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	<title>Fibromyalgia Haven &#187; cognitive coping skills</title>
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	<description>Living a Life of Essence in Spite of Illness</description>
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		<title>Relaxation Technique for Pain Control</title>
		<link>http://www.fibrohaven.com/2009/11/04/relaxation-technique-for-pain-control/</link>
		<comments>http://www.fibrohaven.com/2009/11/04/relaxation-technique-for-pain-control/#comments</comments>
		<pubDate>Wed, 04 Nov 2009 20:32:28 +0000</pubDate>
		<dc:creator>FibroHaven</dc:creator>
				<category><![CDATA[Mindful Movement]]></category>
		<category><![CDATA[cognitive coping skills]]></category>
		<category><![CDATA[fibromyalgia]]></category>
		<category><![CDATA[pain]]></category>
		<category><![CDATA[relaxation technique]]></category>
		<category><![CDATA[research]]></category>
		<category><![CDATA[resources]]></category>

		<guid isPermaLink="false">http://www.fibrohaven.com/?p=1682</guid>
		<description><![CDATA[Week two of the Pain Coping Skills research study. Following up on the Progressive Relaxation guided technique of week one, in week two we learned a simple and useful technique called Mini-Practices. Mini-Practices For relaxation to benefit you the most, you need to learn how to relax and calm yourself upon your command. This skill can [...]]]></description>
			<content:encoded><![CDATA[<p><strong>Week two of the Pain Coping Skills research study.</strong></p>
<p>Following up on the <em><a href="http://www.fibrohaven.com/2009/10/26/cognitive-coping-skills-for-the-treatment-of-fibromyalgia/" target="_self">Progressive Relaxation</a></em> guided technique of week one, in week two we learned a simple and useful technique called <em>Mini-Practices</em>.</p>
<blockquote><p><strong>Mini-Practices</strong></p>
<p>For relaxation to benefit you the most, you need to learn how to relax and calm yourself upon your command. This skill can be very helpful when you are feeling increased tension or pain, but are unable to go to a secluded area to do <em>progressive relaxation</em>.</p>
<p><strong>To Do a Mini-Practice:</strong></p>
<ol>
<li>Stop yourself in whatever you are doing</li>
<li>Take a deep breath</li>
<li>Say the word &#8220;relax&#8221; to yourself</li>
<li>Slowly exhale</li>
<li>As you exhale  focus on the sensations of relaxation</li>
<li>Allow your jaws to relax, allow sensations of heaviness to flow downward from your shoulders throughout your body</li>
<li>After 30 seconds go back to what you were doing &#8211; regardless of how well you have succeeded in relaxing</li>
</ol>
<p><strong>Reminders to do Mini-Practices</strong></p>
<p>Your goal is to do about 5 mini-practices the first day and then gradually build up to about 20 mini-practices a day over the next few weeks. You can remind yourself to do a mini-practice in many different ways. Some people do a mini-practice every time they feel annoyed or tense. Other people do one every time they stop at a stop light or pick up the telephone. You can remind yourself to do a mini-practice by placing adhesive &#8220;dots&#8221; around the house (by the door, near your mirror) or on personal belongings (such as a watch, or pocketbook). Every time you see a &#8220;dot&#8221; you will be reminded to do a mini-practice.</p>
<p>It doesn&#8217;t matter how you choose to remind yourself to relax, what is important is that you practice frequently. Little by little you can develop a habit of keeping yourself relaxed throughout the day.</p></blockquote>
<p>Learning to relax really is a skill. We live in a constant state of <em>flight or fight</em>. Learning to shut that down, even if it is only for 30 second increments is a powerful tool.</p>
<p>After practicing this technique for a week I can say it is something we should all learn and add to our coping skills toolbox. I have not counted to confirm that I am up to 20 mini-practices a day, but the cumulative affect of the number I am doing is very positive. I have a greater feeling of control over my emotions and enjoy the short sensations of relaxation. They are kind of addicting! I find myself doing one each time I wash my hands &#8211; and I am compulsive hand washer.</p>
<p>Try it for yourself. It is such a simple and useful technique there really is no reason not to try it. The researcher did mention that some people have an aversion to the word &#8220;relax&#8221; (feels too harsh), and if this is the case with you, it is perfectly acceptable to find your own word &#8211; <em>chill</em>, <em>easy</em>, <em>breath</em>, etc.</p>
<p>Be sure to get yourself a pack of the adhesive dots. They are a fun and useful way to remind yourself to relax.</p>
<p style="text-align: center;"><img class="aligncenter size-large wp-image-1686" title="IMG_1380" src="http://www.fibrohaven.com/wp-content/uploads/IMG_1380-1024x576.jpg" alt="IMG_1380" width="655" height="369" /></p>
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		<item>
		<title>Cognitive Coping Skills for the Treatment of Fibromyalgia</title>
		<link>http://www.fibrohaven.com/2009/10/26/cognitive-coping-skills-for-the-treatment-of-fibromyalgia/</link>
		<comments>http://www.fibrohaven.com/2009/10/26/cognitive-coping-skills-for-the-treatment-of-fibromyalgia/#comments</comments>
		<pubDate>Tue, 27 Oct 2009 01:04:27 +0000</pubDate>
		<dc:creator>FibroHaven</dc:creator>
				<category><![CDATA[Mindful Living]]></category>
		<category><![CDATA[cognitive coping skills]]></category>
		<category><![CDATA[fibromyalgia]]></category>
		<category><![CDATA[group therapy]]></category>
		<category><![CDATA[life]]></category>
		<category><![CDATA[pain]]></category>
		<category><![CDATA[research]]></category>
		<category><![CDATA[transition]]></category>
		<category><![CDATA[working with Fibromyalgia]]></category>

		<guid isPermaLink="false">http://fibrohaven.wordpress.com/?p=1650</guid>
		<description><![CDATA[Did you miss me? This time of transition in my life has been trying to say the least. An emotional roller coaster would be a better way to describe it. One second I am excited by possibilities and the next second I am crushed with defeat. Sounds a lot like life doesn&#8217;t it? It just [...]]]></description>
			<content:encoded><![CDATA[<p>Did you miss me?</p>
<p>This <a href="http://www.fibrohaven.com/2009/10/07/change-adaptation-and-the-amazing-race/" target="_self">time of transition</a> in my life has been trying to say the least. An emotional roller coaster would be a better way to describe it. One second I am excited by possibilities and the next second I am crushed with defeat. Sounds a lot like life doesn&#8217;t it?</p>
<p><a rel="attachment wp-att-1655" href="http://www.fibrohaven.com/?attachment_id=1655"><img class="alignright size-medium wp-image-1655" title="group_therapy" src="http://fibrohaven.files.wordpress.com/2009/10/group_therapy.jpg?w=146" alt="group_therapy" width="146" height="300" /></a>It just so happens that a research study I was slated to participate in months ago started up last week. It is a local study on yoga and cognitive coping skills for the treatment of Fibromyalgia. I was hoping to end up in the cognitive group since I already have a good handle on the yoga, and  since the trials of this past month have left me in serious need of some coping skills. Fortunately that is exactly where I ended up.</p>
<p>Last week was our first session and we spent most of the two hours getting to know everyone in the group. Then we proceeded on to the first of the eight Pain Coping Skills we will be learning over the course of the study. <em>Progressive Relaxation</em> is a guided technique. While laying or seated in a comfortable position, we followed the directive of the study leader and proceeded with a focused tightening and relaxing of targeted muscles.</p>
<p>Starting from our heads and working our way down, we slowly and purposefully tightened and relaxed major muscle groups. It was a controlled and relaxing exercise. Before we began we rated several of our symptoms on a sliding scale &#8211; pain, fatigue, brain fog. At the end of the exercise we were asked to rate our symptoms again.</p>
<p><a rel="attachment wp-att-1652" href="http://www.fibrohaven.com/?attachment_id=1652"><img class="alignleft size-medium wp-image-1652" title="back_pain" src="http://fibrohaven.files.wordpress.com/2009/10/back_pain.jpg?w=200" alt="back_pain" width="200" height="300" /></a>I think everyone agreed it was  relaxing and we all felt somewhat restored. But for me it did not elevate my pain. Some of my muscles that had been burning &#8211; like my upper back between my shoulder blades &#8211; did experience relief, but then other muscles where my pain was more sharp and focused seemed more painful after. It is hard to tell whether the pain actually increased from the movements or if I simply became more aware of it when the overriding burning pain subsided.</p>
<p>Our homework was to repeat the exercise twice a day listening to a DVD recorded by the lead researcher. My homework left me with the same experience. So I suppose I would say for me it is a good technique for burning pain, but not so good for sharp, stabbing pain.</p>
<p>This week we are learning a new technique, and so on throughout the eight weeks of the study. Their hope is that one, two or maybe even all eight of the skills they teach us will help us and be implemented into our daily routines. That is my hope too!</p>
<p>My second hope is that I will be able to continue on with the study after I have started working again. It is a possibility that it will conflict and I won&#8217;t be able to complete the eight weeks. That would be a disappointment, but I will worry about it when the time comes.</p>
<p>For now, I will continue on and report here what we are doing and whether or not it is helping me.</p>
<p>Do you have any experience with Cognitive Coping Skills/Behaviors? I would love for you to share your experience with it. Was it helpful to you? Do you continue to practice the skills you learned? Do you practice daily or do you target your practice depending on your symptoms?</p>
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