1. Meeting Pain With Awareness Elizabeth Maher www.nz-act-training.com

2. * What is mindfulness * How can it be used for chronic pain * Practise mindfulness exercises

3. Pain Emotions Thoughts physical lifestyle www.nz-act-training.com

4. * Judgements * Negative thoughts about the pain and ourselves * Anxious thoughts * Depressed thinking * Brainstorming ways to soothe the pain * Scouring for solutions www.nz-act-training.com

5. * Anxiety * Despair * Anger * frustration www.nz-act-training.com

6. * Tense up * Lie down * Rest * Move/keep still www.nz-act-training.com

7. * Reduce activity * Reduce going out * Reduce spending time with others www.nz-act-training.com

8. * Kabat-Zinn MBSR programme 1979 * Originally created to help those experiencing chronic pain * Now also those experiencing stress, anxiety, chronic health conditions www.nz-act-training.com

9. Mindfulness Pay attention In this moment to my experience With openness and non- judgement www.nz-act-training.com

10. * moment-to-moment, non-judgemental awareness. It is cultivated by refining our capacity to pay attention, intentionally, in the present moment, and then sustaining that attention over time as best we can. In the process, we become more in touch with our life as it is unfolding.’ Myla & Jon Kabat-Zinn, Everyday Blessings; The inner work of mindful parenting’, pg 24 www.nz-act-training.com

11. * Awareness & thinking are different capacities * learning to relate to our pain differently * curious about the intensity of our pain * let go of goals and expectations * engage with the pain just as it is * Healing in awareness * More accurate perception of pain * Make room for distressing emotions * Disentangle from unhelpful thoughts www.nz-act-training.com

12. * Mindful breathing * Body scan * Leaves on a stream www.nz-act-training.com

13. * Pain that comes out and presents itself * chronic pain * uninvited/unwanted bodily sensations * Distressing emotions * Life adjustments/changes/events * Grief/loss www.nz-act-training.com

14. * You used to live a life that you loved…now your life is devoted to trying to keep the pain at bay * Putting life on hold * Disconnection from life www.nz-act-training.com

15. suffering Values disconnect avoidance Pain mindscripts www.nz-act-training.com

16. awareness Present moment experience Make room Make room for feelings (emotions and bodily sensations) defusion Notice thoughts/mind script without getting entangled www.nz-act-training.com

17. * F * F eel it * L * L et it Be * Ex * Ex pand awareness (make room for it) * Ex * Ex ecute (choose workable response) www.nz-act-training.com