Tag Archives: Pain

My Meditation Practice

The Buddha

The Buddha

As I mentioned in the last post, for years I was unable to meditate.  I have Attention Deficit Disorder (ADD) and as soon as my eyes closed my brain would go into high gear.  The idea of meditation is to let those thoughts go so you can be aware in the moment.  For ADD’s, the moment is often chaos, with thoughts leaping from subject to another, or hyper focus, with the thoughts totally engaged on one topic or task. 

After a diagnosis and treatment, I can meditate.  Now meditation is not spending all one’s time in the moment.  At first and often those thoughts arise and with my addictions, they can be compelling.  So, sit, watch my breath, the thoughts arise, I let them go, and they arise again.  It can be excruciating, dealing with all that meaningless thought.  I find a prayer helps me instead of just focusing on the breath.   

Paradoxically, my prayer is Christian.  At its core, Buddhism is essentially atheistic and in my view a psychology, not a religion,  being 2500 years old from a culture soaked in religion, it adopted all the trappings.  I grew up nominally Christian and became a toung-talking holy roller Christian in my forties.  I don’t do that so much any more, but Jesus is in my life to stay. 

I use the Jesus Prayer, an ancient Eastern Orthodox prayer dating back to the desert fathers.  “Lord Jesus Christ, son of God, have mercy on me, a sinner.”  The most famous book about the prayer, “The Way of a Pilgrim“, suggests starting with 3000 repetitions per day.  I recite the prayer a lot, but never 3000 times.  I sit, start praying, and time the words with my breath.   When those thoughts rise, as they always will, I return to the prayer.  Those times of being in the moment come, and I drop into watching my breath.  Thoughts arise and I gently return to the prayer. 

I find the moments of stillness are slowly growing.  I also find the poisonous thoughts are diminishing.  When poisonous thoughts about pretty girls arise, I pray for them.  “May she be happy, may she be free, may she be safe”.  Then back to the Jesus Prayer until more thoughts arise. 

The thoughts aren’t just about pretty girls, I find myself planning, plotting, reviewing past mistakes, feeling guilt or shame; being angry, sad, sick, hurting, happy, horny, old, tired, loving, lonely, excited, the entire range of feeling and thought.  All that stuff comes from my past or is about the future.  Thus, they are all meaningless.  The past is gone, and the future is unknown.   

All there really is is the moment.  My brain tends to disagree.  I experience all those thoughts and feelings as real because they are wired neural connections.  The task of meditation is to rewrite those connections so I can spend more time in the moment. 

Now, lots of those connections are important.  I need food, shelter, my long baths, some rags on my back, all the stuff of daily living.  I don’t need Donald Trump or the Kardashians.  I mention those because I was in the  doctor’s office yesterday reading those stupid magazines.  Why didn’t I have my book or just pray? 

I find myself wanting to meditate more.  The toxic thinking is diminishing, although lots of people continue to be prayed for.  I have purged the computers, my library, don’t watch the wrong television or movies, and am able to spend more time in the moment (still not much time, alas). 

Next is some retreats.  Retreats last from one day up.  I have done them in a Christian context and found them useful.  I am looking at attending a four day retreat in the mountains.  There are lots of retreats available, mostly led by Dharma teachers who are therapists or in other helping professions.  Retreats allow intensive meditation with little interruption from the outside world.  I need that.

 

Insight Meditation

Meditation

Meditation

I recently wrote about my struggle with addictions.  Yes, multiple addictions.  It is just now coming out that the root cause of addiction is abuse at some time in the addict’s life.  It is true for me.  I turned to addictive behavior to get a feel good in a life that incorporated pain or suffering stemming from the abuse.  

The mental pain or suffering arises, and I seek to eliminate or blunt the pain with the feel good.  It can be alcohol, food, exercise, sex, tobacco, work, drugs, shopping, gambling, music, or other obsessive behaviors.  I tried most of them, and they worked-briefly.  The pain returns.  Another round starts, but it takes a bit more to drive the pain away as the guilt and shame grow.  The wheel turns. 

The result? I have had a lifetime of suffering with futile attempts to escape.  The addictions have not been all-consuming.  I have a good marriage, a comfortable retirement, many interests to keep me occupied and engaged, and a family I am close with.  I have had years of therapy that helped in some areas, but the addictions remained.  The addictions have consumed a tremendous amount of time and energy.  All this stems from events in my childhood continuing to haunt me. 

Well, that was then, and it is now.  So, why addictive behavior when the abuse happened so long ago?  We store the feelings from abuse in our minds.  Those feelings and sensations stay with us and arise later as suffering.  They exist as neural connections in our brains.  Those connections and stored memories and feelings are not permanent or hard wired.  The brain is plastic and those old demons can be dealt with, the connections altered or eliminated.  

There are a number of techniques, including 12 step programs, cognitive therapy, psychoanalysis, immersion in a religious organization, and other therapies.  Some work, some don’t or are just mental band-aids.

Recent neuroscience research indicates that insight meditation is an effective means of altering or eliminating those old neural pathways.  In many cases, ten or fifteen minutes per day seem to be effective.  In deeply entrenched addictions, fifteen minutes is not enough.  I try to do a forty minute meditation along with the morning fifteen minute session every day.  I also attend two formal insight meditation meetings per week. 

Insight meditation is fairly simple.  Find a comfortable position where you are not likely to fall asleep.  Observe your breath.  It may be your nostrils or your abdomen or chest rising and falling. Just focus on the breath.  Thoughts will arise.  Just note and name them.  Hungry, hungry.  You will find the thought changes or fades, leaving you a moment without thoughts arising.  When they do, note them name them, and observe them changing.     

You will find yourself drifting away, planning, worrying, most anything.  When you notice this, gently return to the breath.  I find it useful to say a short prayer several times until I am able to return to the breath.  At times, it seems like all I am doing is praying, with no stillness.  Other times I can return to the breath right away. 

The process is frustrating at first, because it seems like there is almost no time just watching the breath.  No big. Deal, just keep it up.  You will find those thoughts arising with less frequency and intensity.  You are reprogramming your brain. 

Insight meditation is used in schools, some workplaces, in prisons, and in psychotherapy.  It sometime seems it is the next big thing.  Well, no.  It is a Buddhist practice in use for twenty five hundred years.  It is not really a religious practice.  It is a practice used to get rid of all the mental clutter so one can lead a life free of the suffering all that clutter causes. 

Next time I will illustrate the process with my own experience.  Stay tuned.

 

 

 

 

Caregiving the Hard Way

mental healthCarol and I attend a support group meeting for caregivers of mentally ill loved ones.  It meets at the Mental Health Center of Denver and is sponsored by the National Alliance for the Mentally Ill (NAMI).Carol attends regularly, but I stopped for a while because the stories are just too heart rending.  One person has been a caregiver for various family members since she was seven.  She did take a break for a while, serving as an Army nurse in Vietnam.   

Many attendees have more than one family member they are caring for.  The hard part for them is there is probably no end.  Most mentally ill people stay that way.  There is no stability.  Sometimes the loved one is doing OK for a long time, working or going to school, and then, bang, a psychotic break and repeated hospitalizations.  There is often financial instability, the loved one experiencing extended periods of unemployment, and being repeatedly denied disability benefits. 

In addition, the mental health system is broken.  Years ago, if a person was severely mentally ill, there was an extensive mental hospital system.  No longer.  The development of psychiatric medications and attempts to treat the mentally ill in the community ended the hospital system.  Today there is a host of agencies, some nonprofit, some for profit, and some governmental.  At least veterans have the VA, which does a fairly good job despite the overload.  There is never enough money, and too many people in need. 

Here in Denver, there are the Mental Health Corporation of Denver, Denver Health, several private agencies, the police, Social Services, halfway houses, Vocational Rehabilitation, detox, and others.  Navigating the system is time consuming, frustrating, confusing, and often a failure.  People have spent many thousands of dollars at private mental health facilities with no discernible effect.  All it has done is get the person out of the house for a while. 

A big one is the uncertainty.  If the loved one is doing well, it’s waiting for the next episode.  The person may just disappear for a while, only making contact when at rock bottom.  Some caregivers are relieved when their person is incarcerated.  At least they are relatively safe.  Safety, how can one insure that with a suicidal person?  There is a crisis system, offering telephone support, referrals, and sending a trained person with the police to the loved one’s home.    Sometimes it works.

There are tragedies.  One person was the high school valedictorian, then Cum Laude in college, then experienced a schizophrenic breakdown, and is gone with a shotgun barrel in her mouth.  I haven’t even touched on the alcohol and drug abuse problems, which are also mental health issues. 

Why do the caregivers do it?  They sacrifice huge chunks of their own lives, living with anxiety and uncertainty, for no financial reward.  They are caregiving for a loved one.  Love carries them through almost unimaginable adversity, and most caregivers still display love not only for their loved one, but also maintain a positive outlook on life.  There are those caregivers who flee, just not able to meet the challenge of a seemingly unending task.   

It is said that love knows no bounds.  For the caregivers in the support group, that is true.  We don’t see those who just lack enough love to stay involved for so long.  There are lots of heroes out there, you just don’t see them, for they are too busy to be visible.  I am able to hang in there for the loved one, but I can’t attend the support group every time; I just can’t deal with all the pain.

 

 

Changes

 

I am a slow learner, especially when I don’t want to learn what the universe is trying to get across. For some time now, the message is to slow down and act my age. I don’t want to! I want to be younger, stronger, not forgetful, with no signs of aging (well, I’m resigned to being bald).

broken-ribsWell guess what, I’m old, slow, weak, with a bit of a balance problem. In the last couple months I have fallen twice, fell off the ladder, and fell down the last step and broke two ribs. As I mentioned, I’m a slow learner. It’s shocking, I know, but I am going on seventy three years old. After the first two falls I saw my doctor. She gave me a prescription for physical therapy to help my balance. I didn’t go. I then fell off the ladder and down the stairs. Did you know that broken ribs hurt a lot?

After the ribs broke I went into a blue funk. At that point I had no choice. I hurt and couldn’t do anything but read. I can barely stand to watch TV. Then, horror, my iPad died. No Facebook, no words with friends, no left-wing politics, and no Donald Trump news.

Apple Rules! The Apple Store is in Cherry Creek Mall. The Apple Store is full of people, the rest of the mall is virtually empty except for the mall walkers. After the standard long wait I made it to the Genius Bar. The sheer arrogance of that company! The guy was nice and gave the standard digital solution. Reload the operating system, wiping all my data.   Oops, that didn’t work, hardware problem. I walk out of the store with a new iPad.

Most everything transferred over. But. I can’t get to one of my email accounts, Yahoo is unresponsive, I am starting over with Words With Friends, and two days are gone. Computers teach us how to deal with frustration. To a point. I didn’t use the iPad as a Frisbee. The upside? Apple is a bit richer and the process took me off my aging crisis.

The odd thing about aging is that I still feel like me. The same me. Not a old me, just me. But, the body doesn’t feel the same. Even the mind has changed. I forget stuff. I have never been a good rememberer, but I’m worse now. The me I used to be never fell down the stairs. I fell , but not too often, just more than you do. Now I fall a lot more than you.

I know how to fall. Tuck and roll, keep the head up, pick a good spot to land if you can. The skills have served me well. Only two bad ones, one on the motorcycle that finished off my bad knee, and this stair and rib thing. Well, except for the fall that ended up taking my right little finger. For some reason, the universe has chosen falling to convince me that I am no longer the guy I used to be.

A Facebook Friend asked me if there was more damage than the broken ribs. My response: Yes.   I am forced to accept that I am changed. Older. Slower. Weaker. Unbalanced (Wait, that’s always been true.), just not as physically competent as I used to be. A lot of bad stuff is going on. I am not even going to go into the health issues.

I’ve had good changes in recent years. I got my ADD diagnosed and got the medication and cognitive therapy that has changed my life. Just the diagnosis was a big deal. I am no longer a guy with a fatal flaw. I am a guy with ADD. It’s a brain disorder, not just that I am a fuckup.

The biggest change is that with the ADD treatment I now have the focus to write. Other than falling in love and marrying Carol, that is the most profound change in my life. I have two callings, writing and teaching. ADD kept me from both pursuits. Now, however I can write. I may be an old guy, but after all these years I have enough focus to write. After the rib thing I couldn’t write for a while-pain, both physical and mental.

Both kinds of pain are better now. I guess my old guy crisis is not as bad as I thought. The Buddhists say that pain is inevitable but suffering is optional, a choice. For a couple of weeks I suffered. Now my ribs just hurt, but they are feeling better every day. It is mostly over.  I guess it is time to get on with life.

My Life With ADD/ADHD

My Song

My Song

At age 59, I was diagnosed with ADD. I was in a therapy session which was, like most of my therapy sessions over the years, going nowhere.  My therapist stopped, looked at me and asked, “Have you ever been evaluated for ADD?”  Well,no.  No one had ever suggested it and it had never occurred to me.

That evening a computer search brought up several checklists. On the first one I took, almost every question was a head slapper.  I was a match for 48 of the 50 questions.  That therapist was not a big help for the ADD; most therapists aren’t.  The diagnosis, however, changed my life.  I had always known something was wrong.  I just did not function like most people, and the stress of living in a world where I didn’t quite fit in was taking a physical toll.

add quoteI have a number of symptoms, including a short attention span if not wholly engaged, impulsivity, irritability, hyper focus at times, forgetfulness, poor attention to detail, trouble getting started, distractibility, poor memory, and absent-mindedness.  Did I mention I forget stuff, like people’s names?

In my fifties I was treated for a bleeding ulcer, migraine headaches, had prostate surgery, rectal surgery, knee and back problems, hernias, and was involved in years of individual and couples therapy. Much of this was due to the stress of trying to function in a world of normies.

Work had ups and downs.  I always had authority problems and often missed small details.  I was never in enough trouble to get fired, but I had several of those long sessions with several levels of supervisors.

School was much the same way. I am fairly smart, so I almost always got by.  In college things got worse.  I couldn’t get by on brains and charm.  I actually had to work, and found that if the subject matter or the instructor didn’t engage me, I literally could not do the work.

Brain Disorder

Brain Disorder

I remember a political science course with an instructor who was always patronizing with students and wanted us to learn about Communism by studying Yugoslavia. By the time I realized I was not going to learn anything there, it was too late to drop the course.  Another F added to my list.

I lived with anxiety that I would do or say something wrong. I also have a lifetime of replaying the things I did do wrong.  Even now, 13 years after the diagnosis, I obsess about things that happened long ago.  I sometimes do things on impulse I later regret.  To protect my self-esteem I defend situations I get myself into that are indefensible.

Recently at work I threw some things away that needed replacing, but the replacements are not ready. My impulse got my colleagues all stirred up, and the children who come to play don’t have stick horses to ride.  I don’t think they minded that the old horses I threw away were worn out.

I get irritated by noise. Big crowds, barking dogs, truck traffic, elevator music, and crying children all get to me.  A neighbor friend had a little girl that cried a lot.  I found myself getting angry at her to the point of wanting to harm her.  I decided then that having children was not an option.  To my first wife’s disappointment I got a vasectomy.  I’m not sure that was the right decision, but I often believe so.  I have poor impulse control.

The diagnosis at age 59 changed my life. The first thing that happened is all sorts of feelings I had not allowed myself to feel came to the surface.  Anger, bitterness, rage, sadness, frustration, and just plain pain surged out.  I was not much fun to live with for a while.  I told Carol that I just had to be those feelings.

After the old feelings subsided and I found a good therapist and a good psychiatrist, things rapidly improved. Cognitive therapy gave me coping strategies more effective than making trouble to get my prefrontal lobes to wake up.  The medication helps with focus and awareness.  I can sustain tasks, where previously I was terrible at mundane tasks.  Now, I am just bad at them.

For me, the biggest change is that I can now write. I have always wanted to write, but the ADD did not allow me the focus to produce anything.  Now, except for occasional bouts of writer’s block, I can write. All those years of not writing were not wasted, as I studied good writing.  I also practiced doing clear, concise writing when writing the daily shift reports in the water treatment plants where I worked.  One or two paragraphs, but I got some practice.

Today, I have gratitude. I can manage the ADD (mostly), I have a wonderful marriage, a comfortable retirement, and I can write.  What a long, strange trip it’s been.

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