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Posts Tagged ‘stress’

Treatment for mental health is hard because diagnosis is even harder

Posted in Life of the mind, tagged , , , , , , , , , on June 29, 2016| 1 Comment »

Part of the reason I write this blog is to document my particular struggles with mental health. Having to deal with some kind of challenge that’s within the range of mental health is just as common as dealing with some kind of difficulty with any kind of physical health. In other words, either category is EXTREMELY broad. Physical challenges can range from diabetes or thyroid issues to cancer or gallstones. Any disruption in mental health can lie anywhere in a big range, too. Physical illnesses can sometimes prove tough to pin down, but it seems figuring out a diagnosis of a mental illness can prove consistently more difficult. Even if a diagnosis seems mostly straightforward, finding a treatment that will help the person going through it to get to a fairly “normal” state is far more difficult.

I’m in my mid-40s, and I’ve been diagnosed with depression, bipolar, or atypical bipolar disorder variously over the past 25 years or so. I’ve gone through a number of antidepressants and some medicines that are usually prescribed to treat bipolar disorder. Some have helped for a short time, some haven’t helped at all, some have made me feel worse. Some have helped enough for me to live my life pretty normally. I’ve been seeing a very capable nurse practitioner for the past five or six years, I think, and I’ve been on an antidepressant that’s pretty much kept me mostly in “normal” mode. But I’ve still had bouts (or very, very long, standard stretches) of what I’d just call irritability. And I know that just isn’t ME. I’ve known instinctively that it’s more a quirk in my brain chemistry or something, rather than a defining characteristic of who I am. And my extremely busy life managing a household, taking care of four daughters (now one of whom is married and out of the house, so the dynamics and responsibilities have somewhat changed, but not at all taken her “off the register,” so to say), working from home part-time and volunteering and managing fairly big church responsibilities, just for a short summation, keeps me running at a high level. It’s easy to say it’s “understandable” I’m irritable. But recently I thought it was time to check in with my practitioner and address the irritability again. I’m exhausted from “managing” it. Surely there’s something out there to help me with my underlying mental health so I’m not working so hard to manage and can just live, expending a bit less energy on coping?

pill-bottle_21_G6So we visited a few weeks ago, and talked for a while. She is fantastic because she’s very thoughtful and discusses the issues with me, asks probing questions, revisits assumptions, etc. We’re partners in my care, and I really feel she’s very knowledgeable, and she’s sensitive as well. That’s a biggie. She said to me that perhaps I’m not really on the bipolar spectrum at all. All she could say was that I’m just my own thing. So there might not be either a diagnosis for whatever I present as yet, or because mental health really is so varied and unique to each of us, maybe there isn’t or won’t be, if that makes sense. All we know is there have to be some kinds of ways to help me with some kind of existing medication so I can function better. So she said she’d try something, a medication that psychiatrists sometimes use to help with that part of mood. It’s a seizure medication used off-label in this way. She tried me on a very small dose, and I actually do feel it’s helping. My life is still CRAZY BUSY!, but I feel a little less like I have to work hard to manage my mood even while I’m managing my life. So I’m feeling hopeful and a little happier, just to have an extra tool in my arsenal, and to know that my practitioner is really awesome at her job.

This just leads me to a few conclusions yet again: we still don’t know a lot about mental health and illness. We’re doing better than 30, 50, 70 years ago, but we have far to go. And we need far, far more practitioners who have the training, experience and skills to deal with this complex issue. So many people are suffering and there simply aren’t enough practitioners around to help them. I’m blessed to have found someone who can do what she does. Even that’s not perfect, but it’s really about the best I think there is. Meanwhile, I just wish, wish, wish we had more incentives for people to go into the profession and stay there, that the specialists were available in every small and underserved area.

I write this because I just want to put my voice out there. I’m mostly a “success story,” and that’s just because I’m not crippled by my lapses in mental health, and pretty well functioning, and I’m a very resilient, determined personality. I have at least enough income and resources that I have been able to find someone to really help, but that’s still taken a great deal of time and work on my part. It’s been a long and tough journey. It shouldn’t be this hard.

As we work to try to improve outreach, availability and quality of care, and genuine help for those of us with mental health challenges (again, not at all just a small portion of our population), let’s continue to just be kind, patient and understanding to those around us who struggle and need our help. It still does mean the world.

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Get the skinny on our society’s obsession with fat

Posted in Beautiful life, Light life, tagged , , , , , , , , , , , , , , , on April 15, 2016| 1 Comment »

body of truthI’ve decided I’m going to make reading this book a once-a-year activity. Body of Truth is just that helpful. When I read it a year ago before it was even published, I dog-eared pages as I devoured it in just a day or two. I made my husband read it. THIS, this, is what everyone needs to know. I read it again this week in a day, dog-eared more pages, and considered making my husband read it again.

Read my review of the book on Rated Reads.

Now, I was able to keep my review to a reasonable length, but I’m going to write more about the insights I gained by reading Harriet Brown’s book. And I’ll have to split up the info into a few posts so it won’t get weighed down (ha ha). Today I’m just going to address the damage that is done by dieting. And let me tell you, that is one of the takeaways of this book that has me the most furious.

I never considered myself a dieter until the past 7 years or so. I noticed myself gaining when I was nearing 40. But I had actually dieted when I was about 12 by reducing a bit what I ate and not eating desserts. I didn’t keep track of pounds, just slimmed a little of “baby fat,” you could say. And then each time after my three pregnancies I breast-fed, counted calories (stuck to 1800 or so), and kept up my regular exercise. I got back down and a little bit more and was looking nicely trim at 33. I kept it up until, yeah, almost the 40s. Then I saw 10 pounds creep on and got a bit panicked (ha!). Then I happened to move to a new state and put on another 10 pounds, then another 10, then another 10. All of a sudden, I was a lot heavier and was feeling much different than I had before as generally an average-weight, trim-ish person. I dieted first by just really counting calories (and going hungry often) and lost 30, but it only held for a year or maybe two. It came back on, and then I started looking at other options. I did the hCG diet (yes, I know, I never DREAMED I’d be the person to do something drastic like that), but it worked and I at least lost almost 20 pounds and felt a lot better really quickly. That crept back on, and I did it again a year or so later. A couple of years ago, my best friend started doing Atkins, so I tried it. It worked and I did well enough to lose maybe 20 or 25 pounds and feel it was worth the work and sacrifice. My daughter got married, then, last year, and all bets were off. I ate, and I ate, and I ate. I was depressed and stressed and just went straight to food. And what do you know, I am now by far the heaviest I’ve ever been. I went back on Atkins for a few weeks in the fall, then something crazy happened, and then I went back on it this last month, then my grandma died. And I am 20 pounds heavier than my heaviest weight ever before.

So not counting the post-pregnancy “getting back to pre-pregnancy weight” work, I have dieted, lost and gained, at least four main times, plus a few more little times, in the past 8 years. I have been successful. I have been tough. I have focused. And then I’ve either gone back to semi-normal eating (not being hungry) and gained back, or I’ve had some eat-a-lot periods. And what do you know, I’m completely normal. Studies show very low rates of “long-term” success, which is at most watched over 5 years, and almost nothing for rates past that time period (3 years is really even the limit of most “long-term” studies). Evidence also shows that not only do people who diet tend to gain back what they lost, but they gain more on top of that.

So if I had never dieted, I’d most likely just be at my previous “heaviest,” but not the 20 pounds more than that that I am now. I might even be 10 or more pounds below that. And I’d have saved myself a lot of unnecessary work, focus and energy that could have gone to something more productive. I don’t know if you’ve been in this situation or not (likelihood is many of you have been), but this realization absolutely OUTRAGES me.

Brown writes this:

(An) oft-repeated lie about weight and health is that dieting makes us thinner and healthier. At the very least, we consider dieting benign, something that can’t hurt us even if it doesn’t really help. But the truth is, dieting is actually harmful for many of us for all sorts of reasons. And it doesn’t make most of us thinner or healthier. On the contrary.

And she says this: a 2007 investigation (as one example) confirmed that diets don’t work. “The mind-boggling element here is that we’ve known diets don’t work for a long time, and so has the medical establishment.” But still society at large, doctors, individuals … we all think they can work if people just are motivated enough, have enough willpower, work hard enough. And that big fat lie is causing us health problems. Just think: doctors who are all encouraging patients to lose weight may very well be making their patients’ health problems WORSE.

Here are some sobering points Brown tells us:

  • “Dieting nearly always makes people heavier over time. In one study of Finnish twins, the more diets people went on, the higher their risk of becoming overweight and the faster they gained weight later in life.”
  • “Dieters tend to have higher levels of cortisol, sometimes called ‘the stress hormone,’ and free fatty acids, and dieters tend to exhibit diminished executive function, (‘strained bandwidth’), maybe because using so much mental energy thinking, worrying, and negotiating about food choices leaves them too distracted to think about much else” — which in turn actually causes us to gain more weight.
  • Dieting actually has been shown in studies to lead to binge eating. It’s not just psychological, either; physiology on various levels causes us to eat more after dieting, reversing all our work (brain circuitry even changes!).
  • ”An ever-growing body of research suggests that weight cycling, or yo-yo dieting, correlates with higher levels of heart disease, impaired immune function, cardiometabolic risk, insulin resistance, triglycerides, hypertension, and abdominal fat accumulation.”
  • Studies have “found correlations between weight cycling and disordered eating, higher stress, lower well-being, and less confidence about food and eating. In other words, the more loops of the yo-yo you go around, the worse you feel about your weight, your eating, your very self.”
  • Each loop of the cycle then is harder. It’s tougher to drop the weight every go-round. Dieting changes metabolism. “People who have intentionally lost weight generally use about 15 percent fewer calories than non-dieters to perform exactly the same activities, which means they gain weight eating fewer calories than non-dieters.” As one research professor told Brown, “We know there’s some sort of derangement of the metabolic pathways, and that has a cascade effect on everything from the hormones involved with obesity to hunger.”

So people who feel fat or have been told they’re fat and need to lose weight feel “incredible shame.” Our whole culture reinforces that. Doctors reinforce that. And it’s not helping anyone. It’s not helping health; it’s not making anyone motivated; it’s not making us feel good; it’s a wicked prejudice that is still allowed. Feeling the outrage yet?

In the next few blog posts, I’ll focus on some of these last ideas and more.

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Different kinds of mourning

Posted in Full life, tagged , , , , , , , , , , , , on October 15, 2015| 3 Comments »

Today is the anniversary of my father’s death — officially (he was on life support for a day or two and then “declared dead”). I think he was really gone very late on the 13th or early the 14th. His brain experienced two big hemorrhages and I’m sure it was really “over” fairly soon. I clearly remember the moment at 9 p.m. that day that I got the call he was unconscious. I know I went into shock myself: I sat down on the couch and was just stiff, cold and shaking.

I was not at all prepared for him to die. He was only 71, and he had worked ridiculously hard (we joked with him that he worked TOO hard) to keep himself healthy by eating well and exercising. I thought for sure he’d be around a good long while. The shock of that unexpected loss took a long while to shake off.

Six years later, I’m accustomed to his being gone. When I think of him, I don’t experience a painful stab in my chest as I did for a long while. Now it’s just a small pang of longing, much less painful. It hits in the same place, right in my heart, but the wound is no longer a gaping hole. It’s scabbed over, enough so that no one else even knows it’s there, I’m sure.

This year brought me another unexpected loss. I saw the loss coming, so I guess saying the loss itself was unexpected isn’t accurate: the grieving period I went through was what took me by surprise. Because who really thinks about the notion of mourning for a beloved child who has grown up and flown from the nest?

My firstborn got married, to an incredible young man who’s just about as incredible as she is. I was thrilled about the union (once I processed the notion of her being married pretty young, which I hadn’t seen coming either, but that’s another story. The very short version: she found a wonderful person, we love him, we love them, and it was right. Plans/expectations are one thing, but life always throws interesting curve balls.).

To say the period of engagement/wedding planning was stressful is almost a cliche. Very few people say their engagements were breezy and stress-free, and, yeah, it was busy and had its bumpy moments. Bringing two families together, planning, coordinating, … it can be tough. But all through it, you know you have this amazing day to look forward to. The reward’s huge. And the wedding day and reception were beautiful, sweet, poignant, fun, full of love and friends and family celebrating together. It was a wonderful memory.

I was thinking I’d need some “recovery” time afterward to wind down from the stress of preparation. It didn’t go quite as I’d hoped, because then my girls were all home from school for the summer and I had precious little time to myself. And my personality, my particular mix of needs, requires a certain amount of alone time, to just process the rest of life, to take a breath.

As it turns out, I realized a month or two ago, I was mourning all summer. But I didn’t really recognize it as such because it wasn’t as clear-cut a “grieving situation” as, say, my dad’s death, and my younger kids kept me so crazy all summer I didn’t get to really think much and just let everything go through my brain, my emotions, my self.

One day in the middle of the summer, I did have a moment where it struck me that I felt the loss of my daughter almost as a death. It was just one day, one morning. We hadn’t seen her in a week or more, hadn’t really had any quality time with her (she lives with her husband about a 45-minute drive away from us, and they live next door to his parents, so they get to be with his family all the time and we make a lot of trips up there to see her; as time has gone on, I’ve been able to decrease the number and frequency of trips a bit so it doesn’t seem like we’re there all the time). And I just said to my husband, “I feel like she’s dead. She’s gone. How strange. It feels like I feel with Dad.” It was so clearly a loss, and it hit me square in the chest, same thing. We saw her the next day, I think, and my husband and I ended up taking her and our 13-year-old to lunch at a salad place, and that one hour being our “old” selves in a familiar environment “like we used to be” before it all changed so much made that feeling go away, or at least recede into the background for a while.

Nearly five months after the wedding, I’m starting to feel a little more myself again. When you’re in mourning, you’re a reduced version of yourself, parts shuttered, shut down, the world seeming a little dimmer. I’ve felt the world brighten up again, I think, and I’m coming back into my own. I was sad for a few months. One consequence, in my arsenal of bad habits, was that I just ate. And ate. I went through quart after quart of ice cream. I must have gained 15 to 20 pounds over the summer. I was swallowing the pain. That last consequence I’m dealing with right now, and making progress: I put myself on a low-carb diet. I was just feeling physically cruddy, and I know all the sugar I was eating was making me feel even cloudier than the grief was. A week and a half in, I’m feeling clearer and physically much better. It’s a gift I’m giving myself: to take care of my body.

So life brings grief in various ways. Death is an “obvious” vehicle for it. But we must mourn all kinds of losses. I’m reminded occasionally, with my 17-year-old, that I mourned the loss of a “normal” child when she was born because of her Down syndrome. There are days that remind me she’s not like the “typical” teen at this stage: she’s not going to be driving (not anytime soon, for sure), she can’t babysit. We have to check on her personal hygiene sometimes, and we have to remind her about appropriate behavior around other people. It’s a loss, and I am reminded more of that now because our family dynamics have changed so much since our oldest got married and moved out.

The reality is we need to be gentle with ourselves when we mourn any loss, and realize that we have to take time to grieve. We must move through it. We also need to realize that others are mourning losses as well that may not be visible to us. Be sensitive to anyone’s mourning periods of any loss. They may breeze through the period of mourning, or they may slog through. I felt “weak” somehow this whole summer because I just wasn’t myself. I felt silly because so many of my friends had children leaving the nest, whether it was for college or for church mission opportunities or some through marriage. They all seemed to be just fine. Why wasn’t I? The truth of the matter is that it didn’t matter how other people fared, when it came to my own feelings. I had to be respectful of how I felt and how I had to work through it. I hope it makes me more sensitive to others through whatever losses they’re grieving.

Life is beautiful. It is bittersweet. It is a hodgepodge of opposites: highs and lows, gains and losses. Despite the pain of grieving, I’m grateful to be on this grand adventure.

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Just don’t say ‘if you just…’

Posted in Full life, Life of the mind, tagged , , , , , , , , , , , , , , , on June 12, 2015| 1 Comment »

Ever had a problem; been frustrated, angry or a little depressed; felt stuck? Ever had someone tell you, “Well, if you just did this ______, you’d be fine?”

I’ve had people say that to me. And it shuts me up. It doesn’t help me, but it stops me from talking to those people. I don’t know if I’ve ever said it to someone else; I hope I haven’t. I know I’ve thought it. But at least for a long while now, I’ve known better than to say it out loud. And I’ve tried to remind myself of the truth:

Any one of us can have problems and challenges that, compared with someone else, somewhere, can look tiny, easily surmountable. Sometimes it’s helpful to realize others have it worse. If we look at our lives with appreciation and gratitude for the good things we have, it can help. But usually, trying to tell ourselves logically (or have someone else “helpfully” do so) that our problems shouldn’t be such a big deal does squat for our feelings.

Here’s why: we are allowed to feel how we feel. We’re meant to feel. We’re meant to have feelings in response to life situations, whether they’re kind of everyday things or unusual things. We’re meant to have all kinds of feelings all over the spectrum of emotion. And those feelings include “bad” ones. We’re meant to just feel those feelings. And what usually happens is once we allow ourselves to feel them, really feel them, we can move on to other feelings about other life events.

The problem is when we stunt that natural process by telling ourselves we shouldn’t be feeling “so bad” or by having someone else tell us so. It stops us from moving through the feelings, talking or thinking through the ideas and emotions.

Same applies to things we could or should be doing or doing better, not just what we’re feeling. Likely we’re comparing something we’re just naturally not so good at with something that really is easy for someone else, so we feel inadequate. Or we could compare something that’s easy for us with something someone else finds more challenging. And we say those dreaded words: “Just do ___.”

We all not only have a complex mix of weaknesses, strengths, natural talents and acquired skills, but we are at different stages in life. Something that was hard for us 20 years ago might be much easier now. Ditto for those around us. And something that was easy for us a year ago might be harder now because our circumstances are more challenging in other areas or we’re struggling with events that are zapping our emotional strength.

For me, I’m finding that I am feeling a general sadness in one layer of myself/my life because my oldest daughter got married a few weeks ago and moved out. But I hate to say anything to anyone because it just “seems silly.” She lives only an hour’s drive away and we can talk and visit. Every other parent my age has already had children go off to college or serve as missionaries for our church, during which time they’re gone for a solid 18 or 24 months and only generally in contact via email or letter once a week. So I feel ridiculous saying out loud that I’m grieving a little over the “loss” in a way of my first, amazing child. But it does make me sad she’s not around all the time anymore. I miss the daily interaction and talks and jokes and hugs and smiles and everything that was our relationship while I was raising her. Things are changing, have changed. It’s real to me. But I don’t want to say anything to anyone else for fear of being compared, of essentially having my feelings belittled because their “loss” is bigger. Their child is across the country or across the world … or something “bigger.”

I also find that I feel down on myself because I have generally been doing well with eating healthy, cutting out sugar and a lot of carbs, this past 10 months or so. But the past month, since right before my daughter’s wedding and since, I just haven’t had it in me to “diet” properly. I’ve been eating junk, and lots of it, and I feel physically yucky. I feel bad because I had done so well. But I also realize that circumstances are different: I’m “recovering” from all the work and stress of preparing for my daughter’s wedding; my kids are now out of school for the summer and my “alone time” is a lot less; I’m adjusting to the change of our family dynamics, and I’m trying to “play catch-up” for some work and things that got put on hold with all I did for the wedding (because I am not just an awesome mom but very capable in planning things and organizing, and the wedding was awesome too). In short, it takes a lot of work for ME to eat well. And even though I feel yucky physically and would really like to feel better, I have to have the emotional and mental energy to focus on taking care of myself, truly properly. Others might say (and heaven knows plenty of “professionals” and bloggers say) “just do it.” Just stop eating sweets. Just stop emotional eating. Right now, for me, it’s akin to saying, “Just stop smoking. It’s so easy.” I’ve never smoked, but I have certainly heard how hard it is to stop.

I’m trying to allow myself to feel, to validate my own feelings. I’m talking to a few trusted friends who are kind enough to listen and validate as well. I’m also trying to allow myself not to take it too hard that I’ve gained a few pounds and am having a hard time with the junk food. Because I also know that I’ll be fine soon enough and will get back to where I should be. If I’m not there at this very moment, today, it’s OK. I will be soon. And that’ll be OK.

In short, I’m giving myself permission to feel, to not be “my best.” And I strive to do that for others. When they talk about feelings or issues they’re struggling with, I know that even if they sound “easy” for me, they’re not easy for them. I nod, I listen, I hug. I say, to them and to myself, “That is hard. I’m sorry you’re going through that. I love you and care about you.” And it’s true, and that’s really all it takes.

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Hitting the sweet spot: successful dieting is complicated

Posted in Light life, tagged , , , , , , , , , on November 14, 2014| Leave a Comment »

So I’ve been following the Atkins diet for two months. I wrote in a previous post about how I’ve realized how much I rely on carbohydrates for my regular diet, and how it’s clear I need to reduce my intake for a variety of solid health reasons. Despite how much I do adore bread (whole grain, mind you) and sweets (well, there’s no way to make that sound wholesome, sadly…), I found that I haven’t done too badly adhering to the Atkins diet phase 1. I lost about 10 pounds over the course of almost two months and felt pretty good. It’s possible I even avoided catching a cold thanks to my eating habits (my husband and oldest daughter were sick during that time).

I even managed to go on a cross-country trip for a week and stay on the diet. Yay, me!

My best friend, whose own experience with Atkins gave me a push to try it myself, told me that she’s “taken breaks” from it for short periods of time when she’s gone on vacation or had some other need to do so. I figured I could last through to Thanksgiving and maybe even skip all the carbs during that gluttonous feast and last all the way to Christmas on Atkins phase 1. Hey, if I can make it through a trip, I can make it through anything!

Well, shoot. Not so much.

I got back from my trip, during which I was premenstrual but not too crave-y (surprisingly), and then had my period, which is also a tricky time for dieting. I’d weathered it the previous month and knew I wouldn’t see any decrease in weight for a solid week or more. But I gained a little that week and then waited and waited for my weight to drop a few days past that lovely time of the month. And that scale did not budge.

At the same time, life got (or, rather, stayed) hectic. I’ve had a whole lot on my plate this past month activity- and obligation-wise if not table-wise, and careful dieting is work. It’s work for Atkins because I have to carefully count my carbs and track on my iPad app everything I eat. It’s also extra work because I’ve been cooking a lot of different things for myself than I fix for my family. Finally, with all my obligations and responsibilities, with all the work on the diet, with all of everything in my life (including a hormonal 16-year-old with Down syndrome, which is a topic for another post entirely, but a great stressor, let me tell ya), combined with the lack of satisfaction gained by stepping on the scale and seeing a lower number on a regular basis, I cracked.

A few nights ago, I came home from a workout (hoping it would help me relieve some nervous energy) still exhausted and frustrated, and I sat down and burst out crying, my thoughts and frustrations spilling out in waves to my husband, who wisely sat and listened. I went over everything that I have to do, went over in meticulous detail the ways I’ve been so “good” in my dieting. Even during traveling! I mean, that should earn me extra points, shouldn’t it? But my scale didn’t get the message. I was absolutely ready for a short break from the diet.

Here’s where it just shows the state of mind of a busy mom who’s dieting: I spun in circles articulating aloud to my husband all the things I’d been thinking for days. I told him all my emotions (fear being the predominant one: fear of regaining weight, fear of losing control, fear of losing all that I’d worked so hard to win) and logical reasons for and against taking the “break” for a few days from the diet. Logically, it made some sense because it would free me from worrying about details of my eating habits for a few days until I got past a big responsibility I have tomorrow. It also made sense from my own dieting history because I’d seen how upping my caloric intake or something similar and then going back to reducing it or going back to the more limited diet would give my metabolism a little kick. It helps to mix things up a bit and “confuse” my system. I’ve read about that and experienced it myself. The main problem? Thanksgiving. It’s a mere two weeks away. What’s my state of mind going to be for the holiday where we generally consume turkey and tons of carbs? I can’t “take a break” for a few days, go back to Atkins phase 1 for 10 days, and “take a break” again for a couple of days. It just doesn’t make sense. And I didn’t want to “take a break” for a solid 2 1/2 weeks. But it was pretty much down to either of those two options.

After literally two hours (or more) of talking it over out loud with my husband and absolutely agonizing about it, being frozen with fear, I finally decided to go with the latter option. A longer break it will have to be. And it’s relieved the pressure on me considerably, just making one change in my overall busy life. I feel confident I’ll get back to the rigorous diet in two weeks and continue to take care of myself for the long haul. Because that’s what this is about: it’s truly about the long haul, about reducing my cholesterol levels for the rest of my life (!) by eating fewer grains and sweets. Of course, in the short term, I’d like to see “results” in the way of weight loss, and that’s a powerful motivator when you’re eating a fairly strict diet. You want to SEE something HAPPENING. When it does, you’re good. When it doesn’t, you don’t feel so pumped about the restrictions.

I imagine this is a fine diet plan, but the author's assertion at the beginning turned me off. If he wants more real people to lose weight and have better blood sugar, he'd better understand his patients better.

I imagine this is a fine diet plan, but the author’s assertion at the beginning turned me off. If he wants more real people to lose weight and have better blood sugar, he needs to understand his patients better.

I remember checking out the book The Blood Sugar Solution 10-Day Detox Diet by Mark Hyman from the library and never getting time before it was due to read much but the first 20 pages or so. But his assertion that it’s just “as easy as” starting his proscribed diet struck me as utter hogwash. He said, in essence, the conventional wisdom is that one must be “psychologically ready” to start a diet, but he doesn’t think that is true at all: what’s true is that since most of us are physiologically addicted to sugar, once we just start his diet and get going, we’ll break that addiction and all be hunky-dory.

Nope. False. Absolutely false. It might be true for some people, but I think for many of us, we really, really, truly do need to have a whole set of variables in place to be able to successfully diet. We do need to be emotionally ready. I could say I was solidly un-hooked from sugar after two months on phase 1 of Atkins, but emotionally, I still had plenty of connections to sugar and foods in general. And those don’t go away too easily like the physiological addiction.

Most of my variables are in place to get back to the strict phase 1 of Atkins in a couple of weeks, and I feel confident that doing it for maybe 6 more months total will probably be a good choice for me, after which I’ll eat a diet that contains fruits and occasional grains to maintain my better health. For today, I’m eating a little bread. And that’s OK.

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A wedding is a promise of best days to come

Posted in Full life, tagged , , , , , , , , , , , , , , , , , on June 2, 2014| Leave a Comment »

The wedding of my littlest sister gave me the opportunity to remember the start of "best days" in my life.

The wedding of my littlest sister gave me the opportunity to remember the start of “best days” in my life.

This weekend I had the privilege of witnessing a wedding. Weddings are such happy occasions, filled with love, friendship and support and the opportunity to further cement ties of various kinds. At one point after this wedding, someone commented that the day would be the “happiest day” of this young couple’s lives. I thought immediately, “You know, it is a great day, but there will be many more and even happier days to come.” I can definitely say my wedding day was not the happiest or best day of my life; it was 21 years ago, and I was 23, and I loved my husband and was excited for the day and all it meant, but I have had so many wonderful days, better days, since.

The groom in this scenario was the next-to-youngest of eight children, and his parents were blessed to have all their older children married already, and these couples were all in attendance. I’d venture to say, from my own experience, that this day may very well have been one of the best days of the groom’s parents’ lives to date, as they were able to celebrate a beautiful, meaningful occasion not just as a couple, but as a family: the family they themselves created and nurtured.

My view is that marriage isn’t just about putting a legal or cultural stamp of approval on a romantic relationship. It’s meant to be the start of a family. And my faith teaches that families are forever: that marriage is a vow between a man and a woman that can be “sealed” in the presence of God in a temple and last forever, more than just “till death do you part.” And that promise to be faithful to each other and support each other and grow together includes having children and teaching them and loving them. That big picture, the years spent growing together as a couple in love and being able to rear children, is what brings the best days of all.

I definitely appreciate the sentiment expressed by Bruce Hafen in one of his excellent books, The Broken Heart: “One new bride reportedly said to her mother on her wedding day, “Oh, Mom, I’m so happy! I’m at the end of my troubles.’ ‘Yes, dear,’ replied the wise mother, ‘but which end?'”

A wedding day may seem the culmination or the end of a courtship, the fulfillment and denouement of romantic love. But it’s really just the start of something much bigger, deeper, and wider. I’ve enjoyed some wonderful days with my love of 21 years, as well as a bunch of stinky ones. We’ve had our share of troubles and stresses and real difficulties. We’ve had our share of disagreements and I’ve had moments or even hours during which I’ve been very frustrated with him (and I’m sure he’s been in the same boat with feelings about me), to the point where I was beside myself and unsure where to go next, how to resolve our problems, how to feel less angry or disappointed. But I’ve had moments of pure contentment, absolute satisfaction, utter bliss. I’ve been satisfied that despite the difficulties, I made a good choice of spouse and that despite everything, I still just LIKE him a lot almost all of the time.

We’ve been blessed to have four daughters, three biological and one adopted. And we’ve had days and weeks of frustration in parenting, of being at wits’ end, of not knowing how to proceed with parenting challenges. As our kids have gotten older, these moments have become more frequent and intense, because they’re more and more their own people with distinct personalities and very definite plans to exert independence. They can and do make their own decisions, and it’s our job to guide them and provide meaningful consequences, discipline and teaching, combined with big doses of love and compassion. But the whole job has gotten almost exponentially harder and more challenging with each year each gets older.

At the same time, these independent people we’re rearing are also sources of immense joy and happiness. At the best of times, when everyone is getting along, when we’re just having fun, simply being ourselves together and laughing and being distinctly us, the unit that is uniquely the Marce and Cathy Lim family, it is the best of anything I’ve ever experienced. It really does feel like heaven on earth, the best version you can dream up.

Here’s why these years can contain the best days I’ve ever had: there are more of us than just the two we started out with. Our little couple expanded into a sixsome composed of some amazing people who are wonderful to be around as individuals but even better when combined. I cherish our wedding day as the start of what we have now. But it was just a seed, an embryo, of what we were meant to be and to have. And as time goes on past today, past this year, past these moments where I can enjoy other young couples’ “seed” days of weddings, our Lim tree is growing and growing. There are far more “best days” ahead, and I look forward to them with great anticipation.

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I’ll never have a thigh gap, but I am experiencing a big gap between ideals and reality

Posted in Beautiful life, Life of the mind, Light life, tagged , , , , , , , , , , , , , , on May 6, 2014| 2 Comments »

You know when you dream about eating something off-diet and demanding of some complete (thin) strangers walking by, “Do you ever eat?!”, you’re self-conscious (and frustrated) about your weight.

I’m half-proud, half-embarrassed for myself that I embarked on a strict diet last week, mainly because, yes, I want to look better. And I want it to happen fast. Here’s the thing: I have felt very self-conscious about my weight in photos of late, and I have several big events coming up for which I’ll be in numerous photographs, and I don’t want to look fat.

Yep, there it is.

Yep, my self-image is pretty distorted right now.

Yep, my self-image is pretty distorted right now.

As much as I talk about self-image and how bad our society is about focusing on looks, whether it’s regarding weight, age, or relative size of body parts, I still struggle with it myself. Sometimes not so much, other times mightily. As I most recently mentioned to my therapist, “I feel horrible about how I look.” Her response: “Right now you’re very stressed and not feeling good about yourself in lots of other ways, so that’s not surprising.” Meaning, essentially, try not to worry about it; it’ll pass when you manage to process everything else that’s had you down.

So I kind of feel like a hypocrite when I’m urging everyone, male and female, to be more aware of how media and society all around us dose us liberally and continually with the religion of thinness and image, of airbrushed (impossible-to-achieve) perfection, and I am struggling with it so much still.

It’s complicated by the matter of health: when I’m stressed, I eat sweets. I overeat. That’s simply not good for my body, and that’s important. So I do also want to work on that. I want to break my physical and emotional addiction to sugar and my reliance on food as a crutch. But I would like to figure out how to separate that out from my worries about how those habits affect my LOOKS.

Here’s another thing: plenty of people out there have far worse eating habits than I do, but they’re thin. So their health might be in need of improvement, but they either don’t worry about it, or they don’t worry about others seeing them as fat. Because don’t we tend to judge people who are overweight? We automatically think, They need to eat less. They need to have better self-control. They need to take better care of themselves. But health and thinness are not always directly correlated.

That’s not to say I excuse myself for slipping into bad habits. I can do better by my body sometimes. But our society judges on appearance, and I judge myself. I have a lifetime of negative messages to overcome. And that simply makes it much more difficult to just take care of myself the way I should because I’m devoting so much emotional energy to the image part of the equation, which is NOT the important part; overall health is.

I have had a lot to deal with the past months, the past year, with a few breaks in the onslaught of expectations, responsibilities, and struggles to catch my breath. I anticipate having some breaks to catch my breath and focus more accurately on taking care of my health — emotional, mental, spiritual and physical — fairly soon, but in the meantime, I’m just getting through it as well as I can.

And dieting. Like I said, I’m a little embarrassed because I’m doing it almost exclusively for the reward of looking better in pictures. It’s not the example I’d like to set but I’m doing it anyway, just because right now so much has beaten me down I don’t feel good about myself in many ways; I feel weak and run-down and just not up to snuff. I feel like I’m letting people down left and right because I simply can’t do everything everyone needs me to do at all times. So that feeling extends to how I look.

I’m going to keep working on my self-image, my self-esteem, the ways I look at myself and talk to myself. I’m going to do better. Just forgive me the lapses right now in my actions and how they don’t match my ideals. It’s a process for me, and it’s a process for us all as individuals and as a society. For me, this topic mixes my mental health awareness-raising with my awareness-raising about society and image. The intersection is a little delicate, and I’m navigating it as well as I can in this tricky time. I hope I’m making progress in it all because all I can do is just hope I’m slowly doing better. I’m going to just try to remember to pat myself on the back for what I’m doing better: life isn’t about improving overnight. It’s a journey with all kinds of intertwined paths leading to a place where we’re our best selves in all aspects.

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