Covid-19 and Brain Conditions

We keep hearing the experts talk about the dangers of Coronavirus especially involving those with preexisting conditions or “comorbidities”. But does that include a brain or neurological condition? There is so much information that’s been written that it can be difficult to sift through. We’ve compiled some good resources from trusted websites just for you. In general, the answer is no, your risk is not greater due to your condition and the current CDC guidelines should be your first steps. Following that, there are a few other things we’re suggesting to take a few additional precautions. We’ve created the graphic above which can be downloaded here. Once downloaded, each of the links are clickable so you can use it as your single page go to for lots of information.

The takeaway? 

  1. MS:  Be sure to really focus on stress reduction as both a preventative of exacerbations of your condition and warding off COVID-19.  If you do get sick, treatments appear to be the same as the general public. Be sure to follow your neurologist’s recommendations and closely follow the CDC guidelines on distance, wearing a mask, and staying in due to your lowered immune system. Additionally, it’s a good idea to have 3 months of medication on hand. https://multiplesclerosisnewstoday.com/faqs/2020/03/02/faqs-about-coronavirus-and-ms
  2. Parkinson’s:  Since this patient is also usually over age 60, be careful to follow all CDC guidelines and stay in.  See the following link for a letter the Parkinson’s Foundation Association recommends keeping with you:  https://www.parkinson.org/sites/default/files/Hospitalization%20During%20COVID-19%20Letter.pdf  Take a look at some other ideas at: https://www.parkinson.org/blog/tips/Coronavirus. There is also webinar and audio content available at: https://www.michaeljfox.org/news/coronavirus-and-michael-j-fox-foundation
  3. Migraine:  Be very careful of your known triggers to prevent worsening.  Monitor and minimize your stress levels, practicing good self-care.  Have enough of your meds on hand for 3 months.
  4. Seizures:  If you have been consistently free of seizures with medication for 6 months or more, there is no current indication of a correlation.  But do have a 3 month supply and take it as prescribed.  And, as always, manage your stress and worry to the best of your ability.
  5. ABI – TBI :   Good news, there is no known higher risk for those with a brain injury. But you do need to manage all symptoms such as seizures and migraines– see above for details.  If your ABI is stroke related – keep taking the medications you were put on, following your neurologist’s advice and stay in touch especially if you are having more seizures, headaches, etc.  https://www.stroke.org/en/about-us/coronavirus-covid-19-resources  Watch diet, self-care, balance and keep up your exercises for this safely, manage stress, and have any medications on hand preferably for 3 months.  Follow all CDC guidelines for safety for COVID-19.  See https://www.biausa.org/brain-injury/community/covid-19-resources and https://news.shepherd.org/qa-coronavirus-disease-2019-covid-19/ For other information on traumatic brain injury and COVID-19. 

Links for everyone: 
To maintain this self isolating, we will all do better with managed stress, good quality and amount of sleep, and maintaining relationships with friends and loved ones using technology. For some suggestions, take a look at the links below!

  1.  Down Dog – https://www.downdogapp.com/ free until May 1st to all; free to teachers, students, and healthcare to 7/1
  2.  Music to calm and relax:  https://advancedbrain.com/shop/music-to-relax/ easy download as well.
  3. Headspace:  https://www.headspace.com/covid-19
  4. Browse our recent blogs
  5. 5 quick tips:  https://www.npr.org/sections/health-shots/2020/03/03/811656226/pandemic-panic-these-5-tips-can-help-you-regain-your-calm
  6. The resources page of our website (we try to keep this updated with news, shopping tips, and some fun!)  https://www.thewholenessinstitute.com/covid-19-resources.html

 I hope you have a safe and healthy April. Please reach out if you need additional support, this is a stressful time for most. I’m here if you need me.

Take care,    Dr. Beth

COVID-19, Control, & Compassion: Choosing Our Attitudes and Being Compassionate

We can’t control our world, our family’s lives, even our own life right now, can we?  We can’t know when or where the Coronavirus will hit.  We can’t know if we’ll get it, or our neighbor, or our best friend, or our coworker.  We can’t know if we’ll come through this time financially whole or if the financial condition of the country and world will collapse. And this is scaring many of those I see or those I read about in the news or that I hear from on Facebook or other social media accounts.  And I get it – there is much uncertainty.  This morning, though, I wondered to myself – but can we ever?  Can we truly ever have power and control over all that happens to us?  All that we experience, think, and feel?  All that we so often trudge through life trying to control.  Our boss?  Our job? Our health? Our financial condition?  Or is it possible, just possible, it’s an illusion of control?  And that the truth we are living right now – that we cannot control the spread of COVID-19 more than following the suggestions of medical professionals and mandates of our government is the reality we live each and every day? 

Dr. Viktor Frankl was a psychiatrist who was put in a prisoner camp in Germany during the time of Adolph Hitler.  A man of Jewish faith and lineage, he was in the group abhorrently victimized and often killed by those under Hitler.  And from him came some of the most profound writing in the area of existential psychology – or the psychology of meaning and experience of life.  He survived the camp, a feat beyond my imagination, and stated, “When we are no longer able to change a situation, we are challenged to change ourselves”.  Ah – here is the kernel of hope we do have, we can always change ourselves, our reactions. He went on to elaborate: “Everything can be taken from a man [person] but one thing:  the last human freedoms – to choose one’s attitude in any given set of circumstances, to choose one’s way”.  And this is how he survived the experience in Auschwitz.  And helped many others to do so – to choose their attitude to keep trying, one step, one day at a time; and to assist others by noticing them, handing them a crust of their dried bread, or a sip of the tiny bit of water they were given. 

A choice – we, too have choices.  Are we going to share with others compassion and love and a safe place to share what isolation is like?  Or what living at home 24 hours with children and/or spouse is like?  Either can be very challenging.  Are we going to be supportive of the grocery store clerks and employees – or grumble that we didn’t find what we wanted?  It’s a choice, isn’t it?  I will say I can sometimes be tired and grumble when someone doesn’t acknowledge what I’m experiencing – but how would they?  We’re each unique and experiencing this time differently.  So, I need to back up and possibly share it and ask for understanding or at least respect for my experience and apologize for the grumble. 

Kristen Neff talks about self-compassion, and Viktor Frankl about compassion towards others.  But Neff makes an excellent point – if we don’t have it and show it to ourselves first, how will we ever share it with others?  So, as we are facing days that are long, with limited control but room for personal choice in attitude, perhaps a little self-compassion would be a good first step.  Especially through this next week when many who are Jewish cannot celebrate Passover as they are accustomed to and Christians cannot celebrate Easter as they are.  We will need to choose attitude and show compassion. 

Kristen Neff discusses this from a place of self-compassion, Brene Brown from a place of shame and working to change that and let go of that, and Viktor Frankl from a place of making a choice in our experiences about our attitude.  All three, interestingly, have similarities in what to do.

  1. Notice what you’re feeling.  Be with it in the moment.  Be present and mindful so that you are aware and do not act out, hopefully, towards another.  So, for example, when I am feeling lonely facing Easter without the family and traditions we usually share, I need to sit with that.  Feel the pain, the disappointment, the loneliness. 
  2. Being kind to yourself in language is also important.  Rather than the voice that might say, “Oh grow up, it’s one holiday.  You’re fine.  At least you’re not in the hospital and dying of Covid-19”; we need to instead say, “I’m having a hard time. This is something I haven’t experienced so it feels new and lonely.  And it’s a change – I struggle with change in family tradition.  So, I need to be even kinder in planning and deciding how and what I will do Easter Sunday”. 
  3. Name the feeling and share it with some safe person in my life.  It might be in prayer.  It might be in text to my best friend.  It might be a call to a family member to connect at least that way and share and listen to what they are experiencing as we face the next 7 days.  (This is unique to Brene Brown’s idea of coming out of the shame spiral by facing it and sharing it.)
  4. Decide how with what attitude to face the next 7 days and what choices are available.  For example, reaching out to others is something Viktor Frankl recommends as we reach out in love.  Not in guilt or caretaking or shame.  But as he says, “Love is the ultimate and the highest goal to which [we] can aspire”.  This means both the love in self-compassion above, but also the love in reaching out.  Perhaps something special to do with the children over the coming weekend.  Perhaps sending cards of love to family we cannot see. Maybe planning our own special day of ritual and celebration and sharing it in love for the other(s) we might be with – even if that is ourselves.  Nurturing the sense of self-compassion, and care. 

So how will you face your own attitudes this week?  How will you remain mindful of what you are experiencing?  What change can you commit to?  What are the steps you might take to show yourself and others compassion?  I would encourage you to write them down.  Post them, put them in front of you, and lovingly remind yourself of them each day. 

Warmly and with compassion,

Dr. Beth

PS:  Want to learn more about these 3 theorists and clinicians?  I suggest the following books:

Daring Greatly:  How the Courage to be Vulnerable Transforms the Way We Live, Love, Parent, and Lead by Brene Brown

Man’s Search for Meaning by Viktor Frankl

Self-Compassion:  The Proven Power of Being Kind to Yourself by Kristen Neff

Caring for Yourself in Times of Fear and Illness

This week has been a stressful one for many people.  The combination of the coronavirus, the stock market, the grey skies and rain, school and college closures, and the world news each day has been very hard.  But . . . in all of this, did you catch any of the good news?  It’s a bit hard to find, I learned, as I went to locate some for you to try to balance the week.  I did finally find a couple of pieces: 

            The La La Land Kindness Café in Dallas has hired 9 foster kids who aged out of the foster care system and were having trouble locating jobs.

            How about the House and the President agreeing, within just a couple of days, to relief legislation for victims of the coronavirus? 

            The Dow started a rebound today – that’s very good news for most!

            All of the fast action employers and schools/universities are taking to protect their employees and students – it seems unprecedented to me, although it may not be.  From Amazon in Washington to ASU to Ford to many others many are limiting exposure by providing employees with laptops and having them work and study virtually.  

All of these are truly ideas that are very positive news – and get covered in the anxiety so many are feeling, and the care for family that is often at the root of this.  Just tonight I learned one of my sisters-in-law may have been exposed to it, and her father likely has it.  Yet of the 16 members of my family nearby, she is the only one, which is good news thus far. (Edit 3/15/20: Good news! Her father’s test results reflected negative results.) See how we can flip it?  In psychology it’s called reframing the bad or difficult situations by looking at life a bit differently, without denying the hard does exist as well.

We sent out notices about Covid-19 procedures for our office this week.  Now it’s time to also offer some concrete help along with the above reframe tool.  The American Psychological Association and the National Association for the Mentally Ill are the two sources I’m using for the ideas that follow.  I wanted you to have some resources to print or click for the coming weeks.  What I know from 911 and other events is that when we are faced with being bombarded on social media and news media with information that is difficult, we tend to seek out more information and stay focused on the difficult situation.  This merely drives fear and anxiety up further.  We do need to know what we can do to try to protect ourselves; but once we know, i.e.:  wash hands to count of 20, do not shake hands and stay a further distance from others, and isolating someone with clear symptoms including fever, cough, and shortness of breath, we need to also look at how we care for our family and selves in a way that minimizes the fear and focuses on good things in life.  And, in the situation we have right now, we also need to know how we can cope with isolation whether from working at home, not going out for social events, not being able to travel to family or friends on trips we have had to cancel, or other reasons.  And we must have a method to deal with the uncertainty, fear, loneliness, depression, resentment, and challenges we face trying to secure things we may need.  So, here goes!

  1.  Make sure you have some games to play that are age appropriate for you and your family, and especially if you have children.  If isolated, the family will need ways to entertain themselves, laugh, enjoy each other’s company, and get through the days together.  We know that closeness breeds irritation, so have some things that can break up the days and draw you together, not apart.
  2. Have a plan with your doctor.  My physician sent out a text announcement to all of his patients tonight just letting us know he’s there, where to go for trustworthy medical information on the virus, and what to do if we are having symptoms.  Reach out to your pediatrician, cardiologist, pulmonologist, or primary care to know ahead what to do and how their office is managing this.
  3. Use the tools that help your mental health on a regular basis.  So…do:
  4. Keep up your physical activity – there are some great YouTubes on how to do yoga, walk along with you to keep your steps up (I like Leslie Sansome’s https://www.youtube.com/watch?v=m9yI2LGZRE0), and many others depending on what you prefer to do.
  5. Make sure you have enough medication or supplements like Rescue Remedy, Vitamin C and B, and other things around to keep you feeling better and less anxious. 
  6. Stay on a schedule.  We can get very loosey-goosey when at home too long or too much.  So make sure you keep an agenda to normalize your life and not fall into the doldrums too much.
  7. Make sure you can connect with Messenger, FaceTime, and the others available.  It helps for you to actually see friends, not just text.  We’re learning that the more texting that is done, the lonelier people are becoming.  So, in this time of increased stress – reach out even more and if you can’t touch one another, at least see one another.  I know someone who was separated from a loved one for quite some time, and they would watch a favorite show while connected on Facetime.  Another dad who was away who would play checkers with his children.  Get creative in your connection!
  8. I know you get tired of it – but remember to breathe when anxious.  Or start a mindfulness app during this time.  The website has a number of these on the Links page, and this is a great time to learn to do it and practice.
  9. Listen to music that uplifts you – for me that might be one thing – but what is it for you?  Listen!  Music does a lot to impact our moods.
  10.  Keep some numbers available if you need to reach out to a warm line, i.e.:  you’re not suicidal but you are feeling isolated and need to connect.  See SAMSHA’s line for disasters at 1-800-985-5990 or locally at 602-347-1100.  And remember AA, Al-Anon, and many other groups have online and phone meetings.  Take care of your sobriety as well! 
  11.  Pay attention to your spiritual practices.  I love labyrinths and downloaded the Mount Mojo Labyrinth Journey app to my cell phone quite some time ago.  I can walk it by finger on the phone even if I have only 5 minutes and can’t get to one locally.  Or, call a friend to pray.  Watch a Joel O’Steen, Beth Moore, or even your own pastor or rabbi may have something online to watch or even just listen to. 
  12. Humor, humor, humor!  You have to laugh!  I go to Bob Newhart videos, Carol Burnett, or Tim Conway as well as Friends and Frazier.  My mom loved SpongeBob Square Pants (I did not ever figure that one out!)  How about funny movies often free on Amazon Prime, Netflix, and other places you may have membership. 

All of these are tools – now you just need to use them.  As I said in my letter to current clients, I’m here and I am available.  Feel free to call and schedule an in-person or video therapy session.  The teletherapy appointment is on an encrypted service that meets HIPAA standards, we don’t use FaceTime or other things that might seem easier – but don’t offer the privacy.  So, if you can’t come – we’ll walk you through how to set it up. 

May you find these ideas helpful – and know there is a hand to reach out to.  And keep reaching out to friends as well.  Do you have other ideas?  Let us know and we can share those on our Facebook page. The disasters end.  The illnesses come to an end in such large proportions.  The blue skies come out again.  Something my mama told me growing up is that “it’s always darkest before the dawn”.  Obvious, right?  But it kind of normalizes problems and difficult times.  And reassures us – that “Joy will come in the morning!” (Psalms 30:5).  And so it will!

Take good care of yourself!

Dr. Beth

On an aging mind.

I recently opened a drawer and was surprised to see an article of clothing I had no memory of buying. It is a swimsuit. A dreaded article of clothing for me to put on any given day to begin with, I remembered it but I could not remember where I’d gotten it. Was this a memory issue I should take note of? It got me thinking about a recurring theme I’ve had come up in my practice and in my personal life with friends, not only as we ourselves age, but as parents and siblings and other loved ones do too. What IS normal brain aging and what are the signs something more serious is happening and needs attention?

As we age, our brains shrink. Years of studies have shown this to be the case but it’s not always a bad thing. For the vast majority of us, aging only means some forgetfulness—a haziness of past events, not recalling names of old schoolmates (but cueing helps), the need for a grocery list, occasionally forgetting what we walked into a room to get, word finding difficulty at times. You may also find you have less ability to concentrate and pay attention. All of these are typical to the aging brain. Add stress to the mix and the above problems are exacerbated, as is the case when you are only half paying attention to someone because your mind is already on something else.

So when is it time to pay attention and get some cognitive testing done, even as a baseline? I read an article not long ago that had a great list—I’ve pulled from it a few guidelines to follow (for more of the article, see: https://www.verywellhealth.com/is-it-forgetfulness-or-alzheimers-98574). Take a look at the list below and if you see some areas of concern, don’t be frightened about getting testing, the earlier the condition is found, the better we can prepare and treat for it.

  • Recent memory poor, and cueing and context don’t help
  • Can’t remember the order of things and who said what
  • Repetitiveness becomes obvious; memory intrusions occur
  • Unaware that a memory problem exists
  • Day-to-day functioning declines along with memory
  • Frequently demonstrating poor judgment and decision-making
  • Not being able to handle paying bills regularly
  • Often being disoriented to time and place
  • Difficulty with familiar tasks, such as making coffee every day
  • Getting lost on your way home from your daily job

Whether your memory slips are typical and bothering you or something more and you need to do some testing and work with a neurologist, talk to me. I have some things I can recommend that may help. And if you have a brain injury, your process may be a bit different– see our website at: https://www.thewholenessinstitute.com/braininjurytherapy.html for additional information. As I routinely say, there IS hope and I’m happy to help you find your way back to it.

As for me? A couple of cues helped. I knew I must have ordered the swimsuit so I looked at my older emails and found the order—as soon as I saw it I realized I bought it at a time life was extremely chaotic and it was one of many things I was handling at once. I’d been doing too much at one time and as a result, my mind automatically filtered what I needed to retain and what wasn’t important. A relief to me, for certain!

Delving Deeper Into My Spirituality and God

Lenten season is upon us once again and as we have begun, I’ve noticed a similar theme crop up in a couple of places and it’s had me thinking, how is my relationship with God at the moment? Am I letting Him in, and growing? Or am I going through my busy life with time only for church on Sunday and prayers for sick ones, people I’m concerned for, guidance for myself? That type of superficial relationship is not what fills me up the best. Am I listening to Him? Are you?

The first quote that resonated with me was posted on social media by a friend:

When I was younger, I thought Lent was about giving up something I liked and that was it.

As I’ve grown older, I pray now, “Jesus, what’s keeping me from you?” Usually, I already know the answer. It’s usually the one thing, action, or thought I don’t want to give up.

But every time I do give something up, or take on something else, allowing and inviting Jesus the time and space to change me, I’ve grown in love and sacrifice. “He loved His own in the world, and He loved them to the end.” -John 13:1

He’s longing to love you this Lent.

He’s longing to lead you deeper this Lent.

He’s longing to call you this Lent.

What’s keeping you from Him?

Her comments really hit home and challenged me to look at my life and how I could improve my relationship with God during this Lenten season. This led me to search a few other books, blogs, and videos highlighting Lent as well as my relationship with God.  I found a wonderful video posted which focused on our relationship and how Lent can re-energize our relationship with God.  You can see it at Lent , but be sure to listen to the entire thing or go to about the last minute and a half.  As I’ve been mulling over these in the last 2 days  another voice popped in from a popular blogger I follow, Emily of Jones Design Company. She writes:

In my lifetime of following Jesus, I can only count a few times when I know I’ve heard God speak to me. There are lots of times when He speaks through scripture, music, dreams, conversations or nature. I adore these special moments of closeness and connection.

This time was different.

It wasn’t a conversation or an affirmation. It wasn’t even in response to something I had been talking with Him about. It was a catch-you-off-guard, clear as day directive.

It’s time to write.

I stopped mid-tread, listened, and agreed.

The first two encounters above made me truly consider what is keeping me from allowing me to be closer to my God.  Not just through my actions showing my belief; but also knowing more about Him/Her and especially trusting and allowing Him to really know me.  Offering up the openness in myself to really allow Him to enrich my life and grow in my spirituality, healing; and, in turn, in my own loving, supporting, and giving to others. When I read Emily’s quote it made me wonder whether I’m spending the time to really listen for God, for His word, or for what I’m to learn through different experiences.  In other words, am I responding to my God when He/She is calling me to love me and be with and in relationship.  The question is really one of whether I am allowing intimacy, or deeper intimacy, with God.

What is intimacy with God?  I believe time spent with and quality of that time together with the other(s) are always signs of intimacy in human relationships.  Is this really any different that with God?  I don’t think so.  And in reviewing what others have said I found these additionally:

  1.  There’s an excellent article titled, “5 Ways to Improve Your Relationship with God“,  and one suggestion is to “Abide and Meditate”.  This means finding some time for silence each day. Set a time in your schedule–while you have your morning coffee, just before you go to sleep, or sometime in between–that you turn off your devices, pick up the word of God and really read it and ponder it. Maybe a verse, maybe a chapter, maybe a book. Meditate on what you’ve read and really internalize the meaning.

2.  One of my favorite authors is Thomas Keating, OCSO, a Franciscan priest who truly           gave us all a gift when he was shared how Centering Prayer can allow us to enter a           more intimate, and deep, relationship with God through Centering Prayer.  As he said:       “As we move from conversation to communion with God’s human and divine nature,         Christ, we experience the divine intimacy. ” (You can read more about this form of             prayer at Centering Prayer).

3.  The closeness so evident that God hears us before we even turn to Him or know                  what we need:  “Before they call I will answer; while they are yet speaking I will                  hear” (Isaiah 65:24).

So now I believe some are asking, what does faith have to do with my psychological functioning?  I’m going to take a risk here and say, it has everything to do with our functioning in life emotionally.  When I presented a workshop last year the intersection between the two was clear, it allows us to be whole people.

Spirit and Psych Intersection

If we look at this, we notice that the first item is related to intimacy and authenticity in our relationships.  Thus as we have a lived sense of spirituality, and this means a healthy spiritual practice, then we will experience more intimacy with others as well.  In Lent, a major focus is that of developing our relationships with God and others.  Any tradition can borrow from this, and take on a period of 40 days to focus on our Higher Power, our God. Colleen’s post indicated that her deeper question for this period this year is what is keeping her from accepting God’s love and being more deeply in a relationship with God.  My suggestion for each and every one of you is to ask yourself:

  1.  What is keeping me from a deeper relationship in my spiritual life?  Is it laziness, or is it fear, or is it a lack of awareness of relationship and has become more rote practice?  Or, is it _________________________?  Fill in your own blank.
  2.  What is one step that I can take during this time to grow psychologically and spiritually?  Do I need to spend more time with God in a way that is meaningful to me on a regular basis?  I am committing to go to some Taize prayer services (see Taize Prayer for an idea about these services if you’re interested).  For some this will be through nature.  I loved Episcopal Bishop Kirk Smith’s e-Pistle where he recently wrote about nature and God.  In it he was discussing Richard Rohr’s quote:  “Ever since God created the world, God’s everlasting power and deity–however invisible–have been there for the mind to see in the things God has made” as well as Thomas Acquinas’ quote: “Sacred writings are bound in two volumes–that of creation and that of Holy Scripture.”  So perhaps this can be a way to come closer to your Higher Power, your God, this season.  Or, perhaps it needs to be in centering prayer as I mentioned above.  Or, for does it need to be through gratitude?  This is in part the recognition that your Higher Power is at your side even during the times of difficulty. Whether all is well in life at present or you have challenges you’re facing, God’s plan is in place. Thus focusing on recalling the moments where you have been blessed and offer up thanks.  Again, fill in your own blank here:  The step I will take this Lent to inspire my relationship with God is to ____________________________________.
  3. Am I an active participant in my relationship to God or within my spiritual walk?  Many have written about this and how to be more active.  Perhaps read “A Praying Life” by Paul Miller that focuses on how to live in this busy world we have and yet still stay connected with God.  Or, perhaps taking the 7 steps each day that Joyce Rupp talks about, see 7 Steps of Morning .  Maybe it will be watching movies that lead you to deeper awareness of how to be more connected spiritually, like Walking the Camino or The Shack.  Or perhaps looking to music to inspire your spiritual participation with God.  Never tried listening to chants?  Or what about Tibetan bowls?  Or perhaps gospel music is more your speed, but with an Elvis twist:  Lead Me Guide Me  For me, a beautiful classic piece can do it, as can Every Grain of Sand by Bob Dylan and sung by Emmylou Harris at  Every Grain of Sand .Get creative – how can you experience, try new activities to express your feelings or thoughts in relationship with God or in a spiritual manner.  So, answer this question:  I will try a new spiritual practice to become more aware of my participation in relationship to God by ____________________________.

You now have three steps you can take this Lent.  Are you going to use this Lenten season as I am, to delve deeper into your relationship with God? Some focused effort in these coming weeks may really deepen your faith and bring you greater peace. Will you join me?

universe-1044107_1280

 

 

Thoughts on fall

This Saturday marks the start of a new, welcome season for me—fall begins. Growing up in the Midwest, apple farms were prevalent and roadside stands with fresh apples, apple cider, and apple cider donuts were among my favorite stops. The leaves changing, the chill in the air in the morning slowly changing from dew to frost on the lawns, the fields being harvested, and the fall décor—cornstalks, hay bales, and pumpkins appearing in lawns everywhere, were all signs of the season.

Apples are one of my favorite fruits. I enjoy them year-round, but I always love the time of year I begin seeing the Honeycrisps show up in the produce sections. Every other year my extended family gathers at our family cabin to harvest apples from our tree and begin the weekend long task of peeling and canning apples and applesauce. It is a weekend full of work, undeniably. It is a weekend where we fill up every inch of the cabin, lots of people under one reasonably small roof. But it is a weekend of laughs, of love, of bonding that I look forward to often months ahead of time. This year the crop is not as plentiful, so we aren’t going to have that time.  But I still found myself thinking of apples and looking at pictures from past years this weekend. Some years the apple harvests are showy with an abundance of fruit, other years the work is happening underground and within the body of the tree. The fruit crop may be less, but the growth cycle is just as important.

applesatcabin

Something similar happens in the cycles of our lives. We have times that our lives feel overflowing, with commitments, with friends, with family. Other times we have more moments of solitude. Those quiet moments, while at times may feel uncomfortable, are just as important. Such as it is for me this year. The end of summer and this fall will be one less harried, more intentional, and with more quiet time for me.  I spent a weekend by myself at the cabin a few weeks ago, enjoying the peace, quiet, and hikes with Murphy. While fall is about letting go, solitude allows me to stop, think, pray, dream, or do some art to sort out where I’ve been and where I’m going. This reflective time allows some of the work to be done internally and spiritually as I consider the next steps for me in life.  And it allows for contemplation of progress made – perhaps to release, as apples ripe for picking; or perhaps it is the season for growth and change, a new bud on the apple tree. So, a time to wait. And to be at peace with waiting. “Solitude is very different from a ’time-out’ from our busy lives. Solitude is the very ground from which community grows. Whenever we pray alone, study, read, write, or simply spend quiet time away from the places where we interact with each other directly, we are potentially opened for a deeper intimacy with each other.” ~ Henri J.M. Nouwen

As the apples are released from their branches, some fall and others are caught, only some make it to the applesauce.  So too with the meaning of fall – let go, release, transition.  F. Scott Fitzgerald:  “Life starts all over again when it gets crisp in the fall.” If you are looking to do some spiritual reflection of your own during this season of harvest, please consider joining me for my upcoming workshop—Spirituality and Psychotherapy: Hope, Courage, and Presence. Spots are limited but I do still have a few seats available, for more details see www.thewholenessinstitute.com/workshops or call us at 602.508.9190.

The apples were harvested, let’s enjoy them one bite at a time.

With hope,

Dr. Beth

Freedom Within

The 4th of July always brings back warm memories for me. Childhood memories of family, neighbors, being in the Elmhurst 4th of July parade, a huge neighborhood picnic, mama’s potato salad, Mrs. Grosser’s Rice Krispies chicken, watermelon, and a day that ended in a trek by all of the neighborhood to a park for fireworks. According to the Elmhurst History Museum, fireworks commenced at one of several parks during this time period, one of which was Elridge Park.   Elmhurst was my home town, one in which family, friends, and neighbors counted.  Where one felt safe, and where life was measured by the seasons passing from the 4th of July picnic, to fall school and the smell of tar on the road, to winter snow storms, to spring flowers and roller skating.

Eldridge

pool
Swimming Pool where I learned to swim in the early 1960’s

parade
Elmhurst 4th of July Parade circa 1960’s

But the 4th of July meant that we were celebrating freedom, something that is more sought after today, and less taken for granted than it seemed to be back in the mid-1960’s. This 4th of July I want to remind you that freedom is at least as much how we own things internally as how life occurs around us.  Too many are feeling less free in this country, and feeling very much compromised, reduced, limited, and forsaken.  I am not going to address any of the politics on either side of this, that’s for other places and times.  But I do want to address how to own one’s independence of spirit.

This automatically takes me to a famous psychiatrist/neurologist named Viktor Frankl who died in Vienna in 1997 but survived four concentration camps in the 1940’s including Auschwitz.  He was a man who knew no freedom for 3 years, and yet in that time he learned mental freedom, psychological freedom, and spiritual freedom.  He developed through these experiences and times a new form of therapy he called logotherapy or existential therapy.  He believed that not only can we survive extreme times, but we do so through the spiritual self that cannot be reduced by circumstances.  I don’t know about you, but I have struggled with this thought at times; and yet, I also know this is how I’ve both enjoyed the wonderful times in Elmhurst, and some extremely difficult times in my life later.  In fact, during high school a dear friend gave me Dr. Frankl’s book, “Man’s Search for Meaning”; and, in reading it I found strength and power to go on.  How?  By finding meaning for my soul and heart, regardless of what might be difficult.  (Note:  I recommend this book highly – see https://amzn.to/2z64yQ8)

At this time when life in our country is rife with difficulty, I believe we must also remember the freedom that Dr. Frankl suggested, particularly when he said, “Everything can be taken from a man but one thing: the last of the human freedoms—to choose one’s attitude in any given set of circumstances, to choose one’s own way.”  So, this 4th of July, let us celebrate this.  And let us also remind ourselves that what we hold most dear in this country, freedom, is what we are celebrating and what some are fighting to retain or regain.  And when the parades begin in your town, or the picnics begin, and even through the last of the fireworks going off, may we remember we hold the deepest freedom within to choose our attitude.  Only then can we be fully empowered to celebrate freedom.  And only then can we begin to make real choices about freedom and take steps to further defend it.  From the child’s heart of freedom within me from the 1960’s, to the child’s heart in you, Happy 4th of July!

fireworksfinale.png

Managing News – Rather than Being Managed by News

Given all that is in the right now, it seems remiss to discuss something other than current big news topics. The world is full of happenings that are heart-wrenching and sometimes polarizing, and it can feel like a lot to take in. I have a couple of ideas on how to be a healthy news consumer if you find yourself losing sleep over our nation’s, or our world’s, issues.

Start by limiting your exposure. Such a task can be hard to do—popular media reports all the big, splashy headlines and many of them are horrifying to read. It can be tough to be faced with atrocities on a daily basis, yet you want to stay informed. What to do? Watch news coverage in the morning or mid-day and keep the evenings lighter, with programming that isn’t as heavy hitting.  Watch or read a maximum of an hour (ideally less) of news a day. If you’re viewing a televised news broadcast, once the highlights are over (normally about 15 minutes into the show) much of the content is repeated. Repetitious messages are what tend to turn into brain worms—things you can’t escape. Ever heard a chorus to a popular song and had it stuck in your head for days? That is a great example of how repetition stays with you. This replayed information, whether music, news related, or self-talk, has the same staying power.

Second, consider the sources where you obtain your news. The best place to get your information isn’t always your TV. Your smart phone or other electronic device is a powerful news agent. Use an app that displays the headlines, allowing you can pick and choose which articles to read instead of being offered a producer’s view on what is relevant. One of my favorite apps is called Flipboard. You’re able to pick a number of topics that you are interested in and the feed shows you headlines from each. Mix it up with some heavier hitting news, some entertainment, DIY, gardening, you get the idea—there’s something for everyone. If you choose to try an app, a quick sidenote—keep the “push” notifications turned off. Without that feature activated, you are able to open the app to view the news and allow yourself control of your exposure rather than being inundated by notifications. Another observation I hadn’t considered previously was brought to my attention by Katie Couric on her podcast. She said she still reads a paper version of a newspaper, citing that she gains knowledge on the editorial slant based on where articles are placed upon the page. On an e-reader, that layout is fluid and the editorial bias is not as easy to detect—another important factor in digesting these stories is understanding more about the reporter, the producer, and (more so) the news agency’s views or motivations for the story.

Another idea? Look for an area to take action. What in the news is troubling you most? Refugees? Take a peek at the article linked here, I love the insight it shares–both in how to help AND how to keep perspective on what your personal contribution means to the greater picture. If this touches you, then look for ways you can fit outreach into your life. One person I am aware of makes speeches, another works with her church’s refugee ministry, and another offers counseling time on a pro-bono basis. Is your hot button drinking straws and plastics in the ocean? Make a change, buy stainless steel straws, get yourself a reusable water bottle, and do your best to not buy single serving drinks. Remember, “I alone cannot change the world, but I can cast a stone across the waters to create many ripples.” ― Mother Teresa

If you are still experiencing looping thoughts, limit your ruminating about the news, talking about it, and worrying about it. Pray if that works for you, do some mindful meditation to center yourself, or simply distract yourself and put your mind on something else. Practice self-care, and allow it to distract you. This may be different for each of you—unwind with a bath, take in a movie, meet up with friends for dinner—whatever makes you feel whole again. It’s important in difficult times to really take charge of what is going into our minds. Be curious. Be considerate. Be open minded. Participate to the extent you are able in order to maintain a balanced life.   And then live in the other zones of your life.

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Managing our Emotional and Physical Health through the Holiday Season

Holidays Ahead

Is your holiday season different this year?  Maybe you must work and can’t be at events with family or friends.  Perhaps you are feeling depressed and anxious already, and as you are learning to manage it, with holidays upon you, you are feeling you’ll never get hold of the emotions.  It’s possible someone close to you died this year, and the point of holidays seems removed from you.  Or maybe you are struggling with an illness and so the thought of holidays, food, or get-togethers just isn’t as important to you as you deal with the illness.  Whatever may be different this year for you, perhaps we can simplify it a bit and make your holidays seem more possible, more manageable, and doable.

  1. Keep Calm and Take 3 Deep Breaths

Keep calm and 3 deep breaths

So, the idea here is to just stop – slow down – breath.  For those of you who have anxiety, pain, or need to take a bit more time, I love this practice and recommend it regularly.  For the breaths:

  1. Breath in slowly through your nose to the count of 4;
  2. Hold that breath to the count of 7;
  3. Release the breath to the count of 8.

Dr. Weil has a demonstration and discusses it at https://www.drweil.com/videos-features/videos/the-4-7-8-breath-health-benefits-demonstration/.

  1. Give Up Perfectionism

This is one of my weaknesses, if not the one that is most difficult to deal with during the holidays.  I may want to do it all, have all the gifts perfectly wrapped, have the exact right gift for everyone, and then also have the perfectly cleaned home, decorated beautifully and completely, and still get cards out to everyone, plan and prepare meals that I find either new and healthy or older and traditional, be at each of the events I’m invited to, and then also be sure that for each group I am a part of also be at their activities as well.  Well, those who know me know that those things don’t all happen, in fact, over the years I’ve reduced what I aim for and then work on the most important first, then drop what I can’t get done as I keep moving through the holiday season with enjoyment.  Brene Brown’s quote sums up what happens when we are not diligent in evaluating what we can do (healthy striving) and perfectionism:

Perfectionism

So, stay out of paralysis, exhaustion, reduce anxiety and depression, and work toward healthy striving.  One year it may be a minimal holiday season, another more involved.  Either way, the healthier you move through the Thanksgiving through New Year’s holidays, the better and healthier you are on January 2.

  1. Adjust how you shop

This is very important, particularly if you are ill, short on cash and want to be solvent in January, or just don’t have the energy to go out into the shopping malls for Christmas or Hanukkah gifts.  You don’t need to put miles on your car to do so.  What about simply ordering on-line from stores?  What about catalogues?  Or, you could consider ordering gift cards and making a wonderful card to enclose them in.  I love to do this for families, in particular, and get the gift certificate towards a family activity, be it bowling, a pizza night out, a movie, or their local favorite activity like a zoo.  All of this can frequently be done via computer or tablet or phone call.

Danielles Christmas gift

The other thing you can do is share from your heart.  You might consider making their favorite baked good and writing a personal note on it.  Or, write out your most precious memory about your time with them.  One year I bought a calendar and put little notes throughout the year in it of what I appreciated in the person, reminders they are loved, and wishes for important days in their life.  My friend loved it – and felt closer all year although we lived hundreds of miles apart.  And I still have a gift my niece made for me when she was just a little girl:

Finally, you can get creative.  Check out Pinterest for ideas.  Ask your friends for their thoughts or what they’ve done.  The goal here is to keep it simple and low stress whatever you choose to purchase or make.

  1. Plan first for down time, for a break, for the rest you need.

It seems so vanilla to plan for the rest before you plan for the day or week.  However, the biggest problem we have is with fatigue.  When we are tired, not resting, over-done, we do not deal with the rest of life as well.  According to Mental Health America we need rest not just to regrow our energy reserves, but also regulate some of our hormones, repair muscles, enhance cognitive processes including memory, and help keep depression and headaches at bay.  Have you ever noticed dogs?  They love to go and do and be with us.  However, they also love to sleep.

Murphy Christmas Morn 2015

They are generally better than we are at assuring they get what they need in rest.  I was recently reminded by my dog’s trainer that Murphy needs downtime with me, but I need downtime and rest to best be alpha to him, and so allow him to keep relaxing.  So – for your own sake, please remember to book this first.

  1. Make some time for feelings. 

It’s hard to allow feelings during holidays if we feel that we must be “up”, “happy”, “excited” and instead feel tired, are grieving, or are depressed or anxious.  It’s much easier to move through this time of year if you take the time to acknowledge what you’re feeling on a regular basis.  You can journal, talk with a close friend or loved one, see your therapist, draw a picture, cry, or simply acknowledge to yourself what you are feeling.  When we own what we are feeling it becomes easier to then move forward and make a decision about how we are going to deal with our feelings at the time.  Sometimes just writing it down or saying it aloud to ourselves or another allows the intensity to reduce and lets you move forward to something else.  Remember that when

Acknowledge feelings

From:  http://wantirnawellnesscentre.com

we avoid feelings we just delay experiencing them and the usual result is expressing them in ways or at times we wish they hadn’t come out.  Five minutes of journaling or quietly being still with oneself can do a lot to overcome the feelings back up that often occurs.

  1. Finally, remember to watch your exercise and foods/drinks you consume.

Although we may give ourselves permission to eat and drink more at times during the holidays, do remember that we need to also make the choice to keep up on water, exercise or take a walk if possible, put limitations on sugars and alcohol, and keep the vitamin and self-care rituals we generally use in our days.  We all tend to know these things, and it can be hard to follow through, but remember that even one day that we follow our guidelines the healthier we’ll be the next time we choose to allow ourselves to try the desserts, have a hot toddy, or don’t walk. Obviously if you have an addiction, be sure protect your sobriety.  An extra meeting might be just what you need on a particular day or days.  For Christmas, did you know that many areas have 24 hours of meetings in one location for those struggling on Thanksgiving and Christmas?  If you’re in Phoenix, try this on over Christmas:

Christmas Alcathon:  Marathon meetings every hour Noon – Noon (except during speaker meetings)

12/24

3:00 pm   Old Timers Meeting
8:00 pm   Speaker Meeting

12/25
10:00 am  Speaker Meeting

It is held at American Royal Palace Banquet Hall – 1915 W Thunderbird Rd, Phoenix  85023

You can also always call the 24-hour line for meetings 602-264-1341. 

Load how you carry it

This is a time of year that the above quote is very meaningful – it’s not how much we are dealing with in life during the holidays, it’s how we are carrying it.  And this includes all of the ideas above and others that you may find are even more meaningful to you.  Remember that spirituality goes a long way this time of year.  Reading, meditating, going to church or temple, or otherwise getting in touch with our faith and connection to a higher power is essential.  I need more candles and music this time of year, in addition to being sure that I’m taking time for church and quiet on Sundays.  The sabbath is an essential part of life, as those who are Christian and Jewish learn.  A day of rest, taken away from other activities to allow for focus on one’s relationship with God, Yahweh, Christ, is something that can be adjusted for in any faith walk.  And even without faith, one essentially can choose to take a day apart to rest and refresh.  This is so important through the holiday season.  From Thanksgiving when we may want to take 15 minutes to write a gratitude list, to Christmas and Hanukkah services, to new year’s moments for reflection and thoughtful processing of one’s goals and accomplishments, these moments allow us to be more grounded, fully alive, and connected with our spiritual force.  Be sure not to cut your holidays short by not taking this time regularly.

So, go and enjoy the turkey and cranberries and pie this Thursday on Thanksgiving.  And remember to take the above ideas into consideration if things get hectic during the week.  Then approach each day through December in a similar way, taking care of yourself within what is healthy for you – not as you “should” or “shouldn’t” need to do.  And have a most wonderful 5 weeks!

Blessings warmly sent to you,

Take care,

Dr. Beth

 

 

 

 

Hope in the Midst of Difficulty

~Beth Sikora, PhD

Love recognizes no barriers.  It jumps hurdles,

Leaps fences, penetrates walls to

Arrive at its destination full of hope.

~Maya Angelou

Someone suggested that I write about hope this week.  I must admit that as I sat down to think about it all I could think of was what the past week or two held:

  • Hurricane Harvey in Texas;
  • Hurricane Irma in Florida, Georgia, and other southeastern states as well as the islands are Barbuda, St. Martin, the Virgin Islands, and others;
  • The memory of 9/11/01;
  • The repeal of DACA and then the actions since hinged to the “wall” between the US and Mexico; and lastly;
  • Suicide prevention week that was from 9/10-9/16 this year;
  • The hacking of Equifax.

Is it any wonder the person suggested hope?  It can feel fleeting and difficult to hold onto, can’t it?

So what is hope, anyway?  Above I shared some pictures that I believe bring and remind us of hope, and perhaps the magic of a picture can speak to weary hearts today.

 

According to Scioli & Biller (2010) HOPE is a combination:

  • Mastery of feeling one can take care of a situation and/or get the help to do so PLUS
  • Attachment or the ability to connect with others PLUS
  • Survival or having the tools to get through tough times PLUS
  • Positive future or looking forward to something in the future PLUS
  • Spirituality of some kind rather than a sense of being rudderless in the sea PLUS
  • Non-spiritual which is the ability to reach out to what is all around and within you.

When we have all of this, we truly have HOPE.  As Emily Dickinson said:  “Hope is the thing with feathers that perches in the soul, and sings the tune without the words, and never stops at all.

 

Recommended Reading:  The One-Year Book of Hope by Nancy Guthrie

You’ll Get Through This  by Max Lucado

The Book of Hope by Birgitta Jonsdottir

 

Reference:

Scioli, A. & Biller, H.B.  (2010).  The power of hope.  Deerfield Beach, FL:  Health Communications, Inc.