Archives for posts with tag: CBT

I’m sitting quietly with my thoughts, sorting the real from the unreal, and working to process troubling details of both. Emotional work still feels like work, sometimes.

Sooner or later someone you care about deeply, someone you love and loves you in return, is going to say some terrible shit to you, hurt your feelings, or create turmoil and sadness in your heart. That’s just real. Humans being human. That’s generally more about them, and not about you at all, regardless what was actually said. How you respond to it, how you deal with it, that’s the bit that’s you, and it defines your character. Just saying. Forgiveness, empathy, kindness, and compassion, can all be difficult to practice under trying circumstances. Still worthwhile for someone you love, right? It’s hard sometimes. Human beings can be pretty spectacularly vile – even towards someone they say they love. I sit and think about that for awhile.

Lately my disturbed sleep has been more likely to include nightmares – genuinely horrific, emotionally loaded, inescapable proper nightmares. I’ve begun experiencing reluctance to return to sleep, and experience suggests I need to take steps to break this cycle before I develop a more serious sleep aversion that could quickly undermine my mental health. Visits to the Nightmare City don’t become less frequent with increasing sleep deprivation, I know this. Self-soothing becomes more difficult over time.

“The Nightmare City” 11″ x 14″ acrylic w/glow on canvas

I remind myself to rehang “The Nightmare City” where I can see it if I wake during the night. Seeing it helps anchor me to the here and now when I wake from traumatic nightmares. There’s so much chaos in the world right now: violence, genocide, femicide, and murder. I guess the nightmares aren’t so surprising. I breathe, exhale, and relax. Pain complicates things, too. Stress over my Traveling Partner’s wellness and recovery from his injury and surgery adds to the emotional load. Yeah… not surprising. What matters most, now, is dealing with all of it, supporting and caring for myself skillfully, and taking appropriate self-care measures.

It’s hard to know where to start sometimes. My “inner demons” dance in the shadows of lingering chaos and damage, taunting me with the shards of lasting trauma that fuel my nightmares. Tears start pouring down my face just recalling some moments of “then” and I tremble with ancient fear and anxiety that I’ve somehow “saved for later” from so long ago. “It’s not real, it’s not now.” I mutter out loud through clenched jaws. I force myself to breathe. Exhale. Relax. I set the pain and recalled trauma aside. I’m okay right now. I feel like I’m having to “handle it alone”, which feels incredibly sad and lonely, but… aren’t we all dealing with our own bullshit and baggage mostly alone? Making our own journey out of the mire? Walking our own path? Having our own experience? It’s not “personal”, just human.

The first moments of a new day; steps on a path.

I sigh and dry my tears. Nightmares aren’t “real”, and anxiety is a liar. I breathe, exhale, and relax, and lace up my boots. It’s daybreak. A new day. I’ve left the Nightmare City behind, and I’ve got this path ahead of me to walk. It’s time to begin again.

I’m sitting quietly, waiting for the sun. I’m sipping an iced coffee, feeling mostly grateful, and mostly in love. Life (and love) has its ups and downs. Aging has the benefit of bringing a bit of perspective, maybe some wisdom, but…it also kinda sucks, fairly often. This mortal sack of flesh feels like a trap as often as it behaves as a useful tool. Maybe that’s my headache talking?

I’m feeling vaguely nostalgic this morning, yearning for a “simpler” time that frankly doesn’t actually exist for me. Those recollections of bygone simplicity are bullshit – fragments of experiences that were far less simple than memory suggests, and far more complicated. Memory, in my experience, is much less nuanced than the lived experience in the moment.

I think about walking the cobbled streets of old Augsburg in the 1980’s… My memory lies to me about what a time it was. The reality? Mental illness was overtaking me, I lived in terror due to domestic violence, and I was fraught with constant anxiety (both personally and professionally). The shopping in Augsburg was great. The people were friendly. The climate was delightful. The holiday market was splendid and the cafes were amazing. So… what is “really true” about my time there? Was it grand or terrible? It’s hard to say. Sometimes I miss Augsburg.

My mind wanders to Fresno. What a very different time in my life. I worked my ass off in construction – but only half of the year, generally. The money was good while the work lasted, each season, but I was trading my health for those dollars one brutal hour at a time and struggling to make ends meet between jobs. I was wracked with constant anxiety and being stalked by my ex. I was living a life of unsustainable extremes – the delights were too delightful, the lows were dangerously low. My self-care… wasn’t care-ful. I was “using myself up” without really understanding the consequences of my choices. I cultivated some amazing (lasting) friendships. Because of those friends, many of whom are no longer in Fresno, I still sometimes miss Fresno in spite of, well… Fresno. lol

My mind wanders to “the woods” at the end of the street where we lived when I turned the corner on childhood and began the painful journey through adolescence. I ran the paths through those woods so many times. Walked them on quiet days seeking peace and solitude. I sat among the trees in the summer heat, listening to the trickle of the creek that flowed through the woods and the buzzing of insects. …I was sexually assaulted there. Somehow, I still remember those woods with great fondness (and, to be fair, the trees themselves were in no way responsible for me being raped).

Funny how nostalgia tries to “tidy things up”. Life – reality – is more complicated than that. Understanding (and accepting) the complexities of life is useful for healing. I can choose to hold on to, and savor, all the beauty and splendor of this mortal lifetime, and set aside the pain (mostly), and learn to bounce back, to let go, and to learn what lessons I can. I can savor the precious memories. I can experience gratitude for the wonders I’ve seen and the love I have experienced. I can reject the darkness and refuse to let it own me.

Nostalgia is weird and complicated. I sit with the good feelings, occasionally stumbling on some painful recollection that finds its way into the mix – like stubbing my toe on a pleasant walk. It’s weird, unexpected, and momentarily distressing. I breathe through the painful memories when they come; they’re part of my life, and I am the woman I am today because life is so much more complicated than a beautiful memory. There’s more to my story, more to my journey, than beautiful sunrises.

I sigh and sip my coffee. Daybreak comes with a hint of orange low on the horizon. I breathe, exhale, and relax. This? This is a lovely pleasant moment, and I am enjoying it. Quiet time well-spent on self-reflection and a bit of nostalgia. I don’t read too much into it. This too shall pass. Moments are brief. Change is. It feels like time to begin again.

It’s a quiet start to the day. The morning air feels subtly autumnal. I find myself regretting that I didn’t wear my fleece hoodie. The walking warms me up though.

One perspective on the morning.

There’s a low mist clinging to the ground along the river when I begin my walk. It drifts over the meadow adjacent to the trail, becoming a thin fog. It’s very quiet this morning. I don’t hear any birds, or traffic, only my footsteps and my breathing.

It is a routine work day, possibly a busy one. There is a project to be done, later, and later still an evening meal to prepare. I sigh quietly as I walk. The to-do list is long. Having the Anxious Adventurer in the household lifts a measure of the everyday housekeeping burden, but greatly increases the “mental workload” and emotional labor landing on me day after day, on top of the increases associated with caregiving for my Traveling Partner. I’m less physically exhausted than I had been…but… I often find myself very much “over” dealing with people at all, far sooner than I typically might. It’s a struggle to get enough time alone, unbothered by what everyone else needs moment to moment, and undistracted by pings, questions, or requests for my thoughts on the various topics. I often end up feeling like a bitch just trying to get a moment alone with my thoughts.

… I’m grateful for this solitary time in the mornings (and I am pretty certain it’s keeping me sane).

I turn the last bend on the trail and sit down for a moment to think and to write. “This too will pass,” I remind myself. I breathe, exhale, and relax. It’s time to begin again… I head down the trail towards the car, and the beginning of the work day.

This is a traveler’s tale, and a metaphor intended to provide perspective on a common challenge (for mechanics, travelers, and human beings, generally). 

Imagine, if you will, a person with a vehicle. The vehicle is used. The person intends to be the mechanic, and plans to “fix up” the vehicle for long-term use. The vehicle is not “chosen”, just happens to be the (used) vehicle at hand. It’s got… “issues”, some wear-and-tear, and some obvious damage. It’s the only vehicle available to the person-now-mechanic, no trade-ins, no swaps – it is what it is, and it’s got to last a lifetime.

The mechanic doesn’t have a manual for the vehicle, but other mechanics generously share what they have learned over time. He doesn’t choose to put this knowledge into practice; he’s sure he’s got this, and can simply do the troubleshooting and handle the repairs, although he doesn’t actually know much about the vehicle (in spite of having been the only “owner”, and using it regularly). He frequently complains about how crappy his vehicle is, and when offered advice generally finds ample reason to disregard it, or contradicts with some reason the advice doesn’t apply to his vehicle at all. 

This mechanic – on top of not having a repair manual for this vehicle – has never repaired a vehicle before, never done much troubleshooting, never had any training on vehicle repair (and most of what he “knows” about maintenance is incorrect). His toolbox is… empty. He has only his vehicle, which needs repairs, and his less-than-fully-committed desire to fix it (and continue to use it). He regularly swears at, and about, the vehicle, calling it names, dismissing its value to him, and expressing no particular gratitude for having a vehicle that runs, at all, even though it regularly manages to get him from place to place pretty reliably. 

Friends of the mechanic – mechanics themselves – offer the mechanic tools to add to his toolbox and make suggestions about how to proceed, based on their own experience learning to maintain and repair their vehicles. He slowly acquires some wrenches, a socket set, and assorted other basic tools for getting the necessary work done. Nothing much gets done; he doesn’t yet know how to use the tools, nor how to repair the vehicle (having overlooked, forgotten, or disregarded all the information and suggestions provided to him). He’s too embarrassed to ask how various tools work, or how best to use them. (He doesn’t want to “look stupid”.) He walks around his vehicle each morning with a frown, giving it an occasional kick, or knocking on it randomly with a wrench. He knows nothing. He’s pretty convinced he can – and must – do this entirely on his own, though all of his tools and knowledge have come from other mechanics, as it is. He doesn’t apply that information, nor learn those lessons. He stubbornly insists he’ll do this himself… then does nothing, because he doesn’t know what to do, which tool to use, or how to proceed. 

…He’s not even really sure what’s wrong, he just feels “everything is worthless and terrible”, without recognizing that much of his situation is his own doing… 

The mechanic continues to drive his damaged vehicle which runs poorly. He continues to bitch constantly about what a piece of garbage his vehicle is. He becomes angry with the frustration of mechanics around him who don’t understand how it is he feels so helpless…and they become angry with him. (Have they not provided the information? The tools? Some guidance? Haven’t they offered to help?) He’s sure they “don’t understand” his situation. His vehicle is a broken piece of shit that is worthless!! How do they not see that? Why don’t they tell him how to turn his broken vehicle into a luxury sports car in three easy steps?! Why didn’t he get a better vehicle in the first place?? How is it not obvious to every mechanic around that he’s at a unique disadvantage that surely they can’t understand!? Each morning, he wakes up, goes to his broken vehicle, and crossly goes about his business, frustrated and filled with despair. He often wonders if maybe he just sucks as a mechanic – but he’s yet to actually undertake any repair work, or try to repair his vehicle. Mostly, he just uses it and complains about its condition. Sometimes he lets it run out of gas, then complains about how the vehicle let him down, again. Sometimes he parks it carelessly, then complains about new damage when rolls downhill and hits a fence post or a tree. Sometimes he performs some maintenance task, but rejects all the instructive advice he was given, does the task incorrectly, and then complains that it “didn’t work”. 

…Doesn’t he deserve a luxury sports vehicle..? 

…Sure seems like everyone else has a better vehicle than he does…

It’s a metaphor. We’re the mechanics of these vehicles that are our mortal lifetimes. This fragile mortal vessel succumbs so easily to illness, injury, or simple fatigue. This delicate soul which inhabits our mortal form is easily damaged by trauma, disappointment, and sorrow. If we don’t practice good self-care, our experience over time degrades. We develop poor practices to cope with unpleasant circumstances. Our health may fail. Life happens – a lot – and there is much to endure. If we don’t “read the manual” (in whatever form that sort of information is available to us), we’re at risk of not caring for ourselves skillfully. When we don’t have the tools to care for our bodies, minds, and hearts, we may find ourselves broken, and feeling pretty lost and beat down. When we don’t practice the skills we do learn, those skills degrade and provide less value. When we reject help, or tools, from those around us who care and who have greater knowledge or experience, we slow our progress on life’s journey. 

…The journey is the destination…

We don’t know what we don’t know. There’s a lot to learn. Life is short – so short. I’m not saying being a mechanic is easy. We don’t even get to choose our vehicle! We get what we get – and it’s used by the time we realize we’re the only mechanic available to service it! 

  1. Practice using your tools. 
  2. Read the fucking manual. (And pay attention to useful information when offered.)
  3. Use the most appropriate tool for the task at hand. 
  4. Keep your tools organized and ready to use.
  5. Ask for help. 
  6. Accept help when offered – especially if you asked for it! 
  7. Do your best. 
  8. Take a break when you feel overwhelmed.
  9. Be grateful for the vehicle you have – it could be worse. (You could be walking.)
  10. Enjoy the drive. That’s the whole point. 

Becoming a skilled mechanic takes time and effort. Maintaining your “vehicle” in peak operating condition requires real work. Give yourself the time, and do the work. Mastery requires practice – a lot of practice – and there are no shortcuts. When you fail (and you will), learn from your mistakes – and begin again.

My morning is off to a rough start. I slept poorly (my Traveling Partner slept poorly, too). I woke with my headache, worse than usual, and although I slipped away quietly, early, for my walk without waking my partner, the Anxious Adventurer was up soon after. He rattled about sufficiently noisily to wake my partner, who commenced pinging me with information about his pain, his responses to new medications and details he’d like communicated to his doctors. It’s a new day.

… It was good weekend, generally, but there’s a lot of bitching coming up in this bit of writing (maybe skip it)…

After finishing the conversation with my partner, I could finally get out on the trail. Nearby construction had already gotten going. My tinnitus is loud in my ears and the morning seems a very noisy one. I feel irritable and frustrated.

… I breathe, exhale, and relax. I pull my focus back to the rising sun, the silhouetted trees, and the scents of summer meadow flowers.

… My Traveling Partner pings me again…

I sit down to handle the additional communication. Looks like it is going to be a steady effort through the day if I’m going to get what I need for myself from the limited time a day has to offer. It’s the most complicated detail about caregiving for me, personally; continuing to manage my self-care and support my own needs. I don’t get much help from my partner on that presently; he’s pretty consumed by his needs and also needs my help. He’s injured and his surgery is still weeks away. It’s a hell of a puzzle. I feel inadequate and wholly made of fallible human stuff.

… This solitary morning time is so precious to me. It has become an essential component of my self-care, and is often literally the only time (outside a bathroom break) that I can call my own over the course of a busy work day. Today, it’s looking like I’m not going to get much out of it…

…Ping…

I resume my walk, feeling distracted, as if waiting for the next ping. The sun is up. Daybreak has passed. The sun rise is over. I missed my chance to watch the full moon set. Fuck. I take notice of my negative thoughts and aggravation, and let it go. Again. I breathe. Exhale. Walk on. I pull my focus back to my steps, my breath, the sensations of this body, my awareness of the world around me. Clusters of yellow and white flowers sway above the meadow grass. A turkey vulture rides the air currents overhead. The oaks along the trail stand tall overhead as I walk through the grove at the edge of the meadow.

I take my focus off my pain and irritation, and focus on the trees, the horizon, the colors of the morning sky. I keep walking, making mental notes, observations, for later writing when I get to my halfway point – I can just see the bend in the trail up ahead.

…Ping…

Pain is a difficult challenge. It’s very much part of the human experience and it also very much sucks to experience it. Pain “shrinks our world”, and unmanaged pain is a pretty horrible experience to have to endure. Do OTC pain relievers help? Sometimes. What about Rx pain relievers, do those ease pain? Sometimes. Even so, it’s more a reduction in pain or loss of awareness, than any kind of real solution. In fact, just about every potential remedy for pain is only somewhat helpful. Pain tells us something is wrong with this fragile vessel, and it’s pretty fucking difficult to silence that warning without fixing the underlying cause (which may not always be possible at all). Physical therapy, chiropractic treatments, meditation, acupuncture, CBT… 100% of all of these have helped someone at some point, and I promise you that none of them is 100% effective, ever, for anyone living with chronic pain. I personally use most of the available options, based on the circumstances of a given day, trying to find the best balance, trying to strictly limit my use of prescription strength pain killers, because…consequences. There are reliably tradeoffs. I breathe, exhale, and relax. I walk on.

…It doesn’t make things easier that American healthcare is so completely broken where treating pain is concerned…

I do my best to manage my pain skillfully. Sometimes I just have to “look past it” and do my best to prevent pain from calling my shots. I’m not even saying I’m always successful. My results vary. I live with pain. A lot of people do. Sometimes all I have available to manage my pain is pure seething rage, resentment, and force of will. It’s hard. I keep at it. My results vary.

… My Traveling Partner pings me again, I stop again to read his message…

My partner’s whole world is his pain today. I find myself struggling to prevent his pain from also becoming my whole world. (I’ve got my own to deal with too.) Another breath. Another step. How do I get the emotional distance I need to maintain my resilience for this marathon…? I tried to communicate a boundary regarding this time that is so critical to my wellness… I definitely don’t feel heard*. My irritation competes for my attention with my love and sympathy for my partner. He’s suffering and there’s so little I can really do. It sucks.

…”Put your own oxygen mask on first.”… Super good advice, but if the traveler next to you is clawing your mask out of your hands while you try to put it on (metaphorically speaking)… What then? I mean, in a legit air emergency whereupon oxygen masks are required, that would be a very different question. Here, now? I rather frustratedly allow my self-care to be completely undermined in order to care for my partner. It’s not healthy or sustainable, I just can’t see myself not being there for him. Caregiving is hard.

I sigh as I write. My Traveling Partner pointed out that I could have chosen to ignore all his messages until I finished my walk. It never even occurred to me; he’s home injured. It doesn’t sound wise to ignore a message if there’s potential he could have fallen…

Today feels like the sort of day that will require every practice, every moment, and may test everything I have learned about managing my pain, my mental health, and my ability to care for another human being with love and compassion. I don’t feel ready for this sort of test, and I know my results vary.

… Maybe I should take the day off work to deal with this shit…?

… I can at least begin again. Sometimes that’s enough. (Your results may vary.)

*Later, after I got back to the house, my Traveling Partner made it very clear he did hear me, does get it, recognized the boundary I set, supports my need to set that boundary, understands the necessity of my taking care of myself and the value of that quiet morning time for my emotional and physical wellness… all the things. He’s also having his own experience, and doing his best. Sometimes this shit is just hard. I feel heard, supported, and loved. It’s a journey, and we’re on it together.