Mindfulness What is mindfulness and what does the programme teach? What is 'mindfulness' and how can it help? Mindfulness-based approaches are intended to teach practical skills that can help with physical and psychological health problems and ongoing life challenges. Mindfulness is taught through meditation skills which include bringing attention to the breath and the body during stillness and movement. Mindfulness uses meditation to develop the ability to pay deliberate attention to our experience from moment to moment. We learn to tune in to what is going on in our mind and body day to day. Becoming more aware of our thoughts, feelings and sensations may not sound like an obviously helpful thing to do, however learning to do this in a way that suspends judgement and self criticism can have surprising results. Many people report finding inner strengths and resources that help them make wiser decisions about their health and life in general. Mindfulness is entirely secular. Mindfulness Learning can help us to: • Learn new ways to handle our moods and emotions. • Enable us to take better care of ourselves so that we are able to live our lives in a fuller and healthier way. • Promote a way of being that helps us tackle life problems – physical, mental, social and emotional. • Learn to be aware of the small changes in the physical sensations in our body; what is happening in the world around us (using our physical senses) and our thoughts, emotions and moods. • The mindfulness programme encourages us to develop the skill of being aware of our experiences (good and bad, pleasant and unpleasant) from moment to moment -so that we can learn to respond more skilfully to situations rather than simply reacting automatically. • Overall, the course is often helpful in dealing with an ongoing difficulty – the problem may not change but we can learn to relate to it differently. Benefits include: reduced psychological distress reduced depressive symptoms and rates of relapse for depression reductions in stress, anxiety and anger reduction in fatigue enhanced psychological functioning, quality of life and positive mood states increased energy and vitality better health condition and pain management Improvements around risk taking behaviours and drug use improved memory Mental health benefits Mindfulness Based Cognitive Therapy (MBCT) has been shown to be at least as effective as maintenance antidepressant medication in preventing relapse in recurrent depression and more effective in reducing residual depressive symptoms, psychiatric comorbidity and quality of life (Kuyken et al, 2008). MBCT is included in NICE (2009) guidelines for management of recurrent depression. It has been shown to help recovered recurrently depressed participants, through teaching them skills to disengage from habitual ‘automatic’ unhelpful cognitive patterns. The pattern of mind which makes people vulnerable to depressive relapse is rumination, in which the mind repetitively re-runs negative thoughts. Physical health benefits Improvements have also been found in reduced health risk taking behaviour, including drug use (Bowen, 2006) Training people in mindfulness techniques produced positive brain activation patterns and is associated with a substantial boost in immune function 6 months after training compared to the control group (Davidson et al, 2003). It has been proven to reduce the stress related hormone, cortisol (Matousek et al, 2009) What is mindfulness and why this is relevant to you and your workplace • How to do mindfulness practice and develop attitudes of mindfulness in daily life • How to continue your practice beyond the online mindfulness programme Programme Content: • Description of mindfulness • Instruction and practice in various forms of mindfulness • Teaching of mindfulness in daily life attitudes and practices • Mindfulness and stress reduction • Learning how to practice various forms of mindfulness • Research results on applications of mindfulness in health and workplace settings • Introducing mindfulness into your daily life Further group learning on mindfulness in the workplace can offer the following: • Knowledge of research results on mindfulness in improving wellness and reducing stress in the workplace • Mindfulness and Effective Communication • How to learn to respond to others with awareness rather than react automatically • How to have greater work/life balance • Special applications of mindfulness in the workplace to conflict resolution, team building, creative development • Practical ways to bring greater enjoyment into your workplace Studies of Mindfulness in a business context Studies have shown that increases in mindfulness are associated with increased creativity and decreased burnout and executive and corporate mindfulness leadership programs are emerging to meet the need. A 2001 FAA study found that 'multitasking' approaches to work can reduce productivity by as much as 20%-40%, whilst a study with business executives in Korea found practicing mindfulness increased productivity. Pacific Investment Management Co and technology leaders, Apple Computer, Yahoo!, Texas Instruments, Nortel Networks and Google have all already instituted mindfulness training and wellness opportunities onsite.There is also a growing recognition amongst notable scholars and practitioners in the Career Development and Human Resources professions of the need for thoughtful integration of wellbeing support with career counselling in response to elevated levels of employment uncertainty and dramatic and rapid changes in the world of work. Mindfulness-based interventions are well suited to support the growing number of professionals living with employment uncertainty. With the advent of globalization, increased job flux, and rapid changes in the world of work, feelings of employment insecurity are becoming more prevalent, with potential implications for wellbeing, and in some instances, workrelated stress (D. L. Blustein, 2006) ' In essence mindfulness training is based on focussing on oneself and one’s place in the here and now, with the mind recognising and acknowledging inner as well as outer discomforts, and then transforming this into positive emotion. This entails learning about different body postures within meditation i.e. sitting, lying, kneeling, and walking. In addition to this, helpful techniques on clearing ones mind of many thoughts to a position of staying focussed in the reality of ones own environment in every sense, is at the heart of 'Mindfulness Meditation'.' How do you begin to practice mindfulness in a corporate or office environment? In an atmosphere where you may be easily distracted habitually shuttling between the past, future and multiple projects, mindfulness may seem impossible. Mindfulness can be particularly helpful in emotionally charged situations. Sometimes when we simply react to a situation, we behave in ways that we know are not necessarily wise, productive, or efficient. When we simply react our actions often unbalance our work lives. To Begin to Use Mindfulness To Decrease Reactivity at Work: Begin to notice times when you are reactive. Instead focus on your objectives and what will work in the situation. Focusing on what works allows you more freedom of choice and to see possibility. Think of a challenging situation you encountered in the past week at work. It may be a challenging situation related to the actions of another person, a project or your own actions. Identify a goal in the situation. Think deeply about the situation and come up with several actions or thoughts that would be a step towards your goal. Each action or thought may not get you to your goal, but keep focus on what works. At first this may be a difficult exercise. It's sometimes hard to expand how we think about and act in different situations. With practice it will become easier. If you find yourself stuck, simply allow yourself to brainstorm and write down any step or possible solution that comes into your mind. Allow yourself to edit your steps later. If you find yourself stuck in judgments, let them slide out of your mind. "Mindfulness has been described as an intentional focused awareness " a way of paying non-judgmental attention on purpose, and in the present moment." – "Jon Kabbat Zinn", Full Catastrophe Living. This sounds like a simple life skill and not very applicable in the workplace. But when we try to focus our minds, we realize that our minds and thoughts control us, and we are often living in the past or the future. Our minds jump from one random thought to another. This leads us to react automatically to both daily and difficult situations. With mindfulness, we come into greater awareness of the present moment, can have greater mental stability, and develop the ability to respond consciously, to think creatively and to be open to new possibilities in our relationships and in our environments. This is very valuable in the complex and fast paced business environment. We can learn to control our minds, rather than be controlled by them. Mindfulness can be used in a formal session of focused awareness, as well as in the attitude that we have to our everyday experiences. Over the last 20 years, mindfulness has been brought into the workplace by diverse organizations, notably the Centre for Mindfulness in Medicine, Healthcare and Society from the University of Massachusetts. Mindfulness programs have been brought to a variety of groups such as attorneys, judges, educators, corporate employees and executives as well as to professional athletes. Mindfulness meditation has also been shown to be significant in the diminishing anxiety, stress, and depression, as well as in supporting physical health and healing. Extensive research in mindfulness is showing a variety of benefits for its practitioners. Mindfulness meditation programs are now being offered in workplaces, hospitals, health centres, student health services, prisons, all over the world. Corporations and institutions are becoming more aware of the many benefits of mindfulness training for their employees, including: • Greater ability to manage stress • Clearer and more effective communication • Becoming more conscious in their communication, so that they are responding with awareness rather than reacting • Improved abilities to address conflict in the workplace • Improved teamwork • Enhanced creativity and leadership in the workplace • Increased stability during periods of organisational change and reorganization • More self-awareness about personal stress and how to prevent it • Overall improvements in workplace functioning By living more in the present moment and having greater awareness and control of our minds we can: • Stop habitual patterns of thought and reactions • Have greater clarity about ourselves, others and our environments • Have better understanding of complex situations • Choose more effective responses and solutions • Connect with creative "out of the box" solutions • Overcome stereotypical thinking Mindfulness training supports the development of a more effective, productive, peaceful and creative workplace. Incorporating mindfulness into your workday: Here are a few suggestions for making your workday more mindful, and more relaxed. Try them out and let us know how you feel! 1. Take 5 minutes or more in the morning to be quiet and meditate, listen to the sounds of nature, gaze out the window, take a quiet walk. 2. While your car is warming up, pay attention to the quality of your breathing and how your body feels. 3. While you are driving, become aware of the tension in your body. Are your hands gripping the wheel? is your stomach tight? do you feel you have to be tense to drive effectively? 4. When you are stopped at a red light, or stuck in traffic, pay attention to your breathing or the sky, or the sights around you. 5. Once you park your car, think of moving through your day efficiently, but more slowly. 6. While sitting at your desk, pay attention on a regular basis to your bodily sensations and your breath. Some people use the top of the hour as a time to check on their breathing and make sure it is slow and comfortable Stop for a few minutes every hour. 7. Take some time at lunch or during breaks to connect with others in the workplace that you enjoy. Try to talk about things that are not work related. 8. At the end of the workday, review your activities and congratulate yourself for all that you have accomplished. Put anything left over on a list for tomorrow. You have done enough work for today. 9. While driving home, be aware of your body. Are you tense? Are you rushing? 10. When you park your car at home, take a minute to orient yourself to the next phase of your day, your personal or family time. 11.Try to change out of your work clothes when you get home. This might help you to transition into your next "role" of the day. If you live with others, say hello to each of them. If you live alone, enjoy the feeling of quiet and peace in your own environment. Mindfulness provision in the Healthcare Sector: Mindfulness Based Cognitive Therapy (MBCT) has been shown to be at least as effective as maintenance antidepressant medication in preventing relapse in recurrent depression and more effective in reducing residual depressive symptoms, psychiatric co-morbidity and quality of life (Kuyken et al, 2008). MBCT is included in NICE (2009) guidelines for management of recurrent depression and it has been shown to help recovered recurrently depressed participants, through teaching them skills to disengage from habitual ‘automatic’ unhelpful cognitive patterns. The pattern of mind which makes people vulnerable to depressive relapse is rumination in which the mind repetitively re-runs negative thoughts. The core skill that MBCT is teaching is to intentionally ‘shift mental gears’ and research is underway funded by the Welcome Trust, University of Oxford and the University of Bangor involving several projects centred around the concept of cognitive reactivity (the way in which small mood changes may induce patterns of negative thinking which can lead to an increase in negative mood states or reactivity) and how our memory for past events sometimes succeeds and sometimes fails to switch off this type of thinking. Most of us find ourselves frequently ‘swept away’ by the current of thoughts and feelings, worries, pressures, responsibilities; wanting things to be different from how they are right now. This can be particularly powerful when we are faced with pain, difficulties and illness that confound our attempts to find a solution or to feel better. Feeling stuck in this way can be draining. Mindfulness is a form of awareness and meditation that can help us to work directly with the struggle we sometimes have in relating to life’s experience and in doing so can really improve the quality of our life. It has been extensively researched and is associated with wellbeing, better selfregulated behaviour and self-knowledge (Brown and Ryan, 2003) and increased awareness of present thoughts which can help individuals disengage from thoughts and unhealthy behaviour patterns and therefore support behaviour change and associated improved well-being (Ryan & Deci, 2000). Mindfulness may also contribute to well-being in a direct way by adding relaxation and vividness to experience. Training people in mindfulness techniques has been found to produce positive brain activation patterns and is associated with a substantial boost in immune function 6 months after training compared to the control group (Davidson et al, 2003). It has been proven to reduce the stress related hormone, cortisol (Matousek et al, 2009) Mindfulness learning - can be via a combination of group and computer based sessions. Northwest NHS is funding a number of online Mindfulness training programmes. Enquiries to Maryam Ganji Maryam.ganji@third-wave.net Be Mindful Campaign, Mental Health Foundation