Mental Forecast: Partly Cloudy with a Chance of Passing Befuddlement

I’d prefer, of course, to blame it all on COVID-19, civil unrest and the general zeitgeist.  No such luck. It is solely due to my own sloppiness (how I managed to read information, mistype it, and then overlook my error multiple times while editing, I cannot know) and thus, in my recent article, “The Sin of Referral,” misidentified the professional group mentioned; it should have been the American Counseling Association, rather than the American Mental Health Counselors Association.  I apologize for this.

I would also rather credit COVID with what has apparently been seen, by some parties, as my dismissal of the suffering of young people during the pandemic.  My ability to be clear has failed me; certainly, this was not my intention. I work with many young people and their families, and their suffering has been genuine. I am also aware, however, that young people were suffering greatly, and in a terrible upward surge, for the past decade or more.  The research on the compelling correlation between smartphone use and emotional distress of many kinds, especially in the young, is readily available for the curious reader.  I stand beside the assertion that we adults bear responsibility for teaching young people how to think, how to interpret the signs of the times, and for modeling hope rather than despair, resiliency rather than defeat.  If the constrictions of this past year are unbearable, how do we make sense of the diary of Anne Frank? Of the countless children, in England, Germany and elsewhere, sent away from family to live as often unwanted guests with strangers to be safer from bombs during WWII and yet played, studied, made friends? Of the lives of so many on this planet now, where abysmal living conditions would seem to quell any hope or joy, and yet one finds giggling children, cooing parents, adherence to principles, and the shy, burning moments of young love?

I could point to the fact that in my particular field – the mental health field – we are receptacles for our pain, our loved ones’ pain, and the pain of everyone with whom we work. Yes, this is always the case, and now the strains of the pandemic, unemployment, loss of loved ones, separation from loved ones, has crept like lava over the normal pains of life: grief, depression, anxiety, loneliness.  Most of our conversations are one-sided, in that those conversations occur solely for the benefit of one party, and the party had best not be the therapist. The mutual supportiveness of two-sided conversations is necessarily truncated. Add to this that friends and loved ones (like ourselves) have little reservoir from which to offer solace.  Most of the therapists I know have dug even deeper into prayer, into silence with God, and turning more to colleagues whom we know are on that same trail for encouragement and support.

Perhaps you, too, are noticing strange mental impacts from the cascading stressors of the past year. Perhaps not; we are prone to generalizing from what we know, and if we are introspective at all, then our own experiences are what we “know,” at least to some extent.  I know I am in many ways an odd duck; I dislike clothes shopping and like crows. I would rather stay home and read than to go “out.”  The outside chance exists, then, that it really is “just me,” and the rest of the world is rolling along, firing efficiently on all cylinders.

I doubt it. It doesn’t look to be so.

So, here is an antidote for me, and perhaps for you. Somebody you know, at any rate, could use some.

Grace. Just give one another a bit of grace, even more than in so-called “normal” times, in which grace was already in grievously short supply.

Guess what? People will say things that are stupid, or inaccurate, or sound awful out of context (and stupid and inaccurate, even in context). Even professionals will sometimes screw up! Your physician might seem to not as focused as you’d like, your counselor may give you homework that doesn’t suit or not explain herself properly.  The dentist’s office has to close on the day of your cleaning because of a COVID breakout. None of these is the equivalent of giving you poison or leaving a surgical tool behind when you are sewn back together. Give them a bit of grace.

The mail will be slow. There will be inexplicable gaps on the grocery shelves. (I did lose some patience when Dove dark chocolate and Nestle’s Peppermint Mocha coffee creamer were AWOL at the same time; it seemed a harsh injustice.) People will be anxious and insensitive, so wrapped in their own fears that they forget other people are as fragile and sacred as they.

Friends, family, professionals and strangers alike may be so eager to comfort you that they inadvertently do or say something not entirely useful. They offer silly, unwanted advice and unhelpful platitudes. Let it pass.  Assume, perhaps, you misunderstood, misheard, misinterpreted. The possibility exists. Accept the spirit of kindness and let the trappings go.

One of the side effects of grace is that it enhances humility, and that, too, is a good thing. This way, when I (or you) am the one who fumbles, missteps, speaks foolishly but with good intention, I can, with some embarrassment, acknowledge the error and accept benevolence.

…and if all this talk of grace and humility is more uncomfortable for you than an N95 mask with an extra cloth mask over it, then consider this:  just be kind, for crying out loud. Cut someone some slack. Including, of course, yourself.

The forecast for me, for the time being, is (mentally) partly cloudy with a chance of passing befuddlement. Expect periods of anxiety throughout the evening.  The morning, as all mornings are, will be glorious.

How about you?

If this were my kid…

Advice-giving:  some therapists claim it should never be done; therapists-in-training are eager to leap in with advice before they know enough about a situation to offer it.  The stance on advice-giving has its roots in various philosophical approaches to therapy.

For those of a more psychoanalytic bent, it is the role of the therapist to push for deeper self-exploration and understanding, with that “a-ha!” process leading to more responsible, better-informed decision making.  Insight leading to action is a vital part of maturation; the alternative is an adulthood of adolescent reactivity and self-absorption.

Psychoanalytic insight may not do a frustrated parent any good at the moment they are figuring out how to handle the upside-bowl of cranberry sauce on the floor. Again.

In solution-focused brief therapy, the emphasis is on searching for times when a problem is absent or much reduced and breaking down the details of those situations, especially in regard to clients’ behaviors. This process empowers the client to realize that s/he is already equipped to deal with much of the situation(s) at hand and develop plans to do more of what already works.

This is a very helpful process, but sometimes people want a little more guidance.

Psychoeducation – teaching, basically – is different than telling a client specifically what to do. It provides information, refers to scientific data, often linking particular actions to help with problems.  Education is part of holistic counseling approaches to many concerns, including depression, anxiety, eating disorders, and problematic insomnia.

All of which brings us back to the question of advice.  I am not a new therapist, and people are not coming to see a therapist with 25+ years’ experience and some white hair so I can look vaguely concerned and steeple my fingers and murmur, “Hmmm, how do you feel about that?” when they express anger and shame over their inability to get a five year old to comply with bath and bed routines.

So, I am, at least for the moment, breaking the invisible fourth wall – the wall first broken in literature by Charlotte Bronte in the final chapter of Jane Eyre – and say, straight out, “If this were my kid…

“I would take away all electronics for at least six weeks.  Maybe longer.  Not even any television/movies unless a responsible adult is with them.”

Yes, they are going to be bored. They will be angry. If they have been playing video games, they may become aggressive and destructive – be prepared for this.  If they have been using pornography, it could be even worse. Fists and feet have gone through drywall over losing access to video games and phones.  If your child becomes hostile and aggressive (not just normally angry), it is evidence you are doing this late in a problematic process.  What are they going to do?  Play other games. Make art. Play the instrument that is gathering dust. Exercise. Do chores.  Read.  Libraries offer books, puzzles and games to borrow: no cost, little effort.  Try a family book club to introduce them to a broader range of reading.  Help them learn how to have a conversation in full sentences, complete with eye contact. The possibilities are boundless.

If they need a device for school, it can be carefully monitored and programs to limit access (such as Covenant Eyes) are available to try to control what is going on. 

“I would have them do chores.  No, ‘school is their job’ is not a good idea.  Do you want to be married to someone who goes to work, comes home, and expects to be waited on, because they did their job?”

By 13, an average, healthy child should be competent at all the basic skills of housekeeping. That means, able to clean any room without having to call in HazMat; sorting, washing, appropriately drying (read the tags), folding and putting away laundry (I give everyone a pass on fitted sheets, and yes, that reflects on my clumsiness); plan, execute, cheerfully serve and thoroughly clean up simple and nutritious meals; do most of the tasks of pet care; be able to handle trash, recycling and compost duties.  Would you want to be roommates or married to someone who can’t do these things as a young adult?  Your future daughter- or son-in-law will appreciate it.

“I would have them get an hour or two more of sleep, every night.”

According to the CDC, children age 6 to 12 need 9 to 12 hours of sleep per night. Teens need 8 to 10.  Odds are, your child is not getting enough sleep and you are already saying this is ridiculous and impossible; how are you supposed to do this?

Insufficient sleep has an almost immediate detrimental effect on brain structures and functions critical for focus, memory and mood:  factors that teachers and parents spend a lot of time complaining are deficient in children.  You know what you’re like when you don’t get enough sleep; foggy-brained, irritable and looking around for caffeine and sugar.  Your children are like that, too, except you are probably keeping the little ones away from triple-shot lattes.  If your teen has to be up for school by 6 AM, then they have to be in their room without electronics sometime between 8 and 10 pm.  The math is easy; accepting that something has to give is the hard part.  Make it an experiment to accompany the electronics question and see what child you meet after a few weeks.

“I would have them learn to use a planner.”

Unlike the early years of school, and even a lot of secondary classes, real life – adult life – requires strategic planning.  By middle school, students should be learning how to break down tasks into manageable, realistic chunks and follow those plans, adjusting as necessary.  That means writing down “Social studies test tomorrow” Thursday night is not good enough.  It means figuring out how much review needs to be done each night of the week to be adequately prepared, and adding that to Monday through Wednesday’s plans.  Even outside of school, the skill of planning is useful.

For example, many people get into power struggles/arguments/endless debates over dinner. The frequency with which this particular power struggle erupts in therapy would astound non-therapists.  I do not understand the surprise that dinner must be had.  Name a date in the future – any date – and if I am not deceased, unconscious or doing colonoscopy prep, I will expect to eat.  The need for a meal at night will never catch me by surprise.  Yet this recurring surprise is apparently part of the annoying texture of life for many families. Model the benefits of planning.  Get the week’s meals worked out, and streamline evenings.  There is an immediate benefit: instead of arguing about “what to do” and wasting two hours around it, have a quick, planned meal and then have time to do something fun, like watch a parent-approved movie together, fold that pesky laundry, and push around more pieces on the 2000-piece puzzle of a Tiffany window that seemed like such a great idea at the time.

I’d make some good memories, I’d say, if this were my kid.

An Echoing Silence

Does anyone ever admit that they are not exactly the best communicator around? Maybe even that they are crummy conversationalists, incorrigibly competitive, and a bossy know-it-all, too?  Probably not.

Wouldn’t that be nice to hear sometimes?  Someone freely admitting the “communication problems” are at least a little bit on their side?

Maybe you think there are communication problems – the person in question (spouse, friend, child, parent) “never talks with me.”  It may be on their side, certainly – most problems have multiple factors, and communication is no exception. However, you only have control over you – not them.  So, if the communication problem falls into the “we never talk anymore” column, perhaps the following might offer perspectives.  If it’s possible it might be you…

Are you the Conversation Hijacker?  Does every topic offer you a possibility to wrestle control of the conversation, taking over, changing direction and refusing to yield to the other people in the conversation?  They bring up the local baseball team and you take “sports” and launch into a detailed analysis of an entirely different game, the season ahead, and every stupid mistake the nearest team made when adding new players.

Perhaps you are the Professor. You don’t discuss, you lecture: expanding on your opinion, the evidence as you see it, and what’s wrong with other people’s positions, beliefs, or behaviors.  Expertise is wonderful; battering people with it is not nice.

Related to this, perhaps you become the Guidance Counselor or Coach: giving unsolicited advice, suggestions, and explanations of the person’s “problem” and the solution as you see it.  You don’t stop to be sure you have enough information to even begin to formulate advice; in your unconscious arrogance, you assume you have perfect-fit prêt-a-porté advice for every occasion.

Or, perhaps you are the Competitor.  They have a headache? You’ve had a migraine for days.  Their beloved pet died? You have three sad stories to top their heartache.  They have a muscle ache, but YOU need physical therapy.

Do you just launch into a monologue, barely taking a breath and not allowing the usual give-and-take of conversation?

Sometimes, the echoing silence on the other end of the couch is really on that end – your wife is lost in thought, your husband is anxious, your parent is depressed, or your teenager is preoccupied with stressors.  Perhaps there is some unresolved hurt between you. Perhaps, though, the person you love has fallen silent because they cannot trust you to stay in the conversation with them; they expect you to take over.

COVID-19: Surviving and Thriving

We’re worried about our loved ones, our own health, our school work or livelihood and what the months ahead will hold for our families, our communities, and our world. Being separated from one another makes it harder. Here are some strategies that can help:
1. Establish a daily routine and keep regular hours. Get up at your usual time; go to bed as usual. Use a checklist, a schedule or whatever structure helps you stay focused on positive, constructive actions.
2. Pray! Pray alone; pray on video-conferencing with friends and family; pray while watching livestream worship services. Include in this: daily periods of silence – not just telling God what you want done; instead, begin learning to sit quietly, observe your zigzagging thoughts, and not immediately take all your ideas so seriously.
3. Physical activity: an hour or more of physical activity, if you have medical clearance to do so, will help reduce the physical and mental effects of chronic stress. If you are able to be outdoors without being in danger of infection – enjoy a walk in nature. If not, seek opportunities indoors: walk in place; dance with your kids; be creative!
4. Reach out to someone who needs encouragement every day. Call, email, text, video chat, or send a note in the mail – be a light for someone who is alone and discouraged.
5. Check for news updates twice a day – more than that and you are often reinfecting yourself with the same negative news. Even if your logical brain recognizes it as last hour’s news, your emotional brain is again jolted with a bit of fight-or-flight about the pandemic and its consequences.
6. Odds are, you have more time on your hands than usual. Why not pick something to learn about on your own, with family, or with friends as an online/videochat study group? Can you practice a new skill, start a book club (hello, e-reader plus video chat!), or study a long-neglected area of interest? If you ever purchased arts and crafts supplies for “someday,” bought and neglected a language-learning app or fondly recall an elective course you’d wished was your major – it’s time to bring those interests into the light of day.
7. Take some time each day to journal about the experiences you are having during these strange weeks. Writing things out may help you clarify your emotions and thoughts, and help you see your experiences from a slightly “outside” perspective. Close your daily journal entry with a few things for which you are grateful.
There are lots of other ways to survive and thrive as people maintain social distance, self-isolate, and shelter in place…while we can’t control everything, we can exert control over our responses. Pick the story you want to be able to tell yourself, and others, about how you handled the COVID-19 crisis. Are you going to be able to tell a story of faith, compassion and grace under pressure – the year you became passable in Portuguese, started a book club via Skype or Facetime, and became a hula hoop expert? Or will it be the year you zoned out in front of 24/7 news for untold days, slowly becoming more burdened with ennui and inertia?
Choose to persist in faith, maintain your healthy habits, nurture others and grow in wisdom.
Choose life!

That’s Confabulous!

That’s Confabulous!

Your favorite uncle entertains every family gathering with the same stories.
His listeners realize they are not the same stories. The tales shift…small flourishes are added, details are lost and later denied (“Uncle, what about the cow? You mentioned the cow in the marsh last time.” “No, no – there wasn’t a cow. It was a goat. It’s always been a goat. Why would there be a cow in the marsh?”) Emotions intensify, diminish, and intensify again; the who, when and even the where are wobbly.
Is your uncle a pathological liar?
Well, he might be.
More likely, he’s a normal human being.
Memory is not a video recorder from an omniscient position. Our memories are constructed. Because it’s imperfect – and our brains want things to make sense – we fill in the blanks. There’s a little of filling-in-the-blanks in almost every memory, and in extreme cases, it is called confabulation.
Karl Bonhoeffer, German psychiatrist and father of martyred pastor Dietrich Bonhoeffer, coined the term. Confabulation, properly used, is the unconscious attempt to fill in the blanks in memory with made-up details, identified most with alcohol-related forms of dementia. The speaker believes it’s all true – but it’s not. Brain damage causes inevitable errors in processing and storing memories, and the brain valiantly attempts to weave a story out of scraps.
Related to confabulation is the tendency to “fill in the blanks” where there is no dementia and no logical reason to do so. People make up stories about other people, ruminate on them, discuss them with their companions. Later, when the subject comes up, the remembered imaginings are woven into whatever sparse facts were originally available. Electronic media has speeded up a process that used to require substantially more time and effort. The possibility of interrupting the downward spiral is much diminished.
A nearly harmless example: last year I moved my office from the high rise where I’d been for 19 years to two parish-based offices. My old office furniture was not needed in either location, so I gave it away to my parish, where it is apparently very popular with the youth group at their Sunday night meetings. Imagine my surprise when I heard from various sources that I had closed my practice, semi-retired, stopped working…you see the drift. People took one fact (she gave away her old couches and tables) and built a story around it (she retired). I have no idea how many referrals have not come my way due to someone’s – or several someones’ – confabulous storytelling regarding my work.
Less benign are the tendencies of unhappy people to ruminate and stir in speculations, scraps of other unhappy memories, fears and grudges, creating a new and often sinister narrative about a situation or people. This seems to be most effective when done in dyads or slightly larger groups. My observation, at least, is that the more shared memories, the more believable the confabulous concoction of “truth” that emerges from the co-rumination. Motivations are attributed with no evidence; “facts” are mutually invented and, since someone else believes or remembers the same exact thing – why, clearly, it must be true.
If this has ever happened to you, often in the context of perpetually unhappy coworkers, family members or friends, you know how useless it is to fight against the creative power of two or more brains that have mind-melded a mutual mural about…you. The only useful thing one can extract from the misery is a warning against being part of that type of dismal discussion.
Even with honorable intentions, memories shape-shift over time.
Emotion tints memories. Next time you are in a generally happy mood, pull up an old memory, perhaps a time shared with a loved one who has passed. In contentment, reflect on the events of the day and the joy you felt with that loved one. Really sink into the memory. Next time you evoke that memory, it will have shifted a bit to emphasize the joyful aspects – the smile, the warmth of heart – whereas if the same memory came up when you were sad, somehow it would be tinted. You might notice that other memories that feel the same way easily come to the surface: that’s another aspect of memory. Our memories are linked by emotional flavor, not just content. That’s why someone who is angry at you seems to have a boundless recall for every stupid and disappointing thing you have ever done.
Words also shape how memories are shaped and stored. A car comes up from behind, passes you, enters your lane and, a half-mile later, ends up in the ditch. You pull over to call 911 and see if you can be of assistance. Later you are questioned about your observations. How much did the car swerve? If asked, how much did the car fishtail…your memory will subtly adjust. The next time you recall it, the film may contain a touch more veering about.
Personal beliefs and biases enter the picture, too, and help form “memories” that are less than precise. It might be as subtle as “assuming” that someone meant something and then sliding into believing that they implied it, and subsequently taking offense by something that was unsaid as if it had been a slap. It could take the form of filling in the blank in someone’s appearance or comportment based on biases. Alternately, beliefs or entire cosmologies are attributed to someone based on scraps of “evidence” and then merrily embraced as “truth.”
It’s an interesting dilemma, encompassing the Commandments (Thou shalt not bear false witness) and Pilate’s coyly avoidant, “What is truth?” False witness, after all, is not just perjury. It comprises gossip and unnecessary tale-telling, both inevitably not the whole truth, as any elementary school teacher can attest. It’s all the ways in which we might fill in the blanks, perhaps consciously but, I suspect, as often reflexively, justifying our own emotional wallow with imagined and projected details.
Isn’t that confabulous?

What would you do?

What would you do if…
You weren’t afraid of failing?
Didn’t care if people thought you were weird?
Really believed the things you say with the crowd at your weekly worship service?
Had six months to live? (and how do any of us know we even have that long?)
You would do something differently. You might stop doing something, start something else. You would shake up your life without much trepidation.
So, tomorrow (or in five minutes), do one thing a little bit differently…a little bit more as if you were free from fear, from the need for constant approval, from doubt.
Follow that up with one more little thing, one more step.
Maybe you will do something you didn’t think you could do, without worrying about others’ opinions, and find out your faith is stronger than you’d thought.

Meet Them Where They Are

Three times each year, our parish runs Alpha, an eleven week program for people who are open to exploring the basics of Christianity, starting with elemental questions such as, Is there more to life than this?, or Why should I believe in God? The chair of the committee running this, and our other evangelization programs, was accosted by a fellow parishioner after Mass one morning. The parishioner had a list of grievances, particularly that the program wasn’t “Catholic,” citing various deficits, in the complainant’s mind, such as a lack of Marian theology. Besides her apparently unchristian behavior, she had missed the point of meeting people where they are. Many people are skeptical about the existence of God because they have been sold a bill of goods about faith and science being incompatible; it is hardly useful to wrestle them into a dialogue about the Blessed Mother and the Virgin Birth, or Transubstantiation. We must meet them where they are. They are wondering if there is a reason to believe in anything or any One, and rushing somewhere else won’t help; it simply truncates the conversation before it begins.
Just so, in our daily lives, we must meet people where they are…
It may well be that the child you permitted to walk all over you is now grown, or nearly so, and the rudeness and demanding behaviors that you thought were funny at age 2, and tolerable at age 4, are grinding you down now that the child is 18 or 21 or 30. It does little good to beat yourself up because you were not willing to foresee this problem; you need to deal with the situation as it exists, or choose not to (and continue to be ground down by caustic, toxic offspring). Attempting to have what you think is a perfectly reasonable conversation about your expectations and anticipating you will receive thoughtful, considerate responses is, well, sad and silly. You will have to meet them where they are: as a very large toddler who needs clear rules and near-immediate consequences. You will also have to have a plan as to how you will cope with an adult having a temper tantrum. There will be displeasure about any limits you set:
“We are no longer going to pay for your cell phone. You can come with me to [provider’s storefront] after work on [specify date] to switch the number to a new account in your name, or I will simply close that number.” You will hear how unfair this is, how unreasonable – you know how much their student loan payments are, right? – and how ridiculous and selfish it is for you to bring up their prodigious spending on entertainment and other technology.
“You are an adult, and this is our home. No more overnight guests.” Well, this is unfair, too; how are they supposed to, well, whatever? Other people’s parents are reasonable. Besides, it’s the 21st century; what’s next, bundling?
…and so it goes. You will get pushback and you will either stay firm – something apparently quite difficult, because if it came naturally, you would have put a stop to this behavior, oh, say, 20 or 25 years ago.
Many people are unhappy about the state of their marriages, and there, too, is a problem that is best met where it is. The typical couple puts their relationship almost entirely aside when children come along, neglecting it sorely, and then are surprised, dismayed and resentful at the state of things. They barely speak; they have nothing in common; each wonders, how could I have chosen such a miserable person? The relationship is anemic, neglected, and easily startled; like a once-beloved pet banished to the back yard pen for months or years, it hardly knows how to behave in the house. Treat it with gentleness, patience, and consistency. The friendship must be rebuilt; meet that process with good will rather than sarcasm and cynicism. Use Gottman’s research and books; use Chapman’s 5 Love Languages; use a good therapist: do something, be consistent, and begin at the beginning, with careful nurturing of the abandoned friendship. Perpetual complaints about what it “should” be like are worse than useless; just meet the marriage where it is.
You may need to meet yourself where you are, too.
You might like the idea of being physically fit, self-disciplined: the sort who enjoys vegetables and exercise. That’s all very nice…and, if it is not true, you will have to meet yourself where you are and begin teaching the actual you – not the imaginary, idealized version of you in your head – how to be self-disciplined, how to gradually become physically fit, and how to appreciate the subtle flavors of vegetables after assaulting your senses with however many years of packaged and fast foods.
Perhaps your vision for yourself is more spiritual. You might like the idea of yourself as a truly good person, the kind of person who enjoys engaging in loving service, doing without for others, and understands what it is people are talking about when they discuss having a “prayer life.” Meanwhile, you are stuck with a few rote prayers and still think Job and Jonah are supposed to be historical reports. Well, you must meet yourself where you are. If your spiritual training ended at 7, or after your Confirmation, Bat Mitzvah or Bar Mitzvah, your stunted spiritual age is where you begin.
Meeting ourselves, and others, where they are doesn’t mean “settling” unless you are content to stay there. It can mean having a real conversation, and a real chance for positive change. Flashes of insight are not change; they are the precedent of change. Change happens only where we are.

To Live Long, To Live Well: The Ongoing Research

Cognitive decline – dementia – Alzheimer’s disease – senility – to lose our independence, our memories, our minds – our “selves.” This is one of our greatest nightmares. But, what if this precipice – the thing people seem to fear worse than death – is almost entirely avoidable by changing how we live?

The Alzheimer’s Solution: by Dean Sherzai, MD, PhD and Ayesha Sherzai, MD (2017) asserts that this is indeed the case. You won’t find wishes, a few convenient anecdotes and flimsy, recent research. The doctors Sherzai tie together decades of substantive research from multiple, credible sources (including ongoing Blue Zones research) and their own research and medical practice. The result of this work: a straightforward and remarkably simple (albeit not easy) recipe for long, healthy mental functioning.

Unfortunately, it requires that we do stuff. Differently. In a lot of cases, way, way differently.

Here’s a synopsis:

They use the helpful and appropriate acronym NEURO: Nutrition, Exercise, Unwind, Restore, Optimize

Nutrition: quite specific nutritional guidance – recommending a largely vegetarian diet high in specific types of nutrients.

Exercise: not just a regular appointment at the running path or the gym, the research emphasizes activity throughout the day on a frequent basis.

Unwind: Managing stress healthfully and living with purpose.

Restore: Enough good quality sleep (this is a tough one for me). There is no substitute for sufficient sleep in terms of long-term brain health

Optimize: a lifetime process, and never too late to start: complex, creative, learning and doing. While the puzzles we encourage elders to do to keep their minds nimble are a small part, greater benefit comes from ongoing learning, complex tasks, mentoring/teaching and other activities that use multiple skills.

The book, published this past summer, includes interesting case studies, questionnaires and specific recommendations to make changes as needed on a case-by-case study. It’s helpful to remember that, all over the world, there are “Blue Zone” communities – places where most people live long, robust lives free of chronic diseases and dementia – where these lifestyle choices are just “normal,” not sacrifices. At least, I tell myself it’s helpful.

My challenge, which I share and dare towards you: do some investigating on this. If you’re intrepid – seek your physician’s guidance and take it from there. If you’re a little timid, hesitant or just plain skeptical, pick one piece that’s easy to do, get the medical OK, and go for it.

Dr. Lori Puterbaugh, LMHC, LMFT, NCC

 

Posts are for entertainment and not meant to be construed as treatment or professional recommendations. If you need mental health assistance, please contact a licensed professional in your area.

Duck, Duck, Goose

Muscovy ducks are ugly.

There’s simply no getting around it. Perhaps some find them in the category of, “So ugly, they’re cute,” the befuddling phrase used to describe certain regrettable-looking breeds of dog with what seems to be a permanent, long drip of slime on their maws. I don’t see it, in either the dog or the duck.

Muscovy are also an invasive species here in west-central Florida, driving out our adorable and good-natured native ducks. Thus, they are unwelcome both in, and by, appearance.

During an Emmaus retreat at the Franciscan Center in Tampa, I was able to observe a female Muscovy along the river last weekend. She was waddling along, looking into the river on her right and then to the ground on her left, seeking food. She was followed closely by one, then two, then four, large, ugly and showy Muscovy males. She seemed oblivious. They were posturing: just short of chest-bumping one another, fluffing up their feathers, strutting in circles and then, realizing she had waddled on further ahead, scuttling up closer to the object of their desire before devolving into posturing observed only by one another, and me.

Ms. Muscovy did not feel obliged to wear shorter feathers in her nether region or walk on her webbed toes to gain their attention, and indeed, it was apparently unnecessary. She had the power of her femininity, and that was sufficient. God knows how large the flock of males out-strutting each other got before she made her selection; the bells rang and I hurried off to join my fellow retreatants for Morning Prayer.

Flash back to the 1980s, when wearing brassieres over one’s clothing, instead of under, was all the rage for a few unfortunate years. During a lunch conversation, a male colleague (middle-aged, recently divorced and apparently adjusting with difficulty) mentioned his amazement at seeing this while out in a nightclub. A few of the females opined we would never do such a thing. If we weren’t married, he said, and had to be out there, competing for male attention…whoa, whoa, WHOA. A man, I said, for whom I was to “compete” by wearing my underwear over my clothes would not be the man for me. My female cohorts agreed. Divorced-dude was amazed.

Alas, times have, apparently, changed. Somehow the power to vote, own property, and be paid the same for the same work (let’s not go to where we compare part-time clerical staff with chemical engineers and whine about salary differences, okay?) seems cast aside for the “power” to wear vagina-hats in public, insist that tights are business trousers, and gain fame by posting indecent pictures of oneself to (anti)social media.

In our little yard, I cannot, from a respectful distance, tell Mrs. Bunny from Mr. Bunny, but apparently they can, and so things work just fine. Mrs. Cardinal is subtle compared to her (to human eyes) flashy husband, but trust me, when the six or seven species of birds – almost all larger – are sharing the seeds I have flung onto the front yard, it’s little, softly hued Mrs. Cardinal who commands attention and sets the rules. Mr. Cardinal does not seem to have any objections about being partnered up with his gently-toned, energetic little mate. Likewise the pair of black snakes, the ever-expanding clan of blue jays, or our resident crows, Poe and Annabelle Lee, and their hapless but fun-to-watch adolescent offspring: all seem content without the females doing strange and torturous things in a craven attempt for male attention.

Why are humans so singularly dysfunctional when it comes to male-female relationships? Can we blame it simply on the Fall and the impact of a long history of bad choices that have turned us slowly away from what we could have, and might still be, towards this strange situation in which much of our culture finds itself?

For almost three decades now, mental health professionals have dealt with body-image and sexuality issues created by a pornographic culture so pervasive that too many young women believe they should engage in sexual activity whether they feel like it or not, and many young males have incurred physical damage on themselves due to excessive masturbation with porn as the stimulant. Conditioned to images on electronic devices, a normal, living female is just not as attractive and too much trouble. We’ve all, no doubt, heard of the teen magazine that explained sodomy in how-to terms. In my work, this isn’t some abstract issue; I listen to young women wrestle with their discomfort and shame over what they feel obliged to do and the fear that their hesitancy to engage in impersonal sexual acts means there is something “wrong” with them. I help couples whose relationship has been torn apart by the husband’s pornography addiction and disengagement from his wife.

I used to pity my male college students, assuming the heterosexuals had their ability to focus on psychology (endlessly interesting to me but, I realize, not to all) cruelly challenged because, for a healthy straight young male, the proximity of female peers would normally be distracting. Now the female peers are often dressed in revealing clothing. I assumed (naively) that this placed an unfair, even uncharitable, if you will, burden on the males. Now I wonder. I wonder if, drowned since childhood in a flood of hypersexualized images, the presence in the next seat of a young woman with her breasts pushed up to her collar bone is…nothing. Now I feel sad about that; they are both missing something about the joy of being human: they have lost the capacity to appreciate one another.

He may be sentenced, until he works to change it, to a life of seeking ever-more extreme forms of sexual stimulation, and she will be reduced to claiming that her power comes from the right to have sex indiscriminately and wear unflattering pink hats in parades.

Meanwhile, Ms. Muscovy is enjoying the riverbank and may eventually pick some posturing, squawking, ugly drake from among her admirers.

The ducks have it figured out. Guess who gets to be the silly, sad goose?

 

Dr. Lori Puterbaugh, LMHC, LMFT, NCC

© 2017

Posts are for information and entertainment purposes only and should not be construed to be therapeutic advice. If you are in need of mental health assistance, please contact a licensed professional in your area.

As a friend fades away

Clancy has dementia.

Clancy is a 15-year-old cat, who has been my near-constant companion since he was about 8 weeks old and nearly dead. Our daughter found him while at work; he was lying under a dumpster. Since my beloved cat Chili had died only two months before, she brought this mostly-dead kitten home for me. The rescue process included a transfusion, some medication for a life-threatening flea infestation, a few weeks of hand-feeding and two weeks of my sleeping on the floor so the half-dead kitty could sleep on my chest, feeling the heartbeat and warmth of fellow mammal while he regained some strength. Clancy thrived and enjoyed robust good health.

Clancy met me at the door, tail wagging (yes, he IS a cat) every day. He followed me from room to room; he stood up on his hind legs and patted my hip when I was cooking, looking for a handout. He “helped” me read, do crosswords and yoga. He had a share of every serving of chicken, turkey and fish that I ate for dinner.

Now he has dementia. He lives in a cat-apartment in one room of the house, customized for his comfort with arthritis-friendly ramps to window perches, places to hide, soft places to sleep, quiet music and a chair, where I sit with him every day. He still likes to stretch out on the Sunday crossword puzzle, and he obligingly “helps” with my yoga a few mornings a week.

Sometimes he does not seem to know who I am; he cowers and hides. Other times he is suddenly aggressive. Sometimes he is his old, affectionate, playful self…and then an hour later, I return to find that he has dragged every loose piece of bedding into the litter box.

We have decided that as long as he seems to have a decent quality of life, we will keep on accommodating Clancy. However, we have made the difficult decision to forego any major medical interventions beyond his usual annual checkups and vaccinations. No heroics. How do you know if an animal companion has a good quality of life? When we watch a movie or sit reading and he curls up in my lap, as he has for all these years, it seems so. The next morning, when he hides when I come in with his Chunky Turkey in Gravy and ice water, it is less clear.

If Clancy and I are very, very fortunate, he will slip away from this world in his sleep one night, curled up in the kitty bed he has had for many years, without too much fear or pain.

 

Dr. Lori Puterbaugh, LMHC, LMFT, NCC

© 2017

Posts are for information and entertainment purposes only and should not be construed to be therapeutic advice. If you are in need of mental health assistance, please contact a licensed professional in your area.