In this self-compassion practice, we use guided imagery to fill ourselves with the same warmth and kindness we more readily give to others others. Research shows that self-compassion is beneficial for mental health – improving mood, reducing anxiety, and increasing resilience – and there is some recent research showing it can improve tolerance to chronic pain. Most of us aren’t very self-compassionate, and it’s normal to be resistant to self-compassion. It may be worth for you to explore so that you can keep making the most of it!
Tag: coping
Video: Self-Care Strategies – Reading Self-Help Books
There are a few different types of self-care, and reading self-help books actually hits two categories of self-care. Reading is a form of intellectual self-care – it’s good for our brains. Self-help (in the form of books, podcasts, Youtube videos, blog posts, etc.) is a form of emotional self-care. So self-help books are a form of intellectual and emotional self-care. And I’m here for it. Let me know what some of your favourite self-help books are! And keep making the most of it!
Video: Name Your Pain (a quick coping skill)
In this brief coping skill, we can externalize (or defuse from) our chronic pain. I’ve used this technique many times with thoughts, and recently someone suggested using it for pain. It can totally work for physical pain or emotional pain. Of course, it’s not perfect and won’t work for everyone, however, it can be worth giving it a try so that we can keep on making the most of it!
How to Engage in Micro Self-Care
Last week I wrote about macro self-care – doing something “big” for yourself as a way to recharge. These things are important, but also a little harder to do, especially for Spoonies/Warriors. The other side of macro self-care is micro self-care. These are little moments you can spread throughout your day in order to get that oh-so-important self-care in. Micro self-care can take as little as a few seconds, up to several minutes. Not only is micro self-care easier (and less expensive) to engage in, it can be done on various energy levels (so important for anyone with chronic pain and illness, as you all know) and it has more benefits than macro because of the frequency of it.
If you Google “micro self-care” you will literally see hundreds of different ideas for what you can do. Here are a few of my favourites:
- Meditation or deep breathing (or grounding, and so on). You don’t need to sit and meditation for 20+ minutes. In fact to start it’s actually better to just do 3-5 minutes. And it’s something you can find time to do at any point in your day.
- Gratitude Practice – say out loud or write down 3-5 things you’re grateful for (it’s been shown to boost happiness)
- Journal – you don’t have to write down every thought or everything that’s happened. When I journal I often reflect on something specific (i.e., use a prompt) or look at my physical, intellectual, spiritual and/or emotional bodies and see if there’s anything to reflect on, limiting beliefs I can forgive myself for and/or something I’d like to work on today.
- Stretch – stretching is something most of us can do more of as it’s really good for our bodies. Take a few minutes to do a few stretches is a great way to care for your body.
- Do some sort of quick exercise – walk around the block (my favourite) or even just marching in place or do 5 minutes of some sort of strengths-based chair workout.
- Read – set a timer for 5 minutes and read (or just read a poem, or a set a page goal for a book – 5-10 pages for example).
- Go outside – even if it’s chilly out, spending a few minutes just being out in the fresh air is great for our bodies and minds.
- Drinks a glass of water or tea – we often under hydrate so water is always the best option. Alternatively I always feel good drinking some of my favourite tea.
- Make your bed – this seems silly and simple and yet I (who often doesn’t make my bed) feel so good when I make it (and also feel better when I get into a made bed at night… actually I’m going to make my bed now).
- Make plans with a friend – this doesn’t mean you actually have to go out with this friend at this moment but even just making the plans via text or phone call can make us feel good and give us something to look forward to.
These are just some ideas to get you started with micro self-care. There are many more that I do. Some of these daily, many of these within a day, and some of these less often. I know that the more I do, the better I feel (mentally and physically). What are your favourite micro self-care practices?
Keep making the most of it everyone!
Video: Values-Based Living – Halloween Fun!
Enjoy Halloween but don’t have a lot of Spoons this year? That’s okay, because this week I’m taking us through how to have a fun Halloween regardless of how much energy you have (and of course, I’m also talking about pacing!). Hope this helps you to keep making the most of it!
Video: Are You Being a Good Friend to Yourself?
Building resiliency is extremely important when you have chronic pain or chronic illness. One of the best ways to do that is through self-compassion, and yet most people cringe when they hear that word. Self-compassion is treating yourself the way you would treat a friend. Would you treat a friend the way you’re currently treating yourself?
Keep making the most of it everyone!
Ways to Recognize Anxiety When You Have Chronic Pain
I wrote a blog post for my therapy blog on recognizing the physical symptoms of anxiety. The information is also relevant for recognizing the physical symptoms when you have chronic pain or illness because some of these issues are overlapping, which makes it hard for us to figure out if it’s our illness or anxiety, and then what to do about it. Also, remember the mind and body are deeply connected, which means anxiety = more pain/illness symptoms and more pain/illness symptoms = more anxiety. Vicious cycle. Check out the post:
https://www.kelseylharriscounselling.com/post/how-to-recognize-the-physical-symptoms-of-anxiety
How to Cope With Colds & Chronic Illness
It’s been 84 years and I can still smell the fresh paint… No, just kidding. But it has been at least 2.5 years (possibly longer) since I had the common cold. Clearly the social distancing and masks and everything not only helped protect me from Covid (which I have managed to avoid thus far) but also the cold, flu and everything else. Then, on May 2, I caught a cold. Sore throat and all. And it was pretty bad. For me, it’s worse because of one of my chronic illnesses.
Getting any kind of additional illness usually sucks when you have a chronic condition. Example, if you have an autoimmune disease and you’re on immunosuppressants, that can also make you much more vulnerable to more severe illness and symptoms. It’s one of the reasons most people I know with chronic conditions have been so careful during the pandemic. Lucky for me, I’m not on immunosuppressants (I take antimalarials) so I don’t have to worry as much about that part, but still. What I do have that makes catching a cold particularly rough for me is glaucoma. Glaucoma is a degenerative eye disease that can eventually lead to blindness (luckily there are amazing treatments so the chances of going blind if caught early and treated are fairly small). My paternal grandmother had glaucoma and was virtually blind by the time she died. Both of my parents have glaucoma. And when I was 29 I was diagnosed with glaucoma, which is incredibly young (most people are 50+ when they develop it). The leading feature of glaucoma is high eye pressure.
So on May 2, before I started having cold symptoms, I actually happened to have an appointment with my new ophthalmologist. My eye pressure was pretty good and there was no degeneration. He actually made two comments that I found quite funny. First, “You are extremely near-sighted.” Yes, I know (that’s literally how I responded too). He actually informed me about possibilities of retinal tears, and what to look out for. His second funny comment, “Well, I guess we’ll be seeing you from now until indefinitely.” Yep, pretty much true. So, why is catching a cold worse when you have glaucoma. Well, over-the-counter cold medications actually increase your eye pressure. Therefore, I can’t take cold meds (other than cough drops).
Okay, so what happens to me when I can’t take cold meds and have a bad cold is that I get extremely wimpy. Basically life sucks for a few days. Unless I catch myself in these thought patterns, which is what I did recently. I know that “this sucks” and “everything is terrible” thoughts leads to more negative mental and physical health outcomes. It increases body aches and pains, it can keep me sick longer, and it can make me feel depressed (and there’s lots of research out there to back all of this – just type a few key words into Google Scholar and you’ll find it). To be effective I had to “manage my mind” (which is a phrase a life coach who’s podcast I listen to uses). I notice the thoughts, place them on a leaf and let them go. Or I notice and name the thoughts or name the story my thoughts are trying to tell me to create some distance. And then I take comfort in pleasurable activities that I can do. For example, I love movies and being sick is an excuse to watch them. But I don’t just pick any movie. I have some favourites that I used to watch all the time as a kid when I was sick… and then continued to watch into my adulthood when I’m sick. My favourite is Jurassic Park. So that’s what I did. I created distance between myself and my thoughts, acknowledged any emotions I was experiencing, made some tea and watched JP.
The other thing I did recently that was helpful, was talk to my ND about natural cold remedies. Now, I’m lucky in that I work at the same office as my ND (we actually share a room, just work on different days), so for me it’s a quick text and I realize that’s not the case for everyone. But if you see a naturopath, it’s worth asking about. Here are some suggestions she gave me for the common cold (sinus and cough):
- Vitamin C: amount can depend on your bowel tolerance – I bought the chewables and used about 3g per day.
- NAC supplement – I think you have to go to a natural health store to find these. I didn’t try them this time, but I’m keeping it in mind for the future.
- Peppermint tea – which I love anyway, and interestingly it’s the only type of tea she recommended
- Eucalyptus inhale: basically boiling water with some essential oils and inhaling with a towel over your head – I found this extremely helpful
- wet stock treatment – I did not try this because my feet hate the cold, but apparently it is very effective.
Alas, I survived my first cold in 2.5 years and realized that the best things for me to do is use some natural remedies paired with some psychological coping skills. If you’re like me and unable to take cold medication, I hope this helps you to keep making the most of it!
Ways to Improve Your Stress Response: and the correlations to chronic illness
I was listening to a podcast a few weeks ago and the guest was talking about the physiology of our fight-flight-freeze response and how it can specifically relate to certain chronic illness. The guest used the following examples: lupus as being the fight response, and CFS/ME as being the freeze response. I had never thought of it this way and it made me interested in this topic. (The podcast is called Therapy Chat if anyone is interested but I can’t remember the specific episode number, sorry!). Fight-flight-freeze is also known as the stress response, which is a product of evolution that kept our species alive for a long time, however, if you ask many people with chronic illnesses (especially autoimmune diseases) you’ll have a lot of people tell you about chronic stress, trauma history, and attachment issues, all of which can dysregulate our stress response. Usually this occurs in childhood, and I can specifically remember 5 years where I had chronic stress (at school only, due to a traumatic friendship).
I’m going to try to explain the stress response in the easiest, most non-technical way possible (because honestly my eyes glaze over when I have to read about brain anatomy, and I’m guessing I’m not alone in that). So there are a few different parts of our autonomic nervous system, most notably the sympathetic nervous system (fight and flight) and our parasympathetic nervous system (freeze). There is also our vagus nerve which is really important in understanding the nervous system but I’ll leave polyvagal theory for another time. Sympathetic activates us to either fight or run away in order to survive, whereas the parasympathetic suppresses everything in order to keep our bodies alive when we can’t fight or flight. The problem is that when our stress response is chronically activated, it can impair our physical and mental health. I want to put a caveat here for the rest of this post, correlation does not mean causation, however, most theories do point to chronic stress as being causation (at least partially – biopsychosocial approach) for a lot of illnesses.
I think it’s also important to talk about stress-related disorders, because they tend to also be diagnosed in people with autoimmune diseases. Examples include acute stress disorders (same symptoms as PTSD but only lasting between 3-30 days), posttraumatic stress disorder (which most people seem to have a basic understanding of), and adjustment disorders (occurs during major life changes). Attachment disorders can also contribute. One study I looked at found that people with a stress-related disorder were more likely to not only develop an autoimmune disease, but to actually be diagnosed with multiple ones, and had a higher rate of them if they were younger when having the stress-related disorder.
Let’s talk about chronic stress – when our stress response is activated for a long period of time (i.e., daily stress as opposed to one major stressor) – because a lot of research has been done in this area. Here is a bunch of things that chronic stress can do:
- contribute to high blood pressure
- contribute to anxiety, depression, OCD, anorexia nervosa, and substance use disorder (and withdrawal)
- contribute to obesity (increase appetite, leading to weight gain)
- suppress or dysregulate immune function (leading to inflammatory disorders and hyperactive immune systems such as in RA and lupus)
- suppress the reproductive system
- suppress growth in children (lots of studies of children in orphanages)
- digestive problems
- switch off disease-fighting white blood cells, increasing risk of cancer
- worsen symptoms in lupus patients
- contributes to malnutrition
- contributes to poorly controlled diabetes
- contributes to hyperthyroidism
So that’s a lot. I mentioned ME/CFS as the beginning of this post as well, which is associated with the physiological state of freeze, as examined by metabolic changes. Some research indicated that people with ME/CFS are “wired,” meaning a combination of both the fight/flight and freeze responses, leading them to feel wired and tired at once. I hope this gives you some understanding of what is going on with you if you have any of the illnesses mentioned in this post. Understanding is one thing, but what can we do to help ourselves, especially if we are in a chronic stress response? While there is no right answer, there are definitely things we can try (and a bunch have worked for me!)
- Deep breathing (into the diaphragm) – for many people this lowers stress (it sometimes increases anxiety for me, so I personally find it more effective to do mindful breathing)
- visualizations and guided imagery – try this one out.
- Prayer – this is a mindful activity that many people find helpful
- Yoga and Tai Chi – mindful movement can be very grounding – listen to this podcast episode about it.
- Walking (and other forms of exercise) – for many people this lowers the stress response, for some people it can increase it due to heart rate increases
- Journaling – you have to like to write/journal for this one but it can be helpful to get your thoughts out of your head
- Biofeedback – this is a technique in which you can learn to control some of your bodily functions (i.e., heart rate)
- Progressive Muscle Relaxation – try this one out.
- Massage – I personally find massages to be both relaxing and therapeutic
- Acupuncture – there is research showing it helps with both stress and chronic pain
- Social Support – from friends, family, colleagues, support groups (in person or online), and pets!
Hopefully that gives you a few ideas for how to lower your stress response. Keep making the most of it!
My Ultimate Pain Coping Skills Part 3: Compassionate Self-Talk
If you’re just tuning in this week, we’re halfway through a 4-part series on some of my favourite pain coping skills. Why are they my favourites? Well, for one, they all have worked for me so direct experience is useful. Two, they are all evidence-based – there has been scientific research on them (and yes, I’m nerdy enough to spend the time reading the articles published in scientific journals). Third, I see them work with my clients in my counselling practice. And as such, I thought it was about time I shared them all with you. This week we’re talking about self-talk and changing that from the harsh inner critic to something a lot more compassionate.
Recently I wrote a post about being kinder to ourselves, which seems to be quite popular, so we can think of this as an extension of that. Most people have a harsh inner critic, or voice in their heads, telling them that they aren’t good enough, or shouldn’t have done this or that, etc. The voice is there for evolutionary purposes (see the video below on the caveman mind) but it unfortunately isn’t too helpful in our modern world. When we have chronic pain, the voice often shows up as “you’ll never be able to do anything again,” “this is what your life is now,” “no one will ever love you if you’re like this,” etc. Sound familiar? If it does, know that you’re not alone. This is extremely common. But what if we could combat this voice somehow?
The great thing is, we can learn to respond to it with a compassionate voice. No, that inner critic voice probably won’t just go away (remember, we evolved to have it). But we can learn to respond to it differently. We don’t have to just listen to it, give into it, get hooked by it. This takes some practice though.
I recently went through the Mindful Self-Compassion Workbook by Kristin Neff and Christopher Germer. In it there is an exercise on developing your compassionate voice. You are supported to think about a behaviour you’re struggling with. Then notice what your inner critic is saying. So example, with chronic pain this might be getting up to go for a walk or clean the house, etc. Your inner critic might be saying “you’re never going to be able to do these things again.” Then you are to try out a few self-compassionate phrases. Such as “I am here for you, and will take care of you.” or “I know you are suffering. I love you.” And so on. It should be something you really need to hear. Then when that critical voice appears, we can use our new phrases to respond to it.
What does this do for us? Well for one, it greatly improves our mood. The relationship between low mood and chronic pain has well been documented (low mood creates more pain, more pain creates lower mood). So by improving our mood, we may actually have less pain (I find this is very true for me). It is also more motivating to respond this way. Yes, it may be hard to engage in the behaviour, but by being here for yourself, supporting yourself, you may be able to take some steps (however small) toward doing that behaviour.
I hope this helps with your chronic pain coping. As always, keep making the most of it!
Chronically Living 