Herald on Sunday

Mindfulnes­s isn’t a cure-all

- Kyle MacDonald Psychother­apist Kyle MacDonald answers your mental health questions. If you have a question, email kyle@psychother­apy.nz

Q I’ve been told I should “do mindfulnes­s” but I just hate it. Am I doing it wrong?

A Despite becoming quite the fashionabl­e

self-help tool, mindfulnes­s isn’t for everyone.

It also isn’t entirely clear what people mean anymore when they say “do mindfulnes­s”.

As a meditation practice, mindfulnes­s goes back thousands of years, and the specific kind of concentrat­ion-based mindfulnes­s comes largely from Buddhist traditions. First made popular by Jon Kabat-Zinn and his “Mindfulnes­s-Based Stress Reduction” approach to chronic pain, and then via Marsha Linehan’s “Dialectica­l Behaviour Therapy” or DBT, a therapeuti­c approach to borderline personalit­y disorder, it has spread far and is touted as a bit of a cure-all.

Like yoga, or drinking eight glasses of water a day, it can seem like something we all should do. But the fact is, in some instances, it can be unhelpful, even dangerous.

For instance, mindfulnes­s is a great tool for relapse prevention from depression, but not a great idea if you’re in the midst of a depressive episode. Why? Because it isn’t a great idea to focus more intensely on what’s going on inside when your thoughts are that painful and distressin­g. The same can be said for people who struggle with psychotic symptoms, intense flashbacks due to post-traumatic stress disorder, dissociati­on or severe substance misuse.

Of course, it’s helpful for lots of other things, including anxiety and general mental wellbeing.

As it has become more popular, one of the most important aspects of the practice is often lost: compassion. However, I would say that’s exactly what is missing, not just from mindfulnes­s but increasing­ly our wider culture.

Back to your question, it may very well be that it isn’t for you — and if so, that’s okay. However, if you want to seek out a more compassion­ate approach, then approachin­g it with gentleness and kindness, rather than pushing yourself to do what you can’t manage, is key.

Qclose

I get a hard time from people

to me for “talking to myself”. I often read things out loud, and need to talk when I think. Is that weird?

Acruel

It’s one of those strange old

things people used to say

isn’t it: “Talking to yourself is the first sign of madness.” Of course, it’s complete rubbish, because we’re all talking to ourselves all the time.

Just that for most the narrative is happening silently inside our own heads.

But many people find that to think clearly they need to say things out loud, whether it be drafting a text, or just wanting to hear how things sound. Not only is it normal, but it can also help — for instance, research shows that talking out loud can increase control over tasks. Like batsmen, or goal kickers muttering things to themselves before setting up to play.

But of course, ultimately, do what works. And if people have a problem with that, well, that’s on them, isn’t it?

Q My flatmates tease me for being OCD because I like things tidy, and I can’t relax if they aren’t. Are they right?

A Quite apart from the fact that obsessive-compulsive

disorder isn’t about tidiness, or a need for order, if it doesn’t bother you but it bothers them, then no.

True OCD is an anxiety disorder where people experience obsessive thoughts that compel them to do behaviours compulsive­ly.

But it has incorrectl­y come to mean tidy, perfection­istic or someone who loves order. But calling someone a bit OCD isn’t helpful for anyone, and in fact perpetuate­s stigma by making a mental health diagnosis, even used incorrectl­y, a term of derision.

It might, however, be a good idea for you to get a bit better at tolerating other people’s mess, and even a bit of chaos. None of this makes you in any way diagnosabl­e — and it might be worth gently pointing that out to your flatmates too.

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 ?? Photo / 123rf ?? Mindfulnes­s can be helpful for anxiety and general mental wellbeing but can be unhelpful, even dangerous, in other instances.
Photo / 123rf Mindfulnes­s can be helpful for anxiety and general mental wellbeing but can be unhelpful, even dangerous, in other instances.

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