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Showing posts with label migraine. Show all posts
Showing posts with label migraine. Show all posts

Friday, September 2, 2016

Mindfulness - Pain

Caja de la china, Flickr 


"We are not on this earth to accumulate victories, or trophies, or experiences, 
or even to avoid failures, but to be whittled and sandpapered down 
until what's left is who we truly are." 
Ariana Huffington


Disclaimer: This blog in no way replaces medical and psychological advice or treatment. If you experience suicidal thoughts, seek professional help immediately.


Have you ever felt unbearable pain? Chances are you have, even if your life has been exempt of unusually dreadful events (e.g. torture, a war, a genocide). 


Physical pain


For one thing, some medical conditions or events, which may not be that uncommon, can put one into a state of intense pain. Examples include kidney stones, shingles, migraine/cluster headache, nerve pain, severe burns, and giving birth. 


The type (and intensity) of pain triggered by those conditions or events is hard to imagine for the neophyte, but nonetheless very real. Cluster headache, for example, has nothing in common with "just a headache" that a tall glass of water, some acetaminophen, and a walk outside would take care of: 


"It's nicknamed the suicide headache because patients have suicidal thoughts to get away from the pain. My patients have told me that it makes them want to bang their heads against a wall or take a drill to their head." (Sean Mackey, pain medicine specialist)



Psychological pain


Some mental health issues, such as the rather widespread anxiety and depression, can feel unbearable to the point of suicidal thoughts (notice a trend?). I know a chronically depressed person who told me that to her, "life will always be a struggle", and who needs antidepressants to manage getting out of bed in the morning. Another friend once wrote that every single morning, he deliberately chooses between putting a gun or a toothbrush in his mouth. 

But more commonplace events can send one down the abyss of despair just as well. The loss of a person you loved, whether they were a family member, a friend or a lover, and whether they were taken away by death or simply chose to walk out of your life, is one flagrant example. The feelings that arise from such events are almost unbearable, at least temporarily. 


The truth is, some emotions can generate just as much pain as physical injuries, and one might be willing to do just about anything to get rid of that pain. As Christina Huffington aptly put it: "Giving up drugs is easy compared to dealing with the emotions drugs protected you from." Obnoxious emotions often have a physiological component, too, and anyone who has ever experienced anxiety (or any type of intense fear), depression (or any type of profound sadness) could attest: knot in the stomach or in the throat, nausea, etc.


Here and now

What's common to those causes of unbearable pain is that they force you to be in the moment, in some cruel manifestation of imposed mindfulness. When in pain there is no past and no future. You are in the here and now with the pain, although you would much rather be anywhere else (sometimes even dead).


What to do about pain

The main problem with pain is not its existence, but our reaction to it. Here are some of the right things to do in the face of pain:



  • Obtain proper treatment (when applicable): That could be the right medication or the right therapy - just don't assume you have to endure the pain. It took me years to find proper treatment for my migraines but boy am I glad I did not relent in my search.
  • Although this may sound contradictory, acknowledge the pain: Obtaining proper treatment is not the same as numbing the pain or distracting yourself from it with a harmful habit. Simultaneous to - adequate, supervised - treatment should be a quest to understand where the pain is coming from, the factors involved. Mindfulness may help identify the triggers and some solutions so that the pain happens less, or less intensely, in the future. Meanwhile, if you feel like crying, do so (oftentimes crying qualifies as part of the treatment).
  • Breathe: When all else fails, going back to the breath is sure to help - even slightly. There's a reason women in labor are encouraged to breathe in a certain way. Conscious breathing can help release anxiety, stress, and physical pain. It's not a panacea, but it helps.
  • Take care of someone else: In between bouts of intense pain, thinking and caring about someone else's needs can be a relief - especially if they are in pain too.
  • Give it some time: This too shall pass.


Finding meaning to pain

No offense to Kelly Clarkson, what doesn't kill doesn't always make you stronger. 
Intense, debilitating pain, especially when it's recurrent, takes its toll on you (physically and mentally). 

Trying to find meaning to pain is a grand metaphysical endeavor, and in my opinion mostly a coping mechanism. If we're going to suffer that much, can we at least understand why?

Unfortunately (or fortunately), there is no rhyme or reason to pain. Life does not follow any logic in how it distributes suffering. You might make all the right choices and still end up in a lot of pain, or make mistake after mistake and be spared for the most part. How unfair! But how lifelike.

Notwithstanding Judeo-Christianity, I will never consider pain a plus in my life - pain sucks, and the least is the better. However, as a longtime migraine sufferer, I couldn't help but notice that in the absence of head pain, I feel absolutely fantastic. Light. Free. Blissful. I am not sure I would experience normality so intensely if frequent, debilitating pain was not part of my life.

Pain is also a great teacher. Experiencing intense emotional pain after falling for (and getting dumped by) the wrong person? It has taught me to not become attached to the wrong people. To listen to my instinct, always keeping my antennas out. If something feels odd or off, I don't pursue it, or at least I remain slightly detached emotionally. I protect myself.

That being said, I would rather not have to experience intense pain, and when it's there I cannot wait for it to go away. I cope by reminding myself that 


This too shall pass.


Mindfulness this Week

How do you cope with pain?

What has pain taught you?

Be part of the process: 

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Friday, May 13, 2016

Mindfulness - Feeling alive, in the body and in the mind

enneafive, Flickr


Spring is finally showing some timid signs of a comeback in Canada, and many of us are feeling alive again.

It would be tempting to call it spring fever, but really, the way I personally feel is closer to waking up after a long night of sleep. I don't know if I'm particularly excited, or simply aware of my surroundings after a long hiatus. I feel like opening my eyes, stretching, looking around, noticing what is going on.


It's in the little things: 


  • Hearing the birds in the morning, and the peepers at night. In the winter, unless you are walking on crisp snow on a very cold day, everything is so overwhelmingly silent.
  • Smelling the leaves, the grass, the budding flowers. In the winter, unless you walk by a house heated with a wood stove, the absence of smell is striking.
  • Seeing in color again, thanks to the different shades of green and, gradually, other hues as the flowers begin to bloom. In the winter, need I mention, everything is white.
  • Feeling the warmth of the sun on my skin, and allowing the breeze to play with my hair. In the winter we are so covered that nothing gets to us (apart from an unpleasant dampness that chills us to the bone. Or when the wind does manage to get to our skin, it pinches, bites, and burns it's so cold).


It's nothing short of a reawakening of the body, and it has more impact than one could imagine. 

One of the first things I noticed when I "officially" decided to be more mindful was a new relationship with my body. Paying attention in general had the almost immediate effect of making me reconnect with physical sensations that I had been ignoring or downplaying. This had wider implications. At first I mostly noticed the unpleasant stuff - ranging from a diffuse feeling of fatigue, tension or heaviness all the way to specific and precisely located discomforts, aches and pains of varied intensities. One of my first "epiphanies" was that migraine affects me more than I ever allowed myself to admit. On the "lighter" side, I started making clear connections between the way I felt and my posture, my eating habits, my physical activity level, my reaction to stress, how much I had slept, etc. I adjusted my lifestyle to limit the negative outcomes, and to foster physical well-being.

Gradually, this new awareness started encompassing the good sides of the physical experience as well. I noticed pleasant sensations more. The softness of my bed sheets. The warmth of my sweater. The taste of my food. The colors in the sky. If my toes were in the sand, they felt "happy". It was as if all fives senses had gained acuity (and a renewed enjoyment of simple pleasures). 

I realized that one of the quickest paths to mindfulness might be to start with the body. Indeed, meditation neophytes are often encouraged to do a "body scan". I now believe that a lot of my initial encounters with a meditative-like state happened while I was stretching after my workouts. Of all moments that make up a day, the 15 minutes I devote to stretching might be the time when I am most "awake", focused on how I feel in the moment, attentive to my breath, taking the time, completely oblivious to anything that came before or that will come after. 

As my physical awareness increased, so did my overall "presence". I can "sense" things as they happen, and avoid acting or reacting in an autopilot manner: 

  • Faced with a stressful situation, I will spontaneously take a deep breath, center myself, and realize that no action or reaction is actually required on my part at the precise moment. Or that my reaction can be very low-key, subtle, peaceful. (This is particularly true during interactions with "demanding" individuals.)
  • Faced with a pleasant situation, I will also spontaneously take a deep breath, center myself, and realize that no action or reaction is actually required on my part at the precise moment. Or that my reaction can be to simply take it all in, instead of rushing to the next thing.


This has made life easier to handle AND more enjoyable.



Mindfulness this Week

What is your relationship with your body, and how does it impact the rest of your life?


Be part of the process: 

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Sunday, March 13, 2016

Mindfulness - The calendar method

DafneCholet, Flickr


When this mindfulness project started, some 10 weeks ago, I didn't quite know where it would take me, but I knew I had to make it concrete. Mindfulness can be quite the abstract concept, but I wanted my quest to be anything but abstract. Apart from the regular practice of meditation, I felt that I needed something tangible, some kind of "tool" to keep track of my progress in the field of mindfulness.

I was looking for something simple, effortless, not time-consuming. 

I looked at my calendar - the traditional, paper version of it. 

And I began thinking of the things I would like to keep track of.

There were mostly two: my physical state, and my mental state.

So on January first, I began putting the "daily face" on my calendar. At the end of each day, I would draw a simple emoji: A smiley face meant my mood had been mostly good, a neutral face meant my mood had been okay, and a frowning face meant my mood had been mostly negative (e.g. significantly sad, agitated, or irritable).

To account for my physical well or ill-being, I used a color code: Green meant no physical discomfort, blue meant moderate physical discomfort (e.g. soreness, headaches, digestive issues and the like), and red meant significant illness - red would mean, for example, that I had to take a full day off. (Knock on wood, no such day yet, even if migraine has forced me to change some plans.) 

Out of curiosity, I also kept track of the days I did meditate, of whether or not I had exercised, and where I was in my menstrual cycle. On my "not so good days", I added some additional information such as the weather, any particular stressful events, and whether or not I had certain foods which I had been suspicious about.

I am still writing on my calendar daily. All in all, this new habit only takes up a few minutes every day, and that time is very well-invested: After one month, I was already making interesting discoveries. After two, I could see trends emerge. Now well into the third month, I can almost anticipate some of the patterns

Using the "calendar method" allowed me to discover (or to confirm) the factors that influence my physical and emotional well-being. It was great news in two very different ways:

Factors I have control over: By knowing precisely what is good and not so good for my levels of well-being, I can tweak things, and trust that I will feel better. I am taking responsibility. This is empowering.

(Depending on your profile and specific issues, examples might include the impact of exercise, water intake, meditation, sleep, screen time, social interactions, etc. on your well-being, as well as food-related sensitivities and other reactions to your environment. In all those cases, if you can do something about the causes, you might as well take the bull by the horns to ensure your optimal well-being.)

Factors I have no control over: By knowing that some external, uncontrollable factors also have an impact on my well-being, I am less taken by surprise, and in turn, less frustrated - I accept the situation with more serenity instead of fighting it (or worse, self-loathing). I cut myself some necessary slack. This comes with a new respect for some of my vulnerabilities.

(Depending on your profile and specific issues, examples might include weather-related flare-ups, PMS and other hormonal symptoms, as well as feeling tense or down after a rough day. If you can do nothing about the causes, you might as well face the consequences with a zen attitude.)

It has only been ten weeks, but it already qualifies as an eye-opening journey, and I cannot wait to make new discoveries!


Mindfulness this Week

Have you noticed any trends by paying attention to your well-being and by focusing on the possible causes? What are you doing about it?

Be part of the process: 

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Sunday, February 28, 2016

Mindfulness - Self-knowledge and compassion

Muffet, Flickr


The most fundamental aggression to ourselves, the most fundamental harm
 we can do to ourselves, is to remain ignorant by not having the courage 
and the respect to look at ourselves honestly and gently.” 


One of my main findings, after two months of practicing mindfulness meticulously, is that I have been, in my life, ignoring (or downplaying) some very real aspects of who I am. By paying attention to my internal state (and the concomitant external circumstances), I am realizing that I still have much to learn and implement when it comes to respecting myself.

Throughout our lives, expectations are put upon us, and we internalize many of those expectations : this is how I should behave, what I should look like, the choices I should make, how productive I should be, etc. We internalize all of it so well that in some cases, we are not even aware that it is not "the real us".

Unfortunately, choosing to ignore (or doing so unconsciously) our true nature, our specific needs and our unique limits can only backfire. Simply think of an introvert who would force himself into more social gatherings than he can handle, or an extrovert who would fail to fulfill her social interaction needs, and you get the idea: both would feel miserable. 

Chronic limitations

Identifying our limits can lead to either one of the following: 1) it can lead us to renounce our goals altogether, or 2) it can lead us to set goals that are more realistic. Personally, I opt for the latter. For example, I have never let my - moderate - asthma get in the way of being active, and I even became a long-distance runner. But I have had to remain attentive to the limits that my asthma imposes, respect my own pace, and accept that no level of training will make me a super fast runner (my half-marathon PB is around the two-hour mark, while most of the same-age friends whom I trained with run it at least a couple minutes faster). 

If you have the same, or any other, physical or mental affliction, it is sometimes easier to deny it - after all, who wants to admit that they have health limitations, and that those health limitations get in the way of their aspirations, or even a "normal life"? The fact is, whether you acknowledge them or not, your limitations exist. They do not disappear through magical thinking. Another personal example: I have learned the hard way (despite all my initial resistance) that I have to address the first symptoms of a migraine vigorously, lest it turns much, much worse. Believe me, I do not enjoy cancelling plans or taking medication, but sometimes, it is a necessity.

Noticing and acknowledging our limits is not to be used as a pretext for giving up. I am all for pushing one's limits, and excessive self-indulgence definitely qualifies as one of my pet peeves. I know that in order to accomplish things and reach goals, hard work and discomfort is necessary. I am also all too aware that living and/or working with others requires compromise and good will - anything one person decides not to do ends up on somebody else's plate one way or another. However, I am becoming increasingly aware that ignoring one's limits often turns counterproductive.

Always pragmatic, I try and turn my self-awareness into a call to action to myself. Instead of sitting on my bum, I like to take matters in my own hands. For example, I have noticed that I can keep a lot of physical and emotional pain at bay by exercising regularly. I don't always feel like it, but time and experience has shown that it's worth it. I have also noticed that I waste my precious energy by trying to remain focused for a long time: with my short attention span, breaking down any task into smaller bits really is the way to go, whether I like it or not. The nice thing about it is that when I respect that particular pace and style of mine, I actually accomplish a lot.  

Temporary limitations

Sometimes, a given limitation is temporary. One of the best decisions I made when my father passed away, for example, was to allow myself to feel the pain, and to allow myself as much time as I needed to grieve. I did not give up my life and activities, but I cut myself some much needed slack, instead of insisting on "business as usual".

By knowing ourselves and our limitations better, by respecting our personal pace and style, we get rid of much frustration and guilt, and we end up getting more done, not less.

Get more done, feel better: it all starts with self-knowledge and compassion.

For more on knowing oneself:

Know Thyself
Who am I


Mindfulness this Week

I will be in sync with my optimal mode of functioning and any particular needs or limitations I may have. 

Tell us what you come up with.


Be part of the process: 

Submit your comments below

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Sunday, January 24, 2016

Mindfulness - Stillness

h.koppdelaney, Flickr


"If you want to conquer the anxiety of life, 
live in the moment, live in the breath." 
(Amit Ray)


Did you slow something down this week? I hope you were able to give yourself the gift of a more reasonable pace. As we slow down our movements, the hamster wheel in our head also tends to slow down. That allows a growing awareness to come to the surface, which in turn helps us make better decisions: 

  1. We finish one thing before moving on to the next (in our actions but also in thought), which brings about better results and lower stress levels
  2. We feel a simple need before it becomes overwhelming, and fulfill it right away: thirst, hunger, fatigue, and even the need to use the washroom
  3. We notice that we are feeling tense, uneasy, and that it translates into our mood (irritable), body posture (furrowed eyebrows, clenched jaws or fists, raised shoulders), and breath (shallow and fast) - we regain power over those manifestations of stress, the next step being the recognition and tackling of what caused that stress (A thought? An event? The presence of a person?)
  4. We realize that we need a break before things get worse: we go to bed earlier instead of carrying exhaustion from one day to the next; we apply ice to an injury before inflammation sets in; we tackle a budding migraine immediately; we allow ourselves a moment to reflect on a stressful situation
  5. We avoid conflict by being present to the real issues at play instead of reacting impulsively and "taking things personal": we know it's not always "about us", but rather about an unfulfilled need or a discomfort that belongs to our interlocutor - seeing things from that angle helps us keep our calm

The magic thing about slowing down is that it eventually leads to the ability to experience stillness. That stillness itself doesn't have to last very long. What matters more than its duration is the quality of that stillness. Here are some examples:

  1. We can pause during a conversation and really listen to what others are saying instead of planning our next response
  2. We can pause during a meal and really savour what we're eating
  3. We can pause when interacting with nature and appreciate its beauty - it can be as simple as the song of a bird as you step outside, the colors in the sky, the smell of a flower, or even a ray of light coming into the house - nature is right outside the window but we often ignore it
  4. We can pause while music plays, and give it our full attention
  5. We can pause during a hug and feel our "heart melt"
  6. We can pause during a stretch to feel how good it is for our muscles
  7. We can simply pause for a few deep breaths


Even a short pause, if it is made of true stillness, is often enough to "reset" our mind and body. Will you try it this week?


Mindfulness this Week

This week, find moments to take a real pause and be still, even if it was only for a minute or two. If you give yourself that gift, I am certain that you will feel the difference. Then share about your discoveries!

Be part of the process: 

Submit your comments below


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