Be Empathic to Others to Get Friendly With Yourself

 

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Self-Care tip #79 – Be empathic to others.  Be a friend to yourself.

Yesterday I wrote about considering intent and context when comparing self-care with selfishness.  That carries over to the people sharing life with those of us who have mental illness.  Do they see us as selfish?  For example, how is the spouse of the Panic Disorder going to make sense of the 40 phone-calls he gets while at work?

Mary’s husband told me that she’s been calling him “all day,” terrified she was going to die.  Checking to see when he was coming home.  She couldn’t go to the market because people would laugh at her.  Afraid.  Afraid.  Just plain afraid.  Really, everything had become about her.  She was like a scared kid.  Frankly it was annoying.  He was in a stressful work situation with the economy slumping.  People he knew were being laid off.  The other day he had to leave in the middle of an important job to go home and reassure her.  She was sobbing in the living room.  Sure she was going crazy.  He realized that he might have to tell his boss what was going on but what was going on?!  Who had his wife turned into.

In yesterday’s blog, we spoke about the ability to abstract v. concrete thinking.  Being able to abstract helps with empathy – connecting emotional content between people.  To put yourself in someone else’s shoes, as if you were them.  This is a critical part of relating, i.e. being in a relationship.  Many different mind illnesses affect our ability to abstract, including panic disorder.

In Mary’s case, she was not empathic when she was anxious.  She was thinking about herself.  Understandably, if you read the part about her believing she was going to die or go crazy.  But when you’re married to her, empathizing with her gets old.  It’s not so easy when it seeps into your work life, you haven’t had sex for months, and you have to do everything that has anything to do with going outside of the home.  Some part of you knows it’s not true, but another part of you screams, “Get over it you selfish child!”

Is Mary selfish?  Some might be able to answer even after all the phone-calls and unrecognizable behaviors, no.  Mary is not selfish.  They can do this specifically because they can abstract.  They can empathize.  They can consider the context of Mary’s disease and the intent of her behaviors.

Not everyone does this.  Not everyone is able to let “It” be about someone else.  Not everyone doesn’t have to have “It” be about them.

The best thing for those in relationships with someone emotionally ill, is to view the way they are behaving as biological.  When treated medically, than Mary or whoever it is in your life can do their own self-care.  But until then, staying in their lives requires maintaining an empathic view that considers intent and context.  It also means furthermore, doing your own self-care individually.

There are over-lapping flaps to our lives.  Scales on the back of an armadillo.  Me as encased by my body.  Me, that includes the space between me and you.  Me, that includes you, because you will always be a part of me.  Self-care really involves all that by degrees.  A chain-link.

So the question is, can empathy be chosen?  With money in the bank and wisdom, yes.

Self-Care tip #79 – Be empathic to others.  Be a friend to yourself.

Question:  Does any of this ring true for you?  Please tell me your story.

Choose, Gladly, Using Resources

Being a friend to yourself includes choosing, being glad that you can, and using resources to make your choice a good one.

Mrs. Smith told me with a barely noticeable arch in her back that she was still planning on God healing her daughter.  I don’t know if Mrs. Smith thought about how her daughter felt about that.  Was Kristy personalizing her illness?  Did she think God rejected her?  The problem of her continued illness must show something more than a physical flaw in her perhaps.

Will we know it when we are healed?  Until then, what to do?

Years ago, I met Fran.  She was pulling her hair out.  Her annoyed husband disrespected her for it.  Fran kept willing herself to stop.  She said,

I’m doing it less now I think.

The good news for Fran is that she responded well to fluoxetine.  Her anxiety decreased and she almost stopped pulling out her hair.  She’d wear her growing bristles pressed down with bobby-pins and hide it with her long hair.  As her hair grew longer, she had fewer bobby-pins and I knew she was taking her medication.  There were other problems between Fran and her medications.  Taking medication shamed her.  And, she blamed her fluoxetine for her weight gain and rash on her face.  She felt uglier than ever in her husband’s eyes.

I don’t pull hair any more.

Fran stopped her fluoxetine and half her head went bald.  She did not lose weight and she still had a rash on her face.  Fran went back on her fluoxetine and she has cycled on and off of it this way over the years we’ve worked together.  Somehow despite all our time together, Fran does not believe me when I tell her that when she is better symptomatically, she is not healed.  Fran does not grasp that her behaviors come from something at a genetic level.  We can treat her, influencing the way her genes express themselves, but in her case, not cure her.

We are a team.  She and I, and sometimes her husband, and sometimes her sister.  I give her medications when she thinks she needs it.  I don’t leave her when she doesn’t.  Either way, we keep trying.  It is very hard for Fran to know that she has not been healed.

I don’t have many clear examples of treatment-to-cure in psychiatry.  The statistics vary between diseases as to their rates of recurrence.  The brain being human, we can yell at the serpent for our insanity.  However, in the end, here we are.  As Billy Joel says in his great ’70’s hit song “My Life

Either way it’s okay to wake up with yourself.

The opportunity to choose our own answers, to decide what to do about it, and believing if we are sick or not sick  – is all our own.  These can be hard decisions but until we lose capacity to choose, we own them.  Decision making capacity of course is a medical decision.  But competency is a legal decision made in a court of law.  Having the right to choose is a beautiful privilege.  This does not mean to ignore counsel, evidence, data.  On the contrary.  That would not be a friendly thing to do to yourself.

Self Care Tip # 75 – Choose well and be glad you can.  Be a friend to yourself.

Question:  What do you think?  Agree or disagree.

The Price of Manure

In yesterday’s post I asked “What has happened in the space between you and the ones you love?”  A reader responded,

Think of being loved but not being able to be touched. …Rituals above spontaneity. Of having Lysol applied to everything you touch. Lysol applied to children’s legs and shoes. Not being able to hug your kids after work until after a bath and your inside-clothes on. The tirades. Most things literal and not humorous. Any cabinet or freezer needing to be as stuffed as possible.
As a young person it seemed very personal and hurtful. …All the lost years….  After all those years now on the mend.

It doesn’t matter how old we are, it takes courage to live.  There are many astounding parts of this story, but today I draw attention to “the lost years.”

I don’t know if any of you readers saw the episode last week from the musical comedy, Glee.  It irreverently tossed together a potato salad of high impact emotions.  (Delicious potato salad!)  The best part was as usual the great Jane Lynch.  That woman is brilliant.  She shows us anger, resentment, and personalization through spitting words.  She contrasts this against her thick velvet love for her older disabled sister. Sue Sylvester (Lynch’s on-screen character) has festered the insults she absorbed on her sister’s behalf, ever since she first realized her sister was different.  It was only until her sister, with a still-waters affect told Sue that she didn’t care what others said about her.  Her disabled sister was whole inside.  Sue started to heal too.

Being present with our dark history, can summarily be our gain.  Especially if in the end we found love, became connected with our journey and with others, and forgave.  It becomes rather an education of sorts.

When I was struggling with my ambivalence about vocational choices, my dad told me, “Education is never a loss.”  I plunged forward with that as a talisman.  

Education is never a loss.  Even our school of suffering?  Look at it as a currency of sorts.  It’s all perspective.  Even manure helps you know.  We had to pay $100 the other day for a truckload of chicken-poo for our farm trees.

Self Care Tip #73 – Find the value in your suffering.  Be a friend to yourself.

Question:  Do you agree or not?  Please tell me your story.

Get Access to Information – Get a SmartPhone

 

Fast Company magazine cover: April 2010

Image by karen horton via Flickr

 

I read an inspiring blog today on SparkPeople titled, “Could Staying on Track be Addictive?”

SparkPeople is a great site that does what any other lifestyle change/weight loss website does and probably more – free!  I can’t say enough good things about it.  It’s one of those things that has given comparably to what it has taken.  I’m not crystal clear on this, but I think they profit from advertising and publications (The Spark.)

I appreciate the practicality of the phone app especially, which allows us to real-time journal our food.  We often can’t change our lifestyle if we don’t food-journal for at least a week or two to get an honest grip on things.  This ties our journal immediately into our SparkPeople.com member site and all its other benefits.  That is one reason that I like this food-journal phone app better than others.  It has continuity.

How much do many of us spend on weight loss efforts?  Let’s say we simply subscribe to a different on-line weight-loss program such as e-diets.  This plan starts out at $17.96 for 1 month. The cost of a smart phone runs roughly around $100.  The monthly cost for the internet access runs around $30/month more than a plan with just telephone service.  It’s a fair bargain to get a smart phone with internet access just for the apps in my opinion.  We get so much more quality of life from access to information.  SparkPeople is just one of a huge number of potential options on our side.  If affordable in our budgets, it is a friendly thing to have in hand.

Soon I’m going to write more about the idea referred to above, that staying on track can be addictive in a good way.  I liked her blog.  I like SparkPeople.  Having a smart phone helps me be friendly with myself.

Self Care Tip #69 – Think about getting a smart phone.  Be a friend to yourself.

Question:  Has easier access to information helped you take care of yourself?  How?  If not, why?  Please tell me your story.

Our Changing Reality

She had been gone for 3 months helping her mother transition from life to death.  However, instead of it being a melancholic experience, she felt better than she had since a time she couldn’t calendar.  Back when she had a respect for herself.  Back when she had youth, she had hope, she believed in a generous future.

I had no way of knowing what it was like for me until I left the situation.

Reality is only as real as our perspective.  She came back to a new perspective and her reality changed.  She saw an impoverished life.  She saw need to stop waiting for the better of future’s promises.  She saw disrespect when caring for her disabled daughter and emotionally abusive husband.  She hated disrespecting herself.  She felt this and she rebelled inside.  Holding back her furry with the flimsy lid of guilt-glue.  She cried.  She had just let her mother go and feeling good about letting her daughter and husband go now embarrassed and shamed her.  But there it was.  The thought she hadn’t thought before.  Reality had changed.

I’m told that it is bad for a counsellor to tell someone specifically what to do.  Turns out that my job includes some counseling.  I ran into a former patient today at a coffee shop.  She saw me typing on my computer and learned about this blog.

But you do meds!

Apparently sometimes I’m not that great of a counselor.  Or maybe I am if she didn’t realize I was, with her, all along.

I had to stop and say hello!  I’ve missed you!

(Whew!)

Today, I kept thinking about the way reality changes when we let our perspective get some air.

This daughter/mother/wife will never be the same woman she was before she left for 3 months.  She didn’t know.  And now she did.  She can’t stuff that knowledge.  She can’t disappear it.  She is left with a knowledge.  Is it better?  I think so.

We played with options as we talked.  A window opened in the room and a breeze came through called hope.  That was lovely to share with her and I am grateful.

Maybe when with determined labor we are trudging on in life, we might think of this.  With this memory, we could more willingly accept the urge to walk away just to see for a time.  Maybe a knowing, that we were missing, will come and change us.

Self Care Tip #67 – We might be in a different reality if we walk away.  Be a friend to yourself.

Question:  What has your own experience been?  Please tell me your story.

Trust The Momentum of Your Own Desires

Writing every day has blessed me.  It has however also taken away.  Aside from the obvious such as time, I’ve missed reading in the evenings.  I used to spend most of my evenings jamming happily through fast page turning books.  I love bound paper.

I’ve always had something of sensory issues.  My girlfriend Marlo Albritton, MS, CCC-SLP always laughs at me in the car – every other moment adjusting the angle of the vent or the pressure or the direction of the air that can never hit my face or the temperature.  In books, it is so many things as well that get me.  The smell and touch of course, the sound of fingers on page, swish there’s a turn, the visual in my hands or when I set it down.  I fidget but any way I turn, the book is my focal point, a lover!  The book keeps pace with me too.  When I wander, it waits patiently, unpressured and available.  When I must rush because I might die if I don’t reach the story’s climax, the book is the perfect buddy swimmer.  Like a good psychotherapist, the book is there for me.  It is a unidirectional relationship.  There aren’t many good unidirectional relationships.

I listen to audio books sometimes.  When I exercise or drive alone, and they are good.  But they are the fast food of the book pantry.  Never as satisfying.  They leave most of my senses quite alone.

I realize it is of course my own fault!  Not the blog or the writing.  I make the choices that keep me from reading.  I’m going to have to figure something out.  I can’t not read!  Remember when I said that time and energy increase when you do what you love?  (See “There is Room In Our Wanting Selves.”)  Well that’s what I’m putting my money on.  I’m going to trust the momentum of my own desires.

I’m off to read.

Self Care Tip #66 – Trust the momentum of your own desires.  Be a friend to yourself.

Question:  Do you have a sense of where your own momentum is taking you?  Please tell me your story.

Caught in Your Net – Thanks

Connecting more with friends since I started blogging. People I went to school with are knitted together electronically.  The world is smaller than ever.

In school, a people whom we drifted in and out of intimacy with, as kids will do, surrounded us.  Regardless of intimacy, they were generally there the next day and the next day. Familiar faces, personalities, specific laughs, and voices you could pick out in any crowd.  I’m pretty sure with many of them, I still could.

After many years without them there to see me fall off my chair, set a ball, share books, compare bra sizes, whisper, giggle – did I not miss them?  But I did.  Now however, through this technology-net, impossibly dispersed groups of people show their faces on my computer screen daily.  And regardless of degrees of intimacy, they are witnesses again when I fall down and when I stand.  I feel more alive!  Even seeing an angle of someone’s jaw line can take me back to a lawn and a tree and a bench we used to share between classes.  In almost real-time, I am laughing at their jokes, fame and foibles.  Crying with them when they lose.

Certain things are even better than they were when we were in school.  We don’t have as much time for closeting behaviors, hurts, shame.  It leaves more room for the real self to occupy.  Read more about this in the post “Sunshine.”

So to all you old (and new ;)) friends who have given me this privilege, thank you for catching me in your “net.”  Life with you is better.

Self Care Tip #58 – Connect with others to feel more alive.  Be a friend to yourself.

Question: What has helped you feel more connected?  Please tell me your story.

Bringing Your Worst or Your Best – Family

When I go to work, I feel my spirit get up off the floor, onto its knees and then it’s feet, and then fly into skies of happiness and inner congruence.  Work is where people are respectful to others.  If not they disappear.  (i.e. They’re fired.)  They do their chores and sometimes even with pleasure.  I am less often reminded of the fine line between success and failure, and I can always find my scissors, tape and stapler.  I’m sitting at home now, letting out a dreamy sigh.  Ah.

Why do we treat strangers so well and our family not so well?  Why do we give our best where our best is valued only as much as the going rate of gold and

silver?

John Tauer, Ph.D. states that coöperation and competition are not an either or.  He tells us from 4 years of research at basketball summer camps that the effects of combining coöperation with competition (intergroup competition) is much more powerful than either one alone.   In other words, individuals competing isn’t as fun or successful as a group of people competing against another group of people (i.e. teams.)  I propose that this might be part of the play in the difference between home and out of home behaviors.

In the home, we tend to see ourselves as individuals maybe even competing against each other.  Out of the home, we ally with others whom we can work with to compete against others.  We bring our best to the playing field perhaps.

In The Swiss Family Robinson by Johann David Wyss, we see a family who is marooned, cooperating as a team against dangerous elements (intergroup competition) to survive.  They have so much fun doing it that when rescue finally comes, nothing could entice them to leave their happy treehouse.

We see other examples of this (intergroup competition) when a family member gets sick and everyone rally’s to fight the disease together.  I wonder how we can do that good stuff without having to wreck a ship or fight cancer.  I’d like to give my best to my husband and kids every day.  The fraternities, the gangs, the undying lure of neighborhood rivalries, reality TV show Survivor – all show us that this intergroup competition is pleasurable and effective.

Question:  Have you experienced this kind of success in your own home?  Please tell me your story.

Self Care Tip #57 – Bring your best to the people you love.  Be a friend to yourself.

Bringing it Inside

“I read a lot of self-help books, but look at all the difference it’s made in my life!”  Sarcasm noted.  My friend was coming out of a dark melancholy of several years and complained that bringing something from your head into your life is hard.  Another case of trying to keep it real.

People call what we do “word play.”  Mouth flappers.  Those of us whose actions can’t keep up with our mind-matters fend off judgement like OJ Simpson. We’re guilty alright but it’s not murder folks.  Let’s get into the empty seats to applaud the performance of Good Intentions.  Good intentions come in degrees. There’s the thought, the desire, and then the levels of action that happen before and until execution.  Not all life is like playing horseshoes.  There is “win” in process too.

But my friend’s real beef was with the expectation she had that those books and their words would marinate her.  Soak her until she smelled and tasted and essentially became something new and better.  She didn’t think they did.  How does someone somehow bring what is out there inside?

If you want more about some of the biological play on this, read this post.  Basically if you are trying to grow, you are most successful working with a growing-style that is congruent with your temperament.  There are other intersecting paradigms also, including spirituality, external stressors and biology.  Bringing it inside is a balance between paradigms in life.

If I were speaking to my friend though, I’d applaud her thoughts, desires and degrees of action that have constituted her journey of Good Intentions.  I’d invite her into the stands with me and take some time to watch a replay of the parts of her life that made her glad.  That in itself opens us up to what needs to come in.  And we are more able to keep on.

Self Care Tip # 55 – Applaud.  Be a friend to yourself.

Question:  Do you ever lose yourself in processing?  Tell me your story.

New Verses New

She died this morning.  After a day and a night of confusion, stumbling gate, and suffering, our gentle gorgeous Maggie died.  She is returning to carbon ash and giving us another reminder of what can be delivered to the living by death.

With the children taken to school, my husband came home to share grief with me.  He had just listened to a podcast by Rob Bell about the word “new.”  In Greek there are 2 common words used for “new.”  One connects newness to Time.  As in the young in age and old in age.  This is traditionally how our culture interprets “new.”  Another use of “new” uses the concept of renew without connecting it to time.  There is a newness in you as you are in time.  It’s a great overlap into the concept of presence.  But where my big gratitude went out to was knowing how many opportunities to being made new we have.

Some of us have the propensity to wait until we “hit bottom”  before we come looking to be made new.  I don’t mean this in any way that is judgmental.  Please see my blog posts on temperament if you want to read more about this.  If we were fortunate enough not to have picked up any self sabotaging habits, then in some ways we’ve got an easier time of it as the the years roll by.  However, few of us are, and getting crushed over and over again like recycling cans hurts a lot – us and ours.

“You can’t have it all” we are told, brewing panic after wasted opportunities.  Not having it all, missing out on more days to share with Maggie, loosing the hope of puppies some day, brought the well-timed discussion about newness straight to our grief.

We are given the opportunity to be made new any time any where regardless.  Any where from greatness to low-living, we have that choice.  When I think of Maggie, I will think of this and hopefully I will choose to be made “new” again.

A “new” heart also will I give you, and a “new” spirit will I put within you: and I will take away the stony heart out of your flesh, and I will give you an heart of flesh.

Self Care Tip #50 – Be renewed.  Be a friend to yourself.

Question:  Do you agree?  Disagree?  Please tell me your story.

The Good and Bad of Anxiety

In response to yesterday’s blog, a reader wrote,

I often feel my flight and fight response triggered even in situations (mostly social) that should not (theoretically) even be frightening. What do you think about that?

This is like the degrees of water temperature in our shower.  Pretty much every one falls somewhere on the spectrum of this type of anxiety.  When is it ok, and when does it become not ok?  My brother, friend, mentor, Cameron Johnson MD said in so many words

Anxiety is what makes us work hard.  If we didn’t have anxiety, we’d all be slobs.  We’d stink.  We wouldn’t get our homework done.  We wouldn’t say as many nice things.

My children still see most things in all-or-none fashion.  They would say at this point of the discussion, “Anxiety is good.”

A teenager I treat began responding to her medication.  Her mom began to complain.  “She never let this happen before!”  Her room was a mess.  She was less prompt to obey and she started voicing her opposing opinions more.  In some ways, without the anxiety, it was like her mom was getting to know her for the first time.  

This was however, better than anything this girl and her mom had hoped for.  Now the girl wasn’t throwing up, having panic attacks, avoiding just about any social experience.  She was making eye contact with me and she was able to present in class.  She told me that she can’t even think about how she felt before.  It was so bad.

It is really hard for any one who has never suffered from debilitating anxiety to realize the level of suffering and terror it causes.  Someone who may look stuck up, aloof, disinterested, quiet, bored, may in fact be at hells door.

My children might now say, “Anxiety is bad.”

And so to my reader quoted above, I’d say with my children, anxiety is good and anxiety is bad.  Come and paint the stars with me for a time.  Talk and tell me your story.  We shall in degrees of mind and manners, unwind the mysteries together.

Self Care Tip #49 – If anxiety is affecting you in a negative way, consider a medical reason.  Be a friend to yourself.

Your flawed self

My niece is sitting beside me and I can barely keep my hands off of her 5 month self.  I am eating a blueberry scone slowly.  She, with her tummy-full of breast milk, is watching every bite, a faint smile on her pink face.  I’m a little afraid she’s learning to eat carbohydrates from me and I want to tell her that I can’t remember the last time I ate one of these.  I start eating faster and turn away so I don’t imprint this on her supple myelinating neurons.

We closet eat, closet smoke, closet shop, closet sex, closet what we want to protect others from but what we independently are strong enough to handle …or not.  There is a term called “self-sabotaging behavior.”  Reducing this, we find that the process of closeting is in fact the handle on the door to that mal-behavior.  Keeping it real is the same as saying get it out of the closet.

My mentor and brother, Cameron Johnson used to say, “Go where the pain or fear is and it will lose control over you.”  People who work the 12-Steps call this “Rigorous Honesty.”  It is a pealing away of all pretense with yourself.

Avoiding rigorous honesty turns into self-sabotage.  We end up cutting ourselves down at the knees.  Anxiety uses fear to make us hide.  In cases that include emotional illness, of course medication will help our work toward honesty.

It is not about whether we hide our bad sides or not – we do.  It is about trying to keep it real.  The only thing to be ashamed about, if we must, is not trying.

So to my niece, I give her my flawed self and when the time(s) come, I will accept hers as well.

Self Care Tip #45 – Show the world your flawed self.  Be a friend to yourself.

Question:  How have you experienced the freedom that comes from going toward the fear?  Please tell us your story.

Do What You Were Designed to Do

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

Image via Wikipedia

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

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

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

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

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

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

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

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

Get in Someone’s Space

The woman writes, but only for herself, she says.  “Why?”  I can’t remember her answer.  My thoughts stayed on the question, wondering why we don’t connect with our community.

Dropping off my children at school this morning, I noticed the pubescent girl with blunted face, guarded eyes, crossed arms, standing alone even surrounded by other kids.  Ouch!  I wanted to hover over her.  Guard her from what ever it is that’s scaring her.  Touch her arms and hair and make her understand that she is important to the universe on a small-scale and large-scale.  Of course I might have been arrested if I did, so I just walked on to safety.

Jeff Wise, author of Extreme Fear: The Science of Your Mind in Danger, writes

A feeling of connection to others is nature’s Xanax.

Some of my families with disabled children struggle hard to take care of their own.  They often wait until at cliffs edge emotionally, financially, physically to consider placement for their disabled child.  When helping them get past their barriers to placement, we find guilt, fear and shame in the way.  These children often do better physically and emotionally when they are in group homes and away from the emotional burdens in their nuclear family homes.  We need community and community needs us.  Each of us.  Joana Johnson, neuroscientist, says that placement, is in fact a way families can connect with their community and with their child.

Some skeptic personalities struggle to trust the links between us, not out of paranoia, but rather because it is the hard-wiring in their nature

to question things. There is also the introvert, who is often alone not because they don’t like people, but because that is how they get energy.  However, regardless of genetic predispositions, we are all designed to have community.

Mary Shelley tells us through her Frankenstein, that we are better people in the company of others.  We see forces that keep us from sharing ourselves.  But let us not believe those forces.  Break past.  Let us believe our own better Creator who tells us, connect.  Tell our stories.  Stick a finger out and get in someone’s space.  Do what we must to let them into ours.

Self Care Tip #42 – Share yourself and get community.  Be a friend to yourself.

Something Decadently Enticing

Oh rotten orange!  I found one stinking up my pantry.  Little fruit flies netting the air above.  Green fur staining my basket below.  The fruit touching it changing colors for no reason other than proximity.

Stay healthy.  Staying healthy is one of the best things we can do for ourselves and for those we “share space” with, those we love.  It is a gift any way you look at it.

Exercise helps, including with emotional health.  Yet, how many of us do?  About 30%.  Some of us use negative self talk to get ourselves out there.  “I’m fat.”  “I’m going to have a heart attack if I don’t.”  “I won’t qualify for that insurance if I don’t.”  All of which may be true.  However, does it work for us?  Apparently 1/3 of the time.

We use the negative feedback to motivate ourselves.  But just as in children, we know it doesn’t work.

If a child lives with approval, he learns to live with himself

-Dorothy Law Nolte

Positive reinforcement is helpful in any context.  Who knows!  Maybe that rotten orange would have tried harder to stay fresh with emotional perks?!

Each of us needs to find our own positive feedback that works.  Our interests are different so it’s not universal.  However, we can be our own behavioral therapist in this.

I have found for myself that I never exercised consistently until I turned exercise into something decadently enticing.  I load up 3 large glasses of water and take them to my bike.   My bike is in an alone place.  In front of my stationary bike is our only television.  There I watch whatever I want!  I don’t allow myself to watch TV at any other time.  It is special.  Reserved for my exercise.  I can’t wait to get back to my show or movie almost every morning!

When I want to hit the streets with a walk or a jog, I listen to audio books that I only listen to when I’m exercising.

I have to set aside some persuasive treats that are now linked in my mind to exercising.  Now when I think of exercising, I am nothing but happy about it.  It is behavioral modification at it’s best.  Hopefully this is helping me and those I touch in life.

Self Care Tip #42 – Turn exercise into something decadently enticing!  Be a friend to yourself.

Question:  What positive reinforcement works for you?

An Honorable Goal

“I feel things I had no capacity to feel before!  I can’t believe how much better life is for me.”  She was 2 months into medication therapy and she felt like she was back to whom she wanted to be.  Who she thought she really was.

Before medications, she was “making it.”  Although she was irritable, easily activated by simple triggers, edgy, she was mostly not acting on it. Making it to the end of the day every day was a victory.  Now she realized that if someone told her the difference before treatment began, she would have never believed them.  She hadn’t perceived how rough things were for her.  Now that she knew, she felt joy and sadness.


Getting well is never all good.  There is the daily reminder that you need help.  Every time you take a pill, you have to argue down all the reasons not to.  Sometimes that argument doesn’t last long.  Sometimes you spend more time than any one looking at you would guess.

The justifications for medication don’t only come from ourselves.  We have others “in the know” saying how much better we are.  Or what ever their opinion is.

Some of us are entirely on our own.  Hiding our pills so we don’t have to hear it.  When something goes wrong, the pills are to blame.  It reminds me of menarche and listening to the boys saying empathic things like, “She must be on the rag!” Things said about us when we behave or feel in a way others don’t think we should, can be just as humiliating.

Is there anything that draws more public opinion than behavior?  Being your own advocate may be easier said than done.  However, difficult as it is, it has to be done.  It starts with “me.”  If I don’t fight for my own self, choose for my own self, …well, it results in so many things.

What is surprising is how things look so different once we do take action.  Sticks and stones make more sense.  We have the confidence that inevitably comes when we gave our best towards an honorable worthy goal – a healthy self.

Self Care Tip #33 – Accept help.  Be a friend to yourself.

Question: What do you think?  Agree or disagree?

Sensory Overload

crying-baby

Image by bbaunach via Flickr

Sensory overload.  There are some neurodevelopmental disorders that cause heightened sensory awareness.  People might need to brush their arms to be desensitized to the sense of touch.  Or use a vibrating toothbrush or wear shades even with little to moderate light.  I hear most about the senses of touch and hearing from my patients who will hit their head, scratch themselves, or do other self-injurious behaviors to self soothe.

Hearing about these people might feel like you are far removed.  However, many of the general population have some sensory issues although to a lessor degree.  These things come out when we are tired.  When we have multiple emotional stressors.  When we feel trapped or overextended.  It is linked to anxiety and so we may notice tension crawling up our skin or into our throats.  If we could escape we would.  Some people can push through this and make it until a window opens.  Some people end up reacting.

Today I found myself squinting more.  My energy was low and I yawned a lot during clinic which is rude.  My inner milieu had a lot to do with what I was bringing to the table and little to do with what was happening to me or around me.  However, there I was, a player in life.  I did my best.  And then the sound level started going up.  It felt like my skin was lifting up and contracting all at once.  Sound travels so it followed me around the house.  Before I had to put a dollar in the family money jar, I remembered my ear-plugs.  Ah.  Things went down a notch.  I could cope better.

Self soothing.  Babywise by Gary Ezzo and Dr. Robert Bucknam, the much disputed early parenting book, tells new-by’s that babies need to learn to self sooth.  Parents are advised to let their babies cry at night until they quiet down, rather than pick them up and sooth them externally.  Thus teaching  a baby that they can’t use Mom or Dad as a sleep prop.

Many of us even as adults struggle with self soothing.  Awareness of what is bothering us helps.  Getting that awareness might be a deliberate effort or it might come effortlessly.  Either way, knowing what is the trigger helps to know how to respond.  Anyone can describe a time in their life when this didn’t happen and they tried to self sooth in a way that was hurtful to themselves or someone else.

Whatever the feelings are, whatever the stressor, self soothing should be something simple, easy and fairly obvious.  Today, I was surprised at how much better I parented with ear-plugs in place!

“Mommy, why are you wearing earplugs?”…

Question:  What do you think?  Agree or disagree?

Self Care Tip #32 – Self sooth simply.  Be a friend to yourself.

Fear

I dropped my kids off today.  All of them.  We had been very happy about this.  After laboring towards patient parenting for 7 years, I was also looking forward to today.  I’d never had all three out of the house at once, and the strangle squeeze on my insides grabbed me by surprise.

We used to have this black cat when I was a kid who would hide in our plants.  In the middle of the night when I’d occasionally wake up and go to the kitchen to get a drink, she’d jump out at me with her claws.  While walking today between preschool, kindergarten, and 2nd grade, life jumped.  What left me breathless was how easy it was to get rid of my kids.  Appropriately by social standards.  School you know.  They’re doing what they need to do.  And just like that, if I wanted, they could be mostly gone.  I suddenly felt how it could happen to us, easy like that.  Like a body returning to dust.  My spirit, my soul, my essence yelled a loud “Wait!”

My reaction can be confused by some as a hidden desire.  Sure, I acknowledge the obvious need for parents, including yours truly, to get space from their kids. But that wasn’t the slap I felt.  It was fear.

I’ve treated many mothers, but one in particular comes to mind.  She voluntarily admitted herself to the hospital because she was afraid she would hurt her baby.  She wasn’t fantasizing about it.  She was having specific vivid imaginings that cut into her consciousness.  After enough of those, she lost confidence in herself and hid.  She confused these day-terrors with a fear that they were really some unconscious desire she didn’t understand.  Common for panic disorder.  It is the medical disease that historically gave us the phrase of “I feel like I’m going crazy!” With medication therapy she returned to a capable woman who trusted herself.

Have you ever noticed that in the Bible, whenever God or an angel is talking, they almost always start out by saying, “Fear not for I am with you,” or some version of that?  I didn’t, until my kids came home from Vacation Bible School 2 years ago, and the refrain for the week was “Fear Not!”  They still scream it at each other with glee.  I love that about God.

However when I hear that Bible verses or prayer or God should make us overcome fear, I am more than bored.  I’m angry.  Fear comes for many reasons.  It isn’t a spiritual thermostat.

Today I did several things to deal with my fear.  I cried.  I prayed.  I went to work.  I felt better.  However, my patient did not feel better after doing those things.  What should God have done for her fear?  I knew that she came to my hospital.  I knew that what she felt were symptoms of a medical illness affecting her human brain.  I knew that medications could play a part in helping her.  Maybe that came from God.

Question: What do you think? Agree? Disagree?

Self Care Tip #31 – Fear not!  Be a friend to yourself.

Find your Trust

A knot of tension moving and changing and can’t be trusted is there. Tightness around the eyes and mouth and there is a grim determination not to pull the pin. The determination is supported by love, by choice, by insight, by all that is good.

However, like a dog on a slope, paws outstretched, gripping at the pebbles and dirt, there is the gravity to account for. The mass of triggers accumulated into a planet – kids woke you up and you couldn’t fall back to sleep, emotions, people not keeping their word, your birthday was a flop, knowing that when you get past this moment there will be more and more and more. All this is a force you know you want to suppress.

Wanting is good. But like Randy Travis sings,

I hear tell the road to hell is paved with good intentions, but Momma, my intentions were the best!

Like him, we find ourselves with wings singed, wondering how can we try something new? Whatever we’re doing isn’t working. We want heaven to start right here on earth.

Break it down.

There is the matter of trust. Where do we put it? Where is our hope?

There is the matter of patterned behaviors. Have we put up roadblocks? My kids are delighted to see the growing dollars in our family money jar. They are also delighted when a day goes by when nothing went in there. I see it in their growing comfort around me.

There is the matter of biology. Do we remember that the brain is indeed attached to the rest of our body? Do we remember that emotional health affects the rest of our body? That it is contagious to our kids and partners and families. That we can control it as well as we control our liver function. …That doesn’t mean no control.

But today, I’d like to turn back to trust. Trying to stuff emotions can be like trying to push springs into a box. We know at some point, the lid won’t shut. We can’t trust that method.

Each of us needs to find the answer to that question and hold on to it. That is where our energies go when we succeed. Holding on to what we trust with both hands. Then we can let the rest go. Both hands are occupied so to speak.

This morning, I did that. The most beautiful little girl then came, cuddling me in bed, laughing and joking in a way that I knew could only mean she felt safe. I was rewarded with my own self, present with her and my source of Help. It felt like Christmas.

There is the next moment to contend with and the next – the same way. We can put this in the category of coping skills and biology as well. The brain is messy that way. One thing affects the other.

Self Care Tip #17 – Where is your trust? Hold on to it and nothing else. Be a friend to yourself.