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Bruno Cayoun’s MiCBT for Wellbeing and Personal Growth works underwater

SOURCE: Ruth Ostrow, The Australian, December 5 2015 

I’d just been to a lecture on pain management by BrunoCayoun, one of the principal developers of mindfulness-integrated cognitive behaviour therapy.

Cayoun uses a simple technique that helps people diminish physical and psychological pain in less than four minutes. The process, discussed in his book MiCBT for Wellbeing and Personal Growth, has gained international recognition.

The day after the lecture, I was driving across Sydney Harbour. I always take the Harbour Bridge, which is a hassle, because I’m too scared to go in to the tunnel under the ocean. When trapped in confined placeswithout windows, I sometimes have panic attacks that can causehyperventilation and physical pain as blood vessels constrict.

As a passenger in the tunnel I can shut my eyes. But I won’t drive myself with eyes open. Coming up to the turn-off, I pondered: “Can I use theprocess to get me through my phobia?”

Before I knew it, I had taken the challenge and was driving into the tunnel.

“OMG. Wow. I’m OK; I’m doing it.” (Heart pounding.) “Only another minute or two to go … gonna be out soon …”

Nope. Suddenly a sign: “Breakdown ahead”. Which should have read “NervousBreakdown ahead”. The traffic had ground to a halt. Unfortunately, my thoughts hadn’t.

“I’m under miles of water. What if this is aterrorist attack? What if it’s a crack and the water is going to pour in? Where is my asthma puffer? Oh no … no. I left it at home … I will suffocate here alone in the dark.” Then as if by miracle, I heard my voice say: “Now! If you don’t do it NOW, you never will.”

I shut my eyes and started to do Cayoun’s first step of deep breathing, initially struggling to get air into my tight chest. Followed by gently observingmy physiology and the degree to which my thoughts were fuelling theadrenalin surges and pounding heart.

I saw the panic as if I wereabove it; I could name it, watch it, hear the catastrophising thoughtsas they were screaming at me, but I was becoming more detached.

I kept going with other of his techniques and felt my breathing ease. I even felt myself smile: “I’m trapped in a tunnel under the sea during a time of high terrorism alert with claustrophobia. Could life get any better than this!”

I felt the adrenalin subside. I felt sleepy. The comedown that was like a sedative. I yawned. Twenty minutes laterthe lanes converged, and we started moving towards the light. I’d done it.

It’s good to learn self-soothing techniques for the scary days ahead. If I can do it, anyone can.

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