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Showing posts with label pain. Show all posts
Showing posts with label pain. 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: 

Submit your comments below


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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: 

Submit your comments below

Become a follower of the blog/subscribe by email (top left corner of this page)

Saturday, March 19, 2016

Mindfulness - Comfort and joy

Julie Saint-Mleux - Nova Scotia, March 2016


I have been reflecting on the sources of comfort and joy in my life. Without comfort, life can be stressful and painful. Without joy, life can be bland and boring. Even the most privileged need comfort from life's vagaries and existential angst. Even the sickest and the poorest find ways to instill joy in their lives. Together, comfort and joy make happiness possible. Whether it takes the form of pleasure and excitement (the youth's definition of happiness) or fulfillment and serenity (the old's definition of happiness), we all yearn for it.

When I paused to think about it, I realized that few pleasurable activities are harmless. In our use of happiness-promoting activities to cope with and enjoy life, how can we make sure that we do not harm ourselves or others? The following - and very popular - activities can all have a negative impact on our health, relationships, wallet, or other live things:

  • Drugs - illicit and licit (alcohol, cigarettes, etc.): disqualified
  • Food consumed for pleasure, especially if it's low in nutrients and/or high in unhealthy ingredients such as sodium and sugar: disqualified
  • Screen time/electronics: disqualified
  • Most of the media (magazines, TV): disqualified
  • Shopping for the sake of shopping: disqualified
  • Sunbathing - disqualified
  • Long, hot showers - disqualified
  • Crushes and sex for the wrong reasons: disqualified
  • Workaholism/overtraining: disqualified
  • Even traveling, which I love, is polluting: disqualified


I am not saying that those things, consumed in moderation, are all and always bad for you: an occasional glass of wine, piece of cake, movie, video game, purchase (especially if it's local and/or fair trade), etc, will probably be harmless. The problem arises from the frequency at which we resort to our sources of comfort and joy: for many of us, many of those soon turn into a regular habit, or worse, an addiction... with the results we know too well. What are we to do? Can a healthy, balanced, moral and ethical person have fun in this life? I gave it some thought and here is what I came up with. Harmless sources of comfort and joy:

Challenges that are "just right" - e.g. training for and running a race
Creative activities - building/creating something (ideally out of recycled/repurposed materials!) 
Discovery/learning new things - makes you feel young and alive
Healthy foods that we love - if unhealthy foods are not the best option, perhaps we can redirect our enthusiasm toward healthy ones? I know I get pretty excited when I see that asparagus is in season. What are your healthy foods?
Meaningful activities - sharing your time, your talents, your ideas
Meditating - self-explanatory
Music - listening, playing, singing, composing
Nature - that can take so many forms: hiking, camping, birdwatching, gardening, going to a farmer's market, listening to the rain, admiring a sunset, interacting with your pets
Playing - go back to the basics with water, snow, board games, cards, etc.
Physical activity that you enjoy - exercising is great but not always fun; find something that you truly like to do
Reading - anything that you enjoy
Socializing - ideally with pleasant, interesting, like-minded people
Snuggles - with a loved one, a child, a pet. Giving or receiving a massage also works; it's all about the contact
Spirituality - to some this equates faith/religion, but it does not have to. All you need is to be aware of something bigger than you, that transcends your five senses.


To maximize the effect of those pleasurable but simple activities, you will have to make yourself more receptive to pleasure. How do you do that? By retraining yourself - children know how to enjoy life and get excited about things as simple as a caterpillar. When was the last time you got excited over a caterpillar? We may have lost that ability but we can find it again; here's how:

  • Be grateful - take time to fully recognize the positive in your life
  • Deprive yourself - by allowing yourself the big sources of pleasure less often, you will appreciate them more 
  • Cultivate mindfulness - be in the moment, pay attention - notice the little joys. And if you are going to indulge in your "vice" (mine is anything chocolatey), put all your awareness into it

It might take hard work, but I strongly believe that the comfort and joy you will get on that basis will be the purest and most fulfilling. 



Mindfulness this Week

What are your sources of - harmless - comfort and joy?


Be part of the process: 

Submit your comments below

Become a follower of the blog/subscribe by email (top left corner of this page)




Monday, January 11, 2016

Mindfulness - First Impressions

Tim Green, Flickr



“Feelings, whether of compassion or irritation, should be welcomed, recognized, and treated on an absolutely equal basis; because both are ourselves. The tangerine I am eating is me. The mustard greens I am planting are me. I plant with all my heart and mind. I clean this teapot with the kind of attention I would have were I giving the baby Buddha or Jesus a bath. Nothing should be treated more carefully than anything else. In mindfulness, compassion, irritation, mustard green plant, and teapot are all sacred.” 
(Thích Nhất Hạnh)


Mindfulness is like a dimmer light: as soon as you turn it on, even if it's at the minimal setting, you begin to see more clearly. Examples of the realizations one may come to once the mindfulness light is turned on include:


  • Taking note of your own bad posture at work, which might explain the mysterious chronic pain you've been struggling with.
  • Noticing that you are eating not out of hunger, but out of an unpleasant feeling, such as tiredness, sadness or boredom.
  • Acknowledging that you might be more stressed than you thought, and that it has an impact on your sleep, your mood, your habits.
  • Realizing that someone in your life is the source of a significant amount of stress, as their mere presence (in person or on the phone) seems to drain your most precious energy.*


(*All of the above are actual examples that were spontaneously shared with me by readers, family or friends this last week - for more examples, see last week's comments.)

As you may have noticed, some of the realizations brought about by mindfulness are not joyful. They are nonetheless very real. For that reason, mindfulness can be rather disquieting at first, which contributes to making it hard to achieve and implement in one's life. Noticing that you've been sweeping things under the rug, accepting to take a hard look at them, can be (and will likely be) unsettling and confusing. This is why you will want to turn on the dimmer light gradually. Allow yourself to get used to the discomfort.

The practice of mindfulness is like the practice of fitness training: You start where you are, and you progress at your own pace. 

How to tell if you are doing too much, too soon? The line lies between discomfort and pain. You can expect your budding mindfulness to make you feel uneasy; that is acceptable, and generally a good sign. Discomfort is normal, and even necessary. You have to ''feel the stretch''.

However, if your newly acquired awareness feels absolutely overwhelming and becomes unbearable, it means that you need to slow down. You would never push an exercise through excruciating pain. If such is the case, a break is called for. Getting help, possibly professional help, is recommended. Think of this within the fitness training analogy: You would not tackle a new training program without first making sure it is safe for you, and without adequate support. 

Start where you are, and respect your own pace.


Mindfulness this Week

Noticing the sources of frustration, stress and pain in our lives is crucial. Noticing the sources of well-being is just as important. This week, we will make sure that our awareness also applies to the good, the pleasant, the serene. 

Mindfulness will bring positive realizations to the surface, such as the fact that certain people, activities, foods or musics provide you with great joy. What are your ''I'm feeling really good right now'' moments?


Be part of the process: 

Submit your comments below


Become a follower of the blog/subscribe by email (top left corner of this page)