Slide 1University of New Mexico * Department of Pediatrics * Envision New Mexico
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University of New Mexico * Department of Pediatrics * Envision New Mexico
Disclosure:
UNM CME policy, in compliance with the ACCME Standards of Commercial Support, requires that anyone who is in a position to control the content of an activity disclose all relevant financial relationships they have had within the last 12 months with a commercial interest related to the content of this activity.
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The Office of Continuing Medical Education designates this educational activity for a maximum of 1.0 AMA PRA Category 1 Credit(s)™. Physicians should only claim credit commensurate with the extent of their participation in the activity.
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University of New Mexico * Department of Pediatrics * Envision New Mexico
University of New Mexico * Department of Pediatrics * Envision New Mexico
Innovations in Stress Reduction: A Mindfulness-based Stress Reduction Approach
Carmen Martinez-Tittmann, LMSW, LPCC
April 12th, 2011
University of New Mexico * Department of Pediatrics * Envision New Mexico
Jon Kabat-Zinn & Mindfulness-based Stress Reduction
An MIT molecular biologist, author of 5 books, (2 bestselling) and scientific papers
The Stress Reduction Clinic, University of Mass., 1979
Center for Mindfulness in Medicine, Health Care and Society at the University of Mass., medical school/ 1995
Work has been featured in PBS by Bill Moyers Documentary, Healing and the Mind, on NBC Dateline and on ABC’s Evening News as well as on the Oprah Winfrey Show
University of New Mexico * Department of Pediatrics * Envision New Mexico
More on Jon Kabat-Zinn
Over 200 medical centers and clinics in the US and elsewhere now use the Mindfulness-based Stress Reduction or MBSR model
University of New Mexico * Department of Pediatrics * Envision New Mexico
Mindfulness:
JKZ
University of New Mexico * Department of Pediatrics * Envision New Mexico
Mindfulness-based Stress Reduction:
Formal Practice:
Informal practice:
mindful eating, washing a dish, reading to the kids or taking a shower
University of New Mexico * Department of Pediatrics * Envision New Mexico
Meditation:
“Particular way of paying attention that gives rise to moment-to-moment nonjudgmental awareness”
“A way of being—being present and seeing things as they are”
JKZ
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University of New Mexico * Department of Pediatrics * Envision New Mexico
Evolution of MBSR:
Mainstreamed what had previously been accessed through a religious vocabulary
Allowed for a more universal access
University of New Mexico * Department of Pediatrics * Envision New Mexico
My Relationship to MBSR:
“To be grounded in our own first-person experience and steeped in our own practice.”
Meditation Practice (10 years)
Training with JKZ (2004)
Applying it to Clinical Practice, individual clients, groups and families
University of New Mexico * Department of Pediatrics * Envision New Mexico
What the Studies Show:
UNM researchers found that participation in a MBSR course decreased anxiety and binge eating
5th grade girls who did a 10-week program of yoga & other mindfulness practices were more satisfied with their bodies and less preoccupied with weight.
The likelihood of recurrence for patients who had experienced three or more bouts of depression was reduced by half through Mindfulness-based Cognitive Therapy, an offshoot of MBSR
8 weeks of MBSR resulted in an improvement in the immune profiles of people with breast or prostate cancer which corresponded with decreased depressive symptoms (Shambhala Sun, March 2010)
University of New Mexico * Department of Pediatrics * Envision New Mexico
Data:
“Our findings suggest the usefulness of MBSR as an intervention for a broad range of chronic disorders and problems. In fact, the consistent and relatively strong level of effect sizes across very different types of sample indicates that mindfulness training might enhance general features of coping with distress and disability in everyday life, as well as under more extraordinary conditions of serious disorder or stress“.
University of New Mexico * Department of Pediatrics * Envision New Mexico
Definition of Stress:
Psychological: The perception that your circumstances have exceeded your capacity to cope
Physiological: A state of internal imbalance of unrelieved dominance of the fight or flight response…
Place of feeling overwhelmed
University of New Mexico * Department of Pediatrics * Envision New Mexico
Fight of Flight Response:
An involuntary response of increased: blood flow, heart rate, blood pressure, breathing or metabolism
Prepares us for conflict (fight) or escape (flight)
Chronic activation increases risk for:
High blood pressure
University of New Mexico * Department of Pediatrics * Envision New Mexico
Stress:
“Stress is a complicated cascade of physical and biochemical responses to powerful emotional stimuli. Physiologically, emotions are themselves electrical, chemical & hormonal discharges of the human nervous system. Emotions influence and are influenced by the functioning or our major organs, the integrity of our immune defenses and the workings of the many circulating biological substances that help govern the body’s physical states.” Gabor Mate, M.D.
University of New Mexico * Department of Pediatrics * Envision New Mexico
Stress Re-action:
University of New Mexico * Department of Pediatrics * Envision New Mexico
Emotional Regulation:
A state of equilibrium or balance
University of New Mexico * Department of Pediatrics * Envision New Mexico
Emotional Regulation
University of New Mexico * Department of Pediatrics * Envision New Mexico
How To Establish Regulation: Stress Response Vs. Stress Re-action
Bringing the attention back to the breath as the object of attention
Noticing bodily sensations
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University of New Mexico * Department of Pediatrics * Envision New Mexico
Stress Response = Regulation
University of New Mexico * Department of Pediatrics * Envision New Mexico
Stress Re-Action:
Disconnection
De-regulation
Disorder
Disease
In this disconnected, deregulated and disordered state we are more likely to react
University of New Mexico * Department of Pediatrics * Envision New Mexico
The Practice & Cultivation of 7 Attitudinal Qualities:
Non-Striving
Patience
Non-Judgment
Acceptance
University of New Mexico * Department of Pediatrics * Envision New Mexico
Case Testimonial/ Michael
Michael is a 14 year old boy presenting with trichotillomania.
Participated in family therapy and MBSR including body scan and sitting meditation
Strengths include:
High achiever
Family support
University of New Mexico * Department of Pediatrics * Envision New Mexico
Michael’s Words:
 
 
If I do kinda pull and I look and see that I’m missing a lot of eyelashes, then I try my best not to judge myself that I’m a bad person, but accept who I am and accept that I’ve got this problem that I have to deal with and I try again.”
University of New Mexico * Department of Pediatrics * Envision New Mexico
Michael’s Words:
 
 
If I do kinda pull and I look and see that I’m missing a lot of eyelashes, then I try my best not to judge myself that I’m a bad person, but accept who I am and accept that I’ve got this problem that I have to deal with and I try again.” (non-judgment, patience, trust, beginners mind, acceptance)
University of New Mexico * Department of Pediatrics * Envision New Mexico
10 Minute Sitting Meditation:
University of New Mexico * Department of Pediatrics * Envision New Mexico
“Paying Attention & Cultivation of Awareness changes our view of the world.”
“We can begin to navigate in ways that are highly adaptive, highly supportive of healing, of health, and a healthier way of being—not only in one’s own body but in the world.”
Jon Kabat-Zinn
University of New Mexico * Department of Pediatrics * Envision New Mexico
References:
Full Catastrophe Living, Using the Wisdom of Your Body and Mind to face Stress, Pain, and Illness, Dr. Jon Kabat-Zinn
The Mindful Brain, Daniel J. Siegel, MD
The Science of Mindfulness, Daniel J Siegel, MD
When the Body Says No, Gabor Mate, MD
Shambhala Sun Guide to Mindful Living, The Science of Mindfulness, Daniel J. Siegel, MD &Toward a Mindful Society, Jon Kabat-Zinn
University of New Mexico * Department of Pediatrics * Envision New Mexico
Thank you
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University of New Mexico * Department of Pediatrics * Envision New Mexico
Staff Directory
Telephone 505-925-7600
Kirsten Bennett, MS, RD, LD QI Training, Consultation and Outreach
John Booker, PhD Senior Epidemiologist
Carole Conley, LMSW QI Training, Consultation and Outreach
Suzanne Gagnon, CFNP QI Training, Consultation and Outreach
Kristine Gonzales Accountant II
Dan Rifkin, MD Child and Adolescent Psychiatrist
Janette Schluter Program Specialist
Clancey Tarbox Program Coordinator
Michelle Widener Administrative Assistant
Amanda Jumawan Administrative Assistant
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