Archives for posts with tag: menopause

It’s Monday morning. I woke with some effort, to the alarm, and still struggle to ‘really wake up’. I slept well and deeply, and woke up only once, and at an unusual hour. At 3:17 am I woke, thinking I heard a noise. The noise was the sound of a front door buzzer pushed twice in rapid succession “bzzzt bzzzt”. It seemed an actual sound, but whatever actually woke me didn’t do so with any ease. I was incredibly groggy and dizzy, and there was nothing at the door – or elsewhere that I noticed – and I returned to sleep so quickly that I wonder now if any of it was real – even the waking up and getting up, parts.

I’m having trouble waking fully and getting my brain online. I am groggy even now – more than an hour after waking. The sky is still quite dark. Dawn has moved later into the morning. I am impatiently waiting for my coffee – which I am having some trouble making with skill, because I am not quite awake. I take my time with it – and successfully stop myself from rubbing my eyes while I am making coffee, avoiding rubbing coffee, coffee grounds, or hot water in my eyes. This morning, that feels like a major success. 🙂

The morning is cool, and I feel the cool air filter in through the open patio door and the vertical blinds. I am drenched in sweat after making coffee and feeling peculiarly overheated. Hormones? Please, no, not today…it is, after all, Monday. I take a deep breath of the cool morning air, and fill my thoughts with the memories of the weekend as I fill my lungs with fresh scents of this summer morning. I took the additional ‘taking care of me’ step of un-syncing my work email over the weekend, and resetting my smart device so that my work email will only sync manually outside of work hours, reducing the likelihood that I will waste precious life-time on work-related matters by reflex or habit during leisure hours. It is powerfully freeing to return to a lifestyle when work is limited to those occasions that it is scheduled for. I needed the break, badly, and don’t easily set those boundaries with myself unaided – which definitely makes setting those boundaries with colleagues challenging. My traveling partner had observed rather firmly quite recently that I was not taking the best care of myself in this area; change was needed.

Yesterday I spent the better part of the morning with my traveling partner, unexpectedly, and to my great delight. It was a lovely treat, although he arrived distressed and agitated. The level of day-to-day drama in his experience at home is much higher than mine, here at Number 27. I did everything I could to support and soothe him, and even though we shared some [perhaps unnecessarily] emotional moments together, I cherish the time with him. He made a point of following through on his commitment to provide me with some technical support (my bluetooth wasn’t working, and my own troubleshooting did not resolve the issue), and in the process uncovered the likely cause; I had peripherals plugged in to USB ports in a sort of willy-nilly random way, primarily intended for cable management, without regard to USB 3 ports, or always-on ports, or what devices need what sorts of ports, and having no particular understanding that those details were important I had created conflicts. I feel a moment of sympathy; it’s probably just as hard on my laptop to be mine, as it is for people to live with me! This morning, though, there is music. (And yesterday evening, too.) 🙂

Change is. Progress happens. We are at a disadvantage if our understanding of the world becomes 'set in stone'.

Change is. Progress happens. We are at a disadvantage if our understanding of the world becomes ‘set in stone’.

We enjoyed coffee together, and conversation, and laughter, once the technical work was finished. It was hard coming to terms with one facet of aging; I am struggling to remain current with technology, now. Poignant and emotional for me, frustrating for my traveling partner; there is no room for crying during technical support. He’s a decently good sport about it, and although somewhat impatient with me, and frustrated by my emotionality, he makes a point of hearing me. That’s enough. I got by on that, and we moved on with the morning. The high point of my afternoon was soaking in a hot bath, listening to Barry White, and talking on the phone with my traveling partner – an experience I could not easily have had the day before (my stereo sounds way better than music played over laptop speakers). 🙂

My point is that the ups and downs don’t have to be tragic, or an unrelenting buzzkill; we’re all people, having our own experience, and it is sometimes an emotional one. How we treat each other – how we treat ourselves – can be accepting and supportive and aware, and emotions pass. The respect we give each other – each having our own experience – and consideration we give each other while we do so, are a big deal; they define our character, and define the love we share. An honest apology, no excuses, goes a long way when we are not at our best. Our loves are not a dumping ground for emotional toxic waste, and when we share hurts, strong emotions, moments of anger, it’s urgently important that we follow-up with consideration, with compassion, with recognition of their difficult experience sharing that moment with us. Being open isn’t solely about sharing who we are, and how we feel – it’s also a willingness to listen deeply, to be present in the moment when our love sets boundaries, or tells us we’ve caused them pain, and accept the consequences of our actions with honor, with respect, and providing reciprocal support. In this, too, there are practices to practice, verbs involved, and room to grow – and incremental change over time can seem so slow…because that other person can matter so much.

I am taking the morning slowly.

I am taking the morning slowly.

It’s a Monday. This one begins, for me, on a foundation of adequate rest, and good self-care. It would be lovely if that were an absolute assurance of a great week, but I know that there are verbs involved, and plenty of decision-making, and opportunities to communicate with clarity and practice good practices that support my needs over time. This morning, waking so slowly, it is as if I have a head start on slowing down, perhaps there is greater potential there than I understand?

Today is a good day to take things one at a time, with consideration, listening deeply, and recognition that each of us is utterly and entirely human. Today is a good day to be aware that the relationships matter more than the challenges. Today is a good day to ask for help when I need it, and accept help when it is offered. Today is a good day for beginnings; a good beginning has all the potential to change the world. [Note: there are verbs involved, and your results may vary.]

I woke around 2:30 am, drenching in cold sweat, feeling a vague sense of panic, breathless, heart pounding…and anxious. I tossed and turned for some moments until I was awake enough to realize I was struggling with, rather than responding to, my feelings.

"Anxiety"  10" x 14" - and she feels much bigger than that, generally.

“Anxiety” 10″ x 14″ – and she feels much bigger than that, generally.

By the time an hour had passed by it was clear that self-compassion, reassurance, and a little meditation were not sufficient to put this particular anxious moment to rest. I got up for a few minutes and did some yoga (specifically a sequence of postures that are described as ‘calming’). I took a Benadryl (over-the-counter, fairly safe, and one of the oldest pharmaceutical anxiolytics). I got comfortable in bed, with some soft dim light, and read something light and entertaining for a few minutes. I got back to sleep.

I woke this morning, having slept in until past 7 am, anxious. Great. It’s going to be that holiday weekend, is it? I remind myself of two things as I head for my coffee: I overslept my usual timing on my thyroid medication, that can sometimes make me feel anxious, and anxiety is a liar.

  • My anxiety tells me ‘something is very wrong’. There isn’t anything actually wrong, based on observation of my environment and circumstances right now.
  • My anxiety tells me I have clearly done something terrible to feel this way. This is more a reflection of learned responses; as an anxious child, my parents reinforced the idea that anxiety is an indicator of unstated guilt. (Anxiety may or may not be associated with feeling guilty – it is a separate emotion, and correlation would not prove causation.)
  • My anxiety tells me I am ‘not good enough’ and backs that up with delusional ‘examples’ that ‘prove it’. (Taking a look at each offered example from another perspective derails the seeming factual nature of those arguments – but the anxiety exists; it is its own thing, requiring no ‘proof’, and refuting an example successfully doesn’t end the anxiety, it feeds it with attention.)
  • My anxiety reminds me that ‘time is running out’ – which, while true, is more about playing on a basic understanding of ‘how things work’ to terrorize me from within; what I do with my time is what sets the pace of my experience, not the sweeping second-hand on a clock.
  • My anxiety is a very physical experience that dissipates quickly if it can’t get a solid emotional foothold and a steady infusion of new chemistry; it will whisper anything it has to into my vulnerable consciousness to achieve emotional domination. Anxiety is a bad ass – but not to be counted on for truths.
  • My anxiety finds ways to put doubt, insecurity, and fear in my path; if I am consumed by those I stop questioning the anxiety and build it a home, instead.

Sometimes a bit of anxiety may be a healthy indicator that I am stepping outside my comfort zone in a positive way – that’s not what this morning is about. I am nauseated, and my body is enduring physical sensations I associate with imminent threats, terror, impending physical attack, terrible consequences, and future preventable loss followed by the dismay of others on a ‘how could you??’ level. It isn’t real. How am I so sure it isn’t real, when it feels so real? Because both thoughts and emotion lack substance until we give them substance. Emotions are physical experiences that manifest themselves both in physical and cognitive ways. Feelings. I feel. However, I am also able to make some sense of reality (in whatever limited way is available to me as a human primate with a complete set of common place senses and faculties) – and there is nothing in my environment that would cause this experience.

I am so human. Without question there are circumstances and experiences in my adult life that might cause some moment of mild anxiety…but this is not that. This experience qualifies as ‘disordered’, if for no other reason because it is very clearly and demonstrably not based in my real experience of now. Still, the small things that tend to drive small anxiety hop right into the ring with the Anxiety-with-a-capital-A of the morning; there is a chance that putting those to rest one by one may ease the Anxiety, but it isn’t a given, and is as likely to make things much worse if I become frantic or driven over it, by becoming invested in the outcome.

I am drenched in sweat. The apartment is a comfortable 72 degrees, and I am not exerting myself. Hormones? Still? Maybe – or just the anxiety, over coffee. Oh hell yes I am still having my morning coffee – with caffeine – in spite of the anxiety. Basic self-care demands it; the headache I’d be having later today if I don’t have my morning coffee would only put me at risk of being less able to continue to work through the anxiety if it lingers.

I have PTSD, and anxiety is part of my experience sometimes. I have a brain injury that results in executive function impairments – one of which is that I lack skill at managing strong emotions; I tend to put it all right out there, and find it difficult to ‘wrap things up’ in a timely way, sometimes remaining immersed in an emotional experience that is long behind me. These two things do not play nicely together. I write those simple words and tears start falling (I still find being quite so broken a sad thing, I mean, fuck – I’m 52 and still dealing with this bullshit!) – quite possibly the healthiest thing I could do for me right now are these honest tears – the science suggests that this will bring my cortisol level down more rapidly than most things I could do right now. Still sucks. I feel like a big cry baby (yeah, I hear the beratement and derision there, and recognize my demons on the war path, attacking me when I am vulnerable – it’s not helpful to treat myself callously right now).

I don’t like writing about anxiety…but if I were to omit this experience from my writing in a willful way, then I would also be a liar, leaving you thinking that somehow I had magically cured my anxiety issues with some sitting still, a few good books, and the occasional walk in the sunshine. It isn’t that easy. If it were, I wouldn’t be 52 and crying over my coffee because I am just that anxious on a lovely summer morning, utterly without cause. Writing about it, in a practical way, without ruminating over the details that my Anxiety would like to direct my focus to, seems helpful this morning; I am (after 1000 words or so) considerably less anxious now. Experience tells me it may surface again a few times over the course of the day or weekend, ready to become a weapon of mass distraction in some future interaction; today I will continue to take care of me.

Huh – there it is again. Is it my commitment to taking care of me this weekend that is actually causing the anxiety? Just now, as I considered taking yet another day focused completely on taking the best care of me, my anxiety shot through the roof… interesting. Am I still harboring feelings of guilt over putting me at the top of my agenda day-to-day? It’s a question worth considering some time.

Few things are more delightful than a leisurely morning over coffee with someone I love dearly.

Few things are more delightful than a leisurely morning over coffee with someone I love dearly.

…It is hours later now, about 2 and half hours actually. My writing was interrupted by the door bell. I checked through the peephole expecting someone canvasing the neighborhood for sales or prophet, and to my great delight my traveling partner was on the other side! We shared a leisurely morning coffee, catching up on small things, celebrating life, love, and enjoying each other’s company greatly. His is that rare presence that nearly always eases my anxiety, regardless of circumstances. I find myself on the other side of the anxiety, feeling comforted, safe, and assured that ‘all is well’. Good practices, trusting that the anxiety will pass, being frank about its appearance in my experience, and refraining from investing in holding on to it all help greatly – the addition of a pleasant intimate connection with another human being finished it off.

It’s a promising start to the day. I put on music, make a second coffee, and consider this pleasant moment. What could be worth more time, study, investment, or practice than Love and loving? 🙂

I struggled with a bad bit yesterday. It was the first significant experience with loss of balance, volatility, and my chaos and damage since I moved. The lovely morning began to slide sideways fairly early in the day, as I reacted to fairly commonplace work stress while also struggling with my hormones. I made choices that caused both to be more serious challenges than they might otherwise have been.

I realized where my state of being was taking me around mid-day, and made the choice to start the holiday weekend early. A hot day, no clear agenda, enough background stress to repeatedly find myself clenching my jaw…I followed up my early departure from work with the choice to head to the nearby mall…an odd choice for me these days, but I found myself wanting to window shop and consider my quality of life ‘to do list’ for home and hearth, and enjoy the colder a/c for a time.

Choices matter. This choice was not ideal for me, fortunately I still have free will.

Choices matter. This choice was not ideal for me, fortunately I still have free will.

Clenched jaw. Headache. Irritability. Backache. A persistent feeling of frustrated anger simmering in the background. Feeling disconnected – and unable to connect. I felt very aware that the issue was my own, and not something anyone else was causing. As I wandered the aisles of ‘retail paradise’ I repeatedly pulled my focus back to ‘now’, working to maintain awareness, and presence in the moment. I was not expecting to find myself unable to find joy in the varied colorful displays of merchandise offered for my consideration; “retail therapy” used to be something I could easily rely on for a diversion, if nothing else. It was not working yesterday; I am not the person I once was.

I got an icy cold creamy chocolate-y coffee beverage ‘for medicinal purposes’ (yes, in my experience the combination of chocolate and coffee does help with hormone challenges). I sampled some fruit teas, and bought a nice one for iced tea for the weekend. The mall had nothing else to offer [for me], unless perhaps I had a much bigger kitchen, and an unlimited budget for high-end kitchen gear – neither of which are the state of things. I felt irritated with the noise – I went to the mall while I was struggling with noise sensitivity, too? What was I thinking? I headed for home feeling pretty low, and rather dismally disconnected from self.  The heat of the day contributed to being so cross by the time I got home that I was near tears. I sent my traveling partner a heads up that I was dropping offline for a while to take care of me, and that I was not at risk of self-harm; worrying loved ones doesn’t help with longer term stress management.

As soon as I got home I reached for the checklist. Mine is personalized with some additions that are specific to my own needs. First things first – I went down the list and checked off what I knew I had already managed and discovered something I wasn’t fully aware of; there were some significant misses. I set the check list aside, and in a ‘first things first’ sort of way, had a leisurely shower to rinse off the stickiness of sweat and the heat of the day, and changed into ‘comfy clothes’ [for me that’s yoga pants and a loose tank top]. At that point I put down everything else – including my concerns, doubts, stress, and emotional weirdness – and took time to meditate, no timer. It was a struggle. My mind wandered, again and again, fussy over nothing, irritated with minutiae, distracted and out of focus, and feeling vaguely sad. Each time I came back to my breath it got a little easier, and I felt a little more calm. My headache began to ease. My clenched jaw finally relaxed.

Another look at the checklist, and I began working my way down the list item by item…a healthy meal…some exercise…music, dance, yoga…I picked up and completed a couple small projects, and planned the weekend around taking care of me, and enjoying some leisure time. I stayed away from social media, and video brain candy. I looked into the face of my anxiety fearlessly, and allowed myself to consider that I might go completely to pieces that evening and find myself in crisis management mode, and affectionately accepted that I have challenges to deal with, even now, and that life isn’t about ‘perfect’ or ‘happily ever after’ and that the variability and intensity of my emotional life is also part of how I feel the intensity of the love, passion, and delight that I do in other moments. I reminded myself this would all pass, as things typically do; the intensity is not really sustainable.

The hormone piece is a real bad-ass as challenges go; I’ve passed menopause, and the tendency is to think this means I am done with complicated mood swings and whatnot resulting from the reproductive hormone cycle, but that’s a gross oversimplification, and this week I had screwed up the timing on my HRT – which means hormones became a factor that needed acknowledgement, attention, and self-compassion. The disinhibiting qualities of my TBI contribute to my volatility; I have trouble managing intense emotions, however fleeting, and the stress caused by my fears that I may ‘lose my shit’ unexpectedly and lash out in a socially inappropriate way doesn’t make it any easier.

Over the next few hours of taking care of me with my whole attention, and nothing else on my mind, I managed to find my way to a more comfortable place. I didn’t stop when I got there, and enjoyed several more opportunities to meditate, to treat myself with compassion and tenderness, and to restore order to my thinking through the living metaphor of restoring order to my experience, and my environment.

This morning I woke at the usual time, without the alarm, and got up long enough to take my medication on time, and return to sleep for a delicious additional 2 and half hours. I woke easily, feeling content and comfortable in my skin, and in my head. I overslept my original plans, but didn’t feel disappointed; I have a plan B. I enjoyed a few minutes of conversation with my traveling partner, in the digital world, and made coffee. I took time to enjoy my coffee without distraction, feet up, listening to music. Meditation, yoga, and dancing got my on my feet and enjoying the pleasure of movement. I took on a couple small household projects, like reorganizing the pantry for the shelves that will arrive next week, and making a home for the bin in which my journals remain packed (I once needed to see them displayed all around me to feel secure). The additional living space and order feel very good, and I recognize that the lack of order was causing me stress; these were details that felt very much that I wasn’t finished moving in.

Blooming in my own time, when conditions are right; I am learning to tend the garden of my heart more skillfully.

Blooming in my own time, when conditions are right; I am learning to tend the garden of my heart more skillfully.

It is one truth that I will face my demons until they are vanquished. It is another truth that although I have taken many steps, there are many more ahead of me. It is yet another truth that I am okay right now, and right now that’s enough.

There’s a quality every yesterday shares with all the other yesterdays; they are in the past. Sometimes that’s a sad thing, because we enjoyed the day so much while it was ‘today’. I will admit that yesterday – the yesterday that was most recently today, and is not now, having become yesterday in the most clearly defined way – is not a day I’m sad to see in the past. Yesterday was a difficult day. I hadn’t slept well the night before, but woke feeling good and enjoying the morning, it didn’t last because… well… hormones, mostly, I guess. Not much to be done there but wait it out, treat myself gently, and show great consideration and courtesy to others – and hope for the best.

The evening was okay. No big blow ups, no significant stress, no baggage; I retired for the evening shortly after I got home, moodily wrote for a while, and crashed out early. The writing won’t see sunlight; it was hormone-fueled, angst-y, discontent, and sad. Not share worthy, just very human. Keeping to myself was more a matter of caring for my family, than a self-care practice; the storms and tantrums that sometimes result from the combination of fatigue, hormones, and a disinhibiting brain injury are pretty nasty to go through – and quite possibly worse for the loved ones who must helplessly bear witness. It is by far the easier to choice to reduce the potential for such things completely, by withdrawing to a quiet private space with less stimuli. I kept an eye on the clock and was firm with myself about going to bed ‘on time’; I needed the sleep, for sure, but the routine itself provides structure that helps me maintain balance.

I slept last night. I slept deeply, and I slept through the night. I needed the sleep. I woke with some difficulty when the alarm went off, and I suspect if I were horizontal right now, I’d be asleep in seconds. The hormones are a component of my sleep challenges, which is more obvious now that they are entirely of the replacement variety. At some points in my natural cycle, as well as on this replacement, there’s a particular point at which my estrogen level seems to drive wakefulness; I don’t know with any certainty if it is the high or the low, or an intermediate level that complements some other feature of my biology. I’m not doing the science – I am living the experience. My observations are subjective.

We all need restful moments, and real rest, to recharge for the next challenge.

I need restful moments, and real rest, to recharge for the next challenge.

When I am tired or run down, great mornings hold greater potential to become difficult days later on; I lack emotional resilience when I am fatigued. By the time I am really aware that the emotional weather of the day is changing, I’m often already drenched in the sudden downpour, unprepared. I think I could easily address the ‘unprepared’ piece, though, if I go forward with more awareness of how fatigue does affect me – and that the effect is often not felt immediately, but later in the day. Being prepared is sometimes enough to change the outcome of events that tend to follow a pattern. 🙂

Today is a whole new day. I am still dealing with the hormones; hot flashes and nausea this morning. I’m in a decent mood, though, and I feel rested. Being well-rested is a very big deal.

I hear the household waken, early. I resist the impulse to rush into morning interactions; I’m quite honestly not at my best first thing, and I’m still waiting for my pain medication, and morning coffee to kick in for the day. 🙂 Good self-care is sometimes about simple practices, and discipline learned over a lifetime; I try to stay to myself first thing in the morning, until I am really awake.

It’s interesting to note that I’ve been finding a great deal of value, recently, in reading literature regarding development of executive function in children; it tends to shed light on the tantrums, the fury, and loss of emotional regulation…things we see, and even expect, in young children but that appall us in adults. The literature has enhanced my understanding of why some practices do seem to genuinely improve the state of my overall executive function over time, while other practices provide soothing, comfort, or ease the social impact of behavior widely viewed as uncomfortable or inappropriate from a woman of 52 (even by family members). Even practicing good practices, there is a desirable balance of outcomes to find; if all my best self-care practices are focused on easing the impact on loved ones, rather than improving my own experience, I could predictably be facing a whole lot of resentment down the road – and no real change in my own experience, internally. If I focus entirely on self-care practices that tend to take a longer view, improving my emotional resilience over time, potentially building lost executive function, but take no steps to ease the day-to-day stress of living alongside this injury, complicated by post-traumatic stress, I am less likely to make the progress I am seeking – because I will likely lack support from loved ones who don’t ‘see the work in progress’ as easily day-to-day, and don’t benefit from it, themselves.

A lovely spot for a moment of meditation; is that about time or place?

A lovely spot for a moment of meditation; is that about time or place?

Balance. Perspective. Verbs. (Your results may vary.)

Today is a good day to smile. Today is a good day to practice good practices. Today is a good day to exist right now, unconcerned by yesterday’s moments. Today is a good day for good practices, and the secure knowledge that incremental change over time can be a subtle thing – but it is a thing. 🙂

I’m quietly contemplating my evening’s ‘crash landing’ and wondering why? The house is quiet, but it isn’t late and I don’t know that anyone is sleeping. I know I am not.

It wasn’t a bad evening, quietly hanging out and watching videos of this and that. Calm. Pleasant. Eventually ‘good nights’ were exchanged. I am feeling very mortal waiting for the test results from my biopsy. I find myself ‘trying to be brave’ like the small girl I once was and hoping to let it go until I get the results – any other choice seems silly in the abstract. I am so very human.

Stormy weather...

Stormy weather…

I hurt tonight. I’ve got a terrible headache, probably stress or fatigue. My arthritis hurts. How is it I hurt this badly and still want romance? It’s frustrating. I’m not exactly approachable; I am fragile, reactive, and emotional. That’s really where it all breaks down – in one simple question, and in an instant of contemplation, “How are you doing?”. “Well, shit, I was mostly fine until you asked, actually…” but I never manage to say that. I blurt out the details of how I am doing – however that happens to be, and with the force of whatever emotion is bound up in it all – and it tumbles forth in words…and emotions, in no particular order, and with full real-time intensity.  It must suck on this whole other level to live around this injury, and the chaos and damage I wade through every day – I just don’t have the same perspective on it. How can I?

I don’t know what I’m to learn here. There’s something to be learned, I’m sure of that. It’s late, and these tears don’t matter a tinker’s damn to the massive ills of the world. This is some minor league suffering, right here, and there’s a chill calm part of me that recognizes the subtle difference between the simple sorrow, itself, and the wave of suffering that follows, self-inflicted. Part of me feels foolish to be so storm-tossed, like an adolescent girl; the thought reminds me it’s only been a bit more than a week since I started on the medication I was given – hormones. There are so many moving pieces to this whole ‘taking care of me’ thing. I feel like a dick for having a minor meltdown when I was unwittingly on the brink of being handed a few moments of connection, contact, and affection that I sorely needed at the end of a difficult week.

Sitting here quietly in the darkness, I also feel: sympathetic, compassionate, warm – understanding. What did I expect with the hormones, the headache, the fatigue at the end of a long day, hurting well beyond what my Rx handles, and waiting for test results? I sit calmly, wondering what to do to take care of me most skillfully, and with greatest love. Sleep, soon, probably…

There’s a new day, tomorrow. Love is pretty ‘forgive-y’ (if that’s even a word)…but choices have consequences, I’ve hurt someone dear to me, and tonight I am alone. Perhaps the dawn will come and find me smiling…certainly there’s enough love to go around if only I am open to it. There are verbs involved.

...I still have so far to go.

…I still have so far to go.