Mindful Happiness

Anthony Quintiliani, Ph.D, LADC

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Approaches to Treating Chronic Pain Anthony R. Quintiliani, Ph.D., LADC

Approaches to Treating Chronic Pain

Chronic pain is one of the most common and costly physical conditions in the United States. The following approaches have proven to be somewhat effective in reducing personal suffering from chronic pain. Although some of these can be practiced on your own, it is wise to work with a pain specialist, preferably one who does not count 100% on pain medications. Nerve, cancer, and phantom limb pain may be more difficult to improve. Always be cautious when self-administering any pain intervention. Some of the same interventions may also help to reduce psychological/emotional pain; this may be true as an integrated aspect of pain or as a stand-alone condition. Emotional pain and suffering is often associated with aggravated physical pain.  Here is the list. If you are unfamiliar with these, you may need to Google them. Google Professionals may be more helpful.

  1. Cognitive distraction techniques
  2. Mediating self-talk
  3. Safe place imagery
  4. Happy place imagery
  5. Shifting perceptual attention away from the pain
  6. Changing sensory perception about the pain – for example, what does the pain look like, smell like, etc.
  7. Specific meditation and yoga interventions
  8. Noticing very small changes in perception of pain via changing locations in the body or in and outside of painful areas
  9. Intense focused attention on sensory objects around you – outside of you
  10. Guided visualization
  11. Imaginal numbing
  12. De-centering skills – MBCT
  13. Muscular relaxation skills
  14. Conscious dissociation (difficult to do)
  15. Regular practice of sensory manipulation of the painful area – size, location, shape, color, localization, density, temperature , etc.
  16. Use of Wolpe’s Subjective Units of Discomfort Scale – from 1 to 100 how bad is the pain before and after doing interventions?
  17. Use of Quintiliani’s Subjective Units of Pleasure Scale – from 1 to 100 how much does the pan improve after interventions? This scale may best fit safe place and happy place interventions.
  18. Skilled chiropractic and/or physical therapy
  19. Last caution: Pain in any form is not something to play around with; best to work with a trained and experienced professional.
  20. This post will be followed by one that deals with suggestive and quasi-hypnotic interventions in pain.

 

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  

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New Edition of Mindful Happiness in Production…Coming soon

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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

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The Lotus Sutra and Meditation Practice

The Lotus Sutra and Meditatin Practice

The Lotus Sutra is one of the most important and sacred of Buddhist sutras. It is often considered a summary of The Buddha’s teaching, presented many years after he began to teach and share his experiences. The version considered here is the Kumarajiva translation,  as translated by B. Watson; it may also be known as The Lotus Sutra of the Wonderful Law. I will not present the many core teaching noted in this sutra; instead I will focus on the end, about How to Practice Meditation. Since this is such an important sutra, you are strongly encouraged to look into the vast content in it on your own. One important thing I will note is that in this sutra The Buddha notes a unified, single path to enlightenment.  In the past he noted that monastic practices, forest practices, and bodhisattva practices all held potential for all people to achieve enlightenment or awakening. Experts suspect that The Buddha taught this sutra in the 6th to 5th century BCE. Here, however, he emphasizes the bodhisattva path as the most important single path. Let us move now into the meditation instructions.

  1. Stand in prayer pose and circle the teacher three times. Another option would be to circle each person in your group; this fits well within the Buddha’s view that we all are buddhas.
  2. Bow, and kneel on one knee to signify readiness to pursue instructions on meditation practice.
  3. Close your eyes and sit (cross-legged) quietly.
  4. Remain in a dignified posture.
  5. Re-commit to your vow to reduce the suffering of others.
  6. Practice this meditation deeply. “Practice with…[your] entire mind…”(p. 370).
  7. As you sit contemplate how meditation is helpful in reducing earthly desires, especially six-senses contact conditioning.
  8. Imagine that your body holds 50 shades of white light.
  9. Make a profound assumption that this white light has healing properties.
  10. Now notice that the white healing light has taken on a golden-white shade.
  11. Feel this healing light in your body and on your skin. Notice how it sparkles.
  12. Imagine the golden white healing light coming to you from The Ten Directions (N, S, E, W, NE, SE, NW, SW, and UP and DOWN).
  13. Allow! Allow! Allow! Stay out of simple thinking. Just be!
  14. Feel inner joy, compassion for others/yourself, and tranquility.
  15. Simply allow yourself to be bathed in the healing golden white light.
  16. Now a big step: practice emitting the healing golden light from your inner body and into the room. This itself is a bodhisattva act.
  17. Add your own loving kindness.
  18. Do your best to detach from attachment, even attachment to this wonderful experience.
  19. Give repentance for any wrongs you are connecting with at this time.
  20. Improve your Karma by doing this as strongly as you can.
  21. Take refuge in The Buddha, in The Dharma, and In The Sangha.
  22. Now sit in utter silence for a longer period of time – just notice without any evaluation. Just be!
  23. When you hear the sound of the singing bowl, gently and slowly open your eyes, orient yourself, and prepare to enter a full conscious state
  24. The Buddha. (B. Watson, Trans.). (1993/1994). The Lotus Sutra of the Wonderful Law. New York: Columbia University Press,  pp. 369-396. Nichiren Buddhist Library.

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!

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Meditation for Managers and Helpers – Let Me Help Your Organization!

Meditation for Managers and Helpers 

Let’s Talk – Contact Me – Click Here

I am a Licensed Psychologist-Doctorate and a Licensed Alcohol and Drug Counselor with 35 years of clinical experience in community clinics, schools, professional organizations, and universities (OSU, UVM, etc.). I have been the past Clinical Director of Howard Center, and Past President of the Vermont Psychological Association. I have provided clinical training on various clinical topics to therapists from all over New England, and as far south at Alexandria, VA and as far west as SanDiego, CA. I serve as the head teacher at The Eleanor R. Liebman Center for Secular Meditation in Monkton, Vermont, home of the Monkton Sangha. I have published numerous clinical articles, books and workbook. The most recent being Mindful Happiness…  I provide various posts for my blog,  mindfulhappiness.org. For many years I have served as a State of Vermont (DMH, ADAP, AHS) trainer in co-occurring disorders. I also train for NEIAS and AdCare New England. I have been practicing meditation since 1982.

This piece serves as an advertisement for local Vermont managers and therapists as well as a regular post on the blog. Below I will list the proven  benefits ( now thousands of studies on these) for managers and therapists who complete repeated meditation retreats and how the retreat process works. Managers and therapists who complete meditation retreats often report the following benefits. My own short retreats occur on a scheduled Saturday afternoon from 1 to 5/6 PM. Longer retreat periods are also available upon request. Participation is by invitation or you contacting me at anthony1@gmavt.net. My retreat costs are extremely affordable! More on retreat details after we review the benefits.

 Common Benefits of Meditation Retreats and Personal Practice –

  1. Expanded self-understanding
  2. Improved attentional focus
  3. Better focused awareness
  4. The personal experience of being present in mind and body
  5. Adjustments to silence and being without all electronic/digital devices (highly addictive)
  6. The possibility of noticed clarity
  7. Experienced forms of inner energy
  8. More centered calmness or activation
  9. Flowing with, complying or rejecting gentle meditation instructions
  10. Discovery of the many benefits of pure silence
  11. Letting go of day-to-day stressors and torments and simply settling into the “being” process – “choiceness awareness”
  12. Being open to unexpected emotions – could be joy, could be sadness, could be new, could be old, etc.
  13. Experience of staying with the arising emotions without attempts to flee them if unpleasant
  14. Ultimately improved emotional self-regulation
  15. With practice, improvements in anxiety, depression, trauma, and addictions (mainly emotion regulation)
  16. Noticing the phases:
  17. A) – Settling into the process and being at surface levels of awareness and experience; B) – Deepening into emotional realities of just BEING – deeper opening up to personal realities of past-present-future and not trying to escape anything positive or negative; C) – Slow re-adjustment to non-meditative experiences, and a readiness to enter into more typical personal experiences.

How I Manage My Own Silent Retreats (Typical Saturday Afternoon or for Longer Periods) –

  1. People arrive at 1 Pm for a brief social period and tea.
  2. At the sound of the singing bowl, we enter the living room and sit in a circle and listen to the day’s plan.
  3. Then we check in – voluntary. Do you wish to share your hopes for the day or share anything else with the group?
  4. We enter the retreat center for the Nine Bells Meditation, a brief meditation focused on any important person/s or relationship/s you have lost. It may also focus on something inside of yourself you feel you have lost.
  5. Loving Kindness Meditation follows the Nine Bells.
  6. We now do kinkin, or slower and silent walking meditation (outside weather permitting, inside if not).
  7. In warmer weather, we may add outside yoga, tai chi or qigong practices.
  8. We move back into the meditation room, where I lead meditations I have designed for your specific needs or retreat request.
  9. We do kinkin again.
  10. We sit in the circle in the living room again and write in our journals – voluntary. We are still silent. Bring a journal.
  11. We check out in our circle – voluntary sharing.
  12. You decide if you wish to take written copies of the meditation you experienced.
  13. You decide if you want meditation coaching from me at an agreed-upon, low cost.

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!

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Core Elements in Clinical Supervision

Core Elements in Clinical Supervision

In addition to what supervisors bring into group supervision and clinical training, the list below will be used for discussion about YOUR supervisory role. The order of content below is generally random. The content noted applies to clinical supervision; it could also apply to doing effective therapy. The skills and knowledges here make up a toolbox for effective clinical supervision. That said, it cannot include everything.

  1. DO NO HARM in all supervision modalities (individual, group, education/training)!
  2. Know your code of ethics, especially sections relating to clinical supervision, education/training, clinical relationship, and the role of technology.
  3. Understand how the past becomes the present – your own attachment and developmental history and experience. Your own “dragons.”
  4. Know how to use strong empathy and therapeutic alliance/relationship skills.
  5. Face the reality of co-occurring conditions in clinical practice. Even if your role is dealing with “the walking well,” there are most likely co-occurring conditions if not diagnoses.
  6. Know how to use and supervise 2-3 evidence-based therapies ( BT, CT, CBT, CBT-M, Process-Based CBT, DBT, DBT-S, MBSR, MBCT, MBRP, ACT, Narrative and Solutions-Oriented approaches, etc.
  7. Recognize that the EBTXs are the science behind the art of therapy. Client and supervisee  progress require both art and science.
  8. Experiment with creativity – but do no harm.
  9. Know how to use restructuring and reframing.
  10. Understand the science behind client-matching variables. Recognize the impact of anxiety, depression, trauma, addictions, etc.
  11. Do your best to use a bio-psycho-social-spiritual model. Pay attention to preferences of people you supervise. Never impose a narrow focus.
  12. Consider Quintiliani’s “neurotherapy” by using cognition, affect, behavior, sensory experiences (see, hear, feel,, etc.) as well as intuition, spirituality and relational variables and conditions.  Refer to the Attachment-CABS-VAKGO-IS-Rels model.
  13. Study more neuroscience and how it relates to cognitive and behavior change and the human mind-body system.
  14. Learn and use effective emotion regulation skills and practices.
  15. Focus on the impact of cognition (thoughts and deep structures), emotion, behavioral conditioning, social justice, marginalization, trauma (especially pre-verbal), addictions (include pesky cellphones), and mindfulness.
  16. Observe! Observe! Observe! (direct observation of the work) and Respect! Respect! Respect!
  17. Remain fully aware of possible transference and countertransference processes, especially projective identification.
  18. Know that context, personal aspiration, and personal values matter.
  19. Recognize parallel process from therapy to supervision and back again.
  20. Know that in most states the supervisor is 100% responsible for the actions of the people they supervise, even if those actions were not recommended or are unknown to you.
  21. Know how to use compassion in practical ways, especially with defensive ego-protective patterns in people.
  22. Never make identifications of the whole person as their clinical condition of diagnosis. In fact, add much more to the individualized interventions.
  23. As you observe and respect be a good mentor to motivate, but never forget client protection is the first priority. Their progress is a second priority.
  24. Know your roles: hire, fire, oversight, evaluate, train, support, organize, coordinate, and DOCUMENT. Know abut all HIPAA and 42 CFR Pt 2 requirements.
  25. Always use a written supervision contract/agreement, and recognize informed consent aspects as well as due process in it.
  26. In co-occurring work, seek a role for 12 Steps and/or peer recovery support.
  27. Keep strong BOUNDARIES in all aspect of this work.
  28. Pay attention to learning styles.
  29. Some of the work is a form of palliative care, in that counseling and therapy sometimes deal with life-or-death issues. It is a form of sacred work.
  30. Know about duty to warn and protect – and its various implications.
  31. Supervision (like therapy) needs to be structured but not rigid.
  32. Recognize that generic “talking” has very little empirical support for supporting change in serious co-occurring disorders.
  33. Be capable in dealing with conditions of potential suicide, self-harm, and harm to others.
  34. Supervision needs to be based on an agreement, a professional development plan, and change-oriented interventions, techniques, and processes. In the final analysis, the supervisor is in charge – final decision making re. competence of supervisees and protection of others.
  35. Look after your own self-development as lead clinicians and supervisors.
  36. All may fail if you do not attend to your own SELF-CARE and the self-care of the people you supervise.  Etc.!

Be well and reduce suffering!

 

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!