Mindfulness. in Everyday Life: Incorporating Mindfulness Techniques into Clinical Practice. Donna Rockwell, PsyD
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1 Mindfulness in Everyday Life: Incorporating Mindfulness Techniques into Clinical Practice Donna Rockwell, PsyD Michigan School of Professional Psychology Saybrook University, School of Mind- Body Medicine
2 Welcome to the Webinar, Mindfulness in Everyday Life Donna Rockwell, Psy.D. and Lisa Firestone, Ph.D. Donna Rockwell, Psy.D. is a licensed clinical psychologist, adjunct faculty member, community outreach worker, columnist, and mindfulness meditation teacher. Lisa Firestone, Ph.D. is the Director of Research and Education The Glendon Association and a Senior Editor at PsychAlive.org. Follow us on Twitter Tweet about this webinar:#psychalivewebinar Like us on Facebook
3 Poll #1 Do you have any knowledge of Buddhism? None A little Quite a bit I am a practicing Buddhist
4 Human Suffering Anxiety Depression Major Life Changes Existential Angst THE FOUR NOBLE TRUTHS
5 First Noble Truth Suffering/Stress is inherent in life This truth is inescapable because the cycle of life for everyone is: Birth Old Age Sickness Death
6 Second Noble Truth Suffering/Stress has a cause: Resisting the law of impermanence through attachment 1. Desire 2. Grasping 3. Clinging
7 Third Noble Truth There is a WAY OUT of the Suffering/Stress
8 Fourth Noble Truth Reduce suffering/stress by learning to live in the here-and-now of the present moment Avoiding obsessing over the PAST (ruminative thinking) Avoid projecting fear into the FUTURE (ruminative thinking)
9 Lived Experience Phenomena and reception + response = lived experience (Wallis, Winter 2008, p. 79)
10 Poll #2 What is your experience with mindfulness meditation? No exposure I ve heard of it but don t know much about it I meditate once in a while I meditate most days I ve had a practice for years
11 Mindfulness Meditation Practice Mindfulness Meditation: is a technique or intervention that helps alleviate stress is a way to change our conditioned response patterns provides the opportunity to see clearly how the mind actually works (desire, grasping, clinging; dwelling in past and future) trains the mind to observe phenomena without being swept away by thought or emotion affects our lived experience by heightening mental control and emotional regulation leads to greater happiness
12 Monkey Mind RELATIONSHIP TO THOUGHTS THOUGHT ATTRACTION (Passion ) Snake "I want more." NEUTRAL (Ignorance) Pig "Whatever!" AVERSION (Agression) Rooster "I want less."
13 Mind/Body Implications of Mindfulness Meditation DECREASE in: Cortisol (stress hormone) Fight or flight response Anxiety, Depression, Chronic Pain, Mood Imbalance, PTSD, Attention Problems, Substance Abuse Heart disease, hypertension, cardiovascular disease, high blood pressure, chronic pain, and some cancers Research and clinical studies show that a regular mindfulness meditation practice can decrease such health concerns National Institutes of Health, Office of Alternative Medicine, 1994 Omnibus 25-Year Report on Meditation
14 Mind/Body Implications of Mindfulness Meditation INCREASE in: immune response the body s ability to produce hormones like endorphins, melatonin, and DHEA, associated with improved immune response and feelings of pleasure pre-frontal cortex activation (cognitive skills, higher level reasoning and integration, emotional intelligence) here-and-now awareness, appreciation, gratitude, meaning, relationship satisfaction, heightened sensory experience, contentment, happiness, and a greater sense of peace and joy
15 Approach to Mindfulness Meditation ALAN WATTS (1996): Meditation is the art of suspending verbal and symbolic thinking for a time, somewhat as a courteous audience will stop talking when a concert is about to begin. Simply sit down close your eyes, and listen to all sounds that may be going on--without trying to name or identify them. Listen as you would listen to music. (p. 92)
16 Enlightenment OPTIMAL STRESS REDUCTION PRACTICE mindfulness meditation by focusing on the natural flow of the breath, returning awareness from thought back to out-breath, over and over again. This practice quiets the busyness of mind, which contributes to clarity and wisdom MINDFULNESS of the here-and-now, rather than being preoccupied or obsessed by past or future thinking NONJUDMENTAL attention to unfolding moment ACCEPTANCE rather than rejection of present experience GRATITUDE and APPRECIATION lead to greater happiness
17 The mind is man s connection system. (E.L. Thorndike in Fitzpatrick, 1953, p. 452)
18 Meditation Exercise Watch on YouTube: How to Meditate: Dr. Donna Rockwell on Mindfulness Meditation
19 Poll #3 Do you use mindfulness in the psychotherapy you provide? No I meditate myself, but I don t use it with patients I introduce it with some patients I introduce it to all of my patients I take time in session to teach my clients to meditate
20 CLINICAL INTERVENTIONS OF MINDFULNESS IN PSYCHOTHERAPY
21 Mindful Brain, Mindful Therapist Daniel Siegel The mind uses the brain to create itself. Neuroplasticity Emotional attunement Attentional qualities: curiosity, openness, acceptance, and love: COAL. Siegel (2007) Siegel, D. (2007). The mindful brain: Reflection and attunement in the cultivation of well-being. New York: W. W. Norton. Siegel, D. (2010). The mindful therapist: A clinician's guide to mindsight and neural integration. New York: W. W. Norton.
22 Mindfulness Based Stress Reduction MBSR Used to treat chronic pain, psoriasis, anxiety, depression, and other physical and psychological maladies Kabat-Zinn, J., Wheeler, E., Light, T., Skillings, A., Scharf, M., Cropley, T.G., Hosmer, D., & Bernhard, J. (1998). Influence of a mindfulness-based stress reduction intervention on rates of skin clearing in patients with moderate to severe psoriasis undergoing photo-therapy (UVB) and photochemotherapy (PUVA). Psychosomatic Medicine, 60, Kabat-Zinn, J., Chapman, A., & Salmon, P. (1997). The relationship of cognitive and somatic components of anxiety to patient preference for alternative relaxation techniques. Mind/Body Medicine, 2, Kabat-Zinn, J., Lipworth, L., & Burney, R. (1985). The clinical use of mindfulness meditation for the self-regulation of chronic pain. Journal of Behavioral Medicine, 8(2),
23 Mindfulness Based Cognitive Therapy MBCT Used to treat depression and depression relapse prevention Teasdale, J.D., Segal, Z.V., Williams, J.M.G., Ridgeway, V.A., Soulsby, J., & Lau, M. (2000). Prevention of relapse/recurrence in major depression by mindfulness-based cognitive therapy. Journal of Consulting and Clinical Psychology, 68,
24 Dialectical Behavior Therapy DBT Used to treat clients with symptoms of Borderline Personality Disorder and Mood Emotion regulation Distress tolerance Interpersonal effectiveness Linehan, M.M. (1993). Cognitive behavioral treatment of borderline personality disorder. New York: Guilford Press.
25 Acceptance & Commitment Therapy ACT Used to treat symptoms of anxiety, and other compulsive disorders Hayes, S.C. (2002). Acceptance, mindfulness, and science. Clinical Psychology: Science and Practice, 9,
26 Sitting Mindfully with Clients in Therapy Meditation Mindfulness Entering stillness Focusing on 5-senses and incoming stimuli Short informal daily meditation practices Germer, C., Siegel, R., & Fulton, P. (Eds.) (2005). Mindfulness and psychotherapy. New York: Guilford Press.. Shapiro, S. L., & Carlson, L.E. (2009). The art and science of mindfulness: Integrating mindfulness into psychology and the helping professions. Washington, D.C.: American Psychological Association.
27 Poll #4 Would you like to increase your clients use of meditation? No Yes, for some Yes, for all
28 What is Mindfulness? Paying attention in a particular way: on purpose, in the present moment, and non-judgmentally. Kabat-Zinn, 1994 (1) Awareness, (2) of present experience, (3) with acceptance. Germer et al., 2005
29 Upcoming Webinars from PsychAlive.org Apr. 18 FREE Webinar Mindfulness in Everyday Life: The Way to Happiness and Meaning Free Webinar Presenter: Dr. Donna Rockwell 11am 12pm PST See a Full List of Upcoming Free and CE Webinars with Dr. Lisa Firestone and other Expert Presenters at: Learn more or register at
30 Donna Rockwell, PsyD Watch and read interviews with Donna Rockwell at PsychAlive.org Michigan School of Professional Psychology Saybrook University, School of Mind-Body Medicine
31 Contact: Lisa Firestone, Ph.D. Director of Research and Education The Glendon Association Senior Editor PsychAlive.org THE GLENDON ASSOCIATION (For Professionals) (For the Public)
32 To receive your CE s for this Webinar: Upon completion of this Webinar, you will receive an with an evaluation form for you to complete and return to the CE provider. This form can be ed, faxed or mailed. Instructions will be given in the . A recording of this Webinar will also be available online. Those unable to attend this live Webinar may view the recording and complete the evaluation form to receive 3 CE Units for $35. A link to this recording will be sent to you as soon as it s available..
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