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Anthony Quintiliani, Ph.D, LADC

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August 23, 2017 By Admin

Beyond MBSR- Quick Start Skills

Beyond MBSR – Quick Start Skills

Self-calming for counselors and other helpers is one of the most important survival practices to master.  Self-calming consists a set of basic mindfulness skills, all of which must be practiced regularly to achieve desired emotion-regulation effects. The utility of these skills is well established in clinical research, and not only do they calm helpers but they are also excellent forclients.  Once a counselor has practiced these skills on a regular basis, it may be time to share such practices with clients. Live-practice therapy sessions are always more effective than simply “talk-therapy” about skills. Talk is cognitive, thereby impacting our executive brain more so than our body and limbic brain. Live mind-body practice impacts both the executive and limbic brain areas, and the body. In the same way that cognitive and psychodynamic interventions alone often fail to impact limbic system reactivity, these mind-body practices impact both mind and body – if we are lucky they may also impact the soul. A side-effect of regularly practiced skills may be increased personal happiness in life. These skills, if practiced regularly, will improve emotion self-regulation for most people.  Here are the skills.  This is simply an introduction, so you may have to research and learn “how to do” these skills via additional help. Be aware that if you suffer from severe physical illnesses, you may want to check with your healthcare provider before starting these practices.  The same may be true if you suffer from severe psychological conditions.

  1. Mindfulness Breathing Techniques – Try calm, slow, deep abdominal breathing as a practice. Once mastered add exhalation extension; extend the exhalation slightly and maintain a similar length of the breath extension as you practice. Try mid-line breathing; imagine your breath entering your nose and moving on the mid-line of the body to your lungs and eventually into your hara, or deep abdomen. If you are experiencing low mood, you may want to try excitatory breathing; breathe in and out fast and completely. See if it improves your mood. Lastly, experiment with happiness breath; each time you take a long, slow, deep breath recall a pleasant memory from your past.  Be sure the memory is an authentic one, one without mood-altering substances.
  2. Buddha’s Best Friends – I have added to this list. Your always helpful “best friends” are your calming breath, your smile, your standing body, sitting body, moving body, and lying body.  All these practices have positive neurobiological effects. Try them to see if you feel better.
  3. Mindful Movement – It is often very helpful to practice yoga, tai chi, qi gong, and walking meditation.  Instructional classes are often available at the community level
  4. Middle-Way Practices – Do your best to remain in the middle way regarding most human interactions and experiences.  Being in extremes, especially in emotional experiences, is generally unhealthy for us all. When you catch yourself at extreme ends of experience and reactivity, breathe calmly and take control over your executive brain. Move your thoughts, emotions, and behaviors towards the more moderate position. This is especially important in all interpersonal relationships.
  5. The First and Second Arrows of Suffering – We all suffer, and we all will suffer. This is simply part of life.  When a horrible things happens to you (the first arrow), there is usually nothing you can do about it.  Some good old radical acceptance may be helpful.  However, human suffering is deepened and prolonged because we often do not have emotion regulation skills. The second arrow generally causes longer and deeper suffering than the first arrow – even when the first is traumatic. The second arrow is what our mind and body do after the first arrow. Our negative thoughts and emotions (also action urges in behavior) set us up to suffer even more and for longer periods of time. We need to practice middle way moderation and executive control over emotional/behavioral reactivity when we are upset. Regular meditation and/or yoga will help improve your emotional capacities here.
  6. Gratitude – Best to practice regular gratitude for what you do have now rather than crave and react to what you wish you had now. This reactive stance causes more suffering, especially unhappiness, envy, and greed. Did you eat today? Did you sleep in a bed last night? Is your overall health moderately good?  Do you have a job?  How about having a or several friends? Is there a family member you care about and/or who cares about you. Take a moment for gratitude for things you may be taking for granted because you have them in your life.
  7. Self-Compassion Practices – Since humans suffer, we tend to become stuck in the past (may relate to “repetition compulsion”) and either fearful to craving for the future.  Being out of the present moment increases angst and sometimes unhappiness. Only by being in the present moment can you exert your human power in arising and falling experiences. It is OK to practice self-compassion for your suffering, but do not wallow in it and get stuck in it.  Just face it, and realize all humans suffer in their lives.  We also have joy! This suffering will pass.
  8. Body Scanning Practice –  This can be a very powerful practice. Simply start with your toes or the top-center of your head, and allow yourself to feel the “feeling” of directed and strong attention.  Simply move down or up the body, placing strong attention/awareness on various parts of the body.  The attention and subtle feelings alone may be relaxing.  I prefer guided practices with a touch of suggestion. As you move down or up the body, add the idea of “feeling” a subtle, relaxation sensation at each point. DO NOT look for it, just do it and see.
  9. Loving Kindness Meditation – This is my favorite meditation, and one that is popular all over the world. You will have to research the complete steps. Here I will simply get you started. Begin with yourself and say slowly: may I be safe…healthy…free from suffering…happy…living with ease. Try to feel inside the appropriate inner experience and inner sensations of each step. Now do it for a significant other. Then end by doing it again for yourself. There are many steps, so look into this if you enjoy the effects.
  10. Radical Acceptance – When primary suffering hits (you are wounded by the first arrow), do you best to recognize that we all suffer, and sometimes there is little one can do about it.  We need time to grieve and mourn losses and emotional pain. Radical acceptance simply recognized a reality in the moment. Use your mind-body-heart-soul systems to move beyond suffering – it takes time. Along with radical acceptance, you may wish to use RAIN process – recognize what is going on emotionally for you, accept it in the moment, inquire about why you feel this way, and use the concept on non-self (or the fact that all experiences even life are impermanent, so things will change, arise and fall). This bad experience arises and falls away in time.
  11. Mindful Journaling – When you practice mindfulness in everyday life, when you meditate or do yoga, it is often helpful to write some thoughts and emotions about your practice in your “special” personal journal. Journaling about ONLY positives can be a very helpful practice.  My many years of clinical experience have taught me that writing negatives in one’s journal can be far less helpful. If you decide to do this add ritual to it; be mindful in seeking out the right journal for you to write in.  You could also make your own journal if you wish.
  12. Your Best Parts of Self – Take time each day to note one or two positives about your day and about YOU. Our limbic-brain tends to keep us locked in negatives and critical/fearful mind. So we need to exert some emotional and cognitive energy to alter that pattern. It is good practice to list a couple positive traits you noticed in yourself reach day.  It is a BIG deal!

For more information refer to Quintiliani, A. R. (2014). Mindful Happiness…Shelburne, VT: Red Barn Books. This book is being revised and expanded at this time.

Anthony R. Quintiliani, PhD., LADC

From the Eleanor R. Liebman Center for Secular Meditation in Monkton, VermontChiYinYang_EleanorRLiebmanCenter

Author of Mindful Happiness  

Mindful Happiness cover designs.indd

New Edition of Mindful Happiness in Production…Coming soon!

Filed Under: Activities, Featured, MBSR, MIndfulness, Stress Reduction Tagged With: MBSR, MINDFUL BASED STRESS REDUCTION, MINDFUL HAPPINESS

August 10, 2017 By Admin

Wise Mind and the Neuroscience of Mindfulness Anthony R. Quintiliani, Ph.D., LADC

Wise Mind and the Neuroscience of Mindfulness Practice

What is wise mind? Marsha M. Linehan developed this clinical process in her work on dialectical behavior therapy. Wise mind is the middle way between rational/reasonable mind and emotional mind; it allows us to live with balanced reason and emotion in daily interactions. When practiced regularly, it may reduce suffering from excessive stress, shame, guilt, and traumatic life experiences. One key benefit is that wise mind’s effects on emotion regulation may reduce the need to self-medicate, a core cause for all addictions. Rather than simply depending on sensory pleasures for short-term escape from pain and/or a fleeting experiences of joy/happiness, wise mind may improve radical acceptance, sensory soothing, and responding inter-personally with wisdom (kindness, respect, compassion). A valued possible outcome is increased authentic, longer-term happiness.

More Details: Wise mind mindfulness practices, along with regular meditation and/or yoga, allow us to pursue personal aspirations and goals using both reason and emotion. Whereas emotion is the juice of life (both pleasant and unpleasant), reason gives us logical strategies and methods to meet personal goals and satisfy needs. This combination of mindfulness skills may also reduce emotion dysregulation and impulsivity. When such mindfulness practices are used in skilled psychotherapy with home practice, it may lead to improvements in depression, anxiety, the effects of trauma, addictions, and eating disorders.  Various well-constructed meta-analyses have demonstrated that mindfulness practice (mainly regular  meditation) produced positive effects on depression, anxiety, chronic pain and emotion regulation. It is important to note that all these conditions may become precursors for addictions, including smartphone addiction. By 2007 it was estimated that nearly ten percent of Americans (30,000,000 people) practiced meditation; add to this other mindfulness practices like yoga, qi gong, and tai chi and that number may double.  By 2015 mindfulness-based practices were well-integrated into various skilled therapies: mindfulness-based stress reduction (improves depression, anxiety, chronic pain, and emotion regulation), dialectical behavior therapy (improves emotion regulation, self-soothing, and impulsivity), mindfulness-based cognitive therapy (50% eduction in relapse for repeated serious depressive episodes), mindfulness-based relapse prevention (for addictions), and acceptance and commitment therapy. The key variable was clear: if clients practiced regularly, they improved their clinical conditions, but if clients did not practice, they did not improve their clinical conditions. Therefore, two things are very important: doing regular practice in psychotherapy sessions, and the clinician being a regular mindfulness practitioner.

Mindfulness and the Brain:  Key neuroscience findings suggest that regular practice of meditation (and/or yoga) may result in profound brain changes. Some findings are that regular practice may weaken the limbic systems’s reactivity via lower firing rate and neuronal power, strengthen the frontal and prefrontal executive/emotional functions via better intention, attention, awareness, and concentration, and possibly improve right-left brain integration. It has been suggested that prefrontal activation increases levels of B-endorphin, a pain reducing opiate. Prefrontal activation may also improve experienced pleasure and reduce breathing rate so relaxation is experienced directly. When people pay close attention to positive stories they tell themselves and/or positive emotional memories, serotonin levels may increase. Thus mindfulness practices enhance the experience of happiness.  However, if people get stuck into paying attention to negative stories and negative emotional memories, the level of serotonin is reduced. Yes, being chronically stuck in the suffering of your past always makes emotional experience worse.

For more information refer to Aguirre, B. & Galen, G. (2017). Mindfulness for Borderline Personality Disorder…Oakland, CA: New Harbinger Publications.

Anthony R. Quintiliani, PhD., LADC

From the Eleanor R. Liebman Center for Secular Meditation in Monkton, VermontChiYinYang_EleanorRLiebmanCenter

Author of Mindful Happiness  

Mindful Happiness cover designs.indd

New Edition of Mindful Happiness in Production…Coming soon!

Filed Under: Benefits of Mindfulness, Featured, Marsha Linehan, MBSR, Meditation, Mindful Awareness, MIndfulness, Mindfulness Training Tagged With: MARSHA LINEHAN, MBSR, MINDFUL BASED STRESS REDUCTION, NEUROSCIENCE, PRACTICE

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