Whenever You Are Unsure, Go Back To “Me” – Self Care as A Reference Point

Church

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I’m back to everything starts and ends with Me.  It is such a delight to spend time in that space that I can’t help myself.  It draws me.  In that space, I find hope for conflicts in my life, a plan I believe in, I am accountable but not destroyed by my mistakes, I am less lonely and more connected to others and to God.  In that space, I am more a part of my life and the lives of others than I ever was in the “lose yourself in service” philosophy I was more familiar with or any other philosophical approaches to quality of life.  But I dont’ know sometimes how to share that with those who are afraid of Me.  I don’t know.

For example, sometimes when I’m in church and see the excellent people around me, I wonder what they would think if they read this blog.  I wonder if I were given the mike, would they be in their seats for long.  I’d want them to be.  I am a teacher and I get a lot out of sharing this message.  I thrive on connection so I’d be blessed that way too.  There’s much more about how that would roll back to Me and I to them.

Self-care is a reference point for me in these questioning times as well.  “What is the friendly thing to do?” I ask myself, “for Me?”  During these times, in any environment that turns me into a bunch of uncertain questions, I go back to “Me.”  That is where God is, my support network, my family, my coping skills, my health, my books and favorite toys.  That is what I call Me; my home.

Questions:  How do you share your self-care with other “cultures”?  Are you afraid?  In what ways have you been effective in doing it?  When you have done this effectively, what did it do for you?  Please tell us your story.

Self-Care Tip – Whenever you are unsure, go back to Me.

If you’d like to read some more about this, see “Related Articles:”

Everything Starts and Ends With Me
Are You Empowered to Start Everything and End Everything With Me?
Emotions and Behaviors Will Get Better As You Heal.
The Relationship Between God and The Me In Self-Care
Self-Care Works You, Pushes You, Tires You Out Until You Are Happily Spent On Your Friend – You

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.

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.

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.

She Is Worth It, But Maybe Not Because Of What You Think

Woman in satin dress holding mirror

Image by George Eastman House via Flickr

She is worth it!

Have you said that? Half crazed from this-way-that-way behaviors, your battered psyche crawls out of the smoking heap from your most recent relationship collision. There are times when this is absurd to continue. But have you ever seen those people who crawl out smiling? Sure their eyes are rolling around on their face but they are smiling. That might be you too. And there’s a reason for it. However the reason may not be what you think.

She is worth it!

I’m not disputing “her” value in this admirable exchange that takes all your energy. But what I do dust off from the good “encounter” we just spoke of is that although she may be worth it, I propose that isn’t the reason you think it is. The reason is you.
You find pleasure in it because of what it does for you. You think you are worth it, and you are.

Even the Bible says,

We love because He loved me first. 1 John 4: 19

We love because of what it does for Me. God isn’t surprised by that or looking down His nose at our motivation. It sounds like He is actually embracing it – fully consented.
Remember when we talked about inevitable selfish motives, secondary gain and the absence of altruism in us? Is that an ugly thing about us? I don’t think so. It is what it is.

Now this does not evaporate the connection, the realness of the exchange between two, the value of the bond or its quality. See blog-post, Things Will Always Be About “Me.” It does nothing else but discuss the motivation. I believe understanding our motivation to remain in a relationship is important not to devalue it or value it differently, but to help us take care of our own selves.
She is worth it. That isn’t the question.

What can go wrong in our self-friendship when we think we are motivated by reasons outside of what is in it for Me? What do you think? I think it distracts us. It’s wasted energy and we don’t have enough to waste. Getting it right, puts energy into us. Getting it wrong, takes energy away.

Yesterday we talked about wanting to connect with someone who has character pathology. Any of us can say that this is hugely energy depleting at times. If we think we are doing this for any other reason than for ourselves, we will get “burned” much more often than we might if we understand that we choose, consented, freely and for ourselves. We will wear the victim-crown and die the death of worn out do-gooders who lived to do nothing really but bemoan their special suffering existence. See blog-post, Please Don’t Say “But.”

Self-Care Tip – Do things for yourself with self-knowledge.

Soaking him in

Evening friends. Or morning. Spent the day today and will tomorrow being present with the father of my children. Can’t give what we don’t have and I’m thankful, humbly, to say that I have love for him. That’s currency of sorts I suppose. There have been sad times for us when I didn’t have bank.
What has being a friend to yourself invested in you? Do you find love there? You were made for it. Blessings! 🙂
Self-Care Tip # I can’t remember! – Give to yourself love and friendship and you will find love and friendship where it dwells.

What Must I Do To Be Happy?

Today, I can’t get my thoughts away from the frolic in temperament-land.

Teacher, what must I do to be happy? 

Who hasn’t asked this?  I remember Nicodemus who asked Jesus,

Teacher, what must I do to be saved? 

A Certified Fresh logo.

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I bet he was wondering, too, about happiness.

I’m not equating happiness with salvation or morality.  I am saying this might have been a parcel of his question.  Happiness is an emotion per our language and cultural definition.  And we have enjoyed our path of discovery in seeing how emotions are tools we use to interpret the world around us.  They are not universal or constant between us.

After I read,

Individualism, a stronger predictor of well-being than wealth,

in R. Fischer, PhD’s Meta-Analysis of Well-Being, I followed my thoughts toward the Jungian Typology of Temperaments.  Remember our pasture and barn people?  The Jungian Typology of Temperaments is our playground where we have a wish-basket equipped with supplies to become any variation we might choose of what our design requests.  Read the article and you might follow a similar path of thought.  Or not.

In case you’re wondering, and per Dr. Q (who is a poor statistician so take this for what it’s worth,) a meta-analysis is a study of studies.  A meta-analysis brings together a number of studies that reflect a population of people and a methodology that is as objective as we can find.  We compare them and through the tools statistics and logic offer, we make a summary conclusion.

If you are familiar with the tomatometer on RottenTomatoes.com, you already have a sense of what a meta-analysis does.  (I love rottentomatoes.com.)  There is more power in the indexed findings of many studies than in just one study.  There is also more power in a fresh tomato than a rotten one.

Questions:

  1. Do you see happiness as something that reflects your condition of spirituality and/or your condition of brain health?  Why?
  2. What do you perceive brings you happiness?  Please tell me your story.

Presence – What is Turning In You?

How the pages turn slowly in life

Image by Nina Matthews Photography via Flickr

It’s summer break already and that means more Mom-time for the kids,… and a few other things.  But if there’s more Mom-time for the kids, we all know what there is more of for Mom.  These things come together and equal more spending-money-time combined with less work-time.  This can’t be without consequence.

I’m thinking stress, memory-makers, lots of kissing marshmellow-cheeks and tears to show.  Always tears.  The kids cry of course but if I do, its all,

Mom!  Oh NO!  Mom!  Stop crying!  Agh.  I can’t stand it when you do that!

Lots of exclamation points are involved.  I’m thinking this summer will have some of that because some days are stressful and painful.  Others are just too beautiful to leave unstained with tears to sign my name by.  Get ready kids!

Tonight, this is what I have.

I am licking my finger and turning a page.  I feel the book as the page slowly fights the air to pass over.  I haven’t seen the other side yet but the way the page lifts up and toward me, I know that this part is significant in itself.  Lick my finger, press it down and sweep up.  Up and passing over, just.  The page is turning and so are we.

Question:  What is turning in your life?

Self-Care Tip #280 – Pay attention to what is turning in you.

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.

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.

 

Self-Care Is Not A Moral Issue

Facial emotions.

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

Self-Care Tip #263 – Experience, use, observe and interpret emotions, but don’t moralize them.

We sometimes forget about the involved journey to a healthy Me.  Because of this, we become fearful that it means alone-care, apart-from-God-care, selfish-care, excluding experienced-and-professional-input-care and so on.  It’s not.  Self-care is collaborative, yet that doesn’t negate the fact that it must start and end with Me.

When we take care of “Me,” we can connect more with others, including God, have more inside of us to give to others, and have more interest in the world around.  The opposite disables our abilities to do those things.  No one can give what she doesn’t have.

We have this person, “Me,” to take care of.  This “Me” is valuable, of high priority, to be celebrated and cheered on.

Please, shake it off.  Self-care is not a moral issue.  It just is.  It is a choice, a freedom and an opportunity.  It is not about salvation and has no influence on our worth.  It just is.

We are more willing to buy into the, “It just is,” self-care tool when we understand where emotions and behaviors come from – the brain. This biological stance is the evidence for deescalating our drive to moralize emotions and behaviors.  They are not from an aura, a gear we can shift, or any nidus of control outside of our human bodies.  Emotions are how we interpret the world around us.  They are not linked to morality.  Please don’t take them to the pulpit.  If you do, I will still be polite, although breathing through a mask.

Emotions are our interpretive lens for our physical self.

Questions:  How’s the clarity of your lens holding out after considering this part of self-care?  What influence does what you “see” with your emotions have on your ability to befriend yourself?  Please tell me your story.

Self-Knowledge as a Step Toward Self-Care

Yesterday, we introduced self-care and today we continue with self-knowledge.

Knowledge, mural by Robert Lewis Reid. Second ...

PattyAnne came in knowing what she wanted.  She was sure she was struggling with ADHD.  She could not focus, she had difficulty connecting with others, and she was impulsive.  This was limiting her intimacy with 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.

PattyAnne is rich inside, dark chocolate, not white, aromatic and effectively affecting.  Being with her means being touched.  When PattyAnne is good, her fresh aura in our shared space is healing.  Many baffled by this wonder why, when she passes through, they feel so much better.

Consistent with this intensity, when PattyAnne is not good, whatever comes from her is chemical warfare, and we are not safe.  You can leave, but you will always leave touched. Any time with PattyAnne feels like either too much time or too little.  We are wanting: wanting more or wanting less, somehow with PattyAnne, we will never feel satisfied.

This is part of why PattyAnne projected confidence while self-diagnosing.  Her temperament and coping skills predisposed her to do it.  Self-diagnosis in her and others also happen because of fear, lack of trust in their medical provider or defensiveness per their feelings of inequality.

There are good things that come with self-diagnosis to consider.

  1. Self-diagnosis is always informative.  Always.
  2. Clinicians may use it as a tool to build trust.  When not put off by self-diagnosis, clinicians might recognize these opportunities.

The self-knowledge each of us has on either side of the patient-doctor relationship is not inherently dangerous, and consider the inverse.  Clinicians come to the room with their own self-diagnoses as designed by biases and countertransference.  And which clinician is not also a patient?  There is good with bad and we have a choice, as always, within stories within stories….

Patients and clinicians perceive self-knowledge, at least in part, as self-care, and we are right.  Like Dad says, “Knowledge is never wasted.”  How many times have clinicians asked why patients do not try to educate themselves about their disease?  To begrudge them for it is to deny the value of that process and what clinicians also do under the guise of a license to practice.

Any of us can imagine that for both parties, these types of encounters cost emotional and physical energy.  For PattyAnne, we have mentioned already that she came defensive.

For me, I regret the times when I did not own responsibility for my feelings.  When a patient self-diagnosed, I too quickly assumed mal-intent, personalized behaviors and missed my opportunity to benefit from the connection inherent in the patient-doctor relationship.  This is what I wanted to avoid with PattyAnne.

I celebrate, however, these past many months our work on FriendtoYourself.com.  I experience much more pleasure in my profession.  I am even more clinically effective by taking care of myself first; by being present with myself.  My self-care professionally mirrors my personal self-care in that when I am first able to be present with my own self, such as through writing and interacting with you, my online community, I can then be present with my patients.

…I thank you for teaching me and hope we share this exchange for a long time.

When I can be present, I do not have to moralize my perceptions of patients’ behaviors and feelings.  Self-care is not a moral issue.

In the following posts we will discuss more about these terms: presence, moralizing self-care, trust, and the patient-doctor relationship.

Self-Care Tip – Grow your self-knowledge and find what it offers you, in turn, when observing it in others.

Questions:  What has your experience been when you have gone to your clinician with self-knowledge?  How has gaining self-knowledge been a friendly thing to yourself?  Please tell me your story.

 

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.

Scheduled Intimacy – Mother’s Day: The Good and The Not So Good

Afghan women celebrate mother's day at a guest...

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Self-Care Tip #256 – Think about the good and the not so good on scheduled memory-maker days like today.

Questions:  What do you think scheduled intimacy has to offer you?  How do you manage to allow the not so good to come together with the good in your life?  Please tell me your story.

Just like any scheduled memory-maker, Mother’s Day brings the good and not so good.  And for most of us, we have some of both, even if just a little.

Yesterday, in the company of my three healthy children, I couldn’t help but notice the lady I sat beside was sniffling.  “Should I say something?  Should I not say something?

…Almost six years ago, my nine year-old niece suddenly died.  One week later I delivered my second child.

I don’t remember most of my daughter’s first year of life except a couple random things.  My sister-in-law, sitting alone on a rock just staring.  I remember her clothes, the weather during that moment, the texture of the rock, but I don’t remember nursing my baby.  I think this was still in the first month when I saw my sister-in-law on the rock.

We buried my niece’s ashes under a Jacaranda tree and it took forever for that tree to bloom.  I watched its skeleton month after month thinking, “This is terrible!  It needs to bloom!”  Isn’t that ridiculous?  And I remember my brother, red-eyed.  The lines on his face cut in deep.  He said,

I’m so glad you’re having this baby Sana.  It’s just what we need.  You remind us, this baby is reminding us that we are still alive.

The good and the not so good.

Of course I sensed what my brother was saying, but I still had a moment of hypervigilance when my body seemed to say, “What?!”

There was a lot of insecurity and emotional confusion that year but I don’t remember much more.  I believe my daughter  breast-fed, learned to sleep through the night, transitioned to solid foods and took her first steps.  But I don’t remember.

Namibie, une femme Himba et son enfant

Image via Wikipedia

Yesterday, I turned to the lady and asked,

Are you sad?  Is there something you are sad about?

More water-works.

I used to have a son.  I had a son.  He died.

The good and the not so good.

Right on schedule.  Mother’s Day came.  We knew it was going to happen.  And yet our bodies crack open, poorly defended.  Little our calendars did for our emotional preparation.

The lady grabbed my hands in further intimacy than I anticipated.  She told me her name but I wasn’t listening.  I was thinking about my niece, her sometimes blooming tree, my children around me; so much.  I was thinking about the good and the not so good on scheduled memory-maker days like today.

There is a coming together of our parceled selves that have been scattered to the east and to the west by the winds.  There is a coming together that this Mothers-Day, Christmas, Valentine’s or my nieces birthday, have on us and the process itself is bruising.  It is an opportunity to gather what we will or won’t.  It is an opportunity to be present with our changing selves.  In the tears, in my daughter’s crooked rainbow pictures and backwards letters,

bear mommy, i love yu….

In the grip of a stranger’s hands, in the company of our own Mom’s, wherever we find ourselves on these blue-lettered calendar days is where we have this

Hope all you moms had fun today!

Image via Wikipedia

opportunity to do some of the sometimes hard work to grow presence.   Without it, we will continue to change.  That can’t be stopped.  But with it, with our choice-making, with accepting the gift of our folding up of the space between our past and our present, if we hadn’t cried again for our loss, if we hadn’t we might not have remembered what has made us and who we are.  Changed.  Covered by Love.  Connected.  Doing what a friend would do for Me.

Tonight my daughter sits on my lap.  We are watching a blue-ray recording of Les Miserables (musical) Twenty-Fifth Anniversary touring production at the London’s Barbican Centre.  I am listening to an excellent tale of the good and the not so good in life.

To God, our Mother, today was scheduled and I thank you.

The Testimony of The White-Headed People – Connection and Aging

Once again, I find myself in a café.  This doesn’t happen often enough for me.  But here,Almond paste tart with chocolate mouse and blueberries

I am

at the wonderful le Croissant Bakery, indulging not only in the quiet of my private thoughts, not only in my delectable chocolate croissant with coffee, but also in the ambiance.

Here, there is this completely lovely group of white-headeds, maybe ten of them at a table, sharing the treasured community of each other.  None of them walk completely upright.  One is wearing his oxygen tubing with tank in tow.  The ladies are coiffed irregardless of their folding skin and thin hair.  Fruit tart

I am

so blessed to be in their community, testifying to me that aging doesn’t have to be done alone.  Flourless Chocolate cake with Ganache inside

I am

sure, 100% sure, that none of them are aging as they dreamed.  Each of them have outlived many loved ones and the ground they walk on has changed many many times.  They have, each of them, learned to walk again after suffering the type of loss that put’s any of us in bed.

I am

blessed.  This collection of café moments they have together does not account for these losses.  This does not resolve their ongoing conflicts or pain.

But none of them,

Almond paste tart with chocolate mouse and blueberries

I am

100% sure, did not let those things keep them from having this moment together today.

All this sureness without having checked my notes with them?  Yes.

I am.

Crumbs on a Plate

Image by rockbadger via Flickr

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

Image via Wikipedia

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.

Your Pain is Not Special. It Is Normal.

Self-Care Tip #243 – See yourself as special rather than your pain and know that you will find your normal again.

What is your normal?

When we were kids, we all had a perspective of what normal was.  Let’s say it was “here.”  Let’s imagine we were lovely then, nurtured and emotionally bonded.  We struggled through peer conflicts, social anxiety and rivalry.  We wanted a bike.

Two Sisters

Image via Wikipedia

Then we got a little older.  Maybe our parents divorced.  Maybe, a sibling died.  Maybe we were abused or in an accident and damaged.  Damage changes normal.  What we never would have thought would be acceptable in our lives became acceptable.  We suffered.  We lived.  Life was indiscriminate and ignored our status.  We think there must be a mistake.

What is our normal at one point, filtered through remaining hopes, grew into regenerating fantasies, through real potential and it moved again.  We are older now and more suffering comes.

Where is our normal?  We survive our child, our own dear perfect boy, hanging from a tree.  Normal?  No dear God!  No!  And we continue to live.

Two years.  Two years are what it takes for our biology to catch up to the shock.  Two years are what it takes for us to begin to accept and realize that in this new normal we care again.  We choose it in fact.

People don’t remember his name or talk about him and we can’t remember his eyes.  We are ashamed and lose our breath from panic just trying to see them.  We want to bang our head because we know there is something wrong about feeling normal! Ever! Again! after that.  But we do.

Our normal mutates over financial ruin, abandonment and a growing healthy list of disfiguring illnesses.  We accept them and say yes please.  Live.  We want to live.  This is acceptable.  This is normal.  Our friends die.  Our memory.  We can’t find our teeth.  Our heart stops.  We die and the world finds normal.  The world chooses just like we did.

What we don’t think will ever be allowed to happen while we brush hair, clip our nails and microwave food, happens. We endure these changes.  We find normal again.

What is your normal?

My brother, Vance Johnson MD, is a physical medicine and rehabilitation specialist.  He said that during his residency, close to 100% of spinal cord injury paralysis survivors he worked with wanted to die after their injury.  Many of them would beg him to let them die.  They would cuss at him for keeping them alive.

I leaned very heavily on the studies and data during those times.  It was very hard.

Vance said that what kept him faithful to his task was knowing that close to 100% of them after two years would be glad they were kept alive.

Even the ones who were basically breathing through a straw and that’s all that moved on them; even they wanted to live.  These people found a new normal.

Where is our normal?  We will want it.  We will adapt.  Biology will catch up to our reality.

Remember that your pain is not special.  You are special.  Not your pain.  Pain is normal.

Question:  When this happened to you, how did normal find you despite the rubble?  How does this concept feel to you, that your pain is not special?  Does it make you angry or what?  Please tell me your story.