Children Youth and Family

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The Spider Sat Down Beside Her – Mental Illness

Self-Care Tip #178 – Find your courage and answer to stigma.

The Little Miss Muffet scenario explained by D...

Image via Wikipedia

Something as simple as taking pills can sabotage us.  The act of putting it in our mouths signifies all sorts of things from religion, to freedom, to personal identity and beyond; even someone who is trustworthy versus not.  Pill – take away her children.  No pill – could be president.  Pill – discredit whatever he says.  No pill – worth listening to.

Martha is a mother of four lovely girls.  Her husband is divorcing her and she wonders what he will do in the process.  She’s been depressed in the past and anxious with a history of panic attacks.  She took two years to get over them using breathing exercises and other therapies. She didn’t use medication.  I don’t need to tell you what her husband thought of meds or of her during that time.  It was a miserable time for her.

Now, during this new stressful time, she has relapsed in mood and anxiety problems and is terrified that if her husband finds out, he’ll take the kids.  Martha sees mental illness as a bullying tool for anyone to dump her over.  Little Miss Muffet is a story she often has compared to her situation.  The spider is the mental illness she feels is dangled over her to her demise.  Martha is bullied and scared away.

Taking pills makes me feel like I’m crazy!

Note: it’s a type of crazy she interprets as being something different from the crazy of mental illness.  For Martha, the crazy that comes with medication therapy is more sinister and discrediting than the worst experience of terror any of us have ever gone through, i.e. panic attacks.

Every day, we who take medication for emotional illness have to answer to those accusations.  We contend with the fingers pointing our way, the jeering in our memory of loved ones and the boxed presumptions we find ourselves in.

This may sound a little dramatic to some out there, although familiar.  To others, it is an understatement of what they courageously confront to take care of themselves.  Each of us must come up with our own answers and find our own courage.

Martha finally decided on medication treatment and within two days she was amazed to find that she could eat without throwing up and no longer felt anxious.  She still insisted that taking medication was only temporary but getting a pill dispenser had helped her get past some of her daily battle with stigma.  She just opened the lid and poured the pills into her palm, threw them back and swallowed without looking.  Martha found it easier not to dispense each pill each day out of each bottle.  It was also easier for her to keep this information secure in the confines of our office.  For Martha, for now, this was how she answered.

Question:  How do you answer to stigma?  How do you maintain your sense of freedom when other forces tell you that you are not free?  Please tell me your story.

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Remember Love to Feel Bigger Than Your Self

A Mothers Love. The Hand of a Child.

Image by Steve Rhode via Flickr

Self-Care Tip #175 – Remember Love.

Yesterday was my son’s birthday and today we partied over him.

How old are you?

He looks at his fingers and sees how many come up before he answers,

Four.  I’m four!

Right now, he feels really big.  He blows his lid if anyone says otherwise.  And because he’s never been above the bottom twentieth percentile on the growth curve, and because he’s four years old and the youngest of three, and because he’s so small, when he says, “I’m big!” looking serious over, yet under you with his bottle cap eyes, it’s really hard to keep straight.  But more often I do …until he loudly says,

I love you the whole day, Mommy!  The whole day!  You are my friend!

Then it’s over for me.  I can’t stay off of him.  He’s just too beautiful.  His open forwardness humbles me and I remember that it’s Love that makes us great.  It’s Love that brings us to our knees.  It’s Love, more than this stack of years, inches and knowledge that makes my son bigger than me when I forget Love.  He doesn’t.  He’s just too small to.  Four years of Love is big.

Questions:  What has helped you remember Love lately?  What has made you feel bigger than your own self?  Please tell me your story.

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“He’s Never Hit Me.” Abuse.

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

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

Mar de Emociones / Emotional Landscapes

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

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

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

Do you feel good about yourself when you are together?

Do you feel scared?

Do you feel like you have choices?

Do you have effective boundaries; observed boundaries?

Do you say, “No,” and are heard?

Do you have a balance of power?

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

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

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

“I am abused.”

Alex said,

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

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

Call 911 if she feels unsafe.

Record him.

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

Get a restraining order.

…And other things.

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

Alex said,

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

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

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

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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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The Paradox

On my mind today are the unfortunate kids I have seen in clinic. One in particular whom I have treated for several years. I now realize the horror of his situation. I’m angry at myself because I have treated him for this long and didn’t realize till last week in clinic that he was being trafficked. I now understand that other kids I work with are also. He’s suffering emotional neglect in his home. It looks like his family despises him. Last week I told his Mom that I wouldn’t see them again in clinic if she didn’t go to parenting classes. I’ve also been recommending regularly that he go to a group home until things get better. I finally heard the reason that for years, she has refused. She said, “If he goes to a group home, we’re going to be homeless.” Ouch. She and hers are living on the government support they get for “taking care” of him.

Upset, I told my husband about this form of child trafficking and he said he’s seen something similar in his profession. Whole families become homeless once their mother (government supported), dies. They don’t want her to die. It’s not the same though similar. It would be more similar if they were neglecting or abusing their mother while “taking care” of her through the dying process. That probably happens too in other families.

To make matters more complicated, I found out from my nurse, that now the government requires the families to pay part of the group home placement to offset the costs. And if CPS is called, they just ignore it. She cited one case when CPS was called 13 times, each time stating that there was insufficient evidence. Apparently the funding to CPS has also been cut down significantly.

Today in my son’s church school after collecting offering, the teacher prayed, “May this money go to help all the children who need You around the world.” I found my prayers were for these people. A handful of coins and dollars to help. And prayer.

My husband‘s friend, Emilio Russ, quit his work a couple of years ago and went to the Philippines to fight child trafficking. He started a home and school for those prostituted and enslaved kids – “My Refuge House.” When he came back with his pregnant wife and 3 kids, he didn’t have a job. But they were uncomplaining and loud mouthed with praise and hope. Many months later, my husband’s friend has a job and those kids in the Philippines still have their home and school. Wow!

Madeline L’Engle, says that we’ve forgotten how to walk on water. I’ve seen skeeters do it and I don’t think it’s that many steps away from me being able to do it. But I’ve forgotten how somehow.

“Madeleine L’Engle understands that real art is only created when the artist gets out of the way and allows himself to be worked through, which, paradoxically, requires work on the artist’s part.”

— AIDAN GRANO

These states of horrible suffering call for something amazing to happen. All great work, even on our own selves allows for what I call magic. Magic of letting go, but at the same time giving all your passion and muscle. I am angry at myself for not seeing what is around me. I think in this case, that is the beginning or maybe the continuation of something magical in me. I plan on getting my water feet yet.

Self Care Tip #15 – Embrace the paradox. Be a friend to yourself.