My New Song

Psalm 40 has always been special to me because it speaks of God being patient, hearing me, and helping me. It took on new meaning when I started an intensive treatment two years ago. The treatment is called intensive for a reason! I truly felt through this that God had brought me out of a pit. Sometimes that pit felt so dark and oppressive I thought I’d never see light, but God was gracious to show me the way out. At this point God also set my feet on a foundation of his Son. I came to know Jesus as I’d never known him before. My distorted view of God changed to be more in line with the truth of His Word. I was able to praise Him for all the blessings He’s given me.

As I was working through these hard topics, God also renewed my gift to write; I had written some poetry as a child but not much since then.  The words started flowing. At times, I’d have words come to mind, sit down to write, and within minutes have the whole song written. Other times, an idea would come through a phrase I heard or read or through a sermon, and I work with it until the song was written, sometimes for a couple hours, sometimes for a couple of days. I didn’t hear a melody with the words, so for now it’s more like poetry. I hope someday to have them set to music. I believe that, at some point, God will help me figure out who the right person is for that job!

When considering this blog idea, I was drawn instantly to Psalm 40. It was such an expression of where I’d been and where I’ve come to thus far. It also gives expression to the songs I’ve written which come through the Spirit in me.

I spent some time reflecting on the Psalm and writing it out. As I did the hymn “O For a Thousand Tongues to Sing” came to mind. I looked up those lyrics and wrote them out. They mirrored my thoughts so closely! I decided to add that to the main page so the psalm and hymn are seen together.

Music has been important to me for a long time. During intensive treatment, I listened to so many songs that spoke of God’s love and acceptance, His desire for relationship with us, His care of us. It was so healing. In between appointments I would go back and listen again, just letting the words and the music roll over me. There have been studies that connect music to the process of healing and recovery. You may have heard or seen stroke survivors who aren’t able to carry on a conversation join in when someone starts singing hymns. There’s just something about it that connects to the soul.

One funny story comes to mind…I heard it growing up, and may not have remembered it right, so mom and dad, you can correct me if I’m wrong. The story goes that there was a little boy who stuttered so badly he could hardly talk. One day while playing or working outside, he ran up to the house in a panic. Those in the house came out to see what the problem was, but they couldn’t understand him in his panicked state. One of them said, “Sing, sing!” And he did!  “The barn is on fire!” It was clear, they could understand, and everyone raced away to help.

Back to the idea of the healing aspect of music…At Timberline there is a piano in the dining hall. I craved playing it, but had no opportunity to go there other than meal time. One day after finishing my meal, I got up the nerve to approach the piano. I didn’t have any music with me, so I played the only song I still have memorized from childhood – The Black Hawk Waltz written by Mary E Walsh in the 1880s. (If you’d like to hear it, there’s half a dozen options on YouTube.)  A couple of the residents started waltzing in between the tables, and when I finished everyone clapped! After I was given my white hat, I asked if I could go up there during my 20 min away from the lodge. The answer was yes, but the walk up and back had to be figured in the 20 min, so I started going 20 min before mealtime and playing until the food lines were almost empty. I could play for close to a half hour that way! My family brought me music when they visited that weekend. I had a couple advanced lesson books from childhood, a Mozart book, and a book of hymns arranged by Lorie Line. The residents complimented me and said how much they enjoyed it. The dining hall staff did too.  One day while playing before my lodge arrived for lunch, a resident from another lodge came over to our side of the dining hall.  I asked if she wanted me to quit. She said, “Oh no! I just wanted to tell you that since you started playing, we’ve had fewer incidents of panic attacks and flashbacks while we’re eating.” It felt great to see that I could use my God-given talents to make a difference.

(New song posted – God, My Rock)

Emotions ARE

I had a few other introductory ideas, but I decided to put out a meat and potatoes topic to give you an idea of the things I’ve learned along the way. In my opinion, one of the vertebras in the backbone of counseling/therapy is to understand that emotions ARE. Emotions are not good or bad. They are not right or wrong. Emotions don’t predict anything or decide anything about you, such as how much God loves you. Emotions just ARE. When emotions are viewed as information our mind and body give us about how we feel in a specific situation, we can then choose how we’d like to respond.  When emotions are viewed as good or bad, right or wrong, then shame and struggle come into play.

In the Bible, God is shown to have emotions (Gen 6:5-6, I Kings 11:9, Zeph 3:17), and Jesus displayed emotions while here on earth (Luke 10:21, 19:41, Matt 26:38, John 11:35). We are made in His image, so it stands to reason then, that having emotions is normal. It’s normal to be sad when there is loss. It’s normal to be disappointed when expectations aren’t met. It’s normal to be excited when a baby is born. Emotions inform us how we feel in different situations because they are based on thoughts and body sensations we’ve learned.

We all have mirror neurons designed to help us learn from others. Children mirror facial expressions and actions of their care givers. If a child is crying and they hear “You must be so sad!” they will associate the thoughts and sensations they’re experiencing with the word sad.  Same for happy, angry, disappointed, etc. This happens over and over as children begin to understand how different emotions feel and can start to label those for themselves.

Emotions are 70-80% physical sensations and 20-30% thoughts. One of the exercises we did was to reverse the process in naming an emotion. We had a chart to fill out – first the situation that took place, then the thoughts in response, and the body sensations that went along with it. These sensations and thoughts produce urges to react. In stepping back to examine the pieces and parts, it’s easier to name how we feel.  Sometimes people would say “I feel bad.” But emotions aren’t bad. Bad is not a feeling. It’s useful to then list out the thoughts, sensations, and urges to name the true emotion. This might look like…

  • I don’t know what’s going to happen tomorrow
  • My whole body is tense and my heart is racing
  • I want to stay home
    →My emotion is anxiety
  • I’m worried what someone else will think
  • My stomach is churning and I feel small
  • I want to hide from them
    My emotion is guilt

These are just two examples, but you get the idea. Some might mistake state of being as their emotion, using words like bad, good, elevated, depressed, spun up, calm, intense, and mellow – these words do describe the intensity of an emotion. If in group we did say “I feel bad,” some instructors would say “bad is not a feeling” and ask us to come up with a different word that described how we felt.  If I say I feel calm, I’m describing my state of being, not my emotion. It’s more accurate to say I am calm instead of I feel calm. I’ve noticed that I’ll say, “I’m good” when asked how I’m doing, and I realized I use this as a shield so I don’t have to use feeling words. It’s not accurate for a couple reasons – 1. Good is not a feeling and 2. I’m not good of myself! If I use that expression, God should get the glory because he’s the only one that can make us good.

For a great visual tool that gives names to the range of emotions, check out this PDF –
https://med.emory.edu/excel/documents/Feeling%20Wheel.pdf

I started here by saying that emotions aren’t good or bad. It’s our reaction due to the emotion we have that can be good or bad. One instructor talked about the ways our reactions trip us up:

  • If our emotion is not normal for the situation
  • If our emotion is too intense for the situation
  • If our emotion lasts too long for the situation

Science says that emotions last 60-90 seconds. If we continue to have the thoughts and sensations that go along with that emotion, it’s because we continue to think about the situation that came immediately before the emotion showed up. If something good happened and we continue to think about it, we’ll sustain the emotion of happiness or joy. If we’re angry about something that happened and we continue to go over it in our mind, we’ll keep having the same thoughts and sensations, and stay angry.

In an ideal world, not this broken one we live in, we’d be able to acknowledge our emotions and choose to respond in ways that aren’t sinful and don’t cause unpleasant consequences. Sounds like heaven to me! For now, it’s our job to take stock of our emotions and make choices by God’s grace to respond in healthy ways and not react in ways that damage relationships. It sure isn’t easy in our humanness, though!

So many of these topics are intertwined, it’s difficult to know where to stop writing!
More to come on:

  • Slowing down the process to help us make better choices
  • Separating identity from emotion to diffuse the emotion’s power
  • How thoughts and emotions affect each other
  • Our circle of influence

Opening Day

First things first…a million thanks to Duane and the kids for taking care of everything back in Minnesota. I could never have done this without the support of each one of them. Special thanks to Adrian and Allison for pitching in as “mom” over the summer – kid care, housework, cooking, taxi service, and on and on. Thank you to everyone who prayed for them and for me, for the mail you sent, and your encouraging words.

When I sent the update email that I was coming home, many of you responded saying you’d be interested in knowing what I learned while at Timberline Knolls Treatment Center.  As I realized it would be time consuming and redundant to answer all the emails, I started thinking about writing a blog. This way I could share my experiences and explain the skills I learned to all of you at once. The more I thought and prayed about the idea, the more it seemed the right thing to do. Coming to Timberline was definitely God’s will, a positive experience, and I believe in God’s timing. I had been in counseling for depression for a few years, making progress until I hit a road block earlier this year. I would learn things in counseling but not be able to access what I learned when I was at home and most in need of those tools; my brain was compartmentalizing what I learned, tucking it away out of reach. My counselor recommended the treatment center as a way to keep my brain immersed in the mood regulation tools and distress tolerance skills that I’d been trying to use. I didn’t realize until after I’d been at TK awhile that there was also benefit in the “milieu experience.” More on that later.

I want to acknowledge all the hard work of those at ACCFS. I felt Christ’s love radiate from each of the staff I came in contact there and appreciate how much guidance and encouragement I received through them. I know there was a lot of work and coordination going on in the background while I was getting ready to go to Timberline (TK), while I was there, and then again when I came home from TK.

I also want to acknowledge the hard work of the TK staff. Our lodge had three shifts of five BHSs (Behavioral Health Specialists) each, two RNs for each of two 12-hour shifts, janitorial staff that worked around the clock, counselors/therapists seeing each resident twice a week, as well as medical doctors and psychiatrists that came in a couple times a week. Outside the lodge there was dining hall and laundry staff, administrative staff, group instructors, transportation staff, and groundskeepers. Everyone does their job and the place runs smoothly! There are times it doesn’t quite happen that way, but we’re all human and make mistakes. Looking back, it’s interesting to see how those mistakes fade with time. It’s remarkable to see how it all works together!

Arriving at the treatment center was overwhelming and a little frightening. There’s no way to know what to expect. It took about three days to become comfortable with the schedule, learn names of residents and staff, and feel settled in in my room. Our lodge housed about 35 residents, who came for a variety of reasons, including depression, anxiety, trauma, addiction, and eating disorders. I had two roommates with whom I shared an open bedroom and a bathroom. We were on a schedule seven days a week with Sat/Sun being slightly different due to visiting hours.

TIME          ACTIVITY
5:30 – 7:00 am
7:20 – 8:00 am
8:30 – 8:50 am
9:00 – 10:00 am
10:10 – 10:50 am
11:00 – 12:00 pm
12:20 – 1:00 pm
1:10 – 1:30 pm
1:30 – 1:50 pm
2:00 – 3:00 pm
3:10 – 3:50 pm
4:00 – 5:00 pm
5:20 – 6:00 pm
6:10 – 6:50 pm
7:15 – 8:15 pm
8:15 – 9:00 pm
9:00 – 9:20 pm
9:20 – 10:15 pm
Bathrooms unlocked – shower time; vitals, blood draws, medications
Breakfast (walk to the dining hall)
Morning Reflection
Group session
Wall phones turned on, smoke deck open, laundry room unlocked
Group session
Lunch (walk to the dining hall)
Wall phones turned on, smoke deck open, laundry room unlocked
Community meeting
Group session
Wall phones turned on, smoke deck open, laundry room unlocked
Group session
Dinner (walk to the dining hall)
Wall phones turned on, smoke deck open, laundry room unlocked
Group session
Wall phones turned on, laundry unlocked, medications dispensed
Mindful Intent
Bathrooms unlocked – shower time; medications dispensed
(lights out in the milieu)

You may have noticed on the schedule that many areas of the lodge were locked or unlocked. This was done for protection. During the day there was a locked hall bathroom we could use, obviously by permission only! Another layer of protection was that residents were only allowed to leave the building with staff members until the resident earned their white hat by following the schedule, going to all group sessions, and showing they were responsible. Once a resident earned their white hat, they could leave the building for 20 min, mostly to go on walks.

The lodge residents were divided into three groups. Some of the sessions were with my group as everyone had those topics at some point in the week. Other group sessions were based on the reason for being there. There were a few throughout the week that were Christian based; these were in the admin building as residents came from all the adult lodges for those groups. Typically, 2-8 women would come from each lodge. These sessions were started with prayer and usually included music, scripture reading, and discussion. Morning Reflection and Mindful Intent were with my specific group each day. The first started with a short devotional, and then everyone shared five things – their goal for the day, how they were feeling at the moment, what they were struggling with, what skills they would use that day, and something they were grateful for. In the evening, we’d revisit that list, and everyone would share based on those five things – did they meet their goals, how were they feeling at the moment, what they were struggling with, how/what skills they used, and something they were grateful for that day. Most of the group sessions in between included each one sharing how they were feeling at the beginning and at the end. Imagine having to share how you feel a dozen times a day!!

The center part of the lodge is a gathering space called “the milieu”. In between sessions we would spend time there chatting, coloring, crocheting, making bracelets, etc. Some women had packs of 125 gel pens, multiple skeins of yarn, or bags of 100 colors of embroidery floss for bracelets. Everyone had a hobby, with those mentioned being the most popular! The support among the residents was phenomenal. We were all there because of struggles we couldn’t control, and we were all there for each other when that felt overwhelming. This support and acceptance contributes to the “milieu experience,” and builds everyone’s self-confidence. For me feeling the acceptance, and even admiration at times, was greatly healing. On the weekend after I arrived we had the opportunity to play volleyball. I’d only played a couple times since being on the team in high school, but it sounded fun and as a good way to get to know people. I only knew half of the names of those who went. We had a lot of fun! I surprised myself by how well I did. A couple of my teammates asked if I played on a league! That was a start of me seeing myself through the eyes of others and realizing God had given me talents to use in connecting with others. By the time I left I had been admired for knowing how to sew, joined in a Bible study, aced everyone at Dutch Blitz, thanked for my kindness in rewinding an entire skein of yarn, asked about my faith, inspired others to pray, entertained the others by playing the piano, and contributed to the teaching in a couple groups. In one of the groups in the step-down program (Partial Hospitalization Program/PHP) we were asked to make an art project about the difference between who we were coming in and who we are now. We could paint, draw, collage, journal, etc. At the end of group we were encouraged to share what we made and why.

Here’s my project…

TRANSFORMATION

I came here thinking I had nothing to offer
I’d never affect anyone else
But after living at TK in Maple Lodge
I started learning to accept myself

I recognize that I have weaknesses
Things about me I need to shift
But I’ve also spent time soaking in
Other’s recognition of my gifts

I’ve seen my faith inspire others
And my compassion cheer them up
I’ve come to more fully understand
I truly am reflecting God’s love

While I work to change faults that annoy
I’ll turn my mind to accept ME as ME
Use my talents, share my faith,
Forgive all, live in peace
And set myself FREE

Just one more tidbit, a funny story about my hearing aids…Because I need to take my hearing aids out to charge their batteries overnight, I have an alarm clock that shakes the bed. One of the first times it went off it shook not only my bed, but the bed on the other side of the wall. It just so happens the resident on the other side of the wall also has hearing aids! She has a bed shaker too but had left it at home. That day she woke up disoriented thinking she was back in her own bed! She’d had her hearing aids since she was a baby and was now shortly out of high school; we ended up laughing about it at breakfast. The first morning I was there I was supposed to have blood drawn for labs and didn’t know it. A BHS tried to wake me, but because staff are restricted from touching the residents, she couldn’t get my attention. My roommate told her I couldn’t hear. To avoid that in the future, I made a sign for my door (room 505, bed 3). This generated a few comments!