The world needs to hear your story

In the end, stories are about one person saying to another: This is the way it feels to me. Can you understand what I am saying? Does it also feel this way to you?

Kazuo Ishiguro, 2017 Nobel Prize Acceptance Speech

birds flying over lake with mountain range in the background
Lake Tekapo, New Zealand. Photo by Addison Ore.

Two years ago, I hosted an online writing workshop for people living with chronic illness called The Courage to Write. On a Saturday afternoon, our intimate group of four gathered to write about and share personal experiences living with chronic illness—fears, losses, grief, challenges. One of those participants was my dad.  

The day my father told me he was going to sign up for the workshop, my first reaction was surprise. He didn’t talk much about his feelings let alone with a group of strangers. I always got the sense, even as a kid, that he was carrying a lot of unexpressed emotional weight and had a wheel of thoughts turning in his head. But over the years, he seemed to soften, and he and I started to have more honest conversations about our health and how it was affecting us. I knew the courage it took for him to sign up for something so vulnerable for him, and I was honored that he trusted me with that vulnerability.  

On workshop day, I got goosebumps hearing people voice how they felt, especially knowing how scary vulnerability can be. Writing brought to the surface a pool of unfelt feelings. In sharing those raw emotions, connection happened among the group. While each participant’s health condition was different and their lived experiences unique, they shared many of the same struggles and feelings. There was echo of, Yes, me too.

Being in community with others “who get it” helped create a sense of safety and belonging that allowed for those feelings to be spoken, heard and held. Hearts and bodies softened. Shifts in perspectives and new insights emerged. We began with acknowledging and tapping into painful emotions of fear, anger and grief and ended with gratitude and compassion for each other and for ourselves. It was a beautiful thing for me to witness such a powerful transformation. 

For my dad, the armor was removed and laid down as he let others, including his daughter, listen to his fears, his frustration, his grief and his deep love for his family. I learned a lot about him in those 90 minutes, and in so many ways, it was like looking in a mirror, seeing my own struggles with chronic illness reflected in him. 

I never knew what exactly motivated him to take the workshop. At the time, he was weeks away from a major surgery, and maybe he thought it would help him in some way. I would like to believe it did.  

What I didn’t know was that come June there would be complications after his surgery, and by February of the following year, I would lose him. 

I would spend the next year feeling lost and untethered—a boat without a dock. I would contemplate existential questions—Who am I? What’s my purpose? What really matters? Why am I here?—and constantly seek to find the answers.  

One afternoon at my mother’s house, she found something in my father’s desk that he had written. It’s about chronic illness, she said, handing me the papers. You should read it. 

With tears in my eyes, I sat down on the living room couch, holding two pieces of paper with his name monogrammed at the top and his shaky handwriting in black ink. As I read the first few words, they felt familiar; these were his responses to the writing prompts in the workshop. When I reached the last sentence, I felt my heart sink with sadness and expand with love all at once: How much my wife and my children love me.  

A part of me wondered why my dad had kept these pages, if maybe one day he wanted us to find it to understand all that he was facing with his health and all that he was thankful for. My dad was sentimental, but not one for hanging onto things or so I thought. The fact that he saved these made me believe that the workshop meant something to him.

Finding those pages became the answer to my why. For those living with chronic illness, isolation and loneliness are common; we need more spaces where we feel less alone and where our pain can be felt, witnessed and held with others. 

This has become the focus of my work the past few months. I have been reading, journaling, dreaming and envisioning to create more group offerings like The Courage to Write.  

On April 30, I’ll be hosting The Courage to Write again in support of this new vision and in honor of my dad. I hope you will join me. If you know someone who you think would benefit, please share the link with them. My hope is that you too will discover the courage within you to write. 

*** 

Why chronic illness made me question my self-worth

chronic illness 
arm clutching a white blanket

It’s hard for me to admit sometimes that I need to rest. But I’m getting better at it. Living with a chronic illness has in a way forced me to grow this skill. I’ve had to learn how to give myself permission to say no to things and yes to taking care of myself without feeling guilty. This is not always easy. For people who live with chronic medical conditions, it can be a tricky balance of knowing when we need a gentle nudge to carry on and when we need to rest. The answer is almost always rest.  

That’s the dilemma I found myself in on a recent Friday. My body was giving me little signals throughout the week that the fatigue was coming. Every day I could feel it building in every cell of my body. The fatigue rolled in like a slow fog, and by noon that Friday, it flattened me. I made a conscious decision not to fight it any longer.  

I closed my laptop for the day and I watched the Young & the Restless with my parents via FaceTime. Afterwards, I curled up on the couch and took a nap. When I opened my eyes 90 minutes later, I was shocked that it was 4 o’clock, and I had slept that long. I felt a slight twinge of guilt, and my old self started to dig up negative thoughts: I didn’t do anything productive this afternoon, I wasted the day, I didn’t do enough. I felt my breath quicken in my chest, followed by a familiar sinking feeling of shame. But then, I heard myself say so what? So what if you didn’t do anything “productive.” So what if you didn’t do “enough.” Yeah, so what? And I started to laugh.  

Then I had this radical thought: What if working until noon is enough? What if taking a nap is enough? What if all that mattered today was spending time with your parents and taking care of yourself? 

Western culture feeds us so many negative messages about self-care. It equates rest with weakness and believes that if something can’t be monetized, then it holds no value. I bought into these beliefs too. I used to believe that I wasn’t as valuable as “healthy” people because of my illnesses. I measured my worth by how much I “got done” or didn’t “get done.” I focused on my limitations not my capabilities.  

I used to believe that I wasn’t as valuable as “healthy” people because of my illnesses. I measured my worth by how much I “got done” or didn’t “get done.”

Shifting away from this mindset and taking better care of myself has been a slow and painful process. It’s been a constant unlearning and undoing of unhelpful patterns that are ingrained in me—and in all of us. I’ve had to stop shaming myself for how much I didn’t “get done” and instead, start asking myself: How can I take care of myself today? (Present) How did I take care of myself today? (Past) How will I take care of myself tomorrow? (Future)

I wasn’t always this gentle and compassionate with myself. I have a long history of pushing myself beyond my capacity. I was the queen of overdoing and I’m still in the process of undoing that. I loved staying busy and the adrenaline rush it gave me. I wore my “overdoing” like a badge of honor: “See! Look how hard I’ve been pushing myself! Look how much I’ve accomplished!” I worked too much, I exercised too hard, I put everyone and everything before myself. And I wasn’t going to let my health get in the way.  

From age 20 and onward, I was acquiring a new rare disease every five years or so. I was determined to not allow these diseases to change me or my life. I continued on at the same pace. I was grasping for normalcy. I was also in denial and running away from my grief. I didn’t want to admit that I was as sick as I was. I was trying to prove to everyone else, but most importantly myself, that I could still do all the things. I was desperately trying to hold onto my life and who I was before my diagnoses. 

I didn’t want to admit that I was as sick as I was. I was trying to prove to everyone else, but most importantly myself, that I could still do all the things. I was desperately trying to hold onto my life and who I was before my diagnoses. 

I still remember how weary my body felt from constantly fighting my lung diseases and coping with the side effects of my medications, all while still trying to keep up with the demands of grad school. Two months into my first semester, I became severely ill and missed three weeks of school. When I returned, I felt like I was going to fall out of my chair from weariness. I came back earlier than I should have, but I kept on going. I was afraid that if I stopped, my illness would overtake me and I wouldn’t be able to recover. I had a part-time graduate assistantship, internship hours to complete, homework, papers, group projects, classes. I was in survival mode. I felt like at any moment, someone would pull the Jenga piece from my life, and I would collapse to the ground.  

My breaking point came during my third semester, when my pulmonologist admitted me to the hospital for intravenous antibiotics and around-the-clock breathing treatments. During those 10 days, my responsibilities and to-do lists were stripped from me, and all there was to do was rest and get better. One of my professors encouraged me not to bring my laptop or textbooks to the hospital. You need to focus on your health, she urged me.  

chronic illness
Arm with IV and medical bracelets in hospital bed

In the hospital, I spent a lot of time reflecting. I meditated, I journaled, I sobbed in the arms of my mom, my husband and one of my dear friends, I talked on the phone with my counselor, I read Pema Chodron’s “When Things Fall Apart.” I was grieving not just my loss of health, but all of the other losses that accumulated over time—who I was, who I am, my quality of life, my vitality, my spark, the lack of compassion I gave myself. I started to see how I wasn’t in control of most things—no one is—no matter how much I wanted to believe that I was. I couldn’t keep pushing myself any longer. I had to learn how to coexist with these diseases and still find meaning and purpose in my life.  

My breaking point became my turning point.  

My life looks a lot different now. I’ve made intentional changes that prioritize my health and well-being over everything else. I started my private practice in part so that I could have more control and flexibility over my schedule and caseload. I don’t see more than four clients a day. I decide how many hours a week I work based on how I’m feeling. I don’t see clients past 5 p.m. because that’s not when I feel my best. I take breaks throughout the day. I listen to my body and let it guide me in my decisions.

Growing through these changes has been a messy and imperfect process. I’m not the same person I was before chronic illness. And in some ways, I’m grateful for that because chronic illness has taught me to be gentler and kinder to myself. It’s also led me to help others living with chronic illness through the counseling work that I do, and that has been enormously meaningful and healing for me.  

A few years ago, I heard Bishop T.D Jakes say in an interview: “Pain always leaves a gift.” I quickly scribbled his words down in a notebook. At the time, it felt important and urgent to me, and also puzzling. How can pain leave a gift? 

The answer to my question only came to me recently while writing this piece. As I continue to walk this chronic illness journey, perhaps, the most unexpected gift is the realization that my pain and suffering has also become my purpose. 

***

How to cultivate peace in uncertain times

Yellow fall leaves and blue sky
Photo by Carla Kucinski

On a recent Saturday afternoon, I made a fall-inspired soup that made the whole house smell like warm apples, butternut squash and cinnamon. I felt comforted by these scents and nurtured by my act of self-care. I noticed how it made the house feel cozier, my breath slower and my body more at ease.  

The senses are mighty. This one simmering pot of soup became a powerful gateway to feeling safe, secure and grounded; it also unlocked another pleasant memory of a time when I felt this way. 

In my mind, I floated back a few years ago to me coming home to my mom, cooking in my kitchen. It was an October afternoon. The smell of chicken soup greeted me as I saw her smiling and bouncing around the kitchen in her apron. She was completely in her element. I instantly felt comforted by it all—her presence, the scents, the afternoon sunlight pouring through the windows, the sound of daytime television streaming from the living room, how the stove warmed the whole house. In that moment, what I felt most was comfort.  

At the time, I was going through several major life transitions. I was adjusting to my first semester of graduate school in counseling, while simultaneously grappling with a new medical diagnosis and treatment that was impacting my quality of life. Every day I felt like I had the flu. Then the next unexpected wave hit. I was barely halfway through my first semester when I suddenly became bedridden with unexplainable fever, fatigue and weakness for three weeks. Terrified and confused, I felt like the ground was crumbling beneath me.  

What helped alleviate the uncertainty was my mom, who flew across the country to take care of me. Having her there gave me something to hold onto, something familiar. Food in my family is love, and so her cooking also made me feel nurtured and cared for. And that’s why this memory of my mom cooking in the kitchen sticks out so much for me; it was a rare moment in a sea of uncertainty where I felt that I was going to be okay.  

Uncertainty is a difficult emotion for so many reasons. It leaves us feeling groundless and grasping for control. The loss of one’s health is also a stark reminder that we actually have less control than we think we do.  

Lately, when life feels uncertain, I find myself closing my eyes and returning to that memory of my mom in the kitchen. I try to imagine myself back there, connecting to all the pleasant senses of that memory and the emotions I felt.  

In EMDR, we call this Calm Peaceful Place. The guided visualization leads the client in recalling a calm peaceful place—real or imagined—and walks them through engaging in all the senses of that place and the emotions they feel. It’s one of several techniques used to help clients find balance and soothe themselves when a difficult emotion or memory arises or to stabilize and calm themselves after processing traumatic events in therapy.

We all have moments in our life when it feels like we are standing on shaky ground. During times of uncertainty, it’s natural to long to feel safe, secure and protected. Going to a Calm Peaceful Place in your mind can help bring you back to center by accessing imagery that helps you activate and embody pleasant emotions. 

This skill is especially important for those who have a trauma history. It’s common for survivors to struggle with feeling pleasant emotions or remembering a positive time in their life. Calm Peaceful Place is one doorway into safely beginning to feel those pleasant emotions and sensations again, and recalling those pleasant experiences. It can feel so empowering to know that when difficult emotions or disturbing memories arise, you can shift your emotional state by using the Calm Peaceful Place technique. This exercise is also ideal for those struggling with anxiety or experiencing stress.  

Calm Peaceful Place Guided Exercise

Below is a script and audio version that you can follow to create your own Calm Peaceful Place. It’s important that when you choose your Calm Peaceful Place that it is not associated with anything negative. Do not proceed with the exercise if you cannot think of a place not attached to something negative. If any difficult feelings arise at any point during the exercise, stop the exercise. You may need the help of a trusted and skilled therapist to guide you.  

Audio Version: Calm Peaceful Place Guided Exercise
  • Begin by taking a few cleansing breaths, inhaling slowly through the nose and exhaling slowly through the mouth.  
  • If it feels comfortable, close your eyes and just notice how your body is feeling. Notice the areas where you feel tension, where you feel relaxed and where you feel neutral.  
  • Feel your body’s points of contact. So that may be your feet connected to the floor, your back resting against a chair or a wall, your hands resting on your legs.  
  • Now think of a place that helps you feel calm, peaceful, and grounded. The place can be either real or imagined, somewhere you’ve been to in the past or would like to go to in the future. If you’re having trouble thinking of a place, try starting with a pleasant memory.  
  • Allow yourself to begin to picture this calm peaceful place and let the details of this setting begin to emerge.  
  • For the next few minutes, engage all of the five senses in your calm peaceful place.  
  • First, notice the colors, the landscape, your surroundings, any objects that call your attention. Notice what time of year it is, time of day… notice what you see as you explore your calm peaceful place. 
  • Notice any textures you feel, perhaps the temperature of your calm peaceful place, the clothes you’re wearing there, the ground beneath your feet, anything you might be holding in your hands… 
  • Notice any peaceful, pleasant sounds… 
  • Notice any pleasant scents, allow yourself to inhale and take in those scents and their calming effects… 
  • Notice any sense of taste… maybe you’re drinking or eating a favorite beverage or snack or simply taking in the fresh air.
  • Take a moment to notice how you feel in your calm peaceful place. What emotions do you feel? How does your body feel–maybe it feels light, open? Do a scan from head to toe and see what you notice and what pleasant sensations you are experiencing.   
  • Finally, is there anything else that your calm peaceful place needs to help you feel calm and grounded? Any objects you’d like to bring to your place to help you feel secure. Maybe you’d like to have a favorite book with you or journal. A favorite sweater or blanket. Any animals or symbols from nature that are comforting.  
  • Give your calm peaceful place a name. It can be as simple as “beach” or “mountain.” In my example above, I named my calm peaceful place “mom cooking.” Say the name of your calm peaceful place aloud or to yourself, and notice how you feel. 
  • Take a few more minutes to let yourself sink into the experience of your calm peaceful place and savor it for as long as you need.  
  • When you’re ready, slowly begin to reconnect with your breath. Take a few slow, soothing breaths. Begin to move your fingers and toes. Bring your attention back to the room you’re in and notice the sounds around you. Slowly open your eyes and orient yourself by looking at the objects around you.  
  • Take a moment to notice how you feel and just sit with that for a minute or so. Try not to rush off to the next thing.  
  • Know that you can return to this place at any point in your day and any time that you need it. You can practice this exercise throughout the day by calling up in your mind your Calm Peaceful Place for a minute or two or doing the full exercise from beginning to end. It can also be used before bedtime to help wind down from the day.  

Need more support? I offer virtual counseling appointments to residents in North Carolina. Contact me today to set up a free phone consultation.   

Ways to anchor yourself, increase calm, using the breath

white anchor
Photo by Kindel Media on Pexels.com

It’s been a hard week for many. In the conversations I’ve been having this week, so many of us are feeling weary, overwhelmed, exhausted, sad, heavy. You are not alone in feeling this way. There is a lot of pain in the world right now. A lot of tragedies. Hurricanes and tornadoes have ravaged communities and peoples’ lives. A school shooting, just one city over from where I live, took the life of a young student. The ongoing pandemic continues to deepen a divide, overtax healthcare workers and claim more lives. All of these events have shaken our sense of security, safety and stability. Using the breath can help bring us back to center.

I’ve provided some tools in this post to help relieve suffering and restore a sense of safety, stability and security. It’s so important to continue to take care of ourselves–mentally, emotionally, physically–in the midst of difficult times. The breath is one way to help stabilize ourselves. It can be an anchor when constant thoughts of worry loop in our minds; when our emotions flood us and become too much for us to experience; when we notice stress and tension in our bodies; when it feels like we’re no longer on solid ground.

The breath is always available to us. Much like a physical anchor provides security and steadiness for a boat, so too can the breath.

8 Ways to Use the Breath as an Anchor

  1. Follow the rise and fall of your belly. Gently rest your hand on your stomach to increase your connection with your body and the present moment.
  2. Imagine your belly as dough rising or a soap bubble expanding and contracting. Simply follow the rise and fall of each breath. Place a hand on your belly to further increase connection to yourself.
  3. Imagine your breath is the ocean at low tide, and follow its ebb and flow to the shoreline.
  4. Slowly tap your feet while observing the natural flow of the breath in and out.
  5. Inhale for a count of 4 and exhale for a count of 4. Do this several times before gently increasing to a count of 6 and then to a count of 8 based on your comfort level.
  6. Imagine your breath as a color. As you inhale, breathe in a color that represents what you need. For example, blue for calm, yellow for joy, etc. Exhale a color that represents what you want to let go of. For example, red for fear, orange for worry.
  7. Count each breath. When you reach 10 breaths, begin counting again starting with 1. Repeat this cycle of 10 breaths as many times as you need to increase calm.
  8. Pair each inhalation and exhalation with lovingkindness phrases:

May I be safe.

May I be happy.

May I be healthy.

May I live with ease.

How the pandemic has shed light on what matters most

Hand holding flower next to sign that reads grow.
Photo by Carla Kucinski.

If you’re feeling like you’re in the throes of pandemic reentry anxiety, you are not alone. I am right there with you. And I would imagine, based on the conversations I’ve been having lately with others, that many people are in a similar place.  

For the past 12+ months, we have all been in a continual state of crisis, stress and groundlessness that has significantly altered our lives. And now, suddenly, it’s like someone flipped a switch and declared the pandemic “over.” Except it’s not. People are still in the ICU fighting for their lives. People are still losing loved ones. We are still in a pandemic.  

What I’m noticing in my conversations is that the sudden shift from isolation to reentering the world has heightened peoples’ anxiety—and justifiably so. The fear, the worry, the overwhelm are all valid responses after more than a year of being immersed in trauma, grief, loss, isolation and enormous change.

“The fear, the worry, the overwhelm are all valid responses after more than a year of being immersed in trauma, grief, loss, isolation and enormous change.”

The common thread woven throughout the stories people have shared with me is the desire to not go back to the way their life was or the person they were before the pandemic. There is a wish to be more intentional, mindful, gentle and slow in easing into the new world we live in now and to integrate and maintain the new ways of being, feeling and thinking we’ve developed during quarantine. And there is also a deep, real fear of losing these new ways of being that have nourished and sustained us during this challenging time.

Asking the Larger Questions

The return to something or to enter something again is the fundamental definition of reentry. Except, in the context of the pandemic, what we are returning to is no longer the same. But I truly believe that resilience is inherent in all of us. You will find your way. 

If you find yourself lately asking existential questions such as, who am I? What am I doing with my life? What do I want to do with my life? What matters to me? rest assured these are perfectly human and natural questions to ponder, especially during a pandemic. It takes courage to sit with these deeper questions, not to mention it can feel scary to face them. But these questions are important ones to be asking and will help provide you with clarity and guidance.

While this time is certainly filled with anxiety, it also may be a moment to create more meaning in your life. For some, the pandemic has shown them what they can and cannot live without. What once felt necessary no longer is, and what has emerged is a spotlight on the things that matter most.  What matters most to you?

A friend shared with me recently that as the COVID restrictions began to ease, it felt as if a fog was beginning to lift in their own life. And they started to ask the bigger existential questions. They felt like they were on the cusp of a major transformation. I commonly see this happen after someone has survived a trauma and moved through the despair of their grief.  It’s like going from seeing everything in black and white to color and discovering your inner strength and resilience to survive incredibly hard things.

“It’s like going from seeing everything in black and white to color and realizing your inner strength and resilience to survive incredible hard things.”

I couldn’t help but think of these past 15 months like being in a cocoon. All of us undergoing a metamorphosis. The essence and structure of our lives changing shape. For some of us, our metamorphosis may have caused subtle, but powerful, small shifts; for others, cataclysmic, life-altering, big shifts. We have all changed and grown in some way.  

Metamorphosis of yellow butterfly perched on purple flower.
By Petr Ganaj

In a recent interview Oprah did with life coach Martha Beck, she asked her what was the greatest lesson she learned about herself during the pandemic. Martha quipped: “I really do not need that many pants.” Martha went on to share how she learned that less stimulation, more stillness and a slower pace is better for her nervous system. 

I’ve learned this lesson during the pandemic too. As someone who possesses some perfectionism tendencies and is prone to pushing and “being productive,” I’m learning how these patterns are not helpful or enjoyable for me. Like many of you, I’m in the process of unlearning what no longer serves me and integrating ways of being, thinking and feeling that are more aligned with what matters most to me right now.

Transitions are hard and painful. They’re also temporary. Eventually, we move through them and we learn something about ourselves. To borrow a beautiful and poignant quote from Bishop T.D. Jakes: “Pain always leaves a gift.”  

***

Pandemic Reentry Tips

As you move through this time of transition, keep these things in mind:  

  • You have agency.
  • Make choices that feel right and true and safe for you—not what you think you should do or what you see other people doing, but what truly feels aligned with you.  
  • This is new for all of us. It will take some trial and error to figure out what feels best.  
  • Go gently and slowly. Take your time. There’s no rush.  
  • Most of all, be kind to yourself and others as you move through this.   

*** 

Further Reflection

Below are some reflection questions I have explored (and continue to explore) on my own and with trusted loved ones. They might also be helpful to you during this time of transition.

Mug of coffee next to journal that reads Smart, Strong, Fearless, Resilient
Photo by Carla Kucinski

What did I learn during the pandemic about myself? Others? Life?  

What did I learn I could live without? What did I learn I couldn’t live without? 

What practices or habits did I start during the pandemic that I would like to carry forward? What boundaries do I need to create in order to protect and maintain these practices?

What matters most to me?

What gives my life meaning? How can I continue to create meaning in my daily life?  

What are the ways I want to connect with others? 

What would “easing back in” look like for me?