Grinding Into The Pain

Embracing Pain

What happens when Pain visits a little too often, a little too long? Like an obnoxious guest who overstays her welcome, talking and talking without listening, eating and eating without offering. Well perhaps this is uncomfortable, but just bearable. After all, it is not all that uncommon. And then perhaps, what if Pain decides to visit a great deal too often and a great deal too long? What if the visitor decides not to leave? What if the talking and the eating just don’t stop – on and on and on. What are we to do then? What happens when we are held hostage?

Do we have any control over pain’s inevitable and suffocating visitations? According to the Stoic Epictetus,

Some things are in our control, while others are not. We control our opinion, choice, desire, aversion, and, in a word, everything of our own doing. We don’t control our body, property, reputation, position, and, in a word, everything not of our own doing. Even more, the things in our control are by nature free, unhindered and unobstructed, while those not in our control are weak, slavish, can be hindered, and are not our own.

Epictetus, Enchiridion, 1.1-2

The pain of loss, grief, depression, neurochemistry, external events such as motor car accidents and more – these are not in our control. This may be disheartening or even crushing when fully realised. Why am I forced to sit by while Pain visits the full reign of hell upon me? Why am I not allowed to eject Pain, to revoke visitation rights? How can I escape? Why am I not even permitted to escape my own home with what little I have left? This is a brutal invasion!

As the Stoic relates, the sense of control sought in our bitter fight against Pain is won in our thinking, our choices and our exposure to that which will help us reframe our attitude toward our relationship with pain. Ultimately, our gains are made in our own relationship with and to pain. To those experiencing true, unadulterated suffering, this idea may be received as trite or it may even be impossible to imagine. However, even where chronic mental, emotional or physical pain are involved, the ‘Enemy’ that is Pain can change into something new, something more approachable, something we can negotiate with and engage with in a more balanced relationship. Pain does not have to remain the Enemy, it can become the Teacher, the Healer, even the Beatific Vision. Never losing it’s identity as Pain, and never lessening or coming under our control, Pain’s visits – even those long, excruciating and seemingly never-ceasing visits, can be experienced differently, without fear and without loss of control. The transformation and growth, even healing, that Pain can bring – if we let it – is illustrated in the lines below.

What is pain but a reminder that we are

grinding into the ground

flung into the fight

grating against the wound

slicing into the light

walking the two worlds

lost in daylight, found in night

taking the clean medicine

gaining vision, losing sight.

There are practical steps to forging this new relationship with pain. These really depend on the individual, but in general it is not an overnight process. Meditative practices, including mindfulness techniques and yoga help many. Exercise and diet/nutrition – as insufficient as that seems in the face of enormous pain – can play a large role in re-negotiating your relationship with Pain. Broadly, relationships, spirituality, talking, creating, music, nature and stillness are all ways to explore this different way of relating to Pain.

I wish you well on your journey. For more information on renegotiating your relationship with Pain, contact me by clicking here.

Bipolar Lifestyle Support

“… despite how bipolar disorder may leave one feeling, there is realistic and attainable hope for balance, positivity, health and meaningful living.”

Have you or a loved one been diagnosed with bipolar disorder? Struggling with uncontrollable mood fluctuations, unpredictable energy levels and unpleasant medication side effects? Treatment options failing you?

Bipolar is a complex disorder. The medical model offers some assistance with various medications, but it often falls short of providing lasting relief. In order to survive and thrive in daily life, it is essential that a treatment is integrative and holistic, taking the entire person and their unique story, symptoms, strengths, needs and desires into account.

I help people establish and maintain healthy, positive lifestyles, manage symptoms and concerns as well as facilitate a deeper knowledge of the Self. ‘Lifestyle’ factors are far more important than they are often given credit for. Diet, exercise, sleep, mindset, daily structure and relationships are some examples of lifestyle factors that influence the progression of the disorder and maintenance of wellness.

Practical and experienced, empathic assistance is greatly beneficial for establishing and helping maintain positive lifestyle factors, managing symptoms and medical/non-medical treatment options, providing accountability, reality-checking and validation.

Along with receiving practical advice and lifestyle assistance (where necessary), my clients embark on a process of deeper engagement with the Self, wherein we utilise verbal dialogue and creative, symbolic work. It is a process of meaning-making. Together, we will trace your self-story (sometimes called a personal mythology), which is a meaningful, individualised life-narrative based on your particular experiences, beliefs, personal symbols and meaning-making process . We map this purposeful, unique and continuous self-story onto your current experiences and defining beliefs, as well as connecting the story with larger, archetypal (or universal) psychological and spiritual patterns. This provides us with a mythological or spiritual heritage, so to speak.

Essentially, this process elevates the struggle (depression, mania, psychosis, broken relationships, internal battles, self-harm, addiction, shame, intrusive thoughts etc.) and affirms the Self and it’s various, oft-unrecognised accomplishments.

You can discover meaning, transformation and different perspectives, behaviour change and a sense of your connectedness to a larger pattern or story. You can rediscover ownership of your experiences, your life narrative and the direction you choose to go. You can find hope and confidence for facing the future, or even the present.

Any teens or adults can engage in this process, no matter the current mood state.

Bipolar disorder is associated with a relatively high prevalence of suicide and should be taken very seriously. Besides the risk of suicide, the impact that various mood states can have on an individual’s relationships, commitments and self-worth may also be devastating. However, in spite of, or perhaps because of extreme mood states, individual’s have an unusually great opportunity for self-mastery, connection, creativity, awareness and self-knowledge, which in turn radiate outward in relationships and affect the world in positive ripples.

The message is this: despite how bipolar disorder may leave one feeling, there is realistic and attainable hope for balance, positivity, health and meaningful living. Accessing this knowledge is admittedly extremely difficult at times and experienced, empathic support can be invaluable to gaining greater traction on one’s life or maintaining wellness.

For more information on Bipolar Support, please click here.

~ Melissa McWalter Ellse, HPCSA registered arts therapist (AT 0001350)