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Reclaiming Reflection and the Power of Pause – Donald Altman

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Over 150 years ago, while walking in the woods, Henry David Thoreau wrote, “The thought of some work will run in my head and I am not where my body is. I am out of my senses.” Today, being present is much more challenging! 

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Over 150 years ago, while walking in the woods, Henry David Thoreau wrote, “The thought of some work will run in my head and I am not where my body is. I am out of my senses.” Today, being present is much more challenging! Drawing upon research, you’ll discover how to strengthen the mindfulness skills that allow for everything from processing new information and integrating new behaviors to regulating emotions. In fact, helping clients reclaim reflection may be the single-most important building block you can offer for healing, well-being, calm, and compassion. In a world with little time to “stop and smell the roses,” help clients take greater control over their lives.


  1. Apply practices that encourage reflection and pause to maximize therapy during and between sessions through. 
  2. Reframe reflection to increase client engagement and clients interrupt craving, impulsivity, and negativity. 
  3. Integrate reflection with CBT in sessions to improve clinical outcomes. 

Apply practices that encourage reflection and pause to maximize therapy during and between sessions through. 

  • Learn how to use metacognition as a way of noting key moments in the therapy session. 
  • Use reflection as a homework assignment for patients to put work from therapy into action between sessions. 

Reframe reflection to increase client engagement and clients interrupt craving, impulsivity, and negativity. 

  • Help clients change their relationship with cravings by noticing and rating how the intensity of the craving changes over time. 
  • Teach clients regulate emotions and step back from impulsivity and negativity by using breathing to turn on the parasympathetic nervous system. 

Integrate reflection with CBT in sessions to improve clinical outcomes. 

  • Use labeling of thinking styles as a way to increase awareness of how thoughts affect emotions. 
  • Use naming of emotions as a means of pausing and apprising one’s emotional states, as well as pausing from negativity. 

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