Integrating Mindfulness Concepts Ricardo Horn LMSW Agenda Introduction

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Integrating Mindfulness Concepts Ricardo Horn, LMSW

Integrating Mindfulness Concepts Ricardo Horn, LMSW

Agenda Introduction of Mindfulness and Trauma Mindfulness and SUD Mindfulness and Direct Practice, Supervision,

Agenda Introduction of Mindfulness and Trauma Mindfulness and SUD Mindfulness and Direct Practice, Supervision, and Self care

Disclosures Ricardo Horn, LSW is an adjunct instructor for Marywood University. He has no

Disclosures Ricardo Horn, LSW is an adjunct instructor for Marywood University. He has no other relevant financial or non-financial relationships to disclose.

Can Meditation be fun? https: //www. youtube. com/watch? v=x. Mz. Mgh. SH 9 x.

Can Meditation be fun? https: //www. youtube. com/watch? v=x. Mz. Mgh. SH 9 x. A

Defining Mindfulness Bare Attention – “Pay precise attention, moment by moment, to exactly what

Defining Mindfulness Bare Attention – “Pay precise attention, moment by moment, to exactly what you are experiencing, right now, separating out your reactions from the raw sensory events. ” -Epstein Mindfulness as a way of life, a perspective

Mindfulness Attitudes Beginner’s Mind Letting Be Non-Judgment Non-striving Acknowledgment Equanimity Impermanence Self-Compassion

Mindfulness Attitudes Beginner’s Mind Letting Be Non-Judgment Non-striving Acknowledgment Equanimity Impermanence Self-Compassion

Beginner’s Mind Seeing things as new and fresh, as if for the first time,

Beginner’s Mind Seeing things as new and fresh, as if for the first time, with a sense of curiosity. “If your mind is empty, it is always ready for anything, it is open to everything. In the beginner's mind there are many possibilities, but in the expert's mind there are few. ” ― Shunryu Suzuki

Beginner’s Mind

Beginner’s Mind

Non-judgment Cultivating impartial observation to any experience—not labeling thoughts, feelings or sensations as good

Non-judgment Cultivating impartial observation to any experience—not labeling thoughts, feelings or sensations as good or bad, but simply taking note of them in each moment. “Once in a golden hour, I cast to earth a seed, And up there grew a flower, That others called a weed. ” ― Alfred Tennyson

Non-judgment

Non-judgment

Acknowledgment Validating and acknowledging things as they are

Acknowledgment Validating and acknowledging things as they are

Acknowledgment “You can hold back from suffering of the world, you have permission to

Acknowledgment “You can hold back from suffering of the world, you have permission to do so, and it is in accordance with your nature, but perhaps this very holding back is the one suffering you could have avoided" -Franz Kafka

Impermanence Everything in a constant state of flux with no intrinsic permanence or fixed

Impermanence Everything in a constant state of flux with no intrinsic permanence or fixed nature.

Letting Be Simply letting things be as they are, with no need to try

Letting Be Simply letting things be as they are, with no need to try and let go of whatever is present “Be yourself. Life is precious as it is. All the elements for your happiness are already here. There is no need to run, strive, search or struggle. Just Be. ” - Thich Nhat Hanh

Letting Be

Letting Be

Non-striving Not trying to get anywhere other than where you are

Non-striving Not trying to get anywhere other than where you are

Equanimity Balance and wisdom. Fostering a deep understanding of the nature of change with

Equanimity Balance and wisdom. Fostering a deep understanding of the nature of change with greater insight and compassion. “If you wait for tomorrow, tomorrow comes. If you don't wait for tomorrow, tomorrow comes. ” -Senegalese Proverb

Equanimity

Equanimity

Self-Compassion Loving who you are without blaming, criticizing, or berating yourself. What are your

Self-Compassion Loving who you are without blaming, criticizing, or berating yourself. What are your strengths? How are you harsh on yourself?

Mindfulness and Stress Nervous System Sympathetic Parasympathetic Fight, Flight, or Freeze

Mindfulness and Stress Nervous System Sympathetic Parasympathetic Fight, Flight, or Freeze

Mindfulness and Stress Eustress and distress Cortisol Physical and cognitive impairment Weakened immune system

Mindfulness and Stress Eustress and distress Cortisol Physical and cognitive impairment Weakened immune system Weight gain Heart disease Memory https: //www. youtube. com/watch? v=Wuy. Pu. H 9 oj. CE

Mindfulness and Stress Reaction: unconscious, habitual Stress Response: acknowledgment Balance (control) vs imbalance (chaos)

Mindfulness and Stress Reaction: unconscious, habitual Stress Response: acknowledgment Balance (control) vs imbalance (chaos)

Brief Breathing Meditation

Brief Breathing Meditation

15 minute break!

15 minute break!

Trauma “Individual trauma results from an event, series of events, or set of circumstances

Trauma “Individual trauma results from an event, series of events, or set of circumstances that is experienced by an individual as physically or emotionally harmful or life threatening and that has lasting adverse effects on the individual’s functioning and mental, physical, social, emotional, or spiritual well-being. ” https: //www. nasmhpd. org/sites/default/files/TIA_Training_PPT-8 -17. pdf

Trauma Threat to life or limb Severe physical harm or injury Sexual abuse Witnessing

Trauma Threat to life or limb Severe physical harm or injury Sexual abuse Witnessing violence Violent, sudden loss of a loved one Exposure Learning of Receipt of intentional injury or harm

Trauma Adverse Childhood Experiences Study (ACES) 1995 -1997 -17, 000 individuals Abuse, neglect, family/household

Trauma Adverse Childhood Experiences Study (ACES) 1995 -1997 -17, 000 individuals Abuse, neglect, family/household

Trauma As score increases, risks increase Substance abuse Poor work performance Mental health diagnosis

Trauma As score increases, risks increase Substance abuse Poor work performance Mental health diagnosis Suicidality Sexually transmitted diseases Sexual violence Adolescent pregnancy Poor academic performance Heart/liver disease

Trauma https: //www. youtube. com/watch? v=VNNs. N 9 IJkws&list=PL 0 DB 506 DEF 92

Trauma https: //www. youtube. com/watch? v=VNNs. N 9 IJkws&list=PL 0 DB 506 DEF 92 B 6347

Trauma and Mindfulness Post Traumatic Stress Disorder (PTSD) Intrusive thoughts Emotional distress Avoidance Irritability/aggression

Trauma and Mindfulness Post Traumatic Stress Disorder (PTSD) Intrusive thoughts Emotional distress Avoidance Irritability/aggression Difficulty concentrating/sleeping Heightened startle reaction

Post Traumatic Growth “Subjective experience of positive psychological change reported by an individual as

Post Traumatic Growth “Subjective experience of positive psychological change reported by an individual as result of the struggle with trauma” Tedeschi, R. & Calhoun, L. (2004). Post traumatic growth: conceptual foundations and empirical evidence. Psychological inquiry. 15(1) P. 1 -18. Appreciation for Life Connection with others Personal strength New possibilities Spiritual growth

Post Traumatic Growth The worst thing that ever happened to me The best thing

Post Traumatic Growth The worst thing that ever happened to me The best thing that ever happened to me Suffering, wisdom, resilience

Trauma and the body https: //www. youtube. com/watch? v=_pxp 9958_Eo

Trauma and the body https: //www. youtube. com/watch? v=_pxp 9958_Eo

Mindful Body Scan

Mindful Body Scan

Lunch!

Lunch!

Mindfulness and Substance Use Disorders (SUD) 2016: 4642 overdose deaths, 37% increase from 2015

Mindfulness and Substance Use Disorders (SUD) 2016: 4642 overdose deaths, 37% increase from 2015 2016: 36. 5 deaths per 100, 000 2015: 26. 7 deaths per 100, 000 Opioids present in 85% of overdoses Fentanyl most frequently reported opiate (52% of deaths) Heroin second most frequently reported (45 percent of deaths)

The Neurobiology of Addiction Dopamine Endorphins Glutamate https: //www. youtube. com/watch? v=k. Vo. Ypiiy

The Neurobiology of Addiction Dopamine Endorphins Glutamate https: //www. youtube. com/watch? v=k. Vo. Ypiiy 7 jg&index=5&list=PLM 7 px 25 Wv. Czy. PROz. Vu. C_0 kb. Idyf. PI 121 b https: //www. youtube. com/watch? v=op 0 Xqg. WQn 7 E&index=6&list=PLM 7 px 25 Wv. Czy. PROz. Vu. C_0 kb. Idyf. PI 121 b

Mindfulness and SUD How does someone heal from SUD? Alcoholics/Narcotics Anonymous Treatment/psychotherapy

Mindfulness and SUD How does someone heal from SUD? Alcoholics/Narcotics Anonymous Treatment/psychotherapy

Mindfulness and SUD Relapse Prevention Cravings Warning signs Triggers (people/places/things) Coping strategies

Mindfulness and SUD Relapse Prevention Cravings Warning signs Triggers (people/places/things) Coping strategies

Mindfulness and SUD Mindfulness-Based Relapse Prevention S – Stop O – Observe B –

Mindfulness and SUD Mindfulness-Based Relapse Prevention S – Stop O – Observe B – Breathe E – Expand R - Respond

Defining Addiction https: //www. ted. com/talks/johann_hari_everything_you_think_you_know_about_ad diction_is_wrong

Defining Addiction https: //www. ted. com/talks/johann_hari_everything_you_think_you_know_about_ad diction_is_wrong

Expanding Awareness Meditation

Expanding Awareness Meditation

15 minute break!

15 minute break!

The Science of Mindfulness

The Science of Mindfulness

The Science of Mindfulness https: //www. youtube. com/watch? v=a. NCB 1 MZDg. QA

The Science of Mindfulness https: //www. youtube. com/watch? v=a. NCB 1 MZDg. QA

When You Meditate…

When You Meditate…

When You Meditate…

When You Meditate…

Effects of Mindfulness Alters Brain Structure Boosts Immune Increased Self. System control Reduces Pain

Effects of Mindfulness Alters Brain Structure Boosts Immune Increased Self. System control Reduces Pain Reduces Anxiety Sensitivity Increases Empathy Reduces Age. Related Atrophy Better Concentration

Mindfulness and Direct Practice The use of self Person-centered theory Congruence vs Incongruence Empathy

Mindfulness and Direct Practice The use of self Person-centered theory Congruence vs Incongruence Empathy Unconditional positive regard Non-directive

Mindfulness and Direct Practice Cognitive Theory and CBT Schemas Core Beliefs Distortions Magnification/minimization Dichotomous

Mindfulness and Direct Practice Cognitive Theory and CBT Schemas Core Beliefs Distortions Magnification/minimization Dichotomous thinking personalization ABC - Activating Event, Belief, Consequence

Mindfulness and Direct Practice Existential Psychotherapy Irvin Yalom Inevitability of death Free will Ultimate

Mindfulness and Direct Practice Existential Psychotherapy Irvin Yalom Inevitability of death Free will Ultimate aloneness No obvious meaning to life Post modernism and the subjective Existential guilt and the butterfly effect

Mindfulness and Direct Practice Acceptance and Commitment Therapy Increase psychological flexibility Experiential avoidance Processes

Mindfulness and Direct Practice Acceptance and Commitment Therapy Increase psychological flexibility Experiential avoidance Processes Acceptance Defusion Values Committed Action

Mindfulness and Groups Breathing in the same breath, breathing out the same breath

Mindfulness and Groups Breathing in the same breath, breathing out the same breath

Mindfulness and Supervision Practice Theory as Model Solution-focused, psychodynamic etc. . Feminist Partnership Model

Mindfulness and Supervision Practice Theory as Model Solution-focused, psychodynamic etc. . Feminist Partnership Model Hierarchy, self-directing, collegial Structural-Functional Models Organization/worker integration, competence model Agency Models Casework/group/peer/autonomous Interactional Process Model Proactive or reflective

Mindfulness and Supervision Stress and Burnout Insight/self-awareness Transference/Countertransfere nce Tuning In Parallel Processing Elaborating

Mindfulness and Supervision Stress and Burnout Insight/self-awareness Transference/Countertransfere nce Tuning In Parallel Processing Elaborating Skills Empathetic Skills Sharing Feelings Termination

Mindfulness and Supervision Strong working alliance Decreased levels of anxiety Strong supervisory relationships Sustained

Mindfulness and Supervision Strong working alliance Decreased levels of anxiety Strong supervisory relationships Sustained attention Counselor selfefficacy Empathy

Mindfulness and Supervision https: //www. youtube. com/watch? v=Znf. PFu. Bseo. Q

Mindfulness and Supervision https: //www. youtube. com/watch? v=Znf. PFu. Bseo. Q

Mindfulness and Self-Care Burnout/Compassion fatigue Toxic work environments Workload Role conflict/ambiguity Emotional labor Vicarious

Mindfulness and Self-Care Burnout/Compassion fatigue Toxic work environments Workload Role conflict/ambiguity Emotional labor Vicarious Traumatization

Mindfulness and Self-Care How do you practice self care?

Mindfulness and Self-Care How do you practice self care?

Mindfulness and Self-Care Self Compassion and empathy https: //www. youtube. com/watch? v=1 Evwgu 369

Mindfulness and Self-Care Self Compassion and empathy https: //www. youtube. com/watch? v=1 Evwgu 369 Jw

Loving-Kindness Meditation May I be Safe May I be Healthy May I have Ease

Loving-Kindness Meditation May I be Safe May I be Healthy May I have Ease of Body and Mind May I be at Peace

Questions?

Questions?

THANK YOU !

THANK YOU !

References American Psychiatric Association. (2013). Diagnostic and statistical manual of mental disorders fifth edition.

References American Psychiatric Association. (2013). Diagnostic and statistical manual of mental disorders fifth edition. Washington, D. C. : American Psychiatric Publishing. Bussey, M. & Wise, J. (2007). Trauma Transformed. New York, NY. : Columbia University Press. CDC(2016). About the CDC-Kaiser ACE Study. Retrieved from https: //www. cdc. gov/violenceprevention/acestudy/about. html Cox, K. & Steiner, S. (2013) Self-Care in Social Work. Washington D. C. : NASW Press. Epstein, M. (1995) Thoughts without a Thinker. New York: Basic Books Follette, V. , Briere, J. , Rozelle, D. , Hopper J. , & Rome, D. (2015). Mindfulness-Oriented Interventions for Trauma. New York, NY. : The Guilford Press. Glading, R. (2013, May 22). This is your brain on meditation. Retrieved online from https: //www. psychologytoday. com/blog/use-your-mind-change-yourbrain/201305/is-your-brain-meditation Goldstein, E. , Kabat-Zinn, J. , Santorelli, S. , & Stahl, B. (2010) A Mindfulness-Based Stress Reduction Workbook. Oakland, CA: New Harbinger Kabat-Zinn, J. (1994). Wherever you go, there you are: Mindfulness meditation in everyday life. New York Kabat-Zinn, J. (1990). Full catastrophe living: Using the wisdom of your body and mind to face stress, pain, and illness. New York: Delta. SAHMSA’s trauma-informed approach: key assumptions and principles. Retrieved from https: //www. nasmhpd. org/sites/default/files/TIA_Training_PPT-817. pdf Sehgal, M. & Sethi, K. (2016). Psychosocial factors contributing to post traumatic grown. Journal of Psychological Research. 11(2). 437 -445. Tedeschi, R. & Calhoun, L (2004). Posttraumatic growth: conceptual foundations and empirical evidence. Psychological Inquiry. 15(1). 1 -18. Tsui, M. S. (2005). Social Work Supervision: Contexts and Concepts. Thousand Oaks, California: Sage Wyatt, L. (2011). The Role of Mindfulness in Clinical Supervision. (Doctoral dissertation). The University of North Carolina, Greensboro. Yalom, I. (2012). Love’s Executioner. New York, NY. : Basic Books