Category Archives: relationships

I could tell you, but you’re not going to like it: Anxious Youth

As you know, this column isn’t intended as psychotherapy or professional advice. It’s information and entertainment, and, I hope, the spark for some conversation with someone who can help with a problem. The problem here is anxiety in all its forms.

According to the Anxiety and Depression Association of America, about 31.9% of youth have some sort of anxiety disorder.  This would include diagnoses such as generalized anxiety, separation anxiety, panic disorder, and trauma disorders. It’s hard to believe this is accurate; if it is, then as a culture, things have gone horribly wrong. 

We know a lot about what works, and what doesn’t work for anxiety.  Isolation, the vortex of doom the internet can be, the misguided or malevolent support of random strangers online, endless social networking, and a sedentary, sleep-starved, junk-fed existence don’t work.  Overscheduling doesn’t work. Avoidance doesn’t work. Irresponsibility doesn’t work. So do the opposite.

Get off the devices except for schoolwork.

Get enough sleep. Go to bed at a set time, get up at a set time. Every day, even weekends.

Cut down on activities.

Read real books. Learn about other people’s interior lives via good fiction (that’s a primary reason that we read classic literature in school; to understand more about how other people think, feel, and respond to life’s events). Then talk about them. That means parents should read them, too.

Get physical activity.  A healthy young person needs at least two hours of activity a day, and ought to be standing, moving around, and active a big chunk of the rest of the time.  

Learn useful skills.  For example, everything it will take to manage one’s own money, car and home.

Socialize in person, often while doing something purposeful (whether that’s a sport, volunteering, or other activity).

Spend a lot of time in nature. If it can’t happen just about every day, plan a four- or five-hour chunk on the weekend.

Have chores and responsibilities for young people.  No, “school is not their job” and therefore nothing else is to be done around the house. How are they going to learn necessary life skills? Plus, who wants a spouse or roommate who thinks going to work covers them for any contribution to home and family life?

Learn mindfulness meditation skills, to slow down the stress response and “step back” from anxiety-provoking thoughts. This facilitates the cognitive restructuring of cognitive-behavioral therapy, in which new ways of thinking and behaving are identified and rehearsed.

…and try cognitive behavioral therapy (CBT), preferably with at least one parent learning, too, to be coach and to help the parent. Anxious parents tend to teach their children fear-fueled ways of thinking and behaving, and anxious parents are apt to facilitate avoidance.  Avoidance is like jet fuel for anxiety. Find a licensed mental health professional who will work with you as a family to teach the skills. Keep in mind that CBT will work much better if the other parts of life are in healthy, working order – proper sleep, nutrition, exercise, etc.

To expand on an earlier point: parents, often your anxiety feeds your child’s anxiety. If you are behaving as if the world is a terrible, dangerous place, do not be surprised if your child responds the same way.  Making changes together to have a healthier, less anxious lifestyle will help the whole family.

I could tell you, but you’re not going to like it: Why doesn’t she leave?

Hint: whatever the reason is, odds are, she’s not “codependent.”

Your much-loved friend, your sister, your cousin – someone precious to you – is in a hellish relationship. Not a call-the-police violent relationship, but something similar: a toxic, gaslighting, crazy-making mess of a relationship that whirls up and down and around like a psychological roller coaster from Hell.  One day she’s fine, the next she’s a weepy, shaky, self-doubting shadow of her usual self. Over the days, weeks, or months, you’ve watched her change from confident, funny and insightful to anxious, depressed, maybe even physically ill. You can tell the problem is her partner; everyone can. Why can’t she?

I’m using the female pronouns because, although the torment can flow in either direction, research and the experts in the field indicate the pattern tends towards the victims being female and the dark-triad partner being male. 

Dark triad types – more often male, with antisocial, narcissistic, and Machiavellian traits, and often sadism thrown in – prey on victims. They assess the prey and find the way to quickly gain her trust.  The typical prey makes this easy, because it is her positive personality traits that will now make her vulnerable to this predator. The relationship started out fast – intense, a burst of attraction and an amazing number of similarities. In retrospect, you think, too amazing. The “too good to be true” turned out to be, well, untrue.  The cycle of drama – accusations, fights, threats of abandonment, and, ironically, your friend seeking forgiveness sometimes – keeps her off balance, on the ropes, without enough peace to think things through.

Very often, the women who find themselves in relationship with manipulative, emotionally and psychologically abusive, and often financially exploitative and sexually manipulative men, are the people you’d love to have for a good friend. They are high in the personality traits comprising the primary traits of Agreeableness and Conscientiousness.  Agreeableness includes traits such as friendliness, honesty, a willingness to put others first, and nurturing.  Conscientiousness includes loyalty, perseverance, and dedication. These people are often great parents and wonderful friends. These traits bite them in the butt when a predator exploits those very strengths to draw the woman into, and keep her in, a chaotic relationship that never settles down enough for her to have time to reflect and figure out what might be going on. Sometimes, her best hope is that she starts feeling like she’s going crazy and seeks therapy…and finds a therapist who sees, not codependence and a victim’s participation in the dysfunction to meet some unhealthy psychological need, but a person whose strengths have, in this unusual situation, become a trap.

Maybe you wonder, reading this, how good traits can be a trap…just think about your own history. Were you ever the team-member, at school or work, who dutifully did your share and more, while others slacked off and still got the shared credit? Has your loyalty been exploited by a “friend?”  Have you loaned money to a friend or family member on a word and a handshake – only to be avoided, and unpaid, later?

Part of the trap for your friend will be, ironically, compassion for the predatory partner, who has probably included in his story a carefully curated tale portraying him as a noble and heroic victim.  Her compassion, nurturing and desire to be helpful (those great-mom, great-friend characteristics) now propel her into fix-him mode.  His anger at her can all too easily be interpreted through the lens of his pain and frustration. Out of care for what she believes is a suffering fellow human being, she gets tangled in self-blaming, guilt and confusion. She easily believes his supposed distrust of her that seems to erupt out of nowhere is due to his attachment wounds, and buys into a notion that patient endurance and reassurance will heal him. And yet…sometimes he just lashes out, apropos nothing, and then denies anything even happened.  He berates her and tells her later she’s exaggerating, overreacting, imagining things. Stop making up lies about me, he rages.

So, if she wonders, half-rhetorically, on the few times you manage to see her alone, if she’s “going crazy,” don’t agree. Don’t accuse her of being codependent.  Listen, actively.  Gently question her: is it okay that he keeps texting while the two of you, who have known each other forever, have a cup of coffee? Does he do this a lot? Share your observations and concern for her (not criticism or blaming). Ask what keeps her in the relationship and, if she admits to feeling trapped, be kind and firm in your assurance that she has people to help her. She is not trapped, no matter how stuck she might feel.

The manipulative partner creates so much emotional turmoil and distress that it becomes almost impossible for the victim to think clearly.  Part of this is because of the cognitive dissonance the victim feels: the confusion and distress of holding conflicting thoughts of this magnitude: On one side are the “good” beliefs about the partner because of their seemingly perfect match and on the other, the anguished, distrustful, terrified thoughts because of the confusion of demands, accusations and threatened abandonment.  Your friend probably can’t think straight – for now – but, again, it isn’t because there is something “wrong” with her.  She is in the midst of a prolonged trauma.

Thus, the most obvious (to you) parts of a solution may seem overwhelming or impossible.  Moving the abuser out of her place? Not impossible.  Moving her out of the abuser’s place? Not impossible. While she may feel unable to cope with the finances, her pet rabbit/dog/cat/bird, and the task of moving possessions, her concerned friends and family can easily help slice this problem into manageable pieces.  Someone has a guest room or garage apartment or mother-in-law suite; someone can foster her pet at their home while the dust settles; someone has a truck for everyone to gather and load up so she doesn’t have to face the process alone; someone can coach her through changing all her passwords and un-merging her phone, etc., from the partner.

This situation is heartbreaking to endure. Keep reaching out; do not give up on your friend/family member/cousin.  Maybe it’s even worth having a little movie night – without her partner – to watch the classic film, Gaslight, starring Charles Boyer and Ingrid Bergman.

(Un)Social Drinking

4th in a series: I could tell you but you’re not going to like it: Social Drinking often isn’t.

Yet again, I am stepping into the fray to offer the kind of information that can be helpful but feel quite unwelcome. In this case, it’s the raw fact that, for many people, Social Drinking…isn’t.

Social drinking is one of the terms for the use of alcoholic beverages in disciplined moderation, with others: the glass of wine at dinner, the single drink at happy hour.  It means the person is not an alcoholic, and everything’s under control…but as the term is used, perhaps not.  The American Psychiatric Association has established a low bar to meet the criteria for mild Alcohol Use Disorder: these are two of the many criteria, and perhaps these two will resonate with some social drinkers:

“Alcohol is often taken in larger amounts or over a longer period than was intended” and

“Continued alcohol use despite persistent or recurrent social or interpersonal problems caused by or exacerbated by the effects of alcohol.”

In other words, if someone often drinks three glasses of wine when they meant to have just one, or plans to have “a drink” with a friend that turns into a three-hour hangout with multiple drinks, that is a marker of a potential problem. If someone uses alcohol, and then becomes argumentative with friends and/or family, or zones out in front of the television and, yet again, neglects chores or short-changes the dog’s evening walk, the so-called social drinking isn’t just social drinking. Stir in failing to get up on time for work due to a hangover, or having the alcohol cause headaches, belly aches, acid reflux or blood sugar issues, and there is a storm coming.

So, perhaps, unless your physician advises otherwise, you might do a bit of an experiment if you are a social drinker. The experiment is, no alcohol for a month; six weeks would be better. Fighting a habit takes time. Then see what happens.  If you discuss alcohol with your physician, please be honest: the health professionals’ unofficial guideline when people tell us about alcohol use is, double it, or perhaps even triple what the person tells you.

Evening alcohol use disrupts sleep; people may fall asleep more quickly but will often have sleep problems a few hours into the night.  Alcohol impacts the brain in a host of ways: it impairs balance and spatial judgment, slows physical reaction time, weakens impulse control, and interferes with cognitive functioning. It also interacts dangerously with a host of common medications, including but not limited to medications for pain, anxiety, depression, OCD, ADHD, allergies, and more; if you are on any medications, over the counter or prescription, check with your pharmacist about using alcohol with these medications.  Mixing alcohol and medication can be deadly. Perhaps during your alcohol-free weeks, you will find yourself more motivated to get up and get that morning walk or workout in; perhaps you will have fewer unproductive arguments with the people you love. At that point, it may seem that social drinking may not be social, after all.

Using the Right Tool for the Job

When painting, the particular tools have to suit the purpose at hand.  Pastels, my favorite medium, range from hard to very soft. The degree of hardness impacts the way they make marks and interact with the painting surface. Thus, they are used in ways appropriate to the task at hand. Softly blended colors – the distant trees, faintly blued by atmospheric effect – call out for soft pastels. The graceful lines of bare branches glimpsed through foliage are served better by a harder pastel.  Use the wrong tool for the job and it is an exercise in frustration.

Just so, the various ways in which we communicate with one another have their preferred and best-suited purposes. I write letters in long hand to some family and friends; email has its role. The humble text message is an absolute delight in its place.  Its place is best described as the brief sharing of simple data:

Writing out Christmas cards, can’t find Uncle Lew’s new address

123 Orchard Street, Apt. A, S______, STATE, ZIP.

Thanks.

Or,

At the rest stop at US 19 and I-10, should be there in about 3 hours.

Great! See you then!

Or, perhaps, sharing a quick photo: a hummingbird, frozen in flight; a child in her sports uniform, a lovely sunset.

Text messages, on the other hand, are wretchedly inadequate for important conversations and emotional expressions beyond, “Love you! Have a good day!” sort of messages. They are inadequate for many reasons.

For one, they are brief.  Unless you have the ability to reduce complex ideas to simple, yet not simplistic, expression with the elegance of C.S. Lewis, the affective concision of Yeats and the incisive observational skills of Shakespeare, give up the notion of effectively resolving complex interpersonal issues via text.  We are, none of us, up to the task.

Worse, when we misstep, believing ourselves to be abundantly clear, we cannot see, or hear, the nuances of small muscle movements, pupil changes, swallowing, breathing, voice tone and volume, that alert us to make corrective efforts. Instead, our misstep is enshrined in visible form, to be reviewed and the misunderstanding (or all-too-clear awfulness) revisited and engraved into the heart and mind of the recipient, as well as anyone with whom they share it in an attempt to justify themselves in their rage and hurt.

You might say, well, the same can be said for email (right) and for the older, handwritten letter. For the latter, until fairly recently, writing was laborious: a pen to be perpetually sharpened and wiped; liquid ink to let dry. Even now, the arm and hand movements of script engage more of the brain, slow the process, and thus allow time to reflect before dashing off a reactive and possibly toxic response.

Many clients have explored in session the dilemma of family members demanding a text message interaction to address – now! – some emotionally rich and complex issue.  I urge them, and everyone, to resist giving in to the juvenile and narcissistic insistence that something of apparent critical import be reduced to text messages.  It is quite common for people to demand immediate exchange via text, repeatedly insisting you explain yourself (or whatever it is they require). If it cannot be face to face, at least do so via voice when both people are rested, sober and have time. Audible clues of tone, volume, steadiness and rhythm can help you assess how the conversation is going. If you are dealing with a reasonable person, refuse to have serious dialogue via text. If you are dealing with someone who is unpredictably volatile, irrational, or substance-using, potentially violent, seek appropriate safety and guidance.

So, what to do? There are multiple right answers here, of course; feel free to enter into a text message discussion of why you dislike your sibling’s fiancé, or don’t want your in-laws at the birthday party, or are upset about your child’s fifth undergraduate major in three years. I’d recommend against it. I offer, as a starter set, a few options to firmly, and lovingly, employ as you refuse to play the “text message” game.

“I love you too much to have a conversation about something clearly this important to you by text. Let’s figure a time when we can both be well-rested and ready to talk.”

“This sounds like a topic best discussed face to face. When would be a good time for you?”

“I’m glad you let me know this is something we need to address. When can we discuss?”

The possibility exists that you are dealing with someone, including someone you love, who is emotionally immature. Perhaps they demand, imagining they need, immediate gratification in terms of “resolution”. By resolution, they may mean getting you to agree they are right or bullying you into capitulating in some other way. At worst, they may be willing to cancel you if you stumble through an awkward and unexpected conversation. If you love someone this immature, whether friend or partner or family member, it is a sad state of affairs.  Still, giving in and trying to have emotionally complex conversations by text message (or email) will ineluctably lead to misunderstandings that can be read and reinforced in perpetuity. Just refuse.

Because, of course, you love them too much to reduce their concerns to a mere text message.

Take a Break: A Shabbat Habit

I was asked to give a talk to a women’s faith group about finding peace in this busy, stressful world. The direction I chose was to invite each person to consider how they keep Sabbath. Beyond attending worship, Sabbath includes truly connecting with God, with family and friends, with creation, and a deliberate disconnection from the usual routine of life. Perhaps you don’t practice a religion and feel that some sort of mandatory day of sitting around doing nothing sounds boring and stupid.  “Sitting around doing nothing” is a corruption of what the day of rest was meant to be; think of it as a day to step away from your usual routine and focus on what is most important. If you’re having trouble figuring out what that might be, think about the people you’ve known who were dying, or what you focused on most when you lost someone you love.  The great existential crises of life tend to make some things stunningly clear.

There are entire books written about the importance of Sabbath time, of that weekly stepping back from rushing, overstimulation and noisiness.  This short column is just a little memo, to me as much as to anyone who might happen to read it and could use the reminder.

So why should anyone consistently and deliberately take a break from the routine? Here are a handful of the many reasons.

It gives you time to recuperate from overdoing. My car’s tachometer goes much higher than the engine is meant to run to function well.  It’s the same for us. We are not meant to run at “100%” 24/7.  Taking a step back from overdoing gives your body a chance to begin to recuperate from an overstressed state. A lot of people like to think they do their best work under pressure, but at a certain point, the nervous and endocrine systems will conspire to have you functioning in a way that reduces your access to your logical, analytic brain.  You probably won’t notice it’s happening, but other people will.

It gives you time to begin to take a different perspective.  Much of modern life is designed to keep us distracted and in an artificial sense of urgency.  This interferes with reflection, the deeper thinking about what is going on, where our actions are taking us, and what does and does not really matter. Put another way, it can help you figure out what is important, versus what feels urgent but is not as important.

It gives you time to focus on relationships. Whether it’s online contact with family far away, time for a walk with your loved one, a meal with family or friends, or a ruthless, hours-long game of Monopoly, a Sabbath mindset puts aside clocks and schedules and savors the time with the people we love.

It provides time for play, rest, and creative pursuits. These are all important. They are not accessories, nor does their value derive from their contributions to work performance the rest of the week.  They are part of being human and have inherent value without having to be subordinate to our work roles.

…and I, definitely, and you too, perhaps, are far nicer to be around when there’s been enough rest, fresh air, laughter, and time with people who love us.  Sabbath time helps make us whole.

That wholeness is part of holiness.  People who are too rushed and focused on work, on the “next thing,” on the next ping of an electronic device, are not able to tune into other people, to themselves, or to God.  Doing what people most associate with Sabbath – going to worship services – loses something if I show up with a rushed, preoccupied, “Yeah, okay, but what’s next?” mindset.  We need a break, a prolonged pause that lets what is important float to the surface of our attention.

If you think this sounds crazy…try it anyway.  Try to take one day a week and carve it out as a day set apart. Spend time with the people you love.  Read a book; take a nap, play games or work on a puzzle. Savor the music you’ve diligently collected. Make art. Write a poem. Go for a nature walk. Cook and enjoy a meal together.  Put your devices away except for purposeful connection with people not physically present.  Then try it the next week. Try it for four or five weeks, and see what you find.

Shalom. Peace.

Prodigal and in your face

The holy days of fall and winter have begun, with Rosh Hashanah and Yom Kippur behind us and Thanksgiving, Hannukah, Advent and the Christmas holidays closing in fast. The stores overflow with all things green, red and peppermint. This means that one of the dreaded markers of the season is also upon us. You might be thinking about the price of turkeys, or heating bills, or navigating the dynamics of family and politics, but I am thinking in particular of the seasonal outbreak of atheism and related forms of cynicism among adolescents and young adults. Except for the power to disrupt other people’s good times, I’m not sure why so many families experience the angry outburst, arrogant smirks or sullen refusal to participate in the traditional prayers and rituals of life just when it is most likely to hurt.  Other than the week of Passover and Easter, there is no time more likely to cause suffering, than the fall and winter holidays: the season seems to be a favorite target for unleashing pent-up bitterness over having been raised in a tradition of faith and culture.

So, if this has happened to your family, you’re not alone.  Over a quarter-century in the mental health field, I have had to see many families distressed at the verbal attacks, the rebellion, and the apparent determination to be hurtful. Fighting with the young person about it is, of course, useless.  Trying to listen calmly, refusing to participate in conversations that are disrespectful, and suggesting the conversation continue later (and then following up to be sure “later” can happen) are potentially helpful.  Give yourself time to calm down, seek guidance from other people, consider the direction being taken.  If the young person has decided that belief in God is a superstition, something incompatible with science, perhaps they are willing to explore this, including the substantial number of scientists who are convinced that there is a God. Perhaps they are willing to learn about intelligent design from non-biased sources.   When the attitude is not mere cynicism but actual anger, it is very painful. Sometimes the rage is about the perceived lack of choice, the complaint is that they didn’t want to participate in the faith from childhood and that the introduction into the faith, whether bris or baptism, was abusive and unfair.

A rabbi whom I consulted echoed the mental health professional’s perspective: look at what else is going on, what other issues are at hand.  Someone who has found clarity (as they see it) should be more peaceful, not angry. An adolescent or young adult who has decided that religion is just superstition might be annoyed at being expected to participate, but will not be enraged. Anger is the sign that the presenting assertion is merely the top layer. What else is going on? Why the sudden rage?  Is someone smart enough – smarter than Fr. Georges le Maitre, the Jesuit priest and physicist who developed the theory now called the “big bang theory,” apparently, by their own reckoning – simultaneously naïve enough to believe something just because some people who sound convincing said so on some internet platform? What other indoctrination have they absorbed with unquestioning readiness?

Of course, you won’t have this conversation at Thanksgiving, right after the young person drops the bomb of their atheism, or rejection of religion, or rage at you about their Baptism, Bar or Bat Mitzvah, or Confirmation. That’s the time to somehow find the patience to be, or pretend to be, calm, politely curious and willing to discuss this later.  The conversation may happen over weeks, months, or years; it may involve some third party – a religious advisor, a therapist, a wise friend who has been on the same road.

It won’t be a fun conversation, and we can’t control the outcome. By being calm, listening carefully, asking sincere questions and verifying that you understand, you leave the door open for further dialogue as well as for the possibility of a change of heart.

Changes of heart are hard to admit, and even more so in the world of social media.  If a young person adopts a position, there will be a host of online encouragers.  If the young person reports pushback from adults, there will be more voices, criticizing the adults, urging cutting off the relationship, etc.  But, if the young person announces a change of heart, some of these voices of encouragement can become accusing, vindictive, cruel. Backing out of a decision can always be hard; imagine telling your parents you’ve decided to drop out of med school to be a professional surfer.  Consider the people who go through with weddings because they don’t want to disappoint people. Even smart, competent adults foolishly move forward into situations they know are wrong because they don’t want the transient embarrassment and miserable, but also transient, short-term effects. How much harder it is for young people who haven’t finished developing a mature brain.

This means our first job, as adults, is to listen with compassion and find a way to keep the door of communication open.  This way, when the young person is ready to reconsider, or be less vitriolic, or simply have a real dialogue, it will not require they have the desperation of the Prodigal Son to take the first steps. Whenever the child takes those first steps towards dialogue and reconciliation, remember the father in the parable, who ran to meet the returning child.

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!