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  • Mindfulness: Reason Mind, Emotion Mind, and Wise Mind

    f-202I have been practicing meditation since the mid-70’s and started a mindfulness meditation practice in the mid-90’s. Mindfulness has to do with the quality of awareness that we bring to what we are doing and experiencing, to being in the here and now.  It has to do with learning to focus on being in the present, to focusing our attention on what we are doing and what is happening in the present.
    Many of us are distracted by images, thoughts and feelings of the past, perhaps dissociating, worrying about the future, negative moods and anxieties about the present.   It’s hard to put these thing away and concentrate on the task at hand.

    I started teaching mindfulness to patients a few years ago and often used the following as a hand out:
    Mindfulness has to do with states of mind. Reason Mind, Emotion Mind, and Wise Mind. Reason Mind is your rational, thinking, logical mind. It plans and evaluates things logically. It is your “cool” part. Reasonable Mind can be very beneficial. It is easier to be in Reasonable Mind when you feel good. It is much harder to be in Reasonable Mind when you don’t feel good.

    You Would Use Your Reasonable Mind To:
    Build a bridge
    Figure out how to double a recipe
    Balance your checkbook
    Figure out the fastest way from point “A” to point “B”

    Emotion Mind describes times when emotions are what influence or control your thinking and behavior. Emotional Mind can also be very beneficial. Emotions are what motivate us to action. Emotions are what keep us attached to others and building relationships.

    Emotion Mind can be aggravated by:
    Illness, Lack Of Sleep, Tiredness, Drugs, Alcohol, Hungry, Overeating, Poor nutrition and/or lack of exercise, Environmental stress and threats, not taking your meds.

    Both Emotion and Reasonable Mind Are Equally Important And Valuable

    Reasonable mind gives you a way to solve your problems.

    Emotion mind gives you a reason (motivation) to want to solve them.

    Wise Mind is the integration of emotional and reasonable mind. Wise mind is that part of each person that can know and experience truth. It is where the person knows something to be true or valid. It is where the person knows something in a centered (balanced) way. It is almost always quiet and calm in this part of the mind.

    Everyone Has A Wise Mind!

    Some people have simply never experienced it.

    No one is in Wise Mind all of the time.

    Wise Mind – An Analogy for Wise Mind is like a deep well in the ground. The water is at the bottom of the well. The entire underground is an ocean called Wise Mind. But on the way down, there are often trap doors that stop progress. Sometimes the trap doors are so cleverly built that you actually believe that there is no water at the bottom of the well. The trap door may look like the bottom of the well. Perhaps it is locked and you need a key. Perhaps it is nailed shut and you need a hammer. Perhaps it is glued shut and you need a chisel.

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  • Meditation and Pain

    Meditation can relieve pain, and it does so by activating multiple brain areas, according to an April 2011 study in the Journal of Neuroscience. Fadel Zeidan of Wake Forest University and his colleagues scanned people’s brains as they received uncomfortably hot touches to the leg. When subjects practiced a mindful meditation technique that encourages detachment from experience while focusing on breathing, they reported lesspain than when they simply paid attention to their breathing. Likewise, different patterns of brain activity emerged under the two conditions, with mindful meditating resulting in more activity not only in executive centers that evaluate experiences and regulate emotions but also in lower regions that control the signals coming from the body.

    The volunteers learned the meditation technique in only four 20-minute sessions, which means this pill-free analgesia could be a feasible way to help real patients suffering from pain. “People can reap some of the benefits of meditation without extensive training,” Zeidan says.

    When I work with patients using mindfulness I start by asking who has experience with any type of meditation, breathing techniques and/or relaxation exercises. We than have a  brief explanation and question and answer period and I focus on removing any doubt, fear, or skepticism. I usually than do a 10 to 12 minute body scan moving right into a mindful meditation that focuses on the breath.

    With the co-occurring patients I work with this process seems to work the best. The chat in the beginning warms people up, the body scan relaxes which helps the meditators enter into a more meditative state.

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  • Maz Jobrani Sobriety & the Struggle to Overcome Addiction

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  • Ant Coloring Page

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  • Emotional Intelligence

    I often work with groups using lists. In movement therapy as well as psychotherapy, educational and process oriented groups lists are a great structure for groups to explore thoughts, and/or feelings. Here is a list that often comes up in groups ten suggestions about feelings.
    1. Become emotionally literate. Label your feelings, rather than labeling people or situations.
    Use three word sentences beginning with “I feel”.
    Start labeling feelings; stop labeling people & situations
    “I feel impatient.” vs “This is ridiculous.” I feel hurt and bitter”. vs. “You are an insensitive jerk.”
    “I feel afraid.” vs. “You are driving like an idiot.”
    2. Distinguish between thoughts and feelings.
    Thoughts: I feel like…& I feel as if…. & I feel that
    Feelings: I feel: (feeling word)
    3. Take more responsibility for your feelings.
    “I feel jealous.” vs. “You are making me jealous.”
    Analyze your own feelings rather than the action or motives of other people. Let your feelings help you identify your unmet emotional needs.
    4. Use your feelings to help make decisions
    “How will I feel if I do this?” “How will I feel if I don’t?”
    “How do I feel?” “What would help me feel better?”
    Ask others “How do you feel?” and “What would help you feel better?”
    5. Use feelings to set and achieve goals
    – Set feeling goals. Think about how you want to feel or how you want others to feel. (your employees, your clients, your students, your children, your partner)
    – Get feedback and track progress towards the feeling goals by periodically measuring feelings from 0-10. For example, ask clients, students, teenagers how much they feel respected from 0 to 10.
    6. Feel energized, not angry.
    Use what others call “anger” to help feel energized to take productive action.
    7. Validate other people’s feelings.
    Show empathy, understanding, and acceptance of other people’s feelings.
    8. Use feelings to help show respect for others.
    How will you feel if I do this? How will you feel if I don’t? Then listen and take their feelings into consideration.
    9. Don’t advise, command, control, criticize, judge or lecture to others.
    Instead, try to just listen with empathy and non-judgment.
    10. Avoid people who invalidate you.
    While this is not always possible, at least try to spend less time with them, or try not to let them have psychological power over you.
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  • Evidence based Yoga

    Yoga is a mind and body practice in complementary medicine with origins in ancient Indian philosophy. 
    Carpal tunnel syndrome A randomized, single-blind controlled trial of 42 patients with carpal tunnel syndrome assigned subjects to either a yoga treatment group or a wrist splint group, each 8 weeks in duration. Twice a week, the yoga group practiced postures specifically designed to strengthen and stretch each joint in the upper body. Yoga participants showed improvement in grip strength, pain levels, and Phalen’s sign when compared to the wrist splint group. Nerve conduction studies were not performed.15 A Cochrane review of 21 trials that evaluated the clinical outcome of nonsurgical treatment of carpal tunnel syndrome reported that 8 weeks of yoga practice significantly reduced pain as compared to wrist splinting. The yoga was described as having a “significant short-term benefit,” though the duration of this benefit is unknown.16

    Depression A 2004 review of five RCTs that evaluated yoga-based interventions for depression and depressive disorders showed some positive outcomes and no adverse effects on patients’ mild to severe depressive disorders. However, poor study design and incomplete methodologic reporting makes this interpretation preliminary.17 An RCT studying 7 weeks of yoga training in a group of breast cancer survivors showed positive changes in emotional function, depression, and mood disturbance.18 “Yoga and stress management” (in the online version of this article) provides more information on this study and others involving the effects of yoga on stress.

    Irritable bowel syndrome In an RCT, treatment with loperamide (Imodium) was compared to treatment with a series of 12 yoga postures practiced twice a day for 2 months in a small sample of patients with clinically diagnosed irritable bowel syndrome. Patients underwent measurement of surface electrogastrography, and trait and state anxiety tests were administered before, during, and up to 2 months after treatment. Both intervention groups demonstrated a decrease in bowel symptoms and state anxiety.19

    Menopausal symptoms In a recent pilot study, 14 postmenopausal women reported via interview and questionnaire a decrease in the severity and frequency of hot flushes after 8 weeks of 90-minute “restorative yoga” classes. Although this initial finding sounds encouraging, this trial had no control group or objective parameter measurements.20 An RCT studying postmenopausal sleep quality divided 164 women into groups who participated in either 4 months of low-intensity yoga, a moderate-intensity walking program, or a wait-list control group. This study reported no statistically significant interventional effects of any treatment on total sleep quality or on any individual sleep quality domain.21

    Multiple sclerosis An RCT of 57 subjects with clinically defined multiple sclerosis were assigned to weekly Iyengar yoga class plus home practice, a cycling program, or a wait-list control group for 6 months. Results showed that both active interventions produced significant improvement in perceived levels of energy and reduced fatigue; however, the specific effects of the yoga practice were not isolated.22 Osteoarthritis In a pilot study, 11 deconditioned, yoga naive subjects with a clinical diagnosis of knee osteoarthritis showed improvements in pain and knee stiffness after 8 weeks of yoga training. The group performed modified Iyengar yoga sessions once a week.23

    Seizure disorders In 2000, a systematic review of the published literature revealed that only one study was able to meet the selection criteria for reliable research design. The reviewers concluded that no available evidence pointed to yoga therapy as an efficacious treatment for epilepsy.24
    Strength and flexibility In a recent study on the fitness related effects of hatha yoga, 10 yoga-naïve and previously untrained subjects aged 18 to 27 years participated in 85 minutes of pranayama and hatha yoga practice twice a week for 8 weeks. These subjects showed significant improvement in upper and lower body muscular strength, endurance, and flexibility. No statistically significant change in body composition or pulmonary function was observed.13
    In a partial RCT with a longer time frame, 54 subjects aged 20 to 25 years participated in either 5 months of yoga instruction or no activity. After that time period, both groups practiced yoga for an additional 5 months. The group practicing 10 months of yoga showed significant improvements in shoulder, trunk, hip, and neck flexibility, as well as a reported improved performance during submaximal exercise testing.25
    A well-executed study compared subjects who underwent 24 hours of hatha yoga classes over 8 weeks with a control group. The yoga training group showed a 13% to 35% improvement in flexibility, balance, and muscular endurance. The authors concluded that hatha yoga practice has significant effects on balance and flexibility.26

    REFERENCES

    1. Tindle HA, Davis RB, Phillips RS, Eisenberg DM. Trends in use of complementary and alternative medicine by US adults: 1997-2002. Altern Ther Health Med. 2005;11(1):42-49.
    2. Carrico M. Yoga Journal’s Yoga Basics: The Essential Beginner’s Guide to Yoga for a Lifetime of Health and Fitness. New York, NY: Henry Holt and Company; 1997.
    3. Nayak NN, Shankar K. Yoga: a therapeutic approach. Phys Med Rehabil Clin N Am. 2004;15(4): 783-798, vi.
    4. Innes KE, Bourguignon C, Taylor AG. Risk indices associated with the insulin resistance syndrome, cardiovascular disease, and possible protection with yoga: a systematic review.J Am Board Fam Pract. 2005;18(6):491-519.
    5. Raub JA. Psychophysiologic effects of Hatha yoga on musculoskeletal and cardiopulmonary function: a literature review. J Altern Complement Med. 2002;8(6):797-812.
    6. Luskin FM, Newell KA, Griffith M, et al. A review of mind-body therapies in the treatment of musculoskeletal disorders with implications for the elderly. Altern Ther Health Med. 2000;6(2): 46-56.
    7. Jensen PS, Kenny DT. The effects of yoga on the attention and behavior of boys with attentiondeficit/ hyperactivity disorder (ADHD). J Atten Disord. 2004;7(4):205-216.
    8. Kirkwood G, Rampes H, Tuffrey V, et al. Yoga for anxiety: a systematic review of the research evidence. Br J Sports Med. 2005;39(12):884-891.
    9. Krisanaprakornkit T, Krisanaprakornkit W, Piyavhatkul N, Laopaiboon M. Meditation therapy for anxiety disorders. Cochrane Database Syst Rev. 2006;(1):CD004998.
    10. Sabina AB, Williams AL, Wall HK, et al. Yoga intervention for adults with mild-to-moderate asthma: a pilot study. Ann Allergy Asthma Immunol. 2005;94(5):543-548.
    11. Vendanthan PK, Kesavalu LN, Murthy KC, et al. Clinical study of yoga techniques in university students with asthma: a controlled study. Allergy Asthma Proc. 1998;19(1):3-9.
    12. Sherman KJ, Cherkin DC, Erro J, et al. Comparing yoga, exercise, and a self-care book for chronic low back pain: a randomized, controlled trial. Ann Intern Med. 2005;143(12):849-856.
    13. Tran MD, Holly RG, Lashbrook J, Amsterdam EA. Effects of Hatha yoga practice on the healthrelated aspects of physical fitness. Prev Cardiol. 2001;4(4):165-170.
    14. Clay CC, Lloyd LK, Walker JL, et al. The metabolic cost of Hatha yoga. J Strength Cond Res. 2005;19(3):604-610.
    15. Garfinkel MS, Singhal A, Katz WA, et al. Yoga-based intervention for carpal tunnel syndrome: a randomized trial. JAMA. 1998;280(18):1601-1603.
    16. O’Connor D, Marshall S, Massy-Westropp N. Nonsurgical treatment (other than steroid injection) for carpal tunnel syndrome. Cochrane Database Syst Rev. 2003(1):CD003219.
    17. Pilkington K, Kirkwood G, Rampes H, Richardson J. Yoga for depression: the research evidence. J Affect Disord. 2005;89(1-3):13-24.
    18. Culos-Reed SN, Carlson LE, Daroux LM, Hately-Aldous S. A pilot study of yoga for breast cancer survivors: physical and psychological benefits. Psycho Oncol. 2006;15(10):891-897.
    19. Taneja I, Deepak KK, Poojary G, et al. Yogic versus conventional treatment in diarrheapredominant irritable bowel syndrome: a randomized control study. Appl Psychophysiol Biofeedback. 2004;29(1):19-33.
    20. Cohen BE, Kanaya AM, Macer JL, et al. Feasibility and acceptability of restorative yoga for treatment of hot flushes: a pilot trial. Maturitas. 2007;56(2):198-204.
    21. Elavsky S, McAuley E. Lack of perceived sleep improvement after 4-month structured exercise programs. Menopause. 2007;14(3, pt 1):535-540.
    22. Oken BS, Kishiyama S, Zajdel D, et al. Randomized controlled trial of yoga and exercise in multiple sclerosis. Neurology. 2004;62(11):2058-2064.
    23. Kolasinski SL, Garfinkel M, Tsai AG, et al. Iyengar yoga for treating symptoms of osteoarthritis of the knees: a pilot study. J Altern Complement Med. 2005;11(4):689-693.
    24. Ramaratnam S, Sridharan K. Yoga for epilepsy. Cochrane Database Syst Rev. 2000(3):CD001524.
    25. Ray US, Mukhopadhyaya S, Purkayastha SS, et al. Effect of yogic exercises on physical and mental health of young fellowship course trainees. Indian J Physiol Pharmacol. 2001;45(1):37-53.
    26. Boehde D, Porcari JP, Greany J, et al. The physiological effects of 8 weeks of yoga training. J Cardiopulm Rehabil. 2005;25(5):290.

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  • light and sight

    “In your light I learn how to love. In your beauty, how to make poems. You dance inside my chest where no-one sees you, but sometimes I do, and that sight becomes this art.”  Rumi

     

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  • Aphrodite Coloring Page

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  • Standford Med: Why We Get Fat: Diet Trends and Food Policy

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  • What is Mindfulness?

    What is Mindfulness?

    Mindfulness is a concentrated state of awareness that can help us see and respond to situations with clarity and without getting carried away by emotions or the constant chatter in our heads. Mindfulness enables us to:

    · Better manage tension and stress

    · Enhance objectivity, mental focus

    · Communicate and make decisions more effectively

    · Improve productivity

    · Quiet’s noise in the mind

    Meditation

    Meditation is the tool we use to cultivate mindfulness. With meditation, you intentionally pay attention to a particular object as a way to strengthen concentration. There are thousands of meditative techniques: Tai Chi, yoga, focusing on the breath and using a mantra are all examples. People often think that meditating “correctly” means clearing all thought from the mind. This is a myth. The mind never stops thinking – it’s when we get caught up in our thoughts that we lose mindfulness. By witnessing thoughts, allowing them to pass, and returning to your chosen object of focus, you can actually build the muscle of concentration. Think of meditation as a fitness routine for the mind.

    Are there other benefits to mindfulness?

    In addition to boosting brain power, numerous research studies have shown significant physical benefits including:

    · Reduced blood pressure

    · Lowered cholesterol levels

    · Enhanced immune function

    · Reduced headache, migraine, back pain

    · Improved respiratory function

    Mindfulness does not require a particular set of beliefs in order to learn and practice – it is a quality of mind, accessible and available to all.

    Mindfulness allows us to live every moment fully without the filters of bias, judgment or emotional reaction.

    Mindfulness helps the body cope with physical challenges such as headaches, back pain and even heart disease.

    Mindfulness keeps us from reacting too quickly – it helps increase the gap between impulse and action.

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