Category: Privilege Syndrome

What’s “Normal” In the Slow Fade of a Pandemic?

What’s “Normal” In the Slow Fade of a Pandemic?

Even as the pandemic begins a slow fade, the mental health crisis that the pandemic ignited in kids, teens grownups, and caregivers for elders is sticking around. In my therapy office of late, I’ve heard clients name rumination, depression, grief, more alcohol and marijuana, new existential questions about meaning and purpose, relationship challenges, parenting stress, exhaustion, preoccupation about weight, intrusive thoughts, and lots and lots and lots of anxiety (social anxiety, health anxiety, traveling anxiety, etc.) In fact, we now have a name for all the inner debris that the pandemic has left in us: Post Pandemic Stress Disorder. This is on top of all the stress, anxiety, depression, and relationship stuff many of us carry around even in non-pandemic days.

So here are a few points I wish we could all keep track of:

1: Sometimes my clients think that if an event is over, they should be over it. But our brains, nervous systems, and bodies don’t work like light switches. Rather our nervous systems are like cars — needing time to rev up and time to slow down. So it’s normal to not feel normal right now. It’s normal to be experiencing residual exhaustion, more sensitivity to stressors, and to generally feel on edge and like you don’t quite have your social sea legs. Does this mean it’s fun? No. But is having a disrupted nervous system normal given the completely abnormal last 16 months? Yes. Absolutely, yes.

2: During the last year plus, we’ve all been taking stock of our lives: what we like, what we don’t like, what we want more of, and what we want less of in our lives. If you are still looking around trying to figure out what you want your new normal to include and exclude, you are doing something important – and normal. Many of us have had a break from friends, commutes, social obligations, work travel, etc. and now, to some extent, we have some choices in front of us. Do we want to socialize more, less, or differently than before the pandemic? Do we want to advocate for different hours or different amounts of times at our jobs? Do we want to set different boundaries with our families or around our time? These questions are normal. And it’s normal to re-evaluate our priorities following a big, terrible event.

3: If you have gained weight during the last 16 months, congrats on being normal. As far as coping strategies go, eating a bit more than we need is not the worst thing ever. We’ve been going through an ongoing trauma, and our bodies naturally crave sugar and salt when we’re stressed. I hope you can give yourself a break over the weight gain. And maybe even learn about the Health At Every Size movement. Or if you can’t be kind to yourself about your body, please come see me and and let me give you a break.

4: Finally, if you’re feeling bad for feeling bad (as in “I have so much privilege, I don’t deserve to be having a hard time”) then congrats – also normal. Think of this like survivor’s guilt. There’s a guilty feeling that’s hard to shake. But guess what – this too is normal. And while I know it’s hard to stop guilt once it’s ramped up, your guilt does not help anyone.

So – what to do? Consider self-compassion. Surround yourself with people who will be supportive and not make you feel like a weirdo (unless you’re a weirdo in all the good ways). Remind yourself that your experience can be normal AND still be really, really hard. And help your nervous system know it’s now safe to calm down: through regular sleep, nourishing food and relationships, movement, time outside, and – the hardest for many of us – not pushing yourself too hard. Does all that sound impossible? If so, no worries… that’s normal too (and why we therapists are here).

Courtesy of Rahul Jail on Unsplash.com

“COVID is (Almost) Over: Why Don’t I feel OK?”

This past 15-plus months of pandemic life has been a crash course in tolerating uncertainty. Remember when we weren’t sure how COVID spread? Remember when we weren’t sure if we should be wiping down our newly-purchased cereal boxes and bananas? Remember when we weren’t sure what school was going to look like in the months ahead? (Oh, wait… I think that last one about school is STILL true. Yikes.)

Living with the uncertainty brought on by COVID has been no joke. And the stress is still impacting our bodies even as life returns to some semblance of pre-COVID normalcy. Every week I see clients describing difficulties with concentration and focus and irritability and motivation and – last but not least – exhaustion. Is it possible that these clients are anxious or depressed or have ADHD? Yes, of course. But it’s also true that we’re still reeling from a catastrophe most of us couldn’t have imagined two years ago. We all just experienced – and are still experiencing – an ongoing trauma. Our lives were just turned upside down – and stayed that way for more than a year. Of course we’re not going to feel great. Of course we’re going to be struggling.

This relates to an insidious kind of suffering that I see a lot (and that I’m not immune to myself). It happens when we have an unpleasant experience (like “ugh, I’m exhausted”) and then judge ourselves for that experience (like “I shouldn’t be exhausted”). It has variations: I’m grieving a death or break up, but I should be over it by now. Or: I just had a promotion fall through, and something’s wrong with me because I can’t let it go yet. Or: I am struggling but I have so much, so therefore I am wrong to be struggling. (See: privilege syndrome.)

I find that it’s always useful to help clients set realistic expectations for the time and effort it can take to recover from a difficult experience or a trauma. And just because COVID is almost over, that doesn’t mean your body has gotten the message. Our stress is not, unfortunately, a switch that we can just turn on and off. That’s why – if you go on vacation – you don’t automatically feel relaxed. Your body and mind can be in stress-mode even if you’re wearing a swimsuit drinking a mojito.

Think about it like this: your nervous system has likely been on overdrive for more than a year straight at this point, with many more “fight and flight” moments (complete with the release of stress hormones like cortisol and adrenaline) and many fewer “rest and digest” moments. At this point, your body has developed a stressed-out baseline rather than a baseline that’s neutral or even relaxed. So it can take some intentional effort to reset and to re-teach our bodies that we are safe with no imminent threat to ourselves or the people we love.

BUT YOU ARE NOT A LOST CAUSE. YOU DON’T HAVE TO LIVE LIKE THIS FOREVER. There are some things we need to learn to accept in life (the need for sleep; the reality of pollen; the deliciousness of pizza). But feeling agitated, panicky, and anxious ALL THE TIME is NOT something we need to accept.

The brain is beautiful, and complicated, and capable of changing. So is your body. So are you, as a person who has survived long enough to be able to find and read this blog post. You deserve to feel okay, no matter your privilege or lack of privilege. You deserve to feel okay, no matter who you are.

It doesn’t have to be like this. Photo by Aarón Blanco Tejedor on Unsplash.
We Are STILL In A Pandemic

We Are STILL In A Pandemic

We Are STILL In A Pandemic

I say these words multiple times a day, multiple times a week: We are STILL in a pandemic. I say these words when a client with depression can’t figure out why they aren’t feeling better, despite their best efforts: We are still in a pandemic. I say these words when a client with anxiety can’t figure out why therapy and exercise aren’t making them feel zen: We are still in a pandemic. I say these to people suffering from loneliness and grief as well as from chronic professional and financial and relationship uncertainty. We are still in a pandemic.

I say these words because it’s easy to dismiss the effort it takes to act normal – and perform normally – in hugely abnormal times. We think, Oh, it’s been a year, so I should have acclimated. This should be easier. But we are still in a pandemic. We believe, Well, I still have my job/home/health/privilege, so I shouldn’t be struggling. To you I say: We are still in a pandemic.

It doesn’t matter how much privilege we have and how much we have been spared. Chronic stress is real, and we are still existing within an extended period of trauma. This trauma affects not just those who have been sick with COVID, but also those of us (and it’s most of us) who have watched the slow-moving epic disaster of COVID wreak havoc on our communities, neighbors, families, economy, schools, the U.S., and the world.

When we beat ourselves up for feeling stress, loneliness, sadness, or worry, we make ourselves feel worse. When people with financial security wallow in guilt about what we have – when so many others live in scarcity – this does not help. Our self-flagellation serves no one and gets in the way of harnessing the energy to figure out how we can be useful to those around us.

So, in the words of the great Bob Newhart in the skit below: STOP IT. (And sheesh – if only it was that easy!)

Prepping for COVID Winter and an Unusual Holiday Season

Now that election season is almost over, it’s time to prep for COVID winter. Anticipating and preparing for the mental health (and life) challenges of a COVID winter is a must – especially if you’re worried about stress, Seasonal Affective Disorder, depression, anxiety, or increased isolation. Being proactive about mental health isn’t always at the top of our list (especially when the to-do list is LOOOOONG) but our efforts NOW can pay off in important ways.

The Mayo Clinic has this helpful list of suggestions for prepping for COVID winter. One recommendation that stands out is that we should EXPECT that our winter holidays are going to be different. Let’s wrap our heads around that now: our winter holidays will not be the same as usual. We’ll have to adapt traditions that typically involve family and friends or let them go altogether, at least for now. We may not get to have big Hanukah or Christmas parties, Kwanzaa celebrations, Christmas caroling, or New Year’s extravaganzas.

You don’t have to be happy about these traditions going on pause. In fact, give yourself some time to feel grouchy about these losses. (They ARE losses!) It’s hard to move forward if we don’t first mourn our losses. So, here’s a tip: allow yourself a day or even a week to feel all the feelings, whether it’s annoyance, frustration, sadness, anger, or depression. These losses of tradition are worth feeling bad about. (And for those of you saying “But I can’t! Other people have it SO MUCH WORSE” — I appreciate your consideration of others, but stop with the Privilege Syndrome. You trying to convince yourself you have too much to feel so bad doesn’t help anything… and actually gets in the way of letting emotions move through you in healthy ways.)

After that day or week of allowing all the feelings, THEN it’s time to look forward.

First: when it comes to the holidays, allow your imagination some room to roam. If you’re not doing the usual things during this holiday season, what might you be able to do? What might you want to do? What new traditions might you want to create? In other words: what opportunities can you find in the space that COVID has created?

Finally, when it comes to the possibility of anxiety and depression emerging or getting worse, you can be proactive here as well. What extra care do you need that’s realistic? Care can take a lot of forms: checking in with your doctor, taking vitamins, using light therapy, hosting Netflix parties or virtual game nights, and so on and so forth. Make a list and ask friends or family members for their ideas as well. And then put that list somewhere you can regularly see it (like a bathroom wall or on the refrigerator) so when (or if) the winter doldrums hit you don’t have to use energy to think – but can instead just act on the ideas you’ve already brainstormed.

I hope these tips are useful for you! And please reach out if we can be useful to you in other ways.

Yes, you can be “successful” and feel like shit

Yes, you can be “successful” and feel like shit

Restauranteur Chef David Chang has it all. At least on the surface. He’s the founder of a gazillion restaurants, is star of the TV show Ugly Delicious, and has won too many awards to count (really). He. Has. It. Made.

Except he doesn’t. In recent interviews publicizing his new memoir, he’s naming what’s been beneath the surface even as he’s been accumulating accolades: depression and bipolar disorder. I was really moved to hear this interview with him, and in particular his naming that professional success is not a protective factor when it comes to mental health. In other words – it’s great if you’re rolling in money, and have an awesome job, and people adore you. But checking off those boxes and looking good on paper, on the surface, doesn’t guarantee ANYTHING about your mental health.

I’m so glad David Chang is speaking up. So many of my clients believe they “shouldn’t” be feeling like shit because their life looks good on paper. (And there are some specific barriers that get in the way of Asian Americans speaking up about mental health challenges.)

I’m grateful for all those famous folks like David Chang who are speaking up about their experiences with depression (including Trevor Noah, Michelle Obama and Lady Gaga, to name a few). Each person who speaks up helps reduce the stigma of mental health challenges. And when we reduce stigma, we bring light to darkness – and it’s THEN that we can get and receive help.

David Chang at one of his massively successful restaurants.

If I got a dollar every time…

Say I got a dollar every time I heard the following words:

  • “But other people have it worse.”
  • “Yeah I’m depressed and anxious, but I have privilege so I shouldn’t feel this way.”
  • “I’m not sure I deserve to be in counseling.”
  • “I’m worried I’m taking your time away from people who need help more than me.”

How much $$$ would I have at the end of a year if I faithfully put a dollar in a jar each time I heard a variation of these words?

Enough to go out to a great dinner. A really great dinner.

We often wish we could decrease stress and depression and anxiety by reminding ourselves of the hard stuff that other people face. But that’s not how it works.

I’ve written on this blog before about what I call “privilege syndrome” — the belief that if we have privilege in some way, it can be easy to feel guilty or judgmental about the ways in which we struggle. And this is common.

I wish that privilege could buffer us from anxiety. I wish that knowing about climate change or homelessness would mean that people with secure housing and middle class incomes could be immune or invisible from stress or depression or trauma.

But the brain and body don’t work like that. While those of us with stable housing or relationships may be less likely to experience trauma or stress, our nervous systems aren’t designed to tease out nuances of privilege. The body just experiences a flood of stress hormones like cortisol or adrenaline. The body just knows we’re depressed or anxious. The body knows we don’t feel okay, even if we try to use our intellect to convince ourselves we should feel differently.

And the research shows that judging ourselves for our responses and reactions don’t actually do much help.

Instead, I try to help clients cultivate neutrality or even self-compassion for our experience. It’s only by accepting what’s here – the pain, the suffering, the fear, the sadness – that we can begin to move through these difficult feelings. It’s only by acknowledging what’s true for us – whether we like the truth or not – that we can begin to move forward.

Taming and Treating “Privilege Syndrome”

 

At some point, with many clients, comes an earnest variant of the same question: Who am I to have pain – or see a therapist – given that so many other people suffer in visible, heartbreaking ways?

I call this the Privilege Syndrome. The reasoning usually sounds like this:

• If I don’t live in a less-developed country where I only have access to one meal of day, I should be happy. (But I’m not.)
• If I have money, I shouldn’t feel depressed. (But I am.)
• If I have a job, I shouldn’t be annoyed with my work. (But I am.)
• If I don’t have to represent my race on a daily basis, or live in fear of violence, then I shouldn’t complain about the challenges I do have. (But I do.)
• If I have a loving family, I shouldn’t be lonely. (But I am.)
• If others respect me, I shouldn’t live in fear of rejection. (But I do.)
• If I haven’t survived one or more traumas, I shouldn’t be suffering. (But I am.)
• If my life looks good on paper, I should be happy. (But I’m not).

How lovely that so many of us know that other people also struggle! How terrible that we deem ourselves not worthy of struggling and suffering because of our privileges!

From a mindfulness perspective, Privilege Syndrome is all about getting caught in a mindstate of comparison, or what I and many other mindfulness practitioners call Comparison Mind. The good news about Comparison Mind is sometimes it makes us feel superior to others! But the bad news… well, you know all about the bad news of comparison. We end up feeling inferior and unworthy – and then judge ourselves for feeling so bad.

The truth is that we increase our suffering when we can’t acknowledge and accept our own pain and heartache. When we dismiss or minimize our own pain because So-and-So has it worse, we are acting from a faulty belief that suffering is reserved only for others.

The only “cure” for Privilege Syndrome is to learn to accept and honor our own suffering – no matter our privilege – while also acknowledging the suffering of others. When we can work toward the end of our suffering and the suffering of others, we stop comparing ourselves. Instead of landing in Comparison Mind, we access compassion. Instead of being better than or worse than others, we’re simply with ourselves and with others. That is connection. That is healing.