“NOT ENOUGH”: A BUDDHIST PERSPECTIVE ON DEPRESSION

Many of my clients complain of depression and low self-esteem. They think that something “out there,” such as a new relationship or job, is going to make them feel better about themselves. When I tell them that what will heal their depression is self-compassion and finding satisfaction in everyday life, some look at me as if I were speaking a foreign language. The ideas of self-compassion and a sense of satisfaction are that alien to them!

The most common complaint I hear from depressed clients in my psychotherapy practice can be summed up in two words: “Not enough.” A common plight of human beings is dissatisfaction, and may be expressed as “I’m not good enough”; “My partner isn’t good enough”; “My job isn’t good enough”… and the list goes on and on.

Spiritual Perspectives

From a Buddhist perspective, the poverty mentality of “not enough” is depicted as a hungry ghost, a being with a tiny mouth, skinny neck, arms and legs, and an enormous stomach. Because the hungry ghost’s mouth and neck are so small, not enough food ever reaches its huge stomach. The hungry ghost is always hungry. Because its arms and legs are so skinny, the hungry ghost is unable to hold on to anything. Nothing can satisfy the hungry ghost.

In the Tibetan Buddhist prayer of compassion embodied by Chenrezig, the bodhisattva of compassion, human suffering is described as being a state of “constant toil and poverty.” We are rarely satisfied with who we are and what we have accomplished. As a result, humans are in perpetual motion, seeking fulfillment and satisfaction outside of ourselves, but never finding it until we realize that we are whole and complete as we are, and that external accomplishments are simply the icing on the cake.

The theme of human dissatisfaction is common to all world religions. For example, in Philippians 4:11, it is said, “I have learned how to be content with whatever I have.” Timothy 6:607 teaches that “Godliness with contentment is great gain. For we brought nothing into this world, and it is certain we carry nothing out.”

As a Buddhist, I would describe godliness as Buddhanature, the wisdom and wholeness with which we are all born. The Buddhist teachings on Buddhanature are very helpful in developing self-compassion. Those teachings tell us that we all have Buddhanature, but due to our habitual tendencies and patterns, we have difficulty experiencing it. An image I have found helpful is that of the sun in a cloudy sky. The sun is always there, even on a cloudy day, but we cannot see it. Imagine being in a plane, and seeing the sun in a clear blue sky after rising above the clouds. Indeed, the sun was there the whole time, just like our Buddhanature.

The Practice of Gratitude

Practicing gratitude is a great way to develop a sense of “good enough” and satisfaction. I often suggest that depressed clients write down every day five things they are grateful for that happened that day. Some find this difficult because of what I call the “yeah buts” – a common refrain from depressed clients. They may say something to the effect of “yeah but, I don’t feel grateful about anything.” What about the fact that the sun is shining? Did you hear the beautiful song of that bird outside our window? It takes practice to observe and take time to appreciate the small joys of life, and get out of the tunnel vision of “not enough.”

Practicing gratitude can uncover and release the persistent negative self-beliefs that keep us stuck in dissatisfaction, for example, the belief that you don’t deserve love or happiness. Being mindful of our thoughts and appreciating the present moment are keys to healing depression and creating a sense of gratitude, satisfaction and appreciation in our lives.

 

 

 

 

© 2017 Beth S. Patterson. All rights reserved.

THE SACRED EXPERIENCE OF LISTENING AND BEING HEARD

Many of my clients come to therapy because they have not been truly heard throughout their lives. Healing begins when the client feels heard by the therapist. When clients have an experience of being heard fully and without judgment by the therapist, they can take the experience of listening and being heard into their lives and experience the sacred space between themselves and others.

Being heard goes hand-in-hand with “active listening.”   Wikipedia describes  active listening as “a special way of reflecting back what the other person has expressed to let him/her know you are listening…. Active Listening is a restatement of the other person’s communication, both the words and the accompanying feelings, i.e., nonverbal cues—tone of voice, facial expression, body posture.”

Instead of active listening, we often interrupt the speaker with our own ideas or agenda, assume we know what the speaker is going to say and tune them out, get triggered by the depth of what is being said and shut down, or get distracted by our own thoughts.

Active listening involves one’s whole being. It is not just passive silence, but a way of using body, heart and mind to truly hear what the other person is saying and to convey that he or she is being heard. This is done through means such as paraphrasing, reflecting back what you heard, asking questions, maintaining eye contact or nodding your head.

Active listening is a mutual act between the listener and speaker. We listen not only to the words, but also to body language, inflection, tone and other modes of expression. For example, if a friend is telling a story about a great experience visiting family, but her facial expression seems sad, there may be something that is not being expressed in words.

The best instruction I have received for active listening is two words: “Be curious.” Using the example above, the listener might ask “your face looks sad to me when you just told me about your family visit. Is there anything you are sad about?” It takes practice to not assume that you know what is going on and to not judge what you have heard. Asking questions in this way allows both speaker and listener to go deeper and develop closeness and intimacy.

Something sacred happens through active listening and being heard. The Jewish theologian Martin Buber called this the “I and Thou” experience. A sacred space is created between two people when they truly listen and are heard. According to Buber, the ultimate sacred space is that between a person and God. In Buddhism, this can be the experience of our inherent Buddha Nature – the primordial wisdom and purity that exists in all of us at all times, but which we forget as we go through life and start to build defenses against being spontaneously present with ourselves and others.

Only by understanding that we are all in the same boat we call human life can we listen and be heard, with empathy and openness. Instead, we often view those with whom we relate as totally separate from us. We do so to protect ourselves from being seen, or to satisfy some agenda. Buber calls such an interaction “I and It” rather than I and Thou.

The experience of I and Thou can only be sustained when we are fully open and mindful, noticing when we shut down and protect ourselves or when we stop listening to another. Seeing when we shut down can be instructive. It can show us where we are stuck in not wanting to be close and intimate with others. By understanding the triggers that cause us to shut down and protect ourselves, we can develop compassion for ourselves and others and be fully being present with others, without an agenda or guardedness.

I have always found it interesting that the words “heard” and “heart” are so similar. Our wounded hearts can be healed by the mutual experience of listening with our whole body, heart and mind and being heard. We can then experience the sacred space of I and Thou between us.  As Zen Buddhist teacher Joan Halifax has said:

Listening means that we have stabilized our minds so completely thatthe person who is speaking can actually hear themselves through our stillness. It is a quality of radiant listening, of luminous listening, of vibrant listening, but it is also very still. It is listening with attention, with openheartedness, without prejudice. We listen with our being. We offer our whole listening body.[1]

 

______________________

[1] Joan Halifax, in Gifts of the Spirit, by Philip Zaleski & Paul Kaufman (1997).

 

© 2017 Beth S. Patterson, MA, LPC. All rights reserved.

NAVIGATING LIFE TRANSITIONS

Supporting clients as they go through major life transitions has been a significant part of my psychotherapy practice. I am now going through several major life transitions of my own. This challenging time has given me the opportunity to contemplate where I’ve been in my life and what may lie ahead, and to use the tools I’ve learned for navigating major upheavals in life.

I have been noticing my intense emotions as I go through the challenges of getting ready to leave our home of ten years, anticipating a move to a new city, and redefining my livelihood as I make this move. What I notice clearly is that this is a grief process (using my grief counselor and psychotherapist lens), and that it is a challenge to the ego and the process of letting go and trusting, rather than trying to control the outcome (using my mindfulness and Buddhist practitioner lens).

Buddhist teachings emphasize that change and impermanence are always happening, moment to moment. However, knowing this intellectually does not help us avoid painful and confusing emotions. In fact, working with those emotions is necessary for navigating life’s changes in a healthy way.

 

The Three-Step Emotional Rescue Plan

Dzogchen Ponlop, in his book Emotional Rescue: How to Work with Your Emotions to Transform Hurt and Confusion into Energy That Heals You, offers a helpful and effective “3-Step Emotional Rescue Plan” for working with and navigating difficult emotions.

Mindful Gap

The first step of the Emotional Rescue Plan is called “Mindful Gap.” In this step, we zoom in to fully experience what we are feeling. As I experience the emotional ups and downs of my current transition process, I first zoom in on what I am experiencing in my body. It might be a tight clenching in my chest or stomach, or a fluttery feeling around my heart. I can then identify the emotion associated with that direct felt sense. That emotion is often fear. I then hold the feeling and breathe into it, giving it some space and letting go of the thoughts that are needlessly intensifying the experience of fear.

Clear Seeing

This leads directly to the second step of the Three Step Plan: “Clear Seeing.” In this step, we zoom out to get a panoramic view of what we are experiencing. In my current groundless state of uncertainty, when I zoom out, I see that my fear relates to not knowing what is coming next for me, as well as a sense of helplessness in knowing that I cannot control the vicissitudes of my current situation. Zooming out to clearly see the whole picture helps me let go of feelings of isolation, knowing that we all, at one time or another, experience the roller coaster of life transitions. Knowing this, I can have greater compassion for myself and less resistance to experiencing the intense emotions that accompany transitions in life.

I also realize that I am experiencing sadness and grief as I navigate my transition process, and let go of many of the trappings of my old life. I remember, based on my knowledge and experience of the grief process, that all transitions and changes entail grief, even those transitions and changes that are positive. We need to say goodbye before we can say hello again.

Letting Go

Saying goodbye to an old way of being is an example of the third step of the Emotional Rescue 3-Step Plan, “Letting Go.” In order to move into the next chapter of my life, I need to let go of some of the trappings and self-identification of the current chapter of my life. Letting go is also a process of accepting what is. In my case, this includes accepting that I have no control over many aspects of relocating and redefining my career.

A Road Map for Navigating Transitions

William Bridges, in his seminal book Transitions:  Making Sense of Life’s Changes, talks about the transition process as a three step process: an ending, the neutral zone and a new beginning.

Endings

Our society does not respect and acknowledge endings the way that many other cultures do. Other than funerals and retirement parties, we have few rituals for acknowledging endings. We are told to “get over it” and not to “cry over spilt milk.”   Bereavement leave is often just a few days, and the bereaved must then put on a happy face and return to work. Our death defying medical culture values cure over comfort and dignified end of life care. The attitudes of our Western society do not encourage us to give ourselves the needed time to experience the fullness of the endings in our lives.

Bridges says that it is important to experience endings in order to fully move on to the next chapter in our lives. He states “the new growth cannot take root on ground still covered with the old habits, attitudes and outlooks because endings are the clearing process.” This clearing process allows us to relax into the neutral zone, the bardo space between the ending and new beginning, with a sense of spacious curiosity rather than anxiety and fear.

The Neutral Zone

It is a common human urge to avoid anxiety and fear by jumping from ending to new beginning. The “neutral zone” is the groundless space of not knowing, and is the most important phase of the process of navigating major life transitions.  Fully experiencing the endings in our life and grieving with appreciation what we are leaving behind can make the neutral zone a fertile time for self-inquiry. “For many people, the breakdown of the ‘old enchantment’ and the old-self image uncovers a hitherto unsuspected awareness,” says Bridges.

The “great emptiness of the neutral zone” provides us with an opportunity to examine our values and discover what is truly important to us now. Although most of us don’t have the opportunity to go on a solo vision quest, as do many American Indians, we can create a personal vision quest, taking time to be alone in silent retreat. Using time alone to meditate, journal or pray allows us to turn away from the outer world, turning inward to contemplate and ultimately discover what we want the next chapter of our life to be.

The New Beginning

Bridges describes the gap between the old life and the new as a process of disintegration and reintegration. Through this process we are renewed. Through renewing ourselves, with patience, equanimity and grace, we can discover what we want to create in the next chapter of our lives, our new beginning, with a sense of satisfaction and peace of mind.

 

References:

Dzogchen Ponlop. (2016). Emotional Rescue: How to Work with Your Emotions to Transform Hurt and Confusion Into Energy That Empowers You. New York: Tarchen/Perigee.

W, Bridges, (2004). Transitions: Making Sense of Life’s Changes (2nd ed.). Cambridge, MA: Da Capo Press.

 

© 2017 Beth S. Patterson, MA, LPC. www.bethspatterson.com. All rights reserved.

OVERCOMING THE NEGATIVITY BIAS: A MINDFULNESS APPROACH

As neuropsychologist and mindfulness teacher Rick Hanson says “the brain is like Velcro for negative experiences, but like Teflon for positive ones.”[1] What Dr. Hanson describes is known as the “negativity bias.” The negativity bias is hardwired in the human brain. Early humans needed this brain bias for survival purposes. The negativity bias allowed our ancestors to learn behaviors that became hardwired in the brains of their descendants in order to avoid danger and stay alive. The negativity bias remains part of the human brain today, and impacts our wellbeing in many ways.

The Impact of the Negativity Bias in Daily Life

Research in neuroscience shows that the brain reacts more strongly to negative stimuli than positive ones. We hold on to negative memories much longer and more strongly than positive ones, like what Dr. Hanson describes as Velcro.  This hardwiring stimulates the brain’s fight, flight or freeze hyper-vigilant responses to perceived threats, and affects us physically, cognitively and emotionally.

On a physical level, hyper-vigilance affects our adrenal and cortisol systems, resulting in sleep disturbances, fatigue, shortness of breath and numerous other physical issues. Emotionally, we may experience anxiety, fear, confusion or anger. Cognitively, we may develop strong negative beliefs, such as “I don’t deserve love”, “I cannot trust others”, or “I am not safe.”

For example, if someone has experienced the sudden death of a loved one, she may react with great fear and anxiety each time she is unable to reach another loved one. If someone is judged or ridiculed at work for suggesting a novel approach to working with a challenge, he may be less inclined to offer suggestions again. And, if one grows up with an abusive parent, she may come to believe that she is unlovable and that no one can be trusted. These associations the brain makes are like tangled knots in a ball of thread that link new experiences with old negative experiences.

Overcoming the Negativity Bias through Mindfulness

The good news is that the negativity bias can be overcome through mindfulness, and the tangled knots of association can be loosened and untied. The first step is to become aware of the brain’s negativity bias and that the brain links different events and experiences together, like the 0’s and 1’s of a binary computer. This awareness helps us then determine if something we are experiencing is truly a threat to our safety or wellbeing. If it is a threat, we can take appropriate action. If it is not a threat, we can learn to let go of the impact of a perceived negative experience, seeing it for what it is.

Mindfulness can actually rewire the brain to hold on to positive experiences in a productive and healthy way – more like Velcro than Teflon. The practice of mindfulness meditation teaches us to be present, moment-to-moment, and not just live in our thoughts. The irony is that through mindfulness meditation, we become more aware of our thoughts. The difference is that we no longer need to get carried away by our thoughts, and expand a single thought into an epic novel. We learn to let thoughts go and return to the experience of the present moment.

Being mindful also makes us more aware of the negative and self-limiting thoughts that have kept us from being fully and joyfully alive. Mindfulness is not limited to sitting on a cushion and watching our breath. In fact, in addition to sitting meditation, I often “prescribe” mindful walking, mindful dish washing and mindful driving to my clients as ways to learn to be present with whatever it is they are experiencing. The key is to notice the thoughts and come back fully to whatever it is you are experiencing.

Without mindful awareness, our negative thoughts are the omnipresent background noise of our lives. Becoming aware of our negative self-talk and thoughts allows us to separate ourselves from them, to challenge and even eliminate them. Cognitive therapy, including mindfulness-based cognitive therapy, offers another way to do that, and works well with mindfulness practices.

The more present we are, moment-to-moment, the more we can experience the small joys of being alive.   We are more able to fully savor positive experiences and make them a part of who we are, without judgment. We come to realize that joy and presence is our birthright.

A highly effective way to rewire the brain to respond more to positive experiences is the “gratitude exercise”: Every night before you go to bed, write down five things you are grateful for that happened that day. When I assign this exercise to depressed clients, I may hear the complaint “but I have nothing to be grateful for.” I respond to this by pointing out positive things in the environment they can experience directly, such as a sunny day or a bird singing outside my office window.

The gratitude exercise and learning to be mindful in the present moment allow us to short circuit and rewire the brain’s negativity bias. We can then open our eyes and hearts to life, with all of its joys and sorrows, and fully appreciate who we are.

 

[1] R. Hanson, “Take in the Good”, www.rickhanson.net, June 2015.

 

 

© 2016 Beth S. Patterson. All rights reserved.

 

STAYING SANE IN AN INSANE WORLD

The world around us may seem chaotic and downright insane these days. Here are some tips for remaining sane amidst the world’s seeming insanity:

Impose news and media “blackouts.” It is so easy to get caught up in the frenzy of the ever-changing news these days. Imposing limits on watching television and looking at and interacting with social media is of critical importance.

Limit news watching to one hour a day. The 24/7 news media like CNN work by sucking you in. Resist the temptation to be glued to your television or digital news media, and limit watching to one hour a day.

Be aware of triggers and trauma. The insanity of the world around us can make us feel unsafe and distrustful. In fact, many of my clients have been reporting an increase in anxiety and reactivation of old traumas, due to the pervasive news of sexual assaults, deceptive practices, gun violence, racism, war…and the list goes on. It is important to understand these triggers and develop self-compassion around them. Professional support can help us heal and develop a sense of safety and trust.

Spend time with friends and family. When we are feeling stressed out, anxious or depressed, it is so easy to isolate ourselves. Be sure to make time for the people in your life who nurture and support you.

Be mindful of negative thoughts. Negative thoughts of anger, fear, hopelessness and despair can proliferate automatically when the world around us seems chaotic. If we are not mindful about our thoughts, they can become epic novels! If you have a mindfulness meditation practice, make sure to practice and stay vigilant about discursive thoughts. If you do not have a mindfulness practice, there are many apps, such as HeadSpace that can be helpful.

Practice self-care. Stress is exhausting, both emotionally and physically. Get a massage, take a walk in nature, cuddle with your pets and loved ones. This is particularly important for those of us in the caring professions. Do all you can to not take on the traumas and stress of clients or patients. Maintain healthy boundaries. Be mindful not to take on others’ stress or trauma by maintaining healthy boundaries. Get support from others if you are experiencing secondary trauma or overwhelm.

Practice staying in the present moment, moment to moment. Being in the present moment is like an oasis in the desert. Mindfulness isn’t limited to sitting on a cushion. Our time “on the cushion”, so to speak, prepares us for out daily lives “off the cushion.” For example, if you are washing the dishes, be present with that: Notice how your hands feel in the soapy water. Feel the sensations of your sponge wiping the plates. When thoughts arise, simply return your attention to washing the dishes. This can be done with any daily activity, such as driving.

DON’T TAKE IT PERSONALLY

How many times has someone said to you “don’t take it personally”? You have probably heard it so many times that the phrase has lost all meaning. Yet, the truth is that almost nothing is truly personal. Further, not taking things personally allows us to experience self-compassion and compassion for others.

We suffer when we believe in a solid sense of “I.” This is the fundamental tenet of the first of the Four Noble Truths in Buddhism. Developing an understanding of this First Noble Truth is the key to the experience of freedom and ease. Believing in the true existence of “I” is commonly referred to in Buddhism as ego-clinging. It can also be called self-importance.

Everything is a Projection

People do not see things in exactly the same way. Rather, what each of us perceives is a projection, based on numerous factors, such as habits, assumptions, culture, values and preferences. In fact, the only things the eye directly sees are colors and shapes.

I often help my clients develop their understanding of projections by looking at a plant in my office. I ask them what they see. They may say they see a pretty philodendron. When we analyze that, we realize that “pretty” is an evaluation and “philodendron” is a label. So, what is seen under the labels and evaluations? All that the eye truly registers on the optic nerve are colors and shapes.

Seeing mere colors and shapes does not satisfy our busy brains. We take the color and shape and add labels, evaluations, stories, and on and on until it becomes an epic novel. For example, from the color and shape, we label the plant and then evaluate it. Unless we are mindful about our proliferating thoughts, we may go on and think about the last time the plant was watered and if it needs pruning. We may even go further and judge ourselves for not having a green thumb.

It is the same when we see another person. We don’t stop with what we see directly. Rather, we go on to project all our own “stuff” on that person: good person, bad person, fat person, fit person, attractive person, unattractive person and on and on. Of course, human connection is far more nuanced than mere colors and shapes. However, an understanding that what another sees is his or her particular projection is helpful when we are feeling judged or criticized. This does not mean that constructive criticism is to be ignored. What we should remember, however, is that it is your behavior that is being critiqued, and not who you actually are.

Not taking things personally as the key to compassion and harmony

Not taking things personally is also a key to effective and responsible communication. When we put aside our ego-clinging and self-importance, we can better hear what another is actually saying. Behind every criticism or judgment is a need that is not being expressed in a compassionate manner. Instead of defending our position and taking what is being said personally, take a breath or two before automatically reacting defensively. Feel what your body is telling you. For example, does that clenching tightness in your gut feel like anger or hurt? When you understand what you are feeling, you can more ably discern how to respond, and even whether to respond at all.

For example, if a partner says, “you never wash the dishes,” what he or she is likely expressing is a request that you do the dishes. A typical kneejerk reaction would be to defend yourself, responding “that’s not true. I washed the dishes last Tuesday.” A defensive reaction such as this is likely to create more tension. Instead, we can respond with compassion, both for what we feel and for what our partner is asking.

If what is being said is intentionally mean or verbally abusive, it may be best to disengage in order to feel safe. Responding defensively may escalate an already difficult situation. By disengaging in those situations, you can best contemplate and choose the best choice of action for yourself under the circumstances.

Not taking things personally may take practice, patience and mindfulness in order to let go of our need to be right or defend our position. The result is a more kind and compassionate relationship, both with ourselves and with others.

© 2016 Beth S. Patterson. All rights reserved.

COMPASSION: A REMEDY FOR TURBULENT TIMES

The world today is full of turbulence and uncertainty. We wake up to bad news every day. News of mass shootings, terrorist strikes, political dysfunction, natural disasters and other woes dominate the news and social media. On top of that, of course, are the personal struggles, losses and challenges of daily life. Compassion is the remedy for staying open and kind in turbulent times.

In these difficult times, it can be challenging to maintain open-heartedness and kindness toward ourselves and others. We may feel that we are being tossed by the stormy waves of chaos. We may experience anxiety or trauma hearing about all of the misfortunes and confusion in the world. These times can reawaken our feelings about prior struggles we have endured, whether personally or societally. For example, terrorist bombings can bring up our feelings after the attacks on 9/11, as if it were yesterday.

When we are experiencing inner turmoil, it can be easy to harden our hearts, isolate ourselves, and get swept away in the contagion of negativity, hatred, aggression all around us. However, these turbulent times also provide an opportunity to open our hearts and develop compassion for ourselves and all other beings. In Buddhist terminology, this is the path of the Bodhisattva, those who strive to benefit all beings. Compassion is the key that opens our hearts with kindness toward ourselves and all others.

THE THREE-STEP EMOTIONAL RESCUE PLAN

If we are not mindful, we may automatically react to hatred with more hatred. I had a chance to notice and work with this reflexive impulse recently. A transgender acquaintance told me that she was brutally attacked by two men for how she looks and dresses. I noticed that my automatic urge was to say “what idiots!” Instead I used the “Three-Step Emotional Rescue Plan” described by Dzogchen Ponlop Rinpoche, in his new book Emotional Rescue: How to Work with Your Emotions to Transform Hurt and Confusion into Energy That Empowers You.

Instead of immediately afflicting more hate, I took the first step of the three-step plan, “mindful gap”, and breathed in my bodily and emotional response. Stepping back in this way, I was able to take the second step, what Rinpoche calls “clear seeing”, to get a more panoramic view of the situation. In doing so, what I said instead is “those poor ignorant men, who are so frightened by people who don’t look like them.” This pacified my negativity, and allowed me to “let go” (the third step of the emotional rescue plan), with a sense of compassion for my acquaintance, for these men, and for all of us who sometimes act wrongly out of passion, aggression or ignorance.

COMPASSION FOR SELF AND OTHER

Self-compassion does not mean resignation or self-pity. Rather, it means allowing yourself time to feel your pain and difficult emotions without judgment. Notice when you are under the sway of negative self-talk, negative thoughts or intrusive memories. It is helpful to think of these negative thoughts and memories as leaves floating down the stream. Despite their seeming power, thoughts and memories are fleeting and ephemeral, and have no true substance.

The word compassion literally means “suffering with.” Self-compassion is the first necessary ingredient for extending your compassion to others, with the understanding that pain and suffering and the wish for peace are universal. You cannot really extend compassion and “suffer with” another without self-compassion.

This concept was beautifully described by the Japanese writer Haruki Murakami in his book Colorless Tsukuru Tazaki and his Years of Pilgrimage:

One heart is not connected to another through harmony alone.
They are, instead, linked deeply through their wounds.
Pain linked to pain, fragility to fragility. There is no silence
without a cry of grief,… no acceptance without a passage
through acute loss. That is what lies at the root of true harmony.

I would like to offer some practical suggestions for maintaining compassion in difficult times:

• Take a break from the media. It can be tempting to watch the news all day and obsess about the woes in the world on Facebook and other social media.

• Take breaks from your devices. Staying glued to them day and night can increase stress and prevent us from being in the present moment.

• Turn off the television and all digital devices at least 30 minutes before bed. Instead, read a good book, cuddle with your pets, talk with your partner or take a warm, soothing bath or shower.

• Do something that you enjoy fully every day. Take the time to relish and appreciate those moments as they are occurring. Make the wish that all others have moments like these.

• Take time to smile and laugh. Exercising our smile muscles naturally relaxes us and creates feelings of positivity and optimism. It is said that laughter is the best medicine, and indeed it is. Moreover, a sense of humor creates perspective and more spaciousness.

• Practice self-care. It is important in stressful times to take care of your physical health. Although it may sound obvious, make sure to get plenty of rest, eat healthily, drink water and herbal tea, cut down on caffeine and alcohol.

• Create a good balance between caring for yourself and caring for others. Devoting all of our time and energy to the well-being of others without taking care of ourselves can result in what is called “compassion fatigue.”

• Maintain a healthy balance between alone time and time with others. It is important to take time for yourself, to meditate, journal, exercise, take a quiet walk or read. At the same time, be vigilant not to isolate yourself. Spending time with friends, family and your spiritual community are as important as alone time.

• If you have a spiritual practice, maintain it. This will help you open your heart to yourself and others.

• Notice the tendency to judge others. For example, when passing a homeless person on the street, notice any tendency to cast judgment. Instead, extend compassion to that person, knowing that he or she is suffering.

• One of the best and most healing ways to practice compassion is to extend it to those we see as aggressors and perpetrators. For example, as an eyewitness to the horrors of 9/11 in New York, part of my healing was to extend compassion to the nineteen terrorists who flew the planes into the World Trade Center. I remembered that they were young and confused and acted out of ignorant passion. This truly helped me heal.

• Feel gratitude. Despite all the ugliness in the world, there is much to be grateful for: friends and family, the beauty of nature, appreciation of others’ generosity and compassion, the song of a bird, the purr of a cat.

• If you are experiencing secondary trauma from witnessing or hearing about the horrors in the world, or if you are experiencing compassion fatigue or increased anxiety or depression that are interfering with your daily life, seek guidance from a spiritual advisor or psychotherapist. The world today can be overwhelming, and professional support can be helpful in alleviating your personal suffering.

References:

Dzogchen Ponlop. (2016). Emotional Rescue: How to Work with Your Emotions to Transform Hurt and Confusion Into Energy That Empowers You. New York: Tarchen/Perigee.

Haruki Murakami, (2014). Colorless Tsukuru Tazaki and his Years of Pilgrimage. New York: Alfred A. Knopf.

GRATITUDE: THE ANTIDOTE TO DISSATISFACTION

A theme common to all of my clients is that they are “not good enough”, or that their relationships or other circumstances are “not good enough.” This is a consistent theme, with variations on that theme, depending on the stories my clients tell themselves. As a Buddhist psychotherapist, I understand that this sense of dissatisfaction is the universal cause of suffering in what is called the “human realm” of existence. I also understand that the experience of gratitude is the antidote that allows us to let go of our common dissatisfaction.

In Buddhist cosmology, the human realm is one of the six realms of cyclic existence into which beings are reborn until they reach enlightenment. Being born in the human realm is both the bad news and the good news. The bad news is that one reborn as a human experiences the suffering of the human realm. The good news is that humans are the only beings who can learn the lessons of suffering, thereby overcoming suffering and attaining enlightenment, getting off the cyclic wheel of existence, called samsara.

The human realm is also called the “desire realm.” We desire what we don’t have, cling to the things we like, and try to get rid of the things we don’t like. This constant desire and yearning is the primary cause of our suffering. Here are some steps to ease the suffering caused by believing that who you or what you have is “not good enough”:

• Take at least five minutes each day to sit quietly, focusing in a relaxed way on your breath. Notice your thoughts without following them. You can imagine that your thoughts are like leaves, floating down a stream.

• As you do this on a consistent basis, you will more easily recognize your self-limiting beliefs, what I call the “yeah but’s” or “if only’s” we all have.

• Do not judge your “yeah but’s” and “if only’s”. Instead, notice them as the insubstantial thoughts they are. Allow some space around those “yeah but’s” and “if only’s”, and simply notice, without judging or clinging, how those beliefs of not good enough have kept you stuck and dissatisfied.

• Little by little, let your self-limiting beliefs go, like old friends you have outgrown. Gently tell them thank you and goodbye. This will take time and discipline, so be patient as you work on letting go of these habitual beliefs.

• Take time each day for gratitude. Before you go to bed each night, write down five things you are grateful for that you experienced that day. Many of my clients say “yeah but, it’s hard to feel gratitude for anything when my life is so crummy.” So here are some steps for allowing gratitude and appreciation into your life:

• Start your gratitude exercise by appreciating the life around you: the blue sky, warm sun, sound of a bird, the trees and flowers blooming in spring. Then expand your gratitude to people and animals in your life.

• In addition to the gratitude exercise, write down the things you appreciate about yourself, and especially note the things you did that day that brought you a sense of satisfaction. You may notice the self-doubts creep in. Simply notice them and let them go, like those leaves floating down the stream.

• As you do these gratitude and appreciation exercises, continue to breathe, especially in the area around your heart. You may find at first that your heart space feels tight and constricted. Allow your breath to loosen that tightness around your heart, letting in a sense of lightness and openness. This will further help you experience gratitude and appreciation.

It is important to exercise your gratitude and appreciation “muscles” on a consistent basis. Those thoughts of “not good enough” and “yeah but” or “if only” will undoubtedly creep back in. By doing these exercises daily, your negative and self-limiting beliefs will gradually lose their power, and will be replaced by the sense of satisfaction you deserve. In a sense, enlightenment is nothing more than lightening up, and appreciating what you have, moment by moment. That is your birthright, and the path out of suffering.

© 2016 Beth S. Patterson. www.bethspatterson.com . All rights reserved.

UNDERSTANDING KARMA: A KEY TO GROWTH AND HEALTHY RELATIONSHIPS

I had a profound teaching from my Buddhist teacher Ponlop Rinpoche recently, given to me in just five words: “That’s their karma; not yours.” That was all Rinpoche said on the subject, and I was left to contemplate what he meant. I found that Rinpoche’s words had deep resonance not only for me personally, but also in my work as a cognitive, existential Buddhist psychotherapist.

We misunderstand the word karma in the West. Based on the traditional theistic upbringings of many of us, we think karma means fate or predestination. However, the Sanskrit word karma means action. Contemplating what Rinpoche had said, and looking deeply at the meaning of the Sanskrit term, I came to understand the true meaning of karma: We are constantly presented with causes and conditions, and we choose our actions in response to what has arisen, moment by moment. Each action we choose to take results in the arising of the next cause and condition.

When we are mindful, we can choose the most beneficial action, so that the consequence (that is, the next cause and condition) will be a positive one, and will be of benefit to ourselves and others. As humans, we of course do not always choose the most beneficial action. This could be the result of years of conditioning, habitual tendencies, or not being mindful. However, this does not mean we are doomed when we make a less than beneficial choice. After all, we are perfectly imperfect humans, and we do make mistakes.

The good news is that we constantly have the chance to course-correct, moment to moment. We may have a tendency to say “that’s just my karma.” Well, that’s just a cop out. Yes, we all have challenging and difficult situations in our lives. However, that does not mean we are doomed. We have the chance to overcome our inherited imprints and unconscious habitual tendencies.

Mindful speech and action are the keys to developing “good karma” moment by moment. This entails pausing before immediately responding. Take a breath and ask yourself, “will what I am about to say or do be beneficial?” We often simply react, subjectively rather than objectively, based on our perceptions and projections. Taking this pause will help us look mindfully and with a discerning eye at what is really going on. This will lessen all those years of conditioning and habitual tendencies and relieve our and others’ suffering.

In contemplating Rinpoche’s words “That’s their karma; not yours” further, I realized that it is futile to get caught up in the web of anyone else’s karma. This does not mean that we are not interconnected and that we do not have concern for others’ welfare. In fact, in his new book, Karma: What it Is, What it Isn’t and Why it Matters, the late Buddhist teacher Traleg Rinpoche says “[Karma] relates directly to human nature and how we should interact with other human beings” (p. 108). Our choices need to be made mindfully, with a sense of morality, ethical conduct, responsibility and respect for our and the other person’s boundaries. We can be of support to others and act and talk in a beneficial way, modeling good behavior and aspiring that others do the same. However, in the end, we have no control over anyone else’s choices and karma.

This realization was tremendously freeing for me. I am responsible for my own choices, and not for anyone else’s choices. I can be there in a supportive way, but not get caught in the web of anyone else’s actions – good or bad. Knowing that we are free to choose our actions, and then take responsibility for the consequences of our actions, is the key to well-being and healthy relationships.

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Traleg Kyabgon Rinpoche (2015). Karma: What It Is, What It Isn’t, Why It Matters. Boston: Shambhala Publications.

WORKING WITH THE WISDOM OF THE BODY

Buddhist psychotherapist John Welwood says that our bodies hold our wisdom. He describes this basic tenet of both psychotherapy and Buddhism regarding how to best react to our disturbing emotions in the context of what he calls The Spectrum of Felt Energy. At the broad, spacious and stable base of the spectrum is our basic goodness, which can also be called our innate wisdom or basic aliveness.

The part of ourselves that is closest to our true and wise nature is our felt senses, in other words, what we feel in our bodies and experience with our sense faculties, as well as the raw unprocessed emotions that are directly felt in the body. Since our thoughts and conceptual emotions are not experienced directly, they are far from our basic nature and can be quite claustrophobic and unworkable. In contrast, our bodily experiences are direct and provide a sense of spaciousness, the information we need at that moment, and the ability to choose our responses freely and responsibly, with the intention of benefiting ourselves and others.

Working with and directly experiencing our feelings in the body is a highly effective way to untangle the thoughts and stories that keep us stuck and unhappy and make us act out automatically in ways that can be harmful to ourselves and others. Our story lines about the way things are, and all the “shoulds” that accompany those stories trap us in unhappiness and a lack of spontaneity and aliveness.

The body’s felt senses are not given the respect they deserve. We human beings think that our thoughts and intellect are what matters, but not what we feel in our bodies. Many of my clients tend to live in their heads and are not connected to their bodies. They get caught up in story lines that feel solid and unyielding, making them feel hopeless and helpless. When I ask them “where do you feel that in your body?” I sometimes get a blank stare in return because they are disconnected from their bodily experiences.

People who have experienced trauma and abuse often disassociate from their bodies as a coping mechanism so as not to feel their pain so deeply. They have come to believe that living in their thoughts instead of their bodies is safer than feeling what they actually feel, and they escape into their heads to escape their pain. Their felt senses often feel alien and dangerous. Indeed, if they were victims of sexual or other physical abuse, living outside their bodies felt necessary at the time of the abuse for their very survival. Even for those of us who have not withstood terrible trauma, disconnecting from the rawness of our direct feelings can feel safer. However, slowly befriending the wisdom of our body is the path to healing and growth, and frees us from the grip of our fears and self-doubts.

A great opportunity to practice using the wisdom that lies in the body is when anger arises. Anger in and of itself is not a problem. It is simply raw energy that is telling us that something does not feel right. When we are not being mindful of our anger as it arises, we may automatically react and act out, hurting others and ourselves in the process. The key is to notice the sensations of raw non-conceptual anger as they arise, at the level of our felt senses. It could be a clenching in the stomach, tightness in the chest, a rush of blood to the face.

It helps to get very familiar with the sensations you feel when anger arises so that you can identify them immediately and not react automatically. If the sensation is a clenching in the stomach, for example, explore its energy, color, temperature, shape and texture. Then, stop and observe the sensations with curiosity, and ask, from the spacious ground of your basic aliveness and wisdom, what those felt sensations are telling you. This creates the opportunity to choose how to respond in a way that will be beneficial.

To illustrate further, many of us have a core issue of feeling unacknowledged for who we are and what we have to offer. Someone we care for may say or do something that affects that deep wound. If we react from our thoughts and indirect conceptual feelings, we act out automatically with defensiveness or an attack to “protect” our wound. In contrast, using the wisdom of the body, when our friend says or does something that touches our woundedness, we can breathe into what we are feeling in our body, then ask what message the body is conveying. It may be that we feel hurt and misunderstood. Breathe into that hurt feeling, with compassion and tenderness, and then choose an appropriate response rather than react out of anger. As Welwood poignantly states (p. 86), “if I turn to face my own demons, they dissolve, revealing themselves to be my own living energy.” This living energy is the basic goodness and aliveness in all of us, beyond our storylines and negative thoughts.

Slowing down to feel what we are feeling in the body without automatically reacting takes patience, discipline and practice, but it can definitely be done. Taking a breath before reacting is a great first step, because it slows us down so we have the ability to choose rather than react. This puts us on the path of wisdom, compassion and wellbeing.

Our basic aliveness, primordial wisdom and goodness is open and spacious, allowing us to let the world in and act in a healthy and beneficial way. Feeling our feelings directly, without manipulating or judging them with our thoughts and concepts, allows us to develop greater confidence in working with whatever life confronts us with. Our confused thoughts and emotions can be transformed into the wisdom of clarity when we tap into what our bodies are telling us.