casonjc1's version from 2015-05-03 19:04


Question Answer
1. Explain how you might utilize the "Stop, breathe, reflect, choose model" in response to a pt's pain.1. Stop: Catch yourself and say, “Something important just happened. Let me stop and pay attention, take a look around.” This pause helps us to slow the forward motion that we might otherwise engage in that sends us down the old, familiar paths, whether these are helpful or not. Paying attention at this point helps us really see what’s going on inside us or with our behavior so we are more aware of patterns and possibilities.

2. Breathe: take a slow, cleansing breath to soften what you’re experiencing and hold back from energizing where your “drama” (or “spinning”) mind and impulses want to go.

3. Reflect: What’s really going on here? What part of my distress or reaction is the situation itself and which part is my narrative about the situation (including rumination and intrusion from the past, judging, worrying and predicting, labeling, images)? What’s really important long term? How have I handled similar situations in the past and what’s best to do here based on those data and feedback? (Note: this is often somewhat different from what you want to do in the moment of upset.)

4. Choose: Try to respond vs. react. try to not just do the first thing that occurs to you unthinkingly (because you’ve always handled things this way). Instead try to carefully select what would be good for you and those around in the longer term.Often this means doing the newer, more atypical, perhaps even more anxiety-evoking thing if you’ve often found yourself in unproductive patterns before. Later after you choose, check back to see how your choice turned out, how you feel about your choice and if you would choose similarly in the future.