Friday, June 27, 2014

Stories

So I was having dinner at a Thai restaurant with my tennis mom and her family, and one of them asked me if I believe that everything happens for a reason. Which I do. Now. But that wasn't always the case. Before I struggled with how to make sense of accidents and cancer and infant deaths. And to be honest, I still do. So now I try to stay focused on making sense of my own path, which is hard enough.

Then the conversation turned into a very pointed inquisition about what I believe to be true about God and the nature of the universe. Which I thought was weird, because what the heck do I know? Clearly these people have not been reading my blog.

Afterwards we came home and watched The Lego Movie, which was awesome! Just like the theme song says. That may seem completely unrelated, but I think it happened for a reason. Because the basic line of questioning was, how do you know that what you believe to be true isn't just some made up story?

Emmet is an ordinary construction worker who is so average that no one can say anything that stands out about him. But then he finds The Piece of Resistance, which is the sign that he is "the special"--the one who the prophesy foretold is destined to save the world. It turns out that the wise old man Vitruvius made the prophesy up, yet it was still true that Emmet was chosen as the hero by some higher power.

The Lego Movie is also a made up story. So is Avatar, The Matrix, and Kung Fu Panda--my 3 favorite movies. They've all made tons of money, and I think this is because they all have a message about how understanding our destiny and the nature of the universe requires a leap of faith in ourselves.

I'm no theologian, but I believe that God is ok with whatever story makes sense to us, as long as it brings us closer to him.

I think this doodle looks like legos.

Thursday, June 26, 2014

Joy and Pain

I finally saw The Fault in Our Stars the other day. I thought that the movie was true to the book but wasn't long enough to include all the scenes that I loved. But I guess no one else would be interested in a 10 hour movie.

One of the things they left out was the discussion of whether we need to experience pain in order to know joy. In the book Hazel repeatedly says she doesn't believe this: "the existence of broccoli in no way affects the taste of chocolate." I thought that this was such a compelling argument that for awhile I forgot all of the research I've read that supports the joy-pain connection.

Hazel worries about how her death will hurt the people who love her. She is afraid that her parents won't have a life after she dies. She pushes Augustus away because she doesn't want to be a grenade. But Augustus cannot be dissuaded: "you don't get to choose if you get hurt in this world, but you do have some say in who hurts you."

This whole joy and pain thing is actually why I have so much trouble with endings. I look forward to having the summer off but by the 2nd day of summer I start obsessing about how my vacation is running out. I suffer from existential anxiety about death and aging. Even coming to the end of books like this one is difficult because I don't want to have to say good-bye to characters like Hazel and Augustus.

When I read the book I didn't fully appreciate Hazel's obsession with knowing what happens to the characters at the end of "An Imperial Affliction," which ends in mid-sentence because the narrator dies of cancer. But after watching the movie, I understand. Hazel wants reassurance that life will go on for her parents after she dies.

I've always thought that life was kind of cruel in this way. My heart may be broken but the world doesn't seem to care. Life goes on, despite my pain. It's kind of insulting, really.

But now I think it's a good thing. Life isn't like a book or a movie that begins with joy but ends with pain--and wisdom. Life is more like a series of stories, where we have more joy--and pain--ahead of us. More people to love. More summers to look forward to.  More books to read. So I'm looking forward to the next installment.

I think this doodle looks like lightning bugs.

Saturday, June 21, 2014

Mental Hygiene

Negativity is like a virus. Even if you are vigilant about taking your meds, challenging irrational thoughts, praying, meditating, and practicing self-acceptance, forgiveness, and compassion, it just takes one negative comment--one careless psychological sneeze--and you're contaminated.

I've had 3 people sneeze on me today. In an effort to avoid contaminating you with too much negativity, I'll just tell you about the most egregious of the 3 incidents.

I had my follow up appointment with my psychiatrist today. Thank goodness I only have to go twice a year. It's a 3 and 1/2 hour drive round trip for a 30 minute appointment, and there's very little about that 30 minutes that is therapeutic. While my psychiatrist knows his drugs, he's not a particularly good therapist, to put it mildly. Which is OK, I guess, because I have a therapist. But I have to talk about something.

Because I have chronic sleep issues due to my night-owlness, I confessed that I've been struggling with regulating my sleep cycle now that I'm not working. Every time I tell him what time I go to sleep and wake up, he makes this judgmental face that looks like he just sucked on a lemon. Then he proceeds to tell me what the research says about the importance of waking up at the same time every day, especially when you have a history of depression. How I need to get morning sunlight, I shouldn't take naps, I need to be more disciplined, blah blah blah.

I am not good at constructive criticism, but I did manage to say that I'm trying. That I spend an inordinate amount of time obsessing about sleep. So much so that it probably interferes with my sleep. He can read my blog if he wants proof.

But I wish I could say something more honest. Something like, you make me feel like crap when you make that stupid face and give me a lecture on sleep hygiene that I already know by heart because I am a clinical psychologist, in case you've forgotten.  Every time I see you, you just give my inner critic ammunition to tell me how I'm failing at sleep hygiene and that I suck. You are supposed to be helping me with my mental health--not making it worse. Oh, and by the way, your waiting room smells like mold and you need to clean your freaking office and water your damn plants. It doesn't reflect well on you that your plants are dying! 

But I don't want to come across as being too negative.

Does anyone ever give their doctor honest feedback when they do something unhelpful? I try to imagine what my reaction would be if a client brought to my attention that my facial expression conveyed blatant disapproval of what a terrible job they're doing of trying to get better. It would be a shock, no question. But I don't want to convey disapproval and judgment, so I think I would want to know. I think I would try to be more aware of my facial expressions. But as I mentioned in a previous post, we are terrible predictors of how we will act in the future. So maybe I would just be pissed off.

Maybe I can think of this as an opportunity to practice constructive criticism. Maybe I'll talk to my therapist about it and see if she thinks it's worth it to say something. Not what I wrote above, of course. But something.

Or maybe I could just tell him that my latest blog post is dedicated to him so he should read it. That would be hilarious!

I'll let you know what I do. In the meantime, I encourage all of you to do your part in preventing the spread of negativity. Please remember to cover your mouth before your criticize. (And not in that passive-aggressive way where you cover your mouth while you fake cough and mumble something critical under your breath, either. You know what I'm taking about.)

 I think this doodle looks like germs.

Thursday, June 19, 2014

Constructive Criticism

I have trouble giving constructive criticism. I prefer the passive-aggressive route: just avoid the person altogether, or put their call on speaker phone and do my blog homework while they're talking.

I know this doesn't reflect positively on me as a psychologist. When I have a client who has problems being assertive, I have all kinds of good suggestions. And they usually take my advice. Which is a perfect example of why I often think my clients are more courageous than I am.

Part of the problem is that I can't stand hurting other people. If it's a choice between being annoyed by them or hurting their feelings, I choose to be annoyed. Because I can take it. But all those annoyances start to add up after awhile. Like being bitten by 1000 mosquitos. And I'm allergic to mosquitos, too. That's why I have to keep reminding myself to pick me.

The other obstacle is the whole hyperempath thing, combined with being highly self-critical. When I think of how I would feel if someone were to tell me that I brag about myself a lot, I would be mortified. I'd probably never speak again.

Sometimes the other person is so sensitive that they, too, will obsess about it for the rest of their lives. We can never have a conversation again where the person doesn't think about it, apologize for it, justify their behavior. It's painful. It feels just as bad as when they were annoying me, except now I feel guilty, too.

That's why I prefer to be so attuned to how other people feel that I can sense their annoyance and figure out why without them having to say a word. Which, admittedly, isn't a great strategy--especially when you're prone to depression. Because afterwards you have replay every social interaction over and over, trying to figure out where you offended the other person.

I can do it when it involves tennis. Especially when it involves wasting someone else's time by being late, not showing up, etc. I may not think my time is valuable, but I won't tolerate someone in my group or on my team who wastes other people's time. But sometimes I still obsess about how I did it. Maybe if I had said it differently, I wouldn't have hurt their feelings.

The reality is, sometimes there's no way you can give negative feedback without hurting the person. And it's not really my job to make sure that no one ever feels pain. Sometimes pain is necessary. It lets us know that we need to change something. And if something's bothering me enough to tell them about it, then I am definitely hoping for change.

Sometimes I wish I could be one of those people who are so oblivious that they don't care that they're annoying. Someone who can dismiss criticism with some rationalization. Or someone with a really bad memory for negative feedback. But I can't. I'm me. Empathic, sensitive, guilt-ridden me.

Perhaps I can think of this as yet another opportunity to practice self-acceptance.

Tuesday, June 17, 2014

Interventions, Part 2

In the book Stumbling on Happiness, psychologist Daniel Gilbert gives multiple examples of how we are terrible at predicting what will make us happy. I'm sure you've heard some of the studies. How people who are paraplegics from car accidents and people who win the lottery both return to their baseline level of happiness after about a year.

I often tell clients the same thing when they're catastophizing about what will happen in the future. How they'll be flipping burgers at McDonald's because they got an F on their chemistry exam. How they will never find love. How they will be depressed for the rest of their lives. We don't know what the future holds. We know that we don't know, but we still act like we do.

So how are we supposed to make decisions if we're so terrible at predicting the future? Gilbert recommends that we ask someone who has made a similar decision and find out how they feel about it. Psychologists say that the best predictor of future behavior is past behavior. Still, there are no guarantees. Ultimately important decisions often come down to a leap of faith.

A few weeks ago I shared my anxiety about having to do an intervention. I asked for advice from my psychiatrist, my therapist, and from God. They all said I had to do it. But I couldn't make myself do it. Because based on the two suggestions above, the forecast looked pretty gloomy. But a promise is a promise.

I've been reading Thomas Merton's "No Man Is an Island," and he says that God is involved in every aspect of our lives, guiding our every step, trying to move us closer to where we need to be. I wasn't sure if I believed that, but it was comforting to think that it might be true. That perhaps God was moving me closer to this conversation, even though I felt like I wasn't getting anywhere.

I decided to blog about it because that always seems to help. One reader said that perhaps the opportunity would naturally present itself. She was right; I got my opportunity. I did my part, expecting that my concerns would be completely dismissed, but they weren't. My words had an impact. Things are in motion, moving in the direction they're supposed to go. And I am thankful.

When I pray for courage, I feel like God tells me that if I do my part, He will do his. And while that has always been true, I'm always still afraid to take the next step. Will it happen this time? Was I just lucky before? Will God really be there on the other side?

Sometimes it takes awhile, but I usually take that leap of faith. I may not know what is on the other side, but I know I can't stay stuck on this side forever.

Sunday, June 15, 2014

Why I Have a Superhero Complex

When I was a kid I remember going to K-Mart with my dad, trying to get him to buy me a toy, as usual. We passed by the jewelry section, and he said he needed to buy something first. He had promised one of his patients that if she lived he would buy her some jewelry. He said that he didn't expect her to live, but since she did, he wanted to keep his promise.

I never forgot this incident because it impressed upon me what a good doctor my dad was. I could imagine him talking to this patient as he made rounds at the hospital. I could see him greet her with his unmistakable laugh, reassuring her that she was going to get better. All of his patients loved him. I wouldn't be surprised if she got better just for him.

My dad was equally dedicated to his family.  During his periods of depression, the thing that plagued him the most was his fear that he had not spent enough time with us because of work. I was shocked when I heard this. My dad attended every tennis match, awards ceremony, and piano recital we were in. Even now, although we all live in different cities, we try to get together for birthdays and holidays because being together as a family has always been a priority. He has his faults, but failing to spend time with us is definitely not one of them.

Above all else, the reason my dad was a dedicated doctor and father is because this is how he has chosen to serve God. I must admit, it bothered me to hear this when I was a kid. Kind of like when the flight attendant tells parents to put their oxygen mask on before helping their children. As a child, I didn't want my dad to love God more than he loved me. But as an adult, I appreciate how admirable it is to live your life with that level of commitment. 

One of the reasons why I berate myself when I'm not able to function is because depression never stopped my dad from performing his duties. Once he confessed to me how bad things were for him when he was depressed. How it would take him forever to dictate his notes because his cognitive abilities were so compromised. How he would obsess about forgetting some detail and would drive back to the hospital. How there were times when he wanted to give up. But he didn't. He still went to work every day, came home every night, and made us pray together as a family before we went to bed.

People give me a hard time because I want to save the world. But with a dad like mine, how can I expect anything less of myself? It is a high standard to try to live up to, but if I have to struggle with something, there are worse things than having a superhero for a father.

Saturday, June 14, 2014

Escape in the Moment

Back by popular demand, here is another post by my brother, Romeo Barongan, in honor of Father's Day.


ESCAPE IN THE MOMENT:
A Father’s Day Reflection

I have always dreaded change. Even as a child, my happiest moments were plagued by the knowledge that the more time I spent in the moment, the closer I had come to its end. Lately, the dread of watching my free time evaporate each night with the dawning of a new day, a new shift, & set of new obligations has returned. To offset the gloominess, I have been going to the beach every morning before preparing for the day for no more than 20 minutes. At first, I just did it because I was told that I needed more sunlight & I knew I at least had to go through the motions of feeling better; but truthfully, I didn’t expect any results. But then, after just a few minutes of staring at the peaceful water of the bay with the sun in my face & the sea breeze blanketing me from the summer heat, something happened. I felt peace. All the apprehensions that had kept me up the night before disappeared for just a moment in a place where sand met sea & sea met sky. When I left, it no longer bothered me that my moment of peace was so brief & that obligations still loomed before me; I had a sudden appreciation for the concept of balance.

My morning visits to the beach brought to mind one of my favorite myths from Greek mythology---the story of Icarus & Daedalus. Daedalus is a brilliant Greek inventor who, among other things, creates the Labyrinth that houses the Minotaur of Crete. Icarus is Daedalus’s young adult son. Somehow or another, Daedalus & his son manage to cross Crete’s King Minos. In order to escape punishment, Daedalus crafts wings made of bird feathers & held together with wax. His plan is to escape the island kingdom of King Minos through the air. He teaches his son to fly.


Daedalus, being older & more experienced, warns his son not to fly too close to the water for fear of the moisture loosening the wax that holds the wings together. It would be equally important not to fly too high for fear of the sun’s heat melting the wax that holds the wings in place. The father warns the son to strike a balance somewhere in the middle. Sadly, Icarus becomes too intoxicated with the majesty of flight & soars too close to the sun. Its powerful rays melt the wax, the wings crumble apart, & the young man plummets to the sea. The son fails to heed the father’s lesson of moderation & balance.


While this myth has a sad ending, I think it summarizes the dynamic of fatherhood well. Our fathers push us to reach our potential---they teach us to fly. We, as sons, benefit from their experience & advice. We are given opportunities that we would have been hard-pressed to come by on our own. And finally, we are given guidelines on how to best manage the opportunities we are given. We are taught to strike a balance.


Today, I invite my Father to enjoy his own perfect moment of peace & satisfaction. This day, while only a single day on the calendar, embodies innumerable days collected over the years wherein my Dad crafted two pairs of wings out of feathers & waxed & taught me to fly….Not too high as to touch the sun, & not too low as to dip into the waves, but in a place of balance & equilibrium. Hopefully, I can do a better job of heeding my own father’s advice than Icarus of the myth heeded the advice of his own. 


When I’m tempted to ignore my own responsibilities for a day, I’ll remember my Father’s clock-work commitment to his own profession. Before I mourn the end of a free moment, I’ll remember my father’s example of striving for a balanced life that accommodates both time for recreation & time for focused productivity. On this Father’s Day, I encourage my Dad to live in his own moment of serenity & satisfaction similar to the place I found the day I saw the sand meet the sea & the sea meet the sky. Happy Father’s Day.

Thursday, June 12, 2014

The Courage to Be Vulnerable, Part 2

I'm humbled by the feedback that I'm an inspiration, but to be honest, I'm not quite sure what people mean by that. I can understand how people could read my blog and think, wow! I'm not so crazy after all! But I don't see how it can be an inspiration. Unless it inspires people to be honest about the stuff they are afraid to share with other people.

In one scene in the book A Fault in Our Stars, (which I love!), Hazel and Augustus are in the Anne Frank House watching a video of Otto Frank. After reading Anne's diary, he concludes that parents don't really know their children.  I would venture to say that we never really know anyone unless we have the opportunity to read their diary--or blog.

Our inquiries about people's lives are fairly superficial. We ask people how they're doing when we greet them, but any response beyond "I'm fine" would be TMI for most. Recently I asked a friend how her husband was doing because I heard he had been sick. She said he has his good and bad days. I'm sure some people don't want to go into more detail, but maybe some people do. Maybe they feel like the person is just asking to be nice. To let them know they care without really wanting to hear the details.

I am one of those rare individuals who likes to tell people everything that's going on in my life when I greet them. Well, not everyone. Just the ones who will tolerate it. I'll even do it before they have a chance to ask me how I'm doing.  I'll just bombard them with the minutiae of my day the moment I see them. Because I spend most of my time alone with no one to talk to, I am willing to break protocol. Admittedly, this stuff isn't particularly inspirational, but at least I'm consistent in my self-disclosure.

I do think the world would a better place if we could all risk being a little more vulnerable. If we could all admit that we are human, I think people would feel a lot better about themselves. It does take courage to put yourself out there, but taking that risk also requires good listeners. People who are willing to be present and bear witness to our humanity without judgment.

So I am thankful to all of the readers out there who are willing to bear witness to my humanity. You are the ones who make courage possible.

Monday, June 9, 2014

Birthday Reflections

So I'm reading The Fault in Our Stars for book club, which is told from the perspective of a 16 year old girl with cancer, and guess what? I still talk like a teenager. Yup. Some of her comments could have come straight from my blog.

Even though I turn 45 today, I guess I can consider this a compliment, since this is a best seller with a movie that is a box office hit and has gotten great reviews. So if I sound immature, at least it's in a way that people can relate to. And if you've read the book, then you know that Hazel Grace is no ordinary 16 year old. For example, she refutes the adage that without pain, we cannot know joy by pointing out that "the existence of broccoli does not in any way affect the taste of chocolate." I love that!

Still, I find it ironic to discover that I still talk like a teenager as I hit what is irrefutably middle age. I thought I would be OK with it, because it's not like I didn't know I was middle-aged. And as long as I don't hit a prime number, I'm usually fine. And 45 is divisible by 3 and 5, so I figured I was safe until I turned 47. But no. Mother Nature likes to rub it in your face that you are becoming an old lady, and I received a couple of early birthday gifts just to make sure I was aware of this. 

Before someone sends me that quote about how old age is a privilege that not everyone gets to benefit from, let me preempt you by saying that I am grateful for my life. It's just that signs of getting older bring up that feeling that I talked about in the Beginnings and Endings post. Sadness about the loss of gifts that I had not even been aware of until I began to lose them. Anxiety about the losses to come. Panic about how fleeting time is. 

I am afraid I am not one of those brave souls who will embrace aging with grace and dignity. I'm pretty sure I'm going to go kicking and screaming, fighting it every step of the way. I guess this is one of the downsides of being a warrior

I've been thinking about what I could say in this post for several days now. I was really struggling with how to make it positive, since my goal is to be honest, and I have honestly been in a place of sadness and anxiety about getting older. 

But I pray about blog posts, too. I pray that God will give me the inspiration to come up with something to say that will be helpful to someone, even if that someone is just me. So far, God has always answered this prayer. Today was no exception.

This morning, as I warned my inner critic that it was not allowed to make me feel guilty about sleeping in on my birthday, I leisurely checked out my birthday messages on my phone and FB, and I was humbled by how many of them there were so early in the morning. Well, early in the morning for me, at least. And I got the message: the one gift that will grow with age is love. 

The feelings of love that I have for others will only deepen, as will their love for me. And as I get older, the more people I include in the circle of who I care about. Blogging, which I also consider a gift from God, has dramatically increased the number of people who have been brought into my life. So I have a great deal of love to look forward to, for as long as I may live.

Plus, I will always have an inner infant, Sophie, and now a teenager, as well as a slew of other parts in my internal family. They are always vying for my attention, letting me know that they are there, whether I want to hear from them or not. Through the process of blogging--and aging--I am learning that these parts I've been at war with also love me, although they show it in ways that are sometimes annoying.

So I am thankful to God, and to all of you, for reminding me on my birthday how blessed I am with love.

Saturday, June 7, 2014

Telepathy

I went though a period where I was really into books about Near Death Experiences. It started when I went to this training on positive psychology, and the presenter said that the book My Descent Into Death, by Howard Storm, is the only written account of someone who went to hell before he went to heaven. 

I already knew all the stuff about positive psychology since that's one of my areas of expertise, but the story about this guy got my attention. I had to find out what someone could have done that would be bad enough to go to hell. It was surprisingly innocuous. But I'll save that story for another post.

One of the things that struck me the most in the book was Storm's assertion that we are capable of communicating with other people without words and across space and time. I've always felt this was true--especially with people whom you've known. You know that expression about someone tugging at your heartstrings? That's how I imagine it happens. Some invisible wire connects your heart to theirs when you meet someone, and you can communicate with them through this wire.

I actually tested this out last week. I was thinking about this guy and I texted him later to find out if he could feel it, and he said he did. He named the time of day and everything. And he's not someone who would ordinarily be thinking about me. 

Sometimes I've tried to communicate with people after a break up. Usually there are things that I want to say that I no longer have the opportunity to say. Things that I could never say in person, or that I didn't realize at the time. 

For the longest time I was mad at my first husband for ruining our marriage. But every now and then I'll remember something about the way I treated him, and I'll tell him that I understand why he had to leave. That I'm not mad anymore. It makes me feel better to think that I can still tell him things, even if we never see each other again.

This is also the book that went into great detail about how angels play a role in our day-to-day life. So when there are important messages that need to be delivered, I pray that God will send an angel to someone. My high school teacher and her daughter recently lost their husband/father, so I've asked God to send extra angels their way to surround them with strength and love. He can even take some of mine if they need more. Sometimes that's what I do for clients, too, when I don't know how else to help them.

You know that confrontation problem I mentioned in my last post? So far, the closest I've come to telling him that he needs to get on meds is to ask an angel to whisper it into his ear while he's sleeping. Because if the message comes from God, he might believe it. If it comes from me, not so much.

Maybe I can even do the same thing I did with my friend: ask him if he's gotten any messages from God lately. If nothing else, it could be a good opening for the conversation.

Wednesday, June 4, 2014

Interventions

I'm not good at confronting people. Which is ironic, because one of the things I do in my job is coach students on how to confront their friends about having an eating disorder. And I think I give pretty good advice, too. But I guess I'm not as brave as these students are. 

Because confronting their friend will most likely put a strain on their relationship. It's rare that the person who is being confronted says, you're right. I do have a problem and I want to get help. Thank you for saying something. Confronting them may just be one step in a long series of steps toward getting help. It may not get the person into the counseling center right away, but it may plant the seed of recovery in their mind. 

I've had many clients with eating disorders acknowledge that even though they would have denied having a problem at the time, they still wanted someone to say something about their 30 pound weight loss. And I've heard many clients in recovery say that although they were mad at the people who tried to help them at the time, they played an important role in the process of accepting their disorder.

I know all of this, but I'm still afraid to do it. Maybe they'll be angry and yell at me, and I hate being yelled at. Or maybe something else will happen that will feel terrible, but I can't put into words what it is that I fear. So I have to think about what day I want to ruin. What day I want to be incapacitated. I haven't found that day yet. But I need to, because I gave my word that I would say something. 

I don't even have to do it in person, since I live so far away. I just have to make a phone call. And in my defense, I have tried to call a few times, but the whole time I was praying that he wouldn't answer. Luckily for me, he didn't. He never answered and never called back, which is unusual. Perhaps he knows why I'm calling, and he doesn't want to have this conversation, either. Which makes it that much harder to force it to happen.

I ordinarily pride myself on accepting challenges, mental toughness, and doing the right thing. But in this case, nothing has motivated me to move closer to having this conversation. Not prayer, or meditation, or talking my therapist. Not even guilt and shame.

So I thought I'd blog about it and see if that helps. I'll let you know.