Another Wave of COVID Grief Five Months In

Door open on mossy path
Door open on mossy path

In the last few weeks, my clients have started grieving COVID anew. Here in Philadelphia, we’re in a modified Green Phase, so we can eat outdoors at tables that stand six feet or more apart. In the city, we can theoretically do small outdoor gatherings of less than 50 people, but honestly, I’m not going anywhere near 50 people. Nor are my clients. We’re still pretty much in shut down mode. We shop for food every couple of weeks and that’s about it. We always wear masks outside the house, except inside our car. My clients report similar phenomena.

For my clients, acknowledging the pain and disappointment of the continuing precautions hurts. Whatever timelines we privately prepared for in March– this progress is slower and more ambiguous. In many ways, the reopening feels more painful and more complex than the closing, because everyone is navigating the new, looser rules with differing priorities, and differing assessments of acceptable risks. Now there is social stigma. We manage the emotional friction between those that continue to wear masks, per CDC guidelines, and those that don’t.

We grieve the understanding that this “Green Phase,” which feels far from normal, is the new “normal.” We’re still not seeing our friends and family with easy hearts. The calculus of who is at risk when we buy groceries endures. We’re still not engaging in the pleasures of travel and outings. Our innocence is stripped away. Seeing crowds on television shows brings out two feelings in me, “Oh my god, you lucky foods, you have no idea what’s coming. Your joy is such privilege” and “Dear lord that’s a superspreader event!” I feel like all my parts have battened down to endure this period of deprivation, of lack of community, of lack of human engagement. So now I ask, and I ask you to ask yourselves: Where is our joy?

Where can I find a sense that life is still a place of excitement and amazement? How do I connect with inner spaciousness? My connection to art and beauty, where has it gone?

It’s so easy to get swept up in my sense of duty and obligation, and to focus on the tasks, to focus on the work, instead of the human needs that have been shunted aside. So here are some considerations, as we hold another wave of grief and loss and the summer winds down:

Now that all plans are provisory, we still need to make plans to add lightness to our weeks. To comfort ourselves. What plans, what joys can we look forward to? My current plan in hatching is going to a drive-in cinema. My other plan in hatching is an evening run to the beach. What will your plan in hatching be?

I’ve switched from video calls (exhausting) to voice calls (intriguing) for keeping up with my friends. This also provides a nostalgia bonus–reminding me of hours wrapped along our long kitchen phone cord as a teenager. Community remains critical to our ability to feel engaged in our own lives and to reduce the isolation that comes with all the sacrifices we make during the COVID 19 pandemic. However you reinforce your sense of belonging, keep it up!

The most important change I’ve made is to check in with myself and consider my needs beyond my obligations. When I wake up in the morning, I ask myself, “What do I want to do for joy?” I then give myself an hour to write, or do whatever it is purely for my joy, my fun, my sense of an expansive self. My work self is critical but secondary.

Since I cannot go on vacation, I can save for vacation, and make a list of places to visit when I get the opportunity once again.

I’m no longer springing for gourmet take-out once a week, but I can enjoy mid-priced restaurants.

I’m eating more local produce and, in doing so, experiencing the seasons. I’m stocking my kitchen with the right tools for my frequent cooking efforts, and this improved kitchen environment lightens the load. My new cleaver can cut through anything, unapologetically.

My scope is shrinking, but in my better moments I like to think I am living more like a poet. Tuned into each moment, slow and aware, and full of gratitude.

I am in the process of completing Level 1 IFS Training and that has helped me reframe my experiences, to look at every moment through multiple eyes, multiple parts, and to realize no one part holds all the wisdom, life’s meaning lies in multiplicity. This means I am never all in despair and never all in hope. I lie in a grounded balance.

Article: Science and the Many Paths to Healing

I love good science. I particularly love science when it gives me language and a good theoretical framework to support understanding of observable phenomena–and offers new paths to understanding. I’m so pleased I live in an age where brain/mind science and nervous system functioning are being so thoughtfully studied. It’s starting to provide some empirical evidence for stuff that, in other decades, might have seemed witchy or intuitive or wacky. Science tends to take a while to catch up to certain kinds of pre-existing wisdom, and then takes the credit for inventing concepts that  were known within wisdoms outside of mainstream medicine/science. One quick example off the top of my head–Cognitive Behavior Therapy is just a fancy name for certain kinds of ancient Greek philosophy and Buddhist mindfulness practices.

All this to say that I’m increasingly trusting the heart, the soul and the body, as well as each person’s creativity, to assist in the mind’s healing process. And also, that while we like to call it psychotherapy and talk about the mind and the unconscious, maybe the mind and the unconscious are fancy constructs (or other types of symbolic language) for heart, soul and body striving together towards unity and self understanding.

Or as my partner would put it, based on a recent Radiolab, if we knew enough about individual biology, we would be able to anticipate 100% of what a person would do (and there is no free will). I see free will working daily in therapy: I think the process of making changes away from your baseline–which is the whole project of psychotherapy–is free will at work. In sciency words: the system trying to re-regulate.

I actually think the biology argument is a silly way of thinking because 1) it’s a tautology–of course everything is a biochemical process at a certain level and yes, the right number of identifiable variables would yield predictive modeling of all human behavior (thank you Asimov for calling that one ahead of time). 2) That’s just one language for describing phenomena. The same way that I prefer to think and speak of traumatized nervous systems that are highly reactive instead of labeling language like a possible diagnosis of “Borderline Personality Disorder.” Both describe similar observable behavioral and physical activation phenomena. However, I much prefer the nervous system science version because it starts to de-stigmatize the experience of those that struggle with their lived experience.

I know I’ve wandered a bit off the map, but I wanted to share what has been on my mind.  Here’s my point, or points.

There’s very strong evidence of a powerful placebo effect for therapies people believe in–regardless of the therapy–with patients being able to assess a reportable decrease in physical symptoms (with more complicated questions about the biochemical basis of these reported experiences of healing. Here’s a fun article about a researcher on placebos at Harvard). This means that for some people a Chakra healer, or a crystal energy healer, or a tribal healer will transform their lives.

This belief in a healing system also helps predict whether psychotherapy will be of assistance to our clients. On a certain level psychotherapists are asking clients, “do you want to believe that I can help you?” The answer should be “yes” and that will help shape what psychologists call “the therapeutic alliance” according to the American Psychological Association‘s Education Directorate (fun name, right?).

If you think Chakra work is going to be integral to your healing process, you better work with a therapist that agrees with you. <<[Also, here’s a book that you would like.] Also, I am a therapist that agrees with you.

I’m writing this in support of those who wish to find healing in other domains, or in addition to the experience of psychotherapy.  Humans are complex, and the healing experiences we will need to move beyond or integrate damaging life experiences will vary as our own understanding of how we function expands or alters. In my case, my belief system was challenged in a wonderful way by deep healing through craniosacral therapy and I wrote about it here. (Here’s an article about the benefits of the therapy while you receive the therapy.)

I’m becoming a nervous system/brain structure nerd.

Other fun texts:

  • Think religion should be in the mix? Here’s a fun article about “spiritual intelligence” helping Iranian teens deal with depression and anxiety.
  • Reiki? (Article from PsychCentral)

Article: Aligning Time and Values

Magnolia Tree in Bloom at Night

One way to feel greater meaning in your life is to consider what your priorities are, and where you want to spend your time and effort.

The first question you should ask yourself is: What parts of your life to do you want to focus on and grow at this time?

The second big question is: Is the way you are spending time aligned with your wishes and priorities?

The third question is: What future are you building? What seeds are you sowing and what will you reap in 5 or ten years from today’s efforts? Are you moving in the direction of your dreams? (These questions I learned from my mentor: Caroline “Alex” Robboy at the Center for Growth.)

There’s an easy way to assess the first and second questions. It involves creating two homemade pie charts. One for the way you wish you spent your time. One for the way you actually spend your time.

  • First, write down in a list the parts of your life you care most about (for example: family, friends, career, travel, culinary adventure), then write down things you have to do or are very likely to do (for example: work, sleep, chores, gym time, goofing off with your phone, watching tv).
  • How many hours a week would you ideally like to spend on each of these categories? Write the ideal number of hours you would like to spend on each of these parts of your life next to each category.
  • Copy your list of the parts of your life a second time. Then either formally track your time for a week, or guess approximately how many hours a week you actually spend in each category.
  • Then you do some math. (Here’s a quick model to make it easy). Start with how you actually use your time. For example, there are 168 hours in a week (7X24). If you typically sleep 7 hours a night, that means 7 hours of sleep nightly multiplied by 7 nights a week (7×7)=49 hours a week of sleep. 49 hours a week of sleep divided by 168 hours in a week (49/168)=0.29 or 29% of your week spent sleeping. You can do this for every category. Tip:  25% (or a quarter of your week) is the pie divided in four slices. You can then hand draw your Actual Time Used pie chart, making the slices approximately bigger or smaller than 25%. (Do this process again to build a Desired Time Use pie chart.)

Compare your Actual Time Used pie chart with your Desired Time Use pie chart. Are there any differences? Any places you could cut back? (Less YouTube time, perhaps?) Any places you should increase your time spent? You might be doing the best you can with a lot of different constraints and obligations. However, might you be over-committed? Is every volunteer activity absolutely necessary? Can you reduce any of your commitments. Can you set aside a goal and pick it up again in six months?  (In my case, I try to limit the number of therapy-related activities to one or less per weekend.)

This sort of approach is often used in business literature, but I think it clearly applies to exploring our personal values and priorities as well, and making sense of our life in the broadest sense, and maybe changing how we define success. We’re all constantly moving through both time and space, but I believe we get the most satisfaction when we’re using our time with intent and consideration for our authentic self (the person you allow yourself to be when you do what you love or spend time with people who bring you joy.) Whether you get joy from quiet time alone, or from busy time with friends, give yourself the gift of joy.