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Is there Positive in an Exacerbation?

Ask yourself this: is there anything good that comes from a chronic illness exacerbation? The obvious answer is no. The hidden answer is yes.

Exacerbations do a number on our bodies and psyche. They are physical and mental setbacks that leave us feeling stuck in place until they are over. They can cause long-term damage or help progress our disease farther along.

Stating that an exacerbation can be “good” is unconscionable. As people coping with a chronic illness, we want to avoid them at all costs. Absolutely. But that isn’t always possible. I am aware that I could become a Zen Master and banish all the stress I feel in life, and still get hit by an MS exacerbation without warning. That is the very problem with a chronic illness: the unpredictability.

The key is to find a silver lining in the middle of each exacerbation as much as possible. There will be moments where maintaining optimism is near impossible, and that is fine. But in the moments we can find a ray of sunshine, we should embrace positivity.

The Frustration of an Exacerbation

Exacerbations slow us down. They can land us in the hospital for treatment, and they can leave us searching for more answers on how to best approach our treatment.

I hate exacerbations because of how much they set me back. Before I managed my MS, I would be in the middle of an important project, and an exacerbation would slow me down for several weeks while I recovered. My usual MS symptoms, like fatigue, often cause me to take a day “off,” while I recover in bed.

I often wonder if my body coordinates the timing of the exacerbation as a form of self-sabotage. I get ahead, and my exacerbations/symptoms pull me back.

There might be some truth to that conspiratorial belief. I am pushing myself so hard that I do not listen to my body, so my body has to get my attention. Fatigue, L’Hermmittes Sign are red flags that I am not taking care of myself.

And if I continue not to listen, the exacerbation comes along to stop me in my tracks and take a break. But by then, it’s usually too late, and I may not know the extent of the damage done by the flare-up.

Gratitude in the Lowest Moments

We know that exacerbations are annoying, we know that they can be damaging, so how can I find the positive in these adverse chronic illness events? What follows is what works for me, so your own experience may not reflect my own.

I learned that an exacerbation is an excellent opportunity to practice gratitude. Sometimes the flare-up affects my depression, so finding appreciation might be impossible. Literally, because the exacerbation is the source of a mental block. If this happens to you, try to remember not to feel discouraged because it is out of your control.

But in the moments where this isn’t the case, where the exacerbation impacts your body, where you can recognize what is going on, we can practice gratitude. This isn’t something you will be able to whip out on the first go, it will take practice. A lot of practice. Gratitude and positivity are hard to be the first thing we reach for in our lowest moments.

What would gratitude during an exacerbation look like?

Take time reflecting on the points I’ve listed below and try to find gratitude in at least one of them. If one of the points don’t fit or bring on further negative thoughts, move on, and find another aspect that can help.

When you find a point that works, take time to examine it thoroughly. Reflect on each part that you are grateful for, each positive experience you’ve had relating to it. This will serve as a healthy distraction from your exacerbation.

  • Your medical team. How quick are they to listen to you and respond to your needs?
  • Your support team. This might be your family, professional nurses/helpers, and beyond.
  • Your social network. Both online and offline. How well do they listen, respond to your needs, and help you through your tough times?
  • Your financial situation. Is it favorable or not? Do you have the means to care for yourself?
  • Your overall health outside of the exacerbation. What are you usually able to do and looking forward to once this resolves?
  • Your professional situation. Are you satisfied in your professional life, and do you find validation there? Are they supportive of your case?
  • Overall survival security. Do you have a home, food, ways to clothe and take care of yourself? Ability to get around, even if it’s less than ideal?

Hopefully, you’ll find plenty of things to be grateful for running for this list or have a starting point for your own gratitude list. It’s essential to find things you do have in your life, despite this low point, and focus on them as a means of distraction. The idea is to help uplift you until you recover.

Searching for Positive

I will acknowledge that it’s privileged to say that there can be a silver lining in almost every situation. Certain fundamental conditions need to be met before taking a step back and look for the positive. I am sure a number of my readers are in that position of privilege, but I won’t make a sweeping generalization.

That said, try and look for the positive even in the middle of your exacerbation. Finding the positive does feel futile at times, so don’t feel pressured if you can’t find it. There are going to be good moments, and there are going to be bad. When you first start off, there will be more bad moments until you get more practice.

The key is to retrain your brain to not focus on the negative, but be receptive of the positive. This will be an uphill battle, as our biology steers us towards the negative. We are no longer running from other apex predators when we walk in the woods, so take time to retrain the primitive brain.

Exacerbations, while overall, are not a positive experience, they can give us a chance to find the positive in our lives separate from the negative experience. They give us a chance to slow down, appreciate what we do have, and find a way to retrain our brains to focus on the positive aspects of life. It’s not ideal, it never is, but it’s one way to cope with an uncontrollable situation.


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Featured photo credit: Canva

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Book Review: Declutter Your Mind

After finishing Unf*ck Yourself, I did what many readers do and look for more books to read. I find that similar books help commit what I want to learn. One of the books that popped up was S.J. Scott & Barrie Davenport’s book Declutter Your Mind. I figured I would give it a go, considering July is all about mindfulness and loving ourselves. One thing often stands in the way of my own journey of love, and that’s the clutter that takes up space in my mind.

This book seemed like the perfect follow up to Bishop’s book since I still had some clutter holding me back. I wanted to get some new techniques, ideas, and perspectives to removing the clutter that prevents me from fully loving myself.


Note: I was not compensated to review this book, I am sharing my thoughts as it might help readers on their journeys. All links are unaffiliated and I receive no monetary benefit by providing them.


Book Information

Title: Declutter Your Mind: How to Stop Worrying, Relieve Anxiety, and Eliminate Negative Thinking 
Author: S.J. Scott & Barrie Davenport
Date Published: 2016
Publisher:  CreateSpace Independent Publishing Platform
Pages: 156
Genre: Non-Fiction, Self-Help

Goodreads Link
Amazon US Link


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Learning through Painful Experiences

On the Adult Swim show, Rick and Morty, there’s a minor character named Mr. Meseeks. In a moment of extremely dark humor, something the show is famous for, Mr. Meseeks admits that “existence is pain.” When you live with a chronic illness, there’s a lot of truth to that phrase: life can be literally and figuratively painful at times. But there’s something we should know: we can learn through the painful experiences.

While the Mr. Meseeks character can “poof” away after fulfilling its purpose, we cannot leave. We are stuck trying to find a healthy way to manage our physical and emotional pain.

What Pain Teaches

Pain comes in many forms.

It can be physical, mental, or emotion. Often, we find it’s a combination of these three: if I am in physical pain, I might feel it emotionally as well. One leads into the other in a domino effect.

Physical Pain

When pain is in a physical form, it can teach us what we are capable of handling. If it’s an expected pain, one that we can mentally prepare ourselves for: an outpatient procedure, exercise, or giving birth, it reminds us that we are strong.

Often, after these moments pass, we recognize we’ve become stronger because of the pain/discomfort endured. Scar tissue heals tougher, muscles build up, or we have a beautiful little one to show for the struggle. We endure, we grow stronger, and we have something positive to show for it.

When the pain is unexpected, such as an undiagnosed chronic illness, it can be discouraging. Even if we expect the pain due to our illness, it’s often coupled with the uncertainty as to when it will end. When we willingly put ourselves through a physically painful experience, we have an expectation of knowing it will eventually end.

Exacerbations and chronic pain do not adhere to such a timeline.

But this pain can still teach us what we are capable of enduring, even in the moments we feel like we’re barely tolerating it.

Emotional & Mental Pain

Emotional pain is harder to grasp. It’s so nebulous that when we think we’ve caught it, rooted it out, and dealt with it; it pops up in some other form in another part of our life. Emotional pain is a constant game of “whack-a-mole.”

The scars are harder to see when we’ve endured emotional abuse. Anything can cause our emotional pain to grow out of control. Even the slightest look from a stranger can turn our positive mood into a dark space. It might take hours to days before we get back into a balanced state.

Mental pain can be equally difficult to deal with. It may be out of our control, requiring chemical intervention. Please continue to follow your healthcare professionals recommendations if you require chemical intervention to manage your mental pain.

These types of pain also provide important lessons: emotional pain teaches compassion, while mental pain teaches us to honor and nurture our fragile nature in a healthy way.

I found that these three forms of pain, physical, emotional, and mental, all teach me one thing: I can endure, and I grow into a stronger person because of it. Without pain to push me, I stay within my comfort zone and do not develop into the person I have the potential of becoming.

You can’t Stop the Pain…

As much as we’d like to, there’s no quick fix to handle our pain. We can abuse medication or find other unhealthy ways to escape it, but that isn’t handling the pain as much as it’s kicking the can down the road. This form of avoidance can deepen the pain, making it more difficult to manage, which turns into a negative cycle.

Please note: I am not referring to using prescribed pain medication as directed by an ethical healthcare professional. I am referring to the intentional abuse of prescriptions or illegal drugs as a means of escaping physical, emotional, and mental pain. If you, or someone you know, is abusing medication, please seek help now. You can break the negative cycle.

Pain will always be a part of our lives. We cannot escape it; we cannot avoid it. When we try to run from it, like “checking out” or procrastinating, it can exacerbate the pain, specifically mental, and make it feel more overwhelming. It’s often a struggle to confront it, which is what we must do if we are to move forward.

If you cannot stop the pain, what can you do?

…But you don’t have to Accept it

Exactly that.

You do not have to accept the pain. You have to endure it, yes, because it will always be present. But you don’t have to give into it and let it “win.” Rather, you can find ways to manage it so you can put it in proper perspective.

For physical pain, you can learn meditative techniques to manage the pain. You can speak with a healthcare professional about a healthy way to chemically treat the pain or referral to physical therapy. The pain may be telling you to slow down because you’ve done too much, so take some time to rest. You can look at it as a challenge to test your abilities to endure and flip it into something positive.

For the emotional and mental pain, find a competent therapist or qualified accountability partner to help you work through it. Figure out why you are in this pain, what triggers it, and how you can healthfully manage it. Use healthy distraction techniques to keep you moving in a forward direction and minimize getting “stuck” in one place.

Learn to work with, through, and around the pain so it no longer holds you back. It is just one more hurdle to overcome in life, with or without a chronic illness.

Learning Through Painful Experiences

Pain gets a bad rap for being negative. To be fair, it can be negative most of the time. But remember the planned pain, like with exercise? That pain can bring on positive growth. It teaches use we are strong by making us stronger.

Try to view the unplanned pain from illness or injury in a similar manner. It is teaching us something about ourselves: what we can do with it, how we can handle it, and possibly how our lives are better because of it. There are plenty of people out there that lose part of themselves, enduring pain from trauma, to come back stronger than before.

Pain teaches us a lot about ourselves, we just have to be willing to listen to what it has to say.


Like this post? Make sure to follow me on your favorite social media platform and show some love by sharing it. Links found below.

Featured photo credit: Imani Clovis on Unsplash


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Embracing our Imperfections through Forgiveness

At the beginning of the month, I discussed hating self-improvement. That’s still true: I hate having to do things for my own good. One of the many reasons why I dislike it is because self-improvement dredges up imperfections. When I hold up a mirror to myself, I see all the things I want to change and feel discouraged by what I must do. Self-compassion teaches that we should embrace our imperfections, specifically with self-forgiveness.

We desire to get as healthy as we can given our situation.

One way to do that is to move beyond what we view as imperfection. If you are like me and take each “imperfection” as a personal slight, there is a lot of resentment built up for yourself. In these moments it’s important to say “I’m sorry” to yourself, whether you mean it or not.

So at this moment, let’s collectively say “we’re sorry” and begin the process of healing.

Embracing our Imperfections

In my posts about self-compassion, I write about the importance of accepting our destiny to be imperfect beings. I’ve learned this the hard way. I grew up viewing my imperfections as blights rather than as opportunities for growth.

When I realized I needed to embrace my imperfection, I took a moment to apologize to myself, whether I needed to or not.

At first, I felt like the apologies were unnecessary. Why should I apologize for having a perfectly natural emotion, like anger? I don’t have to apologize for that moment I was socially awkward. I was apologizing for the wrong things to start: I wasn’t getting to the heart of the matter. But by beginning the process, I could see the moments where the self-apology was necessary.

I realized that I wasn’t actually apologizing for the anger. Anger is a normal emotion, and there is no need to apologize for it. But the consequence of my passion, the fallout where I spent hours berating myself for a small mistake. That I had to apologize to myself for. Each moment I engaged in self-destructive behavior, I owed myself an apology.

The behavior I engaged in would be unacceptable if a friend, family member, or stranger did it to me. Why should I accept the bullying behavior from myself?

If you’ve found that you mistreated yourself for whatever reason, consider taking a few minutes to apologize. Say it internally or externally. It can be as quick or as long as you need. But consider saying “I’m sorry,” to yourself.

Forgiveness as a Tool

When you apologize to yourself, forgiveness becomes a valuable tool. Studies reveal that the act of forgiveness lowers stress and helps aid in managing chronic illnesses. Forgiveness is self-compassion, where it provides us with an opportunity to heal and embrace ourselves as we are at this moment.

Let’s discuss what forgiveness is not: it is not about the pasting getting away with its actions; letting others get away with an injustice; nor is it about completely discarding personal pain.

Forgiveness is about no longer allowing the past having a negative hold on us. The past serves as an opportunity to inform our present and future, but we can let go of the control it has on us.

We extend compassion towards those who hurt us, especially ourselves when we embrace forgiveness. In these moments, we are giving up a lot of control, as holding onto the pain and resentment is a form of unhealthy control, and allowing ourselves to heal.

When you start to forgive yourself, hopefully, you’ll experience the consequence of getting out of a personal rut. You may find that all you are mentally waiting for is that apology and opportunity to say, “I forgive you.”

Forgiveness in Daily Life

Next time you have a moment of personal frustration, say you flubbed something due to memory fog or fatigue. You spend the next five minutes mentally ripping yourself a new one.

Stop. Take a breath. And say “I’m sorry for being so upset for that flub. I recognize it wasn’t necessarily your fault and you didn’t mean anything by it.” Say what you might want to hear from someone else.

Then stop again. Listen to those words and hold them in your emotional center. Say “I forgive you.”

Try not just to say it. Mean it. Forgive yourself for each perceived transgression you experience in the day. Open up your emotional center and feel the love that comes with forgiveness. Each time you start down a negative path, actively say, “I forgive you,” to yourself.

Use forgiveness as a stress-relief tool in your kit for combating your chronic illness. With some practice, you’ll find it will be easier to achieve daily. Recognize that you are worthy of your own love and compassion.


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Featured photo credit: Canva


Passing Compassion Along

This is the second week in a 3-week series on parenting observations. Week one is based on gentle parenting, week two is about parenting with compassion, and week three is about parenting with a disability.

These posts are based on my personal experiences as a parent and are not meant in any way to judge other parenting styles or decisions. I am offering my personal research and conclusions as possible suggestions for others out there, therefore these posts will be as objective as possible. When it comes to parenting: provided the method isn’t abusive, there really isn’t a wrong way to parent your child. Be secure and do what works best for you and your family and ignore outside judgment.

This post was originally published February 2018.


Incorporating compassion towards yourself and your little one will naturally lead to raising a compassionate child, but there are other ways to work compassion into the daily routine. There are a lot of great suggestions out there from various parenting websites. I’ve pulled a list together of my favorite suggestions that I want to incorporate with Jai as he grows up and as reminders of what I can do on a daily basis for myself.

Nota bene: This post will be using the universal “you/second person” pronouns throughout, so while it may not speak to your experience directly, it may apply to someone else you know.

Compassion is Nurture not Nature

For some children, compassion appears to be inherent, but for most of us, it is something that needs to be taught either by adult example or via life lessons. To best ensure a child becomes a compassionate adult, it is important to teach compassion as part of the growing process. Age of the child (or adult) does not matter, it is something that can be trained at any point in life.

Compassion is not fundamental to being human, but the greater compassion (and self-compassion) a person has, the greater their personal success both personally and professionally.  More than self-esteem, teaching compassion will increase a child’s ability to successfully navigate the world. Increased self-esteem is secondary to compassion in most cases, though it follows closely behind.

Therefore, teaching compassion will be helpful in making the world a better place on a macro-level, but on the individual level for your loved one. The world becomes less harsh, not because of rose-colored glasses, but because your little one does not take adversity personally and takes it in stride. When bad things happen, they are viewed as lessons for growth and not personal insults to their being.

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