TO THINE OWN SELF BE KIND: Taking Time to Practice Self-Care

I came awake suddenly on New Year’s morning, instantly noticing the time. It was 12:20 a.m., and, for the first time in many years, I had missed the ball dropping at midnight in Times Square. I was disappointed in myself – especially since recently I had been sleeping more than usual. My friends had been reminding me about my hectic schedule over the last semester, and the fact that my body might be telling me that I needed to slow down. I knew they were right, but there was so much to do, and I was determined to get it done. But, as I lay there that morning, I realized how tired I truly was, and how little time I had allocated to self-care.

Practicing self-care is vital. For counselors who are regularly inundated with their clients’ sufferings and painful experiences, it is even more important. An effective self-care regimen lets counselors replenish their sense of well-being, allowing them to be more effective with clients. Counselor self-care provides a win-win situation for both clinicians and the clients they serve. There are many suggestions for self-care techniques, but the best one is that which gives you pleasure, and a sense of rejuvenation. In “The Resilient Clinician,” Dr. Robert J. Wicks writes about solitude, silence, and mindfulness, as means of replenishing the self. These are effective self-care techniques. Can you think of others you can incorporate in your lives?

For some clinicians, the practice of self-care is scheduled into their day. It might be a bubble bath before bed or a bike ride before dinner. Whatever you choose, make it a priority and not just something you do if time permits. You can even add to your regimen on occasion by doing something spontaneous in between client sessions, e.g. deep breathing, stretching, or simple Qigong exercises or breathing techniques. Self-care also includes the basic health activities of regular medical and dental visits, healthy eating, and daily exercise. Some counselors find it helpful to belong to a social support group, or may retain a therapist who they see on a regular basis. There is no limit to activities, as long as they are geared to caring for your mind, body and soul.

Those of us who do not practice self-care can become overwhelmed. We might find ourselves becoming reactive or overly emotional. This is disadvantageous to our clients, as well as to ourselves. As we begin a new year, let us resolve to take care of ourselves. It might be getting more productive sleep, or losing weight, or finding time for solitude, all of which I plan to do. What about you? What will you do? Whatever you decide, make it something enjoyable, sustainable, and beneficial, and begin it right away. Your body will thank you, your mind and soul will thank you, and you will be more focused and motivated in your work with clients.



Reflections and Resolutions: Guiding the year ahead with lessons from before

Live your questions now, and perhaps even without knowing it, you will live along some distant day into your answers. Rainer Maria Rilke

I want to believe that I am consciously using every lesson I have ever learned in life in a way that supports my integration and growth as a human being. The truth of my awareness, however, speaks to the fact that I am still guided by many beliefs learned unconsciously and my conscious response to some lessons is not quite as enlightened as I wish it could be.

Regardless, my reflection of who I have become over this past year calls for a rousing cheer: I have become a better human being.

I did not get here all by myself. Other humans walked with me along my path for a time. In their shadows, I found my reflection. In their words, I found my sorrows, my hopes, my dreams, my healings. In their eyes, I saw what I meant to them. These humans are my friends, my classmates, my clients, and my strangers. They are all my teachers. They are the collective world I live in. They help me awaken and find my light.

I bring this better new me to this new year. Of course, I bring a new me to each new moment, but I love the symbolic energy associated with new beginnings: a new day, a new moon, a new year. Who am I to be in these next 365 days?

At my spiritual community, the Center for Spiritual Living, our reverend gave a sermon with the beguiling title ““Do Not Seek The Answer; Live The Question”. She went on to talk about the mystical quality of living into the questions I have of myself and life and being grateful for the lessons offered by my questions.

To not seek an answer seems counterintuitive. We are born with inquisitive minds, and our survival requires concrete answers about what to eat, where to sleep, and who to associate with. When clients come to me for pastoral counseling, they want solutions for their troubles, and I am often on the edge of my seat full of remedies just waiting to be tested.

Issues about housing, safety, and survival aside, a client’s true answer will come from his or her own insight. Clients are becoming just as I am becoming in their own human way. My resolution in this new year is to bring the gift of question to my moments, my clients’ moments with me, and, as Rilke said, perhaps we can then live into our answers.

What questions are you living this year?

Loyola Magazine » Playing through Grief: Helping Children Heal

Beverly Sargent, a current Ph.D candidate, published two books about helping children use child-centered therapy to play through the grief of losing a parent. She was featured in Loyola Magazine’s December 2012 issue.

Read more here:

Loyola Magazine » Playing through Grief: Helping Children Heal.

Shining a light in the darkness of despair: Holding hope for the client until (s)he is ready to receive it

The holiday season is live and the malls are crowded with shoppers. Beautifully decorated stores lure customers through their doors with a promise of exclusive sales. Names placed on lists are checked off as patrons load gifts into their shopping carts. Churches welcome their flock and extend an invitation to those who have strayed, to “come home for Christmas.” Brightly lit homes greet holiday guests, and scrumptious dinners are planned for families who travel by plane, train, bus, and car to spend Christmas with their loved ones. Everywhere the atmosphere is electrified with joy and excitement, as Christians and non-Christians alike prepare to celebrate the birth of Jesus Christ.

Christmas is considered by many to be the most wonderful time of the year. It commemorates the birth of our Savior. But for those who are submerged in the darkness of despair, it is a difficult time. Consider the wife who is celebrating Christmas without her husband for the first time; the daughter whose mother died before they could reconcile after an argument; the mother with no money to buy gifts for her children; the children whose mother can’t find her way home after a night of drugs and alcohol; the old man who is all alone simply because he has no one left. For them, Christmas is a time of want; a depressing reminder of what they have lost, or never had. As pastoral counselors we are tasked to make a difference for those who are in despair and to offer them a sense of hope.

Hope is what Jesus’ incarnation is about, and why He is the light of the world. In John 12:46, Jesus said “I have come as Light into the world, so that everyone who believes in me will not remain in darkness.” During the Christmas season there are many people in darkness. Pastoral counselors are uniquely qualified to help shine a light into their world.  As psychospiritual healers, integrating psychology with spirituality, we are often called upon to compassionately hold hope for our clients until they are ready to receive it themselves. What a beautiful gift that one can receive at Christmas – the gift of hope.

As I serve my clients during this blessed Christmas season, I know that I cannot undo their past, but I can try to soften the impact as I prepare them to face life as it unfolds.  Christmas is much more than the commercial trappings that are propagated by businesses. Jesus came on earth to shine a light so that no one will remain in darkness as long as they believe in him.  He came to give us hope. Pastoral counselors have an opportunity to help our clients claim that hope and escape from the darkness of despair.  This is such a significant and honorable role for us, and one that I accept with gratitude and humility.

Answering Prayers 101: Angels In Training

As a child of God, I am a selfish little person. When confronted with the troubles of another, I might shoot off a quick “dear God, help that person” or “send me some wisdom here, please,” but, for the most part, I pray mainly about my troubles and generally for the good of all.

Lately, God has been tweaking me with these gentle cosmic flicks that are sending me the message that maybe I am not just on the receiving end of prayers. Sometimes, God says, you, Barbara, get to be the angel and answer someone’s prayer.

In my clinical internship here at Loyola, a client quietly smacked me across the head with her thankful words a few weeks ago. She had been referred for counseling because she was having some difficulties in her life and had been afraid that she had something seriously wrong with her. Why else, she said, would someone refer her for counseling? It had not occurred to me that anyone would be frightened of me or counseling. Another client told me she had been praying for help in the moments before I waltzed in and became her counselor. I am humbled in their presence because I am the one who shines from all of their hard work.

My halo gets a little dingy as I get caught up in my own struggles. It often sits atop my head a little dented and skewed to one side especially after I’ve had an altercation with early morning rush hour traffic and drivers who think they are special (meaning they don’t have to use turn signals, follow at a safe distance, or drive within the speed limit). As I am mouthing sometimes not-so-silent curses, someone out there is saying a prayer: let me get to work safely . . . please, someone, let me get off at this exit . . . I hope no one rear ends me with my child in the back seat.

I can be the answer to all of those prayers, too.

As a pastoral presence, we are the answer to someone’s prayer whether that prayer was spoken or silent, whether it was conscious or unconscious, and whether it was the prayer of the person sitting across from us or the prayer of a person we may never meet.  If you have asked God for help and that help is a long time in coming, be patient. Some of us angels are just now learning how to fly.

Whose prayer can you be an answer to?

Defining lives and careers: It goes both ways

Choose a job you love, and you will never have to work a day in your life.
Confucius

In pastoral counseling at Loyola, students invest long hours preparing for the
diversity of clients who we will counsel during our clinical internship and afterwards in the “real” world. We learn to identify and treat depression, anxiety, trauma, and personality disorders. We learn how humans become who they are and the dynamics of family life. We investigate the insidious disease of addiction and avenues of therapy. We choose our theoretical approach to practice and how to integrate psychology and spirituality. When I took a class in career counseling, however, I puzzled about its usefulness in pastoral care.

Then, America found itself in a recession. Suddenly, my internship was full of clients who were unemployed and looking for more than self-esteem boosters. They knew why they felt bad and what would help them feel better: a job. I turned to Loyola affiliate faculty, Deb Rollison, Ph.D., who teaches career development, for some guidance.

The people who were having the hardest time finding employment were in their late 50’s and early 60’s. For these clients, Dr. Rollison recommends:

  • Do not put dates of graduation on resumes
  • Summarize work experience that is ten years or older
  • Reframe what older means by exploring advantages: experience, loyalty, fewer sick days, wisdom, and perspective
  • Think in terms of accomplishments, including volunteer experience; list 6 to 8 PAR key accomplishment statements that show:
    • Problem – what did you face?
    • Action – what did you do?
    • Results – what happened specifically and measurably?

Exploring your clients’ accomplishments, what they enjoy, and how they effectively managed difficult times in the past is key to helping people develop self-reliance and coping skills. I encourage and coach unemployed clients to talk about what they have done and why it mattered. This helps them sell themselves both to prospective employers and to themselves. It is a constant reminder of their self-worth.

AARP’s job hunting web page is a good resource for older Americans. America’s Career InfoNet is a gateway available to everyone to explore careers, State job banks, occupation and industry information, and much more.

The longer unemployment goes on, the more strain there will be on relationships, finances, and families. If you are counseling a person with a history of substance abuse, unemployment may be a trigger or a slippery place. I have helped clients with social services, fill out forms, identify their current assets and budgets, and find the closest AA meetings.

Deb Rollison put it very clearly: Career is not just a job but a whole life – it is leisure, priorities, and purpose. In helping others define their careers and make their lives whole, my career and life as a pastoral counselor become whole.

 

 

 

Experiencing God’s Grace One Client at a Time

Truly I tell you, whatever you did for one of the least of these brothers and sisters of mine, you did for me. Matthew 25:40

It might have been my first year in the Pastoral Counseling program at Loyola University Maryland, when a professor asked what type of client we would not want to treat. I thought for a moment, and then proceeded to conjure up the most depraved type I could imagine. Several of us raised our hands to share our opinions. I do not recall any answers being validated, and as the class progressed, it occurred to me that it was a trick question. As counselors we are called to be healers, and it is not our role to determine who might be worthy of counseling. What a valuable lesson I learned that day.

Many other lessons were learned since, some tangible, and some not. Among them was the manifestation of God’s grace in the counseling environment. As a pastoral counselor, I have the added benefit of incorporating spirituality in my work. This is not an alien concept, especially since many clients have a spiritual foundation, even if they are not actively involved in a faith community. In my experience, incorporating spirituality in my work enhances the healing process. It also allows me to experience God’s grace through my clients.

Even as I offer the thought of experiencing God’s grace, I realize the intangible nature of this statement. Grace is a gift that is freely given by God. We cannot earn it, and we cannot claim to deserve it. We also cannot touch it or present it concretely. It manifests as awareness, and I have found it to be present in the therapeutic environment. Each client has her own special manifestation of grace. It might be the hope she feels at the end of a particularly intense session, or it can be a feeling of peace that accompanies sacred silence during counseling. Each manifestation is unique.

I have wondered who benefits from God’s grace during therapy, and I realize that both client and counselor do. God provides what is needed when we acknowledge Him in the counseling environment. He supplies the counselor tools to facilitate healing, and offers the client the ability to receive and integrate the treatment. Loyola’s Pastoral Counseling program encourages and expects its graduates to invite God into the therapy room. In so doing, we should have no reservations about treating all clients with respect and compassion, regardless of who they are, and what their circumstance is.

When the person in the client’s chair is you: Validating the 20-hour personal therapy rule

“I don’t want to be here, but I have no choice.” I have heard similar statements from clients; however, in this instance, those were my unspoken thoughts, as I reacted to Loyola University’s mandatory 20 hours of personal mental health counseling or psychotherapy, for Pastoral Counseling students. In retrospect, that experience as a client has made me a better counselor.

It was difficult sitting in the client’s chair. As much as I theoretically recognized the value of counseling, I was not comfortable. My therapist patiently listened as I selectively shared thoughts without allowing interruption. At the end of the session, she gave me homework which I accepted, but ignored once I left her office. While I am not proud of my behavior, nor do I encourage others to emulate it, it helps me to empathise with the clients who I now serve.

In their work The Practical Counselor (Brooks/Cole Publishing, 1997), Philip Lauver and David R. Harvey stated “you get to practice piano in private and perform when you’re ready, but in counseling, the practice is the performance.” This cannot be a comforting statement for a newly-minted counselor; however, having experience as a client, does help to alleviate some nervousness that new counselors face.

In my situation, I resisted even as my therapist displayed genuineness, unconditional positive regard, and empathy. Eventually she talked me down from the ledge of arrogance and anchored me in the client’s chair. That was when my work began. I learned to reflect the qualities she presented as I released my defenses, recognized my biases, and addressed my fears.

During that time, I realized the importance of trust, not only in the counseling process, but also in myself. And, I finally understood what Irvin Yalom meant when he wrote in The Gift of Therapy, that the therapist’s own self was his/her most valuable instrument, and that valuable instrument had to be well-tuned and kept in good repair, so as to be effective. Sitting in the client’s chair provided me that opportunity.

Today, I have my own clients, many of whom do not volunteer for therapy. They present similar defenses as I did when I was a client, selectively sharing their thoughts without leaving room for interruption, and rarely doing homework. I offer genuineness, unconditional positive regard, and empathy, as I prepare a therapeutic space where healing can begin.

I finally realized the value of the 20 hours of counseling that Loyola requires, reiterating Dr. Yalom’s statement that personal psychotherapy is the most important part of psychotherapy training.  It is also fundamental to ongoing maintenance of that valuable therapeutic instrument, viz. the therapist’s own self.

Meaning Making is a Super Power!

“Each of us is questioned by life; and each of us can only answer to life by answering for our own life.” Viktor E. Frankl , Man’s Search for Meaning

Talk about “meaning making.” Dr. Viktor Frankl was a Holocaust survivor who came to understand that all of life—including life in a concentration camp—puts forth the possibility for life to be made whole. In many ways, this wholeness emerges in responses to our choices, even if our choices are limited by circumstances (like suffering imprisonment, losing every loved one in your life, or other unspeakable harm).

In such a case then, one’s choice is the option to grow and be something more than who s/he is today or to stay focused on current ways of being and knowing in order to survive. No one can stop us from new growth, unless we give our permission. No one can stop us from making meaning in our lives unless we allow them to do so.

  • Failures of the past or present, rather than stealing meaning, create NEW meaning as we use our new information to discern the path that is laying itself before us in this new moment.
  • Wounds that we bear, rather than create victims; create heroes with hearts of strength who choose to forge ahead despite all odds.
  • Challenges we face encourage us to remember that we can’t do it alone—we need help. Even as we step toward new horizons of meaning, we are walking with others as they do the same.

THIS is the privilege of being a pastoral counselor: Even as we seek to make meaning in our own lives, we are graced with the privilege of accompanying others as they make meaning in theirs. In this process, my life is changed. In this process, the lives of others are changed. In this process, our lives together are changed.

And therein the world is changed.

Now there’s a super power I can get behind. My life’s journey isn’t about questioning what is happening to me. Rather, life itself is questioning me about how I plan to engage my existence.

I’d love to hear about your super power. Whether it is invisibility, flying, million dollar metal suits, or “meaning making,” what are your super power’s effects on the adventures of your life?