Archives for category: health

Well…a secret to better sleep, anyway, there are others. Sleep hygiene is tricky. The modern world has a lot of distractions, and a single day sometimes seems too short to fit everything in it. Sleep difficulties can become sleep disorders over time, and there are many of those, each with their own characteristics and common causes.

Over a lifetime, I’ve experienced many sleep disturbances: nightmares, insomnia, sleep paralysis, night terrors, “exploding head” dreams, somnambulance, talking in my sleep, paradoxical insomnia, hypnagogia, apnea… That’s not an exhaustive list. I have a difficult relationship with sleep, and always have. These experiences aren’t limited to my adult lifetime, some have been characteristics of my sleep since early childhood. Some don’t trouble me anymore at all. Some linger as occasional occurrences. Here’s the thing, though, I mostly sleep pretty well, generally, these days. Yes, there’s actually “a trick to it”, one single small change that made a really big difference.

I’m not going to drown you in words making you wait for me to share this incredibly useful practical change that did so much to help me get better, healthier sleep. No subscription. No course to purchase. Also no promise offered nor guarantee being made, I just know this one detail has made all the difference (for me). I reset my expectations about sleep, and I stopped being stressed out and frustrated over not sleeping.

… That’s it.

Like a small town on along the highway, if you blinked you may have missed it. What was the change I made? No kidding, I changed my relationship with, and expectations of, sleep. That has been the thing that has done the most to improve my sleep. I still have occasional (sometimes frequent) sleep disturbances, but they rarely amount to a “disorder” these days, and they rarely last long or recur endlessly. See, it was the frustration, stress, and anxiety over not sleeping that resulted in the worst adverse effects of impaired sleep over time, not the impaired sleep itself. The emotional reaction to not sleeping restfully caused more problems than occasional failures to sleep ever could.

Seriously. It isn’t that noise keeping you awake, or the light, or the ticking of the clock, or that other person’s breathing. More often than not, it’s the stressed, frustrated, angry emotional response to not sleeping. The more vexed by our wakefulness we become, the worse our difficulty getting back to sleep. That’s been my experience, anyway. Take it for what it is; subjective experience, and a sample size of one.

I’m not saying changing one’s perspective on something as vexing as poor sleep is easy, or that it takes less practice than any other willful change. It takes practice, and commitment, and repetition, and I failed a lot and endured many annoying, sleepless, restless nights getting from “there, then” to here, now. It’s a huge improvement, though. The stress and frustration, anger, and despair over not sleeping was doing a lot more damage to my overall wellness and quality of life than my impaired sleep was, though. So…

Now, when I am wakeful, I turn on soft lighting unlikely to rouse me, and read awhile (taking care to choose reading material unlikely to cause excitement, itself), or get up briefly for a drink of water, and some meditation. Nightmares? I let myself wake in my familiar safe environment and soothe myself with a bit of meditation and return to sleep after my nightmares fade. I accept that I have some sleep challenges, and refrain from worsening those with aggressively anxious or frustrated rumination, obsessive blame-laying, or defeated self-talk. The acceptance itself is a useful tool. I’ve stopped trying to force my sleep pattern to comply with some notion of what sleep should look like, and I allow myself to sleep as suits me best. Does that “fix” my insomnia? No, but it doesn’t bother me when I wake during the night, or struggle to fall asleep. I just go with it. The result being that I am more likely to fall back to sleep fairly quickly – and on those occasions when I don’t, I’m not beginning my day in a negative emotional state on top of being tired.

I sit quietly at the trailhead, thinking my thoughts and grateful for the pretty good sleep I enjoyed last night. Did I sleep through the night? No. I rarely do, but I wasn’t awake long, and sleep returned relatively quickly. It took a long time for me to learn that the stress over poor sleep was doing more damage to my sleep than the poor sleep itself would do. It took even longer to really accept how true that was and do something useful with that information. Along the way, my sleep improved, quite a lot, because I also made a point to learn and practice good sleep hygiene, generally. All the many practices I practice intended to improve my emotional wellness and physical health have also helped improve my sleep.

I guess what I’m saying is that changing my response to poor sleep in the moment has done more to improve the quality of my sleep than any one other change.

I sit with that thought awhile. I’m happy to share it without monetary gain, and I hope you find it useful if you struggle with poor sleep. There are still verbs involved, and you’ll have to do the work of making a change on your own. I can’t really help with that. I hope you do though, and I hope you get the rest you need to be and become the person you most want to be. We’re all more pleasant and capable when we get the rest we need.

Another day, another chance to begin again.

Daybreak comes. It is a gray and wintry looking autumn morning. The oaks have lost most of their leaves. The surface of the marsh ponds is still and dark. The sky is a featureless wash of gray-blue. The path stretches ahead, disappearing around a bend. I breathe in the chilly autumn air; no scents of flowers now, only the autumn damp, and a hint of rain to come. I exhale, letting lingering background worries go with my exhalation, dissipating with the cloud of my breath. Lovely morning. A good morning to begin again.

I’m sitting at the halfway point on my morning walk, grateful for the warm sweater and cardigan. It’s a cold morning. It’s that time of year, here. The predawn sky is dark and clear, with a few clouds brightened by the lights below. I sit here contentedly, nothing much on my mind, and trying not to think about work. Now is not that time.

For the moment, my anxiety is well-managed, which is nice, and my pain is pretty typical of the season, which is less nice, but endurable. I smirk at myself cynically; I am a survivor. I’ve survived trauma, and heartbreak, and ruin, and mental illness, and profound injury, and domestic violence, and war. It’s been a lot. I sigh to myself. There are so very many people who have survived worse, and more. I’m grateful to be where I am, sitting quietly on this bench on a cold autumn morning before sunrise.

I’m admittedly disappointed with “the state of humanity”, presently. We could do so much better as beings than we have chosen to do. The current US president calls people names like an angry rude child. Legislators seriously contemplate imprisoning women over what should be private medical decision making between women and their physicians. Billionaires hoard vast unimaginable sums of money and assets piled high, while the working people who exchanged their efforts for a pittance worry about their next meal, and people living below the poverty line make daily decisions about whether to buy lifesaving medicine, or groceries. Housing is both limited in availability and also increasingly unaffordable. Are we really immune to all the suffering and violence in the world around us? Are we really okay with people deliberately seeking to profit off that misery?

…We could do better…

I sigh and let that go. I pull my attention back to this moment, here, now.

I take a moment for meditation, and for gratitude. My thoughts, this morning, are more personal than I’m inclined to share. I think about some painful moments in the past, and turn them over in my memory, considering instead what I may have learned or gained as a result of these experiences. It’s a practice I indulge rarely and approach cautiously; it is easy to become immersed in the recollection of pain or failure, and lose my way. There is real value in changing my perspective on such things, when I can. I don’t force it. Authenticity and honest self-reflection have positive value. Tearing myself down ruminating over past trauma or poor decision making tends to cloud my thinking and make me miserable. It is important to practice one and avoid the other.

I breathe, exhale, and relax. The cold has begun to seep into my bones, and my arthritis pain worsens. I sigh to myself and get to my feet. May as well finish this walk and get the day started, I guess. I find myself feeling a little blue. The world weighs too heavily on my thoughts, perhaps, or maybe it’s just pain. Weary. I feel weary of the world and all it’s heartache and chaos, and I’d like very much to simply be alone somewhere for… awhile. Days maybe, but I don’t have the money to spare on frivolous getaways right now, and too much to do that genuinely needs doing, and holidays ahead. Fuck. “Hang in there,” I remind myself, “this too will pass. It’s all very temporary.”

I stand staring down the trail for a moment, feeling unexpected tears rolling down my face. (What the absolute fuck?!) I sigh, a little frustrated with this whole “being human” thing. It’s clearly time to begin again. I see signs of daybreak on the eastern horizon, and start walking.

Daybreak beat me to the trailhead this morning. I slept in. My Traveling Partner was up and going back to bed, as I was leaving for my walk. We exchange brief pleasantries and a kiss, and I was on my way.

Stepping lightly down the trail merrily, tinnitus loud in my ears, highway traffic a quieter shhhh-shhhh in the background, I breathe the rain-fresh autumn air, grateful for the moment. This is a lovely one! The morning is gray, and everything is a bit soggy from rain during the night. Aside from a few puddles, the trail is sufficiently well drained to be a comfortable walk. It feels like luxury to walk in daylight. I walk on feeling light-hearted, thinking about the things that make this moment so good, and savoring the experience.

I get to my halfway point thinking “selfish” thoughts. Meaning to say, thinking about the specifically self-focused practices that have served so well on this journey. Accepting that “it isn’t always about me” forces me to also accept that sometimes it very much is about me. How best to care for the person in the mirror without undermining how I treat others? Who am i? Who do I most want to be? What path must I follow to get from here to there? I see the questions as closely connected to each other, interwoven, threads in the vast tapestry of a lifetime, and unfortunately easy to be distracted from.

Self-awareness is about more than “I statements”. It is key to growth and progress (and healing). It encompasses practices like body scans (bringing oneself more in touch with the physical experience of the moment), and mindful presence. “Be here, now” is about self-awareness. Being present in the moment is a more full and complete experience with self-awareness added. Answering the question “who are you?” requires a measure of self-awareness, and can be used (with self-reflection) to push oneself further down the path to becoming who we most want to be.

Self-care is built on many practices. Meditation. Mindfulness. Non-attachment. Eating a nutritious healthy diet. Getting enough exercise. Taking appropriate medication on time. Setting and managing boundaries. CBT. ACT. Mental health care generally. Even things like solving puzzles and coloring can be self-care. Ending toxic relationships and leaving unhealthy professional environments is self-care. When we don’t practice good self-care, however well-intentioned the choice may have been, we suffer needlessly, and are likely to inflict suffering on others.

Self-reflection and contemplative practices of many sorts improve our self-awareness and have the potential to enable better self-care, better decision-making, and more joy in life. Like a quiz in school, self-reflection helps us gauge where we are on life’s journey – like pausing to check a map when orienteering. Asking the questions, reflecting on our answers in that moment and context, considering those answers over time is a way of “lighting our way”.

I guess I’m saying the value of “selfishness” is related to what we mean by “selfish”, and what we do with that.

It took me a long time to learn to put myself on my list of priorities. (Are you on yours?) I still struggle with it, tending to put other people’s needs ahead of my own, often. There’s a healthy balance to strike. It isn’t all about me – but some of it definitely is, and that’s… normal. Utterly unremarkable. Taking care of myself is “selfish” only because it is focused on me, and being someone I do care about (at long last) it only makes sense to care for the woman in the mirror the best I can.

I sit looking out over the autumn marsh. The time I spend in quiet contemplation is not wasted time. Far from it – it has proven to be some of the most well-spent time in a day, helping me along my path, and building resilience I may need in the future to face some sort of unanticipated stress. I am grateful for these solitary moments of contemplation, and for the will to practice these “selfish” practices. I am grateful to have come so far.

I sigh contentedly. Breathe, exhale, relax; I take time for meditation. The dawn comes and goes, and the sky settles on a soft dove gray blanket of layered fluffy clouds. A soft rain begins to fall. I get to my feet and gaze across the meadow. It’s time to begin again.

I woke to the overhead light above the bed shining in my eyes. My “alarm” went off without waking me, the lights reaching full brightness before I finally woke. This is rare for me. I shook off my grogginess, literally shaking my head, then shimmying my shoulders, trying to shake off the last remaining sleepiness. I dressed and headed for the door. My Traveling Partner was already awake, already drinking coffeee. We exchanged pleasant words, and I kissed him before leaving the house to head up the road to the more distant co-work space. It’ll be more suited to the meetings I’ve got today, and I’m grateful to have the option.

The morning is a mild one, damp with recent rain, and chilly but not cold. The sky is cloudy, with stars peaking through in places. No sign of the northern lights this morning, but I do look. Ordinary enough, and an unremarkable beginning to a new day.

I turn onto the highway, and find myself in thick fog. Visibility is obscured such that even the big pick-ups with fancy extra lights at full brightness are not revealed in the oncoming lane until they are about 50 feet away. Fairly hazardous driving conditions, and I make a point to drive safely, and at a reasonable speed for conditions. Somehow, I still manage to find myself ahead of all the traffic, out in the foggy darkness. The world looked surreal, unformed, and ready to be created by pure will and imagination. I entertained myself with fanciful notions of “making the world”, as I drove through the fog and the darkness.

…So much is obscured by the fog…

I get to the office, get set up and settled in, and the day begins. I sigh to myself. This feels comfortable. I like things routine and familiar. I like things easy. I don’t think these preferences are unusual, but I have also learned that although I am not alone in having these preferences, they are not at all “the only way”. Embracing change has done a lot to free me from the terror (no fooling), anxiety, and stress of enduring other people’s choices, preferences, and chosen paths. One example? I like to get moved into a place, figure out where things go, and then fucking leave them there… for years. I don’t have a personal need to rotate the displayed art, or move the furniture around based on the circumstances, or change how the kitchen is organized. If there’s no clear and obvious need to make a change in my surroundings… I don’t.

I like having a clear mental map of my living space. I like being able to navigate in the dark during the night without stubbing a toe, or banging a shin, on some object I didn’t expect to be where it was. I am adaptable enough – I can get used to such changes with relative ease, and I try not to bitch about changes that really don’t matter. I’m not actually particularly spontaneous or interested in purposefully making changes for the sake of novelty or “just because”… But some people are. Even some people dear to me. We’re each having our own experience. We’re each walking our own path. My household may not be a democracy – but it’s also not an autocracy or a dictatorship. It’s more a… merry band of chaotic anarchists trying to avoid violating personal boundaries and doing what we can to live together harmoniously, with occasional outbreaks of “my house/my way” occuring on occasions of frayed nerves or in stressful times. I mean… that’s my perspective on it. My Traveling Partner and the Anxious Adventurer likely have their own perspective, and surely have their own experience. We’re all doing our best, and trying not to be dicks to each other.

I don’t like change. Yep. I’m one of those people. On the other hand, I recognize that change is. Change doesn’t give a fuck about whether I like it or not. My Traveling Partner has learned to be kind and considerate and to discuss his ideas for switching things up in shared space before acting on them. (I’m pretty sure he’d happily rearrange all the furniture in the house some afternoons just to see how something might look, on a whim, multiple times in a given year, were it not that he truly cares about my mental health.) I’ve learned to be open to discussing how things could be different or better with some change, and to be open to trying things out. It’s been healthy for me, although sometimes stressful. When my beloved got hurt, and change was necessary to accommodate his needs, I made a point to remain open, to adapt, to keep my stress to myself long enough to allow change to have its way with me in the moment, and to accept that change was helpful and necessary. None of that is to say it was easy. There were verbs involved. I had to work at it. I sometimes cried privately over silly things that stressed me out and were of no real consequence. I also survived all of it quite easily. There was a lot to learn there for me. I’m still processing some of it, and now that my beloved is back on his feet, and beginning to make the kind of progress that puts him back to work in the shop, happily puttering and doing projects, and beginning to return to some kind of normal… there is more change. More opportunity to be open. More practicing required to manage my stress and anxiety.

It was this morning that I realized that some of my anxiety is due to my Traveling Partner’s increasingly rapid improvements, and the return of more and more of his capabilities. I’m relieved, yes, definitely. I’m grateful and encouraged. I’m delighted. I’m proud of him. I’m also having to deal with the anxiety that I experience in the face of specific kinds of change. He’s now able to reconsider some of the accommodations we’d made when he was most disabled… and to consider others that would be better for him now. He’s also able to just go ahead and do most of it himself, and some of my anxiety is part of letting go of more and more of the caregiving. I don’t get why that would cause me stress, but there it is; some of my anxiety is coming from this gradual resetting (again) of shared expectations of ability, capability, and limitations. New boundaries. New needs. Differences. I feel unsettled in spite of how much I wanted to see this day come.

Human primates are weird.

I breathe, exhale, and relax. It’s a new day. It’s a new beginning. We’re each having our own experience. We’re each walking our own path. Some people like to step on all the cracks on a sidewalk, other people hop over them, still others think any such foolishness is unnecessary and a waste of time. Humans being human. I smile to myself, grateful to see my beloved making progress. I set down some of my baggage, and feel lighter for having done so. It’s time to begin again.

Another morning, another walk down this familiar trail on my way to the start of a new day. Veterans Day is behind me, and Thanksgiving is ahead of me. My tinnitus is loud in my ears, and my arthritis pain is making damned certain I haven’t forgotten about chronic pain.

I head down the trail purposefully, one step after the next. The morning is pleasant, although the sun is not yet up, and it’s tough to see what sort of day it might be, weather-wise. Trying to forecast the weather based on arthritis pain is not sufficiently precise to be useful, I just know I hurt, a lot. I took my medication a little early over the pain. I hope it starts helping soon. I keep walking and distract myself from my pain by trying to see into the darkness enough to spot creatures along my way. Without a bright moon to light my way, my headlamp casts a small bobbing bright circle of light just ahead of me, or wherever I look.

I get to my halfway point and stop to write and meditate. It’s chilly enough that I wonder if I should have worn my gloves? My fingers are chilly, but it’s not actually cold this morning. It does get me thinking about the new backpack sitting in my home office – work swag sent by my new employer. It’s a nice one, and I hadn’t decided what to do with or about it. It might be a good one for my walks, which have gotten enough longer to make being more easily able to bring along things like inclement weather gear, without overdressing a win. It is a solution without a real problem to solve. I let it go; there is no reason to hurry.

Daybreak comes and I see a lone doe resting in the tall grass to the side of the trail, a few steps further on. No stars visible in the sky, so I begin anticipating a cloudy day. It’ll be a busy one at work, too, with a bunch of little things to catch up on, and one item at risk of being past due. I resolve to tackle that first, which puts my anxiety over anything work related to rest. Sometimes I just have to face the thing that is worrying me in s practical direct way, to ease my anxiety. I sneeze unexpectedly, and the doe leaps to her feet and runs off into the trees.

I breathe, exhale, and relax. I could do without my anxiety coming and going all the g’damned time. It’s unsettling, and tends to provoke feelings of imminent disaster, even in conditions that clearly lack any obvious potential for disaster to occur. Subtle things stoke the feeling of anxiety, mostly things that also happen to be well-outside my sphere of influence and most definitely beyond my ability to control. If I can’t change the causes of my anxiety, I don’t have to endure it awash in a feeling of doom and futility. I have more tools in my toolbox than that. One by one I select practical tools and helpful practices from my available options, and do those things I know help ease my anxiety. I meditate. I make use of specific breath practices that calm my nervous system. I reframe the feelings and look for alternate explanations for the physical experience of anxiety. (Am I feeling some measure of excitement or uncertainty about work after four days off? Am I sublimating my pain, causing to be expressed as anxiety? Am I experiencing “second dart suffering” over world events that I simply can’t change and don’t have a personal stake in, at all?) I make a point of letting things go which are outside my control. I take steps to put things into a broader perspective. I make time for gratitude.

My anxiety begins to ease. In its place, there’s just arthritis pain, my headache, and an awareness that I’ve got a bit of catching up to do at work. I’m okay. Ordinary day and “nothing to see here”, besides the slow coming of dawn, and a new day.

I clear my throat and reach for a tissue. I’m reminded that it’s flu season and make a note to schedule a flu shot. (Vaccines are settled science, people. Take care of yourself, and your community.)

I get to my feet impatiently with the next surge of anxiety, deciding to discuss with my therapist whether going back on an anxiolytic makes sense right now, or what else I can do to fight it. I sigh, feeling some relief with my exhalation. I’ll keep practicing; it does help. It’s a good time to begin again.