presence

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Discover Your Sweetness – Value, That is To Say

English: Casimiroa edulis, White sapote fruit ...

Image via Wikipedia

My kids look at fruit as if they are inspecting a diamond for flaws.

Is this a good one Mommy? 

My daughter was pointing at a blemish that comes from fruit grown outside in dirt and not genetically engineered.

My huffing sounds are barred by something almost like maturity, just in time.  I pick up a different White Sapote with broken skin and beak marks where it is half eaten by whoever got there first.

After spitting out the seeds, I remembered bits of my filthy self as a daddy-chasing kid.  The words dusted off and important to me again, I heard Dad say,

Pick the fruit that the birds have pecked at.  They know what’s good better than we do.  Here Sana.  Take this one.  This is really sweet.

The fruit turning in my daughter’s hand, the cast-offs still in the basket, her anxiety about finding the best and my dad’s words came at me like the sounds between Broadway and 42nd Street.  And out walked Jean.

Jean was a patient I had known, particular to me despite common problems.

Abuse since at least my daughter’s age or younger.  Neglect.  Disgusting trauma survived.

Jean who, after getting picked on for the first thirty years of her life, came to me, insisting on living.  She resisted being a White Sapote in a bowl on the counter, inspected by passerbys.  Her community had tried to declare her value, her second chances and hoped to cast her off.

Pick the fruit that the birds have pecked at.  They know what’s good better than we do.  Here Sana.  

Jean’s face was in my memory.  Her white scar on her black skin shocked me; a large keloid.

Take this one.  This is really sweet.

I gave my daughter a squeeze and told her what Papa had said.  I’m so glad my daughter reminded me about this in we who have been hurt.  (Okay.  That’s all of us, see it or not.)  The way Jean grew, looked for light, the courage she answered to, the newness that came out of used up and shabbiness – Jean was teaching me about value.

Even when we are not behaving well, when we don’t look good and when we drop the market price, we have value.  Somehow, being chosen for life is more important than being chosen to suffer.  I wish I could explain why and how better but it’s just something each of us will have to experience for ourselves.  We will have to in humility and wisdom, like Jean’s or my dad’s wisdom, find the sweetness in Me.

Questions:  What is it about you that is particularly sweet?  Do you perceive your value?  Per what measure or qualifier? Please tell us your story.

Self-Care Tip:  Discover your sweetness.  Be a friend to yourself

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How Your Indulgence Improves Your Friendship With Yourself

Ann Morgan Guilbert as Grandma Yetta.

Image via Wikipedia

I remembered my grandma’s hair today.  She had this little vanity.  Used to roll it up at night and put her net over.  In the morning she was careful about it.

She had good hair.  In her 80’s it was still pretty full and it was white.  Really white like forgiveness.  Something about it carried a message.  “Here is a woman who has beauty.”

When my grandfather died, I am told that there were men who wanted to marry her.  Men with farms, a business or something to offer.  Grandma, when she thought the time was right, would introduce them to her four sons.  Big sons, with big bones and the quietness from working in the inconsiderate conditions of nature and element.  Sons who had a father once but lost him, like a ring that slips off your finger in the water without you knowing it was gone.  Worse than that.

It’s important to have a message when you live under working conditions, where horrors happen.  A little sister burns to death in front of you.  Your finger gets twisted off in a washing machine like a bottle cap.  You canned.  Canning was never a hobby for Grandma but I never had the sense that she disliked it.

What made Grandma’s hair stand out so for me and my brothers was that it was her indulgence.  Why an old woman with no teeth, in a wooden farm-house sleeping next to a man she didn’t marry for love, (although she loved him), would roll her hair every night as if she was going to have family pictures in the morning – just has to make you smile.

She used to leave her dentures in a cup of water by her bed and her mouth would leak a little when they weren’t in.  How good her kisses were.  I’m glad I didn’t know to think they were gross.  Even when Grandma got really old, smelled like medicine and her rotting insides, I didn’t think so.

Mom would go in and roll Grandma’s hair for her because her fingers turned at odd angles.  She couldn’t do her hair and she couldn’t play piano.   Later, when moved into a nursing facility, there was a beauty contest.  My mom found out about it and enrolled my grandma without her knowing.  She told Mom afterward that she won because of her hair.  I had never heard Grandma talk about her hair like that, even though the rest of us had, and my brother’s and I laughed until we cried.  And then we cried some more.

Question:  What is your indulgence?  What is the message in it from your secret self out to the world? What does it bring to your ability to be your own friend.  Please tell me your story.

Self-Care Tip – Celebrate your indulgence, acknowledge its message about you and see what it brings to your ability to be your own friend.

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When To See A Psychiatrist

Singer Brandy Norwood in September 16, 2010.

Even car accidents happen for “good reasons!”

Wanda didn’t want to hear the reasons.

Anything could sound like a good reason for bad performance.  It is what it is.  Just own it!

And Wanda was out.  And just as quickly as she concluded, I flashed back to the quivering resident who messed up on internal medicine rounds.  I stood there with my spine like a steel rod.  My white coat felt heavier with my fair-weather reference books bulging in my pockets.

Keep your chin up and look at her!  I told myself.

This wasn’t the first time for me, so I had the “luxury” of practicing a previous well-described lesson from my attending on how to respond to feedback.  Those days seemed like a series of stings, burns and frost-bite, but I am grateful for that at least – the knowledge of how I’m supposed to “take it.”

Wanda came back into my mind’s focus as memories of internship faded.  Wanda wasn’t even mad at me.  She was telling me this story as an example of her difficulty coping with anger.  Here she was asking for help while justifying her position.  Don’t we all, though?

I saw the irony in her criticism of those who gave reasons for their foibles as compared to her own explanation for anger and medical care.  Yet again, aren’t we all inconsistent like this?  Wanda is not alone.  She even had good insight too.  Explaining away our mistakes is shabby, lacks class and is insincere.

Some time ago in a post, Please Don’t Say “But”, we talked about this, which later we termed “presence.”  But why see a psychiatrist about these things?  Because insight is only worth so much.  If the mechanics to respond to the insight aren’t well, then you’ll be able to withdraw from your self just that.  In Wanda’s case, it was spitting anger, hot to the touch and not much safe.  It had quite an effect on her interpersonal relationships and quality of life.

But Wanda was suffering in more than her apparent psychological and sociological selves.  She was also suffering in her biological self.  (See biopsychosocial model.)  Wanda, was ill.

When we find that we can’t do what we want, don’t respond the way we intend, have negative emotions and behaviors we didn’t invite, see the associated deterioration in our connections and quality of life – when we are suffering, we need to look for help.  It’s hard to be productive and survive without support.  Any bit of nature will tell you that.  Ask a peach tree if you don’t believe me.

Question:  Does it make sense to you that emotions and behaviors might be all we have to show us that we are medically ill?  If not, please tell us why.

Self-Care Tip:  When insight isn’t enough, consider a medical consult.  Be a friend to yourself.

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In Gratitude. Commenting is good self-care.

In gratitude I move between these letters.  My step is often clomping and loud, but is that what we would name a “sure-step?”  Not always.  Even tripping and clipping corners bruising my legs, with my mistakes returning echoes to remind anyone who wants to know what my shifting sounds like.  Even when, I move gratefully.  And it is for you and Me and God.  We have decided confidently once at least.  At least once we have in like-minded strength chosen to dedicate our force to move us to the purpose of becoming a friend to yourself.  Many, more often than once.  Many have decided as often as they deliberately step, like a recovering spinal cord injury remembers just how to lift the leg, tilt the foot and ease it down.  Many find this purpose we have chosen at least as difficult as that.

How bout you?  More?  Less?  Gratitude is an assist for Me, as are the woven combinations of all that make up my process, my presence or we could say personal journey.  Within that weave, there is this thing that runs on the fuel that only kind feed-back can generate.  You people.  In truth, I can not move very far with out you.

I have two specific thank-you’s of this kind.

Some time ago, Beth Parker, gifted the Liebster Award and more recently, Cathy gave the Versatile blogger Award.  These girls are kind.  They are friendly and they are funny.  They give and some of what they give, specifically incredible generous feedback like this, is essential to Me.  I’m pretty sure it’s on the periodic table of elements.  Without it, I’d poop out, like an old jalopy in the desert.  I am grateful.

There’s a bit of an overlap in some spaces of these awards and I’m going to snip it back a little since the day is spent.  The good stuff really is naming off you wonders out there who have voices that must be heard.  I’m going to remake the to-do’s of these awards, because I can and that’s the kind of girl I am ;).

My deep gratitude compels me to name off the folks who comment.  They talk.  They speak and connect and let themselves know and be known.  What an honor.  You, and to all have had the courage to write your vulnerable self into words and engage – Thank you.

This commenting-thing is more than pom-pom action.  When we speak out loud, we open closet doors, shame is aired, fears are invited for tea and then ushered out more easily.  We hook into the self-care tips and make them our own when we breathe out audibly.  We may not know it but we claim them and the people in this community of “Friend to Yourself-ers” or FTY’s.  (How do you like that?  FTY?)  This is awesome and powerful and free.  As we say here, “speak.”

You may or may not be on this “WordPress” generated statistic of commenters, but either way, you are here with us.  You fuel us in our life journey uniquely and importantly.  For those who read but don’t comment, thank you as well for letting us share ourselves with you.  Comment if you will, but keep coming either way.

In gratitude:

Nancy 64
Carl D’Agostino 50
Col 34
Cindy Taylor 26
duckofindeed 21
livingvictoriously 17

Sincerely, 

Me

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The Gift in Wanting – Water, is Taught by Thirst

Water, is taught by thirst. 
Land -- by the Oceans passed. 
Transport -- by throe 
-- Peace -- by its battles told 
-- Love, by Memorial Mold 
-- Birds, by the Snow.
-Emily Dickinson

“Some people think of the glass as half full. ...

I have been quiet here for what seems like a long time and I am happy to be talking out “loud” again.  Thank you for being, friends.

Over the past year-and-a-half of writing and reading with you, of speaking and hearing, teaching and learning – instead of diminishing my interest, exhausting my energies and instead of completing this “task,” I am rather in process of crescendo.  This thing called, being a “friend to yourself,” apparently must continue.  It must because otherwise we would not.

Emily Dickinson knew the value of what was missing; but more so, she knew the value in the wanting of it.

Water, is taught by thirst.

I am ever aware that you and I do too.  It is this wanting that spurs in us our creative genius in this effort.  In any area of interest, in fact, whether it is this, to cultivate the caring of our own person, or to improve our eye of canvas, to swing our sword or to put pen to paper – if we do not sense potential, pleasure still to come, if we do not see beyond where we are to what might be and if we don’t want it, we will miss our selves.  We will lose our pearl to the muck that hides us.

Counter to intuition, presence is in fact enhanced by our wanting.  We clarify our point of reference to each other and to Love when we realize that we are toward something greater than ourselves.  Having that point of reference is nourishing.  It is active and it is connected.  The understanding of what we want still, have yet to obtain, rather than destabilizing or isolating us, it improves our footing and our community.  And like Emily, we give up much just to experience the exquisite process of joining our own journey.

This is what thirst has taught me.  What about you? Please tell me your story.

Self-Care Tip – Before the gift of your thirst, pursue it knowing you are blessed.  Be a friend to yourself.

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Let Things Come Together And Fall Apart To Experience Them More Fully – Presence

Cover of "Boy"

Cover of Boy

He still has some lingering vestigial baby-smell that sets the pheromones into motion.  I turn soft and doughy sniffing his hairline and would claw out any threat; as if there would be one within our stuccoed walls in jungled suburbia.  But just in case, I am primed.  Grrrr.

This moment that comes in one lungful of air sets off the sixth sense, like chimes in the wind, into a little pretty song of contrasting emotions – something warm and nice against fear and aggression.  Lovely.  Complex and simple.  I breath in and taste what is in the air again more slowly.  I let it come together so I can pull it apart.  I am in awe.

What creatures we are.

Big breath everyone.  What contrasts come together for you?  Is the experience of letting yourself watch them coalesce and then dehis add any sense of presence to your moment?

Self-Care Tip – Let things come together and fall apart to experience them more fully – presence.

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When You Fail, It Is Just Part of Your Journey so Keep On – Presence

No one can tell me what’s wrong with me!

When medications don’t do what we hoped we wonder what that means.  We think about the possibility that our diagnosis is wrong, that we are outside the known world of science or a new variation of diseased who will suffer without a label.  Is suffering without a label even decent?

I predict imminent catastrophe

Image by forestine via Flickr

Stephani wasn’t the only one in the world with these thoughts but she felt like it.  It was as if she was waiting for her real life to begin when she considered herself well.  There was the good part of her that was about fifty percent of her day hanging around.  The rest of the day was wrong.  She wasn’t able to cope with stressors and became helter skelter at random times of the day.

Trading places, in the door and out, out and in, polite enemies at best, the good Stephani and the wrong Stephani vied for platform.  Either part of her never felt fully right because of the looming flaws.  She couldn’t trust herself as long as they divided her life.

I don’t know why I don’t get better.  

I don’t know either.

That’s a precarious position to maintain as a physician.  My job is at stake because who goes to a specialist without answers?  …At least not traditional answers.

Take this pill tonight and put this warm compress on your bladder.  In the morning you’ll feel better.

Darn it!  Sometimes I so want to be that doctor!  But this is me.

What are you waiting for?  Is this place in life better than losing your life?  Why?

And then Stephani mentioned a few things that kept her breathing:  hope to get well, hope to have a family some day, life itself, her husband….

Why are you right or wrong?  Why are you well or sick?  Can you be both?  

Hm.  I saw some relief begin to settle in.  However, I also saw frustration.  Stephani wasn’t ready to be flawed and perfect.  She really like either/or.  That’s fine for now.  We were able to spend a little more time on the idea of loving all of her, of being a friend to all of her and of counting this moment worth living more actively.  If she doesn’t bale on me, we have time for her to get into the same room with herself.  The joining up of her wrongs and rights will make her life journey a lot better and less confusing.

People like Stephani have an addiction-like disease process to the either/or, the extremes, the poles, which we describe as “all-or-none” thinkers.  They remind me of any other blessed addict.  They would most likely do great working this over as an addiction.  Working the Steps.  Then they would understand what any other addict who works The Steps understands.  Failing is just part of the journey.

Questions:  Can you be both flawed and perfect?  How?  How do you love both parts of you?  Please tell us your story.

Self-Care Tip – When you fail, remember that it is just part of your journey and keep on.

Related Blog-Posts, FriendtoYourself.com:
  1. You Might Fall In Love With Your Flaws
  2. Love Differently, Love Your Flaws – Be a Tall Poppy
  3. Lady Gaga – Born This Way
  4. Try, Knowing We Will Fail
  5. Loving Me Without Ambivalence
  6. Codependent
  7. Finding What Perfectionism Can Offer Our Self-Care – In Summary
  8. Celebrate Your Imperfections
  9. Getting Away From All-Or-None Thinking
  10. Adequate
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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.

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Reworking Choices With Your Physician as Part of Your Team

What do you want? 

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

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

Hands touching

Image via Wikipedia

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

What do you want?

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

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

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

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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.

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

The t-shirt

Image by plαdys via Flickr

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

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

It’s okay.  

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

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

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

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

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

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

Self-Care Tip #273  – Enjoy your failures.

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Presence Encourages Self-Care

The Forgetful Professor

Image via Wikipedia

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

Self-Care Tip – Sit back and listen to the emotion to be present in your own life.

There are two terms we’ve used in psychotherapy since before Freud and Jung were around:

  • Transference – putting our feelings on the clinician.  For example, my clinician looks like my father.  I will transfer onto him my feelings about my father and subconsciously think he is like my father.
  • Countertransference is the opposite.  The clinician thrusts her own memories and associations on her patient.

These can be positive or negative.  Of course they do not stay in the clinic.  Transference and countertransference happen between all of us all the time.  Often it is healthy.  It helps us grow, model others, fantasize and move towards fantasies long enough to make them true.

Remember PattyAnne from yesterday?  …In PattyAnne’s and my case, PattyAnne could be said to have transferred her fear of being treated as a lesser person.  But what was my reaction and what is yours in similar situations?  What is our countertransference?

I have often been guilty of negative countertransference in situations like this.  I remember feeling dirtied by people’s prejudices and fears.  Almost like I needed to bathe afterwards.  The truth is, though, we don’t have to feel this way.

When people are afraid of us, we do not have to be afraid of them.  We do not have to anger, agitate, or feel “soiled.”   We can just be with them.  Let it be about them and not run away.  Be present.

Clinicians can be open to hearing this song.  When any patient starts in again, this time, sit back and listen to her fear rather than worry about what words carried it.  Patients will be better for it.  Maybe clinicians will be, too.  And that is key.  The gift we give first is to ourselves.  By just being with someone in her fear, we can just be with ourselves too, and vice versa.  Quite friendly to us both.

Presence encourages self-care.  It helps guard us against the temptation to see ourselves as victims.  When we do not realize that our emotions and behaviors come from us, were not imposed upon us from external sources or realize more specifically the transference or countertransference that we are responsible for – we can feel like victims.

Any time we do not own our emotions and behaviors, this is a quick path to losing our connection to our personal journey and become “absent” rather than present with ourselves.

Still, many wonder: at what point does “too much self-care” become part of the symptomatology?  This concern will resolve when we see how emotions are not moral implications.  “See” you tomorrow!

Questions:  How has feeling like a victim disconnected you from others and yourself?  How have you collected your absent self and come together again?  Please tell me your story.

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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.

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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

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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!

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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.

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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.

my self care reminders

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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?

rejuvenation.self.care.logo

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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.

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Bring Your Separate Selves Together – Personal Journey

National Museum, Czartoryski Collection

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Self-Care Tip #199 – Bring together what you are naturally inclined to do with what you spend your energies on.

When we do what we like to do, what is congruent with our hard-wiring, what is naturally inspiring, fatigue becomes part of our pleasure in my life.  Cliché,

Enjoy the burn,

…is common for a reason.  There are times when pain, fatigue, difficulty and hard-surfaced days are bits of what make life journey one of richness, rather than diminished.  I was reminded by Jaclyn Rae’s Blog-post today, that when we can say,

I’ve learned that I’m tired but still want to do what I do,

…we are paddling the same river our life is floating down.  When we by mental illness, misfortune, choice or neglect, don’t – we are more observant of our lives rather than participants to them.  We find being present in the process difficult.  It’s not something everyone can do in all aspects.

However, we don’t have to be defined by those particulars, choosing instead to do the hard work of processing our choices, our energy and where it comes from, our emotions and see how they weave into our constitution.  Then, some time when breathing hard, limping and spent, we will remember this and reconnect the experience with the choice and the emotion a little quicker.  We will less often separate from the water our life is traveling.  Not become observers but participate more often, more actively, more tangibly with that kernel in us that stays, our essence.  (See blog post, My Essence.)

In the marvelous work, “His Dark Materials” trilogy, Philip Pullman describes us as split persons, a body and a spirit (“demon”) that might be parted by neglect, carelessness, abuse, or other disasters.  But when it is separated, the body suffers and is disconnected from it’s life purpose, what brings pleasure and presence in the world around.  (See blog post, Soul and Body.)

There are medical illnesses that do this, as mentioned above, and in those cases, perhaps all to do is get medical care, heal, treat and get on with life.  Other times, it might be that we forgot ourselves in the midst of caring for children, a demanding job, an opinion that victim-hood defines our life possibilities or what not.  We have options.

As Jjen reminded us some days ago,

The bad doesn’t disappear but it is not a qualifier for the rest of life’s potential.

Questions:  How have you reconnected to your life journey?  Your essence?  What is constant about you in your changing self?  Please tell me your story.

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Go Towards Your Pain to Relieve It

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Self-Care #197 – Go where your pain is to prepare for what happens badly in life.

Yesterday we talked about the power of loss, grief and pain not being one that can take away the potential of life.

Carl appreciated the idea that “scripted cue cards” with platitudes on them to read off for ourselves or for others when something bad happens – “Good comes out of bad,” “I know what you feel like,” and so on – is nothing anyone wants.  His comment included, in true Carl-style, a great question:

But what else can we say to show respectful empathy?

Goodness.  For crying out loud, we aren’t a bunch of calloused puff heads who don’t care or who don’t have a clue when someone is suffering!  We’ve all asked this question and wanted to help.  We’ve wanted to connect, to serve, to answer Carl’s question when we are in or come into the presence of pain.

In self-care, we can’t help others if we don’t help ourselves first.  We can’t give what we don’t have.  Airplane crashing, put your oxygen on before your babies.  Can’t withdraw if the bank account is empty….  We take care of ourselves and find that we can serve others more as a result.  It’s the same way in grief.  If we don’t go where our own pain is in life, if we aren’t present with our life journey, if we don’t fight hard for who we are, it is very hard to know how to answer this question.

There’s something to say about doing the work before the trouble comes and then when it comes, use it to prepare for more.  I love Ecclesiastes 12 which tells us in Solomon’s depressed and yet feisty words,

Remember your Creator
in the days of your youth,
before the days of trouble come
and the years approach when you will say,
“I find no pleasure in them”—

Solomon was talking about self-care here.  Holding us responsible at the elemental level to use the time we have before trouble comes, so that when it comes, we have a way of answering.

Carl gave his own answer,

…live life on life’s terms like it or not.  If we allow Jesus to embrace us and comfort us it will fortify us through life’s unfortunate tragedies.

Question:  What is your answer to Carl’s question?  Please tell me your story.

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Pain Doesn’t Define Life’s Potential

Close-jen-grieve

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Self-Care Tip #196 – When you are hurting, remember the pain doesn’t define life’s potential.  Be a friend to yourself.

Yesterday we talked about giving and getting bad news without fear.  This was received in a spectrum of ways by you, ranging from – no way is bad news something not to be scared of, to, bad news might be something we could face knowing we might find something good in the end.  No one slammed the hammer down, dinging red at bad news equals good all around – except my dogs who don’t listen anyway and are pretty much always happy.

Jjen was brave, saying,

I would have to also agree that in some cases bad news can bring family members, or even friends together that have been estranged. This has personally happened to me. Kind of a bittersweet thing; good in result of something bad and mending a broken relationship.

“Good comes out of bad.”  Not everyone agrees and I don’t blame them.  Some bad things are better left alone to rot and stink out of our lives entirely.  It even sounds patronizing when someone is hurting to say this.  This kind of discovery should be made by the parties involved, without the rest of us holding scripted cue cards for them.

It is also something that is received easier from another who has been in, or is in their own catastrophe(s), losses, abuse or grief – say Jesus for starters.  I could hear this from Him without wanting to vomit all over the place.  He’s been there, hurt bad, and has been blessed through and by it in ways I will be learning about even after Time unhinges.

When my nine year-old adored niece suddenly died, I didn’t see that.  It’s taken almost six years to see anything good come “from” this unbelievable loss we grieve every moment.  The bad doesn’t disappear for me, but as Jjen said, it is not a qualifier for the rest of life’s potential.

Question:  What has come “from” the bad in your life – more bad or what?  Please tell us your story.

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Getting or Giving Bad News Without Fear

Slalom skier

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I was reading an article on awareness of obesity the other day telling us that many times, people don’t know they are obese until they are told by someone else.  Ouch.  Pass the Band-Aides.  But it aired our need to stay connected, speak up, and listen.  It also prompted me to reflect on mental illness.  How often I’ve sat with someone’s emotions-history in my hands, looked at them and realized they didn’t know.  They were there, emotions bleeding all over the place but didn’t grasp their injury.

Um, excuse me ma’am.  Let’s apply some pressure on that and get you some help.

Bloody news like this reminds me of my friend Jack.  He was waterskiing with my brother and I when we were college’ish-age.  Jack was not so capable on the water, although he wasn’t afraid.  As you probably know, three is the perfect number for waterskiing – one to drive, one to hold the flag when the skier is setting himself up, and then of course the skier.  Any more and there are way too many polite smiles and way too much advice for the bobbing body in the water.  Jack was working on his slalom moves, thrilled with his progress and after about the third fall, was still ready for another go.

Hit it!

Our boat, Rosewater, eased him out of the water and he was up.  Jack has a way of celebrating like no other.  He whoops and yells and his whole body joins in.  And so he was in his happy place, up on a single ski, unconcerned with the world at large.  It was lovely.  Until the wake of that other huge boat threw him down and his face slammed into his spectacular single ski.  Up he came and we just looked at him, quietly at first.  Jack paddled up to the boat and wondered if he should try again.

Um, sorry Jack.  Let’s apply some pressure on that and get you some help.

Jack had a huge gash, copiously bleeding all over his face and he had no idea.  He was wet already, cold from the water and didn’t feel a thing.  I still feel the creepies skittering up my arms and chest thinking about it.

When we told Jack, he was a little unbelieving.

Are you sure?  Is it bad?  I think I’m alright.  It’ll wash out and I can try again….

Oh there wasn’t much pleasure in telling him the bloody news.  Generally there isn’t that much pleasure in telling someone they are fat or suffering from mental illness either.  It’s the follow-up to that statement where the fun comes in.  The hope that we link the first punch-line to.  Good news is, …along comes the second punch-line.  Hope.  And presence.  Being with someone where they are at, as they are, and with patience doesn’t mean leaving him in the dark, bleeding out.

The reverse is true of course as well.  If we don’t stay connected with others, we may lose the opportunity to see ourselves through their eyes.  It is an opportunity.  When we are with someone we trust, respect and think see’s us as the precious thing that we are, it is.

Self-Care Tip #195 – Stay connected with others and listen without fear – something good is coming.  Be a friend to yourself.

Questions:  How do you deliver “bad news?”  What is the best way you’ve ever been given “bad news?”  Please tell me your story.

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

Stef's Present with Handmade Wrapping

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

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

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

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

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

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

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

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

FriendShip... A gift of God.

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

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

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

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