Presence

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What We Get For Our Work

 

 

Number three on Bella’s List:

Farmer Brown hired help to get his crop in.  Half way through the job, he realized he needed more help, so he got some.  This happened at least 3 times before the job was finished.  Come paying time, Farmer Brown gave everyone the same, $100.  “What’s going on here!?” the people who worked the longest complained.  “We should get paid more!”

Farmer Brown, …well you probably know that this is my version of the story from Matthew 20:1-16.  The Farmer gave them more than money.  But what did he give?

What are we getting for what we do?  Intuitively we probably think, like the hired farm-hands, and like my patient Bella, that we aren’t getting what we should at times.

“The day has been ruined!” Bella said.  Her eyes sparkled and flashed as she spoke of her injury.  Bella was not so pleased with her labor’s reward.

The real point of our stories here – the hired farm-hands, Bella’s, and our own story – is figuring out the reference point of why we do things.  Everyone makes their reference point in their own way.  Find your reference point.  Just find it.  You’ll get more for your dollar, so to speak.

You might remember from some earlier posts, about doing what is congruent with our hard-wiring, i.e. our temperament.  This gives us more joy in our work, we are better at what we do, we feel less self-pity, and an energy generated simply by our own natural interest drives our efforts.  As a believer in biology, I’d list temperament not as a reference point, but as an influence of how we search for and how we define our reference point.

Finding our reference point is not impossible if we don’t do what comes natural to us.  Finding our reference point is impossible though if we aren’t looking.

After searching in my special way for why I do what I do in life, I found God.  Is that true?  Just ‘cuz I said God is my reference point, doesn’t make it true.

Self-Care Tip #95 – Find your reference point.  Be a friend to yourself.

Question:  Have you actively, purposefully used your biology (like a hoe in the field) to find why you do what you do?  Is it helpful?  What have you found?  Please tell me your story.

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Are You a Victim or What?!

 

 

Number Two of Bella’s List – victim or what!?:

Last night I took my 5 year-old daughter on a sleep-over date at a hotel.  Generous I thought …and boy was it!  To me!!  I couldn’t believe how much fun I had.  I quickly realized why I had done this.

A bit of me still wants to float away on wings of the modern-martyred-Mom, and I can, because it did take a lot of time and money and energy and….  But it’s not too friendly to me.  As attractive as that flight may seem, I’ll lose air at some point and take a big fall.  Ouch.  I might fall on my kid too which is against my intuitive effort here.

Being a victim is attractive at some level, no?  My story is a softer example, but we all have tougher ones.  Like Bella’s when “she spoke of her injury.”  The gravity of her injury was created by her perception of things.  Our perception makes our emotional success.  My story about last night with my daughter sounds pretty because that’s how I perceived it.  However, I have other stories that have negative power over me as Bella’s had on her and as yours have on you.

The key here is that when we take the victim role, we aren’t just telling our story or venting.  We are feeling self-pity. But venting is not necessarily self-victimization.  Venting can be healthy.  Venting can be done without taking a victim air-bus to no-where good.  Venting can be a way of being present in your suffering, of going where the pain is and letting it lose power over you.  Self-pity only gives the suffering more power.

The great novelist and philosopher, David Foster Wallace, who courageously lived and died with major depressive disorder, encouraged,

To be just a little less arrogant. To have just a little critical awareness about myself and my certainties.

The willingness to learn or grow is the foot-path away from victim-ville.  Could we even say that being a victim is “arrogant?”  We – Me, my patient Bella, you – have we taken steps to tell our story, to be present, to live with the humility it takes to look at ourselves and not escape/fly-away?

Whatever it is you are going through, it might help to vent it!  Grow and learn and get bigger than that experience.

Self-Care Tip #94 – Get in your own space to choose freedom from self-pity.  Be a friend to Yourself.

Question:  What barriers have you felt to telling your story?  What has made it difficult to be in the space of your own feelings?  Please tell us.

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Escape Self-Loathing

happinessinthisworld.com

Self-Care Tip #91 – Put the fight down and take 2 steps back.  Be a friend to yourself.

He came in looking really good.  Chris had seen me for many years and he hasn’t always looked this way.  I said

You look great!

Chris shrugged and told me he had just had a long messy argument with his partner and somehow still felt alright.  In the past, after they fought and the self-loathing set in, he might have hurt himself – like using alcohol or cutting on himself to

…just feel something different.

I was ready to move past the story as he sounded like he was ok with it.  We talked past each other.  Me asking about his sleep, and Chris telling me clips and phrases from the argument.

But amazingly I’m fine!  If he wanted me out today, I’d be out of there, no problem.  He just needs to say the word!

Chris was sitting back in his chair, relaxed until then.  His hands came up and took control of his space, thrusting as he spoke.

Being a psychiatrist, my expertise kicked in and I realized I should turn back.  Chris wasn’t ready to talk about sleep.  You see what all those years of school can do.  Not everyone knows how to pick up on such subtleties.

Chris, maybe you aren’t so happy you argued.

We talked more about his energy, appetite and motivation.  Then we came back to his argument.

It’s none of his f—— business where I am during the day!  I’m not his child.  I’m his partner!  I told him…!

And so on.  Chris still looked better than when he was in the grip of post-traumatic stress disorder symptoms, or when he was catatonic.  But he didn’t sit comfortably with himself.  And I thought, Chris has fought so hard for himself, why can’t he handle what I want to say?  And I did.  And he did.  Beautifully.  He was a brave knight on a black steed holding his wounded sides.  Life had been a battle for him, but he was making choices to fight less and live more.

“Ok.  Yes.  You’re right.  I will next time.  That makes sense.”

When you’re about to engage in something that in the end will make you loath yourself, choose not to.  That’s friendly to you and your other.  Say something like,

When I was gone you felt jealous?

Give over stage and anger and open windows and breath.  Just choose not to hurt yourself.  Winning or losing the argument, in the end, you hurt by your own choice.

Biologically and probably spiritually Chris wouldn’t have known what to do with that years ago.  But he did now.  I saw him relax again and put his hands away.  I knew Chris had a love for Love and this clicked for him.

I can’t describe how happy I was/am.  Being a part of his journey is a great honor.

Question:  How have you escaped self-loathing and your mean self in the heat of the moment?  Please tell me your story.

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You’ll Be Less Bored if You Do

 

Rocky Balboa

Image via Wikipedia

 

Self-Care Tip #89 – Practice being real.  Exercise it!  Be a friend to yourself.

Sara Stein MD and author of Obese From the Heart, wrote

There’s nothing romantic or mysterious about advanced age. It’s painful and difficult for everyone, but there are good moments.

I like that.  We could say it about a lot of other things too.  Just today in clinic for starters, Mary said she’s falling asleep during the day, but is doing less self-injury since starting topiramate.  Max has gained about 20 pounds but he is over his Staphylococcus infection and he’s sleep through the night.  Marge is crying because there is no cure for her son’s illness, but he can still be treated medically and protected against further disease progression.

Any time someone asks me how I’m doing, I’m in a paradox.  It’s the drive I struggle with to express emotions purely and completely that can be my own Rocky (Dir: John G.Avildsen, 1977) experience or it can kick me in the back-side.  Doing what Dr. Stein so eloquently did isn’t as easy as it looks.

“Fine,” I say.  “Things are wonderful.  Thanks for asking.”  (Snore.)

Or, (trip,) “I’m tired and parenting is difficult, and as much as I talk about it, I can’t seem to figure out how to take care of myself.  But I’m also really good and haven’t been this happy in a long time.” (Panting holding my sides.)

Being real without boring or tiring yourself out might take some practice.

The “real-thing,” blogger Film Fan wrote

Philadelphia Museum of Art, Benjamin Franklin Parkway, 26th Street, Philadelphia, Pennsylvania, USA.  The most famous location in Rocky is probably the stairs he jogs up during the ’Gonna Fly Now’ training montage. The good news is that you can re-enact the scene and jog up and down them, the bad news is that there are 68 steps… That’s quite a few if you’re jogging.

If you ever want to get bored quick, try to be happy.  Try it.  Try to be good.  Try to ignore the monotony.  If you want to be bored, draw your house with a window and a door and a sun shining in the corner.  It’s no good for boredom when you draw in the shadows and colors.  But doing that well might not be natural for everyone.  We might need to get into a training program, like Rocky Balboa before we can be in the presence of the bad and the good of our lives without loosing our breath.

It may take practice to be real, but you will be less bored if you do.

Question:  How do you find being real with the good and bad of your life affects you?  Please tell me your story.

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Why Are You Walking The Road Alone?

Part of humility is not isolating.  You have to be able to receive to be a friend.  Dan Allender Ph.D. calls it suffer the kindness.

From looking at him, I didn’t guess at first that Fink was lonely, but he was.  Under-appreciated, whenever Fink thought about making new friends, he remembered that he wasn’t young any more.  All his “real” friendships were made when he hung-out for hours, had spares in the trunk so to speak.  If one relationship didn’t develop well, he still had time and possibilities that the future offers.  In this sense, Fink had been rich.  He had after all that, maybe 3 friends he considered “real.”  But over the last several years, with real jobs and families of their own, his real friends weren’t returning his calls.  Now, he thought, he may as well as not have given them his special self.  Now he was older and not so rich.  Fink kept picking at that scab, even though he knew it wasn’t so masculine to be upset about your neglected special self.

At times we are lonely, but have trouble valuing the relationships being offered.  We see ourselves as something set apart.  This might be part of our drive to self-preserve.  Bits of neurons fighting over signals in our brain telling us that we need to dominate to propagate our genes.  Maybe.  But there is that intersection when choice crosses.

We remember from Sebastian Seung‘s work that our memories are not stored in our genes.  That gives us something tangible to work with.

I remember walking on the beach with a girlfriend when we were still in medical school.  I told her, “I’m tired of feeling bad about things I never had a choice in!”  It still seems wasteful to moralize things like temperament and our nature.  In fact, we’ve argued the opposite at length in previous blog posts.  Embrace that part of you and run with it! we said.

So what do we do with Fink?  For starters, tell him that his drives are what they are.  The real question is, what’s he going to do with his genetic drives?  Do good things with that energy?  (If we can call genetic drive an energy.)  Or will he do things that aren’t so good for him.  There comes the choice.  Fink.  Suffer the kindness.  (Thanks Dan Allender!)  In the end you will be happier and healthier for it.  Even if you are half as hot as your genes tell you you are, who cares if you are walking the road alone.

Self-Care Tip #86 – Suffer the kindess.  Be a friend to yourself.

Question:  What has been a barrier in your life from connecting with others?  Please tell me your story.

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Self-Care is not unChristian

 

Don’t be afraid of self-care.

Self-care is Christian and scientific.  I have awareness of the culture that frowns on taking bad behavior out of the church and into the laboratory.

A few days ago we talked about self-care not being selfish.  That circuitously brought up the question about how “the church” feels about this blog.

Confusing “the church” with Christianity can be problematic.  I have confused them in the past.

When my brother started talking evolution, I felt cold and clammy suddenly.  After my mini-panic attack, he told me about reading the entire works of Darwin and I had another mini-panic attack.  “There’s no way evolution didn’t happen.  There’s just too much evidence supporting it.”  I was confused.

It took me a long time to realize that I didn’t have to be worried about differences between me, science and God.  Funny that my comfort level grew with this as I realized how little I knew.  In fact, my joy expanded, when I realized I would spend all eternity growing my knowledge.  That is a lot of everything that just won’t fit into any box I can think of.

iwantthatpainting.com/Why-does-it-always-rain-on-me.html

Now when something crashes through a pet-paradigm, I remember that it’s ok.  (Down fear!  Get down anxiety!  Heal dogs!)  I may see a different reality.  Parts of me may become changed by that knowledge, trauma, death of a dear one.  Becoming changed and different is ok.  Because God is the same.  God already knows whatever about evolution, or that the world is round.  He knows that we try to turn medical symptoms into something spiritual, like depressed mood.  He knows it and He’s still here.  He is the prototype of presence.  Now that people can look into the brain and say where feelings and behaviors come from, we can get past that and on to the next revelation.  So what if it is medicalized.  Science and spirituality are not exclusive of each other.

So is self-care Christian or scientific?  Things aren’t that binary.  Self-care is both.

Self-Care Tip #84 – Don’t be afraid of self-care.  Be a friend to yourself.

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Your Heroic Self – Waiting For Normal

Self-Care Tip #82 – Have courage to go for what is lovely to you in life.  Be a friend to yourself.

Pretty, blond, about 5’6″, slender, in her 30’s, mother and wife, no funny shapes or movements but Britt still asked me, “Am I normal?”  It takes guts to ask someone that.

I just finished this heart-squeezing book, “Waiting For Normal,” by Leslie Connor.  (Yes!  I finally read a book!  It took me 5 times as long but it was no less pleasurable.)  Connor tells us about pre-teen Addie who grew up on the waves of her bipolar mom’s chaos, salvaging bits of wreckage along the way to survive.  Addie is the life-preserver her mom uses for life.  Addie’s own buoy through it all is her hope of one day finding normalcy.  She uses all her smarts to avoid the thrust her mom’s messes force on her.  It requires her full attention.  Addie must have looked pressed for something because her Mom finally asked her

What’s so special?  What are you chasing after?!

Addie was fisting optimism when she answered

I’m not chasing after anything.  I’m waiting.  Waiting for normal.

Later Addie explains to her mom

Normal is when you know what’s gonna happen next.  Not exactly what because probably nobody gets that.  But normal is being able to count on certain things.  Good things.  And it’s having everyone together – just because they belong that way.

My son used to have shaggy hair with curls that flew at the world around him.  He came home the other day and told me he wanted it short.  I finally figured out that because none of the other boys in his class had longer hair, neither should he.  He showed me pictures of what his hair should look like.  The whole process was too cute.

We are all looking for normal.

Putting aside defining normal, for now I am content to just contemplate the largeness of the effort to find it.  The journey, the process, the coming into such a thing reveals the beauty in one’s character and essence.  It is that, rather than the “hair-cut” that makes me say, “Wow!”

When Britt, my patient, strove towards her health and normalcy, her intent in context was lovely.  She seemed to me, in those moments we shared together, as one of the great heroes of our day.  A woman of courage.

Self-Care Tip #82 – Have courage to go for what is lovely to you in life and appreciate the beauty in your heroic self.  Be a friend to yourself.

Question:  Have you struggled with the question, “Am I normal?”  Please tell me your story.

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Taking Care of Yourself Is Not Selfish

The line between self-care and self-centeredness is a thin line.  We are part of the narrative.  We are not the narrative.

I’ve got some heat lately folks for talking about “Me” in a way that excludes the import of “You.”  How does anyone talk about the importance of the self without sounding seriously arrogant, disinterested in others, egocentric, ungrateful and rude?  Clearly it’s a learning process.  That’s something of what I’m hoping will evolve this year as we journey together.  Please let me know what you think on this subject.

I was very excited about having a morning to myself today and had built up a storybook page turning space of time for me.  However my night went bad, and like opening the oven door too soon with the bread still rising, I just didn’t get up well.  Partly in denial that the day was already slipping away, I kept going towards my hopes.  The clock sped up and I finally got out the door with the kids buckled to where they needed to go.  And then I realized I forgot my computer and phone.  Not so easy to work without those.

I live in the hills and although I’m not far from street lights and normal trafficked buildings, getting between me and them takes me through many blind 25 mph corners, steep hills over narrow roads.  Today I felt like I got caught in those hills.  My mom-van felt off-balance and the tight corners treated my tires cruelly.  I went back home to get my computer and back down to town finally.

I had great intentions for today.  However, I got stuck and stuck again.  That is what it can be like when we try to treat ourselves well.  It can feel like the roads swallow us up and we just can’t get there.

As my husband says, “That’s how it rolls!”

Question:  How do you see self-care differently from self-centeredness?  Please tell me your story of friendship.

Self-Care Tip #77 – Don’t get confused.  Taking care of yourself is not selfish.  Be a friend to yourself.

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Choose, Gladly, Using Resources

Being a friend to yourself includes choosing, being glad that you can, and using resources to make your choice a good one.

Mrs. Smith told me with a barely noticeable arch in her back that she was still planning on God healing her daughter.  I don’t know if Mrs. Smith thought about how her daughter felt about that.  Was Kristy personalizing her illness?  Did she think God rejected her?  The problem of her continued illness must show something more than a physical flaw in her perhaps.

Will we know it when we are healed?  Until then, what to do?

Years ago, I met Fran.  She was pulling her hair out.  Her annoyed husband disrespected her for it.  Fran kept willing herself to stop.  She said,

I’m doing it less now I think.

The good news for Fran is that she responded well to fluoxetine.  Her anxiety decreased and she almost stopped pulling out her hair.  She’d wear her growing bristles pressed down with bobby-pins and hide it with her long hair.  As her hair grew longer, she had fewer bobby-pins and I knew she was taking her medication.  There were other problems between Fran and her medications.  Taking medication shamed her.  And, she blamed her fluoxetine for her weight gain and rash on her face.  She felt uglier than ever in her husband’s eyes.

I don’t pull hair any more.

Fran stopped her fluoxetine and half her head went bald.  She did not lose weight and she still had a rash on her face.  Fran went back on her fluoxetine and she has cycled on and off of it this way over the years we’ve worked together.  Somehow despite all our time together, Fran does not believe me when I tell her that when she is better symptomatically, she is not healed.  Fran does not grasp that her behaviors come from something at a genetic level.  We can treat her, influencing the way her genes express themselves, but in her case, not cure her.

We are a team.  She and I, and sometimes her husband, and sometimes her sister.  I give her medications when she thinks she needs it.  I don’t leave her when she doesn’t.  Either way, we keep trying.  It is very hard for Fran to know that she has not been healed.

I don’t have many clear examples of treatment-to-cure in psychiatry.  The statistics vary between diseases as to their rates of recurrence.  The brain being human, we can yell at the serpent for our insanity.  However, in the end, here we are.  As Billy Joel says in his great ’70’s hit song “My Life”

Either way it’s okay to wake up with yourself.

The opportunity to choose our own answers, to decide what to do about it, and believing if we are sick or not sick  – is all our own.  These can be hard decisions but until we lose capacity to choose, we own them.  Decision making capacity of course is a medical decision.  But competency is a legal decision made in a court of law.  Having the right to choose is a beautiful privilege.  This does not mean to ignore counsel, evidence, data.  On the contrary.  That would not be a friendly thing to do to yourself.

Self Care Tip # 75 – Choose well and be glad you can.  Be a friend to yourself.

Question:  What do you think?  Agree or disagree.

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You Are Ink + Water

THE SUCCESS OF OUR HEALTH – EMOTIONAL, PHYSICAL, SPIRITUAL – BEGINS AND ENDS WITH “ME.”

Being responsible for what we do now is not the same as being responsible for what has happened to us or is happening to us.

How to tell someone who suffered abuse that they are responsible for themselves?  How to tell a child of an OCD mom, that his adult self, is responsible for his emotional health?  How about someone living in poverty?  How about a victim of natural disaster?

…A parent whose child died before they did?

My dad tells me, no parent should live longer than their own child.  In 1993, in Mogadishu, Somalia, the US state department sent him to find a hospital that was usable as a service, not in anticipation of war.  There were essentially no hospitals.  Stripped, robbed of wood used to burn, hocked copper wiring, and a spirit of “every one for himself” sat in place of hospital supplies.  Dad had met with some tribe elders to try to conciliate, but without effect.  Before he knew it, it was war.

There was one hospital he found with 2 operating theaters and some recovery beds.  He joined the French nurses who were still there.  Working around the clock, he was Mogadishu’s only surgeon for that first week.  He walked out to a mile of bodies spread outside the hospital.  He chose who would be taken in to the operating room versus who would not and what that meant.  There was no anesthesia for hundreds of amputations.  Life expired without many theatrics.  Three weeks later, and after other surgeons had come, they evacuated him.  He came back to manicured bushes, telephone wires, paved roads.

After surviving the Vietnam war, 40 plus years of medical practice, and participating in treatment for many people who have died over many years, it is Somalia‘a open album that stays in Dad’s thoughts.  He sees the faces of parents shrouding their children.  He tells me as if I’d forget, “I can’t say enough about how I loved the people!”

Although Dad shared these traumas, he must claim his health.  The grieving parents likewise.  This is not to say, “Get over it.”

There is so much bad stuff affecting us, that it makes it easy to not take responsibility for our own selves.  But, the success of our health – emotional, physical, spiritual – begins and ends with “Me.”

Don’t give up or get over or go at “It” alone.  Buying in to being a friend to yourself, does not mean giving up on your other friends, including God, family, your beliefs, your assistance.  It does not mean erasing your history.  It does not mean starting over.  It means joining all these things.  It means being ink in the water, everywhere in your story.

So, here you are.  (Clang, cling, Chicka-Chicka Boom Boom!)  Can you still hear yourself?  You must!  I must!  Our health begins and ends with “Me.”

Self-Care Tip #74 – Be your story.  Be a friend to yourself.

Question:  Have you done this?  Do you relate?  Please tell me your thoughts.

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The Price of Manure

In yesterday’s post I asked “What has happened in the space between you and the ones you love?”  A reader responded,

Think of being loved but not being able to be touched. …Rituals above spontaneity. Of having Lysol applied to everything you touch. Lysol applied to children’s legs and shoes. Not being able to hug your kids after work until after a bath and your inside-clothes on. The tirades. Most things literal and not humorous. Any cabinet or freezer needing to be as stuffed as possible.
As a young person it seemed very personal and hurtful. …All the lost years….  After all those years now on the mend.

It doesn’t matter how old we are, it takes courage to live.  There are many astounding parts of this story, but today I draw attention to “the lost years.”

I don’t know if any of you readers saw the episode last week from the musical comedy, Glee.  It irreverently tossed together a potato salad of high impact emotions.  (Delicious potato salad!)  The best part was as usual the great Jane Lynch.  That woman is brilliant.  She shows us anger, resentment, and personalization through spitting words.  She contrasts this against her thick velvet love for her older disabled sister. Sue Sylvester (Lynch’s on-screen character) has festered the insults she absorbed on her sister’s behalf, ever since she first realized her sister was different.  It was only until her sister, with a still-waters affect told Sue that she didn’t care what others said about her.  Her disabled sister was whole inside.  Sue started to heal too.

Being present with our dark history, can summarily be our gain.  Especially if in the end we found love, became connected with our journey and with others, and forgave.  It becomes rather an education of sorts.

When I was struggling with my ambivalence about vocational choices, my dad told me, “Education is never a loss.”  I plunged forward with that as a talisman.  

Education is never a loss.  Even our school of suffering?  Look at it as a currency of sorts.  It’s all perspective.  Even manure helps you know.  We had to pay $100 the other day for a truckload of chicken-poo for our farm trees.

Self Care Tip #73 – Find the value in your suffering.  Be a friend to yourself.

Question:  Do you agree or not?  Please tell me your story.

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Growing Old

Growing old.  When do we stop looking forward to the future?  My husband, who is a Palliative Care specialist, says that even in the end stages of life, we still look forward.

Erikson‘s psychosocial crisis theory of human development says life is a balance between conflicts.  Ambivalence, two opposing forces, is something to embrace and walk with.  I don’t think Erikson ever said it in so many words, but he was largely talking about having a sense of presence in our lives.  He based most of his theory on watching kids grow and then spread the rest over adulthood like the last bit of peanut butter on the knife.  Is that what adulthood is like?

My little girl told me that she’ll never run out of love for me.  (Every now and then, after hours or days of desert-like behaviors, she’ll break open a rock and out will gush something amazingly nice like that.)  Then she looked me over and said, “You’re not old Mommy!”  I showed her my gray and my spots and my wrinkles.  Maybe I was trying to say, “How can you love me in my future?”  Love is evergreen.  I am not.

When I was a kid, my parents loaded us up for a couple weeks every year and hauled us 8 hours in a van to Brian Head ski resort in Utah.  It is where I learned that some things stay green no matter what weather they live in.  The Evergreens, tall, tall, covered in snow except for some undergarments showing through were everywhere.  Even thinking about them, I can taste

Rolo Chocolate Caramel Candies,

feel the weight of booted feet, hear Dad’s bass voice and bits of my favorite ski-story loud to be heard above the chair lift.

Evergreen’s for at least 2 weeks a year, surrounded me and my family.  I’ve heard that Brian Head has materially changed a lot since we stopped going.  I wonder about the trees.  I’m sure there are fewer.

If it is true that every stage of  life has conflicts to resolve, it makes sense to me that in age we must resolve our future with our past.  We can’t just have a past.  If we find ourselves just looking back, than we are turning a blind eye to something we are meant to be present with.  Something that brings balance and fullness to life.  Something that is an evergreen quality.

For me, it is intuitive to look at God to meet this need – future v. past.  I don’t know what it is for others.  Conflict resolution.

When the days on life’s scale are tipping backwards, and we see that there aren’t as many days left on our plate, be present.  It is an illusion.  The past does not outweigh the future.  The opposing directions of time are just fine.

Self Care Tip #71 – Be present with the past by believing in your future.  Be a friend to yourself.

Question:  Agree or Disagree?  What are your thoughts?

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Trust The Momentum of Your Own Desires

Writing every day has blessed me.  It has however also taken away.  Aside from the obvious such as time, I’ve missed reading in the evenings.  I used to spend most of my evenings jamming happily through fast page turning books.  I love bound paper.

I’ve always had something of sensory issues.  My girlfriend Marlo Albritton, MS, CCC-SLP always laughs at me in the car – every other moment adjusting the angle of the vent or the pressure or the direction of the air that can never hit my face or the temperature.  In books, it is so many things as well that get me.  The smell and touch of course, the sound of fingers on page, swish there’s a turn, the visual in my hands or when I set it down.  I fidget but any way I turn, the book is my focal point, a lover!  The book keeps pace with me too.  When I wander, it waits patiently, unpressured and available.  When I must rush because I might die if I don’t reach the story’s climax, the book is the perfect buddy swimmer.  Like a good psychotherapist, the book is there for me.  It is a unidirectional relationship.  There aren’t many good unidirectional relationships.

I listen to audio books sometimes.  When I exercise or drive alone, and they are good.  But they are the fast food of the book pantry.  Never as satisfying.  They leave most of my senses quite alone.

I realize it is of course my own fault!  Not the blog or the writing.  I make the choices that keep me from reading.  I’m going to have to figure something out.  I can’t not read!  Remember when I said that time and energy increase when you do what you love?  (See “There is Room In Our Wanting Selves.”)  Well that’s what I’m putting my money on.  I’m going to trust the momentum of my own desires.

I’m off to read.

Self Care Tip #66 – Trust the momentum of your own desires.  Be a friend to yourself.

Question:  Do you have a sense of where your own momentum is taking you?  Please tell me your story.

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What’s Happening in Your Space?

Almost finished a triathlon today.  If it wasn’t for that chafing because I forgot my biking shorts, I think I would have.  I was wearing surfer shorts.  I will never poke at people who whine about chafing.  They’re right!  It hurts!  Enough for me to cut my run in half twice.  And I walked.   People I saw afterward kept saying “At least you finished!”  I felt like I had to confess but then I’d want to explain so I left it all out which I know in itself is a little lie if there is any such thing as a little lie, so I’m atoning by confessing to you.  There.  (Breath.)

The truth is, even though I cut across lawn, and walked the cross walk, and broke all sorts of athlete-codes of honor, I had such a wonderful time.  With all my abbreviating, I caught up with my brother, Vance Johnson, and his 10% body fat.  He’s always been sensitive, so he kindly slowed to walk me down the last stretch.  We don’t get to spend enough time together and even a few moments like that are golden!  We were laughing and strolling and probably looking too pleased to be appropriate for the last 40 yards of a long race.  So, of course it took us both a few extra seconds to realize what the woman had yelled as her large frame thundered by.  “If you aren’t going to race, get off the road!”  It was extra shocking because it was like a parallel universe suddenly collided ours.  We were happy.  I with my swollen inner thigh, and Vance with his little sister as audience.  It was over-cast, perfect weather for the day.  The beach was a few yards to our right.  Everything else was San Diego green.  Then, Pow!  “Get off the road!”

At first, I was ticked.  “Listen …,” I said in my mind.  Not nice.  But then I saw my brother.  How could I be angry?

There were many scenarios of this woman’s life that a carousel flashed on the screen in my mind.  Maybe none of them were true. Maybe she was simply an avid committed athlete who found us people soiling her turf.  Whatever the situation was, she was finishing the race and looked like she’d done well for her potential.  She hadn’t cut lawn and street.  She wasn’t walking.  She was running or galloping or something.  But she wasn’t happy about any of it.  Looking back, she might see us as the reason her mood soured.  Regardless the reason or the date and time of onset, she was sour.

It was only a few moments really that my thoughts stayed on her.  Vance had moved on to another subject and I didn’t want to miss it.  Reflecting now though, of course I’m struck by the perspective of success and failure.  A race is a perfect stage for demonstrating something with a beginning, middle and ending.  Sounds like a shortened version of life.

I’m not sure who first said that there is only one beginning and one ending to life.  “It’s the journey that matters.”  Probably God.  Someone who is timeless and infinite would get that.  Today He blessed us with that.  I can’t count on myself to have it the next time.  God knows I’ve been the one screaming something like, “Get off the road!” enough times before.  But next time, I hope I remember what God gave Vance and me today.  I hope I will succeed as happily as I did today when I lost the race.

Self Care Tip #65 – Get into the in-between spaces in your life and go for the joy!  Be a friend to yourself.

Question:  What have you been finding in your own space?  What do you think?

If you’d like to read more blog posts on the journey, read here.

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There is Room In Our Wanting Selves

Having another child born, our hearts somehow open up and make more love, more space where things once seemed crowed up like hobos in a boxcar.  Our time and energy does that too.  Feeling like you can’t do another thing by 6 PM?  Feeling like watching TV on the couch is an accomplishment at that point?  I’m telling you that this changes.  Do what you want.  You may not realize it yet but you want something special.  You want something that you were designed to do.   When you discover what that is, activity becomes joyful, congruent with your inner self.  Somehow there is more room in your day.  More energy that comes with no strings attached.

My husband just came home from a tech conference.  He was told by famous Silicon Valley junkies, while sitting in an audience of other wannabe’s, “Don’t do a startup.  You’ll fail.”  It was a secondary message that returned intermittently – unless you can’t sleep at night because you need to solve a problem – if you are trying to do a startup company for any other reason than for your own sanity, you won’t make it.  These people were doing what they were doing because they felt like it was their life’s nectar.  It was their pearl of great price.  Their efforts were fueled by their own genetic design.

In medical school, I used to look around me confused by the obvious natural positive responses of other students.  I looked at myself and thought I was a fake.

I looked at them and thought, “There’s the real thing.  I wonder what it feels to be the real thing.”  I know.  Sad huh?  Ah well.  Turns out I’m a flaming extrovert.  I get energy from being with people.  Being alone takes energy from me.  Wether it happens slowly or quickly, either way eventually I have to resurface and connect with someone to re-tank.  Every day when I sat down to study, I felt alone, energy sucked out of me, the ground was going to swallow me up.  And I did it still.  Ground through my long hours long enough to make it to where I belonged.  With you in psychiatry :).

Here’s the news.  We are all “The real thing!”  Yah!  We have our own greatness.

I’m not talking about opportunity to reach that greatness.  Some of that we are given and some of that we make.  I’m just ringing our bells with the idea.  If you want to read more about this, read the blog posts on temperaments.

Question:  Are you doing what you want?  Please tell me your story.

Self Care Tip #64 – There is room in your wanting self for more.  Be a friend to yourself.

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Get Treatment to Move On – Addictions

Molested by his cousin, neglected by his parents, he watched his intoxicated father beat his mother.  Thinking she would die too many times, he ran away, returned in a police car over and over again, as if wanting to get away was a crime.  He came back and raped his neighbor, more than once.  He spent a lot of time trying to get sex even though he knew it was ruining him and others.  He lost interest in almost everything else.  He suffered uncontrollable impulses.

He was 18 years old when he left it all for the safety of prison.  During the next fifteen-some years he was diagnosed, treated, and kept.  But kept for what?  For eating.  He gained weight, until he needed 2 seats to sit in.  Eating became his preoccupation.  He didn’t have sex.  He had food.

He was released to a home for sexual offenders, put on a diet and lost weight.  He lost it big and fast and felt in control.  He started purging and not finishing his meals.  He thought about purging all the time.  He knew he shouldn’t do it.  His voice was changing, raspy and his throat hurt but he still purged.  He wasn’t having sex.  He wasn’t over-eating.  He was purging.

For whatever reason, no one had yet seen the pattern.  Mostly everyone saw sex offender.  Me included.  I was trying.  I was trying to treat him with empathy, trying to get past the bile that comes when I think of rape, trying to consider the courageous things this man was doing now in life.

In one of my favorite scenes from the film, Rachel Getting Married, Kim played by Anne Hathaway argues with her sister about her own chances to have a future:

Rachel: Kym, you took Ethan for granted. Okay? You were high for his life. You were not present. Okay? You were high.
Kym: [Whispering] Yes.
Rachel: And you drove him off a bridge… and now he’s dead….
Kym: Yes, I was. Yes, I was stoned out of my mind. Who do I have to be now? I mean, I could be Mother Teresa and it wouldn’t make a difference, what I did. Did I sacrifice every bit of… love I’m allowed for this life because I killed our little brother?

I thought of this and somehow through all that trying, I did. And because I could empathize, a space opened up for me to be more objective.  That’s when I saw it.  I saw the pattern.

Addictions migrate.  Someone who may have started out as a food addict, might turn to gambling, and then later to alcohol.  Someone with sex addiction, might turn to food and then later to purging.

It can be like that game I used to play at Chucky Cheese, trying to hammer down the little animals that pop out of holes.  We need to treat the disease of Addiction regardless of how it’s dressed, or else it will keep popping up.  And like Kym, if we do, although perhaps terribly wrong in some unchangeable ways, we will still have a future.  If you’d like to read more about this “kainos” (Greek word for the opportunity to be made new,) read the post New versus New.

Self Care Tip #62 – Get treatment to move on.  Be a friend to yourself.

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

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Claim Your Brain

My mind, like rusted gears, was not moving well.  It hadn’t been really since my 1st pregnancy 8 years ago.  There are few things that dumb us down as much as pregnancy and children!   Hormone changes, lack of sleep, fluctuating from 145-200-145 pounds three times, and then the subsequent growing beloveds around me to contribute to mental dissociation.  Simple sensory overload from talking, yelling, crying, petitioning, inquiring kids factors in.  You may read more about sensory issues here.

Daily writing, like a staunch governess, found my brain under cobwebs, bug carcasses, and musty stench.  (Hello old friend!  There you are!)  This helps to explain the joy gripping my hand, like girlfriends on the playground, when I sit down to write!  The world is active to me, including rather than excluding me. My in-between moments used to hang like an old woman’s breasts.   Now much more time full of nourishing thoughts bless me.  I am in awe.

My patient came in sighing deeply.  He wasn’t better.  No, he said.  He lacked motivation and interest and connection from the world.  He felt selected out to suffer.  A dumping ground for misfortune and misunderstood.  Efforts through medication, after medication changes were like looking for love in all the wrong places.

We talked about cognitive distortions, tapping into things that used to make him happy, road-blocks in poorly designed neurological grooves – volunteering at the library or animal shelter, journaling, sharing his life story with others, exploring his spirituality.  No.  No good.  Nor could he consider psychotherapy as he’d been through too much of it already to consider it again.  And he just couldn’t get interested in groups such as through NAMI.

His brain, assaulted by stressors, disease, and disuse was growing silent.

Being a friend means yelling, fighting to reclaim your journey, finding something to connect you to your process of life.  My patient was letting squatters take his property simply by being absent.

Self Care Tip #60 – Claim your right to health.  Be a friend to yourself.

Question:  What has helped you connect with your own journey in life?  What do you think?  Please tell me your story.

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Bringing it Inside

“I read a lot of self-help books, but look at all the difference it’s made in my life!”  Sarcasm noted.  My friend was coming out of a dark melancholy of several years and complained that bringing something from your head into your life is hard.  Another case of trying to keep it real.

People call what we do “word play.”  Mouth flappers.  Those of us whose actions can’t keep up with our mind-matters fend off judgement like OJ Simpson. We’re guilty alright but it’s not murder folks.  Let’s get into the empty seats to applaud the performance of Good Intentions.  Good intentions come in degrees. There’s the thought, the desire, and then the levels of action that happen before and until execution.  Not all life is like playing horseshoes.  There is “win” in process too.

But my friend’s real beef was with the expectation she had that those books and their words would marinate her.  Soak her until she smelled and tasted and essentially became something new and better.  She didn’t think they did.  How does someone somehow bring what is out there inside?

If you want more about some of the biological play on this, read this post.  Basically if you are trying to grow, you are most successful working with a growing-style that is congruent with your temperament.  There are other intersecting paradigms also, including spirituality, external stressors and biology.  Bringing it inside is a balance between paradigms in life.

If I were speaking to my friend though, I’d applaud her thoughts, desires and degrees of action that have constituted her journey of Good Intentions.  I’d invite her into the stands with me and take some time to watch a replay of the parts of her life that made her glad.  That in itself opens us up to what needs to come in.  And we are more able to keep on.

Self Care Tip # 55 – Applaud.  Be a friend to yourself.

Question:  Do you ever lose yourself in processing?  Tell me your story.

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New Verses New

She died this morning.  After a day and a night of confusion, stumbling gate, and suffering, our gentle gorgeous Maggie died.  She is returning to carbon ash and giving us another reminder of what can be delivered to the living by death.

With the children taken to school, my husband came home to share grief with me.  He had just listened to a podcast by Rob Bell about the word “new.”  In Greek there are 2 common words used for “new.”  One connects newness to Time.  As in the young in age and old in age.  This is traditionally how our culture interprets “new.”  Another use of “new” uses the concept of renew without connecting it to time.  There is a newness in you as you are in time.  It’s a great overlap into the concept of presence.  But where my big gratitude went out to was knowing how many opportunities to being made new we have.

Some of us have the propensity to wait until we “hit bottom”  before we come looking to be made new.  I don’t mean this in any way that is judgmental.  Please see my blog posts on temperament if you want to read more about this.  If we were fortunate enough not to have picked up any self sabotaging habits, then in some ways we’ve got an easier time of it as the the years roll by.  However, few of us are, and getting crushed over and over again like recycling cans hurts a lot – us and ours.

“You can’t have it all” we are told, brewing panic after wasted opportunities.  Not having it all, missing out on more days to share with Maggie, loosing the hope of puppies some day, brought the well-timed discussion about newness straight to our grief.

We are given the opportunity to be made new any time any where regardless.  Any where from greatness to low-living, we have that choice.  When I think of Maggie, I will think of this and hopefully I will choose to be made “new” again.

A “new” heart also will I give you, and a “new” spirit will I put within you: and I will take away the stony heart out of your flesh, and I will give you an heart of flesh.

Self Care Tip #50 – Be renewed.  Be a friend to yourself.

Question:  Do you agree?  Disagree?  Please tell me your story.

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Your flawed self

My niece is sitting beside me and I can barely keep my hands off of her 5 month self.  I am eating a blueberry scone slowly.  She, with her tummy-full of breast milk, is watching every bite, a faint smile on her pink face.  I’m a little afraid she’s learning to eat carbohydrates from me and I want to tell her that I can’t remember the last time I ate one of these.  I start eating faster and turn away so I don’t imprint this on her supple myelinating neurons.

We closet eat, closet smoke, closet shop, closet sex, closet what we want to protect others from but what we independently are strong enough to handle …or not.  There is a term called “self-sabotaging behavior.”  Reducing this, we find that the process of closeting is in fact the handle on the door to that mal-behavior.  Keeping it real is the same as saying get it out of the closet.

My mentor and brother, Cameron Johnson used to say, “Go where the pain or fear is and it will lose control over you.”  People who work the 12-Steps call this “Rigorous Honesty.”  It is a pealing away of all pretense with yourself.

Avoiding rigorous honesty turns into self-sabotage.  We end up cutting ourselves down at the knees.  Anxiety uses fear to make us hide.  In cases that include emotional illness, of course medication will help our work toward honesty.

It is not about whether we hide our bad sides or not – we do.  It is about trying to keep it real.  The only thing to be ashamed about, if we must, is not trying.

So to my niece, I give her my flawed self and when the time(s) come, I will accept hers as well.

Self Care Tip #45 – Show the world your flawed self.  Be a friend to yourself.

Question:  How have you experienced the freedom that comes from going toward the fear?  Please tell us your story.

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