An old piece of clay.
Blogging for Mental Health, 2012
I pledge my commitment to the Blog for Mental Health 2012 Project. I will blog about mental health topics not only for myself, but for others. By displaying this badge, I show my pride, dedication, and acceptance for mental health. I use this to promote mental health education in the struggle to erase stigma.
I am happy to express a “Thank You” from the bottom of my heart to Jen at Step On A Crack… for passing the Blogging for Mental Health Pledge on to GrowthLines. Jen is an insightful soul writing powerful and poetic thoughts about life as the child of an alcoholic mother, about losing too many too soon, about growing through the hard places. She talks candidly about the ripple impact of Wernicke-Korsakoff; alcoholics dementia, on the alcoholic and their spouse, children, extended family, friends, and community. In Jen’s words,
“This is a cautionary tale. I hope it will be of help to those who live with alcoholics, are active alcoholics and those who are in recovery.”
It is a tale well worth reading. Jen was courageous enough to start the conversation. I hope you will drop by Step on a Crack, and join in. Thank you, Jen
My Mental Health Map, Chapter One
Good News, Bad News
Two important characteristics of maps should be noticed. A map is not the territory it represents, but, if correct, it has a similar structure to the territory, which accounts for its usefulness. ~ Alfred Korzybski
Frankly I am struggling a bit with the idea of posting my “mental health” biography. Not for reasons you might assume. I’m not ashamed or incapacitated by my history, although I do have some regrets and scars due both to choices I made and things imposed on me by others. No, my struggle has more to do with a) being a pretty introverted, private person, and b) the value I place on finding a balance between knowing I bring my “self” into the therapeutic relationship and knowing that “it’s not about me”.
I came out of childhood with an array of “good news, bad news”. The bad news was attached to learning that life can hurt, disappoint, and change you. I lost people close to me, discovered that grownups you trust aren’t always trustworthy, and had to face the outcome of foolish decisions.
The good news is that I experienced childhood surrounded by people who loved me. I experienced the wisdom, love, nurture, and discipline from three generations of grandparents, parents, aunts and uncles. I had the luxury of celebrating childhood with cousins and close friends. My childhood wasn’t idyllic. It wasn’t awful. It was a mixture, and I am still learning and being shaped by the whole of it.
My Mental Health Map, Chapter Two
Seeds, Earthquakes, and Rogue Waves
I hope you will stop by later for “the rest of the story”. The part I love to talk about. I look forward to thinking out loud about the joy of being a part of the mental health community, of the ways my life has been enriched, of the continuing education I have received under the tutelage of clients and colleagues. Another day, another conversation.
NOW, the fun part. I (we) get to ask five (5) other people to take the pledge for blogging for mental health. Please join me in supporting and encouraging mental health by visiting these voices:
Our attitudes and daily effort will determine our misery or happiness going forward. Healing is possible and likely if you do the work. You have to believe you can heal and practice that belief daily.
Grief: One Woman’s Perspective
Every person’s grief is unique. Every person – and their own “factors” – are unique. Every factor plays a part in how a person grieves and how long it takes to integrate the loss into the fabric of life. Because we live in a society that is distanced from grief, it falls to the bereaved to teach others how to help. This is a daunting task, especially for a bereaved parent already dealing with so much. This blog is written using selected journal entries I have written since March 2002. My only goal is to give some insight of what it’s like to be on this side of the fence. I hope in some measure it can be of some help.
The world needs better men. This blog is simply my journey to becoming a better man every day and the lessons I learn along the way.
The beginning of my mother’s ending
Like a compass needle slamming from South to North! My life was eventually turned from disaster and depression to hope and gratitude! I only look back in order to remember how difficult it is to find serenity and direction when first sober.
The rules of the pledge are:
1) Take the pledge by copy and pasting the following into a post featuring Blog for Mental Health 2012
I pledge my commitment to the Blog for Mental Health 2012 Project. I will blog about mental health topics not only for myself, but for others. By displaying this badge, I show my pride, dedication, and acceptance for mental health. I use this to promote mental health education in the struggle to erase stigma.
2.) Link back to the person who pledged you.
3.) Write a short biography of your mental health, and what this means to you.
Places of the soul…
…,and keep your sense of humor.
My first clinical internship while in graduate school, was as a therapist in training at a hospital. I worked primarily on the adolescent residential unit with kids who were there for a length of time. During the internship, I was also hired to work weekends. After graduating, I worked full time while completing the requirements for licensure.
I loved my job. I might still be there, except the hospital closed. But while I was there, I loved being a therapist and working with teenagers in an inpatient setting. I had already worked a lot with kids in a church setting, and I discovered there were many similarities between church and hospital. Perhaps the most striking difference was that the kids now lived at the “church”. They were there 24/7, which meant I got to be present for the best and the worst as teenagers tried to navigate their life (lives). The teachable moments happened frequently right in front of me.
We’re used to thinking about teachable moments in the lives of children. We’ve heard a lot about the importance of adults recognizing and taking advantage of those moments as golden opportunities for growth. Moments when children are more open to learning, more malleable.
Working in that hospital, fresh out of graduate school, taught me that teachable moments aren’t reserved for children. I was sometimes painfully aware that while the kids on the unit were trying to find themselves and their path, the adults involved were engaged in a parallel learning process. We were routinely faced with our own teachable moments, often under the instruction of the kids we were responsible for. Growth was an equal opportunity experience for doctors, nurses, techs, a variety of therapists, unit school teachers, and me. It was on that adolescent residential unit that I learned the impact of responding vs. reacting. I began to watch the ways our behavior as staff helped escalate or de-escalate the behavior of the kids on the unit.
One day as I talked with a frustrated colleague, I began to think out loud about the self-management skills that could make or break your work with hospitalized adolescents. Over time my colleagues began to refer them as Paulann’s Cardinal Rules for working on an adolescent residential unit. A fellow therapist arrived at the hospital one day with a stack of computer generated “Cardinal Rule” cards for me to hand out to my peers. It became a running joke grounded in seeds of truth.
When the hospital closed I went on to new jobs, new colleagues, new consumers, and new teachable moments. I don’t think I realized at the time that the one thing I took with me were those rules. I discovered they were helpful to remember and to practice, with my children, my colleagues, my clients. Those rules have been with me for twenty years. I think I even have one of those original cards in my momento stash. Those rules have served me well. I would like to say they’ve become second nature to me. That I do them in my sleep, with one hand tied behind my back. But in spite of knowing them, there are times I violate every single one. So maybe they’re better thought of as goals to shoot for. So, for what it’s worth, Paulann’s…,
Daily Goals To Shoot For
1. Don’t Forget to Breathe.
2. Keep Your Sense of Humor

3. Don’t Take it Personally
Grief in hiding…
We all grieve. But each in our own way. Grief as fact is universal. Grief as experience is personal. There are common themes, but even those are shaped by our personal touch. Regardless of your way of grieving, it’s important to remember two things. Loss may be an event. Grief is a process.
What we know in theory, sometimes becomes blurry in reality. We bring our own histories and personalities to this partnership with grief. We are still at risk of assuming that others grieve like we grieve. We forget that differences, like our age, or the number of times we have encountered grief, affect how we feel our grief. Our experience in the dance of loss affects how we show our grief.
Our acquaintance with grief begins in childhood and continues through adolescence. Friends move away. We lose pets. Grandparents die. Painful lessons about life and the passage of time, happening in an order we don’t like, but come to accept as life’s way. Sometimes loss happens out of order, bringing painful lessons about time cut short. Sometimes we are children facing the loss of a child, a peer.
I was in junior high school the first time I faced the death of a peer. He was a year younger than me. We didn’t go to the same school, or even live in the same town. We weren’t best friends or extremely close. Perhaps it made a difference that we had become friends on our own. Our parents didn’t know each other. Our respective friends didn’t know each other. I met him during the summer when I visited my grandparents. We rode horses together, talking about incidentally important teenage topics. At the end of the summer he stayed in the country, I went back to the city. And then the news came that he had killed himself, with a shotgun, over a girl. He left a note. “She doesn’t love me anymore.”
I traveled the fifty miles, by myself on a Greyhound bus, to attend his funeral at the local high school. The gymnasium was filled with people from the rural community and beyond. There were junior high and high school students. Young people facing the loss of a peer, a death out of order. I was there to pay my respects to a brief friendship, and perhaps to stand with other teenagers as we each found our voice of grief.
I lost and grieved other peers, all too young to die, as I finished adolescence and stepped into young adulthood. In the years that followed I have sat with grieving children and teenagers as they found their own way through loss that came too soon, to those too young. What should we take from young grief? Who should we be to the children and teenagers in our lives who are facing overwhelming and traumatic loss?
We’re used to learning from the wisdom of age and experience. When children grieve we discover there are things to learn and lessons to be reminded of from the wisdom of innocence. For the sake of the young let’s remember
- they are not empty human-like containers who are here but devoid of feelings until they reach the magic age of majority at 18. Our failure to recognize this means we may be insensitive to the ways their life has been disrupted.
- not displaying emotion doesn’t mean a child isn’t feeling something. Are we modeling a variety of ways to express feelings? Are we respectful of their need to be with us, and to have time alone? We may fail to acknowledge the hole left in their lives if we assume that silence means there is no hole.
- they are not adults in smaller bodies. They are not fully equipped to identify, feel, and express the complex range of emotions related to loss. We may explain away their emotion by referring to their displays of grief as adolescent drama. Defining their grief as overstated may allow us to hide our own discomfort with grief in understated ways. Will we risk being uncomfortable to be with them in these raw moments?
- they will accommodate us, at their own risk, if they believe we can’t handle shared grief. If the things they need to say, the questions they need to ask “make” us cry or shut down, they will take care of us by keeping their thoughts and their questions to themselves. We get to help them know it’s okay to cry, okay to be quiet, okay to step outside. We get to show them how to grieve, even as grief continues to be our teacher. It’s not our grieving that harms, but our determination to leave it the unnamed presence in our midst, and children to wrestle with it alone and in hiding.
“Sorrow makes us all children again – destroys all differences of intellect. The wisest know nothing.
~Ralph Waldo Emerson