CHAPTER 4
ON SELF-REGULATION

Self-regulation is the capability to remain calm in difficult situations, manage your emotions and adapt appropriately to your environment. As we saw in chapter 1, the first step to managing stress and preventing burnout is developing self-awareness. The second most effective step for preventing burnout is the ability to self-regulate. This chapter explores the concept of self-regulation and discusses what it is and why it's so important. I will also give you some practical tools on how to develop it.

Back roads of Uganda

The way to travel the back roads of Uganda and Rwanda is on the back of farmers’ trucks as they travel through the countryside. You simply pay the driver a few dollars as you jump on and they drop you off en route to their destination. Sometimes you may share your ride with the farmers’ beloved chickens and goats and other times with a group of noisy schoolchildren. It's mostly fun and you never know what's in store.

On one particular late afternoon ride, the truck I was on was picking up young, male soldiers armed with rough-looking machetes and machine guns, some of which were held together with gaffer tape. I had a gut feeling that this was not going to be one of those fun rides. This seemed more like a case of being in the wrong place at the wrong time. Over the previous few days, I had noticed there were soldiers everywhere. It was during the time that the neighbouring Congolese president, Kabila, was allegedly killed by an 18-year-old child soldier and there was a lot of political unrest in the area. This was not a great time to be in this part of the world and I could feel the tension in the air as our truck was filling up with soldiers. To make matters worse, I could smell alcohol on their breath and they were becoming mischievous.

One of the young soldiers behind me decided to toy with me. He started nudging and provoking me from behind as he laughed with his comrades. I did not turn around. Suddenly, I felt a piercing stab in the back of my ribs. I froze in fear — Is it a knife or a gun? Without turning around, I glanced over my shoulder using my peripheral vision and saw it was his gaffer-taped machine gun poking hard into my rib cage. Here we go again: fight or flight? I asked myself. Shall I jump off the truck and run? Probably not — the soldiers would have toyed with me like wounded prey and besides, I was in the middle of nowhere! Fighting was out of the question: I had zero chance against these drunk soldiers and their makeshift weapons. I'd be killed. The adrenaline was surging through my body. I was shaking with fear and uncertainty.

I knew I needed to do something to self-regulate and get out of my panicked state. I decided to take three deep breaths before making any reactive decisions about what to do in this life-threatening situation. I took one big inhale, followed by a long, slow exhale, which calmed me down a little. I took a second deep inhale and an even slower releasing exhale, which seemed to last forever. It felt like the longest three breaths I'd ever taken. It wasn't until I let out my third exhale that it suddenly came to me what the best response might be in this situation. Humour! I recalled on previous corrupt border crossings and other tricky situations in Africa that a sense of humour goes a long way. So I came up with the crazy idea of playing ‘Rock, paper, scissors’ with the young soldier sitting in front of me.

I raised my hand and played a few rounds. This got a few smiles. The machine gun was still poking hard at my ribs, but I ignored it. I started playing with another soldier who reeked of sweat and cheap alcohol. I won three rounds in a row and got some laughter and bigger smiles. He demanded a rematch, which he won. Then, other soldiers started competing against each other and we continued the ‘Rock, paper, scissors’ competitions as we bounced along the potholed jungle road.

The mood was slowly softening, but the machine gun didn't budge. Next, I chose the scariest looking and biggest soldier near me and we played three rounds. He beat me hands down. This was met with louder laughter and even bigger smiles. And then something changed. I felt the gun subtly release from my ribcage and a tap on my shoulder. As I turned around, I was met with the gaze of the young soldier who had been tormenting me — he was motioning me to play the game with him. To my relief, he beat me four times and he was pleased. His big grin said it all. He even gave me a celebratory high-five.

Moments later, the truck reached a busy crossroads. All of the soldiers collectively jumped up and gave me more high-fives and smiles as they piled off the truck. I collapsed back against the truck tray in relief and looked up at a lone, elderly farmer holding a sack of plantain bananas who was smiling at me. Phew, that was a close call! I said to myself, relieved to be alive as my body started releasing the pent-up tension. This unnerving experience was a strong lesson for me in the power of the ‘pause’ and developing the capacity to self-regulate in any situation. It also further consolidated for me the need to never underestimate the power of the breath in terms of self-control!

Types of self-regulation

As I touched on at the beginning of the chapter, self-regulation is the ability to monitor and manage your energy states, your emotions, your thoughts and your behaviours and then take the best decisive action in any given situation. Sometimes it requires you to take a pause between a feeling and an action: to think things through, assess the situation and make a plan of how to positively approach the situation to give you the best outcome.

There are three main types of self-regulation: sensory regulation, emotional regulation and cognitive regulation.

Sensory regulation

Sensory regulation is the brain's ability to calm down or become more alert depending on your needs in your immediate environment, or during the task at hand. It's also about being more aware of the sensations present in the body. This could be as simple as physically noticing when your shoulders are feeling tight or your back is sore from sitting at your desk for too long and consequently getting up for a stretch or a walk. It could also be when your senses are becoming overstimulated from too much work and you need to calm down and switch off for a moment.

Emotional regulation

Self-regulation may be referred to as emotional regulation when it relates to your capacity to manage your emotional responses and impulses. This is useful, especially with emotions like anger. Instead of having an angry outburst and reactively saying or doing something you might regret, if you are mindful you may be able to self-regulate and manage your response to express the anger in a more constructive way. Equally, if you are operating out of fear, you may demonstrate desperate or negative behaviours and make fear-based decisions rather than rational ones. When you are more aware and able to regulate these emotions you can remain calm even when under pressure.

Cognitive regulation

Cognitive regulation is the ability to control and sustain your thinking and attention, and to resist distraction. It's also about a set of behaviours, thoughts and beliefs towards the attainment of a goal. This could be your ability to stay focused for long periods of time without your attention waning or becoming distracted. You might spend sustained periods of time at work solving problems, thinking analytically, making decisions and using up all of your cognitive resources so that your mental focus and clarity are compromised.

In some of my corporate workshops I take groups through a simple body scan practice, which is a mindful practice of bringing awareness to different parts of the body and the sensations that might be present there. I am often amazed at the positive comments from participants after the short practice:

  • I didn't realise how many aches and pains I had in my body.
  • I wasn't aware of how much tension I was holding in my jaw and neck.
  • I felt my shoulders drop five inches!
  • I feel so calm and present.
  • That overwhelming/anxious feeling has subsided.
  • My headache has totally gone.
  • I didn't realise how tired I was. I nearly fell asleep.
  • I was feeling angry/upset when I came in but now that feeling has gone.
  • I feel so much lighter and clearer in my mind.

All of this can be achieved by simply tuning in to your body and self-regulating through awareness of breath and body. This is where practising mindfulness enables you to become present with what is going on within and around you and in turn to do something about it by self-regulating.

Why is self-regulation so important?

In terms of stress management and preventing burnout, developing the capacity to self-regulate is very important. Everyday stressors are normal, and as long as you manage them on a daily basis, or even an hourly basis, they will not turn into chronic stress. Remember that burnout results from chronic stress not being managed; therefore, being able to manage your ability to self-regulate will prevent everyday stress from developing into chronic stress, potentially resulting in burnout.

Daily, or even hourly, stressors will keep coming at you every single day: emails, deadlines, priorities, workload and everything else that arises in the course of a workday. We have little control over the amount of incoming stress, but we do have full control over how we react to it when we develop our ability to self-regulate during the day. Stress can be positively motivating, and by frequently self-regulating throughout the day to manage your stress it will not accumulate over the week and leave you feeling depleted. Doing simple things like pausing every few hours when you're feeling overwhelmed, taking a renewal break when you're feeling fatigued, practising breath breaks or meditation when you're losing focus, changing your environment when you're feeling reactive, or going for a refreshing walk, will all help to self-regulate your energy and clarity.

As we have already established, the earlier on in the stress cycle you become aware of your stress, the easier it is to manage. If you catch it in the everyday stress stage (green zone), then using the self-regulating technique will be far more effective than waiting until the stress has reached the orange zone, where you are approaching fatigue and burnout. ‘Nip it in the bud’ as soon as you can with a simple technique before it evolves further and has damaging effects on your health and mental wellbeing.

A busy surgeon I work with is notorious for doing long operating shifts and often works 60- to 80-hour weeks. He used to ignore all the signs of stress resulting from his overwhelmingly busy days. He loves his work and especially loves being engaged in complex surgical procedures, so he did not feel the need to slow down. He divided his time between his private practice and a public practice, driving between various clinics and hospitals throughout the week. He was initially not aware of the consequences that this workload was having on his health because he loved it so much, and although he was mentally and physically exhausted at the end of the week, he said he still felt pretty good.

That was until he fell asleep at the wheel of his car for a few seconds after one of his long shifts. He woke up totally shocked. Fortunately, he only hit a garden hedge and no-one was hurt, apart from a few garden gnomes. This was the turning point for him, and he started taking renewal breaks every day, operated less frequently, slightly decreased his working hours and dramatically increased his self-care habits. He still works relatively long hours, but he is now more aware of what he needs to do to self-regulate on a daily and hourly basis.

He said that throughout the day he is constantly renewing his energy and feels more present and mindful of his daily workflow. He even does breathing practices while he is operating and does two-minute breath breaks while he is washing his hands between patients. By constantly renewing his energy throughout the day he doesn't feel exhausted at the end of the week. The other bonus he shared with me is that he doesn't fall sick every time he takes his annual leave holiday, which he normally would have in the past!

How to develop self-regulation

You can do many things to help calm yourself down and self-regulate, such as going for a walk, practising yoga, riding a bike, having a change of environment, getting a massage, doing artwork or anything that relaxes you.

The following is a small — though certainly not comprehensive — selection of mindfulness techniques to help you self-regulate during challenging times. These are simple but effective practices that I personally use and have shared with many people with positive results.

The ‘Coming to your senses’ exercise

One of the simplest ways to self-regulate, get yourself out of the reactivity of stress and come back to the present moment is through your senses. Say, for example, you are working away on your computer, starting to lose focus and feeling stressed and anxious about all the work ahead of you. Before you get swept away by your catastrophising future thoughts, and your anxiety, it's best to pause, take your hand off the mouse, place your hands on your lap, take your eyes off the computer and ask yourself the following five questions:

  1. What can I see right now? Look around you and take in your environment.
  2. What can I hear right now? Tune in to the soundscape around you, both near and far.
  3. What can I smell right now? Notice the scents around your environment without judging them as good or bad.
  4. What can I taste right now? Notice the tastes present in your mouth — perhaps you could have a drink, or pop a snack into your mouth and tune in to the taste and flavours.
  5. What do I feel right now? Tune into the sensations of your body: feel your back against the chair, your hands on your lap and your feet on the ground.

This is a very grounding practice and only takes a few minutes. It helps you self-regulate by tuning back in to the present moment and can stop overwhelm in its tracks. It can instantly calm you down, slow down your heart rate and help relax your mind. It also helps you to become an observer of your mind rather than getting swept away by your thoughts. And the best thing is, you can do it anywhere, anytime.

Be comfortable with doing nothing

We all need some time out from constantly ‘doing’. When was the last time you had five minutes to do absolutely nothing — and I mean nothing? So many people say to me that they wish they had more time, but the moment they get five minutes to themselves they fill it up with more activity. For example, you get a five-minute break at work so you start googling something on your computer, or you reach for your phone and start scrolling. Your mind is already full and busy, yet you fill it up with more stimulation and information, which only leads to more overwhelm and overload.

We take in more information in a single day than somebody in the 15th century would have taken in over a whole year. What's more, a PhD student's 2011 study published in Science Express found that we are exposed to the equivalent information of 174 newspapers per day!13 How can we possibly take it all in?

Think about a typical day. From the moment we wake up, we are busy checking our phones, reading or listening to the news on our commutes and scrolling the internet — not to mention all of the external bombardment of information that we are constantly over-stimulated by. Give yourself a little brain break and do absolutely nothing for a while so your mind can process some of this information. Take yourself outside, sit on a park bench (without your phone) and give yourself some space to ‘just be’ (not do) for a change. You might be amazed by how difficult it is to do nothing for five minutes — but you might be equally amazed at how much better you feel afterwards.

Create space with mindfulness

Somebody once asked me, ‘What has been the biggest benefit for you regularly meditating for 30 years?’

I really had to stop and think about my response for a moment. I instantly thought of countless benefits, but it turned out that ‘pausing and thinking about my response’ was actually the answer. I replied, ‘It helps me to create space between a stimulus and my response to that stimulus, and the more I meditate, the bigger that space becomes’ (as we saw in the Uganda story at the beginning of this chapter). The more you train your ability to sit comfortably with yourself and be with your thoughts, the more you can feel comfortable to hold space in various situations. Have you ever noticed that your thoughts come and go, and have you noticed that there is a space between one thought and the next? The more you practise mindfulness and meditation, the more aware you become of that space and the more comfortable you are with it.

Our minds are so busy with thoughts and external stimuli that we have no capacity left for creative thoughts to arise. When you sit in a mindful meditation practice, you create space to just be for a while and observe the sensations and thoughts that arise without reacting to them. You can also take this practice ‘off the mat’ and into your everyday life to be more self-aware and less reactive to events that happen to you over the course of the day. When something happens to you in your day, it creates a stimulus that then triggers a reaction or a response. For example, one of your colleagues at work says something to upset you and you instantly snap back with your emotional response, or it might even be a terrible email that you respond to in anger. This is not a great way to operate and you are likely to regret what you said moments later. Often, the more stressed you are, the smaller the space between stimulus and response is. In an illustrative form, this looks something like figure 4.1 (note that there is no space).

Schematic illustration of reactive response. Stimulus and Response.

Figure 4.1 reactive response

Conversely, the more you train your awareness and ability to self-regulate with the mindfulness practices, the better you can ‘create space’ between this stimulus and response (see figure 4.2). For example, someone says something that upsets you and instead of snapping back angrily, you take a moment before you respond — it might only be the space of one breath or a polite pause. In this moment you create the space to allow a series of thoughts and processes to flow through your mind so that you can:

  • assess the present situation
  • look at the bigger picture
  • step back and create perspective
  • observe your mind without judgement
  • create a possible solution
  • have empathy
  • respond mindfully and respectfully.
Schematic illustration of mindful response.

Figure 4.2 mindful response

A good example of this is Michael, a client and friend of mine and a Senior Director of a Melbourne-based financial institution, who has been working on self-regulation and the ability to create space for a while now. He says that he has gone from a three out of 10 to a six out of 10 and admits it is still a work in progress. One of the things that fires him up the most is traffic to and from work and he notices himself getting frustrated and angry when people cut him off. He is getting better at self-regulating, but sometimes he has to stay in his car at the end of his trip, and take five breaths to ‘let go’ of some of the built-up traffic frustration before he enters his workplace.

What I love about Michael is his honesty. He says he doesn't get it right all of the time, but he is continually working on it. I taught Michael some deep breathing techniques and he now doesn't get fired up anywhere near as often. It's a work in progress and long-term change takes patience and time but he is doing great.

One of my favourite books, which summarises this perfectly, is Viktor Frankl's Man's Search for Meaning. Frankl describes his time in the concentration camps during World War II. Even under the horrific conditions of being imprisoned in a concentration camp you still have a choice — you can choose your responses. He writes,

Between stimulus and response there is a space. In that space is our power to choose our response. In our response lies our growth and our freedom.14

90-second breath breaks

Along with all the benefits described in chapter 1, 90-second breath breaks are also a great way to create space and self-regulate instantaneously. Remember: give yourself permission to stop! Stopping for 90 seconds or so can make the world of difference to your overall energy and mood throughout the day. It's a great way to create space between stimulus and response, it can disrupt your reactive mode of working, and you can regain your focus and balance. The more frequently you have small breaks in your day, the more you train your capacity to disrupt the stress response and reset your intention to work more mindfully and purposefully.

Body scan practices

A very popular formal mindfulness practice is the body scan. This is one of the most effective practices for those starting out with mindfulness. The body scan is a great way to bring connection and awareness to your body and equally to your mind. This practice is beneficial when you're feeling disconnected, stressed or just want to relax.

The body scan practice is simply about bringing awareness to various parts of your body and noticing any sensations that might be present there. Often, by simply bringing awareness to a part of your body, you can release any tension that might be accumulating in that area. You do this portion by portion from your head down to your toes, or vice versa, bringing awareness to each region and gently letting go with your breath. You can do this practice seated or lying down.

The great thing about the body scan is that it only takes five to 10 minutes, yet it is very effective in releasing stress and reconnecting to your body and mind. It is a wonderful way to unwind after a busy day. Having said that, you can use this body scan at any time of the day: you can use it in the morning to bring vitality and presence to your day; at the end of your day to create space and unwind; or you can practise it before bedtime to get a good night's sleep. No matter which time of the day you choose to use the body scan practice, aim to do it at least once a day to reconnect with your mind and body and help you find balance.

You will find a body scan script at the end of this chapter.

The cumulative positive benefits

Making these small changes and doing these practices can have positive long-term effects on your mental health and wellbeing. The best feedback I ever received from somebody who initiated the body scan practice and other daily self-regulating techniques was from Jack, a hard-working business owner in the construction industry. He ran a large firm with more than 200 full-time employees as well as many sub-contractors. He felt overwhelmed managing multiple building sites and team members, which caused him some niggling anxiety most of the day. Jack had a spasmodic mix of physically demanding days on site and sedentary days in his office. He mentioned he was so ‘out of tune’ with his body that he often had chronic aches and pains, which impacted his sleep. He was so disconnected to the sensations and signals of his body that he sometimes totally forgot to eat during the day and he rarely stretched or exercised because he was constantly tired.

After only one month of doing the self-regulation techniques and a nightly body scan practice, Jack was amazed that his aches and pains virtually disappeared. He has made a concerted effort to eat well, which gives him the energy to exercise more frequently — and the best thing is, he sleeps an average of eight hours a night, especially when he does a body scan practice before going to bed. Jack still has stressful days and a lot to manage in his company but being able to self-regulate and manage the stress on a daily basis has made all the difference.

* * *

The wonderful thing about all of these effective and easily implementable self-regulation practices is that they take only minutes out of your day. All they require is your attention and a bit of practice. Developing an ability to self-regulate in various situations will have a profound effect on your everyday stress levels and mental wellbeing. Imagine working productively each day and achieving all of your demands without feeling wiped out at the end of the week so you still have the energy to enjoy your weekend. With mindfulness and self-regulation practices, all of this is possible.

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