Ladies, we are all traumatized…

Here’s to my first blog post ever! After pondering what I wanted to say, I felt compelled to write about something we all share…trauma. Uplifting? Not so much, but trauma and stress is often the launching pad from which so many chronic conditions arise and it seems fitting that we start with foundations.

That’s right ladies (and yes, men too)- I have a theory that we are all traumatized. If you you have somehow escaped trauma, congratulations, and please share your secrets. Before you call me Debbie Downer and switch to your favorite cooking blog, keep reading- it’s important.

Within conventional psychiatry and psychology, when the burden of trauma elicits a certain set of criteria from a person, they may be diagnosed with post-traumatic stress disorder (PTSD). I personally have a bit of a beef with labels we use in mental health and do not like the word “disorder”. I find it limiting and disempowering.

As I will explain a bit in this post and more extensively in the future, the symptoms that define PTSD may be counterproductive in certain situations, but are rooted in our evolution and survival instincts.

What is trauma? In my assessment, trauma can be characterized as anytime we have a perceived sense of helplessness or loss of control. It is something that has caused harm or has the perceived potential to cause harm. It can be a physical form- a person, a place, an object, or it can be a collection of thoughts, memories, nightmares. Trauma is not necessarily what happened to us, but the effect it has upon us.

Let’s consider some examples. Have you ever been in a car accident? Did you know motor vehicle accidents are the number one cause of “PTSD”? I bet you can remember certain details…perhaps it happened at a particular intersection or stretch of road, perhaps you had a certain song on the radio at the time, or you can remember the time of day, or the weather.

Have you ever felt belittled, harassed, talked down to, discriminated against? Most of us- especially women and girls have had this experience at one time or another. Maybe it was a coworker, a significant other, a stranger on the street, or a family member. Or maybe you are a survivor of sexual assault or abuse…or maybe you witnessed somebody else’s trauma… or maybe you heard about something scary on the news…you see, given all the possibilities, it is hard to imagine anyone would not be traumatized.

Do you notice the discomfort and vulnerability when walking alone? Maybe you carry pepper spray, a knife, or even a gun. Perhaps you have become really good at assessing the scene, looking over your shoulder, looking for signs of danger. Do you find yourself feeling inferior or intimidated around others (particularly men) even when you stand for equality and you know this should not be? Is it hard to look people in the eye, speak up for yourself, be assertive? You may not have actually experienced an attack or harassment, but by simply being privy to stories in the media or from someone you know, you may adopt certain behaviors in response to a potentially traumatic situation.

And then there’s the trauma of not feeling good enough and the negative self-talk that comes with it. For so many of us, we have a constant buzz within ourselves to look a certain way, meet societal expectations, lose the weight, perform in our jobs, buy the right clothes, appease our families, religious organizations, significant others, children… and all the while do it with a smile, because you know, we have to have those Facebook posts just right.

Our society breeds dissatisfaction and it seems that  us women & girls are particularly susceptible to this near-constant, hypervigilant mindset of what must I do to be better? What must I do to be on par with everyone else? Well, maybe I should get some pointers from Facebook, Instagram, etc…see how I measure up…but wait, that did not make me feel any better! This hypervigilance can be traumatic in itself as it creates the ongoing need to feel more and more in control of our appearance, reputation, and what we portray to the world. Unfortunately, this race has no finish line and we often exhaust ourselves trying to find it.

Trust me, I am entirely guilty of this- hard not to be, right? Type A personality, perfectionist, ambitious, afraid to settle…yup, all worthy descriptions of who I am. I do not have a pedestal and even if I did, I would still have my self-doubts…

Trauma is like throwing a stone into the water. There is the initial impact, but then there are the ripples…

Let’s go back to a time when you felt belittled or talked down to. If this has happened a lot in your life, you might find yourself often defensive and feel as though you have something to prove. Can you remember the person that did this to you? I imagine you remember them well. Can you remember where you were when it took place?

Can you remember the feelings of fear, anger, shame…? Have you met others that reminded you of that person, that place, or maybe you have gone further to generalize your experience to being associated with an entire group of people. Ripples…trauma builds on itself. The original trigger multiplies into more triggers and then more triggers from secondary triggers and so on.

Trauma is not something that hides out in the brain. It elicits reactions throughout every system in your body from your head to your toes. Every thought and emotion positive or negative has an associated chemical reaction that is communicated throughout our body. We will go more into this later.

Ever feel achy, sick, fatigued, nauseated in the midst of stress? Yup, a few of the not so uncommon reactions.

Going back to evolution- when we are faced with something potentially harmful or life-threatening, our natural reaction is to fight or flight. Basic survival instincts.

While this can be really helpful when you are being chased by a bear, some of us (actually a lot of us) find ourselves in a perpetual state of fight or flight driven by actual or imagined fears, threats, or circumstances. It is important to remember that events or situations that may not be perceived as “traumatic” can cause this same reaction. Having a baby, starting a new job, moving, starting a relationship are a few examples. We might feel buzzed at first- energized, enthused, but then the surge of adrenaline and other stress hormones may not sustain themselves and we feel the burden of fatigue, burn out, apathy, sadness, and even despair.

Some of us in the midst of feeling the lull, may seek out even more exciting or risky ventures that may spike our interests and adrenaline levels for a while longer before we again fall back and the cycle continues. Addictions work this way too.

You see, some of us can become so familiarized with trauma and chaos that it becomes part of our identity…our modus operandi, our comfort zone, our ego. Some of us may be conscious of this while some of us have not yet recognized it. Do you take pride in being able to juggle so many balls at once? Do you have a silent pride in being there for somebody who may be abusive, but you feel you are the only one that can help? Do you find yourself attracted to gossip and drama? Perhaps you like the thrill of a challenge and have difficulty with stillness, quiet, and slowness? Do you like danger, risk-taking, pushing the envelope? Is it harder to receive love and care then to extend it to others? If you are like a lot of us, the answer is yes, yes, and yes.

How do you identify or label yourself? Might it be that how we define ourselves and the labels we assign to who we are can also cause pain and perhaps perpetuate trauma? If we are too rigid with our expectations for ourselves and keep ourselves in a box, we are likely to be disappointed.

If we are all traumatized, we are also all on a spectrum. Some of us are in the midst of trauma right now. Some of us are struggling to overcome memories of trauma. Some of us are being overwhelmed with the news of our world today.

Ask yourself how you perceive yourself in the midst of the trauma past or present? What is your role? Victim, survivor, witness, standing on the sidelines? How do you also label the person, place, event, or thought process that perpetuated the trauma?

Language is powerful. Remember that feelings are real, but they are not always true.

Medication, supplements, fitness, and lab testing all certainly have their merits in supporting wellness, but true vitality and contentment often lies in how we perceive ourselves and others around us. It is the process of learning to trust ourselves and in doing so, be able to extend trust to others.

Be careful how you perceive yourself, how you label yourself. Be careful not to let yourself be defined with too much rigidity. Embrace fluidity. Be kind to yourself and give yourself grace. Recognize that you are not alone.

I am fascinated with the concept of resilience in the midst of trauma…I would love to hear from you how you main resilient? What keeps you grounded? Please share!

In future posts we will be discussing the physiological impacts trauma has throughout our bodies and steps we can take to restore vitality and stay grounded in the midst of our complex world! So stay tuned!

As always find out more about us at http://www.shesoarspsych.com

Be well,

Audry Van Houweling, PMHNP-BC

One of my first patients was a pastor. He was esteemed and well-respected—a pillar in the community. I was a newbie in the small town where his roots ran deep. He was a man of conviction and compassion. He spoke with authority. And he was also sometimes hopeless…and desperate. At twenty-six years old, I sat at my desk sporting my newly printed diploma. I was trying my best to hide my imposter syndrome. Still shaky in my confidence, I kept questioning how a man who has guided so many, seek out any sort of guidance from me? He was a master at portraying steadiness and reassurance for his patrons. He held tight to concepts of duty and responsibility. In a small town, he felt there was little room for any misstep or deviation. Despite being surrounded by people who revered him, he shared with me that he often felt alone…and scared. While I stumbled through coping skills and strategies, I learned that my best intervention was to simply hold space for his complexity and provide a brief respite from the rigidity of his self-imposed and societally reinforced standards. 

Over the years in my practice, I have come to have a deep appreciation for the multitudes we all contain. The pastor and so many others in their courage to be vulnerable, unknowingly also gave me permission to better accept my own depth and sometimes messy complexity. Feelings and thoughts that may seem contradictory can all exist simultaneously. Grief and gratitude, courage and fear, joy and pain, hope and despair. The ability to hold multiple realities and straddle paradox might be one of the greatest measures of resilience.  

Life can be a bit performative. Like a play, we all take on different roles. The character descriptions will likely differ depending on if we are at work, home, social settings, or alone. This is completely human and to an extent, shows cognitive flexibility and healthy adaptation. Some roles we have mastered. We know the lines front and back. We have become intimately familiar with certain characters. Others, we would prefer to remain out of the spotlight or silenced altogether. The cast of characters can be diverse. Some may be protective, some ambitious, some ashamed, some stubborn, some silly, and some hopeful. At times, we might allow other people or societal expectations to take the director’s seat and choose the cast despite our unspoken resistance. If we have faced trauma or dysfunction, we might favor a cast who seemingly offers protection by seeking control while we might sideline child-like characters who crave lightness and adventure. When faced with a decision, multiple characters may want a seat at the table–at times contradicting one another generating inner conflict. We might have a character begging to take center stage, but fears of judgment or shame keep the muzzle tight. 

Different parts of ourselves as outlined in
Internal Family Systems Therapy

As with most entrepreneurs, I have a strong identification with my professional cast of characters. Defined by productivity, steadiness, responsibility, and a fair amount of rebellion to the mainstream, this industrious cast has a tendency to crowd the stage and can be hesitant to share the spotlight. I call on these characters in times of life’s turbulence and yet, they have been known to create some undue stress themselves. They are supposed to take a bow around 6pm Monday-Friday and enjoy a mini sabbatical through the weekend. Lighthearted characters have had to bargain with them at times, finally convincing them that rest, and playfulness are also necessary ingredients for success. Characters offering grace have also had to remind them that success is, in itself, a construct up for interpretation.  

Sometimes we find ourselves acting in a play we never signed up for. When tragedy strikes, we often default to self-preservation. The protective cast of characters takes center stage. For some of us, this cast of protectors might convince us that the best way to self-preserve is to sideline emotion. We might launch into attempts of control and order, retreat to our work, numb or detach, or dive into martyrdom taking care of everyone else but ourselves. While these characters have likely served important roles in our past, the safety they seek in the present can be a guise for self-sabotage. 

Ultimately, we must remember that none of us are made to be one-dimensional. By remembering that we are by nature, multi-dimensional, we can grant ourselves and those around us more grace. We can remember that everyone has struggles and shadows. We can appreciate nuance and acknowledge complexity. We can know that sometimes those most skilled at portraying a brave face can sometimes be facing the greatest battles. Hold space for your own multitudes and in doing so, hold space for the multitudes of others. 

Thank you for listening.

With gratitude,

Audry Van Houweling, PMHNP-BC

Owner & Founder, She Soars Psychiatry, LLC www.shesoarspsych.com

Sisters & Silverton, Oregon

Making Peace with Our Multitudes

Today is the eve of Earth Day. I am sitting at my office peering at the backdrop of the Cascade mountains. The range of the Three Sisters is peeking through the trees surrounded by soft blankets of blushed pink and wisps of orange cream sunsetting on their peaks.  

I have a lot of charting to do, but tonight feels ripe for a little procrastination. I would rather stare at the mountains. I find myself pondering at how our natural world, with its beauty, renewal, and resilience continually provides an endurable response to the ugliness and suffering our world encounters.  

I am lucky to have a lot of passion for my day job and simultaneously, also have whims to live out an echo of Thoreau or Muir, find a cabin in the wilderness, dwell in philosophy and conservation, and write poetry. Last time I checked this doesn’t quite pay the bills. 

Regardless, my well of gratitude for the gifts & lessons of Mother Earth runs deep. I have come to believe that wholeness and healing can only be accomplished as we consciously acknowledge our own footprint and that we do not see ourselves apart from nature, but of it

Stewardship

The connections between how we care for ourselves and how we care for our surrounding environment are rich. Stewardship of our natural world is also integral to our emotional stewardship. As we embark on a path of healing, it takes a dose of humility as we recognize the obstacles of our ego. We honor the natural world most when we abandon ego and take ownership for what we both take and give to the greater ecosystem. 

“When one tugs at a single thing in nature, he finds it attached to the rest of the world.” -John Muir

Letting Go

Nature has a unique way of teaching us the necessity of letting go. As summer retreats, followed by falling amber and burgundy from the trees, we are met with the slowdown of winter. Mother Earth gets its beauty sleep as it prepares for the renewal of spring. We are reminded that similarly, our own growth and evolution is not often possible without the shedding of aging attitudes and beliefs unlikely to serve us. It is life’s impermanence that allows for transformation.  

“Adopt the pace of nature. Her secret is is patience.” -Ralph Waldo Emerson

Chasing Awe

In a world rich with vicarious and personal traumas reinforced by real-time access to tragedy and suffering on our social media feeds and news outlets, many of us have developed a protective response of disconnect and detachment. This response can minimize palpable feelings of fear and despair, but it can also minimize joy, passion, and excitement. We go through the motions, but life can feel like it’s lost its allure. 

Nature has a unique way of resuscitating our emotional heartbeat by providing moments of sheer awe that restore our curiosity and drive for continued discovery. I think of when I first stood at the foot of Mt Rainier, or when I have sat still breathing in sage blossoms surrounded by wild mustangs, or when I first set sight on a giraffe in Africa and proceeded to break a few rules jumping off the tour bus running after it. I just wanted to get closer…the bus driver and fellow passengers were not amused. 

“He who can no longer pause to wonder and stand rapt in awe, is as good as dead; his eyes are closed.” -Albert Einstein

Embracing Discomfort

Emotional wellness is not about being comfortable. Modern day conveniences allow some of us to afford near consistent environmental comforts with minimal effort. Thermostats, running water, food that never runs out, plumbing, and a warm place to sleep are not to be taken for granted. And yet, if we are always comfortable, we minimize opportunity for growth and self-trust. Stress is inevitable and nature allows us boundless opportunities to widen our window of tolerance and resilience. After all, it was not so long ago that we didn’t have a choice. In our culture of accommodation, we must be careful not to discount the value of productive discomfort. 

“I firmly believe that nature brings solace in all troubles.”- Anne Frank

So, as they say, watch more sunsets and less Netflix. Take a walk in the woods. Find a view. Plant a tree. Forage. Wander. Find moments to be still and remember your roots. Happy Earth Day! 

With gratitude,

Audry Van Houweling, Owner & Founder, She Soars Psychiatry, LLC

Sisters & Silverton, Oregon

www.shesoarspsych.com

An Ode to Mother Nature

Buying a piece of custom furniture seems like one of those adult rites of passage. In the latter half of my thirties, I have decided to pursue my first custom piece—a couch. Throughout my nomadic adult years, I have been accustomed to second-hand finds complimenting my frugality and boxed IKEA-ish pieces sure to draw out a few expletives as one navigates assembly and too often, reassembly. I feel ready for the custom, “no-assembly needed”, white glove experience. 

After a prolonged vetting process, I took a deep dive into the very customizable world of “The Pottery Barn”. After scanning images of seemingly endless fabric and color combinations, measuring and remeasuring, thinking far too long about what side the ottoman should be on, I sensed I was hitting the familiar wall of decision fatigue. A bit unenchanted, I order the max number of sample swatches—twelve. I sit on my couch at present that I have a desire to break up with. I think of lounging on the new couch, which leads me to think of lounging on a beach, which leads me to think that as I stare at the sticker shock and then at the two feet of snow outside, I could just take the money and go to Mexico…A classic first-world problem of ineffectual discernment.  

Speaking of discernment, it is an art that is losing steam against a world that bombards us with opinions, choices, and theoretical outcomes. As so many of us are one click away from information overload, the ability to effectively make decisions without so much static and interference is so often an uphill battle. As we might look to avoid the static, some of us prefer the more spontaneous or impulsive way of operating while some of us analytical types might become bulldozed into a state of paralysis by analysis. 

In an era of endless information- too much of which is artificial and false, cultivating discernment seems to be more important than ever before. How? I have five thoughts… 

Integrity to our core values 

If you don’t know your core values, it is a good time for a little self-discovery. Core values are not static, but they serve as an internal compass providing a filter by which decisions must pass through. It’s not easy making decisions from a foundation of shifting sand. Helpful tip to avoid shifting sand? Put down your phone and turn down the noise. Your values offer you a solid piece of ground and a place of clarity amid so many options and opinions. 

Leading with what we know NOW 

It can be hard to predict the future even when we think we have a solid plan. Choosing a couch is one thing, but making decisions about relationships, careers, family, and financial matters can have far more gravity. We can get stuck in the “what if’s” and unknowns. It can help to focus on what is clear at present. While we may dwell on potential outcomes should we change, we may also know that what is happening now is not sustainable.  

Operate from a place of self-trust 

While some decisions may seem crystal clear, many others will feel blurry and rich with complexity. There can be multiple potential paths. Not one path is necessarily right or wrong, but they are simply options all likely with their own peaks and valleys. Trusting ourselves to navigate the outcomes and to take ownership of our responses is perhaps the most important outcome of all. 

Sometimes the hardest thing and the right thing are the same. -Isaac Slade

Your feelings are real, but not always true 

Discernment means acknowledging our feelings while also marrying them with evaluative reasoning and logic as the heart and head come together. If we put too much stock on making decisions based on how we “feel”, it is likely our momentum will only last so long and we may be tempted to engage in counterproductive behaviors. Feelings are important, but not always the best leaders. 

Remember the ripple effect 

Our energy we bring to this world has a ripple effect and the decisions we make will impact ourselves and those around us. These ripples can be both positive and negative all at the same time. The greatest good does not mean everyone goes unharmed. Sometimes the impact of a decision can sting a bit before it feels better. And yet, indecision can sometimes sting more. While being mindful of our impact on others is important, so too is the act of honoring ourselves even if that means ruffling a few feathers. Every decision has consequences, but if our decisions open more room to operate in a place of compassion and integrity, they are worth pursuing. 

“Indecision can often be worse than wrong action.” -Henry Ford

A sincere thank YOU for making the decision to read this today. And should you want to know, in the days since I started this article, my custom, definitely overpriced couch is officially en route. Mexico will have to wait… 

With gratitude,

Audry Van Houweing, Owner & Founder, She Soars Psychiatry, LLC

Sisters & Silverton, Oregon

www.shesoarspsych.com

Cultivate discernment & make better decisions

Making that Resolution Stick in 2024

How’s that New Year’s resolution coming along? As I write this, we are just over a week into 2024, which means according to researchers, it has been long enough for 23% of us to have not maintained our 2024 aspirations. Still going strong? Kudos to you, but if February rolls around and that resolution has taken a back seat, you are still in good company alongside an estimated 43% of folks who shared your month-long resolve. If that resolution happens to stick, count yourself as one of the elites as research suggests that only 9% of Americans who make resolutions, actually complete them (Batts, 2023).  

With the natural transition of the New Year and the chance to throw a new calendar on the wall, many of us are filled with the hope of a fresh start and the collective motivation to improve. The outcomes we daydream about are alluring. A healthy body, financial freedom, a new career…We envision the bikini on the beach, the feeling of being debt free, and the pride of moving up on the “ladder”. Identifying a desired outcome is easy. Identifying the process of implementation is where a lot of us get stuck in the mud. Here are five ways we can make our journey to change more sustainable… 

“Vision without action is a daydream. Action without vision is a nightmare.”

-Japanese Proverb
  1. Identify your personal “WHY” 

Core values are one of my primary areas of focus in my job. Knowing our top tier values can help provide an internal compass, foundation of discernment, and natural filter that decisions and goals must pass through. If we make a goal, but the “WHY” behind that goal is unclear or hollow, it is unlikely that our efforts to maintain will surpass life’s inevitable obstacles. WHY is your resolution important? Is your WHY really your own? Is it based on a “should do” or does your why belong to somebody else? If pleasing somebody else overrides pleasing ourselves, we might get some work done, but it can sometimes come at the cost of resentment and burnout. 

  1. Productive versus busy 

Many of us operate in a way where productivity and thinking deeply are mutually exclusive. It is easy in our go-go-go world that we operate more in a state of reactiveness vs proactiveness. We can get into a cognitive tunnel where we are simply reacting to the next demand—a persistent game of triage that leaves little time for reflection or reevaluation. Being productive means that we can most efficiently align our time and energy to the values that are most important to us. This means we actually have to take a step back and think about what those values are and how we might shift our time and energy to better support them. Otherwise, it is so very easy for resolutions to get lost in the hustle.  

  1. Don’t be so ambitious 

As somebody who loves the next good project, I need to remind myself to cool off once in a while…smell the roses for a bit and remember the value of simplicity. The big project or the sweeping change might be sexy, but we just aren’t wired too well for that. Start small and follow the S.M.A.R.T goal-setting protocol (Specific, Measurable, Achievable, Relevant, Time-bound). If you want to run a marathon and you have been sitting on the couch, it’s better to focus on mile 1.0 than mile 26.2. 

  1. Accountability matters 

Don’t keep your goals to yourself. Invite trustworthy folks to provide you with constructive accountability. Hire a coach, join a networking group, pursue your goals alongside friends. Spend time with people who can help illuminate your options and expand your horizons. We only see what we can see at the time. 

  1. Obstacles are inevitable 

Change is rarely easy. Often, the pain of not changing must be greater than the pain of changing to actually change. We can become very comfortable with existing or operating in ways that may be in opposition to what we hope for, but we stay put because they are familiar. If we embark on change, we must expect some headwinds and to be thrown off course from time to time. Reconnecting to our values, our WHY, and reaching out to our systems of accountability partners can help right the ship. 

Cheers to your 2024 resolution journey. Wishing you sustainability, discernment, and a good dose of grace along the way. 

With gratitude,

Audry Van Houweling, Practitioner, Writer, Adventurer.

Owner & Founder, She Soars Psychiatry, LLC

Sisters & Silverton, Oregon

Finding Rest Amid Uncertainty

When you sit with patients long enough, you start picking up on patterns. Individual wellness is often connected to the collective and with our digitalized world becoming smaller, that collective is more interconnected than ever. Feelings and sentiments are more palpable and like a contagion, can spread. While we may not ourselves have experienced a particular trauma or loss, we have immediate access to those who have, creating a breeding ground for secondary anxiety, fear, sadness, anger, or division.  

Despite my training in stress reduction and self-help, I am by no means immune to my own anxieties. I prefer to sit near the exits in a theater. I scan a crowd with a healthy dose of scrutiny. I am more comfortable in the woods than in the city. I am a bit slower to trust others. After weekly commutes across the mountains and pondering “what if’s,” my SUV is probably ready for the apocalypse and definitely not kid friendly. I made my first emergency kit. I bought an escape ladder. I am intent on adding a bit more cash to the emergency fund. With so many images and stories of tragedy filling the news, my mind easily slips to a place of “what would I do?”. My imagination can sometimes feel like an intruder whipping up worst-case scenarios that periodically overpower my sense of safety. Essentially, I find myself needing to be more mindful of “walking the talk”.  

It’s a strange paradox that amid trying to avoid imagined fears, the energy, thought processes, and attempts to control an outcome, can become pretty scary and overwhelming in themselves.  

Our anxiety does not empty tomorrow of its sorrows, but only empties today of its strengths.
-C.H. Spurgeon

It is easy to be in a place of anticipatory anxiety, to over-prepare, to feel the need to plan and predict. To an extent, there is good reason for this. There is political unrest. The economy is not great. There have been acts of violence that challenge our comprehension. The climate is changing. To anticipate is to survive. It is part of our evolution story. And yet, defaulting to a mindset of anticipation and preparation without the balance of rest and restoration, can be costly to our health, relationships, and spirit.  

Sometimes we may not have a choice. Life will sometimes demand that we grind. Life will sometimes demand that we stay vigilant. Our sympathetic nervous system takes the wheel pumping out adrenaline and cortisol priming us for action- at least for a while. Our parasympathetic nervous system allowing us to rest, heal, and digest, gets pushed to the back of the bus. This arrangement is only meant to be temporary. Regardless, the primal alarm bells eliciting a fight, flight, freeze, or fawn response are for many of us, in overdrive. Even in the midst of relative safety, many of us are convinced that if we let our guard down, even temporarily, the risks are too high.  

In the midst of preparation and anticipation, it would benefit us to remember what we are trying to preserve. Most of us would cite safety, stability, connection, peace, gratitude, and hopefully a bit of joy. Compared to so many who are searching for such outcomes, it can feel almost indulgent or selfish to bask in such positivity. And yet, our joy and ability to hold compassion for ourselves and the greater world is the ultimate rebellion against tyranny and unrest.  

How do we cultivate joy in a world that seems to be lost in so much struggle? Smile a little more. Compliment. Dance. Sing. Be a little silly. Go on an adventure. Prioritize acts of kindness. Take a walk in nature. Practice gratitude. Take care of ourselves. It takes mindful intention. 

As we enter the holiday season, let’s remember in the midst of feeling pressure to prepare and anticipate, what it is we are working so hard for. Can we spend moments in the joy? Can we dwell for a bit in gratitude?  Can we open the door for healing and reflection? Can we be still? The welfare of the world is not just secured by military arsenals and weapon stockpiles, but so too in our insistence to not forego our compassion and kindness despite it all.

Wishing you a joyful holiday season.

With gratitude,

Audry Van Houweling, Owner, She Soars Psychiatry, LLC

www.shesoarspsych.com

Sisters & Silverton, Oregon

Finding Freedom in Radical Responsibility

It feels good to have a scapegoat sometimes. The perception that we ourselves are free from blame and that our challenges are the fault of circumstance or others, is an alluring reprieve from our own culpability. That said, in our attempts to bypass blame, we also put our scapegoats on a pedestal holding the power to hijack our sense of agency and joy.  

We live in a shame and blame based culture too frequently practicing outdated beliefs that shaming and punishment are prerequisites to desired behavior. Shaming others often comes from a place of insecurity and is itself a form of scapegoating. Those who have been shamed are also less likely to have a sense of individual grounding, making them too more likely to blame and shame. And thus, our popular culture has produced a cycle of patterned projection where we trade self-awareness and responsibility for the disempowered convenience of blame.  

What if we accepted that our reactions are 100 percent our responsibility? What if we acknowledged that our perception is yes, informed by a rich collection of factors, but ultimately our own creation? Everything we experience is a projection of what’s inside of us. The concept of radical responsibility necessitates that we intentionally step out of the blame game by prioritizing the practice of looking inward. Taking full ownership for our personal circumstances does not have to be seen as a burden or martyrdom, but the conscious choice to return to a place of agency and self-empowerment. And before I go further, please know that self-responsibility and self-reliance are not synonymous. One of the most powerful acts of radical responsibility we can take is asking for help and taking steps alongside others to fortify our own emotional awareness. 

Steps to Cultivating Radical Responsibility 

  1. Practice looking inward: When we are met with challenges, the tendency can be to look outward and blame. This unwittingly can strip us from our own agency and power. The practice of asking ourselves, “what can I DO?” is a simple and transformative question in itself.  
  1. Get familiar with personal triggers: We all have our own layers of shame and emotional trigger points. Those places where we feel the most shame are also the places that can trigger us most to shame and blame others. Identifying the areas where we ourselves are most emotionally vulnerable, finding safe spaces to process shame and trauma, and becoming more acquainted with our own shadows can help us better create strategies around self-care and self-regulation. 
  1. Invite solitude: When we live in a shame and blame based culture, our worth becomes dependent on the opinions of others and it is easy to lose our sense of personal identity and grounding. Practicing solitude and stillness is one of the better ways to cultivate self-trust and become familiar with our own thoughts and perceptions. It takes courage to sit still with our own emotional landscape without distraction or feedback from others, but often provides the space necessary to navigate and process. 
  1. Don’t depend too much on an outcome: Planning and purposefulness are important, but let’s face it, life can change on a dime. Sometimes we lean too heavy on a particular outcome to feel “okay”. All of us are entitled to disappointment but learning that the extent of our disappointment rests much more on trusting ourselves to ride the waves of life and accepting responsibility for our responses versus outside and uncontrollable factors, can be liberating. 
  1. Challenges can be opportunities: Rather than feeling defeat or bitterness, we can choose to also see our challenges as opportunities for growth and resilience-building. This does not mean that heartache, grief, and worry should not be acknowledged, but that we also hold space for the paradox that amidst tough feelings, doors can also open for self-discovery, empathy, and spiritual growth. 
  1. Find a sense of meaning: It is easy from a place of existential doom and gloom to not care too much about our own footprint on this world. Joy can feel elusive and outside our control. Find the ways big and small that give you a sense of meaning. Make somebody smile, take a walk in the woods, have dinner with your family, embrace your spiritual side. 
  1. Taking care of ourselves: This seems a bit redundant, but self-care is accepting the responsibility that the energy you bring to this world matters and has real-world consequences- good and bad. Eating real food, moving our bodies, getting good sleep, getting outside, and connecting with others. These are the foundations of radical responsibility.

In summary, remember that radical responsibility upholds our personal freedoms- it does not subtract from them. Taking full ownership for how we treat others and ourselves is the mainstay of radical responsibility and one of the most important steps towards the joy and peace so many of us desire.  

Cheers to responsibility! 

Thank you for listening everyone.

With gratitude,

Audry Van Houweling, Owner, She Soars Psychiatry, LLC

Sisters & Silverton, Oregon

http://www.shesoarspsych.com

Lady, Get LOST- A case for solo adventuring

As I write this, I am sitting solo at my camp deep in the heart of the Steens Wilderness. One eye on my journal and the other on my campfire grappling to sustain itself after a day of unexpected pre-Solstice snow and wrathful rounds of high winds and hail. Generally clear this time of year, this time the skies are angry. The sun is finally making its debut out from the West lighting up the sharp cliffsides of the Little Blitzen River. I can hear the booms of the nighthawks above me. After a day of chasing the sun to the Alvord desert and tracking down wild mustangs in sage and blankets of desert flowers, it is dinner time. The peekaboo evening sun makes a fire seem hopeful. The can of chili that had previously been sitting in my kitchen pantry for at least eighteen months is the winner tonight. 

The Steens Wilderness is an annual escape for me frequently followed by a trip to the Blue or Wallowa mountains. This year’s solo adventure will culminate with trips to the Wenaha Tuccannon wilderness and the slopes above the Grand Ronde River. I have a strong desire to find an elusive Oregonian moose. 

I affectionately have termed these solo ventures my “vision quests” and yes, I am aware of the cultural misappropriation. I travel solo by choice. An annual commitment to adventure (some misadventures), solitude, and challenging my comforts has proven to be a dependable opportunity for respite, reflection, and growth. It is a small attempt at putting aside the modern comforts and sure-fire dopamine machines that make resilience and distress tolerance harder to come by. Although, I really do miss my lattes… 

It is not lost on me that it is still probably the exception that a 30-something year old woman goes adventuring solo in the wilderness. On the rare occasion I have an encounter with another solo female traveler, my excitement is met with validation. Inevitably there are those who question my judgment, or tiptoe on 21st century political correctness expressing “cautious support”, or look at me as if I am carrying some torch for equality. From where I am sitting, I am just a person who dreams of wild places where my wanderlust is no match for the “what if’s”. Don’t worry, it is not blind faith. I do my homework, I prep, I pack a little punch, and a little 38 special on my hip.  

Women (and certainly some men) deserve to grant themselves the permission to on occasion, “get lost”- to seek solitude. As women, we are still too frequently socialized to base so many of our decisions on popular opinion or on the needs of others. If this is not interrupted every once in a while, we can lose our inner compass in the process. The space that is opened when we are the sole owners of our decisions and have only to respond to the moods of the skies and the terrain at our feet, can be very healing. It can also feel scary sometimes to sit only with the companion of silence, to act without reassurance, or to endeavor without approval. That said, it is both uncomfortable and necessary to open spaces for our inner voices to be heard and acknowledged. This is where growth begins, self-trust blooms, and change starts. 

Detachment, escapism, and apathy are pervasive problems in our society. It is too easy to become disconnected from our inner voice and become preoccupied by distraction and the many ways available to avoid discomfort. Nature is and has been a loyal antidote to detachment. It forces present awareness as we are in tune with how our body interacts with our surroundings- where we step, how we eat, how we stay safe, and how we adjust to the rhythm of the sun and the moon. As women, we too frequently detach from our bodies often in response to trauma or societal pressures. We may view our body as an enemy or something that needs to be “managed”. Nature has a way of inviting us back to a place of connection and awareness as our bodies integrate and interconnect with a greater ecosystem. It is a natural homecoming of sorts allowing for an allyship with our bodies made historically difficult. 

So, cheers to getting a little lost- and cheers to your solo adventure whether a short walk in the woods or a multi-day trek.  We are social beings at heart- let’s not forget that, but a continued commitment to deepening our sense of awareness and resilience sharpens our inner wisdom and only makes us better for the people and places we love. As John Muir wisely stated, “In every walk with nature, one receives far more than he seeks.” Happy trails! 

Thanks for listening, everyone.

With gratitude,

Audry Van Houweling, Owner & Founder She Soars Psychiatry, LLC

http://www.shesoarpsych.com

Sisters & Silverton, Oregon

Money on the mind: The intersection between money & mental health

In my day job, I spend a lot of time talking to patients about relationships. To partners, to children, to coworkers, to themselves, but more frequently, the conversation has shifted to a personal relationship with something too often ignored in the healthcare office…money. And as it turns out, money has a way of impacting just about every other relationship too.

In the wake of inflation, warnings of a looming recession, climbing interest rates, and increasing cost of living, money is officially ‘on the mind’. Nearly two-thirds of Americans are living paycheck-paycheck. Less than half of U.S. adults have enough savings to cover three months of expenses. In my office, financial woes and trepidations frequently top the list of concerns and are often married with feelings of anxiety, shame, envy, fear, denial, avoidance, and despair. Certainly, when in the midst of mental health challenges, there can also be further difficulties in managing finances. According to researchers, financial hardships increases the risk for suicide 20-fold. Apart from the typical guidance on deep breathing, meditation, and positive self-talk, the art of budgeting and financial resourcing seems to be just as paramount to meeting current emotional challenges.

Personal finance was essentially absent in my academic curriculum. While the tide is shifting slowly, personal finance is still today often seen as an elective rather than a standard for youth. While I stood on the valedictorian stage, I had no concept of interest, credit, mortgages, down payments, the mechanics of saving, or investing. I gleefully treated myself to shopping sprees courtesy of my bonus checks from high interest student loans thinking it was somehow free money. I didn’t understand how anybody bought a house believing the only option was to pay outright with cash, and I definitely maxed out my emergency 500.00 limit credit card co-signed by my parents more than a dozen times (mostly on so-called ‘emergency’ take-out). Sorry mom and dad.

When I moved to the wilds of Wyoming in my early 20s for nursing school- states away from the free meals and free laundry home always guaranteed, it was clear that this new concept of adulting necessitated stepping out of my naivete around financial wherewithal. And so, I wandered to a local thrift store, found a used Suze Orman book, and started reading.

Regardless of your feelings about it, our society runs on capitalism. In this model, access to money means access to choice and in my book, access to choice is access to freedom. Not surprisingly, when money is hard to come by, this can leave one feeling trapped, unsafe, and threatened triggering our primal fight, flight, or freeze system conditioned for survival. How much desperation, chronic disease, depression, and anxiety can be traced back to a money trail? To policies keeping people stuck? To a lack of financial literacy? The point is that money and our beliefs surrounding money have huge implications in our health and welfare. We know this, we don’t talk about it enough, and we need to improve on the language and tools around financial well-being.

Some of us are in positions where our financial well-being is dependent on another. I am not going to trample on beliefs or traditions, but the fragility of such a financial ecosystem should be acknowledged as both the provider and dependents can face unique stressors. Regardless of who is bringing home the bigger paycheck, understanding the underpinnings and logistics of financial stewardship is important for all of us nonetheless. Financial stability should not be taken for granted. Power dynamics around finances can turn ugly really quick and are too often a hallmark in abuse and manipulation. I don’t recommend it.

Ultimately, as many concepts in mental health lead to, we come to a point where advocacy is essential to forward progress. We meet the intersection where policies directly impact symptomology. Access to financial capital, opportunity, and financial literacy is no exception. Standardized education around personal finance, affordable housing, enhanced job training programs, affordable pathways to career advancement, & reforming public welfare systems are just a few items worth speaking to. And as we continue to evolve our understanding of holistic wellness, we can’t afford shyness around bringing up the Benjamins.

Thank you for listening, everyone.

With gratitude,

Audry Van Houweling, Owner, She Soars Psychiatry

Sisters & Silverton, Oregon

You Can’t ‘Fix’ Struggle

Fresh off the tracks of academia in my early 20’s, my early motivations seeking a career in mental health were fueled by a rookie desire to bring concrete solutions to those facing struggle. An even deeper desire, below my professional angst, was to better understand and maybe fix the struggle witnessed in my own family. I immersed myself in best practices, learned the pharmaceutical-based algorithms, and gathered the tools. I wanted to feel equipped…prepared…ready to have answers. 

A bit more seasoned after nearly 15 years in the field of human emotion and having encountered an early run-in with burnout, I have come to understand that I will not always have an answer, that concrete solutions can be far more elusive, to listen more and to talk less, and to appreciate beauty alongside struggle. Sometimes the best solution is to kick away my preconceived pedestal, set aside expectations, and simply be with, acknowledge, and provide space for suffering. The time pressures, outcome-based reimbursement, and our stubborn quick-fix mentality in mainstream medicine can sometimes interfere, but when our practice revolves around the vastness of human emotion, we better learn to get cozy with discomfort, mystery, and uncertainty. From the humility of “not knowing “we are forced to simply be with and accept what is.  

Photo by Suzy Hazelwood

We honor a person’s dignity by allowing space for their discomfort. Our sense of predictability and control can feel threatened when encountering difficult emotions that don’t come with a roadmap. We may have an intention to help, but in our quest to “fix” another’s emotional struggle, we can rush an important emotional experience. We may also tend to limit or suppress our own emotional spectrum. Sometimes people (including ourselves) need to metaphorically cocoon before transformation takes place.  

“This ‘doing nothing’ is not a cold, passive resignation, but is an alive, sacred activity, infused with the light of awareness and a wild, relentless sort of compassion. To do nothing in this way is a radical act of kindness and love, filled with qualities of earth and warmth, and a holy gift that you can offer yourself and others.”

-Matt Licata

Sometimes we offer unsolicited advice. This can imply that our process of “coping” is somehow superior. For those intimately familiar with the caregiver role, we can even judge our own worth on the emotional outcome of another person. This can create unhealthy resentment and codependency. Repeated attempts to “fix”  others can also be a convenient distraction from tending to our own needs and hardships.  

Sometimes we can find ourselves hijacking another person’s emotional experience by too rapidly shifting the focus to a hardship we faced perhaps trying to communicate a shared sense of understanding and yet, this can also feel dismissive. 

Sometimes when we have significant discomfort with emotional vulnerability, we can diminish and shame another’s emotions. We might tell them to “move on”; “get over it”; “suck it up”. This erodes emotional trust and reinforces emotional suppression. 

It’s important to remember that powerlessness and helplessness are not synonymous. We may be powerless to change the outcome of another’s struggle, but we can be intentional in our ability to stay present, open, and available. That is not helpless. 

Whenever we respond to another, it allows us to look in the mirror at our own biases and insecurities. If we feel discomfort in witnessing the struggle of another, it may be a rich opportunity to embrace self-reflection rather than resort to judgement.

So what can we do?… 

Photo by cottonbro studio
  • Validate another person’s pain. “This must be so hard for you.”  
  • Provide physical presence. Hold a hand, offer a hug, sit by. 
  • Ask questions. “How are you feeling today?” Stay curious about their emotional experience without placing judgment. 
  • Create space for pain. “It’s OK to cry”; “I am happy to just sit with you”; “I am happy to listen to anything you want to share”. 
  • Offer specific support. Offer to bring a meal, tidy up the house, go grocery shopping, watch the children. 
  • Practice boundaries and self-compassion with our time and energy.
  • Explore our own discomfort with emotional vulnerability.  

Thanks for listening everyone.  

With gratitude,

Audry Van Houweling, Owner, She Soars Psychiatry, LLC

Sisters & Silverton, Oregon

Lost Accountability & The Paradox of Tolerance

In the world of mental health where we contend with the abstract intersections of nature versus nurture and what behaviors we have agency versus those we may not, the role of accountability can be hard to define. How do we define who should “know better” versus who should be excused. When the layers of trauma and struggle are excavated and the context of a person’s defenses brought to the surface, bad behavior can be interpreted as remnants of survival. Where then does tolerance end and accountability begin? In our increasingly politically correct world, tolerance is seen as a popularized moral directive and yet, with the undercurrents of division in our society, intolerance of whole groups of people has become commonplace. 

Accountability must have a launch pad. What constitutes this launching pad of morality is forever evolving. In a democracy, discerning and defining a reasonable constitution of overarching morality, policy, and law demands dialogue, careful judgment, and rational arguments. Unfortunately, in our current political and social landscape, constructive dialogue is lacking and the act of “reaching across” is infrequent. We often approach politics with defensiveness as a way to protect ourselves from the “other” and galvanize those most similar to us. We can assume in our state of division that those on the other side of the fence are unchangeable or a lost cause and forget that mindsets are complex and often fragile. We preach a certain version of progress, but often do not take the time to listen to those threatened or uncertain by the progress we hope for. And in that stagnation and hesitancy, the basis for accountability dies and the infrastructure of democracy crumbles. As the collective shies away from shaping the groundwork of accountability, there can be a trickle-down effect from our governments to our communities, to our families, and to ourselves. In the absence of accountability, there is yes, more room for bad behavior, but even more concerning, apathy.  

“Accountability is a love language.” -Maryam Hasnaa

Apathy and unbridled tolerance are in many ways, synonymous. Philosopher Karl Popper speaks of the paradox of tolerance stating the following, “Unlimited tolerance must lead to the disappearance of tolerance. If we extend unlimited tolerance even to those who are intolerant, if we are not prepared to defend a tolerant society against the onslaught of the intolerant, then the tolerant will be destroyed, and tolerance with them.” 

In other words, by standing too long on the pedestal of tolerance and not coming together to define a collective basis of reasonable morality and accountability, we risk being overwhelmed by intolerance and roll out the red carpet for extremism and authoritarianism.  

Whole communities have fallen victim to this overwhelm. In my home state of Oregon, Portland, the City of Roses, historically glorified by its trendy eccentricity, foodie scene, and natural beauty, is buckling under rising homelessness, unprecedented crime, vacant store fronts, & political missteps. Known for its attitude of progressive tolerance, so much city-wide upheaval has finally led to collective pressure to better define the boundaries of this so-called tolerance.  The idea of “live and let live” can be liberating as long as what we are asked to tolerate does not come at the expense of somebody else’s existence or well-being. 

As a mental health professional, the concepts of radical responsibility and accountability are in no way in opposition to grace and understanding. Accountability- despite its reputation, is not punitive and in fact, communicates an investment of care and engagement on a personal, familial, community, and societal level. Promoting accountability promotes growth. The intersection of tolerance and accountability is inevitably vague and will continue to be such in our non-dual world where the definitions of right and wrong are continually in flux. Therefore, the health of our democracy is worth fighting for. When we can do the hard, but so very necessary work of debating, dialoguing, & discerning the basis of accountability and boundaries of tolerance in our larger communities, we also benefit from greater clarity & growth on a personal level. Let’s hope we can stay brave enough to keep coming together as messy as it might be. In our country, fortified by a democracy emulated throughout the world, this turbulent and sometimes riotous persuasion & dialogue is, after all, our hallmark, our means to progress, and the backbone of our freedom. 

Thank you for listening.

With gratitude,

Audry Van Houweling, Owner, She Soars Psychiatry, LLC

Sisters & Silverton, Oregon