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Mantras

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It is in our faults and failings, not in our virtues, that we touch each other, and find sympathy. It is in our follies that we are one.

– Jerome K. Jerome

Last semester I had a client who was talking about how a close friend seemed to be taking an interest in her, but she wouldn’t let herself believe it. Even though she wanted to believe that someone could find her attractive and desirable. Part of that whole undeserving thing I talked about in a previous post.

Lately I’ve been trying to help clients come up with mantras to counteract their inner critics. In this case, her inner critic kept saying, “Why me?” Why would he like me? What do I have to offer?  To which I replied, “Why not you?”

So this became her mantra. And I liked it so much, it has become one of mine, as well. Along with other mantras that I have come up with to counter my inner critic.  Here are a few of them:

1. Why not me?  This mantra now replaces the oft-repeated “Who do you think you are?” To think that you can find the one decent guy who is not in a relationship. To think that you can find an agent. A publisher. Readers. To think that you can improve your rating in tennis.

Other people do it. It’s not beyond the realm of possibilities. Might as well tell myself this instead and see what happens.

2. Everything’s going to be OK.  This may sound overly Pollyanish to some, but for me it is a source of comfort. After all, this is what we say to babies and children to calm them down. And as you know, I am a new parent, just beginning to learn how to soothe my inner infant.

3. I’m doing the best that I can.  This is to counteract my inner critic’s relentless evaluation that I suck. I can’t function without sleep like “normal” people. I can’t make it through a semester without crashing and burning unless I vigilantly focus on taking care of myself. My blog isn’t widely read. I can’t cook. I throw up when I play tennis. I don’t make enough money.

But I really am trying. And I’m trying to be OK with effort rather than results.

4. The purpose of life isn’t to be productive.  I was sick for my entire vacation this week. Five days in my house doing nothing but watching bowl games and knitting. No steps. No meals with friends. No tennis. No New Year’s celebrations.

My drill sergeant has tried to bully me into being productive, admittedly with some success. But for the most part, I’ve been able to tell myself that my only task at the moment is to get better. To rest. To care for myself. Regardless of what other people do when they’re sick. My life is worthwhile, whether I get my laundry done or not.

5. I’m just like everyone else. No better, no worse. I’m still a recovering perfectionist, but recovery is progressing quite nicely. Through blogging I have found that the kindness I receive in sharing my perceived flaws means as much to me as the compliments I get from my perceived successes.

So what’s your mantra? If you don’t have any, feel free to borrow mine if they help!

Smile: It Gets You Free Stuff. And Followers.

Appearances can be deceiving, even when you’re trying to be honest.

Today was a terrible day. I don’t want to waste an entire post on the details, so I’ll just hit the highlights:

1.  I spent 2 and 1/2 hours hanging out with the cable guy. This was after having a different cable guy show up at 8 a.m. yesterday and after multiple conversations and chats with customer service reps whose only troubleshooting advice is to tell you to unplug your cable box and turn it back on again.

2.  The office where I get my allergy shots randomly closes fairly often. So often that, to avoid getting into trouble, they’ve asked me to call ahead to make sure they are there. Which is ridiculous, because their job is to be there when the clinic is open. So today I didn’t do it. And guess what? They were closed!

3. I had to spend a bazillion dollars on a mattress today. OK, maybe not that much, but you know how I am about spending money. I have been sleeping on the same cheap mattress for 17 years. I only gave in because my back and hips hurt. And since I’m doing this whole self-care thing, I figured I should invest in a good mattress. Plus I had to get the reclining thing because of my stupid GERD, which was also expensive.

OK, that was a little more ranty than I meant it to be, but I had to give you some context about what my mindset was when I walked into the mattress store. When Mr. Salesman asked me how I was doing, I told him about the cable guy, the doctor’s office, and how he was robbing me of my savings. He told me that I didn’t seem like I was in a bad mood because I was smiling. Which is true. I’m always smiling, no matter how upset I feel. I told him not to be fooled.

After our transaction was complete, Mr. Salesman asked me what I do for a living. I told him I was a psychologist, and he was surprised by this. He said that all of the psychologists and psychiatrists he knew were super uptight, and I was super laid back.

What the hell? I don’t think I could have possibly had a worse attitude when I came into the store. And I’m pretty sure I’m just as uptight, if not more so, than most mental health professionals, given my various mood and anxiety disorders. Can my pathological smiling response really make me seem laid back and happy when I am actually pissed off? I don’t get it.

But I guess it’s a good thing. Because I made him give me every possible free thing he could throw in. Plus I told him that he needed to start following my blog. I also told him tonight’s post would be dedicated to him. So here you go, Mr. Salesman!

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Full of Myself

Positivity

I’m going to be on TV! It’s just a segment on the local news about tennis in our area, but I’ve never been interviewed on TV, so it’s kind of a big deal for me.  I initially didn’t want to be interviewed because I didn’t want to look fat. Which is superficial, I know, but it’s true. But I have to admit, I was pretty awesome. I love having an audience.

I feel self-conscious about writing this, because it feels like I’m being full of myself. But when I tell my therapist that I’m being full of myself, she says that’s a good thing. Full of yourself can mean being whole. Authentic. Come to think of it, most of the time I’m filled with demons, anxiety, depression, guilt, shame, and self-criticism. So maybe being full of myself isn’t such a bad thing.

In therapy, when clients talk about feeling self-conscious about sharing an accomplishment, I ask them how they distinguish between humility, bragging, and celebrating something good about themselves. Interestingly, the conversation often leads to a discussion about what it means to be a good person. About what God wants from us. Even though I never bring up God unless the client does.

I’m no theologian, but I think that God wants us to share our accomplishments, because they are a reflection of our gifts from Him. That using our gifts is a way of showing our appreciation for them. That sharing our accomplishments with the people who are important to us is a way of inviting them into this celebration.

So in the spirit of sharing my accomplishments with people who are important to me, I thought I would take this opportunity to share with all of you the good things that have happened to me recently.

1. I finally had a good tennis season. I played great and won a lot of tough matches. Except to that one team that beat us three times, which contributed to my bad mood on Sunday. But even those matches were competitive and came down to the wire.

2. I made it through this week without having to miss work! This is one of the weeks with the highest likelihood of a crash and burn episode. So I’m making some progress in my self-care efforts.

3. This is my 3rd post this week, so I met my goal! And my last few posts have gotten me a few more readers, so in the race against my former blogger self, I’m winning!

4. That small taste of the limelight confirmed my belief that if I had my own talk show, I’d be way better than Dr. Phil. (Is that going too far?)

Thanks for allowing me to share my accomplishments with you. I may not be in a relationship, but I do finally have people who care about the minutiae of my everyday life. And for that, I am grateful.

Self-Care, Part 2

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I had one of those days yesterday where it was hard to get out of bed. I was tired because I played 6 matches last week, and I stayed up until midnight writing a blog post the night before. I had a bunch of errands that I needed to do but nothing to look forward to as a reward for doing them. Eventually I did will myself to get up, and I took care of everything that I needed to do, but it took a lot of coaxing.

This was only a fraction of how bad it feels when I’m depressed. That’s why it’s so scary to think about going back there again. I know I’ve survived it and would probably survive it again, but it’s painful while it’s happening, trying to will yourself to get through every minute of every day.

Daylight savings time ends on October 25. I am nervous, because I can feel it already–the effects of the shorter days, the colder weather. Until a few hours ago, I hadn’t seen the sun in several days, which was contributing to my bad mood. In about a week we will be in the midst of the busiest time of the semester, which is always overwhelming, no matter how hard I try to manage my schedule.

I am trying especially hard this time to make self-care a priority. I’m trying not to let the drill sergeant yell at me unless absolutely necessary. I’m trying to say no to tennis when my body needs a rest. Trying to resist the urge to start writing a post at midnight. Trying to be realistic about what I can do and not compare myself to my colleagues, my family, or my friends.

I am making an effort to practice mindfulness, like I tell my clients to do. I’m making myself eat lunch away from my desk. I make sure I am registering every bite I take, rather than shoving the food into my mouth as quickly as possible. When I feel antsy and want to do several things at once, I take a deep breath, make myself stay in the present moment.

It’s really hard to make self-care a priority. Not only am I fighting my inner demons, but I’m also up against a culture that uses slogans like “I haven’t got time for the pain” and tells me to take drugs so that I can go to work when I’m sick. (I’ve always hated that commercial. I think it was for Dayquil.) And for all our preaching about self-care, mental health professionals aren’t much better at it in my experience, because we’re prone to putting other people’s needs before our own.

But I’m really committed to it this time. Consider this my public declaration to make myself accountable. If you see me publish a post at 1 a.m., remind me that I’m supposed to be in bed. If I’m being too hard on myself, feel free to call me on it. Remind me that I’m supposed to be kind to myself.

I’ll probably be annoyed with you, but that’s OK. You’ll never know, and it will be good for me.

Will Power

Like many of my middle-aged friends, I am trying to lose weight. I am not as obsessed about it as I was when I was younger and thinner because I am more accepting of my body now. But that also means I am less motivated. It’s even hard to will myself to do 10 minutes of stretching every day. 

In order to improve my motivation, I decided to look at some info on a workshop that I used to give on self-leadership. Good stuff. I ought to try it some time.

Here are some reasons why will power fails us:

1. We are more motivated to take action when things are going poorly than when things are going well. That’s why negative events stand out more than positive events: negative events require us to make some change. If things are going well, we can just maintain status quo. That’s also why anxious people like myself are often highly motivated–because almost everything feels like a crisis.

2. As we make progress towards our goal, we lose motivation because it takes more effort. This is related to the Pareto principle, or the 80-20 rule: 80% of our results comes from the first 20% of our effort. After that, it takes 80% of our effort to achieve the last 20% of the results.

For example, it is often easy for people to lose weight initially with minimal changes to their diet and exercise routine. But it takes a lot more effort to lose the last 10 pounds. So much so that people on diets are often perpetually stuck in the “I just need to lose 10 more pounds” stage.

3. The amount of will power we have is limited. Reseach by Roy Baumeister indicates that trying to exert self-control in one area of our lives leaves us less energy to exert self-control in other areas. So if you’re trying to change your eating habits, you will have less energy available to start exercising and vice versa. That’s why it’s better to focus on changing one thing at a time.

Despite these obstacles, it is possible to reach our goals. People do it all the time. So why not me? And why not you?

Here are some of the things that characterize people with willpower:

1. They try to understand why they’re not motivated. I was not motivated to lose weight for awhile because I just wouldn’t look at pictures of myself so that I could exist in a state of denial. That helped me avoid psychic pain, but now I think I need to be in a little discomfort. I don’t want to beat myself up over it, but I need to be honest with myself about how much weight I’ve gained.

2. They use their values to guide their behavior. Tennis is the greatest motivator for me. I want to play tennis for as long as I live, and doing so will require cross-training. So maybe I will try to remember this when I am feeling unmotivated.

3. They give themselves permission to fulfill their wants without feeling guilty. Because I work with students with eating disorders, I try to be careful about the message that I give about body image and I worry about how they will perceive my weight loss. But the reality is, my reasons for wanting to lose weight as a middle-aged woman are not the same as the reasons that students with eating disorders have. I can allow myself to honor my own needs. 

I know it’s still going to be hard, but perhaps writing this post will help me be more motivated. It certainly can’t hurt.

This tote has nothing to do with weight loss but it required a lot of will power because it was boring. It turned out nicely, though, so maybe I’ll knit another one.

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Positively Selfish

One of the hazards of working in the helping professions is burnout. People who are drawn to helping others run the risk of giving too much of themselves. In my case, however, I run the risk of burnout in my personal relationships more so than I do at work.

There are a lot of advantages to working in a counseling center. Even though you don’t make as much money, you have access to a lot of resources that you don’t have in private practice. I have colleagues, the student health center, deans, RA’s, and peer counselors who share the load. The most stressful periods of my job are predictable and time-limited: they occur around the middle of the semester and end around finals week. There are boundaries that are built into our schedule, as well. Appointments are 50 minutes long at the most. We don’t schedule clients past 5 pm or on the weekends. Students go home for breaks. We don’t see students after they graduate.

My personal life is a different story. Many of the people I love have emotional needs that they expect me to fulfill. Appointments are not time-limited. I am on call 24-7. I usually cannot terminate these relationships, nor do I want to. I have a hard time saying no to whatever they ask of me. And in many cases, I do not feel I am getting back as much as I am putting into the relationship because their emotional resources are more limited than my own. Which is not their fault. It’s just unfortunate for me.

That is part of the reason why I want a hiatus from loving and caring for anyone or anything new. No dating. No pets. Just me and my plants. I’m burned out; I want a more solitary job in my personal life.

I was telling my therapist the other day how this makes me feel selfish. She told me that I’m being honest with myself–more authentic. That we need another word that conveys positive selfishness. Which is kind of sad, really. What does it say about our culture that there would be no word for a healthy focus on oneself?

She nominated the word selful. Full of oneself, but in a good way. More like being whole. But it doesn’t roll off the tongue the way selfish and selfless do. Plus it looks weird. So I am open to suggestions.

The Inner Infant

So my inner child, Sophie, has a younger sister. She is an infant and doesn’t have a name yet. While my relationship with Sophie is pretty good, I confess, I’m a terrible mother to my infant. But I’m working on it.

It’s easier to enjoy Sophie because she is playful, funny, cute, and full of energy. But like most kids, she can be a brat and gets on my nerves sometimes. And she doesn’t like it when I’m alone. She’s afraid something bad will happen to us. She advocated for my last relationship and was terribly anxious whenever she thought we might break up. It took awhile before I learned how to comfort her and assure her that I can take care of her by myself.

I only became aware of the infant about a year ago–mainly because I was neglecting her so badly it was affecting my health. I wouldn’t feed her when she was hungry. I wouldn’t soothe her when she was upset. I yelled at her when she cried for no reason. If Social Services could have seen how I was treating her, they definitely would have intervened. After awhile I was having so many physical problems that I was forced to attend to her needs. It was starting to affect my tennis.

I’ve had to get to know my infant the same way any parent gets to know their child: by paying close attention. You don’t automatically know which cry is the hungry cry, the poop cry, or the tired cry; you learn from experience. She is usually upset when I wake up on the weekends because I sleep in and throw off her feeding cycle. So if I’m feeling depressed or anxious when I wake up, I get something to eat because she’s probably hungry.

Or she could be crying because that’s what infants do when they wake up–especially after a nap. It’s funny that we just accept that young kids cry when they wake up without understanding why and without being mad at them for it. I wonder at what age we start expecting people to have a good reason to cry.

I guess some people do acknowledge that they’re in a crappy mood when they wake up and turn to things like coffee, cigarettes, and drugs to calm them down. Those are not good ways to comfort a baby, though. And maybe they’re not ideal for us, either, really. But that’s for another blog post.

She also gets upset whenever I’m rushing around, which is essentially all the time. She is very sensitive to transitions: leaving for work in the morning, rushing to a tennis match, rushing to the grocery store. I have no idea why. Maybe my stress upsets her. Or maybe I’m neglecting her when I’m on the run. This is the distress that is the hardest for me to be compassionate about.

So now there’s this mantra I have to say multiple times a day to soothe her: It’s OK. Everything’s going to be OK. You’re fine. Everything’s going to be fine. And when I’m frustrated, I add although I have no idea what you’re anxious about!  It’s a process, accepting that she deserves to be upset and comforted, even when it doesn’t make sense to me.

I know this probably sounds silly to some of you, but it works really well. I use this analogy often with clients as a way to get them to pay closer attention to what they need, to honor their feelings, to have compassion for themselves, and to learn how to take better care of themselves. It can work surprisingly quickly, once you reassure them that having all these parts doesn’t mean they’re crazy.

So if you ever find that you are arguing with yourself, or that you’re frustrated because your thoughts/feelings/actions don’t make any sense, you might want to ask what part of yourself you might be neglecting.

Self-Compassion

My compassion reserves are running low. In my last relationship I took the words of Jesus and Buddha literally about how we should be able to love everyone. It was practically a 3 year exercise in compassion. But by the end I wondered if perhaps I had misunderstood what they meant about loving others. It was a lot of work to have to channel Buddha and Christ just to tolerate being in his presence. I feel like I’m experiencing a backlash now. All those feelings I tried to deny are coming out with a vengeance. I guess I was supposed to have compassion for myself, too.

I’m not very good at self-compassion. Every time I try, the Inner Critic berates me for whining about my problems when I have a good life. I don’t know what pain is. I’m not living in a war-torn country. My life hasn’t been devastated by natural disasters or school shootings. All of the people I love are still alive. Who am I to complain?But surely I must have the right to honor my feelings. My suffering must count, too, if God cares about all of us. So I’m going to write about what’s upsetting me, without apologizing for it or justifying it or willing myself to be positive.

This week I will be moving closer to divorce. Filing forms. Getting documents notarized. More tears. More snot. You would think there would be a limit to how much it’s possible to cry over something. That 4 years would be more than enough time. I used to pray to God–plead, even–to tell me what I could do that would allow both of us to be happy. Leaving seemed like it would just make us both miserable. And it has. And I don’t see an end in sight for me, at least. I’m trying not to blame God or myself. But in this moment, my faith in a happy future is wavering and I feel like I deserve the pain.

I have 2 family members who are currently on the opposite ends of the bipolar spectrum. My brother is trying so hard but still feels terrible.  It hurts me that he’s hurting. My dad is manic. Mania feels great for the person experiencing it, but it’s hell for the rest of us. But what power do I have to make him see?  If he were my client, I could make him see our psychiatrist, get him on meds. But as a daughter, I am practically useless.

I’m afraid to answer the phone when my parents call. Which makes me feel horribly guilty, because I know their time on earth is limited and I will regret not talking to them more when they’re gone. But the call is almost always about something bad. Something I’m expected to fix. Or something I don’t want to do. At minimum, I’m supposed to be a receptacle for the stress, but I can’t take it. It’s too much. I’m not able to function afterwards.

So I have to be strategic about when I call or when I answer. It has to be a time when it will be OK if I fall apart. But since it’s hard to choose something where there’s a good chance you’ll fall apart, I often forget to call altogether. Which makes me feel even guiltier and reactivates the vicious cycle. I wish it could be easier. I wish there were some way I could be a good daughter but also protect myself.

It takes a lot of work to maintain my health. Since I have GERD, allergies, and exercise-induced asthma, I have to take shots, nasal sprays, pills, steroid inhalers, rescue inhalers. I’m not supposed to have coffee and chocolate. I can’t eat or drink 3 hours before exercise or bed time. If I drink too much during a match, I’ll even throw up water. It’s frustrating to have to worry about throwing up every time I play. Or brush my teeth, even. But giving up dental hygiene and tennis are not options.

My mental health is always hanging in the balance. It’s work to maintain my sleep cycle because of my night owlness. I can’t miss any of my drugs. I can’t miss Ativan for even one night. I meditate, pray, journal, exercise, and all of the other self-care strategies. But despite my best efforts, I can never make it to the end of the term without burning out before I cross the finish line. I can’t handle the stress of my life. I can’t get out of bed right now. It makes me feel weak. Inadequate. Unable to do the basic tasks of life.

Just got a call from my lawyer friend that my paperwork looks good to go, so I guess I’ll be filing for divorce this week for sure. If you believe in God, feel free to say a prayer for me. If you don’t, send positive vibes my way.

Meds

The first time I started anti-depressants I was 30. By this time I had been depressed for at least 15 years on and off and anxious non-stop for about 30 years.

Obviously, it would have made more sense to start them sooner, and people told me that, but I was anti-meds up until this time. I was in a research program that strongly favored psychological interventions. Meds were just a product of the money-making pharmaceutical industry and were over-prescribed. People were more likely to relapse when they stopped taking meds. Blah blah blah.

Most of my resistance was really because I was stubborn. No one could have talked me into taking them any sooner.

I finally decided to try them after my husband and I had moved again after a year. Before we finished unpacking, he was already obsessing about buying a house. I knew at some level that we weren’t going to make it, which triggered a depressive episode.

I started on Paxil and sure enough, I felt better immediately. So much better that I wondered why I had allowed myself to suffer for decades when I could have just put myself out of my misery by taking the freaking pill.

Still, after being on them for a year and a half, I stopped taking them–with my doctor’s approval. And I was OK for awhile. But then we bought a house and my husband wanted to find another one a year later. My marriage was moving closer to its sad conclusion.

This time I took Lexapro and stayed on it for much longer. When my life finally seemed stable, I tried going off them again. As soon as the meds were completely out of my system, I felt the depression slowly creeping back. I was a little more irritable. It was a little harder to tolerate stress. My thoughts were a little more negative. Occasionally I was emotionally explosive. And finally, I was barely able to get out of bed.

It turned out to be the most severe episode I had ever experienced. It seemed out of the blue at the time, but now I know that it was because my dad was also experiencing his most severe depressive episode. Even though I didn’t talk to him much, I felt it. That whole super-empath thing. Damn empathy. So annoying sometimes.

I can honestly say that this time the meds saved my life. The depression and anxiety were so debilitating that I spent most of my time lying on the couch, willing myself to keep living, counting the days until the drugs kicked in.  And when they did, I was immensely grateful for the pharmaceutical companies that came up with drugs that allowed me to be myself again.

All clients want to try therapy without drugs, and we always do.  And sometimes that’s enough.  But sometimes it’s not.  And the process of going on and staying on meds for as long as necessary–which might not be for life–is long and arduous.  But when they finally take them, they are thankful that they did and wonder why it took them so long.

But they still want to go off them.

I don’t criticize them for this, because my path to acceptance was longer than theirs.  I used to beat myself up over my stubbornness, but the reality is, you can’t be ready until you’re ready.

It takes a long time before we are willing to give up suffering.

 

Fear of Sadness

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Most people find it difficult to tolerate negative feelings like sadness.  This task is even more difficult when you suffer from depression, because any time your sadness feels too intense or lasts too long, you worry that the depression is coming back.  And if you’ve ever been depressed, you know how terrifying the prospect is of going back to that dark place.

Your loved ones also become hypersensitive to your sadness, which just exacerbates your fears.  If you’re feeling down, they ask you if you’re taking your meds, or if maybe your meds need to be adjusted.  Don’t get me wrong–I’m all for meds.  I’ve tried to go off them several times, and each time I got depressed again.  But it’s unfortunate that once you’ve been depressed, every feeling has to be scrutinized for potential pathology.

There’s also this added sense of failure associated with relapse.  Like you should have been able to prevent it this time, since you’ve been there before.  And even though you recovered before, you fear that if it happens again, you won’t be so lucky the next time.

And even if you do recover, you fear that the wait will be agony.  I fear depression much more than anxiety because when I’m anxious I can take an Ativan and I feel better immediately.  But antidepressants don’t work that way, so there’s not much I can do to feel better right away when I’m depressed.

Whenever I am afraid I’m becoming depressed, I journal about my fears, my sense of failure, and my pain.  And when I look back at these entries, I realize how strong I am.  There are a lot of things that suck about depression, but I have no doubt that it has made me a stronger person, even while it tries to convince me that I’m weak.

But how do I know when I’m sad versus depressed?  To be honest, I don’t always know.  Sometimes I feel depressed for a day.  Sometimes I feel sad for what feels like an eternity.  The line is not as clear-cut as we’d like to think.  But regardless of whether it’s sadness or depression, the best I can do is to control what I can control.  This includes therapy, meds, stress management, and self-care.

And most importantly, for me, it means practicing self-acceptance–of my sadness, my depression, and everything else that makes me who I am, for better or worse.