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Emo$onal Resilience for Case Management Professionals 16 th Annual Case Management Conference for Health Care Professionals Interested or Engaged in Case Management November 1, 2016 Lisa Laughman, Emo.onal Wellness Consultant Wisdom Heart Life

Emoonal Resilience for Case Management Professionals · • Hayes, Stephen. Get Out of Your Mind and Into Your Life (2005) • Hayes, Stoshal, Wilson. Acceptance and Commitment Therapy:

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Page 1: Emoonal Resilience for Case Management Professionals · • Hayes, Stephen. Get Out of Your Mind and Into Your Life (2005) • Hayes, Stoshal, Wilson. Acceptance and Commitment Therapy:

Emo$onalResilienceforCaseManagementProfessionals

16thAnnualCaseManagementConferenceforHealthCareProfessionalsInterestedor

EngagedinCaseManagement

November1,2016

LisaLaughman,Emo.onalWellnessConsultantWisdomHeartLife

Page 2: Emoonal Resilience for Case Management Professionals · • Hayes, Stephen. Get Out of Your Mind and Into Your Life (2005) • Hayes, Stoshal, Wilson. Acceptance and Commitment Therapy:

Facilitator’s Creden.alsLisaLaughman,LMSW

28yearsofclinicalsocialworkexperience

CorporateTrainersince1994

EmployeeAssistanceCounselorsince1994

3PrincipleFacilitator1995

MichiganStateUniversityEAPCounselor2003

MichiganStateUniversityEmo.onalWellnessConsultant2005•  StressReduc.onCoach•  ShameResilienceEducator•  LeadershipEffec.venessCoach

Founder/DirectorofWisdomHeartLife2009

Cer$fiedDaringWay™Facilitator-Candidate

Page 3: Emoonal Resilience for Case Management Professionals · • Hayes, Stephen. Get Out of Your Mind and Into Your Life (2005) • Hayes, Stoshal, Wilson. Acceptance and Commitment Therapy:

BEHERENOW

AREYOUHERERIGHTNOW?

Page 4: Emoonal Resilience for Case Management Professionals · • Hayes, Stephen. Get Out of Your Mind and Into Your Life (2005) • Hayes, Stoshal, Wilson. Acceptance and Commitment Therapy:

TheCommonStateofMindofEmployees

PressuredandOverwhelmed

NotGoodEnough

Perfec.onismandSelfCri.cism

ShameandShame

responses

Frozen

Exhaus.onandBurnout

DisengagedAnd

Disgruntled

Anxiety/Panic

Page 5: Emoonal Resilience for Case Management Professionals · • Hayes, Stephen. Get Out of Your Mind and Into Your Life (2005) • Hayes, Stoshal, Wilson. Acceptance and Commitment Therapy:

BasicSkillsRequiredforSustainableHighPerformance

Emo.onalResilience

PsychologicalFlexibility

ShameResilience

Mindfulnessand

Relaxa.on

SelfCompassion

ClearValuesandSenseofPurpose

DevelopCri.cal

Consciousness

Page 6: Emoonal Resilience for Case Management Professionals · • Hayes, Stephen. Get Out of Your Mind and Into Your Life (2005) • Hayes, Stoshal, Wilson. Acceptance and Commitment Therapy:

Zolli,2013

Page 7: Emoonal Resilience for Case Management Professionals · • Hayes, Stephen. Get Out of Your Mind and Into Your Life (2005) • Hayes, Stoshal, Wilson. Acceptance and Commitment Therapy:

Shambaugh,2013

Page 8: Emoonal Resilience for Case Management Professionals · • Hayes, Stephen. Get Out of Your Mind and Into Your Life (2005) • Hayes, Stoshal, Wilson. Acceptance and Commitment Therapy:

Dictionary.com

Page 9: Emoonal Resilience for Case Management Professionals · • Hayes, Stephen. Get Out of Your Mind and Into Your Life (2005) • Hayes, Stoshal, Wilson. Acceptance and Commitment Therapy:

WHATCAUSESYOUSTRESS?demandingcustomers,publicspeaking,traffic,technology,coworkers,bosses,illness,caregiving,kids,parents,spouse/partner,siblings,mybody,poli.cs,terrorism,bills,deadlines,toomuchtodo,expecta.ons,change,weather,stupidpeople,lazypeople,rudepeople,judgmentalpeople,bureaucracy,baddrivers,cellphones,thehousingmarket,thestockmarket,wai.ngfortrains,healthdiagnosis,airportsecurity,construc.on,lackofparking,parking.ckets,flat.res,discrimina.on,change,oppression,weddings,births,reappointmentprocess,moving,$,$,$,$,$,$,naturaldisasters,taxes,death….

Page 10: Emoonal Resilience for Case Management Professionals · • Hayes, Stephen. Get Out of Your Mind and Into Your Life (2005) • Hayes, Stoshal, Wilson. Acceptance and Commitment Therapy:

E Stress

EE

ReallyBigStress

E

E

Page 11: Emoonal Resilience for Case Management Professionals · • Hayes, Stephen. Get Out of Your Mind and Into Your Life (2005) • Hayes, Stoshal, Wilson. Acceptance and Commitment Therapy:

Thebigevent PerformanceAnxiety

UpsetBossStaffingshortage

UnhappyClientRepeated

Interrup.ons

StressCrisis(freakout)

Page 12: Emoonal Resilience for Case Management Professionals · • Hayes, Stephen. Get Out of Your Mind and Into Your Life (2005) • Hayes, Stoshal, Wilson. Acceptance and Commitment Therapy:

EPhysicalState

StateofMind

RuleBook

YourPersonalExperienceinthe

Moment

It’sTimeforaNewEqua.on

Page 13: Emoonal Resilience for Case Management Professionals · • Hayes, Stephen. Get Out of Your Mind and Into Your Life (2005) • Hayes, Stoshal, Wilson. Acceptance and Commitment Therapy:

Whatcanwecounton?

Weareallbornwithinnateemo.onalhealthandwellness

Emo.onalhealthissome.mesdescribedastheuniversalhumancapacitytobecalm,relaxed,present,open,reflec.ve,crea.veandwise.

Page 14: Emoonal Resilience for Case Management Professionals · • Hayes, Stephen. Get Out of Your Mind and Into Your Life (2005) • Hayes, Stoshal, Wilson. Acceptance and Commitment Therapy:

OurEmo$onalHealth

•  Lifeenergy,crea.veflow,thriving

•  Ouremo.onalhealthstatusvariesmomenttomoment

•  Wecandevelopthoughthabits,emo.onalresponses,andbehaviorsthatblockourflowofemo.onalhealth,butwecanneverloseourcapacitytobeemo.onallywell

Page 15: Emoonal Resilience for Case Management Professionals · • Hayes, Stephen. Get Out of Your Mind and Into Your Life (2005) • Hayes, Stoshal, Wilson. Acceptance and Commitment Therapy:

Emo$onalResiliency

•  Theabilitytoconnectwithandu.lizeouremo.onalhealth

•  Theabilitytobepsychologicallyflexibleandnavigatechange,trauma,andlifetransi.onseffec.vely-linedupwithourcorevalues

•  Theabilitytoexperiencethefullrangeofemo.onsthatarenaturalforhumanstoexperience

Page 16: Emoonal Resilience for Case Management Professionals · • Hayes, Stephen. Get Out of Your Mind and Into Your Life (2005) • Hayes, Stoshal, Wilson. Acceptance and Commitment Therapy:

OPERATINGINSTRUCTIONS:

• Howdohumanbeingscreatetheirownpersonal,moment-to-momentexperienceofreality?

Page 17: Emoonal Resilience for Case Management Professionals · • Hayes, Stephen. Get Out of Your Mind and Into Your Life (2005) • Hayes, Stoshal, Wilson. Acceptance and Commitment Therapy:

/ "' f&'.Acrw6,, f [Y 0

\ \

Page 18: Emoonal Resilience for Case Management Professionals · • Hayes, Stephen. Get Out of Your Mind and Into Your Life (2005) • Hayes, Stoshal, Wilson. Acceptance and Commitment Therapy:

LemonMakingteaVirtualrealityMovieprojector

THEPOWEROFTHOUGHT

Page 19: Emoonal Resilience for Case Management Professionals · • Hayes, Stephen. Get Out of Your Mind and Into Your Life (2005) • Hayes, Stoshal, Wilson. Acceptance and Commitment Therapy:

InourmemorybasedthinkingWeholditcloseand.ghtWeletourstorydefineusWecancreateafilteringsystem

HOWWECARRYTHOUGHTOVERTIME

Page 20: Emoonal Resilience for Case Management Professionals · • Hayes, Stephen. Get Out of Your Mind and Into Your Life (2005) • Hayes, Stoshal, Wilson. Acceptance and Commitment Therapy:

'1.

X "JC

:hi'E twfll. l /c«

Page 21: Emoonal Resilience for Case Management Professionals · • Hayes, Stephen. Get Out of Your Mind and Into Your Life (2005) • Hayes, Stoshal, Wilson. Acceptance and Commitment Therapy:

NOTICINGTHEFIRSTTHOUGHTTHROUGH.ISITTHEONEYOUREALLYWANTTOGOWITH?

CatchandRelease

Page 22: Emoonal Resilience for Case Management Professionals · • Hayes, Stephen. Get Out of Your Mind and Into Your Life (2005) • Hayes, Stoshal, Wilson. Acceptance and Commitment Therapy:

Beingabletoaskyourselfinagivenmoment,amIopera.ngfrommyemo.onalhealthandwellbeing,RIGHTNOW?

THEIMPORTANCEOFTHEEMOTIONALWELLNESSCHECKIN?

Page 23: Emoonal Resilience for Case Management Professionals · • Hayes, Stephen. Get Out of Your Mind and Into Your Life (2005) • Hayes, Stoshal, Wilson. Acceptance and Commitment Therapy:

What’supwithme,rightnow?yourpersonalrealityisvariableandchangesmomenttomomentaccordingtowhatiscurrentlyhappeningwith

theseinternalfactors:

PhysicalState Mood

StateofMind

Page 24: Emoonal Resilience for Case Management Professionals · • Hayes, Stephen. Get Out of Your Mind and Into Your Life (2005) • Hayes, Stoshal, Wilson. Acceptance and Commitment Therapy:

CheckYourselfFirst–PhysicalHealth

•  Whatishappeningforyouphysically–  Hormones(hotflash?)–  Bloodsugar–  BloodPressure–  Tension–  Nauseous–  Medicinereac.on–  Hungover

•  AreyouWELLfed?

•  AreyouWELLrested?–  sleep/awakementalrest

Page 25: Emoonal Resilience for Case Management Professionals · • Hayes, Stephen. Get Out of Your Mind and Into Your Life (2005) • Hayes, Stoshal, Wilson. Acceptance and Commitment Therapy:

CheckYourselfFirst-Mood

•  Howdoesyourmoodimpactyourthoughts,feelings,reac.ons,andbehaviors?

•  Doyouknowwhenyouareinalowmood?

•  Everybodyexperiencesvaria.onsintheirmood.

•  “Falsehappy”isalowmoodtoo

•  Happydoesnot=healthy

Page 26: Emoonal Resilience for Case Management Professionals · • Hayes, Stephen. Get Out of Your Mind and Into Your Life (2005) • Hayes, Stoshal, Wilson. Acceptance and Commitment Therapy:

Itdoesn’tmaWerhowlowyougo…itisthebouncethatcounts.

LindaPransky,LMSW

3PrincipleFacilitator

“Thereisnogreaterprotec.vefactorthenrealizingweareinalowmoodandourthinkingandperspec.vehasbeencompromised.” LisaLaughman,LMSW

Page 27: Emoonal Resilience for Case Management Professionals · • Hayes, Stephen. Get Out of Your Mind and Into Your Life (2005) • Hayes, Stoshal, Wilson. Acceptance and Commitment Therapy:

Higher Mood States

Gratitud

e Generosity,

Kindness

Creativity,Insight Acorec:ation. Compassion

Patience. Unaerstc:naing

Sense of Humor

Satisfac;ion.

Contentment

Coooerc:tion.

Fiexibility Interest

Curiosny

Lower Mood

States Impatience.

Frus;ration Boredom.

Restlessness

Dissatistc:cu

on Oerensiveness.

Conilicl

Blame. Judgement

Seff-R ignteousness

Stress. Burnout. .Anxiety

Ange

r

Depressio

n

Revenge.HosLIIil'f

UP DOWN

UP DOWN

Page 28: Emoonal Resilience for Case Management Professionals · • Hayes, Stephen. Get Out of Your Mind and Into Your Life (2005) • Hayes, Stoshal, Wilson. Acceptance and Commitment Therapy:

CheckYourselfFirst–StateofMind

•  Whatisthecurrentcondi.onofyourthoughtworld?

•  Howwouldyoudescribeyourstateofmind?

blenderbrain,molasses,mudmind,foggy,“loading…”

•  Howbusymindedareyou?

Page 29: Emoonal Resilience for Case Management Professionals · • Hayes, Stephen. Get Out of Your Mind and Into Your Life (2005) • Hayes, Stoshal, Wilson. Acceptance and Commitment Therapy:

CheckYourselfFirst–RuleBook•  Wecollectourrulesoverthecourseofourlife.mes.Whotaught

youhowthingsweresupposedtogo?

•  Whodidthefactcheckingonyourrules?

•  Areyoubumpingupagainstoneofyourstronglyheldrules?

•  Areyou“shoulding”alloveryourself?

•  Howakachedtoyourown“personalreality”areyou,rightnow?

•  Areyoushametriggeredandrespondinginold,unhelpfulways?

•  IsthereanywayonGod’sgreenearththatthesitua.onyouareinandtherulesyouholdtightlytoarecompatible?

Page 30: Emoonal Resilience for Case Management Professionals · • Hayes, Stephen. Get Out of Your Mind and Into Your Life (2005) • Hayes, Stoshal, Wilson. Acceptance and Commitment Therapy:

Whatareyousupposedtodo• ifyouhappentocatchon

fire?

• StopDropReflectRoll

Page 31: Emoonal Resilience for Case Management Professionals · • Hayes, Stephen. Get Out of Your Mind and Into Your Life (2005) • Hayes, Stoshal, Wilson. Acceptance and Commitment Therapy:

Theabilitytobeinthepresentmomentandrespondtowhatishappeninginawise,valueguidedmanner

Notneedingtohaveitallplannedoutinadvance

Respectfornewideasratherthanonlyaccessingwhatyoualreadyknow

PSYCHOLOGICALFLEXIBILITY

Psychological Flexibility = Mindfulness + Values + Action

Page 32: Emoonal Resilience for Case Management Professionals · • Hayes, Stephen. Get Out of Your Mind and Into Your Life (2005) • Hayes, Stoshal, Wilson. Acceptance and Commitment Therapy:

Giventhatitiswhatitis,whodoIwanttobe,andhowdoIwanttorespond?

ITISWHATITIS.

Page 33: Emoonal Resilience for Case Management Professionals · • Hayes, Stephen. Get Out of Your Mind and Into Your Life (2005) • Hayes, Stoshal, Wilson. Acceptance and Commitment Therapy:

Mostpsychologicalsufferingiscausedbyresistance.Peopleresist“unwantedpersonalexperiences”.Wetrytocontroleverythingsoastoavoidafutureunwantedpersonalexperience.Weeventrytoresistunwantedpersonalexperienceswearealreadyhaving.

RESISTINGWHATIS.

Page 34: Emoonal Resilience for Case Management Professionals · • Hayes, Stephen. Get Out of Your Mind and Into Your Life (2005) • Hayes, Stoshal, Wilson. Acceptance and Commitment Therapy:

ACT–sixcoreconcepts

•  ObservingSelf–thepartofthemindthatisabletobeawareofwhateveryouarethinkingordoingorfeelinginthemoment

•  Defusion–Detachingfromcurrentlyheldthought

•  Connec$on–connec.ngfullywithwhateverishappening,righthere,rightnow

•  Expansion–openingupandmakingroomforallfeelingsandsensations

•  Values–whatyouwantyourlife/worktobeabout(bigpicture)

•  CommiWedAc$on–takingac.onguidedbyyourvalues

Source:Harris,Russ(2008)TheHappinessTrap.ShambalaPublications.p.33-34

Page 35: Emoonal Resilience for Case Management Professionals · • Hayes, Stephen. Get Out of Your Mind and Into Your Life (2005) • Hayes, Stoshal, Wilson. Acceptance and Commitment Therapy:

/ "' f&'.Acrw6,, f [Y 0

\ \

Page 36: Emoonal Resilience for Case Management Professionals · • Hayes, Stephen. Get Out of Your Mind and Into Your Life (2005) • Hayes, Stoshal, Wilson. Acceptance and Commitment Therapy:

ACCEPTANCE Open Up

CONTACT WITH THE PRESENT MOMENT

Be Here Now

-----1---+-------''<------- VALUES Know What Matters

DEFUSION

FLEXIBILITY Be present, open up, and do what

matters

SELF-AS-CONTEXT

Pure Awareness

COMMITTED ACTION

Do What It Takes

Page 37: Emoonal Resilience for Case Management Professionals · • Hayes, Stephen. Get Out of Your Mind and Into Your Life (2005) • Hayes, Stoshal, Wilson. Acceptance and Commitment Therapy:

WebsitesofInterest

• www.heath4u.msu.edu

• www.threeprinciplesmovies.com

www.thehappinesstrap.com

Page 38: Emoonal Resilience for Case Management Professionals · • Hayes, Stephen. Get Out of Your Mind and Into Your Life (2005) • Hayes, Stoshal, Wilson. Acceptance and Commitment Therapy:

BooksofInterest

RussHarris,TheHappinessTrap

DickenBet.nger/NatashaSwerdloff,ComingHome

BreneBrown,TheGiFsofImperfecGon

KristenNeff,MindfulSelfCompassion

Page 39: Emoonal Resilience for Case Management Professionals · • Hayes, Stephen. Get Out of Your Mind and Into Your Life (2005) • Hayes, Stoshal, Wilson. Acceptance and Commitment Therapy:

Howtocontactthefacilitator

LisaLaughman,[email protected]

Page 40: Emoonal Resilience for Case Management Professionals · • Hayes, Stephen. Get Out of Your Mind and Into Your Life (2005) • Hayes, Stoshal, Wilson. Acceptance and Commitment Therapy:

References

•  Brown,Brene.(2013)DaringGreatly:HowtheCouragetobeVulnerableChangestheWayWeLive,Love,Parent,andLead.GothamBooks,NewYork,NY.(2012).

•  Eifert,Forsyth.TheMindfulnessandAcceptanceWorkbookforAnxiety(2008)

•  Fleming,Kocovski,Segal.TheMindfulnessandAcceptanceWorkbookforSocialAnxiety(2013)

•  Harris,Russ.TheHappinessTrap:HowtoStopStrugglingandStartLiving.Boston,MA:ShambhalaPublica.ons2007.

•  AlsobyRussHarris•  TheConfidenceGap(2011)

•  TheRealitySlap(2012)

•  ACTwithLove(2009)

•  ACTMadeSimple(2009)

•  Hayes,Stephen.GetOutofYourMindandIntoYourLife(2005)

•  Hayes,Stoshal,Wilson.AcceptanceandCommitmentTherapy:TheProcessandPrac.ceofMindfulChange.(2012)

•  Strosahl,Robinson.TheMindfulnessandAcceptanceWorkbookforDepression(2008)