“Sometimes, we want to talk to someone. The main thing is, even now, you don’t have to go at it alone or bottle it up.”
“Sometimes, we want to talk to someone. The main thing is, even now, you don’t have to go at it alone or bottle it up.”
Try A “Namaste” greeting, fist- or elbow-bump instead of handshakes and kisses.
” Do what you need, and remember, even now, you don’t have to be alone. Stay connected in the ways that you can.”
Do you think this concern about Coronavirus is a load of hooey? Then you aren’t going to like what I am going to say, and I am probably not the therapist for you.
Before I get into that, let me apologize for this post being a week late. I was out of town, and then I got mildly sick, which delayed things. Thankfully, I’m better now. All of this coincided with the unfolding news about Coronavirus, aka, COVID-19, which has been disruptive to most, lethal to some, and very annoying to virtually everyone.
Depending on where you live or where you (or people you know) have visited, you might be rethinking vacation plans, festival outings, public transportation. It’s calling into question how, exactly, we are willing and reasonably able to stay connected right now.
Mainly, right now, most people seem to be in a low-grade anxious, watchful waiting pattern. A lot of people feel, if not like rats that are trapped, at least like ones that being blocked and poked at, not sure which way to turn, or exactly what to do. We are told that the virus is mostly mild, but we are told to take important steps. We are told it is spreading and we can’t test everyone who wants or needs it, but containment is a goal. We should practice social distancing, but we aren’t sure for how long, or exactly how. Do we want to cancel that ball game, this work meeting, or that outing? Is it worth the lost opportunity, lost pay/professional gain? How do we decide?
To date, those of us in Virginia have not received definitive, clear guidelines from community or national leaders on how to proceed. Without official quarantines, work and school closures or even widely available testing, next steps have been left largely up to individuals. For better or worse, that’s the reality right now.
Are you in the defiance camp, determined not to change anything about your routine? Or are you panicking, afraid to go outside at all?
For most of us, we are somewhere in the middle. We don’t like what is happening, and we know we need to do something. I am speaking to the second and third group.
Those in the first group will not like what I have to say. In fact, I would advise caution in being in physical proximity to those in the first group. If such people live with you, I know it’s tough, but keep reading anyway.
For a lot of us who are caregivers or professional providers to elderly people and/or to people with underlying health issues, we know it’s not just about us. We are worried about them. Yes, for MOST people, the virus has cause mild to moderate symptoms. But there are some vulnerable groups, mainly, adults over 60 and/or those with underlying health issues, for whom this virus may be life threatening.
We may also have young children, so we are trying to balance their needs, too.
And let’s face it. The other issues in our lives are still there. It’s not like those issues are going away. So, what do we do?
I’m not a doctor, and the situation and knowledge about the virus is changing daily, so I’m going to list what my personal and professional takeaways are right now.
How you can proceed:
This is very different from reacting, which is purely emotional. Responding is done with some level of reflection and intent.
Regarding COVID-19: Get the facts, not the opinions that are circling around online. Stay in touch with health departments, medical doctors, and yours or your family’s specialists on their guidelines and recommendations.
The best take on this issue that I have found to date is this article (scientific American) on what to do, and why. If you read nothing else, though, read this article .*
Practice mindful hygiene, especially around vulnerable people. Wearing a basic mask may not protect us much, but evidence suggests that it helps reduce the chances of infecting them. They may need to stay quarantined for a time, and definitely, social distancing, avoiding crowds, busy places. Washing hands thoroughly is important, especially just before you come in contact with them. Have others in their environment do the same thing, especially other caregivers with close contact. In fact, this is a good practice right now in any environment.
What if you have defiant types in your home? I’m thinking stubborn teens, partners, or other housemates. Now may be the time to practice some logical consequences, such as saying, “If you want me to make that dinner or watch that show with you, please wash your hands first with soap and water for at least 20 seconds.” If they have a respected friend, online resource who can back up what you say to them, it may help to ask that person to rally and talk to them, or to read up on that resource. I repeat, you do what you can. Or show them this article and let them know that I am telling them, please don’t be a jerk. Let Cleopatra be the only Queen of Denial, and do your part to help out.
Remember that, for the most part, this flu has not impacted children too badly, for the most part. So we keep them practicing the good hygiene, such as washing hands, especially at home and near their vulnerable loved ones. With positive reinforcement and encouragement, of course.
Stay in touch with your friends as you are reasonably able or willing. Your supports are still important, but for now, modify how you interact with them. Use telecommunications like Facetime, texting or phone, keep interactions one-one on or smaller groups, stand farther apart. If your friends are in the first group that I mentioned above (that is, determined not to change anything, even hygiene habits), now is not the time to worry that you are offending them by social distancing. Minimize or avoid contact with them in person if you can, calmly explaining your need to do so. Did I mention, wash your hands?
Change your greeting style: Try A “Namaste” greeting, fist- or elbow-bump instead of handshakes and kisses, especially at work or for the vulnerable folks in your life.
Take advantage of the outdoors. Are you or your family going stir-crazy? Go outside. At least the weather in the DMV area is getting milder. Whether you walk around the block, go up a driveway, or walk in a park, the green space will definitely help your mind reset. If you work late, take a stroll around the block or stare at the sky before turning in for the night.
How I will proceed:
As you probably know by now, I specialize in working with anxiety, trauma, and caregiver issues in adults. This means that I work with many caregivers and some immuno-suppressed people, so I will be regularly cleaning my office and washing my hands. If you have special health concerns, I will wear a (basic paper) mask or sit at least six feet from you during sessions. I do this out of care and concern for us both. Mama don’t play, as they say.
If I am feeling ill, I’ll let you know, and I will not come into the office. It would be really, really helpful if you do the same thing. We can talk about other options during this time period. For people I have met at least once in person, we can look at teletherapy options. It may delay our work, but it will be better in the long run.
Keeping things in perspective:
Many things are being shaken up right now, but this too, shall pass. Not as quickly or as predictably as we want it to, but it will, hopefully with minimal impact.
If you want to stay connected, contact me. I am here to help you process whatever is on your mind and in your life. And while gave advice to you here, I don’t give opinions or interpretations for the most part, in session. That work is about you, and that’s what a therapist is for.
So do what you need, and remember, even now, you don’t have to be alone. Stay connected in the ways that you can.
Sawbone, a podcast about health issues.
If therapy could…
-help you feel less anxious, more calm
-add a supportive, non-judgmental person to your life
-help you get help with a trying life situation
-and, most importantly, give you tools for you to make some positive changes in your life
Instead of walking around feeling overwhelmed, alone, rudderless, you can feel calmer, supported, and focused on the here and now…
Wouldn’t it be worth it?
I’ve never heard anyone say they regretted doing therapy.
So you’ve been thinking about a particular issue, person, or big life change that may be on the horizon. It’s weighing on you, occupying your mind, making you question yourself and your decisions. You are thinking, you could use some help, maybe in the way of therapy, but you’re not sure therapy is the way to go. Here are some reasons people say they are reluctant:
“I can’t afford therapy.”
Is that what you are thinking? Most of us have spent money, time, and energy this Holiday season, or at many points throughout the year. Understandably, you are trying to be watchful of your budget.
If the Holidays were fun and meaningful for you, I’m truly glad. Even if they were, maybe old issues, difficult relationships, or memories resurfaced with one or more people. Maybe you used tips from my November blog post to get through the holidays, or other techniques to help you get through the tense times.
Maybe a big transition just happened or is on the horizon. Job change, concerns about a friend, partner or relative? You are worried about it, and it would really help to talk about it, but you aren’t sure these are concerns you want to lay out with someone in your personal life.
Maybe you did talk to friends, and it helped to get their support. That’s something! But you may still be confused and this issue is hanging over you. You really don’t have huge amounts of time or energy. So for now, you are just hanging on, going with the flow and seeing what happens. That can work — for a while.
But sometimes it is MORE costly to put therapy on the back burner. Namely, in quality of life and in the frustrating things that never seem to change, so that you lose sleep, or feel irritable, less energetic to deal with what needs dealing with. This is especially true of trauma and severe stress. We actually spend more energy trying to “push down” our strong feelings. Or, they come out in a way that is not helpful, like temper outbursts, body/headaches, chronic distraction.
If therapy could help you feel less anxious, add a supportive, non-judgmental person to your life, get some ideas for help, and, most importantly, give you tools for you to make some positive changes in your life, so that instead of walking around feeling overwhelmed, alone, having no idea how to proceed, you can feel more calm, mindful, supported, and focused on what you need these days…Wouldn’t it be worth it?
“I’m super busy. Who has time?”
It’s true. You, like so many people, have work, parents, kids, school, and any number of responsibilities.
You may want to try a person close to your home or work (or other place that you frequent often). I typically see clients once weekly, but may see someone more frequently than that for trauma sessions. It’s best to find someone close to your comings and goings. I’m in the City of Fairfax, Virginia, not far from George Mason University.
Pick a date and time with your therapist and make it part of a weekly routine. This will actually make it easier to stick with it. Look at this as part of your “healthcare” routine and as something necessary you are doing for yourself. And by the way, you send a very good strong message to your loved ones when they see that you are making this time for something important to you and that you stay with it.
For those of you who travel a lot or have health issues that make traveling difficult, teletherapy might be the way to go. I don’t offer that at this time, but it is out there. I’d rather you get the help you need and be honest with you about where to get it.
If your schedule needs to change, by the way, discuss this with your therapist. Most of us know that can happen. We try to work with you on this.
“I’ve done therapy. I already know what my problems are. There are some things I just can’t change, and they are in the past, so I really don’t want to talk about them.”
I am not offering a “magic wand” that will make all your problems go away. (And if anyone is doing that, they are not being straightforward with you, especially if there is a complex or ongoing life situation like a chronic illness in a loved one, chronic workplace upheaval, and such. These things happen and I get that they don’t magically disappear.) But I DO offer methods that will help you deal with these problems in a way that is calm and proactive, instead of dealing with them being terrified and reactive. And those things that happened and are in the past? The trauma therapy I do works on changing the memory, so that it does not affect you the same way. It works.
Imagine having a game plan or a shift in your attitude in dealing with a person in your life who has often caused you stress or worry. Imagine how that would change things. Instead of feeling like a powerless, out-of-control person, you will begin to feel more centered, deserving of good treatment and respect. (Respect is not fear, by the way. Many people are in therapy because important people in their lives have confused these concepts.) And when we believe we are worthy, things often begin to change.
So as you start out into the New Year, bearing the colder temperatures and looking ahead, think about the issues you would like help with. If you read through this article all the way to this point, odds are, you are seriously considering therapy. You know what it’s like not to do it. Maybe it’s time to try something different.
When you feel ready, call.
“So what kind of therapy do you do, anyway?”
Because I am a therapist, people come to me seeking guidance and support on issues that are troubling them. I work mainly with individual adults coping with trauma, caregiver stress, and life transitions like changing jobs, grief, or job and career changes, or relationship stress, especially with unresolved family issues. Then they ask me my opinion about what they should do about the issue at hand, and I tell them, “We will come to that, but know that I work a little differently than other therapists. I don’t evaluate, I help people process whatever is on their mind, and come to a conclusion.”
That is completely true, and yet, it sounds really vague. Or maybe it sounds like I am a slacker who just wants to collect a fee and let you rant, while not really doing anything myself. (I promise you, that is NOT the case!) They scrunch up their foreheads and look at me like I just said I came from the planet Neptune. They seem really doubtful, worried that talking to me will be a waste of time. In some ways, I don’t blame them. What good is a therapist if they don’t weigh in and give you their take on what is going on with you, right? But then, some of them are willing to try a session or two with me, and then they see how it works.
Most people are used to having a therapist interpret or evaluate what they are doing. This does have its
benefit, and if that is what you want, I respect that. But I roll a bit differently these days.
Maybe you have already had therapy, and it helped. It’s been months or years, though, and your stress is up, conflicts are happening in your life, old triggers are acting up, and you are considering therapy again. But you aren’t sure if this is the right time, or if the therapist you choose will be the right fit. You may especially feel this way about me right now, because on top of not knowing me apart from anyone else, I am describing something that sounds kind of unconventional. You want something a bit more, well, familiar.
Or maybe, it’s the opposite. You say to yourself, “I’ve done my therapy! I already KNOW what my issues are. I don’t need to learn anything else or get any more insights that I don’t already have. I don’t want to hear yet another person lecture me about what to do to change or feel better. I just need the problem to go away.”
Well, then, how about a therapist who works a bit differently than most? If you decide to work with me, we will still work on the issues that are distressing to you, whether you deem them little or big. And as you do this, you will likely begin to see and feel changes. The most incredible thing is, it’s not because of what I tell you, but because we are peeling away the layers of awareness that are already within you. This is Traumatic Incident Reduction and Life Stress Reduction, all part of Applied Metapsychology, which you can read more about here.
Maybe this sounds “out there”. Had I not had a respected colleague tell me a while back about this method and train me in it, I would feel the same way. This is a SAMHSA-approved method of working through trauma, anxiety, and most types of life stress, and it really helps you unload and get some peace, relief, and resolution. I know this, because in my training, I had to be on the receiving end of it, and it improved my own distress around some issues. It wasn’t always easy, but it was effective.
Even if you just do a few sessions, you will likely find it helpful.
If you want to give it a try, and you are 18 and over, call me, and we can get started.
Is this month too hectic? I understand. I’ll be around in January, too. In the meantime, feel free to subscribe to my monthly newsletter/blog. And in the meantime, take care of yourself in the ways you know best.
It’s November, and Thanksgiving is just around the corner. Are you ready?
Hopefully, you have some gatherings or events that you can look forward to: Seeing family or friends, preparing for a big feast, or maybe a simple day spent at home. Maybe you are on call at work, and you are planning around that.
Whatever your situation, this holiday can also trigger all sort of intense situations and feelings. Even beyond the extra planning and extra work of food and home prep, there is the people stress. It seems we all have at least the one person in our life that we love, or is attached to someone we love, who will be coming. Or wants to come. And can be really difficult to be around for too long. And we are trying to figure out how we can have them over and still stay sane during Thanksgiving and the weekend. Do you have a pit in your gut when you think about seeing them on Turkey Day?
Maybe it’s your adult sister, Jules. You’re not that close to her for any number of reasons, and normally, this is ok because she lives far away and you don’t see each other all that often. But, suddenly, you learn that she will be in town, and your parents want her to come over. You are torn: She’s your relative, and our families, everyone, it seems, tells you that you are sisters, so you should be grateful to have each other and make an effort. Because Thanksgiving is about being thankful! You get that. Of course, gratitude in life is important. But when it comes to this sister and you, it’s not just not that easy. You have probably had a challenging sibling relationship for a long time, now. It seems to you that she just sucks all the air and attention out of the room with her issues, her stories, her emotions. And you end up feeling put upon and resentful.
You may not even want to talk about it, because other people give you pat answers, like “well, just ignore them”, “it’s just one weekend”, or “you don’t have to get hooked into an argument”. It would be great if that sort of advice made things better, right? But you can’t just wave a wand and change your feelings.
So what do you do?
Well, if you’re lucky, you have friends and family that care about you and that you do want to spend time with. So if it helps, by all means, set up time now to hang out with them and talk about this or anything else that feels supportive.
But if you have a challenging sibling relationship, you may feel you need more. This is where it helps to talk to someone who has empathy AND training. Sibling issues can feel especially sticky, don’t they? If you have issues with your sibling, sometimes you can only discuss so much with your mutual parent or siblings. They have their own relationship with this relative, after all, and their own strong feelings about them, so in talking to them, you are aware of what to say (or not) because of how how they feel or react. With effective therapy, that’s not an issue. You can pretty much lay everything out on the table and work through it. Even a few sessions of therapy can help you sort through what you want and need in dealing with this complicated relationship, and in what led to it being complicated, either since childhood, or over time. Maybe there was trauma involved: A betrayal of trust between you, bullying, or feeling the effects of how your parents may have treated you, the effects of which can still linger. If this feels like the case, seriously consider working this through in therapy. Because even if you don’t see this sibling, you may still be carrying the emotional baggage around, and it rears its head in your life when you don’t expect it to. Therapy can help you work through these issues and help you see what’s going on, and make some changes that feel helpful in dealing with your sibling.
But in the meantime, Thanksgiving is only a few weeks away, and here comes your sister Jules! So here are things to keep in mind till then.
Be honest with yourself. Do you really WANT to see this sibling? Maybe not. That’s an ok thing to feel. You don’t have to share this with anyone until you are ready to do so, but allow yourself to the space to feel it.
Or maybe you would want to see them sometimes, just not at this big holiday gathering, where there is enough intensity going on already. I think we need to dispel the myth that everyone needs to be together specifically during the holidays. If that happens for your family, and folks enjoy that and are able to do it, great! But it may not work for you, and if that’s the case, it doesn’t mean you or your relationships don’t measure up. There’s more than one way to do a Holiday.
So on that note, it helps to be open to other options that will help YOU feel more calm and relaxed.
First and foremost, remember that you cannot control someone else: Not Jules, not your parent, not your spouse or kids. You can only manage your own behaviors and responses.
So start with yourself, and make a list. Before the event, get a notebook (or start a folder on your iPhone/android, computer, etc., and jot down the following:
You can add or subtract items in each list as they occur to you. This list can be a great compass in helping decide how you want to spend Thanksgiving, and in fact, your relationship with Jules going forward.
Delegate: I am a big proponent of delegating tasks. This can mean anything from ordering a prepared Thanksgiving meal, to asking another friend or relative for help. Is there a supportive friend or relative who can distract Jules during the time she is there, maybe by taking her out for a walk or engaging her interest? That can help, too.
Set some limits for yourself, too. What energizes you, and how can you build that in to the Holiday? Maybe it’s alone time: Block out time to go for a long walk or watch a fun movie over the weekend, or on Thanksgiving. If you are feeling triggered around sister Jules, building in some good breaks for yourself during her time there will help you relax. It would be healthy for you to do this.
What is it you want to get from having Jules coming over? Maybe you just don’t want to upset the other people coming. Your parents really want to see sister Jules, and you don’t want to upset them by saying she can’t come. Is this a typical pattern in your family relationships? You play “good child”, while helping to manage the “challenging one”? This can be about your personalities, but how much of this is due to your parents’ expectations of both of you? Most important: How is it helping you or your adult relationships to keep doing what has been expected of you since childhood? This book will also help you see how this happens, and how to make effective changes for yourself.
Think about what you are willing to confront, even gently? Do you feel bullied, manipulated, or super anxious in their presence? If so, this relationship definitely needs changing. If a conversation starts getting heated, just saying “I prefer to discuss something else”, can be powerful. If the other person insists, you can say, “well, I already said what I’m willing to discuss, and the answer hasn’t changed”. If it keeps going, you can calmly excuse yourself for a walk. That, in and of itself, is a powerful change. They may tease, criticize or cajole, but maybe this is how it’s always been with this person, or maybe even your family. You can still go for that walk, even if they do this. And that’s change. And here is a great book to help you hone those skills and stay calm and focused: The Dialectic Behavior Skills Workbook.
And as you are ready, do think about talking to someone who can listen and help. If any of this hit home with you, chances are that you have been wanting to work through this for a while. You will know when you are ready to look at this more. At that point, contact me or someone with whom you are ready to do some good therapy.
In the meantime, all the best to you for a meaningful Thanksgiving, no matter what happens with your sibling!