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.

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.

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 CarersThe 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.

How to Build Mindfulness into Leadership Development

Wendy Saunders, Senior Member of Leadership Development at YMCA of USA, presented at the recent Mindfulness@Work Summit on the topic, Embedding Mindfulness and Compassion in Leadership Development.  She discussed the principles her organisation employed to build mindfulness into leadership development.  In the process, Wendy identified the challenges the leadership development group encountered along the way and the strategies they employed to overcome them.

YMCA of USA is a diverse, massive organisation comprising women, men and children amongst its 20,000 staff and hundreds of thousands of volunteers.  Besides the central resource centre responsible for activities such as leadership development, there are 2,700 YMCAs spread across the country.  The areas of focus of “the Y” are “youth development, healthy living and social responsibility”.

Wendy explained that YMCA of USA offers layered leadership development programs comprising the following:

  • Executive Development Institute
  • CEO Preparation Institute
  • Leadership Certification courses covering three levels – (1) team leader, (2) multi-team managers and (3) organisational leaders.

The fundamental challenge was how to build mindfulness into ongoing leadership development activities that were built on a “cause-driven leadership” model incorporating experiential learning.

Principles and strategies for building mindfulness into leadership development

During her presentation, Wendy identified some key principles and strategies that helped YMCA of USA integrate mindfulness into the existing suite of leadership development offerings:

  • have patience – a fundamental requirement for success. Wendy explained that the leadership development team had been working for 5 years to get to where they are now with mindfulness integration and they still had a long way to go to achieving the goal of embedding mindfulness into all leadership development programs of YMCA of USA
  • make small insertions – in line with the patience principle, a starting strategy is to make “small insertions” into existing leadership programs, adopting a gradual approach to building mindfulness integration
  • offer short meditations – while experienced meditators practise meditation for 30 minutes or an hour a day, meditations incorporated into leadership development programs should be brief so that they can be experienced as realistic and achievable
  • build on what already exists – e.g. mindfulness was built onto the emotional intelligence focus of the Executive Leadership Institute. This is in line with the approach of the two-day Mindful Leadership training provided by the Search Inside Yourself Leadership Institute which incorporates the three pillars of mindfulness, emotional intelligence and neuroscience
  • make it experiential so that participants can experience the benefits of mindfulness through different meditations and mindfulness practices
  • offer an introduction to mindfulness workshop on an optional basis and when mindfulness integration is bedded down, make some elements compulsory (e.g. the online Introduction to Mindfulness Workshop is now mandatory for participants in the Executive Development Institute)
  • assist people to discover the “faith inclusive” nature of mindfulness – YMCA of USA set up a task force of people who practise different religions to help them explore the compatibility of mindfulness with their religions
  • offer ongoing related workshops – to enrich the conversations about mindfulness, assist mindfulness practice and encourage reflection
  • match the mindfulness content to the focus and level of the leadership program – e.g. for CEO development the YMCA of USA has focused on mindfulness for creativity to assist CEOs to build a culture of innovation; for the team leader development course they are planning to introduce basic level mindfulness approaches and concepts such as mindful breathing, how to reduce stress and increase productivity, how to build intention
  • complement development courses with extensive resources such as books, articles, podcasts, links to guided meditations, mindfulness blogs.

As leaders in organisation grow in mindfulness through the progressive and carefully planned integration of mindfulness into leadership development programs, the organisation can experience the benefits of improved productivity, increased levels of staff engagement, better organisational integration and improved outcomes for clients and customers.

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Image by Gerd Altmann 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.

Resilience is Not Endurance or Acceptance of a Toxic Situation

Resilience is very much about “bouncing back” from adversity or setbacks. Richard Davidson in his research has shown that resilience can be measured in terms of the rapidity with which the body returns to its “baseline” – measured in terms of level of cortisol and the level of activation of the amygdala. He maintains that resilience is not acceptance or endurance of a toxic environment that is unjust or inappropriate.

Resilience can be built through developing life skills that enable you to move beyond significant adverse life events. Richard and his colleagues have identified conscious ways to build resilience by using meditation and mindfulness practices focused on developing bodily awareness, social connection, personal insight and life purpose.

Resilience does not lead to acceptance of a toxic situation but rather builds motivation and skill to address the situation effectively. Mindfulness practices designed to build resilience also strengthen your capacity to manage stresses experienced within a toxic situation by increasing self-awareness, enhancing self-regulation, improving clarity and calmness and releasing creativity.

Resilience and compassion: building motivation and capacity for action

In the previous post, I discussed social connection as one way to build resilience and compassion meditation (loving-kindness meditation) as a way to develop social connection. Professor David DeSteno, renowned psychologist and author of The Truth About Trust, maintains that the ability to build social connections through compassion (through assisting those in need) makes us more resilient over the longer term. 

Kelly McGonigal, in her presentation on The Science of Compassion during the Mindful Healthcare Summit, maintained that compassion benefits everyone in a system – the person who shows compassion, the recipient, colleagues and witnesses (e.g. the hundreds of thousands of people who have witnessed the compassionate action by Mo Cheeks).

Kelly’s research and that of her colleagues suggests that people who undertake training in compassion (such as Compassion Cultivation Training [CCT] offered by Stanford University) become strong and resilient advocates for system change where people are suffering. She maintains that participants in CCT are more able to effectively change a toxic situation through their hope, courage, renewed energy and strong social connection. She suggests that this “very work of change is a form of compassion”. On reflection, compassion appeared to be the driver in an earlier reported case where participants used action learning to redress a toxic work environment.

As we grow in mindfulness through meditations designed to build resilience, we can increase our motivation and capacity to act effectively to change a toxic situation that is causing suffering for people. By building social connections through compassion, we not only strengthen our resilience, but also enhance our capacity to act effectively with hope and energy to address the suffering experienced within the toxic system.

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Image by Bruno Glätsch 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.

Practical Mindfulness for Profound Effects

In the recent online Mindful Healthcare Summit, Jon Kabat-Zinn spoke about the profound effects of practical mindfulness. While the context he spoke about was the healthcare arena – doctors, nurses, allied health professionals and related roles – his comments have universal application because they relate to us as human beings and are built on the latest neuroscience findings.

Getting out of our heads

Jon describes us as “perpetually self-distracting” – we continuously distract ourselves from the task at hand through our thoughts which are incessantly active. Disruptive advertising in social media aid and abet this self-distraction to the point where mobile devices are now described as “weapons of mass distraction“.

Jon encourages us to be awake to the world around us – to the people and nature that surround us. He suggests we need to move out of the “thought realm” into the “awake realm”. He comments that when we are in the shower in the morning, we are more likely to be mentally at a meeting rather than aware of the sensation of the water on our skin. When we arrive at work, we are likely to be thinking about, and talking about, the traffic we encountered on the way.

He suggests that a very simple practical exercise when we wake up is to be consciously aware of our body – to “really wake up” and feel the sensation in our legs, our feet, our arms. He urges us not to start the day by getting lost in thought but to start by inhabiting our own body. When we do so, we open ourselves to the profound effects of being present in the moment, of being open to our capacity for focus and inner creativity.

Listening to others

Jon maintains that “listening is a huge part of mindfulness practice”. To truly listen, you need to be present to the other person – not lost in your own thoughts. When you attend to the other person through active listening, they “feel met, seen and encountered”. Jon draws on the work of Dr. Ron Epstein to support this assertion. Ron, the author of Attending: Medicine, Mindfulness and Humanity, established through his research and medical practice that “attending” achieved improved health outcomes for both the patient and the doctor.

Being fully present

Jon maintains that while meditation and other mindfulness practices build your awareness, the essence of mindfulness is to be fully present whatever you are doing. He argues that “the kindest thing you can do to yourself is to be present in the moment”. Jon reminds us that “tomorrow is uncertain, yesterday is over” so to live in the past or the future is self-defeating, disabling and potentially harmful to our health and well-being. He encourages us to meet each day (which is all that we have) with a clear intention – a commitment to make a positive and caring contribution to whatever is our life/work endeavour. This will have the profound effect of enhancing our own mental health and resilience, while creating an environment that is mentally healthy for others.

Tapping into our inner resources

Sometimes we can be so focused on the needs (or expectations) of others that we overlook the need for self-caring in the face of the stresses of life and work. He challenges us to befriend our self by tapping into our deep inner resources and “boundaryless awareness“. He contends from his own research and practice in Mindfulness-Based Stress Reduction (MBSR) that our bodies are “intrinsically and genetically self-healing” and that we are our own “deepest resource for health and well-being”. We need to access these healing inner resources through the practice of mindfulness in our daily life and work.

As we grow in mindfulness through mindful action in our life and work and mindfulness practices, we can tap our limitless inner resources, become increasingly self-healing, develop mentally healthy environments for others and achieve a higher level of fulfillment and happiness.

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Image by jamesoladujoye 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 Mindful Cities

The Search Inside Yourself Leadership Institute (SIYLI) conducts 2 day mindful leadership courses around the world based on the three pillars of mindfulness, neuroscience and emotional intelligence. Participants in these courses tend to be motivated to practice mindfulness and spread the learning and ideas to various local arenas such as schools, organisations and community settings. There are now movements underway to integrate these initiatives on a local level by developing “mindful cities”.

The Mindful City Project

One of the initiatives designed to aggregate local mindfulness activities is the Mindful City Project established by co-founders Deb Smolensky (CEO), Michelle Spehr and Ellen Rogin. Their approach is based on the three pillars of awareness, compassion (including self-compassion) and generosity. These pillars are underpinned by the knowledge, practices and insights emerging from neuroscience and emotional intelligence research.

In an interview with Jen Arnold, Deb and Michelle discussed their own background and experience with mindfulness and the motivation and purpose for the Mindful City Project. Deb mentioned that she had been introduced to mindfulness at age 10 by her drama teacher who taught his class to use body scan to overcome nervousness. In her twenties, she resorted to meditation to deal with her anxiety attacks.

Deb, Michelle and Ellen each have experience in the wellness arena, with Ellen’s experience focused on financial wellness. They saw the need to help communities to become more connected, collaborative and compassionate – to adopt a holistic approach to enable the whole community to thrive. The Mindful City Project initiative sets out to develop a framework that will enable both a common language and a set of practices (encapsulated in checklists). The aim is to provide education, resources and funding to enable leaders in city communities to progressively develop their own mindful city and to share their relevant knowledge and experience with leaders in other cities.

A beta mindful city project

Deb and Michelle discussed a pilot project in the city of Highland Park Illinois where they are working with three community groups – schools, businesses and public services such as hospitals and the military. A key intervention strategy is the development of a “layered form of education and practices” for each type of participant group.

For example, different seminars are conducted for students, teachers and parents – enabling reinforcement in all directions and exponential growth in the use of mindfulness practices. Schools are provided with a checklist of practice options that they can adopt – the practices covering each of the three pillars. A school, for example, could inculcate the practice of taking a mindful breath when the bell rings and/or instituting mindful pauses in classrooms.

A key pillar of the mindful city project is generosity. Schools can choose the level and breadth of their generosity endeavours, e.g. supporting a charity or adopting a pay it forward program. Deb and Michelle gave the example of a school that raised USD160,000 for childhood cancer.

In developing awareness in businesses, Deb and Michelle stated that they found the foundations for mindfulness already present in organisations in a number of forms:

  • emotional intelligence incorporated in leadership training
  • a focus on “unconscious bias” within diversity and inclusion training

Unfortunately, these mindfulness initiatives are often segregated and lose the opportunity for mutual reinforcement and the synergy that comes from a holistic approach. In the Mindful City Project approach, mindfulness training covers both internal and external elements:

  • internal – emotional intelligence and inner awareness
  • external – compassion and generosity

As people grow in mindfulness through education and mindfulness practices in schools, businesses and homes, the potential exists for leaders to build mindful cities that thrive on connection, collaboration and compassion. The Mindful City Project provides the resources and funding to enable cities to create their desired future.

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Image by Marion Wellmann 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.

What Does Neuroscience Tell Us About the Benefits of Mindfulness?

Continuous neuroscience research into the benefits of mindfulness has revealed supportive evidence that should encourage you to persist with mindfulness practices. While the neuroscience research into the power of mindfulness, and meditation specifically, is in its infancy, there are enough studies and research review articles to point to some real, measurable benefits.

Scientists still do not fully understand how the mind works but they have been able to identify the impact of meditation on the physical brain through Magnetic Resonance Imagining (MRI). Dusana Dorjee warns us, however, that science is a reductionist approach to the study of the mind and cannot effectively measure the whole range of states of awareness that can be achieved by the long-term meditator. Dusana is the author of
Neuroscience and Psychology of Meditation in Everyday Life: Searching for the Essence of Mind (2017).

How meditation changes the physical structure of the brain

A comprehensive review of neuroscience research into the impacts of mindfulness meditation undertaken by experienced meditators showed that eight regions of the brain were altered. Significantly, the regions of the brain that were positively impacted relate to:

  • capacity to be introspective and manage abstract ideas and, importantly, the ability to be aware of our own thinking
  • body awareness including touch, pain and proprioception
  • attention, self-control and regulation of emotions
  • ability to communicate effectively between the hemispheres of the brain (between right and left hemispheres).

Mindfulness meditation and happiness

Happiness can be developed as a skill and mindfulness meditation has a key role in its development. Well-being is increased, according to scientists at Wisconsin-Madison University, when the following capacities are enhanced:

  • ability to maintain positive emotions
  • rapidly recover from what is experienced as negative
  • engage in actions that manifest empathy and compassion
  • sustain attention in the present moment (and avoid mind-wandering).

Richard Davidson and Brianna S. Schuyler (2015) in their chapter, The Neuroscience of Happiness, draw on their mind research to argue that these capacities can be developed through training, especially mindfulness training and kindness/compassion meditation.

Research on the Neuroscience of Mindfulness Meditation by
Tang, Y. Y., Hölzel, B. K., & Posner, M. I. (2015) demonstrates that meditation can reduce stress and increase performance because it switches off the brain’s anxiety- riddled, default-mode network (focused on the past/future) and activates the task-positive network. This latter network focuses on the present moment. As the brain can utilise only one of these networks at any one time, meditation – through creating the task of focusing on the breath, body scan or some other aspect – can activate present mindedness which leads to physical and mental health, while deactivating the default-mode which would otherwise lead to stress and ill-health.

As we grow in mindfulness through meditation and other mindful practices, we can enhance our performance and the wellness-generating structure of our brains and move from the stress-creating default mode to the task-positive mode of operating in our daily lives.

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Image by Gerd Altmann 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.