Self-Care for Mental Health Professionals

In his book, Trauma Informed-Mindfulness With Teens, Sam Himelstein stresses the need for self-care for mental health professionals dealing with traumatised teens.   His final chapter is devoted to self-care and professional practice.  Dr. Cirecie West-Olatunji, counsellor educator,  also stresses the need for self-care for professionals working with people experiencing traumatic stress.  Her video presentation is available as part of the courses provided by the Mental Health Academy.   Both experts in the area of counselling for trauma highlight the impact of vicarious trauma, especially the risk of mental health professionals experiencing compassion fatigue.

Mindfulness for self-care

Sam himself experienced trauma in his early 20s when he lost his sister through suicide. He makes the point that most health professionals will have experienced trauma of some kind and that this experience leaves them open to triggering their own traumatic response through exposure to the trauma stories of other people.  Cirecie highlights the fact that the trauma stimulus can be exacerbated where the professional has previously experienced combined or cumulative trauma. 

Sam emphasises the role of mindfulness in helping the professional to deal with their own re-traumatisation as a result of interaction with others and their emotionally draining stories.  He stresses the role of a personal mindfulness practice in helping him deal with the trauma of his sister’s suicide.

Sam  suggests that a personal approach to mindfulness as a protective mechanism could involve the following:

  • Silent retreat(s): Sam found these exceedingly helpful because they enable you to fully experience your emotions, gain a deep insight into your inner landscape and develop strategies to maintain or regain your equilibrium.
  • Formal practice: this entails inculcating a regular mindfulness practice (either sitting, standing, or walking) where you engage in some form of formal meditation.  This helps to build your concentration to enable deep listening, empathetic response, and the ability to promote wise action.  It also assists you to deal with your own difficult emotions (such as anger, resentment, or frustration), challenge self-defeating narratives and develop resilience in the face of challenging interactions.
  • Beyond meditation: Sam suggests that bringing mindfulness into your everyday life (in daily activities such as walking, washing clothes, eating, shopping), is effectively “mindfulness-in-action”.  It is particularly relevant to your relationships and interactions with others, especially in times of conflict.  One way to develop the necessary calmness and equanimity in the face of emotional challenges is to practice reflection-on-action to eventually cultivate the capacity to reflect-in-action, in the course of something adverse happening to you (whether that adversity is real or imagined).  Sam stresses the importance of daily mindfulness practices in controlling the “ego” which can get out of hand when  it perceives a threat (physical, emotional, or intellectual).

Professional development

Both Sam and Cirecie stress the importance of professional development to build competence and confidence to enable you to operate effectively within your chosen arena of professional practice.  For Sam this is the arena of traumatised youth, especially those who have been incarcerated.  He offers specialised training for health professionals through his Center for Adolescent Studies.  Cirecie’s professional arena includes trauma stress service delivery and training professionals who provide counselling in different countries following disasters such as earthquakes and pandemics.  She conducts research and training through her Xula Center for Traumatic Stress Research.

Cirecie stresses the need to gain control over your workload and, where necessary, seek to negotiate a lighter load (for your psychological welfare and that of your clients).  She maintains that every mental health professional, irrespective of their level of experience and training, has their window of tolerance beyond which they are unable to function effectively.  She gave an example of how a racist client triggered her and how  her experience in working in South Africa with a community where people were consistently dying from AIDS took her outside her window of tolerance and led to a severe illness.  In both cases, she sought professional counselling and recommends this form of professional development for other mental health professionals.

Cirecie highlights the importance of self-knowledge and self-awareness as critical factors in professional counselling, particularly understanding your own negative triggers.  She encourages too the development of your own professional support network that you can draw on for knowledge, experience, resources, and emotional support.  

In Cirecie’s view, personal and professional development extends to conscious awareness of the physical and psychological health risks inherent in the role of a mental health professional.  She urges appropriate preparation for the role through education which will provide motivation for health self-care (e.g., exercise, stretching (to release physical tension), diet, and drinking water).

Reflection

There are many reasons why mental health professionals do not undertake adequate self-care.  When working with clients who have suffered trauma or are currently experiencing trauma, it is critical that the health professional takes time for self-care to enable them to function at their best for the sake of their clients, as well as for their own welfare.  Mindfulness practice is recognised as a key component of this necessary self-care.  As mental health professionals grow in mindfulness, they are better able to identify personal triggers, develop resilience for their challenging work and build the capacity to engage in deep listening.  However, mindfulness practice needs to be supported by an appropriate lifestyle. 

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Image by Vanessa Kenah 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.

Self-Compassion in Times of Uncertainty and the Coronavirus

There are many people offering ways to manage anxiety and fear in these times of uncertainty brought on by the global Coronavirus.  Psychologist Rick Hanson, for example,  provides multiple online mindfulness resources including the Wise Brain Bulletin.  In the latest issue (Volume 14.2), Kristin Neff and Chris Germer offer 10 self-compassion practices for self-management during this time of the pandemic.  Self-compassion is about being compassionate towards ourselves despite our mistakes, deficiencies and perceived weaknesses.  It takes time and effort to build self-compassion, particularly if we are used to negative self-talk, berating ourselves for our mistakes or constantly comparing ourselves to others (and coming up short in our own estimation).

Elsewhere, Kristin provides a video explanation of the concept of self-compassion, discusses the three components of self-compassion and offers exercises on how to develop each of these.  She also offers a range of guided meditations and exercises on the website for the  Center for Mindful Self-Compassion.   Kristin and Chris are co-developers of the Mindful Self-Compassion (MSP) Program designed for those who want to explore more fully the richness of this mindfulness approach.  They are very well qualified to teach mindfulness and compassion (for ourselves and others).

Additional Approaches to developing self-compassion

There are multiple resources and exercises available to help you build self-compassion.  Some that are very accessible and easy to use are:

  • Compassionate body scan: a 20-minute progressive body scan that focuses attention on different parts of the body and treats each part of the body with kind awareness and tension release.  The guided body scan is offered in separate audio recordings by both Kristin and Chris.
  • Mood tracking: an essential element in building the self-awareness necessary for developing self-compassion and improved mental health.  There are many mood tracker apps that help you identify your triggers and enable you to gain control over your emotional responses.  Steve Scott provides a review of the 14 best mood tracker apps available today.  These apps provide a ready means of tracking stimuli and your responses in terms of moods/feelings.

Reflection

Self-compassion is the antidote to negative self-evaluation, just as gratitude and savouring what we have reduces competitive comparison and envy.  As we grow in mindfulness and self-compassion through meditation, mindfulness practices/exercises and reflection on the triggers that precipitate our strong emotional responses, we can progressively develop self-intimacy and the self-regulation necessary to identify our negative triggers and control our responses.

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Image by Stephen Cruickshank 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 for Self-Regulation

Over the past few months, I have been conducting manager development workshops with my colleague as part of an action learning program for public sector managers.  The program, called Confident People Management (CPM), is skill-based and focuses on developing skills to enable managers to build a productive, mentally healthy workplace culture.

In a recent workshop, two of the participating managers identified issues in their approach to management that related to the need to develop self-regulation.   I will describe each of these issues in turn and discuss how mindfulness could help each manager to develop self-regulation to deal with their particular managerial issue.  The names will be changed to respect the privacy of the individuals involved.

Self-regulation for a racing mind

An integral part of the four-month, manager development program is the workplace practice of skills learned in the monthly workshops.  Each workshop begins with a shared reflection on this workplace practice – what was attempted and what outcomes, intended and unintended, were realised.

John reported that he had been practising active listening in the workplace.  However, the biggest impediment to his effective listening was his racing mind.  Each time someone he was talking to mentioned an issue, John’s mind would automatically start racing, filling his head with ideas and solutions.  He found that he could not stop this mental activity and it got in the road of his active listening.

John could learn to still his racing mind by practising a form of narrow awareness such as mindful breathing.  There are two key elements of mindful breathing that would help John with self-regulation, the focus on breath and the practice of continuously returning to this focus when thoughts arise.

With mindful breathing, awareness of breath becomes the anchor of the meditation practice. Each time a thought arises, it is allowed to float to the surface like a bubble that eventually bursts.  Each thought is noticed but not entertained, and during the meditation the participant develops the discipline of continuously returning to the primary focus of breathing.  This anchoring, through focused awareness of breath, builds the capacity for self-regulation for a racing mind.

Self-regulation for the management of triggers

Another participant, Mary, expressed the issue of being constantly triggered in the workplace and finding herself becoming irritated and angry.  The management of negative triggers is an important skill for a manager in the workplace because they need to model appropriate behaviour and not become the victim of their uncontrolled impulses.

Mary explained that certain triggers led to physical signs of agitation such as tightness in her chest and shoulders and overall tension in her body.  She was able to identify the bodily manifestation of her heightened, negative emotions as well as the inappropriate behaviour that this led to, such as angry words and an aggressive stance.

What would help Mary to manage her response to these negative triggers would be the practice described as S.B.N.R.R. in a previous post.  This practice would enable Mary to develop more appropriate responses to the negative triggers.  The process involves stopping (delaying a response), breathing deeply (to gain control), noticing tension points in the body (to release the tension), reflecting on any pattern in the triggers (to better understand why she is triggered by particular words and/or actions) and responding in a more appropriate way (to gradually increase her response ability).

As managers grow in mindfulness through appropriate meditation practice (such as narrow awareness and S.B.N.R.R.), they can develop self-regulation to deal with issues that would otherwise derail their management of people and the development of a productive and mentally healthy workplace.

 

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

Image source: courtesy of ernestoeslava on Pixabay

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Building Self-Awareness Through Mindfulness Meditation

Daniel Goldman explains that emotional self-awareness is the ability to “recognize and understand our own emotional reactions”.  He maintains that it is the foundation competency for the development of emotional intelligence.  If we have self-awareness, we are better able to achieve self-management and be empathetic and compassionate towards others.

Building self-awareness through mindfulness meditation

Goleman maintains that one of the best ways to develop self-awareness is mindfulness meditation.  He states that  his review of research on mindfulness with Richard Davidson demonstrated that meditation lessens the amygdala control over our response to negative triggers; enables us to be more aware of, and reduce, mind wandering; enhances our concentration and, overall, makes us calmer under stress.  According to Goleman, there is considerable payoff from self-awareness.

Kabat-Zinn, in discussing meditation in his book, Coming to Our Senses, maintains that the purpose of mindfulness meditation is to “cultivate qualities of mind and heart conducive to breaking free from the fetters of our own persistent blindness and delusions” (p110).  He suggests that our innate ability to be aware of our emotions and thoughts has eroded over time, the decline being further exacerbated by the pressures of modern living.   What mindful awareness, “wakefulness”, has brought to society, in his view, is the possibility “to break out of seemingly endless cycles self-delusion, misperception, and mental affliction to an innate freedom, equanimity and wisdom” (p.113).

Goleman in his book, Focus: The Hidden Driver of Excellence, maintains that mindfulness meditation enables people not only to manage their attention but also their emotions (p.198).  As a result, one thing that such meditations can do is increase the response ability of people so that they are better able to create a gap between stimulus and response and choose constructive ways of responding.  He suggests that there is a very wide variety of meditations that can help people achieve the desired level of self-awareness.

Goleman, in his Focus book, also reports a conversation he had with Jon Kabat-Zinn about his Mindfulness Based Stress Reduction (MBSR) Program (p.198).  In that conversation, Kabat-Zinn pointed out that people on their own accord changed their behaviour (e.g. stopped smoking) once they started “paying attention to their own inner states” – this happened despite the changed behaviour not being the focus of their meditation efforts.  Just developing self-awareness about their own feelings and stimuli enabled them to see what needed to be changed in their lives.

As people grow in mindfulness through meditation, they are better able to develop an understanding of their own emotions and thoughts and improve their response to stimuli that occur throughout their day.  In this way, they are calmer and more in control of their reaction to negative triggers.

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

Image source: courtesy of geralt on Pixabay

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The Power of Awareness: Mindful Breathing

Jack Kornfield and Tara Brach, in their online Power of Awareness Mindfulness Training, stress the importance of mindful breathing as a universal practice that is foundational to developing mindfulness.  Jack not only leads participants in a mindful breathing practice, but also explains the rich rewards of this practice.

Why practice mindful breathing?

Mindful breathing is, perhaps, the simplest and most accessible mindfulness practice.  It can be done anywhere, anytime because we are always breathing, whether we are conscious of it or not.  Jon Kabat-Zinn suggests that it is lucky that our breathing is not dependant on conscious thought, otherwise we would stop breathing because we are so often unaware of what is going on within and around us.

In a talk to Google staff, he explained to the managers and programmers present that they could easily take a few moments and do mindful breathing at their desk during the day.  Mindful breathing is so powerful because it gives us access to both self-awareness and self-management.

Developing self-awareness through mindful breathing

Jack talks about breathing mindfully as opening a window to ourselves.  If we are having trouble starting the practice – by locating a place in our body where we sense our breath (e.g. in our chest, throat, nose or stomach) – then this tells us something about our lack of awareness.

As a window, mindful breathing allows us to look in on ourselves – to notice the thoughts and their content that pass through our minds, to sense the tightness in various parts of our body and to understand the link between our emotions and our bodily reactions, e.g. fear creating tightness in our chest, nervousness causing us to shake.  We become acutely aware of our emotions and the connection between our mind and emotions and our emotions and our body.

The secret to mindful breathing is to not entertain our thoughts but to let them float by, while noticing what they are telling us about ourselves.  What do we think about most – is our mind always in the past or the future?  Do our thoughts depress us or create anxiety?  Are we always planning, not stopping to experience the moment?

Developing self-management through mindful breathing

Even the way we are breathing is rich with information about ourselves – is our breathing getting faster (anxiety coming on) or slower (learning to relax).  Are we becoming conscious of the space between our in-breath and our out-breath?  With our growth in self-awareness comes the opportunity to develop self-management.

Conscious breathing is used worldwide for self-management in a range of contexts – midwives encourage birthing mothers to breathe slowly and deeply; remedial massage therapists encourage you to breathe through the pain; and people who teach singing, like Chris James, begin with explaining to people how to breathe properly to release the tension in our bodies and vocal cords.

We know intuitively that if we slow down our breathing, we can become more relaxed and less anxious.   Some self-management practices, such as the SBNRR process previously explained in relation to managing negative triggers, begin with stopping and breathing consciously but slowly.

Mindful breathing practice itself does not require us to control our breath, but to notice it by focusing on where we can sense it in our bodies.  Increasingly, we become aware of the stillness and spaciousness in mindful breathing.  However, it does take practice to realise the full benefits of mindful breathing.

Jack suggests that, as a starting point, we practice breathing mindfully twice a day for five minutes each time.  He suggests that if we do this at a regular place and time, the habit will be sustained.  The secret to success in developing awareness is to start small, but start now.

Breathing mindfully helps us to slow the pace of our life, to access our creativity and to develop calm and clarity.  As we grow in mindfulness through mindful breathing, we open the window to self-awareness and enhance our capacity for self-management.

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

Image source: courtesy of alfcermed 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.