Anxiety and the call to wake up

Back in the 70’s my own awareness around (anxiety/stress) body tension began way back when I was a district nursing sister having taken on a student district nurse and responsible for showing her my work and giving her supervised practice.

It was, in my experience, the time when nurses were being made aware of listening skills to help improve communication with our patients.

We were invited to attend a meeting for a listening skills workshop. During this workshop the speaker took us through a relaxation technique. And at the end I was astonished to find how tense my body had been. I guess I was woken up to the fact that my body held tension and it was not a pleasant discovery because now I was aware of tension and tiredness taking this student around with me during my rounds. Basically I was experiencing stress.

Over the years since then I experienced short episodes of anxiety/body tension caused by life changing events, difficulties, demands, personal issues that arose from my childhood, buying a house, giving birth, becoming a mother, giving up the job I loved, coping with family commitments and so on. Layer upon layer of normal life handing me both challenges and opportunities.

However my body and mind were not at peace.

I had taken the childhood metaphorical “knocks and bumps” and identified them personally as “Not good enough” “Had to try harder” “I am not liked” “I can’t do it” “I have to be seen to be busy” “I have to be seen as managing well” “I can’t admit I am having difficulties” “I must get this right” This was the mind state that took me through school and into nursing and on well into my life in some shape or another. It has been said that nurses seek that profession to heal themselves by healing and caring for others. Nurses were also said not very good at self care. And I guess there is truth in that. Our focus of attention is on the other to distract from our own issues and not on ourselves.

But there is a price to pay for lack of focus on ourselves particularly around the feelings of anxiety in which I will lump physical tension, scattered mind, distorted self and world view, distorted beliefs, autopilot behaviour, fear and anger and often depression.

In my experience not waking up to this in myself stopped me from being a real person. To avoid feeling this anxiety/tension I put on a facade of coping and managing while nursing and then in motherhood and as a wife and a young mother. The face of competency, boundless energy, getting on with it all, not being aware that I had a right to have my needs met or that indeed I had had any needs that I would let be known to myself or others.

Then came a final break in me when I could not go on the way I was. As Eckhart Tolle said “I could not go on doing this to myself” while in the deepest despair of depression when he woke up with this statement. Who is I and who is myself? This led to his wonderful teachings that started with “The Power of Now” where he explores in depth the workings of the mind and body states.

It took me a while to discover that to be a more real person requires not believing all the lies I was telling myself. And not believing what others told me either, because often whatever they said about me in a critical way could say more about them than me. I had to discover that the childhood subsequent beliefs I internalised and took on as “me” is not who I truly am. For example criticism and impatience from my teacher while being helped to learn maths led me to believe I was useless at maths. I have since learned via an online course that I actually can do maths! And I have met many a budding artist who at an early age had their work condemned and so never set brush to paper again believing they were no good at art!

So we are conditioned by our parents, care givers, society, culture, religion, schools, workplaces, in an effort to socialise us, make us good citizens or be a part of groups and get on with others. But that conditioning means that it is conditional. The process requires that we conform and it teaches us that to receive approval we must do or say or be something that others want us to be. We then divide ourselves into good and bad, right and wrong, nice or horrid, loved or unloved. And by then we have lost our true selves and disconnected from that inner place of goodness, peace and stillness and sense of inner security.

And this is the call of anxiety. Anxiety is pointing to a new way to look at life and self. It is asking us to take a good inventory of our purpose and meaning, our values and what is important to us. It is asking us to challenge distorted thinking patterns which will often have their root in our past conditioning, We need to learn about how we are in our daily lives; to really know how and why we are thinking and behaving in the way we are. Without that insight or knowledge we are only on autopilot and sleepwalking through life. Anxiety is a call to wake up and reconnect with our inner place of goodness, peace and stillness.

The Older Client

Over the past 5 years I have been working with the older person between 65 and 85 yrs of age. There used to be a common misconception that the older person was not suitable for counselling and their ability to change was limited. I do not believe this to be so. My special interest is with the concerns, challenges and indeed opportunities that increasing age can bring. I have found a real commitment to change in the older client and have witnessed the benefits that counselling has made to many older people, some in their late 80’s.

The British Association for Counsellors and Psychotherapist (BACP) have been reviewing counselling to the older person paying attention to its efficacy, appropriateness and practical delivery. I believe the outcome suggests that we need to pay close attention to an increasingly older generation who were the baby boomers post 2nd world war. They were the product of trauma and deprivation experienced in their families and communities and for themselves from both the 1st and 2nd world war. This generation also experienced the massive social, political and material changes that took place in such a short time in the world.

All my clients have their own special story about these trauma’s and changes. And many feel stuck in the past having not had the education or experience of the psychological material available to the younger generation today. They seem to have been a product of the stiff upper lip, the attitude of putting up with things as there is no alternative and certainly none or little engagement with emotional expression.

But once counselling begins and there is commitment to the process it is wonderful to see how much clients can learn about themselves over and over again. And in that learning, part of which is psychological education, clients become empowered, resilient, empathic, grateful and discover new choices. They begin to live more conscious lives, thinking things through, reflecting on their lives and opening up to family and friends in a real and authentic way. They feel happier and more able to manage the ups and downs of everyday life.


Telephone Counselling

Today I attended a day’s training on Telephone Counselling. It has been a demanding day addressing the implications, both positive and negative, for engaging in telephone counselling. Traditionally counselling takes place face to face in the counselling room either privately, with an agency or charity but increasingly the telephone is being used, along with email and video calling. GP’s are also offering consultations over the phone and the Samaritans have been operating since 1953. We also have Childline and many other such helplines addressing many area’s of need. Look at this link for some idea of how many helplines are available.

So it is not a new concept and increasingly being offered to give help to people as our population and demand for help increases.

There are of course some particular issues with telephone or distant counselling with regard to the what we, the counsellors speak of as the therapeutic container. This is the space in which personal material is divulged and discussed. The container involves the room, privacy, confidentiality, timing, the regularity of sessions, the sense of safety, and payment in which the relationship between client and counsellor is developed. It is a space that is separate from everyday life and as such is valued by both client and counsellor. It is the space where you find yourself and learn new ways to engage with life.

Today has been about addressing the practical and psychological aspects of re-creating this container.


I woke up this morning

Do you wake up some mornings and feel a bit blue or perhaps a bit flat? I did this morning. There is no specific reason I can think of, it is just there. I take our dog out for a walk and get my body moving and blood circulating but when I get back it is still there. Like some pervasive mist colouring my view.

I started a practice called morning pages many years ago while going through a particularly difficult time after coming across a book called The Artists Way by Julia Cameron. One of the exercises was to sit for a specific length of time and simply write whatever comes to mind without censoring, correcting or thinking. We call it the stream of consciousnesses in psycho babble. We all have that constant stream of thinking, sensations, images and emotions which mostly go unnoticed as we go about our busy day. Writing down your stream of consciousness helps you get in touch with your mind, body and emotions. It helps you feel more connected to you. More present and grounded.

So this is how it goes for me. “I don’t know what this is all about but I do feel a bit blue and flat this morning. Long pause staring at the wall. But I suddenly see a screw in wall as if I have just woken up and then all the things around me in my office, and now I am aware of my body sitting in the chair as I write, the pressure at my back against the chair, the fingers on the keyboard, the sound of the computer, the rain falling on the patio table. Then I am aware that I am here in the now. The blue flat feeling is still there but it is lifting. I am now thinking of what I am going to be doing today.” Julia Camaron talks about writing 3 pages but I just write for as long as I need to.

Here is a passage written by another morning pages user. “I have a daily practice of longhand pages done first thing on awakening, hence, “Morning Pages.” The pages clear my head and prioritize my day. I think of them as a form of meditation. There is no wrong way to do the pages. You simply keep your hand moving across the page………”

Try it for yourself and see what happens if you like.


Living more consciously

I notice that to create a rainbow both sun and rain are needed. Looking at this moody and bright image I can see a reflection of life in its darkness, brightness and all the shades in between.

The words from the song “somewhere over the rainbow” spring to mind which suggests that getting over the rainbow will make things seem clearer and brighter and your dreams will come true.

However ……

Life is full of challenges. And each challenge offers an opportunity if you can rise up to meet it and not feel defeated by it. Sometimes though life can just seem too much, especially when the challenge bucket is full to the brim and spilling over. The mind and body can get so tired, with resilience and tolerance levels getting low. This is the time for self care. A time to take a closer look at how you are living life; your daily habits, relationships, support network, beliefs and attitudes and what is really important to you. In my personal experience and those of some of the clients I work with this step is not taken. Life just keeps on going in the same old way and before you know it you are anxious, depressed, lacking in energy and the world can look pretty grey.

Life is not about getting over the rainbow but about engaging with conscious living. Making informed and considered decisions about what, how, when and where you are doing this life thing. The only person who is going to find the pot of gold at the end of your rainbow is you. You are the one who will gain the gold of experience, discover your strengths, find new perspectives, learn new strategies and make new choices.

And this is something that counselling or a life coach can help you with. Or you can find a good friend or family member who is wise and will listen to you. You can also use a journal or write a blog. Speaking out your feelings, stresses and challenges is one of the best ways to find a way forward.


The way you cope

One of my favourite quotes is from Vaginia Satir. “Life is not what it is supposed to be, it is what it is, it’s the way you cope with it that makes the difference”