mindfulness Archives - Kate Gegg, AM, LCSW

January 13, 2022March 27, 2023

One Mindfully

A simple, but transformative skill: learning how to be fully and wholly present in just one moment at a time.
Learning “one mindfully” (as we call it in the DBT world) can reduce anxiety, improve concentration, increase our ability to handle a crisis, increase our ability to connect to our authentic selves, and increase our efficiency.
The opposite of this concept is “mindlessness” (not fully being present with any activity – i.e. “going on autopilot”) or multi-tasking (attempting to do two activities at the same time).
The most common way many of us “multi-task” is something most of us would not identify as multi-tasking: Thinking about one thing while doing another.
Like the time you were in a meeting but actually preoccupied by the conflict you had the night before. Or, when you were writing an email while thinking about how to prepare for something later in the day.
When we use one-mindfully we work to be present with our whole selves, which means paying attention to the content of the moment while also paying attention to internal cues about our experience of that moment.
We set an intention for what we will focus our attention and energy on, and we work to keep ourselves focused on that intention despite urges to split our attention, or give in to distraction.
This does not mean that we cannot choose to change where spend our energy and attention or that we have to completely finish before shifting our attention; it means that when we change what we are doing (and where we are focusing) we do so with intention and awareness, even if we are right in the middle of something.
This also does not mean we cannot transition quickly between tasks (think about cooking: you are chopping the carrots, then stopping to stir the onions). We can be wholly present with one activity while another in the background does not have our attention.
This skill centers us, and requires that we recommit again and again to what we will spend our energy on in the face of distractions. It also requires that we reassess as time goes on to determine if we want to continue recommitting to that moment, or to changing where our focus will be.

Most of us struggle fairly significantly with “doing” one thing at a time. This is because many of us are “doing” one thing, but thinking about another. In this way, we’ve become accustomed to leaving the present moment for one in the past, one in the future, or one that may never happen. When we do this we reduce our ability to concentrate by dividing our attention. We also decrease the likelihood we will pick up on important cues from the environment around us; when we are distracted we are not able to be as perceptive.

In simple terms this skill is “doing” one thing at a time, but more complexly it is devoting your attention and energy to only one “thing” at a time. As Marsha Linehan says, this means, “When you are thinking, think. When you are worrying, worry. When you are planning, plan. When you are remembering, remember. Do each thing with all of your attention”. Dialectical Behavior Therapy, and Marsha Linehan, would encourage all of us to spend as much time as possible being wholly present with whatever moment we are engaged in.

Many of us are spending large chunks of our time distracted, and not present in both mind and body in whatever moment we are in. To be wholly and fully present means paying attention to your outer world (i.e. the conversation you are in) and your inner world (your internal reactions to that conversation in your thinking, feeling, and sensing). Although it sounds simple enough, it is actually a lot of input to pay attention to at any given point in time and takes some practice straddling both your inner and outer worlds simultaneously.

One-Mindfully can be a powerful grounding and centering tool because it focuses us simply on the moment we are in. A common treatment for trauma, anxiety, and depression is learning how to be in and stay in the present. Like any new skill, I encourage folks to try this first in “low stress” situations (i.e. ones that are not likely to incite a lot of activation in your inner world) before high stress situations (i.e. ones where you expect to have a lot of thoughts, intense feelings, or intense sensations).

See comments for more on this skill including ideas for how to implement it today.

Comments:

Often, I see this struggle to be “one mindful” in the way many of us manage our relationships with our computers during the workday. Does this sound familiar: “You’re writing an email and you get a pop-up notification that you’ve gotten a calendar invite. Without even thinking you stop writing the email, review / accept the calendar invite, and then try to return to your email. But wait, now you lost where you were and so you re-read your last sentence, get back in the mindset of the the response and boom, an instant message comes in asking you if you saw the most recent email from so-and-so about this-thing or that-thing. So you scroll to the top of your inbox and read the email, respond to the instant message but wait now you can’t find that email you just had opened. Ok, you found it. But wait what were you saying, and ok now there is only 5 minutes left before the next thing on your calendar and somehow you haven’t gotten to that response yet. Now you feel this anxious pressure to get it out, but you are also aware this isn’t the quality response you wanted to send out so now you have to decide if it’s more important to get it out quickly or thoughtfully…etc”. Multiply that experience throughout your day and your day ends with you feeling frazzled, unproductive, behind, like you’ve missed a bunch of things and like you’ve been ping-ponging around all day. And that’s because you have! All those notifications are very stimulating and they are prime ways in which we forget to insert that intentionality into our decision about where we spend our time and attention when we are with our devices. One low-stress way to start trying to introduce this skill into your life is by bringing thoughtfulness to what notifications you need on, and how you respond to those notifications when they are on. As Marsha Linehan might say, “When you are writing an email, write the email.” If you find you are tempted to be distracted by your phone turn it over or put it on silence. If you are expecting to hear from someone important while you write, work to make yourself accessible in a way that will not distract you (i.e. ask them to call you, or silence texts from other people except that one person). Setting up a routine that enables a mindful perspective can take some work, but it should help improve concentration and productivity and leave you feeling better at the end of the day.
Back when therapy was always in an office you were forced to take a one-mindful perspective with your session. You didn’t have a screen, or your phone handy and the temptations to engage with something outside the content of the session were much less accessible. If you are doing remote based therapy try and re-create the in-office experience as much as possible by eliminating the possibility of something outside of the session distracting you away from being fully in the session.
If you are someone who commonly multi-tasks or operates in a “mindless” manner, it will take time time and deliberate practice to bring a more “one-mindful” stance to how you spend your time. For tips on how to bring this concept to your life at a pace that works for you, see my post on how to sustainably make long-term changes.
This concept / skill is kind of like living your life in real time meditation, albeit a meditation where you are responsive to your environment. Like our meditative practice, your mission throughout is to regularly bringing your attention back to your chosen focal point. For an introduction to meditation, and this concept of returning to a chosen focal point, see my introduction to meditation post (which has more direct parallels to today’s post), and my post on general meditation.
Sometimes we find that we can’t control our attention. That’s ok. No one is perfect at this. Sometimes we are coping best by accepting what is not within our control, and often times what is out of our control is content of our inner worlds. (If you struggle with this concept this post on acceptance might help). This can mean the thought, feeling, sensation, or external circumstance arising is too distracting or powerful to redirect yourself from (i.e. you just got news of something upsetting and of course you can’t focus on your previous intention). At that time, it can be helpful to view that as a cue that you need to switch your attention over for a period of time, even if you don’t want to. A powerful way in which you can stop ruminating (when you can’t stop thinking about something) is to set a timer for ten minutes, and just be with the worry. After ten minutes, when the timer goes off, you may find it’s easier to redirect your attention back to a different focal point. After ten minutes of really fully devoting yourself to it (instead of having it simmer in the back of your thoughts for hours at a time where you ping pong between thinking about that and all the other things in your day) you may have found a solution, or exhausted all the different ways you can think or worry about something, but either way it’s more likely to feel less pressing. There are other skills to combat intrusive worries for another day.
Regarding the idea of perfection – it is not realistic (or even the goal) to exclusively live in a “one mindfully” stance. Sometimes we do want or need to split our attention and that’s OK. The key is to selectively and with awareness choose to do so, and to use one mindfully with more important tasks.
A little more on identifying and understanding multi-tasking. There are three ways of multi-tasking: attempting to do one activity while you think about another activity (sitting in your meeting and thinking about that conversation you had last night), attempting to think about two things at the same time (going through the grocery list while you try and plan out that email to your boss), or attempting to do two things at the same time (talking to your friend and scrolling on your phone). A one-mindful perspective would encourage you to limit each as much as possible.
If you find yourself regularly tempted to split your attention or “zone out” start trying to pay attention and get curious about it. Sometimes there is a lot we can learn about what we are trying to distance ourselves from when we pull our full attention away in these ways.
Marsha Linehan’s skills, including one-mindfully, are outlined in full in her skills training manual and associated skills training workbooks.

November 24, 2021March 27, 2023

Meditation

For us to be happy in our lives, we need to be able to be alone and at peace with our inner world. There are many roads to this place, including the following path.
First, I recommend you master grounding. This helps us learn that we can recenter ourselves when we’ve gotten to an emotional edge.
When we’re confident in our ability to ground, we become confident that we can bring ourselves back from a place of intensity. This makes our thoughts, feelings, and inner world less scary because we know how to reset.
Next, I recommend foundational (sensory based) meditation for 30 seconds to two minutes a day.
The goal with this type of meditation is to begin watching your inner world without reacting to it, or it controlling your attention or behavior.
When we get skilled at this we can better tolerate our feelings, reduce our impulsivity, and more easily think and process before acting and responding.
The final step, which is outlined in today’s post, is to begin meditation without a sensory anchor. Instead, our anchor is our internal world.
Unlike foundational meditation where we come back to noticing a sensory anchor, in this type of meditation your centering point is yourself. You come back to noticing what is in your body, what feelings you feel, what urges you have, what sensations you can notice, and what thoughts flow in and out.
Just like foundational meditation, the goal is to notice what’s there, notice if you’ve drifted off into a thought chain or if you’ve tried to “clear” your mind, and to reset to a state of curiosity and attentiveness to all that is happening in your inner world.
See further explanation about this next stage of meditation, and the benefits of it, in today’s post.

Once you’ve gotten comfortable with grounding and foundational meditation (and there is no right about of time for that), you can start experimenting with free form meditation. This is when we try and be present in our inner world without an identified “anchor” other than ourselves.

In my previous post on meditation I encouraged you to pick a sensory based focal point (like noticing your fingers touching, or a beverage in your mouth), and then set a timer while actively watching your internal world to “see what comes up”. The goal of that exercise is to be present with your mind and body as it goes through each moment, neither trying to “clear” your mind nor holding on to any given internal experience that comes up.

The process for this next stage is nearly identical. Set a timer (so you don’t give in to urges to stop), but instead of picking a sensory anchor to return to, the anchor is simply your internal world itself. Your mind will drift, you may hear a noise, or have a thought or feeling that preoccupies you. That’s ok. Your job, during this exercise, is to notice that you’ve drifted or started engaging with a distraction, and then to return to what you have intentionally chosen to focus on, which is what you notice in your body, and what’s happening with your thoughts, feelings, sensations, and urges moment to moment.

Meditation gives us the ability to insert intentionality into our choices by helping us learn to observe and collect information before acting. Although we “notice” rather than “act” in meditation, we are practicing tolerating the intensity of how inaction feels. The better we get at tolerating that experience in our inner world, the more skilled we become at not feeling pulled to act (before it makes sense to) in our lives.

With time, meditation enables us to better control our attention. Instead of our attention and focus dictated by what’s “loud” (be it a feeling, thought, person, event etc), we notice “what’s happening” and how it effects us. Then, we can choose when to engage with it based on a host of factors including our emotional availability, the true urgency of the issue, and our commitments, values, priorities, and readiness.

Notes:

Want to start the journey? First, see my post on grounding. In it there are lots of tips for skills you can use when you are outside your window of tolerance to help you return. Once you’ve gotten skilled at grounding (and this can take a very long time, so be patient with yourself) move on to foundational meditation .
When I’m teaching this to my clients I tell them the only reason I want them stopping the meditation is if their body is in danger (like a fire alarm goes off, then yes, listen and react to that!). Otherwise, if you realize all of sudden you need to go to the bathroom, ok. Cool. Keep noticing what that feels like while looking out for what else is happening in your internal world. Maybe your leg starts to fall asleep. I don’t want anyone to hurt themselves, so use your judgment, but this exercise would encourage you to notice what that feels like without reacting to it. Maybe you realize you missed an important call. Notice the feeling of panic, and wait the until the timer goes off to handle it. In your real life, of COURSE we want you responding to cues of distress from your body and your world, but we want you to do so in a thoughtful rather than a reactive way. Meditation helps you become skilled at noticing without quickly reacting, and should help you eliminate those hair trigger responses and insert more intentionality into your day to day decisions.
I often share this story when I’m teaching clients how to meditate, because I think it helps illustrate how this is both a simple and yet simultaneously hard skill to build. I took a class in graduate school that provided concrete training on many of the skills in this account, including meditation. Every class my professor would have us do a sensory based meditation. Inevitably, someone would show up late, slam a door, bang a chair around – etc. I would then stop refocusing myself in the meditation and instead think something like: “ugh, they are ruining it! How am I supposed to focus on what I’m thinking or feeling while they are being so disruptive”. I felt annoyed, frustrated, disrespected, angry, and distracted. It took me weeks to get it – that it’s my job to learn how to refocus myself, rather than their job not to distract me. It’s my job to notice what that stirs up in me, and to try and learn from it by reflecting on it after the meditation, rather than to look to them to live their lives in such a way that they don’t create noise in mine. What I experienced was a “thought and feeling” train (outlined more in the foundational meditation post) and it’s my job to notice when I’ve hopped on that, and to return to what I choose to focus on until the time is right for me to understand how and why that train was a tempting distraction for me to engage with.
When we meditate anything that is not what we intend to focus on is considered a distraction for that moment, even if at a later time it will be a focal point of our attention.
What about mindfulness based programs like headspace? My answer would be, it depends on what you are looking for and how you use them. Programs of that nature can be great for relaxation, and, I would imagine (I don’t know the platform inside and out) that there are non guided meditations accessible within it. A guided meditation can be a GREAT starting point as something to do to help quiet an active mind, even before you try the foundational meditation exercise I suggested in my post from July 19th. That being said, focusing your attention on listening to words, and following the direction of those words is ultimately an outside “distraction” that takes you away from being present with your inner world. When you are busy following directions to notice your breath, to count backwards, etc you are not alone with your inner world; you are following a guide through it. Again, this is a GREAT entry point to being present with your inner world, but I’d encourage you to go beyond a guided meditation to work on being with yourself and going at your own pace though your inner world.
Sometimes I think of this exercise like snorkeling or scuba diving. Above the surface of the water you can’t even imagine (without spending some time looking) at how much is happening underneath. While you are in the exercise it is not your job to “touch” the fish (i.e. engage with the thought), it is simply your job to observe this world, and see what crosses the path of your attention without trying to change or alter it. You are just there as an observer to take it all in. Your thoughts, feelings, urges, impulses, and sensations are each individual components of the world for you to observe with detachment and curiosity.
The goal of this particular exercise is not to relax you, instead it is to help you tolerate all of the intensity of your inner world without trying to control it. I’d encourage you to start at moments when you feel more calm, but over time try it out (even for 30 seconds) at a time when you feel something more intensely.
The beauty of meditation is that we gain control over what we pay attention to. Have an intense thought or feeling come up, but need to focus on that project? Did you have an upsetting conversation, but feel like this isn’t the right time to really think or process through it? Meditation helps us gain control over where we place our attention so that we can spend our time and our energy on our chosen focal points, and return to the intrusions at another time. This is how people learn how to walk on coals (I am NOT suggesting this!!), or manage chronic pain, they have a strong ability to move their attention away from that particular stimulus onto a chosen stimulus. Even though we practice for a short amount of time, that “muscle” builds. The strength and skill in meditation is NOT in controlling your thoughts, or never having them drift away, it’s in noticing what’s happening in your internal world and then being able to redirect your attention to your chosen focal point. Sometimes we have to do this many times over the course of a minute, this is successful meditation. The ability to redirect back to the chosen focal point is the skill.
I want to be clear: sometimes the distractions we “refocus away from” in our lives are important for us to act on at some point, rather than continue to refocus away from. Meditation can teach you to disengage, but we want to think of that as “disengage until the right time” for some topics. You will be avoiding or denying in you life if you constantly refocus away from something that needs to be addressed.
I’ve written a handful of other posts that explain the value of meditation. The first explains the value of meditation in further detail, and the second helps us understand more about how our inner world works and how to “control” it.

June 14, 2021March 27, 2023

Why Meditation

We can work towards having control over our inner world by increasing our ability to control what we pay attention to
For many of us a powerful thought, reaction, or feeling can arise and completely take us over
This is often disruptive, exhausting, and time consuming. We can feel like the thought or feeling is in control of us.
We can dramatically increase our ability to take the intensity out of our thoughts and feelings which gives us more control over our inner experience, actions, and reactions
To do this, we want work to control what we pay attention to, rather than trying to control what comes up for us.
With meditation we can strengthen our ability to select where we place our attention and energy, rather than having our thoughts or feelings decide for us
We can also learn to tolerate our thoughts and feelings without having intense reactions to them
This is NOT learning to “block” feelings, experiences, or thoughts by “tuning them out”.
This is also NOT sitting with a blank mind or a relaxation exercise.
There will be more instruction to come on how to do this, but the goal is to increase your ability to have thoughts, feelings, and take in experiences while still remaining in the driver’s seat of your life.

We can’t control what happens to us, and “what happens to us” includes our thoughts and feelings. We can develop strategies for how to manage them, but ultimately the thought or feeling that arises for us is as much out of our control as the actions of the person down the street.

One of the most powerful things we can learn to do to help us manage our mental health is to strengthen our ability to control where we place our attention, and to increase our ability to tolerate our thoughts and feelings. The more skilled we are at this, the better we are able to manage difficult internal thoughts and feelings when they arise, and the more control we can have over our actions and reactions.

Most of us do not have an intentional relationship with our internal world. We feel a strong emotion, or have a strong reaction and that takes over our attention. Our internal world can then distract us from our external world – making it difficult to focus on an activity, project, person, or event.

There will always be overwhelming moments in life. Most of us can’t learn to take all the power and intensity out of those moments, even with meditation. Sometimes, we will still be distracted by intensity in our internal world, or events that disturb us in our lives. However, we can dramatically reduce our susceptibility to the intensity of these experiences by increasing our ability to control where we place our attention.

With meditation we learn to develop a spotlight around whatever we’ve chosen to focus our attention on. Like a spotlight, the stronger our ability to control our attention, the more we can focus on what we’ve chosen to focus on, and the less energy and attention is given to what we’ve chosen not to pay attention to.

The specific skill that I’ve seen enable many of my clients (and others) is a particular kind of meditation where we are working on observing our thoughts, feelings, and sensations without reacting to them. This skill, like a muscle, requires practice. The good news is it can take as little as 30 seconds a day for you to dramatically increase your ability to control your attention.

Future post to cover HOW to do this.

Notes:

1`. Chelsea Handler’s book, life will be the death of me, covers her journey through therapy and how her use of mindfulness (and therapy) changed her life.

2. I want to be clear: meditation is not intended to numb you, or desensitize you from painful experiences in your life or events in your community. We are not sticking our heads in the sand and “ignoring”. When we control our attention the goal is not to “block things out” (that would be avoidance). There will be more posts to come on how to do this!

3. Jon Kabat-Zinn ‘s book “wherever you go there you are” is an excellent introduction into mindfulness and meditation