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A diary of mindfulness, week two - automatic judgements
Posted Tuesday 2 October 2012
In the second of her series on mindfulness and depression, Clare blogs about how we judge the experiences that happen to us and how we can separate our thoughts and feelings to better understand situation.
After 11 years on varying doses of Citalopram, I’m looking to cut down, hopefully completely within two years. As part of this, I’ve been thinking about tools and techniques I can use to make the transition easier, and to help me manage my mind to prevent further relapse into the recurrent depression I’ve experienced in the past.
I’ve come to recognise the main components of my ‘mental healthy toolkit’ as exercise and getting enough sleep, but smaller tools play their part too - my SAD light in winter, my diet (brazil nuts, bananas and dark chocolate are all supposed to enhance mood), my writing, my crafts and my garden.
But, I felt there was something missing. I wanted to try and better understand what might be happening to my thoughts and attitudes, how these interacted with my low mood and how I could respond. I've had some sessions of counselling and tried online CBT in the past - but never in way that felt like it was creating and sustaining any real improvement.
It was while exploring these options that I returned to the Mindfulness based Cognitive Therapy for depression course at the London Buddhist Centre in Bethnal Green.
One of the most important parts of the course was the way it developed - each week our learning and understanding from the previous week was built upon and expanded. Learning to use mindfulness in this way is not something we can just be told. It's something we have to experience and practice, week by week.
I guess this is a particularly important point to make here too. While I hope to give people a sense of what MBCT is - and possibly some new perspectives or insights, reading about it is no replacement for doing a course and getting the practical experience.
I'll cover each week as we did on the course. I wanted to recreate something of this sense of building and discovery that we experienced. I would encourage you to read the eight posts in order - and stay with them. (Read week one.)
Week two - automatic judgements
I went along to the second session with some apprehension. I hadn't managed to do the body scan every day as requested, but only four days out of seven. I had found it hard to make the space in my day to do it. The first time I tried, I had a painful lower back which distracted me, and I found it really hard to stop my thoughts from wandering off.
Given we had to record our experiences, one of the things I actually found hardest was that I would find myself thinking about how I would write about my experience, rather than the experience itself (I wonder if, with status updates and regular tweeting, this is something that lots of people find themselves doing more these days!) The second time, I accepted my thoughts would wander off more, that this was part of the process - but I found myself relaxing more and I ended up falling asleep. Despite what we were told last week, I definitely felt as though I was doing it 'wrong'.
I wasn't the only one. In the session, after an initial body scan meditation, the first part was dedicated to discussing how we felt about the week's homework. A whole range of different feedback came out. One member of our smaller discussion group had had a really positive experience throughout the week - she had chosen to have mindful baths. She tried to really focus on the feel and sound of the water and heat instead of sitting in the bath on her phone, with her laptop on the side. Another had, like me, struggled to find the time; another had family and builders who were distracting. Someone else said they couldn't help falling asleep, another person said they couldn't help finding the voice on the guiding tape irritating.
The leaders focused on the fact that distractions and bad conditions are common in life and that even when our minds wander, this is not a mistake. What is important is how we relate to it - not switching thoughts off but seeing them as what they are, streams of thinking, events in the mind only that we can become aware of before we are swept away. It's really hard to get your head around the idea that, however we do it, it is the process of doing the exercise that makes it right, not any aspect of how we experience it.
Our reactions to the body scan and the discussion about it seemed to help make a wider point about automatic judgements. Something that can really stop us being fully aware in the moment is a tendency to judge our experience as not being quite right in some way - thinking that this is not quite what should be happening, or not what we should be feeling. These can then lead into thoughts about blame and what could or should be different - “I shouldn't be feeling like this, I'm always getting things wrong, things are always going to be like this…" In this way we lose awareness of the actual moment. We get sucked into ruminating and away from choosing what actions we could take.
The body scan is a good first step in practicing what we will end up trying to do more and more - just accepting and acknowledging the actuality of a situation without trying to judge or fix things. At this point, I did feel that there was still something I didn’t quite understand - there seemed to be a tension between accepting and acknowledging the actuality of a situation, and trying to ‘use mindfulness’ to ‘fix’ it - wasn’t that why I was there? It was only later that I started to get my head around this, so I’ll come back to it.
Thoughts and feelings
After discussing our experiences, we moved on to the next part of the session, exploring how thoughts and feelings are related. This part felt more like the CBT I had experienced in the past. I was interested to see how it would be linked with the mindfulness element. We were initially asked to close our eyes and consider a situation described to us. The leader asked us to imagine a scenario where we are walking down the street and see someone we know on the other side. We smile and wave but the person doesn't seem to notice and just walks by. We then discussed any feelings, thoughts and images that went through our minds. There were loads of different responses - ‘embarrassed’, ‘awkward’, ‘they were probably ignoring me on purpose’, ‘angry’ ‘what have I done?’, ‘they probably just didn’t see me’, ‘no one likes me - I feel lonely’, ‘I’m not worth saying hi too’ ‘they’re probably having a hard time’ ‘worried’. Have a go at identifying which of these are thoughts and which are feelings.
From the whole range of responses it's obvious that our feelings are not a direct consequence of a situation, but come about because of our interpretation of the situation. We are often aware of the situation (a friend does not respond to your greeting) and the feeling (feeling lonely) but not so much of the thought (‘she's ignoring me, like everyone does in the end’) that links them. These ongoing thoughts are often under the surface. They are not very obvious but can influence how we feel about situations. This, I think, is what I already found the body scan helping with. Because I was focussing on being aware of my body I was better able to notice when my mind did wander. I was then more able to identify how and why it had got to where it was - how these streams of thoughts I was carried along on worked.
In addition, we discussed how, if you are or have been depressed you are more likely to have negative thoughts and so negative feelings about an event. Someone without depression might think about the same event in a much more positive way and so feel more positive. Another thing which this helped us to identify was something we often don’t realise - interpretations of events can vary over time and with moods – which shows us that thoughts are not facts. We often treat them as if they are - very seriously! Although it sounds simple, this felt like a really powerful thing to keep in mind - and it was something we would come back to.
By being more mindful of our thoughts and reactions, instead of immediately heading off down a process of negative thoughts, negative feelings etc, we can notice what we are doing more, ‘check in’ with ourselves and choose to respond differently.
Pleasant events
For our homework this week, as well as continuing with the body scan and mindful activities everyday, we were asked to keep a record of pleasant events. We had to try and be aware of at least one pleasant event that happens each day (preferably while it is happening) and write down the thoughts, feelings and bodily sensations in detail. They gave us the following example:
- What was the experience? ‘Heading home at the end of my shift - stopping and hearing a bird’
- Were you aware of the pleasant event while it was happening? ‘Yes’
- How did your body feel, in detail, during this experience? Lightness across the face, aware of shoulders dropping, uplift of corners of mouth.
- What moods, feelings and thoughts accompanied this event? Relief, pleasure, ‘that’s good’, ‘how lovely’, ‘it’s nice to be outside’
- What are your thoughts now as you write this down? It was such a small thing but I’m glad I noticed it.
It was explained to us that our minds often make early (often unconscious and automatic) decisions about whether something is pleasant, unpleasant or neutral - and these can be important trigger points for starting on a path of rumination and over thinking. Part of the point of this exercise is to help us become aware of when and how we make these decisions. I definitely found myself looking forward to this activity - I have tried to keep a record of five positive things each day before in attempts to drag myself out of a negative time. Although this homework had more of a focus on awareness of a pleasant event in the moment, it felt like something similar.
We finished with a different type of meditation. Instead of the longer body scan, we did a shorter meditation focussing on our breathing. The handout we received explained how, as our breathing is always there and can often change with our moods, it can be used like an anchor to bring stability to the body and mind when we choose to be aware of it. We had to practice the breathing meditation through the week as well and would return to this homework in more detail in the next session.
Clare
Clare writes her own blog on mental health, relationships and online youth support. You can follow her on twitter @fostress. She works on TheSite.org for YouthNet.
15 Comments
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Really interesting article, looking forward to the next ones.
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Thanks very much Miss - did you see week one as well? It was published last week and you can find it here;
http://www.mind.org.uk/blog/7479_a_diary_of_mindfulness_week_one-automatic_pilot
I hope you find the series useful - do feel free to comment further if you have any questions or anything :)
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Thanks for writing. I especially love how you've detailed the pleasant event part - so many times when we are down we forget to "stop and smell the roses" metaphorically. Stopping to smell Them may be one of the nicest moments in a day. Looking forward to hearing how you get on xx
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Hi Mystel - yes, what I liked was how we were encouraged not just to think back about what had been pleasant in the day afterwards but to be actually more aware and experience the sensations while they are happening - both in our minds and in our bodies. Glad you enjoyed the post, thanks for commenting :)
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I have avoided seeking help, treatment or telling others about my problems due to feeling guilty for seeming self-indulgent. I feel like I don't deserve treatment because I shouldn't have these problems, there are people in the world going through awful things.
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OOOOMMMMMMMMMM.......
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Hi Clare
I am trying to help a close friend who I believe is suffering from depression (having done some research on various websites, many of the causes & symptoms seem to fit what he is experiencing). However he refuses to seek help as he is afraid a diagnosis of depression will adversely affect an ongoing custody battle, plus he does not believe he deserves any happiness so I'm not sure he would try any self help. Thank you for your blog, it has given me some ideas that I may be able to use to distract him from thinking negatively about everything. Looking forward to the next one! -
Hi there Christian,
It sounds like you are judging yourself and your experience by saying that you 'shouldn't' be feeling this way. Judging your feelings like this is then making you feel guilty and self indulgent - which I expect makes you feel even worse and adds to this negative spiral, stopping you taking positive action to improve things. This series of blogs continues to explore these ideas further in later posts. Your feelings and experiences are as valid as anyone else's and you deserve to speak out and get help if you are struggling.You could try calling Mind infoline or contacting a local Mind as a first step - there's lots of information on the homepage. All the best.
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Hi Sue,
Glad you found it helpful and best of luck supporting your friend. Make sure you look after your own needs as well and don't take all the burden on your own shoulders.
All the very best,
Clare -
Hi Sue,
Glad you found it helpful and best of luck supporting your friend. Make sure you look after your own needs as well and don't take all the burden on your own shoulders.
All the very best,
Clare -
I worry about feelings being viewed as a mere interpretation and not a direct response – are feelings supposed to be logically and mechanically policed?
How do we define negative thinking patterns or ‘over thinking’? It’s subjective – and not fact – it depends on each person.
I'm not certain I'd want to think my way out of feelings or even could, but each to their own. I guess I worry that CBT and it's variants and mindfulness [increasingly being used in mental health services] are being used to plug a very wide gap where short term interventions, groups and approaches for people to do at home or online are replacing longer term face to face support, therapy and old fashioned peer support that we used to do like having a cuppa and talking -
Hi there mindreader, thanks for your comment. Some interesting thoughts - I hope some of them will be answered as the blogs progress - as they seem quite similar to some of the questions people in the session were asking as well.
I think MBCT views feelings as a direct response - but a response to an interpretation and not necessarily a response to a fact in the world. Using the example in the blog above - if I interpret someones behaviour (seeming to ignore me) as because they don't like me then my feelings of sadness or anger will be a direct response to this interpretation. If I interpret the same behaviour as just because someone is busy then my feelings (which are likely to be less negative) will be a direct response to this interpretation instead.
I agree that negative thought patterns and overthinking are subjective to each person - I think this is why the mindful elements of the course encourage us to get our own perspective on our thoughts and feelings through mindful meditation and 'getting to know' our own mind and how it tends to work.
MBCT would agree with you completely that you can't think your way out of feelings - this is a really fundamental part of their approach. MBCT says that trying to think your way out of feelings just makes things worse and leads to a negative spiral. The next blogs definitely deal further with this - and has suggestions to help you recognise when you are trying to think your way out of feelings and identify wat you can do instead.
I also agree that, while MBCT is a useful tool to help people manage their depression and anxiety and prevent relapse, it is good to use it alongside a wider toolkit of support from professionals when you need it, and also from your peers. While the course itself is only 8 weeks long, it aims to embed a new approach in peoples lives so they can use it in the long term.
Would be interested to hear what you think of the blogs going forward :) All the best
Clare -
Ok, but feeling bad in response to things are facts some of the time. Say for example you're stitched with no local anesthetic in an A&E dept, that's abusive, that's a fact not an interpretation. To feel crap in response to that is a normal human response. Viewing feelings as interpretation can be used to negate, suppress and control. The best example I've observed of this is of others within PD services who have been taught to police their every thought and emotion because none of them can be trusted to be factual or appropriate. It's a painful sight to observe.
There are grains of truth, reality and fact in all thoughts and feelings, take for example paranoia. A person may feel that they are at risk of being killed by their local council, this could appear like a paranoid delusion to others but maybe their thoughts and feelings seen in context make perfect sense because they well be at risk in other ways and this has become amplified.
All approaches have a place, I'm not suggesting any are inherently right or wrong, if it's useful to one person it has a place. My fear is seeing all these variants of short term cognitive approaches within mental health services and the voluntary sector to the exclusion of everything else amounts to a sticking plaster for those who wouldn't be viewed as suitable, or whose difficulties didn't respond, or those who simply didn't want it but were offered nothing else. I'm seeing people shoved into recovery or cognitive based approaches individually or in groups and it's not a choice, it's all there is. Again I stress I'm not suggesting anything shouldn't be available but we are in an age of 'take this or go away', with failure to respond viewed as a personal failing and not that maybe the approach simply wasn't suitable or desired. You speak perfectly well of it Clare, I've got nothing against what you're saying but I do reject service commissioners and clinicians who embrace approaches such as these as The Way -
Hello again mindreader :)
Mind have just published the third blog which deals with the issue of trying to 'solve' feelings with thoughts and how this doesn't usually work - the link is here if you are interested;
http://www.mind.org.uk/blog/7522_a_diary_of_mindfulness_week_three-mindfulness_of_the_breath
Thanks again,
Clare -
Interesting points mindreader - I completely agree that mental health services in this country are sadly lacking and need a lot of work to join them up and ensure they are adequate and suitable for everyone. I experience the effects of this lack in my own work and from personal experience - I've written about it a lot on my own blog.
MBCT is suggested as a maintenance programme, helping to prevent relapse for depression and anxiety and might not be so suitable for PD - I'm not sure about this but would certainly be interested to know more. I know that MBCT doesn't advocate rejecting or pushing away feelings/experiences, but accepting and even 'approaching' them - thus enabling you to be in a better position to take positive action.
I'll ask and do a bit of research into what MBCT says about paranoid feelings - would be good to find out!
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