Accidents Happen to All of Us

At the age of ten I was in a fairly bad car accident. It left me with a broken nose and severe whiplash. By age twelve I was beginning to complain about neck and pack pains and by fourteen the feelings were daily. Throughout high school it was not uncommon to hear me complaining about my neck and back or constantly pulling and adjusting at my shoulders. At that time, however, it did not keep me from doing the things I loved to do, such as sewing, dance, and other physical activities. My homelife was also stressful at that time and days where pain flareups were worse, I often did little to nothing. Of course, doing little to nothing can be common in teenage years, but the constant pain on top of stress could drain the energy from me and leave me with no reserves for basic functions. 

I married and had kids young and the stress of this also made for difficulties in managing my pain. By the age of twenty-five and a couple more car accidents, I had finally had enough and sought more intensive treatment. I was given shots, pills, and physical therapy. All of which provided temporary relief (except perhaps the agonizing and daily requirements of physical therapy which took a long time to see lasting results from), and I was never one to want to be dependent on pills. I needed to reevaluate everything.

The Problem

Experiencing chronic pain can impact not only your daily functioning, but your mental health. Pain can have a significant impact on all areas of our lives from sleep to eating to even thinking straight. The populations with the highest rates of suicide deaths are those cited as nearly one in ten having had signs of chronic pain. Pain can affect the way we sleep and our quality of sleep, making our ability to eat and tolerate stress and frustration impossible, as well as decrease focus/concentration-related accidents. Sleep is arguably one of the most important basic functions we can do as humans. Our mental health is directly affected when we are negatively impacted by constant and persistent pain, creating a level of emotional hostility when we are preoccupied with managing even mild rates of discomfort. We become less friendly, experience less happiness, basic functional impairment (as discussed above), and increase our production of the stress hormone cortisol.

While there is a physiological and medical cause for a lot of chronic pain, it is important to critically evaluate your lifestyle and the way we interact with ourselves. While our mental state and emotional health may not always be a cause of pain, it is something well documented to have somatic implications on our physical health.

Why This Matters

Chronic pain and its emotional effects it can have in our lives can hinder our self-esteem, self-efficacy, and our relationships with others. This is important because we rely on the emotional (and sometimes physical) support of others. It can feel hard to tolerate being an emotional support for others when you feel constant agony within yourself. It can fuel undo resentment that is difficult to rationalize. It can cause us to be short-tempered, snarky, snappy, or completely unresponsive. Chronic pain can damage relationships as much as it can damage our self-worth and self-esteem. 

The presence of chronic pain can create and worsen our perception and interaction with others and the world by depriving us of basic needs as well as emotional wellbeing.

The types of chronic pain we all can deal with will vary from person to person and natural temperament plays an important role too. Our support system is another big factor which is why pushing people away for what we cannot control is the last thing we want to do! We may not be able to control how we feel at any given moment, but we always have control over our behaviors and the words we choose to express our pains and frustrations.

What Can We Do?

While the idea of managing chronic pain with no end in sight can be daunting as well as devastating, it is important to have a team behind you. This is your care team of professionals, such as doctors and therapists, as well as your support team such as friends and family. If pain management has minimal effects on comfort, such as those suffering with fibromyalgia or other painful conditions, having a solid care routine is crucial. Follow your medical doctor’s recommendations and advice religiously. 

You can also get emotional and mental support from mental health therapists that can teach you coping skills such as cognitive behavioral therapy, mindfulness therapy, somatic anchoring techniques, and exploring commitment and radical, unconditional acceptance. With support it can become easier to express your immediate needs, your limitations, and how others can best help you when you most need it. Through evaluation and inner awareness you can assess where your lifestyle can improve your quality of life as well as emotional factors playing into the worsening of symptoms.

It is important to remember we are sometimes overtaken by our intense pain, both physically and emotionally, that it is easy to overlook the good and where we can improve our own environment to support healthy functions.

Next Steps

What can we do next? Start with seeking support for emotional wellness and mental fortitude while you battle a force beyond your control. Seek someone who can help guide you through the mourning process and feelings of loss that chronic pain causes. Practice patience for yourself through this acceptance process on days you cannot do as much as you did yesterday. Use mindfulness exercises that help you through this acceptance process, but also allow yourself to experience positive moments throughout your day. While pain is experienced in the body, it is perceived only in the brain. A trained cognitive behavioral therapist can help put the experience of your pain into context and better understanding of your body. Your next steps may be daunting, but you do not have to endure it alone. Call me I understand you pain.

The Meaning of Life: Less Intimidating Than It Sounds

What’s the point?

For many of us, pandemic life has thrown more than just our daily routines into chaos. It’s shown us pain, loss, and suffering on a global scale – and for most of us, this is different from anything we’ve experienced before now. When we’re surrounded by so much uncertainty,

it’s easy to wonder what the point of it all is.

Ultimately, we can’t prevent all bad things from happening to us, and we can’t avoid pain and loss forever. But experiencing terrible things feels… well, terrible. So, if part of the human experience is accepting the reality of pain and loss, what’s an ordinary human to do about it? How can we find a sense of purpose or meaning in the midst of a pandemic, war, political unrest, chronic illness, or anything else we might face in life?

Defining “Meaning”

The difficult thing about “meaning” is that it can’t easily be quantified – we can’t see it or measure it, so how do we know when our lives have it? Maybe more importantly, what IS the meaning of life and where do we find it?

There really isn’t any “one size fits all” answer to that question for everyone. But don’t let that discourage you – from an Existential-Humanistic theoretical approach, that lack of a concrete answer means that we each have the freedom and capability to determine what makes our lives meaningful, and then take our own steps to attain it. From this philosophical standpoint, life’s meaning can look different for each of us. 

Perhaps the best question to ask isn’t, “What’s the meaning of life?” but rather,

 “What’s the meaning of MY life?”

From an Existential viewpoint, the bad things that happen to us are constant reminders of our own limits and eventual mortality.

This means that it’s up to us to be responsible for creating meaningful lives and making each day count to the fullest.

 The Humanistic viewpoint is that people are generally good, with the free will to make the best choices, and the potential for self-improvement. When combined together, these philosophies can help create an approach that motivates us to become our best selves, and tap into our personal power for growth and interconnectedness.

Identifying Values and Goals

If you want to take a deeper look at your life and start creating your own meaning, where should you begin? 

There are a couple of brainstorming approaches you can take. First, start thinking about where the most important things in your life come from. Are they extrinsic, coming from outside influences? Or are they intrinsic, coming from within yourself? 

Next, write a list of your most deeply held values – including those important things you already brainstormed about. You can get really abstract with this – remember, there is no right or wrong answer. 

Think about what brings you joy, what ideas or morals you believe are worth fighting for, and ultimately what makes your life worth living from one day to the next.

Finally, think about what you would like to accomplish in your life. Make a list of these “bucket list” goals.

What did you come up with? You might have written down things like raising children, helping others, or your career. Did you write about your passion for a particular cause? Do you have a goal to contribute to society and connect with others in a specific way? Maybe you want to support an organization for animal rights, perform community service with a marginalized population, or promote awareness for research to cure an illness that has impacted your life.

Don’t forget your own personal development, as well. When you wrote your lists, did you include friendships, partner relationships, and family bonds? What about things like hobbies, education, or physical well-being? Making healthy choices for yourself are an important part of the personal growth process that will help you form connections with the world around you and interpret it in meaningful ways. 

Further Framework

Viktor Frankl wrote Man’s Search for Meaning in 1946 after his experiences as a prisoner in Nazi concentration camps. He developed a therapeutic method for individuals to find purpose and meaning in life, and part of his method was to identify three values that he felt were the core of that meaning. Frankl’s three life values are:

Creative Value: What we create or accomplish is the gift we give to the world around us.

Experiential Value: What we receive from the world through our experiences and encounters.

Attitudinal Value: The attitudes we choose to have about bad situations that we cannot control.

Frankl believed that we can create our own meaning by giving something back to the world, by experiencing love for others, and by acknowledging our pain and loss, yet choosing to persevere even when things are difficult. Are Frankl’s life values part of the lists you wrote? 

Dr. Paul Wong also built on Frankl’s ideas to create his PURE model to help individuals find their life’s purpose and meaning. You can use it as an additional guideline to take a closer look at the way you live in relation to your values and goals. PURE stands for:

Purpose: Your life goals and what you want to accomplish.

Understanding: Yourself, the situations around you, and your life as a whole.

Responsible action: Doing the right thing, in line with your personal values.

Enjoyment and Evaluation: The happiness that comes from living your authentic purpose, and regularly checking in with yourself to make sure that you are on the right path.

Dr. Wong also adheres to several specific sources of meaning, such as achievement, self-transcendence, relationships, intimacy, and fairness. These sources can serve as the building blocks that you can use to apply the ideas in the PURE model to your own life. Did you write any of Dr. Wong’s sources on your lists?

Next Steps

Now that you have an outline to use as a starting point, get creative! Reach out and see what your community has to offer, learn new skills, choose habits that will cultivate your well-being, and foster new connections with those around you. Remember that the goal isn’t to avoid all of the pain and loss that comes with the human experience, but for each of us to live an authentic life according to our values, and to find our own meaning in the process.

Additional sources:

Center for Substance Abuse Treatment. Brief Interventions and Brief Therapies for Substance Abuse. Rockville (MD): Substance Abuse and Mental Health Services Administration (US); 1999. (Treatment Improvement Protocol (TIP) Series, No. 34.) Chapter 6 --Brief Humanistic and Existential Therapies. Available from: https://www.ncbi.nlm.nih.gov/books/NBK64939/

Frankl, V. E. (1984). Man's search for meaning: An introduction to logotherapy. New York: Simon & Schuster.

Wong, Paul. (2011). Positive Psychology 2.0: Towards a Balanced Interactive Model of the Good Life. Canadian Psychology/Psychologie canadienne. 52. 69-81. 10.1037/a0022511.

If you need more help with your life’s meaning give CCS Education and Wellness a call and I will be happy to work with you.

~Marika Lopez, Student Therapist