Deliberately Setting Myself Up To Improve

dayspa-1

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Self-care is about improving life, not harm.  Even though it includes doing things we don’t enjoy and sometimes hurt, it doesn’t harm us.

That’s a useful meter-stick when we wonder about something in our life.  Is this harming us?  Including people.  Do I feel better about myself when I’m with them?  Do they help me become a better person?  A better friend to myself?  Or, do they turn me toward things that harm me?

When thinking about our days activities, our choice of employment, things we put in our body, put them by this “No-Harm Meter-Stick” and see how they measure.

A deliberate check-point in my life is consistent with a deliberate goal.  …”I want to be  healthy.  Is this improving my health?”  “I want to have good self-esteem.  Does this improve my self-esteem?”  And the journey is consistent with the beginning and the end.  If the goals for the moment isn’t consistent with our big picture goals than they might not be the goals we want.  Like putting substances in our body that feel good for the moment but harm our life.  There are innumerable examples of this but you get the picture.

Questions:  What checks you when you need it?  What has been useful to remind you in this area or that to be friendly to yourself?  Please tell us your story.

Self-Care Tip – Deliberately set up feedback in your life to let you know that you are a friend to yourself.

See blog-Post:  “You” Are The Best Gift

The Gift of Desperation

Life (23/365)

LIFE

Misty sounded relieved,

Yes.  That’s it.

She had just realized that life isn’t fair.  Sure.  She knew that before, but she just realized what she knew.  Don’t we all love that moment when our senses join up – sight, hearing, taste, touch, smell, emotion, intellect, spiritual and the rest.  That is a lot to coördinate after all and sometimes some of them don’t make the train.

Misty was a single mom of three.  Her ex-husband was what she called, “Disney-Dad,” and her kids relished their time with him.  Misty complained that she didn’t get to spend the special times with her kids.  She mainly took care of them, but missed out on irresponsible fun.  She was sure her kids wouldn’t look back and think of her like they would their father.  She was getting angrier about it all the time, ruminating about it and it was getting in the way of her ability to connect with others and feel pleasure.  There it was in front of her blocking her from seeing her kids even, let alone herself.

Then after weeks of this along with medication and talk therapy, she told me,

Yes.  That’s it.  Life is not fair.  There are many other things in my life that aren’t fair either and if I look for them, I could spend my whole day every day counting them off.  

It broke my heart a bit to hear her and see her there.  Humble like that; she would I think affect you the same way.  So real.

Yesterday, Carl D’Agostino replied to our post about growing our understanding of our choices beautifully.

…we wait until we are at our wit’s end before we seek assistance…. considering reaching out as personal failure or inadequacy re: our own self-esteem…. Foolishly we wait until our way just is not working anymore. That is why AA calls this a gift: the gift of desperation. …For many, the depths into which we have succumbed are now found not to be so deep at all and in fact, ladders are readily available if we use them in recovery. 

Ah Carl.  Say it again.

The gift of desperation.

Too good.  Don’t you think?

Questions:  Have you ever received the gift of desperation?  What did it bring you?  Where did it take you?  What did it do to you?  Do you still have it?  Please tell me your story.

Self-Care Tip – Celebrate your gift of desperation.

Why Psychiatry?

An American Lady butterfly against a cloud-fil...

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If we have ever seen a psychiatrist, then there has been some point in our lives when someone told us to go or we told ourselves.  I have some questions for you.

How did you hear about psychiatry?

What are your thoughts?

What did/do you understand?

Please tell me your story!

Self-Care Tip – Explore your connection with psychiatry.

Emotions – One Part of The Multi-Paradigm Weave That Makes Us Who We Are

Immanuel Kant developed his own version of the...

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Yesterday we spoke about the emotion, happiness, as it connects to and does not connect to spirituality.  Traditional western religions squirm  or  more, disagree when they hear this.  Everything is spiritual in their school of thought.  However, as our understanding of where emotions and behaviors come from, we have happily disentangled ourselves from the stigma and judgment that comes from the way many people have (mostly unwittingly and often without intended malice) abused us with mental illness.

I know that I have also been in this crowd of prejudiced.  Coming out of that has been fun.  There is still so much that I think I see clearly but don’t, as it is for us all.  The growth we’re talking about is part of the high adventure that brings pleasure to life.

To say it plainly:

  1. Emotions come from the brain.
  2. Emotions are not always directly chosen as we can’t directly choose the way our brain works.
  3. Emotions are what we use to interpret the world around us.
  4. Emotions don’t have intrinsic moral value.  Morality is bigger than the way we feel.
  5. Emotions are not constant between us.
  6. Emotions are a sense.  We’ve called them the Sixth Sense.  Senses are subjective and not objective.

How does this fit into your biopsychosocial model of how you see yourself?

Biology.  Psychology.  Socially.

How does it influence the way you befriend yourself?

How might this influence stigma surrounding emotional illness?

Emotions are just one of the many things that make us who we are.  Many many things.  As we tease these bits of ourselves apart, it is not the same as denying the multi-paradigm weave that makes us who we are.

Self-Care Tip – Enjoy your emotions but don’t put your life on them.

Paging A Testimony! Will A Testimony Please Call Back?

Swearing in 06
I ask five Questions 1.2.3.4.5.  
Will you give your testimony?

Q1:  What does being “a friend to yourself” mean to you in real-time life practice?

A1:

Q2:  What helps you do this at one time vs. another?

A2:

Q3:  What still hinders your efforts?

A3:

Q4:  What has pushed you past those barriers?

A4:

Lastly.

Q5:  How do you understand the interplay between biology and choice in being “a friend to yourself?”

A5:

P.S. – I had a hard time finding a picture for this!  I have no idea about who’s who and it took forever to find something that I think won’t trigger any political uprising amongst you fine readers…  But… if I didn’t, please don’t take me to the stand! (Bad humor wink.)

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.

In Mass and Individually, We Are Beautiful – Lady Gaga

Someone, who has experience fighting for her emotional and behavioral health, advised me to listen to Lady Gaga – Born This Way.  She said, “Don’t be scared by it!  Just listen!”

So I did.  And then I did again.  Her message is not, “Don’t stress out.  Don’t work hard.  Just be who you are.”  It is rather, “Figure out who you are and embrace that fully.”  By her own example, she tells us to work harder than anything else on embracing that.  Gaga says, love this unique self and respect it openly and privately.  She tells us that we are all beautiful in mass and individually.

So let us know what you think!  Is her message our message here at FriendtoYourself.com?  Are you uncomfortable with loving yourself so well?  Please tell me your story.

Emotions Are Contagious – Such as, Anxiety.

We are starting a narrative series on discussing where emotions and behaviors come from:

Anxiety bubbled, frothed and infused the air.  Yesenia could barely catch a breath.  Here’s the thing.  Yesenia is not in treatment with me.  Her husband, Rob, is.  Yet it was Yesenia who filled our space.  There was barely room for Rob and I to sit or speak with all that anxiety around.  Rob was breathing faster every moment and his face didn’t have much color.  …Where to start?

Unknown source

(What do you think? think?  think? echo echo echo…)

It was too early in our work together to expect Rob to know this, but emotions are contagious.  Anxiety is very contagious.  To say this another way we could say, the emotion of anxiety around us influences how our genes express themselves.  It is further explained by saying that my “patient” isn’t only Rob.  My patient includes the system he lives in, i.e. his home milieu, wife, kids, work and so forth.  But especially his wife.  Because of Yesenia’s untreated emotional disease, Rob’s emotional disease worsens.  The inverse is true as well and so we go round and round gaining momentum.  Like a big ball of hard packed snow gathering speed and girth as it rolls down the mountain, anxiety grows.  …Where to start?

(What do you think? think?  think? echo echo echo…)

Self-Care Tip #267 – When suffering from emotional illness, remembering that emotions are contagious (no matter who they come from) is useful to your self-care.

Questions:  How have you experienced the contagion of emotions?  or seen it play out in others?  Please tell me your story.

Trusting our Clinician, or Not

Free Fall Image

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I am writing a series of blog-posts outlining self-care in which we examine the tenets of self-care:

Introduction to self-care
self-knowledge 
presence 
moral neutrality
trust (Today’s topic)
patient-doctor relationship/connection

Question:  How do we trust ourselves when we choose to trust our clinicians?  What is your answer? Please tell me your thoughts.  These are some of mine.

…Enters experience, temperament, and personal self-care/readiness to practice of the clinician.

Self-care does.  Self-care is our tool.

The clinician living her own directives is university.  Going to work in a state of readiness is instructive.  At some level, her patient sees that self-care allows the clinician to go to work after personal needs have been attended to.  The clinician then is able to give over space in time, place and emotion and make room for her patient.  Who wants to go see someone for help but instead finds a clinician in role confusion?  The opposite can also be true.  The patient might mistake their own role and try to leave their real illnesses hidden, protected in the safety of their own expertise.

…Re-enters PattyAnne.  Remember her?

PattyAnne was pretty sure that getting an ADHD diagnosis would explain to the people she had hurt a better why for why she hurt them.  It would give PattyAnne a name for the chaos.  Having a diagnosis that comes from a figure of perceived authority, say a Doctor of Medicine, offers this.  It is like a judge who pronounces us innocent and another guilty.  This is not a bad or good motive.  It just is.  To want to get away from negatively perceived labels, is.

As a practitioner, it’s not simple to resist the lure of treatment, when it would be easy to make our patient happy.  It also takes a lot more time in patient education and building a trust relationship if we don’t agree with the patient’s self-diagnosis. Considering these pressures, many have wondered if the frequency of prescribing is affected by it.  For example, it is estimated that 73% of clinician visits for sore throats result in antibiotic prescriptions, but over 90% of sore throats don’t respond to antibiotics. (I know.  That’s robbery!  Those poor other patients who got nothing for their copays!  Not even a prescription!)

So in comes PattyAnne, diagnosis and treatment already in place. All she needs is my signature.

Being a patient is not always easy.  It improves some with insight or at least the ability to receive insight, a vulnerable pose, humility, courage, self-respect and so much more.  Maybe PattyAnne was thinking, “Oh boy.  Now I got this woman who doesn’t know that I’m ADHD!”

We have each other and begin the adventure of patient-doctor relationship, an alliance and a connection.

Self-Care Tip #264 – Trust to improve self-care, and take care of yourself to improve your trust.

It starts and ends with Me.

 

The Pleasure That Should Be Ours In Emotional Health

Cup of coffee with whipped cream

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Some time, I’d like to come back to our bullying series as there is still some help to be had for us.  However, today, my cherubs are asleep and it’s only seven PM.  My feet are up.  I’m sitting by lots of beauty colored in varied hues of sunset, shadow and dusk.  Tonight will be short.  I will let today end and indulge the coming together of these things.  (I am even drinking reheated coffee with lots of whipped cream!)

What I have thought of to share with you my friends, as I’ve enjoyed its friendly work on me today, is the pleasure that should be ours in emotional health.

Bad things will come.  We will have anger, lower communication and such.  We will wish we hadn’t pushed the call button on the phone by accident when yelling.  BUT.  But (“Mommy you said a potty word!”).  But it will pass.  It will not define our day or our perception of self.  We won’t catastrophize and we will trust ourselves to show love and mercy to Me in our weakness.  This is a pleasure to experience.  This is what comes when we have brain health.

If this is what has always been your reality, well great.  BUT.  But (“Mommy!  Why did you say that?).  But, many of us know what it is to crave for days when we can say that the blow-ups, outs and ins don’t blot out the sun.  They shouldn’t.  The pleasure comes with health.  Go for it!  You are worth it.  You were made to feel pleasure.

Questions:  When was it that you realized that your emotions and behaviors didn’t rule you or someone you love any more?  What did/does that mean to you?  Please tell me your story.

(Ah!  There goes the last of the sun and the trees are now silhouettes.)

Self-Care Tip #257 – Go for the pleasure of trusting yourself to respond with healthy emotions and behaviors.

Mental Illness Relapses When Medications Are Stopped

Free face of a child with eyes closed meditati...

Image by Pink Sherbet Photography via Flickr

Self-Care Tip #246 – Collaborate with your physician to change your medications.

It keeps happening.  People are stopping their medications and then getting more sick.  Recently it was Olivia.  I can always tell when she’s off medications – she personalizes things way more and she acts like a victim to many many random things.  She is irritable.

Olivia, did you stop your meds?

Olivia on medication was not a super easy-going person but she dropped much of the edge, her thoughts were clearer and she was able to see other people around her.  Today Olivia felt like her bullets were in place and about to fire.  She answered my question obliquely.

There are sooo many reasons I am better without those in me!   I used to not be able to feel God.  When I prayed, I didn’t sense His Spirit.  Besides, I’m doing fine.  There’s nothing wrong with me.  I’m happy!

The biggest bummer about getting into the scene after the medications were stopped verses before, when stopping them was just a consideration – is that the patient doesn’t see themselves clearly.  They don’t see how bad it’s gotten.  They can’t be objective largely because they are using the same organ that is ill to describe itself.  If I could have discussed it with her before she stopped her medication, she would have been in a healthier state and more able to weigh her risks and benefits of medication verses no medication.

Sometimes we do agree together, patient and physician, to stop medications and sometimes we don’t.  Doing it together is the key though.

Questions:  How do you work with someone who wants to come off their medication?  How about yourself?  Has this ever been a problem for you and if so, how did you deal with it?  Please tell me your story.

Self-Care Works You, Pushes You, Tires You Out Until You Are Happily Spent On Your Friend – You

two-girls-exercising-cayucos-beach2

Image by mikebaird via Flickr

What is being a friend to yourself?

Being a friend to yourself is more than getting our manicure, shopping, watching movies, being spontaneous and doing what we want.  In fact, often times, being a friend to yourself is not doing what we want.  Sounds great right?

Being a friend to yourself might be the hardest work you ever do.  For a time, it might feel like you are turning your back on your family, being selfish, sacrilegious and unfriendly.  You won’t get kudos from your support groups.  You won’t be noticed or hear thank-you very often.  I’m sure you can’t wait to hear the rest!  “Where can I sign up?”  Right?

Being a friend to yourself is taking accountability for our lives.  It says, everything starts and ends with Me.  It looks for accountability for our actions, our feelings, our health, our spirituality or connections in Me and not towards any external locus.

When we are a friend to ourselves, we don’t apologize and then say, “but….” We make amends for what we believe we are responsible for.  We do this without clarifying and justifying our behaviors.  We are not victims even though we may have been victimized, hurt, misused and forgotten.

Being a friend to yourself protects us against apperceiving that we are defined by anything we don’t choose.  Public opinion, stigma or even our pain does not define us. Our pain is not special. We are special.

We believe that we are freeFree to choose self-care.  Free not because of the men who died for our freedoms, not because of our behaviors or spending power, but we are free because we are human.  Being our own friend is a privilege that we can choose freely to exercise or not.  No one can make it happen except Me.  Just like no one can make me love you or demand a gift because of the inherent freedom within them.  These things happen only because we believe in them, won over by Love.

We become our own advocate, admirer and treasure of high value.

When we are a friend to ourselves, we don’t deny our history but we claim the freedom to start over any time.  The history does not define us.  We are more than actions good or bad.  We have an essence that is timeless and unchanged by the ravages of illness or misuse.

Being a friend to yourself means caring for the specifics of your body, your simple needs that lead to complex outcomes.  Your exercise, your sleep, your diet, water and air are all worth fighting for.  These things you do for yourself become your currency.  You find that the better friend you are to yourself, the better you become for others.

At this new place of safety for you, where you give less, you give more to those you love.  You discover the mystery that no one can give what she doesn’t have.  Just like any bank, we deposit and withdraw and must protect our basic assets before we are taken over and lose the freedoms because we were poor managers of this one body that God gave us.

Everyone pull out your wallets and please empty them on the desk.  How much do you have?  How far will that take you?  Do you ever go a little crazy wondering where you will get more?

Now imagine that this is your body.  You have these assets; this currency.  Currency like your energy, positive emotions, interest, motivation.  You have bank when you can move around, walk, and muscles to lift your child, this vision to admire her new dress.  This is money, this beauty that you offer your significant other, your body, and your shape.

Now you are giving to your children.  Up in the night when they wake up and you can’t sleep afterwards.  You skip exercise the next day, in fact, why even talk about it.  You haven’t exercised in a year or more.  It’s been really hard when your body is either pregnant or recovering from pregnancy over the past seven years.

You never lost the weight and for some reason, now that you want to, your body is firmly telling you, “No.”  You don’t care enough about not having had sex with your husband in four months, but it does bother you that he uses porn so much.  You don’t talk about it.  You’re too tired.

Your child now develops eczema.  She’s nervous and complains of stomach-ache often.  She cries a lot and you can’t remember the last time you enjoyed being with her or any of your kids.  No doubt.  You do love them.  That’s what all this is about, right?  You are sacrificing everything for them and would do it again.  They are your life and when they move out in 15 years, you’re moving with them.  Husband or no husband.  What else do you have?  You aren’t even interested in anything to want to do anything else besides bleed yourself for them.

You can see that this story isn’t anyone’s fantasy.  But can you see that the mother-character – she’s not very nice.  She is not nice to herself and not that nice to anyone else either.  Even though many people are on her list of party invites, she is not connected much to any of them.  You can bet that her family enjoys her about as much as she enjoys herself.  She is angry with them for this but doesn’t realize that she feels ashamed by it more than angry.  Betrayed.

Now enters the victim-role this mother plays.  Oh boy.  I know.  You probably don’t want to hear about it.  It hurts just to start in like this, huh?  So let’s not.  Let’s draw another picture.

Look at your wallets again.  Now how do you get what you need to keep it full?  How do you get what you want to give and splurge on the ones you love?  Where does all that money come from?

Work.  You said it sisters.  And so this is you.  You are a mother of how many?  Three?  Two?  Who do you live with?  What are your jobs at home and elsewhere?  How much of that can you do if you don’t have energy?  Motivation?  Interest?

Oh but you do.  You take care of your basic needs.  You exercise even when your kids are pulling on your sweat pants all the way out the door to the gym.  You don’t get up for your kids at night as quick.  You let them cry it out or do what ever it takes for them to get themselves back to bed.  You take medication if you must to get back to sleep after you are awoken.  You practice sleep hygiene and although you miss, you desperately miss having spontaneous late night TV, you don’t.  You go to bed.  Recently you lost twenty pounds and you are working all your resources to keep it off.  You can’t believe how hard it is to keep off even though you can barely believe how fantastic it feels every day without that weight.

You take your medication because you understand that emotions and behaviors come from the brain.  When you used to not feel pleasure, it wasn’t because you didn’t want to, try to, pray to.  It was because the symptoms from the condition of your brain health were emotions and behaviors in the down direction.  And thank goodness!  Now when you see your kids, you not only love them, you like them.  Sometimes it takes your breath away.  You just can’t believe that you didn’t feel this before.  You like your kids.

I can go on.  But I think you get it.  No one can give what you don’t have.  Now show me your wallets.  Put whatever you took out back in.  Not much?  No worries.  You are your own friend and will take care of yourself.

I know I’m making it sound like being a friend to yourself isn’t that fun.  Having fun isn’t the agenda of friendship.  The agenda is doing what is positive for your friend.  It is some of the hardest work you’ve ever done.  It means connecting with others because you know it is good for you – even though you are shaking, nervous or just plain don’t want to.  It means going out to find love when love doesn’t find you.  It is hard!  It isn’t necessarily doing what is smooth and easy, although sometimes it may be.

Self-care is a discipline of action, presence or whatever is called for by you, your friend.  It takes your natural genius, the things that came to you without working, and it uses those to steer your energies.  It uses those to tell you where you will be working like a mad-dog at times to find the most pleasure and be the most productive, have the most service to offer, be connected in the most intimate way with those you love – God and man.

Self-care is not for the people who need it.  It is for those who want it.  If you don’t want it, stop listening and be on your way.

Questions:  What is called for by you, your friend, to do?  What has pushed you, worked you, tired you out until you were happily spent on caring for your friend, you?  Please tell me your story.

Sleep Does Not Lose As Gracefully As He Lets Us Think

Cougar sleep

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Self-Care Tip #244 – Sleep when the day is over, and play another time.  Be a friend to yourself.

Sometimes it is hard to let the day end.  Michael told me that he was having trouble sleeping.  I asked him to tell me more and heard him describe fun-filled hours of movies, computer, phone-calls and late-night snacks that were disturbing his sleep-initiation.  Just listening to him, I felt a yearning catch spark in me to have the freedom to be spontaneous again.  You might know what I mean.

The opportunities to be spontaneous have shrunken up as our choices have brought us expanding fillers for time, attention, money, energy, emotion, personal resources and magic.  It is no wonder that letting the day end meets reluctance.  Those last few hours that sleep called shot-gun for are ours with less fist than big brother used to stage.  Sleep doesn’t put up much fight …at first.  At first, it concedes to us.  It lifts it’s chin casually until given turn.  However, much like the loan shark, sleep will never go unpaid.  It will take it’s due.  Maybe just not tonight.  Maybe you won’t hear about it until later.  And there are no promises that it won’t take by force, from one part or another of our body, our brain, our beauty, our emotions – debts are not forgotten here.

Michael says, as if he were the victim here,

It takes most people about thirty minutes to fall asleep.  But me!  It takes me hours to.  

We started talking about sleep hygiene and Michael just wasn’t interested.  I asked him to simply read about it and just see what he thought he might be able to start with.  One change maybe that he thought was tolerable.

These negotiations are sometimes best when the patient feels like they came up with the idea.  Michael is going to read about this and hopefully become his own advocate.  He will hopefully “sell” it to himself with the information both from facts but also from experience.  It’s no accident that Costco sets up samples at ever turn of their superstore.  Nor that we can never seem to leave without spending at least $100 in cash – not credit!  Cash!  (Argh.)  Maybe Michael will sample and decide to sleep rather than play at night.  He might have to “taste it” to believe and choose for himself.

Spontaneity will always lure us, dangle her jangly jewelry, give her side-ways glance and make us long for those midnight hours to open up in playful company.  However, sleep is not as gracious as it seems.  Don’t be fooled.

Question:  Do you consider sleep hygiene important to self-care and why?  How do you see it related to you being a friend to yourself?  Please tell me your story.

Interrogatives of Self-Care

Cover of "The Elephant's Child"

Cover of The Elephants Child

Poem by Rudyard Kipling

following the story “Elephant’s Child” in “Just So Stories


I keep six honest serving-men
(They taught me all I knew);
Their names are What and Why and When
And How and Where and Who.
I send them over land and sea,
I send them east and west;
But after they have worked for me,
I give them all a rest.

I let them rest from nine till five,
For I am busy then,
As well as breakfast, lunch, and tea,
For they are hungry men.
But different folk have different views;
I know a person small
She keeps ten million serving-men,
Who get no rest at all!
She sends em abroad on her own affairs,
From the second she opens her eyes
One million Hows, Two million Wheres,
And seven million Whys!

Self-Care Tip #233 – Define self-care with your adverbs.

The Interrogative adverbs of self-care:  what, where, when, why, who and how.  These are also known as The “Five W’s” (and one H) of self-care ;).

What is self-care?

Where?

When do we do self-care?

Why do self-care?

Who?

How do we do self-care?

I asked my daughter today,

M:  What does taking care of yourself mean?

D:  Taking care of myself so I’m healthy and can have fun when I’m old.

M:  How do you do that?

D:  I don’t know.  I can’t think of that.  (Conversation ends without flourish.)

These are our questions.

Questions:  Please pick one or more of these and answer from your own self.  Please tell me your story.

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.

When Things Get Heated, Remember to Ask Your Friend’s Opinion. You.

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Self-Care Tip #237 – When things get heated, get a second opinion with your friend.

What would my friend say?

When in question, ask.  And who is the friend we are referred to here?  The “Me.”

This is a great check point to give ourselves.  Things get heated between her and him, she gets a second opinion.

Barbara had read this blog and tucked something of its fabric away in her blended space between conscious and sub.  Then one day, while zoning out listening to her husband yell and criticize her, she saw herself.  It was as if she split into the participating Barbara and the observing Barbara.  The participating Barbara suddenly didn’t feel so alone.  The word, or more the concept of “friend” came to mind and she put it together.

Now generally when she is in a situation that hurts and bewilders her, she is remembering to ask her friend what she should do.  Asking used to take longer, but now it comes to mind as quickly as the thought of consulting an intimate partner would.

What would my friend say?

Things weren’t peaceful yet in her life, but just asking her friend what she would do has helped Barbara a lot.  Barbara explained to me that if she were with a girlfriend, say Sally, and Sally gets worked over by her husband, Barbara wouldn’t have any problem thinking of what Sally should do about taking care of herself.  Barbara says that being her own friend is almost the same.

And then for me, it clicked.  I can ask my friend.

What should I do?

Question:  When getting hurt by someone, how can you get friendly with yourself in the moment?  Please tell me your story.

Participate – Work as Part of A Team With Your Medical Providers

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Self-Care Tip – Work as part of a team with your medical providers.

Today I had the pleasure of speaking with managing editor of the Journal of Participatory Medicine (JoPM,) Kathleen O’Malley.  Ms. O’Malley spoke to me about the effort they are making in this online journal to collaborate the work between patients and physicians.  Ultimately, their goal is to eliminate the barriers that keep us each from seeking to learn from the other’s perspective and knowledge.  She tells me that,

We are a team.

When my brother Vance’s baby was born, she was damaged and premature, so tiny and needed help to live.  Now, one year later, I am playing ball with her on the floor.  Her intelligent smile, thriving body and especially the lovely nape of her neck with that baby-curl of hair lipping up makes remembering her near death-dive into life surreal.  I don’t really want to remember it anyway.  But when I cannot help myself, what I like to think of is how my brother and sister-in-law were treated.

The physicians at UCSD were unbelievable.  Vance told me, with somewhat pressured speech from his amazement, how they, without hesitation, included him in their daily decision-making and informed him of any medical study results.  In case you don’t know, in case you have never been sick or been in a medical setting otherwise, this does not always happen.

I know I am guilty of this too.  Hovering over charts, hiding laboratory results, many of us practitioners behave as if our patients were at any moment going to throw us into court.  It is embarrassing, even though the truth is, too many of us physicians are stalked by litigious intentions, whilst the hoards of truly awful practitioners seem to sail away on unsinkable malpractice without pursuit.

Ms. O’Malley and the JoPM are working with all of us to put the bows, arrows, guns and weaponry down and take two steps back.  It is Thanksgiving-day every day there (I call Pocahontas!  I look good with brades.) and at the safe-place that this journal offers, we can learn from each other.  We can collaborate.  We can be vulnerable and not be preyed upon.   We can be sick, we can teach, we can simply observe and hope that like my niece, in time, we will find ourselves growing up in health and love more so because of it.

Please take a gander over to JoPM.  Say hi to Ms. O’Malley.  Read some of the stories from patients and physicians.  Comment if you will and participate for self-care.  It is your right.  You are free to choose.

Questions:  When you have had, or been proxy to (as I was with my niece), a spectacular patient-doctor exchange – what made it so great?  How did you “participate?”  How did participating make a difference for you v. “being mere passengers?”  Please tell me your story.

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The Patient-Doctor Relationship And Self-Care

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Self-Care Tip – Explore self-care in ways where you do have choice, including healthy alliances with your connections.

PattyAnne came in knowing what she wanted.  She was sure she was struggling with ADHD because she could not focus, she had difficulty connecting with others and she was impulsive.  This was limiting her intimacy and ability to love and be loved by the people she wanted in her life.  PattyAnne had read about ADHD and was relieved thinking that taking a stimulant would improve her that much.

Getting ADHD as a diagnosis would explain to the people she would hurt why she hurt them.  It would give PattyAnne a name for the chaos that followed her or preceded her – she could not tell which.  Having a diagnosis that comes from a figure of perceived authority, say a Doctor of Medicine, offers this.  It is much like a judge who pronounces us innocent and another guilty.  This is not a bad or good motive.  It just is.  It is natural, as far as I can tell, to want to get away from implied or direct negatively perceived labels.

As a practitioner, it is not that easy to resist the lure of treatment when it would be so easy to make our patient happy.  It also takes a lot more time in patient education and building a trust relationship if we don’t agree with the patient’s self-diagnosis.  These pressures are real for any practitioner and many have wondered if the frequency of prescribing is affected by it.  For example, it is estimated that 73% of doctor visits for sore throats result in antibiotic prescriptions, but over 90% of sore throats do not respond to antibiotics.   (I know.  That is robbery!  Those poor other patients who got nothing for their copays!  Not even a prescription!)

So in comes PattyAnne, diagnosis and treatment already in place, all she thinks she needs is my signature.  It is not easy to be a patient.  Being a patient is a hard job in fact.  It requires at least some insight or the ability to receive insight, a vulnerable pose, humility, courage, self-respect and so much more.  Maybe PattyAnne was thinking, “Oh boy.  Now I got this woman who does not know that I’m ADHD!”

We have each other and begin the adventure of doctor-patient relationship, an alliance and a connection.

Questions:   What does a doctor-patient relationship mean to you?  How do you see your involvement in choice and control inside of it?  Please tell me your story.

 

Guilt Furiously Chasing You Is Commonly Experienced In Illnesses Of The Brain

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Self-Care Tip #221 – If you feel chased down by guilt, stop running and get friendly with yourself.

I’m so busy!  I am trying to work, raise three kids, and be a wife!  …and I’m just spread so thin!

It was new for Connie to think that where she was at in life was linked with her choices.  Somehow she intuitively felt taken along by it all, a current of life as people say, of either randomness or design.  Who could know, but it was more than her choices, she was sure, and she resented the influence on her life’s design.  Not that she had intended on taking over what was playing on her.  She just simmered in the house of cards hoping that when she got to make a play of her own, she’d make a good one and come out better for it.  In the mean time, she just had to keep moving fast.

Things would have been fine, except that over the past six months, she hadn’t been enjoying what she was living for, her kids, parenting, being a wife or her employment.  Yes, she was also  living for God but no, she wasn’t enjoying Him either.  Did she want to?  Did she feel guilty about it?

I feel guilty all the time.  It’s the guilt that gets to me.  It’s like I can’t see or feel much else.  Just when I think I’m about to get into what I’m doing, guilt comes chasing at me in a fury!  Distracting me and worrying me.  I’m on edge more and irritable from feeling defensive, and trying to get away from whatever this is.

Connie looked at me when I said,

Self-care begins and starts with “Me.”  Although we may be living for others and other things, even living for God, if we don’t take care of ourselves, our health first, our emotions and behavioral health included, we can’t give much, in the way of living, to those others.

I could see her pupils change and I got a little excited.  She was hearing something that affected her whole body and I sensed it was hope.  (See, I am an Emotions Jedi.)

We talked more about approaches she was using, prayer/meditation, exercise, grit and determination, waiting it out for better days to come and others.  Then I introduced the medical paradigm.  (You’ve heard me say it.)

Behaviors and emotions come from the brain.  We culturally think that they are volitional, under our control.  But how much can we really control of what the brain does?  Some.  But when we do the best we can with what we can control, and our behaviors and emotions are still hurting us, affecting our quality of life, damaging our relationships and connections – we need to look for biological reasons.  That’s where choice can still come into play.

She was looking and nodding.  This was at her “consideration stage” of introducing these new ideas.  I said,

I thought of telling you about this when you talked about guilt Connie because maybe your guilt is coming because of a brain illness.  It’s common in several emotional illnesses, like depression or anxiety, and in these illnesses it commonly comes in force, like you’ve described.

Her pupils had reduced to their earlier size, and her posture said she was winding down for that visit.  Whatever we discussed after that would be low yield, so we made a follow-up appointment and called it a day.

These days later, remembering Connie gets me thinking about what I would have said if she had been available to still hear more.  This bit about freedom to choose self-care, yet saying we have little to do with how our brain works can get confusing.  It might seem contradictory.  Tomorrow, I’m going to discuss it more, but for today, it would be wonderful to hear what you think.

Questions:  With behaviors and emotions coming from a material biological organ, the brain, yet knowing that we are free to choose for our self-care, what gives?  How do these ideas jive?  How have you seen it play out in your life?  Please tell me your story.

Self-Care Is About More Than “Me”

Self-Care Tip #208 – If for no other reason, get friendly with yourself simply to survive and you’ll see what that means later.

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It is not unusual to think of “selfish-care” when we hear “self-care.”  I can imagine children gripping their mother’s skirts more tightly, husbands pulling their helpmate’s hands away from this influence, church-folk sniffing over rejections to service-calls or friends personalizing the way their phone doesn’t ring as much as it used to.  This is a natural response, although it is a false perception.  Think – feeling suffocated by her penance, he’s wearing a martyr’s cross or she’s giving to us from victimhood.  Those are the times we would rather not receive the gifts of time, person or anything dripping with that kind of guilt and implied debt. This kind of service comes from someone impoverished, giving on credit.

I’ve been known to say, “We can’t give what we don’t have.”  Or as Jasmine said,

You can’t give someone a ride if you’re all out of gas!

So when is self-care selfish?  To be true to what self-care is, I’d say almost never.  However, because the question comes from such an intuitive fear in any of us, “never” can’t be an entirely fair answer.  To answer it best though, we need to turn it over and go back to trying to discover why we wanted self-care first.  What brought us here?  Jacqui said it well in yesterday’s post-comments:

Ditto about ‘self-care boot camp’. I may steal that one. You’ve given me permission to be selfish if need be. It’s all about self-preservation.

Sometimes we are reduced to self-preservation.  It has an intensity to it, a survival mode of live or die, which may be appropriate to a desperate condition in life.   Many of us know what that feels like.  So in this context, self-care is in part about survival.  Alright.  But is survival a selfish need?  Are we worth that little?  Does the life in us hold value only at that level?

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You hear the clomping my words are making and can follow that I answer, no.  Survival has far reaching significance.  I matter.  You matter.  We have value beyond our own selves and Me booting up to live better also ripples over those same infinite number of connections.

I am confident that if for no other reason than getting friendly with yourself simply to survive, you will still see at least some of what more that means later.  Self-care is about more than Me.

Question:  When do you think self-care is selfish?  Why do you think self-care is not?  Please tell me your story.