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Have you ever found yourself at an event, dinner, movie, party, etc and thought "why am I here? I had / have no desire to be here."? Have you ever been sweating in the 1 million degree summer heat doing some random and laborious task asking yourself WHY or HOW you signed up for this? Ever felt like you've wasted hours (or even an entire weekend) doing something that did not align with your goals or soul? THAT feeling is most often the result of people-pleasing and failure to set clear boundaries. Boundaries are tricky. They're difficult to set in the beginning but become rote after lots of practice. They require forethought and communication. Licensed counselors are often EXPERTS at explaining and helping you set boundaries, so please find a good local counselor if you identify this as an area of potential growth for yourself. One word of caution, however: once you get GOOD at setting boundaries, you will never look back. Tell your best friends and loved ones to say goodbye to the Doormat You and hello to the Assertive You. 🥰 In addition to the lists below (which are both excellent references), I want to give you my tips and insights around setting boundaries.
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Something has happened. You are hurting or your loved one is hurting and the ickiness or awkwardness or forced normalcy is not going to go anywhere anytime soon. Feelings are hurt. Perhaps a misunderstanding or perhaps a true "injury" to the relationship has occurred. Words or actions that cannot be unsaid or undone. And a difficult conversation needs to be had. You dread it. You hate confrontation. But you can't sleep either. And you can't make polite small talk anymore. There's an elephant in the room and she's on fire. (I love elephants so forgive that visual- just trying to portray a feeling). So what next? The truth is that I don't have the answer here. I recently had two difficult conversations and neither one was fun. The advice I will give is from my therapist (I really should buy her a nice dinner for all the content I glean from her- thank you Unnamed Therapist 🥰):
Keep all of these tips in mind while you have the difficult conversation. My prayer for you is that your difficult conversations are productive, meaningful, and end in resolution. Life is hard enough on its own. Let us choose our words wisely and remember that those who love us are rarely trying to hurt us. Godspeed. Motherhood. It sounds official, important, and majestic. And IT IS. BUT - motherhood - being a MOTHER - is a constant, daily, exhausting, never-ending, rollercoaster of a job that has zero degrees or certifications as preparation and the measuring stick seems to move daily. Who is measuring? My boys? The world? My husband? Social media? The boys' future therapists? ME? Let all that soak in for a few moments and then we will dig into this crazy ride called motherhood. Being a mother is definitely my greatest JOY in life. I have wanted to be a mom since I was a very young girl setting up mock classrooms in my garage for neighborhood children (#truestory) and naming my children in big bubble letters in my third-grade spiral notebook. I babysat my entire neighborhood it seemed, and I was going to be a mom as soon as I got married and worked 2 years as a nurse. I would be 24 and my life would be perfect. Then life happened. For lots of reasons, and over many years, I thought motherhood was not in the cards for me. I was devastated. I wasn't sure what life would be without ME being a mom. I was destined to be a mother, right? That was the PLAN. I live by and stick to the PLAN. Fast-forward to age 34 and my first baby boy was born screaming, dreaming, and wild, and he hasn't stopped any of those yet! His 8 year old brother was waiting on him in the waiting room bursting with excitement. 2 years later, God gave me the sweetest, big-hearted, most mellow fellow in the universe and God's plans for me and my motherhood journey were complete. All those nights I looked to the starlit heavens with tears in my eyes wondering when it would be my turn ended. All those Happy Mother's Day cards and texts I sent out with awkward responses like "um, thank you- hope you have a good day too" were over. Some women may say motherhood doesn't define them or isn't their purpose. I do love other things. I enjoy hobbies and my career and a good live band or a breeze on a boat. I will sit on any cabin deck in the mountains and drink any cup of coffee if it's made right. But being a mother is and will always be my MOST IMPORTANT JOB. And every time I look at my green-eyed boy with the world's longest eyelashes acting on stage, or admire the kind, responsible young man my step-son has become, or listen to my big-blue-eyed baby boy tell me how he wants to help someone in need, the world drifts away. Nothing else matters. If I had never made a proper diagnosis, helped someone who was in pain, or received any trophy, plaque, or ribbon for my efforts, I would be just fine. My real work is being done every single day and will continue until I leave this Earth. Those 3 boys are my purpose in life. Thank you, Jesus, for answering my prayers in Your way on Your time. HERE ARE 14 LESSONS I LEARNED IN MY FIRST DECADE OF MOTHERHOOD. I'M NOW IN MY SECOND DECADE, BUT I'VE HAD MOST OF THESE DOWN FOR A LITTLE WHILE NOW.
I think each of these lessons deserves a little more detail. I really had no trouble thinking of these, since they have honestly been LESSONS LEARNED. These are all things I literally did not know until I knew. And what you don't know, well... it's just better that you know these. 🤷♀️
My own mother told me many years ago that motherhood would be both the hardest and the MOST IMPORTANT job I would ever have. She has never been a step-mother. She has never been through a divorce and tried to navigate a second marriage with a man who was also navigating a second marriage. She has what some might call a wonderful, life-long, high-school-sweetheart partnership that is still going strong over 50 years later. She had 2 smart kids who were active in sports and music and for the most part well-behaved. She wasn't working as a nurse practitioner bringing work home every night, and she wasn't commuting over 8 hours every week. And she still said it was the hardest. And the most important. Odds are that I don't know you. I don't know how many people live in your house or what kind of childhood you had. I don't know how many times you've been hurt or who exactly caused your pain. I don't know how demanding your job is or if you even work outside the home. I don't know if you struggled to get pregnant or if you have more children than you ever intended. Your family may be blended or straight out of Southern Living. It doesn't matter. If you're reading this, you are most likely a parent, probably a female, and if I were a betting woman, I would bet you are exhausted. You are overwhelmed. You are lonely. You are bored if we are being 100% honest. You are under-appreciated and overworked. And you wanted to know you're not alone. I declare from my Georgia basement with my ice-pack on my already-arthritic knee, you are NOT alone. I am with you. My own mama with her cookie cutter textbook family was with you and is still with you. This is hard work. And it's WORTH IT. I hope this article brought you some comfort, whimsy, new ideas, or peace. Just remember wherever you are, I am with you. I'm only halfway to 18 on my youngest, so we can hang out for quite a while yet. 🤪 Godspeed. Please help support my fellow hope*writers' work by reading their posts using the prompt word "fourteen"... :
The Most Wonderful Time of the Year: 14 Things I Love About the Holidays by Jessica Weaver www.rootedunrooted.com/blog/the-most-wonderful-time-of-the-year 14 Truths about Love by Sharla Hallett www.sharlahallett.com/14-truths-about-love/ Fourteen Adjectives to Cultivate in Kids by Jessica Haberman https://storytellerfarm.com/fourteen-adjectives-to-cultivate-in-kids/ 14 Parenting Tips to Raise Strong, Independent Kids by Ashley Olivine https://louvaria.com/14-parenting-tips/ We all have basic human needs as individuals. Most of us would agree that we need food, sleep, and water and some agree we need love and friendship. I would venture to guess that beyond those basic needs, many people are sleep-walking through life without ever giving pause to what THEY or WE actually need from each other. Lots of therapy has helped me realize that other people in my life don't automatically KNOW what I need or expect from them. I must let them know what I need. I have also come to realize that no ONE person in my life could possibly fill or meet all of my needs. It is humanly impossible to meet all the needs of another human by oneself. It truly does take a village. Once we have identified our needs, we can start to look at the players on our team and realize who is filling which need in our life. Some fill multiple needs. Others fill one need or don't fill a need at all, but instead may be causing stress or toxicity. Perhaps "trimming the fat" is in order when it comes to our circle of loved ones. I have also learned that not all of us are CAPABLE or WILLING to meet certain needs of others, and that too can be a painful process of acceptance and growth. So, let's roll up our sleeves and look closely at the basic human needs of each person roaming around this earth. Let us make a list of the members of our circle and try to identify who fills which need(s). There are several reasons this is important:
This is real adulting. Grown up stuff. Hard stuff. Deep stuff. So get ready. photo credit: childhoodtraumarecovery.com Let us look at Maslow's hierarchy of needs from a current-day real-life perspective and add the context of relationships and connection to those needs:
I don't have many patients that walk into my office and tell me they have needs. Instead, they tell me they are sad. They are withdrawing from friends or family. They can't sleep. They don't feel good. The have mood swings or anger outbursts. They are no longer excited about life. Medication cannot "fix" some of these painful circumstances we are all facing in our lives. An SSRI (most commonly used class of anti-depressants) cannot make your spouse SEE you or try to meet your needs. It cannot heal decade-old wounds from your narcissistic mother. It cannot jump into your best friend's mind and tell her that she is hurting you with her words or actions. Nor can it walk into your adult child's house and announce that YOU are a person, too, and that you need love and respect. So many of these issues have been around so long in your life that you don't know where to begin to address them. I encourage you to seek counseling if and when you can. A good therapist really can change your life. In the meantime, write down YOUR needs. List what needs are being met and which are not being met. Jot down WHO is helping to meet those needs and make a mental note of who you really can count on in which needs department. Use your resources - your people - when you are in crisis. Learn to NOT go to the ones who have not or cannot meet certain needs so that you avoid further hurt and disappointment. And consider having a conversation with your loved one if the opportunity ever arises and the setting and timing are conducive to growth. We cannot read minds, and we are all flawed. This relationship and self-evaluation work isn't easy, but it is worth it. Godspeed. A popular book in the field of marriage and relationships is Gary Chapman's The Five Love Languages. In his book, Dr. Chapman discusses the five core languages used to give and receive love. Knowing your love language and that of your partner is quite beneficial as you navigate various scenarios and frustrations throughout your relationship. I will link the quiz below. The 5 Love Languages according to Dr. Chapman are:
Originally written in 2004, the book has now sold over 6 million copies. I read it when it was originally released, and I read it again when I remarried. I knew the importance of speaking the same love language (or at least being aware of my partner's love language) . I think it is helpful to know your close friends' love language and the language of your children or other close family members. If you are not familiar with the concept, I will use this brief example: Amy (acts of service, physical touch): " I am so tired. Ugghh I have so much to do. I don't know how I'm going to get it all done." Husband thinking to himself (words of affirmation, quality time): Amy is so tired. She should go to bed. Maybe if I keep encouraging her to go to bed, she will. Amy thinking to herself: If he would fold this laundry, then maybe I could go to bed. But instead he's just telling me I should go to bed. Husband thinking to himself: Why is she folding that laundry when she is so tired? If I offer to fold the laundry, she may lash out at me since she's so tired, and (needing words of affirmation) that would ruin the night, so I will just stay with her (quality time) and gently encourage her to go to bed. Amy fuming at this point (acts of service, physical touch): If he's not going to fold the laundry, he could at least rub my back. Then maybe I could relax enough to go to bed. But husband doesn't rub my back because he wants the words of affirmation and reassurance to do so and the spiral continues. Neither spouse did anything WRONG, but remembering each other's love language might have made for a much more pleasant evening. Pleasant evenings bleed into smooth mornings and so forth. This example is just one of many. It can apply to family, friends, coworkers. You may be trying to show appreciation with a gift or money but they WANT / NEED to hear you say why you appreciate them. They may be doing all the little chores and acts of service to get your attention, but you WANT / NEED them to stop running around and spend the afternoon with you without any distractions. It really is fascinating once you know the love language of your partner or best friends. You can spend an entire afternoon dissecting why one situation went south based on love language miscommunication alone. But back to PHYSICAL TOUCH, I think this love language is often overlooked and misunderstood. For obvious reasons, it's viewed with caution, and while that is good... it is also robbing us of a basic human need. With the surge of technology and virtual everything, many of us go days or weeks without touching another human, particularly these last 2 years. Throughout my career, I have used touch as a means to reassure and connect with my patients. Since I received touch as a child and infant in a safe, healthy environment, I have been able to give touch easily. I know that is not true for everyone I encounter, and I acknowledge that. Here are some ways I have used touch in my practice:
Here are some ways I have used touch in my home with my children:
My challenge to you, wherever you are, however old you are, whatever childhood you had, whatever love language you prefer, however many times you've been hurt, is to THINK about physical touch in the setting of a newborn baby. I have linked an article below touting the science behind touch and neurological growth and development. If you're old enough to find this article, then you have been a child yourself. You may have children or be involved in a child's life. We all know that a crying baby or toddler is often soothed by the touch of a loved one or caregiver. Animals are the same way. I dare say, adults are ALSO the same way. If you love someone (your child, your partner, your mother, your close friend), touch them. HUG them. Incorporate safe and healthy touch into your daily routine. We have grown generations of adults now who are not used to being touched. Those untouched adults are now having more untouched children. Those untouched children are looking for affection in ways that a simple "cuddle session" (what we call it at our house) may have averted. It saddens me when I shake a teenager's limp and nervous hand or attempt an appropriate side-hug with someone and am greeted with surfboard-stiff awkwardness. I see the physical and emotional effects of the untouched in my office each week, and it breaks my heart. Pat Harris was my first grade teacher. She had a Hug-Me-Spot right by the door to her classroom. No student could enter her room in the morning or leave her room in the afternoon without hugging Miss Harris on the Hug-Me-Spot. This world needs a Hug-Me-Spot. This world needs an army of Miss Harrises. The rules and restrictions have created a generation of kids that don't know what touch is actually appropriate, and adults that are too glued to their phones to use their hands to rub their child's back or snuggle on the couch. These touch-starved kids marry each other and are LONELY and starving for affection that was never modeled for them. And here we are. I challenge you to touch someone today. And tomorrow. And the next day. Hug. Cuddle. Kiss your partner. Squeeze your child. Hold hands. Make touch a part of your day every day. We may really change the world. 🌎 Let's try it. ☀️ Godspeed. I was pretty sure an acorn grew into a tree. I haven't been in first grade for a while, but I thought I remembered an acorn grew into an oak tree. I decided I better look it up before I wrote an entire post about it, and alas... an acorn does grow into an oak tree. Wikipedia expounded upon acorns being used in art, cuisine, customs, and as food for various birds and mammals. When I took the picture of the acorn in my husband's hand this morning, I wasn't thinking about anything but stored potential. Stored potential. I remembered squirrels collect and store acorns for the winter. And they eat the acorns. And those eaten acorns never reach their calling of becoming a beautiful oak tree.
There are all kinds of books and stories and even a finance app regarding the acorn as a tool for storage, delayed potential, growth. And yet... Here we are, scrolling on our phones or our laptops or our tablets (thank you, dear readers, and I do mean that)... Did we write that book we wanted to write? Did we take that ballroom dance class we wanted to take? Did we belt it at karaoke night like we'd been rehearsing with our brush mic in front of our bathroom mirror? (Okay, Susie did but that was the bottomless margaritas singing, not her true heart's desire to sing on a stage in front of strangers and have someone's heart beat a little faster and someone's eyes water at the sheer sound of her voice... wait, maybe that's just me)? Did we finally tell our friend we were sorry when we did that thing that's rolled around in the back of our minds for 20 years? Did we hold our child close to our chest and tell them everything is going to be okay even though we know it might not be okay and we don't want to be the reason they're in therapy later but we don't want to pretend everything is okay, oh my goodness, what is the right answer? Did we apply for the promotion we know we deserve or let another opportunity pass us by? Did we sign up for the race we know we aren't ready for but really, really want to try? Did we tell the person that hurt us repeatedly that they did hurt us and going forward, did we define what we need from them? Did we look in the mirror this morning and like every single inch of our bodies and every single fiber of our heart and soul because God designed us as a masterpiece, beautifully and wonderfully made, despite society's measuring sticks? Or, did we remain on the leaf-covered ground like the acorn... waiting for a squirrel or bird or toddler to scoop us up? Were we stored away for another day? Were we consumed before we ever began our destiny? An oak tree is a beautiful destiny. She is strong, tall, sturdy, and beautiful, with colors that change with the seasons. She provides shelter, shade, and structure. She never leaves us and she stays the same for the most part. You know what else is beautiful? A mother who tells her children she has been hurt too, and that it really is all going to be okay. That she KNOWS it's going to be okay, because she is okay and she will help them be okay as long as she is on this earth. A wife who tells her partner what she needs from them even if she doesn't know if they can give her what she needs. A friend who tells the truth when asked if she's okay. And a friend who recognizes her own flaws and asks for patience and understanding. A daughter who can look at her elderly parents and recognize every line on their face and hands for all its good and bad and steadfastness. She can see herself acquiring those same lines and she knows the toll each one has taken. She knows that her own children will see her lines one day, and she hopes they give her the same recognition. I'm typing this on the porch of a cabin on a lake in north Georgia and the acorns are literally spilling from the treetops hitting the ground HARD and abruptly and with force and determination. Each one comes down on this cabin rooftop or leaf-scattered ground with a POUND or a BOOM or a SNAP. And my heart is full. For I know the destiny of each tiny acorn. She is yearning to become a beautiful oak. She is waiting for her moment to rise. Now it is your turn. What path will you choose? Will you make the hard decisions, let your voice be heard, show up for those who love and need you? Or will you stay on the ground... waiting... watching... allowing life to happen all around you? I dare you to stand. I will stand with you. When a patient presents with hair loss, I obtain a thorough history:
I then perform a thorough physical exam and order the following tests:
That may not “answer” your question but I hope it helps you know what a clinician will be looking for with this presentation of hair loss. 🩺👩⚕️ Personally, I have dealt with hair loss from taking Methotrexate for my sarcoidosis.
It started coming out in clumps in the shower and then in my brush. I soon had very patchy areas of hair loss all over my scalp. My hairdresser advised me to stop applying heat to my hair when possible, to wash my hair less frequently, to avoid ponytail holders when possible, and to avoid any hair color or harsh chemicals. I usually got some blonde highlights in the spring put in my naturally red hair, but I went without those for 4 years while I was on Methotrexate. My rheumatologist increased my Folic Acid dose from 1 mg to 2 mg daily, and I ordered Biotin off Amazon Subscribe and Save. I took the Biotin daily to help with hair growth. I am finally off Methotrexate and on Humira and am seeing hair growth again. Losing my hair was very emotional for me. My bright red hair has defined me for so long. I now knew what all of my patients struggling with hair loss from chemo or other medical reasons were feeling, and boy was it a wake up call. My heart goes out to anyone struggling with hair loss. Much love to you and I hope this helps. Finding friends as an adult can be difficult. Once we live through certain life events, we can become jaded and mistrusting of others. In today's world of social media and spending so many hours online for work or entertainment, new friend opportunities seem to be few and far between. Ways to find a new friend as an adult in 2021:
Let's talk about the pros and cons of each avenue for creating a new friendship:
I value honesty, deep conversations, and potential for growth now more than ever when I approach a new friendship. Time is precious, and I encourage you to spend it with those who add value to your life. Throughout my career, I have had to deliver hard news to my patients. I have had to deliver even worse news to their families. It is the LEAST favorite part of my job, but I have found some comfort knowing I am delivering the news with compassion and empathy. I usually know the patient and family very well, and I think that means a lot. These suggestions may be helpful when faced with a difficult diagnosis.
Let's look at each suggestion in detail:
I am in a unique position in that I have both delivered and received hard news. At the age of 40, when my youngest son was 4, I was told I probably have lymphoma AND multiple sclerosis over the phone by a nurse. I was told to get an appointment with an oncologist and a neurologist as soon as possible. Many blood tests, imaging tests, and biopsies later, I was finally told that "you don't have cancer! And I don't think you have MS but I'm not sure. What you do have is a lifelong incurable autoimmune disease that can attack any organ and can be difficult to treat. And by the way, nobody has really heard of it and even us doctors have to google it when we see it on a chart."
So maybe those weren't his exact words, but it was close. And there will be a lot more to that story to come in my posts. I wish someone had used tip #3 with me when delivering my news.
My husband and I have been on opposite shifts for 5 years. Has it been fun or easy? No and no. Has a tiny part of me enjoyed hogging the remote or eating popcorn for dinner on the rare evening when kids are gone? Yes for sure! It does take effort to stay connected when you may go 48 hours without seeing each other, and I have learned a few tricks that have worked for us. 8 tips to stay connected despite working opposite shifts:
Here are 10 easy ways to support someone with a chronic illness:
I have been living with a chronic illness for 5 years now. My family and friends have been a huge source of support. Even as they've tried to love me, I've witnessed their looks of "what can I do?" or "what should I say?". Most chronic illnesses are unique and involve multiple appointments with various specialists, countless medications, and years of simply managing one's health. These concrete examples can really help your loved one and make them feel important.
What do we say when we don't know what to say? We have all been there. Someone dies unexpectedly. Someone receives a terrible diagnosis. A divorce comes out of nowhere. A tragic accident. Our partner says something cruel or doesn't meet our emotional needs. A friend is struggling with infertility or has a miscarriage. Our friend is venting about a difficult situation. Here are some tips for what to say and what not to say: Do / say this:
Don't do / say this:
CHECK OUT THE BOOK "I HEAR YOU" BY MICHAEL SORENSON FOR AN IN-DEPTH DISCUSSION ON ACTIVE AND EFFECTIVE LISTENING. WORTH THE READ!
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