Stress Management Archives - Unity Physiotherapy and Wellbeing Physiotherapy and Wellbeing in Lincoln Tue, 10 Feb 2026 11:07:21 +0000 en-GB hourly 1 https://wordpress.org/?v=7.0 https://unityphysio.co.uk/wp-content/uploads/2021/08/cropped-fav-32x32.jpg Stress Management Archives - Unity Physiotherapy and Wellbeing 32 32 A Somatic & Compassionate Guide to Choosing a Word of the Year https://unityphysio.co.uk/a-somatic-compassionate-guide-to-choosing-a-word-of-the-year/ Fri, 12 Dec 2025 10:49:29 +0000 https://unityphysio.co.uk/?p=7178 What is a Word of the Year?   I see a word of the year as a quality, a felt sense of something, or a way of being that you’d like to invite more of in the coming year.  It can act as a gentle guide — something to orient towards, return to, and weave …

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What is a Word of the Year?

 

I see a word of the year as a quality, a felt sense of something, or a way of being that you’d like to invite more of in the coming year.  It can act as a gentle guide — something to orient towards, return to, and weave into reflections throughout the year.

Choosing a word can be a gentle mindbodyspirit practice (no spaces intentionally here) — a way to invite deeper alignment, inner guidance, coherence, and attunement into your life.  It becomes a thread through your days, helping you notice where you are in relation to your intentions, values, presence, and the rhythms of life within and around you.

I’ve chosen a word of the year for many years now, and I’ve found it especially supportive when combined with my way of living –in a mindful, compassionate & values-aligned way.

In 2025 I also began choosing a word of the month – each connected to my main word of the year.  Having both has felt nourishing and grounding, and has been helpful on a variety of ways.

Part of the how I choose my yearly word is by reflecting on the year that’s coming to a close.  This often includes exploring:

  • What felt supportive?
  • What went well?
  • What was challenging?
  • What do I want to invite more of
  • What could I let go of?

Reflecting on the Year & Choosing Your Word

 

For me, this process begins mid-autumn and completes around the winter solstice – although my word often arrives earlier.  I reflect in a compassionate, somatic way: combing body wisdom with cognitive understanding, embodying my compassionate self.

Reflection can reveal what you would like to carry forward into the coming year — strengths, qualities, practices — and what may be helpful to let go of.  This can naturally lead into choosing a yearly word, a seasonal word, or words of the month.

End-of-year reflection can be really grounding and clarifying, though only if it feels okay for you.  Some people find it supportive; others may feel overwhelmed, partly depending on what is currently happening in life.

There’s no right or wrong way to reflect, and there’s no pressure to do it at all.  There’s also no set timing.

This time of year naturally calls us towards slowing down and turn inwards — especially when we tune into the seasonal rhythm of winter.  The commercial pace of Christmas can pull us in the opposite direction, but reflecting (in whatever form) can be an invitation to gently pause.

As we reflect it can be helpful to remember our shared humanity – every year contains challenge and difficulty, and also moments of things like joy, connection, love, wonder and support; each in varying amounts.  All of this is part of being human.

 

Somatic ways to reflect:

As you reflect, notice:

  • What sensations are present
  • What feelings and thoughts
  • What your breaths like

You might explore by:

✨Travelling back through the year & noticing what events arise naturally — and how they show up in your body.

✨ Exploring the strengths and resources that supported you in challenging times & what helped you to thrive.  Maybe also noticing what else could have been supportive, or what strengths it could be helpful to build upon

✨ Consider which practices, strategies or resources were helpful — and what might support you in the future.

✨ Look at the year as a whole, or in quarters, noticing: what was nurturing, what supported your energy & what drained it; and whether a word, image, colour, or piece of music captures your year.

✨Reflecting on your values — how they guided your choices, how have they been present, and where you’d like more alignment

✨Journalling in whatever way feels supportive

You can find more journalling ideas in my blog:  https://unityphysio.co.uk/end-of-year-journalling/

 

How to Explore Your Word of the Year

 

There are many ways to approach this. You might reflect first, or go straight to exploring possible words. There’s no right way.  Choose whatever feels right for you — there’s no rule.

Here are some steps you can use as a guide:

✨ Reflect on the year

If it feels supportive, you might use journalling or the practices above.

✨ Consider what you’d like to invite more of into your life

Write down any words that come to mind — qualities, feelings, ways of being.  Questions you could explore:

  • What would support me?
  • What would I like to cultivate or build upon?
  • What does next year call me towards?

(The word cloud image below might give inspiration — there are many more word possibilities, including flourish, thrive, confidence & flow)

✨ Notice how each word feels in your body

Pause with each one:

  •  What sensations arise?
  • What is your breath like?
  • What thoughts and feelings show up?
  • How do you experience this word?

✨ Circle up to five words that feel most alive

Spend time with each one.  Sense and imagine how how each word might support you over the coming year.  Sit with them a little while and then let them be — often a word will make itself known.

✨ If you haven’t chosen a word yet, give it space

Return to your list of narrowed down words over the coming days or weeks.  You might explore:

  • How does each word align with my values?
  • How would each word support the way I would like to show up for myself and others?
  • How might they have supported me this year?
  • How could it help having more of this?
  • What small daily intentions could each one encourage?

✨ Check in again

Sit with the word you’ve chosen, or the few you’ve narrowed it down to (if it hasn’t quite landed yet).  Notice:

  • How do you experience this word, what do you notice as you focus on it?
  • What sensations. emotions, or thoughts arise?
  • Does it feel aligned with your values and your heart?
  • Is it resonating with you?
  • Is it a gentle yes, or a clear no?
  • Does it feel like a warm, welcoming invitation to explore the coming year with?

 

It Doesn’t Have to Be a Whole Year

 

You might choose:

  • A word for the first quarter
  • A seasonal word
  • A monthly word
  • Or a yearly word supported by monthly ones

All of these can be equally supportive.  The invitation is simply to choose what feels nourishing, grounding, and helpful for you.

 

Summary

 

There isn’t a right or a wrong way to do this.  It’s about intention, compassionate awareness, curiosity, orientation, gentle guidance; and a way of listening inwardly as you approach the coming year.

If you choose to explore a word this year, I hope the process feels spacious, compassionate and rooted in your own wisdom.

 

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The Window of Tolerance and Chronic Illness https://unityphysio.co.uk/the-window-of-tolerance-and-chronic-illness/ Fri, 05 Sep 2025 09:59:29 +0000 https://unityphysio.co.uk/?p=7084 What is The Window of Tolerance   The Window of Tolerance is a model of nervous system regulation developed by Dr. Dan Siegel.  It describes the optimal zone of arousal – the state where our physiology is balanced, we feel settled enough to connect with others, we can explore, learn and grow.  Inside the window …

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What is The Window of Tolerance

 

The Window of Tolerance is a model of nervous system regulation developed by Dr. Dan Siegel.  It describes the optimal zone of arousal – the state where our physiology is balanced, we feel settled enough to connect with others, we can explore, learn and grow.  Inside the window emotions and challenges are tolerable, and we can respond rather than react – we can cope with life stressors.

Either side of the window are two dysregulated states — hyperarousal and hypoarousal.

  • Hyperarousal is the fight or flight response, driven by the sympathetic nervous system.  Here we may feel, for example, anxious or agitated, or on high alert – our physiology is dialled up
  • Hypoarousal happens when something is too much for too long, it’s the parasympathetic nervous system without the “vagal brake”, and we lack the enough mobilisation of the sympathetic nervous system that we need to function effectively day to day (this is not the same as the fight or flight response which of course we need too!).

Each of the three zones is associated with different emotions, thoughts, feelings, behaviours and physiology.  The window isn’t only about our emotions, it’s about the body and behaviour too – it’s about the whole person and being able to function in a balanced, or efficient, way aS much as possible.

The aim isn’t to stay in our window all of the time – that’s not realistic.  Instead, we can over time learn to spend more time there, gently expand the window and recognise its edges (a place of growth).  These edges are sometimes called our stretch zone: where we are challenged but not overwhelmed.  I’ve created an infographic below which illustrates these states.

 

(You’re welcome to use & share this infographic – please keep the copyright & logo visible so the work is credited)

What is Nervous System Regulation

 

Nervous system regulation is a term used to refer to the state of the autonomic nervous system (ANS).  The ANS controls bodily functions like heart rate, breathing, digestion and our stress responses, and of these, the breath is unique because can also influence it consciously.

I often describe efficient nervous system regulation as having the ability to move flexibly between different states, in response to life’s demands and stressors.  It means the level of arousal is matched to what’s needed in the moment – and being able to return to a more regulated state with some degree of ease when dysregulation happens.  This supports a sense of safeness, connection, optimal functioning, growth, and healing.  A regulated state is where we and learn and grow, and feel grounded, settled/safe, able to connect with others, restore, recover and heal.

It’s important to remember when we talk about nervous system regulation, it’s broader than the ANS alone – everything in the body is deeply interconnected.  You can read more about nervous system regulation in my blog: https://unityphysio.co.uk/nervous-system-regulation-a-path-home-to-your-body/

 

Window of Tolerance and Chronic Illness

 

What Happens to The Window

 

When living with chronic illness, and struggling with symptoms, the window shrinks.  Other things shrink our window too including trauma, chronic stress, not taking care of ourselves and over working.

With a narrower window we are more easily moved into survival responses by everyday stressors — dysregulating too quickly, too often, or too much.  This isn’t a sign of weakness or doing anything wrong; these are survival strategies and there is wisdom here if we listen.  We know people struggling with chronic illness easily move out of the window in chronic illness, and some people get stuck swinging between hyperarousal and hyperarousal.

“There’s wisdom in survival strategies if we listen”

 

Fear is one of the most common triggers for dysregulation and increasing the dysregulation, for example: fear of flare-ups, of not getting better, of being negatively judged, or fear about an activity.  Sometimes fear shows up as hyperarousal (worry, tension, hypervigilance) and if it becomes too much, it can tip us into hypoarousal (numbness, disconnection, withdrawal, collapse).

 

“Fear often pulls us out of our window, compassionate awareness helps us return”

 

The Feedback Loop: Symptoms & Threat Responses

 

When we are dysregulated the symptom dial often turns up – which can in turn dysregulate us further.  For example, worrying about doing an activity because of the expected impact can pull us outside of our window before we even begin.  Then during the activity, hypervigilance and tension increase pain, fatigue and other symptoms.  Afterwards, self-criticism or frustration may arise, further dysregulating systems and turning the symptom dial up more.

Different parts of us can take the wheel in these moments.  In hyperarousal, a part might push us to keep going – until symptoms flare more (boom-bust pattern).  Then the critical part of us may jump in, getting hooked into critical thought loops can push us into hypoarousal, where another part that may want to hide away and give up gets into the driving seat.  Each part is trying to protect us, even if it’s using a strategy that is causing distress.

Learning to listen with compassion to these different parts helps us understand their wisdom and gradually expand our window – with awareness and practice we can understand the wisdom here, meet what’s needed and can gently expand our window over time.  Also, the more time that we spend in the window, the easier it is to access our compassionate self, which supports healing and making helpful changes.

(You’re welcome to use & share this infographic – please keep the copyright and logo visible so the work is credited)

The angry self, anxious self, and sad self are recognised as common parts in Compassion Focused Therapy that increase threat system activation.  Recognising them with awareness and compassion helps us return to balance.

Returning to Regulation

 

To return to regulation we first need to notice:

  • What’s present and what the nervous system state is (hyperarousal, hypoarousal or in our window)
  • The signs that we are moving beyond the edge of our window into dysregulation.

From there, we can explore practices that either downregulate hyperarousal or upregulate hypoarousal to move us back into or more towards our window.  It’s important to remember: just because something is described as calming or energising doesn’t mean it will have that affect for you – notice how you feel before and after and let your body teach you what is supportive for you and in what context.

There are some suggested practices for hyperarousal and hypoarousal below:

Practices for Hyperarousal
  • Compassionate awareness of what’s present
  • Somatic tracking (either with a sense of safety noticing and tracking an unpleasant sensation, or leaning into a pleasant of neutral sensation)
  • Breath practices, for example diaphragmatic soft slow nose breathing (normal breathing), Buteyko recovery breathing, extended exhale, coherent breathing, bee breath
  • Grounding practices, for example the 5-4-3-2-1 practice, or noticing your feet on the floor and gently swaying if gentle movement feels accessible
  • Connection with others
  • Time in nature in a way that feels soothing or settling
  • Soothing self-touch
  • Soothing music or nature sounds
  • Rhythmic movement, for example somatic shaking, walking, dancing, jogging, or swimming.  Other movement for example stretching
  • Humming
  • Sensory stimulation, for example a soothing essential oil, listening to soothing music or nature sounds, touching objects with a soothing texture or temperature, looking around and naming objects
  • Self compassion practices
  • Let be, let go let in (I’ve written more about this here: https://unityphysio.co.uk/the-mindful-compassion-based-5-steps-stress-awareness-management-model
Practices for Hypoarousal
  • Mindfulness and somatic techniques, for example tapping, squeezing, or self-massage
  • Energising movement, for example walking, stretching, jumping, somatic shaking, swimming, anything to energise the body that feels accessible and within tolerance levels
  • Sensory stimulation, for example the smell of coffee, an essential oil, or another strong scent, touching objects with different textures or temperatures, looking around and naming objects, uplifting sounds, eating something salty/cold/crunchy, drinking a cold drink with a straw
  • Cold shower or splashing cold water on face
  • Stimulating breath practices
  • Time in nature, gently connecting with energising elements
  • Walking barefoot on a safe surface (grass is one option)
  • Grounding practices. for example the 5-4-3-2-1 practice
  • Self-compassion practices

Yoga and physiotherapy

Many practices, like breathwork, yoga, mindfulness and compassion practices, as well as time in nature, support both states in different ways depending on the person and how they are approached and engaged with.  They can upregulate or downregulate and bring more balance depending on different factors and the individual.  It’s really an exploration and noticing how your body responds to different practices in different states and contexts.  Sometimes downregulating in hyperarousal needs more up-regulation to mobilise the energy and other times starting to downregulate with slower movements is possible as the starting point, for example needing a run or brisk walk in hyperarousal before a slow walking or sitting outdoors is accessible.  Doing a somatic check in before and after is helpful – see if you feel you’ve moved more towards or away from your window.

 

Expanding the Window

 

We can expand our window by understanding and noticing the early signs from our body of being at the edge of our window and gently working here in a way that feels safe enough.  I often describe it as having one foot (or even a toe) outside the window and the other in regulation.  This supports nudging the window in a way that feels possible.

“Expanding the window isn’t about staying regulated all the time – it’s about awareness and finding enough safety at the edges, and returning from dysregulation with more ease”

 

Some ways I support people in expanding their window includes:

  • Awareness of the edge of the window
  • Somatic and embodiment practices (e.g. somatic tracking, somatic check-in)
  • Meditationand mindfulness-based practices
  • Compassion practices
  • Mindful language and reframing
  • Downregulation practices to support regulation after nudging hyperarousal
  • Learning to trust the body
  • Holding outcomes lightly
  • Supporting connection with others
  • Lifestyle changes, such as pacing of activities, including some restorative rest each day, good quality sleep and a healthy balanced diet.

 

In Summary

 

There are many things that support regulation — awareness, compassion, and regular practice are key. Expanding the window also takes gentleness, patience and time: finding what’s best for you, listening to your body’s signals, and trusting the wisdom within.  Remember, the aim isn’t to stay in the window all of the time – over time, we want to be able to return to it with greater ease, and to gently expand it.

 

 

You might like to reflect on:

  • What are the signs of being in each of the three zones of the Window of Tolerance?
  • What are the signs of being at the edge of your window, and what helps you to keep a foot in regulation?
  • What supports you in returning to your window from hyperarousal or hypoarousal?
  • What helps you expand your window over time?

 

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The Mindful Compassion Based 5 Steps Stress Awareness & Management Model https://unityphysio.co.uk/the-mindful-compassion-based-5-steps-stress-awareness-management-model/ Thu, 17 Apr 2025 11:51:57 +0000 https://unityphysio.co.uk/?p=5405 In this blog I’m going to share a little about the mindful compassion based 5 steps stress awareness and management model I’ve developed.  First, let’s take a quick look at a few points around stress. Stress often gets a bad press, which is because it negatively affects our health and wellbeing when it’s certain types …

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In this blog I’m going to share a little about the mindful compassion based 5 steps stress awareness and management model I’ve developed.  First, let’s take a quick look at a few points around stress.

Stress often gets a bad press, which is because it negatively affects our health and wellbeing when it’s certain types of stress, prolonged and repetitive.   Stress is part of our daily life in many ways and some of it we need for adapting including the stress from exercise.  Chronic, or ongoing stress, also impacts chronic health conditions, it amplifies pain, fatigue, gut issues, anxiety and other symptoms.

Many things contribute to stress, including health inequalities, which I’m not going to go into in this blog.  There is also often a negative perception of stress and a stigma associated with it which isn’t needed or helpful.  I’m not going to go into this because it would be a whole other blog, however it’s important to mention that being stressed isn’t a weakness and recognising it and taking action is a strength.

We cannot change stress if we aren’t aware of feeling stressed, or we don’t notice when stress is increasing and/or are not aware of the factors that we can influence.  The rest of this blog will focus on my compassionate mindful 5 steps stress awareness and management model which can support stress awareness and management, and optimising health & wellbeing, alongside lifestyle factors, including: exercise/movement, diet, sleep, time outside, and connecting with others and nature.

 

The 5 steps stress awareness & management model

 

1. Slow down & pause

2. Awareness – Notice what’s present in the body (somatic check-in) with compassion & curiosity

3. Let Be –  allow what’s present as it is without judgement as best you can, noting how things ebb & flow

4. Let go – let go of what does not serve

5 Let in – choose what’s helpful, what you would like to invite more of.  Connect to what’s nurturing & supportive, and focus on this.

 

 

Using this model we start by slowing down and pausing, perhaps noticing the feet on the floor and the position of the body (eg sitting or standing).  It can also be helpful to connect to an intention to notice how we are and what’s present with a compassion and curiosity.

Step 2 is noticing what’s present in the body (a somatic check-in), this includes how the external environment is impacting our physiology, for example the nervous system state.  Doing a somatic check in creates an embodied awareness of what’s present.   A somatic check-in can include noticing what sensations are present where, what the breath is like, what energy levels are like, what thoughts & feelings are present and how they show up in the body.

Step 3 is letting what’s present be, allowing it to be as it is as best you can with compassion and curiosity, and also noticing how things ebb and flow.   Acceptance of what is present is part of this, there are many misconceptions about acceptance, it doesn’t mean liking or wanting something, nor does it mean something won’t change, and it’s not a one off thing (it’s an ongoing relational process).  Alongside allowing and accepting we can also notice how what we are paying attention to changes moment by moment, everything’s always changing.   To be with what’s present and allow it we need to have a wide enough window of tolerance, this could be seen as nervous system capacity to maintain some regulation with the impact of stressors, this is something that we can expand over time.  We also need to know what helps us keep a foot or at least a toe in some regulation whilst we are being with what’s present when it includes suffering or things that are challenging.  If our window of tolerance is narrow and we don’t know what anchors us in regulation, what supports us to stay settled and grounded enough (regulated enough) we will become too dysregulated to be with what’s present, mixed with previous experiences, and can become overwhelmed.  We need a number of things to support being with suffering especially compassion, courage, nervous system regulation and a sense of safety in the body.  The being with what’s present and listening to the body often holds much wisdom, this can guide us towards what’s helpful.

Step 4 is letting go of what does not serve us.  This is not always an easy process and can take some time, it’s not necessarily a one off in the moment thing, nor a do one practice and we have magically let go of something, although sometimes it can be like this (usually when there has been prior work with something).  Letting go can be related to a variety of things including worry, self-criticism, impatience, unhelpful beliefs, unsupportive/unhealthy habits and excess tension in the body.  Things that support letting go include the wisdom from within the letting be step, embodied movement, other somatic and embodiment practices, breath practices, compassion practices, compassionate phrases/mantras, meditations, visualisations, and other things like journalling.  As well as needing some nervous system regulation to be with and let go of what does not serve us the process of letting go usually creates more nervous system regulation.  We can also purposely use practices to support regulation as part of letting go which can support the process.

Step 5 is letting in what supports our health & wellbeing and being able to thrive.  Letting in what’s nurturing or supportive can include many things, for example: noticing a sense of ease, spaciousness, or freedom from letting go of tension in the body, or through connecting to a slow soft smooth breath; noticing a sense of being cared for/loved; recalling a sense of being appreciated; noticing kindness and being kind to others; connecting to a sense of what you can do being enough; and moments of joy.  In this step we aim to take in the nurturing moments as they happen and/or recall them, letting them soak in and noticing how this impacts us, for example a change in breathing or nervous system state.  This is what Dr Rick Hanson calls ‘Taking in the good.’  One of the things you can do here is consider what you would like to invite more of into your life, for example more connection, more kindness, or more strength.  We can choose to embody what’s helpful here, for example self-compassion, a gentle strength, a sense of ease, or feeling cared for.  With regular practice of letting in what’s nurturing and supportive, letting in the ‘good’, it changes our whole being.  It impacts our physiology, how we relate to ourselves, others and the world and we are training our brain to take in what’s helpful, positive and nurturing.  This supports our health and wellbeing, whilst not pushing things away or ignoring them (the noticing and allowing steps) – there’s much wisdom held within these steps.  This letting in step could also including letting in the changes that with repetition become helpful habits.

This 5 steps mindful compassion based stress awareness and management model is really about connecting to the body, awareness, compassion, being with, letting go and letting in/bringing in what’s helpful/supportive/positive.  Compassionate awareness is foundational to this, and I think in many things if not in all things.  If we pay attention to what’s present with self-criticism, blame, or frustration it increases the stress, one of many reasons why compassion and awareness are like two wings of a bird, we need both to fly.  The model isn’t 1-5 steps that we rigidity stick to, we move back and forth between different stages, there’s a flow and flexibility within it.  For example, we might be working with letting go and then go back to noticing and letting be before going back to letting go again, or we might be working with letting in and go back to awareness and noticing and even more letting go, and there might not be a clear distinction between the steps always.

As mentioned at the start of this blog there are various lifestyle factors which support optimising our health and wellbeing and stress management.  Developing helpful habits by focusing one habit and one step at a time can be a helpful starting point, over time habits become a way of being.  You could also use this model to support developing habits that support health and wellbeing, I could write how but then this blog would be even longer!  Do let me know if you would like a blog with some tips for this.

If you would like to learn more about these steps in relation to the frame of compassion and compassionate mind training check out the ‘Compassion Focused Approach to Stress Management’ blog which I wrote for Balanced Minds https://balancedminds.com/a-compassion-focused-approach-to-stress-management/

Letting be, letting go and letting in has been a practice for me for some time, it will always be ongoing as part of a way of living and being, and I use it in my work.  I’m not sure if I developed this practice fully myself or if it’s something I picked up and from Dr Ricki Hanson’s work and modified in my own way based on all my learning and personal practices.  I always acknowledge other people’s work and where I get ideas from, in this instance I’m unclear if one of Dr Rick Hanson’s books or attending one of his workshops inspired this model and my work with ‘Let Be, Let Go, Let In’ so I’m mentioning it in case it did.

What do you think? Could this be a helpful model/practice for you for you? Maybe something like this is a practice, or part of a way of being for you already.

 

 

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