problem, has appointed a Minister for Loneliness.

Social change and the rise of loneliness

Robert Putnam, through research over more than 25 years covering almost 500,00 interviewees, provided evidence that people are becoming increasing disconnected from family, social groups, the wider community and neighbours.  The title of his landmark book incorporating this social research, Bowling Alone, captures the essence of his findings – people are now bowling on their own in a dedicated lane instead of bowling in a group as was the practice previously.  The level of volunteering has dropped dramatically as has active participation in what Robert terms “democratic structures”.

Johann suggests that this increasing tendency to “go it alone” is compounded by the often-repeated advice that change begins with you and that no one can help you but yourself – you have to fix yourself unaided.  He points out that this advice is contrary to the history of humanity which evidences our tribal nature and co-dependence.  Our forebears had to cooperate to survive – going it alone led to extinction.

The physical health costs of loneliness

Johann draws on the results of a range of research projects to demonstrate that loneliness dramatically increases the risk of catching infection and of dying from a serious health problem such as heart attack or cancer (risks like those of a person who is obese). The research highlights the fact that loneliness leads to an increased heart rate and production of stress-related cortisol (similar to what happens when a person is attacked physically).

The link between loneliness and depression

In his Lost Connections book, Johann draws heavily on the extensive research conducted by John Cacioppo into the link between depression and loneliness and the essential nature of the experience of loneliness.  John established that loneliness preceded the emergence of depressive symptoms in one of his many studies.  In another study he found that people who revisited a period of intense loneliness became “radically more depressed”, whereas people who recaptured a period of real connection to another person became “radically less depressed”.

These findings led John to ask the question, “What is loneliness?”  He established several key points through this basic inquiry:

  • loneliness is not the same as “being alone” – you can be alone and live alone and not feel lonely or depressed
  • you can feel lonely in a crowded place or even within your own family – the presence alone of others does not ward off a sense of loneliness
  • loneliness arises in the absence of connection with someone or a group of people with whom you can readily share experiences of joy or distress.

John argues that people need a “two-way” relationship where things that matter are shared for mutual benefit – the sharing needs to be “meaningful” for both people. He suggests that this element of exchange and mutual assistance is the “missing ingredient” needed to overcome loneliness.

Sarah Silverman (comedian, actor, singer and writer) in conversation with Amanda De Cadenet described her own experience of depression as “desperately homesick but home”. Being at home physically does not guarantee protection against depression – from feeling sad, anxious and negative; experiencing low self-esteem; and being fearful that people will dislike you. Johann suggests that Sarah’s allusion to “homesickness at home” highlights the fact that our conception of “home” has “shrivelled” from our sense of community as “home” to the four walls of our house.

The “snowball effect” of loneliness

Sarah, in her interview, also makes the point that self-deprecation, which is the hallmark of a lot of stand-up comedy, has its downside in that it leads to actual self-deprecation and depression, which becomes self-obsessive, shutting out other people. She argues that “if you can be okay with yourself, you can have a lot more room to have other people in your life”. If you feel lonely and depressed you will have low self-esteem and avoid social contact – leading to a “snowball effect” compounding your loneliness.

Johann discusses the “snowball effect” of loneliness in terms of both perception of threat and accelerated response time to potential threat. People who are lonely tend to exhibit “micro-awakenings”, a trait common amongst people who are anxious because they don’t feel protected when asleep. This state of “hypervigilance” leads to the perception of threat even when it does not exist (or experience of a slight when none is intended). The research quoted by Johann shows too that people who are experiencing loneliness tend to react twice as quickly to perceived threat as those who are not lonely.

Breaking out of loneliness

Johann argues that people experiencing loneliness are forever scanning their environment for threats because they do not feel as if anyone is looking after them – they perceive that no one “has their back”. He maintains that what they need is more love and kindness together with reassurance.

Dr. Hilarie Cash, who has extensively researched addiction to gaming and the internet, maintains that these addictions are often an attempt to escape from the sense of loneliness. She argues that what is needed is “connection with one another in a safe, caring way” – a face-to-face connection not a remote, superficial interaction mediated by a screen.

In a brief video about overcoming isolation, John Cacioppo explains how people have successfully overcome extreme isolation and loneliness. He maintains that breaking out of loneliness requires a change in cognition (the way we think about ourselves and others) as well as approaching others “in a way that is positive, in a way that is engaging and that is mutually enjoyable”.

How mindfulness can help to overcome loneliness and depression

One of the first thoughts that comes to mind is that meditation can assist us to overcome feelings of hurt and resentment. It can help us to find ways of forgiving ourselves and others. Through mindfulness practices, we can achieve calm, clarity and self-regulation (of our thoughts, emotions and actions).

Mindfulness can help us savour what we have – our work, our children, our friendships and the present moment. It can help us to slow down and express genuine gratitude which generates positive energy and builds relationships. Overall, mindfulness can help us to cultivate awareness of others, overcome self-absorption and engage in “compassion in action“. As we grow in mindfulness, we can move beyond loneliness and depression, learn to value ourselves, appreciate the present moment and reach out to others through reflective listening and compassionate action.

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Image by dima_goroziya from Pixabay

By Ron Passfield – Copyright (Creative Commons license, Attribution–Non Commercial–No Derivatives)

Disclosure: If you purchase a product through this site, I may earn a commission which will help to pay for the site, the associated Meetup group and the resources to support the blog.

Mindfulness and the Mind-Body Connection

Dr. Cheryl Rezek, Consultant Clinical Psychologist, in her video presentation, What is mindfulness, stresses the connection between mind and body.  She highlights the fact that stress is not only experienced in the mind through perception of threat but also in the body in the form of stomach aches, headaches, pain in the shoulder or other parts of the body and many forms of physical illnesses.  Cheryl draws on neuroscience research to demonstrate the positive impact of mindfulness on the body and the brain.

What is mindfulness?

Cheryl discusses mindfulness in terms of “focus with intention” – designed to become more aware of what is happening inside of us as well as around us. She stresses the role of context in shaping who and what we are.  In her own practice and research, she seeks to integrate insights from biology, sociology and psychology – a holistic perspective on the forces shaping our makeup and the way we experience the world.  For example, like Johann Hari, she sees negative childhood experiences as contributing to the likelihood of experiencing depression in adulthood.  Our social environment – whether family, work or community, in isolation or conjointly – shape our perceptions.  Cheryl’s holistic approach is reflected in her training in the interrelated disciplines of clinical psychology, psychotherapy, play therapy, family therapy and mindfulness.

She reminds us that children are naturally mindful as they negotiate their world – they are curious and open, asking questions, exploring nature and wondering about their own bodily sensations.  I recall recently playing tennis with my grandson in a clearing in a wooded area while my granddaughter sat on the grass and explored everything in her immediate environment- the grass, wildflowers, leaves and anything that wriggled or moved.  Her attention was totally focused for an hour on whatever she could see, touch or smell.

Applications of mindfulness

In her presentation, Cheryl discusses the numerous applications of mindfulness – from dealing with chronic pain to managing mental illness.  Her own writings reflect this diversity of mindfulness applications.  For instance, she talks about how mindfulness can help people manage contracting cancer and undergoing treatment – her ideas are explained in her book, Managing Cancer Symptoms: the Mindful WayShe also discusses the application of mindfulness to dealing with Anxiety and Depression.

Cheryl stresses the importance of seeing mindfulness in its broadest context – not confined to the act of meditation but extending to being mindful in our everyday activities such as walking, listening, eating, attending meetings, waiting and washing the dishes.  She offers an app, iMindfulness on the go, to encourage people to be mindful when in transit or engaging in any of their daily activities.

As we grow in mindfulness, we become aware of the opportunities to be mindful in our everyday activities.  Practice of simple mindfulness activities builds our inner and outer awareness and helps us to better navigate the stresses of life.

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Image – Painting by a Chinese-born artist who experiences the mental health condition of Schizophrenia

By Ron Passfield – Copyright (Creative Commons license, Attribution–Non Commercial–No Derivatives)

Disclosure: If you purchase a product through this site, I may earn a commission which will help to pay for the site, the associated Meetup group and the resources to support the blog.

A Brief Meditation for Anxiety

In an earlier post, I discussed Tara Brach’s explanation of how anxiety-producing self-stories are maintained and the importance of meditation incorporating self-compassion and self-forgiveness to break the cycle of anxiety-producing thoughts.  I have also discussed different approaches to anxiety meditation.   In my last post, I explained Bob Stahl’s 30-minute meditation to reduce fear and anxiety that incorporates a comprehensive body scan and compassionate curiosity towards yourself and others.  This approach could be preceded by reflective writing, an approach Bob recommends for focusing on a single anxiety-producing experience which is explored in terms of its bodily, mental and emotional impact.  An alternative resource is the 30-minute meditation podcast provided by Diana Winston that seeks to deepen the well of ease, leading us to greater self-awareness and consciousness of the depth of our inner resources.

However, you may not have the time required to do these kinds of meditations or reflections.  If you are time-poor, you could practice a brief, three-minute anxiety meditation provided by Zindel Segal, co-developer of MBCT and co-author of Mindfulness-Based Cognitive Therapy [MBCT] for Depression: A New Approach to Preventing Relapse.  This resource book for clinicians provides an in-depth explanation of the benefits and process of the three-minute meditation discussed in this blog post.

The Three-Minute Breathing Space

This meditation exercise is incorporated in the 8-week MBCT program and involves a process of awareness raising by assisting you to shift attention, to check-in on yourself and moved on beyond anxiety-producing thoughts. The Three-Minute Breathing Space meditation incorporates three core steps that are each of one-minute duration:

  • 1. Inner awareness of what is happening for you – exploring what is in your mind.  This involves getting in touch with, but not changing, the thoughts, feelings and bodily sensations that you are experiencing at this moment.  The first step thus involves shifting your attention to inner awareness of “what is”.  This is a passive activity – just watching what is happening for you, as if it is appearing on a “widescreen”.
  • 2. Creating a breathing space – moving away from the focus on your thoughts to a complete, undivided focus on your breath.  This grounding approach involves checking-in on the sensations of your body as you breath in and out.  You could concentrate on the rise and fall of your stomach as you take a breath and release it.  This calming breathing activity enables you to move away from whatever anxiety-provoking thoughts are preoccupying you and creating a “breathing space” to enable you to move on.  The secret is to give your mind a single thing to do – focus on your breath. 
  • 3. Expanding awareness – incorporating inner and outer awareness. The first step at this stage is to widen your awareness to your whole body – the sensation of sitting and its impact on every part of your body, your body on-the-chair.  Next you move your attention beyond your body to what is immediately impacting on it – the air flow on your body, the sounds reaching your ears. Finally, you move your attention to the room encasing your body.  You can then gradually return to full awareness by taking a few deep breaths and opening your eyes (if you have closed them to focus better).

As we grow in mindfulness through various forms of anxiety meditation, whether brief or extended, we can build the capacity to manage our anxiety-provoking thoughts and achieve a level of calm and equanimity that creates a sense of ease amongst the (sometimes turbulent) waves of life.

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Image by Daniel Nebreda from Pixabay

By Ron Passfield – Copyright (Creative Commons license, Attribution–Non Commercial–No Derivatives)

Disclosure: If you purchase a product through this site, I may earn a commission which will help to pay for the site, the associated Meetup group and the resources to support the blog.

A Meditation for Facing Fear and Anxiety

Bob Stahl, co-author of Mindfulness-Based Stress Reduction Workbook for Anxiety, provides a 30 -minute meditation for facing fear and anxiety that I will discuss in this post.  Bob is a Master Mindfulness Teacher who has developed multiple MBSR programs for hospitals and members of the medical professions.  He is active on multiple fronts – author, developer of the Mindfulness Training Institute, and a professional educator and innovator with the Center for Mindfulness in Medicine, Health Care, and Society at the University of Massachusetts Medical School.

How meditation and mindfulness can help to reduce anxiety

Mindfulness can calm feelings of anxiety because it enables you to face fear and anxiety in all their intensity (rather than attempt avoidance which is harmful); it assists you to access the well of ease within you; and “creates space around your anxieties” so that you are not exhausted and totally consumed by their pervasiveness and relentlessness.

Our anxieties deepen when we indulge in harmful self-stories and thoughts about what might happen which typically involve “fearing the worst”.  These stories and thoughts can overwhelm us and take our focus away from the present moment and effective, mindful living.  The feelings of fear and anxiety can be experienced as a whirlpool with the sensation of being caught in an ever-deepening vortex of water – drowning in the whirling immersion.

Mindfulness and meditation can still the whirlpool of emotions, thoughts and bodily sensations; calm the mind and body; and open the way for creative exploration of options to address the presenting issues or catalyst for the anxiety and fear.

A meditation for facing fear and anxiety

At the heart of the anxiety meditation offered by Bob (Practice #2) is a body scan that not only opens awareness of what you are sensing in your body but also awareness of your debilitating thoughts and the full range and depth of emotions you are experiencing (which we often deny or avoid because they are too painful).

Bob proceeds through a series of steps that I will summarise below (however, I encourage you to undertake the anxiety meditation by listening to Bob):

  • 1. Congratulate yourself for taking the time and effort to undertake this meditation and to experience the vulnerability it entails.
  • 2.Undertake a preliminary check-in to sense how you are feeling, thinking and experiencing bodily sensations.  Reinforce your intention to face your fear and anxiety.
  • 3.Bring your attention to your breath gently – focusing on the rise and fall of your stomach as you breathe in and out.  Just breathe naturally without force to enable the calming influence of your breath to take over from the controlling influence of your thoughts and feelings.
  • 4.Shifting your focus to a body scan – the scan that Bob offers is very comprehensive, starting with your feet and ankles and working slowly through your whole body to the top of your head.  What adds to the power of this body scan is Bob’s way of linking each part of the body to its place in the body’s systems, e.g. your heart and circulatory system, your lungs and respiratory system. 
  • 5.Accept what happens as you “breathe into your whole body” – if there is tension or tightness, let it be,; if your body releases the tension, let that softening sensation be; or if thoughts and/or feelings arise, let them be.  Just stay with your breath, notice what is happening and let go – an act of trust in the process.
  • 6. Explore thoughts that generate fear or anxiety with compassionate curiosity – investigate gently their underlying causes and acknowledge this influence without trying to over-analyse.
  • 7.Extend compassion to your feelings – let them be to the level of intensity that you can handle.  Sometimes, this may mean just “wading into the water” of your anxiety.
  • 8. Become grounded in your breath again – withdraw from the compassionate inquiry to rest in the natural flow of your breathing.  You might find it useful to undertake this grounding at various stages throughout the meditation to lower the intensity of your thoughts/feelings. 
  • 9. Notice your thoughts – observe the ever-changing character of your thoughts and how they come and go.  Bob suggests you view them as “the clouds in the sky” passing by, rarely stopping as they are carried along by the breeze or wind.  See whatever happens as just “floating by”.
  • 10. Think of others who may be experiencing fear and anxiety – extend your wellness wishes to them in the hope that they too will become free.

As we grow in mindfulness through this anxiety meditation, we become better able to accept what is, experience our bodily sensations and feelings, break free of the stranglehold of our anxious thoughts and experience once again the ease of well-being.  Bob suggests that we view this anxiety meditation as an “internal weather report” and congratulate ourselves for being able to “acclimate ourselves to our fears”.

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Image by Gianni Crestani from Pixabay

By Ron Passfield – Copyright (Creative Commons license, Attribution–Non Commercial–No Derivatives)

Disclosure: If you purchase a product through this site, I may earn a commission which will help to pay for the site, the associated Meetup group and the resources to support the blog.

Curiosity and Compassion Towards a Family Member

Mitra Manesh, meditation teacher and founder of the mindfulness app Innermap, offers a guided meditation titled Curiosity and Compassion in the Family.  The focus of this meditation is as much about self-compassion as it is about compassion towards family members.  Like other guided meditations offered through the Mindful Awareness Research Center (MARC), Mitra’s meditation has a brief input but the 30-minute meditation podcast is primarily a meditation practice.  It progresses from a grounding exercise, through to an input on the challenge presented by family members, followed by two compassion exercises – one towards yourself, the other towards a family member.

Mitra defines mindfulness as “kind acceptance and awareness of our present moment experience”.  Underlying this approach is compassion (self-compassion and compassion towards others) and curiosity (the catalyst for awareness).

Becoming grounded – arriving at the meditation

Mitra encourages you to first find a position and posture that is comfortable and that will enable you to become grounded.  By bringing your attention to your intention for the meditation, you can physically and mentally arrive at the meditation.   You can start with some deep breaths followed by resting in your breathing.  Mitra suggests that you then scan your body to locate points where you experience comfort – allowing yourself to pay attention to the warmth, tingling or other pleasant sensation.  Invariably your mind will notice points of pain or discomfort – again bring your attention to each of these points and release the tension at that point, allowing yourself a sense of ease and relaxation.

At this stage, focusing on an anchor will help to maintain your groundedness as distracting thoughts will invariably intrude into your process of releasing and relaxing – bringing new tensions such as a sense of time urgency or the need to plan for tasks to be done.  Mitra suggests that you tell yourself that you don’t have to be anywhere else or to do anything else during the 30 minutes of this guided meditation.  The anchor can be a sound – internal such as the air conditioning or external such as the sound of birds.  It can be your breathing – returning to rest in the interval between your in-breath and your out-breath.  Whatever you do, don’t beat up on yourself for these distractions.

Family – a challenging environment

Mitra reminds us that meditation practice is designed to assist us to lead our day-to-day lives mindfully.  One of the most challenging arenas for mindful practice is the family – individual family members can be particularly challenging because of their personality, mental illness, life stresses or a multitude of other factors.  Even very experienced meditators find some family members to be particularly challenging.

One of the problems is that family members become too familiar – we have seen them often and we think we know them, understand them and can predict their behaviour.  However, the presumption of knowledge can result in a lack of curiosity and desire to understand – it can lead to hasty judgments and a lack of compassion. 

Curiosity, on the other hand, will lead us to understand the nature of the mental illness suffered by a family member.  We might presume we know about depression and how it plays out in their lives and yet we can judge them as lazy when they spend most of their day sleeping and continuously leave their room and surrounds in an absolute mess.  If we explore the nature of their illness we might discover, for example, that they are suffering from the complexity of schizoaffective disorder which may involve the symptoms of schizophrenia along with manic depression – a complex mix of disabling conditions that can lead to compulsive shopping, impulsive action, constant depression and the inability to communicate about their depression or hallucinatory episodes.  So, not only are they disabled by depression, but they are also incapacitated by the inability to seek social support.  We might think we know and understand about the mental illness of a family member but the complexity of the arena of mental health would suggest that we have little insight.  If you have never experienced the black dog of depression, you are unlikely to have a real sense of the depth and breadth of its disabling character. 

Mitra encourages us to become “unfamiliar” with our family members and to become instead curious about them – “but compassionately so”.  This includes “showing them who you are” while encouraging them to show themselves.

A self-compassion meditation

Mitra provides a self-compassion meditation (at the 11th minute mark) following the discussion of the family as the “most charged” arena of our lives.  Accordingly, she suggests beginning with a deep breath to release any tensions that may have accumulated during the discussion of family challenges.

She asks you to consider how your posture and breathing would be different if you were adopting a “compassionate curiosity” towards yourself. This compassionate curiosity, a sense of wonder, can be extended to curiosity about your bodily tensions and your feelings.  Are you feeling anxiety about a family member’s depression? Is your body tense, or your mind agitated or are you carrying feelings of resentment along with the bodily manifestations of this abiding anger?

What happens to your mind’s chatter and your body’s sensations when you extend forgiveness and compassion towards yourself for your self-absorption, hasty judgements, lack of understanding and self-satisfaction with “knowing” the other person.  Can you let go of all your self-stories and beliefs that block this self-compassion?  Compassionate curiosity enables you, ultimately, to rest in self-acceptance

You can ask yourself what you are needing and feeling at this point in the meditation and ask for the fulfillment of your needs as you touch your heart and feel the warmth therein. Mitra identifies some needs that you may have, including the need to forgive yourself for all the mistakes that you have made in your interactions with family members.

Compassion towards a family member

At the 28-minute mark of the guided meditation, Mitra suggests you focus on a family member, following your self-compassion meditation.  You could bring your attention to a family member with whom you have had a disturbing interaction.  Its important to bring that chosen person fully into focus.

You can request that you change your relationship to them, for, example, “May I be curious about you to understand you and to prevent myself from forming hasty judgments about you?”; “May I be genuinely compassionate towards you?”

Mitra suggests that you frame your request in terms of a single word that you can revisit from time to time, e.g. “understanding”.  The request could be framed as, “May I understand you and you understand me”.  Your compassionate curiosity will enable you to show yourself and your genuineness.

As we grow in mindfulness, through self-compassion meditation and extending compassion towards a family member, we can develop our compassionate curiosity towards ourselves and them and deepen our understanding and acceptance of them and ourselves.

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Image by MorningbirdPhoto from Pixabay

By Ron Passfield – Copyright (Creative Commons license, Attribution–Non Commercial–No Derivatives)

Disclosure: If you purchase a product through this site, I may earn a commission which will help to pay for the site, the associated Meetup group and the resources to support the blog.

From Goal Focused Meditation to Natural Awareness

Diana Winston, in her most recent book, The Little Book of Being, differentiates between two main forms of meditation.  One meditation approach Diana identifies as the classical method – requiring considerable effort and focused on an object (e.g. breath or sound) and a goal (e.g. calmness, self-management, stress reduction); the other is focused on what she terms “natural awareness”.  She makes the point early in the book that in her early meditation practice she exhausted herself and became depressed and self-loathing by falling into the trap of becoming overly goal and object focused.  Her personal release came with the realisation of the power of natural awareness.  Her teaching is built on many years of personal meditation practice and deep insight into what enables people to live life fully and to be their authentic self.

When Diana became Director of Mindfulness Education at MARC (UCLA) she was determined to introduce other people to the practice of natural awareness.  Her book shows the evolution in her thinking and practice and her conclusion that people should practise both classical meditation and natural awareness as they are mutually reinforcing and complementary.   Classical meditation builds the power of focus and concentration together with present-centred awareness required to develop the habit of natural awareness. 

The nature of natural awareness

The approach to meditation that Diana promotes is called natural awareness because it entails practising what we experience naturally.  People can recall their own experiences of being in the moment, just being somewhere, or being in the zone in a sports or work arena.  Awareness is a natural capacity that has been diminished over time and lost in the fog of our own self-stories and beliefs, the incessant distractions drawing us away from the present moment and the time urgency that drives our goal-directed behaviour.  We become time-poor, driven (e.g. as reflected in impatient driver behaviour) and focused on the past or the future – leading to a form of depression or anxiety.  Natural awareness offers instead a sense of letting go – resulting in restfulness and equanimity.  Loch Kelly, In an interview with Tami Simon, describes natural awareness as effortless mindfulness.

According to Diana, natural awareness is a way of knowing and a state of being wherein our focus is on awareness itself rather than on things we are aware of (p.12). She offers a series of “markers” you can use to test whether you have experienced natural awareness (p.13).

Recollection: a starting point for natural awareness

Diana offers a recollection exercise as an introduction to natural awareness – using memories to recapture past, personal experience of natural awareness. The basic approach is to recall a time (in a relaxed way, not forced) when you had a sense of just being – experiencing heightened attention, a strong sense of connection, openness to what was happening or a profound sense of peace. The occasion could be viewing a sunrise/sunset, experiencing awe in the presence of pounding waves, a burst of creativity, a joyful conversation with a friend or being in natural surrounds where the beauty is breathtaking.

Now try to capture the time and experience in all its detail – where you were, what you were doing, feeling and sensing (touch, taste, smell, sight, hearing). The final step is to tap into what is happening for you with this recollection, e.g. tranquility, connection or ease. You can then rest in this awareness.

As we grow in mindfulness, through classical meditation and specific natural awareness practices, our capacity for inner and outer awareness expands and natural awareness becomes accessible to us on a daily/hourly basis.

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Image by Benjamin Balazs from Pixabay

By Ron Passfield – Copyright (Creative Commons license, Attribution–Non Commercial–No Derivatives)

Disclosure: If you purchase a product through this site, I may earn a commission which will help to pay for the site, the associated Meetup group and the resources to support the blog.