What I Do When I Fall in and out of Running

Not feelin’ it

I don’t like running, and I have fallen in and out of like with running for at least a decade. I suppose it’s more accurate to say I’m in a “I dislike running” phase. I first started running to get my mind off a difficult time, and I kept running when I found that I liked the meditative factor of it. Left-right-left-right, breath iiin, left-right-left-right, breath ouuut. Turns out, there’s something to it.

When we’re down in the dumps, we often want to sit in our sorrow, maybe grab a pint of ice cream and binge out in front of a light television show, or perhaps yell at a classic rom-com, “IT’S JUST NOT REAL” when the guy gets the girl. 

Just me? Yeah, I didn’t think so. 

Our body needs bilateral movement

Anyway, that’s all fine and good (in small stride) and what our bodies might also need is a little movement, a little bilateral movement. Okay, it’s going to get a bit technical here. Whether it’s walking, biking, running, swimming, what’s being activated is both sides of our brain, it’s bilateral stimulation (popular in EMDR Therapy)–that is, our brain is using both left and right hemispheres while our body is moving and taking in its surroundings.

When our brain is used in this way, we’re moving out of a “fight, flight, freeze, fawn” way of thinking into a cognitive processing way—and that’s when we are more able to feel calm, to feel relaxed. Even if it’s just a little bit, for a little time, this movement can remind our brains, and thus, our bodies, that we are okay. It’s okay. I’m okay. Over time, this reminder (even if we fake it until we make it) can help pull us out of the dumps in which we sometimes find ourselves.

Running to release 

The more I ran, the more I let go of my troubling past experience, not letting it run my mind. It wasn’t a running away from as much as it was a running through. When allowing my body to move, in a way that is calming to me, I was allowing my mind to reassess my situation, bring my awareness to the present, and be.

I’ve noticed over time, when I’m not in a “I like running” season, I’m usually focusing my movement elsewhere– like hiking, rock climbing, or dancing– and I try to remember it’s okay if I don’t stick to one activity. I have a hunch, though, that I’ll be falling back into running come autumn, the season and the season for my running stride.

What about you?

Sometimes life doesn’t go as planned, and when it doesn’t, it’s easy to forget that we may already have the tool(s) that gets us through– whether we’re currently liking it or not. Next time you find yourself at the bottom of that cookies-and-cream pint, tell yourself “It’s okay,” and then reward yourself with a little bit o’ movement, too.

Need more? 

Whether you’re needing to resume something that you know would be good for you or you’re wanting to get started on something new, I’m here for you. I know what it’s like to not feel like doing something, and to find my way back to it (time after time).

I want to help you find your way, whatever that might look like. 

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Rachel Keo is our newest clinician at People Bloom Counseling, a Redmond psychotherapy practice in WA. She helps young adults and working professionals with life transitions. As a former high school teacher and a Peace Corps Volunteer and Teacher in Albania, she also has a heart for working with school personnel. When she isn’t running, she’s playing with her cattle pup, Kenji, and trekking the mountains by foot or rope. She hopes to have an opportunity to go through your life journey with you!

When Grief is Messy: 3 Lessons Learned (Plus a Bonus)

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When Grief is Messy

I work with cancer patients and go through the ups and downs of diagnosis and treatment with them. Having recently lost my father-in-law and previous to that, lost family members to unexpected causes, I understand that grief can be messy. 

Earlier this year, for reasons prior to my own recent loss, my relationship with grief started to shift. I miss people I’ve lost but I’m starting to accept that grief and loss are a natural part of life. While it matters how the person passed away and whether I had a chance to say goodbye, their physical absence is permanent and nothing I do can change that. I still feel saddened by their loss, but the grief feels calmer, more settled. Through my lived experiences and the witnessing of other people’s grief journey, I’ve come to three lessons learned. 

There’s no one way to grieve

When I listen to jazz, I’m reminded of dad. While washing his clothes, I teared up. We bought a used RV and he had previously questioned whether that was a good idea. I’d speak quietly to him, saying, “Dad, we’re going on an adventure”. I talk to other people about missing him. I want to be with others but I also want to be alone. 

My husband uses dad’s old keychain and will wear one of his Hawaiian shirts to our friend’s wedding tomorrow. He says he feels his feels but he doesn’t bring up dad. He has a quiet resonance to my sharing. There was a time when I wasn’t sure if he was distracting himself or avoiding his grief. I couldn’t tell, but I also need to trust his words for it. 

Grief doesn’t look any one way and it doesn’t need to. How we choose to honor the memory of those we’ve lost is very specific to us as individuals, so let’s not insist that we must cry at funerals or else it means that the person didn’t matter to us. Or, it’s a celebration of life, so no tears allowed; only happy memories. Or, how can you book a trip to Disneyland when it overlaps the deceased’s birthday, favorite holiday, or death anniversary? That’s so heartless!

How we grieve is how we grieve. How others grieve is how they grieve. Let’s not judge. 

When one grief leads to another 

The thing is, grief is messy; it’s not linear. I even intentionally mixed up the stages of grief in a previous post about cancer. Not only is grief all over the place, it also connects our hearts to other losses in ways we least expect it. 

While sad about dad, I was reminded of his sister whom we lost to cancer a few years back. Then I started missing her. As if it’s contagious, my mind shifted to an uncle on my MIL’s side of the family and we lost him almost eight years ago! My heart was whelmed over. WTF, I thought I’ve grieved the loss of these people! And I have, but that doesn’t prevent my heart and mind from making these connections. I was missing them all over again, and for a moment dipped into the pain of those losses.

It’s okay to cry again, to be surprised by your own emotions, and to replay the sound of that person’s voice in your head. Deaths are significant, no matter how long they’ve been. So take a moment and let your emotions run. The word “emotions” contains the word “motions.”

Your emotions need to move. Let them move from the inside out.

Grief happens when it happens and lasts as long as it lasts

As you can imagine, death doesn’t wait for you to be in between jobs, for your kid to be off to college, for there to be at least a five-year gap from when you last experienced a loss. Neither does grief. Grief happens when it happens. I was writing this blog and started to tear up. You can be reading a receipt and be reminded of your son’s hockey jersey number. We would need to stop watching most shows if we don’t want to be triggered by death and dying. It doesn’t take much for grief to surface and when it does, let it be. 

Grief also lasts as long as it lasts. When asked how long is my sister, my wife, my dad going to grieve, grief expert David Kessler answered, “How long is the person going to be dead? If the person is going to be dead, they’ll be grieving for a long time.” The first two years are merely the early stage of grief. Mature grief is when we live out the rest of our lives without that person. 

So, if those five days of bereavement leave didn’t do anything for you, that’s because it’s better than nothing and yet completely insufficient. Your friend got over their partner in a year and remarried and you’re still a puddle on the floor? Their grief is their business and your grief is yours. 

Let your own grief journey take you to your healing.

Bonus: Remember how you remember

If there’s no one way to grieve, there’s no one way to remember. However you choose to remember your loved one is right. And when you want to switch up your ritual, it’ll be right then too. Going fishing is a great way to grieve, as is riding on Space Mountain or eating curry fish. You don’t have to wear sackcloth and ashes to be considered legitimately grieving, though no offense if that is you. Only you would know if you’re grieving, so do you.

An invitation to grieve

My hope for you is that you may stay present with your grief and take some time with it. If you need help through the grieving process, you know where to find us. 

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Ada Pang is the proud owner of People Bloom Counseling, a Redmond psychotherapy practice. She helps unhappy couples find safety and connection in their relationship. She also helps cancer thrivers and their caregivers integrate cancer into their life stories. She remembers her friend Molly when she sees creepy art and eats Heirloom oranges. She celebrates her aunt when she eats dim sum. May you find your ways too.

Three Tips on How to be a Good Friend During a Medical Emergency

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Having been through a family medical emergency recently, how to best support the immediate family is top of mind. Friends and the larger community come with the best intentions, but sometimes, things get missed. Here are a few tips on how to be a good friend during these critical times. 

1. Drop off food in disposable tupperware - During a medical emergency, the last thing the family needs to worry about are dishes. If you want to drop off food, and there’s no obligation to, use unquestionably disposable tupperwares that do not need to be returned. If the family doesn’t answer the door, leave food on the porch and text. If they do answer the door, keep the conversation short. They might not have the emotional capacity to engage right now. 

2. Expect no responses - Everyone is different and we all respond to situations in our own way. When you reach out to your friend to show care and support, expect no responses. If they engage, great! If they don’t, let them be. They’re not trying to be offensive; they’re simply preserving their emotional and physical energy to cope with their loss. 

3. Respect your friend’s wishes - If you hear through the grapevine that your friend doesn’t want to be contacted for the time being, you’re no exception. Just because you’ve known them for a long time or you’ve been through similar situations doesn’t make you the person they want to talk to right now. Chances are, if and when they want to talk, you might very well be on speed dial. Until then, respect their wishes for limited contact. 

Similarly, if they requested vegetarian dishes and you make a great meat lasagna that they used to love, listen to what they’re wanting right now. A meal for two with no leftovers is not a code word for something else. 

It is hard to not be able to give the help and support you want to give when your friend is suffering. This is the time for your friend; not for you. When the tables are turned, I hope they’d show up for you too, in ways you find most supportive to you. 

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Ada Pang is the proud owner of People Bloom Counseling, a Redmond psychotherapy practice. She helps unhappy couples find safety and connection in their relationship. She also helps cancer thrivers and their caregivers integrate cancer into their life stories. She’s grateful for the power of friendships and how they can ease emotional burden during human suffering. Thanks for being that friend. 

Why People Seek Counseling in Two Simple Words

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The struggle is real

It goes without saying that the need for mental health counseling has increased exponentially given the pandemic. Racial trauma, political stress and gun violence have also added to the hurt, grief, trauma, anger and fear. These stressors exacerbated the problems that were already there. As I reflect on the reasons why people are seeking counseling now more than ever before, it comes down to two words: 

Being Human.

Our needs are real

If Abraham Maslow were still alive, he would’ve seen how the many stressors in recent history challenged multiple needs in his hierarchy, also known as the Maslow Hierarchy of Needs. As humans, we have basic needs for access to clean air, water, food, clothing, warmth and shelter. We want to feel safety and security in our employment, have access to resources, assets and good health. We desire closeness, connection and intimacy in relationships. We long to be seen, recognized, respected and treated with equity. We want to live to our full potential and leave behind a legacy.

The threats are real

Unemployment threatens access to basic needs and our sense of security. Eviction threatens shelter in a time when we need to quarantine. Too much time together with family threatens the need for personal space. Living by ourselves threatens our need for connection. Sickness, violence and death threaten health, relationships and legacy. Inequity and injustice bring up the historical and ongoing trauma that threaten the sense of belongingness, worthiness and need for access among marginalized groups.

Being human

If you’re struggling with one or more of these areas of your life, you’re being human. If you need help, that makes sense and we’re here for you. If finances or insurance is a concern, we have sliding scale spots through OpenPath Collective. If you need to slide lower than what we can offer through OpenPath, come in through this program and talk to your therapist. We’ll see what we can work out. 

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Ada Pang is the proud owner of People Bloom Counseling, a Redmond psychotherapy practice. She helps unhappy couples find safety and connection in their relationship. She also helps cancer thrivers and their caregivers integrate cancer into their life stories. She sometimes takes a break from everything that’s going on and turns to baking. She has made the same Earl Grey Yogurt Cake many times, varying the oil and sugar levels, using almond milk vs yogurt and substituting flax eggs for real eggs. By now, she enjoys seeing how her experiment turns out more than the eating of it. 

What to Do when your Self-Care Activities Don’t Work

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Most of us are not doing well

Back in July, I wrote about us entering the chronic stage of this global pandemic. Now a couple more months have passed and things are not much better. The smoke eclipsed the short summer we had left and last night’s first presidential debate was utter chaos. In light of all this, I should mention there are some people who are doing surprisingly well while social distancing, meeting online, and taking things in stride. But, that’s not most of us.

At best, many people are dipping in and out of feeling okay. At worst, they never adjusted and have been struggling since March. In the middle are people who rode the wave of crisis for a while and adapted, except the crisis never let up and they’re on the trajectory to burnout if not already there. 

2020 has been one hell of a year and we still have one more quarter to go. The quarter where Seasonal Affective Disorder (SAD) makes a comeback with the shorter days; the quarter where the next president will be determined; the quarter where some families will grieve their first holiday without their loved ones.

Zoom turkey is just not the same. 

You’re normal

If you’re struggling, you’re human. Some of the most ambitious, competent, adaptable and resilient people I know are struggling. It doesn’t mean you can’t hack it, because you likely have been through other trying times and made it to the other side. This time is different. It is the ripple effects of COVID, the continued disregard for Black and Brown lives, the devastating wildfires and the looming presidential election. There are countless stressful events in between that I initially listed but have decided to leave out because it gave me heart palpitations to write and re-read. If you wonder why you don’t have your shit together, it might be because you’re still processing the ramifications of the last event. Or the last few events. 

Stop trying so hard 

So, before you go off to list the self-care activities you either ought to be doing or have tried with limited results, let’s get something straight: Stop pressuring yourself to feel better. Meal prepping, going out for walks and journaling are great, but not with the undertone: This has got to work! This has helped in the past! Why can’t I get this to work?! It’s like pressuring yourself to fall asleep when you’re wide awake; good luck with that. 

Now I’m not asking you to give up, but I am urging you to approach this series of crises differently. This is not a nail you approach with a hammer or a screw you approach with a Phillips head. Rather, put down your tool and stop trying to fix things. Play Animal Crossing if you think it’s going to help you, but not because it has to. Go for a run cuz it’s a nice day out, not because you felt the runner’s high last time and you’re looking for that same effect this time. Do the activity that’s good for you, period. How you feel afterwards and whether it’ll actually help is secondary. If it does; great! If it doesn’t; it is still beneficial.

A study done on lab rats showed that even when they were forced to exercise, their mental health improved from the exercise as much as if they had chosen to hop on their wheel. How does this apply to you? Well, even if you really don't feel like it and wonder if it's even doing any good, it's better to get up and move than not. And if you can't bring yourself to do it today, there's always tomorrow. 

That brings me to my next point. 

Change your expectations 

If you have high expectations that yoga will leave you feeling all zen, and you feel just as anxious when you started if not more, then maybe you’ve tuned into all that your body was holding. These are not normal times and your usual or new coping strategies are not supposed to have the same effect. You also don’t have to do the right thing all the time. That’s exhausting. If you want some chocolate, have some chocolate. Don’t feel like jumping on that family Zoom call? Skip it. You don’t have it in you to show up for work today? Take a mental health day. You don’t have to be firing on all cylinders right now. Like, what cylinders? 

Do things that actually give you spoons

Lastly, not all coping mechanisms are created equal. If you both like to mow the lawn and you like the outcome of a mowed lawn, then all the power to you. For many other coping skills, we may like the feeling of having done it after the fact but not in the moment. So, if marinating chicken for tomorrow’s dinner feels too effortful at the moment and it will actually take away your spoons, then Trader Joe’s pre-made Koma Fish Curry sounds pretty good and just needs a trip in the microwave. The dishes are too much today? Let’s try again tomorrow. Instead, watch three episodes of Queer Eye over a frozen burrito. It might just replenish your spoons. Might. 

We’re here for you 

If you need help with your self-care activities, our trained therapists are here for you. We understand because there are times when we’re going through the same things and have needed to tap into our toolbox to stay sane. We want to help you develop yours.

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Ada Pang is the owner of People Bloom Counseling, a Redmond psychotherapy practice. She helps unhappy couples find safety and connection in their relationship. She also helps cancer thrivers and their caregivers integrate cancer into their life stories. She recently dyed her hair at home to switch things up. The last time she dyed her own hair was in high school. While it didn’t make everything better and it wasn’t supposed to, it was something she is reminded of everyday. It did help. A bit.

Build your Wellness Toolbox to Help you Stay Sane in 2020

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What a year it has been!

2020 has been a hell of a year with the health pandemic, too many COVID-related deaths, business closures, massive unemployment and pending evictions. Black and brown lives continue to matter as protests broke out in all 50 states to seek justice for George Floyd, Breonna Taylor, Ahmaud Arbery and too many others. Rioting and/or looting followed in some states.

And we’re only in June.

Introducing WRAP

What do we need to do to stay sane so we can keep going? When there is so much hurt going on, we have less tolerance for more things to go wrong. Adapting from the model of Wellness Recovery Action Plan (WRAP), we can all use a wellness toolbox right now. Initially, WRAP was developed to help people with mental health struggles to live full, meaningful lives. It has since been adapted to help people with all kinds of physical and emotional challenges.

And if we are honest with ourselves, current circumstances are most certainly challenging all of us physically, emotionally and socially right now.

You may be thinking that self-care and wellness rituals only make it easier to hide from or turn a blind eye to the troubles around us. The opposite is true: do these things to help you maintain from day-to-day, so you can go out (or stay in) and continue to contribute to your life, your family, your community in the best way you know how.

The elements of WRAP

Develop a wellness toolbox

List everything you can think of that helps you feel better. Here are a sample from my list:

• Draw

• Watch a movie

• Go out for a walk

• Connect with my friends and family

• Travel

And the list goes on. List as many things as you can think of, big and small. Even ones you can’t do right now in quarantine can spark other creative ideas. Keep going until you run out of ideas.

Describe yourself when you’re well

Sometimes it’s hard to remember what you’re like when you’re feeling well. This is especially the case when you’re overwhelmed and a “hot mess”. Here is how I’d describe myself when I’m having a good enough day:

• Loving

• Focused

• Funny

• Patient

• Thoughtful

It doesn’t have to be your best day, but when you’re feeling relatively well, how would you describe yourself? Write those down. You don’t have to stop at just five qualities. Keep going.

Make a daily maintenance list

From your wellness toolbox, pick tools to put on your daily maintenance list to help you stay as well as possible. Think about these as being your absolute necessities: things you need to do everyday to help you maintain. Here are mine:

• Get at least 7.5 hours of sleep

• Eat healthy homemade meals at least two out of three meals

• Hug and kiss my husband

• Have my morning cup of coffee

• Vary my working position between sitting and standing

While these items are not the ones previously listed, they’re definitely in my wellness toolbox. I’m simply putting down different items to show you the variety. There are no right or wrong answers, only the tools that work for you. Your daily maintenance list needs to be your non-negotiables: If a day or two goes by without doing items on this list, you’ll feel it.

Make a weekly maintenance list

Deviating from the WRAP model for a moment, I’m going to add a weekly maintenance list. There are simply some things that don’t need to be done daily, but if you wait too long to get to them, the impact is greater than the activity itself. Here’s what’s on my weekly maintenance list, ideas still generated from my wellness toolbox:

• Do a cardio workout 3x a week

• Date night

• Cook 2-3x a week

• Do 1-2 loads of laundry

• Get a sushi takeout

While it’s possible to go on to list my monthly maintenance list which would involve a lot of bill payments, you get the idea. Especially during a global crisis when the day feels long and the month feels short, planning for what you’d need in the short-term can help you function better.

Identify your triggers

In a recent post, I noted what’s really going on when we’re emotionally triggered. Here’s a short video of me summarizing the same ideas:

Within WRAP, you might not be identifying all the elements of your emotional triggers. However, it still helps to know when something might be upsetting you. Do you know what gets you stressed out and emotionally riled up? Here’s my list:

• A sink full of dishes on the night I’m scheduled to cook (it’s true)

• Videos and articles of injustice against black and brown people

• Comments by POTUS deliberately trying to cause division and chaos within our country and in opposition to the rest of the world

• Self-comparison with others, even though where they are or what they have are not even things I care for

• Small quarrels with people I care about

Triggers are often unexpected, but they can also be the result of us spending too much time on social media, reading the news, or otherwise surpassing a threshold of an activity that is no longer healthy for us. Take some time to notice what your triggers are. Write them down.

Notice your early warning signs

When triggered and you find yourself feeling worse and worse, it helps to know all the early warning signs that you’re not doing well. It’s one thing to be triggered and to bounce back from it; it’s another to spiral downward and for a bad mood to linger much longer. Here are my early warning signs when I’m not doing so well:

• I get more emotional

• I default to my old ways

• I frequent the snack table

• I’m more short with my husband

• I keep to myself more

Since the pandemic, my post about A Life Worth Living: What to do When Faced with Thoughts of Suicide became the 3rd most frequented page on our website. For some people, early warning signs include thoughts of suicide. If that’s you, please get help. Tell somebody. Reach out. There are other options. We all have early warning signs that things are getting out of hand. What are yours? Take some time with that.

Make a plan to recover

When you’re losing it, the tools you use will need to be different from the ones on your daily maintenance plan. Think about the things that will help you get through these tough times. This is often the opportunity to involve people around you, if you haven’t done so already. Since the pandemic, I’ve needed to tap into my own recovery plan. I learned a few things about myself along the way:

• Ask my friends for a card or a care package

• Be honest about my needs and wants

• Allow myself the space to cry

• Talk to my therapist

• Get help from my mentors

Refer back to the earlier descriptions of you when you’re well. What’s going to help you get back to the place of feeling like yourself again? Even if you’ve slept it off but you’re feeling more or less better, I’d still encourage you to work down the list on your recovery plan. Just because you’re feeling better in a moment does not mean you can sustain it. All the dominos that led to you spiraling will not go away on their own. We need to proactively take extra good care of you. Consider this mental health first aid.

The rest of WRAP

The WRAP model goes on to encourage people to formulate a crisis plan if you can’t take care of yourself, which could include hospitalization to keep you or other people safe. There’s also a component about a post-crisis plan to help you return home safely and how to stay safe. These last elements are beyond the scope of this blog and require a conversation with a trained mental health professional.

Please, if you’re feeling suicidal, consider the following resources:

• National Suicide Prevention Lifeline: (800) 273-TALK (8255) or text CONNECT to 741741 in the United States.

• TrevorLifeline for the LGBTQ community: (866) 488-7386 or text START to 678678 in the United States.

• Teen Link is a confidential and anonymous hotline in WA staffed by teen volunteers trained to talk to other teens who are going through a tough time: call or text (866) 833-6546.

• Now Matters Now has many videos to help people deal with suicidal thoughts

• International Association for Suicide Prevention has a list of resources for people living outside of the US

If you need help building your Wellness Toolbox

Life isn’t always kind, especially now. If you need help building your Wellness Toolbox, we’ve got trained counselors who can help you through this difficult time. Don’t wait until you’re at the end of your rope to get help.

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Ada Pang is the owner of People Bloom Counseling, a Redmond psychotherapy practice. She helps unhappy couples find safety and connection in their relationship. She also helps cancer thrivers and their caregivers integrate cancer into their life stories. A newer item in her wellness toolbox has been drawing, more specifically, drawing her dish rack.

What's Really Going on When You're Emotionally Triggered

Photo by Mike Von on Unsplash

It doesn’t take much to be triggered

We’re still in the middle of a global pandemic and it doesn’t take a lot to get triggered. People are not following social distancing rules. You and your partner can’t agree on how much precaution you need to take. Your parents don’t understand the severity of the situation. On top of all that, there are the stories of George Floyd, Christian Cooper, Ahmaud Arbery and Breonna Taylor. And the list goes on. 

The thing is, it’s not a matter of if you get emotionally triggered but when. When you’re triggered, it helps to slow down for a moment and notice the following*: 

1. What is your trigger? What are you reacting to? What is making you feel uneasy, riled up or vulnerable? We do not all get triggered the same way by the same things. Identify your trigger.

2. What is your body telling you? It takes a fraction of a second for an alarm bell to show up in our bodies. Where are you feeling the sensation in your body? Some people talk about their muscles tensing up, their stomach fluttering, their chest feeling heavy. Your body is trying to tell you something is off. Listen to it.

3. What do you tell yourself? What often follows is an internal monologue. “Do people know how important it is to wear masks?” “Why is my mom going out again like it’s business as usual?” “Black. People. Dead. Not. Again.” Whatever you tell yourself, notice it. 

4. What are you feeling? See if you can trace an emotion to what just happened. What are you feeling? Frustration. Annoyance. Anger. Indignant. Whatever is showing up, they’re valid emotions.

5. What else are you feeling? Feelings are like layers of an onion. On the surface, you might be feeling some emotions initially. If we were to really dig deep, we often find that there are deeper emotions like sadness, hurt, fear and pain.

6. What do you want to do? Like a knee jerk reaction, you might want to yell, to lecture your mom, to seek justice. Whatever you might want to do, know that there’s a difference between wanting to do something and actually doing it. 

7. What do you really need? Is there a resolution you’re seeking?
   “I want people to know that as a nurse, we almost lost a dear colleague and we’ve lost too many patients to COVID. The grief is too great. I don’t want to see you in urgent care. Please follow CDC guidelines.”
   “Mom, I get scared when you are out and about and not maintaining social                distancing because I don’t want to lose you.” 
   “Black. Lives. Matter. We don’t get to stop spreading this message, not even for a health pandemic. We’re tired of losing our men and women. We’re sad and we’re afraid. We need you to know that we matter, not in spite of our skin color but simply because we do. We. Matter. We are an important part of society.

Slowing down and taking notice

Often, we go from trigger to action in a matter of seconds without really slowing down and noticing what’s going on for us. When you do take stock of your trigger, your body’s response, your narrative, your feelings, your action tendencies and your needs, you might find that there are various ways to deal with an external situation that that you initially may have felt you have no control over.  Even if you were to notice just some of these elements, that’s still more helpful than none at all. 

This is an exercise that needs to be experienced, rather than intellectualized. Whether it’s a systemic problem in the world or an issue in your relationship or in your individual life, how you respond to triggers is important. If you’re feeling stuck and you need help figuring out your responses, our counselors are here to help. 

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With a heavy, heavy heart,
Ada

*Ideas borrowed from Emotionally Focused Therapy (EFT) for couples and individuals.

Tips for Coping with the Effects of a Global Trauma

Photo by Robina Weermeijer on Unsplash

While stuck at home, you’re feeling things you may have never felt before. This isn’t a typical global crisis. So much of this pandemic involves isolation, waiting, unknowns, and not much action, unless you’re on the frontlines. But the effects on the population as a whole are felt, nonetheless.

During a global crisis...

• You may feel fatigued, confused, angry, restless, sad, helpless, distracted and/or super alert.

• You may feel trapped, like life is on hold.

• You may feel safe at home.

• You may feel bad about feeling safe at home.

You may skip between these feelings constantly. You may not know how to behave or what you ought to do when you’ve been given so many mixed messages.

Even when you allow yourself to have a good laugh about all that’s going on, when you pull away from this YouTube video or that TV show, the reality is still there. 

Your routine has been disrupted, at the very least. If you’re on the frontlines, you cannot unsee what you have seen.

It’s ok if...

• You aren’t getting as much done

• You aren’t eating super healthy

• You’re not eating enough

• You’re overeating

• You don’t always show patience with your partner or children

• You’re sleeping too much

• You’re not sleeping enough

Please extend grace to yourself. This is especially important when your best doesn’t feel like your best. 

“Normal” reactions to trauma 

All of your reactions are normal. In this context, “normal” just means common; we universally and instinctually share these reactions and traits. Your reactions are human, understandable and to be expected.

“Normal” will look slightly different for each of us, but there are some recognizable universal ways that we all react to dangerous situations.

Common trauma responses, one of which is less well known

When faced with danger, whether real or perceived, humans instinctively respond in the following four ways. While they’re not neatly categorized, see if you can spot yourself in one or more of these reactions:

• Fight –  In fight mode, you may show aggression about the state of the world as a whole, but this also manifests as angry outbursts taken out on those around you for seemingly unrelated reasons.

• Flight – In flight mode, you feel like running away from the danger, but this can also show up as forms of escape: becoming hyper-focused on work, or diving into projects and tasks that distract you from all the negative events in the world.

• Freeze – When you don’t know whether to fight or flee, your brain can resort to another option: shut down and freeze. In temporarily tightening up your muscles and paralyzing yourself, you hope to be away from danger. Your brain is subconsciously playing the game of “If I can’t see them, they can’t see me.” 

• Fawn or faint – The fourth and least talked about reaction to danger is to fawn/faint. When you fawn/faint, you have no energy to fight, flight or even freeze. You feel so helpless about the situation you become co-dependent or people-please. Sometimes, this can show up as frontline workers taking on extra shifts or working beyond their limits.

Normal reactions may be common survival instincts, but they aren’t always helpful for your well being. While your reactions make sense, they can lead to anxiety, depression, sleep deprivation and worsened mental health.

It can be distressing when there is so much we have little control over and so much we don’t know. So what can we do to feel better when the world feels out of control?

Focus on what you do have control over and take it day-by-day

1. Pay attention to what your body needs. In times of stress, it’s incredibly easy to lose track of your needs to the point where you don’t notice you are hungry, thirsty, need to pee or are tired as heck. Cortisol stress levels are high, and your body needs extra care to stay in balance.

Check in with your body. Take a break, eat well, and rest when you’re tired. Do everything you need for self-care, and then some. Do everything you need for self-care, and then some.

2. Make a schedule and keep a routine. If your typical schedule has been disrupted, create a new routine around specific activities for you and your family. Pick up new activities and/or hold onto the ones you know well. Having a routine creates a sense of security, comfort and normalcy, even if the “new normal” is not what it used to be.

3. Unplug. No really, unplug. Wellness blogs have been advising us to take a break from tech since the internet was born. It’s advice we take or leave under normal circumstances, as is convenient for us. But now more than ever, it’s crucial to take a break from the (bad/confusing/alarming) news and noise. Set timers for yourself for how long you scroll or tune in. Turn instead to the tangible activities you can do at home or in nature. You might find that some of the weight of the world is temporarily lifted off your shoulders. 

The news cycle and the tweets will be there when you’re in the headspace  to return. Frankly, you won’t be missing much.

4. Practice gratitude. It’s so easy to fixate on the decaying state of the world, and to let that be the main focus of your thoughts and conversations. Make a special effort to pay attention to what IS working. Notice what’s going well, even in the small bubble of your life. There’s a big world out there, and everything about it could make us worry if we let it. Are your people healthy for now? Check. Did the sun come out? Sweet, that’s a win. Did your kids do their online homework last night? Miraculous! Did your banana bread come out perfect this time? You’re a master chef and a genius. Little things can become huge when we invite them in.

5. Help where you can. Are you in a special position to donate your time or resources? While frontline workers and tired parents understandably are excused from these activities, some people are in a unique position to give back. Many of those folks are itching to help any way they can. You can donate to local arts or buy restaurant gift cards for local hospital workers. If you are crafty, sew face masks to distribute to friends and neighbors. It’s a sense of doing something, anything to make a positive impact. 

If you haven’t been doing some of these things until now, that’s okay - what you do today matters. If you start taking small steps, you’re doing a better job of taking charge today than the day before. 

And, if you help with these things, we’re here for you. 

---

Karen Lenz is the Office Whiz and Insurance Guru at People Bloom Counseling. She writes blog posts as a human navigating this world, a client sitting across from a therapist, much like you. She’s a homebody, so being stuck at home means more time for cooking, playing with the dog, and finally getting to work on house projects that she’s been putting off.

Why your Old Coping Skills Don’t Work During a Health Crisis and What to Do About it

Photo by Marvin Meyer on Unsplash

In Washington State, it has been 7.5 weeks since the first reported COVID death and six weeks since the shelter-in-place order. This all feels like a long time ago and also only a few weeks ago. We’ve all done our best at coping, at taking things day-by-day. Whether you’re a frontline worker, employed and working from home, or someone out of work, if you find that your old coping skills are not working like they used to, you’re not alone.  

There are a number of reasons why the usual coping methods haven’t worked:

1. Your access to coping strategies is limited. If you used to grab coffee with a friend, workout at the gym, or grocery shop for fun, those coping skills are no longer available to you. Meeting virtually is not the same, it’s hard to put structure around your online workouts and you’re needing to readjust your mask while dodging shoppers who are not respecting your six feet bubble. Whatever adaptation you’ve made to cope with the added stress has its limits.

2. You’re dipping in and out of survival mode. If you feel like you’ve gotten into a routine last week, there’s no guarantee that this next week will stay the same. If you had a work crunch where your self-care went out the window for just a few days, the impact of getting takeouts, staying sedentary and feeling socially disconnected can easily be amplified during a pandemic. It can be hard to maintain your gains. 

3. You have less bandwidth for curiosity and exploration. Pre-COVID, when there isn't a global state of threat, transition and overwhelm, you have more bandwidth to approach your children’s questions, your partner’s bad day, or the problem at work with curiosity. “What’s going on?” “Help me understand…” “How do I solve this?” On the other hand, when we’re under constant threat and stimulation, even a neutral event can make the best of us more irritated or withdrawn.

Emily Nagoski, a famous sex educator, describes two opposing responses when rats were placed in a normal stress, highly relaxed or highly stressful environments. Rats tend to either approach or avoid. In her TedTalk titled, “The keys to a happier, healthier sex life,” the lab rat experiment starts at minute 5:12 -

If you’re feeling more like, “Wah! What the hell is going on?!” that makes a lot of sense.

So when your usual coping skills are not working like they used to, what do you do? 

1. Develop new ways of coping. This seems like a no-brainer, but we all have a tendency to do more of the same while expecting different results. You will visit a coffee shop again, work out at the gym and leisurely gather items on your list at the grocery store — just not now. What are some things you can do now? Can you imagine building a vegetable garden for the first time, taking walks and discovering new streets in your neighborhood, or finally dusting off your sketchbook? Is an online yoga class more tolerable with a friend? When you gather your social circle and everyone actually put on real clothes and order pizza from Tutta Bella, would that make Zoom movie night feel more “together”?

2. Be okay with some ups and downs and take baby steps. If you didn’t take care of yourself as well as you could have before, it is okay to start today. Expect that you’ll be thrown off schedule at times, and then get back on. Do you need to safeguard your Sundays to prepare for the week? How much takeout is too much? Would doing 20-minutes of a workout be better than doing none? Just as the cumulative effects of stress are felt over time, so are the cumulative effects of self-care.  

3. Reach out for help when you want it, not just when in need. If you’re used to toughing it out, now is not the best time. You don’t have to wait until you’ve hit rock bottom to ask for help. Your difficulties make sense and your friends can come alongside you to share your burdens. Dare to ask for a check-in, a card, a care package, a surprise. Be patient because it’s more effort making it to the post office, because Amazon deliveries take longer. And for once, stop thinking about giving back. Just receive and know that this is someone else thinking and caring for you. 

If you need help, don’t hesitate to reach out. We’re here for you.

Warmly,
Ada

If there’s a way to Tell Frontline Workers They’re Doing a Phenomenal Job

You’re doing more than a good job. You’re phenomenal. 

You're the engine that makes all things go
And you're always in disguise, my hero
I see your light in the dark
Smile in my face when we all know it's hard
There's no way to ever pay you back
Bless your heart, know I love you for that
Honest and selfless
I don't know if this helps it, but

Good job, you're doin' a good job, a good job
You're doin' a good job
Don't get too down
The world needs you now
Know that you matter, matter, matter, yeah
You're doin' a good job, a good job
You're doin' a good job
Don't get too down
The world needs you now
Know that you matter, matter, matter, yeah

Six in the morning
And soon as you walk through that door
Everyone needs you again
The world's out of order
It's not as sound when you're not around
All day on your feet, hard to
Keep that energy, I know
When it feel like the end of the road
You don't let go
You just press forward

You're the engine that makes all things go
And you're always in disguise, my hero
I see your light in the dark
Smile in my face when we all know it's hard
There's no way to ever pay you back
Bless your heart, know I love you for that
Honest and selfless
I don't know if this helps it, but 

Good job, you're doin' a good job, a good job
You're doin' a good job
Don't get too down
The world needs you now
Know that you matter, matter, matter, yeah
You're doin' a good job, a good job
You're doin' a good job
Don't get too down
The world needs you now
Know that you matter, matter, matter, yeah 

The mothers, the fathers, the teachers that reach us
Strangers to friends that show up in the end
From the bottom to the top, the listeners that hear us
This is for you, you make me fearless

You're doin' a good job, a good job (Oh)
You're doin' a good job
Don't get too down
The world needs you now
Know that you matter, matter, matter, yeah

-Alicia Keys, ‘Good Job’

You matter, a whole lot. Thank you.