Tag Archives: Self-care

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.

I could tell you #3: Screening the Screens

#3 in a series: I can tell you, but you’re not going to like it.

Once again, I’m the fun-killer, offering information for your recreational purposes that you might not like hearing.

Thus far, I’ve discussed getting more sleep and more physical activity as ways to help children who seem restless, unhappy, unable to focus (except for electronics, usually).  If you have been experimenting with those changes – perhaps for your children, perhaps for yourself – and a few weeks have gone by, I suspect you have noticed a few changes.

You may be sleeping better and waking up more rested and alert. You may be naturally less reliant on caffeine and high-sugar foods to wake up or to get through your day.  If you were tracking it, you might also notice that you are spending less recreational time with electronics. If you were managing these changes for a child, you experienced some degree of pushback, possibly to the level of an addict being denied their drug of choice, because the brain becomes addicted to the rewards of social media, video games, etc., and it will take time to replace that addiction with healthy patterns.  If you were able to persist, within a few weeks you probably noticed positive changes in mood and behavior.

Some studies have supported the approach of adding positive changes before taking things away. For example, if a person needs to quit smoking, eat healthier and exercise, success is most likely to accrue if exercise is added first. This becomes an additional reward and incentive, and can help buffer the withdrawal from nicotine as well as withdrawal from addictive, highly processed foods. In that spirit, it seems it could be easier to have begun helping a child heal from the cultural damages that contribute to anxiety, depression, attentional problems, etc. by adding positive things (sleep, exercise and play) before directly taking away negative things (specifically, the largely unsupervised world of the online universe).

If your child has any unsupervised screen time, it is almost guaranteed they are seeing things you do not know they are seeing or want them to see. End of story. You think you have adequate controls, and firewalls; and somewhere far away, people with far more expertise in technology than most of us are busily creating pathways to circumvent parental controls.

As I have shared in other columns, one of my little escapes in a long work day may be a two to four-minute clip off the internet of some old movie: a dance scene from Mary Poppins, a short scene from Much Ado About Nothing, a few moments of Branagh’s Henry V, the latter not cheery but stunningly well done and quite grounding, as examples. These are my typical fare: dancing penguins, singing suffragettes and Shakespeare, but sometimes up will come next some horrible thing – R-rated, violent, hideous – so terrible that even shutting it down immediately is too much exposure.  From this I hypothesize that if you think your kiddo is happily watching perfectly clean children’s videos and do not supervise, you don’t know. You do not know whether some horror or corruption that was carefully created and marked with the right key words to intrude on that corner of the market is slipping into the stream.

Under the best of circumstances, if it were an hour or two of tap-dancing penguins, it is on too much time to surrender to passive entertainment without being selective. Most people will not just absent-mindedly pick up any book and read it for a couple of hours and then look up, surprised and resentful, when interrupted for food or water or homework. The internet, however, is something else: the endless parade of “talking” kittens, so-called “influencers” and worse contrive to steal time every day from many people. It’s not all bad, of course; I listen to educational lectures when I’m on the stationary bicycle six days a week. I’ve encouraged people to watch “The Chosen.” I’m in favor of well-researched educational programming. I’ve done car repairs under the tutelage of a mechanic on Youtube and am still stumbling through beginner Spanish with the internet, too.

If you are unconvinced about the use of the internet, watch the documentary, “The Social Dilemma.”

Cutting back on tech time is hard. You’re probably not, initially, going to like it, and odds are your child will fight you – hard.  We’re talking about your child’s well-being: their physical health, mental health, intellectual development and social skills. It’s worth the trouble. Try adding the deliberate reduction of entertainment with electronics to the improved sleep and physical activity habits.  Then see what happens.

My child is hyperactive, Part 1.:  You are getting sleepy…

POST # 1 In Series

A few months ago, I gave a talk for a women’s faith group on the importance of Sabbath time, and half-jokingly remarked that perhaps my next book would be entitled, “I could tell you, but you’re not going to like it.”  On reflection, maybe that’s not such a bad theme and I herein copyright that title.  So, here begins a series of indeterminate length addressing a variety of topics involving mental health, family life, relationships, and personal development that will include, at least for some people, something useful that may not sound very pleasant, or even seem not worth the effort. This being only for entertainment and not professional advice, that’s certainly fine; and given that reading this is free, it may even be worth the price of admission.  

Many parents believe that their child is afflicted with Hyperactivity/Attention Deficit Disorder (ADHD). This is a mental disorder, its parameters laid out by the American Psychiatric Association, and is most often diagnosed by a list of behavior patterns, all of which drive adults absolutely batty. In the next couple of blog posts, I’ll be laying out some specific steps with which you can experiment, as a parent, to see if these free, simple changes bring about positive changes in your child’s attention, focus, mood and general demeanor. The good news: these will help any child thrive.

If your child is exhibiting symptoms of ADHD, then your first stop should be your pediatrician’s office to rule out health reasons, such as blood sugar issues, lead poisoning, and anemia, that can cause behavior problems and poor focus.

Assuming your child is healthy, and the following meets your pediatrician’s approval, the critical first step for you and your child will be to address the almost certain sleep deprivation that pervades the household.  Start with some math: determine what time you and your child have to leave to begin the school and work day, and deduct 1 to 1.5 hours from that time.  That is the desired wake-up time for your child. Your wake-up time should be at least 30 minutes prior, so you can have some quiet as you ease into your day for prayer, meditation, or a cup of coffee, perhaps with your spouse.  If your child is in elementary school, wind back 9 to 10 hours from their targeted wake-up time. That is their time to be in bed. If you have a child who fights bedtime and sleep, I’d try 10 hours and let them read or journal – no electronics – quietly in their room and not be concerned about when they turn off the lights. They will learn, by being cranky and too tired in the morning, what happens when they stay up too late.  Your bedtime should be about 1 to 1.5 hours after theirs, giving you some time for conversation, reading, and perhaps a few quiet chores.  No screen time or fighting; either of these will impel your child to stay awake to either not miss the fun of screen time or to interfere with fighting.

Your child needs that time in the morning to get right out of bed, attend to grooming and dressing; they must make up the bed and stash pajamas, eat breakfast, clear the dishes, and perhaps do one simple chore:  fresh water for the pets, wiping the table, etc.  They should begin their day without rushing. No screens before school! This will leave time for play that helps meet the minimum 2 hours of active play children need for healthy brain development. If you’re lucky enough to have a fenced-in back yard, they can romp outdoors, toss a ball, jump rope, etc. until about 10 minutes before it’s time to leave for school. If you live in a condo or apartment, then you’ll have to be more creative: explore dancing, games such as desktop corn hole (yes, it exists; I have one for family sessions at the office. It cost $5.00), tai chi, yoga, or other activities that can be adapted for children and are safe indoors.

You will get plenty of push-back. No doubt you are arguing as you read this, generating reasons this can’t work for you. They have activities that run too late; they’re used to watching screens while eating, etc. You don’t want to give up your screen time, either.

A comment on that: four hours of recreational screen time per day comes to more than 2 weeks’ worth of 8-hour work days each month.  Surely you have things you’d rather do with a free 2 work weeks each month than see what someone you went to high school with had for dinner or read the tenth rehash of the day of a news story?

This challenge is like a marathon: it’s simple, not easy.  It will be hard.

Optimally, try these changes for a month before you give up. Do not vary your weekend rise/bed times by more than one hour.  After a month, assess if the change has been helpful for you or your child.

On Being “Beyond”

I’ve been thinking a lot lately on being beyond. Beyond what, you might ask, and I’m sorting that out. Basically, though, it started with realizing that I am now in that great blob of the population described so often as “beyond.” As in the headlines on the covers of women’s magazines,

“Get glowing skin! Customized tips for your thirties, forties, fifties and beyond!”

“Walking for Fitness at Any Age! Belly-busting strategies for your thirties, forties, fifties, and beyond!”

I don’t know the extent to which men are burdened with this. I can imagine, though:

“Get ripped! Washboard abs workouts for your thirties, forties, fifties and beyond!”

Yeah, I’m beyond.

It sounds sort of like a super hero, as if at 60 – when we enter into Beyond – we ought to get a cape. I have a cape – Irish wool, very warm. If you think that sounds more cozy than conquering, you haven’t met enough Irish women. (Note to would-be inventors of Beyond Woman action figures: spare us the wasp waist. We have the usual age-related spinal compression plus hormonally driven fat redistribution. Keep it real, that’s all we’re asking.  Because we are fine, better than fine, and in fact, beyond – just the way we are.)

It’s quite comical that the apparently youngish people who write so much media content put the newly 60s, the 60-year-olds’ mothers, their aunts, and centenarians all into one category, while the decades earlier are carefully delineated as if the difference between, say, 39 and 41 comprises dramatically more difference than between a 60-year-old and any given 80-year-old woman, and between that woman and a centenarian. It seems to reflect a silly and self-absorbed presumption about the nuances of midlife compared to the daily warfare of old age.

The implication is that, well, now you’re old and one old person is the same as the other. That is clearly ridiculous; there is far more difference between any two senior citizens than between any two 20-year-olds.  How could there not be? Life has been unfolding, every day full of experiences that compound the differences.  Every decision about habits, relationships, effort, sloth, etc., multiplies and intersects into complex and unintended consequences.  If you are 30 and reading this, consider how different you are from the people who were your best friends in high school, just 12 years ago. Wait another 30 years of daily choices and the ramifications of those choices, plus the unexpected and random events of life, and the differences between you will be inestimable.  

So, what does it mean, being beyond?  Well, the ones I speak with are beyond thinking they are in some sort of competition with the whole world.  They are beyond equally valuing everyone’s opinions; they stop craving indiscriminate approval. They are beyond getting aggravated about the minor speed bumps of daily life and getting tangled up in knots over every bit of bad news.  They are beyond thinking that social media alerts outweigh the person we’re talking with now. They have long been beyond pretending that cynicism is the same as wisdom.

All this means freedom: freedom to play freely with children without worrying about our dignity, sing in our cars, and ask questions without worrying we’ll look stupid. We adapt to what our bodies can and can’t do today. We can be creative because it doesn’t matter if other people don’t like what we paint or draw or bake or build. And, out of that freedom, we can offer encouragement and hope to people who are still trapped in the completely voluntary constrictions of being not-yet-beyond.

And so, here’s to being beyond, with all its freedom, challenges and gifts. 

What about you? What does being beyond mean – and will you wait until a magazine editor says you’re there to enjoy it?

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.

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!

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.

Not So Complicated

I channeled Mary Poppins: resplendent with unwavering decisiveness and spit-spot, lickety-split efficiency, two of us turned the spare-bedroom/storage-room into comfy guest quarters in less than 45 minutes. Easy-peasy…

…because it was not MY spare bedroom. No emotional investment, no weariness at once again facing the task at hand, it was, actually, fun. Change is refreshingly simple when it doesn’t cost you a thing.

When it costs something, change seems complicated and hard, even impossible.

Almost everyone I know has argued, in vain, with newspaper articles, the radio or television newscasts. As if briefly overcome with psychoses, they shout at the television and argue with the radio in their car. (Me, too). Whatever their position – progressive or conservative, libertarian or statist – they are frustrated and amazed, over and over, at officials’ protestations of how hard it is to make change happen.

Everyone has ideas on how to make change happen. Some are terrifying; others are naïve. Many, however, have the ring of common sense, and it makes one wonder, why are these officials, whether elected or snugly sinecured, acting as if everything is so complicated?

There are many different government programs aimed at moving people from one place to another. Why many? Who knows? Could it be simplified? Yes, and probably elegantly. Everyone on Medicare, for whatever reason, use service A; everyone who meets whatever clearly established criteria (such as Medicaid) for need, use service B. Give every participant a chipped card to use, require photo ID (or put it on the card) to be sure the cards don’t turn into underground currency like food stamps sometimes do, and then the details entered into the program (A or B) for that individual will determine: medical taxi, van assistance, reduced or free bus fare? A bright STEM high school senior could write the bulk of the program in a day or so. If you immediately imagined the most complicated possible situations just to pick a fight with me: sure, those exist. If someone needs a wheelchair-accessible van, then that goes into the electronic info on their card; if they merely need a cab for doctor appointments, that’s on the card. As circumstances change, someone in a remote office can input the update. When Mr. X no longer needs a wheelchair van to get to his appointments, his account can (spit-spot, lickety-split) be adjusted to provide for the appropriate transportation benefit. Plus, with GPS it won’t be hard to figure out if the beneficiary had the cab drop them at Dr. K’s or at K-Mart: auditing for abuse becomes simple. Ta-da: not easy, but simple.

If the object was to make sure poor people had good quality healthcare, one might wonder, why not simply work with what we have? One, we have a public health department system and two, we have a VA system to serve as a model for comprehensive (albeit labyrinthine) healthcare. What makes it so complicated to appropriately expand the one, based on what we know from the other? Doctors are leaving, or not going into, private practice and instead signing on as employees in the private sector, so a nice government job with benefits and a pension seems like a tempting offer for many D.O.s, MDs, ARNPs, RNs, dentists, and other healthcare providers angling to be someone’s employee. Yes, we’d need more buildings and more staff, and probably some specialty services would be outsourced (the VA knows all about that, too). Who uses them? How about anyone who meets criteria for transportation assistance, as above? They already have the ID card; add that info. Outsourcing so little of it will lead to much less fraud, the latter a cause of handwringing for the same politicians who resist change.

Oh, I know. I can’t possibly understand. It’s far more complicated than that. Well, no, it’s not. It’s not going to be easy, but that is not the same as complicated. From out here, it is very clear that sometimes what is explained as “complicated” really means “not easy.” These are different things.

A marathon is not complicated. It is a matter of stepping forward and repeating that action for 26.2 miles. I know; I ran 79 of them. They were not easy. They were simple and hard. So are lots of things. It is just easier to see “simple and hard” from the outside than from the inside.

“Complicated” is a euphemism for something along the lines of, “Well, we don’t want to change anything; some people will be unhappy, and maybe we’ll lose some votes, so somehow we must give the appearance of changing things without actually changing anything.” The best we seem to get sometimes is the legislative version of buying storage containers during the January sales. It’s the same pile of junk, but it’s temporarily neat. If the object is to pretend to change, then, yes, everything we shout at the newspaper and radio about is quite complicated. I have no idea how to run AND not run at the same time, so how could a bunch of bureaucrats figure out how to simplify programs while simultaneously avoiding any changes?

Our ambivalent relationship with change makes it simple, and enjoyable, to help other people organize their stuff. The books were not MY books, the stuff was not MY stuff. People who have enough money and stuff hire people to come in and bully them into getting rid of stuff. The theory is that someone else, who is not emotionally invested, will be able to confront me. I can imagine the process:

Professional organizer: “Now, Lori, how many CS Lewis books do you really need?”

Me: “I dunno. How many ARE there? Ought I leave room for more?”

It goes downhill from there.

The analogy ought to fail because the people we elect should not be emotionally attached to ineffective programs. They behave like people suffering the deep heartache that leads to hoarding behavior, but I suspect the attachment is less suffering and more sinister: each entanglement serves a gratifying purpose or two.

Imagine members of Congress clinging, weeping, to the thousands of pages of regulations that describe the several programs to provide fuel (or rather, money for fuel) to poor people in winter. Why would they fret about merging these into one, clear, program? Where is the burning enthusiasm to ensure that the funds to help people stay warm are used prudently and effectively? I don’t want to read about one person collecting fuel benefits from multiple funds and using some of it for frills, while someone else freezes to death. I want everyone to be warm and cozy. If there were one program, would people find a way to abuse it? Surely; but simplicity reduces the camouflage.

I suspect we will all be shouting at the news for a long time. Meanwhile, I have to go pretend to be someone else so that I can impose some order on my stuff: a process that will be simple and hard.

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.