Grief

It’s very hard to describe to someone how grief feels. I remember when I was going through my own persistent hell I was taken to a doctor who flippantly told me, “you’ll be fine soon”. He was, not to put too fine a point on it, a condescending idiot. Doctors are not trained in counselling and frankly he was talking outside his pay grade. Comments like, “time will heal” and “just move on” are seemingly wonderful platitudes that are, frankly, usually useless or even harmful. No one who is not experiencing your grief has the slightest clue what you are going through. If you have ever been crushed by a failed relationship, dealing with saying goodbye, or working through your private hell, you know what I am talking about.

The longer I do this the more I have come to understand that grief is an oft misunderstood and pervading emotion, that is not confined to the death of a loved one. People grieve for a myriad of reasons, from the death of a dream to the break-up of what “should/could have been”. People can grieve the loss of innocence or a dream, the hurt inflicted by a parent or child, even the loss of a job or a hope for the future.

There are, of course, levels of grief. No one who has lost a child would appreciate this being compared to the loss of a job, by way of example. Some grief is overt, palpable, intense, overwhelming. As far as I’m concerned a parent who loses a child is given a “free pass” in my world for the rest of their life. Some hells are beyond comprehension.

Grief is not just an emotional state or feeling. Sometimes, when the waves come (and many of us describe grief as a “wave”), your body hurts. Exhausted. Finished. Grief can come in crests that are all-consuming. Your world is so consuming that you cannot understand why everyone seems to be able to go about their lives as if nothing has happened. You can’t stop crying, or you can’t start. Your heart races and you wonder if you are going to die. It never seems to end. Bad counsellors have told you that it will get better someday but you know it will never end. It consumes you. It defines you. You begin to wonder if you are insane. You can’t stop hurting, wave after wave after wave. You don’t care if you live. You often wonder about death, your death. Nightmares turn into daymares as each day, each hour and minute, seems to last forever. You are destroyed. Broken. Life has no meaning.

I’m not making this up. There are readers here who tell you that I’m not even remotely exaggerating. Quite the reverse, actually. People die from grief, and some people who survive never really recover. There is nothing that anyone can say that will make a difference today, but that’s ok. Helping someone who is grieving is about “presence”, not snappy advice. In that time that cannot be named there was nothing you could have said to me that would have “snapped me out of it”. Recovery was a series of infinitesimal movements that I probably had no idea were happening. Time and tears and waves and waves. Emptiness. Then one time, for reasons that escape you, you don’t have a horrible day. Maybe you didn’t cry today. Sometimes that is a huge win. Let’s not pretend, however, that you were happy. Happy? Not bloody likely. Little by little life was less horrible, though it seemed to take forever.

There is no magic pill at the end of this tale, no Prince Charming to swoop in and rescue us. There is only coping and learning and surviving in spite of it all. As we always say around here, there are some lessons that are only learned in pain. They still aren’t worth it, usually. Pain may have given me a measure of wisdom, but I still would have preferred to stay stupid and idealistic and unscarred.

Once again, there is more philosophy in psychology than many realize. These conversations bring up questions of mortality, and faith, and fairness. Learning to cope with a life you never wanted, in a world you never imagined, is a harder thing than most of us would have supposed; If we could have imagined it at all. I grew up in a world where right always triumphed in the end and cool guys never looked at explosions, they just walked away looking like Fonzie or Bruce Willis, Arnold and Clint. Real men ate red meat and drank martinis that were shaken and not stirred, for a reason I have yet to appreciate. Learning that life doesn’t end like in the movies is a painful lesson that we learn and relearn.

Maybe wisdom is learning how to live in a world that is unfair, and where everything doesn’t necessarily happen for a reason. Lowering my expectations, one more time. It has helped me a great deal when I realized that life offered me no guarantees, only days. Learning to find contentment in the moment has been an arduous journey. Learning to let go of things that hold me back has been harder still. I am still hoping for success someday.

I am often reminded of the second half of the Serenity Prayer, the line where it says “that I may be reasonably happy in this life”. Reasonably happy.

I might have a shot at that.

Happy Wednesday

I know it’s not Wednesday, unless you are actually reading this on a Wednesday. In which case, happy Wednesday!

I have a different story about Wednesdays.

I talk to a fair amount of people who are addicted to drugs or alcohol, or World of Warcraft, or porn, or masturbation, or shoes (and you know who you are), or Real Housewives of Vancouver. For most people in my line of work the actual addiction itself is almost secondary for much of our discussion. What the recent literature is saying is that what is really important is that weird stuff happening on a neurological and emotional level way way deep.

It is a fairly good bet that the reason you said yes to that rail or joint or seventh glass of wine on Saturday night had much less to do with your lack of willpower than you might think. Perhaps the cards were far more stacked against you than you ever imagined. So let’s talk about Wednesday.

You have been trying to skip a weekend for months. We talked about the problem and it’s becoming more and more about bingeing. Time to “take a weekend off” to prove to yourself that you are not a drug addict or alcoholic or whatever personally destructive name tag you want to wear.

There is a huge elephant in the room that no one wants to really talk about. The binge probably actually started on about Wednesday. Maybe it was on Wednesday that the thought first entered your mind. You know how it went. All you said to yourself was, “O crap, the weekend is coming!”. That was all. Harmless, right? Wrong.

I have heard several clinicians and university nerds talk about this. Apparently there is much more going on just under the surface than most of us realize. What if thinking about using actually gave me a little hit of happy goodness? Turns out it probably does.

Most of us have heard of adrenaline or dopamine or serotonin. Here’s a story. Yes that seems very random. Have you ever seen that cheesy commercial “This Is Your Brain On Drugs”? You know, the one that makes you want to eat eggs. Cocaine addicts, lots of cocaine addicts, have reported to me that commercials like that actually make their mouths water, and not for eggs.

Why do you think that is? If you’ve ever had an extended encounter with cocaine you will know there is a very specific and pronounced taste to that white powder. Users will often rub it on their gums to numb the surface of their skin, just for kicks. You taste every line, every puff. It is a very sensory experience. Ten years later a person who was once addicted to cocaine finds her mouth-watering during a story about a weekend binge. A wedding celebration has brought back some bad thinking about drinking. Apparently when Johnny started fixating on the weekend some of the good stuff was released in his brain and an association is made. More thoughts can equal more goodies and by the time John gets in his car on Friday night to drive to his dealer’s house he’s pretty much toast. Many addicts report that during the ride over they often berate themselves for being weak, yet again. Many promise themselves they will never do this again, or at least get help. At this point it’s just a game you play every time you disappoint yourself. This is familiar territory. You keep your foot on the gas pedal because you are, in a very real sense, already high.

The science on addiction is changing. Clinicians and front-line workers are incredibly open to new information and are much more willing to speak about dangerous subjects than we once were. Addiction humbles people. The carnage of broken lives that my colleagues in the addictions field and I have witnessed changes a person. I respect the drug more than I used to.

Today my colleague  Dawn and I spoke with some amazing parents who were absolutely frightened by the prospect of their teenager’s exposure to drugs in their local high school. They should be. At the end of the day there was a real sense that those parents needed to become better informed. Information really can be powerful. Knowing that I am vulnerable earlier cannot but help me when I find myself hungry, angry, lonely or tired (HALT). Knowing I am vulnerable can literally be half or more of the battle.

Here’s To You

It happened last night. It doesn’t happen very often but when it does, it takes my breath away. Those invasive thoughts.

Lying in bed they rolled over me like a wave. One thought led to another and then I was consumed. I couldn’t stop myself from “going there”, couldn’t keep the steaming pile of shit from pouring in and taking down. It went on forever.

At the end of it, and literally the end, I got out of bed and went into the kitchen. Then it was over. Moving, changing, going into the light was enough to break that pattern of thoughts, thank God. It doesn’t always work but last night it did, and I’m thankful.

It only happens to me a few times a year. I have clients and friends who deal with this rush of hell every day. I cannot imagine the strength it would take to get up each day and do it all over again. I’m not that strong. Some of these people are. They have learned to cope. You know who you are and my hat is off to you. I’m humbled by your courage.

The tools work. They’ve been tested by fire and I can tell you first hand that there are people who are more familiar with some of the toolbox and are having a measure of success. I have seen some of my clients and friends come through things that I could have never survived. In this office I have learned that I simply cannot stay in that emotional hell or it is going to take me out. Wise sages have written words that have helped me, and probably you as well. I’ve listened to victims and I’ve listened to survivors, and I learn from the survivors. Just the way it is.

So on that ‘night of nights’, and in times when I deal with other, less intense, dysfunctions; I continue to work the program. The Wisdom Rock, the brain massage, recognizing cognitive distortions, practicing STOPP Therapy, WWSD, faith, mindfulness, taking my argument breaks to breathe and breathe and breathe until I calm down. My mantras, the crap detector, the stuff I learned from Family Systems Therapy and motivational interviewing, the self-talk, the distraction techniques, dozens and dozens of cheesy tricks that keep me from losing my mind. Like most of us I forget more than I remember, often not recognizing the danger signs until finally the wisdom of retrospect magically kicks in.

I don’t really have a “Plan B” that doesn’t involve self-medication.

The Wisdom Rock

I have a wisdom stone that I carry in my front pocket. Just a cheap knockoff with the word “wisdom” engraved on the surface. It once was rough, now it is smooth. That is the point – it once was rough.

The pursuit of wisdom for others, and myself, has emerged as something that I apparently care very much about. Lately it feels like my cup cannot be filled, and I get paid to study. As I have spoken and written about elsewhere, this past five years, time spent counselling full-time, has become one of the most important “swerves” in my life. I sometimes regret that this did not happen earlier, though I understand cognitively that timing is everything. Apparently this is my time to grow up. It has taken much longer than I imagined, and along the way I truly believed that I was wise beyond my years. Turns out I was wrong. Self-awareness is a merciless thing and seems to come, at least in my direction, at a terrible price. Growing, but not yet grown up.

I rub the rock. It reminds me of what is important to me when I am so easily distracted. It is a simple therapeutic trick, an exercise I teach clients. The rock is a visual, physical, and psychological tool to recalibrate my focus. It has also become a spiritual tool; I have infused meaning into possessing it. I need all the help I can get.

I have also been reading sports psychology lately. I work with an amazing martial art called Excel Martial Arts, serving as a sort of philosophical and psychological advisor, as weird as that sounds. People call me “Sir” there. It makes my wife laugh. Yes, she keeps me grounded. One of the things they do at Sun Hang Do is an oft mimicked sort of salute with the right hand in a fist, enclosed by the left hand, symbolizing power and control. It is a natural focus point for starting a “pattern” or a maneuver in formal martial arts training. I teach students to put a little ink dot right at the middle of that hand gesture, clearly visible when you start and then throughout their practice. Whenever that hand flashes in front of the face they have a clear and visible reminder. The dot acts like a wisdom stone. Every time I see that little black dot it reminds me to do something – in my case to take a deep breath. Deep breathing forces the heart to slow down and gives me the time I need to slow down and think, or not think, or whatever.

There are many ways to practice mindfulness. As I write this I am listening to a “brain massage” that you can find on YouTube. I don’t know if it really works but it sounds nice and relaxes me… so in point of fact it does. On the way home I will listen to Blink for the third or fourth time because I love Malcolm Gladwell and his crazy hair. Audiobooks saved my life once and I am paying a debt to myself every time I strap on the phones. Gladwell isn’t heavy and he is a great storyteller. I may have a bath later because I can lock the door. I will read for three or four minutes before I fall asleep tonight. Tomorrow morning its back to Blink, but only after I read a few minutes of my toilet book. You probably shouldn’t handle that book much.

Self-care rarely happens by accident. It may not sound like it from this article but I am actually very busy, just like you. We have a bucket of responsibilities and no time for anything. Too bad. Make it work. I drive and listen. Some of us colour, others watch documentaries or Breaking Bad or paint walls. It doesn’t matter if it’s quality time or pooping time, self-care cannot be optional and I ignore it at my peril. There is no one that will take care of me if I refuse to take care of myself.

After all, what good is it if I help the world but lose my heart?