Our Country’s Greatest Scourge – Reflections on “It was Me all Along: A Memoir,” by Andie Mitchell | Healthy Aging Series: Season 9, Episode 2

/in , , , /by

I am a cyclist. I don’t ride as much as I used to ride because my primary sport is backpacking and I’m usually preparing for backpacking trips to places like the Red River Gorge, the Smokies, the Grand Canyon, Colorado, or Utah.

When I was 55, I rode my bicycle across the state of Indiana in one day. They call it the RAIN Ride. It was on my birthday, and it started in Terre Haute, my birthplace. Pretty cool.

A year later, I flew to DC, took my bike, and rode the Vernon trail from Mount Vernon to DC, about 20 miles. I rode through the District Columbia and hooked up with a couple of local cyclists that guided me to the Adams-Morgan neighborhood, and finally to the Tryst Coffee Chop next to the Madam’s Organ Bar. Also, a cool trip.

It was a memorable trip, because of the conversation that I had with a musician I met near downtown Alexandria, just off the Vernon trail. I had stopped to take a bathroom break and struck up a conversation with a gentleman setting up his glass harp. He shared information about his life. He had immigrated as a young child from Eastern Europe. He told the story about how his father had a problem with alcohol. That they lost the family home and everything they owned because of his drinking problem. “Alcohol is the scourge of this country,” he declared.

My heart broke for him. It’s not the first time I’d heard a story like this. My son’s great-great grandfather lost his ranch to alcoholism.

But I beg to differ with him. 

The Real Scourge in this Country

There’s no doubt that alcoholism is a devastating social problem in our country and in the world, but I have come to believe that there is a more devastating scourge in this country, and that is childhood obesity.

According to the Center for Disease Control, for children 2 to 19 years old, from 2017 to 2020, 1 in 5 are obese or about 14.7 million. We are not talking about being overweight but being obese or having a BMI of over 30. Compare that to the obesity rate of 1 in 20, in 1974, the year I graduated from High School. Some of the reasons for this increase are easy access to high-calorie junk food, few opportunities for physical activity, a lack of parks and playgrounds, and at least one parent who is obese.

Here’s a kicker: obese children and adolescents are five times more likely to be obese adults then those who are not obese as children or adolescents. And obesity can leave emotional as well as physical scars.

I recently read, “It was Me all Along,“ by Andie Mitchell, a story about growing up obese and overcoming it in her early 20s.

One take away that I gleaned from this memoir, and it confirmed my beliefs, was that childhood obesity is a scourge in this country. There is an increased risk mortality in early adulthood for individuals who were obese as children. Obesity in adolescence is significantly associated with increased cardiovascular disease, and metabolic disorders, such as Type 2 Diabetes in adulthood. There have been recent studies that show a higher BMI during adolescence increases the risk for several malignancies, such as leukemia, Hodgkin’s Disease, colorectal, cancer, and breast cancer in adulthood. These are some of the physical scars.

Andie Mitchell’s story has a difficult trajectory, but she struggled through years of trauma and shame as a child and adolescent suffering from obesity. 

I want to separate this blog into two episodes. Part one will look at childhood obesity through the eyes of Andie Mitchell. I think it’s helpful not just to look at the data but look at the damage caused by childhood obesity.

Part two will look at Andie’s break up with food. First, what motivated her to break up. I think her break up reinforces everything I write about in this season, and second, how did she maintain her breakup.

Andie Mitchell’s Childhood
Childhood obesity left an impression on Andie Mitchell that has continued throughout her life, even though she’s no longer obese. Obesity changes you and it is difficult to escape the physical and emotional scars.

Andie, in her 20s, had surgery to remove the excess skin that resulted from years of accommodating her obesity. Those scars are with her today at 32. But the emotional scars that obesity left, I’m certain, are deeper and at times painful reminders of her shame, embarrassment, and humiliation. She suffered at a time when social inclusion and acceptance by her peers was so important.

“The boys in my class called me fat,” she writes, “while the girls looked on, smiling.” 

Here’s what she learned as a child and teenager.

“I learned that if I made fun of myself for being fat, then the other kids couldn’t do it first. I learned that being funny, especially with the boys, made it much less likely they’d call me things like “wide load” or “lard butt.”

Recalling those moments, she writes, “The sadness I felt then and even sometimes now blares within me. It’s an all-encompassing, piercing sound – a fire alarm. It shrieks so loudly, I cower. I seek refuge by covering my ears. I think briefly about ducking beneath the stairwell, hoping its shrillness will be muffled if I hide from it. But it finds me always. It finds me when I am in the shower or walking on a treadmill; it wakes me suddenly in the night. It forces me to uncover my ears. And I hear it while trying not to listen to what it means. The pain, the sound – it’s deafening.”

“Eating,” she later rights, “made me forget.”

Through these years, Andie developed a relationship with food. She depended on it, not as fuel, but for companionship, someone to be comforted by and feel connected with. “Food came to exist as the only thing in my life that was mine, and mine alone.“

Andie’s most heartbreaking story happened as a freshman at the University of Massachusetts. I’ll share the story in her words.

“We decided to take a different route back to the dorm and in doing so, passed by a row of off-campus houses, hosting rowdy parties of their own. Inside the house, just ahead of on our right, people could be seen in every window and rap music thundered out of the front door. A group of guys stood out front. Feeling friendly Nicole called out,“Heey!“ As we slowed our stride, the guys turned around, and the tallest one stepped forward, immediately returning Nicole‘s enthusiasm. What are you girls up to? We stopped here on the sidewalk while Nicole explained in her friendly way that we just left  SigEp and that we were on our way back to our dorms. It was a gift of hers to create conversation with anyone, and it seemed her charm had found us a new party to Rock. That is, until one of the guys on the lawn shouted to us. “Hey you!” His eyes were on me. I smiled and started to toss a hello back his way. “No Fatties allowed!!“ It was a swift kick to my stomach.“

There are many, many things that affect us as children. Crooked or discolored teeth, facial scars, or birthmarks, a cleft palate, not to mention skin color, a gender assignment that mismatches with one’s identification, a first or last name, and I could go on and on. 

People can be Thoughtless, Mean, and Cruel

Children, high school peers, and adults can be thoughtless, mean, and cruel. Their actions dehumanize us. They make us into that one thing that is different about us. 

With childhood obesity, children begin seeing themselves as a body, not as a person with feelings, hopes, needs, intellectual gifts, whit, and other amazing interests. Consequently, everything is seen through that lens. They see themselves as powerless to change and learn to hate themselves. They begin to equate beauty with thin and become obsessed with the idea that they will never be beautiful. They begin to hate food. 

Complexes

The inner scars from childhood obesity can run deep. Dr. Carl Jung, the founder of Analytical Psychology describes this as a complex, an unconscious, organized set of memories, associations, fantasies, expectations, and behavioral patterns or tendencies around a core theme, which is accompanied by strong emotion. 

Childhood obesity develops a complex within a child’s unconscious that possesses and controls them throughout their life, which can lead to neuroses, depression, and self-loathing, if not treated . 

Getting Help with Obesity

Andie Mitchell got help from a therapist and a nutritionist. They didn’t heal her because individuation, the process of becoming your true self, is a lifelong process. She lost weight, changed her relationship with food, changed the way she looked at food and is now helping people through her website, “Can You Stay for Dinner.“

Part two will come later in the season and look at how Andie broke up with food and maintained that breakup for years.

To read more entries in the Healthy Aging series, click here.

Breaking Up (with Food) is Hard to Do – The Mark Neese Version | Healthy Aging Series: Season 9, Episode 1

/in , , , /by

[Verse 1]
Don’t take my food away from me!
Don’t you leave my stomach in misery?
If it goes then I’ll be blue!
‘Cuz breaking up (with food) is hard to do.

[Verse 2]
Remembering how it taste so good.
I even dream of full plates of food.
Think of all that we’ve been through.
And breaking up with food is hard to do!

[Chorus]
They say that breaking up with food is hard to do,
Now, I know, I know that it’s true!
I lost some weight, but now it’s back!
Instead of breaking up, I think I’ll have another stack (of cookies)!

[Verse 3]
I beg of you, don’t say goodbye!
Why can’t I have another piece of pie?
Come on, donuts, let’s start a new!
‘Cuz breaking up (with food) is hard to do!

[Chorus]

They say that breaking up with food is hard to do
Now, I know, I know that it’s true!
Why can’t I keep off all those pounds!
Instead of breaking up, I think I’ll have another Mounds (Bar)

[Verse 4]
I beg of you, don’t say goodbye!
Can’t I have another order of fries?
Come on, sugar, let’s start anew!
‘Cuz breaking up with food is hard to do

The original “Breaking Up Is Hard to Do” is a song recorded by Neil Sedaka, co-written by Sedaka and Howard Greenfield. Sedaka recorded this song twice, in 1962 and 1975, in two significantly different arrangements, and it is considered to be his signature song. -Wikipedia

Why is it so hard to lose weight AND keep it off? 

You know the drill. Over the course of 3 or 4 years, you put on an extra 20 lbs. You get tired of seeing yourself in the mirror. You muster up the motivation to start a weight reduction diet, something healthy like the Whole 30 Diet. There are several healthy diets, but the Whole 30 has worked for me.

You set a goal to lose 20 lbs. and give yourself 8 to 12 weeks to lose those pounds.

You struggle. You experience diet fatigue. You add an exercise regimen to the weight loss plan. And slowly, you lose the weight. As each week goes by, you’re amazed that your clothes are fitting better and you’re able to wear clothes that you never thought you’d wear again. You feel great. You’ve been able to show discipline over your appetites and control over food.

Now comes the depressing part. 

A year later you gained all the weight back. All of it. In fact, you settle in at the same weight that you were when you started the diet.

And this isn’t the first time you’ve done this. You’ve lost weight before. Six months or a year later you’re back at the same weight. It feels like a yo-yo.

There are some that refer to this weight that you always come back to as your Set Weight Point (SWP).

There was a recent Ted Talk that attempted to explain the SWP. The speaker explained that the SWP is mostly genetic and is “hard-wired” into our bodies. 

“The set point theory says that the body will settle at a specific weight where it likes to be,” says MD Anderson Senior Exercise Physiologist Carol Harrison. “And it will defend itself so that it stays at this specific weight.”

“The set point is established over a long period of time,” says Harrison. “It’s a very complex thing, but it appears that it is your body’s attempt to regulate itself, and that attempt results in a certain weight.”

I want to propose a different way of looking at SWP. Your SWP reflects the kind relationship that you have with food.

Your SWP reflects the patterns and routines that you develop with food over the course of your life. These patterns include what you eat, how much you eat, where you eat, how often you eat, who you eat with.

Food comforts us. It brings us pleasure. Much of our social life revolves around food. We think about it even when we’re not hungry. We eat when we are angry, or sad, or happy. We have an emotional attachment to food.

At times, we have a toxic or dysfunctional relationship with food! And it’s a difficult relationship to change. 

If you want to change the how, what, when, where, and why about food, then you must change your relationship with food.

Maybe we need to have a “break up” with food and by break up I mean changing how we live our lives with food.

Think about being in a toxic friendship. You can’t simply keep seeing the person, talking to them, and spending time with them and then expect that it’s going improve without addressing the things about that friendship that make it toxic.

Maybe your relationship with food isn’t toxic but, at a minimum, it’s dysfunctional.

This season was originally intended to be one episode in Season 9 but as I read and wrote, the episodes grew and there will be at least 12 episodes. 

I’ve included several episodes from “obesity memoirs,” from people who struggled with obesity, had a breakup with food and maintained that breakup.

There are two books that I devoured (sorry for the pun) during my reading this season. One helps you change the way you think about food and yourself, “The Beck Diet.” And the other is “Dopamine Nation,” which will help you understand that you can be addicted to food.

In Episode 3, I explain what it means to have a dysfunctional relationship with food.

In Episode 5, I explain why is so difficult to break up with food.

Starting with Episode 7, I give several cognitive-behavioral strategies that will help you in the breakup process.

In Episode 2, my next episode I share an “obesity memoir” entitled, “It was Me all Along,” by Andie Mitchell. A wonderful story about a woman’s breakup with food.

To read more entries in the Healthy Aging series, click here.

True North with the AFSP in the Out of Darkness suicide prevention community walks

“Out of the Darkness” Fundraiser with the American Foundation for Suicide Prevention

/in , , , , /by

As a society, we struggle with repressed emotions, feelings of hopelessness, and sadness to a worrying degree, and as a counseling practice, we see it in our own patients consistently. We provide assistance and care to those suffering, who walk in the dark – that’s why we felt that it was pertinent for us to form a team and partner up with the American Foundation for Suicide Prevention in their “Out of Darkness” Community Walk, taking place on November 5th, 2022.

We pledged our team to fundraising, and have set our goal to $250 with the intent to honor those lost to the darkness, but also to support those we see, those we love, and those we work with who struggle and grapple with this concept daily.

To donate, join, or support our team, you can visit https://supporting.afsp.org/team/297815. There, you have the option to donate to a specific member or the entire team, download checking forms for donations, or register to join the team.

The Community Walks have been going on since 2004, and we’re proud to be able to participate this year to band together with others who fight against suicide. The American Foundation for Suicide Prevention is the largest private funder of suicide prevention research, and their evidence-based programs implemented in local communities across the country reach millions of people every year, so we’re excited to contribute to their work as we continue in tandem with ours to provide a helping hand.

Together, we hope to open all the avenues of communication around suicide and to rid the negative stigma around getting help when you need it so that it doesn’t have to become a last resort. If you’re looking for a safe place to start your journey out of the darkness, we’re always here at True North for you, and you can contact us or call us at 502-777-7525 anytime.

If you you need immediate help, please call the National Suicide and Crisis Lifeline at 988, chat online at 988lifeline.org, text TALK to 741-741 for a texting option, visit a medical or emergency building such as Urgent Care, your local fire or police department, or talk to a trusted person in your life so that you don’t have to struggle alone.

We’re all in this fight together, and we want to be here for everyone in every way we can be!

Healthy Aging: Psychological Resilience 10 Practices to “Keep Your Head in the Game” of Life!

10 Practices to “Keep Your Head in the Game” of Life! | Healthy Aging Series: Part 12

/in , , /by

I’m on a Southwest flight 31. Headed to Chicago and then to Cancun, Mexico. Vacation mode. With my wife. We work hard at helping others. We give a lot of ourselves. Often, times we see a lot of pain and suffering. I see broken families. I see men and women in despair, and yes, I see hopelessness. All of this takes a toll on us on us. That’s what life does.

Life Can Be Messy 

Throughout our lives we experience the loss of  jobs, of first loves, or the loss of money in the stock market. We live through the stress of a spiteful supervisor, the stress of an irrational neighbor, the stress of living in a partisan country. We carry the burden of wayward children and grandchildren, the burden of an ailing partner, the burden of a dying parent. We endure the disappointment of unfulfilled dreams, unrequited love, and undeserved betrayals. Life can be a mess.  How prepared are you for those messes, the mental and emotional upheaval‘s? How psychologically resilient are you? How quickly do you rebound from the disappointments, from the unexpected adversities, and from unwanted changes?

What is Psychological Resiliency?

I have written in an earlier blog about resiliency. In some ways it helps to understand that physical resiliency is the opposite of physical vulnerability or physical fragility. Psychological vulnerability and  fragility are similar in many ways. Psychological resiliency acts as a buffer between us and our adversity and helps preserve our emotional balance or what some call homeostasis. Why is this important and what can we do about it?

Psychological resiliency is important because of the body-mind connection. If we are fragile psychologically or physically it affects our mental resiliency. People that are physically frail often suffer emotionally and psychologically  and vice versa.

If psychological resiliency is that important,  how does one become more psychologically resilient? How does one develop emotional stamina, mental strengthen and endurance? The mindfulness community teaches the phrase “What we practice grows stronger. The AA community refers to the 12 steps and encourages its members to practice the principles in all their affairs.

Becoming and maintaining our psychological resilience takes practice.

In the same way that you need good nutrition and exercise for physical resilience, you need good mental nutrition and mental exercise for psychological resiliency. Becoming resilient and maintaining our  psychological resilience takes practice. Much like you need good nutrition and exercise for physical resilience you need good mental nutrition and mental exercise to grow your psychological resilience. It’s all about diet and exercise. 

Living My Life by Slogans (Practices)

I have based much of my own psychological resiliency on slogans and  mottos that reflect resiliency practices. What follows are a number of those slogans that I encourage you to practice. 

1. You have to adjust to the things that won’t adjust to you. I believe this means living life on life’s terms. There are a lot of stressors and things that happened to us throughout our years and our expectations of life, and these events can create a reactivity to the stressor that takes its toll on us both mentally and physically. Excepting the things that we cannot change is part of the process of developing resiliency.

2.  Easy does it. I have learned to not push so hard when pursuing my wants and needs. As a therapist I’ve learned that working with families involves being a change agent. I use the Easy-Does-It approach when is work with families. This means taking it slow and not pushing so hard for change.

3. The golden rule: Do unto others as you would have them do unto you. If there is any guiding principle in life that I use, it’s the practice of treating others the way that I want to be treated. Practicing this principle eliminates conflict in relationships.

4. Memento Mori: “Remember that you will die.” I think about dying every day. There’s a lot to be said about this. Stoics believed that life only has meaning in light of dying. Resiliency grows as you make the most of each day, and that comes as we appreciate the meaning of each day.

5. “I treat everyone like my peer.” A few years ago I was watching an interview with Norman Lear, the creator of “All in the Family” and “The Jeffersons.” At the time he was 93 and his interviewer asked him how it was that he seemed so youthful. His response was, “I treat everyone like my peer.“ There are practices that can alleviate resistance and difficulty in relationships. This is a practice that helps people or puts people at ease when they are with us and allows us to create it environment for them and promotes your resiliency.

6. Do the Next Best Thing. Life can present us with difficult decisions to make in the future. We fast forward at times into our future and think about all the things that we might face. We become overwhelmed by what “might be.” Doing the next best things means focusing on the here and now and dealing only with the problems that you face now. The future can rob you of your serenity and contribute to your loss of resiliency.

7. Build a Repertoire of Positive Sentiment. I go places with my wife to build a repertoire of positive sentiment. I hike for the same reason. I backpack for the same reason. I read and listen to new music for the same reason. I spend time with my sons and granddaughters for the same reason. This repertoire is a protect bubble that protects you from the hardships of life.

8. Balance Giving and Receiving. I know you’ve heard the slogan: It’s better to give than receive. This is BS. You must be a receiver for someone to be a giver. I love giving, but only being a giver ensures that you will become cynical and burned out. Learn to be a receiver.

9. Balance Work with Play. If you are going to be resilient you must play. You must have fun. You must be a little boy or little girl and play in the mud and make mudpies. You must make playdough cookies. You must laugh. You must tickle and be tickled. 

10. Spend Time Alone in Your Head: -reflecting -creating -using active imagination. There is the saying in the religious world, “Let go and let God!” I prefer, “Let go and let the wonderful, hidden thoughts that you’ve repressed and suppressed express themselves in those quiet moments that you spend by yourself.” I often do this while hiking by myself in the Jefferson Memorial Forest. I also suggest one of the Parklands of Floyd’s Fork parks. Reflect on the day. Reflect on the year. I love thinking back on the old year each New Year’s Day. Not all the memories are good but reflecting in them is necessary. 

These are my life-affirming practices. What are yours? What’s working for you? What gets you through the hustle and bustle of life? What helps you decompress from the stressors in life? What you practice is growing stronger.

This is part twelve in the Healthy Aging Series, written by Mark Neese, LCSW, BCBA. To see more entries in this series, click here.

Healthy Aging Series: Part Six: Five Ways to Make Time Slow Down

Five Ways to Make Time Slow Down | Healthy Aging Series: Part 6

/in , , /by

My wife and I were running errands the other day. We were fighting traffic on Bardstown Road and she shared some of the posts from some of her Friends on her Facebook page. Then, one of her past memories popped up from ten years ago. It was one where we had gone to Waterfront Wednesday for an outdoor concert ten years ago to see Company of Thieves. “Time flies,” I said, with a smile. It does seem to go by faster as you get older. You wake up and it’s December. Before you know it, a decade has passed. 

Disclaimer: It is scientifically impossible to slow down time, and I’m pretty certain that time moves at the same speed whether you’re twenty or sixty. So, I’m really not going to give any suggestions for actually slowing down time.

What I am going to do is give some suggestions for making time more meaningful, or making the most of the time we have. 

Your life is a tape measure.

A friend of mine told me the lesson that his father-in-law gave him about the value of the time we have left. He held out a tape measure to about 12 inches. He explained that the twelve inches represent your whole life. He then shortened it to 3 inches and said, “If you’re lucky, this is how much life you have left when your sixty.” Hold your hand out in front of you with three inches between you thumb and forefinger. Three inches, that’s it.

Making the Most of those Three Inches.

Okay, how do you make the most of the time you have left, whether it’s forty or twenty years? I’ve collected five practices that can help. 

1. Practice Reflection.

Take some time each day, preferably before you go to bed, and think about your day. Think about your actions during the day. Reflect on the people that you had contact with during the day. How did you treat them? Did you follow the Golden Rule? You ask yourself if you could have done things differently, things that happened during the day. Reflection is about self-examination and growth. How did you handle criticism during the day? Did you spend the day honoring the things that you value? Consider the emotions that you expressed during the day. Did you overreact to anyone? Did you blow things out or proportion? If so, what would you do differently next time? 

Reflect on each day’s activities, not for self-condemnation, but for self-appraisal, not for shaming yourself, but for learning lessons.

Tip: Before you go to bed this evening, find a quiet place and write a few lines in a journal about the day, successes and failures, and most important, lessons you learned. 

2. Practice Mindfulness.

Mindfulness is the process of disconnecting from time. It is the practice of finding the meaning of the moment. You find a quiet place. It could be a corner in your home in a corner of the forest. I find that mindful-hiking helps me. I get lost in the forest and in my thoughts. I walk without thinking. Without judgment and with full acceptance, I let my ego fall silent and allow the shadow to come to consciousness. At times, I talk to my parents, who passed on years ago, and I let them speak to me from my unconscious. I dream during these times. I let my senses affect me: the bird-sounds, the musty smells, the glossy leaves, and the intermittent breezes.

Tip: Take a one-hour walk in the woods or the park by yourself. Let your mind drift. Hikers experience something called Hiker Dissociation. It’s amazing.

3. Practice Youthfulness.

We tend to take things way too seriously! I’m not sure if this is a side-effect of the PURPOSE DRIVEN LIFESTYLE that has become popular on social media. Maybe it’s because we’ve forgotten how to play. Maybe it’s because we have forgotten how to see the world the way children see the world. Alan Watts, the philosopher said, “The physical universe is basically playful. There is no necessity for it whatsoever. It isn’t going anywhere.” He rejects the idea of life being a journey and compares to dance. Dancing should be fun! Dancing is invigorating! Dancing is play! Watts’ admonition is: Don’t take life to seriously!

Tip: Take some time today and be playful. Turn on some music and dance. And sing. Try to see things that way a child would see them. 

4. Practice Gratitude.

The Stoics used a practice called Negative Visualization. It involved visualizing your life without the things that you value, like your health, wealth, or family. “All things human,” Seneca reminds us, “are short-lived and perishable.” Negative visualization is a for of gratitude. Its ultimate goal is to help us value the things we have and the people in our lives by imagining what our lives would be like without them. It teaches us to have gratitude for what we have. We stop wanting more and teaches us to value the things that we already have. It teaches us the meaning of a goodbye kiss, knowing that it could be the last. Practicing gratitude forces you to stop and think about what you have now.

Tip: Take some time today and imagine your life without someone or without something that you value in your life. Take this very slow and ponder on it for an extended period. 

5. Practice Flexibility.

One of the slogans that I live my life by is You have to adjust to the things that won’t adjust to you. Life will always throw you a curve ball. No matter how hard you plan things, sooner or later, those plans are going to have obstacles. Being flexible means living life on life’s terms. I can go on and on, but you get my point. Rigid people are always frustrated because rarely do things turn out the way they expected. Maybe, being flexible means lowering your expectations of people, places, and things. It insures that you’ll rarely be disappointed with the mundane events that make up our day to day existence. 

Tip:  The next time you get frustrated about something not going the way you planned, take a few minutes and breath. Tell yourself, I can’t control people, places, and things; I can control my expectations.

This is part six in the Healthy Aging Series, written by Mark Neese, LCSW, BCBA. To see more entries in this series, click here.

ROMMIE’S THOUGHTS ON ECKHART TOLLE’S THE POWER OF NOW

Rommie’s Thoughts on Eckhart Tolle’s The Power of Now

/in , , , /by

Where is your mind? Right now. In this moment. What is on your mind?

Imagine picking up whatever is on your mind and setting it outside the door. It will be fine sitting there. Now, look up. What do you see? What do you hear? Notice I did not ask what you feel.

I’m outside. I hear a soft rustle of leaves. A robin’s song. A buzz. The subtleties of a distant jet.  This is the Now. There are no problems in the Now. Life just is. This is the wisdom of Eckhart Tolle (ET), author of The Power of Now. Every moment of every day is what it is, as if we had chosen it that way, good or bad—and even “good” or “bad” are just concepts of the mind. The things we judge. The things we react to. The things that we empower to literally suck the life energy out of us as if the problem shouldn’t be what it is.  As if we shouldn’t accept life as it is just now. As if we shouldn’t accept, that in large portion, we have likely created whatever “problem” we are reacting to. If we accept the “problem”, what will happen?  We will become conscious. ET’s philosophy is to become aware, conscious, awake to what is. Accept what is as if you had chosen it. Then observe the transformation. The evolution of consciousness, of acceptance, of peace.

Our egos love to react.

Our egos love to argue, to fuss, complain, and demand that life be “better” as if the ebb and flow of life should be something other than what it is. 

I’m here to challenge you to give the “Now” a chance.

It takes practice to live, speak, and enjoy the Now, which is really all anyone has.  Becoming conscious of one’s self, one’s ego, one’s identification with mind is the first step towards acceptance, towards peace. ET teaches to observe your thoughts but don’t believe them. Think about when you quarreled with someone last. If you’re honest about your role in the non-peace, it likely comes from a place of fear. A fear of being wrong. A fear of “losing”. Losing what? And even if you “lose”, what does that mean about you, if anything? Can you accept the circumstances without judging them?

Which brings me to resistance. Can you accept the circumstances without resistance?

ET teaches that suffering does not come from the circumstances but our resistance to them. Again, whatever the circumstances are, this is the way it’s supposed to be. Our response, not reactivity, is to embrace whatever “is”. Whatever the circumstances are is the way the circumstances are supposed to be…or they wouldn’t be that way.  It is our reaction or response that determine whether or not we suffer.

Surrender to what is.

ET teaches that “surrender is the simple but profound wisdom of yielding to what is rather than opposing the flow of life.” When you stop resisting what is, when you surrender, the past and future cease to have power. 

But what if someone wrongs me? Does acceptance and surrender mean I allow others to mistreat me?  Does surrender mean give up? Give in? Enable disrespect?  What if I have disrespected another person?  Do I accept that, do I surrender to that? ET teaches that “resentment and pain arise from the false sense of self we’ve created for ourselves and others.”  That our grievances are reactions to the artificial egos of others. He teaches how to bring non judgment and equanimity when others overstep our boundaries. He also teaches how to forgive our past selves and what to do when the pain of memories hijack our emotions. Holding on to old wounds is one of the surest signs that we are caught in the egotistic thinking of the false self. However, ET shows us the way to let go and embrace the liberation that living in the present moment, the Now, brings us.

Make the present moment the primary focus of your life.

Rommie OshriehRommie Oshrieh is Co-Founder/Owner of Sage Support Services and True North Counseling.

She serves as Executive Director of Sage and has served as a Case Manager/Supervisor for individuals with Developmental and Intellectual Disabilities for the past 15 years. 

body image

Improve Your Body Image Satisfaction with Instagram… Seriously!

/in , , /by

Written by Rachel, Eichberger, our Masters of Science in Couples and Family Therapy Intern

How many times have you scrolled through social media platforms and been overtaken by a hopeless, discouraged feeling as images of thin-ideal, white bodies zoom past view? You’re not alone. These images of unattainable, altered body images seem to dominate algorithms and then contribute to viewer body dissatisfaction across genders and ages in the United States. For individuals identifying as female, “body dissatisfaction is pervasive with 91% of women indicating that they prefer an alternative body size or shape and this dissatisfaction remains relatively stable across the lifespan” (Wallis et al., 2021, p. 1). Ultimately, body dissatisfaction can lead to the “development of risk factors for eating disorders in adolescent girls, including body dissatisfaction, internalization of appearance ideals, drive for thinness, and dietary restraint (De Vries, Peter, de Graaf, & Nikken, 2016; McLean, Paxton, Wertheim, & Masters, 2015; Tiggemann & Slater, 2016). 1

So, what can be done?

It seems unrealistic to completely unplug from social media in our society. This presents an opportunity to determine if platforms like Instagram and Facebook can be used for a shift and positive change toward body image acceptance and self-love. Studies have shown that Facebook can indeed have a positive impact when harnessed correctly. For example, a study conducted with mothers in Australia demonstrated that after frequent views of non-thin ideal images and body positive content, participants may have decreased body dissatisfaction. Some of the moms set goals to “change attitudes and behaviors about body functionality, improved self-compassion, and reduction of internalization of the thin-ideal.” 2

If you find yourself seeking content that doesn’t leave you feeling ostracized, less-than, or even hopeless, consider following body-positive influencers for exposure to non-conformative content. Here are a few posted in “20 Body-Positive Instagram Accounts to Follow Right Now” by Kaitlin Pirie:

@theshirarose | Eating disorder therapist, LCSW + body positive style blogger. 🌈🦄 🏳️‍🌈 Fat positive + Health At Every Size. NYC ✈️ LA

@mynameisjessamyn | HBIC. @theunderbellyyoga @jessamynscloset. Author #everybodyyoga #yokebook. Podcast @dearjessamyn. Advocate @wegohighnc

@laura.iu | 🧁Anti-Diet Dietitian • She/Her 🌱Inclusive Nutrition Therapy • Intuitive Eating • Body Liberation ✨Learn how to feel good in the body u already have

@theantidietplan | 🛋 NYC Psychologist 📖 Author of The Diet Free Revolution 👇🏻

1. McLean, S. A., Wertheim, E. H., Masters, J., & Paxton, S. J. (2017). A pilot evaluation of a social media literacy intervention to reduce risk factors for eating disorders. International Journal of Eating Disorders, 50(7), 847–851. https://doi-org.echo.louisville.edu/10.1002/eat.22708

2. Wallis, K., Prichard, I., Hart, L., & Yager, Z. (2021). The Body Confident Mums challenge: a feasibility trial and qualitative evaluation of a body acceptance program delivered to mothers using Facebook. BMC Public Health, 21(1), 1–12. https://doi-org.echo.louisville.edu/10.1186/s12889-021-11126-8

 

Friday Waypoints

Friday Waypoints – 05/17/19

/in , , , /by

Mark Neese is back with another Friday Waypoints blog post. On this weeks Friday Waypoints, Mark discusses how drugs cause parents to abandon their children, why the internet is a dangerous place for teens, and he revisits The Parklands of Floyd Forks. Mark discusses his previous visit to The Parklands of Floyd Forks, a hidden gem in Louisville, KY, in his Friday Waypoints on 5/10.

Drugs and Parents that Abandon Their Kids

I’ve been working with families for about 25 years. My early career was working in the rural counties surrounding Louisville. The families that I worked with were struggling with poverty and at times intellectual disabilities. It was challenging and rewarding. Every now and then I run into one of the family members that I worked with and it is very gratifying to see them doing well these many years later.

Today things are different. I have never witnessed an epidemic as I have today: parents abandoning their children because of drugs. This past weekend was Mother’s Day and two of the teens that I work with wanted to call and talk with their mothers but were unable to contact them because they were both AWOL. Both mothers are semi-homeless and have serious drug problems. To compound the problem, one of the teens witnessed his father being taken away in an ambulance because of a suspected overdose, on the very same day. Not such a “Happy Mother’s Day.”

Meditating in The Parklands of Floyds Fork (Reprise)

I was back at the Parklands yesterday to visit the Moss Gibbs Woodland Gardens. It is the gem of the new park system. It’s beautiful, and quiet, and I anticipate spending many of my mornings there. I’m practicing Mindfulness and using guided meditations by Donald Seigel. For those interested in learning more you can visit his website for free meditation downloads: http://www.mindfulness-solution.com.

The meditation that I used yesterday while sitting in the midst of the garden was one that focused on self-compassion. During this meditation you focus on the phrases: “May I be happy, may I be healthy, may I live at ease,” or “May I be safe, may I be at peace, may I be free from suffering.” You can do this while driving, walking or sitting in a quiet place in your home. The Woodland Garden offers a place to sit quietly and listen to the Towhees, wrens and Cardinals. It offers a place to be part of a forest.

The Internet is a Dangerous Place for Teens

I am working with a Teen that was nearly swallowed up by Internet. Her mother saved her. It started with the website, “Wattpad.” This is a social storytelling platform. It ended with her sending pictures of herself to perfect strangers through a group on Instagram: #ddlg. She was being groomed for something dangerous and evil.

These are adult sites and 13-year olds should not be on them! She had no clue what she was getting into.

Parents, monitor your teenagers on the internet. There are predators that will take advantage of their innocence and take it from them!

Quote I’m Pondering

“Your smile and your laughter lit my whole world.”

― Ranata Suzuki

What the Organizational Experts Get Wrong

/in , , /by

“The Life-Changing Magic of Tidying Up,” “It’s All Too Much,” and “Outer Order, Inner Calm” have been a frequent topic in many circles as of late, especially with the demands for a season two of the Netflix version of Marie Kondo’s empire. All of these books have value, but each takes a slightly different approach to de-cluttering and organization. And all miss some things that may run deeper than just “stuff.”

We all live with a little clutter—it seems to accumulate around us without us even knowing, despite Peter Walsh’s assertion that people don’t “accidentally” accumulate things. As anyone who has moved after living someplace for a significant period of time knows, stuff has a way of accumulating.

In “The Life-Changing Magic of Tidying Up,” Marie Kondo takes the approach of thanking our items for their service before relinquishing them, whether they are sent to a resale shop where they can have a new life with a new owner, or sent to recycling, where they can become a new thing, or (least preferably) to the trash, where they can complete their life cycle and return to the earth. However, Peter Walsh writes, “Start with the stuff (as most people are inclined to do when they try to conquer their clutter) and you are pretty much guaranteed failure. Start with the vision you have for the life you want and you have taken the first real step to long-term and remarkable change.”

But what happens when you find yourself completely overwhelmed by the task before you? Hoarding disorder, as defined by the American Psychiatric Association, is closely related to anxiety disorders. People who engage in hoarding feel tremendous distress at the idea of getting rid of their things, and may react with anger, sadness, or shutting down when a family member (even a well-meaning one!) attempts to “help” by ridding them of their possessions. (One of my favorite television shows, “Call the Midwife,” had a recent episode in which an elderly woman refused to leave her stuff, even though she was in need of medical care. Her backstory was that she had endured tremendous deprivation during the first World War, then subsequently as a Suffragist in Holloway prison.)

Often, hoarding begins as a symptom of trauma. It is not unusual for therapists who specialize in hoarding disorder to see clients with tremendous trauma who begin accumulating “stuff” as a way to, quite literally, wall themselves off from the scary, outside world. Unfortunately, this accumulated trauma and accumulated stuff have a way of getting between people and disrupting relationships. “Stuff” can cause people to not invite friends or family into their home, can be a contributing factor to separation and divorce, to say nothing of the stress it causes for individuals engaging in it.

If you have a loved one struggling with mental illness, your first thought may not be to seek out therapy for yourself. But a qualified mental health professional may be able to help you deal with the challenges of a loved one’s illness—reach out!

Friday Waypoints- 1/11/19

/in , , , , /by

Job Satisfaction

Every now and then something happens that makes you question yourself and what you’re doing. This week I had a brief encounter with a young man that is struggling with life. He’s living with his mother, unemployed, and bearing a mental health burden that no one deserves. My heart goes out to him and his mother. Unfortunately, he is unable to handle the gentle pressure that therapy sometimes places on you and our session ended prematurely due to his very agitated response. And unfortunately for me, his response triggered memories of similar incidents over the past 25 years. That’s the nature of the work we do. Sometimes people come to us and change us. I shared this incident with a colleague and she shared a similar incident that almost caused her to quit being a therapist. She was assaulted by a client during a session. We are people. We love helping people.

So, what do we do? We see the next client, weather the negative reviews on google, share our burdens with family and friends, get out and hike. We listen to the latest Bon Iver album. At times, we see a therapist. And we stoke the flames that that burn deeply within us, that brought us to the very first therapy session, that for some of us was 25 years ago.

I love what I do. Later in the week, I sat across from Harper, a 14-year old that needs my help. She was abandoned by her father and struggling to make sense of it and of life. She’s growing and it warms my heart. Like I said, sometimes people come to us and change us.

Stoic Quote

A friend gave me “The Daily Stoic,” by Ryan Holiday. The quote for this past Wednesday was from Epictetus: “Some things are in our control, while others are not. We control our opinion, choice, desire, aversion, and in a word, everything of our own doing. We don’t control our body, property, reputation, position, and in a word, everything not of our own doing.” Those of you that know me, know that I live my life based, in part, by slogans. It helps me stay focused on the important stuff. One slogan that relates to this quote from Epictetus is “Adjust to the things that won’t adjust to you.” This slogan reminds me that there are things that are not going to change no matter how much effort I apply to them. In a way, that’s why I love the Jefferson Forest, and the Red River Gorge, and the Grand Canyon, and all the other places that I explore. They are not going to adjust to me no matter what I do. We need immutable things in our lives. And we need to adjust to them. That includes places AND people.

Student Intern

Our new Student Intern started this past week. Her name is Sharonda Tunstull. She is a graduate student at Campbellsville University, working on her Master’s in Social Work. We are so fortunate to have her with our agency. She is going to be developing an Adolescent Group and seeing individuals and families for therapy. She is also going to co-lead a group for individuals with development and intellectual disabilities called, “Positive Relationships.” Welcome aboard, Sharonda!!!!