Crisis Resilience Skills – Mindful Happiness
Below I will list various interventions that have proven effective in reducing the level of personal crisis. The sources for many of these skills came from Burns (1980), Ellis (1995), Seligman (1988), Linehan (1993, 2015)), Hayes (2018), and Thich Nhat 
Hanh (various publications). The skills noted are for immediate application in crisis and/or post-crisis practice. Due to space limitations, I will not explain details; rather I will list skills with minimum directions. If interested in improving your clinical capacities to deal with crises, you can look up the details on your own. It is a growth process. It is always a good idea to have a clear and practical crisis response plan.
- Move to cognition as soon as possible – get out of body reactions and take over the thought process related to the situation. Practice Tara Brach’s RAIN skills (recognize, accept, investigate, and relate to non-self), complete a pros and cons grid (good and not-so-good things about staying the same versus making small changes – CT, MI, CBT). Also distant or distract yourself quickly. Distraction is not to be used in physically dangerous situations.
- Practice mindfulness core skills. Begin relaxation breath with deep, slow breathing (polyvagal impediments may exist especially if poorly treated trauma is a reality), use positive imagery, meditate, do yoga, pray, pay attention to non-crisis variables, and live within the realities impermanence.
- Practice self-soothing. Remember or engage in positive images, sounds, touch, smells, and tastes. Carry your favorite self-calming scent with you. Rub your hands hard and long until hot, then place them on your face and absorb the healing warmth.
- DBT-like skills are highly effective. Use “wide-mind” skills. Try ACCEPTS. Engage in alternative activities, contribute to others, compare downwardly with others, engage in opposite emotion, push away unhelpful thoughts and move away from the situation, engage in productive thinking about what to do now without emotional dysregulation, and improve your sensations. Although not part of DBT, you may wish to practice progressing counting (distractive); say to yourself or outloud consecutive numbers and imagine them in your mind’s eye. Continue to count until the emotional reactivity has reduced.
- Practice mindful movement. Do yoga, tai chi, qi gong in more vigorous modes until you notice that your body has experienced a reduction in emotional reactivity. Regular meditation practice is, perhaps, your best option here. Do vigorous exercise.
- Do your best to reduce a “victim” self-image. Work on fear-based reactions and combat hopelessness and helplessness tendencies. Use your older, experienced self’s wisdom.
- If in therapy, be certain to process the crisis experience. If your therapist is competent, she/he will include such skills development as part of your treatment.
- Hope this quick review has been helpful to you.
Anthony R. Quintiliani, PhD., LADC
From the Eleanor R. Liebman Center for Secular Meditation in Monkton, Vermont and the Home of The Monkton Sangha
Author of Mindful Happiness
may be sexual, physical, or emotional. This form of abuse is so destructive because the child has no cognitive/executive/verbal ways to understand and respond to the experience. The long-term bio-psycho-social-spiritual effects of PVT are quite difficult to treat effectively. One reason for this is that some therapist are determined to utilize their favorite approaches (mainly forms of pure talk-therapy and psychodynamic holding) despite the limited effectiveness that these forms of therapy results in. Still worse for the client is generic talk therapy, often a mixture of various talk-therapy components but no actual evidence-based method of helping. Remember it is our obligation to Do No Harm and to use therapeutic interventions beyond alliance that are effective. There may be moral if not ethical implications here.
outcomes. In the interest of research, of course other therapies have been found to be effective with trauma. To mention a few, these are EMDR, DBT, PET, and, Briere’s self-trauma therapy with slow, complete exposure work. MBSR and ACT may be helpful regarding emotional dysregulation in traumatic re-experiencing and self-empowerment. Of course effective attachment therapy with very specific object relations correctives is also helpful.
especially when impulse control and emotion regulations issues are included. Buddhist Psychology offers clear explanations why this intervention may be helpful for so many suffering people. The four most common clinical conditions of depression, anxiety, trauma, and addictions are strongly and positively influenced by regular practice of this form of meditation. Below I have noted in a very basic manner how Vipassana’s effects may be explained via Buddhist Psychology and the dharma.
simply pay undivided attention to the feelings/sensations as we breathe in and out. Moment-to-moment bare attention is practiced for at least 30 minutes. To be successful, you must practice letting go of thoughts, emotions, and memories of past suffering. When they arise simply note that it/they have come up, and pay no attention to it/them – hold a non-evlautaive stance and stay with your breath. It will require significant practice before you can do this well. Awareness may then be expanded to the throat and chest areas – just feeling sensations of awareness as you breathe in and out. Second move into about 30 minutes of loving kindness meditation. Third, complete a body scan with attention only from head to toes and back again for about 30 minutes. Just pay attention to the awareness of sensations and feelings as you are guided slowly down and up the body. When distractions come, simply return attention back to the part of your body you are working with now.
In line with the thousands of studies now available supporting the use of mindfulness-based interventions in depression, anxiety, chronic pain and addictions (via emotion regulation and interoception), this post will review recommended mindfulness interventions for trauma and PTSD. The post will note information from two recent books on this topic. Also recognize that meta-analytic research in 2004, 2010, and 2014 have found that mindfulness-based interventions improve depression, anxiety, chronic pain, and emotion regulation. These are common conditions co-occurring with addictions and trauma. Such interventions may be carried out as part of various Western therapies: cognitive, behavioral, cognitive-behavioral, dialectical-behavioral, and even psychodynamic.
the best of object relations therapy, mindfulness therapy (MBSR, ACT), and cognitive-behavioral therapy. Here is the listing of therapeutic functions and interventions.