Living in Our Heads Re-visit – Meditation Week 2

So, how did your week 1 go?

For my practice, I chose to eat a chocolate chip cookie mindfully. Slowing down and really paying attention to eating something, much like the raisin activity really enhanced my experience. I can’t promise I’ll eat every cookie that way, but it really was a pleasant way to enjoy a treat and allowed me to really savour the scent, tastes and textures of the cookie. 

Body scans have always been a challenge for me, because I tend to pass out midway. That said, I chose to do my body scan before bed. I suffer from insomnia on a fairly regular basis, so trying this as a means to relax was helpful in calming my body and mind. I can remember usually getting to about my mid-body and then zzzzzzz. I noticed that the sleep I was getting was a very deep sleep. so much so that I either slept through alarms or woke up and shut them off then slept again. I may not have gotten more sleep or to sleep easier but, a better quality sleep has translated to a more relaxed me during the day.

I would love to know how people fared and what you think so far? So post your thoughts in the comments section.screen-shot-2017-02-02-at-8-22-53-pm

Now on to Week 2!

Many of us, especially now being isolated and having our lives disrupted by Covid can fixate on the negative or if you are like me live in your head a little too much.

The aim of MBSR is for us to be more aware, more often. The thought that comes to my mind is “Be here, now.” One of the things that can impede us from being present in our lives is the thought that we or something we are doing isn’t good enough or less than we expected some how. These thoughts can sometimes make us blame ourselves or judge things and ourselves negatively. These patterns can often be automatic and therefore “mindless”. What we want to do is interrupt the pattern. When we do that, we can consciously make a choice.

That all sounds wonderfully easy. It isn’t. It requires practice. We are after all trying to break some well-entrenched and sometimes unconscious habits. One of the first steps though is by noticing and acknowledging what our situation is. Just that, noticing, not changing. The body-scan is a tool to help us do that. It allows us to acknowledge and bring attention to an area without changing anything. There is no good or bad, no goal to achieve or not, you just are.

screen-shot-2017-02-02-at-8-20-58-pmMindful Breathing is another tool that helps us to ground us and bring gentle awareness to ourselves without judgment or need to change anything about our situation. We simply breathe and notice our body as we do so. I tend to have a challenge doing this one on my own and need to listen to a guided meditation. I find I am able to focus on my breath with more attention having someone guide me than if I did this on my own. Its ok if your mind wanders while you practice, it is completely normal and expected. So don’t judge or think you failed. Just notice the thoughts or the fact that you have wandered, and refocus on your breath. If it happens again (and it probably will) just acknowledge and refocus. That’s the beauty of breathing; every breath is a new opportunity to start again.

AM

Activities for week 2 below. Week 1 can be found HERE.

Activity 1: Pleasant Events

This week is an opportunity to really become aware of our thoughts, feelings, and sensations around positive or pleasant events. So everyday notice and record (for yourself) in detail how you felt. You can use the chart below as a reference.

Day
What was the experience?
How did your body feel, in detail during this experience?
What moods and feelings accompanied this experience?
What thoughts went through your mind?
What thoughts are in your mind as you write this down?
Example
Came home to a happy wiggly dog
Lightness across the face, awareness of shoulders dropping. Smiling
Happiness, Pleasure, Relief
“What a warm welcome”
“I feel so loved”
“I didn’t feel appreciated today until I got home.” “Rufus really loves me!”

Meditation 1: Body Scanscreen-shot-2017-02-02-at-8-19-55-pm

Begin with a 45-minute body scan (see below).

Meditation 2: Mindful Breathing (See Below)

  1. Using a comfortable straight-backed chair, sit in an upright position (not slouching) to help, use a pillow to help you stay off the back of the chair. If you chose to sit on the floor or cross-legged, make sure you are supported by a soft surface (comfort so you avoid numb bum) and that you are elevated enough that your knees are lower than your hips.
  2. Once seated, you want an erect spine, and if in a chair, feet flat on the floor, legs uncrossed.
  3. Gently close your eyes.
  4. Bring your attention to your body; the physical sensations of your body pressure where it makes contact, any tension, just like in the body scan.
  5. Now bring attention to your breath.
  6. Try to focus your awareness on the sensations in your lower abdomen as you breathe in and out (sometimes it helps if you place your hand on your belly).
  7. Try to follow your breath as you breathe in and out. Notice the changes and physical sensations and you breathe.
  8. You don’t need to try to control your breathing in any way, just let it happen.
  9. Sooner or later (probably sooner) your mind will wander. It OK! It happens and that’s what our minds do. It isn’t wrong or a mistake or a failure. It is an opportunity to refocus on your breath again. It ok it this keeps happening too. Just remind yourself to refocus and start again. Every breath is a new beginning.
  10. Continue this practice for 10 – 15 minutes (or more if you like). Remember that the intention is simply to be aware of your experience in each moment as best as you can. Use your breath as an anchor to reconnect you to the moment if your mind wanders.

Home Work:

  • Do the body scan 6x for week 2
  • Record what you notice each time you do the practice.
  • At different times during the week, practice 10-15 min of mindful breathing, 5-6x.
  • Activity 1 – Pleasant Events awareness
  • Choose a new routine activity to do mindfully (see description week 1).

Meditations:

www.guilford.com/MBCT_audio, track 4 (Requires creating a user account)

This site offers a ton really great resources that can be explored now or for future practice. You can find it HERE. The specific practice for this week is HERE it is a 6 minute breathing exercise.

Body Scan

Tips for the Body Scan

  • Regardless of what happens (you fall asleep, loose concentration, focus on the wrong body part) keep practicing.
  • If your mind wanders, just note the thoughts and bring your mind back to the scan or your breath.
  • Let go of success or failure, this isn’t a competition. Be open and allow it to happen.
  • Let go of expectations what the scan will do for you.
  • Approach your experience with non-judgment, curiosity and openness.
  • Your breath is an anchor.
  • Be aware, be non-striving, be in the moment, and accept things as they are.

#Acceptance #Anxiety #AYASM #BeingPresent #Breathe #Community #Depression #Gratitude #HELP #Hopeunites #Invisibleillness #justbreathe #Loss #Lungcancer #MBSR #MentalHealth #Mentalillness #Nostigma #Onedayatatime #Pickingupthepeices #Realitycheck #Stigma #unitedinhope #YACancer #YoungAdultCancer ADVOCACY ALK+ Awareness Cancer Clinical Trial Coping event Hope LCAM LCSM LifeasaLifer Lifer Lung Cancer Mindfulness patient Personal Survivor Survivorship YACC Young Adult Cancer Survivors

What’s the Date Again?! & Mindfulness Revisit

Screen Shot 2020-05-17 at 11.01.48 AMAfter having survived stage 4 cancer for the last 9+ years, I could never have anticipated that during the course of that survivorship, I would encounter the plague – AKA Covid-19. So previously, I would have said that cancer changed everything, but that was only in the microcosm of my own life. With the onset of Covid-19 literally everything changed everywhere on a global level! Whole countries are shut down. Our governments and health agencies are asking us to practice social or physical distancing and heightened hygiene, including frequent hand washing and wearing home made masks. Employers are encouraging those who can, to work from home.

Screen Shot 2020-05-17 at 11.45.25 AM
Unwashed hands are the path to the Dark Side. Unwashed hands lead to germs; germs lead to illness; illness leads to suffering. Wash hands frequently for at least 20 seconds with soap and water *** 

Here in Canada, and more specifically, in Ontario where I live, we are going on 9 weeks of essentially a shelter in place unless you are a frontline worker or have an emergency. We are permitted to get groceries once a week and go to medical appointments, but that has pretty much been it. Just this week our provincial government had begun to ease the restrictions by allowing some businesses to open as long as they offer curb-side pick up. As for me, being immune-compromised and having lung cancer I have pretty much been home bound and will continue to be for the foreseeable future. 

I, like many find myself with an abundance of time on my hands. The goals I wanted before, even the ones I had worked so hard for, changed yet again. So, to try and instil some perspective and a little serenity now (especially when I’m panicking, which at the beginning of all this, was essentially all the time! Since, I didn’t survive cancer to be taken out by a virus!). Was to go back and practice mindfulness. In light of that, I also decided to repost the 8- week series I posted some time back.

Screen Shot 2020-05-17 at 11.30.00 AM
*** Just incase you need a reference for 20 seconds : ) 

It was upon the recommendation of my psychologist, that I enrolled in a Mindfulness Based Stress Reduction (MBSR)* course. I was hesitant initially, because really who has time for an 8-week program?! But I did it, not once but twice. Now you may think MBSR is hokey and all kumbaya, but it’s one of the only meditation modalities being studied scientifically, and used in hospitals. It was hands down one of the best things I have ever done for myself and my mental health, which is why I’m going to do it again.

It isn’t for the feint of heart, because of the time commitment (8 Weeks + home practice), but I swear it is worth it. In the professionally led sessions, I would meet with a small group of stressed out – over worked – harried individuals each week and we would learn a specific practice or a few. Then we were tasked with homework. Typically it was an exercise in attention, some sort of meditation, and a very short “journal”. Initially it was a challenge fitting it in, but somehow if you are committed, you do find time.

Screen Shot 2020-05-17 at 11.35.58 AM

The first time I learned MBSR was 10 years ago when I was transitioning back to work. Ican tell you that the skills I learned in those 8-weeks saved me a few times. Like the day they told me my cancer had come back, and that there wasn’t much they could do (at that time). Just before receiving the news, I had meditated while waiting for my oncologist, so I was calm and able to be rational and breathe. It allowed me to be clear headed and coherent enough to ask questions, Screen Shot 2020-05-17 at 11.12.07 AMsomething I likely wouldn’t have been able to do had I been extremely emotional.

As with anything, you need to practice or your skills get rusty. I have to admit that over the years, my practice hasn’t been what it used to be and once again life got in the way, so I took the course again, this time as a very willing participant. I will tell you, my mental health has been better since. I won’t lie, I don’t practice everyday (although I should), but I use it when I need it.

I thought that if anyone out there was willing, I would start with this post, to “lead” a very rudimentary Mindfulness Group, by posting what each weeks lesson is, the practices and leave it up to you to try it out.

There is no right or wrong way, to do this. It is a personal practice about learning to notice, becoming aware, and taking a moment to breathe. If you are game, Week 1 Resources will be posted below. I’ll post follow-ups every Sunday for the next 7 weeks.

Be well, Stay hone, Stay safe.

AM

*In 1979 Jon Kabat-Zinn founded MBSR at the Mindfulness Based Stress Reduction Clinic

screen-shot-2017-01-29-at-6-02-08-am

at the University of Massachusetts and nearly twenty years later the Center for Mindfulness in Medicine. Both these institutions supported the growth and implementation of MBSR into research and hospitals worldwide.

Mindfulness is the awareness that emerges through paying attention on purpose, in the present moment, and non-judgmentally, to things as they are.

– Williams, Teasdale, Segal, and Kabat-Zinn (2007)

 

screen-shot-2017-01-29-at-5-57-05-am

Week 1 Mindfulness: Awareness & Automatic Pilot

  • When we are on Autopilot, we are more likely to become annoyed or have our “buttons pressed”.
  • Becoming more aware of our thoughts, feelings, and body sensations, we can choose not to go down “the rabbit hole” or mental ruts.
  • The aim of MBSR is to increase awareness so that we have more choices when we respond to situations, rather than react automatically.
  • To achieve this, we practice becoming more aware of where our attention is and deliberately changing the focus over and over.

Activity 1: Raisins (or any small edible)

Take a raisin, or any small edible item. On a piece of paper, write down your immediate thoughts about that item. Next, use each sense to examine the item. Eyes, ears, fingers, mouth. Do each for a good minute. Now write down what you notice.

Meditation 1: Body Scan

Begin with a 45-minute body scan (see below). I suggest a quiet place where you can either sit or lay down. It’s ok if you fall asleep. I did.

Home Work:

  • Do the body scan 6x for week one
  • Record what you notice each time you do the practice.
  • Choose one routine activity (washing your face, brushing your teeth, lacing your shoe, etc.) and make it deliberate, just like the raisin activity.
  • Eat one meal mindfully (i.e. Like the raisin activity)

Meditations:

www.guilford.com/MBCT_audio (Requires creating a user account)

https://health.ucsd.edu/specialties/mindfulness/programs/mbsr/

Suggestions/Tips:

  • Learning suggestions
  • Dress comfortably in loose-fitting clothing (sweats or yoga-type clothing work well).
  • Use a mat or pad that you can lie on the floor with.
  • If the temperature varies the room you are using you might want to dress in layers.
  • Choose a quiet spot or time when others will not be interrupting.
  • Download meditations to an iPod or other listening device for easy listening.
  • Good Luck

 

Loving Kindness…Week 7

To say that this post is late is an understatement!!Screen Shot 2017-03-14 at 8.21.05 PM

When I get writer’s block, I get writer’s block, and that’s exactly what happened…that then add a dash of perfectionism and you have a recipe for disaster!

I don’t know why I can’t quite get a coherent piece of writing done around this week’s topic, which is Loving Kindness and how best to care for yourself. I have written and re-written this post over and over, but it never really seems “right”.

I know I am my own worst critic and hold myself to a ridiculous standard that I wouldn’t normally hold for others, and I’m working on it. For me, it’s easier to recognize someone else’s pain and suffering than my own, and often when I do, I feel terrible and beat myself Screen Shot 2017-03-14 at 8.24.33 PMup because, “There’s someone out there who’s worse off than I am, how dare I feel sorry for myself”. I have gotten better with that, but I am still hard on myself. This week’s practice is about evaluating and being mindful on how to be kind (not judging) towards yourself and how to best care for yourself in times of distress.

 

Some may say that this is selfish, but I’d ask you to read Five Myths to Self-Compassion, it is quite enlightening, I found it very informative and beneficial in dispelling my own myths. Another tool that helps is practicing the Loving Kindness Meditation.

Be Well,Screen Shot 2017-03-14 at 8.26.04 PM

AM

Previous weeks posts. Week 1, Week 2, Week 3, Week 4, Week 5, Week 6

Activities

Nourishing v Depleting Activities

When trying to evaluate areas of our lives that may help us to care for ourselves, it may be beneficial to ask one of the following questions. (You can do this with an existing page in an agenda, or start fresh by making a list, or by just asking is this an N or a D.)

  1. Of the things that I do, what nourishes me or gives me pleasure, what increases my sense of actually being alive and present rather than just getting by? (Add an N next to those things on the list)
  2. Of the things I do, what drains me, what decreases my sense of being alive and present, what makes me feel like I’m just scraping by or feeling worse or drained? (Add a D next to those things on the list)

Accepting that there are some aspects of life that just can’t change, I am consciously choosing to increase the time and effort I give to nourishing (N) activities and decrease the time and effort I give to depleting (D) activities.

Action Plan 

  • Think about a time when you faced difficulty. What are some of the things that got you through the difficulties? What are things that would sooth you, activities that might nourish you, people who you might contact for support, small things you could do to help you get through?
  • Now write down suggestions to yourself for an action plan that you can use as a framework for coping the next time you are facing a tough time or if you are feeling depressed.
  • For example, a plan may look like…I know when I was depressed last month, I was able to call Mary for support, she talked with me and on another day she visited me too. I felt better after having a nice long bath, where I lay in the water and meditated for a few minutes. I also felt better after I went for a walk, I was really able to gather my thoughts after some fresh air. Making an appointment and speaking to Dr. Jones was really helpful too.
  • It can be helpful to remind yourself that what you need at times of difficulty is no different from what you learned and practiced  in the past few weeks or in other Screen Shot 2017-03-14 at 8.23.33 PMtimes of difficulty.

Using The Breathing Space

Meditations

Loving Kindness

Home Work

  • On days 1, 3, 5 practice Loving Kindness Meditation.
  • On days 2, 4, 6 practice any of the meditations we have covered in the previous six weeks.
  • Choose one of the following activities to do: Nourishing v Depleting Activities, Action Plan, or Using the Breathing Space

New Resources

Self-Compassion.org

 

 

 

 

 

 

Week 6…Kintsugi – Recognizing the Beauty in Broken Things

Last week was hard!screen-shot-2017-03-04-at-10-29-19-pm

I am still sweeping up pieces of myself and putting them back together.

I have been broken before, so I know I’ll be ok.

Stronger.

screen-shot-2017-03-04-at-4-39-17-pmKintsugi is the Japanese art of fixing broken pottery, and its philosophy is rather beautiful. It recognises the beauty and value in broken things (more specifically pottery) and speaks to the breakage and repair of objects becoming the history of something, rather than the disuse of it. Potters often repair objects with resins mixed with gold or silver, making no attempts to hide cracks, but to highlight them and make pieces more beautiful and interesting. Here we tend to throw them out. I prefer the Japanese way.

A few years ago at a conference workshop on journalling we were asked to quickly write a response to the idea of Kintsugi. I wrote something and really never shared it, but in light of recent challenges and losses, I am using it to find strength again. I share it with you, its my story in a nutshell.

The fallout is far worse than the sickness. Once treatment is finished, the shell-shocked ruin of a person emerges from the fog. Every emotion and sense of fear comes pouring forth from me.

The problem was I couldn’t share these thoughts and emotions because if people really knew how wrecked I was, how terrified I was, they too may begin to crumble.

I wanted desperately to put back the pieces of my ruined life, to mend them and be the person I had been. The trouble was that person was gone.

I was paralyzed by fear. Terrified that once I managed to fix my life and myself, it would all crumble  to dust and there I’d be again, cancerous.

Somehow I tried my old life back on for size, but it didn’t fit. Like a shoe that was two sizes too small, it was uncomfortable and gave me blisters, but I put my brave face on and carried on. I had “successfully” taped my bowl back together.

Even though it leaked and looked like something Homer Simpson might make, it was together. Then it fell and shattered again.

More pieces strewn about, more pieces to pick up. How would I survive? Recurrence is a bitch.

Faced with few tangible options I decided to forgo trying to fix myself again. Instead I chose to live and love and be happy. I knew the bowl could never look the same, it had been too “damaged” and broken.

I chose to accept it, scars and all. I gave up the mask of bravery and allowed myself to be raw and vulnerable. To share that vulnerability with those around me. In doing so, I slowly turned that ugly shell of a person into something stronger and far more beautiful.

Each crack like a work of art, a work of love, a work of life.

MBSR like Kintsugi is about accepting things as they are.

Week Six of MBSR focuses on two ideas that are designed to help us strengthen our minds to be able to do this: Thoughts are not Facts andMindful Communication

screen-shot-2017-03-04-at-10-35-02-pmSo often how we think and communicate can be a point of stress. By becoming aware over and over again how (in meditation) our thoughts can effect us, we can recognize them, let them go and return our focus to our breath. With time and practice we can gain some distance and perspective on our thoughts allowing us to see that there may be other ways to look at or think about situations, breaking us free from old patterns. Thoughts are only mental events, they are not facts. We certainly are nt our thoughts.

Communication patterns can also be problematic or a source of tension for many of us. One of the reasons communication can break down is that many of us focus on or project the hope that someone else will give us what we want – attention, validation, understanding or approval. What this does, is put pressure on the other person, and sometimes backs them into a corner. Often when we feel pressured, we shut down rather than open up. When that screen-shot-2017-03-04-at-10-35-45-pmhappens during a conversation, often communication breaks down because a person can feel threatened, resentful, and not heard. In MBSR we are learning to focus in on ourself and our behaviour rather than those of others. We tune into our thoughts, emotions and physical sensations so that we can read them. By being aware  of these things, we gain a better sense of perspective and balance and can then focus on communicating our need rather than projecting them.

These ideas can be hard to learn and sometimes even more challenging to practice, because the ask us to really examine ourselves and ask us to be accountable to ourselves. However, once you do learn these lessons, you will find your perspective changing. You may even be able to let go.

Be well,

AM

 

Activities:screen-shot-2017-03-04-at-10-34-07-pm

 

Meditations:

Mountain Meditation

Mindfulness of Breath (Track 4)

Bells at 5 Minutes, 10 Minutes, 15 Minutes, 20 Minutes, and 30 Minutes (Track 13)

3 -Minute Breathing Space (Responsive) Track 9

Home Work

 

*Ways You Can See Your Thoughts Differently – Here are a few things you can do with your thoughts, either in meditation or in your daily life.screen-shot-2017-03-04-at-10-55-26-pm

  • Just watch them come in and leave, like a waves, without feeling like you have to follow them.
  • See if it’s possible to notice any feelings that give rise to the thoughts. Sometimes the context can be a link in a chain of events.
  • Think of thoughts as mental events rather than facts.
  • Write your thoughts down on paper. This lets you see them in a way that is less emotional and overwhelming. It can also give you time to pause and give you a moment to respond differently.

Previous weeks 1, 2, 3, 4, 5.

 

 

 

 

 

 

 

 

 

Melancholy and the Infinite Sadness…Week 5

I’m melancholy today.screen-shot-2017-02-27-at-2-25-02-pm

It’s one of those days where I wish I could unzip my skin and I could become someone else. Just for today. I can’t so I just want to hide. Crawl under my covers, or be like a cat and shelter under the bed.

screen-shot-2017-02-27-at-2-33-53-pmI want to scream, but if I open my mouth to talk, I feel so fragile right now, I’m afraid I’ll break into pieces, and I just don’t have the strength today to put myself back together. So I’m writing.

I’m trying really hard to drag myself out of the swamp of feelings I have. screen-shot-2017-02-27-at-2-38-11-pmSorrow for children who have lost their mothers, husbands who have lost their wives, families who will have an empty seat at their tables. I think about how one day that will be my people, who will feel this for me. It is gutting.

Today the reflection in the mirror is hard to look at. It shows reality. A reality where 4 pills a day keep me alive. A reality where I wonder why I got so lucky, when others stronger, younger, better than me aren’t. A reality where the knife’s edge I dance on is clear and present. A reality where the clock is ticking and time is running out. It’s a hard reality.

I know the only way to get through today is one foot in front of the other.

screen-shot-2017-02-27-at-2-40-37-pmTomorrow I will try to let go.

This is a really crappy way of segueing into the MBSR Week 5, and I swear I’m not making up the theme: Allowing and Letting Be. (Irony?!)

I suppose this is why MBSR can be so helpful. It teaches us and sometimes deliberately forces us to examine and really be present in aspects of our lives that are hard. It also teaches us that it’s okay if we experience hardships, anxiety, loss, or stress. These things are part of life. What it is designed to do is help and encourage us to look at these things with non-judgment and kindness towards ourselves and others.

This is the lesson I find hardest. Guilt is a nasty beast and today I have a bad case of survivor’s guilt. I’m having a hard time with not judging and treating myself with kindness. It’s easier to wallow if I beat myself up or tell myself I shouldn’t allow myself to feel badly. It’s easier to mourn them than it is to mourn me.

Tomorrow I’ll do better. For them. For me.

AM

 

MBSR Weeks 1, 2, 3, and 4.

 

Meditations

Working with Difficulty (Track 12)

3-Minute Breathing Space (Regular – Track 8)

3-Minure Breathing Space (Responsive – Track 9)

Bells only at 5, 10, 15, 20, 25, and 30 min

 

Homework

  • On days 1, 3, 5 practice Working with Difficulty track 12.
  • On days 2, 4, 6 practice sitting in silence for 20 to 30 min using Bells only.
  • Everyday practice the 3-minute breathing space track 8
  • As an unofficial practice, use 3- minute breathing space responsive track 9 for anytime you notice unpleasant feelings (tension, stress, anxiety).

Just Breathe…for Elizabeth

One of the biggest pitfalls of surviving this horrible disease for 8 years is that you lose a lot of friends along the way. I’ve lost too many to count. Every single one of those people is a scar on my heart.screen-shot-2017-02-26-at-5-35-29-pm

After I was diagnosed with cancer, I longed for connection, someone somewhere that could tell me I wasn’t alone. I found my tribe online. Actually I found a few tribes because my experience like many out there didn’t fit a neatly tied up definition of the cancer experience. I wasn’t just a young adult, or a lung cancer patient, but a young adult with incurable ALK+ lung cancer. So eventually I found what I was looking for. I cannot begin to tell you how powerful it is to connect with people who have walked in your shoes.

In many instances I have never met the people I talk to, we tweet, chat, post to web boards, blog, etc. but in those communications we have forged a bond of strength, empathy, support and friendship. In all of my interactions with others like me, whether in person or online, I find that these patients have an uncanny ability to cut through the niceties and small talk and really get down to the humanity of this disease. They know the fear, anxiety, sense of loss, empathy and mutual respect for another’s journey, because they too have been through it. It is because of that shared experience that we connect on such a profound level. I see myself reflected in them and they see themselves reflected in me. It is a connection that many of us don’t have with even our loved ones, because as much as they love and support us, they just simply don’t know what it is like to live with cancer.

Being a part of these communities is such a privilege. So often we share things with each other that we can’t share with even our closest friends and loved ones. It is truly a unique and beautiful thing to have such friends, but these relationships come with a price. It is the double-edged sword of sharing such deep connections – the grief and sense of loss when one of our friends passes away.

Someone once asked me how I can be so sad for someone I’ve never met? The answer is simple. I am mourning for them, their families and friends. I am mourning the loss of potential happiness and love and life that could have been. I am also mourning for me because at some point it will be me. When one of our friends dies, we are reminded very explicitly that we too are vulnerable. For a brief time, the light and fight and hope we have nurtured is extinguished and we are broken. The loss of “virtual” friends results in a very real sense of loss and sadness. We should treat these feelings the same way we would if we lost a “real” friend. Feel the sadness, talk about your feelings, honour your friend’s memory, and if needed seek support, within your communities and outside of them.

Yesterday, the world lost a tremendous  light.

screen-shot-2017-02-26-at-5-25-12-pmShe was 27, a young mother who beamed when talking about her 18 month old miracle boy. She was an incredible advocate speaking out for the lung cancer community and raising awareness and funds for support programs and research. She like me was a teacher and a young face of lung cancer.

Elizabeth also known as From Lizzie’s Lungs was diagnosed just shy of two years ago, she was celebrating being a newly wed. She and her husband were expecing a new arrival when a nagging health concern turned their lives upside down. Lung cancer. A rollercoaster ride no one let alone a 26 year old should face. She faced every challege with stride and with grace. She was a force!

Today I mourn Elizabeth. I mourn for her beatiful son, I mourn for her loving and supportive husband, I mourn for her parents and family who loved her, I mourn for her friends, and I mourn for us.

Fly with the angels Elizabeth. Just Breate.screen-shot-2017-02-26-at-5-27-34-pm

AM

 

 

 

 

 

 

Gathering the Scattered Mind – Week 3

screen-shot-2017-02-10-at-8-39-50-pmMy apologies for the lateness of this post! It was a hospital day yesterday and afterwards my wonderful husband surprised me with an impromptu date night, and we got in late. Also actual writing had to happen and I wasn’t sure what to say, but finally, here we go.

screen-shot-2017-02-10-at-8-36-13-pmThe theme for Week 3 in the Meditation Series is gathering the scattered mind. I’ll be honest that lately I have been incredibly scattered because I have been waiting for scan results, so this weeks practice has been pretty spotty and I’ve been so easily distracted.

For the last little while, I have been learning to live with results that don’t quite meet up with my expectations. It isn’t that they ‘re bad results, its just not the results I want. For a very long time, I was blessed after a course of scans to get the wonderful news that I was NED (No Evidence of Disease), but since I progressed last year and changed meds, I haven’t quite gotten there.screen-shot-2017-02-10-at-8-56-30-pm

Overall, I am very healthy and all the results show that I am stable. The results say my brain and organs are unremarkable (good news ironically) because it means that the cancer is still only in my lungs. The problem lies in the lungs. Although things have not changed from previous studies, within the results, there have always been comments about “stable globular masses” or “stable pleural effusions” and frankly I hate knowing that there is cancer is living in me and that my lungs are trying desperately to kill me.

I don’t know if I was under the misguided impression that NED meant that the cancer was gone or dormant, but it certainly gave me a sense of security and comfort, and not having it keeps me on edge. After all, there is no uncertainty that there is or isn’t cancer in me, its in here and its trying very hard to be active.

As hard as I try not to fixate or catastrophize, I can’t reconcile those feelings of insecurity and chaos when I know how precariously balanced I am on the edge.screen-shot-2017-02-10-at-8-57-45-pm

Maybe its all in the wording

Words.

Never say words don’t matter.

Words have power.

In my case they have the power to set my mind spinning down a trajectory of sadness and fear, which is why I’m really glad that I am posting this MBSR series, because it forces me to recognize these anxieties.

Perhaps as you have been practicing your meditations, you have found yourself wandering too?

Now that we have been practicing for a couple of weeks, you might actually be noticing how busy your mind can be. I know mine certainly is!! You may be replaying past events or have expectations of the meditation, or be noticing fearful thoughts, or even running through your grocery list of chores. Its ok.

You might even be feeling frustrated that you can’t “clear” your mind of those thoughts, or that your mind is wandering. That’s ok. The kind of meditation that we are learning with MBSR isn’t about getting rid of our thoughts and distractions. Its learning to recognize them. Its human nature to want to strive for something or achieve a goal, but here the goal is to have no goals.

I know it sounds a little nuts, but really its such a useful skill. One of the reasons I think the MBSR program is so intense, is to help us to slow down, be deliberate, and to make the skills learned part of our daily routines.

This week we will introduce a new type of meditation. Mindful movement. The idea being that by being more aware of our physical and mental state, we are allowed to be more present in the here and now. These movements encourage us to take time to pause by bringing our attention totally into the body and try to marry our breath with our movements.

Remember though, the goal here is not to have goal. Try to resist the temptation of say having the goal of relaxation. Relaxation might happen, in which case that’s great, but maybe it doesn’t in which case that’s great too, because maybe you noticed that you were carrying tension in your neck and shoulders, which leads you to notice that you are holding on to a negative event that happened earlier on in the day. Then maybe as a result of that noticing, you realize that you had been tense over a non-event and decide to let it go. That’s what can happen when we start recognize our thoughts and our body sensations.

So with that, we introduce Mindful Walking, and Hatha Yoga. I’ll break them down and link to some videos that can help with home practice below. In addition, if you practice Qigong or Tai-Chi these can also act as mindful movements.

Before I post the new practices and homework, I want to hear from you.

How have you been finding things? How did you like last weeks practice? What were some of the pleasant events you experienced? If you want to share, I encourage you to leave me a comment. If you’d like me to share it, let me know too, or else I’ll keep them private.screen-shot-2017-02-10-at-8-54-09-pm

Be well and happy practice.

AM

Activities for Week I can be found here, and for Week 2 here.

Activity I: Unpleasant Events

Last week we had the opportunity to become aware of thoughts and feeling we felt when we experienced pleasant events, this week, we are going to focus on unpleasant events. The activity will act the same as last week where you will notice and record events (for yourself) in a chart or journal.

Day What was the experience? How did your body feel, in detail during this experience? What moods and feelings accompanied this experience? What thoughts went through your mind? What thoughts are in your mind as you write this down?
Example I found a parking ticket on my car. My shoulders got tense and raised, my forehead became tense, my stomach became upset. Frustration, anger, irritation “I was sure I could park there.” “What a waste of money!” “Ugh I hate parking tickets”

 

Meditation I: Seated Mindful Breathing

Practice mindful breathing seated in a chair or on the floor, make sure you are sitting so that your spine is self-supporting. If seated on the floor, do so on a firm, thick cushion (or a pillow folded over once or twice). Whatever you sit on, make sure your hips are slightly higher than your knees.

 

Meditation 2: The 3-Minute Breathing Space

Step 1- Becoming Aware – You can do this sitting or standing. If possible, close your eyes. Then bring your awareness to your inner self by asking yourself, “What is my experience right now?”

  • What thoughts are going through my mind? (As best as you can, acknowledge thoughts as mental events, try to put them into words.)
  • What feelings are here? (Turn toward any sense of discomfort or unpleasant feelings, acknowledging them.)
  • What body sensations are here right now? (Quickly scan your body to pick up any sensations of tightness or tension, acknowledge them.)

Step 2 – Gathering – Redirect your attention from physical body sensations to sensations of your breath and breathing itself. Feel your abdomen expanding and contracting. Expansion as you breathe in and contraction as it goes out. Follow your breath all the way in and all the way out, using your breath as an anchor.

Step 3 – Expanding – Try to expand the field of your awareness from your abdomen to include your whole body. Imagine your entire body inhaling and exhaling. Try to notice your posture and facial expressions or if you note any sensations of discomfort, tension, resistance and bring your awareness to those sensations by breathing into them.

 

Meditation 3: Mindful Walkingscreen-shot-2017-02-10-at-9-51-49-pm

This can be done inside at home, or out in the real world. The key here is to be deliberate and attentive.

  1. Stand straight and tall but not stiff. Take a moment to feel your feet on the ground and let your weight be distributed evenly. Are you leaning to one side or the other, or on your toes or heels?
  2. Your hands can be folded gently at your abdomen, or if you are more comfortable just by your sides naturally.
  3. Drop your gaze slightly.
  4. Step out with the left foot. Feel it swing out. Feel the way your heel strikes the ground, then the ball of the foot and finally the toes. How has your balance changed?
  5. Feel how your body moves as your right foot steps forward. Feel the heel hit the ground, then the ball of the foot, and finally the toes.
  6. Walk at a steady pace, one that is slightly slower than you would walk normally.

Your first few steps may be awkward as you are trying to notice all those sensations that we normally do automatically. Once you have done this a few times, you won’t look like a zombie. So maybe the first time you try this, you may want to be at home or in your own yard.

Handy Tips:

  • Flat space
  • Barefoot (If you like)
  • Be slow and attentive
  • Try to focus on feeling the sensations of stretching and bending, change of balance and weight as your body as it moves.
  • Try to feel the pull of gravity and the groundedness of moving through your feet (heel….pads….toes).

 

Meditation 4: Yoga

There are many kinds of yoga and all are based on basic poses or asanas, but we will focus on Hatha yoga which marries poses (Asanas) with breath or Pranayama. Hatha yoga helps prepare the body and mind for other meditation practices. It is relatively gentle, slow and great for beginners. *

*If you have any health concerns or conditions, please consult with your physician before starting the movement portion.

Home Work:

  • Everyday: Practice using the 3-Minute Breathing Space, three times or at least once daily at pre-determined time. (I love this one, and use it all the time!) In addition complete the Unpleasant Events Journal.
  • On days 1, 3, and 5 practice Mindful Walking and record your experience and observations in your home practice journal.
  • On days 2, 4, and 6 practice Hatha Yoga and record your experience and observations in your home practice journal.

Meditations:screen-shot-2017-02-10-at-9-47-53-pm

Hatha Yoga 1

Hatha Yoga 2

Hatha Yoga 3

3-Minute Breathing Space

Mindful Walking

Body Scan and Mindful Breathing (optional)

New Resources:

Mindful Magazine – Nice site that has tons of great articles and meditations.

Living in Our Heads – Meditation Week 2

Living in Our Headsscreen-shot-2017-02-02-at-8-18-50-pm

Before I dive in to week 2 of the meditation series, I thought I’d start off by posing the question, How did it go?

For me, I chose to brush my teeth mindfully. Initially, it felt like a very very long ordeal, but by the end of the week, it didn’t seem so arduous, and I noticed flossing was much easier too.

I also chose to do my body scan before bed. I have been having some trouble with insomnia, so it really did help me to fall asleep. I can remember getting to about my mid-body and zzzzzzz. Getting to sleep easier, has translated to a more relaxed me during the day.

I would love to know how people fared and what you think so far? So post your thoughts in the comments section.screen-shot-2017-02-02-at-8-22-53-pm

Now on to Week 2!

The aim of MBSR is for us to be more aware, more often. The thought that comes to my mind is “Be here, now.” One of the things that can impede us from being present in our lives is the thought that we or something we are doing isn’t good enough or less than we expected some how. These thoughts can sometimes make us blame ourselves or judge things and ourselves negatively. These patterns can often be automatic and therefore “mindless”. What we want to do is interrupt the pattern. When we do that, we can consciously make a choice.

That all sounds wonderfully easy. It isn’t. It requires practice. We are after all trying to break some well-entrenched and sometimes unconscious habits. One of the first steps though is by noticing and acknowledging what our situation is. Just that, noticing, not changing. The body-scan is a tool to help us do that. It allows us to acknowledge and bring attention to an area without changing anything. There is no good or bad, no goal to achieve or not, you just are.

screen-shot-2017-02-02-at-8-20-58-pmMindful Breathing is another tool that helps us to ground us and bring gentle awareness to ourselves without judgment or need to change anything about our situation. We simply breathe and notice our body as we do so. I tend to have a challenge doing this one on my own and need to listen to a guided meditation. I find I am able to focus on my breath with more attention having someone guide me than if I did this on my own. Its ok if your mind wanders while you practice, it is completely normal and expected. So don’t judge or think you failed. Just notice the thoughts or the fact that you have wandered, and refocus on your breath. If it happens again (and it probably will) just acknowledge and refocus. That’s the beauty of breathing; every breath is a new opportunity to start again.

AM

Activities for week 2 below. Week 1 can be found HERE.

Activity 1: Pleasant Events

This week is an opportunity to really become aware of our thoughts, feelings, and sensations around positive or pleasant events. So everyday notice and record (for yourself) in detail how you felt. You can use the chart below as a reference.

Day
What was the experience?
How did your body feel, in detail during this experience?
What moods and feelings accompanied this experience?
What thoughts went through your mind?
What thoughts are in your mind as you write this down?
Example
Came home to a happy wiggly dog
Lightness across the face, awareness of shoulders dropping. Smiling
Happiness, Pleasure, Relief
“What a warm welcome”
“I feel so loved”
“I didn’t feel appreciated today until I got home.” “Rufus really loves me!”

Meditation 1: Body Scanscreen-shot-2017-02-02-at-8-19-55-pm

Begin with a 45-minute body scan (see below).

Meditation 2: Mindful Breathing (See Below)

  1. Using a comfortable straight-backed chair, sit in an upright position (not slouching) to help, use a pillow to help you stay off the back of the chair. If you chose to sit on the floor or cross-legged, make sure you are supported by a soft surface (comfort so you avoid numb bum) and that you are elevated enough that your knees are lower than your hips.
  2. Once seated, you want an erect spine, and if in a chair, feet flat on the floor, legs uncrossed.
  3. Gently close your eyes.
  4. Bring your attention to your body; the physical sensations of your body pressure where it makes contact, any tension, just like in the body scan.
  5. Now bring attention to your breath.
  6. Try to focus your awareness on the sensations in your lower abdomen as you breathe in and out (sometimes it helps if you place your hand on your belly).
  7. Try to follow your breath as you breathe in and out. Notice the changes and physical sensations and you breathe.
  8. You don’t need to try to control your breathing in any way, just let it happen.
  9. Sooner or later (probably sooner) your mind will wander. It OK! It happens and that’s what our minds do. It isn’t wrong or a mistake or a failure. It is an opportunity to refocus on your breath again. It ok it this keeps happening too. Just remind yourself to refocus and start again. Every breath is a new beginning.
  10. Continue this practice for 10 – 15 minutes (or more if you like). Remember that the intention is simply to be aware of your experience in each moment as best as you can. Use your breath as an anchor to reconnect you to the moment if your mind wanders.

Home Work:

  • Do the body scan 6x for week 2
  • Record what you notice each time you do the practice.
  • At different times during the week, practice 10-15 min of mindful breathing, 5-6x.
  • Activity 1 – Pleasant Events awareness
  • Choose a new routine activity to do mindfully (see description week 1).

Meditations:

www.guilford.com/MBCT_audio, track 4 (Requires creating a user account)

https://health.ucsd.edu/specialties/mindfulness/programs/mbsr/Documents/MP3/Awareness-of-Breath.mp3

Body Scan

Tips for the Body Scan

  • Regardless of what happens (you fall asleep, lose concentration, focus on the wrong body part) keep practicing.
  • If your mind wanders, just note the thoughts and bring your mind back to the scan or your breath.
  • Let go of success or failure, this isn’t a competition. Be open and allow it to happen.
  • Let go of expectations what the scan will do for you.
  • Approach your experience with non-judgment, curiosity and openness.
  • Your breath is an anchor.
  • Be aware, be non-striving, be in the moment, and accept things as they are.

When life takes you down the rabbit hole…

I’d like to begin by saying WOW and Thank you! I never thought what I wrote would resonate with so many and I want to sincerely thank all of you for all the wonderful comments, encouragement, and for subscribing. I also thought I’d share the results of #BellLetsTalk Day with you.

screen-shot-2017-01-29-at-2-13-02-am

You can see here where the funds will be directed.

Besides from being truly humbled by your overwhelming response, it really made me pause and think. There are so many people out there that might be going through a tough or stressful time. I mean life can be really crazy, with or without cancer.

We spend so much of our time rushing around. From our jobs, or school, the grocery store, or carting our kids off here and there that life just becomes so overwhelming and maddening.

Rush…Rush…Rushscreen-shot-2017-01-29-at-5-43-57-am

I promised myself one thing after my first round with cancer, that I would never be complacent in my life again.

For a time, I was hyper aware of all the beauty life had to offer. I know this will sound silly, but it was small miracles like funny cloud patterns or the way my dog would snore, to the way the city was reflected in puddles. I noticed everything. After a while screen-shot-2017-01-29-at-5-47-34-amthough, life began infiltrating these moments and I found myself falling back into old habits. I found myself complaining about the weather (as Canadians will do), feeling my blood boil when I was stuck in traffic, the stars were dimmer, and then I stopped noticing.

I had fallen back into my former life cycle.

Wake up – shower – grab breakfast – grab purse – get in car- eat breakfast – get to work – get a coffee –start the day – work – grab purse – get back in car – drive back home – dinner – marking/planning – pack up for next day – bed. Wash – rinse – repeat.screen-shot-2017-01-29-at-5-52-03-am

Monotony took over and I began living life in autopilot, the thing I swore I wouldn’t do. Maybe before cancer, it was acceptable to just settle in, but not now. I had worked hard to have that life, get that job and build my career. Cancer changed everything. The goals I wanted before, even the ones I had worked so hard for changed, there was no room for being frazzled and stressed, living in a monotonous life.

So upon the recommendation of my psychologist I enrolled in a Mindfulness Based Stress Reduction (MBSR)* course. I was hesitant initially, because really who has time, but I did it. Now you may think MBSR is hokey and all kumbaya, but its one of the only meditation modalities being studied scientifically, and used in hospitals. It was hands down one of the best things I have ever done for myself and my mental health.

screen-shot-2017-01-29-at-5-57-05-amIt isn’t for the feint of heart, because of the time commitment (8 Weeks + home practice), but I swear it is worth it. Each week I would meet with a small group of stressed out over worked harried individuals and we would learn a specific practice or a few. Then we were tasked with homework. Typically it was an exercise in attention, some sort of meditation, and a very short “journal”. Initially it was a challenge fitting it in, but somehow if you are committed, you do find time.

That was 5 years ago. I can tell you that the skills I learned in those 8-weeks saved me a few times. Like the day they told me my cancer had come back, and that there wasn’t much they could do (at that time). I had meditated while waiting for my oncologist, so I was calm and able to be rational and breathe. It allowed me to be clear headed and coherent enough to ask questions, something I likely wouldn’t have been able to do had I been extremely emotional.

As with anything, you need to practice or your skills get rusty. I have to admit that over the years, my practice hasn’t been what it used to be and once again life got in the way (dating, marriage, dogs, house, travel), so last year in September, I took the course again, this time a very willing participant. I will tell you, my mental health has been better since. I won’t lie, I don’t practice everyday (although I should), but I use it when I need it.screen-shot-2017-01-29-at-6-02-08-am

What I was thinking is, there are some online resources that are open-sources, so I thought that if anyone was willing, I would start with this post, and then the next 7 to “lead” a very rudimentary Mindfulness Group, by posting what each weeks lesson is, the practices and leave it up to you to try it out.

There is no right or wrong way, it is about learning to notice, becoming aware, and taking a moment to breathe. If you are game, Week 1 Resources will be posted below.

AM

*In 1979 Jon Kabat-Zinn founded MBSR at the Mindfulness Based Stress Reduction Clinic at the University of Massachusetts and nearly twenty years later the Center for Mindfulness in Medicine. Both these institutions supported the growth and implementation of MBSR into research and hospitals worldwide.

 

Mindfulness is the awareness that emerges through paying attention on purpose, in the present moment, and non-judgmentally, to things as they are.

– Williams, Teasdale, Segal, and Kabat-Zinn (2007)

 

Week 1 Mindfulness: Awareness & Automatic Pilot

  • When we are on Autopilot, we are more likely to become annoyed or have our “buttons pressed”.
  • Becoming more aware of our thoughts, feelings, and body sensations, we can choose not to go down “the rabbit hole” or mental ruts.
  • The aim of MBSR is to increase awareness so that we have more choices when we respond to situations, rather than react automatically.
  • To achieve this, we practice becoming more aware of where our attention is and deliberately changing the focus over and over.

Activity 1: Raisins

Take a raisin, or any small edible item. On a piece of paper, write down your immediate thoughts about that item. Next, use each sense to examine the item. Eyes, ears, fingers, mouth. Do each for a good minute. Now write down what you notice.

Meditation 1: Body Scan

Begin with a 45-minute body scan (see below). I suggest a quiet place where you can either sit or lay down. Its ok if you fall asleep. I did.

Home Work:

  • Do the body scan 6x for week one
  • Record what you notice each time you do the practice.
  • Choose one routine activity (washing your face, brushing your teeth, lacing your shoe, etc.) and make it deliberate, just like the raisin activity.
  • Eat one meal mindfully (i.e. Like the raisin activity)

Meditations:

www.guilford.com/MBCT_audio (Requires creating a user account)

https://health.ucsd.edu/specialties/mindfulness/programs/mbsr/

Suggestions/Tips:

  • Learning suggestions
  • Dress comfortably in loose-fitting clothing (sweats or yoga-type clothing work well).
  • Use a mat or pad that you can lie on the floor with.
  • If the temperature varies the room you are using you might want to dress in layers.
  • Choose a quiet spot or time when others will not be interrupting.
  • Download meditations to an iPod or other listening device for easy listening.
  • Good Luck

 

Stability ain’t what its cracked up to be!

This is my favorite time of year. I don’t know what it is about the weeks leading up to the holidays, but I just love them. My heart is warmed by twinkling lights adorning all the neighborhood houses and people seem just a little bit more cheerful. Just the other day it snowed, not just a dusting either, a real good snow. It was magnificent. Looking out our windows Sunday night and seeing a fluffy white blanket covering everything made me giddy. Everything seemed magical and pristine.

That day I spent the day in my jammies watching movies with the pups and a good cup of tea, it was heaven! A stark contrast to the hustle and bustle of the week before. It was a scan/check-in week preceded by a very long scare & scan day the previous Friday. Needless to say I had an x-ray, two chest CTs (one abdominal and pelvic), an MRI, an ECG an ECHO as well as blood work (thank you port) all in the span of 5 days and my body was feeling a little worse for wear. Thankfully, the scare turned out to be a chest infection and nothing more. Amidst all that my scans still say stable.

img_4782
Blargh!!

I am learning to live with stable, even though I don’t like it, even though I’d feel so much more secure if I was NED. NED allowed me imagine no cancer in my body, whether it was true or not, I don’t know. Its hard and sometimes torturous knowing that inside you there is a ticking time bomb or in my case many little time bombs just waiting to grow and spread (and kill you). The uncertainty makes it easy to go down the rabbit hole so much so that the thoughts permeate into everything, even my seasonal happiness.

While trimming the tree, I caught myself thinking… Wow! This is our first Christmas in this house, how truly amazing. I wonder if it will be my last? I wonder how many more Christmases I’ll get? I wonder if Patrick will decorate like this after I’m gone?

You see how easy it can be to get sucked in.

I don’t know if it is because I live my life in three week increments or six week milestones, but looking at a full year is truly daunting and scary. I felt the same way planning my wedding. It felt like a mixture of joy and sheer terror! Life can change so quickly. I have seen it happen too many times.

And then I remember to breathe.

Despite all these crazy emotions and being sick (my lungs sound like bagpipes warming up), my soul is happy. I find myself sitting on my couch sometimes, and I look around, and I am awed and I am grateful for all the blessings I have in my life. My husband, my family, my friends, my dogs, my home, and my health. My life is so rich! That is what I need to hold on to. That is the light that guides me out of the rabbit hole.

 

AM