Category Archives: Uncategorized

Bad habits die hard…good ones start even harder

I wish knowing what you should do was as helpful as doing it. I know what a healthy slender person eats. I know the traps to avoid. I know the counterparts to many unhealthy behaviors. I know how to exercise appropriately. I know the needed actions to lower cholesterol, to improve BMI, to improve balance, muscle tone, and core body strength. I know I should floss daily and brush at least twice a day.

Knowing isn’t enough. Knowing what to do and how to do it doesn’t make it happen. Practice makes it happen. Intent makes it happen, until it becomes ingrained as a habit.  I don’t know what happened to my grooming habits.  I remember as a child the required morning and nightly tooth care, the daily bedmaking, the weekly put your room in order.  Somehow I didn’t take that with me – at least not permanently, when I left home.  Perhaps as I grew to reject the shame and chaos of my childhood, I also set aside the good things.  About 8 years ago,  in my mid 50’s, I was replacing my eyeglass lenses because the old ones were to0 scratched. The optician recommended I clean them each day with warmwater and liquid soap. I complained that was hard to remember. He suggested, ” Just wash them as often as you floss your teeth.” If I washed my glasses as often as I flossed my teeth,  I’d miss out on lots of reading!

I always floss the day I go to the dentist. I remember seing a cartoon strip where the character shows up at the dentist with small bandaids crossed all across his gums.  The dentist remarks, “Adam, I see you flossed this morning!”  I don’t think we fool our dentist or her hygienest.  We only fool ourselves.  I always report in questionnaires that I floss – ashamed to admit I don’t follow this simple effective dental hygiene protocol.   I’ll do it for a week or two – always after a cleaning. I like the feel of those clean teeth with minimized plaque. But one session missed is usually enough to revert to the old default of neglect and drop the new pattern of self care.

Sometimes to carry out a healthy regimen, I need to pretend I’m caring for someone else.  If this person in the mirror were my child, I’d want her to develop the habit of brushing and flossing routinely; of always using sunscreen; of good sleep habits; of making healthy choices when eating and exercising.  I’d be firm but loving- helping her develop the habits and self discipline as a way to care for herself . And I’d want to do it without shaming or bullying. That’s not usually how I talk to myself.

Most, if not all child rearing practices encourage the development of good habits and routines. I remember all the parenting and child psych training about establishing routines, bedtime, meal time, after-school homework, etc..  If a child has poor sleep patterns, the solution is to develop routines that link activities (bath, bed, story, light out)  repeated consistently over time. The child learns and integrates the pattern.  The mind associates one step wit the next, and a habit is formed. Routines create predictability.  Predictability provides a sense of safety and reduces anxiety. Routines soothe us. They allow us to relax, to let go. They give us a consistent platform from which to start or end the day.  They are built with repetition, over time.

I’m planning on introducing some new simple routines. There are several tasks I would like to convert to habits.  I know I’m capable of developing habits – I have several that are not very helpful!

Take care, be well –

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Remember, this forum is not intended to be therapy.  I have no way to view your body language, hear your tone of voice, or see if your words and your displayed emotions are matching.  These are essential to effective communication and great tools for the therapist (and for the consumer when reversed.) I will attempt to be as helpful as I can. I will refer you the best I can to needed services. Even though I will not be your therapist, I am a health care professional bound by law and ethics to act to protect persons from harm. I am required to report my concerns of  harm to self or others, and suspected abuse of children and vulnerable adults.  I am located and providing these services in Washington State.

Again, I am open to communicating directly with you here.  If you have questions or concerns, please leave a comment. I will attempt to address the content if I can.

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Filed under behavior, change, counseling, emotional healing, habits, healing, mental health, patterns, Penny Milczewski, psychotherapy, Uncategorized, wellbeing

Redefining Normal

Thinking back on my experiences as a seeker of care and a provider, I remember two big misconceptions.  “Everyone experiences what I do,” and “No one understands what I’ve been through.”  While these statements may seem to appear opposites, they easily co-exist in the belief systems of people experiencing emotional distress.  Since I grew up in an alcoholic family, I have easily identified with the movement from the 70’s and 80’s focusing on Adult Children of Alcoholics: identifying the family system, the cognitive adaptations that help your world make sense, and the internal belief systems that rise from families where there is role confusion, denial,unpredictability, and secrecy.

When you do not talk about your inner life, you have few ways to compare it to others’. I remember in my 20’s having an eye exam that showed I was very far-sighted. The doctor asked me if I had experienced seeing double when trying to read. My response was, “Of course, I do. Whenever I get tired. Doesn’t everybody?” Or in my late 30’s when the dentist asked in a standard survey, “How frequently did I have headaches?” then responded with concern when I answered 5-7 days/week. “How had I gone so long without being concerned about it?”  I thought it was “normal.” Today I look back  with gratitude that someone asked a question in a way that I could respond, which resulted in recognizing that I could have a different experience than  I had.  It wasn’t normal, everyone did not experience it the way I did, and it wasn’t necessary that I struggle with it either.

The flip side (and yet companion) of defining your personal experience as normal, is seeing yourself as abnormal – the only person who feels this way or has had this experience. Part of the benefit of the Adult Children of Alcoholics (ACOA) movement, pioneered by people like John Bradshaw, Claudia Black, Jane Middleton-Moz, and Timmen Cermak,** was that it described a developmental process and set of beliefs that large groups of people had previously identified as individually unique to them. In the same way, group therapy is often the most helpful with persons having similar trauma experiences, because the individuals see that others have had very similar feelings,  emotional or physiological responses, and common self-talk,  generated from the common experience and not from a personal deficiency or inability to cope. This exposure  to others who share your difficulties “normalizes” the experience and the person’s response, and confronts the internal view that one is somehow “not doing it right.”

Now with all that said, don’t be too concerned about “Being Normal.”  A recent post by a friend said something like, “Normal is just a setting on your washing machine.”   And when you see a therapist or counselor, and they somehow start to describe fairly accurately how you might be feeling, or thinking, or experiencing something; don’t be alarmed.  They are not reading your mind. They are discussing common experiences of many persons in similar circumstances. Experiences you might learn from.Experiences that may be common, predictable, understandable, and human… that’s normal.

** These writers were important to me.  I have not tried to be inclusive here.There are many contributors to the ACOA knowledge base and treatment approaches.

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Remember, this forum is not intended to be therapy.  I have no way to view your body language, hear your tone of voice, or see your emotional expressions.  These are essential to effective communication and great tools for the therapist (and for the consumer when reversed.) I will attempt to be as helpful as I can. I will refer you the best I can to needed services. Even though I will not be your therapist, I am a health care professional bound by law and ethics to act to protect persons from harm. I am required to report my concerns of  harm to self or others, and suspected abuse of children and vulnerable adults.  I am located and providing these services in Washington State.

Again, I am open to communicating directly with you here.  If you have questions or concerns, please leave a comment. I will attempt to address the content if I can.

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Filed under childhood trauma, emotional healing, healing, mental health, Penny Milczewski, psychotherapy, relationship, therapy, Uncategorized

Toe in the Water

As a child living in the Pacific Northwest along the cold waters of Puget Sound, I learned to swim.  I had two primary sites for learning: Quartermaster Harbor on Vashon Island, and a big cement swimming pool filled with mountain spring well water at my Grandparents’ in Tacoma.  It wasn’t until I started teaching boating safety classes that I realized that nearly my entire childhood swimming experience was conducted in the early stages of hyperthermia – blue lips, chattering teeth, progressing to numbness in the feet and full body shivers. It was very difficult to ease into the water slowly.  Everyone seemed to endorse the plunge approach. Anyone testing the water with their toe or attempting to enter a pool using the ladder or steps was considered cowardly and unlikely to ever complete the task.

Some folks look at therapy or counseling in the same way (All or nothing), and that approach probably keeps many from ever being able to truly use the process in a way that helps them.  It is okay to stick your toe in, and decide whether to proceed a little more or withdraw. No one has to leap in or be in the deep end rather than the shallow.   The process of working on your own emotional wellness, of relieving your distress, needs to be at your pace, and in an emotional environment that is safe.  A therapist that takes on the role of the bully, and throws you in the deep-end to sink or swim is not honoring you.  You might survive, but you are unlikely to continue to use the techniques you employed, at least use them with pleasure and confidence.

Just as our emotional distress is highly unique and personal, so is our path to recovery. There is no single approach, technique, method, or set of exercises that is helpful to everyone. It is okay to try different therapies. There will be a therapist that can help, but it might not be the first one you meet. Try not to assess your potential for recovery based on a poor experience.

Today there are all kinds of ways to explore therapy approaches: audio books, videos, U-Tube, reading, attending public presentations, workshops, health fairs, and many more.  It is okay to shop. I believe (and there is research to support) that the key element in a successful counseling /therapy experience is the relationship between the therapist and the client. (Please substitute whatever word you feel comfortable with to describe the person seeking therapy – patient, client, consumer, seeker, student – the words used seem to vary based primarily on provider experience and training.) After years in social services, I referred to the people I worked with as clients, then after 10 years in a medical clinic, I found myself referring to them as patients. Mental Health Advocates seem to prefer consumer. I will probably shift among the various titles as I write.  The key point is that you – the seeker of service – are the one in control of the relationship, not the provider. You (or your insurance, employer, or taxes) are paying for a service. And within your provider’s boundaries, you are entitled to manage the level of intensity, the frequency, the content, and the direction of your care.

Identifying and challenging your fears, doubts, pain or sorrow is not easy. You won’t necessarily be comfortable all the time, but it is essential that you trust you will be safe, and that you can stop or slow down  when you feel overwhelmed.

There are also online options for testing the water.  Visit blogs or websites that have questions and answers with therapists.  This is not therapy, but you can get a feel for how different people approach identifying problems and solutions.  In some cases, there may even be an opportunity to transition into a therapy relationship with the person.  Remember, it is your treatment. You can approach it in the way that fits you. You will need to stretch your comfort zone at times for growth to occur, but you can also approach slowly and move in a little at a time.

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Remember, this forum is not intended to be therapy.  I have no way to view your body language, hear your tone of voice, or see if your words and your displayed emotions are matching.  These are essential to effective communication and great tools for the therapist (and for the consumer when reversed.) I will attempt to be as helpful as I can. I will refer you the best I can to needed services. Even though I will not be your therapist, I am a health care professional bound by law and ethics to act to protect persons from harm. I am required to report my concerns of  harm to self or others, and suspected abuse of children and vulnerable adults.  I am located and providing these services in Washington State.

Again, I am open to communicating directly with you through this forum.  If you have questions or concerns, please leave a comment. I will attempt to address them if I can.

2 Comments

Filed under counseling, emotional healing, healing, mental health, psychotherapy, therapy, Uncategorized