Acupressure, Swedish, Shiatsu, Reflexology, Cranial-Sacral, Rolfing, Sports — these are all different massage modalities. Carl Johns, massage therapist and instructor at McKinnon Institute, practices what he calls Acucraniatsu.

In this podcast episode Carl answers my questions about medical massage, reflexology, and working with clients who have a chronic health condition.

A couple of books Carl mentions are: Job’s Body by Deane Juhan and Touching: The Human Significance of the Skin by Ashley Montagu.

Tis the season to talk romance and who better to hear from than our disability community sexpert, Dr. Danielle Sheypuk? Danielle — a licensed psychologist in New York City — discusses dating, sex, society, and disability.

For more information about online therapy, visit daniellesheypuk.com/

On a different note, here’s a webinar with Dr. Sheypuk on Coping with Depression.

Transcript

welcome to glass half full with leslie krongold she shares her stories experiences and knowledge of living and coping with a chronic health condition learn about tools and resources and hear inspirational interviews that help you to live a life filled with quality and dignity with two decades of support group leadership leslie’s ready to help you make lemonade out of life’s lemons are you ready hello as i record the introduction for this podcast episode it’s valentine’s day i’m reminded of very early valentine’s day celebrations in high school where the practice was to buy the huge package of little cards and write them to everyone in your class or almost everyone maybe not the little boy who ate paste because he was kind of scary but everyone else boys and girls the ones you liked and the ones who were brats either in middle or high school the ritual became a bit more complicated we’d pay money to have cupcakes delivered to someone in their class we could have or be secret admirers of course those were the days when your cupcake choices were chocolate or vanilla hard icing on yellow cake one’s graciousness became a bit more selective and no longer were you expected to be nice and all-inclusive as the tip of the hat to this holiday celebrated since the third century i wanted to broach the topic of romance which is complicated for everyone whether you have a disability or not a few years ago i literally found dr danielle Sheypuck a clinical psychologist on facebook she stood out in one of the facebook groups i was in for people with muscular dystrophy i can’t remember her post but i was impressed so i contacted her at the time i was working for a patient advocacy organization and wanted to produce a webinar about depression of course depression is an issue i’d imagine most psychologists can speak to but hearing from someone with a disability would offer so much more than the traditional medical perspective and it certainly did there’s a link to the webinar with dr Sheypuck in the podcast notes so when i realized i wanted to broach romance i remembered that dr shap was known for her work in the disabled community and her work on dating and relationships and sexuality so i contacted her again so just a little bio information danielle schaefek was born with sma spinal muscular dystrophy she was born and raised in a small pennsylvania town but now lives in new york city and she’s known for her advocacy work in the disability community a fashion model and winner of ms wheelchair new york in 2012 as well as a self-described sexpert and leading commentator on the psychology of dating relationships and sexuality for the disabled population tell me a little about your your path your journey to becoming a sexpert for the disabled community yeah so that’s an excellent question and i love it because sexpert is a term that people don’t associate with the disabled community so i like the two paired together and so that being said i chose to study psychology but completely not related to any focus on disability when the at the time when i chose it i just chose it because i liked the theory of it i i liked the whole aspect of talking to people and different concepts of psychological thought and implementing them so that’s really why i went into psychology and then i moved to new york to go to grad school and get my phd because to really be a psychologist and have a private practice you need a phd and again i came to new york with just studying general psychology but it just so happened it coincided with my my idea that if i moved to new york i would have a better chance of finding love for myself kind of right out of the show sex in the city okay i thought hey big city i’m from a small town people in big cities have open minds and i’m not really having much luck dating so maybe i’d have better luck in the city so that’s how that’s how i came to new york and then as i was studying psychology i started dating on match.com which was my first experience dating and online dating and my first physical dates period in person and that’s when i realized or i really saw clearly the discrepancy between dating with a disability and not having a disability and dating because i compared myself to my friends who were in my classes who didn’t have disabilities but we were the same on many levels except the fact that i had a disability and they didn’t and i seemed to be getting much less responses from men than they than they did so at the time i was watching sex in the city and i was thinking you know geez why why isn’t there someone to to ask advice from or or why isn’t anyone talking about this like carrie bradshaw is doing about sex for able-bodied people like there’s really no one that that i know of that i could turn to or talk to or read about or anything like that so so that’s when the two kind of the two paths merged into one and i i got my degree and i i started writing about sex and disability and my own experiences dating and then i started seeing private clients and i wanted to see clients with disabilities and so that’s when i opened my skype practice and so from since that time i’ve seen many many clients with them without disabilities and i’ve given many many lectures about dating and sexuality and through all of that experience i i feel that i can hold the title of sexpert or someone really knowledgeable about sex and relationships and disability and again i like that sex i like the how it’s kind of pop culture because we need that with with disability it’s not always so serious like mixing pop culture and sex and dating and it’s a nice refreshing combination working with people with disabilities i see a lot of low self-esteem when it comes to to dating and viewing yourself as a sexual person and a self-concept that includes seeing yourself as sexy or as a suitable romantic partner or as a potential romantic partner contrasting that to being it being very easy to see ourselves as it’s very easy to see ourselves as not being a desirable romantic partner to someone else so commonly voiced as i don’t really see how anyone could love me quote unquote or i don’t really see how someone’s going to be able to look past my disability and see the person that i am so statements like that and the second piece of that is just society not being exposed to people with disabilities as sexual beings so you know and this goes back in the literature to old notions of disability when we see people as poster childs or trying to to get money from you know corporations or companies using people with disabilities to to get people to give money to help with cures and treatment and and that’s all great and i’m not arguing again against that but there’s a whole other side of disability and and as you know it’s just leading a normal life and being a sexual person and and being able to date but the sad part is is in the beginning it’s it’s hard for society and able-bodied people to see that just because they’ve never been exposed that much so those two factors combined you know the slow self-esteem about dating and then not really having people approach you to date kind of they both reinforce each other and that’s what i’ve been trying to change for a while now and i i feel like change has happened i see it with my clients because i’ve had clients who have come to me saying no one’s ever gonna love me like forget it it’s not gonna happen for me ever and then a little bit down the road guess what i’m engaged i found someone there it’s so great you know so so i’ve seen that and i’ve seen people with very severe disabilities having fantastic romantic relationships giving birth having multiple partners having you know these fulfilling sex lives in various ways so i’ve seen it that way and even in my own personal experience i’ve i feel like i’ve seen a change with the dates that i go out on and again it’s interesting because i’m not sure if it comes from the dates perspective which is the one factor i talked about or my own perspective which is the other factor has has my dating self-esteem increased since i’ve been on this path which is really interesting so you mentioned um your dating self-esteem can you explain what you mean by dateable self-esteem i i think you coined that term right yes i did coin i i love that term i i separated it out i i pulled i parsed it out from the this huge concept of self-esteem because again this is through what i’ve seen and observed and the clients i’ve worked with and even going back to my own teenage years and and into college it’s like this people assume that if you have a disability you have low self-esteem and and you don’t feel good about yourself and how could life be great because you have a disability but the fact of the matter is is many people with disabilities report very satisfying lives in many domains including having a ton of friends being invited to a ton of parties having really supportive families having careers like getting you know being educated to the utmost and then having successful careers but the area that i find continually lacking is that it when it comes to your concept of your sexual datable self so and so you can have amazing self-esteem in all these areas but still feel like love is never going to come your way and i i think it’s important to separate the two and and it also makes it easier to to discuss and to improve because you know if you’ve got if you’ve got it going on in all these other areas and and you’ve identified this you know your struggle with dating and and what i just spoke about then then we could focus on that in treatment and and make it and improve that and improve your odds and you know put love in in your path i’d like you to tell me this story about your mom and you at the mall and then as part of that i’d like you to discuss you know how people should handle personal ads do should people be very upfront and have a photo of them where it makes their disability somewhat explicit or is it something that you know people should refrain from until they get to know the person or when they meet them what what do you think is you know the the best way to to deal with that that’s an excellent question leslie it’s like the question du jour it’s perfect okay so i’ll answer the first one about my mom in the mall it was yeah on multiple occasions you know i was again i keep him i was maybe like 16 or or in my teenage years she would so it was two parts so it was a part and i believe i’ve i’ve told this scenario before too because it’s so relevant and meaty but just being with my sister who is able-bodied and two years younger and and being at my parents house growing up and family and friends coming over and asking her about her dating and does she have a boyfriend and oh i have someone for you and um you know talking to her and me just kind of sitting there quietly awkwardly off to the side not knowing what to say them not saying anything to me so the the messages to me that i picked up was okay this world is not for me this dating world and then couple that with it trips to the mall with my mom and whenever we would see a young man in a wheelchair her elbowing me you know point is like saying hey look look danielle look look there’s someone there’s someone for you there’s someone to talk to and i just couldn’t like reconcile there was this discrepancy for me and it didn’t make sense and i couldn’t i didn’t know what it was but i knew it wasn’t right and i couldn’t reconcile it but you know down the road and currently looking back it’s like it’s this concept of ableism that threads through even our dateable self-esteem so you know with the concept of ableism you you deny your you kind of hide from your disability or you try and hide it as much as you can you know you try and be quote unquote as able as you can and to fit into this able-bodied world as best as you can and make sure you don’t look too disabled and you know this is my own definite i i i know i’m not doing it justice the the full definition of the term but you know in a nutshell so we’re not when you’re a teen it’s a hard time so it’s it’s kind of a time when that when ableism is reinforced and even by the family structure it’s like okay do well in school like go you know be just try your hardest and just so you kind of try not to be so disabled so it’s like okay but why would i want to date a guy with a disability then i’m trying to be normal mom i’m trying to be as normal as possible and this is not blaming my mom this is just in general um so as as you kind of i guess grow into your person and who you are and and kind of boost that dateable self-esteem you come to the realization like you come to the realization that you don’t a disability is not something you have to hide it’s and it sounds cliche but it’s something that makes you very it makes you unique and it’s something that you can embrace and work it you know work that uniqueness work the fact that you’re sassy in a wheelchair or any aspect you can find something great and work it and own your disability and that’s that’s important to in like the growth of of yourself and growing as a person and and because it kind of ties into your next question about dating sites and what should you put on there and so you’re probably gonna guess what i’m gonna say because it feeds right into it but i’m a huge proponent of putting it on your profile that you have a disability because a it’s a part of who you are it’s just a part of it and b people online don’t like to be surprised by things you know you want to be as honest as possible about who you are and and what you look like and and what your interests are why why put something out there that’s concealed or hidden or falsified why waste your time and meet people who might not be the right one for you so that’s my and i i feel like either putting it in the photos or or if you want to write a statement about it and the profile you know whatever way to to mention it it’s it’s in the long run it’s healthier and it’s safe it’s healthier for both parties and it saves it saves time and energy that could be spent on someone that’s that could be better for you yeah it’s you know it’s interesting i’ve been married over 18 years and so my whole i have no experience with personal ads and but i have so many friends you know younger older same age who have and men women disabled able-bodied gay straight so it’s it’s all kind of fascinating because i do wonder how how would i you know how would i handle this because i don’t know i i don’t know what sort of and in my disability you know is something that has been gradual and slowly progressive so first of all congratulations on your 18 years of marriage thank you and before i fear too far away i was listening to what you were saying about how you wonder what you would do if you had to put an online profile up i find that some the theory that’s embraced is uh the so if you decide not to put your disability up the concept is well i want this person to get to know the real me and so i i want them to get to know me first and then i’ll reveal that i have a disability and because we’ll already be at that level where we like each other and they know me and i know them it will be easier you know they’ll accept my disability but the problem is is i find that to not be the case i just find that i’ve never heard of that working i’m sure there’s been a couple cases but i i find that in most instances people feel misled so and and what and you know no one likes to be rejected humanity period doesn’t like to be rejected so that scenario sets yourself up for a huge a potentially huge rejection because not only are you being rejected by someone you like but you’re now being rejected by someone you think has gotten to know you and likes you as a person you know it’s just bad in many ways so that being said yes in my practice i do treat all different kinds of disabilities it’s interesting because problems with love and romance it’s they’re very universal and i’ve said that in my ted talk and we see it in in all the tv shows and i know the bachelor is airing right now and whenever one of the female candidates is rejected she’s her complaint is always like i i just want someone to love me for who i am you know so we can see this this universal concept playing out right in front of our eyes and i’ve no studies to prove it i feel like if you have a congenital disability versus someone sustained an injury or or has gotten a disability later in life it’s like with a congenital disability you’ve never known any other way of life therefore you’ve never known any other self-concept except the one that includes yourself with a disability and hand in hand with that is the notion that you’re not datable or romantically lovable or sexual so with the congenital disability you kind of from the gate you’re believing this or you’re hearing subtle or messages of communicated to you like this whereas with a spinal cord injury you you may have gone through adolescence normally and gone through college normally and i use that word loosely but and you’ve had the chance to love and be dumped and be married and be divorced and so i i think i i think those two worlds can be very different sometimes especially when it comes to the origins of dateable self-esteem

i was with a client earlier today and we were laughing about how i mean she’s several years older now but she originally came to me at the age of 15 she has a disability asking me um coming to me with questions about sex and disability and dating and you know now with hormones happening and these were questions on her mind so you know these are so as soon as people start thinking about romance and dating and sex and that’s when people usually reach out to me so it’s across the spectrum it’s it’s at different different ages different phases of life and when so if someone’s appropriate for for sessions with me it’s mostly the clients that i see over skype it’s people who so the people that it that it really wouldn’t work out it would be difficult or people who have very severe mental health diagnoses so you know people who perhaps are in and out of the hospital with psychiatric hospitalizations or who have you know rampant substance abuse you might need more like really one-on-one kind of intensive but the people who seek me out or have relationship problems or everyday stress or anxiety or depression that kind of we’ve all felt at some point and have maybe been escalated at times depending on stressors and i i could be biased because i’m in new york city and in manhattan but and everyone’s in therapy but therapy therapy in my perspective is a luxury because it’s a time when there’s no other time what other time do you have in your day-to-day life where you have 45 to 50 minutes of your own to talk about whatever you want to talk about basically in a confidential setting with someone who has no there’s no contingencies with this person this your therapist doesn’t know your husband doesn’t know your boss isn’t your best friend so you don’t have to tiptoe or skirt around different topics you could just let it out and be you and tell talk about your problems in a raw way if you want and work on them and and when do we not have a problem that we need to work on

and again this is disability or not across the board yeah it doesn’t stop i thought at a certain age problems would stop but i i can attest to uh they continue different you get a better more tools to manage them but um true yeah you you get more tools to add to to your tool bag and and at the same time so it’s great to be able to use those tools and sometimes you have to use them in a different way you know so maybe you were using that proverbial wrench in one way and now there’s something else and you need an opinion on on how to how to negotiate or manage the situation so and and regarding teletherapy you know we you’ve said several times times in bed practice is mostly on skype it’s really becoming more and more popular so the american psychological association has now has now a designated branch called teletherapy or telepsychology that’s the name it’s been dubbed because what i found is that the concept i i thought it would be easier for people with disabilities to come to therapy eat period full stop but but what i’ve found is that it’s it’s easier for everyone it’s it’s just easier when you don’t have to leave your home and and the therapeutic alliance is the same and some insurance companies do reimburse teletherapy sessions and if you think about it it’s for people who travel a lot for business it’s easier for them you know so they might not have a disability but they’re just constantly traveling or people who who have to spend time in other countries because of their job maybe countries where it’s hard to find a therapist because therapy is so taboo or having mental illness is so taboo and on a funny side note bringing pop culture into it again i i was i was watching girls the other night the hbo show um the premiere and one of the characters said uh to her boyfriend i i need to try this this and this with you because i’ve been working really hard with my online therapist and she thinks that you know x y and z i forget what it was but i was like wow teletherapy is really taking off didn’t lisa kudrow have a show you know the one from friends oh yeah yeah i think it’s web therapy or it was a sitcom where she’s a therapist an online therapist yeah i forget the name now it’s escaping me yeah um but i’ll put that on my uh it’s it’s on my list i’ll just bump it up how could i not see a show on tele psychology yeah so is this a hard time valentine’s day is you know upon us uh is it is it a an annoying time for a lot of people a lot of your clients such an appropriate question right it’s right around the corner i find that for some people it’s a big deal because every every every client everybody’s different but to me valentine’s day kind of falls under the same under the same umbrella as just a holiday for example christmas or thanksgiving or new year’s which so from a psychological perspective or from where i sit as a psychologist i find that what we see on tv about the holidays it does not often depict reality so on tv we see kissing and hand-holding for valentine’s day and beautiful couples loving each other and roses and candy and and for christmas we see everyone holding hands around the christmas trees singing and smiling and and loving and sharing a meal when usually most often than not the holidays are tough and being around being around family is really hard and and at christmas there’s often fights with family members and and it’s often very different from what we see on tv so so that’s a discrepancy that that i think that occurs with valentine’s day you know not everyone has this glorious romantic rose petal filled evening plant where they profess their love to each other so even though if you’re single it might seem that way but but it’s not reality i’ll i’ll second that

and it’s so important because it can if you fall into what the media shows us it can make you feel really bad about yourself and it’s for for nothing really well any any closing advice or well on the topic of valentine’s day i think i would just like to remind people that there’s a lot of satisfaction in telling anyone who’s around you and close to you that you care about them so it doesn’t have to be someone romantic or you’re who you’re in a sexual relationship with so this act alone can bring happiness and fulfillment and keeping in mind that maybe love’s not happening for you right now or on valentine’s day or in the next couple months but there’s no reason that love cannot be in your path disability or not age age irrelevant race irrelevant gender irrelevant sexuality irrelevant all of it irrelevant there’s no reason why it’s not going to happen for you so keep keep focused we all definitely deserve love and um yeah i think it’s humans lot in life to be on this quest again disability or not and that’s important to keep in mind right so now more than ever in times like these yes well thank you so much

thank you for listening to glass half full leslie invites you to leave a rating and review on itunes this helps spread the word to others dealing with chronic health issues for show notes updates and more visit the website glass half full dot online last half full dot online

Like nature, our lives are filled with change. This episode explores how to move through loss and transition. For many of us the loss may be diminished physical strength, our career, or the death of a loved one. Roz Leiser, R.N. and the Executive Director of Life Transitions Network, talks about workshops – based on the pioneering work of Dr. Elisabeth Kübler-Ross – that help people move through loss and transition.

Author Toni Bernhard was a law professor for 22 years at UC-Davis until she had to retire due to a viral infection which evolved into a chronic debilitating illness. In this episode Toni talks about her Buddhist practice, mindfulness and compassion and how they’ve helped her cope with chronic pain and breast cancer. And, of course, how she came to write three books — How to Be Sick: A Buddhist-Inspired Guide for the Chronically Ill and Their Caregivers, How to Wake Up: A Buddhist-Inspired Guide to Navigating Joy and Sorrow, and How to Live Well with Chronic Pain and Illness: A Mindful Guide.

Check out another podcast episode with Toni talks about gratitude as it relates to the Four Sublimes States of Buddhism. 

Transcript

welcome to glass half full with leslie krongold she shares her stories experiences and knowledge of living and coping with a chronic health condition learn about tools and resources and hear inspirational interviews that help you to live a life filled with quality and dignity with two decades of support group leadership leslie’s ready to help you make lemonade out of life’s lemons are you ready

hello and welcome to this podcast if this is your first time listening and you enjoy this episode i hope you’ll check out the first 21 podcast episodes or the ones that interest you the best way to gauge what’s discussed in each podcast is by the title as well as the tag words that appear to the left of the podcast notes and you’ll only find the podcast notes and tags on the website glass half full dot online the tags for the previous episode were goals hope multiple sclerosis myotonic dystrophy and parkinson’s disease now those tags and the title don’t resonate with you you might still want to try listening to the episode i just wanted to give a plug to these other episodes i’m quite fond of them so let’s chat about this episode several years ago i found the book how to be sick i can’t remember how i found it if i’d read a review or was just intrigued by the title but i’m glad i found it although the author tony bernhard didn’t have a similar diagnosis as mine i still found so much of what she spoke or rather wrote about to relate to i’m recommending the book to people in my support group and even had it featured at one of the annual conferences for my community of adults with neuromuscular disease and then last year i started this podcast as you may realize i’ve interviewed a lot of people i’ve known people with chronic health conditions and people who work with a healing modality if i stick to people i know well my podcast days will be numbered so i knew i had to reach further so i started trying my best to contact authors and others who have inspired and taught me tony bernhard was one of the first people to respond quite openly to my inquiry not everyone i’ve tried to contact responds unfortunately before tony and i spoke though i wanted to make sure i’d read her most recent book how to live well with chronic pain and illness soon after i read the book we spoke via skype in december unfortunately when we spoke um i had a cold so i sounded a little froggy the good news is i’m feeling a lot better but my voice lives on and apparently there are no audio filters that can zap out a cold i hope you enjoy our conversation so my first question was really i wanted to ask you how you would characterize the three books that you’ve written how to be sick is the first book and it’s the first and the third books address chronic illness although i have to tell you that many people have read how to be sick who are perfectly healthy and have found it very helpful and i think the reason is the difference in the organization how to be sick is organized around practices and a kind of philosophy of life to help people with coping with chronic pain and chronic illness and so because the prac but the practices are helpful to anybody and so a lot of people love that book even though they don’t have health issues the third book which is also which is how to live well with chronic pain and chronic illness is organized differently it’s organized around the various problems that people encounter and how to best deal with them um and so there are chapters on isil isolation and loneliness there are chapters on how to deal with people who don’t understand who don’t believe that you’re disabled or sick or who don’t understand and aren’t supportive so and there’s a chapter on being young and being chronically ill so it’s it’s like 42 different challenges that people face so they’re similar in that they both discuss coping with chronic illness finding a measure of peace in your life but they’re just organized differently the middle book is actually i think of it as an introduction to buddhism book of all things i’ve been practicing buddhist for 25 years i don’t for me it’s a practical path not a religious one the buddha was a human being like like you and me and he came up with some very important or helpful insights into life and came up with a lot of practices and so uh how to wake up how to wake up a buddhist-inspired guide to navigating joy and sorrow really sets forth my understanding of his teachings and the reason i got the i i didn’t originally think of it as an introduction to buddhism but many buddhist teachers are using it that way so because it covers the basics now because i all of my books are written from personal experience and i always use stories from my life or stories people have told me to illustrate the points or the practices there’s a lot about chronic illness in how to wake up because i wrote it while i was ill so a lot of the examples in there um so in that sense all three books are about chronic pain and chronic illness how did your buddhist practice prepare you for living with a chronic illness and do you ever imagine how differently you would have handled everything if you didn’t have this 25 years of practice yeah well it’s interesting because at the time i got when i got sick i got a viral infection which turned into a chronic illness 15 years ago um i’d already been a practicing buddhist for 10 years that’s where i get my 25 years at first i i really turned away from all that i’d learned because i was so uh i was really traumatic to have my life turned upside down by this unexpected illness that forced me to retire early from from my job and made me pretty much housebound and some days bed bound buddha the buddhist teachings just i didn’t see the relevance and that’s how how to be sick came about because four to five years into the illness i began to use many of the buddha’s teachings to help me cope with what was happening and that is what eventually became how to be sick and uh you asked how his teachings have helped well i could talk for an hour ago just say a couple things one is that the buddha was very upfront about the human condition and that’s why sometimes people say oh that first noble truth is life is suffering what a pessimistic religion that is but all the buddha was doing was telling us the chapter and how to be sick that talks about this is called the buddha tells it like it is and what he does is to say you were born and this is actually all in the first noble truth this life is suffering is not the right translation he says you know you’re born and so you are subject to certain uh life events including uh illness and growing old and being separated from those you love either by distance or by death and so he was very oh and he also said getting not being a not getting what you want that’s where complaining comes in right or getting what you don’t want that certainly happened to me when i got sick and he said this is something that happens to everybody when i went back to his teachings that was the first thing that resonated so strongly for me was it’s as if somebody from 2500 years ago someone understood what i was going through and was saying well this is a part of being alive is that sometimes bodies get sick and actually i mean it happens to everybody just in different ways and this is how it’s happening to you there’s nothing wrong with you and that was the initial eye opener for me because i would have had been blaming myself for not recovering and this is a very common thing i’ve discovered with people who write to me about my books they’re they feel released by my writing from self-blame they’ve been directing it themselves over these circumstances that they don’t control and then happen to everybody and it’s what i had been doing the first years of my illness until that light bulb went on and i realized that this was just a normal part of life and this is how it happened to me and i needed to learn to live gracefully and purposefully with it or i was going to add another i was going to add a layer of mental suffering to the physical suffering that i experience every day so that was the initial insight well that brings up the question about the three components of physical discomfort could you just elaborate on that i found it very insightful look at pain with this sort of categorization or or segmenting i do find it i i find it helpful myself in dealing with pain i there’s two different ways i segment it and the first is what you’re referring to these three components of physical discomfort and what is interesting is that two of the three are mental the discomforts in the body so of course the first is the unpleasant sensation in the body itself whether it’s pain or aching or fatigue and the second is our emotional reaction for that physical discomfort which is often frustration anger it could be fear irritation self blame that kind of thing and the third so there’s that initial emotional reaction and that that’s kind of the buddha’s uh getting what you don’t want and so you react against it and the third are the stories that we start to spin that are related to the physical discomfort and this emotional reaction and so if i have a day where i’m experiencing a lot of pain the stories that it’s one thing to just be able to say i’m experiencing pain it’s unpleasant what can i do to make this day as manageable as possible but instead what we tend to do is start spinning stories and that’s where the real mental suffering resides like this pain will never go away i’ll never have another pain-free day i’ll never be able to do anything useful in life because i’m always in pain those stories that we spend and actually there’s buddhist teachers and often say the suffering is in the stories and i certainly find that to be true in my life so those are the three components of physical pain and sometimes uh i don’t put this in the book because i i’m really not writing uh this this last book is a buddhist book it’s just that i’m so influenced by buddhism of course but in buddhism that’s known as the second arrow the first arrow is you’re experiencing physical discomfort or particularly pain is what we’re talking about here that’s the first arrow the second arrow is that is the mental overlay the second and third components that reactive mind that reacts in anger or frustration instead of being able to say oh yes pain is present pain is present and not react to it because it’s those reactions that set off the stories so number two and three are we often called the second arrow the unnecessary arrow now having said that i don’t put me on a pedestal i i’m uh you know i have to work with this every day

it’s not that easy uh simply be mindful of physical sensation and not start spinning the stories but with practice you get better at it and you’re able to say well this is what’s going on right now let me not make more let me not start predicting a future which may not eat which is unlikely to come you know most of our predictions about the future don’t spin out the way we’ve predicted them it takes practice it’s really a mindfulness practice in the sense of becoming aware you know when people talk about mindfulness there’s usually an emphasis on what’s outside of ourself be mindful of the of the trees and the sound of the birds and i’m kind of changing subjects here but for me the the true value of mindfulness is to become aware of what’s going on in my mind that’s where the mental suffering is that’s where that the the uh that’s where i make things worse for myself it’s interesting for me to see the language for this because i’ve always felt that i what i try to do when i have pain i know it’s exacerbated by the anxiety that i experience about it and that anxiety could be you know i could use the words you use about separating it into you know the emotional reaction and then the the fear and everything that i’m predicting this is my future a new baseline etc and when oh i know that one right the baseline yeah yeah so it’s it’s it’s trying to really become for me my experience is just become trying to really identify okay this is the anxiety if i can control the anxiety i will still have the pain but it won’t be exacerbated because that’s where it becomes kind of unbearable for me yeah and you know that and that’s exactly what i’m talking about doing leslie and it’s another reason it’s helpful is that um that that kind of emotional reaction can actually exhaust exacerbate the physical symptoms because we tighten muscles sometimes we tighten muscles around the point of pain and so then we’ve got secondary pain from that or so you know emotions are felt in the body so it’s not i’m not the the separation body mind is artificial to some extent it’s certainly helpful to talk to be able to distinguish them in that way but it’s also true that when we learn to recognize how we’re react or how our emotional reactions are making things worse for us that also helps us relax our bodies and so that can help with pain too the afterwards certainly caught me by surprise and it was you know of course sorry to to read about your diagnosis and i wondered if this experience going through i guess different treatment and such and having an acute illness has given you a different perspective and will you be writing a book about it well here’s what i’m doing i’m not right yeah you mentioned the afterward i should explain that it was two years ago actually almost exactly that i was diagnosed i had a lump removed from my breast and and went underwent treatment and um the prognosis is good but i had just finished polishing the manuscript with my editor uh for the book that you just read when i got this diagnosis and i actually called her up and said well we can’t publish this book it doesn’t it’s not truthful anymore because now i have breast cancer to throw it out and start over and she’s we talked about different options and what we decided was to just include an afterward that talks about it’s just three pages that explains what happens and says a few other things about it so a few months ago my publisher asked if i would do a new edition of my first book how to be sick which has was published six years ago i jumped at the opportunity because what i’m doing is revising and expanding it in several ways one is to include mental illness because i’ve had a lot of people write to me about how my books have helped with that even though i didn’t set out to address that and another thing is that i’m able to add some practices and some other ideas and in that i do talk about when i give examples or explain how these things have worked for me i talk about the breast cancer and the worries and the fears and the dealing with side effects of medication and all that kind of thing so i am writing about it and it will show up in that book in two years because the publication date is fall 2018. that it takes a while from the inception to actually get all to do all the things involved in getting a book published which i knew nothing about before i entered into that stream and i have written i wrote one piece about it for psychology today i will be writing about it actually breast cancer is best thought of as a chronic illness because it’s i didn’t realize this but it’s ongoing in the sense that after you initial treatment then there are medications to try to prevent recurrence and those medications have side effects that can lead person to have to weigh quality of life against how much they do a statistical analysis for you that tells you if you take this pill it will reduce the risk of recurrence a certain percentage and there are women who decide to go off the pills because uh they have diminished their quality of life to the extent that they’d rather take the risk and that’s an individual decision hopefully you have an oncologist who is supportive of discussing that with you and weighing the pros and cons some of them just want you to take the meds

but hopefully you have someone who understands how difficult it can be so it’s it’s been two years i’m still a breast cancer patient i just saw my doctor uh last week actually so the only thing that i would that i wish we had time to talk about are some of the practices that are that can that come under a heading of that are called the sublime states in buddhism wishing others well compassion feeling joy for others when they’re happy and equanimity those are the four sublime states and i spend every one of my books emphasizes them because when i started my little buddhist wrap by saying the buddha tells it like it is and some people find that depressing well the good news is that we can overcome so much of our fears and frustrations through these positive practices cultivating friendliness towards others and toward ourselves compassion which means reaching out to others and to yourself when you’re suffering being being kind to yourself people write to me about my books who people who are chronically ill the most common thing they say if i were to keep track i just know from reading the emails is that until they read my books it never occurred to them to treat themselves with compassion to be kind to themselves they thought they didn’t deserve it well if you don’t deserve i mean if you’re not going to be kind to yourself who is i there’s in my view there’s never a good reason not to treat yourself kindly it doesn’t mean you can’t learn from mistakes but to allow yourself to live in a state of self-judgment self-blame it just makes a difficult life worse and so it’s really important to cultivate compassion and kindness an equanimity which refers to equanimity as a sta a balanced state of mind in which you accept that life will be a mixture of joys and sorrows and successes and disappointments and being able to accept that with grace whether it’s the results of an election how you feel this particular day to be able to say oh i really feel awful today well okay that’s how i feel today sometimes some days people feel awful and to be able to accept that without bitterness and also just with some historical perspective that life has always been this way for everybody a mixture of joys and sorrows so that’s kind of a short version of equanimity so that that’s the only thing we didn’t talk about or some of these positive mind states that that are helpful to cultivate and i write about them in all of my books well actually it’s funny i did have a question about the the three i don’t know attitudes that you cultivate and and equanimity was the one that was uh most interesting because well one it’s not a word that i mean i’ve heard the word but i wasn’t i’ve never used it so it was um it was very interesting to read about and i was going to ask you that so i’m glad you brought it up good good yeah well that’s just the translation of a pali term pali being the language the buddha spoke the term is upeka and it’s been translated into english as equanimity which is given what how it is described it’s a good translation if you look equanimity up in the dictionary you’ll find it says you know basically a balanced state of mind being able to ride lives life’s ups and downs without being tossed about and it’s also something that is a something you have to work on every day i mean if i were if i were equanimous 100 of the time oh i’d consider myself enlightened that would be good enough for me well we could just keep trying yes yes try or there’s a zen teacher who has the expression keep a try mind i love that and i just love that well thank you so much tony it’s been a pleasure to to speak with you and i really appreciate the two books i’ve read and i will read your other one good good yeah i think you’ll enjoy the other one it’s an easy read because that i don’t know turns out that’s the way i write a very conversational style so i i’m glad you’re you’ll have a look at it

thank you for listening to glass half full leslie invites you to leave a rating and review on itunes this helps spread the word to others dealing with chronic health issues for show notes updates and more visit the website glass half full dot dot online.online

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Nicole teaches medical qigong in Alameda.

Nicole teaches medical qigong in Alameda.

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For additional information check out the National Qigong Association.

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To find a yoga therapist in your community, check this website.

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Amy’s next recital is in April 2017; here’s a sample from a previous recital.