Podcasts

In Mindcast

Jane O’Rourke – Self-compassion and Self-care 5 Minute Breathing Exercise

Needing more self-care? Jane O’Rourke leads us through a self-compassion breathing exercise to help nurture and steady ourselves. Jane is a Yoga and Mindfulness teacher and a Psychodynamic Child, Adolescent and Family Psychotherapist. She teaches Yoga4Trauma at the Tavistock Clinic.

Wellbeing Quiz Profile: #MoreFrantic

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Hello, my name is Jane O’Rourke. I’m a Child, Adolescent and Family Psychotherapist and a yoga and mindfulness teacher.

So start by finding a comfortable posture. It might be that you want to sit on a cushion or in a chair or perhaps lying down, whatever you feel you most need in this moment.

And start to take a few slow, easy deep breaths, just to let go of whatever you’re carrying around with you today, any emotional baggage. And then either closing your eyes or, just gently lowering the eyelids and then start to bring your attention to your breath. The intention here is to bring a friendly attention. So noticing where you’re breathing most easily. It might be that you can feel the breath most at the tip of your nose, perhaps as a cool breeze on your upper lip. Maybe you’re most aware of your chest, or your belly rising and falling. So bringing a gentle curiosity to the sensations of the breath. Just feeling your breath here for a while. And then when you notice that your mind has wandered as minds do, just come back to feeling your breath again…

Just let your body breathe you. So no holding of the breath or trying to change it in any way. And now put your hand on your heart reminding yourself that you’re bringing a kind attention to your breathing. Our breath is with us from the moment we are born until the moment we die. So our lifelong companion. So allowing yourself to appreciate this breath that sustains us. Wherever we go, whatever we’re doing, it’s always there, it’s there to help us when times are difficult, if we need to slow down, if we need to ground and steady ourselves.

So bringing curiosity and enormous gratitude for this, this breath that gives us life and then exploring how it feels by perhaps putting the other hand on top of the hand that’s already there, on top of your heart. And feeling this as a compassionate gesture for yourself, looking after yourself. Bringing a tender awareness to your breath, be really present to how you are in this moment, looking after yourself.

Not worrying about how many times your mind might wander, just gently returning it back to the feeling of your of the breath underneath your hands. And then gently resting your hands on your lap, just noticing how your breath is now.

Give yourself a few moments to experience the sensations in the whole of your body. A curious observer of what’s happening in your body in this moment. And staying here for as long as you like and then whenever you’re ready, coming back into the room in your own time.

In Mindcast

Henry Smith – Supporting Social Work Students During COVID-19: Stories from (the) Frontline

Henry Smith is a Principle Practice Tutor with Frontline. Henry discusses how Frontline have supported social work students during the pandemic, and the way students and colleagues creatively adapted to new ways of working.

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Hello, my name is Henry Smith, and I’m a Principal Practice Tutor for an organisation called Frontline. Frontline is a social work charity that trains students in social work practice a qualified route into social work. We mainly focus on children and family social work. And I support units of students based in children’s services departments.

So the changes that came as a result of COVID-19 happened very quickly for our students and for me. When Boris Johnson announced a lockdown, we suddenly went from seeing families face to face, and me meeting them face to face, to everything being remote. We had to adapt very quickly to a lot of new technology, and suddenly I was meeting participants via apps like Zoom and Skype. And a lot of our participants, the students on the programme would be, would have relocated for the programme and many were living in shared houses, and would be really working from their bedrooms, particularly a small number of participants who were isolating and wanted to continue with the programme. So we felt enormous duty of care in terms of supporting them through this very difficult time and, and helping them progress with the course that they wished to continue.

So I think for the participants on the programme, there was a sort of, lots of mixed emotions, there was a kind of fear for themselves due to the impact of COVID and that they might catch it, for the families that they were supporting and for their own families, but also a fear of what might happen to the programme, would they be able to complete their social work programme. They were nine months through their qualifying year when this struck, and there were lots of uncertainties, uncertainties that we couldn’t initially provide solutions for and we had to have a number of conversations around trying to sit with this anxiety of not knowing while we worked with social work England and the local authorities they were placed in to work out how we could get them to qualify.

And a couple of practitioners, the practice educators who worked with the students reflected to me that it was actually very hard for them in terms of they were worried about families and their, they would want to help families and that’s a lot of their professional self as a family, as a social worker would be to help families and to support them, but they could no longer do this because of being isolated in the lockdown. And they were reduced to contacting families via phone and feeling a little bit inept, and I think they found this very difficult and big challenge to their professional selves.

So how do we react to this, both me as a practice tutor, tutoring the students, and as an organisation? Well, very much the attitude was the show must go on. We are the largest qualifying routing to social work and to reduce that flow of social workers into the system at such a crucial time, when we are probably going to need more social workers, would have been very counterproductive. And the participants were very keen to proceed as well. So I had weekly meetings with my participants, particularly as some were so isolated, and were really, as I say, in bedrooms and in shared houses with people they didn’t know that well, unable to see the families. We made some social events, we did quizzes, I upped my pastoral support, we did some extra teaching, sticky stuff around the Black Lives Matter movement that was happening at the same time. We took time to share the technology we were using with families, programmes like Jamboard and TikTok, my participants were doing some fantastic work with families around that and making sure we weren’t breaching any data protection.

So what we saw was some great creative work and actually many of the families that had been due to close to the children and family social work teams actually requested that they, their families were kept open in order to provide extra support through COVID, and what I saw was social work students helping families make sense of some of the confusion and advice around COVID-19, supporting families with routines now that school is not in place, and particularly for parents who hadn’t had a good experience at school and didn’t feel very comfortable teaching their children, helping them, sending them educational resources and supporting them with how to manage that.

As well, these families who were still open, there were risks involved and there were concerns about the family’s welfare and just making sure we weren’t getting false positives from online visits and talking with children over digital platforms in terms of their wellbeing. But happy to say that the programme is close to completing and all the participants have passed the programme and I’ve seen some great social work along the way. Thanks for listening.

In Mindcast

Charlie Beaumont – The Value of Sport and Exercise During the Pandemic

Charlie Beaumont is a Consultant Child Psychotherapist at the Tavistock Clinic and Head of Psychotherapy in Islington CAMHS. Charlie reflects on the impact of COVID and the lockdown period on the experience of, and enjoyment of sport.

Wellbeing Quiz Profile: #DoingOkay

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Hello, I’m Charlie Beaumont Consultant, Child Psychotherapist at the Tavistock Clinic and Head of Psychotherapy in Islington CAMHS. I am known by friends and colleagues for my enthusiastic interest in sport both participating, and spectating, with interest in a broad spectrum of events.

As the gyms and swimming pools and stadia of the country have been closed since March because of COVID 19, and as we eagerly await reopening, however tentative and limited, I would like to share my own response.

COVID-19 first made an impact on me when the Arsenal manager Mikel Arteta caught coronavirus and Arsenal’s game, due to be played the following evening, was cancelled, swiftly followed by the suspension of all premiership matches. At the time I remember some sense of relief that the football association had taken it upon themselves to stop playing football when most of Europe was in lockdown, whilst the UK government hesitated.

Being at a football match the previous week, as I sat in the crowd of 60,000, I had wondered to myself whether it was entirely sensible to go a mass gathering when there was a virulent and highly contagious virus beginning to spread across Europe.  Two weeks later as the country was placed in lockdown, I began to have a more profound sense that I was going to really mind the absence of any sport to watch, which has been a staple of my everyday life since I was a small child, but I would also miss the ordinary participation in sport which had always been a part of my life.  My sporting life was going to have to change.

In addition, I worried how my children would cope. They had all been committed rowers often training 5 times a week: how were they going to fill their time? They were used to getting up very early, often before dawn in those dark March days, spending a part of every day with their friends and their coaches on the water or in the gym, and if not on a sports field of some description with a ball.

Being a football fan, when things are difficult you quietly enjoy the struggles of  others teams: so there were many rather too eager conversations about what irony it would be if Liverpool, who had been waiting to win the title for almost 30 years, were denied by the virus. 

This feeling soon passed, and rather than points and positions, runs and innings, I came to be obsessed with death rates and infections, vaccines and PPE. Questions about when football might start again seemed trivial, in the brave new world of loo roll shortages, and empty supermarket shelves. 

Interestingly conversations about football continued in the absence of the leagues: a regular Zoom quiz about football was quickly established. I even the purchased cones and training equipment to practice skills in the park. 

The absence of my exercise makes me aware of how often I use sport as way to shut down and escape from the moment. In my mind, being consumed by and passionately involved in sport helps as a way of maintaining a sense of perspective in life.  Football can really teach one about losing, however painful, and perhaps losing something together with fellow fans, or team mates, is easier than losing something alone?

I miss the odour of cheap burgers and greasy chips, as we approach the ground. I miss the smell and noise of the crowd. I miss the lunatic fan who hates all of his own team’s players. I miss the small children complaining about the game and hugging complete strangers when a goal is scored. 

My sense of relief that football has returned is immense: it is not the same as before, but at least it is back. You realise how important the presence of fans are for the game – it’s life blood in a way, but I also find myself being just as bothered about how my team play now.

The exercise, my personal regime, has been more complicated. When lockdown began I decided I would train every day. A new YouTube workout every morning with some bright young things contorting their body into impossible positions, and then me trying to imitate with the eager assistance of the dog.

My wish to hold on to the exercise came in the face of anxiety, terror and also a worry about how long the virus would continue to limit our lives in a myriad of ways. I wanted to hold onto doing something physical, pushing myself and not just giving up and feeling “what’s the point”. At times, this is indeed exactly what I have felt.  But in the main, trying to hold on to the idea of some form of exercise, and to be active most days, seems to have allowed me to stay in a more positive mindset than some.   

In my sporting life before lockdown, I swam at least twice weekly, but the highlight was my regular Friday football game, 11 a side, played with a groups of fellow middle aged men, always with an injury, and often a pint. I also cycled around 50 miles per week, just for transport.

So what has replaced this major part of my life? Regular walks with the children, the quality of interactions between adults and children seems to have been one of the great gifts of lockdown, we are no longer in a rush to training, or cricket, to swimming or the dock. I have seen this in others too. For the children, sporadic training seems to be the pattern, it seems much of their training was about friendship and shared endeavor, though they have competed in a virtual regatta against a club in Boston Massachusetts.

So what will remain in my memory, when this is over, will be a couple of evening trips to the beach after work, for a late swim with my family. We all swam, liberated, in the sea, for ages, and then hungrily ate fish and chips, on the shore. The beach was deserted by the time we got there, and we relished the freedom of the water. Similarly we walked an unknown path in the Essex countryside, we would not have ventured so far, had the parks and marshes of London not begun to be crowded as the summer heat encouraged conviviality, and gathering, whether permitted or not. It was beautiful and freeing, and we saw no-one other than within 100 metres of our parked car. Of course this took place once permitted as lockdown has gradually lifted or loosened.

I will be delighted to return to the football stadium, and the swimming pool, but I’m grateful for some memories which wouldn’t have otherwise been made. My children will be grateful to see their friends and they will be back on the water next week.

In Mindcast

Jane O’Rourke – 3 Minute Breathing Space

Jane O’Rourke guides us through a 3 minute Breathing Space. By turning towards our experience we can release and let go of tension. Jane is a Yoga and Meditation Teacher, and a Psychodynamic Psychotherapist with Children, Young People and Families. She teaches Yoga4Trauma within the Trauma Service at the Tavistock and Portman NHS Foundation Trust.

Wellbeing Quiz Profile: #MoreFrantic

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Hello, my name is Jane O’Rourke. I’m a Child, Adolescent and Family Psychotherapist, and I’m a yoga and mindfulness teacher.

So, come to a sitting posture, where you can find your sit bones on whatever you are sitting on, whether it is a chair or a cushion, so you can sit nice and tall, so a strong erect spine. And if possible closing your eyes or just lowering your gaze.

And then start to bring your awareness to your inner experience. So this is like an internal weather check, so asking yourself what’s your experience in this moment… what thoughts are coming up for you… perhaps even putting it into words, what your thoughts are and acknowledging what feelings there are here in this moment. And in this way we are turning towards whatever it is that we are feeling, so any sense of discomfort or unpleasantness, and maybe some pleasant thoughts too, just acknowledging whatever it is you are experiencing right now. And then what body sensations are here right now, perhaps just scanning through the body, picking up any sensations of tightness or discomfort, just acknowledging your experience.

And then just starting to direct your attention to the breath, focusing on the physical sensations of the breath itself… moving in to the sense of the breath in your abdomen, noticing the contraction of the breath and the out breath and the expansion of the abdomen on the in breath. And in this way we are using the breath as an anchor to the present moment. A smooth in breath, a smooth out breath.

And now expanding your awareness to the whole body, perhaps imagining in your mind’s eye your body here, your posture, noticing your facial expression, and if you become aware of any difficult sensations, breathing in, on the in breath to any discomfort, and breathing out on the out breath, a releasing and letting go.

And then whenever you are reading, coming back into the room in your own time.

In Mindcast

Jane O’Rourke – Short Breathing Practice For Easy Calm And Relaxation

Jane O’Rourke guides us through a breathing practice for when you do not have much time but would like to relax and calm down. Jane is a yoga and mindfulness teacher and a Psychodynamic Psychotherapist working with Children and Families. She teaches yoga4trauma in the Trauma Unit at the Tavistock and Portman NHS Foundation Trust.

Wellbeing Quiz Profile: #MoreFrantic

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Hello, my name is Jane O’Rourke. I’m a Child, Adolescent and Family Psychotherapist, and I’m a yoga and mindfulness teacher. Today we are going to do a really simple practice for when you don’t have much time but you would like to steady and calm.

So coming to a seated comfortable posture, so it might be on a chair or maybe you can find a cushion to sit on on the floor. And the aim is to try and get a nice straight back, so find your sit bones, so your spine can rise nice and tall and your shoulders can slide down the back, and your neck can be nice and long. And I invite you to put a hand over your heart, and the other hand, the finger tips just touching the floor, or maybe on your lap so you can feel the steadiness of the support of one hand and the other hand is in touch and supporting yourself. And then start to allow the breath to settle and relax, and just being in touch with how you are feeling in this moment.

And then I am inviting you to bring your focus to the breath at the tip of your nose. This is a really simple exercise, just being aware of the breath as it enters the nose, the in breath, and as it leaves the body through the nose on the out breath. Noticing the texture of the breath as it comes in and the slight warming on the out breath. Each breath a new breath of life, bringing oxygen to every cell in the body and a releasing and letting go on the out breath. And don’t worry if your mind wanders off as minds do, just gently bring back the focus to this next in breath coming in at the tip of your nose. Feeling the rise and fall of your chest on the in breath and the out breath and the steady rhythm of your heart. And then when you have taken your last out breath, placing both of your hands on your lap and just taking note of how you are feeling in this moment, and stay here for longer if you like, otherwise gently taking your time to come back into the room in your own time.

In Mindcast

Heather Chambers – Growing Up Black

Heather Chambers is an Assistant Psychologist working in the Camden MOSAIC CAMHS’s team for children with disabilities. Heather shares her powerful poem and an accompanying commentary to frame the poem that asks important questions about how all of us can actively do, say, and think things differently when racism is active – our own, or someone else’s. View the transcript to see the images that accompany Heather’s poem.

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Hi, my name is Heather Chambers and I am a black Assistant Psychologist working in the MOSAIC CAMHS’s team for children with disabilities. I’m sure by now you’ve all either seen or heard about the very public way in which George Floyd was killed. Like many other black people I’ve spoken to, his death and the way in which he was killed, touched something deep within us. It was something strong and unique, and it was something that united us all in our blackness. It was a united understanding, a united understanding that not only could George Floyd have been any of us, but also that his experience is us. When I watched his killing on national TV, I felt a pain like I had never felt before. I grieved for someone I had never met. I grieved for the world and the human race.

This pain and this grievance led me to think about my own experience of racism, and what that looked like growing up as a black female in the UK. I collected these thoughts into a poem, and I’m going to share those with you today.

Portraits, affixed to the wall of a gallery, tell the story of lands and great leaders of time gone by. Every great period of time has a story to tell. Every great period has something to solidify the greatness as a memory, to permeate that particular moment in time, so that when the future arrived, we would all remember, said greatness.

But do you remember my greatness? Do I even remember my own greatness? Are portraits of my ancestors affixed to the walls of the National Portrait Gallery, the Tate, The British Museum? Are the true stories of British colonialism plastered inside the pages of English history books?

So much of my history is lost. I don’t even know, and don’t think I’ll ever even know my true surname.

Surviving slavery was greatness, surviving racism for 400 years is greatness. Surviving being black is greatness. Being black is laced with the magnitude of greatness. And yet, somehow, I do not see this greatness anywhere. I do not hear it. People do not speak of it. The greatness that is so strong and solidified in my heart has been tarnished with a view of weakness.

You see, I exist in a world in which black history is more than just a month. It lasts for a lifetime. I exist in a world in which people act surprised when I start talking. And proceed to tell me how well-spoken I am. I exist in a world in which I’ve witnessed my brother be stopped and searched by police countless of times, just because. I live in a world in which my teenage self was branded as a bully, because I was strong and vocal enough to stand up to the real bullies.

I live in a world in which I am told all lives matter, and that racism no longer exists. However, if all lives matter, tell me this, why are black people still being killed?

I live in a world which saw the 13th Amendment to the US Constitution passed in December 1865, abolishing slavery for good. I live in a world in which 155 years after the supposed abolishment black people are still being spoken to, and treated like slaves. I live in a world in which George Floyd was allowed to be murdered in cold blood. I live in a world in which this injustice is apparently justice. I live in a world of constant trauma, fear and labelling. I live in a world that is not free. I live in a world that is not for me.

I know that many of you are shocked to see what is going on in America. But I’m not. I’m disgusted. I’m horrified. I’m angered. But I am not shocked. I have grown up around racism. I’ve experienced it first times, countless times, both as a young girl and as an adult. I have lived with it.

I know it exists, and I know it is wrong, and it needs to stop. Society must wake up, open their eyes and start smelling the racial coffee. Stand up for your brothers and sisters, speak out against racism. Be the voice that we need people to be.

So Black Lives Matters does it? In what way does it matter? Ask yourself, how will you show that it matters? How will you educate yourself on black history and what it means to be black? How will you stand up? How will you fight?

The time has come. Let’s fight with our mouths, fight with our words, and fight with our art. Let’s use our voice to make a difference. Let’s make a change. Growing up black was never easy. But I one day hope for a day when it will be easy for the future black generations to come. Because Black Lives Matter.

Thank you for listening to that poem. I just want to note that, although those are my reflections, those experiences are true of many black people across the globe.

And to close I just wanted to draw attention to two words, response and retaliation. In the past when I’ve tried to confront colleagues or friends about racism, they have often retaliated defensively. And their response has often been one of invalidation. The way in which we respond and retaliate to racism is crucial in bringing about change. Responding with empathy, openness, and a willingness to listen to people who have experienced racism first hand is crucial. Similarly, actively looking for racism, challenging racist behaviour, and not staying silent and complacent, are positive forms of retaliation, which are also crucial to change.

I’m tired, and black people are tired. We’re tired of talking and fighting this fight. Talking about being black or being a part of the BAME community, fixing racism, this is not the sole responsibility of those people. It never was. It’s the responsibility of everyone, including white people. To leave you with this, I want you to ask yourself, the next time you witness racism or hear someone say that you’ve been racist towards them. What will your response and retaliation be?

Thank you for listening.

In Mindcast

Melanie Wood – Overcoming Fear: Dealing with the unknown

Melanie Wood is an Independent Living Team Manager for Independence and Wellbeing, London Borough of Enfield. Melanie provides a guide to creating consistency in homecare settings.

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My name is Melanie Wood and I am a CQC Registered Manager within Independence and Wellbeing, Enfield.

To understand the critical importance of the work that our staff do, it is helpful to understand their working environment and their role.

Our staff go into people’s own homes after they are discharged from hospital, frequently after clients have had surgery, accidents and ill health. We provide rehabilitation and personal care services. Being a front-line carer is not an easy job – you are dealing with people at a vulnerable time of their life, often frail, elderly and recovering from illness, along with balancing the support of their anxious families.

Entering someone’s home with only basic information is daunting at the best of times – dealing with the additional risk of COVID infection, has posed a level of risk we have not experienced before.

In recognising the importance of this role, it is also important to consider how staff have felt during this time about their work.

This key group of staff had to make choices in relation to their work. We had a mixed approach to these, some staff wishing to remain home to protect vulnerable family members, and those who worked above and beyond, working additional hours at times to ensure our clients remained safe.

I experienced carers being tearful and scared, seeking constant reassurance, and as a manager I had to understand this and have empathy. I had to be a leader and had to view things from the perspective of our front-line workers. I had to listen to them!

The key areas of fear being experienced was:

  • Do we have the correct PPE?
  • Disposing of PPE safely
  • Being asked to support COVID clients
  • Risks when going home to family
  • Families in the client’s homes not adhering to lockdown measures or social distancing, and having sometimes difficult conversations with them
  • Social media information verses government information was confusing
  • Lack of testing initially available

It is important to share with you the measures we took to manage this situation, which resulted in all care and support services being delivered and staff being more resilient. When I review this today, I realise how far we have come, and what we have achieved as a service. Staff now have the approach “treat everyone as potential COVID”, which reduces the risk considerably. The staff have adequate PPE, and this has played a vital role in staff feeling safe.

We had no prior experience of such a pandemic across all sectors – we were going in to the unknown.

In those early days we were all adrift trying to find some routine, some structure, some consistency whilst information was being cascaded thick and fast; changing frequently, creating confusion and uncertainty. We went into new ways of working, office-based staff and managers having to work from home, to keep environments safe. I felt vulnerable, fearful and at times irritable. The fears being; what if I don’t get it right, what if I provide incorrect information, or not providing the right support at the right time, we could lose staff, or worst still not have the capacity to meet the needs of those we support.

The starting point was to increase Skype meetings. Moral was low, and no one had immediate answers to all the questions.

The Skype meetings with managers of other services within our organisation provided the backbone and support I needed. We were able to identify key individuals to do specific pieces of work, these being:

  • To contact recruitment agencies to obtain additional staff, to manage the reduction in staff available
  • Temporary redeployment of other staff teams, into front-line services to increase capacity
  • Reviewed the infection control policy, and circulate to all
  • Develop a detailed risk assessment, pulling together the government and NHS guidance
  • Contacting PPE providers to source adequate  PPE supplies
  • Consultation with HR to have the appropriate responses for staff experiencing different situations, and options available to them.

I followed on with a daily meeting with my teams. This enabled me to feedback current information promptly and ensured everything being cascaded was understood. This provided a platform for all staff to feedback openly, and without judgement and feel respected.

It was vital everyone was delivering the same message which was current and accurate.

In Mindcast

Jane O’Rourke – 5 minute Alternate Nostril Breathing for Calming and Soothing

Jane O’Rourke shares a traditional yoga breathing practice, Nadi Shodhana or alternate nostril breathing, that can quickly calm the mind. Jane is a Yoga and Meditation Teacher, and a Psychodynamic Psychotherapist with Children, Young People and Families. She teaches Yoga4Trauma within the Trauma Service at the Tavistock and Portman NHS Foundation Trust.

Wellbeing Quiz Profile: #MoreFrantic #FeelingHopeless

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Hello, my name is Jane O’Rourke. I’m a Child, Adolescent and Family Psychotherapist, and I’m a yoga and mindfulness teacher. Nadi Shodhana breathing, alternative nostril breathing, is really really good for helping to calm and centre the mind, I call it instant mental first aid because it is so good at helping balance the nervous system. In yoga tradition it is believed to synchronise the two hemispheres of the brain and a study has found that people who practice Nadi Shodhana, or alternative nostril breathing reported lower stress levels.

So if you would like to give it a try now find a comfortable seated posture. So, perhaps sitting on a chair or on a cushion on the floor so your back can be nice and straight, sitting nice and tall. And bringing your hand up towards your face, your ring finger is going to be placed very gently on your left nostril and your thumb is going to be placed very gently on your right nostril, and then the index finger and the middle finger are going to be very gently placed on your forehead. So the aim is to keep the breath nice and gentle and soft and relaxed during the practice, so not any forcing of the breath, and the idea is for a regular and even in breath and out breath and very very gentle and soft, so you can barely hear the breath. And I am encouraging you to go at your own pace if you are finding that I am going too fast or too slow. We are only going to do five rounds so it is going to be quite quick but it will be interesting for you to see what the effects are for you. If you don’t instantly feel calm and relaxed by doing this practice it might be something that you need to practice a few times to get the benefits.

So let’s begin, so just starting to take a normal breath in and out through the nose and then gently close off the left nostril with your ring finger and breathe up through the right nostril. Gently place the thumb on your right nostril and lift the ring finger off your left and breathe down through the left. Breathing up through the left, place the ring finger back on the left nostril and breathe down through the right. Breathing up through the right nostril, place the thumb back on the nostril, lift the ring finger off the left and breathe down through the left nostril. Breathe up through the left nostril, place the ring finger back down and breathe down through the right. Breathing up through the right nostril, place the thumb back on the right and then breathe down through the left. Breathing up through the left, place the ring finger back down on the left and then breathe down through the right. Breathing up through the right, place the thumb back down and then breathe down through the left. Breathing up through the left, place the ring finger back down and then bring the breath down the right nostril. And then gently taking the hand away, placing your hands on your lap and just take a few breaths in and out through both nostrils. Allowing the breath just to return to its normal rhythm, so not forcing the breath in and out, just allowing the breath to move in and out through the nose, nice and gently.

And perhaps watching your breath for the next minute or two, moving in and out of the nose at a nice, gentle, regular rhythm. Even in breath, even out breath. You can practice this everyday if you like as a way of keeping the mind nice and calm and steady.

In Mindcast

Maria McMillan – The importance of valuing your presence for others

Maria McMillan is a Psychiatric Nurse and a Psychoanalytic Psychotherapist. Maria talks about the importance, if you are working with those who are very ill or dying, of being there even when you can’t prevent the illness from taking its course. This material relates to a piece of work she carried out recently on behalf of the Tavistock and Portman NHS Foundation Trust.

Wellbeing Quiz Profile: #RelivingTrauma #DoingOkay

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Recently I was with a group of nursing colleagues and we were discussing their particular experiences of nursing at the height of the COVID pandemic. One nurse in particular, spoke with despair about feeling utterly stripped and bereft of any sense of being an effective nurse, he had seen so many patients die, he had felt so helpless that wondered whether he actually justified the title of being called a nurse.

I could see that my colleagues were nodding in some sort of recognition of what he was saying and the quality of his despair. So I asked him to say a little bit more, and he started to describe a particular patient he had been a key nurse for, and this patient unusually had been on the ward for over three months. In that length of time he had really got to know this woman, he had got to understand her he thought, he had provided her with comfort along with his colleagues, she had become quite a known patient on the ward because of the time she had spent there. He had known what had made her comfortable, what she liked to eat, what she didn’t like to eat, what made her irritable, what made her slightly more hopeful, he cajoled her, he tried to revive the life in her and accordingly on many occasions she did appear to be close to recovery, but then, as is often the case with a patient suffering COVID, there would be a very sudden unexpected and catastrophic decline in the state of health. But because she had recovered many of these dips in her health there was a consensus in the ward that she would probably make it. And then one day he turns up for an early shift and he is told the awful news that she had died very suddenly in the night. “What a waste of time!” he exclaimed, it was a shocking thing to say but it was authentic, and I knew that his colleagues understood exactly what he meant. We acknowledged that very painful and angry state of mind, when one’s efforts, one’s real hard dedication seems to have been worth nothing and that’s what nursing COVID patients often leaves the nurse with. It is a particularly cruel aspect of this type of nursing and this type of illness.

But I thought that it might be helpful to think what else was behind that anger and that sense of futility and we started to think about a sort of intimacy that does play a part in nursing patients who are not going to respond to a care plan or to a medication but who are inevitable there to die. It is a cruel travesty, in terms of nursing, to feel that there is nothing actively, there is no process, there is no procedure that is going to make a significant impact and you are left being a human being, ok with skills, with experience, but ultimately you are one human being with another person, with another human being who is dying. And we thought about the exceptional experience of doing that on behalf of society, being there with the patient at the most extreme point in their life and then inevitable death, and we thought about why it is so difficult in the quietness and in the space of being able to reflect, why is it felt so difficult to appreciate that might actually be a terribly important aspect of nursing. To really be with the patient, with their agony, with their despair, with their hope, with their irritability, that the being with all of those different things that one patient can bring, all those confusing and complicated things that the patient brings with them, that being with is implicit in the nursing role, and perhaps it is difficult for us as nurses to acknowledge it because it doesn’t get measured, it is not included in the care plan, it is not something that we easily can describe, but it is there in what we do and in being with the patient who has exhausted all of the doctors initiatives and skill and experience, it is down to the nurse to be with that patient and to do something that no one else is able to do, to watch, to feel, to be with and to witness.

In Mindcast

Nimal Jude – A View From Children’s Social Care

Nimal Jude is a Practice Development Lead at the Social Care Institute for Excellence (SCIE). Nimal discusses the blurring of boundaries between work and home life during the pandemic and the positive and negative emotions it can illicit in social care staff. She also shares 3 quick ways to support our emotional resilience throughout the day.

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We know that child and family social workers and team managers have been working hard to ensure children are safe during the COVID-19 pandemic. We have heard about innovative ways of working with families on the doorstep, in front gardens, parks and virtually online.

During our social work training many of us have been told to develop strategies to ‘switch off’ and ‘don’t bring work home’ and develop good ways of separating home life and work life. We are encouraged to distinguish between our personal self and our professional self – and examine where they overlap – both these ‘selves’ come to work every day – now both are at home as well.

What does it mean when we have to discuss very sensitive and emotional things with families and children from our own homes, even our own bedroom. During COVID the boundaries on home and work have become blurred.

Social work is always emotive and the added layers of COVID-19 compounds emotions. So, reflective and supportive supervision is vital to help unravel some of the emotions experienced.

A few years ago, I conducted some research asking newly qualified social workers (NQSWS) to rank their emotions, I did not specify positive or negative emotions. Can you guess what the top three emotions experienced were?

What top three emotions are you experiencing today? You can write them down and reflect on what you think may have evoked these emotions. Think about when you may have felt like this before – and what you did to work through the emotions.

Going through this process of feeling, identifying, understanding and developing strategies to make sense of and live with our emotions can help to build resilience and awareness when negative emotions surface again.

The top 3 emotions the NQSWS said they were experiencing were:

3. Anxiety

2. Anger

1. Sadness

When I shared with them that they were telling me the strongest and most frequent emotion they felt was sadness  – they were at first surprised but then shrugged their shoulders and said – of course, we are sad.  At that stage they did not have the opportunity to express their sadness about the families they were trying to support.

We know that when we experience emotions our body responds in certain ways for example a change in heart rate, blood flow, different hormone secretion and we might even walk differently and our posture changes. Sometimes when lots of people are in the same space experiencing similar emotions our bodies can mimic each other. This is one thing when we are working in our offices – but what does it mean when we are frequently at home with our families?

Can you think about where in your body you experience negative and positive emotions? What happens? Do you sweat, breathe differently, what do your hands do? Do you feel any sensations in your stomach, your head, your neck? What do you notice about your body posture and the way you move when you are feeling strong emotions. What do you notice about those around you?

Sometimes simply being aware of what is going on in our bodies can help us to recognise what is going on and put things in place to balance our feelings. We all know that diet, exercise, spending time in nature, mindfulness, reading and writing, yoga –  all can help us balance emotions. However, we are all juggling a number of things and with the best intentions we can sometimes overlook time for ourselves.

We are all often either thinking about the past – what we saw, what it means – or thinking about the future, what needs to happen, what we need to do – what about thinking about right now?

Here are 3 very quick ways that you can help you to pause and could help with starting and ending the day calmly and servicing your emotional resilience.

This 5 minute morning routine can help you set the day. – how do you wake up? Is it an alarm clock, children or pets jumping on you, the news on the radio or tv?

  1. Spend the first minutes waking up to soothing sounds… actually listen to the sounds
  2. For the second minute lay and stretch in bed. Stretching out all the parts of you body from toes to the crown of your head
  3. Minute 3 Get up and breathe – as your feet hit the ground spend one minute breathing in and out deeply – focus on the sensations of you breath filling and emptying your body
  4. Minute 4 – Stretch standing up – your arms,  legs, shoulders, neck
  5. Finally – maybe after brushing your teeth drink a glass of water – hydration for the body, mind and soul

This 5 min morning routine is something you can do by yourself or with others in the household.

During the day – you have a 5 min timeout to lose your mind come to your senses. Pause in the day to notice what you can hear, see, taste, touch, and smell. This will help to focus on the right now – not the past or the future.

As you head hits the pillow you can try colour breathing. This is when you think of a colour – and imagine breathing it in and breathing it out you could follow colours of the rainbow. Observe if a different colour makes you feel differently. This exercise will help you to focus on your body and mind as you end the day.

These quick and easy ideas do not require any fancy equipment and can be done anywhere at any time.

I hope these ideas for reflection and practical exercises help you to hit the pause button.

Let’s end by taking 3 breaths together- afterwards you might want to take 5 minutes out deciding how and when you will try these techniques and when you might do the written reflecting exercise.

So, are you ready for some 7 – 11 breathing?

With your feet flat on the floor, legs uncrossed and arms in your lap. Breathe in for the count of 7 – hold

And breathe out for 11 hold

Here we go