Showing posts with label fear. Show all posts
Showing posts with label fear. Show all posts

Sunday, July 12, 2009

Jumping and Bar Tending

She has completed ten jumps in the process of becoming a paratrooper. She has a BA in psychology and plans to use her military benefits to pay for graduate school. She is supplementing her income working during the weekend. And she is depressed. Unlike my clients back in LA we can't talk about solving the stresses of this job by figuring out a conversation with her supervisor.

The culture of work in the military is you do the job you signed on and don't ask questions. My assignment is to help her accept that that's the way the Army operates. What can I say to her to help ease this emotional pain? We talked about simple tasks: breathing, stretching AND NOT drinking.

After five days on this Army base I have attended four briefings where alcohol use was discussed and the troops were given directions for recognizing signs of abuse. Substance abuse is always a risk. While I am not certain how many of my ideas will be useful, I do know that she found enough support in our conversation that she is meeting with me again.

Keep Breathing!

Saturday, May 30, 2009

Lying Part III: Does it Really Matter?

What happens when a client lies? How do I feel if I suspect s/he is not telling me the truth? Will this inaccurate information get in the way of my working with her or him?

I have a client who regularly exaggerates events in her life. She tells me about the elegant Hollywood parties she is catering. I want to accept this report a factual but she is unable to tell me about the menu or the kitchen in which she will cook. As a former caterer, I have suspicions that this party may not exist.

Another woman reveals only limited information about events in her life. This omission is another form of lying. I am unable to effectively support her in learning to solve problems in her relationships or employment. How effective can I be as a professional, as her counselor, if she does not give me a valid picture of her life?

When I call her on not giving me a complete picture, she stated she wants me to see her as managing her life. I wonder out loud, since everything is going so well, what purpose is served in seeking my support?

Her answer does not produce more accurate information but does motivate her to tell me that she’s afraid she’ll be rejected if she’s not perfect. I don’t use the term "lying" when I discuss the way these clients provide information. I use the concept integrity. For me, Integrity is the foundation for all healthy relationships.

Thursday, May 28, 2009

Trauma, Fear, Uncertainty

Trauma, fear and uncertainty: words with which we are confronted daily. Perhaps you have just been told that your department is being downsized (terrible word). Even more painful, you have been asked to stay while some of your colleagues are told to leave. You watch as people pack their desks wondering when will you be asked to leave AND you still have a job. For how long?

In this environment of uncertainty it is important to care for yourself and for the people you care about. How do I care for myself when I am feeling so overwhelmed? Breathe. At this very moment you can take care of yourself by being busy helping your colleagues. Be sure you know how to reach those people with whom you worked so that you can share resources.

Share your own uncertainty and fear. Your partner, spouse and close friends need to know how you are and what is happening with you. Their support is important in this time of change. Ask for help. Sometimes the most important support is simply in finding the right person to listen to you. You can offer the same resource to your friends.

Breathe. Ask yourself: "at this very moment, am I safe? Can I tolerate the place, physical and psychic in which I find myself at this very moment?" Stay in the moment. When your mind begins to move to the fearsome possibilities that are out there, bring yourself back to this very moment. Stay here now. Breathe.

Wednesday, May 27, 2009

Computer Crash or Sometimes Everything Seems Wrong and It Still Turns Out Okay

How do I explain to my clients that I - strong, grounded, centered clinician - must learn how to manage the problems of a system for which you have no control? The issue arose because my hard drive crashed and now I have to resolve a problem not of my making. My only choice in the midst of this problem was how I would handle it.

First, before throwing the machine across the room, I took a deep breath and focused on what I could do at that moment. I sat and reminded myself to simply breathe. I wanted to get myself out of the fury mode and into this very moment here. The silence was calming.

Silence is a luxury. Our minds are an organ not unlike our hearts or our lungs which are part of the autonomic nervous system. The heart beats and the lungs bring air into out bodies without our telling them to work and our brains think.

We have the capacity to slow down the beating of the heart and the intake of air by focusing on inhaling and exhaling. We have the capacity to control the intensity. Controlling the constant flow of thoughts through our minds is very similar: our brains are built to think therefore thoughts flow through, usually in a disorganized fashion.

To create some quiet, we must first recognize that our brains are doing what they are supposed to do. We aim to gain silence between thoughts. When a thought comes in, we acknowledge the idea and let it go. It takes practice. Again and again we turn our mind back to the space between thoughts. And that space between thoughts, the silence, grows so that we have more quiet than thoughts.

The final outcome is that the hard drive just died. the good news is there was NO virus so after my computer maven did his magic, I received a new hard drive and have rejoined the cyber world.

Breathe. Allow the cool calm light to enter your lungs. Release any tension that may remain in your chest and belly. Breathe and lighten up.

Sunday, May 24, 2009

More on Taking Care of the Therapist

I always say, if you can't take care of yourself, how can someone else know how to take care of you? Yesterday, I turned down a really great chance to go to the theater. Now, don't get me wrong, I enjoy being with this friend. she is one of the people with whom I can feel comfortable even when I'm not feeling friendly. And she understood when I told her: I've got to have some time for myself.

We all need quiet time in which to just digest the events in our lives. We don't generally acknowledge how important it is to take time for our selves. It is a fundamental aspect of self-care to respect the hours or even days we spend alone. This time is an essential restorative and healing tool for surviving today's stressful times.

Alone time, personal time is a precious commodity. Sometimes we set time aside for ourselves and end up using this valuable resource for the hard work of paying bills or doing the laundry. It is tough to allow ourselves to choose a gentle way for using those rare personal minutes. And it is important to maintaining our health that we spend time listening to favorite music - not using the music as the sound track for scrubbing the bathroom.

Take a walk on a sunny afternoon, spend time on a beach or beside a lake watching the water. Water is an important healing element. Schedule time for yourself. Arrange your schedule so that you have that rare and precious commodity. You will feel better and live more happily. You can be okay.

Breathe.

Saturday, May 23, 2009

Stay in the Moment

Sometimes we know the appointment scheduled for 2:30 on Wednesday is going to be really painful. We wonder how we will get through it. And there we go: projecting into the future what might happen, what awful things will be said and (especially) how horrible we are going to feel. First, you must understand that the event is not happening at this very moment. And, naturally, you will ask: shouldn't I be prepared for that tough experience? The best preparation is take care of yourself in this very moment.

How can I take care of myself right now when there is nothing to fear at this moment? And that is exactly the awareness you must maintain. You must narrow your focus sufficiently so that you are able to know and feel the security of this very moment.

When we face challenging interactions, we frequently put all of our emotional energy into what may possibly happen in the future. We are not taught that staying in this very present moment makes it possible to experience the feeling of safety. In the next moment, when you may be facing that person who can make comments that are painful, narrow your focus so that with each sentence, even each word, you are able to tell yourself "in this instant I am okay."

People often say, but I'm not okay. My response is it is okay to say, "I'm okay" even when you don't feel it. You are now teaching yourself that you can be okay AND have your fear. You can be in the midst of a stressful event, a painful confrontation and still be okay. First you must teach yourself that it really is okay to feel okay, even in the midst of a painful experience.

Breathe. You are okay.

Wednesday, May 20, 2009

Today's Toughies

Today I saw patients with whom I have been working for some time. The question is how do I support these individuals in learning to tolerate their fears and have the peaceful life they each deserve. I have learned that so many of our fears arise out of lessons we learn as children. We learn to be afraid of the things our parents tell us are fearful even when those fears are unrealistic. It is scary to take risks but we must take risks in order to move forward with our lives. The unknown is frightening. We cannot control the environment - people and physical - but we can learn to trust ourselves. This trust is the foundation of being willing to take those chances.

My job is to help these clients to take risks. Through these risks, going to a party, making a telephone call, and the big one, asking for help, they develop a solid foundation for trusting themselves. Being willing to experience fear is very powerful. Willingness means that the individual is open to participating. Willingness does not remove the fear but is allows him or her to see and feel that the feeling of fear won't kill them.

Tuesday, May 19, 2009

Is there one secret to Parenting?

I often tell clients and friends that the secret to being a good parent lies in the ability to communicate unconditional love through all the lessons that must be taught and/or learned. Everyone makes mistakes. Parents become overwhelmed and make critical remarks, children misunderstand and rebel against the lessons that must be learned. Through all this interaction, when the mother or father is able to show his or her child that he or she is loved, that small person gains the ability to survive the tumultuous experience of growing up.

There are, unfortunately many people out there raising children who are unable to let their sons and daughters know that they are loved and are valuable individuals. And the question is raised: How can people who call themselves parents inflict such horrors on their off-spring? Do those people dislike themselves so much that they are unable to separate their own pain from the sorrows being inflicted on their children?

When working with my clients I am regularly reminded of the fear and anger their parents must have experienced in their own lives to create such pain in the people in my office. I do NOT expect my clients to forgive the mother or father who said and did unspeakably cruel things but in the process of getting stronger and of learning how to care for themselves, they often gain an understanding of their parents' pain. The benefit of this insight enhances their ability to create loving relationships for themselves (first) and then for the significant people in their lives.

Monday, May 18, 2009

Getting Well:Part I

Getting Well Part I

It ain't easy! When you've lived with depression or fear or anger for a long time, you've learned how to have a life that includes feeling these negative emotions. As you begin to experience the daily events of your life without constant psychic pain, you begin to learn how to feel okay without that pain. Having less or even no emotional sadness can be uncomfortable. You are accustomed to being sad, or angry or fearful. You may even miss it when you realize you have gotten through an afternoon without the unhappiness. You may be surprised that you are able to spend time comfortably with challenging people.

What's happening? Something's missing. What has changed? You are getting stronger. You are gaining skills for accepting who you are without resorting to big emotional outbursts or intense lows. This new feeling comes from the process of getting healthier. Each step along the path to learning how to live inside your skin requires the skills you are now gaining. You are learning how to take care of yourself in an effective and safe fashion.

While you are beginning to feel better, your new found strength may be surprising for some of the people in your life. This change may even make some people uncomfortable. Other people's reaction to your new behavior is one of the painful aspects of getting healthy. Some people will expect you to respond in the way you have always acted. There is nothing wrong with you. You are learning how to take care of yourself in a gentler and kinder fashion. That ability is what you gain from the hard work you are doing in treatment in order to get better.

Give yourself credit for the hard work you are doing and understand that these changes don't always feel comfortable nor are they easy. And congratulate yourself for being willing to hang in with the work even when it isn't comfortable or easy.

Saturday, March 21, 2009

Choose your Battles or more on lemons into lemonade

There are so many issues about which anyone can put energy and emotion into that I recommend we are careful when we decide to allow anger to make decisions for us.

If an individual with whom I have business and/or professional contact is unhappy with me, my choice is to respond with similar intensity or to agree that the issue should be resolved and look for peace rather than conflict.

Sometimes the other person will follow my lead and find points on which we can agree and sometimes the other person is not ready to resolve the conflict. I am willing to wait until there is a better time for us to find a solution but occasionally that choice is not acceptable to the other person. In that case I return to my suggestion to make lemonade out of lemons.

I will keep my distance and attempt to solve the problem without additional disagreement. Sometimes that solution requires letting the other person leave my life and sometimes if means that we find a solution when he or she is ready to propose a compromise that meets both our needs.

Making lemons into lemonade requires that I use my wise mind and remember I always have a choice to take whatever steps will create a peaceful environment.

Breathe.

Cleaning is Great Therapy!

It's something that doesn't get done and when you've lived with the stack of newspapers or the dog fur on the carpet for a while, it's easy for forget that the dog fur and the papers aren't part of the decor.

The roar of the vacuum startled me as I pushed it across the floor and the dog began his attack on the machine. The amazing experience was that the carpet actually looked bright and clean as the dust and dog fur were sucked into the machine.

The satisfaction of seeing a room with a cleared floor and furniture without the black dog hair was real. What a nice feeling to have a house that supported my need for quiet and calm.

Breathe. Cleaning is only one of many steps you can take to remind yourself that you are in control of you.

More later.

Friday, March 20, 2009

It's not about having the most

It used to be that success was about having the biggest or the most or earning the highest . . . Today it's about making lemonade out of lemons.

If your bills are paid and the dog or cat don't need an emergency visit to the vet you are doing fine. If the mortgage is current and your electricity and phone are still on, you're in good shape. Who'd have thought just a few months ago people would be looking at 101 ways to fix pasta? Hey, I happen to really like pasta, so there.

All the uncertainty today makes it hard to get down to the basics of what we really have and how we must stay right here in the present moment. Sometimes these worries get so overwhelming that we forget what really matters is having a place to take a hot shower, a nice cup of good soup and a warm place to sleep.

When you can remember the real value in your life isn't going to come from that beautiful vehicle or that weekend in Jamaica or the newest pair of Manolos. . . the significant possessions in your life are not those items you can't sell today but your good health or that person who is truly with you during these chaotic times.

You worked very hard and got this far. You must give yourself credit for what you have achieved and know that it is the same skill that brought you to this point in your life that will make it possible to move through these next weeks. You have a choice lemons or lemonade!

Sunday, March 8, 2009

What to do before the Therapist Arrives

Well, it's still happening and here you are! Hanging in there and tolerating all the scary uncertainty. First, Chocolate! It's sort of the vitamin essential to these annoying times. Next: BREATHE!

Yes, something as simple as just taking a deep breath can make a real difference. I don't know how to fix the financial pain we are all experiencing, but I do know several tricks that make it possible to get through today and maybe even most of tomorrow.

The first skill is simply breathing, softly, naturally and gently. Stay present. Listen to the sound of your breathing. DO NOT LISTEN TO YOUR WORRIES. Every time a worry crosses the screen, turn back to your breath. Worrying does not change the events with which we must all deal today, but listening to your breathe can make it easier to simply be present at this moment.

More later.

Keep gently breathing.