chronic pain – Grow Mindfulness

Conscious Aging: Reframing for Health and Happiness

Maria Shriver – author, journalist and activist for healthy aging – recently spoke to Tami Simon about the Radically Reframing Aging Summit that they are collaborating on to promote a balanced view of aging. Maria is the founder of Women’s Alzheimer’s Movement (WAM) which she established after her mother died of Alzheimer’s and following her awareness that two thirds of people living with Alzheimer’s or Dementia in America are women and the same percentage of carers for these sufferers are also women. Maria was conscious that there was a lack of research and education about women’s Alzheimer’s and she set out to address this deficiency by funding research and education about Alzheimer’s management and prevention through the Movement which also engages in advocacy.

In the interview podcast with Tami Simon, Maria discussed several topics that will be covered in the Summit and explained some of the background to bringing together a range of “groundbreakers” drawn from many fields including performers, neuroscientists, medical professionals, psychologists, and entrepreneurs – all of whom have broken through the mythical “age barrier” to achieve outstanding results in work and life in their later years.

Fundamental to the Summit is the realisation that there are lots of myths about aging and unhelpful “narratives” that disempower people from achieving a healthy and productive life as they grow old. While numerous narratives exist for early life up to and including age 40 (e.g. establishing a career, getting married and having children), there is very little in terms of positive narratives about aging and the later years of life. One of Maria’s goals is to establish new “aging narratives” through the words and example of “groundbreakers”, some of whom are presenters at the Summit.

Some lessons from the groundbreakers

In the course of the podcast interview, Maria highlighted some of the key insights and lessons gleaned from the groundbreakers and she identified Tami Simon as one of them [Tami established her multimedia company Sounds True in 1985 to promote mindfulness, mental health and spirituality in business and now has over 600 podcast interviews with leaders in these fields]. The insights and lessons cover areas such as the following:

Reframing the aging narrative – the problem with the mainstream aging narrative is that it induces fear and prevents proactive actions to live later years in a meaningful, healthful and optimum way. The focus on deterioration with aging, instead of potentiality, induces fear about the future and the possibility of chronic ill-health, Alzheimer’s and loneliness. People become fixed in their ways, lacking initiative in dealing with their health and happiness. Maria is determined to promote positive stories about aging and change the dominant narrative. She points out that the groundbreakers presenting in the Summit proactively work on their mind, their body and their overall frame of mind. They age consciously – reframing aging so that they experience health and happiness. They work to achieve a designer future.
Reframing retirement – the old narrative about retirement involved finishing a career and engaging in some hobbies while leading a relatively sedentary life. Reframing the retirement narrative involves a change in mindset that views the best years of life ahead, rather than behind. Groundbreakers live a life that inspires themselves and others. They choose to work on what matters to them (something that they are passionate about); what “speaks to them” at the time (given their life experience, skill set and lessons learned); and what brings them joy, happiness and fulfillment. They are able to flourish, enrich their life and deepen their life experience. Pursuing a purpose that energizes them and enables them to tap into their creativity. My brother Pat was an example of this when in his early 70’s (until he was 81), he started “virtual walking” (covering more than 25,000 kilometres) to raise funds for his aged care centre, Sinnamon Village. Maria also shares the story of a woman who was retired by her law firm (because she was 60!) and went on to become a full-time art instructor at an Art School (a long-held dream of hers). We are able to rewire and, like super-agers, pursue a life energised by a purpose and mission, access our creativity by challenging ourselves and adopt a mindset that sees ourselves as active and healthy. The principle of changing the retirement narrative is also captured in Bob Bradshaw’s book, Don’t Retire to Expire: “Once you wake up, everything else is optional”.
Alzheimer’s prevention – given her family history, Maria was very determined to prevent Alzheimer’s, not only for herself, but also for the wider community through her Women’s Alzheimer’s Movement (WAM). She recognised that the presence of Alzheimer’s in your parents is not a major determinant of whether you will experience Alzheimer’s or not – there are other factors such as the way you live that have a greater influence. The Harvard Medical School in their report, Alzheimer’s Disease: A guide to diagnosis, treatment and caregiving, confirms the view that the major determinant of Alzheimer’s is lifestyle, not family history. In the podcast, Maria shared what she does personally to ward off Alzheimer’s in line with current research into Alzheimer’s prevention and what is beneficial for a healthy brain and heart. She explained, for example, that she exercises, tries to get adequate and quality sleep, reduces stress in her life (where possible), sets about learning new things and watches her diet and nutrition (no longer for weight-loss reasons but for the health of her mind and body).
Reframing life transitions – Maria highlighted the constant need for adaption in life as we experience periods of transition, e.g. marriage breakup, loss of a job, children leaving home, extended marriages or establishing a new relationship in later life. Many of these transitions involve reframing one’s identity (e.g., identity changes because you are no longer a carer, paid employee of an organisation, or a provider of a home for your own children). There can be a feeling of loneliness with the “empty nest” or a sense that you are “not needed anymore”. The feelings of loneliness can be compounded by the death of a partner, close relative or friend. Maria suggests that to make the transition we need to respect our feelings and face them while trying progressively to figure out a way forward for ourself. She maintains that grief is a real challenge as we age because we lose people and, as a result, grief is an inevitable accompaniment of the aging process. Jenée Johnson provides some sound advice on coping with grief.
Reframing death and dying – as we age and get closer to our death,it is natural to fear dying and to avoid conversations about this inevitable experience. However, many mindfulness experts encourage meditating on death as a preparation for dying. Maria informs herself about the dying process through her journalistic stories on near death experiences and the Hospice Movement. She maintains that it is an ongoing challenge for all of us to work out “how to live well and how to die well”. Maria contends that regrets are normal when we die and that we should die with as few regrets as possible through feeling that we have made the most of our life and used our gifts to enhance our own life and that of others. Franks Ostaseski, an expert in the process of dying and death, suggests that we go one step further when thinking about past regrets. He argues that we should replace regret with remorse so that we are motivated to do, and say things, differently when we reflect on what we have done or said, or failed to do or say.

Reflection

Maria points out tha t different cultures (such as African Americans) have a much more positive view of aging than Western society and respect the wisdom of their elders and, accordingly, treat older people with much deference and a wholesome respect. I found even in Italy, for example, that older people were highly respected (to my surprise, having men and women of all ages offering their seat to me on a tram, even when they were sitting further away from me on the tram – I was in my early 70’s at the time).

Maria suggests that it is critical that we have the conversation in public about aging and its attendant challenges and opportunities. People in Western society have suffered in silence in the past and been subjected to the limiting, prevailing mindset about aging. For example, Maria’s interviewer, Tami, mentioned the challenge of going grey as a woman and the pressures to die her hair a different colour (which she resisted, being a groundbreaker in lots of ways). Maria also encourages us to write about our fears, to get them outside our head and onto paper. She has found that this serves to reduce the fear and related stress and enables her to take appropriate action.

People in chronic pain have additional challenges as they age. Maria expressed empathy and compassion for people in this situation. She stressed the need to express gratitude at each stage of life for what we have and are able to do. In being grateful for our current capabilities, both mental and physical, we are more likely to care for them and develop them, rather than take them for granted. We are also more likely to be compassionate towards others who lack our capabilities because of some form of disability.

Maria shares her own life experiences, lessons and meditation practices in her book, I’ve Been Thinking…:Reflections, Prayers and Meditations for a Meaningful Life. She also expands on the book’s insights through a regular podcast, Meaningful Conversations, where she interviews people she admires and explores life’s challenges and the “art of self-invention”.

As we grow in mindfulness through listening to podcasts, reflecting on our own life and engaging in meditation and other mindfulness practices, we can become more aware of our limiting narratives, be more proactive as we age and tap into our creative energy to pursue a meaningful and fulfilling life purpose.

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Image by annayozman 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.

Trauma Sensitive Mindfulness: Accessibility for People with Disabilities

David Treleaven, author of Trauma-Sensitive Mindfulness: Practices for Safe and Transformative Healing, organised an online Meet-Up to explore how to provide accessibility for people with disabilities. While many of us experience psychological disabilities or hindrances because of trauma and adverse early childhood experiences, the focus on this Meet-Up session was on facilitating access for people with physical disabilities. The insights and suggestions are relevant to facilitators of any group of people, not only those seeking to engage in trauma-sensitive mindfulness training or facilitation.

Awareness of disabilities

To increase awareness of the nature and range of physical disabilities for facilitators/trainers, David introduced the topic of accessibility by highlighting the “massive and complex” area of people who have a physical disability or impairment. He stressed that as trainers/facilitators we are not aware of the different impairments of participants and the impacts on their ability to access what we are sharing in a group environment. He emphasised the need to undertake an “accessibility check-in” early when facilitating a group to ascertain the particular needs of people in the group.

Given the interactivity and diversity of physical impairments, it is not possible to anticipate all the access needs of everyone – so a check-in is essential. David helped the Meet-Up group increase their awareness of the complexity of disabilities and their impacts by having three people with lived experience of disability (and experience in advocacy for people with disabilities), who told their stories in a moving, disarming way. Among other things, their presentations highlighted the prevalence and unique combinations of impairments that people do experience.

For instance, each of the three presenters identified that they experienced hypermobility – pain in joints (e.g. knees, fingers, hips) that typically extend beyond the normal range. It can manifest in diverse ways including the inability to stand, sit upright or walk for any length of time and can vary over time or on any given day. A specific form of the hypermobility spectrum, known as the Ehlers-Danlos Syndrome, can be particularly debilitating and limit the capacity of an individual to engage in the normal range of mindfulness activities such as mindful walking, adopting an upright sitting position or standing. The Ehlers-Danlos Society provides a wide range of community resources for people suffering from this syndrome and others who wish to learn about its manifestations and impacts.

Different manifestations of disabilities and their impacts

Each of the three presenters reinforced the benefits of mindfulness meditation for people experiencing disability and/or chronic pain. However, they drew on their lived experience of disability and pain to share their stories of experiencing difficulties in effectively participating in meditation groups because of a lack of awareness of facilitators/trainers and willingness to make adaptions to their meditation process to enable full access for people experiencing disability.

Heather Boyes spoke about her chronic pain from hypermobility and her environmental sensitivity and, in particular, her sensitivity to fragrances – an impairment exacerbated by the ubiquitous presence of fragrant hand sanitisers and cleaning products as a result of COVID -19 in the community. Her allergic response can range from swollen lips to a “series of stroke-like headaches” and anaphylaxis. She has found that mask wearing brought on by COVID-19 restrictions does not help her as pointed out that we have “olfactory receptors” in every organ, especially the skin.

Heather’s sensitivities extend to touching things like mould, experiencing a lack of airflow and transitioning from inside to outside (changing to a different environment which includes temperature differences).

Heather also explained that public places could result in allergic-type reactions due to sensitivity to lighting, “blue light” from computers and other digital devices and sunlight. All of her senses are heightened by her condition, so that she is even affected by phone transmission.

Heather’s suggestions to make a meditation space accessible to her and others include:

Ensure people are aware of fragrance sensitivity and advise participants in advance not to wear strong fragrances to the meditation sessions
Ensure there is ready access to clean airflow
Be conscious of potential industry smells from nearby factories/workplaces
Have all mobile phones on flight mode before switching them off
Be aware of a person’s emergency contacts and whether they use medication or an EpiPen for emergencies (such as anaphylaxis)
Don’t assume that products branded safe (such as essential oils) are safe for everyone.

Cheryl Harris spoke about her connective tissue disorder that was diagnosed 19 years previously. Her hypermobility manifests in difficulty in walking and standing and pain in her arms, hands and shoulders leading to migraines. Associated with these disabilities is “visual impairment” and difficulty with computer screens. Cheryl found that she experienced considerable difficulties during chronic pain meditation classes despite the trauma-sensitive approach adopted by the trainer. Her physical impairments meant that the meditation sessions were relatively inaccessible for her.

While everyone in Cheryl’s meditation class had chronic pain, she was the only one with mobility limitations. This meant she could not participate in standing meditations or mindful walking. It left her watching and not participating. She left her initial meditation class after 12 years because of the physical and emotional strain involved and joined another group that she was better able to engage with.

Cheryl’s suggestions for meditation trainers and facilitators include:

Recognise that you have the responsibility to find out students’ accessibility needs – it is not the students’ role to initiate this discussion
Establish access needs early on, e.g. “What would help you to feel welcome?” (she stated that the specific words do not matter – it is the awareness and sensitivity that really matter)
Recognise that students may have experienced stigma because of their disability
Don’t assume that people in pain have a disability or that all people with a disability are experiencing chronic pain
Use the language that the person in front of you uses (How do they describe their impairment? – textbook labels do not help because disability is a highly individualised and complex phenomenon)
Consider how intersectionality plays a role, e.g. in increasing the possibility of social isolation, for instance, for someone who has a disability, is a woman and an Aboriginal.

Cheryl provided an excellent resource titled, Adapting Mindful Practices to People Who Have Special Physical Needs.

Tara Beech explained that she suffers from fibromyalgia and hypermobility. She indicated that chronic pain meditations are particularly difficult for her. When she pays attention to her pain she experiences a burning sensation under her skin – resulting in the only pain-free area of her body being under her lips and her left eye.

Tara has decided that she has to treat pain like trauma and adopt a pain-sensitive approach to meditation (not unlike trauma-sensitive mindfulness). Her approach involves:

Cutting slack for herself through self-compassion
Meditating when she feels well
Lying down as the stress of sitting up triggers an allergic reaction
Avoid going beyond her “window of tolerance”.

Tara’s suggestions for facilitators include:

Helping people differentiate between “difficulty” and “distress”
Allow people a choice of anchors (and, where possible facilitate this choice through a session dedicated to choosing)
Encourage a change of posture where appropriate
Be aware that some anchors can cause stress, e.g. the increasing number of people who experience distress/trauma when using breath as an anchor because of personal experience with COVID-19 illness and/or asthma.
Encourage participants to savour something in their life, e.g. a person, an image, an experience, a skill-set or an achievement – this can provide a very pleasant and positive anchor and enable a person to focus on something other than their pain , loss or distress
Willingly explore the “space of disability” (Including neuro-divergence, auditory sensitivity and auditory impairment)
Be willing to explore “work arounds”, be patient, and be flexible (not static).

Understanding shame

Each of the presenters spoke about the shame they had experienced in certain meditation situations. Shame was catalysed by being different, being the only one with a particular impairment, inability to fully participate, and/or divergent behaviour (e.g. having to lie on the floor which was considered “poor form”). They experienced shame because they felt that they were creating a disruption, distraction or dislocation as a result of their unique set of needs arising from their diverse disabilities. In the text chat during the Meet-Up, Dana Baron commented that shame is “stigma turned inwards” and that shame can impede/hinder a person from accessing necessary resources or adaptions/adjustments.

The presenters suggested that “shame will be in the room” and there is a constant need to be gentle. It will also require of the teacher/facilitator a willingness to “have a go”, to accept that you will “not know what to do” in some situations. Some impairments will be invisible (especially in an online environment), so it is important to offer choice and support (despite the inconvenience and the challenge to move outside your “comfort zone”).

Reflection

At the time of listening to the Meet-Up, I was spending most of my days with my feet elevated as I was suffering from an infected ankle – I could relate to the pain associated with walking and standing when you have a disability. It reminded me of the time when a disc in my back collapsed and I spent 18 months in continuous sciatic pain (along with pneumonia in the early stages) – a condition resulting from the trauma of my mother dying and an arduous flight to and from Cartagena in South America (36 hours each way) as well as the cultural shock.

Listening to the presenters, I also became aware that I have some form of environmental sensitivity (which I had not named before) – I experience “exercise asthma” when playing tennis in cold environments and sweating at night when the humidity is very high (over 80%) and the wind speed is low (below 10 kph).

As we grow in mindfulness we can become more aware of what other people are experiencing, more sensitive to their needs and more courageous in taking appropriate, compassionate action.

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Image by Jackson David 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.

Managing Chronic Pain with Mindfulness

Christiane Wolf , MD, PhD, provided an encouraging meditation podcast on the topic of employing mindfulness to manage chronic pain and the mind’s activity that exacerbates our feelings of pain. In her guided meditation, The Past and the Future Pain Story: Working with Pain in the Present Moment, shespoke of the role that rehashing the past and/or rehearsing the future plays in our experience of pain and offered ways to reduce the mind’s influence over our pain experience. Christiane is the author of Outsmart Your Pain – Mindfulness and Self-Compassion to Help You Leave Chronic Pain Behind, and is a meditation teacher who offers audio meditations and mindfulness videos on her website.

Guided meditation on mindfulness for managing chronic pain

Christiane begins her guided meditation with ensuring your posture is comfortable and well-grounded (whether in a chair, couch or on the ground). To help with grounding, she suggests that you focus on the solid sensation of your feet on whatever surface you are on. Closing your eyes for the sake of strengthening your focus on your meditation is offered as an optional extra. Christiane recommends some bodily movement, such as turning your neck or rolling your shoulders, as a way to improve your comfort level when undertaking the meditation.

The next phase of the guided meditation entails focusing on your breath. Here, Christiane encourages you to really feel your breath by both deepening and lengthening your breathing. An alternative to using the breath as an anchor is to focus on sounds around you or the sensation in your feet or your hands. She maintains that a meditation anchor is based in the body and its senses to enable a focus other than being “lost in thought”. It’s a place to return to whenever thinking distracts you from the primary focus of your meditation.

How the brain exacerbates our feelings of pain

Christiane points out that our brain has a major role in how we experience pain whether the pain derives from chronic physical pain or enduring uncomfortable feelings, emotions, or thoughts. To build your awareness of the mind’s influence she suggests that firstly you explore the “past pain story” – what you are telling yourself about the origins of the pain (e.g., “outside my control”), how it was experienced in the past, or mistakes/poor decisions that led to your pain. She argues that the mind through recalling the past pain is trying to protect you from its recurrence or to prevent the same mistakes/poor decisions that may have occurred in your past. Sometimes the recollection of the previous intensity of the pain serves to strengthen your resolve to avoid the pain and/or the factors that contributed to it.

Once you have explored the past pain story, Christiane encourages you to explore the “future pain story” – what is it that you are anticipating will happen in the future as a result of your pain? (typically, we envisage the worst); how does your future story make you feel? (e.g., anxious, uncertain, fearful, resentful, or sad).

Christiane argues that the past and future pain stories are like baggage that you carry around that increases the load of your pain and exacerbates your feelings of pain. She uses imagery to help you reduce your pain – she suggests you view the past and future pain stories as a heavy suitcase, weighing you down. Her recommendation is that you view yourself putting the suitcase (of stories) down on the ground so you are relieved of its added weight and can gain clarity about the nature of your pain and role of your brain in rehashing past pain or anticipating future pain. It is important to reflect, at this stage, on what is left of your pain after the stories are removed or have been put away.

Widening the focus

Christiane recommends “widening the lens of your focus” at the end of the guided meditation. This entails initially focusing on people you know who are experiencing suffering or pain and wishing them strength and healing. She encourages you to then expand your focus to include people anywhere in the world who are experiencing pain or grief as a result of the COVID19 pandemic, a natural disaster, or the collapse of a building as in Miami recently. Her desire is that you extend loving kindness to these people.

Reflection

Christiane’s approach enables us to “unpack” the thoughts and feelings that accompany chronic pain – she puts the spotlight on the role of the brain in creating past and future pain stories to enable us to lighten the load. In the guided meditation, she suggests ways to lighten the load using mindfulness. In her book she provides additional exercises, meditations, and reflections to enable us to effectively manage chronic pain and suffering.

She encourages us to explore our pain with openness and curiosity to better understand and manage it. She suggests that we should not begin her mindfulness approach with a really difficult pain but ease into it gradually starting with some form of suffering that is not so complex or challenging.

When I followed the guided meditation, I decided to focus on the challenge I have with dermatitis and associated food intolerances. I had suffered dermatitis over the whole of my body in 2017. In recalling this event during the meditation, I realised that my “past pain story” focused on the extreme discomfort of the condition and the disappointment of having to limit severely what I ate and drank during a visit to Northern Italy – no wine, coffees, pasta, desserts, etc. However, my current experience of dermatitis is very limited compared to then but I do have a “future pain story” that anticipates what would happen if the inflammation blew out again. I found the guided meditation lightened the load of the past feelings of disappointment and the anticipatory feelings of anxiety and fear.

As we grow in mindfulness through meditation and reflection, we can understand our pain better and learn ways to manage our chronic condition. We can also develop the strength to deal with the difficult emotions associated with chronic pain and suffering, including resentment.

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Image by JUNO KWON 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.

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.

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 Way. She 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.

Mindfulness and Dealing with Pain

Diana Winston in her meditation podcast, Working with Pain, offers some suggestions on how meditation can be used to alleviate and/or manage pain better. She highlights the fact that along with pain are the stories that we tell ourselves about the pain we are experiencing, e.g. “This pain will never go way.”, This is ruining my life.”, “I cannot cope with this pain.” Diana suggests that the stories aggravate the suffering we experience with pain and only serve to amplify the pain through their negativity.

Pain and suffering are part of being human as we are reminded by the Buddhist tradition. Diana quotes the often repeated saying, “Pain is inevitable, suffering is optional”, to remind us that we have choices in how we deal with pain. So, we are left with the challenge of managing the pain that occurs at different points of our life, whether the pain of loss or physical pain in some part or all of our body. Dealing with chronic pain through mindfulness has been the focus of a lot of the pioneering work of Jon Kabat-Zinn.

Meditation for working with pain

Diana provides a meditation exercise for working with pain in her podcast mentioned above. The meditation practice involves several discrete steps and is about 20 minutes in length:

1. Grounding – feet on the ground, arms relaxed on your lap or beside you (h0wever is comfortable), eyes closed or looking downwards, a few deep breaths to relax your body.

2. Focus on your breathing – focus your attention on wherever you can feel your breathing in your body (nose, mouth, chest, stomach). Don’t try to control you breathing but just notice it, e.g. the undulations of your stomach. Get in touch with your in-breath and out-breath and the space between. You can rest in the space.

3. Body scan – explore your body with your attention, noting as you progress from your head to your toes any points of tightness, tingling or other sensation. Just notice as your attention moves over your body and let go as you experience the sensation. (The art of noticing is integral to mindfulness practice.)

4. Refocus on your breathing – now return to mindful breathing (3 above). Spend a reasonable amount of time resting in this focus – about 10 minutes say.

5. Focus on a relaxed part of your body – the aim is to locate in your body a part (e.g. arm, leg, chest) that feels secure, relaxed, at peace and pain-free. Rest for a time in this relaxed part of your body to enable the sensation of peace and calm to spread through your body.

6. Focus on your pain – now focus on that part of your body where you are experiencing the ongoing pain. Feel the sensation of the pain and describe the sensation to yourself. Now focus on the stories you have developed around the pain and let them go – they are fabrications created by your fight/flight response. If you can, bring your focus to a point outside the area of pain as a prelude to completing the next step.

7. Re-focus on the relaxed part of your body – experience the restfulness here.

8. Re-focus on your breathing – gradually bring your attention back to your breathing. After a time of mindful breathing, resume your daily activity.

As we grow in mindfulness though meditation, we can learn ways to reduce pain or better manage pain so that we can function normally. It is important to master our stories that aggravate our suffering from pain.

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

Image source: courtesy of dimitrisvetsikas1969 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.

Tai Chi and the Mind-Body Connection

In a previous post when discussing mindfulness and neuroplasticity, I mentioned that Tai Chi actually develops the mind physically by increasing the size of the insula in the brain.

Tai Chi is one of the mind-body techniques that form part of Traditional Chinese Medicine and is based on Chinese philosophy incorporating Taoism and Confucianism. Tai Chi involves a combination of slow movements, body postures and mindful breathing. In Chinese philosophy terms, it facilitates the flow of Qi, “life energy”.

Tai Chi has been shown to improve muscle strength, balance and flexibility and, when used in conjunction with Western Medicine, helps patients suffering from Parkinson’s Disease, Arthritis and low bone density as well as helping people to recover from the effects of a stroke.

The real benefits of Tai Chi flow from its capacity to simultaneously develop the mind and body of the practitioner and thus enhance their mind-body connection. Alzheimer’s disease is a clear example of the mind-body connection because as the mind deteriorates so does the body. Tai Chi has been shown to combat Alzheimer’s.

The power of Tai Chi to develop the mind derives from the state of “relaxed concentration” achieved by focusing on the coordination of mind and body in a series of slow, balanced and rhythmic movements, while focusing on a single thought. The focused attention develops mindfulness, improves memory and strengthens concentration. Dr. Shin Lin, in a talk at the UCLA Center for East-West Medicine, provided research results to show that Tai Chi produces new neurons during regular practice which suppress stress and build memory.

Dr. Lin indicated that Tai Chi, besides producing stress release, also improves immunity and eases chronic pain and fatigue. Professor Michael R. Irwin, Medical Doctor and Director of the Cousins Center for Psychoneuroimmunology at UCLA, has demonstrated in his research that Tai Chi “promotes improvements in health functioning, viral specific immunity, and inflammation”. His area of research and practice is focused on the mind-body connection – “Psychoneuroimmunology” involves the “study of the interaction between the psychological processes and the nervous and immunity systems of the human body”.

I have found from personal experience that Taoist Tai Chi helps both my mind (concentration, focus and creativity) and my body (energy, balance and fitness). I use the evidence of the mind-body benefits of Tai Chi to motivate my daily practice.

Karl Romain, in discussing how Tai Chi trains the brain, suggests that if you cannot find time for meditation and Tai Chi, practise your Tai Chi because it has a meditation element, as well as provides benefits for your mind-body connection. I think the two practices, meditation and Tai Chi, are highly complementary and my personal goal is to achieve daily mindfulness practices that include both traditions.

As we grow in mindfulness through meditation and/or Tai Chi, we develop improved health and wellness, develop our minds and deepen our mind-body connection.

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

Image source: courtesy of johnhain 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.

Persistence with Mindfulness Creates its Own Reward

In previous posts, I discussed how mindfulness meditation can provide pain relief in situations of chronic pain and alleviate the symptoms of psoriasis.

From my personal experience, I can confirm that being mindful in the midst of pain or the relentless itch from psoriasis is not easy. However, I have found in both situations that mindful meditation has been extremely helpful.

In 1997, my back collapsed and I could not stand for more than two minutes or walk more than 10 metres without experiencing excruciating sciatic pain that travelled down to my ankles. On top of this, I had pneumonia which aggravated the pain whenever I coughed.

I spent 18 months having all kinds of treatment – chiropractic, hydrotherapy, physiotherapy and osteopathy. There were times when I had to lie on my back on the floor, alternating one hour on and one hour off. When you are lying on the floor, there is not much you can do except meditate – which is what I did to achieve some degree of pain management.

More recently, I have found that mindful breathing focused on the part of my body that is itchy, has provided some relief. This is difficult to do because the temptation is to seek distraction rather than focus on the source of discomfort. However, as I mentioned in my previous post on psoriasis, research has demonstrated that mindful meditation can actually enhance the healing benefit of whatever form of treatment for psoriasis you are undertaking.

We know from experience that conscious breathing can help us manage pain when, for instance, we are undertaking painful physiotherapy or remedial massage. Research shows that conscious breathing, combined with focused attention, actually speeds up the healing process.

While the pain or itching discomfort can remind you, and motivate you, to undertake mindfulness meditation, this practice in turn helps you to grow in mindfulness – with all its attendant benefits. So, there is a two-way dynamic operating – pain and discomfort precipitate mindful practice and the latter reinforces other forms of mindfulness that you have developed through different techniques. Also, as you grow in mindfulness, it gets easier to be mindful when experiencing chronic pain or discomfort from psoriasis.

What I found helpful too is to visualise a future state where you are healed – in my case, visualising returning to playing tennis again on a weekly basis, a state which I eventually achieved after mindfulness meditation in concert with multiple treatments for my back problems.

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

Image source: Courtesy of illustrade on Pixabay

Mindful Meditation to Reduce the Symptoms of Psoriasis

In an earlier post, I discussed how mindfulness meditation can help the management of chronic pain. In this post, I will focus on the beneficial effects of mindful meditation for the management of psoriasis.

Psoriasis is a chronic skin condition that can last for weeks, months and even years and can recur at anytime. This skin condition is thought to be an autoimmune disease that typically manifests as a rash or skin lesion that can be exceptionally itchy and results in dry, cracking skin that can be painful. The skin problem is exacerbated because people with psoriasis, consciously or unconsciously, scratch the itching skin which intensifies the itch and increases inflammation of the skin.

This vicious cycle can contribute to emotional and psychological problems. People who suffer from this skin condition may feel embarrassed to be seen out in public and may withdraw emotionally leading to depression. The negative emotional effects are aggravated by the difficulty experienced in attempting to heal this persistent skin condition – a debilitating disease experienced by 450,000 Australians and over 125 million people world-wide according to the Skin & Cancer Foundation.

There are numerous triggers to cause psoriasis in an individual – stress and infection being two of the major triggers. The inability to isolate the primary trigger for an individual adds to the anxiety experienced by the psoriasis sufferer.

Jon Kabat-Zinn, a renowned mindfulness expert, undertook research in support of an approach to curing psoriasis using meditation as a means to heighten the effect of the treatment. His research involved two groups of people receiving treatment for psoriasis, one group practising meditation during the treatment and the other group, the non-meditators, taking the treatment as normal. He found that “the meditators skin cleared at four times the rate of the non-meditators”.

In discussing these results (which have been confirmed by other researchers), Kabat-Zinn suggested that the positive effect of meditation on the rate of healing of psoriasis is related to the connection between the body and the mind:

And it is a beautiful example of the mind/body connection because you’re doing something with your mind and something is happening in the skin. So it just doesn’t get any better than that.

The Psoriasis & Skin Clinic offers a number of meditation methods to reduce the stress associated with psoriasis and to build emotional resilience while suffering from this skin condition. They suggest a form of body scan meditation which involves concentrating on a specific part of the body where itching or pain is experienced., breathing deeply and focusing your mind on that itching or pain to reduce or alleviate the discomfort.

They also suggest another meditation/relaxation technique which involves experiencing, or thinking about, a peaceful or inspiring location and using this focus to release any troubles or worries that may be causing you stress. Their instruction for this exercise is reminiscent of Kabat-Zinn’s book, Coming to Our Senses: Healing Ourselves and the World Through Mindfulness:

If you are sitting on the sand on the beach, feel the setting sun warm your face, feel the breeze on your skin, smell the ocean air, taste the salty tang on the breeze, hear the waves washing right up to you and as you hear each and every wave, release all of your stress and throw it onto the waves to wash out into the ocean.

As you grow in mindfulness through mindful practices such as these meditations, you will be better able to manage the discomfort of psoriasis and assist your healing process, whatever treatment method you adopt. The experience of itching or pain can even become a catalyst to mindful meditation to relieve the discomfort.

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 Meditation for Pain Relief

As we grow in mindfulness we start to learn the many ways that mindfulness can improve the quality of our lives.

The quality of life of many chronic pain sufferers has been improved through mindfulness meditation for pain relief, pioneered by Jon Kabat-Zinn.

This resource which is available in CD format or audio download, provides an insight into how mindfulness can help you manage chronic pain as well as mindfulness meditations that can be used for pain relief.

Jon Kabat-Zinn, the founder of mindfulness-based stress reduction (MBSR), maintains that current neuroscience research supports the idea that the more we become aware of the pain in our body and mind, the better we are able to manage pain and improve the quality of our life. The research shows that awareness of the body-in-pain compared to distraction from pain, has a greater benefit and provides a more sustainable release from the physical and emotional impact of chronic pain.

We all experience the unwanted parts of life, pain and suffering, at some time in our lives – some people for longer than others through the experience of chronic pain. Mindfulness meditation can help us relieve not only the physical aspects of pain but also the emotional impacts which can take the form of frustration, depression, annoyance, anger and the inability to concentrate. We can expend so much of our energy and focus just managing the pain that we are quickly exhausted and unable to concentrate.

Jon Kabat-Zinn provides an introduction to his mindfulness meditation for pain relief and this free resource, which includes meditation practice, can help you realise the potential benefits of this approach for improving the quality of your life:

Jon Kabat-Zinn assures us that through mindfulness meditation we can come to realise:

we are not alone in experiencing pain; and
learning to live with pain is possible.

He makes the salient point that managing pain is part of the work of mindfulness itself and that by participating in mindfulness meditation for pain relief, we are immersing ourselves in the global mindfulness movement that is raising global consciousness – people all around the world are becoming more mindful and we are contributing to this movement that promotes peace, harmony, loving kindness and awareness of others and nature. Our self-compassion through pain management is contributing to compassion for others.

We can grow in mindfulness in many ways. The drivers for our motivation to practice mindfulness can also be many and varied. If you are a chronic pain sufferer, this experience could provide the motivation to develop mindfulness for pain relief.

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

Image source: Courtesy of Sae Kawaii on Pixabay