Tag: care

Carers Need Self-Care

Much of the focus in the resources on mindfulness is on ways to help people who are suffering from conditions that are debilitating such as mental illness or chronic pain.  Very little of the resources focus on ways to help carers in their role – ways to manage the physical and psychological toll of caring for someone else on a constant and extended basis.  Carers are the overlooked group – forgotten by others and themselves.

Carers: people who care and support others

Carers come in all shapes and sizes  – adults looking after ageing parents who may be suffering from Alzheimer’s disease; siblings caring for a family member who has a mental health condition such as schizophrenia, anxiety or depression; or anyone caring for someone suffering from a physical condition such as paraplegia, chronic pain or cancer.  According to Carers Australia, carers are people who provide unpaid care and support to family members and friends who have a disability, mental illness, chronic condition, terminal illness, an alcohol or other drug issue or who are frail aged.

The toll of caring

The “burden of care” can be felt both physically and psychologically.  The physical toll for carers can be excessive – they can become exhausted and/or accident-prone, suffer from sleep disorders or experience bodily symptoms of stress such as irritable bowel syndrome, chronic fatigue or related conditions like fibromyalgia. The physical toll of caring can be experienced as cumulative stress and lead to chronic conditions that adversely affect the carer’s long-term health.

The psychological toll of caring can also be cumulative in nature and extremely variable in its impact.  Carers can experience negative emotions such as resentment or anger, despite their compassion towards the person who is being cared for.  They can become extremely frustrated over the paucity of time available for themselves, the opportunity cost in terms of inability to travel or to be away for any length of time, the lack of freedom (feeling tied down), the lack of improvement in the condition of the person being cared for or the financial impost of caring (preventing desired savings/purchases or home improvements). 

Carers do not have inexhaustible personal resources – physical, psychological and financial.  They can suffer from compassion fatigue which can be hastened by emotional contagion resulting from close observation of, and identification with, the pain of a loved one.  Hence, carers can experience depression, anxiety or grief – reflecting the emotional state of their loved ones who are suffering.

The toll on carers has been the subject of extensive research.  For example, Emma Stein studied the psychological impact on older female carers engaged in informal aged care.  Sally Savage and Susan Bailey reviewed the literature on the mental health impact on the carer of their caregiving role and found that the impact was highly variable and moderated by factors such as the relationship between caregiver and receiver and the level of social support for the carer.

Being mindful of your needs as a carer

The fundamental problem is that carers become so other-focused that they overlook their own needs – their need for rest, time away, relaxation and enjoyment.  Normal needs can become intensified by the burden of care and the associated physical and psychological stressors.  Carers tend to neglect their own needs in the service of others.  However, in the process, they endanger their own mental and physical health and, potentially, inhibit their capacity to sustain quality care.

Carers can inform themselves of the inherent physical and psychological consequences of being a caregiver, particularly if this involves intensive, long-term caring of a close loved one (where feelings are heightened, and the personal costs intensified).  Mental Health Carers Australia highlights the fact that people who care for someone with a mental health illness are increasingly at risk of “developing a mental illness themselves”.

Self-care for the carer

One of the more effective ways that carers can look after themselves is to draw on support networks – whether they involve family, colleagues or friends; broad social networks; or specific networks designed for carers.  Arafmi, for example, provides carer support for caregivers of people with a mental illness and their services include a 24-hour carer helpline, carers forum, blog, educational resources, workshops and carer support groups. Carers Queensland provides broader-based carer resources and support groups.

Carers tend to go it alone, not wanting to burden others with “their” problem(s).  They are inclined to refuse help from others when it is offered because of embarrassment, fear of dependency, concern for the other person offering help, inability to “let go” or any other inhibiting emotion or thought pattern – in the process, they may stop themselves from sharing the load.

Carers could seek professional help from qualified professionals such as medical doctors or psychologists if they notice that they are experiencing physical or psychological symptoms resulting from carer stress.

Mindfulness for carers

Carers can use mindfulness practices, reflection and meditation to help them cope with the physical and emotional stresses of caregiving.  Specific meditations can address negative feelings, especially those of resentment and the associated guilt.  Mindfulness practices can introduce processes that enable the carer to wind down and relax – such as mindful breathing, mindful walking, mindful eating or using awareness as the default when caught up with “waiting” (a constant companion of the carer role).

Carers can employ techniques such as body scan to relax their bodies and release physical tension.  Deep, conscious breathing can also help in times of intense stress such as when experiencing panic. For people who are religious, prayer can help to provide calm and hope.

Dr. Chris Walsh (mindfulness.org.au), offers a simple mindfulness exercise for self-care by carers in his website article, Caring for Carers.  The exercise involves focusing, re-centering, imagining and noticing (thoughts, feelings and bodily sensations).

As carers grow in mindfulness, they can become more aware of the stress they are under and the physical and psychological toll involved. This growing awareness can lead to effective self-care through social and professional support and meditation and/or mindfulness practices. Mindfulness can help carers develop resilience and calmness in the face of their stressful caregiver role.

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Image by Sabine van Erp 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.

Developing Kindness through Meditation and Imagery

Diana Winston in one of her weekly meditation podcasts introduces a kindness meditation that employs guided imagery.  The key approach is to create a positive image and mentally invite others in to join you in that place.  This immersion in the present moment not only reduces stress and anxiety but develops a kindness orientation that can flow into your daily life.

Paying attention with kindness – cultivating a kindness orientation

Fundamental to this approach is paying attention with kindness – a form of mindfulness that envelops others through our care and concern.  Often, we are unaware of others, even those close to us, because we are absorbed in planning the future to reduce anxiety or ruminating about what might have been in the past.  We can become absorbed in disappointment over unrealised expectations. 

Guided imagery meditation proposed by Diana can take us outside of our self-absorption and open ourselves to kindness towards others.  Neuroscience, through discovery of the neuroplasticity of the brain, has reinforced the fact that what we actively cultivate in our minds will shape our future thoughts, emotions and actions.  Regular practice of kindness meditation creates new neural pathways so that we will find that we become more thoughtful and kinder – we become what we cultivate.  This principle is embedded in the story of The Grinch.

The Grinch in Dr. Seuss’ book, How the Grinch Stole Christmas, cultivated meanness through his thoughts, words and actions and became progressively meaner to the point that he stole everyone’s Christmas presents and trees.  He was ultimately undone by the kindness of little Cindy Lou and her community who invited him to a Christmas meal despite his meanness to them.  At the meal, he shared his realisation of the value of kindness by making a toast, To kindness and love, the things we need most.  Kindness meditation practice shapes our orientation and is contagious, infecting those around us.

Developing kindness through meditation and imagery

In her guided meditation podcast, Diana leads us in an approach to meditation that incorporates guided imagery.  First, however, she guides us to become grounded through posture, focus and bodily awareness.  This state of being in the present moment can be anchored by focusing on our breathing or sounds around us (without interpretation, being-with-the-sound).  

Diana uses the imagery of a pond as a metaphor for kindness (starting at the 20.44mins point of the podcast).  The pond contains “kindness waters” that surround anyone who enters the pond.  The meditation involves progressively picturing people entering the pond and being embraced by the waters that spread happiness, protection, well-being and contentment.

As we grow in mindfulness through the practice of kindness meditation aided by imagery, we can become more kind and caring through cultivating a kindness orientation.  Our words and actions, in turn, influence others so that kindness grows around us. 

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

Image source: courtesy of MabelAmber on Pixabay

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.

Recognition of the Signs of Mental Illness and How to Intervene

In the previous post, I discussed being mindful of mental health in the workplace.  This involves not only awareness and being present to staff and colleagues, but also being able to recognise the early warning signs of mental illness and having the courage and competence to intervene.

The early warning signs of mental illness in the workplace

Recognition of the early warning signs of mental illness enables early intervention to prevent deterioration in a person’s mental health.  Without such an intervention, issues can build up for the individual, making it more difficult for them to manage their stress and/or stressors.

The Mentally Healthy Workplaces Toolkit introduced in the earlier post provides a list of possible early warning signs of mental illness and lists them under five categories:

  1. Physical – such as constant tiredness, continuous ill health, major changes in appearance and/or weight, complaints about ongoing health concerns
  2. Emotional – such as irritability, loss of a sense of humour or of confidence, increased cynicism, nervousness, overly sensitive to perceived or real criticism
  3. Cognitive – overall performance decline through lots of mistakes, lack of concentration and/or inability to make decisions (constant procrastinating)
  4. Behavioural – behaving out of character by becoming more introverted or extroverted, withdrawing from group activities, lateness to work, not taking scheduled breaks (such as lunches) but taking unofficial time off
  5. In the business – inability to meet deadlines, declining motivation, frequent absences, working long hours unproductively.

There may be multiple causes for one or more of these early signs to occur.  So, it becomes important to check in with the person involved as to how they are going and whether you can be of assistance.

Checking in – having the conversation

Often managers and colleagues are reluctant to say anything to the person showing early sings of mental illness and the person involved is often unwilling to raise the issue for fear of being seen as “not coping” or “being weak”.  Part of the problem is that they really need support and care and genuine concern for their welfare.  They can be experiencing a strong sense of isolation, lack of support and associated depression.  Extending a helping hand can often work wonders.   But how do you start the conversation?

People in the workplace are very ready to ask someone about a physical injury such as a broken wrist but when it comes to a mental illness they are often fearful or uncertain – yet the person with the early signs really needs someone to show care and concern.  So, we can have a situation where the two parties – the manager/colleague and the person experiencing mental illness – are compounding the problem by not engaging in the conversation- a form of mutual withdrawal.

The recognised format for the initial conversation where someone is displaying the early signs of mental illness is called AYOK – “Are you okay?” The Mentally Healthy Workplaces Toolkit offers four steps for starting the conversation:

  1. Ask R U OK?
  2. Listen without judgment
  3. Encourage action
  4. Check in

It is useful to preface this conversation with the observation, “I have noticed that…and I am concerned for your welfare.”  In other words, communicate what you have observed (shows you are interested in the person) and express care and concern.

The person involved may be unwilling to talk initially but it is important to undertake the occasional check-in.  An experienced practitioner at the 19th International Mental Health Conference mentioned that on one occasion he had the initial AYOK conversation and the person involved said they were okay…and yet, some months later they came up to the practitioner and said, “I’m not okay, my daughter committed suicide three months ago – can you help me?”  Having had the initial conversation opened the way for the subsequent voluntary disclosure.  To avoid the conversation compounds the sense of isolation of the individual involved – they feel that they can’t help themselves and that no one else is willing to help them.

It is important to prepare for the conversation beforehand – know what you are going to say, allow time for the interaction and choose an appropriate time and place.  You need to ensure that you are prepared to listen and be mindful during the conversation.

You can provide support by suggesting they use the Employee Assistance Program, visit their doctor (who can initiate a formal Mental Health Care Plan) or discuss options for making reasonable adjustments to their work situation.  The important thing is that you take compassionate action, not letting the situation deteriorate.

It is vitally important to maintain confidentiality about any information disclosed to protect the privacy of the person involved.  You will need the explicit consent of the individual to disclose the information to co-workers, for example.  The information conveyed to you can only be used for the purpose intended by the disclosure – e.g. to enable a reasonable adjustment to their workload or pattern of work.

The exception would be where the person discloses that they are experiencing suicidal thoughts or feelings.  In this case, you will need to seek professional support.  Beyond Blue has some very sound and detailed guidelines for the conversation in these situations, including what language to use.  ConNetica, in their blog post Chats for life APP, also provides an App (with practical conversation tips) which has been designed by young people for young people experiencing mental health problems, and possibly suicidal thoughts and feelings.

As we grow in mindfulness through meditation and reflection, we can become more aware of the early signs of mental illness, have the courage and confidence to have the AYOK conversation and a willingness to take compassionate action.

 

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

Image source: courtesy of geralt on Pixabay

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.

Caring through Mindfulness

Caring is integral to mindfulness – we pay attention in the moment with care and curiosity.  We can learn to care for others through  loving kindness meditation as well as learn to care for ourselves through self-compassion.

Diana Winston provides a meditation podcast on the subject of mindfulness and care and stresses the need to care for ourselves as well as for others.  She suggests that people often discount or devalue their inner experience or feelings and yet be consumed by care for others.

Diana asks an important question to enable us to be mindful about caring – her question is, “What or whom do you care for”.  For whom do you express care and concern – a son or daughter, partner, friend or people suffering adversity.  How wide is your circle of care and how deeply do you care?

These are challenging questions because they raise the issue of how often we express care and concern for others – how generous and expansive is our caring?  How many people do we let into our lives through concern, considerateness and thoughtfulness?

Caring through mindfulness

Caring can be the focus of our meditation once we have become grounded through placing our feet on the ground, adopting a restful position with our body (and especially our hands) and taking a few deep breaths.

Our concern and care of our body can then be expressed through a progressive body scan and relaxation of points of tension.  Focus on our breathing will assist us to pay attention to the theme of caring as mindful breathing steadies our mind and enables us to concentrate.

We can focus on an individual and express care for that person and tap into what it feels like to express this care – is the feeling one of warmth, love or genuine concern for their welfare?  How is this care manifested in our body?

We can also express appreciation for the fact that we do care for others and take the time to express that care in words and actions.  We can acknowledge that it is a gift to be able to be sensitive to others and their needs – to move beyond self-absorption to concern for others.

As we grow in mindfulness through caring meditation our circle of care and concern widens and deepens, and we are able to more readily extend care to ourselves.

 

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

Image source: courtesy of MabelAmber on Pixabay

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.

 

Mindful Leadership: Social Skills – Communicating with Insight

Chade-Meng Tan (affectionately known as “Meng”), is the author of the book, Search Inside Yourself, a developer of the related Google course and one of the founders of the Search Inside Yourself Leadership Institute.

Meng maintains that as we grow in mindfulness we develop calmness of mind and clarity of thought.  So whatever the stressful situation we are in, we are able to remain in control of our emotions – instead of being held captive by the primitive part of our brain, the amygdala. (Meng’s Google Talk)

We are able to notice our emotions as they occur and to choose how we respond, e.g communicate with compassion, instead of with anger.  We are no longer controlled by our emotions.

The insight we gain is not only insight into ourselves but also understanding and insight into others’ emotions, motivations and behaviour.  So we are better able to communicate from this position of increased understanding and insight, a position of increased clarity of mind not confounded by emotions.  We also gain a greater understanding and appreciation of our environment, both the natural environment and also the micro and macro work context.

The Search Inside Yourself Leadership Institute’s two day program on mindful leadership and emotional intelligence offers a process to help leaders communicate with insight in the context of difficult conversations.  The process involves reflection on a conflicted conversation that you have been involved in with another person.  It aims to help you to gain insight into your own perceptions, emotions and motivation and those of the other person.

The two step process starts with an analysis of your involvement in the conflict.   Firstly you are asked to identify the content of the conflict (what happened from your perspective) and secondly, your feelings at the time (your emotions). The process then helps you to gain a deep insight into your own motivations.

The third step, then, is the critical one. The assumption is that both parties in the conflict are ultimately trying to deal with identity issues  – a fundamental motivation behind the conflict for each party.  These identity issues are expressed as three  questions:

  • am I competent?
  • am I a good person?
  • am I worthy of love?

Once you answer these identity issues questions for yourself, you put yourself in the position of the other person and repeat the three step process with respect to the other person in the conflict (the what, the feelings and the identity issues for them).

This then puts you in a position to communicate with renewed insight into the other person in the conflict  You should undertake the follow-up conversation only after you have first reflected on your intention on having the subsequent conversation.  You may actually decide not to pursue a further conversation at this point, but resolve to approach the next interaction with greater care and insight.

Communicating with insight comes with growth in mindfulness.  As Meng points out, if you have developed mindfulness, you are able to approach any situation, whatever it involves, with clarity of mind and  calmness (free from from the influence of uncontrolled emotions).

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

Image source: courtesy of geralt on Pixabay

Mindful Self-Compassion

Compassion is an integral element of mindfulness and emotional intelligence.

It involves being concerned for the pain and suffering of others, having the desire to reduce that suffering and taking action, at whatever level, to redress the suffering of others.   Taking action is a key aspect that differentiates compassion from empathy.

Self-compassion, then, is exercising compassion towards ourselves – ultimately, it means doing things to reduce our own self-initiated pain and suffering.

As we mentioned in a previous post, our minds tend automatically towards negative thoughts.  We are critical of ourselves, dwell on failures, feel embarrassed when we make a mistake and carry shame with us to our own detriment and that of others.

Diana Austin, in her doctoral study of midwives in New Zealand, found, for instance, that the sense of shame and self-blame impacted severely the ability of midwives to recover from the trauma of critical incidents.  Her study resulted in an e-book tool designed to promote self care and kindness towards self in the event of a health professional experiencing a critical event.

The Critical Incidents E-Book contains stories, information and practical advice for health professionals and their managers when mistakes happen and things go wrong.  In the final analysis, the e-book is a journey into self-compassion for those experiencing the depths of self-blame, shame and questioning of their own competence and ability to support others professionally.

Kristin Neff, one of the founders of the Center for Mindful Self-Compassion, identified three components of self-compassion:

  • physical warmth
  • gentle touch
  • soothing vocalization

In her video describing these three components, Kristin suggests a number of self-compassion practices that draw on these components.  For example, she recommends self-hugging and a simple exercise involving placing your hands over your chest while communicating care and tenderness towards yourself.

More detail on these self-compassion exercises can be found in the video below where Kristin Neff describes exactly how to do them:

As you grow in mindfulness you become more aware of self-criticism and the ways in which you blame yourself, and you gain the presence of mind to counter these self-initiated attacks on your self-esteem and sense of self-worth.  Mindful self-compassion exercises build mindfulness and develop self-care and kindness.  The more we are kind to ourselves, the more sensitive we become to the needs of others.

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

Image source: Courtesy of johnhain  on Pixabay