Cognitive Behavioral Strategies

Lynne S. Gots, Ph.D.
Licensed Psychologist

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What is Mindfulness?

By Lynne Gots, posted on October 26th, 2012.

Does the word “mindfulness” conjure up an image of a barefoot yogi sitting cross-legged on a mat, palms open to the sky and eyes closed in blissful contemplation? Or do you think it smacks of New Age healing, along with crystals and vortices? You’re not alone.

Although mindfulness practices have their roots in Buddhism, their secular applications have been gaining considerable empirical credibility in recent years. Research has shown practicing mindfulness can reduce stress; help in coping with chronic pain and illness; bolster the immune system; promote willpower and self-control; prevent relapse in depression; improve tolerance for anxiety and other negative moods; and even change the brain structures involved in learning, memory, and attention.

So, what is mindfulness?

“Mindfulness is paying attention on purpose in the present moment and non-judgmentally.”Jon Kabat-Zinn 

Mindfulness is both a practice and a state of mind. Most of us move through our days at a hectic pace, rushing from one task to another or trying to accomplish too many things at once, often without noticing what we’re doing. Life can seem like nothing more than a never-ending To Do list when we’re going through the motions of our daily existence on autopilot.

By practicing mindfulness, we can learn to shift mental gears out of autopilot and into a state of conscious, intentional awareness of whatever we’re experiencing in the moment. This state of mind is called “being mode.” Its antithesis is called “doing mode.”

I’d like to clear up a few misconceptions about mindfulness.

•Mindfulness isn’t a relaxation method, although practicing mindfulness may be relaxing.

•Mindfulness isn’t emptying your mind of thoughts.

•Mindfulness isn’t just a form of meditation, although meditation is one form of mindfulness practice.

•Mindfulness isn’t a mystical experience. You can be mindful and feel transcendent. But you can also be mindful and feel sad, bored, or frustrated. The most mundane, ordinary activities can present opportunities to practice mindfulness.

•Mindfulness isn’t a technique, although regularly practicing a variety of techniques for cultivating awareness can help you enter a state of mindfulness.

•Mindfulness doesn’t relieve you of suffering or make you happy, But it can help you become aware of thought patterns and reactions that contribute to distress. 

If you decide to try practicing mindfulness, let go of your expectations and approach it with curiosity. Just try it for awhile, and see what it’s like. Open yourself up to the experience, however it may feel to you. That’s mindfulness.

 

 

 

 

 




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Got Anxiety? News from the ADAA Conference

By Lynne Gots, posted on April 16th, 2012.

My brain hurts. It’s overstuffed with the supersized servings of research data and clinical strategies I devoured during four days at the annual meeting of the Anxiety Disorders Association of America (ADAA). Each day I studied the catalogue of courses to decide which to attend, salivating at the rich array of workshops. It was like surveying the dessert table at a fancy Bar Mitzvah. I ended up sampling as many offerings as I could fit into my schedule until the last day, when just opening the meeting planner made me feel queasy.

And speaking of queasy, I picked up some useful tips on how to make the ultimate fake vomit and supplement it with YouTube vomit videos to provide realistic visual and sound effects when doing exposure therapy for emetophobia (the surprisingly common fear of vomiting). There’s even a site where you can customize the appearance of bodily emissions by typing in different ingested foods, and one where you can weigh in on the relative grossness of a gallery of vomit pictures. Who knew?  And if this is grossing you out, I can also help you with your overactive disgust reaction, having attended a workshop on the topic.

We anxiety specialists have so much fun!

I’ve been thinking about how to distill the volumes of information about anxiety into one pithy sound bite (a recommendation from the ethics workshop I attended on psychology and the media). Here’s what I’ve come up with:

AVOID AVOIDANCE!

It has a nice ring to it, and it’s paradoxical to boot, which fits with the mindfulness training I participated in.

But, in truth, learning how to accept anxiety (rather than fearing it and pushing it away) is a key component of all anxiety treatments across the spectrum of evidence-based practices.

For example, pure behaviorists define avoidance as a negative reinforcer (escaping from the aversive, anxiety-inducing stimulus relieves anxiety, thus making avoidance behaviors more likely to occur). Cognitive therapists emphasize the role of avoidance in perpetuating thinking errors such as catastrophic predictions about the outcome of an anxiety-producing situation. And proponents of the mindfulness and acceptance approaches suggest that experiential avoidance—turning away from negative emotions—promotes an unhelpful, judging state of mind that adds to the pain of anxiety.

So, no matter what mechanism you invoke to explain it, avoidance makes anxiety worse.

This isn’t news to anybody who’s come to me for treatment. But learning about the latest research and clinical applications from the academic experts in the field has made me eager to try out some promising new techniques.

In the meantime, I need something to settle my brain—a mental antacid, so to speak. Catching up on the latest episode of Mad Men should do just fine.

 

 

 

 




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Posted in Acceptance and Mindfulness, Anxiety, Behavior Change, Generalized Anxiety Disorder, Health Anxiety, Obsessive Compulsive Disorder, Phobias, Self-help, Social Anxiety Disorder, Techniques |

How to Exercise Mindfully: Ditch the Gadgets

By Lynne Gots, posted on March 31st, 2012.

When my heart rate monitor died a few weeks ago, I decided to spring for a new GPS watch instead of waiting for the Polar to come back from the factory. I’d tried using the Map My Run app on my phone, but found it unreliable (one day it told me I’d walked 24 miles in two minutes, which was patently wrong but, nevertheless, absurdly pleasing). So I was very excited to get the Garmin. It tracks not only heart rate, but also mileage and pace.

At first I got a kick out of measuring my well-trod walking and running routes. I even pushed myself a little harder, going a few extra tenths of a mile to round the distance up to an even number. But as I became increasingly fixated on the mileage, a funny thing happened: I started to resent the Garmin. It was making me feel bad.

I understand why I anthropomorphize the GPS in my car. It speaks to me— in a Crocodile Dundee voice, no less (my kids thought the Australian accent would make it sound more chill).  If I miss a turn, it whines, “recalulating,”  letting me know it’s put out. And if I choose to ignore its directions and take a different route, it becomes stubbornly, passive-aggressively silent, giving no warning of an upcoming turn until I’m just a few feet from the intersection.

But the watch doesn’t talk. Even so, I frequently feel it mutely reproaching me. I’ll be jogging along, enjoying the weather and getting into my stride, when I glance at the flashing pace indicator. Oh no! How can I be so slow? I’m so out of shape! My good mood instantly sours.

Never mind that the GPS, although better than the phone app, isn’t without its quirks. When I’m at a dead standstill, for instance, bending over to scoop up after one of the dogs, the numbers say I’m moving at a 20 minute per mile pace. Unreliable as it is, the watch can ruin a perfectly good workout for me.

When I wear it, I focus on the critical messsages my brain is beaming out rather than paying attention to my body.  The mental interference detracts from one of the major perks of exercise for a person who spends most of the time in her head: it provides an opportunity to get out of “doing” mode (an analyzing, judging state of mind) and spend some quality time in “being” mode, or mindfulness.

I wish there were an electronic exercise monitor I could program to speak. Only instead of barking out directions like the GPS in my car, it would offer gentle reminders to stay in the moment. I imagine it sounding not like an Australian drill sergeant but like an Indian Yoga instructor, saying in a lilting voice:

“ I’m so pleased you invited me to join you on your journey. First notice your feet, one after the other, making contact with the hard ground. Feel your toes bend and your ankles flex. Pay attention to the rise and fall of your chest as you breath in and out. You don’t need to try to control it. The breath breathes itself. We’re not in a hurry to get anywhere. Where you are is where you need to be.”

Until someone invents such a device, I’ve decided to leave the Garmin at home for a while. I think I’ll enjoy my runs and walks more if I don’t know how fast I’m going. The dogs will appreciate a slower pace, too. I’ll let them stop and smell the roses, along with the many more odiferous substances along the way.




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This blog is intended solely for the purpose of entertainment and education. All remarks are meant as general information and should not be taken as personal diagnostic or therapeutic advice. If you choose to comment on a post, please do not include any information that could identify you as a patient or potential patient. Also, please refrain from making any testimonials about me or my practice, as my professional code of ethics does not permit me to publish such statements. Comments that I deem inappropriate for this forum will not be published.

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