Category Archives: Addiction

Mindfulness in Acceptance and Commitment Therapy

We are presently facilitating a mindfulness group at Grounded for Peace. The group’s purpose is to supplement clients receiving Acceptance and Commitment therapy. The group is also useful to those who want an introduction to ACT. (A good description of ACT can be found on Psychology Today: https://www.psychologytoday.com/us/therapy-types/acceptance-and-commitment-therapy. )

ACT stems from traditional Cognitive Behavior Therapy but differs in a few ways. One of the main differences that stands out to me is that it is less judgemental. Many models of CBT label thoughts as “positive” and “negative”, which many will interpret as good or bad. Many people receiving therapy will then take it a step further and say “I am having a negative thought therefore I am negative.” CBT would then challenge and rewrite this thought of “I am a negative person”. However, ACT will bypass this all together by not labeling a thought or feeling as “positive” or “negative” but will ask is this thought/feeling moving you towards your values or away?

This brings us to the mindfulness part. In order to not get “hooked” or “fused” with the thought or feeling, ACT teaches to take a step back and observe the thought or feeling as something one is observing and not as something that they is their identity or as something intrinsically a part of them. This sounds like an easy task but if it were easy most of us would not feel the need to seek out therapy. Mindfulness practices/training teaches us how to take a step back so we don’t fuse/get hooked by a thought.

The word “practice” is used many times in reference to Mindfulness skills b/c it really does take practice. The following practice illustrates not only how to do a particular mindfulness practice, but it also illustrates how to use the practice for a purpose of helping a person to not fuse with an experience, or in other terms, help a person get through a difficult feeling, sensation, or thought and move past it.

Choose one of the following to do:

Part one:

1.Stand on one leg.

2.Focus on a point on a wall in front of you

3.Hold your arm out in front of you.

Part two:

Breath in through your nose, imagining a wave coming on to the shore.

Breath out through your nose, imagining a wave rolling back into the ocean.

Continue with smooth and method inhales and exhales like the ones described above.

Part three:

When the sensation develops where you want to stop standing on one leg, place your arm down or stop looking at the spot on the wall, try to continue the breathing till you move past the sensation a bit more. The idea is not to hurt yourself so we don’t plan to do this too long but just enough to remind ourselves that we can do hard things.

Additional Thoughts:

Finding practices that hold the space to be in a difficult sensation help us hold the space when we are faced with a difficult experience. By staying with the difficult experience we are able to look at it more clearly so we can decide what we want to do about it. A normal response to something difficult is to avoid it or stop it right away. This is not always healthy. Take for example anxiety before a test. If I don’t like the anxiety and try to distract myself with a video game or doom scrolling, I waste time and end up not getting in the studying I might need to do to pass the test. If I were to practice this breathing skill, I hold the space for the anxiety and look at what the anxiety is telling me to do, which is to prepare. When I face it and see it for what it is ,a message, I then see it as not something to avoid but as something to get my attention and take action. Once you get the message of a difficult feeling many times it will start to dissolve.

For a guided recording of the practice above subscribe to our bonus content.

If you would like to join the mindfulness group, please contact us through our contact page.

Local Support

 

 

community

It can be overwhelming  seeking support outside of your friends and family when you have an addiction.   This is usually a significant step that needs to be made when you have multiple relapses; however, I see many people try to reassure themselves that this time it’s going to be different and not take this step.

They have their plan.  It usually is a decent plan.  We have worked on either a Wellness Action Plan, Crisis Plan, or Relapse Prevention Plan.    In therapy we have also came up with wonderful “tools” to use in their daily maintenance and their “emergency kit”.  We have practiced, role played, and brought in family and friends.  But yet they’ll be another relapse.  Another lie told.  Another promise broken to self or others.  They show back up sometimes beaten down, ashamed, and lower in spirit and energy.  Or they’ll show up determined that this time will “be different” only to end up like the previous scenario eventually.

The piece that is missing is support outside of treatment, friends, and/or family.  It is tapping into something positive that is larger than oneself.  This could be in the form of a religion/faith.  It could be in the form of AA/NA.  I have seen people invest themselves into a close knit wellness communities, like with Rock Climbing or Yoga.    I have seen folks begin to invest in service communities, like with Habit for Humanity, Urban Ministries, etc..  It doesn’t seem to really matter what it is as long as it has a higher principle and has other people to connect with.  This step  of participating with something outside of our individual community touches on the “spiritual” side that so many addictions counselors will talk about.  It touches on this piece of us that is sometimes very difficult to conceptualize.  People think they have to go to church or start praying.  Although this could be a path for some, it doesn’t mean it has to be the path of all searching for that “higher power”.  But one key element in this is the “investment”, the “participation” that makes it work.  Just visiting a community or group is not enough.  One must get involved so that an investment is made.   This investment will bring returns though.

In order to help with this connection, I want to provide some resources below for AA, NA, Al-Aanon.  These are by no means the only I recommend but they are the main ones folks can access easily in our community and have shown to be reliable supports and places people can become involved and invested through working steps, finding a sponsor, sharing story, etc…

Greensboro Al-Aanon

Al-Anon General Site

Greensboro AA meetings

Greensboro NA meetings