Tag Archives: Susan Bogel

Making Mindfulness Part of Your Life: Insights from an Adult with ADHD

By Lidia Zylowska MD

ZylowskaLidia Zylowska, MD is psychiatrist specializing in adult ADD/ADHD, mindfulness-based approaches and integrative psychiatry. Co-founding member of UCLA Mindful Awareness Research Center, Dr. Zylowska led the development of the MAPs for ADHD program and authored The Mindfulness Prescription for Adult ADHD book.

UCSD Mindfulness-Based Professional Training Institute is Book_zylowska_100pxnow offering Mindfulness for ADHD: Training for Adults, Parents and Professionals. The training will take place August 7-10, 2014 at Earthrise Retreat Center in Petaluma, CA. The training is a retreat-version of the 8-week MAPs for ADHD that my colleagues and I originally developed at UCLA. The training is open to all touched by ADHD: adults with ADHD and their spouses, parents of ADHD children, therapist or teachers that work with ADHD individuals. If that’s you, we hope you’ll join us for this gradual, ADD-friendly introduction to mindfulness. Please click here for more information or to register.

Preparing for the training, I recently posed several questions about mindfulness to Jon Krop, an adult living with ADHD. Jon has been practicing mindfulness for a long time and I wanted him to share his experience. Here are his answers which also highlight the fact that we each have to find ‘what works’ in keeping mindfulness in our lives.

Q: How do you think mindfulness (or meditation) helps with ADHD?

Distraction used to carry me off before I could even acknowledge what was happening. I’d be working on a project, and then before I knew it I’d be fifteen minutes deep in a Wikipedia black hole or surfing through random blogs. The process of distraction seemed to move too fast, with too much momentum, for me to intervene. Meditation has helped me with that. Not always, but decently often, I can spot the impulse to indulge in a distraction the moment it arises and before I reflexively act on it. It feels as if I have an extra second to decide what to do. Even when I don’t catch it that early, I catch myself earlier than I would have before I started my meditation practice.

Along those same lines of having an “extra second” to decide how to act, I feel that meditation has helped me think more before I speak. I used to say unintentionally hurtful things, only to regret it an instant after the words were out of my mouth. I didn’t have a filter — or I guess I had one, but it was too slow-acting to do its job. Now it feels like there’s a bit more space between the urge to speak arising and the words pouring out of my mouth, and I actually have a chance to reflect on whether or not I want to say what I’m about to say.

In general, there’s a feeling of increased clarity and control. I see the contents of my mind — impulses, emotions, thoughts, etc — much more distinctly, like they’re laid out neatly on a workspace in front of me instead of being a sort of murk clouding up my head. And where once my thoughts, impulses, etc would immediately grab me and sort of take possession of me, now I have that extra bit of space that lets me decide how I want to act and which emotions, impulses, etc I want to engage with.

Also, I generally just feel happier and more at ease. I didn’t realize how tense and jittery I felt all the time until I started meditating regularly and those feelings began to subside. My moment-to-moment experience is more peaceful and relaxed, with a sense that everything is basically fine.

Q: How do you think having ADHD has influenced your meditation practice?

I may have a harder-than-average time with the discipline of maintaining a daily practice. It took a lot of years to finally lock that down. Also, I’ve experienced doubts and fears about whether my ADHD will limit my ability to meditate, to progress along the path and experience the full benefits, etc. So far these doubts seem totally baseless, but I’ve had to face and overcome those beliefs so that they don’t become a self-fulfilling prophecy.

Q: Any advice for those for those with ADHD who are new to mindfulness/meditation?

1. Sticking to a daily practice is hard for everyone, and it’s probably even harder for us, but it’s really important. Here’s what’s worked for me:

-I wake up at a set time every morning and immediately meditate, before doing anything else. I have to be really strict about this. If I wake up late or do anything else first — breakfast, a workout, checking my phone — I have trouble getting myself to sit. But when I follow this rule, it’s almost effortless. Not sure why, but that’s how it is.

-If I absolutely can’t meditate first thing in the morning, and the resistance to sitting arises, I have a backup strategy: I shrink the length of the session in my head until I hit a level I don’t feel resistance to. Like, “Could I do 15 minutes? No, I feel resistance, I’m not gonna do it. Okay, what about 10? Still too long, the thought puts me off. Okay, 5? Huh, I don’t feel resistance to that. I feel like I can sit for 5.” I’d much rather sit for a short time, and keep the momentum of my meditation habit, than not sit at all.

2. Do a retreat as soon as you can, whether it’s ten days, or a week, or a weekend, or a day, or whatever you feel ready for. With daily practice alone, it might take a little time for the benefits of meditation to really show themselves (for me, it took a couple weeks). It can be a challenge to stay disciplined and put in daily work for a reward you haven’t experienced yet. You can skip that by doing a short period of intense practice and tasting the benefits right away. That should fire you up for the daily practice.

For More Information and to register for Mindfulness for ADHD: earthriseTraining for Adults, Parents and Professionals, August 7-10, 2014 at Earthrise Retreat Center in Petaluma, CA., please visit the UCSD Professional Training Institute website.

Attention is a Resource—Even With ADD/ADHD, and Mindfulness Training Has Been Shown to Help

By Lidia Zylowska M.D.

ZylowskaLidia Zylowska, MD is psychiatrist specializing in adult ADD/ADHD, mindfulness-based approaches and integrative psychiatry. Co-founding member of UCLA Mindful Awareness Research Center, Dr. Zylowska led the development of the MAPs for ADHD program and authored The Mindfulness Prescription for Adult ADHD book.

Recently the New York Times featured an article titled “Exercising the Mind to Treat Attention Deficits” by Daniel Goleman which highlighted the usefulness of mindfulness training for Attention Deficit Hyperactivity Disorder (ADD/ADHD). It is exciting to see a publication like NYT and the conventional ADHD researchers starting to see value of mindfulness for ADHD. I hope this will further our public and clinicians’ appreciation of mindfulness as a way to strengthen attention and emotion self-regulation skills in ADHD. My only wish is that the article did better job describing the resources that already exist for those interested in this approach, namely the Mindful Awareness Practices (MAPs) for ADHD program we developed at UCLA (1) and the Mindful Parenting/MYmind program developed by Dr Susan Bogel’s at U of Netherlands (5).   Such programs can help those struggling with ADHD (or clinicians that work with them) start incorporating mindfulness for ADHD management.

Book_zylowska_100pxAs an integrative psychiatrist specializing in ADHD, I have been working with ADHD since 2003. As a researcher at UCLA, I designed a feasibility study of mindfulness training in adults and teens with ADHD. The study was one of the first efforts to adapt mindfulness trainings to ADHD and my research collaborators and I set out to put together a program that was relevant to ADHD and overall taught in an ADHD-friendly way. Using MBSR and MBCT as models of mindfulness, we developed an 8-week training—Mindful Awareness Practices (MAPs) for ADHD–that was taught in gradual, ‘chunking way’ often helpful in ADHD. The program introduces new ‘objects of attention’ sequentially, starting with attention itself, then senses, breath, sounds, body, thoughts, feelings and interactions. We weaved ADHD education throughout the training. The formal practice was phased in gradually, starting with 5 min and up to 15-20 min, we emphasized informal practiced in daily life, and included self-compassion training. We anticipated that formal practice may be challenging for those with ADHD and wanted the training to be both flexible and encouraging. We also knew that self-doubt and negative feelings are common in ADHD and that self-compassion was much needed. The approach was well-accepted by teens and adults with ADHD in our study, who also showed reduction in ADHD symptoms, anxiety and depression and improvements on measures of attention and executive functions (1). Follow up studies further support the use of our program with ADHD adults (2) and children (3, 4) while Dr. Bogel’s group has shown that similar mindfulness-based approach can be helpful with families with ADHD children and teens (5-7).

The NYT article shows that combination of ADHD and mindfulness no longer raises eyebrows as it did back when I first started my research work. Then, I often had to respond to a question like this: ‘So you want to have people who have trouble sitting and paying attention sit quietly in meditation and pay attention?’ Now, there is a growing understanding that mindfulness is just the approach for ADHD, especially if taught in a gradual, ADHD-friendly way. So I am excited to say that UCSD Mindfulness-Based Professional Training Institute is now launching our course Mindfulness for ADHD: Training for Adults, Parents and Professionals, August 7-10, 2014 at Earthrise Retreat Center in Petaluma, CA. The training is a retreat-version of the 8-week MAPs for ADHD, a great introduction for those wanting to learn how to use mindfulness for ADHD. I am joined by Gloria Kamler, a long-time meditation teacher and faculty at UCLA Midful Awareness Center.   For this training, we decided to bring general public and clinicians together to create an accepting, non-judgmental learning environment in which both the unique struggles of ADHD and the struggles of ‘human condition’ can be seen on a spectrum. We hope to empower those with and without ADHD to incorporate a mindful and compassionate perspective into their lives.

I hope that if you or someone you know cares about ADHD, you will consider joining us for this training. The retreat setting will offer a respite and you get a concentrated dose of mindfulness. Why not hyperfocus on mindfulness for a weekend!

For More Information and to register for Mindfulness for ADHD: earthriseTraining for Adults, Parents and Professionals, August 7-10, 2014 at Earthrise Retreat Center in Petaluma, CA., please visit the UCSD Professional training Institute website.

Ref:

  1. Zylowska, L., Ackerman, D. L., Yang, M. H., Futrell, J. L., Horton, N. L., Hale, T. S., . . . Smalley, S. L. (2008). Mindfulness meditation training in adults and adolescents with ADHD: A feasibility study. J Atten Disord, 11(6), 737-746. doi: 10.1177/1087054707308502
  2. Mitchell, J. T., McIntyre, E. M., English, J. S., Dennis, M. F., Beckham, J. C., & Kollins, S. H. (in press). A pilot trial of mindfulness meditation training for ADHD in adulthood: Impact on core symptoms, executive functioning, and emotion dysregulation. J Atten Disord. doi: 10.1177/1087054713513328
  3. Uliando, A. (2010). Mindfulness training for the management of children with ADHD. Deakin University, http://dro.deakin.edu.au/view/DU:30033065.
  4. Worth, D (2013) Mindfulness Meditation and Attention-Deficit/Hyperactivity Disorder Symptom Reduction in Middle School Students. Walden University, http://gradworks.umi.com/35/99/3599854.html
  5. Bögels, S., & Restifo, K. (2014). Mindful parenting: A guide for mental health practitioners. New York: Springer.
  6. van de Weijer-Bergsma, E., Formsma, A. R., de Bruin, E. I., & Bogels, S. M. (2012). The effectiveness of mindfulness training on behavioral problems and attentional functioning in adolescents with ADHD. Journal of Child and Family Studies, 21(5), 775-787.
  7. van der Oord, S., Bogels, S. M., & Peijnenburg, D. (2012). The effectiveness of mindfulness training for children with ADHD and mindful parenting for their parents. Journal of Child and Family Studies, 21(1), 139-147.