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Anthony Quintiliani, Ph.D, LADC

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December 24, 2019 By Admin

Journaling and Grief Process

Journaling and Grief Process

Regular brief journaling may be helpful in your grief and horror regarding significant personal losses of self and/or others. Here are the various ways it may be helpful to you.

  1. Writing and reading about your personal loss experience may help you to make sense of the process, and at the same time guide you gently on that path.
  2. Journaling may open up past and present realities – both positive and negative – about your loss experience.
  3. At times anger, resentments, and regrets will come up. These realities open you up to the depth of the grief experience. Do not linger too long there!
  4. S. Kierkegard reminded us that our lived experiences are processed forwardly, but better understood if observed backwards. Journaling helps to focus us on the present but never lets go fully of the past.
  5. It may be important to you to make your personal journal more balanced with both negative and positive experiences. For example, it may be helpful to list all simple pleasures you experienced in any given day. It may also be a good idea not to linger emotionally too long when such experiences trigger negative states.
  6. I have always found it helpful to list my personal gratitudes, even in the midst of painful loss and suffering. It is not uncommon for the most valued experiences to be linked with the lost love-object and your shared life.
  7. If fear and trepidation occur as you move through the grief process, I suggest that you break down the scary moments into smaller, more manageable periods of time, space, and emotions.
  8. Pay attention to and write about both helpful and unhelpful thoughts, emotions, behaviors, and sensations related to your grief process. Be aware keenly of small improvements in all.
  9. You may notice that as you slowly heal you spend less time journaling. This is natural.
  10. You may wish to do “grave worship” practices, or simply write many good things about the lost person.
  11. V. Frankl noted that when we cannot change the reality of a situation, we may have to change ourself.
  12. When you find yourself crying over your loss, that is a very good time to contemplate and do journaling.
  13. Reading related poetry or writing your own may help you.
  14. If and when you experience the emptiness of the void inside, do your best to find words for the experience. And, work to fill that void by re-engaging with your life as it is now.
  15. It is always a good idea to develop and practice personal rituals about your healing. Write about this in your journal.
  16. S. Becket reminded us that we must go on! As painful as it may be, we cannot stop the process.
  17. As P. Chodron noted, we must allow it all to fall apart before we can find the resilience to face what comes next. In most situations, what comes next is slow improvement in your emotional condition.
  18. Rest in peace with your breath, and do more meditation or yoga if that suits you well.
  19. You may wish to visit optionb.org or other sites that support grief work.

Refer to Sandberg, S. and Grant, A. (2017). Option B: Facing Adversity, Building Resilience, and Finding Joy. New York: A. A. Knopf, pp. 58-76.

Anthony R. Quintiliani, PhD., LADC  

From the Eleanor R. Liebman Center for Secular Meditation in Monkton, Vermont and the Home of The Monkton SanghaChiYinYang_EleanorRLiebmanCenter

Author of Mindful Happiness  

Mindful Happiness cover designs.indd

New Edition of Mindful Happiness in Production…Coming soon

Filed Under: Activities, ANTHONY QUINTILIANI, Calming, Coping, Crisis Resilience Skills, Emotions, Featured, Gratitude Meditation, Grief, Holiday Coping, Inner Peace, Journal Writing, Learning, Letting Go, Meditation, MIndfulness, MIndfulness Activities, Mourning, Natural Healing, Self Care, Spiriuality, Stress Reduction Tagged With: ANTHONY QUINTILIANI, GRATITUDES, GRIEF PROCESS, JOURNALING, MINDFUL HAPPINESS, RESILIENCE

November 24, 2019 By Admin

Stress in America – 2019

Stress in America – 2019

Every year the American Psychological Association ( November, 2019) conducts an extensive survey to determine the levels of stress in America. The data below does NOT include children; therefore, the already high numbers would be much higher. Here are some highlights. Stress levels are quite high but stable. Increased concerns about the health status of Millennials and GenZ are noted.

71% of Americans are stressed about mass shooting in this country. This number is up from 62% in 2018. 75% of GenZ are stressed about this, while 62% of adults are.

74% of GenZ are stressed about work issues and 82% about money problems, while 64% of adults are.

69% are stressed about health care issues (insurance coverage, costs, etc.). 38% are stressed about the costs of health care. 75% of GenZ are stressed about health care issue.

62% of Americans are stressed about the last Presidential election and politics in general. This number was 53% in 2018.

62% of GenZ are stressed about suicides, while 44% of adults are.

64% of Americans are stressed about discrimination (especially LGBT issues).

60% of Americans are stressed about terrorism. The number is 2018 was 55%.

56% of Americans are stressed about climate change and global warming. In 2018 the number was 51%.

54% of Americans are stressed about news coverage and social media.

45% of Americans are stressed about sexual harassment. This number was 39% in 2018. For GenZ it is 53%.

Feeling that their personal mental health is good: 74% older Americans, 79% of Boomers, 56% of Millennials, 51% of GenX, and 45% of GenZ.

62% of Republicans feel America is on the right track. Only 25% of Democrats feel this way.

WebMD data (September, 2019) adds to this disturbing picture of stress in America.

68% of Americans feel burned out and fatigued.

48% feel burned out and depressed.

65% have job-related anxiety, while 53% have job-related anger.

55% of Americans feel stressed as a norm. This number is the highest in the entire world.

33% of children suffer from anxiety disorders.

Anthony R. Quintiliani, PhD., LADC  

From the Eleanor R. Liebman Center for Secular Meditation in Monkton, Vermont and the Home of The Monkton SanghaChiYinYang_EleanorRLiebmanCenter

Author of Mindful Happiness  

Mindful Happiness cover designs.indd

New Edition of Mindful Happiness in Production…Coming soon

Filed Under: Anxiety, Featured, Stress, Stress, Stress Reduction Tagged With: ANTHONY QUINTILIANI, MINDFUL HAPPINESS, MINDFULNESS, STRESS, STRESS IN AMERICA

September 29, 2019 By Admin

Self-Care to Reduce Compassion Fatigue

Self-Care to Reduce Compassion Fatigue

First let’s begin with what some people do to counteract the stressors of living in a hurried,“over-technologized” world. Technically, “technologize” is not a popularly accepted word, but it is a sad  reality. We live in a time when texting while driving may become the new addiction-based cause for many, many deaths. This addiction is so strong people do it in situations that could case their injury or death, or the injury or death of others. Sound familiar! It should. Cellphone “abuse” is not so different from the plans of cigarette producers to “hook” us on something we will pay for during many years. So here is a partial list of what people tend to do when faced with severe stressors.

What people tend to do that does NOT improve their stress reactivity long-term:

  1. “Smoke and Coke” – a phrase referring to smoking nicotine and drinking sugary soft-drinks when you cannot cope well and feel dragged down with your stressful life and want to feel stimulated.
  2. Of course there is always excessive alcohol and/or drug use as self-medication.
  3. Sleeping – too little or too much, including late onset and too early awakening.
  4. Eating – too little or too much, and may include binging and purging.
  5. Hoarding for whatever security it brings.
  6. Obsessive compulsive  behaviors – as behaviors for security actions to make us feel better.
  7. Being aggressive when it is not necessary to defend yourself.
  8. Insulating yourself from contact with others.
  9. Living under a “victimhood” self-identification. This can change everything!
  10. Participating in self-harming behaviors to activate neurologic, chemical and hormonal changes in your brain and body.
  11. Engagement in unsafe sexual activities to feel “excitement” and/or “loved.”
  12. Spending too much time online or on my “I-Smart” phone. The phone becomes your life!
  13. Doing too much exercise, especially when injuries occur.
  14. Being a person of uncontrollable empathy – a clear boundary issue that wares you out.
  15. Making your job too much of your life – workaholism or compensation for poor self-esteem?
  16. Making do with professional, work stagnation.
  17. Remaining stuck in impaired practices – the most common one being emotional dysregulation.

What people can do that does improve stress reactivity and may even increase joy in life:

  1. Taking brief breaks from the “grind” of work.
  2. Recognizing and contemplating personal gratitude for what you DO have.
  3. Noticing and correcting unhelpful thoughts, emotions, behaviors and communications.
  4. Learning to hold a positive, optimistic mindset and attitude.
  5. Liberating yourself from “stuckness” in anxiety, depression, addictions, and trauma. This most often requires professional help and/or self-help.
  6. Cutting way back on your online time. Researchers suggest anything beyond 3-4 hours/day is a habitual pattern. What do our jobs, schools and parents contribute to the habitual tendencies of habit-forming digital/electronic devices?
  7. Ignoring FOMO!
  8. Spending time reading, writing,  journaling about helpful things.
  9. Spending time listening and/or playing music.
  10. Spending time dancing and/or doing regular exercise.
  11. Spending time doing regular practice of meditation, yoga, tai chi, qi gong, mindful walking.
  12. Petting your dog or cat – or horse. Looking into their eyes when they allow it.
  13. Spending time walking in nature.
  14. Learning to give/get social-emotional support.
  15. Learning to leave work at work – learn to build emotional boundaries.
  16. Practice limit-setting regarding your boundaries and what you do to help others.
  17. Making a firm commitment to improve your wellness.
  18. Taking part in constructive self-reflection.
  19. Paying more attention to positives ( natural for the brain to do the opposite).
  20. Helpful nutrition, sleep and exercise practices.
  21. Learn to play more; learn to be active in creative expression.
  22. Participating in regular spiritual practices.
  23. Spending more quality time with loved ones and good friends when helpful.
  24. Leaving some time to just be in quiet, silent solitude.
  25. Seeking professional help as soon as you “feel” you MAY need it, or when others who care about you “think” you need it.

You will notice that the helpful list is longer than the unhelpful list. However, the unhelpful behaviors are often more automatic, and the helpful behaviors REQUIRE considerable effort to carry out. Your wellness must be a priority for you.

For more information refer to Bray, B. (2019). Counselors as human beings not superheroes. Counseling Today (October, 2019), 18-25

Anthony R. Quintiliani, PhD., LADC  

From the Eleanor R. Liebman Center for Secular Meditation in Monkton, Vermont and the Home of The Monkton SanghaChiYinYang_EleanorRLiebmanCenter

Author of Mindful Happiness  

Mindful Happiness cover designs.indd

New Edition of Mindful Happiness in Production…Coming soon!

 

Filed Under: ANTHONY QUINTILIANI, Calming, Compassion Fatigue, Destructive Emotions, Emotions, Featured, Inner Peace, Interventions, Mindful Awareness, MIndfulness, Recovery, Self -Kindness, Self Care, Self Compassion, Stress Reduction, Success, Tools, True Self, Well Being Tagged With: ANTHONY QUINTILIANI, COMPASSION, MINDFUL HAPPINESS, MINDFULNESS, STRESS REDUCTION

October 30, 2018 By Admin

Setting Emotional Boundaries from Work to Life

Setting Emotional Boundaries from Work to Life

Anthony R. Quintiliani, Ph.D., LADC

Sometimes setting emotional boundaries from the psychotherapy room to your life outside of work can be a difficult thing to do. Shifting from “experience near empathy” (Kohut), “unconditional positive regard” (Rogers), “hovering attention” (Freud), “the holding environment” in “intersubjective space” (Winnicott),  and compassionate awareness to emotional distancing, separation, and dispassion is no easy task. In more in-depth clinical interactions, the process of projective identification between therapist and client may drain your emotional resources; sometimes being “as if” you were the experiencer of your client’s pain and suffering can take a serious toll on your own emotional resources. At time the therapist’s own emotional life lacks the quality of connection experienced in the therapy session. Success in setting emotional boundaries is a very important self-care skill. It may determine your success, failure, joy, or misery in the clinical work you do. It will definitely prevent most case of “burn out.”

Therapists may wish to complete a brief self-care assessment at the end of each emotionally demanding day. Some things to check are as follows:

  1. Are you taking care of your own physical, psychological, spiritual, and emotional needs?
  2. Are you using mindfulness, self-compassion, clinical supervision, or journaling to get to know how you are doing?
  3. Are you valuing yourself enough regarding self-rewards, positive self-talk, cognitive and behavioral restructuring?
  4. Are you giving yourself time to experience some form of creativity?
  5. What about your spiritual self?
  6. Do you spend quality time in nature, among the awe of it all?
  7. Are you involved in the type of quality relationship you desire?
  8. Be sure to act on your own behalf if you find problems in the above areas.

Another very powerful process is to develop improving self-compassion for yourself, often blurring the inner boundaries of your own emotional life experience and the clinical work you do. Therapists are, in the end, only people with a set of specific helping skills. We suffer just like other people do. Hopefully, our training and experience have given us a bit of a positive edge here. Here are some things you may wish to consider to improve your own level of self-compassion.

  1. Using mindful awareness, observe the level and intensity of your self-criticism.
  2. Let go of personal resistance to being real, being your true self.
  3. Get out of your head! Get out of the past!
  4. Do loving kindness meditation often.
  5. Recognize your own difficult emotions (shame, anger, revenge, trying to control others, etc.), and simply be with them as a sacred part of who you are and be real about it. Use emotion regulation to improve things.
  6. Practice much more self-appreciation.
  7. Do not dwell on the pain and suffering of your past. All that stuff probably made you a stronger person.
  8. Welcome and LOVE all of you, with special attention to the sacred quality of your own life suffering.
  9. When you experience or re-experience anxiety, depression, addictive behaviors, or trauma – hold an open, soft heart for it.  Then make changes to improve your life experience.
  10. Always get help when you need it, and do your best not to dwell on what you have little control over.
  11. Be certain too make changes to improve self-compassion regarding any problem areas above.

Fo more information refer to Norcross, J. C. and VandenBos, G. R. (2018). Leaving it at the Office: A Guide to Psychotherapist Self-Care. New York: Guilford.  Neff, K. and Germer, C. (2018). The Mindful Self-Compassion Workbook: A Proven Way to Accept Yourself, Build Inner Strength, and Thrive. New York: Guilford.

Anthony R. Quintiliani, PhD., LADC

From the Eleanor R. Liebman Center for Secular Meditation in Monkton, Vermont and the Home of The Monkton SanghaChiYinYang_EleanorRLiebmanCenter

Author of Mindful Happiness  

Mindful Happiness cover designs.indd

New Edition of Mindful Happiness in Production…Coming soon!

 

Filed Under: Boundries, Featured, Leadership, MBSR, Mindful Awareness, MIndfulness, Self -Kindness, Self Care, Self Compassion, Self Esteem, Spiriuality, Stress Reduction, Therapist, Therapy, Well Being Tagged With: EMOTIONAL BOUNDRIES, MBSR, SELF CARE, THERAPY.

October 10, 2018 By Admin

Practicing Interoceptive Meditations Anthony R. Quintiliani, Ph.D., LADC

Practicing Interoceptive Meditations

Anthony R. Quintiliani, Ph.D., LADC

The mindfulness-based process and intervention of interoception (also called neuroception) has slowly moved from meditation practice into clinical practice, now being part of the recommended MBSR, ACT, and more current CBT-based therapies. The three brief meditations below are presented to expand the use of interoceptive processes in therapy practice. They are presented in very brief form, so slow down the work when using these in your therapy practice. Rather than repeating the introductory process, I will note it here. Be sure to use it in each meditation.

Begin with the following for all three meditations;

  1. Place your body into a calm and comfortable sitting or lying position.
  2. Breathe slowly and deeply for at least ten breaths. Extend the exhalation for the last three breaths.
  3. Use your imagination energy to recall a time when you were in bright, warm sunlight – feel this warmth on your skin right now. Using imagery of that time and place may be helpful here. Without thinking, just feel it.

Warm Hands Meditation

  1. While sitting comfortably, rub your hands together quite vigorously until you can feel heat in your palms.
  2. Place your warm hands on your cheeks with some pressure, and allow the warmth to penetrate into your face.
  3. Not working too hard at this, slowly and compassionately move the sensation of warmth through your body – face, neck, shoulders, arms, hands, torso, upper legs, lower legs, both feet – all the way to your toes. Do not at all be concerned about if you are doing this correctly. Simply use your personal strong intention.
  4. Rest calmly in the remembered-warmth of your sun-experience and your inner power of warm self-sensation.
  5. Rest in your personal, warm power and allow self-healing to occur.  Use your personal power NOT your thoughts.

Warm Heart Meditation

  1. Repeat step #1 from the above meditation.
  2. Place your warm hands crossed over your heart, and notice the sensation of penetrating warmth.
  3.  Consciously open up your heart chakra, feeling gentle and warm vibrations. Allow them to spread out.
  4. Allow this inner experience of sensation to kindle self-love for yourself. DO this now.
  5. Just BE you; sit there with this experience and appreciate who/what you are right here now.
  6. Do not worry at all if you are doing this correctly.  Just be with your interoceptive sensations and feelings.

Inner Warmth of Self-Healing Meditation

  1. Repeat the meditation above, and spend some time and energy intensifying the warmth if possible.
  2. Now simply and effortlessly move the warmth to any specific place in your body that needs healing.
  3. Do not think about this, just be with the experience and ALLOW it.
  4. Do not concern yourself abut whether or not you are doing this correctly. No thinking, just feeling.

You may wish to practice post-meditation journaling after you complete these three brief meditations.

These meditations were inspired by meditations lead by Thich Nhat Hanh at a Norwich University(VT) retreat and by CBT-mindfulness research at the University of California San Diego Medical School in 2017 and 2018. Refer to W. J. Sieber’s supervisory work.

Anthony R. Quintiliani, PhD., LADC

From the Eleanor R. Liebman Center for Secular Meditation in Monkton, Vermont and the Home of The Monkton SanghaChiYinYang_EleanorRLiebmanCenter

Author of Mindful Happiness  

Mindful Happiness cover designs.indd

New Edition of Mindful Happiness in Production…Coming soon!

Filed Under: Featured, Interoception, MBSR, Meditation, Meditation Activities, Mindful Awareness, MIndfulness, MIndfulness Activities, Mindfulness Training, Nhat Hanh Thich, Self Care, Stress Reduction Tagged With: INNER WARMTH MEDITATION, INTROCEPTION, MBSR, MEDITATION, NEUROCEPTION.MINDFULNESS, WARM HEART MEDITATION

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