Elaine Kindle

Dolly & the Donuts

Dolly and the Donuts

  I was in graduate school at USC.  Year one was over.  I needed to work a full- time summer job, not just the part-time one I had in L.A.   I got a job in a Casino dealing 21 in my old neighborhood in Reno, and fortunately, David and Dolly, friends who lived there, offered me to stay with them that summer.  Within days, I noticed that David, a 6’ foot guy who dressed in worn jeans, boots, and a plaid shirt, loudly nagged Dolly on a daily basis to lose weight.  Dolly was a 5’2”, plump red-head, with a gentle heart.     I, also guilty of too many pounds, suggested we go to Weight Watchers together.   First week, Dolly lost five pounds to my two.  Good start, but not noticeable.  Second week, she lost another five pounds.  Third week, after her triple win, at 15 pounds less, she was starting to look good.  By the fourth week, her transformation was amazing.  She put on some makeup, shed her granny dress, and we went out to lunch to celebrate, testing our newly learned skills at choosing the right foods.  The next morning, guess what happened… David brought home donuts: Irresistible fragrant donuts, with sugar and cinnamon, and chocolate.  Lemon- filled donuts, raspberry- filled donuts.  I love donuts.  If I eat one, I will eat six.  Dolly shared my passion.  The fragrant smell got to us.  We dove in. She more enthusiastically than I.  It didn’t take long till she was right back where we started.  I tucked that memory away, and slowly, as time went by and I, now graduated, worked with couples, saw the same behavior as David’s pop up on a regular basis.  It looked something like this: nag, bully, intimidate the partner to change.  When the partner finally starts to change, guess what?   The nagger can’t handle it.  That was perplexing to me at first.  But it’s not really difficult to understand.  After all, the dynamics between the two had shifted.  Just like with David and Dolly.  David knew how to handle Dolly.  Overweight, she had lost a lot of her self-esteem, and gradually had settled into the role as a giving mother and wife.  She dressed in a baggy grandma dress, no make-up, barely combed her hair.  Cleaned her house, cooked the meals, dealt with the children, helped at Church.  A model 50s housewife.  But the 50s were long past.  Thinner, she had more energy; she looked better, younger.  She had changed out of her grandma dress, put on some makeup, combed her hair.  Overweight she was no threat to David.  She was compliant, lacking pride in herself.  David didn’t need to worry that another guy might look at her.  He was free to nag at her without fear of objection.  David was threatened.  The donuts were his weapon of “change-back-to-what-you-were so I can control you…  So I can control my own insecurity.” I was stunned.  And I did what I do when I observe life.  I tucked the memory away in my brain for a later date.  When I saw the pattern emerge over and again, with other couples, I understood that our desire for change also brings up fear that comes with that change.  We who want the change, find ourselves unsettled with the new set of behaviors.  We no longer know what to do, we no longer know how to feel secure in the situation. And so we need to undo the very change we have set out to get.   This happens over and over, not just in couples, but in our own individual lives as well.  As much as we are distressed by some circumstances, we don’t realize that we have adjusted to the very circumstances we don’t like, we have adapted to them, and change rocks that boat that has settled itself on bumpy, if not quite stormy, waters. Looking back, both David and Dolly didn’t know how to handle the change.  He bought the donuts; she gobbled them up.   Awareness of these dynamics are a major first step to change.  Change takes time, but we adapt.  Just think about the Pandemic.  All of us were anxious, fearful, didn’t know what to do, didn’t know how to navigate life.  And then we adjusted.  Some more; some less.  The Pandemic finally lifted enough, and many of us expressed reluctance to go back to our old way of doing things, including work, school, other interactive exchanges.  We see we are adaptable to circumstances.  We can make changes.  They are uncomfortable, often fearful, but in the end, we find a way.  Survival depends on it.  And life is about more than survival. It is about mutual love, companionship, growth… Relationship changes take a while.  We need to know that change is uncomfortable for us, even when it is seemingly, in the case of David and Dolly, for the better.  And when we go with it, in the end, we grow from the experience. Even in the face of adversity, we adapt and grow.  We improve our lives. We really don’t need to bring home the donuts…. We don’t need to gobble them up. Learn More About Dr. Kindle Connect with Dr. Kindle

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Courageous Tears

Courageous Tears

By Dr. Elaine Kindle A young and highly skilled nurse recently was talking with me about her level of exhaustion and how she, herself, got Covid from her hospital workplace.  I know her to be an extremely strong woman, highly motivated, fiercely committed to her profession.  Yet, this strong, courageous woman, cried through most of her session. With her permission, I am sharing some of what she said to encourage you, who likely are experiencing your own Covid burnout, to redouble your efforts.  And I listen to what she said and take it to heart myself:  “On New Year’s Eve I quarantined alone in my room.   It was depressing:  I heard all the fireworks and parties going on… People get tested a few days before and then go to a party. They think they are safe.  They are not…. You could get it the next day; you could get it from workers swabbing you! …. You can get it from food workers who go to work with Covid and don’t tell their boss and then touch the food they serve you… I try to take care of myself. To keep safe.   It makes me so mad working night and day, why should I care for someone who hasn’t cared for me? I do everything I can to prevent a code, [yet] I heard 3 codes in a 12- hour period.   It’s getting worse and worse and will continue to get worse …. The staff is exhausted; we are short staffed.  I’m a tough nurse but I drive home from work crying because I’m so tired.  Sometimes I park, sobbing. I pull myself together before I walk into the house.  My mother asks how the day went and I say, ‘Fine.’” This is the plight of our health care workers.  It’s one thing to be careful and still get Covid, but another to go out into social gatherings, or to be careless:     I did not tell her than another of my client’s mothers had just died at that very hospital, nor that another client does not expect either of her parent’s to make it out of the hospital… nor of the single working mother who shared, “All of us got Covid, me and my five kids.”  Hearing her tears, her exhaustion, I asked her, “Do you need time off?”  She paused and said, “No…my team needs me more.”    She is indeed a strong, courageous, committed woman.  Covid is real, it does not discriminate, it does not care if you are drinking at a bar or praying at your Church.  It is an “equal opportunity” killer. As much as we would like to think, it’s not over, it’s not close to over.  Please everyone, look out for our nurses and our doctors; look out for one another.  Let’s work together so we can beat Covid in 2021.  Dr. Elaine Kindle

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Techniques & Treatments to Cope with Anxiety

Techniques & Treatments to Cope with Anxiety

Some people can learn to handle anxiety by using basic techniques. People with anxiety disorders may need addition help through medication and/or therapy. Basic Techniques The following techniques prove useful for many situations related to anxiety, such as stress and anger. Since self-esteem affects and is affected by everything we do, these techniques also help to improve positive self-esteem. Act “As If” Acting “as if” we are not nervous may sound like some sort of strange technique. Yet, this technique has been well-grounded in psychological theory. Our bodies-minds-spirits are interconnected and have the ability to help (or hinder) each other. If we stand tall, walk confidently, speech with assurance, these body movements can help to alter the mind/spirit. Remember the 1950’s movie “The King and I” about Anna and the King of Siam? In one scene, Anna is afraid when her ship arrives in Siam and in response, stands up tall, holds her head high, and begins to whistle the song, “Whenever I feel afraid I hold my head erect and whistle a happy tune and no one ever knows I’m afraid…” In this scene, we get an idea of “acting-as-if” behavior. Assertiveness training Many times we become anxious because we don’t know how to respond to a difficult person. Our anxiety can also develop into anger. Learning even a few assertiveness techniques can help us stand up for ourselves more effectively, and more appropriately. Assertiveness training needs to include practice with tone of voice since the tone will carry the weight of the message, and either work for or against us. Breathing Deep breathing helps the body to calm itself down. One simple exercise is to take three deep breaths in through the nose, hold each for a moment, and then exhale through the mouth. When we take in these deep breaths, we need to try to “stretch” the breathing. That is, when we think we have taken in all the air we can, we need to try to take in a little more. Chances are, we can. We do the same when exhaling. When we think we have exhaled all the air from our lungs, we need to try to exhale a little more. When we are anxious, we can exhale the air sharply, rather than slowly. This helps us to release tension. Distractions When we are anxious, getting upset with ourselves over that fact only serves to exacerbate the anxiety. For example, if we have difficulty sleeping at night, we often find ourselves “stewing” over our inability to get to sleep. Using simple distractions can help to calm the anxiety. Turn on the TV and watch an old movie. Read a book. In reading a book, it helps to chose one that helps to make us sleepy. Other books that are helpful are motivational books that inspire and uplift us and give us hope that the future will be better. Exercise Moderate exercise helps us calm our anxiety or relieve stress. All of us know that exercise helps the brain to release much needed serotonin which is the brain’s natural opiate. However, over doing exercising can stress our bodies and damage body parts over time. Walking remains one of the safest and most effective and inexpensive ways to exercise. We do not need special equipment or need to pay dues to a health club, or to buy certain clothes other than decent walking shoes. Dancing is another method we can use. Dancing around the house or yard releases tension. If we have access to a pool, swimming is a great way to relieve stress and anxiety because it exercises all the body muscle groups. Meditation Meditation is an age-old method of helping people to find inner peace and harmony. Meditation may be associated with prayer, or simply focusing on an object or thought. Music Remember the old saying, “music soothes the savage beast” or the phrase “mood music”? When we are stressed, anxious, even angry, music can help to calm the “beast” in us. Music written in 4/4 time with 16 beats to the measure is rhythmic, hypnotic, and can help us relax. Examples of such music is Baroque or Gregorian chant. Nutrition What we eat affects us in our brains as well as our bodies. Too much fat makes us fat. There are some food groups that energize us such as fruits and vegetable, and other foods that help relax us such as complex carbohydrates. Processed sugar and alcohol may help us feel good for the moment but can interfere with our mood and increase tension, stress, anxiety, and anger. The “quick picker-uppers” tend to follow the principle: what goes up, comes down. Quickly. Positive support systems People affect our lives either positively or negatively. This brings to mind the Fifth Commandment. Our spirits can be killed by being around negative persons. Sometimes we need to do “housecleaning” and eliminate those who drag us down. Many times this is not so easy to do because the persons involved are spouses, or bosses. When this is the case, it becomes more necessary than ever to seek out others who are positive-minded and who can help offset the emotional distress created by being around negative, unsupportive people. We need to understand that being around negative people, regardless of the reason, limits growth and well-being. Prayer Prayer is a powerful force. Prayer can take the form of a conversation with our Higher Power or God, or can be based on pre-written prayers, such as the Lord’s Prayer, or the Serenity Prayer. When we pray, we remind ourselves that we are not alone, and that there is another force beyond us that can assist us in improving our lives. Relaxation All of us need to take time to relax. What is relaxation for one person may be nerve-wracking for another. Some people relax by taking a long bath; others relax by taking a hike. Relaxation is a personal choice. The point is, all of us need to take a

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Understanding & Coping with Anxiety

Understanding & Coping with Your Anxiety

  Sara (These stories are based on actual people. A few facts have been changed to protect their anonymity.) breathed in the cool fresh air. Her car smoothed along the open corridors of Highway 395. White yellow early morning sunlight poured through open windows. She felt the serenity and peacefulness of this wondrous break of day. She noticed how the sky sat like an upside-down blue bowl seeming to encapsulate the mountainous landscape. She heard the birds’ songs bounce from the trees, reverberating and intensifying their orchestral warmup. She relaxed behind the wheel, as she drove back to school after her Spring break in the Sierras. It was good to have time alone. She hoped that this, the last and final semester of graduate school, would pass quickly. Suddenly, out-of-nowhere,she felt “It”. Tingling slowly began in her left fingertips. She shook her hand and continued to drive. But the tingling persisted, and crawled, like a spider, from her wrist, up her arm, onto her neck and into the left side of her face. Sara’s heart raced. She never experienced anything like it before. She prided herself on her good health, especially since all the adults in her family had had heart attacks or strokes. “Oh my God, I’m having a stroke. Here I am miles from home and civilization, all alone. No one will find me. I won’t be able to finish school; there goes my dream of a Master’s, a good job. I’ll be dead or deformed…” Panicked,she pulled off the highway into a rest area. “What should I do? Who can help me? What if no one is around?What if I ask someone and I end up getting robbed?” By now, Sara’s entire left arm and face were numb.She stopped the car and just sat there, chest pounding, feeling lightheaded and more scared than she could ever remember. She breathed deeply, trying to calm herself. And then, slowly she noticed the numbness started to disappear.Checking herself, she moved her hand across her face, prodding and poking, then down her left arm squeezing it from top to bottom. It had sensation. Then she shook her left hand and rubbed her fingers together. The numbness was gone. Shaken, she carefully continued the drive home. She didn’t know what happened to her, and tried to put it out of her mind. Years later, following similar instances, Sara would begin to understand what had taken place,that she had had a Panic Attack. But for now, the journey was frightening. Sara’s story is real. She is one of the millions of Americans who experience anxiety.Statistics state that 20 – 37 million Americans suffer from anxiety of some type. The estimate of 20 million means that 1 in 9 people have some problem with anxiety! Not everyone who experiences symptoms of anxiety has a panic attack, nor even an anxiety disorder. Anxiety,in and of itself, is a normal emotion. All of us have had times when we feel anxious. Sometimes the anxiety may even be helpful to us by prodding us to complete some task. Excess and intense anxiety over time, however,creates a problem. It throws us off balance, disrupts our lives, and creates chaos, or a lack of order. It is this excessive anxiety that defines anxiety disorders as outlined in the current manual mental health professionals use, known as the DSM- V. On the other hand, persons like Sara who have panic attacks can develop panic disorder. Sara’s symptoms were intense and seemed to come out-of-the-blue. She didn’t know it, but she had had a panic attack. Her symptoms included heart palpitations, sweating, numbness and tingling in her extremities,light headedness, trembling and fear of dying. What is anxiety? In its simplest definition, anxiety is “worry or uneasiness about what may happen,” or “a tense emotional state”. However, all of us experience some anxiety. Some anxiety is part of our everyday lives,and at times may even help us to accomplish tasks. However, too much anxiety, intensely felt over time is a problem.Anxiety affects our whole beings – body, mind, spirit. It affects us physiologically & behaviorally,psychologically, and spiritually. Physiologically: physical symptoms may include: tension, sweating, heart palpitations, increased heart rate, dry mouth, stomach/gastrointestinal distress. Behaviorally: anxiety can sabotage our actions, affect our speech, or even our memory. Psychologically & spiritually: we feel apprehensive, distressed, we may fear we are going crazy. We may even feel some amount of detachment, or think we’re going to die. How does Anxiety differ from Stress? Hans Seyle, the father of stress research, says stress occurs when “our body responds to a demand in a nonspecific way”. What does that mean? Simply put, when we experience any stressor, our bodies’ balance/equilibrium gets shaken up and we react. Something can happen, and we respond to it. The response may or may not have anxiety attached to it. For example, Ron, a fire fighter, worked on the team putting out major brush fires. His body became tired during his long hours on the line, but he did not feel emotionally anxious. On the other hand, cumulative stress over time can lead to the development of an anxiety disorder. Learn More About Dr. Kindle Connect wiht Dr. Kindle

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Cognitive Behavioral Therapy How it changed my life forever

Cognitive Behavioral Therapy How it changed my life forever

“There is no good or bad, but thinking makes it so.” Shakespeare’s Hamlet When I was a student at USC School of Social Work our Freudian based psychodynamic orientation was eye opening and informative. It was fun to be able to conceptualize a person’s life and problems within that framework. But I was not quite sure what to do with it when faced with a real live person sitting in front of me pouring out her story. A couple years later, while at work, a flyer was circulated. I don’t remember what it said. Something to the effect that “Aaron T. Beck, M.D., will be speaking about Cognitive Therapy, a new form of therapy with positive results.” And on top of that, that presentation was a few blocks from my work. It was meant to be. The room at the Ambassador Hotel in L.A. was packed full of clinicians. I settled into a chair in the back of the room. Aaron Beck stepped on stage and introduced his co-speaker, Christine Padesky, Ph.D., a young woman and protégé he had met while at UCLA. My life was about to change forever. And so would my clients lives change with it. The premise of CBT is so simple, and yet, back then, so revolutionary. In it’s simplest and easiest form, CBT states that the way we think (about ourselves, others, our future, the world) affects the way we feel and the way we feel affects the way we behave and interact with one another. Problem is, we don’t know the depths of our thoughts but they have an effect on us regardless. We continually feel them and act on them. Problem is, many of our thoughts are just simply wrong. So, if I think I am incapable of learning math, I may feel anxious whenever the teacher presents a math problem. I freeze. My brain shuts down. I cannot learn math. The teacher reacts (usually negatively) and focuses on the smart kids. So now, I really don’t learn math. My thoughts are reinforced. And I truly become dumb at math. That, by the way, is a real live example from my life. Girls, back in the day, were thought to be rather incapable of learning math like the boys, and anyway, it really wasn’t needed, except, as my third grade teacher said, “To be able to make kitchen curtains.” Back then, at age 8, I already knew there was no way on earth I wanted to sew kitchen curtains. Somehow, the idea was insulting. And no, I still don’t sew, and forget math! We develop our lives according to our beliefs about ourselves. Fact is, I probably could have been competent at math. If I had been taught to correct that thinking, my math skills would have improved. The light bulb in my brain went on that day that Aaron Beck spoke. After that, Christine Padesky offered a year-long training course about CBT, but alas, only to PhDs. At that time, I had my LCSW. The following year, however, she opened it to Masters’ Level clinicians and I signed up to attend. We were so fortunate that Aaron Beck himself was able to teach us when he was in town. See the picture of the group of us smiling away on the last day of that life-changing course. Learn More About Dr. Kindle Connect with Dr Kindle

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