Choices

by

Tell People When You Fall

It's no laughing matter ladies... Monthly brea...

Image by zpeckler via Flickr

Self-Care Tip #171 – Tell people when you fall.

Driving today, I was slowed by a driver ahead of me.  I started to get irritated, (I know, “I can’t control this“), but then I noticed the car had bumper stickers supporting breast cancer.  In less than a moment my mind grabbed memories of faces, feelings, conversations, stories and personal experiences in my memory relating to breast cancer and I suddenly felt a sense of empathy and some sadness.  It left me a bit surprised and I reminded myself I was irritated at this driver.  While trying to tease apart these seemingly opposing reactions, I realized I didn’t care much any more about the slowness.  Mainly I wondered how there was breast cancer connected and I cared.

Providentially, Erin posted today on her blog-site, Healthy, Unwealthy, and Becoming Wise,

Falling finds friends.

I remembered the driver and you readers and thought, “It sure does.  Especially when we let others know.”

My Ecuadorian sister, Joana Johnson, often tells me one of the biggest contrasts she see’s between our cultures,

connection.

I spent some time in Ecuador doing some clinical work and learning more Spanish between my second and third year of medical school.  I was rarely alone, which frankly creeped me out a little.  Being westernized, I was used to a huge amount of independence and anonymity.  I wonder who I would be if I had grown up knowing someone was always involved in my life.

You might have heard the proverb asking,

If a tree falls in the forest and no one is around to hear it, does it make a sound?

Or,

Water, water everywhere and nothing to drink.

I don’t want to be surrounded but not witnessed, connected or heard.

Telling people about our “falls,” cancer, depression, assault or what not, can feel creepy too, just like I felt loosing some of my anonymity in Ecuador.  However, I now tell myself, “It’s just culture and I can grow.  And I want to.”  Culturally in the “West,” we think of telling about our falls as whining.  That’s a misperception however and a disservice to all of us.  Telling people when we fall is not whining.  The act of telling and the act of whining aren’t contiguous unless we design them to be.

This morning when I saw those bumper stickers, it brought me into the drivers life and connected us.  We are both a little less alone than we were.  These last six months for me have been about taking down boundaries in my well defended life, and I am growing into the difference.  Thank you readers and commenters for that.

Questions:  What has telling others about your “falls” done for you?  How has your culture influenced you in finding friends?  Please tell me your story.

by

Taking Care of Yourself is The Best Part of Your Treatment Cocktail.

IMAG0142

Image by schmeezla via Flickr

Self-Care Tip #163 – Taking care of yourself is the best part of your treatment cocktail.

We often talk about partial or failed treatment in medicine, in each other, in relationships.  But those are only about 40-60% of the time.  There are many people who get full treatment response to medication and self-care.  Mindy is one of them.

Mindy has seen me for about four years in clinic for her depression.  She’s never been very anxious, which is less usual as anxiety and depression tag-team so often.  Mindy’s depression had lurked in her, stepping out in the light and slipping into the shadows, for years even before she started working with me.  We seemed to hit by chance or skill the right medication cocktail that had evaded her, and she was not depressed anymore.  However, she never told me she was great.  She was “pretty good.”  She was, “doing alright.”  She was, “you know, good.”  Mindy wasn’t great.  She was good.  We spent three and a half years like that.

Then about six months ago, Mindy came in looking hot!  (I can say that because I’m a girl.)  She had lost the mom bumps around the midline, dropped padding in the hips, her hair wore a fresh coat of glossy brown, and I could tell her outfit hadn’t been worn more than twice.  Mindy was smiling and sincere when she said,

I’ve never felt better!  I had no idea what taking care of myself would do for me!

Her eyes were telling me their own conversation.  They were so expressive saying,

I can’t believe this is me!

Mindy told me in testimonial fashion, about the strangers who now noticed her.  Being noticed was an elixir and she was drinking it as often as it was served, but not in an arrogant way.  Mindy was still very human.  She wasn’t manic or grandiose.  She was doing what Gary Vaynerchuk describes in his book, Crush It!

“Do what makes you happy.  Keep it simple.  Do the research.  Work hard.  Look ahead” (p 12).

Mindy said,

I used to think that what I got from life was good enough; from my husband and from the people out there.  I didn’t know I could get this by just doing what I wanted to do for myself all along.

Mindy was still taking her medication cocktail and had no plans of tapering any of them.  She thought the combination of these medications that took her out of depression, along with exercise and other self-care measures were just right.  Mindy had not forgotten her years of melancholy and sadness even though it was now four years since.

Questions:  1) What is your reaction to Mindy and the 40-60% of people who get full treatment response?  2) Do you have any questions you wish you could ask the “Mindy’s” out there?  3) Or something to say for the other 40-60% of people who don’t get full treatment response?  Please tell me your story.

by

“He’s Never Hit Me.” Abuse.

Self-Care Tip #163 – Name abuse when it is there.  Be a friend to yourself.

Alexandria (Alex) was crying a lot.  She was trying to divorce her husband but he wouldn’t leave.  He wouldn’t speak.  He only yelled.  He yelled at her, alone, in front of their kids, in the morning, when he came home from work, he yelled.  And he never spoke to her any more.  It’s been weeks since they spoke.  When I asked her if she thought she was abused, she said, “No.  He’s never hit me.”

Mar de Emociones / Emotional Landscapes

What do I do?  I can’t go on like this but everything I try, he won’t listen!

There are so many things many of us would tell Alex.  But would any of it make sense if she didn’t know she had rights?  If she didn’t know what was happening to her?  If she didn’t know, this is abuse.

The “Do You?” questions, per Dr. Quijada, to ask yourself if you aren’t sure if you are abused:

Do you feel good about yourself when you are together?

Do you feel scared?

Do you feel like you have choices?

Do you have effective boundaries; observed boundaries?

Do you say, “No,” and are heard?

Do you have a balance of power?

From the outside looking in, we could answer these questions for Alex.  But anyone who is or has been abused in any way knows that from the inside, answering these questions is hard.  It was hard for Alex.

Alex missed a few beats.  She didn’t want to see herself as abused.

Identifying abuse, naming it, is a start towards the other side of things.  It is reaching the peak of a hill or mountain of life-stuff, taking the view in after the fog lifts, and knowing that things are the way they are.  This is abuse.  A tangible thing.  Not the drifting mist of fights or arguments that once stalked you, leaving you bewildered and empty-handed.  Simply naming abuse is the start of empowerment.  Name it.  Name it out loud.

“I am abused.”

Alex said,

Wow.  I didn’t know that what he is doing is abuse.  I didn’t know.

After we talked about the name of what she was suffering, she talked about what she thought she could do about it, such as:

Call 911 if she feels unsafe.

Record him.

Say the words out loud, “I am valuable and should be treated well.”

Get a restraining order.

…And other things.

Alex didn’t have a lot of extended family support, so for her, that was out.

Alex said,

I feel more empowered.  I didn’t know I could do that.

And there it was.  A dandelion growing out of the cracked cement.  Hope.  A redistribution of the unequal power.  Alex was growing a plan.

Question:  What would you tell Alex, yourself, or anyone else in her position?  How do you see words being a form of abuse or not?  Please tell me your story.

Related Articles
by

Know What You Are Fighting For – Your Right To Journey.

You Should Be Living

Image via Wikipedia

Self-Care Tip #162 – Know what you are fighting for.  Be a friend to yourself.

Bridget told me,

I felt free to do something creative without having to feel guilty about it.

She had read the blog post, “Self-Care is Freedom, is Democracy, is Because We Are Accountable.”  I was just starting to think about other good places to go with that but before I got too far she hit me with,

I just hate myself!

Hearing those words is like watching squishy and partly moldy tomatoes hit the wall.  It’s messy.  It’s dirty.  No one’s excited about dealing with it.  And, there is something negative that brought it on.  Readers, you’ll remember this countertransference when you’re the counsellor in some other situation and think, “Darn that Quijada!”

My thoughts bumped and piled up.  Stopped, until they started pulling themselves off of each other.  I tried to put these disparate bits of Bridget’s narrative together.  And I wasn’t alone.

I don’t get it!  Why do I feel this way?

Who doesn’t have conflicting feelings about themselves?  Bridget perceived and celebrated her freedom to self-care, yet was betrayed by her own, just when she was reaching for it.  Is that ok?

What strikes me about Bridget is her journey.  She has struggled with anxiety and depression for many years.  I know with me, she’s been in treatment for five of them.  During that time, she has been lovely although not perfect.  She does her hair, glossy blond in large waves, trim body frame and polite like no one I’ve met.  Many medications have failed her and she has taken those failures and claimed her future over again.  The intense forward movement of her inner self has never been muted, even when she has had thoughts of wanting to die.

I have learned what she values, what she’s willing to let go of and what she isn’t.  Her appearances matter.  She is artsy and gets energy from being alone.  She loves people.  Her marriage is rocky.  She struggles with parenting.  She loves her husband and her children.  Bridget’s journey is a journey of imperfection, beauty and courage.

And here she is again.  Conflicted self, ill, hopeful and claiming her future.  Bridget is right on her course.  I wish I could help more.  I wish she wasn’t still ill.  But I can at least be as courageous as she is.  I can hope with her.  I can stand with her or walk.  I know that put to the question, Bridget prefers this journey than losing the right, the privilege, to journey at all.  Bridget is free.  Many of us are not as free as she is, who knows what she is fighting for.

Question:  What are you fighting for?  If nothing were to ever change for the better in your life, what makes your journey worth it?  Please tell me your story.

Related Articles
by

Celebrate Insight, Choice, and Hope. Celebrating Can Be Self-Care.

A young paper wasp queen (Polistes dominulus) ...

Image via Wikipedia

Self-Care Tip #161 – Celebrate your insight, your choice, and your hope to be a friend to yourself.

I realize autism has taken over my life and I’m not sure how I feel about that.

When April said this, I jumped.  The insight into her situation, the implication of her own ability to choose, the hope of what those potential choices might do for her and her children – all these leapt at me, so of course I jumped.  Startled.

April was the parent of three lovely although autistic children.  She was wiping her face.  “I never cry.  I’m usually really strong.”

And then she said those words.  Her realization.  I don’t know how much thought she had put behind them.  She certainly didn’t have much time to self-actualize.  Getting only a couple broken hours of sleep every night.  Responding to complaints from the school.  Springing towards her son every time he tried to hit himself in the head to stop him.  April was busy.  Mostly all that I had been able to do so far in our treatment together was help her kids via medication therapy.  We were clearly still working on things in that department.  She was willing to wait for us to make our slow way towards her children’s health, even though she was falling apart in the process.

Go low and slow.

Nothing like a cowgirl psychiatrist in the saddle.  I try to keep my spurs off and make no more than one medication change at a time.  Then, when something happens, negative or positive, we know what we are looking at.  April’s children were taking their time getting to their therapeutic responses.  But at least we hadn’t done more harm than good.

We had made the changes to our plan of care that we were going to make, and April was about to leave.  She had just said what she said and my mouth was open.  Unfortunately for April, I’m not consistently articulate.

Yes April!

And then she left, while I was still bouncing on the chair.

I don’t know if she’ll celebrate that marvelous epiphany.  If she does, I know her kids will benefit.  I’m confident about that.  If she does what is not intuitive, that is self-care, she will still be able to do what is intuitive.  Taking care of our kids is the most natural instinct.  Wild dragons and other mythical or natural creatures could not keep us away from it.  Now taking care of them well, however, is something that definitely is more likely to happen when we as parents are healthy, too.

For now I will celebrate this.  April has insight.  She has choice.  She has hope.

Yes April!

Question:  What has your life been about?  Where is your choice and hope?  Please tell me your story.

Related Articles
by

Blog-Jacking by Mr. Rick C. – #2 (Do I or anyone really deserve this?!)

Hello Folks.  Today Mr. Rick C. is taking this post over….

As a person with a vast amount of psychiatric experience, I have learned the importance of watching for danger signs in others and myself.  Recently, you may have noticed, our very own DQ displaying a few atypical qualities.  Let’s take a look at her last blog.  Apparently, she has now given herself the new name of Dr. Q (any body remember that show Dr. Quinn, Medicine Woman…Hamm) and began referring to herself in the third person.  Another great blogger, xcandyxcane, does this effectively but differs from our own “little bundle of identities” by acknowledging that she is speaking in such a manner.  Dr. Q aka DQ aka Dr. Quinn Medicine Woman may or may not be aware of this.

Her blog entry seemed well written, as always.  However, she did seem a bit flustered by the fact that she got a few negative little thumb things.  Let’s put this into perspective, depressed people can be negative.  It is a key symptom of being depressed.  We are here to learn how to make little thumbs up things more often.  The fact that I picked this up and she did not, while not unusual, could be an indicator that she is not functioning at her highest level.

Finally, a sure indicator that she is teetering on the brink of collapse… the use of that oh so pointed word, “shucks.”  I can only imagine the stress and pain required to push her to such an outburst.  For these reasons, and my true desire not to watch “The Doctor Formerly Known as Quijada” spiral down to a point at which she goes on and on about flooded basements, frogs and Lebanese births, (certainly was a fun week you may remember,) I have taken it upon myself to give her the day off.  If nothing else, I’ll make her sound really professional when she returns.  Let us all keep her in our thoughts as she sits comfortably in the castle (aka future sink hole) she calls a home, self-medicating while being a friend to herself.

Since I am not a real doctor, I cannot share a heart warming narrative about the one-legged blind puppy being held by the child with such a distant look in his eyes as his mother crocheted for reasons unbeknownst to the rest of the world that came into my clinic.  However, I would like to speak up about an aspect of this blog that I am truly pleased with.  (And I’m not going to try to understand what the word “paradigm” means that she keeps using.)  As I took in the fine nuggets of wisdom that are typical of this blog, I was especially pleased with the mental image when reading the description of  “Gorgeous Candy.”  Of course, any functional male reading this immediately recognizes this fine moniker.  (There is no medical term for that, I looked.)  Trust me, Q had no idea, none what so ever.

So…. as I absorb the plethora of psychiatric knowledge, I realize, I could very well be the man who could save Gorgeous Candy.  The image is clear in my mind and I know I can help.

All right, at this point, I would like to share a story about my drinking and a self-help program.  One night, after ingesting a large amount of alcohol, I decided to sit down on the couch and enjoy some television.  Interestingly, at three in the morning, there are many programs on involving various forms of “self-help” for a fee after calling and speaking with gorgeous women.  You can teach yourself to speak Icelandic in three days.  Several programs guaranteed to make you stop smoking and drinking while you do nothing.  Then – my personal favorite, the Flowbee.

The Flowbee allows you to cut your own hair with a vacuüm cleaner attachment as demonstrated by some great looking individuals.  As a result of my intoxication and the brilliant manner in which it was presented, the Flowbee sounded like an excellent idea with very few negatives.  I called just in time to be one of the lucky callers that got a discount knife set, as well.  Not so surprisingly, I was intoxicated when the Flowbee arrived.  No problem… easy enough to operate and certainly no need to watch the instructional video.  Hook it up to the Shop Vac and away I go….

Folks, you have not experienced incomprehensible demoralization until you have had a Flowbee lock onto your head with the full force of a ShopVac behind it.  At this point, as I lay on the floor trying to kick the plug out of the wall, I realized that my life was completely unmanageable and I would possibly need to go beyond the resources I had within myself.

Upon having the Flowbee removed from my head, I was fairly certain that all of my problems had been solved.  Hence, I went back to drinking.  Several years later, I would discover the twelve steps.  When I did, I was in Texas and had the fortune of becoming part of an AA group where people had no problem being honest or saying it like it is.  One of the first things that I was told, was that this is a “we” program and that if this program were to rely on “self”…. Well, based on my track record of helping myself first, I was in trouble.  Every single step talks about “we.”

Through the years, I would learn more about how important the group is to a twelve-step program.  Furthermore, the basis for AA (the first of many twelve step programs) is a movement called the Oxford Group.  This was a group that became popular around the turn of the century.  They had some basic principals that have become the basis of twelve step programs.  Key to the Oxford Group and twelve-step programs is the benefit of sharing among a group that is working this same program.  There are many tests online and other places designed to help individuals determine if they are or could be an alcoholic.  I think, for many, this test could be simplified into…. have there been times in your life that a Flowbee sounded like a great idea?

Please, share with me your thoughts.  Why are paradigms important?  When doctors self-medicate… is there a copay?

This would make even less sense if I was drinking…. Can you imagine?

by

No Matter Why, Where, or What Happens, Self-Care Starts and Ends With Me

Cover of "To Kill a Mockingbird: 50th Ann...

Cover via Amazon

Self-Care Tip #158 – No matter why, where or what happens, self-care still starts and ends with Me.

It’s no secret that I look at behavior through many paradigms.  Most of what I’ve shared on this blog is medical because I’m a physician.  That’s my specialty.  I’m not a physicist and don’t spend my posts on explaining how physics influences our behaviors – although I believe it does.  However, I don’t want you to think that I think behaviors and emotions exist within only the medical paradigm, even though that’s what you hear me talk mostly about.

According to Dr. Q, the roughly sketched breakdown of how stress intersects with medicine:

1.  Stress influences how we behave and feel. We “see” the stressors, and we see the emotional and behavioral responses, and we know their sources.  We know that emotions and behaviors are produced by a human.  Where else?  Anything magical or otherwise comes from Someone from another place.

2.  Stress influences our medical condition. Stress will awaken sleeping genes that carry the names of different diseases; cancer, major depressive disorder, schizophrenia, and so on.  Would those genes have awakened on their own without the external trigger flipping the switch?  We don’t always know.

3.  Because there are so many factors that influence the reasons a disease process demonstrates itself, we cannot say that it is causally related to the stressors.  Many people try to do this, and sometimes the disease’s labeled cause comes down to the jury’s decision.  But we don’t have to have read, “To Kill A Mockingbird” by Harper Lee to know that people’s opinions and judgments are biased.

4.  People try to find the reasons why.  This is natural and in my opinion appropriate.  However, where we look for the reasons for the feeling and behaviors is equally important.  Seeking accountability for how we feel and behave to come from outside of ourselves, to come from external reasons, to come from a source to fault is more often missing our chance to get friendly with ourselves.

“It just is,” as many say, and the 12-Steps would say “Surrender what is out of your control to your Higher Power.”  These are not inconsistent with owning that mental health begins and ends with Me.

Sure, there are the despicable situations of abuse, trauma, violence and other horrible biology changing events.  These are known to cause the one non-genetically related psychiatric disease process called post-traumatic stress disorder (PTSD.)  These are situations consistent with our previous post on not being responsible for our history but being responsible for our futures.

5.  Stress, other than in situations of PTSD, is not causal for the progression of mental illness.  Everyone has stress, but how we deal with it, how we cope makes the difference.  Even horrible events, such as losing ones wealth and the sequelae of it are not causal for the continuance of brain disease.

6.  Medications, lifestyle change, Love and various other therapies effectively influences the way genes express themselves, our biology, and our medical condition….

7.  …In so doing, medications, lifestyle change, spirituality and various other therapies effectively influence our emotions and behaviors.

Question: How has your understanding of how stress intersects with with how you feel and behave affected you?  Please tell me your story.

Related Articles
by

Connection: It’s Medical But Still Magical

XO with Internet connection, Khairat (India)

Image via Wikipedia

Self-Care Tip #157 – Don’t depend on yourself to find connection.

We are people of a greater ability to bond than our senses, emotions, intuition, reason or technology can account for.  Our connection to each other and to God supersedes our belief in connection.  In this discussion, I am looking at “connection” beyond the paradigm of our perceptions.  Although connection between me and you is all about me and you, our bond also transcends either of us.

Meet gorgeous Candy.  She refuses any medications that might change her appearance in any way, ie. increase her appetite.  She would rather freeze in a catatonic state and die thin than gain weight.  She has come to me after years of struggling with irritability, anger, depression and anxiety.  She has never seen a psychiatrist although these emotions have misshapen her relationships, crippled her parenting skills, and removed her from her community of friends and one marriage.  Her medical condition continues to threaten Candy’s connection with her own self.  It continues to threaten her connections with her now teenage children and her second marriage.  Candy tells me that she doesn’t feel anything for her husband.  When she says this, she looks at me expectantly, as if she just released a big revelation.

When people are initiating treatment, I try not to get into anything personal too much.  Although I gather their personal history, I don’t give much feedback.  I try not to discuss their desire to make sense of all their conflicting feelings.  Sometimes they ask me questions, advice, directives and that’s natural.  However, it would be misguided to answer those questions, because we can’t let our emotions guide us.  I tell them,

Let’s revisit these questions after the treatment has time to take effect and you feel more like yourself.

It’s medical but still magical.  In four to eight weeks, they often hardly remember the questions they had.  The negativity is just a haze in their past.  The resilience comes with emotional health and copes with the simple stressors that used to sever interpersonal emotional ties.

Candy was one of the lucky ones who found the magic.  She felt self-trust more than she had felt her entire life.  Feeling safe with your own self is wonderful.  Much of the population who has not been where Candy has been can’t say the kind of thank you that Candy can.  They don’t know what it means to be lost and then found in this way.  Candy has something very special.

Yet when we think of Candy’s sense of connection, we also look beyond the biology of it.  I did spend some time describing how biology can change our perception of connection, but I didn’t do it to explain how connections are formed.  I described it more to demonstrate that we cannot depend on ourselves to define connections.

Don’t stumble on the philosophies around adjustment issues and conditioning.  Connection with others exists regardless of our fortune in family, money, treatment or maltreatment, biology, and self.  We are connected because there is a force of connection created and present in all of nature, regardless.

Madeleine L’Engle, wrote in “A Stone for a Pillow,”

Perhaps what we are called to do may not seem like much, but the butterfly is a small creature to affect galaxies thousands of light years away.

Our connections are there regardless of where we are at in life.  I would even take it further to say that connections to us even survive the cutting blow from death.

Connection is an eternal truth.  It makes a difference to us just to know that, but even if we didn’t, it doesn’t change our connection.

Question:  How do you make sense of your changing perception of connections in your life?  Please tell me your story.

Related Articles
by

The 12 Steps To Serenity

Ben‑Enwonwu‑Negritu

Self-Care Tip #154 – Go towards Love.

I realize that many of us talk about the 12-Steps, we know people working the 12-Steps, we even recommend the 12-Steps but have never read them through.  So here they are.  For all of us.  A wonderful walk with and towards love.

The 12 Steps To Serenity

  • Step 1 – We admitted we were powerless over our addiction – that our lives had become unmanageable
  • Step 2 – Came to believe that a Power greater than ourselves could restore us to sanity
  • Step 3 – Made a decision to turn our will and our lives over to the care of God as we understood God
  • Step 4 – Made a searching and fearless moral inventory of ourselves
  • Step 5 – Admitted to God, to ourselves and to another human being the exact nature of our wrongs
  • Step 6 – Were entirely ready to have God remove all these defects of character
  • Step 7 – Humbly asked God to remove our shortcomings
  • Step 8 – Made a list of all persons we had harmed, and became willing to make amends to them all
  • Step 9 – Made direct amends to such people wherever possible, except when to do so would injure them or others
  • Step 10 – Continued to take personal inventory and when we were wrong promptly admitted it
  • Step 11 – Sought through prayer and meditation to improve our conscious contact with God as we understood God, praying only for knowledge of God’s will for us and the power to carry that out
  • Step 12 – Having had a spiritual awakening as the result of these steps, we tried to carry this message to other addicts, and to practice these principles in all our affairs

Question:  What do you think of these steps?  Please tell me your story.

Related Articles
by

One More Honest Way To Say, It Starts and Ends With Me

Hi! I am feelin so good today. At present: joi...

Image by jessica mullen via Flickr

Self-Care Tip #150 – Be honest about why you don’t like them.  Be a friend to yourself.

Today I spent with my in-laws and my own parents:  a blend of the Philippines, farm-white middle America, and Lebanese superstar.  It was tense at first but was, despite my husband’s and my paranoia (based on preformed something-or-other) nice.

When I look around at my family, I see their good features all the while remembering their not-so-good bits.  Depending on my state of mental health, the good is more apparent than the bad, or vice-a-versa.  It depends on Me.  When I am feeling confident, loved, and am doing what I like to do in life, their fabulous selves seem like the people who came to visit.  Not the ones I “walked out” on X-number of times before.  I’m sure it goes both ways, even if they haven’t typed it up for the world to read.

All of us do form opinions about each other.  You, me, or any other connection do.  We all have some level of judgment about who is holding the other side of the string.

See, I like people more when I am doing well.  Is that so unbelievable?  Well sometimes, yes.  It is more unbelievable than we first think.  It would be more believable to say, rather, that I like people more when they are nice.  Or I like people more when they do good things.  That is easily believable.

When we have opinions about people who are less than lovely, this little epiphany is there to help:  We like others more when we like ourselves more.  Introspection is useful if we know what we’re looking for.  Using this handy-dandy epiphany-tool, we might be able to get inside ourselves and see that how we feel about others is about “Me.”  It feels like we don’t like someone because they are a baddy.  But the truth is, we aren’t feeling so good about our own selves at the time.

Inversely, we might be able to do the same for others.  When they behave negatively, pull out your epiphany tool.  (It comes in many colors.  Mine is pink.)  We can remember, “Quisas!  They don’t like themselves so much now.”

What this little epiphany-tool patent banks for us is the ability to own our feelings in one more honest way.  Feeling good in life starts and ends with “Me.”  Isn’t that refreshing!?  Ah.  Sigh.  Relief.  At least we have a place to start and finish.  Me.

My mom, sweet Mom, tucked into her car about to leave today, was swelling with joy about my melting body-fat.  It was a little overwhelming for her, dear thing, and she reacted by throwing out her “gift.”

When you get to the size you want to be, I’m going to take you shopping!

I’m not going to get into all the history of my mom (whom I do love to no end) and me as it relates our “compatibility” in the arena of fashion (very little of which I naturally have) nor shopping.

I said,

Mom, just take care of yourself.  You are the best gift I could ever want from you.”

And she is.  This healthy part of Mom is.  She, that has fought so hard all these years to be healthy, is a treasure without a number.  I just want her.  And I can say that because I feel pretty good right now.  She’s always been a treasure, even when I didn’t appreciate her enough and wasn’t using my pink-epiphany-tool.  When I think of the parts of our history that are less warm and fuzzy, I think, “That’s how things go.”  And it rolls and ripples through to the space where angels fly.  A place big enough for our good and bad parts.

It all starts and ends with Me.

Question:  When is it hard to see your own role in how you feel?  Please tell me your story.

by

Think About What You Have. The Season of Epiphany.

the Epiphany

Self-Care Tip #145 – Think about what you’re wanting and waiting for, and then think about what you have.  Be a friend to yourself.

Today my husband told me that it is the season of Epiphany – the climax to our waiting and wanting (or Advent) is celebrating when we find out that God became a human.

I like epiphany’s.  Who doesn’t?  At dinner we talked it over with the kids.  We asked them questions like, “What do you remember from last year that you’re glad about?”  “Did you learn anything that you want to remember in this new year?”  My three-year-old was glad our house isn’t destroyed yet by the rain.  (Yes.  It is raining again.  Blah.  The basement should be filled in with dirt!)

Then, my epiphany came.  Self-care includes being grateful for what and whom we already have in our lives.  Ta-da!  May not seem like much but it hit me strong and soulful.  I have names, including yours on my list.

Self-care for me today was stopping on the bits of life I already have, the people I already know, the gratefuls I don’t habitually spend enough spirit on (generally all of them.)  I get poetic and lumpy thinking about it.  My epiphanies feel like soppy insides, doe-y eyes, choking up over the smell of my husband’s neck, the mysteries of time and such.  Epiphanies generally don’t come without a waiting and a wanting.  It can all be deliberate, which is good news too, because those of us who don’t do that unconsciously have a chance.

As said by Fred Clark, Author of blog “Slacktivist,”

Epiphanies don’t seem like the sort of thing one can schedule ahead of time and plan for.

It isn’t as romantic as I hear it was for Edison, but we can plan.  Waiting, wanting, and the ah-ha’s can be deliberate and are part of self-care.

Question:  In this season, what are your epiphanies?

Related Articles
by

Work Hard If You Think You’re Worth It

Road Trip!

Image by -Snugg- via Flickr

Self-Care Tip #144 – Work hard if you think you’re worth it.

On the last day of our family road-trip, thinking about self-care and I don’t know where to go with that!  In the past when I thought about road trips, I’d sooth myself with visions of ice-cream stops, cheese puffs, and other expected and unexpected delicious treats to enjoy and bribe the kids with.  However, I’m taking care of myself these days, (hard work!) which subsequently results in me taking better care of my kids, …my family.  They had a nap, which was nice but now they are awake, refreshed and talking.  A lot.  So close to my head in fact that it feels like I have headphones on.  Volume adjuster not currently functioning.  Oh where are the bags of junk food!? (Disclaimer:  No offense intended to my kids.)

But old habits die hard, so I imagine this one will hold on at least as long as our road-trip.  In the mean time, without inserting needles into my eyeballs, I am thinking instead about self-care.  Thankful, despite gritted teeth and ringing ears, that I will lose the baby-fat before I forget that I was any different before the babies.  The memory is already distorted a bit by the fact that I have thrown away any clothes I used to wear and haven’t allowed any pictures of me below my shoulders to pass before my eyes in years.  I’m a happy frog in a Jacuzzi getting hotter and hotter and have to find a way out before I get eaten by someone French.  (Disclaimer:  No offense intended to the French.)

Thankful also about the ripple effect to my kids.  I’m gifting them a healthy me (because I will succeed), to offer them and theirs in their future.  I’m gifting them better odds that they won’t be in my same position in time.
I’m gifting my husband as well with the hope he continues to voice that I am around to care for him when he is dyeing.  Whenever that is.  (That is a gift if it ever happens!  He can be a real baby when he’s sick.)  (Disclaimer:  No offense intended to my husband.)

And I haven’t forgotten about you either.  You will have me indefinitely to chirp on and on about self-care.  It really is the holidays!

It’s a good thing I’m belted in because I might start levitating. OH!  I just remembered I have ear-plugs in my purse!  Yes!

Ah.  That’s better.  I know I’m working hard for good reasons.  And all the reasons start and end with “Me.”

Question:  Why are you working so hard for yourself?  What has been the hardest thing for you on your self-friendship journey?  Please tell me your story.

 

Related Articles
by

Leave Space in Your Beliefs to Grow

 

standing up to stigma - mambo.org.uk

Self-Care Tip #144 – Leave space in your beliefs to grow.  Be a friend to yourself.

Madeline brought her son in.  He was born male but has always allegedly believed he was female inside.  It was Madeline’s appointment with me, not her son’s.  But he came in with her and I could either listen to her concerns about her son or ask him to leave against her wishes and still hear her talk.  So I listened.

The issue was a matter of salvation.  Madeline was fighting for her son’s salvation as a mother might.  That part was lovely to watch.  I thought of God hearing her and being present with her pain and being The One behind her fierce love in the first place.

We talked a little about the biology of homosexuality.  What is transgenderism?  If God’s Word is absolute, what part does a progressive understanding of biology play in our perception of truth?

Madeline’s son asked to leave.  I thanked him for coming in and he shrugged.  His whole family abused him, Madeline said, gulping and losing form.  She had spent many years defending him even though in her heart she was terrified that her son was damned.

Some of you may have read the powerful blog-post, “My son is gay” in which a mother described her halloween experience.  Her son dressed up as Daphne from Scooby-Doo.  She and he were promptly abused. As a mother I empathized, and as a scientist, I wanted to scream things like, “You thought the world was flat too!”

But Madeline was worried not only about bullying.  She was worried about the Last Judgment.

Stigma comes from all directions.  Inside of us, our homes, our churches, our schools, our government, up, down, sideways, this way, that…  Stigma is everywhere and it is usually a painful encounter for everyone involved.  Perpetrator included.

So here’s the scoop folks.  Homosexuality is biological. We have as much choice in it as the shape of our nose.

I’ve seen kids be mean about noses.  I’m half-Lebanese and believe me, I know what big noses are.  The nose that makes you wonder how the head escaped the vaginal canal without injury.  But I’ve never heard anyone hate someone’s nose and believe that he’s going to loose his salvation for it.  I’ve never seen someone turn her back on her brother and leave him to die without the love of family around because she thought she was condoning his nose if she did.  I’ve never heard about moral judgment being attached to a culturally incorrect nose.

In my son’s church class the other day, the teacher was trying to get him and the rest of the other oppositional three-year-olds to wear angel and shepherd costumes for the song they were going to perform. Only the stage-hams garbed up.  She kept giving the rest of us parents her pleading eyes, pleading words, and pleading emotions. She was making the wrong people feel guilty.  The kids were unfazed in both compliance and emotion.  The ones who were genetically inclined to get energy from performing that way, were.  The others were not.  I could have said to my son, “Get this on!…!”  And made him feel like he was bad if he didn’t.  But attaching morality would never change where he gets energy.  That part is genetic and it won’t change despite his conditioning.

It’s a bummer that Paul’s letters were translated the ways they were in the 1950’s using the word homosexuality.  A lot of people are scared when they read it.  Fear has threatened and hurt a lot of people.  Reverend Mel White posts about this.

I don’t know if Madeline was given anything she came looking for.  I’m not always the best teacher or student myself.  But I do know that we, all of us, will continue to learn through all eternity.  We will never know enough, love enough, or be sinless and perfect enough to take over that awesome job of being Judge.  I once heard of a beautiful beloved angel who tried.

Question:  What has been attached to morality in your life that you know is not?  How have you dealt with stigma?  Please tell me your story.

by

Connecting to Others is a Condition of Freedom Rather Than Loss of It.

Sitting on this land, fenced and gated I felt small.  It was different from my home.  Here I lost my connection to beyond the fence.  The string that attached me wasn’t long enough.  At my home, without thinking about it, I thought my self was bigger.  Small yet as large as the large connection I had to all the life that stretched out.  I hadn’t been in that place for a long time.

In the distance I saw the strange mountains, snow-covered, scoops of freedom and thought, “I must get there before I disappear.”

That’s what internet, (blogging, Facebook, Twitter) has done for me.  Taken me there.  No fences, no neighborhoods or zoning.  Suddenly my home became the great outdoors again and although I became smaller in it’s largeness, I became bigger by connection.  I had died a little in my isolation.  Designed in temperament and by human nature to get my energy from connections, I was weakening and alone.

I did not know.  I did now know a name for my condition.  I did not know the nature of my weakness.  I did not know what would happen when I took it down.  And I was afraid.

Tomorrow I’ll talk a little more about what conditions us to disconnect.  But for today I only share the openness around me with you.  It surprised me and wasn’t my conscious goal originally when I set out writing FriendtoYourself.  But as all true gifts come, It came to me from Love, not bought by labor or coin.

My land has changed.

Self-Care Tip #142 – Use the internet as a way to connect with others to be a friend to yourself.

Question:  What have been the connecting forces in your life?  Please tell me your story!

by

What Are You Getting From Pain?

For most people the aftermath of a punch in the face means a phone call to the police or a trip to A&E. But not Lucian Freud. His reaction to a nasty altercation with a taxi driver was to put the pain and anger aside and head to the studio to get his rather impressive black eye down on canvas.

guardian.co.uk – Lucian Freud

Self-Care Tip #136 – Get something other than anger from your pain.

Naked came I out of my mother’s womb, and naked shall I return thither: the Lord gave, and the Lord hath taken away.

Say it however you want, everyone gets and everyone looses.  We could say, “Life,” if you prefer.  Or insert wherever you think good things come from and where they go.

Who hasn’t just gotten their fingers around something they wanted, realizing more and more each moment that they really wanted it, pleasure rising, gratitude and satisfaction driving itself deeper inside – just to find it somehow escaping their grasp?

Morris Venden, preached it.  He had a low, hound-dog voice, a face to match and severe social phobia he struggled with life-long that just added to his beauty.  He preached his own shared experiences with people.  People like me and you.

A man working a job he never liked finally retires and buys his little house to grow old in, a garden he could play with, and a year later finds the love of his life suddenly dead with cancer.   And it all turns to ash for him.

 

Early portraits by Lucian Freud

Your firstborn dies.

You were cruel in a debase way.

You develop mental illness.

Your divorce is ugly.

You father commits suicide.

You have a disabled child, and then another.

You’re paralyzed.

You prostituted yourself for drugs.

When I heard Venden give this talk the first time, I thought I got it.  Even now after years and after darkness, I think I get it.

Before one of his talks, when I was still in medical school, Venden asked me to sing this with him.

Angels never knew the joy that is mine, for the blood has never washed their sins away, tho they sing in Heaven there will come a time, when silently they’ll listen to me sing “Amazing Grace.”

We stood there on stage.  Me smiling too largely because that’s what I did in front of people.  He, uncomfortable, a little blunted and suited with a thick knotted tied, stood a few paces away.

And it’s a song holy angels cannot sing, ‘Amazing grace, how sweet the sound. ‘And it’s a song holy angels cannot sing. ‘I once was lost but now I’m found’

I looked at his droopy moustached face and his eyes were red and wet.

Holy is the Lord, the angels sing, All around the throne of God continually.  For me to join their song will be a natural thing.  But they just won’t know the words to “Love Lifted Me.”

This is what Morris Venden thought he was getting from pain.

What ever our pain-story is, was, and becomes, holding the anger is gripping the ash.  For Morris Venden, he took care of himself by finding this instead of anger – more knowledge of God’s love.  Moving his grip to that was his self-care.

Question:  What are you getting from your pain?  How do you do self-care when you lose?  Please tell me your story.

by

Self-care Begins and Ends With “Me” – Own It

lovingyourpet.org

Self-Care Tip #129 – Self-care begins and ends with “Me” – own it.  Be a friend to yourself.

Yesterday we talked about connecting self-care with pleasure to make it sticky.

Today, We’ll talk more about some of the adjustment issues of why we don’t do self-care on the obvious, such as nurture vs. nature.  We’ll talk about the nurture part.  Specifically, our own not what our parents did to us.

Why don’t we stand up to our personal needs?  We don’t.  We don’t own the friendly changes that we would benefit from.

Carol who used to abuse methamphetamines and alcohol many years ago, now tells me that smoking is her only vice and she needs to have at least one.  She says she doesn’t want to stop even though her feet and hands are blue from not getting enough oxygen.

Another part of the answer is that we are so overwhelmed by the wrong we see around us.  We qualify and quantify it away, desensitized to our own needs.

“Have you seen that dietitian?!  How can she possibly give advice on weight loss when she can’t see her feet?”  And we ignore our own central fat, knowing that it has meaning.  Meaning like, we have unseen fat layering onto our central organs.  Meaning, we are more likely to develop metabolic illnesses such as diabetes.

We don’t own it.  We don’t “Just do it.”  We talk about other people and draw lines between their mistakes making pictures that we can hide our own problems behind.  We can make sense of why they are suffering so.  Yet our own problems are some sort of enigma.  Yet to be determined by science!  Open-mouthed, hands splayed in a why stance, we can’t connect our own dots.

All health begins and ends with “Me.”  Including mental health.

Find yourself again.  Amidst all the world’s needs, you still are important.  Peel off Channel 4 News, the internet, the fears about what is outside your front door, and see yourself there under it all.  Needing self-care.

Question:  How do you keep view of yourself despite the distractors?  Please tell me your story.

by

When Self-Care Gives Pleasure, You Will Be Friendlier To Yourself

Self-Care Tip #128 – Connect pleasure with self-care.  Be a friend to yourself.

There’s a reason we have bad habits in our life.  It’s not only the loops, the neurological grooves in our brain, it’s also that they bring pleasure!  It’s not so unbelievable understanding obesity, drugs, addictions, poor sleep hygiene, inactivity, whatever it is when we think about the amazing effect that dopamine has on our pleasure center!  Ah.  Say, “Dopamine!”

Our real question with ourselves should be why we so often expect ourselves to do “good” things if they don’t give us pleasure?  How do we expect to stop over-eating if the substitute we offer our biological selves is suffering?  How do we expect to exercise, if we’d rather poke needles into our eye-balls than jog a mile?

We’re smart people, we have knowledge and we know what to do.  But, knowledge isn’t the answer always.  The “language of the heart” is dopamine, is feeling good.  How can we link what we want to do with ourselves objectively with feeling good.  It would be nice to pair up our dopamine with friendly habits and not those that are self-destructive.

How to do that might be worth some effort figuring out.  Figure it out individually if we want it to succeed.  The reason for the discussion here is not to give directions, but simply to draw attention to our need to find our own feel-good buttons and how we can wire them up to self-friendly behaviors.

I’m struggling through this also.  I hope to share this awareness with my kids before they move out, so I better get busy!  Can’t do that too well until I do it well for myself.

Today when I went on a mommy-date with my daughter, instead of taking her to Starbucks, we went and bought Bendaroos.  That was all I could come up with in the 10 minute date we had allotted for something feel-good.  Maybe she’ll develop shopping addiction instead of food addiction.  Time will tell, but I hope she got out of it the pleasure of creating shapes with Bendaroos instead.  Hopefully when she get’s creative, dopamine squirts out in her brain like a geyser.

Now, to get back to me…?  huh.

You can read a related post here.

Question:  How are you linking self-care with pleasure in your life?

Related Articles
by

The Healing Process Can Be Confusing.

Self-Care Tip #127 – Because feelings can be confusing during self-care, keep connected to someone(s) objective.

A colleague told me the other day about his patient.  Of course he didn’t name him, but I’ll call him Brent.  Struggling with melancholic depression for many years, Brent started medication therapy.  He began feeling better emotionally.  But at the same time, he started to believe that he didn’t love his wife any more and started a dialogue with her about possible divorce.

It’s tempting to judge Brent.  Easy to say, “What the…!?”  Still, because we don’t know the full story, nor his thoughts, nor consider ourselves his Judge, we won’t.

Self-care can be a tricky road.  It’s not all ah-ha moments and nirvana.  Have you been there?  Confused by your feelings as you heal?

A common reaction to improving is associating the things in our “ill” life – when we were feeling terrible – with other elements that may not have had anything to do with our bad feelings.  Perhaps Brent’s wife was guilty by association and at some level he may have connected her to the dark emotions he so desperately never wants to feel again.  Bits of this idea are also in a previous post about panic disorder and grief.  For example, someone may change her profession because she believes her previous work is causally linked to the way she felt when ill.  Maybe Brent wanted a change in spouses for the same reason.

When we are going through the healing that self-care brings, we might not find our new emotional baseline for a while.  During that time, and because feelings are often not trustworthy, stay connected to the support network, confidants, the trusted few who can be our third-party advisors.

Although taking action on for our own health involves lifestyle changes, knowing when and how to get feedback is key.

Question:  What has confused you about your healing and self-care journey?  Please tell me your story.

by

Have The Courage To Be Known

 

 

 

Driving my kids to their dental appointment today, we passed a corpse.  I could see the top of his head, bits of the gurney, but mostly the shape of his blanketed body.

In the first chapter of Le Petit Prince (The Little Prince,) by Antoine de Saint-Exupery, Prince describes how he is a misunderstood artist with hidden undeveloped talent.  He had drawn a postprandial (after dinner) boa constrictor, large with the elephant inside his stomach.  Unfortunately people who looked at his picture saw a hat instead.  Better with words than picture, Prince narrated rather his great loneliness amongst all creation and a yearning to connect.

This morning, seeing the blanketed corpse, I remembered the boa constrictor that Prince related to.  The futility the Little Prince felt about getting connected.  The inevitable misunderstandings that left him as a hat instead of boa constrictor that just swallowed an elephant whole.

http://www.angelfire.com/hi/littleprince/However, Prince refused the constraints other people’s perceptions offered him.  He refused the constraints by believing even still that he could connect with others.  In his simple way of living, he tried, going from planet to planet to be known as the Prince he was and not that other thing.

Driving today, I was very upset by what I had seen.  The facelessness of the man shaped in his blanket.  Covering him up and no one crying over him.

Someone was there with a clipboard and I could see an investigation was underway.  Of course necessary, but yet it upset me.  I kept seeing the boa constrictor that swallowed an elephant whole all day and thought about the man’s life, connections, and hopes.  Was he understood? Did he refuse perceptions and demand to be known and to know, giving others the same courtesy of life’s desire?

I cried over him today.  The same desire being inside of me, somehow the corpse who had been the man and I shared that relation.  So I cried for my brother and hoped someone had seen him.  As I hope to be seen.

Live as courageously as The Little Prince and believe.  You can connect.

Self-Care Tip # 126 – Demand with your life, to be known.  Connect.  Be a friend to yourself.

Question:  What obstacles to connecting have you been covered with?  How have you refused them?  Please tell me your story.


by

Go Toward The Pain To Get Connected

dailymail.co.uk

Audrey came in looking fresh.  Better than before for sure.  She had an aura that brought to mind the moment just when tearing off wrapping paper.  It was nice to see her.

I am doing better.  I’m able to let more of the little things go, like the house doesn’t bother me as much when it’s not clean.

She was more able to do self-care with less forethought.  What did take her by surprise though, was her guilt.  She could see that it was inappropriate but insight didn’t entirely remove what shouldn’t be there.  She said these thoughts and feelings were something her husband likely never struggled with.  She didn’t think he was worried about her home doing dishes when he was at work.  However, the reverse for her was true.  She gave a coughing laugh.

I do!  I feel bad when he does the things.  It doesn’t make sense.  If he wasn’t washing dishes when I was working he’d just be watching TV.  But I still feel bad.

For her, working her job, taking her jogs, and attending Mommy groups were all in a grey category of “extras” for life.  Not necessary but bonuses she was spending their retirement on.  However, despite this, she looked the champion she was when saying,

I still am able to take care of myself.  Even though those thoughts come.

Audrey, by thinking about, talking about, and materially man-handling these thoughts, she was able to join her personal journey.  These things became connecting forces in her life.  They drew her closer to her family and not away.  Resentment dissipated and she was able to take part in her available positive emotions and thoughts.

It could have been different.  It had been different at other times, before medications and other positive deliberate choices in her life.  But it wasn’t now.  The could-have-beens trickled away together, the other near misses that sometimes we know about and sometimes we don’t.  There they go…

Going toward the pain in life, not averting from it, is a connecting force in our lives.

Question:  What have you been avoiding?  What has it done for you when you went toward the pain?  Please tell me your story.

Self-Care Tip #124 – Go toward the pain to feel connected.  Be a friend to yourself.