Calming an Anxious Mind

Sometimes it can seem as though our minds never turns off. During these times most recently, we may find that we have ruminating thoughts about the state of our world, our nation, our state, our county, and lastly but certainly not least–our households. Trying to maintain a positive attitude at home or with others may be difficult, let alone being fully present with others.

These are concerns facing many today, and part of a larger theme of anxiety I’m hearing about routinely in my practice. Across our nation, we are seeing re-openings of businesses, and with that comes new decisions of what is truly safe to do. I’ve provided resources in past blogs (found here, here, and here) of reliable sources to look for information as well as tools to get you through this time on my website found here.

Today though, let’s talk about the anxiety itself and how to cope with it. There is a graphic circulating online which shows varying stages of acceptance, take a look below:

This is a great illustration of the process of learning to open oneself up again. In some ways, this re-opening feels a bit like the immediate post-911 world to me. There was fear of going out and resuming “normal” life directly after the attacks because we just weren’t sure it was over. Our nation faced significant losses during that time, and we will never be who we were before that event; but, as time marched on we learned to process the experience and with that, we moved forward. We will do the same with Coronavirus/Covid-19. Take a look at the graphic, see where you think you may fall in the bands radiating off of the circle of Covid–do you see that you’ve made some progress? Or are you still practicing some of the behaviors in the darkest zone, the fear zone? Do you see that some of how you are feeling or acting are examples spread across more than one zone? That is a completely reasonable reaction. Likely where most of us are.

The above graphic also reminds me of the stages of grief, in more than one way. Many of us are familiar with this model of grieving developed by Elizabeth Kubler-Ross and I find the stages apply to more than the loss of a loved one. She defined them as, 1. Denial and isolation, 2. Anger, 3. Bargaining, 4. Depression, 5. Acceptance. Some of those examples look familiar to the handling of this Covid era too, don’t they? The initial denial that this could be happening to the people of our world, our nation; the anger at others who may not be taking the news the same way we have chosen to respond; the bargaining–if only we’d done X, then…; and the isolation which can also bring on depression.

My point to all this? We’ve handled grief likely on a personal basis, but also as a nation before. We’ve been fearful of unknown forces. We have come through it, and maybe we don’t look the same as we did before the catastrophe–on a world or national scale or on an interpersonal, familial one such as after the loss of a loved one–but we humans are resilient and even after a time that feels like it could have been the end of the world, we can again find beauty in things. So, let’s talk about how to move forward.

Mindfulness. Merriam Webster defines mindfulness as: 1: the quality or state of being mindful. 2: the practice of maintaining a nonjudgmental state of heightened or complete awareness of one’s thoughts, emotions, or experiences on a moment-to-moment basis also; a state of awareness. It’s a topic I’ve covered on a recent blog found here because I feel strongly mindfulness is one of our most useful tools in healing.

  • I came across some wonderful “attitudes for anxiety” in a blog post on Positive Psychology–to read the full post, click here. The 10 attitudes to practice for anxiety are towards the bottom but there are a number of other tools to practice she highlights–it’s worth the read. The one I find most essential is to: 1. Notice what is going on in your body. What are you feeling? Where? Is it the discomfort of reflux? The heart-pounding of panic? The headache or migraine of muscle tension? 2. Just stay with that feeling and feel it for a moment. Really let yourself become aware of what is going on internally. 3. Recognize what your thoughts are that either preceded the physical issue or are still present with the physical sensation. 4. Take a slow deep soothing breath into that part of your body that is in pain, taught, or uncomfortable. Hold it. Then blow it out as fast and hard as you can. Imagine that breath out as the difficult thoughts and feelings – blow them all out of your body. Do this several times and then attend to the area of the body with some self-care, i.e.: massage the muscles, notice the heart pounding may have slowed down with the breaths, or the reflux released just a little and if not take the medication you have for it.
  • Learn to meditate. There are countless videos and apps for meditation, some found on our website here, others a mere google search away. But here’s a good one I learned from a nun at an anxiety workshop many years ago. Spend 5 minutes looking into the flame of a candle. A well done video with an introduction to this meditation and a recorded candle’s flame for this process can be found here.
  • Deal with only one day at a time – Jon Kabat-Zinn has discussed this on Oprah’s Super Soul Sunday, the clip may be found here. He proposes checking in on yourself. How do you feel this morning? Are you still upset about a fight last night, or worried about an upcoming meeting? What do you want to achieve today? Understanding how you feel before you embark on your day can help you go through your day more mindfully. “Drop in on yourself and rest for a stretch of time,” Kabat-Zinn says. “And then as you go about your daily life, check in. Once an hour, once a minute. Once a day. You decide”.
  • Another technique a trusted colleague recently reminded me of when dealing with anxiety about the future and what is okay to do now or in a week about Covid-19 is to look at your watch. What time is it? What day? This is all you can make decisions about and deal with in this situation – use your watch as your reminder. See this blog for more information.

As I’ve written about before, practice good self-care. Not only the physical in good hand washing practices or wearing masks; but also, the mental self-care. Remember to limit your media consumption, be gentle with yourself, and get outside daily. If you’re dealing with OCD, it can be a tough time to manage your symptoms. If your current techniques aren’t working or you’re becoming worse through this, here’s an article written first person by someone who is handling OCD related to our current pandemic. Take a look at her tips, and if they’re new to you consider implementing the ideas. Even if they were routine previously, it may be time to up your game on using them. There are also some basic self-care principles written about here.

The same basic ideas apply to how to best care for your children during this time, but I cannot underscore this point enough, talk to them. Ask questions about how they’re feeling in an age appropriate way. If they’re older, see if they have questions on the state of things related to the illness and the ability to go out in the world or what your emergency preparedness plans would be. Ask them how they’re really doing at this time, and if they’re isolated from their peers–and consider supporting them in some things you previously may not have been as open to such as gaming on a device. In limited doses, it may be a great way for your kids to stay connected to their friends–it’s often a group activity yet can be played from individual houses. Watch for behavior changes in them–and if you’re seeing signs that are worrisome get them help. At this time of tele-therapy, they may be more open to the idea of talking to someone from the comfort of their own space rather than having to go into an office for counseling. If your children are younger, don’t overlook playtime as moments that feelings surface. Role playing with dolls, or even putting names to favorite play cars and trucks may bring out “feelings” the toys may have–but could really be the feelings your child may be dealing with. Remember, just like it can be hard for us as adults to put a name on a feeling or be forthright when we are having a hard time, children feel that too. Play with your kids when you can make time. No moment is too small–from the bathtub to a walk around the neighborhood, remember to take moments to check in on your littler people. Here’s a quick read from Seattle Children’s hospital on helping children and teens cope with anxiety.

I hope this provides some tools to each of you to calm the anxiety you are facing. Remember that this, too, is just a season. It will pass, and even if we have some longer lasting changes to adapt to, as was said by the late great Maya Angelou, “I can be changed by what happens to me. But I refuse to be reduced by it.”

If you need some professional help, know I’m only a phone call away. Get ahold of Angie, my practice manager, and get yourself scheduled. I’m here for you, reach us by phone at 602.508.9190.

Wishing each of you an easy mind today, a restful night tonight, and a more peaceful tomorrow,

Dr. Beth

Decisions…Difficult but Important to Choose and Own

Our current times continue to present challenges in many ways for all of us.  From the smaller decisions of what to purchase at a grocery store and how to do so: online, via delivery, or in-person; whether we’ll follow the guidance to wear masks; to the no-brainers of breathing in and out each day, and to the largest decisions about when to retire and other big life changes.  We can say that some of these decisions are easy, whereas on others we will not reach agreement with everyone.  As Eleanor Roosevelt said “In the long run, we shape our lives, and we shape ourselves.  The process never ends until we die.  And the choices we make are ultimately our own responsibility”.  There are crucial decisions being made by governors and legislators right now related to COVID-19, the economy and businesses, as well as protecting individuals.  At this time, we are also called upon to make our own choices, and decision-making is often challenging and stressful.

Part of this stress is brought on by hearing multiple conflicting ideas about how to open a country back up, what is too soon, what is too long, how much individual health and lives should be considered versus the economy, and whose guidance should be followed in these areas.  I believe, as Eleanor Roosevelt and others have said, that we are responsible to determine what is in our own or our loved ones’ best interest.  Some of the decisions our leaders make we need to assess and determine what to follow and when, such as the recent ones, and ones to come, about reopening.  So, I thought it was time to review a few basics on decision making.    

First, get yourself in a quiet place, without distractions, and relax yourself.  Hard to do in a Covid-19 world, but perhaps these steps will be taken over a period of a day or two, and that’s fine.  This might be doing some meditation, prayer, deep breathing or yoga, or other ideas you might have.  It’s important to have our brain available, and when we are relaxed, we have more capacity to use our full brain without it being impacted by a fight, flight, or freeze change in brain reaction. 

Second, once you’ve done the above, write down what the decision is that you’re trying to make.  Tie it down to one decision, after all we can’t make more than one decision at a time.  Writing it down helps you to focus.

Third, do the research you need to do.  For decisions about work, going out of the house, deciding whether to go to salons or restaurants, or even just whether to grocery shop versus using pick-up services, I’ve found some sources of information and am providing those here.  These links provide various views so you can consider what the pros and cons are.  But seek out your own sources as well.

  1.  CDC suggestions/plan on how to reopen

**I’m providing several Governors’ plans as it will allow you to see what they are considering and that may help you in making your own decisions.

After reviewing the facts and areas to consider from the above or other information you have, the fourth step is to write down your pros and cons on choosing to take various steps, i.e.:  go out to dinner vs. picking up dinner or having it delivered, going to the hair or nail salon, working in these environments and offices, and the others you’ll be faced with in the next week to months.  Then if it is clear to you what you will do, be clear with yourself how you reached the decision.  We can only make the best decision we can on any one day and with the information available to us.  You’ll want to reassure yourself later why you made a decision if later you question it.  If it is not clear, consider talking it through with your spouse, a significant other, close friend, person you respect, or trusted other.  And then follow the above once your decision is made. 

The fifth step, that will seem familiar to all who have studied science – from junior high forward, is to re-evaluate and make sure the decision still makes sense as you go.  Feel free to change your mind if that makes sense to you later.  For example, as many have suggested from a lot of entities and as we’ve seen in other countries, the numbers are going to go up as we reopen, so you may choose to change your decision if they are going up very rapidly, or begin going back down.

I ran across this in looking for a poem on choice and decision-making.  And in the end, I loved the simplicity of it:

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Source credit: quotesgram.com

Having peace during these times is challenging – but remember that with following all the guidelines we already know from so many sources, continue to:

  1.  Wash your hands often, with soap and water, for at least 20 seconds.
  2.  Wear a mask in public.
  3.  Cover your nose with a Kleenex if sneezing anywhere.
  4.  Cover your mouth with a Kleenex if coughing.
  5.  Socially distance keeping 6’ between you and the other person/people.
  6.  Clean and disinfect touched surfaces regularly and throughout the day.
  7.  Do not touch your face or wash your hands after you do.

All of these get tiring to hear about at times – but they will be essential for a long time to come.   And they can provide you with peace within that you are doing all you can to protect yourself and others. 

Finally, remember to take time to relax, enjoy your family around you, reach out to friends in socially distant methods, pray, meditate, and use the tools we and others have provided. 

See our website for general resources.

We also have COVID-19 specific resources as well as blogs on ideas in managing these stressors.

You deserve to take care of yourself, and I encourage you to make your own decisions, and take care in all the ways you need to do so during these challenging days.  We’ll be back to the regular blog again on Sunday, but I wanted you to have these thoughts earlier as things are changing rapidly. 

Take care,

Dr. Beth

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

Hope, Love, Faith

Featured Post

Hope, Love, Faith

Last weekend I spent a lot of time coloring and processing what was happening within.  This weekend I have spent a great deal of time in reading and prayer.  And both weekends I have sought out time with friends or family – through FaceTime, Zoom, or other mediums in order to feel connected.  One thing I believe we are all learning is that much as we are all individually having to handle this crisis given the need for social distancing; we are also in this together – with the entire world.  I keep replaying in my mind a song from the 60’s … “what the world needs now, is love, sweet love, it’s the only thing that there’s just too little of…what the world needs now, is love sweet love, no not just for some, but for everyone.”  (You can listen to it at https://www.youtube.com/watch?v=YUaxVQPohlU).   

And so, we look for love and connections through our faith communities, our friends, our families, and even our pets.  Pope Francis really touched me this weekend when he spoke and said simply, yet powerfully, “We are all on the same boat, all of us fragile and disoriented, but at the same time important and needed, all of us called to row together, each of us in need of comforting the other … [we] have realized that we cannot go on thinking of ourselves, but only together can we do this.”  This made me begin to think about how I share my hope and love.  And I do have hope for our futures.  It will not be the same future we imagined 30 days ago perhaps; but it can be one that is even more connected with each other, working toward common goals.  I’ve seen small examples of games in the neighborhood like putting a teddy bear in the window for children to find on a walk with their parents during a break in studying at home.  Or neighborhood children (and adults) who have left messages in colored chalk for others walking by.  I loved running across one while walking Finley the other night – just a reminder of not being a solo in the neighborhood, but part of a bigger whole.  Or the neighbors offering to do grocery runs or other errands if someone cannot get out to do their own at this time.   And yet … reminding everyone to stay in as much as possible.  There is hope in the fact that we are reaching out to one another in love … through chalk, teddy bears, or 15-minute errands. 

I’ve found this weekend I also want to express myself in different ways – by returning to some artwork — not to express my emotions, but to enjoy the freedom of creation, the hope in creating something that didn’t exist.  I read a brief article somewhere this morning that said people are reaching out to plant more gardens (it mentioned similar to victory gardens around World Wars I and II).  And we are in a war for our lives and a cure, are we not?  Many are looking at creating something no matter what level of talent they may have.  I would encourage you to reach out and try something this week.  Perhaps a crayon drawing.  Or plant some herbs or flowers if you have the materials or can get them via pick up at one of the local stores like Ace, Home Depot, Walmart, or Lowe’s.  Color a mandala (Go to this link for some free ones to print https://printmandala.com/) or do some paint by number on an app like Happy Color.  One favorite I had as a child and only takes a piece of paper and crayons or markers is to scribble lines and curves all over a blank piece of paper, and then color the spaces in forming a picture among the shapes.  Or, color all of the shapes in, then color over it in black, and lightly scrape off the black letting colored shapes show through the black.  Have children?  In addition to the above projects that would also work for them, check out Highlights at https://www.highlights.com/parents/crafts/31-kids-crafts.  And remember Pinterest always has 100’s of ideas. 

Scribble Art Sample
Scribble Art Sample

Pope Francis speaks of our vulnerability, a favorite topic of Brene Brown as well.  She had her first new podcast recently, and spoke about FFT’s, Frightening (or another F word) First Times.  So many are wondering how does one get through a frightening time like a pandemic?  And Brene said, honestly, none of us knows – it’s our first time, we are all vulnerable and exposed in walking through this time.  Pope Francis said, “The storm exposes our vulnerability and uncovers those false and superfluous certainties around which we have constructed our daily schedules”.  A student of mine asked me this week if I’d ever survived a pandemic.  As well as sending her a history lesson 😊 I also spoke of the fact we are vulnerable, we are all in the same boat of one day at a time, and reaching out for support from friends, faith communities, and therapists or other care providers during our time of fear and vulnerability; and to our physicians and hospitals if we do become ill.  But allowing oneself to be vulnerable with another – share your fear, allow another to cry or be with their feelings, offer your hope and strength when you have it, be present fully in the moment by text, video chat, letter, email, phone call – will allow you to also move forward “choos[ing] what matters” (Pope Francis).

And so hope, and love, come through faith, connection, vulnerability, giving, and risk in trying new things.  We will not find hope if we hide in a corner.  As frightened as a person may be, the only answer is to come out into the light.  Be vulnerable with another and connect.  Risk doing so and expressing yourself honestly, perhaps for the first time; but at the least for the first time during a pandemic.  Give to others through any way that comes to you to do so.  And walk in your faith, whatever it may be, and take it just one step at a time, one day at a time, through these darker times.  Regardless of your faith, I would encourage you to reach up for strength and hope, reach out in love, and reach in to find one thing to be grateful for each day.  If we each do our best, just our best as we are able to do today, we will make it through this time together.   

Take care of yourself,

Dr. Beth

Yoga and Your Brain

Yoga. It can feel like an intimidating word for the uninitiated, can’t it? Visions of perfectly chiseled bodies in spandex holding positions that look impossibly difficult. But yoga is so much more than that. I’ll leave it to the countless experts who explain that the physical movements of yoga are only a tiny part of the whole practice (google will lead you to lots of resources if you’re interested). But the physical piece which ties into the mental component and so many other benefits is a great way to move forward and “deepen” your healing.

After an accident or an acquired brain injury the sheer volume of appointments of follow up care can feel like a full-time job. But yoga is a practice that can be added at any time in the recovery process and shows great promise at helping those who have sustained a brain injury with balance, balance confidence, range of motion, pain control, strength and mobility. Studies have shown the practice to improve balance by 36%, balance confidence by 39%, lower extremity strength by 100%, and endurance by 105%. Those statistics speak volumes for the benefits of such a gentle exercise and practice. In addition, it can be helpful to so many who suffer from anxiety related to post-traumatic stress disorder after an injury or even a car accident without injuries. One study done at two centers involving a Canadian location and Brigham and Women’s Hospital in conjunction with Harvard University found a 10% reduction in PTSD anxiety symptoms following only an 8-session program of Kundalini Yoga.  Another study through Boston University and the Trauma Center found significant reduction in PTSD symptoms after 5 weeks of yoga, and individuals held an improvement for at least another 5 weeks.  So, it seems that we should be thinking about yoga much more frequently in the field of PTSD and brain injury!

There are studios throughout the country which offer yoga classes geared toward those with brain injury through the Love Your Brain Foundation and rehab centers. You can find some resources online at https://www.loveyourbrain.com/yoga though if you do a search right now you’ll find that in AZ, classes are not yet available (check back soon as a provider training is happening in April and is already full—so we should see some offerings coming!) The other place to check is the outpatient rehabilitation program through your local TBI hospital. In the Phoenix area, Barrow has some yoga classes with details found here. Although they have no specific yoga offerings at this time, Ability 360 is also a great resource for those with brain injuries and changes. A recent search of google for trauma and yoga in Phoenix brought up several studios with classes specifically for traumatic stress or PTSD. So, there appear to be some options, but take caution with these studios, doing homework to ensure their credentials are what you’re looking for and are the best choice for you.

These in-person classes are a great resource and whenever possible, I do recommend that people attend with an instructor present. That hands on advice and adjustment to a position can be very beneficial, but if it can be intimidating to try something new, can’t it? A big barrier to entry for an untried activity is the lack of understanding what the cultural norms are, what’s to be expected, and not wanting to look foolish doing something for the first time. Rest assured, the classes that are geared towards beginners, and specifically for those with brain injury, are not going to include the difficult poses that you see highlighted in yoga articles or images. Everyone in the class will enter with about the same level of expertise, that’s why there are classes for a variety of different audiences. Also, there are modifications that can be made to make this gentle stretching available to anyone, in any condition. If you’d like to see what a class may include, or would like to try something at home without an audience, there are some videos of classes for brain injury you can try at your own risk (check with your physician first to be sure you’re ready for these). Love Your Brain says it best, and I agree with their statement, “I cannot assume responsibility for any exercise and/or subsequent injury you may incur, “Yoga is for everyone. However, when online, it is up to you to assess whether you are ready for the class you have chosen. The techniques and suggestions presented here are not intended to substitute for medical advice. LoveYourBrain assumes no responsibility for injuries experienced while practicing these techniques.” And we cannot assume any responsibility for injuries experienced either through their program or others. That’s why it’s best to check with your doctor or physical therapist first. Classes online are an option for you to try if you cannot find anything available near you and once cleared by your medical health provider. Take a look at https://www.loveyourbrain.com/yoga-videos for some classes geared toward healing from a brain injury.

As we move through 2020 and we continue to explore our word for the year, deepening, I hope you’ll give some of the ideas I propose a try or use these suggestions to look for ways to incorporate new ideas into your life. I will be offering a workshop for you and your partner or spouse in April that will discuss the changes brain injury has on your work and home life. For more information, click here, and together let’s incorporate strategies to help you heal to be the very best you can be.

Help Your Kids Make Good Choices—Special Edition Blog on e-Cigarettes

If you haven’t seen the headlines in the last couple of days and didn’t see a surge on social media a couple of weeks ago, this may surprise you. Reports are showing early data that the usage of e-cigarettes contributed to the first lung related death, and more widespread, is causing substantial damage to lungs and the numbers are alarming.

The market has exploded with e-cigarettes, Juuls, and other vaping devices to supply candy and fruit flavored nicotine to interested users. Per Juul’s website, “JUUL was developed as a satisfying alternative to cigarettes. Learn about our mission to improve the lives of the world’s one billion adult smokers by eliminating cigarettes.” More reading of the website leaves a reader feeling that switching from cigarettes to this vaping device is a cleaner, safer choice.

The Juul itself is tiny, shaped like a USB drive, and with the enticing flavors, the market of users is not just cigarette converts, it’s also our teens. School districts nationwide are holding parent and child education events to provide information on this new smoking trend to teach and also encourage an open dialog among families about such nicotine usage.

But the reality is, vaping has been too new for us to have a lot of clinical data showing the toll it takes on one’s body. There are anecdotal reports of these electronic vaping devices exploding—and graphic images can be found of people who have had them in pockets, in their hands, and worse, in their mouths at the time the device ruptured and exploded causing substantial tissue damage. But what about the lungs? It’s been surmised that vaping can contribute to popcorn lung, but beyond that it was all supposition until recent weeks.

Earlier this month, a teen came forward on social media posting pictures of his hospitalization and subsequent recovery of a lung collapse. It is believed his use of a Juul for the past year and a half caused the lung issues he experienced. As his posts went viral, he launched the campaign #lunglove encouraging people to give up their electronic vaping devices in an effort to prevent more hospitalizations and deaths. https://www.cbsnews.com/news/teen-blames-vaping-after-his-lung-collapses/ Today it is being reported that the first death has been linked to e-cigarettes in Illinois and dozens more have been hospitalized for conditions similar to the teen mentioned above. https://www.cnn.com/2019/08/23/health/vaping-lung-disease-death-illinois-bn/index.html

These headlines are important, your teen knows about these devices and based on statistics alone, has likely tried one. They are present in every high school and likely every middle school in the country. Local teens are reporting they aren’t even able to use the restrooms because they’re so heavily used for vaping during breaks. Vaping devices can deliver nicotine, flavorings, and other additives; but some can also include THC—the psychoactive substance in marijuana—and other substances. Inform yourself and inform your teens. For information about vaping and marijuana, see: https://drugfree.org/parent-blog/know-kid-vaping-marijuana/  If you need suggestions on how to start a conversation with your kids, a number of resources have been written on this topic. Follow this link to a google search with a number of credible organizations that have tackled just this situation. https://www.google.com/search?q=start+conversation+with+teens+on+ecigarettes&ie=utf-8&oe=utf-8&client=firefox-b-1-e

And lest we forget, it’s not just teens who vape, UCLA reports that adults, too, are buying into this and many believe it is safer than cigarettes.  That’s yet to be proven.  And even for teens, scientists are still considering how vaping impacts the development of the brain – remember that the young person’s frontal lobe does not stop developing until about 25 years of age.  So with cardiovascular, lung, and brain impact we do need to be aware for our youth first, but for all adults as well (http://newsroom.ucla.edu/stories/how-safe-is-vaping)

Open communication about the dangers of these devices is one of the best ways you can help your teen make good choices. And remember, the listening—and hearing—what your kids have to say can be even more important than doing the talking.

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?

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Thanksgiving Thoughts 2018

Last weekend I had the privilege of attending a silent retreat in Tucson. The silence was a gift in and of itself, but the time also allowed me to regain perspective in areas including the gifts in my life for which I’m grateful. I’d been keeping a gratitude journal again for awhile, but that has been done in the midst of the busyness and clamor of life.

John O’Donohue wrote about the blessings in our lives for which to be grateful. The simple yet deep areas that were part of what came to me in the silence:

Blessed be the gifts you never notice,

your health, eyes to behold the world,

thoughts to countenance the unknown,

memory to harvest vanished days,

your heart to feel the world’s waves,

your breath to breathe the nourishment

of distance made intimate by earth.

As I recall last weekend, I realize that being in silence allowed me to be aware of things I would normally miss, which in turn  led to a fuller sense of  gratitude. I took the time to notice and watch the hot air balloons and appreciated their colors and the courage of those in them. I took the time and rather than assume only bees were flying around a planter, I looked closer and realized many of what I noticed were actually tiny yellow butterflies flitting about and how happy I felt in watching them. In listening to the retreat director I became so very grateful for my eyes and vision when I found out that she was going rapidly blind but was slowly learning to find gratitude for other things-friends who helped her, her husband’s arm, the ability to still see a sunset, the richness of her relationship with her son and his family, and audiobooks to continue her love of learning, prayer, and faith development through books.

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When in silence I also found I very much appreciated no social media … a separate commitment I’d made to myself for the retreat and which I found I missed not at all. Was that the “nourishment of distance made intimate” for me as I instead focused on nature, reading, and writing? Perhaps, it certainly felt that way.

At Thanksgiving we are taught to be thankful for fun times with family, football, a large dinner, and friends. I wonder what would happen if we each took 30 minutes to be silent. Might we recognize gifts in our lives, large or small, that we otherwise wouldn’t notice? Would we notice our bodies and the health we have, despite what we do not have any longer? Maybe we would take the time in nature to notice yellow butterflies or appreciate clouds slowly moving through above us, and be amazed at the process of movement that happens when we think all is still around us. We might even take the time to read or write and learn more about what is below our own surface. Or recognize through a picture, odor, taste, or sound the memory of a day in the past full of hope and allow it to imbue our hearts with hope again. Just maybe our hearts would feel a movement and allow it to impact us and notice how a similar time also influenced us this year. And in all of this, it’s just possible we would breathe more deeply, fed by the nourishment of life within and around us rather than just by turkey and gravy.

So here’s my challenge to each of you this Thanksgiving. Take 30 minutes and be in silence. Perhaps before you rise in the morning, after your feast while you take a walk alone, or in the evening before bed. Turn off the TV, put down the iPad, silence your phone. And notice what is around you. In you. What you’re grateful for in your life or your children’s or your relationships. Maybe even just see what comes up as you close your eyes and relax for that time, or meditate. Treat yourself to the gifts of silence to see, hear, smell, or increase in awareness of some lost idea re-found. I would bet you will end your day even more grateful than you might otherwise be this Thanksgiving. Then pick up the phone or pad and tell someone for whom you recognize deeper gratefulness. And thank yourself for this gift of time for you. May you in doing so feel even more “blessed by the gifts you never notice”.

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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.

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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.

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

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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!

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