How to Build Healthy Habits

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With more than half of the world currently in some form of lockdown, many of us now have more free time. It is tough to not be able to live our lives how we usually do. I especially miss being able to see family and friends and play sport with others.

Seeing that change is inevitable right now, maybe we can use this time as an opportunity to establish healthy habits. What if we could get started on something we have always wanted to do, or stop doing something that we know is bad for us.

The author James Clear nicely summarises how to build healthy habits in his excellent book ‘Atomic Habits’:

The First Law: Make it Obvious.

  1. Fill out a habits scorecard. Write down your current practices to become aware of them.
  2. Use implementation intentions: “I will (BEHAVIOUR) at (TIME) in (LOCATION).”
  3. Use habit stacking: “After (CURRENT HABIT), I will (NEW HABIT).”
  4. Design your environment. Make the cues of good habits evident and visible.

If your plan is not apparent enough, write down what you will do at what time on what days in what specific location and how long you will do it for each time. You can build this practice on top of an already established habit. It might be after you brush your teeth, or as soon as you get out of bed, or before you eat breakfast or as soon as you get home from work. It just needs to be after something that you are already doing every day so that you can practice your new habit just after this every time.

Also, make sure that you have a reminder to do this task at this time each day, especially in the beginning, so that it will be evident that you need to do it. You may need to set an ongoing event in your calendar for a specific time every day. Or you could set a reminder in an app if you want to use one to help you build this habit. It will not guarantee that you will practice the behaviour, but you will not be able to say that you “just forgot” either.

The Second Law: Make it Attractive.

  1. Use temptation bundling. Pair an action you want to do with an activity you need to do.
  2. Join a culture where your desired behaviour is normal.
  3. Create a motivation ritual. Do something you enjoy immediately after challenging tasks.

 

If your plan is not attractive enough, determine if you can do something enjoyable at the same time as the activity you want to do. It might be listening to an audiobook or podcast series, but only while you go for your daily morning run. You could also join a running group that meets every morning, and it will encourage you to begin running daily too. You could then take a warm shower or eat a tasty breakfast to increase the pay-off for successfully engaging in the new habit that you are trying to develop.

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The Third Law: Make it Easy.

  1. Reduce friction. Decrease the number of steps between you and good habits.
  2. Prime the environment. Prepare your situation to make future actions easier.
  3. Master the decisive moment. Optimise the small choices that deliver outsized impact.  
  4. Use the two-minute rule: Downscale your habits until you can do them in two minutes or less.
  5. Automate your habits. Invest in technology and one-time purchases that lock in future behaviour. 

 

If your plan is too difficult, reduce how many steps you need to take to engage in the new habit that you want to build. Let us say you want to go to the gym after work, put your gym shoes and clothes in the car, and maybe even change into them at work before you leave. Then all you have to do is go in on the way home and begin your workout. If you are choosing between the cheap gyms ten blocks away or the slightly more expensive one on your street, choose the one on your street. You are much more likely to go. Also, if you do not feel up to it, tell yourself that you will only go for ten minutes, and if you are still not feeling it, you can go home. Chances are, you will be doing well once you have started, and want to keep going. Lastly, commit to a monthly contract if you can rather than just paying each time. You will then be more motivated to go more as it becomes better value the more times you go.

The Fourth Law: Make it Satisfying.

  1. Use reinforcement. Give yourself an immediate reward when you complete your habit. 
  2. Make “doing nothing” enjoyable. When avoiding a bad habit, design a way to see the benefits.  
  3. Use a habit tracker. Keep track of your habit streak and “don’t break the chain.”
  4. Never miss twice. When you forget to engage in a habit, make sure you get back on track immediately. 

 

If your plan is not satisfying enough, reward yourself as soon as you complete the habit, especially until you get into a groove with your practice. Remind yourself of the benefits of what you are doing and the negatives associated with not practising this habit. Keep track of how many times you do it, and see if you can do it every day to build up a streak. Try not to break the streak and never let yourself miss more than one day in a row, as the more days you lose, the harder it is to get back on track.

 

How to Break Unhealthy Habits

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James Clear again provides an excellent summary in ‘Atomic Habits’ on what steps to take:

Inversion of the First Law: Make it Invisible

  • Reduce exposure. Remove the cues of your bad habits from your environment.

 

If reminders for the thing you are trying to stop doing are around everywhere, try to make them less visible. If you want to drink less alcohol, throw out any drinks that you have in your house and any alcohol-related memorabilia too. If you are going to stop eating ice cream every time you watch TV, do not have any ice cream in the house and put the remotes away in a drawer or the bedroom too.

 

Inversion of the Second Law: Make it Unattractive

  • Reframe your mindset. Highlight the benefits of avoiding your bad habits. 

 

If the thing that you are trying to stop doing seems too attractive, make it less appealing. Write down the negatives of drinking or eating ice cream, and write down the benefits of not doing this. Then leave this written information somewhere that you will regularly see it. It may be on your desk, or near the mirror in your bedroom or bathroom.

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Inversion of the Third Law: Make it Difficult

  • Increase friction. Increase the number of steps between you and your bad habits.
  • Use a commitment device. Restrict your future choices to ones that benefit you. 

 

If the thing you want to stop doing is too easy to see, increase how many steps you need to take to engage in the behaviour. Let us say you usually buy alcohol or ice cream on the way home from work after a tough day. If you do not bring any money or credit cards to work with you, you will need to drive home first. Assuming you don’t have any alcohol or ice-cream at home, you will need to get your credit cards, then go to the bank, get out money and go to the store and buy these products. That is a lot of effort for someone who has had a tough day and wants to take it easy.

 

Inversion of the Fourth Law: Make it Unsatisfying

  • Get an accountability partner. Ask someone to watch your behaviour. 
  • Create a habit contract. Make the costs of your bad habits public and painful.

If the thing you want to stop doing seems too satisfying, ask for help. It could be from your partner, family, or friends. Ask them to hold you accountable and help you avoid engaging in this habit. Tell people that you are not drinking or eating ice cream, and let them know of a painful consequence that you will have to do if you engage in this habit or they see you do it.

To download a printable version of the habits cheat sheet, go to www.atomichabits.com/cheatsheet.

If you do try to break a habit or build one, remember that behavioural change is hard. Don’t try to make too many changes all at once, and do try to be kind to yourself if you slip up. That’s a normal part of the change process. The key is to keep trying and get back on track after a bad day. I wish you all the best during this extremely difficult time, and I am happy to offer extra support to anyone who needs it.

 

About the Author

Damon

Dr Damon Ashworth Clinical Psychologist who completed his doctoral research on the effectiveness of Cognitive Behavioural Therapy for Insomnia (CBT-I); and is considered an expert in the field of sleep and insomnia. After 18 months volunteering as a mental health specialist in Vanuatu, he has returned to Melbourne and is now available for in person consultations and online via Telehealth . In addition to sleep problems Dr. Ashworth, also has an interest in treating depressed mood, anxiety, trauma, addiction and relationship issues.

www.damonashworthpsychology.com

www.deliberatelybettersleep.com.au

 

How mindfulness can change your brain and your life

Guest Blogger – Dr Matthew Jakovljevic – Osteopath B.S(clin), M.H.S(osteo)

Mindfulness is a bit of buzz word going around at the moment, but what exactly is it? Put simply, it just means being right here, right now.

Mindfulness means consciously bringing your awareness to the here and now experience, with openness, receptiveness and interest. That means just observing without judging. This is often achieved by focusing on your breath.

Mindfulness can do some really cool stuff, from helping with your mental health, all those ongoing pains you have and can even help your sex life!

Why practice mindfulness meditation

The word meditation can make some people cringe and think of monks chanting. I feel really comfortable talking about mindfulness for two reasons, 1. It’s part of my daily routine and 2. It has some seriously good research behind it.

Mindfulness changes your brain. A study by Hölzel et al (2011), did MRIs before and after 8 week mindfulness meditation program.

Showed increases in the size of the gray matter (muscle of your brain) around the:

  • Hippocampus (regulation of emotions)
  • Increased density in brainstem (parasympathetic/ decrease stress response)
  • Increased density in cerebellum (mini-brain responsible for movement control)   

I always like to take a step back and just think about that for a second, real, physical changes. Just like working out your muscles makes them bigger and stronger, being mindful makes your brain bigger and stronger.

You can learn more about these changes from this TedTalk from Sarah Lazar https://www.youtube.com/watch?v=m8rRzTtP7Tc

A recent systematic review, the highest level of scientific evidence (Gotnik et.al., 2015). concluded that mindfulness approaches help to alleviate symptoms, both mental and physical, in the adjunct treatment of

  • Cancer
  • Cardiovascular disease,
  • Chronic pain
  • Depression and anxiety disorders

Mindfulness can also:

Phone ‘apps’
There is a couple of fantastic ‘apps’ for your phone that have mindfulness exercises
Smiling Mind (Free)
ACT Companion: The Happiness Trap App ($15)
Headspace (10 days free)

I suggest that my patients try mindfulness everyday for at least two weeks. It’s a skill and just like any skill, it takes time to become good at it. So give a good chance to start seeing the benefits.

Let’s do a simple mindfulness exercise now….. 
Take ten deep breaths, as slowly as possible. (You may prefer to do this with your eyes closed.) Now focus on the rise and fall of your rib cage, and the air moving in and out of your lungs. Notice the sensations as the air flows in: your chest rising, your shoulders lifting, your lungs expanding. Notice what you feel as the air flows out: your chest falling, your shoulders dropping, the breath leaving your nostrils. Focus on completely emptying your lungs. Push out every last bit of air, feeling your lungs deflate, and pause for a moment before breathing in again. As you breathe in, notice how your tummy gently pushes outward. Now let any thoughts and images come and go in the background, as if they were cars passing by outside your house. When a new thought or image appears, briefly acknowledge its presence, as if you were nodding at a passing motorist. As you do this, keep your attention on the breath, following the air, as it flows in and out of your lungs. You may find it helpful to silently say to yourself, ‘Thinking’, whenever a thought or image appears. Many people find this helps them to acknowledge and let go of the thought. Give it a go and if it’s helpful, keep doing it. From time to time a thought will capture your attention; it will `hook you’ and ‘carry you away’, so that you lose track of the exercise. The moment you realise you’ve been hooked, take a second to notice what distracted you; then gently ‘unhook’ yourself and refocus on your breathing.  
(Harris, 2013, p81) 


Different forms of mindfulness
Maybe listening and thinking exercises aren’t working for you. You could always try to the new craze of adult colouring. I’ve included one below, give it a try! Remember, the idea is to get lost in the coloring, not just ‘get it done’.

Please note, the advice above is generalised and may not be specific to your situation. If in doubt please contact one of our osteopaths or another health care provider to provide a specific diagnosis and treatment of your condition.

Matthew is an osteopath who practices in the Western Suburbs of Melbourne and Geelong, Victoria, Australia. He is available for consults at Western Region Health and Procare Geelong.

References

Gotink, R. A., Chu, P., Busschbach, J. J., Benson, H., Fricchione, G. L., & Hunink, M. M. (2015). Standardised mindfulness-based interventions in healthcare: an overview of systematic reviews and meta-analyses of RCTs. PLoS One, 10(4), e0124344.

Harris, R. (2013). The happiness trap: Stop struggling, start living (Vol. 1): Exisle Publishing.

Hölzel, B. K., Carmody, J., Vangel, M., Congleton, C., Yerramsetti, S. M., Gard, T., & Lazar, S. W. (2011). Mindfulness practice leads to increases in regional brain gray matter density. Psychiatry Research: Neuroimaging, 191(1), 36-43.