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Meditation

Meditation is an exercise offered by some therapists to help people with agoraphobia to completely stop, let go of thoughts about the past or the future, and focus on being in the here and now.

Studies have shown meditation to have a relaxing effect on the mind and body. In 1968, a study done at the Harvard Medical School showed transcendental meditation to lower the heart rate, the breathing rate, the body’s oxygen consumption (which lowered by 20%), and blood lactate levels (which rise with stress). In addition, the participants in the study showed EEG brain wave patterns indicating increased alpha activity (another indicator of relaxation) while meditating.

The following are simple instructions for meditation:

1) Find a quiet environment

This should be a place where you will not be distracted by anything, including noise. You may use a tape or CD to play soft, soothing music or sounds from nature (like the waves of the ocean) in the background.

2) Reduce muscle tension

You may use deep breathing and/or progressive muscle relaxation techniques to achieve this. You might want to pay special attention to relaxing your neck muscles since so much tension accumulates in them. To do this, bend your head slowly forward three times, touching your chin to your chest. Then, bend your head slowly backward three times to stretch the front of your neck. Then, bend your head to each side three times. Finally, rotate your head clockwise three times and counterclockwise three times to finish loosening your neck muscles.

3) Sit with good posture

You may sit cross-legged on the floor with your back straight and a cushion or pillow underneath your buttocks. You may also sit in a comfortable chair with a straight back, with your feet on the floor, your legs uncrossed, and your hands on your thighs.

4) Select a focus for attention

You may choose to focus on your breathing pattern, a mantra, or a physical object in the room.

If you decide to focus on your breathing pattern, practice deep breathing similar to the deep breathing exercises used to develop a relaxation response:

- Breathe in deeply through your nose.

- As you breathe in, put one hand on your stomach and the other on
  your chest. Make sure the hand on your stomach rises first. This
  means you are breathing deeply and from the diaphragm.

- Hold your breath for a moment before breathing out.

- Breathe the air out very slowly. As you breathe out, make a slight
  sighing sound, as if you were trying to fog a mirror. Also, picture
  the tension leaving your body as you exhale.

- Each time you exhale, count the breath. You may wish to start at
  “one” and count up, or start at a chosen number and count down.

If you decide to focus on a mantra, choose one word to focus on. It can be any word that you like, such as “calm” or “peace.” It could be a phrase with spiritual significance to you like “I am at peace,” or “I am loved by God.” The key is to focus on the word or phrase, repeating it with each exhalation.

If you decide to focus on an object in the room, you might choose something soothing like a candle, running fountain, or picture on the wall.

5) Focus on the chosen object with a nonjudgmental, passive
    attitude.

Concentrate on whatever you have chosen as your object of focus the best that you can. Don’t be hard on yourself if your attention drifts away or strain yourself trying to keep your attention focused. If your mind starts to wander, gently bring your attention back to your object of focus.

Don’t worry about whether or not you are meditating well enough. Don’t judge your meditation experience at all. Just let go and enjoy the experience, knowing that on some days it will feel more relaxing and refreshing than on other days.

6) Make meditation a daily practice.

No matter how long you practice meditation each session, do it every day. You might start with meditating for five minute sessions at first, and then slowly lengthen your sessions as you feel more comfortable with meditation. If you can, increase your meditation time by small increments until you can meditate for a full hour. A background recording of soft music or nature sounds that lasts for the amount of time you want to meditate can be helpful in keeping track of time. Some people simply use a timer. If you do use a timer, make sure it is has a soft signal to help you make a smooth transition out of the meditative state. Don’t use a timer that gives you a jolt at the end of the meditation session.

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