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.   

What my chronic illness taught me about pain and rest

This was me in mid-November 2018. I had just received my first PICC line. The whole procedure terrified me because I didn’t know what to expect. I remember lying in my hospital bed, watching The Food Network to help distract myself, and the kind nurses asking me questions about me and my life to further distract me from the thin tube they were snaking up the inside of my arm.


This was my proud, empowering moment in a year filled with so much uncertainty, fear, powerlessness and many, many tears. A year or so before I took this photo, I received my fourth lung disease diagnosis right as I was entering my grad school program for counseling. Several doctors and medications later, I found a doctor who specialized in my disease. A few weeks later, that doctor put me in the hospital for around-the-clock antibiotic IV treatments. It was a really difficult time in my life. Chronic illness turned my world upside down.

I look at this picture sometimes and wonder how I got through the sickest two years of my life. I look at this picture, and I still feel some sadness for what I had to go through–all that my body, mind and spirit endured. All that I had lost.

But I also look at this picture and see the fire that chronic illness lit inside of me. A fire that told me to keep going, keep fighting, keep holding onto hope, faith, strength. Not every day feels this way, but when those moments do happen, I hold them gently and try to find gratitude in the present moment, knowing that this feeling will fade like all feelings do, but that it will return again like an old friend. Everything is temporary.

We live in a world that teaches us to ignore our emotional pain, stuff it down, pretend it isn’t there. My chronic illness has taught me how vital it is to acknowledge, feel and express our pain–and the risks of not doing so. It’s also taught me that pain and suffering can co-exist with hope and healing. But maybe most importantly, it’s taught me to be more gentle with myself, to see rest not as a weakness, but a way to harness my strength.

If you have been diagnosed with a chronic illness or condition and need support, read more about Hope and Healing Through Chronic Illness, an online support group. Our next four-week support group begins January 18, 2020.