Making Better Lemonade

Bring Your Healthy Avatar Into Play
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Care Giving May Bring an Array of Emotions

Being a care giver is, at times, one of those jobs that can provide indescribable joy, other times it may seem thankless, even hopeless. In most jobs in our lifetime, there are different markers that tell us if we are succeeding, e.g. raises in pay, boss’ evaluations that give us the needed “atta boy/girl”, inner feelings of pride in our work.

Alas, especially if you are a care giver of friends or family, you may be expected to do a great job, with little positive feedback. The patient has suffered a traumatic time for whatever caused the disability and may not have a lot to give back to a care giver. It is just the job you are expected to do!

Now the discussion so far may not be as negative for you. You may be feeling rewarded and satisfied. That is ideal. But just in case the care giver role may have burned you out, evaluating your own success can help you cope with some of those overwhelming feelings that care giving brings. You can give yourself an “atta girl/boy!

The Tips

1. Begin with an examination of your own attitudes, beliefs and work ethic. If you uncover feelings of negativity, being overwhelmed, out of control with anger, and otherwise detrimental attitudes proceed directly to Number 10 below. At the very least do some thoughtful care giving to yourself. It may be possible that you could be depressed from this very stressful job. No shame in getting help!

2. Plan your care giving time to include time just to listen to your patient. Being heard by another human being is one of the most important gifts that we can give and a magic cure for so many worries.

3. Educate yourself about the many products, such as mobility and bath safety aids, that are available to support and make life easier and more comfortable for the elderly and disabled. Some products will make your job incredibly easier and safer for you and your patient.

4. Evaluate your patient in terms of what you would find helpful, if you were in his/her shoes. Then try to include helpful aids or behaviors that you identified as something you would like. No harm in trying out a new activity.

5. Tally up the patient’s likes and dislikes, and make a concerted effort to magnify the “likes” for the patient.

6. Understand that the patient’s “grumbles” may be more about disappointment and feeling of helplessness, than a direct criticism of you.

7. See the environment from the patient’s eyes with respect to needs for privacy, access to meeting personal needs, lack of ability in independent self care, and general comfort in living. Use your findings to solve problems.

8. Recognize signs of depression (feeling down, apathy, anger, poor concentration anxiety, fatigue, restlessness, irritability) and get a mental health consult, if you aren’t sure. Depression is treatable, but you may need a professional’s help for your patient.

9. If you think at times that your patient may not be physically well, or even not thinking or expressing themselves like they have previously, don’t hesitate to involve the primary care physician. Care giving is best when it is a team effort, and you know when to involve others!

10. By all means, recognize that you need a break from care giving duties on a regular basis. You will be better at your job, if you have a respite. All too often, care givers are dedicated to the patient to the degree of letting their own needs run amok. Burn out will never result in good care giving.

Now honestly assess your efforts. If your motives are pure, you should be able to reach around your shoulders and give yourself an “atta girl or boy” for a job well done! Or, at the very least, you have a blueprint to improve your care giving!

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The Roles of Parent and Child Change

The elderly population is growing at an exponential rate! At some point many of us will move into care giver roles for our parents, whether it is in our own homes, their homes, or supervising care in a facility. We will be charged to add a creative part to the process in order to keep the elder’s self-worth alive and to maximize their quality of life.

The role reversal of parent and child as the parent ages is often a wake up call. Gradually, the parent has become dependent on the “child,” who is now an adult, and with the dependency comes new dynamics that the adult “child” must shoulder.

There is a dangerous part in all of this that the adult child has to cover: protecting the elderly parent from falling, from taking on tasks they can no longer easily do, from not getting very basic needs met appropriately and many more.

Here’s the creative part in caring for elderly parents: keeping self-esteem alive and well, providing mobility aids, bath safety, and making their living areas as pleasant and comfortable as is possible.

Many Responsibilities Surface for Care Giver

All the while helping them to be safe and secure in their environment, the now care giver has many responsibilities. It all boils down to enhancing the quality of their lives. For example, a day trip within the community can make an otherwise dull day bright. A transport wheelchair is relatively economical and makes care giving vastly easier.

In providing the care needed for the elderly parent, it is important that the elderly feel respected and worthy. Enhancing the quality of life for the elderly parent is helped with living aids; however, the attitude of the caregiver will be the basis upon which the care given is built.

Take a Self Inventory

Being honest, conflicts with parents are one of the stages of child (sometimes adult, too) development. Now we have to work through all the old hurts, wrongs done and even possible guilt for our feelings. In many cases, it is exceptionally difficult to put away the old pains and resentments. The past can be tenacious and letting go may seem impossible. The only guidance I would give is to “be the person you have grow into being”! Lessons have been learned.

Then there are those of use who feel we have to make things better when, in reality, we can’t change most of the events our parents now find in their lives. Hard lesson! One does what one can, we are not responsible for changing the impossible. Again, we are responsible for “being the person we have grown into being.”

You have to manage your own life as well, and it will need to take priority many times.

Ultimately, spinning the day as positively as possible, giving respect and encouragement, and providing the help you are able to do are major parts of creatively caring for elderly parents. The basis of your care will always begin with fostering a positive attitude within yourself.

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Rounding Out The Caregiver Role

When a person is dropped into a caregiver role, it may seem impossible to know how to begin. A light bulb lit up for me this weekend while attending a coaching conference: many of the same guidelines of life coaching can be applied in a slightly different manner to care giving.

Basically, the physical and medical needs of their “patient” are major, of course. But, some of the most thorny care giving issues are how to relate emotionally to the elder or disabled, how to help with their emotions, and how to motivate independent living in the face of disappointment and struggles. Whether you’re a caregiver or life coach you’re about to model and teach a whole new way for the person to cope and live with whatever challenges that are now a part of life.

Becoming Skilled at Fostering Positive Attitudes

How can a caregiver resolve problems so that the elder or disabled can have greater personal growth and coping skills? A caregiver has to navigate through a variety of scenarios ranging from the individual’s emotional reactions to a disability to problems that involve family interactions. Bottom line: as a caregiver, you must become skilled at working with human beings to produce positive change and help that person adapt to the new challenges that surface. Pretty tall order!

One of the first orders of business is to explore your own attitudes and possible negativity. No, you are not expected to make life perfect and everything back to normal! You are not responsible for what has happened to make the person disabled. More, you do have responsibility for providing positive support. You can’t work miracles, but you can model encouragement, help in coping with “life’s lemons,” and do the best you can to bring a light of sunshine. Empathy is far from sympathy, and it can be a basic tenet of your care giving.

Many physical problems can be modified with home medical equipment. In turn, the confidence built by having the right equipment spills over into the emotional realm.

It Always Is a Surprise: Just Listening and Talking Work Wonders

A well trained life coach never provides instant solutions, rather coaching is a process whereby the individual decides what efforts and solutions he will bring to his problems. Help the elderly and disabled verbalize what the main problems are, how it affects their outlook, and what might make things better.

Empathizing can be very good, up to a point. The real help is in the process of exploring thoughts and feelings. No feeling is bad, a feeling is a feeling. However, remember, thoughts drive emotions. Helping to “reframe” negative thoughts when possible or encouraging a more positive “spin” will ultimately work better. That takes time and perseverance.

Ah, you say, she doesn’t know my Dad. You are right, but having someone really listen to what he is feeling will prompt better coping than denying those feelings. Remember, it is a process, a marathon, not a sprint!

Get started small; you can’t change a whole lifetime or dissolve the trauma of disability. However, you can be a light in the dark forest that may make all the difference in the world. More Later.

The least you need to know:
1. Care giving involves emotional as well as physical needs.
2. You are not expected to solve problems that cannot be solved.
3. You are a role model for learning to adapt to challenges.

The mission should you chose to accept requires:
1. Getting your own emotional and thinking house in order. Negativity breeds negativity.
2. Talking and listening–without judgment–is magic!
3. Remember the marathon, not the sprint; this will be a lifetime of persistence.

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Aging Disabilities May Start Slowly

Deciding on the need for adaptive equipment may require noticing details and subtle differences as age progresses in our loved ones. We may even tend to overlook a lessening of functioning in our elderly parents, or not realize the time is coming when geriatric care will be necessary.

We may even resist moving into our roles as caregivers, wanting our parents to stay the strong and sturdy parents we always knew. Or perhaps the thought of giving that care may be too big of a burden, and we turn to denial, a problem that surely complicates the elder’s and potential caretaker’s lives. Thus both parties may struggle with depression and guilt.

Signs to Look For

If their movements are tentative and unsure, perhaps it would be wise to evaluate where the failings are beginning. It is a given that sitting down and getting up become more of an effort as age progresses. Hesitancy in walking and being a little unsteady on their feet may be some of the first signs.

Usually, the elder will start noticing how easy tasks have become difficult. They may comment, “I’m not as sure of myself as I usually am”, or “I can’t seem to go as far as I used to.” Sometimes even, “I guess I’m getting old” will be expressed with a sense of loss and regret.

Managing the Emotional Side

Depression is common and may need the assistance of professionals, including evaluation by psychiatric professionals regarding medication needs. Honest expression of emotions by both the elder and potential caretaker can stop damaging build up of resentments. Ask a psychologist to help mediate the discussion, if you are uncertain how to handle emotions.

Acceptance is Difficult

Many times, the elder will not accept using a walker or wheelchair, usually feeling that the use of these items will be a public announcement of their “weaknesses.” Some will want to hold on until they can’t hide the lessening of abilities; some even may fall or not be able to walk without hurting themselves. Definitely, help is a necessity now.

Many Products are Available to Meet a Range of Needs

Often the ability to be mobile is a gradual failing, one that family may not notice as it begins. When it becomes more and more apparent that age is progressing, thinking of help with personal care and mobility will be appreciated. The elderly may be embarrassed or not want to admit that simple tasks have become difficult.

However, adapting to challenges will not escape anyone, and making mobility and personal care safer and easier are certainly good places to start. Do research about home medical products and adaptive equipment to solve a variety of problems.

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Letter to Her Sister’s Therapist Poignantly Chronicals a Twin’s Grieving and Pain

Much to my surprise, I received a letter from a deceased client’s twin, expressing the constant pain of living these last two years without her sister. The client heself had expressed sadness that her twin was not a fan of therapy. Therapy is not for everyone! However, the client had set a healing course for herself with her therapy.

While painfully mentally ill, the client had made her therapy a place to find solace and acceptance of an otherwise difficult life. She learned to immerse herself in daily activities that symbolized the fabric of her life. Perhaps a solace for the remaining twin would be the therapist’s understanding of her sister’s personal journey.

The Therapist’s Understanding of Her Twin’s Personal Journey

Dear Twin,

I was so pleased to hear from you. I knew your sister’s passing would be a huge loss for you. I hear the pain in your words still now.

So much of your sister’s life was lived through and with you. She never had a day that she didn’t want to be with you, to talk to you, to hear about your life and puppies. She was very glad that you have your husband and his family.

Her happiest times were going to your home and sharing your birthday and holidays with you. The day she returned from her visit, she always began planning her return.

Going through your mother’s passing was poignant for her. She resolved some old unhappiness and questions as she grieved. Her mother was important to her. She seemed to gain new perspectives on your parents’ struggles from that time.

I found these cards I’m sending to you deep in one of my cabinets when I recently moved my office. Your sister must have wanted me to share them with you, because I thought I had given all her cards back to her before she passed. Voila! Here they were, just as I was searching for words to comfort you.

Her cards unlock the ways she chose to live her life.

She was constantly thinking of you and worrying if you were handling the trials of your life. She shared all your life events that you told to her.

She immersed herself in study; she loved knowledge, and made it her life work. What better endeavor could one have during this life? She always gave herself a goal– returning to work, even though she knew she could not withstand the pressure of others’ and her own expectations. Any criticism wounded her deeply. Knowledge was always safe.

Her own dogs and cats were her daily salvation. They enriched her days and gave her purpose. They warmed her soul.

I want you to know that, yes, she struggled with her mental illness, but deep inside she loved life, and she found great comfort in you, her studies, her and your pets, and working on healing herself.

She mentions some of her books and movies in these cards that gave her strength and guidance. She hoped she could help you heal, too. As you know, journaling was an enormous learning experience for her. She felt she had healed many past wounds through her own self search. But, she understood that it wasn’t for you, even though she tried to give it to you.

For many years, we worked a lot on her changing her negative thinking. It was intricately woven into the manifestation of her illness. She came to experience much less pain when she did not allow negative thinking to overcome her thoughts.

She struggled with keeping her faith, and ultimately was able to draw strength and guidance from it, although many times she was angry at God. When she finally accepted her early religious training, peace followed for many days. Not that it stayed at all times. She was a human who symbolized all of our struggles with faith.

The final, many years that we worked together, she overcame many of her wounds, or, at least, healed deep scars and did find periods of peace. She was an exceptionally strong soul to keep her healing at the front of her being.

In the cards, especially the lavender card I’ve enclosed, that she had sent me just days before her passing, I see her mark of personal growth and secret knowing.

“They make this world a better place

By practicing the art

Of reaching out to others

And by giving from the heart….

May you always be as happy as you make others.”–Amanda Bradley

This, too, was her gift to you, giving to you healed her. She remained a teacher until the end.

I miss her, also. It was an honor to be a part of her life. She taught me a great deal.

Therapist’s signature

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The Task is Enhancing Safety and Comfort

Caring for elderly parents has arrived for many baby boomers. Whether we care for parents in our home or their homes, we are responsible for making life more comfortable and safe. As caretakers of disabled family members, adaptive equipment and home medical products greatly facilitate caretakers’ duties.

My mother would have been 100 years old last January. She passed 2 years ago. I had cared for her, including many years in my home, for 30 years. Her disabilities progressed with her age, and certainly changed many aspects of our living. Sure, we had some basics, but, it wasn’t until after her passing that I learned about the extent of adaptive equipment and home medical equipment available when I researched products for a website.

Adaptive Equipment and Home Medical Products Solve Problems

The world of adaptive equipment offers many solutions for people with disabilities, the elderly and their caretakers. Adaptive equipment is often the key to quality of life.

Recently, I decided to pursue a home based business aimed at improving quality of life for people with disabilities and the elderly. As I researched products for my website http://www.qualitymatters2me.com, I discovered the depth of the world of adaptive equipment. So many products are available; it blew me away.

Even though I had spent 3 years as a psychologist in a rehabilitation facility for disabled with workers’ compensation injuries, and 20+ years as a psychologist, knowledge of the extent and variability of home medical products on the market would have been extremely helpful.

Don’t Forget The Whole Person

Much of my psychological work with disabled clients or their caretakers has been to enhance coping skills and develop the spirit of survival. In caring for the disabled, don’t rule out their emotional needs. The basic tenets of mind body health rule: If one system, e.g. the physical, is distressed, the other system e.g. emotional, is connected and, therefore, affected. Emotions greatly affect body health and healing!

Mental and emotional adjuncts to life challenges round out the care picture. Physical, mental, emotional, and spiritual aspects are needed to treat the whole person. We are not just our disabilities, we are people first and foremost.

Adaptive equipment can alleviate some of the physical problems; mental and emotional issues still need to be factored in to address all treatment needs. Don’t forget the mind body connection. Let’s use every possible resource to attack the disabilities and raise comfort levels to the max.

The Least You Need to Know:
1. The disabled and elderly have numerous resources available in adaptive equipment and home medical products.
2. As caretakers, we can take advantage of adaptive equipment, not only for the safety and comfort of family member, but such products make our job much easier.

Your Mission, Should You Decide to Accept, Requires:
1. Research adaptive equipment to meet specific needs.
2. Don’t forget to encourage the family member’s ideas.
3. Mind body rules: emotional needs at times are as important as physical needs.

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Healing Life Tragedies requires Stalwart Resilience

This world is putting us all to the test. If tragedy is not striking us directly, then relatives, friends and those we see on the nightly news remind us that “but, for the Grace of God, go I.” Or perhaps our struggles are just not in the news, but are still in our hearts.

This is a time to renew our inner resources, to practice centering ourselves and building strengths. These are skills that are learned. It is not too late to feed our inner resources with new learnings or reminders of what we already know.

If You Are Disabled, Adaptive Equipment Supports Resilience and Self Reliance!

Use all your abilities and whatever adjuncts you need to be self reliant and independent. Resilience is partly the deep confidence that you build in your own resources–physical, emotional, spiritual. Use whatever help you need that will increase your inner strengths. Never be afraid or too proud to ask for and get additional resources and help. Resilience is won by being smart and resourceful. If adaptive equipment or medical products are needed, then, by all means, use what you can to build your strengths.

My Roots are Showing

Many of us baby boomers who were raised in rural America learned very early that there is a special place inside that takes pride in overcoming, in showing our roots. Not that city people don’t do the same. People are people–we are all born with abilities to learn; perhaps now is the time for a refresher course on tips that help us through tragedies.

Those who have developed strong resilience pride themselves in pulling themselves up by “their bootstraps.” It is this resilience that we hang onto when the going gets tough. Resilience is learned; we are not born with these qualities.

These Are Easy Skills to Learn and Use

The American Psychological Association (APA) devotes a portion of the Help Center to discussions about resilience. Go to the website and search “resilience” for a complete review of numerous resilience strategies. Look carefully through the brochure, “The Road to Resilience.”

Take freely from the suggestions on this website, they are meant to increase coping skills in us all. Enjoy the security that professionals have developed these tips and the tips are proven to assist anyone who is willing to learn them.

When you have reviewed these tips, research other topics, and read further articles on the APA website. Also, please note the many topics you can research for help by the American Psychological Association.

The Least You Need to Know:
1. In these times of unbelievable struggle, we can cope by using specific behaviors, thoughts and actions.
2. Everyone is capable of developing his/her own strategy to cope and become more resilient.
3. The American Psychological Association provides tons of help for many, many emotional issues!!

The Mission, Should You Accept, Requires:
1. Review suggestions from professionals.
2. Take an inventory of your coping skills; practice professional suggestions until you have made them your own.
3. Look to inner strengths for guidance.

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Reducing Stress: A Whole Mind Body Experience

Within the stress relief area, emotional resilience, courage and positive thinking are critical for increased coping skills and prevention of hopelessness. In the face of overwhelming events and injury, it may take a period of time before attitudes and thoughts can swing to hopefulness and positive thinking. However, survival depends on attacking problems from a “can do,” determined stance. Talk to others, let friends and family be of help, get a therapist when feeling stuck.

Activities that reduce stress and promote feelings of control and self-esteem vary from simply getting out of house and talking to those who care, exercising however you can, to finding ways to be mobile, or using products that give physical relief. From a place of mastery can grow self-confidence and hope. If anxiety doesn’t overwhelm, the day can be manageable. Taking control over physical movement and daily living activities produces self-reliance and independent living skills, and serves as a re-introduction to your inner core strength.

A core concept in pain management is mind body relaxation. Biofeedback teaches such skills; however, you can get a jump on the strategies by teaching yourself or using cds/computer software to learn relatively simple relaxation concepts.

Learn and practice breathing and relaxation skills.

Let’s review from other posts how relaxing your body and mind allows for healing. The body cannot heal if it is tense; the mind may take you to irrational fears, worry and ultimately depression. Tension increases inflammation of muscles. Here’s where you bring in your “healthy avatar,” that part of you that naturally connects you to health and vitality. Relaxation skills will lead the way.

Simple relaxation by deep breathing can calm down anxiety: Steps to begin: Breathe deeply, from your diaphragm. Breathing from your chest won’t relax you. Picture your breath coming up from your ‘gut.’ Slowly repeat a calming word or phrase such as ‘relax’ or ‘take it easy.’ Repeat it to yourself while breathing deeply. For those who used breathing for child birth or other stressors, rely on your previous learning.

*Imagery; visualize a relaxing experience from either your memory or your imagination, your special place. This technique is accomplished all in your “mind’s eye.” Some people go to the beach, to grandma’s house, a meadow or mountain top……Have your special place in your mind before beginning. Then start with breathing to relax and set the tone.
**Use all of your 5 senses to intensify the imagery: 1. Sight–see colors, shapes; 2. Hear sounds that you would expect at your special place–soft voices, music, birds singing,a bubbling brook; 3. Taste a special drink, lick your lips and taste the sea salt; 4. Feel the motion of your body as you take a sip, walk along the beach, or into grandma’s house; 5. Smell the pleasing odors you expect in your special place–the ocean scent, grandma’s pie in the oven, flowers in the meadow.

*Learn and practice non-strenuous, slow exercises such as yoga or tai chi to physically relax your muscles and help you center thoughts. If you can’t join a class, use internet or bookstore resources. Even if you can’t do every movement, do those you can. Here’s a secret: “see in your mind’s eye” yourself fully doing the exercise. Use this strategy as a visualization. Then be open to how this may subtly change you. Be watchful.

Practice these techniques daily. Learn to use them automatically when you’re in a tense situation, learn the techniques before you need them. Make relaxation a part of your lifestyle, your everyday existence.

As difficult as your feel your situation is, build in hope and personally direct your healing by returning inward and drawing on strengths you may have forgotten or have been afraid to use. It may seem like a difficult road, but it is doable.

The least you need to know:
1. Good coping skills begin with you taking charge of what is needed.
2. If you allow negative thinking to prevail, you will struggle more.

If you chose to accept this mission, it will require:
1. Honestly examining your attitude.
2. Learning the skills above.

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To Take or Not To Take Antidepressants is the Question

Here’s a no brainer–antidepressants are widely prescribed. It’s been described as a national epidemic! Research has provided both pros and cons of taking the medication, including serious side effects, like weight gain.

Researching antidepressant medication vs. psychotherapy is easily accomplished with your health care providers and on the internet. The National Institute of Health offers a particularly extensive review. The more we delve into depression, the more obvious the complexity of treatment and diagnosis.

A Therapist’s View

Clinical depression is far more than being down over life events. Diagnosis goes beyond short periods when things are not to our liking. Often, it takes professionals to see the difference. Some symptoms may be a matter of degree and extensiveness. Here, the discussion is not intended to address the popular “Bipolar” diagnosis. Clarity in diagnosis is critical, and therapy is also a good adjunct to Bipolar treatment. It is true that depression suggests a biochemical change. Remember, changing thoughts can change the chemistry, too.

This author’s mind body proclivity leans toward not taking a pill to solve life’s problems, and using cognitive and behavioral resources before jumping into medication. Mind body research and supporters tout that the body can heal itself by immersing in emotional and mental resources and making changes. Meds relieve symptoms, but don’t cure the problem.

Inevitably, a therapy client shows up who actively tries cognitive/behavioral treatment to resolve a downward spiral, only to find no relief. Or the fight has been carried on for so long by the client that the detrimental effects of stress and problems have settled into permanent physiological–and negative– changes and clinical depression. Then, the body may need medical help (medication) to reduce the symptoms of depression while learning new coping skills.

Easy Answers May not Come Even to Professionals

Treating Depression is not so simple. Professionals must juggle much information and come out with clear understandings and treatment decisions. That takes experience and insight. Among health care providers, the dilemma of helping clients change emotional reactions by medical (medication) vs. cognitive/behavioral means has brought healthy debate for many years. Research supports the efficacy of both cognitive therapy and antidepressants equally, although only therapy leads to future prevention.

Some of us read the research against or for meds and rally behind it because of the scientific/measurable effects. Then, there are we practitioners who struggle with helping clients, put our hearts into therapy change, encourage, cajole, challenge clients to making actual changes and, voila, depression is conquered!

Or we may, after much angst, find medication as an adjunct and see results, too. Medications may make the immediate symptoms less intense, while the client is learning new behavioral styles.

As I see it, there are so many physiological and behavioral variables. When in doubt, it’s appropriate to direct the client to a physician or prescribing psychologist for a medication evaluation. Two heads seem better than one. However, if cognitive/behavioral change is working, don’t fix something that isn’t broken!

A Window of Opportunity

Always, the hope is that 6 to 12 months on a medication will provide a window of opportunity during which the client makes significant behavioral change while the devastating emotions are held at bay by the antidepressant. However, some clients may need much longer treatment with medication.

Again, the mind body focus. Take away the nose to nose madness of depression and anxiety long enough for the person to find new directions and coping skills which will prohibit depression in the future and uncover joy as a way of life now. Cognitive/behavioral therapy does have a good record with maintaining treatment gains vs. medications, because of the healthy lifestyle and cognitive changes that therapy requires.

We Must be Ever Vigilant!

Therapy: such hope, such a pragmatic view, the only real “cure”! At times, such a risk to not seek medication evaluation when keeping symptoms at bay with meds needs to be part of the treatment! The ravages of depression may have gone on too long. Suicide lurks and pushes in during the darkest moments when we as therapists or loved ones can’t reach the mind. Or, the thinking has deteriorated so badly that the client’s brain is not rational, maybe the mind is obsessively preoccupied with death. Suicidal thoughts and irrational thinking are always big red flags for getting mental health providers in the mix immediately.

The Middle Ground Emerges as the Rational Choice.

If we can fight through to a positive result, don’t knock the means, providing, of course, therapy or medication do no harm. That is the essence of the debate–harmful effects of putting pills into your body or not using medical resources when symptoms need to be calmed.

It is important that we don’t base our medication decisions on Aunt Thelma’s reported experiences or that we don’t let friend John’s ideas prohibit a clear research into medications. Friends and family opinions should carry no weight compared to good health care advice.

Psychological and medication treatments together offer the best we have at this time. Often they should both be a part of the treatment regimen. Successful therapists know therapy is still an art that must respect meds when needed.

The least you need to know:
1. Depression treatment is complex, both therapy and antidepressants have research support. Cognitive behavioral therapy will give long lasting effects. Meds don’t “cure” the problem.
2. Always get advice from health care professionals.
2. When suicide is a risk, never take chances. Get help!

The mission, should you decide to accept, requires:
1. Exploring treatment options with health care providers.
2. Doing your own research on the pros and cons of meds, but let your physician make the medication choice.
3. Change is most always required of the person, but it doesn’t need to be that difficult. The need has probably been a long time coming, and therapy is the answer.

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Where to Start

Wherever we turn, whatever happens, the quality of our lives will always, ultimately, reside with our inner selves. Within the chronic pain syndrome and/or living with disabilities, the essence of our beings, our inner wisdom, guides the ship. That does not mean you can be expected to overcome pain and hardship without help just by having a positive attitude. Get your help, use any means medicine offers to attack your situation. Just don’t count you out!

TIME magazine, March 7, 2011 issue has a fantastic review of pain and viable treatments in their articles about “Understanding Pain.” It is imperative reading for those in pain, their caretakers and loved ones. Not only do the articles review complicated information about the brain and physiological aspects of pain, the articles provide essential information about a number of alternative treatments, e.g. acupuncture, massage, herbal supplements. TIME says we are in a “pain revolution.”

Struggling to Gain Control

Disabled persons who have lived with their disability for some time have usually made adjustments and have, at least partially, accepted living with their disabilities. However, numerous realizations for the newly disabled are the intimate restrictions that are now levied on every part of their lives. Their disability limits their abilities to carry on with normal activities of their choosing, self-esteem is lost due to new behavioral limits, and, sometimes for the first time in their lives, they have to depend on others to manage even the smallest self-care activity. From the first, acute pain may develop into chronic pain.

The courage to face every day and overcome challenges is an on-going process for the disabled. Medical products and adaptive devices can alleviate certain of these challenges; however, the solution to adaptive living is a combination of medical and psychological treatment, adaptive equipment, finding your inner strengths and wisdom, and reducing stress. Again, this is not a solo endeavor. Engage helpers wherever possible, but let’s return to what you need to do within your psyche to build peace and quality of life.

The least you need to know:
1.Your inner resources are a source of strength.
2. The essence of your being, your inner resources, guides the ship.
3. Get help that you need, just don’t count yourself out.

The mission if you choose to accept requires:
1. Become more centered within and build confidence that you can go on.
2. Use yourself as one of your helpers instead of fear mongering and undermining your confidence.