5 Ways to Live Well with Chronic Pain

How to Live WellNone of us ever set out to live a life with chronic pain and illness, but it happens. There comes that moment when you are sitting in yet another doctor’s office going over your symptoms for the third time that week, and the physician is simultaneously squinting his eyes, trying to make sense of your laundry list of complaints while scribbling something in your file — when you realize that your story might not ever have a Cinderella ending.

You panic. You may throw things (when you get home). Niagara Falls begins to erupt from your eyes. And then gradually, over time and much heartache, you embrace Plan B.

My Plan B was immersing myself into the wisdom of Toni Bernhard’s writing on the topic of chronic illness. In my opinion, there’s no one who understands the frustrations of being unfairly stymied in your life by an illness as well as Bernhard, but who offers a hopeful perspective without charging you with a bunch of actions that promises a “cure” like so many other self-help books do. Bernhard, a former law professor and dean of students at the University of California-Davis, caught a viral infection in May of 2001 on a trip to Paris and has been mostly housebound — often bedbound — since.

I read her first book, How To Be Sick, at a critical time in my recovery a year-and-a-half ago when I decided to start living around my symptoms instead of fighting against them on an hourly basis. Her insights have led me to peace, and helped me to embrace my illness in a way that has substantially reduced my suffering. Now, she has just published a new book, How to Live Well With Chronic Pain and Illness. Like her first book, it’s packed full of helpful advice, including skills to help with every day, how to communicate with family and friends, managing toxic thoughts and emotions, and dealing with isolation and loneliness.

Here are just a few favorite insights of mine that she offers in her book to help you live better with chronic pain and illness.

1. Be Kind to Yourself

One of my favorite chapters in Bernhard’s book is called “Letting Go: A Not-To-Do List for the Chronically Ill,” in which she compiles a fantastic list of eight things not to do:

  • Do not spend your precious energy worrying about how others view your medical condition.
  • Do not treat discouraging and disheartening thoughts or emotions as permanent fixtures in your mind.
  • Do not ignore your body’s pleas to say “no” to an activity.
  • Do not undertake a treatment just to please whoever is pressuring you to try it.
  • Do not be angry when people in your life don’t respond as you’d like.
  • Do not get hooked into believing you always have to “think positively.”
  • Do not put your pre-illness life on a pedestal.
  • Do not call yourself names or otherwise speak unkindly to yourself when you break one of your not-to-do rules.

They are all ways of learning how to be kind to yourself, which Bernhard would say is the most important lesson of all. “Self-compassion always comes first,” she writes. “If you think that treating yourself with compassion is too self-absorbed, remind yourself of the Buddha’s words: ‘If you search the whole world over, you will find no one who is dearer than yourself.’” We so often associate the word “kindness” with our actions to others, but it’s equally important to treat ourselves with respect and compassion.

2. Ask for Help

We’ve been taught that asking for help is a sign of weakness. In our culture, independence is valued over dependence. Learning how to ask for help takes practice for many of us. It’s a skill. Bernhard outlines some steps to hone this skill, and she reminds us that asking for help can actually be an act of kindness toward others. She writes, “Allowing them to help when you’re struggling with your health makes them feel LESS HELPLESS in the face of the new challenge in your life. It can mean a lot to someone to be able to aid a friend or family member who is struggling with his or her health.”

3. Learn How to Say “No”

This lesson has been one of the most difficult ones for me as a stage-four people-pleaser. Whenever I summoned up the courage to say “no” as a young girl, I endured silent treatments and other fun stuff. Going into my second decade with a chronic illness, however, I have no choice but to utter the two-letter word with regularity. That is, if I want to reduce my symptoms as much as possible. In responding to other people, Bernhard relies on Buddha’s teaching on skillful speech — we should speak only when what we have to say is true, kind, and helpful.

So when someone asks her to do something, she asks herself, “Would saying ‘no’ as opposed to ‘yes’ be true to myself? Would saying ‘no’ as opposed to ‘yes’ be kind and helpful to myself?” Think about this the next time you are asked to do something: Will your response be true to yourself, reflect your values, and EASE your suffering, as opposed to intensifying it? Or are you responding out of social pressure and a pattern of people-pleasing? Bernhard says it gets easier to say “no” as you begin to do it more often.

4. Don’t Feed the Want Monster

“Our desire to satisfy the Want Monster can feel so intense that we can talk ourselves into believing that getting what we want is necessary to our very ability to be happy,” writes Bernhard. For a long time, my deepest desire was to regain the good health that I enjoyed in my 20s. I could eat pizza and ice cream without suffering painful consequences. I enjoyed hosting parties with my husband. I didn’t have to keep a mood journal and assign each day a number between 0 (no death thoughts) and 5 (worrisome suicidal ideations), along with the day in my menstrual cycle, medications and supplements taken, and food and beverages consumed.

These two lines in Bernhard’s book enlightened me on how much energy I was wasting on trying to get back to my 27-year-old self: “The type of happiness that comes from satisfying the Want Monster is short-lived — because nothing is permanent … This conviction that the key to happiness is satisfying our desires sets us up for a big dose of disappointment and dissatisfaction with our lives.” After falling into that trap herself, she now realizes that the happiness that she wants comes from being content with her life as it is — and that is very attainable. She writes:

This happiness comes from making peace with the stark realities of life — that it’s a mixture of pleasant and unpleasant experiences, easy times and hard times, getting what I want and not getting what I want. It’s that way for everyone, and has always been. This happiness comes from opening my heart and mind to engage each day fully, even though I know it may be a day in which the Want Monster goes hungry.

5. Practice Mindfulness

Mindfulness is the practice of turning your attention with care to the experience of the moment,” Bernhard explains. Her chapters teach us how to apply mindfulness to our illness — that is, how to pay attention to our physical and mental discomfort in a way that brings us to peace with our lives as they are at the moment. This can be done inside or outside the practice of formal meditation. It is about responding skillfully to emotions that can hijack our mind and identifying stressful thought patterns that can so often trigger physical reactions in the body. With practice, we can learn to catch the stories we tell ourselves that work against our well-being and mindfully let them go. Bernhard writes:

It took several years of chronic illness for me to recognize that I was causing myself undue mental suffering by spinning stressful stories about my physical discomfort and then accepting them as true without question simply because I had thought them. Mindfulness practice was the principle too that helped me realize was I was doing.

Join the Living with Chronic Illness group on ProjectBeyondBlue.com, the new depression community.

Originally posted on Sanity Break at Everyday Health.
5 Ways to Live Well with Chronic Pain
5 Ways to Live Well with Chronic Pain
Disorders
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Seven Seconds to Success

seven seconds to successWhen you first encounter someone they make a decision about you in seven seconds. Beyond a first impression which is made during the first three seconds and is relatively shallow about your appearance and attractiveness, the next four seconds is where you seal your fate. Seven seconds is all it takes to make it or break it, whether it is during a job interview, sales call, or annual performance review. A lifetime of preparation can boil down to a seven-second encounter.

Why Seven Seconds?

All of us, admittedly or not, form an opinion about a person or business within seven seconds of coming in contact with them. Those hasty judgements we make have their roots in evolution. In other words, our primitive origins drive our modern day social interactions. In fact, evolutionary psychologists go so far to suggest that we make quick decisions now because we had to act fast in early times to not end up as dinner!

Our psychological make-ups have not changed while our environment and challenges have. In prehistoric times, you would have had to make a quick judgment about an encounter with an unknown animal to avoid being a snack. Today, you make a hasty decision about a new business partner, service provider, or even romantic interest to avoid being taken advantage of, or worse, physically hurt.

According to Mark Schaller, a leading social psychologist at the University of British Columbia, during that critical first seven seconds of contact, we subconsciously decide whether a threat might be present and if we want to engage with someone. In seven seconds we sum up a new person well enough to try to figure out if we are interacting with a criminal or a sociopath that might steal from us or do us harm, or a nice person we want to do business with, buy a product from, or even date.

Tips to Prepare for Your Seven Seconds

Your life is a series of seven-second encounters where the world is judging you. All day everyday people decide if they want to do business with you, hire you, date you, or even be your friend. So, how do you best prepare for those fateful seven seconds? How do you connect with someone in seven seconds?

  • Jog, bike, or walk on a regular basis.
    It is widely accepted that rhythmic exercise like running builds confidence, grooms effective leaders, and is associated with greater income. But, how? Exercise like walking and stair climbing are primitive. They are a central pattern generator (CPG) that once it starts it keeps going like a wheel and activates your primitive brain. While the body moves, the brain can do something else, such as listen to music or watch a television monitor.

    Think of a CPG as a liberator. It allows your brain to think, reflect and plan while your body does its thing. Any simple, easy rhythmic exercise calms your mind and decreases your anxiety. In the long run, it puts you in touch with your primitive, natural, and relaxed self that people will like and trust.

  • Mimic the other person’s body language.
    This communicates empathy. If the person you encounter is standing, then stand. If their arms are open and at their side, yours should be too. When we convey empathy we establish a connection and within seven seconds can begin to build a lasting relationship.
  • Quell social anxiety.
    As we saw above, regular exercise like jogging can help over time, but not always in the moment. The problem with anxiety is that nervousness conveys uneasy excitement to others. It is unnerving and will immediately turn people off to you. When you are anxious, forget seven seconds; you are done in less than three!

    The reason is that primitive man would have experienced anxiety to signal danger — a lurking predator for example. So when you are anxious you are signaling a nearby threat and people will associate you with danger. To appear less anxious, remember that anxiety is your brain playing tricks on you by overvaluing social encounters.

    To reduce anxiety, breathe deeply and maintain open-arms and tall postures to signal to your brain that there is no threat. Next, shift your focus from you to the other person. Be empathetic. Ask yourself, what is (s)he saying? Determine how (s)he feels. By focusing on the other person, you establish rapport and are now using anxiety to your advantage during each seven-second encounter.

Seven Seconds goes by in a hurry. But it is all the time we have based on how evolution wired our brains. Prepare for your seven seconds with rhythmic exercise to put your best foot forward and then use the easy how-to tips to make every seven seconds a success!

AndreyPopov/Bigstock


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Seven Seconds to Success
Seven Seconds to Success
Disorders
When you first encounter someone they make a decision about you in seven seconds. Beyond a first impression which is made during the first three seconds and is relatively shallow about your appearance and attractiveness, the next four seconds is…

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