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Learning Material

The Benefits of Mindfulness
by Woody Schuldt, LMHC
Mindfulness has been defined as "a moment-to-moment awareness of one's experience without judgment" (1). This means having conscious awareness of one's own thoughts, feelings, sensations, and behaviors, without evaluation, or the formation of an opinion.
You're acting mindfully when you listen to a song you love, and notice every tiny detail in the sound. Or maybe you've felt anxiety before a big event like a wedding or a job interview, you acknowledged that feeling, and chose to simply accept it.
The opposite of mindfulness would be those times when your body works on "autopilot". Maybe you've eaten a meal and realized you didn't taste a thing, just because you weren't paying attention. Or maybe you've said something cruel out of anger, without realizing that your emotions were driving your actions, until it was too late.
Over the past decade, mindfulness has emerged as a popular component to many types of psychotherapy such as Cognitive Behavioral Therapy (CBT), Acceptance and Commitment Therapy (ACT), and Dialectical Behavior Therapy (DBT). But what does mindfulness actually do for us, and for our clients? Does it really help? We decided to dig through the research to find some answers.
Worksheet:
https://www.therapistaid.com/therapy-worksheet/mindfulness-exercises
Mindfulness and Mental Illness
In psychotherapy, mindfulness training is regularly used as a tool to treat depression, anxiety, and stress. The good news is that it works, and it works well. Multiple meta-analyses suggest that mindfulness reduces clients' anxiety, stress, and symptoms of mood disorder, and the positive effects are maintained long-term (2, 3). One study even found that mindfulness training was as effective as anti-depressants at preventing the relapse of depressive symptoms, 16 weeks after treatment (4).
Mindfulness-based treatments seem to work, but how? The most studied form of mindfulness training is called Mindfulness-Based Stress Reduction (MBSR). In MBSR, clients attend an 8-week course where they practice a variety of mindfulness exercises such as meditation, discuss their stressors, and complete regular homework which encourages further practice of mindfulness skills.
Other treatments, such as DBT, use mindfulness as a single part of a larger approach to therapy. In DBT mindfulness training is used to help clients learn to accept problems that they do not have control over, or cannot change.
In each of these interventions, various mindfulness exercises are used with the idea that practicing will lead to a higher level of trait mindfulness. Trait mindfulness refers to a person's frequent experience of mindfulness (as if it is a personality trait), as opposed to only experiencing mindfulness during the course of an exercise.
The verdict on increasing trait mindfulness seems to be positive. Some studies have found that those who regularly practice mindfulness develop changes in how their brain functions that contribute to emotional regulation, concentration, and cognitive processing speed (1). These changes may account for the long-term positive effects associated with mindfulness training.
Mindfulness may also help in the treatment of mental illness by facilitating the use of other coping skills. For example, a client dealing with anger will be more likely to use a relaxation skill if they are mindful of their emotions, and identify their anger early.
Mindfulness for Therapists
Some researchers are beginning to look at the benefits of mindfulness not only for clients, but also for therapists. Because this area has been studied less thoroughly, many questions are still unanswered, but what we do know is interesting.
Several traits of therapists that are associated with positive treatment outcomes are thought to be improved by mindfulness training. A few of these traits include empathy and compassion for clients, attentiveness during sessions, and increased comfort with silence (1). Therapists-in-training who were taught to use mindfulness meditation reported higher levels of self-awareness, improvements in their basic counseling skills, and overall wellness.
The effects of mindfulness on symptoms of mental illness, such as anxiety and mood symptoms, hold true for clinicians as well. Mindfulness training might result in better stress-management and reduced levels of burnout among therapists.
Unfortunately, treatment outcomes and their relationship with therapists' levels of mindfulness are still unclear. Initial studies indicate that there is no connection between a therapist's self-reported level of mindfulness and the treatment outcomes of their clients (1). However, when a therapist undergoes formal mindfulness training, their treatment outcomes tend to improve. This might just tell us that self-report is a poor measure of mindfulness, but further research will be required before making any assertions.
Other Benefits of Mindfulness
Mindfulness can clearly play a role in the treatment of mental illness, but how about its use in non-clinical issues? Individuals who practice mindfulness who are not suffering from mental illness still see psychological benefits such as an overall sense of wellbeing, improved concentration, and increased morality. Physical health benefits of mindfulness include improved immune functioning and improved cardiovascular health (1, 5).
Relationships also benefit when at least one of the individuals has a high level of trait mindfulness (1). A few of these benefits include less emotional stress and better communication. Trait mindfulness also acts as a predictor of overall relationship satisfaction.
After a review of the research, it's clear that mindfulness can play an important role in the treatment of several mental illnesses, and it can be used to improve the quality of life for normal-functioning individuals. If you would like to keep reading about mindfulness, and how it can be applied in treatment, I suggest picking up Jon Kabat-Zin's book, Wherever You Go, There You Are (linked below).
Wherever You Go, There You Are
References
1. Davis, D. M., & Hayes, J. A. (2011). What are the benefits of mindfulness? A practice review of psychotherapy-related research. Psychotherapy, 48(2), pp. 198-208.
2. Grossman, P., Niemann, L., Schmidt, S., & Walach, H. (2004). Mindfulness-based stress reduction and health benefits: A meta-analysis. Journal of Psychosomatic Research, 57, pp. 35-43.
3. Hoffmann, S. G., Sawyer, A. T., Witt, A. A., & Oh, D. (2010). The effect of mindfulness-based therapy on anxiety and depression: A meta-analytic review. Journal of Consulting and Clinical Psychology, 78(2), pp. 169-183.

How to Practice Self-Compassion
article
Sarah Winnig, MA
Self-compassion means showing kindness to yourself. It means accepting yourself for who you are, imperfections and all.
Self-compassion does not mean giving up on growth and self-improvement. Instead, it's about understanding that you are a work in progress, with strengths and weaknesses, and knowing that is okay.
You probably show compassion to others without giving it a second thought.
Imagine your best friend just went through a break-up. They tell you the story, and you listen from start to finish. Your friend isn't perfect, but they deserve to be happy. You reassure them that they’ll get through this, they’re a catch, and they'll be okay.
You don’t judge your friend. You don’t tell them they are not worthy, or that they need to change. You show your friend compassion.
For many people, it’s easy to show compassion to others. Family, friends, pets, strangers, and even TV characters are met with kindness and understanding, despite their flaws.
At the same time, many compassionate people are critical and unforgiving of themselves. They hold themselves to a standard they would never demand from others. They struggle to practice self-compassion.
There are no simple tricks for developing self-compassion, but there are several healthy habits that may help.
Have a Fair Attitude Toward Yourself
(rather than a critical or judgmental attitude)
Practicing self-compassion means treating yourself warmly, gently, and fairly. It’s about having an attitude of acceptance toward yourself—rather than judgment—and treating yourself accordingly.
Imagine receiving some constructive criticism from your boss. Coming from a place of judgment, you only hear the negative, and tell yourself, “I’m an idiot. I can’t do anything right.” Coming from a place of fairness and acceptance, you hear the whole message, and tell yourself, “There are definitely things I can work on, but I’m doing a good job overall.”
Self-compassionate people believe that they are good, well-meaning, and competent. When they make a mistake at work, it’s just that—a single mistake. People who are not self-compassionate often assume the worst about themselves. A mistake at work is viewed as something much bigger, such as a personal failing.
When you’re critical and judgmental of yourself, you’re more likely to experience unhappiness, insecurity, and anxiety. When you treat yourself fairly, you are better able to manage these uncomfortable feelings.
Having a fair attitude toward yourself looks like...
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“I may have said the wrong thing. I’ll get it right next time.” vs. “I may have said the wrong thing. I’m the worst!”
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“I made a mistake. I’m only human.” vs. “I made a mistake. I always mess up.”
Accept Yourself for Who You Are
(rather than trying to be someone else)
Many of us have ideas about who we "should” be. A man might believe he has to be strong, brave, and outgoing. A mother might believe she always has to put her needs last. For many, not matching these ideals feels like a flaw.
In reality, humans aren’t so simple. While some men are strong, brave, and outgoing, others are shy, emotional, and cautious. While some mothers do put their needs last, others value their career as much as their family life. It sounds like a cliché, but everyone is different... and that’s okay.
People who are self-compassionate accept themselves for who they are, rather than who they “should” be. Not only that, but they often take pride in their unique characteristics. For example, a self-compassionate man who is emotional might view himself as being deeply connected to others, rather than having a weakness.
Self-acceptance does not mean loving every little thing about yourself, or believing you are perfect. It means accepting yourself for who you are, rather than who you are not.
Note: Self-acceptance isn’t just about gender roles. It includes personality, interests, sexuality, religion, abilities, appearance, and anything else that makes you who you are.
Accepting yourself looks like...
-
A mother who values her career highly could view herself as highly motivated, a role model, and recognize how she provides for her family.
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A person who wishes they had straight hair could see examples of beautiful curly hair like their own, and learn to appreciate what they have. They might still wish to have straight hair, but they learn to like their curly hair, too.
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A person who is not athletic but loves sports could find themself fitting into coaching or support roles.
Take Care of Yourself
(rather than denying your needs or overindulging)
Even when life gets busy, it’s important to look out for your own health and happiness, and take care of your needs. This means eating regular meals, getting enough sleep, taking time for fun and relaxation, or whatever it is you need.
Taking care of yourself is not the same as spoiling or overindulging. For example, taking a break to eat a healthy meal is not the same as eating whatever you want, whenever you want.
This might be easier to understand when you think about caring for someone else. If you’re caring for a young child, you don’t ignore them when they're hungry. But that doesn’t mean you give them an ice cream sundae for breakfast. You think about what’s best for them, and take care of their needs accordingly.
Caring for yourself requires a balance between immediate needs and long-term goals. For example, if you’ve been studying for hours, it’s reasonable to take a break. However, if you want to pass an exam, you do need to study at some point.
Sometimes long-term goals will require discomfort, such as studying or exercising when you’d rather relax on the couch. There’s no simple answer for how much discomfort or sacrifice a person should make—it depends on the individual and their goals. But it’s important to have an awareness of your own needs, and a balance that works for you.
Self-care habits might include...
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Taking a day off work to relax.
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Eating a healthy meal when you’re hungry.
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Exercising regularly, but taking rest days as needed.
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Rewarding yourself with a treat when you meet a goal.
Accept That Struggle is Normal
(rather than feeling uniquely bad)
You have a front-row seat to your own imperfections and mistakes. While others can hide their insecurities, you can’t hide from yourself. When you feel bad about yourself, or when you make a mistake, it might seem like you’re the only one.
Remember that no one is perfect. Being imperfect is part of being human. Everyone has bad days, loses their temper, and makes mistakes. Sometimes, those mistakes are really big.
Whatever your struggle, try to put it in perspective. Know that it’s normal to have flaws and make mistakes, even if you don’t always see them in others.
Recognizing that your struggles are normal gives you permission to feel self-compassion, despite any shortcomings.
The language of accepting struggle...
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“No one is perfect. Everyone makes mistakes.”
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“Everyone feels sad sometimes. This is normal.”
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“I’m not the first person to make this mistake.”
Practice Mindful Awareness
(rather than getting caught up in thoughts and feelings)
Mindfulness means taking a step back from your thoughts and emotions, and seeing them objectively. This is how you see others’ thoughts and feelings: logically and from a distance. Creating distance from your own thoughts and feelings lessens the power they have over you.
In addition to creating distance, mindfulness will help you become accepting of your feelings. It’s common to think “I shouldn’t be sad” or “I shouldn’t be angry.” Mindfulness lets you acknowledge your feelings, without the need to change them. “I shouldn’t be angry” becomes “I am angry, and that is okay.”
Mindfulness builds self-compassion by creating perspective and acceptance of your thoughts and feelings. This lets you take control of your life, rather than being at the whim of your emotions. Additionally, mindfulness will help you practice other self-compassion habits, like recognizing when you are being judgmental toward yourself, ignoring your needs, or failing to see your struggles as normal.
Learning to view your experiences mindfully makes everything else easier. When you take a step back, you can see things more clearly.
The language of mindful awareness...
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“I am treating myself judgmentally. I know I'm not being fair to myself.”
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“I feel angry at myself, but that does not mean I am a bad person.”
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“I am caught up in this problem, but it is not the end of the world.”
In Summary
Unsurprisingly, practicing self-compassion is easier said than done. Many people focus on their flaws and feel that they are not worthy of kindness. Others set unrealistic goals, demanding nothing less than perfection.
After a lifetime of self-judgment, the habit is difficult to break. It becomes reflexive. But with practice, these reflexes can be unlearned, and replaced with self-compassion.
References
1. Barnard, L. K., & Curry, J. F. (2011). Self-compassion: Conceptualizations, correlates, & interventions. Review of General Psychology, 15(4), 289-303.
2. Birnie, K., Speca, M., & Carlson, L. E. (2010). Exploring self‐compassion and empathy in the context of mindfulness‐based stress reduction (MBSR). Stress and Health, 26(5), 359-371.
3. Hollis-Walker, L., & Colosimo, K. (2011). Mindfulness, self-compassion, and happiness in non-meditators: A theoretical and empirical examination. Personality and Individual Differences, 50(2), 222-227.
4. Neff, K. (2022, September 23). Self-Compassion. Retrieved from https://self-compassion.org/
5. Wilson, A. C., Mackintosh, K., Power, K., & Chan, S. W. (2019). Effectiveness of self-compassion related therapies: a systematic review and meta-analysis. Mindfulness, 10(6), 979-995.
6. Zessin, U., Dickhäuser, O., & Garbade, S. (2015). The relationship between self‐compassion and well‐being: A meta‐analysis. Applied Psychology: Health and Well‐Being, 7(3), 340-364.
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