Three Reasons Doctors Should Practice Mindfulness

I’ve had a large number of psychologists in my workshops. They heard about mindfulness years ago and took to the practice as a natural extension of their training. Now I’m being sought out by physicians, but their interest is more personal.

What a career choice! Doctors work unnaturally long hours and have high rates of burnout, divorce and substance abuse, as well as the highest suicide rate of any profession. Physicians are more likely to suffer from mental illness but much less likely to be treated for it. A 2012 study on physician suicide begins with the lament that there have been so few studies.

1. Equanimity

Although you must be highly ambitious to become an MD, it often starts with the simple motivation to relieve suffering and help others. Simple on the surface, at any rate. This is a huge moral commitment, and since it’s impossible to take on the emotional load of every suffering patient young doctors are taught emotional detachment that is reinforced by the fierce competitiveness of the profession and the tendency towards obsessive-compulsive perfectionism. Over a lifetime this often boils down to plain insensitivity. Emotional detachment has been described by one professional as, “an unnatural skill in which you must suppress your innate sympathy.”

Suppressing your innate sympathy is clearly at odds with your fundamental motives and renders your practice of medicine inherently stressful.

There are other ways to manage emotional overload. The resolute practice of mindful noting cools your emotional reactivity by building equanimity without sacrificing your sensitivity to others.

2. Care

Central to the whole notion of mindfulness is care. You care about life and what you do with it. You care for yourself and others by seeking physical, mental and emotional balance.

You express care most tangibly by managing your reactivity. While mindfulness is known to be calming, it also has a more profound purpose: to recognize and let go of reactivity. This happens not by force of will but by understanding yourself from the inside. As you master this reflective skill you exude presence and become a powerful role model. You express the full potential of your healing sensibilities.

3. Resilience

You’re not only under pressure from patients. You also have to function within systems that can be bureaucratic, discriminatory, heavy-handed and sometimes just plain irrational. You can become hardened, or you can become resilient.

Resilience is a flexible inner strength that enables you to consistently bounce back from adversity. By training you to accept what-is with equanimity, Mindful Reflection™ keeps you firmly in touch with your convictions so you can pursue your highest goals with poise and presence.

With resilience arises the recognition that human ignorance, like human mortality, is inevitable. Both summon your desire to heal, and both at times are beyond your power. Resilience enables you to accept your limitations without being defeated by them. You honor life by always seeking new pathways and by exploring life without preconceptions.

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These three qualities of Equanimity, Care and Resilience are intimately connected and overlap naturally. They arise together from a committed training in Mindful Reflection™.

Mindful Reflection™ combines the well-known practices of mindfulness with the less well-known reflections that corral your thoughts and bring mindful attention to all you do. For more information contact the author.

Five Ways to Stop Being Emotionally Reactive

How many times have you promised yourself you’ll never behave like that again, only to find yourself reacting the same old way?

—Excuse me, why are you doing it that way?

—Jeez. Just because I’m not doing it your way doesn’t mean it’s wrong.

—That’s not what I said. No need to get all defensive.

—Me defensive? What about you.

And so on.

Even the most intelligent, educated people can get like this. In the heat of the moment, it’s hard to acknowledge that you’re not quite the person you like to think. It seems childish. It upsets the self-image you like to maintain. You lose face, you feel bad and in an effort to avoid this unpleasant reality you look for somewhere else to pin the blame. Needless to say, no good comes of any of this.

Eventually you calm down, admit your mistake, apologize—and make new promises. No matter how contrite you may be however, you’ve done nothing yet to trigger real change. Defensiveness is an instinctive impulse towards a perceived threat. Your reaction’s unlikely to change until you see why it feels that way. What’s the threat exactly?

This is what mindfulness is for. I’m not speaking of mindfulness as a movement or a technique or an ancient teaching. I’m talking about the mental factor of mindfulness—the self-reflective way of seeing that gives you choices and opportunities other animals lack, that makes it possible to stop reactivity and be the person you want to be.

You don’t need to learn mindfulness; you already have it. It’s a natural mental factor. However, it can’t do much by itself. Only when it’s trained along with other mental factors such as effort, discernment and open-mindedness does it become an effective tool for long-term change.

And then you put it to work. Let’s revisit that conversation:

1) Pause, take a breath and get centered.

This first step is the hardest. You can’t just expect to be mindful when you need it, but with as little as ten minutes a day of meditation it becomes second nature. It leads you to a natural go-to place within yourself where you feel centered and see clearly. That sense of peace colors your day and guards you against reactivity.

—I like the way you’re doing that.

—Oh really? I learned from my dad. He taught me to do things right.

2) Don’t be surprised if your partner is defensive too. Use mindful listening. Try to clarify the situation rather than avoid, ignore or reject it.

—My dad was like that too. Only one way to do it!

—Well, I wouldn’t say that.

3) Show personal interest. Mindful watching helps you understand what the other person feels and needs at that moment.

—Really? You think there’s something to learn from other ways?

—Absolutely!

4) Spell it out. Come to an agreement that reactive emotions are not the way to communicate. Ask the other person to point out when you do it.

—How about this way, how I’ve always done it?

—Well that’s interesting too.

5) As you explain your own needs, watch out for any tendency to invalidate those of your partner. Remember, she or he is just as vulnerable as you.

—Thanks for your help.

—Well, thanks to you I’ve just learned something new.

The difference between these two conversations has nothing to do with being right or wrong. It’s about letting go of defensiveness and exploring the conversation open-heartedly.