Benefits of Mind-Body Fitness Classes for Cancer Patients: A Preliminary Research Study

If you needed yet another reason to turn to meditative exercise practices in the course of cancer treatment, here it is.

A recent, unpublished study that was presented at the 2023 ASCO (American Society of Clinical Oncology) Quality Care Symposium, entitled “Virtual Mind–Body Fitness Classes Show Unexpected Benefit in People with Cancer” (Mao et al., 2023), examined the effects of virtual mind-body fitness classes on visits to urgent care or unplanned hospitalizations for cancer patients who were in active treatment and were dealing with moderate or greater fatigue.

While mind-body practices are already recommended for cancer patients to help deal with the symptoms of treatment and its emotional fallout, the results of this study illuminated specific benefits. Those patients who had been assigned to the group given access to virtual live mind-body and fitness classes (called Intergrative Medicine at Home, or IM@Home) had fewer hospitalizations and shorter hospital stays, in addition to fewer visits to urgent care, compared to those subjects who were only given access to pre-recorded online meditation resources (Enhanced Usual Care, or EUC).

It’s not surprising that mindfulness benefits cancer patients, although it’s striking how those benefits manifest themselves.

This study was run at the renown Memorial Sloan Kettering Cancer Center (MSKCC) with 200 cancer patients randomized into the two groups (IM@Home and the stan, which makes the design more solid and increases confidence in the results. Nonetheless, as the lead author Dr. Jun Mao (Chief of Integrative Medicine at MSKCC) stated in the National Cancer Institute’s Cancer Currents blog, “I do want to caution that the current trial was designed as an early-phase trial, so we would like to do a larger study with longer follow-up to confirm our results before we are completely confident in the findings.

A larger study is currently in the works. Dr. Mao would like to explore whether these classes help patients follow through on their treatment plans, and if so, whether these patients also live longer.

The IM@Home group’s classes included a variety of classes (again, quoted from Cancer Currents blog): “Some of the classes taught participants movement-based activities such as yoga, tai chi, and dance therapy; other classes taught meditation-based practices, such as music therapy and mindfulness.” It is already known that exercise during cancer treatment can reduce fatigue, but the researchers felt that part of the success of this study was due to the participants’ ability to choose the level of exertion based on how they were feeling at the time of the class.

Looking forward to further research on the ways that we can support cancer patients physically, emotionally and spiritually!

As Dr. Mao pointed out, more directed research on this must be done before drawing specific conclusion, but this was a very valuable pilot program, the results of which would not surprise those of us who have made use of various exercise modalities, particularly those with a mind-body angle, for calming ourselves during our cancer journeys.

The more this subject is studied, the greater the chance that cancer centers focusing on whole-patient treatment will be offering such classes to their patients. COVID taught us that there are ways to make classes accessible to people with limited mobility or conditions that may prevent physical travel to classes.

While I believe that attending mind-body oriented classes in person is ideal, this study illustrated that even virtual opportunities can have significant benefits for the patient.

It’s worth pointing out that of the 200 study participants, 91% were female and 77% were white. That is not a diverse spread and reflects the typical clientele at your average yoga studio (based mainly on my personal observations), with the exception being that the average age of these study participants was 60 years. I would be willing to bet that less-represented groups would benefit greatly from the stress relievers offered here and I hope that the researchers expand their subject pool to balance out the participants in their future study.

Regardless, these are intriguing results that underscore the important of mind-body focused classes, and exercise in general, in the well-being and improvement of cancer patients. This study joins a growing list of research that is changing the way that we look at managing cancer treatment side effects.

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REFERENCES:

Reader-Friendly
Windstead, E, Virtual Mind–Body Fitness Classes Show Unexpected Benefit in People with Cancer, Cancer Currents, December 15, 2023:
https://www.cancer.gov/news-events/cancer-currents-blog/2023/mind-body-fitness-cancer-side-effects

Research Study Abstract
Mao, JJ et al., Effect of virtual mind-body fitness program on reduction in unplanned hospitalizations among patients undergoing active cancer treatments: A pragmatic randomized clinical trial, presented at 2023 ASCO Quality Care Symposium, October 28, 2023:
https://meetings.asco.org/2023-asco-quality-care-symposium/15514?presentation=227485#227485 (note: click on “Abstract 473” on right side panel for abstract text)

A Different Take on Advent

(Title image: Photo by Niklas Ohlrogge on Unsplash)

For anyone here who has celebrated Advent, you know it as the period of time comprised of the four Sundays (and the weekdays in between) leading up to Christmas in preparation for the arrival of the Messiah. The 2023 season of Advent starts this coming Sunday, December 3rd. [Edit: Many consider Advent to run from Dec 1 – Dec 24, and that suits the purpose of this post also.]

Advent has historically been observed by Christian religious dominations and is marked by the lighting of four candles, one for each Sunday. But it is most famously known by everyone as the four or so weeks before Christmas when you “give up” something.

Advent wreath with four colored candles representing hope, peace, joy and love, one lit every Sunday of Advent. The white candle can be lit on Christmas Eve or Christmas.
(Photo by KaLisa Veer on Unsplash)

Growing up, we’d usually give up sweets during this time, only being allowed a little something each Sunday, with the idea that we would appreciate the candies and cakes at Christmas all the more.

But you know what? I don’t really think it had that effect. That was something geared more towards our stomachs than our souls. Sure, we’d look forward to finally indulging in holiday goodies…but that was about it.

And as the years went on and treats played an ever-decreasing role in my life, I flailed around looking for something else to deny myself. Let’s face it, I was missing the point.

More recently, I’ve turned Advent into a different kind of spiritual opportunity.

So I’d like to offer a most positive way of observing those last weeks of the year for everyone, regardless of religious affiliation. And it has nothing to do with depriving yourself of anything.

Rather, it’s a blissful gift for yourself…and your soul, if you will.

Not everyone lives where the winter weather is warm enough to pick up trash on the beach…but I’m willing to bet that most of us live in a place where we can lend a hand to a charitable organization.
(Photo by Brian Yurasits on Unsplash)

For this Advent, I invite you to commit to several weeks of establishing a new thoughtful behavior. This can look different for everyone:

Perhaps, it’s time to set aside a few minutes in prayer and contemplation, as it suits your own spiritual tradition.

Perhaps it’s an opportunity to commit to volunteering for a charity, giving to others without expecting anything in return.

Perhaps it’s a time to establish a simple meditation practice, a few minutes a day at a specified time.

Perhaps it’s an opportunity to practice daily mindfulness, say, when you make your morning coffee or tea, truly focusing on the process and what the items feel like in your hands.

Perhaps, it’s time to think before reacting, pausing before getting angry and saying something hurtful.

This Advent might be the perfect opportunity to establish a practice of mindful contemplation.
(Photo by Ümit Bulut on Unsplash)

Perhaps this is the time to go through your belongings, a little every day, and gather up what you can give to others in need, or discard if the item is no longer of use to anyone.

Perhaps this is time to think about all the things for which you’re grateful, starting or ending your day in this way. And if there’s nothing that you can be grateful about, then consider what you’re grateful that is *not* happening.

Choosing what to focus on for Advent can be a very mindful process in itself. And after about a month of this practice, you will emerge with a beautiful new habit.

Give it a try and I wish you a beautiful Advent season!

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Please note: I realize that there is a much deeper religious meaning of Advent for Christians, and I’m not trying to minimize that. However, in this time of hyperpolarization when we’re so focused on what sets us apart from those around us, this is a thoughtful way to share the Advent tradition with everyone, with love. And isn’t that the spirit of Christmas?

5-Minute Meditation: Lovingkindness with Jon Kabat-Zinn [VIDEO]

(Title image: Photo by Mei-Ling Mirow on Unsplash)

Since we’re in the season of gratitude and mindfulness, it’s a great time to post about Dr. Jon Kabat-Zinn, Professor Emeritus of Medicine of the UMass Medical School. Among other things, he is the founder of the Mindfulness-Based Stress Reduction (MBSR) program, which I had the privilege of taking in early 2018.

For this week’s post, I’m including a short, 5-minute guided video meditation by Dr. Kabat-Zinn that was presented as part of his class on MasterClass.com (I was fortunate enough to take this class also). While the subscription to MasterClass is somewhat pricey, the meditation below is free.

The video requires little time investment and will pay back rewards in spades. I hope you enjoy!

This is a beautiful mindfulness meditation for right now.

There are a number of other meditations and talks by him available on YouTube. If you currently don’t have a mindfulness meditation practice, I encourage you to give yourself a gift by looking him up. His videos are the perfect place to start.

Two Anxieties but One Breath

So, something occurred to me as I was dealing with stress about a work project…and then got news of changes that may require us to quickly move from the place in which we’ve lived for over ten years.

I am experiencing two different textures of anxieties. I’ve heard people discuss chronic and acute anxiety, but I would characterize the way I experience anxiety differently.

The first anxiety may wear you down but won’t require a complete change in your life.
Photo by Aiony Haust on Unsplash

The first is anxiety about what may happen or anxiety about what has taken place in the past and I can’t change. That encompasses stressful events that you need to work through, like a job-related project, which requires holding on and managing. It’s more of a chronic type of stress even though it might be time-limited. There are things out of my control or, in the case or what has already taken place, there’s no going back. It doesn’t qualify as life-changing as it may intensify and relax depending on conditions.

The second, however, is anxiety about something that *is* life changing. Those of us who have been handed a cancer diagnosis know what it feels like. It means that the future will look dramatically different from what we expected it be. Other examples are a death of a loved one or losing everything in a natural disaster. A sudden involuntary change in your living situation. This requires letting go and radically recalculating what you’ve become very used to. It can be very difficult to do, especially for those of us who like stability in our lives.

The first anxiety is exhausting. The second is terrifying. Having experienced both, I can definitively state that the first anxiety pales in comparison to the second. In fact, in the face of the second anxiety we may actually let go of the first completely and wonder why it ever bothered us.

The second anxiety is more intense and will alter life as you currently know it.
Photo by Ann on Unsplash

At the same time, as terrible as it may be, the second anxiety offers us a perspective and clarity that we would be hard pressed to accept as quickly any other way.

I do not wish either of these anxieties on anyone, but if there’s a bright side to them it’s that the same type of mindfulness practice that helps us deal with the anxiety of the first kind will also help when the expectation-smashing heaviness of the second anxiety hits.

Although you may still wake in the middle of the night, heart racing and wishing things had not changed, a consistent mindfulness meditation practice will provide you with the tools to smooth the jagged edges of rumination and fear, slowing the breathing and with it the heart rate, even in the presence of frightening thoughts.

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Of course, since this is a mindfulness blog in addition to being cancer-related, I cannot resist talking about one of the most effective techniques that I’ve found for calming myself: belly breathing.

Start by simply breathing deeply into the belly, as anxiety often results in shallow breaths. The deeper the inhale, the more air you will have for the exhale – try matching inhales and exhales in length. It won’t happen immediately. Give it time.

Create a breathing cycle and keep going. Establish a breathing practice and stick with it.
Photo by Brett Jordan on Unsplash

Keep breathing into the belly, fully engaging the diaphragm, allowing it to drop and make space for your lungs.

As you do this, focus on the breath. The uncalm thoughts can still be there, but gently allow them to sit on the sidelines for now. I used to try to completely push them away, but they would bob back up to the surface like a balloon pulled under water, bringing the intensity of my anxiety back with it.

So let them be there…keep one eye on them if necessary but give your breath the main stage.

Once the inhales and exhales have evened out in length, insert a short pause between them. Breathe in … pause … breathe out … pause. Just a little stop to elongate the cycle. Consistently breathing into your belly.

Transition to full box breathing, where the inhales, exhales and pauses are all equal in length. If you get very comfortable doing this, for a little extra, try to make the exhales just a touch longer than the inhales.

Or if it gets tiring, simply try to make your exhales a little bit longer than your inhales and dispense with the pauses altogether.

Maintain this type of soothing, intentional breathing for a few minutes or longer, depending on how your body is responding or what your nervous system needs today.

Truly, you don’t have to do this perfectly or adhere to a specific count. Simply focusing on your breath and slowing your breathing will help immeasureably in making space for your thoughts so that you can back away a bit and survey the scene without feeling claustrophobic, no matter which anxiety you’re dealing with at the moment.

In the Midst of “Breast Cancer Pink”, Finding Stillness: A Meditation

As you’re probably aware by now, October is Breast Cancer Awareness Month. For breast cancer patients and recent survivors, seeing all that pink around can be a little stressful.

Yes, it’s important to maintain awareness that 1 out of 8 women in the United States will be diagnosed with breast cancer at some point in their lives. Those of us who have already been…well, it would be nice to forget about it once in a while.

One out of 8 is a lot of pink!
(Photo by Pawel Czerwinski on Unsplash)

So for this post, I want to offer you a very simple meditation. No prep needed.

Pause where you are right now and become still. Right where you are.

Notice how your body feels in the space that you’re inhabiting. What sensations do you feel most strongly?

The expansion and contraction of your ribcage with your breath?

The contact points of your body on the surface where it rests?

Perhaps a pesky little ache somewhere, in your joints, muscles or around an incision?

Tingling in your fingers or toes?

Are you gripping anywhere? If you notice tension somewhere in your body, very very slowly see if you can soften it. It’s okay if it doesn’t release completely – imagine that part becoming heavy and pliable.

And then see what other physical sensations make themselves known to you.

Stay with your body. There might be a lot going on in your mind right now, but that’s “up there” in your head.

Here. Stay down here.
(Photo by Tim Mossholder on Unsplash)

We are down here in your physical being. Feel the stillness that exists here, not agitated by your thoughts. It’s okay if there’s noise in your mind, like if you lived on the floor below a bustling office. All those workers up there, getting their stuff done.

You can hear them, moving about, speaking in muffled tones, keeping busy. That’s all okay. They can be there.

But we’re all hanging out in stillness down below, with distance between what’s going on here and what’s happening elsewhere. We have space.

How does it feel knowing that you have permission to be still? That you don’t need to drop everything and dash upstairs? The thoughts can wait. They’re not going anywhere. You have time.

Eventually, you’ll return to the hustle and bustle up there. But know that you can always take a break, come down into your body and sit in the stillness that is here.

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This October in particular is very busy for me. A big project at work, the holidays around the corner, prepping for guests while our apartment STILL awaits repairs. And then strange guilt that I’m not doing more yoga teaching. It’s a lot to manage in my head, all this piling on of responsibilities.

So that meditation up ^^^ there? Yeah, I needed that. ❤

Mindfulness 101: You’ve Got Options!

It’s been a long work day so this post has a simple message: you have options in practicing mindfulness meditation. And then for good measure, at the end I toss in an article about other meditation practices you can try.

In a nutshell, mindfulness meditation is the process of noticing your thoughts (“awareness”) and observing them without judgment (“acceptance”). It often involves an anchor, such as the sensation of the breath or a constant sound in the background, that the meditator focuses on for the purpose of grounding and staying present. The anchor is what we return to after we realize we’ve been pulled away by thoughts.

The anchor to presence is what we return to after we find ourselves carried away by thoughts.

This way we explore the concept of impermanence as it relates to life and our own situation. Everything is in flux. Negative experiences pass, positive experiences pass and we move through it all. The more we practice, the more we are able to notice the ups and downs without being as affected by them.

In the same way, I consider mindfulness meditation to be fluid without rigid rules. For example, you do *not* have to be seated in Lotus pose with your hand on your heart. You do not need a special cushion, outfit or music. There are no specific words to recite or candles to light. However, you are welcome to do all of these.

Lying down, seated on a chair, leaning against a tree or riding a crowded bus holding on to a strap are all viable positions. Eyes open, closed or half-shut. Paying attention to bird songs, a light rain, a washing machine or cars whooshing down the road, all good. In the early morning, during a work break, when the kids are napping or when you’re settling in for the evening are all ideal opportunites.

You don’t have to be in a specific location in order to practice mindfulness meditation, although admittedly some places come with a better view than others.

Even carelessly sprawled out on your bed, noticing how it feels to do that, no matter how dorky you think you look. Mindfulness doesn’t judge.

All of these are good conditions under which to practice mindfulness meditation and that is one of the things that I feel makes it an ideal meditation starting point.

As you continue to practice, you develop a tool with which to nurture a sense of peace and calm down a busy mind. It is a tool that you can take with you no matter where you go, like a little gift for yourself that you keep in your pocket, bringing it out whenever there is a need.

And since we’re talking “meditation options”…

I’ll finish up by noting that just as there are different ways to engage in mindfulness meditation, there are a number of other meditations that you can try if you want some variety.

For that, I’m going to punt you over to an article on the website Healthline, written by Holly J. Bertone, CNHP, PMP, and Crystal Hoshaw, entitled, “Which Type of Meditation Is Right for Me?” I really liked the information mentioned here, including the nine types of meditation that they describe:

  • mindfulness meditation
  • spiritual meditation
  • focused meditation
  • movement meditation
  • mantra meditation
  • transcendental meditation
  • progressive relaxation
  • loving-kindness meditation
  • visualization meditation

See the Healthline article for more information.

I do not believe that the above is an exhaustive list by any means, although it is a wonderful place to start if you want to explore other meditative practices. While I feel that mindfulness is one of the most accessible meditations for beginners, if you feel inspired to try something new, there are many options to choose from.

The only thing you “should” do is begin. 🙂

Mindfulness 101: Avoiding Avoidance

There is, unfortunately, a trap that some people may fall into when practicing mindfulness meditation.

In the context of selecting a point of focus that anchors you into the present, there is that teensy possibility that someone just starting out with meditation might focus without equanimity.

Equanimity is the ability to maintain balance and a sense of calm in both good and bad situations. It is the acceptance that impermanence and suffering are a part of life, and it is the state of allowing all feelings to pass through you, observing them without judgement or expectations brought on by previous experiences.

Equanimity is being able to allow in both the good and the bad without getting dragged through it.

Allowing emotions in when you’re trying to stay calm and collected might seem a little counter-intuitive, but in fact, I consider it to be to goal of mindfulness meditation. That’s because the most important time to maintain a sense of inner peace is exactly when the proverbial sh!t hits the proverbial fan. Mindfulness meditation provides us with a safe space within which to practice just that.

The tendency, however, is to try to keep difficult emotions out. I myself encounter a lot of resistance when doing guided meditations that focus on bringing up uncomfortable thoughts, particularly in the evening, when I’m most susceptible to anything that might perturb my sleep.

However, not allowing those thoughts in can set up a pattern of avoidance, depriving us of the opportunity to learn to deal with them. And this avoidance can imbue difficult thoughts with even more power, as if they become the boogeyman lurking behind a door that we’re terrified to open. That’s not a good thing.

So how do we get around this?

Pick a good time to explore the stickier side of things; I would caution against the evening, when, as I mentioned above, bringing up tough feelings can agitate you and make it more difficult to fall asleep. Keep the environment quiet, comforting and safe, with gentle music in the background, if that suits you. I like mid-morning time and natural light, with a cup of tea or cacao or anything else that feels soothing.

Choose your anchor: your breath, a bodily sensation like tingling in your hands, a constant sound in the the background…even lofi music from YouTube.

If you feel too drifty, keep your eyes open to help ground you. Perhaps focus them on an object that brings you peace, such as the photograph of a loved one or an image of a peaceful place.

Give yourself a calm opportunity to explore complicated emotions.

Breathe deeply and pay attention to gripping or tightness in your body, especially forehead, jaw, neck, shoulders and belly. Consciously release any areas that seem to clench as you go along.

And then allow whatever comes up to come up. Observe them…and then let them go. No need to analyze or justify. Imagine that you’re made of Teflon and those uncomfortable images slide off you.

If needed, sit further away from them. When the intensity gets too high, you might need space, so imagine that they are flowing past as if you’re on the bank of a river and they are the leaves that float by on the surface of the water. They come and they go and you breathe deeply through it all.

As you practice, maintain your focus the best that you can. The point of your focus is not the thoughts, it’s the breath or whatever other anchor you might have chosen. This way, the thoughts move independently and subside as smoothly as they appeared. If you find yourself getting stuck, return to your anchor and remind yourself that in this moment, you are safe.

IMPORTANT: If your thoughts are tied to trauma or the intensity seems unbearable, please seek out the help of someone professionally qualified to help you deal with them. Mindfulness meditation is a wonderful tool, but sometimes it’s not enough.

Sinking into the Depths, but in a Good Way: A Meditation Visualization

As I return to really sinking down into my meditation practice, I am reminded of what I’ve been missing out over the past few months when my practice gradually changed and “shallowed”.

Due to pressures and stressors the start of this year, I had been skittering over the surface of my meditations, much as you would imagine barefoot skiing over the surface of a large body of water, and I use this as a visualization of my experience.

It is not fun trying to keep my head up and focused through my distractions.

Up on the surface, you have wind and waves to contend with. The more time that you spend up on top of the water, the more tumultuous distractions you find there and it becomes more difficult to find a sense of calm. The more you do that, the more it becomes habitual.

But when you stop charging across the surface — resisting the enticing attraction of thoughts — then you find yourself slowly sinking…but in a good way. Thrashing winds disappear, sounds become muffled and fade into the distance, movement slows. The deeper you descend, the more quiet you find there.

There are times that I think I’ve been meditating, only to realize that I’ve floated up to the surface and am actually bobbing around in the choppy waves of my thoughts. That realization comes more quickly the more time I’ve spent in the depths, and when I return to the process of sinking, it feels like such a relief.

The deeper I allow myself to descend, the quieter I become. It becomes less of a struggle to stay down.

I can learn to sit with frightening creatures the way I can learn to sit with unsettling thoughts…and vice versa.

And as I get progressively deeper, light dims. Initially, the darkness felt a little intimidating (I’m not a fan of dark water). But then I remembered, this is my ocean. I decide what dwells in the darkness. I can fill my ocean with fearsome, aggressive creatures — and sometimes I do this — but then because I realize that they are mine, they don’t hurt me and I am able to sit with them peacefully.

What an accurate analogy for our thoughts, no?

In this way I feel my own inner strength and power. The darkness does not have to be frightening — it is a gentle darkness that signals rest, allowing my mind to slow and focus inwards.

If that darkness is too disconcerting to you, imagine that there is a soft blue brightness in the water, illuminating your entire area of vision, and perhaps even an underwater staircase you can use to control your descent. Tweak it however you like so that it fits with your level of comfort.

This visualization is the perfect reminder of how good meditation feels when I don’t get in my way about it. Nothing to do but relax and let myself sink down…

Quitting This Stupid Job…and Going Back to Training

For a number of months now, my meditations have been “sub-par”.

I know I’m not supposed to judge, but objectively I’m aware that I’ve veered off course somewhere. In the past, I’d have good days and bad days, transcendent meditation sessions and really distracted, “no-way-I’m-gonna-focus” ones. But that was okay, because a large part of mindfulness meditation is coming back to the breath AFTER losing focus.

Rabbit holes are very enticing places to disappear into.

This has been a little different.

It started with a few weeks of distractibility as I was navigating stressors in the early months of this year. But gradually, things went downhill until I seemed to make it my job to use meditation time to go down rabbit holes.

Maybe I was too tired, meditating in the evening before bed or when I woke in the middle of the night and couldn’t sleep, so I didn’t check my wandering mind because I was dozing off.

If I had music in the background, my mind would dance off in a tangent and I wasn’t meditating anymore, forgetting that this was a time for calm and presence.

I’d get lost during my meditation with little hope of finding my way back on the path that I was on.

So I’d start a guided meditation — listening to someone’s voice would keep me on track, right? Nope. My ability to allow that voice to fade into the background was nothing short of impressive.

Day after day, I had dutifully taken on the task of wandering way off my meditation path until I realized that I was going nowhere and it was time to quit the restlessness and stay still for a while.

Even after years of daily meditations, I had to re-learn the habit of staying… because over the past few months, I’ve established a new habit of not coming back to my center regularly enough. And this new habit of spending my session mindlessly had managed to supplant my previous meditation flow.

So here we go again: setting aside some quiet time when I’m not particularly sleepy, finding an anchor like the breath to focus on in a patient, non-gripping manner, maintaining a gentle awareness of where my mind is, and when it inevitably wanders away from my point of focus (which it always will), calmly guiding it back.

Going back and consciously setting an anchor again. And enjoying that comfortable feeling of being present and aware of this very second.

When the breath seems like a boring place to drop my anchor, I turn to the sensations in my hands and feet (particulary useful when I’m stressed) or the sounds of automobile traffic outside ebbing and flowing or opening my awareness to all my senses and accepting whatever shows up. My focus is on the present and that’s where I aim to keep it.

So it’s true, that old “muscle memory” is bringing back my meditation practice and strengthening it as it does so. This serves as a good reminder to not get complacent, calling myself a “meditator” and throwing around stats like how many days in a row I’ve been meditating. In the end, the important thing is not my meditation streak, it’s the fact that today I will choose to meditate again.

Putting Pen to Paper for the Ultimate Mental Vacation

When I wrote my last post — a visualization and body scan for helping calm yourself and prepare for sleep — I knew I would enjoy immersing myself in describing a space that felt safe to me.

But what I didn’t expect was the effect that the actual process of writing the visualization would have on me.

As I continued describing the “healing bath” scene, searching for reference pictures and letting my imagination create a restful place, I realized that I myself was feeling more and more relaxed — breathing slower and experiencing a sense of placid grounding.

This got me thinking.

Beautiful journals may be appealing to some. But making use of technology in searching for images and recording your words provides you with the most flexibility for documenting ideas and bringing in visual aids…without risking writer’s cramp.

While there is no doubt that listening to a guided meditation can be very soothing, sitting down and writing one yourself takes you to another level. This is an exercise in finding what the most salient relaxing cues are for you personally.

Immersing yourself in locating photographs of environments that you consider your ideal for a retreat getaway helps you isolate those elements that exemplify what relaxation and grounding mean to you. I highly recommend sites like Pinterest for this; if you’re not interested creating an account there, just start out with Google image searches and see where they lead.

And when you start writing, turning your focus towards describing the scene that you’re imagining means that you are truly “in it” in your mind. As you write about sights, smells, sounds, textures and other sensations, and hold them in your imagination, you sink deeper into them than you might even in a meditation where someone else is describing the surroundings to you.

It’s your writing and therefore everything you select is your choice, suited to your tastes. There’s no need to use complicated language, simply tune in to your mind’s eye and write what you see. Because this is for you alone, there’s no requirement that it be a complete representation of your safe space and no need to judge the quality of your mental picture. There only has to be enough imagery there to trigger the wonderful feeling of peace and calm that you have when you’re there. However, the more descriptive you can be, the better you can lock in the imagery.

Not a scribe? An oral description of your special place can be just as immersive as writing it out. And if you feel so inclined, recording it for yourself can help you preserve the images to return to at a later time.

Finally, each one of us has different experiences with putting words on a page. If you feel that being required to write out your thoughts will be frustrating, then find a quiet space where you have privacy, close your eyes and audibly describe your safe space, perhaps even record it. Imagine that you’re moving through it and explain to yourself what’s there and how it makes you feel.

Whether you choose to write or speak, the reason this can be such a powerful tool is because you focus on something that feels so relaxing. This may turn out to be the ultimate grounding meditation for you.

Give it a try and see where it takes you.