being kind to myself


Some of my oldest memories are of lying in bed, late at night, wishing I was asleep: sleep-onset insomnia. I’m happy to say that I have largely overcome this malady. I have a sizeable bag of tricks to help me out with it (read about them here), the most important of which is having gotten over my fear of insomnia, which had become the primary source of sleeplessness. For the last several years I’ve had trouble getting to sleep just a few times a year.

For the last couple months, though, I’ve been experiencing “terminal insomnia,” AKA waking up too early and failing to fall back asleep. Most of my tricks don’t apply here. It sometimes helps to stay in bed until my alarm goes off–occasionally I will fall back asleep. Sometimes cuddling helps, too, but I’ve found nothing consistent so far. It’s become a problem: I’m getting married next week and sleep debt tends to make me clumsy, grouchy, and stupid–not the way I’d like to show up for this event!

So I complained about it to my therapist today and he gave me his hypothesis: I am chronically and habitually productive. Productivity is a way of life  for me and it’s infiltrated my groggy, should-be-going-back-to-sleep mind. He is right. I am on the go all day. It never occurs to me to slow down, much less take a nap, and that was exactly his prescription:

“I wonder what would happen if you cultivated a habit of trying, even to a ridiculous degree, whenever you noticed being really tired , just saying, ‘OK, I’m just going to lie down. I’m just going to quit what I’m doing and lie down.’ Even if it seems indulgent or incovnenient. Just ‘F*** it. I’m lying down, I’m closing my eyes, I’m relaxing. If I sleep, I sleep–it doesn’t matter. I’m just going to relax.’ Look at your tiredness as a sort of enlightened messenger, giving you the gift of saying, “Stop it! Stop working so hard. Just lie down right now and be irresponsibly lazy. Just lay out.’

“And you’ll have to deal with the resistance in you too. The well-trained hard, hard worker in you will say “Now’s not a good time… maybe later,” and the challenge is to say “F*** you. I’m not buying it. I’m lying down. For at least five minutes I’m going to lie down, deep breath, deep relax, and invite myself to doze if it happens.

“It’s the next logical progression of getting over the fear of insomnia: The next step is getting over the fear of being tired. OK, I’m building into my lifestyle being tired and loving myself in my tiredness. If I’m tired, I lie down. Why the hell not?

“I want you to take it on as a spiritual practice. Seriously. A spiritual practice of just interrupting productivity as often as possible in order to be lazy and relaxed and tired and just let the earth hold you up. When you lay down, experience the earth holding you up and receive that kind of support. You are a very diligent, principled and hard-working fellow, Nathen, and we have noticed. We got the message. You’ve got that covered. You’ve acheived that already and can let your pendulum swing back in the other direction.”

He’s right that it won’t be easy. As I’ve been writing, I can feel the familiar tiredness in my face and arms, weighing me down, and I’m choosing to write instead of lie down. Well, maybe I will go lie down and finish this later…

I turned 39 at 8:50 this morning. I’m on the cusp of middle age! As usual, I used my flights to and from Not Back to School Camp to brainstorm about my 40th year. Camp is a great end-of-year celebration and source of inspiration. I’m going to do a lot this year–finish my Master’s degree and see clients for at least 400 hours, for example–but I’ve decided not to put that stuff on my list. I want to concentrate on how I do it. I just watched the outgoing cohort finish up my program and they seemed really stressed out. I want to do it without overwhelming myself, in good health. I want to enjoy it. So I came up with one intention that sums it all up:

This year, I intend to take exquisitely good care of myself.

To me, that means that I think about myself like I do my best friends, with affection and optimism, with care. I am not a slave to being productive.

When I touch myself, I do so gently, with attention, not mechanically or absent-mindedly. Like I would someone I love.

I don’t eat crap.

I meditate 30 minutes every day.

I exercise 45 minutes every day.

I do my physiotherapy daily and get health care whenever I need it.

I get good attention, from friends, co-counselors, or a therapist, when I need it.

I take a day off every week.

I say yes to social invitations.

I sleep a bare minimum of 8 hours a night. That means giving myself an hour to chill out with nothing electric and no reading before bed, and an hour to lie in bed before I need to be asleep, so I don’t get worried about falling asleep quickly enough.

I keep my living space looking nice.

I have some ritual (yet to be designed) which helps me stop thinking about my clients when I leave the clinic.

I’ve also put a lot of thought into how I will prioritize my commitments. They will probably often conflict with each other and I’d like to be able to make choices about what to do and what to leave out with minimal stress. That part will be a work in progress for a while

I just had my last Medical Family Therapy lecture. It was on eating disorders. My professor, Deanna Linville, is a specialist. One of the questions she recommended asking clients dealing with eating disorders was “What’s a good food day for you?” Also, “What’s a bad food day?”

I think those are good questions for anyone. Here are my answers:

A good food day is when I eat plenty and take the time to really enjoy the food. It usually means I’ve eaten real meals, not just snacked through the day. It means I wait long enough to feel hungry and then eat enough to feel full. It means I haven’t fixated on any food to the point where I ate it until I didn’t feel good.

A bad food day usually means I didn’t eat enough, or enough variety, usually because I let myself get too busy. It’s easy to eat nuts and raisins instead of a meal, or sometimes just forget to eat a meal, and I always regret it. I get weak, irritable, and stupid. If I eat too much on a bad food day, it’s most often because I fixated on a food (usually sugar, sometimes bread and/or cheese, occasionally meat at a BBQ or something) and ate it until I was uncomfortable. Sometimes it’s because I didn’t space my meals out enough and piled new food on top of old. Sometimes it’s a bad food combination, at a potluck or something, that gets me feeling uncomfortable. A random, moldy raisin made yesterday a bad food day.

How about you?

I’m back from a wonderful vacation with Reanna and my family in Joshua Tree and hunkering down for my winter term. I’ve heard that my last term had the most intense workload of the program, but now that I’ve compiled the list of reading and assignments, I wonder if that’s true, especially considering that we have our comp exams the first week of spring term, which includes writing four 6-8 page papers from memory. I’m thinking of ways to take it easier on myself this term because I lost some of my near-focus vision during fall term and I’m not cool with that. (Yes, I was taking breaks, looking up frequently etc. Reading 30 hours a week is reading 30 hours a week.) Anyway, here’s my reading and writing list for the next 10 weeks. The number codes are for the classes: 610 is my second Family Models class, 620 is my Psychopathology (read DSM and deconstruction of such) class, 621 is Professional and Ethical Issues in Family Therapy, and 632 is Medical Family Therapy. I’m excited about all of them.

620 “Remembering Masturbatory Insanity” (URL) 1/6/2010

620 “Mental Disorders are Not Diseases” (URL) 1/6/2010

620 “The Myth of the Reliability of DSM” (URL) 1/6/2010

620 “On Being Sane in Insane Places” (Blackboard) 1/6/2010

620 “Patient Autobiographies” (Blackboard) 1/6/2010

621 Corey ch 1 1/11/2010

621 Corey ch 2 1/11/2010

621 Woody ch 1 1/11/2010

621 reflection paper 1 1/11/2010

610 Nichols ch 6 1/13/2010

610 Nichols ch 9 1/13/2010

610 BB Bobrow & Ray 1/13/2010

620 Munson: Look at Visuals section. 1/13/2010

620 Munson: Read: Introduction, 1/13/2010

620 Munson: Ch. 3 (for overview), 1/13/2010

620 Munson: Ch. 4 (focus on structure of multiaxial system). 1/13/2010

620 Munson: Skim Ch. 21 1/13/2010

620 Munson: Skim Ch. 23 1/13/2010

620 DSM: Introduction, Use of the Manual, Multiaxial Assessment (through p. 37) 1/13/2010

620 Skim “APA Guidelines for Providers…” 1/13/2010

620 D’Avanzo & Geissler: Read Foreword 1/13/2010

620 D’Avanzo & Geissler: Preface 1/13/2010

620 D’Avanzo & Geissler: Appendix 1/13/2010

620 D’Avanzo & Geissler: look at index. 1/13/2010

620 D’Avanzo & Geissler: Look up people of your ethnic heritage, country(s) of origin, or with whose culture you are familiar in order to evaluate strengths and limitations of this resource 1/13/2010

632 Sapolsky ch 1 1/15/2010

632 Sapolsky ch 12 1/15/2010

632 Sapolsky ch 16 1/15/2010

632 Medical Family Therapy ch 3 1/15/2010

632 Medical Family Therapy ch 6 1/15/2010

610 BB Shields & McDaniel 1/20/2010

610 Tomm part 2 1/20/2010

610 reflection paper 1 1/20/2010

620 Munson: Ch. 19, 11 1/20/2010

620 DSM: Adjustment DOs (p. 679-683), Anxiety DOs (p. 429-484) 1/20/2010

620 Kessler 1/20/2010

620 Barrett 1/20/2010

620 Ung 1/20/2010

620 Burroughs 1/20/2010

620 Munson 14 1/20/2010

620 DSM: Dissociative DOs (p. 519-33), 1/20/2010

620 DSM: Eating DOs (p. 583-595) 1/20/2010

620 Schreiber 1/20/2010

620 Knapp 1/20/2010

632 Rolland part I 1/22/2010

632 Rolland part II 1/22/2010

621 Corey ch 3 1/25/2010

621 Corey ch 4 1/25/2010

621 Woody ch 8 1/25/2010

621 reflection paper 2 1/25/2010

621 reflection paper 3 1/25/2010

610 BB Tomm part 1 1/27/2010

620 Munson: Ch. 10 1/27/2010

620 DSM Bipolar DOs (p. 382-401) 1/27/2010

620 DSM: Mood DOs (p. 345-382 1/27/2010

620 Styron 1/27/2010

620 Jamison 1/27/2010

632 Rolland part III 1/29/2010

621 Corey ch 5 2/1/2010

610 Nichols ch 13 2/3/2010

610 BB carr 1998 2/3/2010

620 reading to be assigned 2/3/2010

620 quiz 2/3/2010

620 summary of small group discussion 2/3/2010

632 Gawande 2/5/2010

632 Patients from different cultures ch 2 2/5/2010

632 Patients from Different cultures ch 4 2/5/2010

621 Corey ch 6 2/8/2010

621 Woody ch 7 2/8/2010

621 reflection paper 4 2/8/2010

621 professional disclosure statement 2/8/2010

610 BB Gergen 1985 2/10/2010

610 quiz 1 2/10/2010

620 Munson 9 2/10/2010

620 Munson 16 2/10/2010

620 DSM: Schizophrenic spectrum DOs (p. 297-338) 2/10/2010

620 Alda mother 2/10/2010

620 Love mother 2/10/2010

620 Steele 2/10/2010

620 Hunt 2/10/2010

620 “lobotomies” coleman 2/10/2010

620 Dully and Fleming 2/10/2010

620 El-Hai 2/10/2010

620 Grand Rounds 2/10/2010

632 Shared experience ch 1 2/12/2010

632 Shared experience ch 14 2/12/2010

632 Shared experience ch 15 2/12/2010

632 Medical family therapy ch 4 2/12/2010

632 Medical family therapy ch 11 2/12/2010

632 Sherret 2/12/2010

632 health genogram due 2/12/2010

621Corey ch 7 2/15/2010

621 Woody ch 3 2/15/2010

621 reflection paper 5 2/15/2010

610 Nichols 12 2/17/2010

610 BB Molnar & DeShazer 1987 2/17/2010

620 Munson 20 2/17/2010

620 Munson 16 2/17/2010

620 DSM: Personality DOs (p. 685-729) 2/17/2010

620 Wurtzel 2/17/2010

620 Levine 2/17/2010

620 Miller 2/17/2010

620 Crimmins 2/17/2010

620 DSM: Alzheimer’s (p. 147-158) 2/17/2010

632 psychotherapist’s guide to psychoparmacology 2/19/2010

621 Corey ch 8 2/22/2010

621 Corey ch 9 2/22/2010

621 Woody ch 4 2/22/2010

621 reflection paper 6 2/22/2010

610 reflection 2 2/24/2010

620 review readings 2/24/2010

620 Exam 2/25/2010

632 LBL chapter 1 2/26/2010

632 LBL chapter 3 2/26/2010

632 LBL chapter 7 2/26/2010

632 Candib 2/26/2010

621 Corey ch 11 3/1/2010

621 Corey ch 12 3/1/2010

621 reflection paper 7 3/1/2010

621 legal statutes and rules summary 3/1/2010

610 Nichols 11 3/3/2010

610 BB Goldner 1992 or so 3/3/2010

610 OSCR reflection 3/3/2010

620 trans readings TBA 3/3/2010

632 LBL chapter 8 3/5/2010

632 LBL chapter 9 3/5/2010

632 Becvar 3/5/2010

621 Corey ch 10 3/8/2010

621 Corey ch 13 3/8/2010

621 reflection paper 8 3/8/2010

621 Take home final due 3/8/2010

610 Nichols 14 3/10/2010

610 quiz 2 3/10/2010

632 interview project due 3/12/2010

610 final paper due 10 am 3/15/2010

I have a bunch of papers due in the next couple weeks. About 50 pages worth, give or take a page or two.

Tonight I spent a little time with my friend Grace, watching Alseny Yansane drum and dance on campus, and catching up with each other on the drive there and back. I told her about the paper I’m working on right now, a critique of a journal article on some quantitative research. I said I was expecting some  late nights coming up. “I think I could get with a passing grade by turning in some crappy writing…”

She said, “That’s just not the Nathen Lester way,” and we laughed for a while. No, it isn’t. I just can’t bring myself to do it.

Inspired by my brother Damian and by the book My Year of Living Biblically, I’ve been taking a weekly sabbath this term. I am not religious but the idea of a day in which I was not allowed to work fascinated me. It seemed like a good way to take care of myself. It has been great. It is a radical lifestyle change for me, almost shocking. I have four rules for the day:

1. No school or business related work at all.

2. No fretting.

3. No counting, timing, or keeping track of anything.

4. No planning.

It’s a work in progress. Some grey areas I’m wondering about are reading and writing. So far I haven’t been doing them, except some brainstorming… which can verge on planning, now that I think of it… well, that’s why it’s a work in progress. The key elements are that it is restful and rejuvenating, and that I only do things for the pleasure of doing them, not for some future result.

I almost called this post “My Fledgeling, Faltering Sabbath,” because after three good weeks, I worked straight through last weekend, ten hour days, just like old times, and it’s looking like I’ll do the same this weekend. I have a draft of my thesis due on Tuesday (actually it was due tomorrow, but I renegotiated) and I will need at least every coherent hour until then to pull that off. I wonder if I can get back on track. Often I find that I only stick with things as long as I have a “no exceptions” rule. “Trying to do such and such a little more” is rarely effective. And I don’t have a religious community to keep me on the straight and narrow. Hmm. It seems like breaking my sabbath to worry about my breaking my sabbath.

I watched a training video for recognizing post-traumatic stress disorder in psychopathology yesterday. Part of it was a Vietnam veteran describing his stress cues—he had to monitor and manage his stress level carefully so that he wouldn’t become scary or dangerous to those around him. He said something like “If I find myself scanning the bushes for gooks, or deciding which person in the room I would need to kill first, if it came down to it, I know that I need to lower my stress level.” The man’s story was moving and I cried quietly throughout it, but at that moment I was surprised to find myself a little jealous of him. My thought was “It must be nice to have such obvious stress cues.” It wouldn’t be nice at all, of course, but the sneakiness of my stress cues does make it difficult to manage my stress, which is a big part of my ongoing project to master being kind to myself. I was inspired to come up with a list of stress cues that I could try monitoring, to see if it’s helpful. Here it is so far:

I can feel tension in my solar plexus and between my shoulder blades

I am craving sweets

I am having trouble with focus or motivation

I am grinding my teeth, usually along with a drum beat in my head

I am biting my lip or picking at my skin

I am in the grip of an unpleasant emotion

I am experiencing intrusive thoughts

My writing or typing gets sloppy

I am easily frustrated

I am feeling jumpy

Sitting up straight seems out of the question

What is the sensation of exerting mental effort? It takes energy to think and focus attention, but we can’t directly feel what is going on in our brains. There are no sensory nerve endings in there. I can understand why we feel tired after thinking a lot, but I don’t understand why thinking hard feels effortful in the moment. It really does, though. Some of the thinking I’m doing feels like pushing a boulder up a hill, except more confusing, and my body aches with it–more than I would expect from just sitting and typing and looking at notes. My only idea is that I’m unconsciously flexing muscles when I think, especially in my face, neck, and back, and that produces the sensation of mental effort. What do you think? I’d sure like to be able to apply my brain fully without flexing any extra muscles.

Sing everyday: This is I did, minus maybe ten days. It was one or two songs a day, usually. This was enough to keep up my singing voice, but not enough to improve it, as I had hoped.

Dance everyday: This I did as well, minus a few sick days. I put the number of minutes I danced on my daily graphing-my-life/training chart, which shows that I danced an average of 54.41 minutes a day. My dancing really improved. I went to two Balboa camps, two Lindy Hop camps (“camps” are weekend-long dance marathons with classes all day and dances all night), one Lindy exchange (like a camp without the classes), took tap dancing classes all year, took a series class for Soul Motion, taught by Grace Llewellyn, and worked for hours at home on Balboa, Charleston, Melbourne Shuffle, clown walk, and just boogying.

Meditate every day: I think I might have missed once or twice. I kept track but lost my excitement for number crunching after analyzing my dance time. It looks like I averaged between 15 and 20 minutes. Meditation is not nearly as enjoyable as dancing for me but I’m glad to have sat every day. The benefits seem to come from regular practice.

Make a fourth Abandon Ship record: This I did not do. Abandon Ship is the band I have with two of my brothers, Damian and Gabriel. I did write arrangements for a couple of Damian’s new (and really good) songs and I wrote a bridge for another. I also spent a couple weeks in Joshua Tree this summer, writing and recording three more songs with him. It’s an ongoing project.

Continue to master being kind to myself: This is a project I started two years ago, with the help of my friend, Taber. It’s definitely worth a blog entry of its own, but simply put, I realized that there was a way that I am habitually not on my own side, and I began to practice continually realigning myself toward compassion and kindness for myself. It’s a major shift in my tectonic plates, as Taber says. This project is going really well.

Walk slowly: This has been great. This has been my favorite. I noticed that I walk as if I’m in a hurry, even if there’s no reason to hurry. I’d like to think I was emulating my fast-walking Grandpa Bob, but I think I just kept myself so busy for so long that I forgot about strolling. Walking slowly is wonderful. I love it.

Have a flexible back and hips: I did downward dog and plow poses plus a few other physical therapy exercises most nights between my birthday and the end of June. I improved my back and hip flexibility noticeably, though not as much as I’d hoped. I also stopped wearing a backpack after more than 15 years of schlepping, which I think helped. I started getting comments from friends that my posture had improved. Then I traveled all summer, basically camping in somewhat hectic circumstances: helping friends move and working at Not Back to School Camp, mostly. Traveling makes a nice, relaxing evening stretching routine a challenge. Anyway, I still have some of the flexibility I gained but I can’t say that I have a flexible back or hips right now. I’m not even sure that I could have said that in June, actually.

Overall I think I did well this year, both in setting good goals and in following through. I like the simplicity of the list. It’s got a nice compact aesthetic. I’m both inspired and daunted by my list for this coming year but it’s not as nice to look at.

Add new knowledge to the field of social psychology

Break my habit of scratching and picking my skin, including biting my lip

Celibacy

Dance every day, working on 1) musicality 2) vocabulary 3) style

Finish bachelor’s degree

Get accepted into a couples and family therapy graduate program

Maintain this blog

Meditate every day

Produce a record with David Waingarten

Record an EP with my band, Abandon Ship

See healthcare provider each month until all my body concerns are resolved

Set up a slick system of musical collaboration over the internet and use it regularly

Shift my schedule three hours earlier for at least one term: In bed by 11 pm

Sing out every day

Take African dance classes

Write at least one song per month