Showing posts with label burnout. Show all posts
Showing posts with label burnout. Show all posts

Monday, December 31, 2018

One Word for 2018: Restore

I have never been into New Years Resolutions. In lieu of resolutions, a few years ago I jumped on the One Word bandwagon, where you choose one word you want to define the year. Some of my words have worked out great and ended up being a very meaningful theme of the year, like the Year of Grace. Other years did not turn out at all like I hoped.

I had a word in mind at the beginning of the year, but I didn’t ever fully commit. For one thing, we were in the middle of moving and transitioning back to the US for a year, and I had a few other things to think about. I also felt reluctant to commit myself to something that I wasn’t sure would happen. The word I flirted with was “restore,” but it was more of a hope than a resolution.

We spent this year in the US with the specific purpose of seeking healing and restoration, and we were committed to actively work toward this end. We attended a debriefing and renewal retreat that got us started in digging deeper into how we got to this place of depression, sickness, and burnout.

We saw dozens of doctors about various medical complaints, some we had put off for many years. I found a psychiatrist and began regular counseling, both a first in my years of depression and anxiety. Kevin had a break from the stresses of teaching and dealing with challenging school situations. In the fall I had a break from home schooling, and family provided a lot of help with the girls.

We were not passive in our quest for health. But at the beginning of the year, I had trouble believing that any of these things would actually make a difference. In the midst of depression, it is so hard to believe you CAN get better. When something is wrong inside of your mind, what can you do outside that would possibly heal you? We were so worn down after surviving for so long, we couldn’t see what doing well would look like.

It has been a slow process. I came back to the US this year thinking I was over depression, only to discover that wasn’t true at all. I reluctantly began to understand that depression will very likely always be a part of my life - hopefully something I will be able to manage well, but never something I can ignore.

I asked my psychiatrist if I would always need to be on antidepressants and she said, “Well, it depends. Do you want to go back to feeling like you did before?” Hmm. I really wanted to be a person who could stop taking medicine and be all better. It takes a mindset change to accept that for me, this is a chronic illness. But I also feel more hopeful. In understanding my depression I can give myself permission to get the help I need. I can open myself to the possibility – through medication and prioritizing mental health – that I really can do well.

This year we have enjoyed amazing physical health. Well, Kevin had a couple of hospitalizations. That was not amazing. He avoided the majority of the last couple of years of sickness, so this year was probably worse for him health-wise. And we had the usual sicknesses, but compared to the last few years it was pretty amazing. We had long stretches of time when everyone was healthy. Our bodies finally had the chance to recover enough to rebuild our immune systems. And nobody got pneumonia!!

We are not completely healthy and mentally stable and perfect, unfortunately. We have spent the last couple of weeks of the year with sickness and asthma flare-ups. Sickness is always discouraging, but it is part of life, not necessarily the start of another season of continual sickness. We are still striving to function better as a family.

However, looking back to where we were at the beginning of 2018, we have come a long way. Slowly, over time, we have built up the inner resources that were so depleted. We can look on the challenges and stresses that will face us in China and still want to return.

When I look toward 2019, I have no idea what it will be like. I’ve stopped trying to predict the future. We are setting plans in place for how to operate better in China. We are prepared to do what is in our power to stay healthy. We also know how much is outside of our control. It’s hard to live very long in China without adopting a somewhat fatalistic mindset.

I can’t see what the future holds, but I can look back and see where we have come. I picture Samuel, setting up an Ebeneezer stone and declaring, “Thus far the Lord has helped us.” We did as much as we could, but in the end the restoration was not in our hands. We can look back and see God was faithful to bring it about. We can walk into the new year with confidence, whatever it holds, knowing the Lord goes ahead of us and will continue his work of restorations.

Monday, April 9, 2018

Group Therapy

Our family is currently attending an intensive counseling and renewal program for overseas workers called Alongside. So far we are learning a lot about how we are even more messed up than we thought, which is always fun - but I think it will be pretty transformational.

I sat down at orientation feeling, well, disoriented. We arrived late from our road trip and our bags were still in the car. As the director introduced the program, he said, “You may be looking around thinking, ‘I know why I am here, but why are they here?’” I had to laugh because that was exactly what I had been thinking. I knew nobody was here because their life was smooth sailing, but everyone looked so normal, so together.

Do you know what hurting people look like? A lot of times they look just like everyone else. They smile and make jokes, at times. Maybe they wear makeup or fashionable boots. They may look like they could easily step up into a pulpit or battle the wilds of Africa. Hurting people just look like people.

But we have started to share our stories. Loss, trauma, transition, incredible stress, and so much pain. In a safe place the pain, so carefully controlled, comes flooding out. We are normal people, and we hold so much pain.

Group therapy. Just the thought makes some people shudder – or laugh. It sounds cheesy, all that feely stuff. We start each day with, “today I feel...” so at at least one point during the day, we recognize and verbalize what we are feeling. This is harder than it seems, when you aren’t used to identifying feelings.

We share our stories. And let me tell you, there is nothing cheesy about it. This is the story we usually share only in pieces, only behind a shield of humor or stoicism. I shared my story – the themes of depression and anxiety that have ebbed and flowed throughout my adult life, years of sickness and survival and burnout leading us to this place.

We entrust each other with our deepest pain, believing that we will not be ridiculed or belittled, and we aren’t. Nobody says, “Think positive. It wasn’t that bad – it could always be worse. Here is how you could be healthier/less depressed/live a better life.” Instead they just listen and say, “I hear your pain. I feel sad for you. That shouldn’t have happened. Thank you for telling us.” Their tears have allowed me to cry – and I hardly ever cry – instead of withdraw to my analytical “safe” zone.

I am surprised that the small group has been so healing. As an introspective introvert, and one who tends to turn inward in pain, my go-to is writing or maybe talking with a close friend. I would never have thought that sitting down in a group of six strangers would have opened me up and allowed space for processing.

Of course, the group is a bit special. Nobody came in with pretense – we are here because we need help. We have parameters for not giving advice or platitudes but just showing understanding. Even though each situation is different, we recognize each other’s pain. It is a safe space, where we experience the power of community and shared pain.

You may not have a group, and you may not need therapy. Apparently some people are emotionally healthy and not even mentally ill, crazy right? But on the off chance you have or will ever experience pain in your life – find your people. Find your safe people who can share that pain with you, who can resist trying to fix you, who can enter in and sit with you.  Because really, everybody needs group therapy.

Monday, November 27, 2017

So This is What Burnout Looks Like

“We are doing better than last year,” I told our member care specialist.
“Better than double pneumonia?” she asked skeptically, “I’m not sure that’s saying much.”
She had a point.

Last spring when I was recovering from pneumonia I thought, “You know, I’m really doing much better...Of course, I haven’t been outside yet. And I get out of breath if I talk much. And I have to rest every 10 minutes. And I’m still spending most of the day in bed... Hmm, I may be worse than I thought.”

That’s how this fall has been for us. Compared to last year, it’s not too bad. We haven’t been to the hospital yet! We aren’t sick all the time, but when friends ask if we are healthy, I find myself saying, “Yeah, I think we’re healthy. I mean, Kevin and I just had a weird virus that made all our muscles super sore. And Juliana threw up the other day but she’s okay now. And Adalyn’s allergies are causing her asthma to act up. But yeah, we’re pretty healthy. Nadia and I just have a little cold.”

We are functioning much better than last year. I am able to cook meals and clean the house, at least when I’m not sick. Most of the time I have had enough voice for home schooling. Kevin has continual headaches, but he’s still able to teach and handle what has to be done. But we haven’t been able get far beyond survival.

We toss around the word burnout a lot, but when I started reading about real burnout, I felt like I was reading a description of our lives. Frequent illness, frequent headaches, continuous fatigue, anxiety, inability to concentrate, feeling overwhelmed by needs, frustration and anger, emotional exhaustion, compassion fatigue, drop in productivity, questioning our calling… I could go on, but you get the idea. Check, check, and check.

I knew we were pretty burned out last year, but that was overshadowed by the relentless sickness and the darkness of depression. We were so far down in the pit of survival mode it was hard to see beyond keeping everyone alive for one more day.

This fall we’ve been able to see a little more clearly. We realize that some of the roles we have been in are not the best for us. In recent years I have often felt sidelined, unable to participate outside the home in the ways I would like. I am becoming more aware of roles I would like step into, but we have to get beyond survival before I can add anything else.

I have learned some important things about myself in the past year, like how I have been pushing against being an introvert and highly sensitive person, damaging and devaluing myself in the process. I have realized I have ridiculous self-expectations that will never be met – and don’t even need to be. I have realized that depression and anxiety will always be part of the equation, in lesser or greater proportion, and that prioritizing mental health is not an option.

For Kevin, team leading has been stressful, dealing with difficult people who may or may not get mad and hang up mid-conversation. He gets emails from the school at 10pm saying, “We need all of your lesson plans for the semester in two days!” (real example). He negotiates with the school, “I’m sorry but that’s impossible. We have never taught these classes before and have to make up the whole curriculum, but we’ll get you as much as possible by the end of the weekend.” Then he communicates the unwelcome news to the other foreign teachers, “Hope you don’t have any weekend plans...”

Kevin has also been the mostly-healthy one for the past couple of years. Since the beginning of my pregnancy with Nadia, it’s just been one mess of sickness and Kevin has been picking up the slack. He is tired. He has had a continuous headache for a year or more.

I knew this had been a hard season of life for me, but I am recognizing that the effects are longer reaching than I thought. My depression has definitely improved since last year, and I’d like to think I’m “over that” now, but the reality is I am not at all ready to stop taking medication. In fact, it would be a pretty terrible idea.  And I am tired of being sick so much, for no real apparent reason (except maybe stress or exhaustion or pollution or carrying around little germ magnets…). The kids are not even surprised to see me in bed because “mama’s not feeling good” is such a normal thing. That's not what I want them to remember of me.

We realize that we are yelling at the kids. Honestly, we’ll probably always yell sometimes because cute little people can be extremely aggravating. But we are frustrated and angry too much. We are not handling their emotional needs well. Things I used to enjoy doing with the kids, like cooking or doing anything crafty, just stress me out now.  This is not how we want our family to be.

And recently I realized, it doesn’t have to be this way. What if we could be healthy? Physically, mentally, emotionally. Not “okay” in the sense of “hopefully won’t fall apart in the next few months,” but actually well. Of course there will always be issues, but there have been times when we were really okay. We weren’t carefully measuring out our inner resources or questioning our ability to be here.

We planned to spend some time in the US next fall, but several wise friends kindly asked, “If you already aren't doing well, isn’t next summer a long time to wait?” If there is hope for more than survival, what are we waiting around for?  We talked it over together and with other friends and recognized that maybe our desire to stick to The Plan had more to do with pride and being in control than actual necessity.  Apparently it's not a good idea to stick it out until you are physically unable to anymore.

So we will be leaving this January to spend a year in the US. This fall has given us some time to think through what we need to return and do well here. We need to rest. We need to get in better physical health. We need to dig deep and deal with some long-term issues. We need to think through our roles and figure out how to find a better fit – doing things that are enlivening not just draining. Taking roles that we actually have a talent and passion for, not just ones that stress us out. We need to build into our family.

It is a hard decision, and I have been surprisingly sad about it. After all, we are used to leaving friends and “home” for a year or more. We say goodbyes all the time. And it’s not forever – we plan to come back. But we aren’t used to leaving China for a year. We have an amazing community – people we have known for 6 years - and we want to be a part of what is going on here. I feel sad that we aren’t doing well, and really haven’t been for quite some time. I feel sad that we have to completely uproot our lives and move to another country just to get the help and healing we need!

We will need to move our of our apartment, the only one the kids have really known as home, and find somewhere to store our things. We haven’t moved in over four years and two kids, so we’ve accumulated a good bit of stuff since then. I do love a good opportunity to purge, but I hate moving and transition.  I will miss our neighbors and our bright blue cabinets and the way the light fills our laundry porch.

But I also feel relief, knowing that we don’t have to keep pushing and keep pushing and hope we make it. I feel hope that we could actually be healthy and well. I feel hope for our future in China, that we could be effective instead of just getting by. And I feel hope for our future as people, which is important.

When I came across this song recently, I immediately loved it and felt like it was a theme for our current life. I have since listened to it enough that Nadia joins enthusiastically with, “I tust, I tust yooooooooou.”

Letting go of every single dream
I lay each one down at Your feet
Every moment of my wandering
Never changes what You see
I try to win this war
I confess, my hands are weary, I need Your rest
Mighty warrior, king of the fight
No matter what I face You're by my side

When You don't move the mountains
I'm needing You to move
When You don't part the waters
I wish I could walk through
When You don't give the answers
As I cry out to You
I will trust, I will trust, I will trust in You


- Trust in You, Lauren Daigle

Tuesday, February 14, 2017

So Weak and Strong

The first pill was surprisingly hard to take.

It wasn't the first time I had been on an anti-depressant, and I was not opposed to starting again. I could understand the doctor's belief that this was more than just situational. “If you had high blood pressure or heart problems you might need to take medicine. This is no different. Your brain needs some help getting regulated again.” It was explained this way both now and in the past, and it made sense.

Still, starting medication seemed like an admission: This is bad, and I can't fix it myself. I suppose I already knew it was bad. I already went through the “ignore it and maybe it will go away” phase, and it only got worse. Eventually that word, that force I had dodged for so long was again staring me unavoidably in the face. Depression.

I tried to take care of it myself. Reduce stress, get sleep, exercise, eat well, think positive, get out of the house. But sleep has been a joke, and sickness has piled on sickness. My efforts at life change were thwarted by circumstances I could not control. Mama needs a break, but baby is crying with a fever. Mama may be throwing up, but baby needs nursing. The “self-care” I did manage was a brief pause in a downhill plunge.

I used to think depression looked like sadness and crying all the time. And sometimes it does. But actually I rarely cry. I don't feel sad as much as heavy. Hazy. Anxious. Deathly tired. It is like carrying around a giant weight everywhere you go. It is like too many programs open on your computer and nothing is operating as it should. It is like walking through thick smog – you know there is a road ahead but you can't see it. The weight of the future grips so tightly you can't get a full breath.

“You know that point in a book,” I told a friend, “When you see the person heading in a bad direction and you just want to say, 'Stop! Don't go there!' That's how I feel about my life right now. I know I am walking down a bad path and I just can't get off.”

I felt sick at the thought of heading back into the same situation with the same futile hope of fixing myself. The weight of responsibility was too heavy: I have to figure this out. I have to do something to fix this. And I am just so tired. I already have so many people to take care of – I don't want to have to take care of myself too. What if I can't make myself better and we have to go home?

So the medicine represented relief. This is something that will help me even when I can't do all the right things, even if we stay sick all the time, even if we can't get this baby to sleep. I cannot reasonably expect myself to change my brain chemistry. I can let the medicine do that, and that's okay.

And yet the medicine represented my weakness. Oh, I don't mentally believe that, but of course it feels that way. Whatever you tell yourself and others tell you, depression feels like weakness, like a character flaw. We have all heard that if you just think positively enough you can heal yourself. If you just have enough faith. If you just ate the right food or used the right oils or had the right genes you wouldn't have this problem. Even in this modern day we hear whispers of shame, shame. This is your fault.

I took the first pill. And the second and third and a couple of weeks down the line I already feel a difference, a change in my brain. Breath comes a little easier. Moments look a little sharper. I feel hope that I could climb out of this hole and enjoy life again.

I can face those whispers of weakness and say, No, that is a lie. No one chooses their genes, no one controls the makeup of their brain. I am weak, not because I am depressed but because I am human. None of us were meant to be so strong we have no need for others, no need for grace.

I am weak, but I am also strong. I am strong because I cared for my family. I am strong because I cared for myself. I am strong because I got the help I needed. I could not see the path ahead but still I kept walking.

I still cannot picture the months ahead or wrap my mind around the future. My brain becomes overwhelmed and turns away. I accept this gift of fog that allows me to focus instead on today. I look out the window at the bare trees and the cold brown earth. But I remember the springtimes of the past, I remember that one day I will be startled to find leaves in bud. The bare ground will sprout fresh green grass. Breathe in, breathe out, and watch the colors come back.


I write about my depression, even though it is very personal, because maybe you understand what I am talking about and you need to know you are not alone. I write about it because maybe you have never experienced depression, but I am almost certain that someone you know is dealing with it, whether you realize or not.  Maybe this will help you to understand them a little better.

Thursday, March 12, 2015

Dancing on the Edge of Burnout

It’s generally a bad sign when a professor who barely knows you stops you at the local coffee shop to say, "You look like you are heading straight toward burnout."

I tend to look back on my first two years in China rather idealistically.  In fact, I find myself holding them as a guideline for my expectations of what my life should be like in China.  I did so many useful things and spent so much time with my students. Not as much as I should have done, naturally, but it was pretty impressive nonetheless.  Especially compared with the practically nothing I accomplish now, right?

Of course, there are a few key differences between life then and now.
1. I was not just young, I was incredibly young, and just out of that "crash and burn for what you believe" college culture.
2. I was single, and more importantly, I had no children.  I washed dishes every few days and did laundry about once a week.  I'm not even kidding.
3. I was incredibly unhealthy and heading straight for burnout.

By the end of my first semester, the gloom of culture shock was darkening into a heavy weight of oppression and depression. As my first year came to an end and I felt a slight increase in my will to live, I thought I must be coming out of the fog.  

So that summer when a professor I barely knew basically told me I looked terrible, I was a little surprised. Sure, I was still crying every day, but that’s normal, right? When a counselor questioned whether or not I should return to China, I had to realize that maybe I wasn't in such great shape after all.

With the help of some medication and support from great teammates (who I finally decided to let in on my struggles), my second year in China got off to a much better start. I got to know this guy, and we started talking every day, and before you know it we were engaged.

As I prepared for our wedding and a year in the States, I was insanely happy and insanely stressed.  Also, just plain insane. I stopped sleeping. I stopped eating. I also decided that in the midst of this crazy huge transition would be a great time to stop taking my depression/anxiety medicine. I'm sure it seemed logical at the time, but seriously, what was I thinking??

That summer I was blissfully reunited with Kevin as we studied intensively at Wheaton.  I still wasn't sleeping.  I would go to the cafeteria and choke down a fourth of a sandwich because apparently I was supposed to eat. I was so ready to be married and start a new life, but I also felt completely adrift in the world. Everything was changing - again.


When my mother came to visit me (and also to check out my fiancé!), she said, "You know, I'm really concerned about you. You don't look good at all." Which is the sort of thing mothers say.

But then my roommates immediately chimed in, "Yeah! That's what we've been thinking! We're really concerned about you too!"  Okay, maybe I wasn't doing as well as I thought.  With some coercion, I made the choice to drop the second class I was planning to take and go on vacation with my family.  It felt like quitting, but I wasn't sure I could make it through without a complete nervous breakdown.  Kevin, concerned for me and also unwilling to be separated again, lovingly dropped out with me.

After a year of incredible highs -a beautiful wedding, a restful honeymoon, and the blissful newlywed stage- and crazy lows -panic attacks, semi-constant sickness, and overshadowing anxiety- we prepared to return to China. I was overwhelmed by dread. I knew it was where we were supposed to be, but I didn't know if I could handle returning.  I knew the life I had lived there was not sustainable.

That was seven years ago. A lot of things have changed since then. I no longer dread China; in fact, when I imagine my future, it is here. I spend much less time with students and much more with my children (and my laundry porch). I am a lot less productive than I used to be. I am much healthier. I mean, I still get sick all the time thanks to little germ sharers, but I enjoy incomparably greater mental stability.

Part of this is just a blessed lifting of the depression and anxiety.  Part of it is the result of decisions I have made: decisions to slow down, prioritize health, and to live sustainably.  I often think of something our Wheaton professor told us:

"You are running a marathon, not a sprint.  If you don't pace yourself you will not be able to finish."

I'm not a runner, but this still makes perfect sense. To the best of our knowledge, we are in this for the long haul.  Our lives and our work should be lived at a very different pace than a two weeker or even a two-yearer (that’s a word). If we don't live sustainably, we will not last. It's really as simple as that.

Simple, but not easy. It means letting go of expectations, both others and my own. 

It means saying no to really good things so we can focus on what we are actually called to in each season. 

It means being intentional in establishing practices that keep us healthy - spiritually, mentally, emotionally, and physically.  

It means making time for those practices.  

It means being a lot less Productive and Useful than I would like.  

It means not dancing on the edge of burnout, hoping if we can step just right we'll avoid the fall.

It means we stop trying to be God and focus instead on being with Him.

And as we do, we discover, well...Grace.

[linking up with Velvet Ashes on the topic of Burnout]