Child

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We Try Knowing We Will Fail. The Wonderful Journey Of Flawed People.

The t-shirt

Image by plαdys via Flickr

It’s 9:23 PM and our little kids are still awake!  They’ve cried.  They’ve laughed.  We’ve cuddled.  We’ve spanked.  They’ve taken two showers and brushed their teeth twice.  We ate several times.

I was riding my bike, watching a movie, (I love that!), and my daughters were taking turns coming in to complain, wet me with their tears, snuggle, hold me; you get it.  My exercise and my movie were peppered with refreshing breaks.  Sitting on the couch chair nearby with my five-year old during one of these intermissions, holding her, I was able to say,

It’s okay.  

I was able to do this because I was the one in the casita getting pumped up and my husband was the one in the house herding children to bed.  He had the tough job that turns me into a turnip and I had this.

You can do it.  You can try again.  You can try again, even if you are trying for the one-hundredth time.  You try and you try and you try again because that’s what makes our lives beautiful.  The trying part mostly.  Not the arrival.  

And that’s when I grabbed her and held on.  I suddenly felt so blessed.  From this off-night, I was given the reminder that the trying part of life is where it is at.

It’s 9:33 PM and I think they’re asleep.  Sigh.  Tonight was awesome.

We are flawed people.  We try, knowing we will fail.  Who does that?!  Why would anyone do that to themselves!?  Smile.  Ah.  Sounds wonderful.

Questions:  How is your journey?  Have you been enjoying your failures lately?  Please tell me your story.

Self-Care Tip #273  – Enjoy your failures.

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Finalé – Me Again. Everything Starts and Ends With Me – Even Emotions and Behaviors.

We are doing a narrative series on understanding where emotions and behaviors come from:

  1. Emotions Are Contagious – Emotions shared
  2. Our own Emotional Junk – Emotions hidden
  3. Positive Emotions and Behaviors are Contagious Too 
  4. Our Conscious Self is Our Board and Paddle at Sea – Small conscious self and BIG unconscious self
  5. Biopsychosocial Model – Biological, Psychological, Social selves
  6. Me! 
  7. Finalé – Me Again.  Everything Starts and Ends With Me – Even Emotions and Behaviors.  (Today’s post.)

We have covered in our series that emotions are contagious.  We know that if we take care of our own first, we might not be as “susceptible” to negative “contagion” in turn and perhaps, be more available to giving and receiving positive “emotion-contagion.”  Further, we hope that if we do this, we might be able to choose to be with people we love even if they don’t do their own self-care.  We can have that connection without personalizing what isn’t about us.  Sigh.  That is nice, isn’t it?  Then …out at sea (away from our narrative for a day,) we talked about the pleasure in engaging with what bits of biology are directly available to us and the relationship we maintain with the big expanse of our unconscious biology.  We reviewed our biopsychosocial model as a tool, and then restated the simplicity in looking for and at Me to discover where emotions and behaviors come from.

Today we leave Rob and meet Iva for our Finalé.

Mother and daughter

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Self-Care Tip #272 – Look!  Me Again!

Iva was crying.  Things could not go on as they were.  It must stop!  The tension and recurring emotional crisis’ between her and her daughter were cancerous to her family.

Iva was trying.  She’d come a long long way.  On antidepressants now, exercising three to five times a week, down twenty pounds and into her honey-moon clothes from many many years ago.  She felt so much better about herself.  She was no longer yelling at every stressor, she felt pleasure again and liked being with her kids, including her daughter… when her daughter wasn’t throwing fits.  However, her daughter was “fits-ing” one to three times a day still.  Iva felt like she had lost control as a parent and gave a lot of blame to her little girl.  This is why Iva came in.  Something wasn’t right about that.  It was evading her, however, what that something was.

To be clear, “little” in this case meant four years old.  Four years old and they could hardly be with each other.  Iva trembled thinking about the teen years ahead.  Iva wondered how a four-year old could drum up so much drama and wield so much power.

Why didn’t she listen?  Why did her daughter make her resort to spanking and punishments to get obedience?  Why did she whine all the time?  

Crying again, Iva was still able to break this down as to where her emotions and behaviors were coming from and specifically keep it about “Me.”  That was our job as we crunched this together.

Emotions shared – Iva had negative emotions that her four-year old was susceptible to?

Emotions hidden – Iva hadn’t gone towards her own something or other?  Maybe she didn’t even realize the negative emotions she felt toward her daughter in the first place to go towards them and see what was there.

small conscious self and BIG unconscious self – Iva had an opportunity to play, work, know and own this little portion of what made her who she was.  The BIG unconscious self she was doing well taking care of with her basic needs – time with her Higher Power, medication compliant, exercise, sleep, diet, water and so on.

Biological, Psychological, Social selves – (A whole bunch of stuff you’ll have to read the previous blog-posts on!  Awesome paradigm.)

And then, finally, Me.  In the space between her and her daughter, Iva had forgotten that it was about Me.  Iva was putting a lot of blame on her little girl.  That’s a lot of pressure for a child to shoulder.  It is not appropriate for a parent to shame her child this way.  This isn’t a moral statement unless we make it one.  It just is.  It-is-not-appropriate.  That’s all.  Iva circled back around and saw herself there.  Her Me.

Iva left thinking things were looking up.

Questions:  Even in your most difficult relationships, how do you own your emotions and behaviors?  Or is there a reason for them outside of yourself?  Please tell me your story.

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Free To Do Self-Care, Despite Our Bully

Demonstration in London supporting Serbia

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Bullying:  Series Continued.  (I didn’t even realize I was writing a series until now!)

  • #144 Leave Space In Your Beliefs To Grow
  • #163 “He’s Never Hit Me.” Abuse.
  • #251 Just Ordinary Bullying – The Bully and The Bullied
  • #253 How to Be A Friend To Yourself When Thinking About Your Bully

Bit’s and parts of us are unbelieving in what number of options to self-care that we have, when it comes to being bullied.  I don’t say this lightly about terrors.  Terrors change us irrevocably and hurt to the brink of our own abyss.

The question is, are we free to do self-care even when we are bullied?

Yesterday, Carl in his candid way, said,

Empathy and forgiveness? You gotta be kidding. Do you know what it is like for a twelve year-old to face this…  for an entire school term? Probably not? Cope? Isn’t coping with a chronic negative stimulus as debilitating as being unable to cope….  There may be situations where “book smart” stuff is not applicable because we cannot negotiate with the bully.

Go Serbia

Image by SanforaQ8 via Flickr

We cannot negotiate with the bully.  True, to the degree that Carl said, if I understand him.  (Carl you will surely set me straight soon.)

It is true that people who like to fight, fight well.  People who bully generally will bully better than I can ever defend myself.  They have had a lot more practice.  Have you heard this?  You never want to go up against someone who has nothing to lose because the only one that will lose is you.

When someone is agitated, in psychiatry we learn that it is good not to make eye-contact.  Avert the body.  Keep your voice low and don’t engage as much as possible.  It reminds me of letting the mist of early morning dew expire the coals in the camp fire.  Getting attacked is something we want to avoid.

Early on in my training, I was rounding on the inpatient psychiatry ward.  We often have people who are agitated admitted there and this morning, I remember it was about seven AM on a Sunday….  This particular patient hadn’t slept well.  He wasn’t well-groomed and he scowled.  All the nurses where in another room in a nurses meeting and I didn’t notice he and I were alone in the hallway.  I looked him in the eyes directly.  I didn’t concern myself with tempering my interview.  I was still sleepy myself and wanted to get out of there as quickly as possible to start my Sunday stuff at home.  (I know.  Stellar attitude for a resident-physician, right?)  He grabbed me around the waist and I nearly lost my water!  I screamed at him like a she-dog and he let go.  That was all.  No big deal right?  Well I was ticked at him and at the nurses for not being available.  No one was at the nurses station, which is illegal too.

In truth, I was pretty much an idiot on all accounts.  It doesn’t condone the assault but I have since been better about not negotiating with the bully.  

That probably wasn’t exactly what Carl was talking about but it is related.  It is by no means a full year of negative harassment, but when responding to the concept of not being able to negotiate with the bully, I don’t know at what point in degrees of trauma experiences that becomes true for us.  Perhaps it isn’t a matter of qualifying them or quantifying them.  Perhaps more depends on the victim.  I don’t know.  Do you?

What I do know, is that Carl and I are both partly wrong.  We can.  I don’t know about then.  We can now.  We are free even from those molesting monsters because of who we are.  We were created free and those horrors can’t extinguish that bit of us.  We are free not because of the protection or lack of protection we’ve lived in life.  We are free.

We don’t claim to know all the innumerable forms of suffering out there.  That is not what this self-care engages with.

Questions:  How do you find yourself free at this time in your life, despite it all?  How do you describe your freedom, even with your bully?  How have you seen others in this context?    Please tell me your story.

Self-Care Tip #254 – Free yourself from your bully.

Additional Resources:

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Imagine If You Were Your Own Friend, And Take Your Advice

Postcard - Sexy Woman writing a letter

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Self-Care Tip #234 – Imagine if you were your own friend, and take your advice.

Joana Johnson, author of CreatingBrains.com, full-time mom of six, part-time University history teacher, student, wife, confidant, friend and sister-in-law… (no she’s not running for president) …Joana asked me today,

Write a letter to someone you love sharing what you want them to do to take better care of themselves.  You don’t have to give it to them or you can.

Now imagine what letter with what self-care requests would someone who loved you write to you?

…You’re right.  I’m going to have to talk her into running for president.

And so, I offer this challenge to you.  I wonder after you.  I am sitting in waiting.  Please tell us this part or more of your story.

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Living Where We Feel Safe is Part of Self-Care

Self-Care Tip #213 – Live in safety.  Be a friend to yourself.

In My Fridge

Image by Nikita Kashner via Flickr

I love psychiatry because for me it is a safe place.  A place where I am comfortable pushing aside distractions.  The blinking lights disappear and I don’t have to waste myself on B.S.  Some time ago, I told you about how Mom has been when Dad’s been hospitalized in the past.  When she pushed his tubing aside and just got in bed with him to hold him.  All that mattered then was Love.  They didn’t see the clutter any more.  That’s what psychiatry offers.  If we want, we  can come together and be real.  In twenty to forty minutes, we can hune and warp time and find a gravity where we breathe differently.

Chewbacca

Image by Andres Rueda via Flickr

Unfortunately, I have found that the longer I do this psychiatry thing, the worse I am with life otherwise.  Whether I’m with the grocer, dog-trainer, my child’s teacher or person in front of me in the coffee-line – I just don’t graze well.  (See blog-post, “Do You Feel Pleasure.”)  I’m always yelling, “Hit it Chewbacca!” and we’re off at warp speed into asteroids of personal information; perhaps inappropriate to the setting.  (See blog-post, “Using The Force.”)  I hate to think what I’ll become when I’m more thoroughly demented and disinhibited.  These things just get more pronounced with age and soon I’ll just be that crazy Auntie with her bra snapped on top of her bathing-suit in winter yelling at the young kids to turn the music down so we can talk.

The truth is, I’ve never been so wonderful in tinsel-town.  I found home and found that home needs to be a place where we are safe.  In fact, this is true materially in the home we live in.  It starts there and diffuses out.  If at home we are able to speak uncensored knowing we respect others and are respected because we are human, not because we have to earn it, if we can enter our kitchen and not fear temptation from chocolate chip cookies, open the fridge and know as an alcoholic the wife or husband didn’t buy beer, argue and trust that we are loved enough to be a priority, we know the issue won’t be lazily passed up, we know we are safe – then there is a ripple and a ring of safety and another ripple and another ring of safety and soon safety follows us because we just aren’t interested in anything else.  (That was a super-sentence.)  We have found home.

Questions:  How do you define safety?  What feels safe for you?  How do you grow your circle of safety?  Please tell me your story.

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So Many Choices, So Little Time …For Self-Care

"Sophia Western", engraving after Bu...

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Self-Care Tip #198 – Being a friend to yourself might be saying,

No.

Our culture is brimming.  Brimming with…, well take your pick; walking the dogs, turning in a take-home test, watching The King’s Speech, writing a journal entry, making pancakes or reading Savvy – we have options.

However, today and often, options are stalkers we think difficult to restrain.  …More difficult, say than filing a restraining order against your husband.

Walter filed for divorce with his unhappy wife.  Vengefully, his wife turned around and filed a restraining order on him and just like that, he was unable to see his kid for over two months.  That was easy.  All she had to do was file it.

And when we have these many options, all we need to do is say, “Yes,” to one and to the rest,

No.

I love it when my four year-old son is rocking carelessly on my outstretched legs, flopping about, a happy-drunk bird-on-a-wire, and predictably although unintentionally falls.  Crumpled on the floor, he flicks his bangs back and says rather coolly,

I was okay, Mommy.  I was okaaaay.

I had tried to rest on the couch and type, doing my self-care thing after doing Mommy-stuff with the kids for a large chunk of the day.  But telling him to stop doing that really cute thing he does was not so easy.

According to The Economic and Social Research Council,

Having older siblings is not related to children’s happiness with their family, but having younger siblings in the household is associated with lower levels of satisfaction and this effect is greater the more younger siblings present in the household.

It turns out that children feel more happiness in their homes when there are fewer younger children.  They perceive that there is less energy available for them from their parents with each born child.  And I’m here to say, there is.  With my son on the floor, flicking his hair and going,

I was okaaay…,

my middle daughter kissing my shoulder and burrowing into my arm like an ear-wig, my eldest daughter came back to ask for the sixth time if I would play jump rope with her – I remembered this study.  So true.  I don’t need more options, i.e. more children who ask and I say,

No.

With these many wonderful options, choosing Me, is not always easy.  (See post, “‘You’ Are the Best Gift.”)

Now throw in a little inappropriate guilt, some ruminating thoughts, self-loathing, bad sleep, some low motivation and energy and choosing Me becomes the hardest thing anyone has come up against.

Questions: How do you choose you when you could pick so many other great options?  How has this helped quality of life for you and others in your life?  Please tell me your story.

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Love – Take What is Already Yours. You Have Been Given Love.

Stef's Present with Handmade Wrapping

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Self-Care Tip #194 – Take what is already yours.  Be a friend to yourself.

Parenting, we hold the power in the relationship between us and our child/ren.  If we are emotionally maltreated by our child/ren, we parents are still the ones with the power.  What are we giving to her if we teach her that we will take the terrible words and dark emotions?  When we take the projected anger when we have the power to choose not to, what message are we giving to ourselves about ourselves?  What is the message if we say by our actions that Love demands from us to accept, to take and to be a victim to the emotional abuse?  Is that what love tells us?

It is difficult to receive maltreatment from anyone.  And because of the suffering involved, we can misinterpret the message, “This is the sacrifice that Love demands” – the sacrifice is doing what other people want before taking care of yourself.

It is difficult not to receive maltreatment as well.  Which choice is more consistent with our understanding of Love?  The words in the message might be the same, “This is the sacrifice that Love demands.”  However, the interpretation of the message, of what the sacrifice is – that meaning is different.  The sacrifice is, rather, taking care of yourself first so that you have the best of you to offer to others.

To read more on this topic, please see posts, Criticize if You Love Me, Listen to The Intention in What People Say and Stop! Before Hurting Yourself or Others.

Because we as parents hold the power in the relationship, we can feel trapped by our own power.  What a confusion for many of us.  Holding power but feeling helpless.  Holding a stick in both hands, so to speak, not seeing that we can still use our occupied hands for anything else in the mean time.

This kind of choice takes Love.  This is the kind of choice that is a work of a life-time or of a moment, but is life.  See, Let It Go and Keep Going.

We can’t teach others that we are valuable and how to treat us with Love if we don’t do it ourselves for ourselves.  When we act on Love, self-care means that we don’t accept treatment that is inconsistent with Love.  If we accept bad treatment, we are saying that self-care is accepting our lack of choices versus making the choices that are still available despite the circumstance.

FriendShip... A gift of God.

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This of course applies to any relationship.  It applies to any connection, whether it is in the work-place, marriage, if you are the child in the parent-child role, friendships – take your pick.  You can choose Love.  You can choose.  Self-care starts and ends with “Me.”

Freedom is a gift.  No matter how many times it is wrapped up and placed in our hands, if we don’t open it, use it, own it, we will never have it.  Freedom to choose has been given to us before we were born, just like our salvation.  The salvation will never be taken away.  Nor the freedom.  Both are elemental and constant.  But if we don’t pull on the ribbon, lift the lid and take – we can’t expect anything but living without what was inside.  Does the title “victim” even hold if it was our choice not to take what was already ours?

Question:  How do you claim your freedom to choose when all you perceive at the time is what has been taken away?  Please tell me your story.

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Just to Feel Pleasure

week-end-pleasure

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Self-Care Tip #189 – Heal for yourself, and you’ll see that also, everyone heals.

The best thing I ever did was go on antidepressants.

Bianca sat, but her whole body was talking.  She was telling me about her changing life.  She had read some of her journal from a year ago when she pounded on herself for her behaviors.  She thoroughly grieved the time with her children when they heard her scream about small things that kids do.  She told me about her sons face when she was irritable.  He showed all the waiting tension that an open child will when waiting for Mom to lose it.  She was trying to push it aside and think rather about how she now could finally enjoy them.  Bianca said,

I just had no idea before how much better life could be.

Bianca’s face became tight and she didn’t make eye-contact,

There’s no way to describe what it’s like to not enjoy your kids – My own kids! – for most of their born lives and then wake up and experience something different.  I just can’t explain what it means to now actually like being with them.  I’ve always loved them but I didn’t feel the pleasure and I hate that.  I want that time back but I can’t have it and I can’t give it to them either.

I’m so scared it will end, the pills will stop working and I’ll lose this new life.

Before her medication, Bianca worked hard at taking care of herself.  She was a check-list of responsible self-care.  Bianca thought it was important that I knew this.

  • Aerobic exercise – check!
  • Healthy diet – check!
  • Sleep hygiene – check!
  • Bianca talked about God but things got confusing for her there.  She didn’t like to think about Him being on “a list.”  He was in her life and didn’t feel He failed her even though she couldn’t feel pleasure or joy.

Still, she continued to coil up and release hard punchy words at her kids and then hate herself for it.  She had prayed so much about this and wouldn’t even mind if God had to puppet her, if that’s what it took, in order for her to treat her kids better.  She could not stop herself from being what she called,

Crazy Mommy.

But now, after she was treated, Crazy Mommy was gone.

Aside from dropping the shame, the best thing for Bianca was knowing that her kids could trust her, felt safe with her and that she felt safe with herself.  Everyone was healing subsequent to Bianca healing.

How many of you have told us a similar story.  A similar rescue.  Yet, never-the-less others of us are afraid to go there.

Question:  How are you present with others who don’t understand your rescue story?  How do you stand beside someone who needs medical help for emotional illness but won’t accept it secondary to stigma?  Please tell us your story.

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When You Can’t Control This, Emote Empathically

Self-Care Tip #172 – When you can’t control this, emote empathically.  Be a friend to yourself.

A couple of days ago I wrote about being transparent with ourselves and others when we are not in control of things.  (Say, “I Can’t Control This” When You Can’t.)

This road sign image is in the public domain a...

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It got mixed responses but all worth thinking about.

Jennifer responded on Facebook,

The 3 C’s help me all the time; I didn’t cause it, I can’t control it, I can’t change and or cure it!

Isn’t that wonderful?!

  1. Cause
  2. Control
  3. Change

And it’s helpful to remember that claiming these 3C’s still may not remove us from the stressor.  We are however more present with ourselves and others despite the stressor.

Another reader BeeBlu’s, brought up that famous “fine line,”

I agree that it’s healthy to have this attitude to certain things in our lives, but as you say, it is also no excuse for bad behaviour and letting emotions go into free fall at the expense of others. I think there is a very fine line between the two. bb

…And her signature, “bb,” – awesome.

A line that is thin implies insecurity, danger and something precarious that may end up all wrong.  I wonder about that line.

On one side we have the 3 C’s:  cause, control, change.  On the other side of the line we have responsibility for the boundaries of others.  I wonder if there really is a dividing line after all or if it is just bad lighting.  If there wasn’t, there would be no need to thicken the line, to defend, or to pick sides.

Emotional health makes shadowy lines disappear.  It takes someone who has emotional health to be able to say their 3 C’s and still consider the internal and external milieu of others.  It takes someone who has done their self-care and put money in the bank; someone who has reserve built up that spills over into empathy.  We can’t emote empathically so well when we aren’t emotionally healthy.  The less of that, the more real the line becomes.  The less of that, the more precarious we are.

Gaining emotional health may take medication, exercise, sunlight, granola, grandma’s kisses and all sorts of things.  Each of us has to figure it out for our own selves and just do it.

Questions:  What do you think about this business of shadows, lines, and living cautiously?  When you have been healthiest, how have you been able to embrace both the 3 C’s and emote empathically at the same time?  Please tell me your story.

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

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

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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.

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Look Around to Get Strength and Perspective.

My sister and her baby.

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Self-Care Tip #145 – Look around to get strength.

I was talking with my colleague, Janice, who works intimately in the area of group homes and advocating for the clients.  I asked her to tell me something about them.

There are times when parents give up and they can’t provide.

I wrote a blog-post some time ago relating to this as I work with many families who are near this point or past it.  Taking care of ourselves can be hard enough in this world, let alone a disabled child or two, or three…  I’ve seen marvelous results from placements.   However, my blog-post, “Get in Someone’s Space” got a response that was not so complimentary.  I asked Janice about where she thought the comment was coming from.

There are a lot of good group homes but many are not.  The workers are paid minimum wage often and they are saints.  There are about 1/2 and 1/2 that are good v. not good.  They can make a lot of money potentially.  In some of the homes, the workers are ambivalent at best.  It is a job to them.  If they do care but are surrounded by people who don’t care they lose steam.  They can’t do it all.  Emergency homes are also useful to give parents a relief.

Some of the disabled in placement have no family involved.  Others do.  And in those that do have involved family give their family some time to recharge while in placement.  The family can recharge and use that new energy for things like continue to “shop” further for the best fit for placement.  It can be work to find the right placement and get someone moved there.  Then after that challenge is met, families will find other struggles.  Struggles such as placement being so far that the family can’t visit or be as involved as they’d like.  They find, as we all do at some ah-ha moment(s) in life, that we can’t have it all.

Mr. Rick stated it well.

I will not be a victim while choosing my burdens.

We could also say, “I will not be a victim while choosing my benefits,” perhaps.

I understand that the topic of disabled family and/or group home placements may not interest all of us.  It may not appear at the surface to be an issue involving eternal truths.  Yet, we see that it does.  We are, each of us, not so far removed from unfair life circumstances.  From choices that look “bad and also bad.”  Or could we say, rather, that look to be choices between “one benefit and another,” knowing that we can’t have it all?

No.  We are not so far away from the single mother raising her two mentally retarded children.  We are not that distant from the caregiver with license to house five children but can’t find good staffing.  We can see the fetal-alcohol syndrome child who got what he got from birth and will live where they are until they die with staff as their family.

To my parents who can’t give any more, choose your benefits.  They are there.  To my kids who are confused by their own behaviors and emotions, to my staffers who struggle to understand the value of their jobs, to you who feel more of the burdens than the benefits, to all of us, we are the same in this.  We are each other’s “people.”  We have this knowing.

Look around.  Gather strength and make your choices.

Question:  What has enabled your perspective?  What part came without effort and what part didn’t?  Please tell me your story.

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The Biopsychosocial-How-to Be a Friend to Yourself

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There is interplay between biological, psychological, and social issues that make us who we are.  You can work as a team not only  with your family, physicians, therapists, and whomever else is involved in your team approach to getting friendly with yourself – but you can also team up with yourself so to speak.

Think:

1.  Biology

Anything going on materially with my physical body?

Medical illnesses, temperament, sleep issues, diet, exercise, air, rash….

2.  Psychological

i.e., thoughts, emotions, and behaviors.

Things like lack of self-control, coping skills, catastrophizing, and negative thinking.

3.  Social

Such as socioeconomic status, culture, poverty, technology, and religion can influence health.

Think God, friends, marriage, parenting, work, unemployment….

We can do this not only with others who are here to help us, but also in our own thoughts.  We can start seeing ourselves as more than one part or another.  Separate and disconnected.  This might take some practice or it might be natural for you.  Just start wherever you are and run this through yourself.  When you’re stressed, break it down.  Take it apart to bring it back together.

Read more about this at “Forget About Divisions In Knowledge.”

Question:  How do you see the connections within yourself?  How has this played into your healing processes?  Please tell me your story.

Self-Care Tip #125 – See yourself as parts that make up your whole.  Be a friend to yourself.

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Listen To The Intention In What People Say

Self-Care Tip #107 – Listen to the intention in what other people say.  Be a friend to yourself.

Knowing when to stand up.  To speak out.  There’s so much said about letting things go that when we don’t, we can feel, if not see, the people pinching up inside.  “Uck!”  But that can’t always be good, keeping quiet.

Trying to connect is hard to do in silence.  It’s hard to do in sound too, if it doesn’t penetrate.  Connections are penetrating experiences.  They get inside and hook us.  They touch our simple selves and although foreign, don’t corrupt us.  That is the Love’s job – the cleanness of it.  We are touched but still clean because of Love.  Without it, getting touched can feel contaminating, dirty.

In an earlier blog post, “Criticize if You Love Me,” I spoke about the love it takes to deal with a problem, and not walk away.  The comments made the post bigger and better by highlighting how much courage it takes not only to give criticism, but also to receive it.  And more often, I was told about the pain people received from criticism.

There are 2 parts here.  The “Giver” and the “Taker.”  Giving criticism can be more about the person giving it than anything to do with the person receiving it.  It is in reality often an attempt by Giver to connect.  And when it doesn’t feel that way by Taker, it becomes disconnecting.

 

tele-smart.com

 

2 parts, remember?  Which ever side we are on, we have a choice.  We have a choice to connect.  Knowing something of the intention of Giver to connect must help that choice some, even when it doesn’t feel like what they are saying has anything good in it.

The real part of us is sacred.  Any contact to our simple selves is a privilege.  It is a privilege to both parties – Giver and Taker.  Both parties can be blessed and then in that exchange, Giver becomes Taker.

So think about what you want to say to someone you love and give.  Now, think about what you are hearing.  Take it.  And connect.

Question:  Do you find yourself on one side or another?  How do you connect?  Please tell me your story.

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Don’t Waste Your Time. Do Your Thing.

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Self-Care Tip #101 – Don’t waste your time if you don’t have to on things you aren’t good at.

Ben is almost 16 years old.  His parents are happy because he’s not as depressed, more interactive and more interested in connecting with others.  They came with him to see me.  Ben gets easily overwhelmed trying to tell me about himself and his parents often interject to help him out.

Ben’s parents are parents to admire.  Patient and clear-sighted regarding values and presence.  I’ve caught my breath more than once in the company of their comfortable regard and affection for their disabled children.  (Ben’s sister also suffers from mental retardation.)

During clinic, Ben struggled to tell me he was bothered and stressed by the school staff pressing him to learn things he didn’t care about.  He lost his words over the bits about how it related to his self-esteem and looked at him mom.

Mom told me Ben doesn’t care about some of the topics he’s taught and he gets sad and anxious when he thinks about it.  He’s embarrassed by it because he doesn’t finish as quickly as others and misses some of his lunch time.

I’m not a high school educator but I still told Mom and Dad that they can feel more confident advocating for Ben’s interests and needs with his teachers.  Ben will excel more in areas he is interested in.  He will find more pleasure in them.  He will be more empowered emotionally.  He will  be more ready for his adulthood needs.

The pressure many of us grew up with to be good at everything, is bogus.  We shouldn’t.  What we should do, is be good at what we are talented at.  We should be good at what we are interested in.  In fact, be shameless about it.  I spoke about this in the post “Do What You Were Designed to Do,” amongst others if you want to read more.

Ben with his parents looked at me with something of relief.  They had “permission” to do what they wanted.  The rest is mostly a waste of time.

Question:  What has opened you up to doing what you want to do in life?  What has that done for you?  Please tell me your story.

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Free to Be Accountable

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Self-Care Tip #97 – Protect your privilege to be accountable and your freedom of choice.  Be a friend to yourself.

Number Four on Bella’s List:

“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.  She was not so satisfied with being accountable for her children‘s behaviors.

Are parents accountable for their children’s behaviors?  That can be a question at the level of the law and a question of cultural moral values.  From a psychiatrists stand-point, is there a medical interplay?

A subspecialty in psychiatry is called consultation liaison, which is psychiatry for the medically ill and usually hospital based.  In this setting we often get asked is a patient has decision-making capacity.  I spoke about it briefly in the post, “Choose, Gladly, Using Resources.”  This is difference from competency, which is determined by the court. Decision-making capacity is a medical assessment of the patients ability to:

1.  understand:

  • their illness,
  • it’s consequences,
  • it’s relationship to their values

2.  manipulate their options,

 

3.  and communicate their decisions.

Can kids do that?  Medically it depends on their developmental level.  The court however has its own forum on that – I won’t try to go there as psychiatry isn’t law.

Another area in psychiatry where we decide that someone does not have the freedom to choose and we hold someone else accountable for them (called a “5150“) is when they are:

  • not able to provide for themselves food, shelter, clothing
  • a danger to themselves
  • danger to others

Are kids able to do these things?  From a medical perspective, it depends on their developmental level.  Deciding what we want for ourselves and for our children is a privilege for those who are able.  It is also a privilege for us who want it.  Freedom is not free, as they say.

Please watch City Councilman Joel Burns tell us about bullying and how we need to be accountable to each other: “It Gets Better.”  Completely amazing testimony and speech.  Cuts out all the b.s.

Question:  What do you think about our accountability to our children and to our community?

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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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Down With Guilt!

Down with guilt, I say!  Let that mighty tree be felled and burnt and each season that brings up new creepers into life again – let them be taken down!  Guilt!  How many times it has weakened us.  A sickness, that ebbs the energy and confuses the mind.  Often unrelated to deed or intent, in comes the uninvited guest.  As in Mansfield Park, guilt is our own Henry Crawford courting Fanny Price.  He may dress well – in church attire, in a business suit, or in a child who thinks she should spend more time with grandma.

Like lucifer’s apple, guilt brings knowledge that can’t be trusted.  Swallow it and you’ll be looking for fig leaves.  See if any good will come of guilt.  I dare you.  See when you plant it, what will grow.  See when you hide it, how you are tethered.  Let it educate you and notice that you grow smaller.

Today a friend asked me how things were.  I remembered yesterdays.  Wonderful with sunny emotions.  A collection of connected moments.  I wanted to say something about them.  I was looking in at a shop window.  Chocolates on the shelves behind the glass.  But remembering today, I was denied.

I yelled from my darkened face.  And then I yelled again.  That was the morning.  Then the kids went to school and I went to work.  What a way to walk.  I thought of this and out popped:

I yelled at the kids which I hated, but I don’t hate myself.

It even surprised me.  Saying that to my friend, let me realize that today wasn’t an all-or-none parenting moment.  Many earlier days that began much the same weren’t so forgiving.  And because I didn’t forgive myself so easy, I didn’t forgive others so easy.  The anger chases it’s ratty tail, you know until Guilt tires him out.

Because I didn’t spend the day guilty, the afternoon and evening had a chance.  Down with guilt!  Up with new chances!  Hooray!

Self Care Tip #68 – Take the new chance!  Be a friend to yourself.

Question:  How have new chances redeemed you?  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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Criticize if You Love Me.

On the receiving end of criticism.  Different from playing football or tag, no one wants to be chased, i.e. criticized.  If given the choice, which would you choose?  Chase vs. flee?  Humans can be a bit predatory when it comes to offering up feedback.

However, what I’m talking about has nothing to do with abuse.  Verbal emotional abuse is about unequal power.  Abuse of any kind, including spoken abuse, is scary, painful and shameful.

What I’m talking about is simply criticism.  You mismanage something at work and your boss, corrects you.  After coming home from that, tired and feeling beaten up, your children are picking on each other.  Then you get them in bed and find that you forgot to write-up a report and it has to be done.  Your spouse tells you that he misses his time with you.  

It takes a lot of love to deal with something.  Turns out, it’s much easier to let it go.  Walk away.  Examples of trying to promote criticism are the advertisements targeting parents to tell their kids not to use drugs.  It takes love to say no.  Loving yourself as well as love for someone else.  Kids who don’t get this feel neglected and confused.  Adults can also feel lost in so much impersonal space and act out just to get noticed.  Some people might call this “gamey.”  I just call it normal.  It’s a normal instinct to want the boundaries of someone who cares pressing around you.  It’s normal to feel adrift without knowing that you are worth somebody’s bother.

I say,

spare the rod and spoil the child

…at all levels.  At any age or station.  And further more, with your self-to-self included.  If you love yourself, you end up wanting to do and be better.  Coming from any direction, we can take it when we know we are loved.

The best part of Proverbs 12:24 is the second half,

but he who loves him is careful to discipline him.

So now, if given the choice, which would you choose?

Self Care Tip #56 – Bring it!  Take it!  Give it!  You are loved.  Be a friend to yourself.

Question:  Have you been criticized and known you were loved?  What’s 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.