hw410 Unit 9 Final
hw410 Unit 9 Final
Prevention
1
Stress Management and Prevention
Program Resource Guide
By
Erin Laker
24 August, 2018
Table of Contents
UNI T 1 THE NATURE OF STRESS
REFERENCES 47
Self-Assessment Exercise:
The mandala is a visual representation of the four aspects of wellness and how they are ranked by each
individual (Seaward, 2015). In my personal mandala spiritual well-being and emotional well-being are
ranked equally as most important. I believe that it is important to believe that there is something bigger
than us out there and feel that our life is purposeful. It is also important in our relationship with ourselves
and others to be able to understand and embrace emotions and know how to work through them in
healthy ways. Ranked next is physical well-being as I feel that it is important to take care of ourselves and
live our healthiest lives and best serve ourselves and others. Lastly, mental well-being and being able to
advance intellectually. It is important to me to be able to gain understanding of things in the world and in
our lives to grow and interact effectively with others
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Journal Writing:
Complete the Journal Assignment entitled: “How Stressed Are You?” Directions are found on
pages 11 and 12 of the Mindfulness workbook. List the situation on the left. Use a rating scale of 1
through 10 for the start, midway, and end. You will use this Journal Assignment as a way of mapping
your stress throughout the course. Keep it handy and refer back to it often.
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2
Unit
Self-Assessment Exercise:
There are many benefits to meditation including reducing stress, bringing mindfulness to
actions, and gaining insight. Many feel as though they do not have the time or space to meditate
which is most often not case. Others can find the time and space but are unsure of how to meditate. In
this guide we will provide you with 5 steps to successfully complete a meditation at home.
In the first step you will sit up in a comfortable position with an object of your choice in your
hands. This can be done in a chair or on the floor. Close your eyes and breathe deeply. Bring your
focus to your breathing. Notice how the air feels as it moves in through your entire body and notice
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where it’s journey ends as you inhale. Exhale, noting how your body feels as you release the breath.
Visualize the air moving through your body. This process helps you transition from your typical
mindset into a focused and present state that will allow you to move into the meditation.
Moving into the second step of meditation you will begin to examine the object with your
hands. Notice the weight of the object. Is it light or heavy? Run your fingers along it; what is the
texture? Notice any curves the object has and what they feel like when you run your hands over them.
For the third step, look at the object and observe the visual details. Bring awareness to the
color and shape of it. What condition is it in? Notice if it is old or new; if there is wear and tear. Focus
on what makes that object unique. Even if it is a mass-produced item, what is specific to this one that
sets it apart from all others or makes it uniquely your own? Consider what your first impression was
of the object when you chose it and compare it to your impression upon mindful examination; has
your impression changed? Honor any emotions or feelings that come up while visually examining the
object.
In the fourth step you will move on to any other senses that apply to the item. If the item has a
smell, notice what it smells like. What sound does the item make when you tap or shake it? Does the
object play music or make a sound on it’s own or when prompted? If the object is a food item, taste
it. Notice if the taste is sweet, salty, bitter, umami. Does it have a texture upon taste or while
chewing? Observe what emotions or memories these scents or sounds bring up.
In the fifth and final step, bring your focus back to your breathing in the same way we began.
Feel the sensations of the air moving through the process of breath and the rise and fall of your chest
and abdomen. Slowly come back to present by breathing normally and shifting your focus back to
your surroundings. After you have completed the meditation be sure to write down any meaningful
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insight, sensations, or emotions that you observed during the meditation. This will allow you to create
This is a simple meditation that is perfect for those who are new to mediation and looking for
a starting point. It can be adapted to fit any environment and fit into a small time frame. Meditation is
an increase in concentration that increases awareness as well as reflection on internal stimuli rather
than external stimuli (Seaward, 2018). The steps listed above work to first ground you into the
meditation and bring your awareness toward what is going on internally. The breathing smoothly
transitions you into a meditative state while the following steps bring focus to the present and allow
you to feel and honor the internal stimuli. This process works to help clear the mind and increase
consciousness. With a clear mind you are better able to see things from a different perspective and
deal with unresolved issues in a new way (Seaward, 2018). This allows you to be better able to cope
Journal Writing:
How is stress or anxiety about people affecting your life?
In the past I have been known as quite a social butterfly. Getting along with nearly
everyone and always looking for ways to get out with friends and other families to socialize. I
have noticed that more and more I am finding it harder to make plans and get out of the house
with other people. I no longer like being in large crowds of people at events or festivals. I think
this may have to do with having three small children who can easily find themselves in trouble
with just a moment of distraction on my part or theirs. I also find that I am often hyper vigilant
when out in public which becomes exhausting and causes me to avoid these situations. I do not
have anxiety about or toward anyone in my home life and have stable relationships with
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The work that I do as a fitness trainer takes a lot of time and planning to be sure that
each of my clients are getting the most from their training. It can be difficult when a client is not
seeing the results that they are hoping for or not understanding why they are not progressing as
quickly as they would like and express concern over the quality of my programs. While this has
always ended in them realizing that the programs are effective when you stick with the plan, it
always makes me very anxious and causes me to question myself. Additionally, I often feel like
my work takes up so much of my personal time and does not leave a lot of time to devote to my
family. Running the administrative side of the business as well planning classes, workouts, and
events keeps me constantly thinking about work. Sometimes I do wonder if I should switch my
career to something that takes up less time outside of the “office” so that I can find more
separation in work and home and spend more quality time with my children and husband.
The world is in a crazy place these days and it can be a lot to take in. My husband and I
were just on a very rare date night a couple of nights ago where we went to dinner and a movie.
During the movie there was a young man who kept getting up from his seat, standing in the
doorway, leaning over the half wall in the entrance of the theatre and watching the crowd of
people and moving around the theatre to different seats. I have no idea what he was doing or
what his intentions were but I spent the majority of the movie watching him and feeling very
anxious about his motives. This anxiety stems from the frequency of tragic events taking place in
public all over the world, but especially in our country. I find myself very anxious in public and
wanting to avoid events where there will be very large groups of people that could potentially be
a target. Along the same lines, I also have a lot of anxiety with my oldest daughter who is in first
grade. Every single day I worry if her school will be the next one on the news; if my daughter
will be another statistic. There is so much that can cause stress and anxiety with wars all over
the world, tensions rising between our country and others, rights of the people of the U.S coming
under fire. I have found that while I want to stay up to date on what is going on in our country
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and around the world I have to limit the amount of news that I read or watch in order to keep
my own sanity.
How is stress or anxiety about food and eating habits affecting your life?
This is an area that I have never had any stress or anxiety in. This is not to say that I
have never struggled with weight or body image, I just never had a problem with the way that I
look at nutrition. Growing up I was naturally very thin. Everyone around me was constantly
telling me that I needed to eat, and I did, I could out eat some grown men! As I got older and
started a family my metabolism slowed and I gained weight, one point being just on the low end
of overweight. This was an uncomfortable place for me to be so I made sure to eat mostly
healthy options but did not deprive myself of occasional treats. Even when working to lose
weight I never looked at food negatively or felt that it had any control over me. I recognize that
many people have complicated relationships with food and I am thankful to never have had
those issues.
How is stress or anxiety about sleep and sleeplessness affecting your life?
This is an area that causes a lot of my stress and anxiety. I have three children ages 6, 3,
and 1. None of my children have been very good sleepers despite following all the best sleep
advice. Between pregnancies, nursing, and sleepless children that seem to be up for no apparent
reason, my sleep has suffered. I notice that on the rare occasion that I get a good night’s rest I
feel my stress levels reduced and am much more patient in all aspects of my life. I often feel
with the lack of sleep comes a sort of fog or groggy feeling that keeps me in a consistently
irritated state because things seem more difficult to understand or accomplish than if I had
gotten proper sleep. Along with this is my dread for the evenings in our house. My toddler and
preschooler hate bedtime and often cry or throw tantrums when it is time to get ready for bed. It
can be even more exhausting and stressful just to get the children into bed and asleep. This
causes me to have anxiety over our bedtime routine. I have no doubt that while I try not to let
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my anxiety or stress level show during our bedtime routine that they can still sense my
How is stress or anxiety about exercise or lack of physical activity affecting your life?
This is another area where I do not have anxiety or stress. In fact, exercise is my stress
relief. Whenever I am feeling overwhelmed or anxious I find relief in working out or creat8ing
fitness plans. When I am exercising I am able to focus on myself and clear my head. While it
does not make all of the other stresses of life go away, it does give me a break from the worry
and sometimes even gives me enough clarity to come up with solutions to some of my stress in
other areas.
I feel that this is a great assignment for determining the areas of your life that bring the
most stress. This is a great step in finding ways to reduce and manage the amount of stress in
your life. Being able to first identify the areas and then creating ways to help make those areas
less stressful or learn to cope with them can help me to maintain a healthy lifestyle and reduce
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3
Unit
Self-Assessment Exercise:
In Tibetan culture stress is perceived as the result of strong attachments to desires. While
some desires are good they can become unreasonable and become more about than good. One
of the main focuses in Tibetan culture is the taming of the ego and the negative connections to it
such as laziness, desire, and procrastination (Seaward, 2018). They believe that if you let go of
desire and connect with a higher self you can set the stage for healing. Without the release of
desire and ego one will often find themselves comparing their life to those around them as well
as passing judgment on the rich or poor, good or bad, happy or sad, etc. Emotions such as
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hatred, anger, and jealousy are negative states of mind that destroy happiness according to the
When looking at the many different paths and theories by well-respected theorists
and professionals it is clear that no matter what their stance on spirituality there is a common
ground. The control over the ego and the ability of an individual to look inward rather than
outward are a theme throughout all paths of spirituality. In today’s society there is so much
access to so many ways to look into what are sometimes very personal aspects of the lives of
those around us. When we look at those aspects many people find themselves comparing those
aspects of their life to others. Whether the person feels that they are doing better or worse than
the other person, it is the ego at work. These thoughts may be riddled with jealousy, judgment,
and other emotions that are damaging to the spirituality and enlightenment of an individual.
There are also connections to a higher power or of the universe being in control. This serves to
demonstrate that the things that happen in life are not always within the control of the
individual. Things will not always go as planned and this is when spirituality, in whatever
When things in our life do not go as we had planned or people in our life act in
ways that do not make sense it can cause feelings of anger or fear. There are six categories of
fear; failure (not meeting expectations for yourself), rejection (not meeting the expectations of
others), the unknown (uncertainty in what will happen in the future), death (anxiety about the
process of dying), isolation (being alone), and loss of self-dominance (losing control of one’s own
life). When fear takes hold of a person it can cause psychological and physical effects that come
with the stress of fear. Though fear is something every person will face in their life there are
ways to manage fears. Since fear is such a broad subject to approach there are many therapies
to help people work through their fears. A psychoanalytical approach works with individuals to
uncover childhood experiences that are in the suppressed in the unconscious mind. Behavioral
therapy is used in order to teach the individual relaxation and coping skills to work through their
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fears. This approach also includes exposure therapy and desensitization which exposes
individuals to their stressors in order to teach them to overcome their fears in small steps and
how to think about these situations differently (Seaward, 2018). Being able to communicate
fears effectively despite the shame associated is an important step in the treatment of fear.
There are many barriers when it comes to being able to communicate effectively. Some of
these barriers come from a lack of understanding in the basics of communication as well as a
lack of personal communication due to the advancements in technology. No matter where these
barriers stem from there are ways to improve communication skills. One of the most important
steps to effective communication is listening. When you clear your mind of thoughts and give
your attention to the person who is speaking you are better able to absorb the information and
process it into thoughts that you are able to share when it is your turn to speak. Maintaining eye
contact improves conversation by showing the speaker that you are engaged in the conversation
and that your thoughts are on what they are talking about. This is a sign of respect that will
show the speaker that you are engaged in the conversation. Avoiding words such as “uh huh” or
“oh?” , known as encouragers, while a person is speaking will keep the person you are
conversing with from thinking that you are rushing them through their speaking or interrupting
them. Using empathy in conversation by recognizing the feelings of the person you are talking to
tells the speaker that you are engaged in what they are saying and care about how they feeling.
Lastly, I recommend paraphrasing what the person says to show that you are hearing
understanding what is being said by the speaker. This is done by repeating key words or phrases
in your dialog (Seaward, 2018). While these ways of improving communication do not focus on
you as the speaker they focus on some of the most common mistakes when trying to
communicate effectively. Using these tips you will be better able to effectively communicate in
all conversations.
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Journal Writing:
Complete the Journal Assignment entitled: Five-Minute Mindful Breathing and Bringing the
Eight Attitudes of Mindfulness into Your Life. Directions are found on pages 45 and 46 of the
Mindfulness workbook. Upon completion of this Assignment, you will begin to understand the
importance of making them a part of your daily life. See what changes occur in relationships with
yourself and others around you. This should be a minimum of one full page.
Take some time to write about whatever you came up for you mentally, emotionally, and
This was a very telling exercise for me. Being a full-time mother of three small children it
is not often enough that I take the time to reflect in this way. During this exercise I found it very
difficult to shut out intruding thoughts about things that need to be done, what I did not get
done today, and of course the sounds of my husband trying to wrangle the children on the other
side of the house. I am often alone with the children throughout much of every day, so it can be
I was able to seclude myself in my bedroom during this exercise without the distraction of
household duties and children. When I first began the exercise, I found myself feeling a little
overwhelmed with how difficult it felt to keep my thoughts at bay. As the time went on one of
the first things that I noticed was the amount of physical pain that I was in. I spend much of my
day on the go and try to keep myself from sitting still for too long. I have chronic pain issues
that stem from my time in service with the U.S Army as well as from a source that has yet to be
identified, though my primary care physician is now thinking may be fibromyalgia. As I sat still,
with focus on my breathing, I became acutely aware of how bad every major joint in body
ached. It was a struggle to keep my thoughts on my breathing and not on the aching in my back
or knees. This brought on emotions of frustration with my health. I did find that once I was able
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to really focus on the inhale and exhale, the rise and the fall of my breath, it was very calming,
and I found a moment of peace in the solitude. After the time was up and I joined my family for
the rest of the evening I found that I was able to better handle the usual hustle and bustle of our
busy household without getting as easily worked up or feeling overwhelmed. I think this is a
practice that I should implement more often, especially when I consider the amount of work that
I do daily and how busy of a household we have. I feel that I could be much better at
accomplishing my tasks and setting a better example for my children if I were to practice this
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4
Unit
Self-Assessment Exercise:
When it comes to managing stress, it seems as though the factors involved can be endless.
While there are many moving parts in the management and prevention of stress, self-esteem plays one
of the largest roles in this endeavor. Self-esteem is the sense of self-values, self-acceptance, and self-
love that a person holds and is thought to be powerful in creating a barrier between ourselves and
threats in life (Seaward, 2018). Nathaniel Braden wrote a classic book called The Six Pillars of Self-
esteem in which he explains the six pillars that guide us on our human journey These six pillars are:
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The practice of living consciously: Living in the present moment, rather than confining
yourself to past or future events, and being mindful of each activity you are engaged in.
yourself.
surrendering your feelings to the whims of those you are in a relationship with.
The practice of self-assertiveness: Honoring one’s wants, needs, and values, and
The practice of living purposefully: Getting out of the thought processes of hoping
and wishing, and instead doing what you need to do to make your goals happen.
Self-esteem ebbs and flows and is continuously being altered by feelings, actions, words, and
thoughts from oneself and others. Those who have a high self-esteem are able to let the
problems of their life breeze by without a lot of stress while those who have a low self-esteem
Though self-esteem is a major factor in the prevention and management of stress it is not
the only factor. The relationships, values, and sense of a meaningful purpose in life are all areas
that affect stress. The relationship(s) that an individual has with themselves and with others is
important in the prevention and management of stress. Having a healthy internal relationship
starts with centering. Centering refers to the discovery and nurturing of one’s true self. This
means being able and willing to put in one on one time with yourself and the ability to separate
who you from the things that you do and the relationships that you have with others. This allows
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an individual to create an expanded consciousness and spiritual development that serve to repel
stressors (Seaward, 2018). External relationships, our relationships with others, allow for the
construction of a community where one can surround themselves with both like-minded and
diverse individuals to help them problem solve when stressors arise and help reduce stress by
supporting and presenting different points of view. Having a value system means having things
such as trust, respect, honesty, love, etc. that you hold as a core to the foundation of who you
are. These are things that you demonstrate in the way you speak, live, and act. Having a strong
value system will allow one to stay on a path that is true to them and reduce the amount of
stress caused when actions or words do not match core values. Having a meaningful purpose in
life can be hard to achieve when things in life are not going the way that one has planned. With
so many goals and ideas that we as individuals have, it can be hard not to lose focus when
When it comes to our attitude, values, and beliefs, it can be easy think that they are all
one in the same. While they are linked and affect one another they also have distinct differences.
Attitude refers to the way that an individual treats others and approaches situations in their life,
values are the things in life that are important to an individual, and beliefs are the ideas that an
individual holds to be true (Ministry of Business, 2018). In my perspective it is our values that
set the foundation for our beliefs and attitudes. When a person values things such as integrity,
honesty, and acceptance, they are going to hold beliefs that people should take responsibility for
their actions, speak and act truthfully, and understand that there are things that you can and
cannot control and be able to recognize the difference between the two. This will in turn be
reflected in their attitude towards events and people in their life. Someone who values honesty
may have a negative attitude toward a person who is not honest in their actions and may have a
poor relationship with that person. Alternatively, they may be happy with or have a good
relationship with someone who shares similar beliefs or values as their own. I feel that we
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naturally gravitate toward people and situations that fall in line with our values and when things
Making changes in life is not easy. This is reflected in Prochaska’s stages of change. This is a
model that has been adopted by groups and organizations across the globe to help promote healthy
Determination stage: A period where willpower is called into play to put the thought process
Action stage: A stage when, indeed, action is taken, yet like an athletic skill, it may take several
Maintenance stage: The stage where the person steps into the flow of making this change a
part of his or her regular routine. This stage could also be called “second nature.”
Relapse stage: A period where the old behavior is resumed for a while, until the newer
I apply these stages of change every day in my fitness business. When I meet with clients for
the first time they have been in the contemplative stage where they have been thinking about
the changes that they need to make in their health and wellness but have not yet taken action.
Once we sit down for a consultation they have then moved into the determination stage where
they are verbalizing and beginning to plan their course of action toward a healthier lifestyle. In
the action stage we begin the physical assessments and carrying out the fitness plan on a
regular schedule. When a client has been exercising and following their plan for six months
they are now considered to be in the maintenance stage where they are meeting goals and
setting new ones. This is a stage where it is important to keep things interesting to prevent
them from getting bored and going into the relapse stage. Health and fitness are on a path
similar to that of an airplane. Airplanes do not fly in a straight line, they veer off course for a
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small amount of time before going back to the original path. If you were to look at it drawn
out on paper it would be a clear path to the destination, but it would have some zig-zag along
the way. This is how I describe the fitness journey to people. You will go off course, but the
most important part of the relapse stage is quickly getting back to your original course and not
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Journal Writing:
FEAR: apprehension, anxiety, distress, edginess, jumpiness, nervousness, panic, tenseness,
When I think about fear associated words, anxiety and worry, I am immediately feeling those
emotions in my chest. It recalls the things in my life that cause stress and worry which in turn cause
anxiety and fear. Things such as thinking about the massive amount of responsibilities that have daily
with managing a business, raising children and managing a household, and completing my schooling
with a GPA that will allow me to advance into my graduate program keep me incredibly busy and
quite honestly overwhelmed. When I think of the fear and anxiety I get worried about how I will be
able to handle everything that I need to get done. It sometimes causes anxiety attacks that makes my
When I think of confusion I do not feel any physical or emotional affects. I feel that I am very
self-aware and am very much a planner and therefore typically have a pretty tight grasp on the things
that are going on in my life and the life of those that I care for.
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While I wish that this was area that I did not have any feeling toward I feel a sense of anxiety
when I think of these terms. When I think of agitation, annoyance, and frustration, I realize that I
spend quite a bit of time each day with these feelings. I am often frustrated trying to get all my tasks
accomplished while being interrupted every few minutes by children. I find that when I have asked
for a little space and quiet time to get my studies done I often get angry and annoyed when my
children begin yelling at one another. I do find that I have times where I must simply walk away from
the situation and spend a few minutes on my own to breathe through my feelings and settle my
nerves. Just reading the words I can feel the anxiety creep in once again.
I do not feel anything physically when I think of sadness and the associated words. While
there are times that I am feeling a bit down I do not feel as though anything is hopeless or that I am in
a desperate situation. Though these are feelings that I have had in the past they are not currently
something that triggers any type of response currently. In the past I have suffered from feelings of
loneliness and alienation. Those feeling manifested physically in a lack of desire to connect with
others and I often found myself feeling tired and uninterested in a lot of regular activities.
When I think of embarrassment and regret I feel a similar feeling to that of anxiety. My heart
begins to race, and I have a feeling that I want to sort of fade away and not be seen. Even when I think
of things that have happened in the past that were embarrassing or that seemed just fine at the time but
when I look back on them I am embarrassed of the way that I acted I get a squeamish feeling that
sometimes comes with nausea and wish that I could go back and do it over again in a different way.
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LOVE: affection, arousal, attraction, caring, compassion, desire, fondness, infatuation,
When I think of love, fondness, caring, and compassion they make me think of my children
and I am have a feeling of lightness to my body that comes with my love for them. Although my
children area source of a lot of stress and sometimes negative emotions they are more often a source
of light in my life and a driving force for all of the things that I do. When I think of words like
attraction, desire, longing, and love I think of my husband. This stimulates feeling of sexual desire but
also a sensation of calm and peace, again like there is a weight lifted. He is a source of calm and
When I think of joy, hope, and optimism I feel an excitement for things to come that manifests
as a fluttering sensation in my chest and stomach. I get excited over the thought of what things will be
like once I am able to complete my education and focus my efforts back fully to my children/family
and profession. Those are two areas of my life that I am truly passionate about and make me feel joy
regularly.
In this exercise I found it interesting to note that many of the emotions that I thought about and had a
physical reaction to were felt in my chest. I would say that this speaks to the old saying “trust your
heart”. I also feel that this speaks to the connection between mind and body and how your state of
mind and how you are feeling can have an effect on your physical health or capabilities. While going
through this exercise I found that I am currently identifying with a lot of emotions that coincide with
stress. While I have been aware for some time that I have been struggling to manage my stress and
workload this exercise really helped to put it into perspective just how stressful things are at this time.
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Knowing how particular emotions make me feel and understanding how they affect me physically
will hopefully give me the power to take control over those emotions and be better able to manage my
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5
Unit
Journal Writing:
Choose from either formal practice: Walking Meditation or Mindful Self-Inquiry for Stress and
Anxiety. Directions are found on either pages 58 through 60 or 119 through 121 of the
Mindfulness workbook. Upon completion of either practice, take a moment to reflect on whatever
came up for you mentally, emotionally, and physically. This should be a minimum of two full
pages.
Take some time to write about whatever came up for you mentally, emotionally and physically
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For this exercise I chose the walking meditation. In this meditation I choose a destination to
walk to and begin the journey by taking a moment to stand still and feel the connection of my body to
the floor and bringing awareness to the surrounding sights, sounds, and smells. I then begin to walk
while bringing my mindfulness to the sensations of walking as I bring each foot up, forward, and back
to the ground again. I think about the motions that my body is going through; how the soles of my feet
feel with each step, the swinging of my arms, how my joints feel with each motion. Once I reach the
destination, being mindful of the sensations along the way, I shift my focus to the process of turning
and continue back to the starting point. And repeat the mindfulness process as I return (Stahl &
Goldstein, 2010).
As I began the process I took a moment to really feel myself grounded at the starting point in
the media room in my home. I took in the sensations within my home, the sounds of my children
playing in the play room and the dogs tags clink together as he moves through the house, the smell of
orange raspberry in the air from my diffuser, I also note that I am slightly chilled from the air
conditioning in my home. After acknowledging these sensations, I begin to walk forward and shift my
focus to my movements and the sensations they create. I notice how my weight feels as it shifts from
one foot to the other, I notice that my body feels heavy as I shift my weight to one leg then the other.
Bringing my awareness to the rest of my body I notice the pain that I feel in my joints from my
chronic pain condition. The pain is concentrated to nearly every joint and is a dull ache with
occasional sharp pains. The awareness of the pain makes me feel frustrated and I am aware of my
thoughts of how I need to schedule my next appointment with my acupuncturist and physical
therapist. I bring my focus back to the sensations of my movements as I reach my destination point
and begin to turn around. I focus on how my feel move and how the rest of my body follows. I notice
that my movements are stiff and somewhat choppy as I make the turn while trying not to rotate at the
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ankle or hips due to limited mobility in those areas due to years of airborne operations while I was in
the Army. My focus then shifts for a moment to my thoughts which are again frustrated with my
physical limitations. I think about how badly I wanted to earn those airborne wings and the things I
put my body through to get them, which I now regret. As I bring my awareness back to the task of
walking back to my starting point I think about things I am thankful for such as the ability to have a
comfortable home where my family can make memories and where I can have personal space to
meditate in ways like this within, and the accomplishments and opportunities I have made and had. I
reach my starting point and stand, grounded, once again and focus on my breathing for a moment. I
pay attention to the rise and fall of my chest, the sensations of the hair as it moves in and out of my
body and take one big breath in and out one last time before ending my meditation.
I feel that I benefitted greatly from this exercise. Though many of the sensations that I felt
were not necessarily relaxing they brought awareness to the sensations that I feel every day while
moving through my daily tasks. I feel much of my pain and fatigue during the times when I am at rest.
I feel tired often even when I do not exert myself much physically that day. During this exercise I felt
the aches and pains that I clearly must feel all day with movement but do not realize I am having due
to the necessity of whatever task I am trying to complete. This really brought to my attention that this
is likely a source of the tired feeling I have regularly and something to speak with my health team
about. I felt more relaxed by the end of this meditation and really benefitted in a relaxing way from
the focus on breathing and grounding that I experienced at the beginning and end of this exercise.
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6
Unit
Self-Assessment Exercise:
When it comes to reducing stress there are many effective techniques that can be employed.
One of these techniques is a process called diaphragmatic breathing. This process can be used in
stressful and is the easiest relaxation method to use. This is a process of controlled deep breathing.
Diaphragmatic breathing is breathing from the lower stomach (diaphragm) rather than from
the thoracic area (Seaward, 2018). The first step is to get into a position that is comfortable for you.
This can be sitting or lying down. It is also beneficial to loosen any constrictive clothing. You can
place your hands on your abdomen in order to feel the rise and fall of your breath into your diaphragm
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if you wish. The second step is to concentrate and focus on your breathing. It is best to be in an area
that is quiet in order to minimize distractions. It is normal, particularly when new to practicing this
technique for thoughts to wander. Simply allow your mind to come back to focus on your breathing.
You can further your concentration by moving through the following phases; Phase I: Inspiration, or
taking the air into your lungs through the nose or mouth, Phase II: A very slight pause before
exhaling, Phase III: Exhalation, or releasing the air from your lungs through the passage it entered,
Phase IV: Another very slight pause after exhalation before the next inhalation is initiated (Seaward,
2018). In the third step you use visualization to imagine being able to visually see the air that you
breathe into your lungs and follow it in your mind as it travels through your sinus passages, into your
lungs, through your circulatory system and out of your nose or mouth upon exhalation. You can
visualize your tensions and stress being released as you exhale. You can even imagine the air you
breathe out to have a color that represents your cleansing (Seaward, 2018).
Forms of meditation, like diaphragmatic breathing have been proven to reduce stress and
increase relaxation and the ability to handle the challenges that life throws at you. This in turn
encourages a stronger immune system, outside of physical improvements, a better relationship with
stressors in your life can also lead to better personal relationships in your life with others and
internally (Seaward, 2018). Mental imagery can be used in relaxation to desensitize to stressors in the
environment. Imagining a tranquil nature scene can help one escape stressful situations in their life
when they are not able to get away. Internal body images can be used to imagine that illnesses or
diseases are shrinking or getting better. In studies, those who were asked to imagine themselves in
recovery and fighting off their illness found themselves more likely to go into remission (Seaward,
2018). Imagining behavioral changes such as working less, what you would do if you were not
drinking or smoking or being more positive can help you achieve those goals. Using systemic de-
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sensitization, you can reduce anxiety related to specific stressors by learning to tolerate them through
progressive exposure (Seaward, 2018). These techniques can benefit us all in reducing stress and
Journal Writing:
Complete the Journal Assignment entitled: Explore: Is Your Body-Mind Happy? Directions are
found on pages 151 through 153 of the Mindfulness workbook. Upon completion of this
Assignment, practice identifying unkind messages you send to yourself and turn it around with
When I focus on how I feel and think toward myself I feel that I have moments of praise and
moments where I am far too hard on myself. There are many areas of my life where I am impressed
by the patience that I have or the amount of productivity I have managed. Being able to accomplish so
much in these areas where I excel typically means that I let other areas of productivity lack, at least
temporarily. It is in these times that I get down on myself and think about how much more I could
have done which is not necessarily true. There is only so much that I am able to accomplish daily and
when I am not able to get everything that I would have liked to done, I am often far too hard on
myself.
Seeds of suffering?
When I first thought about this topic I did not feel a though I plant many seeds of suffering.
Thinking about it further I realized that I am planting these seeds far too often. I am frequently telling
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myself that I am physically not good enough and that no one will want to work with a fitness trainer
who is not in peek physical condition. I do not give myself the grace that I deserve after creating and
sustaining three lives while still trying to maintain my health and fitness while running a fitness
training business.
I find that I am often harbor resentment toward close friends who make plans with one another
on a day-to-day basis and sometimes even extend the offer to join to me after the plans have been
made. This makes me feel as though I am not good enough to make plans with that I am invited as an
afterthought. It is often hard for me to work around the schedule of others and this something that I do
not think that they think about. When I think about it I understand that they may feel like it is hard for
me to make plans with them because I do have three children, so their seemingly unkind gesture is not
Reflection on writing?
In reflecting on this writing, I have found that I am much more critical of myself than I realized. I
think that is something that I must work on and check in with frequently to keep the seeds of suffering
at bay and stay positive and appreciative of the things that I am able to accomplish.
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7
Unit
Self-Assessment Exercise:
For this exercise I chose to perform the mindful yoga formal practice. This practice is described in our
text as bringing awareness to breathing, movement, posture, thoughts, and emotions. Yoga has many
benefits for the health of mind, body, and spirit such as keeping joints, nerves, muscles and bones
healthy as well as increasing flexibility while bringing you into mindful meditation (Stahl &
Goldstein, 2010). Since I have not been able to practice yoga in quite some time, I chose to perform
I began by changing into clothing that was comfortable and non-restrictive. I began moving
through the poses in the text, working my way first through the series of supine movements. As I
focused on my breathing and the clearing my mind of intrusive thoughts I worked my way through
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the supine full body stretch and brought my attention to the way that my body felt as I stretched my
arms over my head on the inhale and back down to my sides on the exhale. I noticed how it felt good
to first have that tension followed by the release. As I moved int the supine twist I remembered that
this was an exercise we did often in the Army as we warmed up for our physical training. I always
liked this exercise as it stretched my lower back. I again bring my focus back to my breathing and
lean my upright, bent, legs to one side. My back cracks with the movement and feels better after. The
same thing happens as I repeat the movement to the opposite side. Moving back into the supine full
body stretch I feel the movement is more fluid than it was the first time through.
As I move into the leg stretches I bend one knee with the foot flat on the ground and raise the
opposite leg up as I keep it straight, pointing my heal to the sky. I focus on my breathing and think to
myself how much flexibility I have lost since I last practiced yoga. I rotate my ankle when I reach the
top of the movement and bring my mind to how good it feels despite the pain that I normally feel due
to injury. I repeat this process on the opposite side, followed by another full body stretch. Next, I
moved into the single knee to chest. In this exercise I keep one leg out straight and exhale while
drawing the opposite knee in toward my chest, pulling in with my hands clasped around the knee as it
reached my chest to further the stretch. I hold this pose as I breathe naturally and bring my attention to
the present. I notice the pain that I feel in my joints, both elbows and knee. I feel a wave of frustration
over how much the chronic pain that I have interferes with my activities. I focus on my breathing and
try to breathe the frustration away and bring my awareness to way that the stretch of this pose feels
good on my glutes. After repeating this exercise on the opposite side, I go back into the full body
stretch.
The pelvic rock and tilt was an uneventful exercise for me. It did not bring forth any thoughts
or emotions as I lay with my knees bent and both feet flat on the floor. I inhaled bringing my back up
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off the floor in the natural arch and exhaling while bringing my lower back flat to the ground. I
focused on my breathing and finished with a full body stretch. The bridge pose was next and I
attempted the exercise by starting out in the same position as if I were to perform the pelvic rock and
tilt. While inhaling, I pulled my spine off the floor starting at the buttocks and working my way up to
my upper back. I would have then clasped by hands under my back and stretched them toward my
feet, however, I was unable to complete the exercise. I was able to get as far as my lower back before
pain prevented me from going any further. I held this modified pose then exhaled as I slowly came
back to my starting position. I was also unable to do the bridge with my arms stretched, instead I
repeated the bridge pose just as I had before. While pain prevented me from fully going into the pose,
I appreciated the stretch that it did give me and breathed mindfully throughout. Bringing my feet up
and rocking back and forth seemed to be like the supine twist in the way that it stretched my back and
glutes which I found comforting and, again, appreciated the tension and release of the movements.
The leg side stretch used to be one of my favorite movements but has been hindered recently
due to hip pain. I breathed naturally as I laid on my side with my head rested on the arm closest to the
ground. The other hand supported my body at around navel level on the floor. I began with my feet
together and legs stretched straight in line with my body. I then lifted one leg but did not get very far
before the hip pain set in. I repeated this process on the opposite side, again fighting to breathe
through the frustration due to my lack of mobility due to pain. I was not able to complete the prone
position poses such as prone leg stretch and modified or full cobra. These positions are far too hard on
My favorite poses are those such as cow pose and cat pose, child’s pose, and bird dog pose.
These poses all require me to start on my hands and knees and gently move into various positions that
gradually stretch my back in positions where the angles are not extreme and are easy to control. These
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positions are also great for building core muscles in a gentle way. I found these to my favorite
exercises where I really got settled into focusing on my breathing and let my mind be at peace.
I ended my session with the pose of openness and corpse pose. These poses allowed me to lay
still and focus on my breathing while reflecting on the emotions that stirred during my exercises. I
reflected on the frustrations of having a chronic pain condition then let that give way to the
thankfulness that I have the mobility that I do. I shifted my focus to the things that I am thankful for.
After clearing my mind and focusing on my breathing I was able to find stillness within my mind and
deep relaxation.
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8
Unit
Self-Assessment Exercises:
Proposal for Health and Wellness Management
August 2018
This proposal is prepared for health and wellness management. The scope of the project outlined
includes vendors of national evidence-based products and services. To meet these needs, this proposal
offers consulting services to provide the following expertise: (a) rationale; (b) mind-body programs or
RATIONALE
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This program is designed to encourage employees to make healthier food choices and improve
health through physical exercise. This will help to improve moral, reduce stress, strengthen
workplace relationships, and bring down costs to the company accrued through low productivity
and work days missed due to health-related issues. This will also allow employees to work on
mental and emotional well-being by being provided a place to practice self-care and reflect on any
MINDBODY PROGRAMS/PRACTICES
The program will include adding a small café area that carries only healthful snacking options to
our existing options. The company will host a monthly recipe swap potluck in which the
employees can prepare and share the recipe for a healthy dish they enjoy. This will allow
employees to build a healthy eating cookbook for personal use and to change the way that they
think about food. Group fitness classes will be offered before office hours two da ys per week at no
cost to the employees. The type of class will vary on a rotational basis to keep things interesting
and work to supplement their individual wellness plans. This will include instructor led fitness
classes as well as video guided and include both physical wellness as well as guided meditation
and yoga for spiritual and mental wellness. The classes will be held in the company fitness room
which will be equipped with everything needed for the group classes as well as for individual use
during lunch breaks and designated hours in the evening and morning. Company "fit challenges"
will be implemented to give incentive to participate in the challenges with rewards for those who
meet certain goals. This will help to bring employees together in a fun and healthy way. These
challenges will be based on attendance at the group fitness classes offered as well as results based
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on physical measurements and weight as there is no way to keep track of each individual exercise
CAPITAL OUTLAY
The café area will require a refrigeration system that will allow us to keep fresh, healthy whole food
options available such as salads, vegetables, yogurts, and fruits. This will be an expense of
approximately $500 according to online estimates. The café will be stocked by management with a
monthly budget of $400. The fitness center for the company will be furnished with a free-weight set
($800 with rack), exercise bike ($1,000), resistance bands ($30 for 12), bosu and exercise ball ($100),
and yoga mats ($140 for 10 mats with rack) (Perform Better!, 2018). This will allow for the
employees to have a variety of equipment options for strength training, cardio, and meditation. The
stairs in the office may also be used before and after work hours during the designated fitness center
hours. The cost of this equipment may be less based on gifts and/or donations received. The room we
will transforming into our fitness center is already equipped with an audio system and projector for
BENEFITS
This program will benefit the company by creating a workplace where the employees feel valued and
can experience an increase in overall well-being. Having a healthier workplace has proven to increase
productivity and performance, staff morale, and employee management as well as reducing the
amount of time missed due to health-related issues. Healthy workplaces also see a reduction in
insurance cost, sick pay costs, and workplace accidents (Fit for Work, 2015).
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TIMELINE
To initiate this program, we will need two months for set-up and planning. Equipment will take two
weeks to arrive and an additional week to set up. The following weeks will be used to plan classes and
coordinate with instructors involved and plan a schedule for challenges and initial goal setting for the
employees.
PERSONNEL
The café will be stocked by management within the allotted budget and will be monitored by our
existing video surveillance system. Items are purchased through an honor system where employees
will pay for their item using an electronic system linked to a financial exchange application that is
free of charge. This will eliminate the needs to hire additional employees to run the café area. Live
fitness training is with an instructor is provided free of charge by local fitness trainers in exchange for
TOTAL BUDGET
The total cost of this program will be $2, 840 initial set-ups with a reoccurring budget of $400 per
month for café restock. Café costs will be recouped through employee purchases and any money
made by the café will be put into the program to recoup initial costs.
PITCH
Hi Natalie,
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Below is what I have started as my proposal for this week's assignment. Please let me know what
RATIONALE
This program is designed to encourage employees to make healthier food choices and improve
health through physical exercise. This will help to improve moral, reduce stress, strengthen
workplace relationships, and bring down costs to the company accrued through low productivity
MINDBODY PROGRAMS/PRACTICES
The program will include vending machines with healthful choices that will replace the current
salty and sweet processed food options available to employees. Company "fit challenges " will be
implemented to give incentive to participate with rewards for those who meet certain goals. This
will help to bring employees together in a fun and healthy way. Group fitness classes will be
offered before office hours two days per week at no cost to the employees. The type of class will
vary on a rotational basis to keep things interesting and work to supplement their individual
wellness plans. The classes will be held in the company fitness room which will be equipped with
everything needed for the group classes as well as for individual use during lunch breaks and
designated hours in the evening and morning. All challenges and wellness plans will be overseen
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CLASSMATE FEEDBACK
I like the idea of focusing on nutrition in the workplace as well as fitness. Fit challenges are an
excellent way to get people excited to make healthier lifestyle changes as well as stay motivated
throughout the process. My only concern for these changes would be the cost effectiveness of
them. For example, individually, changing the vending machines, equipping a fitness room, or
hiring an instructor to lead these fitness classes may not put a huge dent in the wallet; however,
everything combined might pose significant expenses to the company. What are some ways you
could make these positive changes and still be cost effective? Maybe to promote nutrition you
-Natalie
SUMMARY
Hi Natalie,
Thank you for your feedback. I agree that the cost could add up for all those things together. I like
the idea of hosting a healthy food potluck monthly. It could be something where everyone can
bring a dish along with copies of the recipes, so it could be a healthy recipe swap for the
employees to build their own healthy nutrition cook books at home. It might be beneficial as well
to maybe add just one vending machine or adding a simple cafe area with healthful food choices
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In Health,
Erin
Journal Writing:
For this assignment I will be using my husband as the individual that I care about and imagine.
OPENNESS: When I think of my husband in terms of openness I feel a sense of relief that he and I
are very open and honest with one another. He and I both feel comfortable enough with each other to
speak bluntly and openly about everything in our lives. It is rare that either of us become defensive in
our conversations.
EMPATHY: This is an area that I have been accused of having too much of while my husband
struggles. One of the only points of contention in our relationship is his lack of empathy and
dismissing emotions while reaching for the logical solution to an issue. While issues need to come to
a resolution, I get frustrated with the lack of empathy and acceptance of normal human emotions that
my husband displays.
COMPASSION: While my husband struggles with empathy, he does better in compassion. Though
the two are tied, my husband does well when it comes to putting himself in another person’s position
and being able to see and understand where they are coming from. This is something that I struggle
with and that sometimes frustrates my husband. I find myself often saying “Well, I just don’t see how
someone could…”. He reminds me to think outside of the box and consider the situations others are in
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LOVING-KINDNESS: This is one of the things that I love most about my husband. Though he has a
rough exterior and can be tough on people at times, he is so full of love and kindness. He wishes the
best for everyone and does not get riled up when he is done wrong since he is certain that karma will
take care of things. He has made me a much kinder and more loving individual in the 8 years we have
SYMPATHETIC JOY: My husband and I both share the joys and successes of one another. I have
really struggled with transitions we have been through in our life together and felt a lot of jealousy
and resentment at certain points as he excels academically and professionally while I focus on raising
the children and slowly pluck away at my personal goals. My husband celebrates every little
accomplishment that I make in every area and often shows more excitement than myself over them. It
is because of his sympathetic joy that I have learned to stop comparing myself to everyone else and
being jealous and focus on celebrating the accomplishments of myself and those around me.
EQUANIMITY: This is an area that my husband and I have both struggled with and work together to
remind each other to be better at. While we are both considerate and have generally positive attitudes
In summary, this assignment really opened my eyes to the inner workings of our relationship that we
never truly consider but just go through the motions of. In imagining my husband and reflecting on
the thoughts that came up I was better able to understand why we have such a sound and loving
relationship and will continue to focus on these qualities with more intention.
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9
Unit
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Additional Information
Primary Source
Büssing, A., Baumann, K., Hvidt, N. C., Koenig, H. G., Puchalski, C. M., & Swinton, J. (2014).
Spirituality and Health. Evidence-Based Complementary and Alternative Medicine :
eCAM, 2014,682817. http://doi.org/10.1155/2014/682817
Secondary Source
Seaward, B. L. (2018). Managing Stress, Ninth Edition, 9th Edition. [Purdue University Global
Bookshelf]. Retrieved
from https://purdueuniversityglobal.vitalsource.com/#/books/9781284148534/
Primary Source
Dr. Clare Johnson. (2017, July 2). What is Dream Therapy? [Video File]. Retrieved from
https://www.youtube.com/watch?v=rEhE2CegUd8
Secondary Source
Spirituality and Health. (2018). Retrieved from https://spiritualityhealth.com/
Primary Source:
American Psychological Association. (2018). Retrieved from
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References
https://fitforwork.org/blog/benefits-of-a-healthy-workforce/
Ministry of Business, I. a. (2018). Personal beliefs, values, attitudes and behaviour. Retrieved from
toolkit/personal-beliefs-values-attitudes-and-behaviour/
https://www.performbetter.com/cart
Seaward, B. L. (2018). Managing Stress, Ninth Edition, 9th Edition. [Purdue University Global
Bookshelf]. Retrieved
from https://purdueuniversityglobal.vitalsource.com/#/books/9781284148534/
https://www.sfn.org/about/about-neuroscience
Stahl, B. & Goldstein, E. (2010). A mindfulness-based stress reduction workbook. Oakland, CA: New
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