Strategy of the week: June 8th Edition

Kid strategy of the week:

  • Parent-Child Attachment Activities: Facilitate one of the following activities with the child and their parent or caregiver to improve attachment and attunement in the relationship:

    • Back drawing: Have one person draw a picture on the other person’s back, and ask them to guess what they drew. Take turns.

    • Mirror game: Have the parent and child stand facing each other. One person pretends slowly moves their hands, body, makes facial expressions, etc. The other person pretends to be the “mirror” and tries to mimic their actions while they do them.

    • Cotton ball hockey: For this game, you’ll need cotton balls, straws, and a flat surface like a coffee table. Parent and child face each other on either end of the table and use the straws to blow the cotton ball back and forth across the table (no hands allowed!). The person who makes the cotton ball fall off the other side of the table gets a goal.

  • Sample Progress Note: The focus of this session was… The therapist facilitated attachment activities (name activities) to help the child and their caregiver strengthen their attachment, increase parental attunement, and assist the child in feeling safe and seen. The dyad (engaged/did not engage/etc.) in the activity, and they reported that it was (fun/difficult/refreshing/etc.)

Couple strategy of the week:

  • Taking a Moment to Appreciate Your Partner: For many people, their partner is one of the people they rely on the most for support and safety. One thing that can strengthen feelings of security and mutual support in your relationship is to intentionally set time aside to appreciate the qualities and memories about your partner.

  • Sample Progress Note: The focus of this session was… The therapist facilitated an activity to help the couple strengthen their relationship by exploring positive qualities of their partner. The couple (engaged/did not engage/etc.) in the activity, and they reported that it was (fun/difficult/refreshing/etc.)

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Adult strategy of the week:

  • Hyperarousal, Hypoarousal, and the Window of Tolerance: Understandably many people right now are under tremendous amounts of stress. Our bodies have a natural system to handle stressful experiences, and when that system is activated we become hyperaroused (i.e., fight or flight) and/or hypoaroused (i.e., freeze). Knowing how your body reacts in each of these states can help you recognize your stress earlier, and therefore allow you to take care of yourself earlier. (Source)

  • Sample Progress Note: The focus of this session was… The therapist used psycho-education about hyperarousal, hypoarousal, and the window of tolerance to help client recognize how they experience stress and safety in their bodies. Client reported that the psycho-education was (interesting/helpful/boring), and they (did/did not) integrate the psycho-education into their narrative.

Mindfulness/meditation of the week:

  • Walking Meditation: Have the client walk around a room in their house, their backyard, or their neighborhood while you read this meditation to them.

  • Source: Burrell Education, https://www.burrelleducation.com/wp-content/uploads/2012/08/Meditation-Scripts1.pdf

  • Sample progress note: The focus of this session was… The therapist led a mindfulness activity (i.e., Walking Meditation). Ct. (engaged/did not engage in the activity), and they reported that the activity was (helpful/difficult/not helpful).

Standing/Start 

So, to begin this period of walking meditation, first of all let’s simply stand. Just stand on the spot, being aware of your weight being transferred through the soles of your feet into the earth. Being aware of all of the subtle movements that go on in order to keep us balanced and upright. Very often we take this for granted, our ability to be able to stand upright. But actually, it took us a couple of years to learn how to do this. So be aware of the constant adjustments that you’re making in order to maintain your balance.

Walking

And then you can begin to walk at a fairly slow but normal walking pace, and in a normal manner. We’re not going to be changing the way that we walk; we’re simply going to be aware of it.

Awareness of your body 

So first of all, keep in attention in the soles of your feet, being aware of the alternating patterns of contact and release; being aware of your foot as the heel first makes contact, as your foot rolls forward onto the ball, and then lifts and travels through the air. Be aware of all the different sensations in your feet, not just a contact in the soles of your feet but the contact between the toes, the feeling of the inside of your shoes, the fabric of your socks, and let your feet be as relaxed as you can. Become aware of your ankles. Notice the qualities of the sensations in those joints – as your foot is on the ground, as your foot travels through the air.

And let your ankle joints be relaxed – make sure you’re not holding on in any way. You can become aware of your lower legs – your shins, your calves. You can be aware of the contact with your clothing: be aware of the temperature on your skin; you can be aware of the muscles. And notice what the calf muscles are doing as you’re walking. You might even want to exaggerate for a few steps what the calf muscles are doing – just so that you can connect with that – and then let your walking go back to a normal relaxed rhythm. Encourage your calf muscles to be relaxed.

And then become aware of your knees- noticing the qualities of the sensations in your knee joints. Then expand your awareness into your thighs. Being aware of the skin, again the contact with your clothing, the temperature. Being aware of the muscles, and noticing what the muscles on the fronts of the thighs, and the muscles on the backs of the thighs are doing. And once more you might want for a few paces just to exaggerate what those muscles are doing – exaggerate the action of those muscles. And then letting your walk go back to a normal rhythm.

Becoming aware of your hips – the muscles around your hip joints — and relaxing those muscles. Really relax. Even when you think you’ve relaxed – relax them some more. And just notice how that changes your walk. Notice how the rhythm and the gait of your walk change as your hips relax. You can be aware of the whole of your pelvis – and notice all of the movements that are going on your pelvis. One hip moves forward and then the other; one hip lifting, the other sinking.

And you can be aware of the complex three-dimensional shape that your pelvis is carving out through space as you walk forwards. The lowest part of your spine – your sacrum – is embedded in the pelvis. So as you feel your spine extending upwards – the lumbar spine, the thoracic spine – you can notice how it moves along with the pelvis. Your spine is in constant motion. It’s swaying from side to side. There is a twisting motion around the central axis. Your spine is in constant, sinuous, sensuous motion.

Notice your belly – you might feel your clothing in contact with your belly – and notice how your belly is the center of your body. Very often it feels like it’s “down there” because we are so much in our heads. So seek to what extent you can feel your belly is the center of your body, as the center of your being. Notice your chest, and just let your breathing happen. Notice the contact that your chest makes with your clothing. Noticing your shoulders. Notice how they are moving with the rhythm of your walking. Let your shoulders be relaxed, and let your shoulders passively transmit the rhythm of your walk down into your arms. Having your arms simply hanging by your sides and swinging naturally. Notice all the motions in your arms – your upper arms, your elbows, your forearms, your wrists, your hands. And feel the air coursing over the skin on your hands and fingers as your arms swing through the air.

Become aware of your neck – and the muscles supporting your skull. Notice the angle of your head. And notice that as you relax the muscles on the back of your neck, your chin slightly tucks in and your skull comes to a point of balance. And you might want to play around with the angle of your head and see how it changes your experience. You might notice that when you tuck your chin close into your chest, your experience becomes darker and more emotional – that you’re more inward turned, somber. And if you lift your chin and hold it in the air you might notice that your experience becomes much lighter – that you become much more aware of the outside world and perhaps caught up in the outside world, or much more aware of your thoughts and caught up in your thoughts. And then, bringing your head back to a point of balance, your chin slightly tucked in.

Relax your jaw. Relax your eyes — and just let your eyes be softly focused, gently looking ahead – not staring at anything, not allowing yourself to be caught up in anything that’s going past you.

Feelings 

You can be aware of the feelings that you’re having; not in terms of emotions here, but just the feeling tone. Are there things that feel pleasant; are there things that feel unpleasant – in your body, or outside of you. So if you notice things in your body that are pleasant or unpleasant, just notice them. Don’t either cling onto them, or push them away, but just notice them. If you notice things in the outside world that are either pleasant or unpleasant, just allow them to drift by – just noticing them to drift by without following them or averting your gaze from them.

Thoughts and Emotions 

You can notice your emotional states. Are you bored? Are you content? Are you irritated? Are you feeling very happy to be doing what you’re doing. Again just noticing whatever emotions happen to be present. And notice your mind also. Is your mind clear, or dull? Is your mind busy, or is it calm? Are you thinking about things unconnected with this practice – or do whatever thoughts that you have center on what you’re doing just now. Just notice these things with no particular judgment – just noticing.

Stopping 

So, in a few seconds, I’m going to ask you to stop. And I’d like you to come to a natural halt. So, you’re not freezing on the spot; you’re just allowing yourself to come to a stop. So do that now; come to a stop. And just experience yourself standing. Just notice what it’s like to no longer be in motion. Notice once more the complex balancing act that’s going on to keep you upright. Feeling once again, the weight traveling down through the soles of your feet into the earth; simply standing, and experiencing yourself and, finally, bringing this meditation session to a close.