My therapy sessions with my patients have grown heavy once again — especially for my patients that work in healthcare.

Day after day they share, with tear filled eyes, their overwhelming fatigue. They stare blankly ahead at the telehealth screen as they describe lying awake night after night, too exhausted and overwhelmed to find sleep.

Each patient and their story is different but the common theme is the same — burnout.

Complete and total burnout.

So many question their career choice — for many of them have felt failed by their employers.

So many question their own humanity — for they now dread going to work and being around people.

So many question their future — for the passion that they once felt for their work is now nowhere to be found.

Like so many of us they are crawling, bruised and broken, toward some nebulous finish line on the horizon.

Sometimes as we near the end of a session, they will stop me and ask me if I am doing ok.

“How are YOU managing it all?”

They are caregivers by nature and struggle to keep the focus on themselves-even during their own therapy session.

But I think they are mostly looking for signs of hope.

Hope is what is missing most now.

Hope is what is needed most now.

In times of great sorrow, loss, and tragedy it is hope that keeps us tethered to our life and to each other.

Hope that something and someone can be consistent.

Hope for brighter days.

Hope for rest.

Hope for passions to be reborn.

Hope to enjoy the world again.

Hope to make it to tomorrow.

As you crawl toward the finish line right now, find hope.

Find it anywhere you can.

And hold onto it.

Sometimes you will be too much for people.
Sometimes you won’t be enough.

Sometimes they will find you too sensitive
Sometimes they’ll say you are too insensitive.

Sometimes you will make decisions that hurt others.
Sometimes the decisions of others will hurt you.

Sometimes you will be lonely.
Sometimes you will wish for solitude.

Sometimes you will feel like all eyes are on you.
Sometimes you will feel invisible.

Sometimes the people you need to cheer you on won’t be there.
Sometimes people around you will shout things that aren’t true.

Sometimes you will feel too focused on a goal.
Sometimes you will feel lost and directionless.

Sometimes you will lie awake at night unable to find sleep.
Sometimes you will crawl under the covers, afraid to face the world.

Sometimes.
Not all the time.

Sometimes you will feel valued, seen, and appreciated, despite your flawed parts.

Sometimes you will find your confidence, support, and direction.

Sometimes you will be at peace and rest easily at night.

Through all the sometimes, there will be constants to hold on to.

You matter.
Your life has meaning.
You are not alone.
Tomorrow is always a new day.

Sometimes you just need to hold on.

Sometimes the darkness sets in.

Like many people right now, I am emotionally spent.

Empty.

Exhausted.

Broken.

My thoughts are cloudy.

My creativity is stunted.

My attention span is non existent.

The arguing and tension and constant back and forth of the past week has completely drained me.

The anger, hatred, mistrust, and insults have deflated my hope.

I could feel the darkness coming this time and I tried hard to make it stop.

I decorated my house for the holidays to usher in some cheer.

I rearranged my living room to give a refresh to my surroundings.

I limited social media.

I firmed up my boundaries with people that drain me.

I spent time being with and talking to people I love.

I clung to anything that felt remotely like hope.

But the darkness still came.

I opened my eye this morning and felt it - the crushing weight of depression and anxiety. The air was thick with it.

So, I stopped fighting it.

This morning I let the tears come. I moved some of my “to do” items to later this week. I gave myself permission to be gentle with myself. I leaned in to the things I can control.

Although I feel the weight of the darkness, I will show up today for the people who need me.

I will be kind to myself.

I will keep looking for signs of hope and cling to them tightly.

I will continue to try to spread lightness, even in times of darkness.

I will celebrate the little things.

For those of you feeling it all too, remember that you are not alone.

This hard time will pass.

Brighter days are ahead.

They have to be.

Today my laptop crashed.


In the middle of my workday, with 27 tabs open as I balanced insurance billing, reviewed new client documents, read emails from my children’s teachers, and did some online shopping before my Kohls cash expires, my laptop was like “Nah. Peace out. I’m done.”

I have never identified more with a machine than I did in that moment.

It reached its limit. It simply had too many internet tabs, excel documents, word documents, sticky notes, and programs running all at once.

It just couldn’t do it anymore.

How many of you can relate? How many of you, right now, are at the end of your rope? How many of you feel like you can’t do it anymore either.

My laptop and I are right there with you!

As I sat staring at the screen, unable to engage the mouse, or the escape button, or any reset tricks, I realized that I had no choice. I had to force my laptop to reset.

As I pushed the power button, sending the laptop into its power down mode, I felt a twinge of jealousy. How lovely would it be to power down right now? How nice would it be for someone to walk in and say to me: “You need to reset. I’m shutting everything down for you and giving you a chance to catch your breath and restart.”

I’m quite sure a lot of you can relate. As a psychotherapist, I get to have some insight of how people, in general, are doing. You know what, the pulse check right now is pretty concerning. People’s lives are filled with stress, anxiety, depression, and hopelessness right now. So many people have a million tabs open at a time and are completely overloading their operating systems, at risk of crashing at any minute.

Don’t be like my laptop. Don’t wait until you have no choice but to shut down.

Take a break now.

Close some of your open tabs.

Schedule a reboot.

Give yourself a break.

Recognize that we all need a break and if you don’t schedule one for yourself, eventually you will just get stuck and need a forced reset — probably in the middle of some important project or at the worst time possible.

​Take a few minutes, maybe right now, but at least soon, to figure out how to prevent your own crash.

Silence.

It’s hard to find these days.

I don’t think it’s been here for over 6 months.

Between the kids and 2 parents working from home and 3 noisy dogs and 2 cats (or 4 dogs and 1 cat if you count the cat that thinks she is a dog), this house is very loud.

Silence here is simply not a thing.

Sometimes I can sneak away and soak in the bathtub while the bathroom fan drowns out the noise of dogs barking, video games being shouted at, pianos being played, cats knocking stuff off tables, and dishes being washed.

In those moments, I can almost hear silence.

But tonight I found silence that I didn’t know I was missing.

After my oldest and I ate dinner, he left the kitchen to take a shower. My youngest and my husband were out running an errand. The dogs were sleeping peacefully with their recently full bellies. I have no idea where the cats were but they were quiet.

Work was done.

TVs and radios were off.

The street was empty.

All I could hear was the gentle humming of the ice machine and the soft snores of the dogs.
Rather than getting up to do the dishes or flip over the laundry or sort the mail or prep backpacks for tomorrow, I sat.

I took in the silence.

I breathed in the silence, allowing myself to be fully present for the first time all week.

I felt the chair legs beneath my feet (because I’m short).

I felt the smoothness of the kitchen island built by my family during the height of quarantine.

I felt the air fill my allergy-induced asthma lungs and took my first full deep breath all day.

I felt my mind wander but I brought it back each time to focus on my breathing and the sounds of the silence.

I sat fully present in that moment for as long as it lasted.

Gradually the silence was filled. The ice machine dumped its newly formed tray of ice. The shower turned on in the bathroom down the hall. A car pulled down the street, waking two dogs, causing one of them to bark and the other one to tip tap up and down the hallway, her way of asking to be let outside.

As I stood to do those dishes and flip over that laundry and sort that mail and pack those backpacks, I noticed a lightness inside.

The weight I had been carrying all week was lighter, somehow made less heavy just by being in the silence.

Then I remembered an important fact about me. Silence refuels me. It recharges me. It recenters me.

But silence is hard to find.

​Tonight I remember that I have to try harder to find it, even if I have to find it in some stolen moments at a kitchen island.

Online shopping and home delivery are two of my best friends in life. Need a last minute school supply and don't feel like sorting through half-empty bins at the local Target? Hop on Amazon.com and they can be at your door within 2 days. Need a gift for a party this weekend? Amazon will do that for you.  Need someone to ship toilet paper to you every month so that you never run out? Amazon can do that. 

You know what else Amazon is good for?  Helping you manage your stress and anxiety. Honestly. There are lots of products available on the Amazon website that can be useful tools to have in your anxiety management toolkit and below you can find 7 of my favorites. Some of these links are considered "affiliate links," meaning if you click through these links to make a purchase, I might earn a small commission. Keep in mind that I link these companies and these products because of their quality and not because of the commission I receive from your purchases. All of these are products that I have used personally or professionally and many have also been successfully used by my clients and colleagues. 

1. Weighted Blanket
Are you someone who likes a good hug or snuggling up under a warm blanket? Do you feel better when you can sit somewhere that makes you feel safe and secure? A weighted blanket provides all of those physical sensations. I first used weighted blankets over 25 years ago when I worked with children who had sensory processing difficulty. The blankets were heavier than your normal blanket and would help calm them and make them feel safe. I soon learned that they also worked for me, giving me an instant feeling of calmness even from holding the blanket on my lap. Today, weighted blankets are available in a variety of sizes from lap blankets to king size blankets and in a wide variety of weights. I promise you, a weighted blanket will quickly become your favorite item to turn to when feeling anxious and overwhelmed.

​2. Essential Oils
I use essential oils all the time in my home and in my office. (For more information on how I use essential oils, visit "Seven Ways to Use Essential Oils.") When it comes to anxiety relief, there are essential oil blends specifically formulated to reduce stress, improve relaxation, and help you to calm your mind. You can use some of these oils topically (mix them with a carrier oil first such as almond oil) or even ingested. I prefer to diffuse a few drops of them in an essential oil diffuser. Just a few drops will help to ease any stress and anxiety you or your family may be feeling and it will leave the air smelling fresh!

3. Workbooks and Journals
If you are self-motivated, workbooks and journals can be a great tool to use to help you gain insight into the root causes of your anxiety. You can set some time aside each morning or evening to review a section and complete some of the worksheets included. Although not a replacement for one on one counseling, workbooks and journals like the ones below can be an excellent way to help you start to gain control of your anxious feelings.

4. Zen Garden
If you have ever seen these tabletop Zen Gardens, you know how calming it can be to allow yourself to do nothing but rake the sand and lay out the decorative rocks. Adding one of these to your desk at work or to a tablespace at home will provide you with a daily reminder to slow down and breathe.
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5. At Home Fitness
One of the most effective ways to combat anxiety is to find a way to release some of the pent-up anxious energy. Exercise is a perfect way to do this. If you don't have time or the funds to go to a gym, there are lots of ways that you can work out right in your own home. Cardio has a lot of benefits when it comes to anxiety management so a simple home exercise machine like a rower or a stationary bike can be a good addition to your routine. You can get one delivered to your door for less than $120. That's a small price to pay for some anxiety relief.

6. Adult Coloring Books
There is something very calming and relaxing about coloring an intricately designed picture. I'm not talking about cartoon character coloring books like we had when we were young. These coloring book options for adults are meant to take some time and are even more enjoyable when done with a set of good quality thin tip markers or colored pencils. This is an activity you can do with others too. So, grab a few friends, put out some refreshments and get your coloring on! Watch as your anxiety starts to drift away.

7. Bath Bombs
You either are a bath person or you've never actually had a good bath. A nice hot bath at the end of a long day can be a great way to quiet your mind and increase your relaxation. Bath bombs can make the experience even more beneficial by adding some calming fragrance and skin softening properties to the water. Don't like bath bombs? Try bath salts or take a bubble bath. No matter how you prefer your bath, make some time to pause from your daily hustle to slow down and relax.

Wouldn't it be great to feel like you have a bit of a better handle on your anxiety? Can you imagine your life without the weight of anxiety always looming over it? Isn't it time to add to your anxiety management tool kit? Go ahead and invest in yourself!

So many people have fallen prisoner to the fast paced nature of our lives. We wake up and immediately rush head first into the day. Many of us don’t even have time to sit and eat our breakfast, opting instead for breakfast in the car or not at all. We field phone calls and texts on our way to work or while shuttling the kids to school, shout reminders at our phones, and consider it a luxury when we can take a quick break to use the restroom. The evening routine is much the same, especially for those of you with busy children. It’s a sprint to the finish line of the day, scrambling to get dinner tossed on a table, wrapping everything up for the day, and preparing to do it all the next day. Then our day comes to a screeching halt as we climb into bed and wonder why we can’t seem to be able to fall asleep.


Sound familiar?

Recently a patient came to me with her head hung in shame as she shared that she has been spending time exploring a new hobby. This new hobby isn’t taking any time away from her family or her responsibilities yet it seemed to her as it had no real value. It wasn’t earning her money. It wasn’t teaching her a new skill. It wasn’t helping anyone. It was just fun. And she felt guilty for having fun. For many of us, we’ve forgotten how to give ourselves permission to slow down, have fun, breathe, and enjoy life.

We need to change our perspective on priorities in life and it starts with our own lives. I challenge each of you to take some time and consider how you can implement at least a few of these 9 strategies for improving self-care:

1. Practice healthy sleep hygiene​How do you approach sleep each night? If you are like most people, you finish whatever tasks need to get done for the evening, brush your teeth, change your clothes, hop into bed and then pick up your phone or turn on the tv. I get the temptation. Scrolling mindlessly through social media or perusing blogs like this one can certainly help us to calm down and make us FEEL like we are preparing ourselves for bed. But, truthfully, these actions are examples of poor sleep hygiene. We don’t chomp on sugary candy while we are brushing our teeth, right? So, why are we activating our brains with electronics when we are trying to get ready for sleep?
Take stock of your bedroom. Could you add an essential oil diffuser, salt lamp, soft lighting via lower watt light bulbs or even flameless candles? How would some relaxing music make you feel at night? What about reading a book (a real book, or on a kindle — not a tablet with harsh lighting)? Think about how we approach bedtime for babies. We turn down the lights, soften our voices, turn on some white noise, darken the room and just make everything a bit cozier. What would happen if you did the same for your own sleep?

2. Nourish your bodyI know that you know what foods fuel your body well and what foods you eat because they are convenient and/or satisfy you emotionally. Can you make a commitment to increase your focus on nourishing your body in at least one concrete way? Can you make a concerted effort, for example, to increase your water intake or decrease your soda intake? How would it feel to cut back on your sugar consumption or limit your fast food trips? These changes don’t just happen magically. They need planning. I encourage you to pick one small goal to better nourish your body, write it down and figure out how to stick to it. After a week, check back in with yourself and see how you are feeling.

3. Get movingHere we are. We are at the part of the list where people start scoffing and scowling at their computers and phones. “If I HAD time to exercise, I wouldn’t NEED to be reading an article on how to improve my self-care!” I get that. I know how minimizing it can feel when someone tells you that if exercise is important to you, you’ll make time for it. I know that there are many of you out there who literally cannot find time or the funds to go to a gym or invest in workout equipment at home. I’m not one of those people that will try to shame you into making it work. What I will ask you though, is can you find 5–10 minutes a few times each week to go for a walk during your lunch break or in your neighborhood? What about while waiting for your children’s games or practices to start? Could you pop on a Zumba, yoga or dance video on YouTube or download an exercise app that will guide you through a quick routine a few nights each week? What would it take to get you to invest just 5–10 minutes in yourself, not to lose weight or burn calories, but just to get moving and give you a break from working and thinking?

4. Get some fresh airIf you want to be super efficient, you can combine tip #3 and tip #4 so that you are getting moving while outside and getting some fresh air ? Even if you are not moving while getting the fresh air, though, just the act of being outside for a few minutes can reap great rewards. Take a few moments to really breathe in the fresh air. What do you hear? What do you smell? What do you see? Is there a spot at your house or at work or in your neighborhood or outside a coffee shop where you could just sit for a few minutes? Extra challenge: don’t look at your phone while doing it. Just be.

5. Remember that “No.” is a complete sentenceWe are so quick to say no to ourselves. “No, I can’t take a break.” “No, I can’t buy that for myself.” “No, I can’t take that trip with my friends.” “No, I can’t upset my boss or my coworkers.” What would it take for you to give yourself permission to live by the rule that “No.” is a complete sentence? Are you saying yes to people because you feel like you have to? Consider saying no. You can even add filler to the sentence and even add and apology: “No, I’m truly sorry but I can’t.” I’ve seen this shift in thinking become monumental for people. The next time you are asked to do something that you really don’t want to do, think about whether you really NEED to do it. Is it truly worth it? If not, it’s ok to say “No.” You don’t need a “good enough” reason. What do you want to say “No.” to in your life right now?

6. Stop the negative self-talkI explore this concept a lot with my patients when I first meet them and they almost always deny that they do it. “No. I don’t do that. I don’t talk badly about myself.” But, then we get to talking and I start to hear things like “I’m so crazy.” “I don’t know why I do this to myself.” “Ugh. I was so stupid.” “I hate that I’m such a screw up.” Each time it happens, I encourage them to lean into it, to turn that inner negative voice up for a week and really listen for it — not to believe it but to understand where and when it comes into play. Most times, they are shocked to then find that they have a pretty constant loop of negative self-talk running through their heads almost everyday. The first step in stopping that loop is to identify it. Do you have one? Catch yourself next time you find yourself beating yourself up. Would you say something like that to a friend? Probably not. So, why is it ok to be so mean to yourself? Whenever you catch yourself doing it, counter that negative thought with a positive one. For example: “Ugh. I was so stupid. I can’t believe I did that!” can be countered with something like “Ugh. I really am feeling badly about what happened. I have to remember that I am a human and will never be perfect. I will do better next time.”

7. Start a gratitude or reflection journalWhen our heads hit the pillow each night, so often our brains start reminding us of all the things we did wrong or didn’t get done. A good way to dull this noise is to prevent it from even starting. At the end of the day, spend a few moments writing in a gratitude or reflection journal. This can be as fancy as a beautiful leather journal with handmade paper or as simple as a cocktail napkin with some scribbled notes or even a note on your phone. Use whatever method is easiest and most meaningful for you. Write down at least 3 things that you are grateful for and/or that you are proud of. Maybe you drank enough water today. Maybe you went on a walk with your kids. Maybe you put down your phone and sat outside with a cup of tea. Maybe you cleaned out a closet. Maybe you had fun with some great friends. Bringing our attention and focus to the positive can be such a healing way to end our day.

8. Play!​I’ve had the great honor of being present with people as they approach the end of their lives. Not a single one has ever told me that they wished they worked more, took less vacations, spent less time with the people that made them happy, or that they regretted the fun moments in their life. Not a single one. Yet, our priorities are so often around work and obligations, making other people money and other people happy. While I’m not at all encouraging you to quit your job or leave behind everyone relying on you, I am telling you that it is ok to give yourself permission to play. Have fun! What would be fun for you? Make it happen

​9. Schedule time for yourself and hold it sacredTake a look at your calendar. When can you squeeze in some time to get moving, get some fresh air, take a bubble bath, read a good book or just take a nap? Find it and book it. Pencil it into your own schedule. No, PEN it into your own schedule and hold it just as sacred as you would an appointment for your children or a meeting with your boss. This means you have to be truly mindful when you initially schedule it but then, no changes! Start small — just a 5 minute block is more than you are doing now.