Using Gratitude to Be More Fully Present

Michael Ebbinghaus • January 21, 2022

'Thank You' Welcomes What Is

There are many good reasons to be upset, bitter, and to wish for something better. Rationality is good at finding reasons; it can find good reasons for anything! Richard Feynman said that we are the easiest people to fool and so must not fool ourselves. Everything we experience reflects us. It is the oft quoted and humorous anecdote of the one who consistently runs into assholes; who should consider that he may, in fact, be the asshole. 

Establishing a gratitude practice is an effective method for disengaging from our stories and being more fully awakened to the present. Each of us is vulnerable to construing our reality in such a way that we justify our bitterness. We have to work a job we dislike to pay for food and a place to live, put up with selfish and bitter people stuck in the same conundrum, all while being faced with the prospect of doing it every day. This is enough to drive anyone crazy. 

One cannot simply decide to incorporate a mindset. The frame we inhabit is the result of the events that have happened to us and the relationship we’ve taken to them. These patterns are perpetuated and reinforced day-after-week-after-month-after-year unless we exercise a conscious effort. We continue to practice this relationship in the present moment to all experience. 

That driver cut me off – asshole. 

Waking up feels like journeying into living death. 

Where I am headed does not excite or invigorate me in any way. 

Do you see how all of these are stories? Are they true? Is there something true, good, and/or beautiful that they could point us towards?

One of the best descriptions of the gratitude mindset I have discovered is described by former Navy SEAL and author/speaker Jocko Willink. His response to any supposedly negative situation is “good” (see his explanation of it or a beautifully orchestrated musical interpretation). This is putting the trickster archetype to good use, it shows us the folly of our assumptions, the arbitrariness of perspective, and how the entire flow of experience can be met with an attitude that fully accepts and integrates what is happening instead of exercising a misguided effort of imagining things had gone another way (though it’s important for doing differently in another present moment). 

When Jocko uses the term "good" it is always in reference to a scenario that can immediately be perceived as negative. Something goes wrong, an unexpected impediment arises, we fail to achieve or acquire something we’ve worked tirelessly towards, yet there is always some good that comes from it, and it is up to us to find what that is. 

"Defaulting to gratitude is not something the mind wants to do."

At the beginning of 2021, I went through a horrendous breakup: the worst scenario I could dream of occurred. It shattered me, and I stumbled back to my parents’ home to rebuild the tatters of my rent heart. But even as it happened, when it became apparent that the relationship was beyond salvaging, there was a voice that told me “It is good to let this go.” There were many reasons why this was exactly what needed to happen. I had the opportunity to revisit deep childhood wounds. I was no longer attached to being in California and could continue my training in Texas while enjoying much greater freedom and mobility under the pandemic. I was liberated to be with a partner that could appreciate the fullness of my being, and my former partner could be cared for in the ways I could not offer. In everything that happens to us, there are many things we could label as good and bad. It is never all good or all bad, and whatever we choose to focus on reflects the choice we make – illustrates in vivid color how we construct our world.

Acknowledging the good welcomes gratitude. Recognizing that difficulty and heartbreak brings us to fuller awareness of the Truth belies abhorrence and avoidance. This is not to excuse the horror we are capable of. It is a difficult line to walk when one says that there is good that comes from rape, murder, genocide, injustice. I will maintain that there is, but that is a journey for those that are affected by such deep wounds. One must also recognize the pain in the perpetrators, how closed and lonely their hearts must be to commit violence and pain. 

Defaulting to gratitude is not something the mind wants to do. It’s not something our culture has encouraged – such an attitude would discourage consumption. Our logic is powerful, and the mind lives in the world of rational relation while ignoring any of its tendencies towards irrationality. When gratitude is practiced, one can witness that it is not an optimistic departure from reality, a floating above the woes and worries of the world, but of meeting them fully. Notice what happens when gratitude is not the default: we make abundant assumptions. That person is bad, this should not have happened, I’ll never recover from this. If you’re worried about optimistic escapism, look to how your pessimism permits you to purposefully deviate from reality. 

Because we have our spiritual and cognitive momentum to contend with, conscious exercise in another direction is warranted. Below are three simple steps and practices to begin to shift our mindsets from victim to empowered, from pessimistic escapism to full-bodied acknowledgement. 

Journaling
Gratitude is an excellent adjunct to any journaling practice. Somewhere in your entry, write down 5-10 things that you’re grateful for. As you write down each person, experience, place, etc., call them into your mind. What arises in your body? Why are you grateful for them, what joys and truths do they bring? 

Metta Meditation
Metta is also known as loving-kindness meditation. Call into awareness someone with whom you have an uncomplicated relationship. Send them your love, thank them for their presence in your life. Wish that they be happy, that they be free from suffering. As this practice develops, move into others with whom the relationship is rockier. You may at some stage also find yourself being able to work with the faces of those that have wronged you or that have perpetuated incredible malice and suffering in the world. 

Gratitude Yoga
In all our practices, life is the greatest teacher and forum; it is the place in which we will transmute our and others' suffering. All of life is a yoga. Begin a practice of gratitude towards everything that happens to you in a day. Spilled coffee on your shirt. Thank you. Got in a car accident. Thank you. My mother has cancer. Thank you. Again, this is not a denial but an acceptance, a welcoming in of all that these experiences bring. If we numb the pain we also numb the ecstasy. 

In all of this, recognize that it is a practice, and in the space of practice failure is a great success. No one achieves balance without the potential to regress. Life will present us with times of high and low. It is not our intention to emphasize the highs or to blunt the lows, but to maintain a sense of stability through each. Gratitude is one of the most powerful means for fully welcoming all that life gives to us.   

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What is Ketamine-Assisted Psychotherapy? Ketamine-assisted psychotherapy (KAP) is a modality that uses low dose ketamine alongside talk therapy to access non-ordinary states of consciousness, helping clients process trauma, depression, and anxiety in a new and deeper way. One of the most common complaints about traditional psychotherapy is that it can take a very long time for unconscious material to surface, even after a solid relationship has formed with your therapist. While there are techniques we utilize in our practice that do not require substances (e.g. dreamwork, sentence completion, automatic writing/drawing, etc.), the introduction of intentional medicine work can reliably shift one into an altered state of consciousness, catalyzing access to unconscious material. After a brief introductory period, you will take ketamine under supervision from your therapist either in-office or virtually in the comfort of your own home. The therapist will guide you to take your own journey as well as direct you towards areas that might benefit from exploration in an alternate perspective. Learn more What is Ketamine? Ketamine is a dissociative anesthetic acting primarily on the glutamate neurotransmitter system. This differentiates it from the traditional psychedelics like LSD and psychedelic mushrooms which are much more prominent in the serotonin system. Ketamine increases neural plasticity, meaning that the brain becomes more flexible to change, open to new insights and behaviors. Ketamine has been used for over 50 years as a surgical anesthetic. It has no impact on the respiratory system, making it one of the most safe and effective medicines available. It is classified as a WHO top 10 essential medicine, and it is so safe that it is still the anesthetic of choice for children. It is a schedule III medication approved for off-label use in assisted psychotherapy, meaning a healthcare professional must be supervising in some capacity. Screening is essential, see below for more information. How KAP Works One of the things we like to stress is that the medicine is taking you to a place within yourself. It is not the ketamine "doing" anything other than relaxing your emotional defenses and allowing for exploration of consciousness. That said, you will feel a degree of relaxation in your body as well as your mind, which allows things which we keep buried to come up to the surface. By shifting into an alternate state of consciousness, we are able to sublimate many of the barriers we have in place that remain opaque to us. Oftentimes simply allowing this material to surface creates greater harmony, and you ma find yourself saying "Oh - this is what I've been afraid of for so long? It's not so big and scary after all." This is not always the case, of course. The nature of what is hidden can also be very painful, which is why the presence of the therapist as well as the therapeutic relationship is imperative when first working with alternate states of consciousness and healing trauma. What Does KAP Treat? Ketamine's claim to fame comes from its potent and immediate anti-depressive effect . While this requires lifestyle change and further exploration - greatly benefitted by depth psychotherapy - this can be incredibly helpful to those experiencing treatment resistant depression. It does this primarily through breaking up rigid neural networks (enhanced neuroplasticity), limiting one's ability to ruminate. Ketamine for depression can be powerful, indeed. In a meta-analysis of over 2,500 patients, it was found that 45% of people had significant drops in clinical depressions inventories, with 30% in remission. The benefits were often sustained at 6-month follow up. Ketamine-assisted therapy can be helpful for those who experience post-traumatic stress disorder or PTSD . The clinical evidence here is quite strong, with multiple meta-analyses and an open label study showing durable and significant reductions in PTSD symptoms in as many as 69% of respondents and up to six-months' follow up. Ketamine for trauma is widely studied and efficacious. Anxiety is also significantly reduced after brief KAP treatments. In a glimpse, ketamine can treat: Treatment-resistant depression PTSD and trauma-related symptoms Anxiety and existential distress Addiction and maladaptive coping Spiritual exploration or life transitions What Does Treatment Look Like At Ebb & Flow Depth Psychotherapy, we believe in the importance of a strong therapeutic relationship to help sustain the positive effects from ketamine treatment. To this end, prior to any medicine session, there are 6-8 preparation sessions (this can be reduced to 2-4 if you are already working with another therapist). From there, we will conduct two initial dosing sessions with an integration session in between each. We would then conduct another 6-8 dosing sessions, also with an integration session in between each. Our Approach During each session, you will be gently guided into your body utilizing a simple meditation or, if preferred, ambient music. We utilize sublingual lozenges, tablets which will be dissolved and swished in the mouth for 10-12 minutes, then spit out. This offers a psycholytic approach rather than a psychedelic approach. We prefer the psycholytic approach for two main reasons: 1) This helps to make ketamine-assisted psychotherapy more affordable, as the presence of a medical professional such as an RN is not needed as they are in IM (intramuscular) or IV (intravenous) injections. 2) Psychedelic ketamine therapy can be effective, but in our hustle and bustle world, the subtle work often gets overlooked, and it is the subtle work that carries us the farthest. If you’re seeking a full psychedelic experience, I often recommend doing so on your own time and terms, ideally in nature or a supportive setting. There are few practitioners I would trust to guide me through such an experience, and they come at an extraordinary financial cost more often than not. With psycholytic ketamine therapy, we are nudging gently and entering into an altered state but not breaking open the doors of reality. Through the experience and through the journey you've taken thus far, which includes your triumphs and your traumas, we will expand not only on who you are but who you are meant to be. Your exuberant and mature presence is sorely needed in this world, and it requires reconciliation of our darker nature and highest aspirations. Who is KAP for? Ask yourself now: "Am I in a place where I am ready for deep self-exploration?" "Am I open to the idea of letting go of things which both pain and comfort me?" "Can I remain off of substances and away from process addictions (such as pornography, over-eating/bingeing and purging, sex, etc.) for at least three days?" You may not be ready for KAP if: Are experiencing active psychosis or mania Have untreated Bipolar I or II disorder Have a personal or family history of schizophrenia Are currently struggling with active substance dependence If you are in a grounded place and ready to make shifts in your life, KAP may offer the support you've been looking for. Ketamine Therapy In Austin, TX - How to Get Started Contact me today for your free consultation to see if ketamine assisted depth psychotherapy might be right for you. Myself and the fine clinicians over at Journey Clinical are ready to help you find deeper meaning in life and be the change in the world you wish to see. We conduct ketamine-assisted therapy in Austin, Texas as well as virtually all over the state. Reach out to us today!