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Mindfulness and Pain Management

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  1. Mindfulness and Pain Management Thomas (Tom)L. Moore LMSW, LLP, CCS February 10 2014

  2. Learning objectives

  3. e. e. cummings

  4. WHAT DO YOU KNOW? TURN AND SHARE

  5. “Mindfulness is the miracle by which we master and restore ourselves” TichNhatHunh, 1989

  6. A refined, systematic, attention-based strategy that focuses on the promotion of present moment awareness, in which thoughts, feelings and/or sensations that arise in the attentional field are to be acknowledged and acceptednon-judgementally -Jon Kabat-Zinn

  7. “Development of a particular kind of attention characterized by a nonjudgmental awareness, openness, curiosity, and acceptance of internal and external present experiences, which allows practitioners to act more reflectively than impulsively” Chiesa, Serretti 2009

  8. Mindfulness Based Stress Response

  9. Five factors

  10. AUTOPILOT

  11. Why would we want to? Opens door to suffering

  12. Instead witness and observe

  13. Imagine your most significant stressor Can you eliminate? Or can you surrender to what is?

  14. Mindfulness Based Relapse Prevention Mindfulness Based Stress Response Mindfulness Based Cognitive Therapy

  15. Kabat-Zinn, 2003

  16. In other words

  17. What happens in danger?

  18. Implications

  19. Grief

  20. Teasdale, Segal and Williams, 1995

  21. Adult Institute for Health and Clinical Excellence, 2003

  22. Decrease in symptom severity Older adults

  23. STRUGGLE

  24. PSYCHOLOGICAL FLEXIBILITY

  25. Healthy Space

  26. MBRP Marlatt et al., 2004

  27. “Between stimulus and response there is a space. In that space is our power to choose our response. In our response lies our growth and our freedom.” Victor Frankl

  28. P=problem of I=immediate G=gratification “I’m hungry.” “I’m having an craving” “Come on, feed me” “Give me, give me, more!”

  29. S=step O=observe B=breath E=expand R=respond

  30. URGE SURFING

  31. “And acceptance is the answer to all of my problems today. When I am disturbed, it is because I find some person, place, thing, or situation-some fact of my life-unacceptable to me, and I can find no serenity until I accept that person, place, thing, or situation as being exactly the way it is supposed to be at this moment.”

  32. Attitude to gratitude? Non- judging Kindness Gentleness Letting go