non-judgmental

How to be an Emotional Support Human during a Medical Emergency

I’m writing this from out of town following a family medical emergency. The days are long and the waiting is hard. Little comments bring tears to our eyes, after which we move onto what needs to be done by whom when. Someone once said, “There is as much life in a moment of pain as there is in a moment of joy”.* We’re trying to take in all the moments.

As a trained therapist, my family is obviously not my clients. However, when one of us is upset, I naturally step in to give permission to feel our feelings, to provide empathy and validation, to give a hug and to remind everyone what the medical team has said. I think about pets and how they can be emotionally supportive and soothing during upsetting times. What can we learn from animals on how to be emotionally supportive during a medical emergency? 

Three tips to be an emotionally supportive human

When you don’t know what to say, say nothing

Animals don’t talk; they stay close and make themselves available. They sense that you’re in distress and they come near. People have the best intentions and they want to be supportive, but when they don’t know what to say, they can say the weirdest sh*t. “Oh, they’ve lived a long life,” or “At least you get to marry somebody else,” or “A similar thing happened to my sister…” and then they go on to tell their story.

Just. Stop. Talking. 

And never begin sentences with, “At least…” These words convey the opposite of empathy. For example, “At least they’re in a better place” is to say it’s a good thing that the person is no longer with us. When someone is grieving a loss and missing the person, that might not be comforting. 

Similarly, when you begin sentences with the words, “I’m glad…”, for the grieving, there might be nothing glad about the situation, not in that moment of pain. So, before you say something, ask yourself if it’s to make you feel better or do you really have the other person in mind? If it’s for you, keep it to yourself.

Keep your judgement to yourself

Animals don’t judge; their presence is unconditional. You can have bad breath, the worst hair day, be in a bad mood, feel horrible about yourself… It doesn't matter. When you want to climb into a hole, your emotional support animal climbs in there with you. 

People have judgments about what should’ve happened to prevent this or that or how something should be handled now that we’re where we are. People have opinions and some people have more than one, which inadvertently places judgment on an already very sad and heavy situation. 

Before you share your opinion, ask yourself, “Am I just saying this to be heard or is this solely to benefit the other person?” If it’s the latter, ask for permission to share. “I have a thought about this. Would you want to hear it?” It’s an overwhelming time for families going through a medical emergency. Even if you’re trying to be helpful with your comments, now might not be the time. Be respectful of how much information can be absorbed. Even good and helpful things can be left unsaid

Take care of basic needs

Under stress, there’s a tendency to throw basic self-care out the window. I’m talking about drinking water, going to the bathroom, keeping good posture, regulating your body temperature, etc. As an emotional support human, remind people to do these basic things. “It’s time to take a break from visiting and go for a walk” or “Let’s eat something now”. Be respectful and gentle with these prompts and never demanding. If it can be helpful, let them know the person they’re visiting would want that for them too. 

Taking care of basic needs would include your needs too. Imagine an emotional support animal that is sleep deprived, hungry, dirty and holding in their pee. They can get agitated, be smelly or accidentally wet the couch. Take breaks, keep up with your personal hygiene and get some air. You can only be emotionally supportive if you stay healthy and well. 

Take good care. 


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. After this blog, she’ll do some light stretching on Peloton and go for a long walk. Just taking it a moment at a time. 

A Therapist’s Story: Why it can be Harder for People from Marginalized Communities to Show Emotional Vulnerability

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Photo by Raychan on Unsplash

As a therapist and fellow human being, I love Brené Brown. She challenges the notion that we need to have our sh*t together, hide our vulnerability or be alone in our shame. She encourages us to take risks, surround ourselves with arena-minded people and embrace our imperfections. What’s not to love about that? 

More recently, I’ve been thinking about how this might show up for people from marginalized communities. What does being vulnerable and taking risks look like for people from underrepresented groups?

A caveat

As a 1.5-generation Chinese Canadian woman living in the US in a stable home environment, I know I have a lot of privilege, but that doesn’t always translate to feeling emotionally safe in my environment. I do not pretend to fully understand or speak to the complex sociocultural identities of different marginalized groups. We are not all the same and we have our unique experiences and identities. As a WOC, I am, however, trying to shed light on the possibility that taking risks and giving perfectionism the middle finger can be harder for people from marginalized communities. 

To more fully understand someone’s current experience, we often need the back story. 

My back story

I was born in Hong Kong, a British-ruled colony that was handed back to China in 1997. For the first eight years of my life, I was with my people. Everyone looked like me and there were no issues with representation. The sense I got was that White people were seen favorably in HK. Some spoke Cantonese and held high government jobs, though I didn’t see it for myself. Impossible western beauty standards of pale skin, large eyes and “the straight nose” prevailed, but I didn’t think much of it as a kid. My parents modeled hard work and that was that. 

As uncertainty about the handover loomed, many  people considered migration. My family immigrated to Vancouver, BC, Canada when I was eight years old. I remembered answering a question from my teacher on the second day of class, “What color was the plane you flew in from?” 

“White and green,” I answered quietly.

I was so nervous to speak out loud in front of everyone. I went from being with people like me to being one of two Asian students. The other kid was a CBC, a Canadian Born Chinese, so even then, it’s not like we were kindred spirits. Kids mocked my English fluency (or their lack of) and the soy-marinated drumsticks my mom packed for my lunch. One time, two popular White girls pulled my chair from behind me so I might land on the ground. I noticed the chair moving and instinctively put my hand between my legs to grab a hold of the seat and heard, with giggles, “Oh, look at where her hand is!”

Kids tease each other all the time and I’ve heard much worse bullying stories. But, there’s an added element of wondering if I was picked on because of my race. Sometimes, it’s an obvious yes. Other times, it’s much more subtle. 

In the first few years, my sister and I changed schools often. Where we lived, there wasn’t a qualified English as a Second Language (ESL) program to help me go beyond my second grade Hong Kong (British) English level. Finally at Kingswood Elementary, we went through ESL classes with Mr. Kibblewhite,  whom nearly every student had a crush on. Given the influx of immigrants coming into Vancouver at the time, we were kicked out of ESL, not because we were proficient, but because of limited resources. 

At various times, I made friends with Elaine, Roy, Frank, David, Xavier and Susan who were CBC, white, Flipino and Black. There weren’t a lot of people who looked like me but I also wasn’t the only one who was different. We laughed; we joked. I had a place and it was with a diverse group of beautiful people. Life was simpler then and those were good times. 

My parents, in the meantime, worked their tails off starting their own telephone and alarm installation company as a condition for Canadian immigration. They had limited connections and had to break ground on foreign land. Mom was an English major, but couldn’t always find the right words to express herself. For dad, speaking English was like doing physical labor. Try going to a foreign country and using their language to get by, not for fun, but for survival. They felt that exhaustion.

A growing majority minority

In the late 80’s and early 90’s, Vancouver’s demographics began to change. Mass migration from HK and Taiwan meant that people who looked like me flooded the city, the province, the country. I moved through middle and high school with Chinese-speaking peers. Chinese businesses, shops, restaurants, malls and grocery stores started to pop up everywhere. Because of accessibility to my own culture, I reconnected to my roots and started listening to pop Chinese music, passing notes in my native tongue and drinking lots of bubble tea. It was a different kind of belonging.

We were slowly becoming the majority minority.

Meanwhile, my parents' business picked up. Serving mostly their own people and a blooming market, there was more work than there were hands to do it. Many decades later, they recall a very kind white-identified regional manager at Panasonic who visited their warehouse often and took them to their first Canadian fine dining experience. They were very sad when he passed away from cancer at a young age.

College days

By the time I went to college at The University of British Columbia (UBC), it was easy to spot Asian people on campus, especially in economics and computer science classes. My Department of Psychology and Family Studies was predominantly White but I joined a CBC college group where it was yet another kind of belonging. My Chinese speaking and writing ability deteriorated and my English proficiency increased again. During a class in Family Life Education, I disagreed with the professor on an assignment and my parents asked me to stand down. “Don’t rock the boat. Write what they want to hear.” I rebelled and stated my point of view. I got a C+ for that assignment, the lowest grade since I declared my major. My parents thought that was a lesson for me and it was: speaking out against authority can be costly but I also don’t regret it one bit. 

Two and a half hours south

I got my green card my senior year in college through my aunt’s family petition 15+ years earlier. Post-college, I came down to Seattle to work for a local Chinese non-profit organization before getting into Seattle Pacific University (SPU) for grad school. Being one of three Asians in the cohort, I was back to hustling. We were a tight-knit group and I made a lifelong friend, but there was something about being in the US, only 2.5 hours away from home, that made me keenly aware I was different from the dominant culture. 

I didn’t have my community with me; I had to make new ones. I have to fit in to get in. I clearly remember a conversation with a White classmate about our skin colors. The word, “Yellow” came up. I held my hand next to her pale white skin and said, “When I think about yellow, I think about this,” pointing to a canary yellow on my pencil case (remember one of those?! I still have said pencil case). “Our skin colors aren’t that different.”

Looking back, I was denouncing a part of my cultural and racial identity in favor of the White dominant culture. If we’re not that different, you’ll accept me, right? If I work hard enough, I’ll make it here, right? These thoughts point to the need to assimilate, but it also conveyed uncertainty. I do not know for sure that my efforts paid off.

Alas, I found people like me: 1.5 generation Asian working professionals who came to the states for college, or, ones who were  born here but came from an immigrant family. There is an ease to our shared experience. To this day, they remain my closest friends. 

Emotional vulnerability as a woman of color

As I consider my early years of studying and working in the US, I’ve been shaped by various cultural expectations of what it means to be a WOC. Don’t rock the boat. Work hard. Try to fit in. Smile and be nice. As the only person of color in a very supportive practicum group, I was afraid to take up space, so much so that when my practicum supervisor said gently that the most valuable resource people can give me is their time, I broke down. Six months into my first job, my supervisor picked up on my tendency to be hard on myself. Here are her words, verbatim: “Ada, I don’t expect you to be perfect!”

Being emotionally vulnerable requires me to be okay with falling short, to sit with people’s grace and/or judgment and my own shame, to be honest with what I might need in the moment and to courageously ask for it. Everything about that goes against the grain of what I’ve been taught to do to “make it,” to be successful as a WOC. But Brené is inviting me to let my guard down, because to be vulnerable is to be courageous. Does she know what she’s really asking of me?

Emotional vulnerability in marginalized communities

I then consider other marginalized communities where it hasn’t always been safe to be driving while Black, to be the first Hispanic in your family to graduate from college, to come out as queer, to be neurotypical but not a child prodigy, to be undocumented, to be fat-bodied, to be living paycheck to paycheck, to keep showing up even when you feel misunderstood or at times, “othered”. When your basic hierarchy of needs are not always met and you get the message that you need to stop exerting so much control over your environment and your outcome, that can be a total heart and mind fu*k. 

I argue that when people from marginalized communities are accepted, welcomed and fully celebrated for who they are, then they have more energy to risk being emotionally vulnerable. To experience this sense of belonging without the need to act a certain way or otherwise risk being racially profiled, favorably or not; that’s emotional and physical security. If Brené is inviting all people to come forward and show their cards, then we need to be aware of the additional layers of complexity and risk this might pose for marginalized groups. They might have more to lose. 

While equity and liberation movements continue to work at removing systemic barriers to access, it is not an even playing field and we shouldn’t treat it as such. It is in the safety and security of a responsive and inclusive environment that we learn to come forth as more fully ourselves. It is in these corrective emotional experiences, new experiences that correct earlier ones, for the better, that courage in vulnerability can show up. 


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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. While she has written many blogs, this one took the longest to write. She encourages you to listen to the narrative of people different from you. 

5 Tips for Getting Through the Holiday Dinner with Dietary Restrictions

Photo by Christiann Koepke on Unsplash

Photo by Christiann Koepke on Unsplash

Time for another “how to get through the holidays” blog! Today, I’m going commiserate with you about how hard it is to eat around other people when you have food restrictions. This is especially true around the holidays. 

Holidays with people you don’t know well

There’s a reason there are so many advice columns for how to get through holiday gatherings, and it’s not because we are all socially inept knuckleheads. We need special guidance during the holidays because it’s the season for spending quality time with family but also a mixed bag of acquaintances we don’t know well. In daily life, our friends know us, including our quirky dietary restrictions, and they accept us for who we are. We share common interest with our chosen family and probably feel a little less pressure and judgment from the kickball team, your best buds at happy hour, or the book club gals. During the holidays you’re trapped around a table with your disapproving in-laws, your boss’ wife, or your Uncle Waylon, and they quickly remind you that your food preferences are, for a lack of a better word, weird.

Where there’s a holiday, there will be food.

If you’re one of the many people trying to follow a strict diet this season, this is for you. Dietary restrictions are becoming more common than ever. If you’ve hosted a gathering in the last few years and tried to accommodate everyone’s preferences, you probably found it’s nearly impossible. I have been both the host and the guest with food intolerances, and every year I learn new tricks for getting through the holiday season without starving or going insane.

There are countless reasons why we may have a preference for certain food choices. I avoid certain foods because of autoimmune disease. But you could have diabetes, you could be trying to have a healthier relationship with food, or you may have allergies. Maybe you’re just keto-curious or you just want to detox. You could be a recovering alcoholic. Your reasons are personal to you.

Not wanting to offend anybody

Homemade dishes are also deeply personal to the cook.  People are often passionate about sharing their food. The green bean casserole Aunt Marie brought is a family recipe passed down generations. She may not be able fathom how anyone could turn down the dish she poured her heart into.

I get it. Food is a sensitive and tricky topic to navigate, so if you’re the one who has dietary restrictions, here are some tips for a stress-free holiday dinner:    

1. Find out what’s being served and set expectations

It’s ok to ask the host what’s on the menu in advance. If there are dishes that you really want to sample that may be safe, ask the host to share the recipes with you.

When you speak with the host, make it clear that they don’t have to go out of their way for you. You have lived with your food restrictions long enough to know not to expect to be able to eat much of the food, and have found ways around it.  

Some hosts want to make sure everyone is taken care of and will accommodate your needs, at least with a dish or two. When that happens, it’s ok to accept people’s kindness. Tell them it’s not necessary, but thank them kindly if they insist.

You already know that when you leave your house, many foods might become off limits. Expect to put in your time with mixed company and eat the items you can eat, knowing  that you may still be hungry when you get home. Be prepared to go home to enjoy your second dinner in your comfy pants later.

2. Bring a dish to share

Hopefully you’ve had a chance to explore food you can eat that you love. If you love it, share it! Cook a dish that will be satisfying to you that can be shared with everyone, and not just dessert. It should be part of the meal so that you can feel like you’re really participating in the dining experience. You can mention it’s dairy/sugar/nut or whatever free, and see everyone’s delight when they realize vegan food can be delicious! Or, if you prefer to avoid the topic (more on that below), don’t mention it and enjoy the meal without making a big deal. 

3. Be unapologetic

I used to be embarrassed about my dietary restrictions. I felt so out of place in gatherings when I was the only one on a special diet. I didn’t like the attention it put on me if my plate was emptier than everyone else’s because I couldn’t eat much.

I especially never wanted a host to make anything special - hosting is hard enough, and I didn’t want to be a nuisance. Over the years I learned to let that go. If the host made me something specially, I am now grateful and feel cared for rather than guilty. It’s a bit like accepting a compliment: doing it with grace takes a lifetime of practice, but you realize it saves a lot of awkwardness if you learn to appreciate the sentiment instead of arguing.

Do remember your truth. You know why you eat a certain way, and sometimes it’s hard to stay true to your needs in a holiday gathering. Before sitting down to dinner, remember this mantra: My diet is my business, it’s important to me, and I don’t have to answer to everyone. It’s great to say this to yourself, but how do you handle rude questions, curiosity and advice from people who know nothing about the topic? This leads to the next tip… 

4. Expect a running commentary

People are curious about things that are different or strange to them. People can also be opinionated, especially about food! They will ask if your dietary restriction is a choice or an allergy. But, it’s your body after all! They’ll ask what nightshades will do to you if you eat them. Well, they’ll never fully know or understand! Explicit detail about what it will do to your intestinal tract is really not for the dinner table.

When dinner guests make comments, refer back to the mantra above. Unless you really want to talk about it, it’s ok to not answer questions.  So… What do you say when it comes up? If it makes you uncomfortable, feel free to say, “Yes, I avoid dairy, but I prefer not to discuss the reasons while eating. Sometimes it’s good to just enjoy the meal without getting too in depth.” You can also add a little humor to it: “I really want to spare you the details because it’s a real appetite spoiler!” Keep your tone casual and light. If they keep pushing it - that’s on them.

5. Notice how you participate and practice letting go

Some people with dietary restrictions are happy to share their reasons with a crowd. If you do decide to share, notice how your contribution might be received by those around you. You may eat a certain way because it’s ethical and leaves a small footprint. That’s wonderful! But just because you’re annoyed by Uncle Waylon’s snarky comments about how you’re eating rabbit food and need to get some meat on your bones, doesn’t mean it’s a good idea to impose your lifestyle on him. He can eat his turkey in peace as well. There’s a time and place for sharing your truth, and holiday gatherings might not be one of those times. I know you’re passionate about your values and want to get the word out - but you can guess how well it will go when you tell Uncle Waylon about the conditions at the slaughterhouse. Hint: not well. People can be set in their ways, and the hour you have around the dinner table is likely not going to change anyone’s mind.

Other considerations

It’s ok not to engage if you don’t want to

How about the dinner guests that make comments or try to dissuade you from your diet? Try to change the topic. I used to get annoyed when people brought up the fad nature of a gluten free diet and assume it was a choice. Some would cite articles about how the harmfulness of gluten has been debunked. But they don’t know my particular condition. My autoimmune disease = not compatible with gluten.

There was a time I would get defensive, explaining the blood/brain barrier and how it destroys my stomach lining over time, etc. etc. I realized that by getting into it, I was encouraging a discussion that I didn’t want to be having. Jim and Janet might not actually care to know the science behind my food restrictions, and it’s not a great topic to discuss in mixed company anyway. If I had just let it go and not cared what they think, we all would have had a nicer time at that gathering.

This is the art of letting go.

You get to decide whether or not you want to discuss it

If you don’t mind getting into the details, then refer back to tip no. 3: try to be unabashed in conversation too, not just in your mind. Stand up for your decisions and state your point of view - it can be a worthy discussion. It doesn’t reflect on you that others don’t understand or respect your lifestyle. It might not be the right time or maybe the two of you can just agree to disagree. Whether you talk about it or not is up to you; it’s not your job to make others comfortable with your explanations or justifications about your life.

Enjoy the challenge

Wishing you and your boss, your uncle’s girlfriend, and your mother-in-law a peaceful holiday gathering this year! I can’t help you when politics come up around the dinner table, but maybe this article will help you keep the topic of your gluten-free stuffing from escalating into a whole “thing.” 

Happy holidays to you and yours from everyone here at People Bloom! We look forward to serving you in 2020!


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Karen Lenz is the Office Whiz Extraordinaire 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 is looking forward to trying out a new cashew cheese quiche recipe on her unsuspecting family. If they are wowed, that’s a win. And if they don’t like it - well, more for her!

Should you Pass Gas in Yoga?

pathdoc/stock.adobe.com

pathdoc/stock.adobe.com

I did it

I passed gas in yoga. Multiple times. Usually I'm able to hold it in. But, when I'm encouraged to twist into and hold my body in positions for an extended period of time, well, it becomes much harder to keep it in. Or, I'm just totally relaxed and uninhibited: I didn't even know I had gas until after the fact.

New Zealand study

So I went on to see whether there are any health detriments to keeping gas in. According to the New Zealand Medical Journal that looked especially at frequent flatulence while riding on planes, holding back can cause multiple health problems, including bloating, indigestion, heartburn, and in some cases, even pain. Wow, a habit of keeping it in isn't good for you, is it?

The essence of yoga

When I think about the practice of yoga, I think of staying in the moment and being present to whatever shows up. I'm reminded to be non-judgmental and to develop compassion for my mind, body and soul and whatever they might need in the moment. I'm encouraged to be in tune with my body and be curious about what it can do and would want to do, while stretching it to a place of discomfort, but never strain.

So which one is it? Do I "stretch" my body and keep gas in, all the while be stressed about it? Or do I compassionately release it in service to my body, though not so much to my neighbors?

Holding both

Now I don't mean holding gas, but rather, recognizing that it's both important to let your body feel the relief AND be kind to your yoga community. How do you do that? When you pass gas in yoga, remind yourself that it's a human condition and keeping moving. This may sound strange, but acknowledge that your body has that need and your body is naturally wanting to let it go because it's not good to hold it in.

And as a courtesy to your neighbors, stay away from beans, cruciferous vegetables, and the alike before class. One time I had homemade broccoli soup before yoga. Bad idea. I've also learned to eat a small meal and at least an hour before class. My body has taught me if it doesn't come out as gas, it'll find another way out.

Putting it all together

To pass gas is to be human. Doing so is letting your neighbors know that it is okay for them to also let it go. I remember one time when I heard a loud phhhhhhrt from across the yoga studio. It took everything in me to not approach the nice gentleman after class and say, “You farted? Me too!”

Other than gas, are there things you need help letting go? I'm here!


Ada Pang, MS, LMFT is the proud owner of People Bloom Counseling, a Redmond counseling practice in WA. She loves helping people live compassionate and fulfilled lives. She enjoys yin, slow flow and power vinyasa yoga and her favorite pose is still Shavasana.