Mindfulness, Meditation & Thought Field Therapy (TFT) for Recovery & Relapse Prevention in Addiction

Welcome!

Andrea Pennington, MD, C.Ac.

Make Your Mark Global, Ltd.

@DrAndrea

Empowering you to embrace ageless vitality through mindfulness, meditation and positive psychology

Using Mindfulness, Meditation & Meridian Tapping

A n d r e a P e n n i n g t o n , M D , C . A c .

TECHNIQUES FOR

RESILIENCERELAPSE PREVENTION

www. AndreaPennington .com

&

1. Neuropsychological Barriers to Recovery

2. Meditation & Acupuncture for Resilience

4. Q& A

TM3. TFT & The Attunement Process

Our Agenda{ }

2.

3. Learn the Attunement Meditation & Thought Field Therapy

Learn how acupuncture & meditation impact the brain

TM

Learning Objectives{ }Understand how to use neuroplasticity to our advantage1.

12-Week Program for Binge Eating Disorder

30 Minutes per week of Acupuncture with breath awareness meditation & body scan

Positive Psychology practices taught and encouraged as homework

General education on eating disorders and nutrition

Behavior modification tips and education on body-brain-mind connection

Andrea Pennington, MD, C.Ac.

Increased positive emotions

Improved impulse control

Improved ability to handle stressful situations

Fewer binge eating episodes

After 12 Weeks Participants Noted:

{ }Change Your Mind - Change Your Brain1Neuroplasticity

““

THE LIFELONG ABILITY OF OUR BRAINS TO

REORGANIZE NEURAL PATHWAYS BASED ON

NEW EXPERIENCES

Neuroplasticity

NeuroplasticityThe brain reacts and adapts in response to

challenges and learning.

The brain is capable of altering its

functional organization as a result of experience.

Capacity to be shaped or molded by experience

Capacity to learn and remember

Ability to reorganize and recover after injury

Neuroplasticity

Neurogenesis: New neurons migrate to different areas

Synaptogenesis: An increase in the number of synapses between neurons

Types of Neuroplasticity

The Hebb Rule

When brain cells are active together synapses are strengthened and preserved.

The neurons & synapses that are activated repeatedly are preserved while those which are not are pruned.

“Neurons that fire together wire together”

Brain Changes in Trauma

HPA Axis

Restores balance to body following stress by releasing various hormones & chemicals

(Southwick et al., 2005)

Brain-Body Regions Impacted by Trauma

Amygdala Detects Threat

Activates Hypothalamus

HPA Axis Initiates Hormonal Flood

SOURCE: Banks, 2002; Southwick et al., 2005

Trauma Activation Sequence

Can Trigger a Complete “Shut Down” in the Body

Mental Processing is “Cut Off”

from higher brain centers

Directing attention skillfully - the essence of mindfulness -

is a fundamental way to shape the brain, and one’s life over time.

~ Rick Hanson, PhD.

Author, Hardwiring Happiness& The Buddha’s Brain

{ }Rewire Your Brain - Build Resilience2Meditation

CHOOSE AN OBJECT OF ATTENTION

PLACE ATTENTION ON THAT OBJECT

RETURN TO IT OVER AND OVER

THE PRACTICE OF MEDITATION

““

INTENTIONAL NON-JUDGMENTAL

AWARENESS & ACCEPTANCE OF EXPERIENCES

IN THE PRESENT MOMENT

Mindfulness defined

““

Focusing on a meditative object such as:

• Thought constructs (prayers) • Internal image • Mantra (a repeated sound or word) • Specific body sensations (ex, the breath) • Various emotions (ex, joy, compassion)

Concentration Meditation

Examples: • Breath awareness • Body scan & progressive relaxation • Transcendental Meditation • Lovingkindness “Mettā” Meditation

Concentration Meditation

GENERATE THE FEELING & EXPRESS THE

HEART-FELT WISH FOR THE WELLBEING

OF ONESELF & OTHERS

Lovingkindness “Mettā” Meditation

““

May I be happy. May I be well. May I be safe.

May I be peaceful and at ease.


““

First we direct wishes of wellbeing toward ourselves.

May they be happy. May they be well. May they be safe.

May they be peaceful and at ease.


““

Next we direct wishes of wellbeing toward others - eventually the whole world.

INTENTIONAL NON-JUDGMENTAL

AWARENESS & ACCEPTANCE OF EXPERIENCES

IN THE PRESENT MOMENT

Mindfulness defined

““

• Attention regulation • Body awareness • Emotion regulation • Change in perspective on the self

Functional Effects of Mindfulness

• Reinforcing observing ego - Metacognitive awareness • Disengagement from mental material; de-automaticization

(Deikman, 1966); extinction through non-activation • Fresh perspective; de-habituation (Kasamatsu&Hirai,1973);

field independence (Linden, 1973) • Seeing the big picture; de-centering (Safran & Segal,1990) • Associating of neutral or positive perspective with negative

material; extinction through counter-conditioning • Recognizing the nature of experience: compounded,transient,

interdependent; disenchantment; equanimity

Functional Effects of Mindfulness

✴ Dispositional mindfulness correlated with less depressive symptoms and amygdala reactivity (Way et al., 2010).

✴ In healthy populations, MBSR and related trainings: • Decreased perceptions of daily hassles,psychological stresses,

and nonspecific symptoms (Williams et al., 2001)

• Increased empathy for self and others (Shapiro & Izett, 2008)

• Enhanced sense of well-being,self-actualization and self-directedness (Shapiro et al., 2005)

• Meditation improved attention (Carter et al., 2005; Slagter et al., 2007; Tang et al., 2007) and compassion (Lutz, Brefczynski-Lewis et al., 2008).

General Effects of Mindfulness

Evidence suggests that mindfulness practice is associated with neuroplastic changes in the:

• Anterior cingulate cortex • Insula • Temporo-parietal junction • Fronto-limbic network • Default mode network structures

Mindfulness: Mechanisms of Action

Mathieu Ricard, a French monk who practices Tibetan Buddhism, demonstrated excessive activity in his brain’s left prefrontal cortex when evaluated at the Univ. of Wisconsin.

A research study conducted by Dr. Sara Lazar at Harvard Medical School, showed 8 weeks of meditation resulted in a measurable increased thickness of the cerebral cortex and particularly the prefrontal cortex.

Hippocampus

• Visual-spatial memory • Establishing context;

inhibiting amygdala and cortisol

(Holzel et al., 2008; Luders et al., 2009)

Increased gray matter:

✴ Insula - interoception • Self-awareness; empathy for emotions

(Holzel et al., 2008; Lazar et al., 2005)

✴ Hippocampus - visual-spatial memory • Establishing context; inhibiting amygdala and cortisol

(Holzel et al., 2008; Luders et al., 2009)

✴ Prefrontal cortex (PFC) - executive functions • Attention control

(Lazar et al., 2005; Luders et al., 2009)

Effects of Mindfulness on the Brain : 1

Increased gray matter:

✴ Reduced cortical thinning with aging in insula and PFC (Lazar et al., 2005)

✴ Increased activation of left frontal regions (Davidson et al., 2003), which lifts mood (Davidson, 2004)

✴ Experienced meditators demonstrate decreased DMN activation during meditation. (Brewer et al., 2011)

Effects of Mindfulness on the Brain : 2

Experienced meditators demonstrate decreased DMN activation during meditation.

Judson A. Brewer et al. PNAS 2011;108:20254-20259

{ }3 Experiential ExercisesThe Attunement Meditation & TFT

TM

Using Thought Field Therapy & The Attunement Meditation

A n d r e a P e n n i n g t o n , M D , C . A c .

HOW TO

REDUCE STRESS &

www. AndreaPennington .com

RESTORE HARMONY

A ‘portable’ stress-relieving mindfulness

practice to enhance body and emotional awareness,

impulse control, self-acceptance and

self-compassion

The Attunement Meditation

““

TM

www.AttunementMeditation.com

http://www.AttunementMeditation.com

The Attunement Meditation 1. Allow

2. Attune

3. Align

5. Appreciate

4. Ask for & Act on Inspiration

TM

1. Non-judgmental awareness

2. Present moment attention

3. Acceptance

4. Self-compassion

5. Physiological stress reduction

6. Letting go/surrender

7. Emotional intelligence and insight

8. Self-generated positive emotion and gratitude

9. Adaptability

10. Flexibility

15 Resilience Skills Gained

11. Optimism & hope

12. Confidence

13. Positive Self-talk

14. Positive relationships

15. Meaning & purposeful living

15 Resilience Skills Gained

Free Audio Download

Guided Meditation for Healing & Resilience

www.AttunementMeditation.com

http://www.AttunementMeditation.com

www. AttunementMeditation .com/Compassion

Thought Field Therapy

A unique form of energy psychology which is a natural, drug-free, needle-free system to eliminate the cause of negative emotions.

• Especially effective in decreasing or eliminating feelings that are irrational or irrationally intense

• Well studied in PTSD

■ The method was developed in 1980 by Roger Callahan, Ph.D.

■ The first Honorary Member of ACEP, the Association for Comprehensive Energy Psychology, and considered to be the origin of Energy Psychology

The Origin of Thought Field Therapy

Thought Field Therapy for PTSD

Rwanda Genocide Survivors • ‘Brief trauma intervention with Rwandan genocide survivors,

using Thought Field Therapy’. International Journal of Emergency Mental Health, 13 (3), 161-172.

■ ‘Utilizing Community Resources to Treat PTSD: A Random Controlled Study Using Thought Field Therapy’

African Journal of Traumatic Stress Vol 3 No1, June 2013

■ ‘Effectiveness of Thought Field Therapy provided by Community Workers to a Traumatized Population in Uganda’.

■ Tapping acupoints breaks the energetic link between the feelings and the memory of traumatic events

■ Provides lasting, rapid relief of anxiety, phobias, pain, stress symptoms, hyperactivity, confusion

TANKEFELT–TERAPI BEHANDLINGSPUNKTER

Liverpoint Lp

Gamut-point (G) (Pain/Relaxation)

Indexfinger(IF) (Guilt)

(PR2) ”Sore” Spot Circular massage (Relaxing)

Beg. Eyebrow (Eb) (Trauma)

Thumb (T) (Grief)

Chin (Ch) (Shame)

Collarbone (Cb) (Harmony)

Outside Eye (OE) (Rage)

Under Nose (UN) (Embarrassm) (PR3)

Under Arm (A) (Immune system)

Littlefinger (LIF) (Anger, irritation, frustration, bitterness)

“Carate Chop Point”

(PR1) (Energy flow)

Under Eye (UE) (Fear, anxiety)

Long and ringfinger (Allergy)

”TRAUMA-

ALGORITHM”

Check: 0 - 10 Tap: Eb,UE,A,Cb (*)

”UNIVERSAL FEELING-

ALGORITHM”

Check: 0 – 10 Focus: shape/color Tap: Gamut-point 50+, Cb (*) At points marked (*) 0-10 should be reduced. If not, tap PR1 10-15 times, and start over again (or massage PR2 or tap PR3 and start over again). If new feelings or aspects appear: start a new treatment of the new feeling/aspect. For QUICK treatment of a spesific emotion: Tap relevant point+Cb. If no effect, tap PR1 10-15 times, and start over again (or massage PR2 or tap PR3 and start over again).

ER = ”Floor-to-ceiling Eye Roll” (To ensure the improvements when SUD is 3 or less) Hold your head level and start with your eyes moved all the way down. Begin tapping as you move your eyes slowly upward as far as you can (5-6 seconds). Close your eyes and repeat.

9G = ”9-Gamut – procedure” 1. Close eyes 2. Open eyes 3. Move eyes sharply down to one side 4. Move eyes sharply down to the other side 5. Rotate the eyes in a big, complete circle in one direction 6. Rotate the eyes in a big, complete circle the other direction 7. Hum a few notes of a tune (at least 3 tones) 8. Count to 5 9. Hum a few notes again (at least 3 tones)

It is indifferent whether you tap on the left or the right side of the body. (Except for PR2 – which is more ”sore” on the left side on most people)

Performed while continuously tapping on the Gamut spot.

Tapping points - Thought Field Therapy (TFT)

Bitta R. Wiese, TFT-instructor and Reg. Thought Field Therapist MNLH Cell. +47 93 00 13 41 [email protected] Thought Field Therapy

■ Trauma Algorithm Rate Symptoms 0-10 Focus on feeling, sensations & memories Tap Eb - UE - A - Cb

■ Provides lasting, rapid relief of anxiety, phobias, pain, stress symptoms, hyperactivity, confusion

■ Reduces craving to addictive substances


Liverpoint Lp





Thumb (T) (Grief)

Chin (Ch) (Shame)







(PR1) (Energy flow)



”TRAUMA-

ALGORITHM”



ALGORITHM”








Source: The Book on Quantum Leaps for Leaders by Bitta Wiese and Andrea Pennington

■ Pain Algorithm Rate Symptoms 0-10 Focus on feeling, sensations, shape & color Tap G - Cb

■ Provides lasting, rapid relief of pain

■ Reduces use of medication


Liverpoint Lp





Thumb (T) (Grief)

Chin (Ch) (Shame)







(PR1) (Energy flow)



”TRAUMA-

ALGORITHM”



ALGORITHM”








Source: The Book on Quantum Leaps for Leaders by Bitta Wiese and Andrea Pennington

To see video demonstrations of the tapping points visit

www.Wiese consult .com

To arrange a TFT training for your center contact Bitta Wiese at [email protected]

mailto:[email protected]

Download The Attunement Meditation & free guided meditations:

www. AndreaPennington.com/Resilience

Contact me: [email protected]

TM

THANK YOU!

Health & Medicine

Mindfulness, Meditation & Thought Field Therapy (TFT) for Recovery & Relapse Prevention in Addiction