Applying Mindfulness-Based Cognitive Therapy to Treatment
22 Friday Feb 2019
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22 Friday Feb 2019
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13 Wednesday Feb 2019
Posted in Meditation, Pain
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Stress and pain are intimately related. When being in pain causes stress or being stressed worsens pain, psychological therapies — including hypnosis, meditation, and relaxation — may help break the cycle.
For pain therapists, these treatments, which focus on the relationship between the mind and body, are considered mainstream. For other health professionals, they may be considered alternative or complementary therapies. Regardless of how they are labeled, there is evidence that for many people they work.
If you’re considering trying one of these approaches to pain relief, here’s what you need to know.

Hypnosis
For many, hypnosis brings to mind a parlor game or nightclub act, where a man with a swinging watch gets volunteers to walk like a chicken or bark like a dog. But clinical, or medical, hypnosis is more than fun and games. It is an altered state of awareness used by licensed therapists to treat psychological or physical problems.
During hypnosis, the conscious part of the brain is temporarily tuned out as the person focuses on relaxation and lets go of distracting thoughts. The American Society of Clinical Hypnotists likens hypnosis to using a magnifying glass to focus the rays of the sun and make them more powerful. When our minds are concentrated and focused, we are able to use them more powerfully. When hypnotized, a person may experience physiologic changes, such as a slowing of the pulse and respiration, and an increase in alpha brain waves. The person may also become more open to specific suggestions and goals, such as reducing pain. In the post-suggestion phase, the therapist reinforces continued use of the new behavior.
Benefits of Hypnosis
Research has shown medical hypnosis to be helpful for acute andchronic pain. In 1996, a panel of the National Institutes of Health found hypnosis to be effective in easing cancer pain. More recent studies have demonstrated its effectiveness for pain related to burns, cancer, and rheumatoid arthritis and reduction of anxiety associated with surgery. An analysis of 18 studies by researchers at Mount Sinai School of Medicine in New York revealed moderate to large pain-relieving effects from hypnosis, supporting the effectiveness of hypnotic techniques for pain management.
If you want to try hypnosis, you can expect to see a practitioner by yourself for a course of 1-hour or half-hour treatments, although some practitioners may start with a longer initial consultation and follow up with 10- to 15-minute appointments. Your therapist can give you a post-hypnotic suggestion that will enable you to induce self-hypnosis after the treatment course is completed.
Alternatively, audio recordings exist that walk the listener through the steps necessary to achieve the benefits from hypnosis.
To find a hypnotherapist, speak to your doctor or contact the American Society of Clinical Hypnosis.
Meditation
Meditation involves using a number of awareness techniques to help quiet the mind and relax the body. The two most common techniques are:
Benefits of Meditation
Studies suggest that meditating can increase pain tolerance, activity levels, and self-esteem and decrease anxiety, stress, depression, and use of pain medications.
Mindfulness meditation has been used successfully in programs to reduce pain and improve mood in patients with chronic pain from a variety of conditions, including headache, low back pain, chest pain, and gastrointestinal pain.
There are varied forms of meditation and training certification organizations; for example, one can get certified in mindfulness-based stress reduction (MBSR), but if you’re not sure, speak to your doctor, who may be able to recommend a good teacher or teaching facility.
To practice meditation, repeated meetings with the instructor may not be necessary. A recent study examining the perception of pain and various mental training techniques has found that relatively short and simple mindfulness meditation training can have a significant positive and long-term effect on pain.
Relaxation Therapies
Relaxation therapies include a range of techniques with the goal of reducing stress. In addition to meditation, the major types of relaxation techniques are:

Progressive muscle relaxation .Also known as systematic muscle relaxation and Jacobson relaxation, this technique involves slowly tensing, briefly holding, and then releasing each muscle group in a systematic fashion, starting with the muscles in the toes and moving upward. During this exercise, the person should notice the differences between tension and relaxation.
Autogenic training . This technique uses visual imagery and body awareness to achieve relaxation. The person imagines being in a peaceful place and then focuses on different physical sensations, such as heaviness of the limbs or a calm heartbeat. People may practice on their own, creating their own images, or be guided by a therapist. Patients may also be encouraged to see themselves coping more effectively with stressors in their lives.
Breathing. Breathing techniques teach people to breathe effectively to relieve stress. While placing one hand on the chest and another on the belly, the person is instructed to take a slow, deep breath, taking in as much air as possible. During this, the belly should press against the hand. After holding their breath for a few seconds, patients are instructed to slowly exhale.
Benefits of Relaxing
While research is ongoing, there is evidence to suggest the effectiveness of relaxation techniques for reducing chronic pain related to a variety of medical conditions, including stress-related disorders. Other benefits may include reduced muscle tension and insomnia and increased activity level.
The best way to learn relaxation techniques is with the help of a trained practitioner. Usually, these techniques are taught in a group class and then practiced regularly at home.
There is no widely accepted license for practicing relaxation therapy. However, it is often practiced by therapists and psychologists. Ask your doctor for a recommendation.
Risks of Mind-Body Therapies
Although mind/body therapies don’t have the risks of medical or surgical therapies, there have been rare reports of adverse reactions from them.
If you have poorly controlled cardiovascular disease, experts recommend avoiding progressive muscle relaxation, because abdominal tensing can cause increased pressure in the chest cavity, slowing of the pulse, decreased return of blood to the heart, and increased venous pressure.
If you have a history of psychosis or epilepsy, you may wish to speak with your doctor before trying meditation. There have been reports of some people having further acute episodes following deep and prolonged meditation.
Hypnosis or deep relaxation can sometimes worsen psychological problems in people with post-traumatic stress disorders or a susceptibility to false memories. Its use should be avoided in patients with borderline personality disorder, dissociative disorders, or with patients who have histories of profound abuse. Because competent hypnotherapists are skilled in recognizing and referring patients with these conditions, only appropriately trained and experienced practitioners should undertake hypnosis.
11 Monday Feb 2019
Posted in grounding, Handout, Meditation, mindfulness, Wellness
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For most of us, a typical day begins when we get out of bed, wash, and then start our activities. At some point, we get a bite to eat, walk somewhere, and talk to someone. Often, by the end of the day we find ourselves stressed out and physically exhausted. It doesn’t have to be that way!
Everyday activities can be an opportunity for a meditation moments; bringing mindfulness, clarity, and peace into your day while energizing yourself and reducing stress.
A study published in the journal Consciousness and Cognition found: “Brief meditation training reduced fatigue, anxiety, and increased mindfulness. Moreover, brief mindfulness training significantly improved visuo-spatial processing, working memory, and executive functioning.”
These brief mindfulness meditations can be done anywhere or anytime …well using common sense. Just like you should not text and drive I would not meditate and drive either. ![]()
Here are two examples of how to add meditation without taking time out of your schedule.
05 Tuesday Feb 2019
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09 Wednesday Jan 2019
Posted in Meditation, mindfulness, pain management, research, Wellness
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Dr. Fadel Zeidan, assistant professor of neurobiology and anatomy at Wake Forest Baptist Medical Center, has studied mindfulness for 15 years and has observed improved health outcomes as a result. “But what if this is all just a placebo?” he wondered. “What if people are reporting improvements in health and reductions in pain just because of meditation’s reputation as a health-promoting practice?” He wanted to find out, so he designed a trials that included a placebo group.

26 Wednesday Dec 2018
Posted in Meditation, mindfulness, pain management, Research, Wellness
Dr. Fadel Zeidan, assistant professor of neurobiology and anatomy at Wake Forest Baptist Medical Center, has studied mindfulness for 15 years and has observed improved health outcomes as a result. “But what if this is all just a placebo?” he wondered. “What if people are reporting improvements in health and reductions in pain just because of meditation’s reputation as a health-promoting practice?” He wanted to find out, so he designed a trials that included a placebo group.

12 Wednesday Dec 2018
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12 Wednesday Dec 2018
Posted in Creativity, Meditation, mindfulness
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Certain meditation techniques can promote creative thinking, even if you have never meditated before. This is the outcome of a study by cognitive psychologist Lorenza Colzato and Dominique Lippelt at Leiden University, published in Mindfulness.
Long-lasting influence
The study is a clear indication that you don’t need to be an experienced meditator to profit more from meditation. The findings support the belief that meditation can have a long-lasting influence on human cognition, including how we conceive new ideas. Besides experienced meditators, also novices may profit from meditation.
Different techniques, different effects
But the results demonstrate that not all forms of meditation have the same effect on creativity. Test persons performed better in divergent thinking (= thinking up as many possible solutions for a given problem) after Open Monitoring meditation (= being receptive to every thought and sensation). The researchers did not see this effect on divergent thinking after Focused Attention meditation (=focusing on a particular thought or object.)
Setup of the study
40 individuals participated in this study, who had to meditate for 25 minutes before doing their thinking tasks. There were both experienced mediators and people who never meditated before. The study investigated the influences of different types of meditative techniques on the two main ingredients of creativity:
Lorenza S. Colzato, Ayca Szapora, Dominique Lippelt, Bernhard Hommel. Prior Meditation Practice Modulates Performance and Strategy Use in Convergent- and Divergent-Thinking Problems. Mindfulness, 2014; DOI: 10.1007/s12671-014-0352-9
05 Wednesday Dec 2018
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05 Wednesday Dec 2018
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Certain meditation techniques can promote creative thinking, even if you have never meditated before. This is the outcome of a study by cognitive psychologist Lorenza Colzato and Dominique Lippelt at Leiden University, published in Mindfulness.
Long-lasting influence
The study is a clear indication that you don’t need to be an experienced meditator to profit more from meditation. The findings support the belief that meditation can have a long-lasting influence on human cognition, including how we conceive new ideas. Besides experienced meditators, also novices may profit from meditation.
Different techniques, different effects
But the results demonstrate that not all forms of meditation have the same effect on creativity. Test persons performed better in divergent thinking (= thinking up as many possible solutions for a given problem) after Open Monitoring meditation (= being receptive to every thought and sensation). The researchers did not see this effect on divergent thinking after Focused Attention meditation (=focusing on a particular thought or object.)
Setup of the study
40 individuals participated in this study, who had to meditate for 25 minutes before doing their thinking tasks. There were both experienced mediators and people who never meditated before. The study investigated the influences of different types of meditative techniques on the two main ingredients of creativity:
Lorenza S. Colzato, Ayca Szapora, Dominique Lippelt, Bernhard Hommel. Prior Meditation Practice Modulates Performance and Strategy Use in Convergent- and Divergent-Thinking Problems. Mindfulness, 2014; DOI: 10.1007/s12671-014-0352-9
10 Tuesday Jul 2018
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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.
05 Tuesday Jun 2018
Posted in brain, Meditation, mindfulness
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Harvard researchers at the Massachusetts General Hospital reported that the practice of mindfulness meditation can physically alter regions of the brain associated with memory, sense of self, empathy, and stress. 
The study, to be published in January 2015, in “Psychiatry Research: Neuroimaging” indicates that the brain’s gray matter may change as a result of meditation.
“Although the practice of meditation is associated with a sense of peacefulness and physical relaxation, practitioners have long claimed that meditation also provides cognitive and psychological benefits that persist throughout the day,” said Sara Lazar, the study’s senior author. “This study demonstrates that changes in brain structure may underlie some of these reported improvements and that people are not just feeling better because they are spending time relaxing.”
Researchers measured MR images of participants brains during the eight-week “Mindfulness-Based Stress Reduction” program, conducted by the University of Massachusetts Center for Mindfulness. Participants spent an average of 27 minutes in meditation during the program. The program was delivered through recorded audios and guided meditations.
Compared to measurements on MR scans of a control group who did not participate in the program, the participants’ brains showed an increase in gray-matter density in the hippocampus. The hippocampus is the region of the brain associated with learning, introspection, memory and awareness.There also was a decrease in gray-matter density in the amygdala, the region associated with anxiety and stress. However, the Insula, a region of the brain thought to be associated with self-awareness according to earlier research, remained unchanged, and the researchers hypothesize that participants may have to meditate for longer periods of time before any change is noticed in this region.
It has been noted that meditation can reduce stress but according to Britta Hölzel, one of the authors, “Other studies in different patient populations have shown that meditation can make significant improvements in a variety of symptoms, and we are now investigating the underlying mechanisms in the brain that facilitate this change.”
The researchers believe that these findings of physiological change can pave the wave for a better understanding and treatment of stress-related disorders. The study was supported by the BBC, National Institutes of Health and the Mind and Life Institute.
22 Tuesday May 2018
Posted in creative arts therapy, Meditation, mindfulness
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Scientists at Wake Forest Baptist Medical Center have identified the brain functions involved in how meditation reduces anxiety.
The team wrote in the journal Social Cognitive and Affective Neuroscience about how they studied 15 healthy volunteers with normal levels of everyday anxiety. They said these individuals had no previous meditation experience or anxiety disorders. 
The participants took four 20-minute classes to learn a technique known as mindfulness meditation. In this form of meditation, people are taught to focus on breath and body sensations and to non-judgmentally evaluate distracting thoughts and emotions.
“Although we´ve known that meditation can reduce anxiety, we hadn´t identified the specific brain mechanisms involved in relieving anxiety in healthy individuals,” said Dr. Fadel Zeidan, Ph.D., postdoctoral research fellow in neurobiology and anatomy at Wake Forest Baptist and lead author of the study. “In this study, we were able to see which areas of the brain were activated and which were deactivated during meditation-related anxiety relief.”
The researchers found that meditation reduced anxiety ratings by as much as 39 percent in the participants.
“This showed that just a few minutes of mindfulness meditation can help reduce normal everyday anxiety,” Zeidan said.
Fadel and colleagues were also able to reveal that meditation-related anxiety relief is associated with activation of the anterior cingulate cortex and ventromedial prefrontal cortex, which are areas of the brain involved with executive-level function.
“Mindfulness is premised on sustaining attention in the present moment and controlling the way we react to daily thoughts and feelings,” Zeidan said. “Interestingly, the present findings reveal that the brain regions associated with meditation-related anxiety relief are remarkably consistent with the principles of being mindful.”
He said the results of this neuroimaging experiment complement that body of knowledge by showing the brain mechanisms associated with meditation-related anxiety relief in healthy people.
Scientists wrote in the journal Frontiers in Human Neuroscience in November 2012 about how meditation has lasting emotional benefits. They found that participating in an eight-week meditation training program could have measurable effects on how the brain functions, even when someone is not actively meditating. The team used two forms of meditation training and saw some differences in the response of the amygdala, which is the part of the brain known to be important for emotion.
08 Tuesday May 2018
Posted in Meditation
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For most of us, a typical day begins when we get out of bed, wash, and then start our activities. At some point, we get a bite to eat, walk somewhere, and talk to someone. Often, by the end of the day we find ourselves stressed out and physically exhausted. It doesn’t have to be that way!
Everyday activities can be an opportunity for a meditation moments; bringing mindfulness, clarity, and peace into your day while energizing yourself and reducing stress.
A study published in the journal Consciousness and Cognition found: “Brief meditation training reduced fatigue, anxiety, and increased mindfulness. Moreover, brief mindfulness training significantly improved visuo-spatial processing, working memory, and executive functioning.”
These brief mindfulness meditations can be done anywhere or anytime …well using common sense. Just like you should not text and drive I would not meditate and drive either.
Here are two examples of how to add meditation without taking time out of your schedule.
24 Wednesday May 2017
Posted in Meditation, mindfulness
≈ Comments Off on Mindfulness: Reason Mind, Emotion Mind, and Wise Mind
I 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.
25 Wednesday Jul 2012
Posted in Meditation, mindfulness, Pain
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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 less pain 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.