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MiT For Anxiety & Trauma Di...
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Overview
• Session 1:
– Ove...
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Materials and Process
• Sli...
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Beginning with the end in m...
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Beginning with the end in m...
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Who here can come into a st...
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4Breaths Technique
Coming i...
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What does mindfulness mean ...
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“Bringing one‟s complete at...
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Our “map”:
IAA model of min...
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Holding in Mind: Intentions...
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Attending Skills
Placing yo...
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The process of mindfulness
...
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Attending:
• Using your fac...
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3 Qualities of Presence
• L...
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Presence…
“The mind if not ...
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Points of Contact
Becoming ...
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Mindful Attitudes: More tha...
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Attitudes
GOAL
• Curiosity ...
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3 Minute Breathing Space = ...
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I-SIFT
• I (me)
• Sensation...
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MINDFULNESS:
COMPONENTS AND...
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Central Concepts
• The ubiq...
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A Central task
• To disenga...
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And again…
“The mind if not...
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But!
• Before „Letting-Go‟,...
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„Being – With‟
• Feeling in...
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BREAK! 
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Review…
Mindfulness is the ...
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Correlational Research
Grea...
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Mindfulness: Does it Matter...
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What: spectrum of mindfulne...
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Modelling Mindfulness,
Psyc...
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Mindfulness and Psychothera...
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Mindfulness and Therapist F...
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Mindfulness and Systemic Fa...
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My Clinical Assumptions
• T...
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Self Audit
What I do well:
...
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Tailoring individual treatm...
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Mindfulness and anxiety….
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Mindfulness and Anxiety Dis...
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Experiential Avoidance: A P...
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Mindfulness and Treatment
P...
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Assessment, psycho-educatio...
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Mindfulness and CBT
• Mores...
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Mindfulness and CBT
Promoti...
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Mechanism 1: Exposure
Safet...
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Exposure
Psychological Mech...
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Exposure
Relationally
• The...
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Mechanism 2: Decentering
• ...
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Potentiating Mechanism 3:
C...
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Interventions
• 2-Hands
• T...
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Mindfulness Practice: 2 Han...
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POC: Points of Contact –
In...
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4Breaths Technique
Coming i...
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3 Minute Breathing Space = ...
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Safety – Modification
• Sev...
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Practice!
• Coach each othe...
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Clinical Markers **
• Viewi...
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Mindfulness as Assessment
•...
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Potential Experiential Mind...
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Potential Experiential Mind...
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Psychoeducation: IAA terms
...
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Psycho-Education: Knowing y...
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Mindfulness & Metaphor
• Us...
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Clinical Uses for Meditatio...
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• As homework: Start with d...
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Meditation-Check list: Lear...
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In-session meditation:
Emot...
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Using Metaphors
Clouds in t...
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No Pest Control
(reactions ...
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Nature of Attention
Spotlig...
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Train of thought
• Thoughts...
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Thought Parade
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Beginning with the end in m...
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Beginning with the end in m...
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MiT-A for Anxiety and Trauma Disorders

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Mindfulness Informed Therapy for Anxiety and Trauma Disorders

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  • Identifying client > reflections after key mindfulness practices > intervention planning
  • 2H and 4B – first sessionEA – How is that working for you?Cogdefusion
  • 2H
  • Attentional placement:Shifting and sustaining attention (Panic Disorder, GAD, PTSD)Non-judgmental AwarenessInhibiting secondary appraisals (OCDNoticing and Naming Ability to put inner experience into words
  • Coming into a state of Presence Attentional placement: Getting out of rumination and worry Internal awareness Being Mode
  • Clinician using Mindfulness practice without teaching to clientsTeaching concepts (e.g., attitudes) without formal Mindfulness practice
  • Remaining cognisant of overarching …Broad: What is the frame of engagementSpecific: Following the Clients Lead: What moment is this?What interferes with this….Holding your own stuff in mindFeeling Felt: Rock in the OceanFBB technique
  • EA : Thought suppression, avodiance
  • Biologically: Relaxation Response: Parasympathetic Nervous System ActivationDiaphramatic breathing: Optimal Oxygen / Carbon Dioxide ratio
  • 2H
  • With RS – very important
  • This section is about setting the framework (the ‘how). When we think about Mindfulness what I want you to take away today is that there are 3 components to mindfulness – Attention, Intention, and Attitude. So looking at definition of mindfulness before it’s… paying attention in a particular way, …etc
  • 2H and 4B – first sessionEA – How is that working for you?Cogdefusion
  • MiT-A for Anxiety and Trauma Disorders

    1. 1. Copyright (c) 2013 Mindfulness Training Australia, All Rights Reserved | info@bemindful.com.au MiT For Anxiety & Trauma Disorders Cameron Aggs Clinical Psychologist & Director Mindfulness Training Australia Cam @bemindful.com.au In collaboration with the Australian College of Community Services
    2. 2. Copyright (c) 2013 Mindfulness Training Australia, All Rights Reserved | info@bemindful.com.au Overview • Session 1: – Overview of mindfulness and key concepts – Experiential exercises: 3MBS, 2H and 4B techs • Session 2: – Mindfulness, Clinical Algorithm and Case Formulation – Mindfulness in the context of trauma and other anxiety disorders • Session 3: – Mindfulness-Informed Interventions: Video – Facilitating the 3MBS, 2h and 4B techs
    3. 3. Copyright (c) 2013 Mindfulness Training Australia, All Rights Reserved | info@bemindful.com.au Materials and Process • Slides • Experiential activities – Participate as much as you feel comfortable – Volunteering for demonstrations • Choose a client to keep in mind • Video • Password resources
    4. 4. Copyright (c) 2013 Mindfulness Training Australia, All Rights Reserved | info@bemindful.com.au Beginning with the end in mind • Mindfulness and the Magic Question • Safety, Safety, Safety… • Mindfulness should be embodied (RB2RB) • Enhancing a willingness to feel into and to safely experience SIFT experiences – Importance of the breath – Relevance of Self-As-Context
    5. 5. Copyright (c) 2013 Mindfulness Training Australia, All Rights Reserved | info@bemindful.com.au Beginning with the end in mind • Know your mechanisms! • Socialise early. Find your entry point. Scaffold. • Jigsaw metaphor • Make sure you have access to enough resources to build the capacities you are seeking to foster • Make sure you can do what you are asking of your clients (or are cognisant of how hard it can be!)
    6. 6. Copyright (c) 2013 Mindfulness Training Australia, All Rights Reserved | info@bemindful.com.au Who here can come into a state of presence at will?
    7. 7. Copyright (c) 2013 Mindfulness Training Australia, All Rights Reserved | info@bemindful.com.au 4Breaths Technique Coming into a state of presence: • Lightly, mindfully watching the breath • Coordinating with the fingers: Motor-movement • Rounds of 4 “These 4-Breaths are Mine”
    8. 8. Copyright (c) 2013 Mindfulness Training Australia, All Rights Reserved | info@bemindful.com.au What does mindfulness mean to you ? Copyright (c) 2013 Mindfulness Training Australia, All Rights Reserved | MiT - Mindfulness Informed Therapy
    9. 9. Copyright (c) 2013 Mindfulness Training Australia, All Rights Reserved | info@bemindful.com.au “Bringing one‟s complete attention to the experiences occurring in the present moment, in a nonjudgmental or accepting way” (Brown & Ryan, 2003; Kabat-Zinn, 1990). What is Mindfulness?
    10. 10. Copyright (c) 2013 Mindfulness Training Australia, All Rights Reserved | info@bemindful.com.au Our “map”: IAA model of mindfulness (Shapiro et al., 2006) Intention Attention Attitude Paying attention in a particular way… Kabat-Zinn, 1994, p4 and non-judgmentally. on purpose, in the present moment,
    11. 11. Copyright (c) 2013 Mindfulness Training Australia, All Rights Reserved | info@bemindful.com.au Holding in Mind: Intentions • What do you want from mindfulness? • This moment…? • This meditation / workshop / this session…? • More generally inc this treatment episode? Tip #1: Mindfulness is an intentional activity
    12. 12. Copyright (c) 2013 Mindfulness Training Australia, All Rights Reserved | info@bemindful.com.au Attending Skills Placing your attention where you want it… • Attentional placement: – Shifting and sustaining attention • Non-judgmental Awareness – Inhibiting secondary appraisals • Noticing and Naming – Ability to put inner experience into words
    13. 13. Copyright (c) 2013 Mindfulness Training Australia, All Rights Reserved | info@bemindful.com.au The process of mindfulness (the WHAT and HOW) Noticing and naming with mindful attitudes (internal & external experiences) Letting go (creating space) Focus/Re-focus attention Choose an aspect of internal or external experience to focus attention on
    14. 14. Copyright (c) 2013 Mindfulness Training Australia, All Rights Reserved | info@bemindful.com.au Attending: • Using your faculty of attention as a tool: Disengaging from worry and rumination • Fostering Internal Attunement / Meta-CognItive Awareness: What‟s happening for me now..? • The ability to come into a state of “Presence”
    15. 15. Copyright (c) 2013 Mindfulness Training Australia, All Rights Reserved | info@bemindful.com.au 3 Qualities of Presence • Light: As in buoyant in the Mind – Unencumbered by past and future and fixation • Relaxed: As in soft in the body – Particularly the belly, chest, shoulders, jaw • Grounded: The bum in the chair and the feet on the floor – Mind „riding‟ the breath Light. Relaxed. Grounded.
    16. 16. Copyright (c) 2013 Mindfulness Training Australia, All Rights Reserved | info@bemindful.com.au Presence… “The mind if not stirred, will become clear” Sogyal Rinpoche
    17. 17. Copyright (c) 2013 Mindfulness Training Australia, All Rights Reserved | info@bemindful.com.au Points of Contact Becoming Present: • Feet on the floor • Bottom in the Chair • The breath moving in and out of the body Grounded inwardly, focused outwardly…
    18. 18. Copyright (c) 2013 Mindfulness Training Australia, All Rights Reserved | info@bemindful.com.au Mindful Attitudes: More than just Attention The Flavour of Mindfulness: The anesthetic of internal attunement….
    19. 19. Copyright (c) 2013 Mindfulness Training Australia, All Rights Reserved | info@bemindful.com.au Attitudes GOAL • Curiosity : • Openness • Acceptance • Love Metaphor / key principles • Curious Explorer • “It is already here: Let me feel it • As an active state • Friendliness Saying „Yes‟ to Experience
    20. 20. Copyright (c) 2013 Mindfulness Training Australia, All Rights Reserved | info@bemindful.com.au 3 Minute Breathing Space = Making a Space for What is Happening now Step 1: Taking stock / Gathering the mind Step 2: Focusing and redirecting the attention Step 3: Expanding awareness and returning Hot tip: Bookmark: youtube “3 minute breathing space” (it‟s the first one that comes up) Experiential Exercise: 3MBS:
    21. 21. Copyright (c) 2013 Mindfulness Training Australia, All Rights Reserved | info@bemindful.com.au I-SIFT • I (me) • Sensations • Images • Feelings • Thoughts
    22. 22. Copyright (c) 2013 Mindfulness Training Australia, All Rights Reserved | info@bemindful.com.au MINDFULNESS: COMPONENTS AND CENTRAL CONCEPTS
    23. 23. Copyright (c) 2013 Mindfulness Training Australia, All Rights Reserved | info@bemindful.com.au Central Concepts • The ubiquity of human suffering • Internal experiences are transient and change with time • Thoughts and emotions are not facts • Though some are very „sticky‟ • They happen within a larger context: The „Space of the Mind‟
    24. 24. Copyright (c) 2013 Mindfulness Training Australia, All Rights Reserved | info@bemindful.com.au A Central task • To disengage from fixation on verbally-based mental content and fusion with emotional material
    25. 25. Copyright (c) 2013 Mindfulness Training Australia, All Rights Reserved | info@bemindful.com.au And again… “The mind if not stirred will become clear” -Sogyal Rinpoche
    26. 26. Copyright (c) 2013 Mindfulness Training Australia, All Rights Reserved | info@bemindful.com.au But! • Before „Letting-Go‟, of thoughts we must learn to „Be-With‟ our primary emotional experiences Saying „Yes‟ to experience - Tara Brach “It‟s already here…. Let me feel it” -John Kabat-Zinn
    27. 27. Copyright (c) 2013 Mindfulness Training Australia, All Rights Reserved | info@bemindful.com.au „Being – With‟ • Feeling into … • Going deeper…. • Making a space…
    28. 28. Copyright (c) 2013 Mindfulness Training Australia, All Rights Reserved | info@bemindful.com.au BREAK! 
    29. 29. Copyright (c) 2013 Mindfulness Training Australia, All Rights Reserved | info@bemindful.com.au Review… Mindfulness is the capacity to come into a state of presence, to not be overly judgmental (non-catastrophic) about our encounters with suffering, and to make space for whole range of affectively-engaged living, with the confidence that SIFT experiences are passing on through…. and, that we are the conscious, cognisant space within which that all happens
    30. 30. Copyright (c) 2013 Mindfulness Training Australia, All Rights Reserved | info@bemindful.com.au Correlational Research Greater mindfulness associated with higher: • Healthy self-regulation • Emotion regulation • Positive affect • Quality of life & life satisfaction • Social skills • Relationship Satisfaction • Academic competence Mindfulness interventions resulting in greater: • Feelings of calm/relaxation • Social skills • Personal and social well- being • Self-esteem and self- acceptance • Awareness and recognition of types of emotions • Self-efficacy for reducing substance use • Sleep quality
    31. 31. Copyright (c) 2013 Mindfulness Training Australia, All Rights Reserved | info@bemindful.com.au Mindfulness: Does it Matter? Greater mindfulness associated with lower: • Depressive symptoms • Anxiety • Stress • Internalizing symptoms • Externalizing behaviour problems • Worry and rumination • Negative affect • Substance use coping • Somatic complaints • Psychological inflexibility and thought suppression and control Mindfulness interventions resulting in lower: • Depressive symptoms and low mood • Anxiety • Stress • Internalizing symptoms • Externalizing behaviour problems • Difficulties with emotion regulation • Problem behaviours in the classroom • Keng, S.L. (2011). Effects of mindfulness on psychological health: A review of empirical studies. Clinical Psychology Review. 31, 1041- 1056
    32. 32. Copyright (c) 2013 Mindfulness Training Australia, All Rights Reserved | info@bemindful.com.au What: spectrum of mindfulness-informed interventions Mindfulness-informed interventions • Acceptance and Commitment Therapy (ACT) • Dialectical Behaviour Therapy – adolescents (DBT-A) • Individualised intervention plan: (e.g. MiT) Mindfulness-based interventions • Mindfulness-based stress reduction (MBSR) • Mindfulness-based cognitive therapy (MBCT) • Independently developed mindfulness programs (MiCBT) Embodying and modelling of mindfulness with clients
    33. 33. Copyright (c) 2013 Mindfulness Training Australia, All Rights Reserved | info@bemindful.com.au Modelling Mindfulness, Psychotherapy Process Mentalising the Clinical Algorithm Mindfulness Informed Therapy Mindfulness as metaphor, psychoeducation and technique
    34. 34. Copyright (c) 2013 Mindfulness Training Australia, All Rights Reserved | info@bemindful.com.au Mindfulness and Psychotherapy Process: Clinical Algorithm Client Characteristics: • What is the client‟s presenting problem? • Severity and Level of impairment? • Stage of Change? • Client‟s theory of Change? • Character organisation? - Joe Coyne
    35. 35. Copyright (c) 2013 Mindfulness Training Australia, All Rights Reserved | info@bemindful.com.au Mindfulness and Therapist Factors • Service in which we are embedded • Theoretical orientation • Access to training and supervision • Clinical / Couseling / Case-work assumptions • Presence of a personal practice • How we deal with our own suffering • Access to Resources
    36. 36. Copyright (c) 2013 Mindfulness Training Australia, All Rights Reserved | info@bemindful.com.au Mindfulness and Systemic Factors • Nature of the Services • Type and scope of intervention • Frequency of contact • Broader social, economic and political context
    37. 37. Copyright (c) 2013 Mindfulness Training Australia, All Rights Reserved | info@bemindful.com.au My Clinical Assumptions • The Importance of following the clients lead: What moment is this? • Live Company: A mind-minded other.. • Client engagement as co-regulation • Hypothesis testing: Integrative and client-centered treatments • Behavioural Activation • Scaffolding: • Importance of Understanding Mechanisms • Entry Point >>>> Consolidating Gains
    38. 38. Copyright (c) 2013 Mindfulness Training Australia, All Rights Reserved | info@bemindful.com.au Self Audit What I do well: • Patients feel heard, feel felt… • A mind-minded other: „Live Company‟ • Engendering hope • A sense of “We” What I struggle with: • A consistent psychotherapy frame • Intellectualising
    39. 39. Copyright (c) 2013 Mindfulness Training Australia, All Rights Reserved | info@bemindful.com.au Tailoring individual treatments • Anxiety specifically and psychopathology generally initially develop in invalidating developmental contexts – Clinical Algorithm • Skills based vs relationally focused treatments – Healing nature of attuned relationships – Emotional processing vs building new capacities
    40. 40. Copyright (c) 2013 Mindfulness Training Australia, All Rights Reserved | info@bemindful.com.au Mindfulness and anxiety….
    41. 41. Copyright (c) 2013 Mindfulness Training Australia, All Rights Reserved | info@bemindful.com.au Mindfulness and Anxiety Disorders • PTSD • OCD • GAD • Phobias • Panic Disorder • Social Anxiety Disorder
    42. 42. Copyright (c) 2013 Mindfulness Training Australia, All Rights Reserved | info@bemindful.com.au Experiential Avoidance: A Primary Target for Anxiety Disorders • Anxiety disorders are developed and maintained by a complex array of factors including experiential avoidance (EA) • EA: Defined as an unwillingness to experience unwanted internal events. • Habitual attempts to anxiety trauma-related thoughts, emotions and memories lead to the core symptoms of Anxiety. • Target = Affect Regulation Capacity
    43. 43. Copyright (c) 2013 Mindfulness Training Australia, All Rights Reserved | info@bemindful.com.au Mindfulness and Treatment Planning • Establishing a platform of accurate attunement and (therefore) safety • Assessment inc client theory of change • PsychoEducation • Mindfulness as Metaphore / Deepening the Narrative • Experiential
    44. 44. Copyright (c) 2013 Mindfulness Training Australia, All Rights Reserved | info@bemindful.com.au Assessment, psycho-education and experiential techniques Throughout the psychotherapy journey point is the same: “ We can become curious about your experience together, that your what you are going through is understandable, and that this is a safe place to feel into those parts of your inner experience that are you find frightening, and which you avoid, and/or have been experienced in isolation. Through gaining mastery in here we can help you to generalise it out-there (and visa versa)…
    45. 45. Copyright (c) 2013 Mindfulness Training Australia, All Rights Reserved | info@bemindful.com.au Mindfulness and CBT • Moreso than changing maladaptive beliefs, the target of MiT is changing „maladaptive‟ ways of avoiding anxiety-provoking stimuli: ie avoidance. • Its also about the provision of a relationship that can feel into and cope with that which is more often excluded from awareness
    46. 46. Copyright (c) 2013 Mindfulness Training Australia, All Rights Reserved | info@bemindful.com.au Mindfulness and CBT Promoting the willingness to stay with it for „one-more moment‟ in the service of values-based living
    47. 47. Copyright (c) 2013 Mindfulness Training Australia, All Rights Reserved | info@bemindful.com.au Mechanism 1: Exposure Safety Exposure H* / Emotional Processing Repeated Exposure Mastery / H* • Biological mechanisms • The Breath: Entering the relaxation response • IA: Decreasing stress and strain (bracing) in the body *H = Habituation
    48. 48. Copyright (c) 2013 Mindfulness Training Australia, All Rights Reserved | info@bemindful.com.au Exposure Psychological Mechanisms • Experiential contact: Feelings can be felt, memories can be integrated into coherent narrative – Ie inner experiences can be felt, named, and shared • One-moment at a time: The benefits of staying present • Acting with Awareness: Availability of safety cues in the world • Curious Explorer: SIFT
    49. 49. Copyright (c) 2013 Mindfulness Training Australia, All Rights Reserved | info@bemindful.com.au Exposure Relationally • The Therapy Relationship is safe: – Live Company: A Mind-Minded Other – Accurate Attunement: Following Lead – Containing, Reframing, Exploring, Debriefing – At the client‟s pace
    50. 50. Copyright (c) 2013 Mindfulness Training Australia, All Rights Reserved | info@bemindful.com.au Mechanism 2: Decentering • Self-as-Context • Meta-cognitive Awareness • „Thoughts are not facts‟: Undermining thought/action fusion • „Being-Mode‟ • Agency
    51. 51. Copyright (c) 2013 Mindfulness Training Australia, All Rights Reserved | info@bemindful.com.au Potentiating Mechanism 3: Compassion • Mindfulness and Self-Attunement • Friendly Self-Object • Self-Efficacy • Potentiating mechanism for Acceptance • Revolution in self-concept and attachment security: Self is Good, Safe and Loveable
    52. 52. Copyright (c) 2013 Mindfulness Training Australia, All Rights Reserved | info@bemindful.com.au Interventions • 2-Hands • Therapist behaviours: Reframing • The psychotherapy Narrative / psychoeducation • Mini thought experiments: • 4-breaths • POC – with modifications • 3MBS- with modifications
    53. 53. Copyright (c) 2013 Mindfulness Training Australia, All Rights Reserved | info@bemindful.com.au Mindfulness Practice: 2 Hands • Place one hand is on the chest and the other hand on the abdomen. • Breathe and notice: – Where is the breath moving? – Is the breath deep or shallow? Fast or slow? – Which hand is moving more? • Rate our of 100%
    54. 54. Copyright (c) 2013 Mindfulness Training Australia, All Rights Reserved | info@bemindful.com.au POC: Points of Contact – Inward focus Noticing the feeling of your feet on the floor, bottom in the chair and your breathing… For clients: • Engenders safety (groundedness and an „inward focus‟ • De-stabilising aspect of mindfulness practice • Deepens the impact of the therapy relationship, potentiates the therapy hour For the therapist: • The how of „Therapeutic Presence‟ • Enables frustration tolerance
    55. 55. Copyright (c) 2013 Mindfulness Training Australia, All Rights Reserved | info@bemindful.com.au 4Breaths Technique Coming into a state of presence: • Lightly, mindfully watching the breath • Coordinating with the fingers: Motor-movement • Rounds of 4 “These 4-Breaths are Mine”
    56. 56. Copyright (c) 2013 Mindfulness Training Australia, All Rights Reserved | info@bemindful.com.au 3 Minute Breathing Space = Making a Space for What is Happening now Step 1: Taking stock / Gathering the mind Step 2: Focusing and redirecting the attention Step 3: Expanding awareness and returning Working With Discomfort: Exposure to negative affect modification: Presenter demonstration Experiential Exercise: 3MBS:
    57. 57. Copyright (c) 2013 Mindfulness Training Australia, All Rights Reserved | info@bemindful.com.au Safety – Modification • Severity of impairment assessment • Working Alliance assessment • POC Exercise: Agency • Eyes Open Modification • Relational Exercises
    58. 58. Copyright (c) 2013 Mindfulness Training Australia, All Rights Reserved | info@bemindful.com.au Practice! • Coach each other through an exercise of your choosing • Provide a rationale: Link to assessment and ongoing socialisation process • Encourage partner (You are fostering a trajectory to end in a sense of Mastery) • Provide feedback • Swap
    59. 59. Copyright (c) 2013 Mindfulness Training Australia, All Rights Reserved | info@bemindful.com.au Clinical Markers ** • Viewing, trauma-related thoughts and feelings from a nonjudgmental perspective • Increase their contact with the present moment: The trauma is not now. • A felt awareness that thought suppression, avoidance etc is unnecessary and counter productive • Behavioural Activation / Acting with Awareness: Moving on into a values congruent future
    60. 60. Copyright (c) 2013 Mindfulness Training Australia, All Rights Reserved | info@bemindful.com.au Mindfulness as Assessment • Assess trauma type and severity • What is the clients theory of change, level of impairment etc? • Mindfulness and a sense of agency and safety – Modifying Points of Contact exercise
    61. 61. Copyright (c) 2013 Mindfulness Training Australia, All Rights Reserved | info@bemindful.com.au Potential Experiential Mindfulness Trajectory 2 Hands > P.O.C > 4 Breaths > T.E.‟s 3Rs > 3MBS > Body Scan > Breathing Meditation > Sitting with discomfort
    62. 62. Copyright (c) 2013 Mindfulness Training Australia, All Rights Reserved | info@bemindful.com.au Potential Experiential Mindfulness Trajectory 2 Hands > P.O.C > 4 Breaths > T.E.‟s 3Rs > 3MBS > Body Scan > Breathing Meditation > Sitting with discomfort
    63. 63. Copyright (c) 2013 Mindfulness Training Australia, All Rights Reserved | info@bemindful.com.au Psychoeducation: IAA terms Intention Attention Attitude Focusing/refocusing on the here and now Noticing and naming Letting go and creating space Checking in Curiosity Kindness Willingness Choosing Slowing down Remembering Knowing why
    64. 64. Copyright (c) 2013 Mindfulness Training Australia, All Rights Reserved | info@bemindful.com.au Psycho-Education: Knowing your Mechanisms! Self-Compassion DefusionPositive Affect Acceptance Interoceptive Exposure Agency RelaxationAttention Switching
    65. 65. Copyright (c) 2013 Mindfulness Training Australia, All Rights Reserved | info@bemindful.com.au Mindfulness & Metaphor • Using metaphors to illustrate and explore mindfulness concepts – Keep it simple and Don‟t overload with too many or varied metaphors Metaphor Target area Clouds in the sky Self as Context: Interoceptive Experiences are safe Leaves on a stream / River Bank Internal experiences are constantly changing + Observer Self Training the Puppy Gentle and Firm orientation to attentional control. Forming a relationship with the self Narrowing focus – widening lense Attention is a tool „Turning Towards‟, Saying „Yes‟ Mobilising acceptance in behavioral terms Train of thought Internal experiences are constantly changing Making space / feeling into… Mobilising acceptance in behavioral terms
    66. 66. Copyright (c) 2013 Mindfulness Training Australia, All Rights Reserved | info@bemindful.com.au Clinical Uses for Meditation • Selling meditation: Finding a way of talking about meditation that makes sense. • Constraining gains: starting with FBB +4B • To focus a session: Do at Beginning – Establish a narrative for this early on and stick with it. • As treatment: Emotional processing, attention training, synergies with schema-focused and cognitive work
    67. 67. Copyright (c) 2013 Mindfulness Training Australia, All Rights Reserved | info@bemindful.com.au • As homework: Start with diaphragmatic breathing (Crawl and/or two breaths) prior to doing guided meditations • Using meditation like a Personal Trainer. Discourse: Building neural circuits • Trajectory: – Start with Body scan (relaxation – > breathing meditation (attention regulation), – > noticing thoughts and feelings (meta-cognitive awareness – > guided imagery (creating a safe place) – > sitting with discomfort (interoceptive exposure / emotional processing
    68. 68. Copyright (c) 2013 Mindfulness Training Australia, All Rights Reserved | info@bemindful.com.au Meditation-Check list: Learning Opportunities Attention • Thoughts will continue to be there and that is okay • You can learn to let go of thoughts Attitude • My feelings are okay as they are Experiential • The present moment can be a nice place to be • Your ally is close at hand: Diaphragmatic breathing: Long, deep and slow • Feeling it at a physical level
    69. 69. Copyright (c) 2013 Mindfulness Training Australia, All Rights Reserved | info@bemindful.com.au In-session meditation: Emotional Processing • Discuss a worry - Find the bottom line /what is the essential message? – Eg. “I am not good enough” • Guide a meditation starting with relaxing into FBB • Evoke the message: “Imagine it like a radio station….” • Notice feelings and body sensation. Special attention to belly and chest.
    70. 70. Copyright (c) 2013 Mindfulness Training Australia, All Rights Reserved | info@bemindful.com.au Using Metaphors Clouds in the Sky Mentally “placing” internal experiences (usually thoughts) on the object and allow it to move (or not move) as it naturally wants to. – Does … (object) stick around? – Does it feel ok if … (object) is not moving on? – Background (sky) is „observing self‟/„self-as-context‟ – Noticing that the background can observe the objects that move through it – Are you the … (object) or the … (background)? [„self-as-context‟ rather than „self-as-content‟] If the child has the capacity, you can link other internal experiences (e.g., feelings) to other objects/events that occur in the background – Are you still able to be … (the background) even when … (feeling) is also happening?
    71. 71. Copyright (c) 2013 Mindfulness Training Australia, All Rights Reserved | info@bemindful.com.au No Pest Control (reactions happen) • Imagine your distressing or unwanted thoughts, feelings, body sensations are like … cockroaches… • Being able to let the experience be… – Not feeling bad that it is here – Not trying to get rid of it – Not running away from it – Not letting the cockroaches control how you act – Not trying to make the experience positive (e.g., a butterfly) • Being ok with the experience coming and going… like cockroaches running around you... • Being able to notice the experience and still being able to chose what to do
    72. 72. Copyright (c) 2013 Mindfulness Training Australia, All Rights Reserved | info@bemindful.com.au Nature of Attention Spotlight • Shining light on where you want to focus your attention Puppy on a leash • Like a puppy attention naturally wanders (jumps around) • It takes time to train a puppy (attention) to be able stay in the one place for any length of time • Getting angry at the puppy doesn‟t help • Be kind to your wandering mind
    73. 73. Copyright (c) 2013 Mindfulness Training Australia, All Rights Reserved | info@bemindful.com.au Train of thought • Thoughts don‟t stop and they often jump from one topic to another. • The train of thought can be fast or slow • Creating Space: “Are you standing on the platform or are you riding on the train?”
    74. 74. Copyright (c) 2013 Mindfulness Training Australia, All Rights Reserved | info@bemindful.com.au Thought Parade
    75. 75. Copyright (c) 2013 Mindfulness Training Australia, All Rights Reserved | info@bemindful.com.au Beginning with the end in mind • Mindfulness and the Magic Question • Safety, Safety, Safety… • Mindfulness should be embodied (RB2RB) • Enhancing a willingness to feel into and to safely experience SIFT experiences – Importance of the breath – Relevance of Self-As-Context
    76. 76. Copyright (c) 2013 Mindfulness Training Australia, All Rights Reserved | info@bemindful.com.au Beginning with the end in mind • Know your mechanisms! • Socialise early. Find your entry point. Scaffold. • Jigsaw metaphor • Make sure you have access to enough resources to build the capacities you are seeking to foster • Make sure you can do what you are asking of your clients (or are cognisant of how hard it can be!)
    77. 77. Copyright (c) 2013 Mindfulness Training Australia, All Rights Reserved | info@bemindful.com.au Thank You! More information at www.bemindful.com.au Email me: cam@bemindful.com.au

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