Education

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Planning helps, even on vacation

A boy in a children's swimming pool.

A boy in a children’s swimming pool. (Photo credit: Wikipedia)

It is amazing how little time there is to write when living through a day as perfectly uncomplicated as string cheese, reading books and guarding the swimming pool.  In between this higher living, I have been thinking and thunking about what we will say to the university folk about psychiatry, but it has been as if space got in the way of clear thought.

I took a nap, but when I awoke, although rested, there it was.  The space and timelessness of no schedule plugged up whatever clever thoughts were waiting to come.  It was like those expensive tires that patch themselves when you ride your bike over a nail.  I imagine there is green foamy stuff all over my brain, stopping up holes where super thoughts might have tried to pass through.  And before it could be clearly grasped that this was not accidental, that these thoughts were wanted, indeed solicited and not hot air, wouldn’t you know it!  The day is over and I am flattened.

And so for tomorrow I am planning, rather than hoping.  I plan to write.  And I know when too!  And it will not disallow the necessary open space.  I will write and have my space with it.  My cake and eat it, you know, or some other sort of adage to explain that planning can enhance and add much flavor to the space of time around us.

Self-Care Tip:  Plan for what you want to do.

Question:  How does planning improve or diminish your space?  Please tell us your story.

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Do you like yourself? Come Join Our Workshop.

Please join us!

Do you want to be empowered?

aware of your freedom?

have more to offer others?

and do you want to like yourself while you do it?  Do you like yourself?

A series of Thursday-Night Workshops

  • Thursday, February 9
  • Thursday, February 16
  • Thursday, February 23

Workshop and Q&A:  6:00 pm to 7:00 pm

Workshop Address:
River Springs Charter School, Murrieta Campus
Recreation Room
41862 Kalmia Street
Murrieta CA 92562-8825

Registration

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Reworking Choices With Your Physician as Part of Your Team

What do you want? 

It is one of my challenges as a physician when someone comes to see me for reasons I’m not able to accommodate.  I can’t validate them.  I can’t tell them what they want to hear.

What can I do?  Help them “realize” that they came to see me for another reason.  Another way to say it is to help them “choose” another agenda.  A part of them realizes their need for help; they came.  A part of them believes I am a person that can help; they came.  A part of them.  A part that I and the patient are responsible to find and shift agendas deliberately or by any wiles possible.

Hands touching

Image via Wikipedia

We are an unusual team in this.  How often do you find another so awkwardly paired?  Yet these are some of my best patient-doctor relationships.

What do you want?

When there is a meeting up, a connection and everyone is working for the same “want,” both presence and movement are natural responses.  It’s like we’re standing still in the moment, senses taking it in, and moving all the while.  The process of moving itself brings pleasure and healing.  It is not always about arriving.  It is not always what we think we want.

Self-Care Tip – Enjoy your re-choices and what you will get from them.

Questions:  Have you every found yourself being “helped” to have a different agenda that improved your presence and movement in your personal journey?  Please tell us your story.

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Use What You Know – It Will Help You Know Yourself Better And Be a Guide For Your Future Efforts

The Forbidden Kingdom

Image by Gandalf. via Flickr

Some of the best encouragement I got was from my sister-in-law who writes, CretingBrains.com. She said,

Sana, you know a lot! When you start writing, you’ll see. It will come to you. You won’t believe how much you have to say.

Now when I get stuck, when no words come, I remember this, the panic ebbs away and I start to write.  I increased my listening skills …to myself, to hear myself.  It’s a terrible thing to live, loud background noise, but not learning how to become the main voice  of your own journey.  The knowledge base, emotions, energies and passive efforts although acquainted with each other never merge into rhythm.

Just write what you know.

I learned more to trust myself.  In fact, I became a better physician.

However, before this, I studied. I studied and I studied and got worked really hard, but I got the knowledge base that I have and I gained part of my platform.  I got a lot.

I share my sister’s words with others.

Just write what you know.

I’m not done.  I shudder to think about being done.  It feels like death.   However by writing, it stretches my movements.  It reminds me of those martial arts movies that show all the kicks and jumps and climbing air as if moments could be shaped differently.

That is my experience, but any of us have something worth saying.  We have our suffering at least.  Everyone has some of that.

My six year-old was asking me about writing a blog.  I’m sure she’s tired of watching me at the keys and figures she’ll join me if she can’t get me otherwise.  I asked her what she’d write about and she said,

I have nothing to say Mommy!

Just write what you think, I said.

I have nothing to say!

Just write what you feel, I said.

And then my daughter found her words.

One!  I’m lonely!  Two!  I feel left out!  Three!  I’m sad!  Four!  I’m happy!

She is a fierce creation.  She is, like me, “A big ‘F.”  (F stands for feeler in the language of temperaments.)  At age six, she has much to write about.  I remembered my sisters words,

…you’ll see. It will come to you. You won’t believe how much you have to say.  Just write what you know.

We all have something to say and for many of us, saying it increases our sense of presence with ourselves, our connections with others and inherent to the design of writing freestyle, guides us into the space of what we enjoy.  That space can be evasive and for some of us, it takes practice and increased skill to find it.  But here is an exercise in being friendly with ourselves.  Not many of us would spend this kind of time on things that bore us, things we feel awkward with, things that erode our self-confidence or increase incongruence with our inner-self.  When we write freestyle, we let our genetic self speak.  It can be used as a guide to clarify our talents and interests as per our design.

I hope I never forget how compelling my daughter was with her,

One! I’m lonely!…

That is a lot to say.  There’s a lot there worth hearing as well.

Go toward your interests and you’ll be writing what you know.  If writing isn’t in your design, something else is that will join you up with your personal journey, grow your sense of presence, connect you to others and serve as a guide to clarify your talents per the design you were created to be.  Go toward it.  You won’t believe how much you’ve already stored up.  You are treasure.

Self-Care Tip – Use what you know by using your temperament as your guide. Keep on.

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To Catch What People Throw At You, Give a Little or You’ll Drop It

Football: Jets-v-Eagles, Sep 2009 - 16

Image by Ed Yourdon via Flickr

Sometimes it doesn’t serve us well to follow our instincts.

When I was little, I don’t know, maybe nine, I remember one of the many times Dad tried to teach me how to throw and catch a football on our front lawn, under the huge tree that seemed to always block me. Dad had played college-ball on scholarship at Duke University where he promptly blew out his knee; one of the many orthopedic problems he’s known. However, he still had his arm and his gentle way of making me feel like he really enjoyed lopping the ball over short distances with me and my awkward hands.

Catch the ball right here, into your arm like you’d cradle a baby.

Nobody needs to try that many times before learning that footballs are hard and pointy and hurt a lot when we catch them wrong. Purposefully putting my body in front of that spinning high-speed object didn’t feel safe.

Get in there and watch it the whole way make contact with you as you catch it.

My eyes were still shut when he said that. I was trying not to cry but I was pretty sure my fingers were going to look differently when I opened them.

Here came more less obvious instruction,

Let your arms and hands give a little, while you catch, closing down on the ball as you let it push you.

People throw all sorts of things at us in the space between “me and thee.” It can hurt to catch and even physically damaging. But counterintuitively, we need to catch like we are cradling a baby, get in there, and give way a little.

This isn’t always advisable but it refers to opportunities to practice presence. Not every interpersonal moment is such an opportunity. Nor will each true opportunity be received naturally or effectively. Those will improve with practice, or perhaps coaching or medical intervention.

The other day, Frida told me with some self-satisfaction about the long hoped for day when she stayed with her daughter during her daughter’s anger, rather than escaping. She gave space for her daughter to throw her pain around. Frida cradled her in her personal space long enough to receive and throw back. For Frida, what she threw back was the next effort of growth. That day we celebrated the presence she was able to offer her daughter and herself.

Now get in there Frida, let it come into you. Give way to some of the momentum or you’ll drop it, and cradle what you catch.

For Frida to do this, she owned her choice to find the presence and to do the work to gain the skill. As I am a medical physician of the brain, you might guess we worked on her illnesses. Frida stayed, received her presence in the company of her daughter – and we celebrated.

Self-Care Tip #284 – Give way to some of the momentum and cradle what you want to be present with.

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Sucking Up to the Boss May Move You Up and Keep You Healthy

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Choice and Biology – Where Emotions and Behaviors Come From

Three Legged Race

Image via Wikipedia

I left the light on outside, waiting for my husband to come home.  He was gone, though, to a meeting and wouldn’t be back until Friday.  Some bit of automatic thought current made me flip the light switch and before I realized what I’d done, I flushed.

My husband’s eyes aren’t good and he doesn’t see well without a light.  I can.  I don’t “see” so to speak, but somehow I know where things are and can find my way in the dark.  I’m not a bobcat.  I just remember the way things look by the emotions I felt around them.  This is what was happening that night.

I flipped the switch and there he was.  Walking toward the door.  Distracted.  Fitting his key; almost home.  This was all in the moment that it took me to feel happy and then disappointed remembering he was away.

I turned the light off then because I’m not daft.  But it made me think about what sets our behaviors and emotions in motion.  In that moment, finger to the switch, up, anticipation and disappointment – in that moment, I didn’t choose what happened by the cultural definition of choice.  I responded to patterns that many choices I’d made before had laid down.  Tracks in my brain, hedged and maintained by recurring choices, along with design; my emotions and behaviors also an expression of my temperament.  These moved with each other.  But were they moving along the way we generally think of them, like a three-legged race?

Who was leading who?  Trip.  Get up!

One, two, one, two.  Step.  Step.  Step.  Step.  

And in that moment, my layers of choices were counting out with my biology, “One, two!”  There I was, participant and audience.

When we think about where emotions and behaviors come from, culturally we view them as if they are awkwardly related.  As if biology and choice are tied together at the ankles, about to trip each other up.  We call out to them, hoping somehow they might not show the public how little they know of each other’s rhythms.

But you can see the ridiculousness of this.  Choice and biology are in no way separate.  Design forbids it.  The question of where emotions and behaviors come from in itself reveals our confusion.  They come from the same place.

I can hear the concern that this eliminates free-will.  Answer …”But why?”

After these thoughts that night, I turned the light back on.  I preferred how I felt when I thought my husband might arrive soon.  I chose I guess.  What else could I do?

Questions:  What does it mean to you to fuse choice and biology in the discussion of emotions and behaviors?  How does your culture view this?  Does this affect the way you care for yourself?

Self-Care Tip #282 – Don’t deny the choice available to you to feel and behave as you wish, where that wish surfaced from and the tools you use to make them.

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Me! Where Emotions and Behaviors Come From

steps 15

Image by Erik - parked in Cairo these days via Flickr

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!  (Today’s Post)

What we have covered so far in our series is that we know 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.  Yesterday we reviewed our biopsychosocial model as a tool for further understanding where our emotions and behaviors come from.

Self-Care Tip #272 – If you are ever unsure about where your emotions and behaviors are coming from, it is always safe and true enough to say, “Me.”

Where do emotions and behaviors come from?

Me.

For example:  Me <–> Emotions Shared <–> Me <–> Emotions Hidden <–> Me <–> small conscious self and BIG unconscious self <–> Me <–> Biological, Psychological, Social selves <–> Me… round and round, starting and ending and starting with Me.

Rob and Yesenia were both breathing hard.  Rob was pale and Yesenia flushed.  Where to start?  With Me.  This is what I shared with them both.

Put your spouse down and take three steps back!  Own your own self.  Take care of your own self.  In the process, you will be able to pick each other up again and share love.

Questions:  What are you holding, carrying, using to explain where your emotions and behaviors come from?  How have you been able to put those down and hold yourself?  Please tell me your story.

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Choose The Learning and The Teaching You do, and That is Done To You: Patient-Doctor relationship

I'll Give You All I Can...

Self-Care Tip – Choose the learning and the teaching you do, and not be passive to it, when in your patient-doctor relationship.

Hearing a physician tell us when we can and cannot take medications is somewhat private.  In our culture in our “advanced” and liberated age it isn’t so easy to feel handled like that.  But feeling handled verses helped is our choice.  It is all the more reason to dig in our fears and see what scares us.  If what we find there is that our fear is playing into keeping us from receiving this information, and decide actively if that is really in our best interest.  Emotion has it’s own activity, different from a muscle in our arm.  When we respond to the emotion, and especially if we respond before we do this kind of digging into the fear, we might not actually be doing protective behavior, like our fear would have us believe.

We have talked a bit in previous blog-posts about the patient-doctor relationship being a team effort.  It quickly became apparent that some of us don’t perceive that we have the luxury of working with a physician who see’s their patient as a person to learn from and influence their treatment decisions.  But it is still important to know that this exchange is critical for us and then to let that knowledge progress to a wanting in us to have this dynamic relationship with our physician.  The knowledge and the wanting will have their way in us and in our communities subsequently.  We do not know how long that will take but it will happen.

The marvelous scientist, Deb Roy, from MIT talked about his research on language development.  It was of course extremely endearing as it began with his work with his own infant baby and hooked us both by the intimacy of it and the marvelous discoveries.  Then after we were oohing and ah’ing (most appropriately because this is AWESOME stuff!) he moved us into our cities and media and showed us with his data and eloquence that in order for learning to happen, the professor and the student, the sales rep and the client, the physician and the patient, the parent and the child, both learn and teach simultaneously.  Whether it is subconscious or conscious.  The baby teaches the parent to teach him better and the parent learns this from the baby.   The physician teaches the patient and the patient teaches the physician to teach him better.

Both roles of instructor and student you see requires humility to learn and teach.  They both push into private spaces of the other.  Without consent, either conscious consent or subconscious consent must be there, it will not happen.  So this is consensual, even when we do not realize it.

Now what do you think the friendly thing is for us to do for ourselves, considering this growth in our knowledge?

Of course.  We will be more effective if we embrace this knowingly, willingly, humbly.  Move this learning process from the subconscious to the conscious level.  Make it as deliberate as possible.  For both physician and patient, this is good self-care.  Accept that when we engage in a patient-doctor relationship, we are giving that other person admittance, by our will and choice, admittance to that private space inside of us and not feel the victim when they enter.

Questions:  How has feeling like a victim sabotaged your patient-doctor relationship?  How have you worked past it in a positive way for both of you?  Please tell me your story.

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Being A Student… To Yourself!

Montmartre

Image by John Althouse Cohen via Flickr

Self-Care Tip #240 – Be a student to yourself.

The PossAbilities Triathlon today was the best.  It was the first triathlon for my young niece.  Doing it with her made it so much more than just a triathlon.  She is someone who works hard on what she loves.

Her father, who is my brother Vance, and I had more time to chat today, thanks to my niece’s excellent pacing.  Vance is a natural teacher as well and he’s been practicing on me our whole lives together.  The fact that we are old now doesn’t change the dynamics much and I think we are both just fine with that.

Today we talked about teaching directly.  Vance said,

To teach well, first you have to understand what their fears are, and waylay them.  Then you inspire, but you can’t inspire until the fears are examined at some level and trust grows.

Isn’t that lovely?  So my question for us today, is how do we do this for ourselves?  Sure, we want to be humble students as well as educators in the teams we work with involving others.  However, reducing this to the basics of self-care, we finger the idea that this can start right here, where things start and end with “Me.”

Understand our fears and let them lose their power over us.  Then spend our time and energy on what inspires us.  This is how we can teach ourselves and learn from ourselves!  What a delight.

Questions:  What do you think about the idea of being a good teacher to yourself?  Is it ridiculous?  Arrogant?  Possible or not?  How do you teach yourself?  Is it the same as a “doctor-heal-thyself” trap, or as described in this bl0g-post, “teacher teach thyself?”  Is there still self-care potential in this, despite its obvious limitations?  Please tell me your story.

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What Is Your Most Core Desire? That Is Self-Care

It's a Business Doing Pleasure

Image via Wikipedia

Self-Care Tip #191 – Do what you desire to get friendly with yourself.

What is your most core desire?  I am learning more about mine.

I wonder at the improvement in my quality of life since blogging with you.  It is More than the pleasure of writing; which I do love and have missed for years.  It is More than the pleasure of being productive; a natural high for my temperament.  It is More than the self-care tips listed off that roll back; a tide of all that is sent out comes in again to wash over me and change the shape of my life.

This morning I ran into a newer friend.  We came into each other’s lives, catalyzed by the ingredient that this blog provided.  I am sure I would not previously have allowed myself the pleasure of speaking with her for long without it.  My temperament has always been a driving force that pushes me into “the barn.”  I often miss the journey for the end.  This is “The More” that has been given to me.  Connection.

Now people actually look different.  Despite years of medical education, years of psychotherapy and my years of life, I never saw people to the extent that I do now.  Each of us here for a time with our stories, our pearls to offer and each of us with our essence to share for eternity.  It is one more time for me when I am open-eyed, open-mouthed gawking at the thought of “The More” that is still coming.  Better than this.

Think of your most core desire; what you are driven toward by biology, genes and higher intelligence.  What has given you access to that?  Now think about how to go for More.  That is self-care.

Question:  Oh, you know what I’m going to ask…

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There is Less Space Between Emotions And Science Than We Think

The supermassive black holes are all that rema...

Image via Wikipedia

Self-Care Tip #147 – Bridge the gap between emotions and science.  Be a friend to yourself.

She had been through a lot – Aimee.  Lost her baby brother to medical disease.  Was in a stressful marriage and didn’t like her work.  There was more but you get the drift.  She found herself thinking that things would be different if things had been different.

Would they?

Readers, I am referring specifically to her medical condition.  Not to the fact that the universe is different because her brother died.

Madeleine L’Engle talked about death affecting the whole universe.  She compared it to the death of a star.  In death, the star creates a hole in space dark and large, enough so that the absence of it has its own gravitational force, a “black hole.”  L’Engle says that when any part of creation dies, we are all touched.  Life knows and the absence of that bit of creation leaves the surviving universe changed forever.

Aimee wasn’t talking about that.  Aimee thought her emotional illness was largely secondary to her life stressors.  Because this influenced Aimee’s choices regarding her medical treatment, I had to tell her no.  Gently.  It was hard for her to hear.  “Aimee, your sadness you feel now, four years after your brother’s death, your isolation and amotivation, your low sex drive, your difficulty feeling pleasure in other things, your sleepiness during the day – these things are not because you have suffered your brother’s death, nor because your marriage is hard.”

There are times when directly saying things is the more gentle approach.  No one going through what Aimee is going through wants to hear about how I feel about it.  Yuck.  There’s not much that is slimier than going to someone for objective feedback and getting their emotions and personal opinions all over you.

Aimee left saying she understood and with a new medical treatment for the medical illness propagating emotional and behavioral symptoms in her.  We’ll see if she did some days from now.  But what about you?  Do you believe that her emotions and behaviors were secondary to medical illness?

Readers, life stress will continue to happen.  What may change is how we respond to it.  If our response does change and it isn’t serving us or others well we need to think that we might not be interpreting how we feel objectively.  We might be having changes to our biology that “taste like chicken.”  It helps to get a physician’s opinion – someone who sees behavior as more than the spirit, the abstract, the puppet of our volition.

Question:  How do you bridge the seemingly abysmal distance between emotions and science?  Please tell me your story.

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It Might Be Your Brain

How are you feeling? If it’s not good, it might not be “you.” It might be your brain.

When you don’t feel good, look at what’s happening inside.  Think about where feelings come from.  It’s hard to use your brain to think about your brain.  (Read more at “Basic but Effective.”)  But what to do?  Doctor Dolittle‘s pushmi-pullyu’s might have been able to tell us something of our missed opportunities by not having two heads and two brains.  (Unfortunately they’re extinct!)

Feeling bad, irritable, guilty, sad, like everything is flat, nervous, emotions that are out of proportion or inappropriate to the situation or trigger?  These feelings might have nothing to do with “you” and everything to do with your brain.  At some point if you get tired of beating yourself for the holes in your purse, if you don’t understand why things feel the way they do, if you want to rest, think medical.

Fred came in with his father, hiding himself in his shirt, in his father’s shirt, like a mouse who couldn’t find his hole.  The teacher from his special education class came in to help give history and told me about everyone’s efforts to bring him out.  Skinny, Fred preferred not to eat in front of people.  He started shaking in strange situations and climaxed into a tantrum if pushed to transition too quickly.  He was vulnerable to physical contact and avoided anyone touching him.  When he was really upset, he banged his head so hard that he had to wear a helmet.  When I asked his parents if they thought he was anxious, they said no.  No he wasn’t nervous his teacher said.  Hmm.

I told Fred’s parents.  I restated to Fred’s teacher.  I just said back to them the story they had just told me.  I told them about Fred and asked them what they thought.  After hearing Fred’s story again, did they think Fred might be behaving this way because he was suffering on the inside?  

We can’t give what we don’t have.  Asking Fred to come out and play so to speak, wasn’t something he had to give yet.

After treatment takes effect, then Fred will be able to pull his head out of his shirt and he will do it without being asked to.  It doesn’t do any good for Fred or anyone else to push him to do behavioral changes if he simply can’t.  Fred is not a pushmi-pullyu.  He has no spare brain to offer when the other is ill.

I told Fred’s father that I thought Fred was suffering inside.  Something in his father clicked.  He teared up and nodded and said “Yes!  He is suffering.”  That meant a lot to Dad.  To know that much about his son.  To know that what had confounded him for so long came from somewhere.  It had a name.  This thing might be treated.  Fred might suffer less.

Self-Care Tip #76 – If you don’t feel good, think about your brain.  Be a friend to yourself.

Question: Do you every feel like you expect yourself to give what you don’t have?  Please tell me your story.

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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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Do What You Were Designed to Do

Animation of the structure of a section of DNA...

Image via Wikipedia

Nike made it popular.  But did we ever take it and run with it?  “Just do it!”  My girlfriend and I were having lunch together and the topic about our life’s profession came up.  She is bored in her work and would like to get into something more creative and artistic.  In an ideal world, maybe she’d think, “Just do it!” and find congruence with her inner self “just” like that.

However, taking action isn’t only about energy, interest, boredom.  But what is it?  What is it that makes one person take action and another think about it and move on?

One answer has to do with hard wiring.  Some temperaments find that thinking about it is almost as good as doing it.  Imagining what they would have done pretty much satisfies their drive.  Others find that taking action that leads to completion, decisions, just doing “It”, feels like boxes, closing in, closed doors.  They feel separation anxiety just imagining the distance growing between them and their beloved Options.  For these people, maybe the perspective of “Just do it” should be different from our cultural definition.  For them, doing it may mean doing what they do best – grazing their ideas, options, journey.  They are best at playing through life so to speak.

Western culture measures work generally by the opposite of this, although the truth is, our life’s work is what we were designed to do and be best at.  What looks like play to someone is in fact “good work” for another.  What looks like work to another, looks like something they’d rather jump over a cliff than do.

If we want to really get something done in life, we will do best taking inventory of what we bring to life with us.

I haven’t touched on other reasons why many of us do or don’t take action to completion.  Things that have to do with different pathologies.  I’ve only talked about one paradigm of hard-wiring, genetics.  This paradigm is crucial though.  It permeates all others as it is about our architecture.

Self Care Tip # 44 – Just do what you were made to do.  Be a friend to yourself.

Question – What do you think?  Have you noticed this concept at play in yourself or others?

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Be Aware

Cover of "The Psychology of Gratitude (Se...

Cover via Amazon

We’re sitting at the piano practicing.  She is smart, reading for a year already, beautiful in a way that scares me at times, has advantages that surround her just because.  She isn’t thinking of these things though.  She thinks about the things she is not.  She says, “I can’t do that.  I don’t know how.”  She is not thankful just now about her opportunities.

I wondered, as I was sitting at the piano, if success and gratitude are collaborators.

Gratitude should not be conceived just in terms of a particular relationship. Gratitude is a philosophical emotion. It is, in a phrase, seeing the bigger picture.  …And so viewed, being grateful for one’s whole life is not a “grateful to whom?” question so much as it is a matter of being aware of one’s whole life, being reflective in a way that most of us are not, most of the time.

-Robert Emmons and Michael McCullough, The Psychology of Gratitude

Seems like a little much to expect out of a 5 year-old?  Maybe, maybe not.  But it definitely is if her parent isn’t practicing awareness, reflection, gratitude.

We will have more success in our life’s ambitions if we practice gratitude.  This much I will do and maybe, my little girl will learn to see herself differently too.

Self Care Tip #30 – Be aware.  Be a friend to yourself.

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Journey

“Mumford, The screenplay by Lawrence Kasdan, describes Henry Follet, a man who is living in his fantasies.  The superior problem isn’t that he’s living in his fantasies however.  It is that he has never been a character in them.  They only included other people.  At some point he gets more connected to his own journey, which is when he started appearing in his fantasies.  Or one could say his fantasies became his reality.

Connecting to our journey is multidirectional.  It includes the folding and opening of time.  Someone asked me why I started this blog.  I told him one of the reasons is that so much of what made me who I am was shelved when I went to medical school and then had children.  Time is folding for me when I write now, connecting me here to where this writing-self was last seen then.

When avoiding crucial work, it is as if a broken person’s bits of self are walking their different directions.  There is a divorce and the kids….  What does the father do?  Five years later he is still trying to get the courage to ask them to love him again.  Relapsing negative relationships, and she found herself again with someone abusive.  Overweight, and still buying and bringing binge-foods home.

As Will Rogers said,

When you find yourself in a hole, the first thing to do is stop digging.

Lately I’ve enjoyed my journey more since I stopped breaking traffic laws.  Exhale.  Now I can relax when I’m driving and think, pray, listen to podcasts, be with myself.

Immaterial things like our hopes can both connect us and disconnect us.  When a thought like, “I wish I did…” comes, when employment is more a job than an interest, when anger flares often – look at times like this as opportunities to find your path.  I found that this yearning in me was really a portal for my fantasies to come through and join me.

Self Care Tip #29 – Take your opportunity.  Be a friend to yourself.

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Good News

Many people see needing to take medication as bad news. But I think about what it would be like without it. Suicide, progressive deteriorating processes in the brain biology, contagious behaviors and moods spreading to those you love, inflammation…. That is bad news. I think about the not so many years ago before most of our medications existed. Before much of our understanding about the brain biology was around. Those times were hard. Misinformed people had ugly ways of looking at others with emotional illnesses. Hearing someone thump out their opinions on the pulpit about human behavior has always been a pleasure for me as well – not! Now we know that our essence isn’t dependent on our brain biology.

But here we are, in the land of milk and honey, depressed economy and all. We have a more informed public opinion (check out NAMI – awesome!), evidenced based medications, etc…. More than ever before in our history, the responsibility to take care of ourselves comes down to us as individuals. The external barriers to treatment are not what they used to be. However, what are the internal barriers? We own our choices. Our beliefs are our own. Letting yourself close off to the good news of medication – that is a tragedy.

Now is the time to fight for yourself. You are worth it. When you see the difference in your life, your perspective on good news and bad news might change a little too. Even public opinion starts with the individual.

Self Care Tip #22 – Be your own advocate. Be a friend to yourself.