An Interview with Elisha Goldstein, Ph.D. on Mindfulness at Work
David Van Nuys, Ph.D.
 Click image to Listen to interview
In
 this edition of the Wise Counsel Podcast, Dr. Van Nuys interviews 
Elisha Goldstein, Ph.D. on the topic of Mindfulness at Work. Dr. 
Goldstein, a clinical psychologist and regular contributor to Mental 
Help Net, is on his second career, his first having been sales. He talks
 about how he came to a realization that his efforts to secure financial
 success were ultimately seen to be unfullilling as he considered them 
from an end-of-life perspective. This realization pushed him to change 
careers go back to school and become a psychologist, and to focus on 
mindfulness, which, hot topic that it has become, is also an expression 
of and a set of techniques for achieving a balancing, clarifying and 
meaningfully-present perspective on life. Drs. Goldstein and Van Nuys 
talk about how the pressure of modern life pushes people to become less 
present and mindful, and how it takes deliberate practice to push back 
against this tide. Time management is less important than attention 
management, Dr. Goldstein contends. It is all to easy to react to 
seemingly urgent needs or to engage in escapist distraction. Harder to 
accomplish but ultimately better for you is to create a space where you 
can be thoughtfully proactive so as to plan for how to make your life 
better. Mindfulness practice helps people create and maintain this 
proactive space, which is part of why many businesses and business 
people are now pursuing mindfulness practices in the workplace. As the 
interview winds down, Dr. Goldstein describes some of the formal 
mindfulness practices and how they help people recognize and overcome 
common mental traps (also known as cognitive distortions) such as 
catastrophization.
David Van Nuys: Welcome to Wise Counsel, a podcast interview series sponsored by Mentalhelp.net,
 covering topics in mental health, wellness, and psychotherapy. My name 
is Dr. David Van Nuys. I'm a clinical psychologist and your host.
On today's show we'll be talking about mindfulness as a tool for 
coping with stress at work with my guest, Dr. Elisha Goldstein. Elisha 
Goldstein, Ph.D., is in private practice in West Los Angeles, and he's 
co-author of a mindfulness-based stress reduction workbook with a 
forward by Jon Kabat-Zinn. He synthesizes the pearls of traditional 
psychotherapy with a progressive integration of mindfulness to achieve 
mental and emotional healing. He contends that we have the power to 
transform our traumas and habitual patterns that keep us stuck in 
perpetual stress, anxiety, depression or addiction, and step into 
greater freedom and peace. He offers practical strategies to calm our 
anxious minds, transform negative emotions and facilitate greater 
self-acceptance, freedom and inner peace. Dr. Goldstein, who comes from a
 family of psychologists, advocates that mental health comes from an 
approach that looks at all aspects of the self: physical, mental, 
emotional, and even spiritual. He currently offers individual and group 
psychotherapy in West Los Angeles and does mindfulness-based coaching 
nationally and internationally via the phone.
Now, here's the interview.
Dr. Elisha Goldstein, welcome to Wise Counsel.
Dr. Elisha Goldstein: Thank you, David, happy to be here.
David: Well, it's good to have the opportunity to 
interview you here, inasmuch as I interviewed your wife, Dr. Stephanie 
Goldstein, here a bit over a year ago on mindfulness in the treatment of
 addiction. And now I see that you've just brought out a new CD on 
mindfulness as a tool for coping with stress in the workplace, and I 
guess you know something about the workplace inasmuch as I have the 
impression that you had a rather interesting business career before 
becoming a psychologist. Do I have that right?
Dr. Elisha Goldstein: You do absolutely have that 
right, David. I was working in both sales and management for a number of
 companies during the whole dot.com revolution, and what I found was how
 exciting that atmosphere was, but it was filled with so much stress and
 pressure. And that time, I was working hard and playing harder and 
really building quite a financial portfolio in that time, and really 
getting into the stock market and doing a lot of that. And as I was 
working with people, what I found was - what I was really most 
interested in was working with them in their lives - what I found was as
 they started to really pay attention more to their own lives, they 
started to become more successful at business. And then as the dot.com 
revolution crashed, I had that same sinking experience with it where I 
started to realize that what I had been focusing on in my life, which 
was building up my financial portfolio in that sense, wasn't really what
 was most important.
And it brought me back to a time that I had spent with my dad many 
years back, when he would sit with people on their deathbeds. And one 
time he was sitting with someone who was incredibly financially 
successful and had a lot of power in the business world. And what he 
said when he was sitting there, just with my dad - no family, no friends
 around him, because he didn't have a lot of people that were actually 
visiting him - was that what was most important in life, looking back, 
if he had to do it differently, what was most important in life was who 
you love and how you love them, and learning how to be more present to 
the connections in life and to life itself.
And in that moment, later on in life as I was going through that time
 in the business world, I came to a realization for myself that what was
 most important in my life? What was most important in my life? Many 
years from now, when I'm laying on my deathbed, looking back on my life,
 how do I wish I would have related to life? How do I wish I would have 
done things differently? And I came to the idea of mindfulness and the 
practice of it, and learning how to become more present to everyday 
life, to become more effective and happy myself.
David: Well, which came first, your switching into psychology and becoming a psychologist, or this engagement with mindfulness?
Dr. Elisha Goldstein: The realization to become more
 present to my life, to cultivate more meaningful moments in my life, 
that came first. That laid the foundation for me making a career change 
and really wanting to work with people and helping them do the same. And
 that's when I sought out to get back into the world of psychology 
because I already had studied that in my undergraduate career, and to 
get back into that more as full force, more as a calling in my life, I 
would say, is what I was interested in.
And then I really was able to get into more mindfulness practice as I
 engaged in my graduate career, and I did a study of people across the 
country, and I created an intervention that had them do a 
mindfulness-based practice for five minutes a day for five days a week. 
And what I found was that, even in doing that, there was significant 
reduction in stress - significant reduction in stress, using well-tested
 methods, as well as a variety of areas in well-being people found an 
increase in.
David: That's great, and certainly I've been hearing
 more and more about mindfulness in lots of different spheres. Now, your
 recent work has been focusing particularly on stress in the workplace. 
What scientific information do we have about stress in the workplace?
Dr. Elisha Goldstein: I would say that's kind of 
more budding research. More of the mindfulness-based community, or 
people practicing that, are teachers. Some of the leaders in the field 
like Jon Kabat-Zinn and Saki Santorelli, who are the founders of a 
widely-spread program called Mindfulness Based Stress Reduction, are 
really trying to bring this more into the workplace and in education as 
well.
But the research that's out there has found that going over some of 
these programs, going through some of these programs, there's a 
significant reduction in stress and anxiety. Also, in this workplace 
where the economy is having a difficult time, there's a lot more people 
that I'm seeing in my private practice that are coming in with increased
 anxiety, feeling more hopeless - which is a sign of depression - and 
there's been a lot of evidence in research by John Teasdale and Zindel 
Segal and Mark Williams in the area of mindfulness-based cognitive 
therapy that have found that working with these methods is helpful with 
not relapsing back into that kind of depressive place.
So a lot of very popular companies, successful companies, have 
grabbed a hold of this, like Apple, Yahoo, Nortel, Google. A lot of 
people are familiar with Phil Jackson of the Lakers and knowing how he 
has a big emphasis in working with mindfulness with his team players to 
become more successful and effective in what they do. And if you aren't 
aware, they just won the championship, the finals, during the last 
season. So a lot of people and companies are integrating mindfulness 
into the workplace right now.
David: Okay, and let me quote back to you - you sent
 me some material based on your recent CD, and something in that 
material that you sent that seems quite relevant - quoting you, you say:
 "The amount of workers today that say job stress is a major problem in 
their lives has doubled in the last decade. The US Department of Health 
reported that 70% of physical and mental complaints at work are related 
to stress, and stress related claims are costing corporations over $300 
billion annually." So that certainly makes a case for the need for some 
kind of a stress-related intervention.
Dr. Elisha Goldstein: Absolutely. There's a major 
increase in stress and anxiety that we're seeing in our culture today, 
and certainly that's not just as a result of this economic collapse or 
this economic downturn that we've been experiencing. That's a result of 
just more pressure: people are working longer hours, they're asked to do
 this with less resources, and people are, frankly, getting burnt out. 
And that, I think, is a direct claim, too: this sense of job stress 
increasing twice as much as a decade ago, or health care expenditures 
going up for companies. And that's a huge problem on our economy as well
 when the companies have to cover that.
David: Yes, and somewhere I either read or heard - I
 can't remember if I heard it on a podcast or television or if I read 
this. Actually, I'm thinking now that it was at a presentation that 
Dacher Keltner gave on health and happiness - it's coming back to me. 
And I believe he cited statistics showing that Americans now are working
 more hours than any other industrialized nation. We used to think of 
the Japanese, for example, as being really obsessive in that regard, but
 it looks like we may have actually surpassed them in terms of how much 
and how hard we're working.
Dr. Elisha Goldstein: Wow, that's an amazing 
finding, and it's not that surprising to me. If you look in kindergarten
 nowadays, even from a very young age, we're seeing that kids are having
 less play time than ever before. They're having more time focused on 
tests and just learning and memorizing information. And so we're kind of
 breeding this culture from a very young age now, and in my mind, we're 
going in the wrong direction in that sense. People aren't more 
successful in their lives, they aren't happier, when they just work 
harder and harder and harder, and they have less time for renewal 
activities, or less time for themselves. It breeds a culture of learning
 how to avoid or run away from distress and leading to more sense of 
overwhelm, which isn't bad for my business, in a sense, because I'm a 
therapist, so that will bring more people into my business. But I would 
rather see more people being healthy and happy, which is much better for
 our culture and society.
David: Amen. Well, how would mindfulness go about impacting this stress that people experience at work?
Dr. Elisha Goldstein: Mindfulness is about the 
intentional placement of our awareness or attention and releasing 
ourselves of our habitual styles of judgment. So with mindfulness, what 
we get to do is learn how to become more present to what's really most 
important in any given moment. And what happens is, in the workplace in 
particular, we have a few different styles of attention that we're 
using.
Traditionally, a lot of business and coaching executives in the past 
have been focusing on this idea of time management which is if you just 
work harder and work more effectively, you're going to be more 
successful and happier at work and life. And I think what we're finding 
is that that's kind of erroneous; that's not really the things are 
working. It's much less about time management and it's much more about 
attention management.
Neuroscientists are even finding that how and what we place our 
attention on reshapes our brain right now. So there's this sense of 
plasticity in the brain. The brain actually continues to form and shape 
as we get older, and so if we're placing our attention on things like 
being distracted by unimportant phone calls and emails to avoid the 
overwhelm of impending deadlines or of just mounting projects, or let's 
say we're focusing on wasting our time just surfing the web for 
entertainment really as a means to just check out, not really 
intentionally, then maybe that's the way our brains are going too, to 
lead to us doing more and more of that and focusing less on what's 
really most important in this moment to get done effectively.
The more we're able to focus on what's most important, which is 
becoming more proactive of what we're doing in the workplace, the more 
we're going to see that we actually have more time. We have more time to
 ourselves, we have more time for renewal activities, because we're 
becoming more effective in our jobs, because we're actually tackling the
 stuff that's most important in the moment rather than becoming 
overwhelmed by it and falling back into states of distraction or wasted 
time.
David: Did you earlier in our conversation, I think, mention some major companies that
 we might have heard of that are actually introducing mindfulness training to reduce stress?
Dr. Elisha Goldstein: Yes, I think I said Apple, 
Yahoo, even Texas Instruments, which is a large company, Nortel, Google.
 All these companies have integrated mindfulness into the workplace. In 
fact, those people who want to can go over to YouTube right now and find
 a really great video - it's kind of long, it's about an hour long - of 
Jon Kabat-Zinn giving a talk at Google. But all these companies are 
integrating mindfulness because what they're finding is, if they can be 
more preventative about the stress in the workplace, if they can teach 
their employees to focus on one thing more effectively than trying to 
multitask many things at once, they'll be more successful: people will 
have less sick days, they'll be happier at the workplace because they'll
 feel more calm and relaxed, and they'll just basically be more 
effective at the actual work that they're doing.
I'll just relay one fact here which the American Psychological 
Association put out, which says the inability to focus, for even 10 
minutes, on any one thing at a time, may be costing a person or a 
company 20 to 40% in terms of efficiency and productivity.
David: Wow.
Dr. Elisha Goldstein: Twenty to 40%. The inability to focus on one thing for even 10 minutes. That's significant.
David: Yes, it is. And, of course, I'm thinking 
about myself as I sit in front of the computer and am popping from email
 to website, to then remembering, oh, something that I need to add to my
 to do list, etc. And I'm supposedly retired, but I think I've been so 
steeped in this culture that I'm as subject to it as anybody else. Now, 
you talk about something that you've called the "stress cycle." Tell us 
about that.
Dr. Elisha Goldstein: Well, you know, the stress 
cycle is very important to be aware of because, once we become aware of 
it, we've stepped outside of it and can make a choice to do something 
about it. But when we're not aware of it, we get caught in it.
And so here's really what it is: the stress cycle is a combination of
 thoughts, emotions, physical sensations, and our behavior - what we do 
about it. So, for example, if someone comes to your desk and piles on, 
and let's say you have a deadline of an hour to get some work done, and 
they pile on a whole bunch of extra work that has another 30 minutes and
 say they need to get this done, all of a sudden the thought that may 
come up is something like, "Oh, my God, I'll never get this done," and 
then a connection with another thought that might say, "This is always 
like this. I can't believe this is like this." Emotions of anger, 
frustration, or stress may come out, or anxiousness or fear, and the 
body starts to get tense. And before you know it, we're in a total state
 of overwhelm, and the mind checks out and begins to, maybe, just surf 
the web for something to just check out on more or less, more wasted 
time.
But meanwhile what's happening is there's a combination of things 
happening between the body, the emotions, and the thoughts. And there's a
 cycle, and it cycles on itself. The more our mind starts to become 
anxious or fearful, the more fear arises as an emotion - oftentimes in 
the body - and the more the body reacts by getting tense or maybe a 
constriction in the chest or rapid breathing or rapid heart rate, and 
this continues to cycle on itself. This can happen for an hour or so at a
 time without our being aware of it. And our behavior is - once I said 
again - to check out or do something, maybe to have a panic attack even.
 And this disables us entirely.
David: Boy, I can really relate to what you're 
saying. Although I don't really work in the corporate world and I 
describe myself as retired, I actually do have a market research 
consulting practice, and I do get corporate clients. And there certainly
 have been occasions where they always want to have everything 
yesterday. You can't do anything fast enough for anybody in today's 
world. And I had some projects where the demands were really strong and 
things were starting to go bad; something wasn't working right. And I 
could really feel it in my body, in my psyche and in my body. And I can 
think of one occasion in which I got sick after the project was over. So
 I've tried to learn to become more mindful about that sort of thing. I 
think I've gotten better at it, but I sure understand this phenomenon 
that you're talking about.
Dr. Elisha Goldstein: A key aspect - I mean, I think
 a lot of people can relate to this - a key aspect to this in working 
with this is, once we become aware that our mind is in an anxious mode 
and that our body is maybe feeling constricted, one thing that we often 
do, an automatic thing that we do, is judge ourselves: "I can't believe I
 fell into this again. Oh, my God, I'm such an idiot," or whatever it 
is, "I'll never get this right" - that kind of stuff. That's also an 
automatic reaction to this habitual style of the stress reaction.
What we want to do in working with mindfulness, and this is key, 
remember it's just a practice, so we won't get it perfect every time or 
even like that; that's not the point. The point is just to kind of 
practice it. The point is to notice when we're judging ourselves and, if
 we can notice it at all, that's just a thought event in our mind. It's 
just thinking. Thinking is happening right now that's being colored by 
our mood of stress or anxiety; so just thinking is happening.
And what we can do is not judge ourselves in that moment - try to not
 judge ourselves - and instead bring our awareness to the fact that a 
stress cycle is happening, our stress reaction is happening right now. 
And maybe bring our awareness to our body, our breath in our moment, and
 just see if we can notice what's happening right now in this present 
moment and then ask ourselves the question of, "Okay, so what's most 
important to do right now?" And if we don't know, then maybe we can just
 start to make a list.
And then we may get caught up in the stress reaction again without 
being aware of it, for about five minutes, and then once we notice that 
the stress reaction is happening again, we've stepped outside of it and 
then can choose to ask ourselves the question again, "Okay, so what's 
important right now?" and come back to this. And we might do this over 
and over again, but the idea is to start to disengage from this stress 
reaction, be able to notice it and acknowledge it, not judge it as a 
good or a bad thing, but just notice it and be curious about it. This is
 the way my mind's working right now as a reaction to this event, or 
whatever. And then choose to gently bring our attention back to what's 
most important right now.
David: Yes, and also I find it's important to remind
 myself of the big picture. How important is this in the big picture of 
my life, and what's really important in life? We can get so worked up 
about things that are not that important in the long run.
Dr. Elisha Goldstein: And really get wrapped up in 
them. And we have a very narrow focus in that moment. Sometimes I 
explain it like this - and see if you relate to this, David - where I 
say at some point in our development as a human being - our brains are 
growing, it's constantly growing - I say that almost like a cluster of 
neurotransmitters or just brain matter clusters together and becomes 
kind of a ball, and that ball is like a stress trap. And so what happens
 is you're going along and thinking, and the event happens, and all of a
 sudden your thought gets caught in that stress trap and it just starts 
looping around, over and over again, and it affects your body 
physically, it affects your emotions and you're getting all worked up, 
and all you can see is this narrow focus because you're caught in this 
little ball.
And then as soon as you're aware that you're in that ball, you've 
stepped outside of it, but until then your thought is kind of trapped, 
you're kind of trapped in that little ball in your brain, and then once 
you're aware of it, you're outside of it and you see that there's this 
whole brain. There's a bigger picture there, and I think that was a 
great question that you said you ask yourself: how important is this in 
the big picture of my life? A year from now, will this matter?
David: Yes. Now, something else that you talk about 
that you've been influenced by is the four zones model. What are the 
four zones and how do they apply to what you've been saying?
Dr. Elisha Goldstein: This model I've taken from a 
coaching executive company that I really respect out there, who also 
works with some mindfulness work in the way that they work in the 
business world, and their name is Stagen, the Stagen Institute. And Rand
 Stagen came up with this model, the Attention Zones Model. And there's 
four attention zones, and I kind of alluded to this a little earlier. 
Each one of these zones have two qualities to them. In this zone of 
attention, something's either important or urgent, or important and 
urgent, or neither. And it's important to know that so we know what to 
pay attention to.
So the first zone, or one of the zones - there's no real order to 
these zones - but one of the zones is called a reactive zone, it's a 
reactive zone. So in the reactive zone, you're often reacting things 
that are coming to you, like urgent demands or crises. Something comes 
up and it's really urgent or it's a crisis, and you feel like, "I have 
to. This is important." And it's true; in that moment that thing is 
important and urgent. That's absolutely true; you have to respond to it.
Then there's the proactive zone. This is a zone that most of us are 
really unaware of. We don't spend much time in it because it's important
 but it's not urgent. So this is a time we're intentionally 
strategizing, preparing, planning. We're looking towards the future and 
saying, "What's most important for me to really be focusing on to really
 go forward in my work or be more successful or more happy in my 
personal life or work?" Either one. And, again, in this zone things are 
important but not urgent. And because they're important and not urgent, 
it's easy to put it on the back burner, thinking that we really don't 
have any time to do it. And so that's something to just know. This 
proactive zone is so important but we often put it aside because other 
things come up, like other things in the reactive zone or a couple 
things that I'll talk about in a minute.
So this is the first two zones: reactive zone and proactive zone. The
 next zone is called a distracted zone. A lot of us are - well, I know 
from myself - a lot of us can really understand this one, which is the 
one where you're engaging in interruptions or things in life that are 
really unnecessary like unimportant phone calls or emails. And so we 
might enter into this type of reactive zone because we're feeling 
overwhelmed, because there's something that's in front us - a work 
project in front of us - that we don't really know how to go about it or
 something, and so we're starting to feel like maybe it's too much work 
in our minds. So we'd rather just, "I think I should just answer these 
calls," or "Maybe let's just check my email to see what I need to 
respond to. Oh, look, there's some kind of spam thing that I want to pay
 attention to." There's easy ways to get distracted.
In this zone it's important that we understand that things appear 
urgent; an email comes up from a friend - "Oh, I got to respond to 
that." They appear urgent because it's right in front of us, but they're
 really not important, and that's key. But because they appear urgent, 
we get distracted by them. So then that's the third zone, the distracted
 zone.
And so the fourth zone is a wasteful zone. This is where we're just 
wasting our time surfing the web for entertainment. It's one thing if 
we're saying to ourselves, "You know, as a renewal activity, as some 
kind of reward for myself for working so hard, I'm going to spend 15 
minutes and just kind of check out and surf the web." There's nothing 
wrong with that. But when we're doing it to avoid something that's in 
front of us or what's most important because our mind just habitually 
checks out on auto-pilot because we're feeling overwhelmed, that becomes
 a problem. Now we're wasting time, and we're going to be more stressed 
later because projects are going to continue to mount, and we're going 
to feel like we have less and less time, and we're going to say to 
ourselves, "I don't know how I'm going to handle all this stuff. I have 
no time to do it." And meanwhile, we've been spending a lot of time in 
the distracted and wasteful zone and very little time in the proactive 
zone actually planning and preparing for becoming more effective in our -
 this is for our work life and for our personal life, both.
David: Yes, well, I certainly recognize all four of 
those zones, and certainly one of the things that I know that it's good 
to do is when you find yourself caught in that big ball of brain fuzz 
that you were talking about earlier, is to be able to step back and 
remind yourself, "Well, is there anything that I can do that's 
proactive?" to bring yourself into that, as you pointed out, that sort 
of neglected but very important proactive zone.
Dr. Elisha Goldstein: Right, and what I would 
suggest is actually building that proactive zone, so being mindful about
 it means being intentional, being intentional about it. And so building
 that into your week, building that proactive zone into your week so 
that you actually have time. It's like a doctor's appointment or 
something like that, or like a business appointment, or whatever it is, 
where you actually build in time for an hour, half an hour, whatever you
 need, to be able to review the week or look back and see in this coming
 week what's most important for me to be focusing on, and how should I 
focus on it. How should I spend my attention in this week?
David: Yes, if I find that I'm worrying about 
something, going over and over it and getting stressed out about it, 
once I become mindful enough about it, I can ask myself - well, maybe 
I'm feeling really overwhelmed by it - "Is there anything that I can 
concretely do to move forward with this issue? And if so, is there even 
one small step that I can take right now?" And that's always helpful to 
me when I come to that awareness because I can set aside the worrying 
and take that one specific step, even though it may be small, but doing 
that each day the project that was overwhelming ends up moving forward.
Dr. Elisha Goldstein: That's a great point, and 
that's a point we often suggest for people who are also just not even 
feeling well, or feeling depressed even, or just feeling overwhelmed, as
 you said. Just what's one small step I can take forward?
Just to get practical for a second, so that your listeners have even 
another step in how to really do this. When you're feeling overwhelmed 
worrying, sometimes it's good, if possible, to try and dis-identify from
 the worrying or make it less personal in a way by just seeing if you 
can wrap it up in your mind for a second, and just say - even wrap it up
 with the word "worrying" - worrying is happening right now, rather than
 "I am worrying." Worrying is happening right now. And then as soon as 
we do that, it feels there's more of a felt sense that we've actually 
stepped outside of it.
I often quote this past psychiatrist and neurologist - he's also a 
holocaust survivor - named Victor Frankl, who says, "Between stimulus 
and a response there's a space. In that space lies our power to choose 
our response. In our response lies our growth and our freedom." So 
there's a space in between the moment that we're worrying and we're 
reacting, and so by saying to ourselves "worrying, worrying is happening
 right now," we all of a sudden have stepped outside, and now we're kind
 of in that space, that space of choice, where now we can say what you 
had mentioned, which was: what's one small step I can take towards 
moving forward with this thing that I'm worrying about. Or maybe this 
thing that I'm worrying about is not relevant even right now, but my 
mind just tends to cycle or worry about things.
So we can just kind of notice it, let it be - not let it go and try 
and push it away, because that's impossible to do, more or less, and so 
we'll just further frustrate ourselves - but see if we can let it be - 
these words are important - and gently bring our attention back to 
what's important right now, which might be what you said was, what's 
more important is how can I take a single step towards moving towards 
this goal.
David: I love that quote that you gave of Victor 
Frankl, because it's really something, a place - you know, he was an 
existentially oriented psychoanalyst - it's a place where existential 
therapy and humanistic psychotherapy and Eastern approaches and 
cognitive behavioral therapy and mindfulness can all agree on that, that
 choice point between stimulus and response. I love that. Now, you also 
talk about mind traps. Is that what we've been talking about? Or is 
there something else that you're getting at there?
Dr. Elisha Goldstein: No, mind traps is another 
layer, so in a way it works in a similar way to worrying, saying 
"worrying, worrying," but it's getting more specific, to really 
understanding how our minds work and noticing the traps that are laid in
 there, more the habitual thinking styles that render us disabled or 
ineffective at what we're doing.
And so I lay out a number of mind traps, and one of these, as an 
example, is catastrophizing. Catastrophizing, as some people may have 
heard, is exactly what it sounds like. We're creating a catastrophe in 
our minds. Something might happen: for example, our boss may walk by us 
or someone we know or are familiar with may walk by us, and we look at 
them and smile - and this is classic scenario - we look at them and 
smile, and they look at us and just continue on. We might say, what 
happened in that moment? And we might have feelings of being rejected, 
or our mind might start worrying about something we might have done 
wrong. What's going on? Am I going to get fired? Or am I losing this 
friend, or whatever it is? And our mind starts compounding on itself and
 creating a catastrophe, some kind of impending doom that's about to 
happen. And it says what if this happens, what if that happens, what if 
this happens? And it continues to cycle on itself. That's called 
catastrophizing.
The important aspect of these mind traps - and that's just one of 
them - the important aspect of these mind traps is so we can label them.
 Labeling is so incredibly important and helpful when it comes to our 
habitual thought styles that are unhelpful to us, because as soon as we 
label them, we've stepped outside of them, and we've entered into that 
space that we were just talking about with Frankl's quote. We've entered
 into that space. So as soon as we've labeled them, then we've entered 
into it.
And there's been a lot of research that has come out, out of UCLA and
 other places, that say labeling how we're feeling or labeling how we're
 doing has really positive effects on our sympathetic nervous systems, 
meaning it actually calms us down. And from a more calm place, we tend 
to be more open to alternatives that may be happening at that moment. 
Maybe the person that passed us by was in their head, or maybe they had 
problems going on, or who knows what was happening at home, or maybe 
they're about to get fired, who knows? It may have nothing to do with us
 at all, but when we're catastrophizing, we're again focused very 
narrowly on cycling within ourselves about what the issue is and pop 
potential doomsday, future scenarios that may happen.
Another thing that we often do - I'll just give you one more mind 
trap - is we play the "shoulds" game. So, for example, one scenario I 
give on my CD is this real-life scenario of a client of mine who didn't 
get the promotion that he was looking for, and he didn't ever ask for a 
promotion because the "my boss should know I deserve one." And so with 
that, he had all kinds of cycling that happened about how terrible 
everything was, he was going to quit his job, he was blaming everyone, 
which is another mind trap. And as soon as he noticed that the "shoulds"
 were happening, which is a habitual thought style that can get us in 
trouble, he noticed that he was able to step back from it and actually 
go to them and ask them what they thought of his performance, and was he
 up for a raise. And they were able to communicate with him; it turned 
out that his boss at the time had a ton of personal stuff going on and 
so wasn't really communicating with him that the boss thought that he 
needed to be doing better in certain aspects of his job. And so he went 
back and did that and was more effective in those areas, and eventually 
got that raise.
So these mind traps really hold us back in a lot of ways. And without
 awareness, without awareness that they're happening, it's difficult to 
break free, it's difficult to become more successful and effective at 
your work and your life.
David: Okay, now you make a distinction between informal and formal mindfulness, so say a little bit about that.
Dr. Elisha Goldstein: Okay, so this is a classic 
distinction. So once again for the listener, this is getting very 
practical for how to integrate mindfulness into your daily life. There's
 two different ways of doing this, and mindfulness is often considered 
to be a way of life, and that includes both this formal and informal 
practice.
So formal practice is exactly what it sounds like. It's formal, which
 means that you're intentionally putting structured time aside to engage
 in a mindfulness practice. This can be a practice such as the body 
scan, it can be a practice such as a sitting practice, could be a 
walking practice, could be a number of practices. So with formal 
practices, I really suggest - and this is why I created these CDs or 
there's tons of other CDs out there - that you be guided. It's a lot 
easier to sit, stand, or lie down and listen to someone actually guiding
 you through a practice than to try and do it on your own where you have
 to think about what to do, and then you actually have to try to do the 
practice as well. So that's the formal practice. On a number of my CDs I
 have a handful of different formal practices that I guide people 
through.
But the informal practice is about how do I bring this sense of 
mindfulness, this present moment awareness, into my daily life and to 
the daily activities that I'm already doing? So, for example, when we 
wake up in the morning, we already start our day. Our minds wake up in 
the morning, for some of us, really busy, moving really fast, thinking 
already about what needs to happen at work. So already, in the beginning
 of our day - let's say we stepped into the shower - we're thinking 
about all the things we need to do at work. And our mind's already 
starting to worry, we're already starting to get tense, and instead of 
doing that and noticing that our mind is in the future, what we can do 
is start to bring mindfulness to this moment.
And what we do is we notice that our mind's in the future, and we 
just say to ourselves, "Thinking, thinking." Or maybe we label it as 
"future, future" or whatever word works for you. The labeling is 
important. And then gently, and not judging ourselves for actually being
 there, but gently bringing our attention now to focusing on our senses 
in this moment: so noticing the feeling of the water on the shoulders or
 the body. Is the water hot or cold? Noticing the sensation of that, 
noticing the smell of the soap. A number of people I've worked with, 
actually in doing this, they've realized that they didn't even like the 
soap that they were using, and so they switched their soaps because they
 wanted some more fragrance or something more natural. Or feeling, or 
singing, the mist in the shower, whatever it is.
Just even practicing becoming more present to the actual moment of 
what's happening has an effect on the sympathetic nervous system, which 
means it often has an effect of calming or easing ourselves in that 
moment to help us be more prepared for the next moment, feeling more at 
ease rather than if we're feeling tense when we get out of the shower. 
And let's say our partner comes out to us and says, "Hey, can you do 
this?" our minds are already overwhelmed, so we snap at them and say, 
"No, I can't do that. I got other things to do." And all of a sudden, 
now you've got tension in your relationship.
David: Yeah, we probably should begin to wind down 
here. Now you've mentioned having a number of CDs, and I will put a link
 to your website in our show notes, and I will also give out that 
address in my post interview comments, so we don't need to put that out 
here right now. But I'm wondering if there is a book or two - and I will
 mention also that your website is full of wonderful resources - but I'm
 wondering if there's a book or two that you'd recommend to any 
listeners who might want to get more information on what we've been 
talking about here.
Dr. Elisha Goldstein: Yes, there are. Some of the 
most classic books out there, this guy doesn't need any recommendation 
because his book's already out there and have been doing really well for
 quite some time. A good introductory book is Wherever You Go, There You
 Are, by Jon Kabat-Zinn. I absolutely recommend The Miracle of 
Mindfulness by Thich Nhat Hanh. That's a really accessible book, and 
it's very small and short, so it's easy to read. And there's a number of
 workbooks out there that are coming out or have come out that help 
people through mindfulness as well.
David: Did you mention to me that you're working on a book?
Dr. Elisha Goldstein: I've co-authored a 
mindfulness-based stress reduction workbook, with a forward by Jon 
Kabat-Zinn and afterward by Saki Santorelli, which is kind of couched in
 between the two founders and leaders in this field right now. And I'm 
proud of it. It's amazing; it comes with a tremendous amount of audio 
guidance, which is probably about $80 to $100 worth of audio guidance 
but that's all given for free within the book. And that comes out in 
February. So we're really proud of that, so if you want to wait till 
then you're welcome to do that, but go ahead and get something as an 
introduction before then. But that'll bring you through a whole program 
of integrating mindfulness into your life and stress reduction.
David: Okay, that's great. Dr. Elisha Goldstein, thanks so much for being my guest today on Wise Counsel.
Dr. Elisha Goldstein: Thank you, David. I really appreciate it. It's been fun.
David: I hope you enjoyed this interview with Dr. 
Elisha Goldstein and picked up some practical tips for handling stress 
at work and in your non-work life. You can find out a lot more about Dr.
 Goldstein by visiting the website he shares with his wife, Dr. 
Stephanie Goldstein, at http://elishagoldstein.com.
 You'll find links there to their audio CD, Mindful Solutions for 
Addiction and Relapse Prevention, as well as other helpful materials. 
Among other things, you'll also find inspirational poetry on their site.
You've been listening to Wise Counsel, a podcast interview series sponsored by Mentalhelp.net. If you found today's show interesting, we encourage you to visit Mentalhelp.net,
 where you can add a comment or question to this show's web page, view 
other shows in the series, or simply page through the site, which is 
full of interesting mental health and wellness content. Access the 
show's page and show archive information via the podcast box on the Mentalhelp.net home page.
If you like Wise Counsel, you might also like ShrinkRapRadio, my other interview podcast series, which is available online at www.shrinkrapradio.com. Until next time, this is Dr. David Van Nuys, and you've been listening to Wise Counsel.
Links Relevant To This Podcast:
- Dr. Goldstein conducts a private practice in West Los Angeles. His website, www.drsgoldstein.com,
 co-maintained with his wife psychologist Stephanie Goldstein, Ph.D., 
provides contact information, numerous articles about mindfulness 
practices, and links to guided meditation CDs that the Goldsteins have 
produced.
About Elisha Goldstein, Ph.D.
Elisha
 Goldstein, Ph.D. is in private practice in West Los Angeles and 
co-author of A Mindfulness-Based Stress Reduction Workbook,Foreword by 
Jon Kabat-Zinn (New Harbinger, February 2010). He synthesizes the pearls
 of traditional psychotherapy with a progressive integration of 
mindfulness to achieve mental and emotional healing. He contends that we
 have the power to transform our traumas and habitual patterns that keep
 us stuck in perpetual stress, anxiety, depression, or addiction and 
step into greater freedom and peace. He offers practical strategies to 
calm our anxious minds, transform negative emotions and facilitate 
greater self acceptance, freedom and inner peace.
Dr. Goldstein, who comes from a family of psychologists, advocates 
that mental health comes from an approach that looks at all aspects of 
the self - physical, mental, emotional, and even spiritual.
As a licensed Psychologist, he teaches mindfulness-based programs on his own and through 
InsightLA.
 He has spoken at the UCLA Semel Institute and Anxiety Disorder Clinic, 
the UCLA Mindfulness and Psychotherapy Conference headlining Thich Nhat 
Hanh, Jack Kornfield, and Dr. Daniel Siegel, University of Washington, 
among others, and blogs for Psychcentral.com and Mentalhelp.net. He has 
been published in The Journal of Clinical Psychology and quoted in the 
New York Daily News, Reuters, NPR, UCLA Today, Beliefnet.com and The 
Week Magazine.
In his new book, 
A Mindfulness-Based Stress Reduction Workbook
 (New Harbinger, February 2010), he and Bob Stahl, Ph.D. offer 
professionals and lay people a book that takes them step-by-step through
 the clinically proven program Mindfulness-Based Stress Reduction and 
provide over 8.5 hours of audio for guided meditation practice to 
support the transformation of stress, pain, and illness into greater 
awareness, freedom, and peace. His previous 
popular CDs
 include Mindful Solutions for Stress, Anxiety, and Depression, Mindful 
Solutions for Addiction and Relapse Prevention, Mindful Solutions for 
Success and Stress Reduction at work, Mindful Solutions for Adults with 
ADD/ADHD (October, 2009) - produced in collaboration with Lidia Zylowska
 M.D.) and an online multimedia program, 
Mindfulness, Anxiety, and Stress.
He currently offers individual and group psychotherapy in West Los 
Angeles and does mindfulness-based coaching nationally and 
internationally via the phone.
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 A Mindfulness-Based Stress Reduction Workbook   
        
        
        
        
        
        
        
        
        
    
    
by                                                                     
                                                                        
                                                                        
                                                      
    
        
        
        
         
         
     
                     
            
                                                                        
              
                  
             
                    
                
       
        
        
        
         Bob Stahl 
        
        
       
       
       
                    
                    
                     (Author)
                    
                   
               
     
        
        
        
         
         
     
                     
            
                                                                                      
                  
             
                                                                                     
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           Elisha Goldstein
           
             
        
        
        
       
       
       
                    
                    
                     (Author)
                    
                   
               
     
        
        
        
         
         
     
                     
            
                                                                                      
                  
             
                                                                                     
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         Saki Santorelli 
        
        
       
       
       
                    
                    
                     (Afterword)
                    
                   
               
Stress and pain are nearly unavoidable in our daily lives; they are part of the human condition. This stress can often leave us feeling irritable, tense, overwhelmed, and burned-out. The key to maintaining balance is responding to stress not with frustration and self-criticism, but with mindful, nonjudgmental awareness of our bodies and minds. Impossible? Actually, it's easier than it seems.
In just weeks, you can learn mindfulness-based stress reduction (MBSR), a clinically proven program developed by Jon Kabat-Zinn, author of Full Catastrophe Living. MBSR is effective in alleviating stress, anxiety, panic, depression, chronic pain, and a wide range of medical conditions. Taught in classes and clinics worldwide, this powerful approach shows you how to focus on the present moment in order to permanently change the way you handle stress.
As you work through A Mindfulness-Based Stress Reduction Workbook, you'll learn how to replace stress-promoting habits with mindful ones—a skill that will last a lifetime.This groundbreaking, proven-effective program will help you relieve the symptoms of stress and identify its causes so that you can start living a healthier, happier life.
Link: 
 http://www.amazon.com/Elisha-Goldstein/e/B0035VGCVM/ref=ntt_athr_dp_pel_2
LINK:  http://www.amhc.org/117-stress-reduction-and-management/article/31900-an-interview-with-elisha-goldstein-phd-on-mindfulness-work