Using Mindfulness on a Busy Acute Mental Health Ward · KEY MINDFULNESS SLILLS continued BECOME ONE...

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Using Mindfulness on a Busy Acute Mental Health Ward Sandra Delemare, BSc, RMN Winsor Ward Woodhaven Hampshire Partnership NHS Foundation Trust

Transcript of Using Mindfulness on a Busy Acute Mental Health Ward · KEY MINDFULNESS SLILLS continued BECOME ONE...

Page 1: Using Mindfulness on a Busy Acute Mental Health Ward · KEY MINDFULNESS SLILLS continued BECOME ONE WITH THE EXPERIENCE, FORGET YOURSELF – get involved in the moment PRACTICE –

Using Mindfulness on a

Busy Acute Mental Health Ward

Sandra Delemare, BSc, RMN

Winsor Ward

Woodhaven

Hampshire Partnership NHS Foundation Trust

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MINDFULNESS

“Mindfulness means paying attention in a particular way on purpose, in the present moment and non-judgementally. This kind of attention nurtures greater awareness, clarity and acceptance of present-moment reality”

Dr Jon Kabat Zinn

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Mindfulness at Woodhaven Used cross-diagnostically as a core practice in

our psychology groups:DBT-based Emotional Coping

SkillsStress and Anxiety ManagementWhat is Real? – shared and un-

shared reality, for people with psychosis

‘Daily’ mindfulness group sessions With individuals

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Types of mindfulness exercises:

Basic groundingMindfulness of breathObjects

picturesUsing our senses

e.g. raisin, polo mintMaking tea in imaginationMindful walking

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objects

using the senses

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Teaching Points

Minds wander – that’s what they do You can’t get it wrong

you’ve not got it wrong if your mind wanders

you’ve not got it wrong if it’s not relaxing

Did you notice judgments?‘this is stupid’, ‘this won’t help’ etc.

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Encourage using mindfulness in daily routine:

Make and drink cup of tea mindfully Brush teethHave shower Eat breakfast Sit in the gardenGo for a walk

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Mindfulness is about: Allowing Letting be/ letting go Welcoming, opening, softening Awake, alert, aware Acceptance Approaching Gentle compassion Dignified Intentional In the present moment

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HEAR AN UNWANTEDVOICE/IMAGE/MEMORY/THOUGHT

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HEAR AN UNWANTEDVOICE/IMAGE/MEMORY/THOUGHT

GET RID OF IT/BLOCK IT/DISTRACT

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HEAR AN UNWANTEDVOICE/IMAGE/MEMORY/THOUGHT

GET RID OF IT/BLOCK IT/DISTRACT

DOESN’T ALWAYS WORK

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HEAR AN UNWANTEDVOICE/IMAGE/MEMORY/THOUGHT

GET RID OF IT/BLOCK IT/DISTRACT

DOESN’T ALWAYS WORK

GETS WORSE

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HEAR AN UNWANTEDVOICE/IMAGE/MEMORY/THOUGHT

GET RID OF IT/BLOCK IT/DISTRACT

DOESN’T ALWAYS WORK

GETS WORSE

DISTRESS/STUCK

DISTRESS/STUCK

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HEAR AN UNWANTEDVOICE/IMAGE/MEMORY/THOUGHT

GET RID OF IT/BLOCK IT/DISTRACT

DOESN’T ALWAYS WORK

GETS WORSE

ACKNOWLEDGETHAT IT’S THERE

DISTRESS/STUCK

DISTRESS/STUCK

DISTRESS/STUCK

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HEAR AN UNWANTEDVOICE/IMAGE/MEMORY/THOUGHT

GET RID OF IT/BLOCK IT/DISTRACT

DOESN’T ALWAYS WORK

GETS WORSE

ACKNOWLEDGETHAT IT’S THERE

REFOCUS OURAWARENESS TOPRESENT MOMENT

DISTRESS/STUCK

DISTRESS/STUCK

DISTRESS/STUCK

/mindfulness

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HEAR AN UNWANTEDVOICE/IMAGE/MEMORY/THOUGHT

GET RID OF IT/BLOCK IT/DISTRACT

DOESN’T ALWAYS WORK

GETS WORSE

ACKNOWLEDGETHAT IT’S THERE

REFOCUS OURAWARENESS TOPRESENT MOMENT

CHOICE

DISTRESS/STUCK

DISTRESS/STUCK

/mindfulness

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HEAR AN UNWANTEDVOICE/IMAGE/MEMORY/THOUGHT

GET RID OF IT/BLOCK IT/DISTRACT

DOESN’T ALWAYS WORK

GETS WORSE

ACKNOWLEDGETHAT IT’S THERE

REFOCUS OURAWARENESS TOPRESENT MOMENT

CHOICE

DISTRESS/STUCK

acceptance

DISTRESS/STUCK

/mindfulness

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Benefits

Reinforces teaching in psychology groups A leveller – helps break the ‘us and them’

barrier Patients like it – in time see benefits

eg helping to get to sleepdealing with unwanted thoughts

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Difficulties

Attitude – staff and patients

Time – finding/making time

Staff lack of confidence to leadlearn by doing – not training

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Practise! Practise!

Practise!

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Resources

Books:Mindfulness for Dummies; Shamash Alidina

(includes cd)The Mindful Way through Depression; Mark Williams,

John Teasdale, Zindel Segal, Jon Kabat-Zin(includes cd)

Dialectical Behaviour Therapy Skills, 101 Mindfulness Exercises…; Kimberley Christensen, Gage Riddoch,

Julie Eggers HuberEssential Writings; Thich Nhat Hanh

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Websites:www.getselfhelp.co.uk/docs/Mindfulness

and other useful handoutswww.cci.health.wa.gov.au/docs/ACF3C5B

and other useful handoutswww.blackdoginstitute.org.au/docs/MindfulnessinE

verydayLifeand other useful handouts

www.allconsidering.com/2009/10-mindfulness-exercises/

using mindfulness in your daily routine

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KEY POINTS

NOTICEDESCRIBEPARTICIPATE IN THIS MOMENT BE HERE NOWWITH FULL ATTENTIONWITHOUT JUDGEMENT

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KEY MINDFULNESS SLILLS

TEFLON MIND – letting experiences, feelings thoughts come into the mind and slip right out again

ALERT to every thought feeling and action urge like a guard at the gate of your mind

WATCH – thoughts come and go, like clouds in the sky, feelings rise and fall, like waves in the sea

PUT WORDS ON THE EXPERIENCE - “the thought ‘I’m useless’ has just entered my mind”

PUT EXPERIENCES INTO WORDS – name the emotion, feeling, a thought as a thought

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KEY MINDFULNESS SLILLS continued

BECOME ONE WITH THE EXPERIENCE, FORGET YOURSELF – get involved in the moment

PRACTICE – so the skills become part of you DO ONE THING AT A TIME – when eating, eat.

When walking, walk. Bring your full attention to the present moment.

LET GO OF DISTRACTIONS – and return to what you are doing again, and again, and again..

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KEY MINDFULNESS SLILLS continued 2

DON’T EVALUATE – take a non judgemental stance. Just the facts. Focus on “what” not the good, bad, should, shouldn’t

UNGLUE OPINION from the facts ACKNOWLEDGE both the helpful and the

unhelpful but don’t judge it DON’T JUDGE THE JUDGING FOCUS ON WHAT WORKS – do what is

needed PLAY BY THE RULES – not cutting nose off to

spite your face

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MINDFULNESS - STATES OF MIND

REASONABLEMIND

EMOTIONAL MINDWISE MIND

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Serenity PrayerGod grant me the grace to accept

with serenity the things I cannot change,

The courage to change the things Ican,

And the wisdom to know the difference,


1 Are we so busy changing diapers, we forget we are suppose to be changing lives

1 Are we so busy changing diapers, we forget we are suppose to be changing lives

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