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A Recovery Lesson

Introduction o Mindfulness begins with being calm and in the moment. o It can progress to a higher level of self-awareness. o Living mindfully can improve positive thinking and gratitude, which can decrease stress and anxiety. 2

Goals and Objectives o To improve your mood and your ability to cope by practicing mindful living o To describe what mindfulness is o To practice a mindfulness exercise or meditation o To discuss a way you want to work on improving your mindfulness 3

Mindfulness Mindfulness started as an ancient Buddhist technique, but is now considered an effective way of coping. Is defined as a calm and concentrated awareness of one s thoughts, feelings, and actions Being mindful is the opposite of ignoring. 4

What is mindfulness? o Mindfulness is a way of being in the world. Being mindful means responding, not reacting, to the ever present flow of events and experiences in your life with patience, openness, and compassion. o Learning how to live mindfully isn t about getting some technique right, achieving a blissful state, or knowing the ultimate answers; it s about learning to let go of your fear and other patterns of habitual thought so you can stay present amidst your life as it unfolds. Roberts, T. (2009). The mindfulness workbook: A beginner s guide to overcoming fear & embracing compassion. New Harbinger: Oakland, CA. 5

Mindfulness can help you: o Relieve stress, anxiety, panic, or chronic pain o Manage out-of-control emotions, and many health conditions o Respond to events in your life, and to yourself, with patience, openness, and compassion o Strengthen and deepen your connections and relationships 6

Mindfulness includes: Focusing thoughts only on the present time instead of the past or future Listening to your body and being kind to yourself Becoming more aware of your surroundings Allowing you to enjoy experiences more intensely Finding relaxation, acceptance, fulfillment, and calmness 7

Lacking mindfulness can include: o Reactions that are based on fear o Feeling disconnected from your experiences and from others o Feeling unable to focus - You can refocus yourself by saying, Just this if your thoughts start wandering or racing. o Feeling like life is passing you by with thoughts in the past or future rather than the unfolding present time o Feeling unable to enjoy yourself o Tending to have negative thinking 8

Take a mindfulness break Practice mindfulness when you are breathing, eating, taking walks, or interacting with others. Be present and use all your senses. Think of every moment as an invitation. Let your thoughts drift by like clouds in the sky - without judging them. 9

Mindful breathing o Slowly breathe deeply, and exhale completely. o Pause after you exhale, and hold for 4 seconds before allowing the air to return to your lungs. o Repeat four times, allowing your breath to breathe on its own and finding your pause between each breath. 10

Mindless eating People tend to eat mindlessly - When chowing down, we think about other things and don t really taste our food. We often respond to the sight of food with the impulse to devour it (whether or not we are actually hungry). We miss the subtle feelings of fullness if we don t slow down to finish chewing and swallowing before we pick up the next bite It takes 20 minutes for your body to signal that it is full. By eating fast, you are more likely to overeat or have discomfort. 11

Mindful Eating Try eating mindfully by eating alone or in silence, savoring the sight, smell, texture, the color and light on the food. Appreciate its connection to the outside world, the taste and feel of the food as you eat it slowly. In mindfulness retreats, meals are usually served in silence as people appreciate the food and the efforts that went into growing and preparing it. They often feel satisfied without eating as much food. Siegel, R. (2010). The mindfulness solution: Everyday practices for everyday problems, p. 261-264. New York: Guilford Press. 12

Mindful experiences o Observe the flow of experiences without judging or being distracted by them. o Respond with openness, not just reacting to your experiences. o Show you that what is truly happening may be different than what you had been seeing and reacting to. o Allow a sense of connection to something larger. o Decrease stress and fear in your life (but not by shielding you or keeping you in your comfort zone). 13

Activity: Letting the mud settle Think of a concern you now have, like a relationship or financial struggle, a medical problem or a situation that makes you feel depressed or fearful. Imagine you are watching this concern without judgment, reaction, or distraction. Think of it as a color, shape, or object that you hold in your hand. Visualize standing in front of a clear bowl with water or other liquid in it. Drop in the object that concerns you and stir for two minutes. 14

Discussion o Think about putting the spoon down and asking yourself, Has anything changed? o When you stirred, how did it make you feel? o When you stopped stirring, what happened to your concern? How did you feel? o Even if the water was still muddy and your concern didn t dissolve, it is OK. o This mindfulness practice doesn t predict a certain outcome in the real world, but it can help you feel better. 15

Mindful responses o The lesson of letting the mud settle is that when you stop letting fear stir things up in your life, you ll begin to feel a shift and find new awareness. o Responses based on fear keep you stirred up as you try to reject and control your experiences. o When you stop stirring things up and then let the mud settle, you may see mindful solutions and be open to learn things you had been ignoring. 16

Watch thoughts and feelings o Instead of trying to escape your experiences, you can greet them with curiosity and interest. o Think of being in a dark, stuffy attic crowded and cluttered with all sorts of things saved from the past. o You would feel better by going into the attic and starting to clean out the clutter. - You can see things more clearly. o Getting rid of the clutter also helps you respond to things in the present without reacting to thoughts and feelings from the past. 17

Living in the moment means letting go of the past o If we don t let go of painful experiences, difficult times, or things we believe were wrong, we find ourselves in a present and future that includes the same painful feelings. o Even though we can t change the past, we can come to terms with it, know that it s over, and move on. o Living mindfully and being more positive when thinking about the present opens up the possibility of making every moment count and having a better future. 18

Take a mindfulness break o Mindfulness begins with relaxation: o Drop your shoulders, loosen your jaw o Take slow, deep breaths o Soften your gaze o Awaken all of your senses o Savor the moment to recharge, renew, and think clearly 19

Activity: Watching, naming, and letting go o Sit comfortably, as you watch the parade of your thoughts, emotions, and sensations without judging or reacting to them for 5 minutes. o Simply greet whatever passes through your awareness gently with a hello. o Give it a name, like conflict or impatience and let it keep passing by. o By using nouns to name your experiences, you can say what it is without judgment. 20

Discussion o It is OK if certain events keep repeating. Those may be things that will need deeper attention later. o Were you able to let go of the thoughts more easily? o Did you feel a shift in your awareness? o Responding mindfully is not instant, but is a process that takes time and helps you create openness in your life. o The place in which you find yourself is not as important as where you place your awareness while you are there. 21

Mindful Presence o Mindful relationships can be simply profound and profoundly simple: o Follow the path of simply being, and practice careful presence. o Instead of reacting with fear, respond with patience. o Instead of restriction, respond with openness. o Instead of mistrusting, respond with compassion. o Instead of rejection, respond with acceptance. 22

Loving Kindness Metta Loving attention to your heart: Then to a loved one Then to acquaintance/friend Someone in difficulty Stranger Someone you have difficulty with All living beings The universe Back to yourself Metta is a Buddhist term - the strong wish for happiness, welfare, and freedom of all living beings. The wish for your own happiness and welfare is very important, as it is the basis for the positive, caring actions you do for the world. 23

Discussion and Practice o How can mindfulness affect you and your ability to cope? o What do you want to achieve by being more mindful? o How and when will you start using mindfulness? o Download free mindfulness meditations by R. Siegel online at www.mindfulness-solution.com. Choose the exercises you want to try, including: Loving kindness Breath awareness meditations Thought labeling 24

Conclusion o Seeing a need for mindfulness is the first step toward learning and practicing it. o Start to focus on changing yourself and your attitudes by learning to be mindful. o Realize that you can t change other people - There are some things we just have to let go. o By using mindfulness, you can cope better and have a healthier recovery. 25

References Hereford, Z. (n.d.) Essential Life Skills handouts retrieved from http://www.essentiallifeskills.net/live-in-the-moment.html Nguyen, T. H. (2007). A love beyond supreme: A tribute to Metta. Retrieved from http://www.mettacenter.org/definitions/metta-loving-kindness Roberts, T. (2009). The mindfulness workbook: A beginner s guide to overcoming fear and embracing compassion. New Harbinger Publications: Oakland, CA Roberts, T. (2010, June). The path of simply being. Handouts from Mindfulness Retreat for Behavioral Health staff 26

This lesson was developed in 2011 and revised 6-3-15 by Mary Knutson RN. 27