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CBT and ACT Techniques to Manage Stress and Crises
Bonus Episode3rd February 2023 • Voice over Work - An Audiobook Sampler • Russell Newton
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We have spent time exploring who we are, what we’re made of, and how we got to be made

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that way.

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But even once we have gained great self-awareness and are conscious of how we work at the every

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level, does that mean we never experience any discomfort, stress, or adversity in life?

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Of course not!

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In this final chapter, we’re looking at ways to use self-therapy not simply to deepen

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our self-knowledge, but also to tackle more singular problems that emerge in everyday

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life.

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No matter how well adjusted we are, we will all encounter stress, disappointment, loss,

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or even trauma.

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Genuine resilience comes from knowing how to manage and cope.

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In CBT (cognitive behavioral therapy), the focus is on becoming aware of and changing

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negative or unhelpful beliefs, as we saw in the first chapter.

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But sometimes, this can be extremely difficult to do.

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If you’re stuck in the middle of a crisis or dealing with something who is extremely

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challenging, you’re not likely to have the presence of mind to sit down with a journal

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and rationally pick through your thoughts!

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But what we can do at crisis points like this is use a technique from ACT, or acceptance

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and commitment therapy.

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It’s a process called “cognitive defusion,” and it’s essentially a way to let go of

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internal resistance or struggle.

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With CBT, we might actively engage a faulty or distorted belief and work with it; with

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cognitive defusion, we don’t engage with it at all—we simply find ways to accept,

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release, and let go of the struggle that tells us:

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“This is a problem!

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I hate this!

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It has to stop.”

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Cognitive defusion, which was first called cognitive distancing by Dr. Aaron Beck, the

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founder of cognitive therapy, is a way that we can choose how to relate to our thoughts

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and feelings in different situations.

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The key insight of cognitive defusion is that we can have emotions and thoughts without

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necessarily reacting to them.

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To understand how it all works, let’s consider what Beck understood as cognitive fusion—i.e.,

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being fused with your emotional and experiential perception.

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In this state of mind, your thoughts and your direct experiences get so mixed up that you

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can’t tell them apart.

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A big part of what makes us human is our constant appraisal, interpretation, and reaction to

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reality around it, filtered through our unique perspectives.

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We take our experiences and put them into groups, break them down, judge them, compare

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them to others, and formulate expectations and conclusions.

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All of these mental processes, however, contribute to fusion—the state of being completely

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identified and bonded with our experiences.

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This is what the mind does naturally, and it is a good way to solve most problems.

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In fact, our cognitive abilities can sometimes lead to the desirable and satisfying state

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of flow, in which there is no difference between the self and an interesting, challenging task.

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Our collective achievements in science, technology, and the arts are based on this form of thinking.

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But often, these labels and judgments are negative and global, like "I'm worthless.

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I'm a failure," "He's selfish," or "They're mean."

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Then, these judgments are no longer thoughts we are having or feelings we are temporarily

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experiencing—they become a part of us.

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They come to define us and our experience.

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A simple example will illustrate.

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Remember Jamie, whose bipolar-style mood swings stemmed from a deep sense of his own inadequacy?

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When Jamie is experiencing a high, he is totally fused with that feeling of elation.

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He is that euphoria.

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He loses all perspective and dives deep into that feeling.

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Similarly, when he is down in the dumps, he is so identified with that feeling that he

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completely forgets how he felt just a week ago.

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He doesn’t say, “I’m feeling pretty depressed at the moment,” but rather, “I’m

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a depressed person.

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The world is nothing but despair, and I’m a total failure."

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See the difference?

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we are totally subsumed, identified, and fused with our thoughts and feelings.

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the thoughts and feelings are there, but they do not completely define us or our

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situation forever.

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Jamie often rode a hellish rollercoaster of emotions because he was firmly fused with

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those emotions.

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It’s like being chained to that rollercoaster car, dragged along with every rise and fall.

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But being defused is more like watching the rollercoaster car from somewhere far removed,

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safely on the ground.

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You can see that your emotions are rising and falling, but that doesn’t mean you have

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to completely surrender and go along with them.

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This is where the ACT notion of acceptance comes in.

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When we push against and resist a particular thought or feeling, we are fused with it as

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when we grasp hold of it.

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For example, if Jamie notices a dark mood beginning to creep over him, and he unconsciously

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says, “No, no, no, a depression is coming.

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This is bad thing!” he is just as embroiled with that sensation, just as powerless, as

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when he decides to prolong any “good” feelings that come his way.

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This is important—Defusion is not the same as resistance.

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Rather, resistance and clinging are both forms of fusion, two sides of the same coin.

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So what does defusion look like?

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Does it mean we have to be bland, empty, emotionless?

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Not at all.

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We have all the same reactions, knee-jerk responses, and spontaneous feelings and thoughts

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as we always do.

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But when we are defused, we understand thoughts as thoughts.

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We see feelings as feelings.

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We understand that even though we are scared or angry or sad, it doesn’t mean that we

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will always feel that way.

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We also understand that just because we experience something, it doesn’t mean we are compelled

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to act.

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This is truly liberating—feelings and thoughts are just that.

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Feelings and thoughts.

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That’s all.

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Just temporary electrochemical activity in the brain.

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Just a momentary ripple in the pond.

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They are nothing unless we choose to fuse with them and allow ourselves to be compelled

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by them.

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ACT reminds us that we have that choice.

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Using the ACT model, we can deliberately practice defusing from our emotions and thoughts.

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Importantly, we are not getting rid of them (remember, resistance is just another form

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of fusion), but rather changing our relationship to them.

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Here are four key techniques to try the next time you are feeling overwhelmed by negative

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emotions.

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Distancing

Think of fusion and defusion in terms of distance:

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too “close” and we are fused, but with

Think of fusion and defusion in terms of distance:

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a little distance, we can gain perspective and some breathing room.

Think of fusion and defusion in terms of distance:

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We are not the same thing as our thoughts and feelings.

Think of fusion and defusion in terms of distance:

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There is a little gap between them and us.

Think of fusion and defusion in terms of distance:

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If we take on an observer role, we are no longer in the active player role, and we automatically

Think of fusion and defusion in terms of distance:

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create some psychological distance.

Think of fusion and defusion in terms of distance:

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How do we create that distance?

Think of fusion and defusion in terms of distance:

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There are many ways, but try the following:

Think of fusion and defusion in terms of distance:

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1.

Think of fusion and defusion in terms of distance:

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Just pause and become aware

Think of fusion and defusion in terms of distance:

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2.

Think of fusion and defusion in terms of distance:

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Zoom in on a negative or overwhelming thought or emotion

Think of fusion and defusion in terms of distance:

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3.

Think of fusion and defusion in terms of distance:

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Try to get a sense of how “close” you currently are.

Think of fusion and defusion in terms of distance:

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Do you fully believe the story that you are telling yourself?

Think of fusion and defusion in terms of distance:

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Are you immersed in it?

Think of fusion and defusion in terms of distance:

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4.

Think of fusion and defusion in terms of distance:

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Add some distance.

Think of fusion and defusion in terms of distance:

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You could use language, for example, by saying, “My brain is having the thought that ... ” or,

Think of fusion and defusion in terms of distance:

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“There is a feeling happening right now ... ” Additionally, instead of saying, “I’m

Think of fusion and defusion in terms of distance:

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a failure,” you gain distance by saying, “My brain is having the thought that I’m

Think of fusion and defusion in terms of distance:

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a failure right now."

Think of fusion and defusion in terms of distance:

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5.

Think of fusion and defusion in terms of distance:

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Adding “today” or “right now” adds some temporal distance—i.e., you phrase

Think of fusion and defusion in terms of distance:

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things so that the current phenomenon is understood to be temporary.

Think of fusion and defusion in terms of distance:

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Instead of, “I’m struggling,” you can say, “I’m struggling at the moment."

Think of fusion and defusion in terms of distance:

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This adds some distance because it implies there will be a time when this emotion or

Think of fusion and defusion in terms of distance:

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thought will stop.

Think of fusion and defusion in terms of distance:

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6.

Think of fusion and defusion in terms of distance:

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Use visualization and imagine the thought or feeling as a picture, symbol, or even a

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little cartoon character.

Think of fusion and defusion in terms of distance:

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Maybe you see your anxiety as a literal brick wall that spells out the letters ANXIETY.

Think of fusion and defusion in terms of distance:

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Or maybe you picture your critical inner voice as a nagging little insect that’s following

Think of fusion and defusion in terms of distance:

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you around, speaking in a squeaky voice.

Think of fusion and defusion in terms of distance:

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So, for Jamie, when he notices that he’s sinking into a depression again, he doesn’t

Think of fusion and defusion in terms of distance:

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resist, nor does he sink down immediately with that feeling.

Think of fusion and defusion in terms of distance:

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Instead, he tries to stand outside that feeling, adopting the perspective of someone who is

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watching the event unfold.

Think of fusion and defusion in terms of distance:

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“Oh, I can feel that my mood is dropping a little today."

Think of fusion and defusion in terms of distance:

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Even saying “my mood” is dropping rather than “I” am feeling depressed creates

Think of fusion and defusion in terms of distance:

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a sense of distance.

Think of fusion and defusion in terms of distance:

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The depressed mood may still come, and it may be as strong as ever, only now Jamie is

Think of fusion and defusion in terms of distance:

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outside that storm rather than right at its center.

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Labeling

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When we are fused with a thought, it seeps into everything and feels exactly identical

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to reality.

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We may not know what we are experiencing, only that we are experiencing.

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However, when we put a label on something, we can immediately see that it is something

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that has a reality outside of us and that it is just a “thing."

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Have you ever noticed how thoughts and feelings seem so big and intimidating, and yet, once

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you share them verbally with someone else, they seem so much smaller somehow?

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This is the power of labeling at work.

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How to label:

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1.

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Simply describe what is happening.

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Slow down, become aware, and try to just describe what you’re perceiving—without judgment

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or evaluation.

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Consult your five senses and see what data they are sending you.

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Jamie may pause one afternoon and think, “I notice a light, fluttery feeling in my stomach.

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My jaw feels tight.

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I seem to be moving around very quickly.

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I can hear the sound of my own voice, and it’s higher pitched than normal.”

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2.

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Once you’ve done this, you may also find yourself describing actions and events, i.e.,

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how you are engaging with the stimuli around you.

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“My mind is noticing a fluttery feeling in my stomach.

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My mind is telling me a story about what that means.

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I notice I’m having a memory about this feeling from the past.

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I notice I’m thinking of my father ... ”

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If you have been practicing becoming aware in this way for some time, you might recognize

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old patterns and habits, and you may even be able to say things like, “I can see that

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I’m catastrophizing again,” or, “I am having a cognitive distortion."

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You might be surprised to find just how repetitive your most stressful and unpleasant thoughts

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really are, and that if you only pay attention, many times it’s exactly the same old thought

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popping up that you’ve had before.

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This can be an interesting realization—that you are not responding spontaneously to the

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situation in the present, but have merely been triggered by something, and you run off

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along the same mental track that you habitually do.

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It can be quite the insight to realize that how you’re feeling actually has nothing

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to do with the situation you thought it did, but is more accurately an old script from

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the past that’s playing out yet again.

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Leaves on a stream meditation

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Gaining psychological distance and giving labels to your experiences are things you

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do “in the heat of the moment."

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The following technique can be used in this way, too, but it’s also a great daily practice

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that will flex your defusion muscles and help you master the ability to step outside of

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your perspective when you’re feeling overwhelmed.

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You can do this any time.

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It’s simple to do.

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1.

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As with any mindfulness or meditative practice, sit somewhere comfortable where you won’t

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be disturbed, close your eyes, and spend a moment becoming aware of your breath.

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2.

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In your mind’s eye, picture that you are sitting beside a peaceful flowing stream in

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a lovely forest.

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If it’s easier, open your eyes and rest your gaze softly on some fixed point while

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you imagine this.

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3.

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Now, imagine that your mind is also like this stream, and it is flowing along with it.

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You will notice that as your mind flows, thoughts and feelings and perceptions pop up automatically.

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With a calm, detached attitude, have a look at each one as it appears.

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Now, pick up a leaf from the forest floor, imagine placing your thought on this leaf,

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and then float the leaf on the stream and watch as it carries the thought gently away,

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out of your sight.

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4.

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Another thought will pop up.

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It doesn’t matter if it’s a “good” thought or a “bad” one.

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It could be a thought, a feeling, or something neutral like, “I wonder if I’m doing the

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exercise right?"

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Look at these just the same and put each one on its own leaf and send it down the stream.

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Even if you think, “There are too many thoughts!

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Gah, I can’t keep up!” then guess what?

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That’s also a thought.

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Onto a leaf it goes ...

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5.

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The stream goes at its own fixed pace.

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Nothing speeds up or slows down.

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You are not trying to get rid of a thought, and you’re not holding on to it, wishing

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to keep it for a little longer.

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They just come and go at the pace of the river’s flow.

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6.

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Some thoughts might get “stuck,” or they may seem to pop up again and again.

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That’s okay.

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You might imagine that it swirls around a little on an eddy or gets snagged on the riverbank.

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Gently nudge it so it flows again.

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Watch as it goes until you can’t see it anymore.

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Give each thought its proper due and then let it go.

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7.

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You may occasionally get sidetracked and distracted by a thought and forget the exercise you’re

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doing.

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No matter!

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The moment you’re aware, come back to it.

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Even if you feel irritated or upset by the detour, place that on a leaf—no matter how

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big or small a feeling, it will fit comfortably on a leaf, and it will pass.

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Practice this exercise daily and you will be surprised at how you can change your own

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relationship to the thoughts that pop into your mind.

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Jamie does this for a few weeks and finds that he is less reactive, less “up and down."

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One day, he notices that something that ordinarily would have triggered him just seems to sit

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there, and he watches it, non-reactive.

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He thinks, “Oh, there’s that trigger again.

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I guess I could follow it and go all along that same old path as I always do.

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But I think instead I’ll just watch it.

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It will go before too long."

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