mental HEALTHhe is say<strong>in</strong>g. With a vague idea of Joe’s conflict with his boss, Ioffer a general suggestion <strong>to</strong> journal more about this conflict andencourage him <strong>to</strong> sympathize more with his boss’s position. Joethanks me for my suggestions as he leaves, lead<strong>in</strong>g me <strong>to</strong> believeI have done him some good.I have five m<strong>in</strong>utes between sessions <strong>to</strong> call a managedcare (<strong>in</strong>surance) company <strong>to</strong> get authorization for more visitsfor a client. I dread mak<strong>in</strong>g <strong>the</strong>se calls. <strong>The</strong>y never go smoothly.<strong>The</strong> workers transfer me <strong>to</strong> two different departments. I noticemy frustration level rises and I beg<strong>in</strong> <strong>to</strong> feel <strong>the</strong>se people are <strong>in</strong>convenienc<strong>in</strong>gme and wast<strong>in</strong>g my time. A third voice comes on<strong>the</strong> l<strong>in</strong>e and tells me she is putt<strong>in</strong>g me on hold, and before I canrespond <strong>the</strong> background music clicks on. Hear<strong>in</strong>g <strong>the</strong> soft musicfur<strong>the</strong>r escalates my anger as I am forced <strong>to</strong> pause my busy dayfor a couple m<strong>in</strong>utes. Realiz<strong>in</strong>g I cannot <strong>to</strong>lerate this <strong>in</strong>justice anylonger, I count down from ten <strong>to</strong> one, curse at <strong>the</strong> music, and slam<strong>the</strong> phone down on <strong>the</strong> receiver.I s<strong>to</strong>mp off <strong>to</strong>ward <strong>the</strong> wait<strong>in</strong>g room <strong>to</strong> greet my next client,Sue. Along <strong>the</strong> way, I pass a colleague and I mumble someth<strong>in</strong>gabout how <strong>in</strong>competent and <strong>in</strong>sensitive all managed care workersare and how <strong>the</strong>y prevent good <strong>the</strong>rapists from do<strong>in</strong>g <strong>the</strong>ir job. <strong>The</strong>colleague nods <strong>in</strong> acknowledgment and walks on.Sue is very upset <strong>to</strong>day. She is mourn<strong>in</strong>g some losses <strong>in</strong> herlife. I don’t have much energy left after a ten-hour day of back<strong>to</strong>-backclients, group sessions, and meet<strong>in</strong>gs. I listen for a whileand drift off <strong>to</strong> plann<strong>in</strong>g what I will do next—my house needssome work, I could go <strong>to</strong> <strong>the</strong> s<strong>to</strong>re, and I deserve <strong>to</strong> relax with abeer and a movie. <strong>The</strong> session nears a close and I feel confusedas <strong>to</strong> how I can help Sue <strong>to</strong>day. I make a general and safe suggestionthat she peruse her old pho<strong>to</strong> albums and journal about herexperience <strong>to</strong> manage her grief.<strong>The</strong> day is f<strong>in</strong>ally over. I grab my coat and walk as fast as Ican down <strong>the</strong> hallway, hop<strong>in</strong>g no one will try <strong>to</strong> have a conversationwith me. Leav<strong>in</strong>g <strong>the</strong> cl<strong>in</strong>ic, I th<strong>in</strong>k about where I might s<strong>to</strong>pfor d<strong>in</strong>ner.Present Day: With M<strong>in</strong>dfulnessI listen <strong>to</strong> <strong>the</strong> eng<strong>in</strong>e transition from idle and click off. I have<strong>in</strong>tentionally parked my car several rows back from <strong>the</strong> cl<strong>in</strong>ic’sback door so I can enjoy <strong>the</strong> walk. I feel <strong>the</strong> sensation of <strong>the</strong>sun’s rays on my right cheek as it makes its way through somecumulus clouds. As I open <strong>the</strong> cl<strong>in</strong>ic door, I see a dead cricketupside down on <strong>the</strong> ground. I allow this image <strong>to</strong> stay with methroughout <strong>the</strong> day.Before meet<strong>in</strong>g with my first client, Lisa, I prepare for <strong>the</strong>session with a brief meditation. I follow my breath<strong>in</strong>g closely <strong>to</strong>br<strong>in</strong>g about a concentrated awareness <strong>to</strong> start <strong>the</strong> <strong>the</strong>rapy session.I feel a sense of clarity, which stays with me as I walk down <strong>the</strong>hallway. I feel very focused with Lisa. I challenge her verbosityand we explore <strong>the</strong> fears she hides with her words.34 Summer 2006
mental HEALTH<strong>The</strong> calligraphy of Lynette Monteiro,True Wonderful Fulfillment, isfeatured throughout this issue.A member of Sangha Arana <strong>in</strong> Ottawa,she lives <strong>in</strong> Navan, Ontario, Canadawith her partner Frank anda host of lov<strong>in</strong>g animals.opposite: Form Is Empt<strong>in</strong>essabove: Lynette Monteiro, GenerosityFollow<strong>in</strong>g <strong>the</strong> session, I return <strong>to</strong> my meditation chair andsilently concentrate on my breath. I let go of Lisa and our work<strong>to</strong>day. I smile <strong>to</strong> <strong>the</strong> image of Scott, my next client. I return myfocus fully <strong>to</strong> my breath<strong>in</strong>g. I slowly stand and beg<strong>in</strong> <strong>to</strong> walk, coord<strong>in</strong>at<strong>in</strong>gevery three steps with my <strong>in</strong>hale and every four stepswith my exhale. Scott beg<strong>in</strong>s <strong>the</strong> session with apathy and disda<strong>in</strong>,verbaliz<strong>in</strong>g his dis<strong>in</strong>terest <strong>in</strong> be<strong>in</strong>g <strong>in</strong> <strong>the</strong>rapy. He compla<strong>in</strong>s ofpeople mistreat<strong>in</strong>g him. After empathiz<strong>in</strong>g with his struggles mym<strong>in</strong>d beg<strong>in</strong>s <strong>to</strong> wander. I hear <strong>the</strong> sound of people’s voices <strong>in</strong> <strong>the</strong>hallway. This distraction builds and threatens <strong>to</strong> throw me offbalance, draw<strong>in</strong>g me <strong>in</strong><strong>to</strong> Scott’s s<strong>to</strong>ries and emotion. I ask Scottif he m<strong>in</strong>ds if I close my eyes while I listen <strong>to</strong> him. This opensmy ears <strong>in</strong> a new way. I beg<strong>in</strong> <strong>to</strong> deeply listen <strong>to</strong> Scott, hear<strong>in</strong>g<strong>the</strong> pa<strong>in</strong> and fear beh<strong>in</strong>d his defensive speech of disclaimers, hismascul<strong>in</strong>e façade of hav<strong>in</strong>g it all <strong>to</strong>ge<strong>the</strong>r. Somehow Scott beg<strong>in</strong>s<strong>to</strong> open up deeper. He associates my closed eyes with my full, undividedattention. In this exchange of deeper awareness, honesty,and connection, he and I become aware of <strong>in</strong>sights reflected <strong>in</strong><strong>the</strong> present experience.At a midday adm<strong>in</strong>istrative meet<strong>in</strong>g, my s<strong>to</strong>mach tightenswhen my suggestions seem <strong>to</strong> go unnoticed. I deepen my breath<strong>to</strong> my abdomen, repeat<strong>in</strong>g <strong>the</strong> phrases commonly used by <strong>Thich</strong><strong>Nhat</strong> <strong>Hanh</strong>: “Breath<strong>in</strong>g <strong>in</strong>, I calm my body; breath<strong>in</strong>g out, I smile;dwell<strong>in</strong>g <strong>in</strong> this present moment; I know this is a wonderful moment.”My thoughts become more focused. I assert myself <strong>to</strong> <strong>the</strong>team leader, ask<strong>in</strong>g for <strong>the</strong> group <strong>to</strong> reconsider my ideas. Later,one group member, Dr. Chris<strong>to</strong>pher, rejects and criticizes my suggestionfor improv<strong>in</strong>g a client’s health. My shoulders tense, myheartbeat <strong>in</strong>creases, and beliefs of “I’m not help<strong>in</strong>g anybody” and“I never say <strong>the</strong> right th<strong>in</strong>gs” blanket my view. I reconnect withmy breath<strong>in</strong>g and decide I will address Dr. Chris<strong>to</strong>pher’s approachwith me after <strong>the</strong> meet<strong>in</strong>g so as not <strong>to</strong> risk embarrass<strong>in</strong>g him <strong>in</strong>front of <strong>the</strong> team and <strong>to</strong> not take up time from <strong>the</strong> busy agenda. Ialso resolve that if he is busy after <strong>the</strong> meet<strong>in</strong>g I will set up a time<strong>to</strong> speak with him later.Before see<strong>in</strong>g my next client, Joe, I close my office door <strong>to</strong>take a two-m<strong>in</strong>ute break <strong>in</strong> my meditation chair. I anchor my attention<strong>to</strong> my breath and scan my body. I relax <strong>the</strong> tension that wasbeg<strong>in</strong>n<strong>in</strong>g <strong>to</strong> creep <strong>in</strong><strong>to</strong> my shoulders. I practice lett<strong>in</strong>g go of mylast meet<strong>in</strong>g and my morn<strong>in</strong>g clients. I slowly walk <strong>to</strong> <strong>the</strong> wait<strong>in</strong>groom, feel<strong>in</strong>g my body transition with each step. I greet Joe witha warm smile and firm handshake. Remember<strong>in</strong>g that my m<strong>in</strong>dtends <strong>to</strong> wander quite a bit with Joe, I practice m<strong>in</strong>dful listen<strong>in</strong>g.When my m<strong>in</strong>d trails off, I return <strong>the</strong> focus <strong>to</strong> my breath, not Joe.This anchors me <strong>to</strong> <strong>the</strong> present moment <strong>in</strong> <strong>the</strong> room and re-opensmy ears <strong>to</strong> listen deeply.Between sessions, I make some adm<strong>in</strong>istrative phone calls,mostly <strong>to</strong> managed care companies. It is not surpris<strong>in</strong>g <strong>to</strong> me whenI am put on hold several times, transferred <strong>to</strong> <strong>in</strong>correct departments,and challenged over my professional op<strong>in</strong>ion. Dur<strong>in</strong>g <strong>the</strong>f<strong>in</strong>al call, I am put on hold for several m<strong>in</strong>utes. I had kept my balanceup <strong>to</strong> this po<strong>in</strong>t, but this seems <strong>to</strong> dig at me <strong>in</strong> a deeper way.As I become aware of <strong>the</strong> ris<strong>in</strong>g bodily and emotional tension, Ishift my attitude. I see this phone call as an opportunity—a space<strong>to</strong> befriend <strong>the</strong> breath once aga<strong>in</strong>. This keeps me focused on whatis most important for me <strong>to</strong> say for my client and it keeps me freshfor <strong>the</strong> person that beg<strong>in</strong>s <strong>to</strong> speak on <strong>the</strong> o<strong>the</strong>r l<strong>in</strong>e.I am runn<strong>in</strong>g late for my session with Sue but know<strong>in</strong>g <strong>the</strong>importance of breath<strong>in</strong>g through <strong>the</strong> transitions and creat<strong>in</strong>g spacefor each person, I return <strong>to</strong> my meditation chair for a few deepbreaths. In my session with Sue, I soon beg<strong>in</strong> <strong>to</strong> feel overwhelmedby <strong>the</strong> amount of stress, sadness, abuse, and shame she is reflect<strong>in</strong>gand experienc<strong>in</strong>g. I listen carefully and only speak of those th<strong>in</strong>gsI know <strong>to</strong> be true about her condition and express <strong>the</strong>m as myperceptions, thus fallible. We conclude this emotional work withfive m<strong>in</strong>utes of silent breath<strong>in</strong>g <strong>to</strong> pay respect <strong>to</strong> Sue’s opennessand vulnerability with ano<strong>the</strong>r be<strong>in</strong>g.My workday is com<strong>in</strong>g <strong>to</strong> a conclusion, but much of <strong>the</strong> dayrema<strong>in</strong>s. I stand <strong>in</strong> <strong>the</strong> middle of <strong>the</strong> office <strong>to</strong> appreciate <strong>the</strong> fullnessof <strong>the</strong> work and respect <strong>the</strong> energy that was present. Withcareful awareness, I flick off <strong>the</strong> light-switch and pull <strong>the</strong> doorclosed beh<strong>in</strong>d me. Leav<strong>in</strong>g <strong>the</strong> cl<strong>in</strong>ic, I aga<strong>in</strong> notice <strong>the</strong> cricketand its particular position, now slanted a bit <strong>to</strong> <strong>the</strong> right. I smile<strong>to</strong> it and slowly turn <strong>to</strong> walk <strong>to</strong> my car.Ryan Niemiec, Fullest Breath of <strong>the</strong> Heart, is a cl<strong>in</strong>icalpsychologist <strong>in</strong> St. Louis, Missouri. He works <strong>in</strong> <strong>the</strong> Programfor Psychology & Religion, help<strong>in</strong>g m<strong>in</strong>isters, priests, and nunswith mental health problems, as well as <strong>the</strong> Headache & Pa<strong>in</strong>Management Program; he also teaches m<strong>in</strong>dfulness.<strong>the</strong> M<strong>in</strong>dfulness Bell 35