A Compassion Focused Approach to Stress Management
Ann Parkinson
Specialist Physiotherapist & Integrative Somatic Practitioner
This blog will look at how Compassionate Mind Training (CMT), from Compassion Focused Therapy (CFT), can be used with my mindful compassion based 5 steps stress awareness and management model to manage and change stress, as well as create a more compassionate way of being.
CFT was developed by Professor Paul Gilbert. An important part of this – which can also be used in a standalone way – is called Compassionate Mind Training. CMT uses a variety of practices aimed to stimulate and grow our compassionate mind, and compassionate way of being. My 5 steps model can support stress awareness and management, as well as optimising health & wellbeing, alongside changing any unhelpful lifestyle factors where possible.
The Mindful Compassion Based "5 Steps Stress Awareness & Management Model"
The 5 steps in this model are:
- Slow down & pause
- Awareness – Notice what’s present in the body (somatic check-in) with compassion & curiosity
- Let Be – allow what’s present as it is without judgement as best you can, noting how things ebb & flow
- Let go – let go of what doesn’t serve
- Let in – choose what’s helpful, what you would like to invite more of. Connect to what’s nurturing & focus on this
This model isn’t about 1-5 steps that we rigidity stick to, it’s flexible and fluid, we move back and forth between different stages and they blend together. For example, we might be working with letting go and then move back to the noticing and letting be steps before going back to the letting go step again. Alternatively, we might be working with letting in and move back to awareness and noticing and even more letting go to before working with letting in again, and there might not be a clear distinction between them always. You can read more about this model here https://unityphysio.co.uk/the-mindful-compassion-based-5-steps-stress-awareness-management-model/
The 5 steps mindful compassion based stress awareness and management model is about increasing awareness, connecting to the body in a compassionate way, being with, letting go and letting in/bringing in what’s helpful/supportive. Compassionate awareness and connecting to a compassionate way of being are foundational in this practice, so it combines well with CMT from CFT.
A CFT Perspective and the 5 Steps Model
As well as creating a more compassionate way of being CFT can be used as part of managing and changing stress. One part of CFT is the three circles model of emotional regulation. In this model there is a threat circle, a drive circle and a soothing circle, no circle is good or bad and the aim is for them to be in balance.
The balance is changing all the time, most often in our modern world it’s the threat system that increases and needs modulation via the soothing system. When there is increased stress the threat system gets overactive and we are either in a threat based drive, or the drive circle may shrink.
The soothing circle shrinks and we get stuck in our threat system, this impacts our thoughts, feelings, behaviour, and our physiology, for example increased anxiety, pain and fatigue.
One element of CMT is connecting to and embodying the compassionate self. The compassionate self has three main pillars or aspects: a caring commitment, courage or strength, and wisdom. This is not the same as self-compassion which was defined by Kristin Neff as having three parts: mindfulness (noticing the moment of suffering), connecting to common humanity, and kindness for the self.
Using my 5 steps model the first step is being able to slow down (called “Pause”), this allows us space to begin to notice what’s present in your body (a somatic check-in), which is step two in my 5 steps model. It can be hard to slow down and pause when we are stuck in our threat system, so sometimes we need to connect a little more of our soothing system first to modulate the threat system to allow us to slow down. This can be as simple as noticing what we can see around us, or noticing our feet on the floor.
Step 2 is “Awareness” and somatic check-in, this is noticing all of what’s present in the body. We can notice our nervous system state and where we are in terms of the three circles model, for example in a threat-drive, and what in our body tells us this. When we are noticing what’s present the aim is to do so without judgement or criticism, instead noticing from a place of compassion and curiosity as best we can. Paying attention from the perspective of our compassionate self is helpful, this might be tricky to start with. Holding the intention to be compassionate, curious and bringing in some self-compassion can help us access the compassionate self, for example placing a hand on the heart and saying something like ‘may I do my best to notice with compassion and curiosity what’s present in my body.’ Whilst curiosity isn’t one of the main pillars of the compassionate self I believe it is an important aspect of it.
The courage to be with suffering as it is without needing to change or ‘fix’ anything is part of the “Letting Be” step of my model (Step 3). It can be tricky to draw a distinction between the noticing and being with steps, that’s because there sort of isn’t one (being with and allowing what’s present are both part of noticing). In this step the compassionate self brings a caring commitment and a courage or strength to be with the suffering/challenges within what’s present. A self-compassion perspective here would be awareness of what’s present and connecting to common humanity, for example that many people experience similar or the same things. Practices like soothing rhythm breathing, or connecting to a safe place image, another CMT practice, can support nervous system regulation and being with what’s present, allowing it to be.
From letting be, we move to Step 4 – “Letting Go”. Here we let go of what doesn’t serve us. This can include many things, for example: self-criticism, impatience, unhelpful habits, unhelpful beliefs, and excess tension in the body. There are various ways to do this, from a compassionate mind perspective soothing rhythm breathing can help us maintain connection to a regulated nervous system and being connected to our compassionate self helps us to let go of what doesn’t serve us in a non-judgemental way. This may mean doing a compassionate self imagery practice (a “Letting In” practice – Step 5 of the model) before focusing more on letting go. Compassionate phrases or mantras can also be helpful here.
The compassionate self holds much wisdom and by being with the suffering it can guide us to wise action. Once we have noticed what’s present and let it be without judgement we can move to letting go, or we may not be ready to let go and need to let in more of what’s supportive before doing this (as mentioned above), not using Step 4 before Step 5 would be classes as wise action here. Examples of letting in what supports our health & wellbeing, decreases stress and supports thriving can include connecting to more of a sense of safeness, or groundedness, using safe place imagery from compassionate mind training, or deepening an embodiment of the compassionate self using imagery and soothing rhythm breathing. In terms of self-compassion this could be expressing kindness for the self which could include a self-hug, some compassionate words and/or soothing touch. In the letting in step we could ask what would it be helpful to let in to help alleviate suffering in this moment? Or, what can I do for myself out of kindness right now? The letting in stage is also where we are aiming to stimulate the soothing system more and grow the green to help modulate the threat system and bring the three circles more into balance.
The CMT practices and CFT perspective can be used with my 5 steps model to manage and change stress, as well as create a compassionate way of being and live from a place of embodying the compassionate self as much as possible.
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