Cultivate discernment & make better decisions

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

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

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

Will You Weep for Her?

Will You Weep for Her?  

Will you weep for her as she stands at a crossroads? 

Both roads sure to have risks, unknowns, twists… 

Will you weep for her as she contemplates trying to carry a secret 

A secret soon to come out of hiding as the baggy sweatshirt fails to hide the contours  

Of the unborn life blooming in her belly 

Crowds flock to weep for this unborn life, but will they weep for her?  

Will you weep for her as the story she tells becomes a mountain of shame? 

A so-called celebration turned into isolation 

She worries, prays joy will replace fear, waits… 

Will you weep for her as forced bedrest takes over her livelihood? 

As bills pile up and her body rebels 

Will you weep for her as she postpones dreams for dimes?  

You can do it all so they say…and a burden she does not wish to be 

Will you weep for her as she feigns faint smiles to onlookers? 

Wanting desperation to go undetected. 

Will you weep for her as shaky supports dwindle? 

As the once upon a time prince becomes a coward 

Abandonment all too familiar on repeat 

And she wonders, can I survive this? 

Life, liberty, & the pursuit of happiness blur into murky waters 

Will you weep for her as her body stretches overcome with primal pain 

Screaming without an anchor as she squeezes the nurses hand 

The unborn becomes born 

Pressed against her swollen chest 

A paradox of joy and fear 

Will you weep for her as she struggles through sleepless nights 

Help is fleeting and more help breaks the bank

Without a compass, a captain, or crew mates, navigation is daunting 

She sings the only lullaby sang once to her by a kind face long gone 

How do you build a family when family has never been defined?

 

Will you weep for her as she scavenges for discounts 

Welcoming kind hearts, but not wanting to be anybody’s charity case 

Diapers, formula, doctor’s visits, clothes and more clothes 

Faced with questions, dilemmas… 

How to support a child without work?  

How to support a child with work? 

Sometimes she wants to run away from it all.  

Sometimes she gets lost in darkness.  

Do you weep for her as she grasps for her worth? 

In a society failing to treasure the crown of motherhood 

Will you weep for the child as he grows 

Mother working two jobs to sustain 

Never has he known a father 

Protective of his mother, hiding his shadows… 

She doesn’t need to know 

Desperate for belonging, he strays 

Will you weep for the child turned into a man 

Who found solidarity in the streets 

They told him he was one of them 

They told him he was strong 

He writes his mother from behind steel bars 

Will you weep for her?  

A mother with the burden of a broken heart 

Will my baby boy make it? She cries. 

Don’t they remember they wept for him in my belly?  

Who weeps for him now? 

Who wipes his tears? My tears? 

She falls to her knees each night  

Praying to God that her baby be protected 

That she might have the strength to carry on 

And she does with tired eyes and bones that feel brittle 

One. Day. At. A. Time. 

Will you weep for her? 

.

This poem is dedicated to all the mothers and mothers-to-be who know the meaning of struggle and sacrifice as they navigate raising our youth in a society that offers few reassurances and safeguards. Protecting life means showing up for the unborn and already born. Mothers are the backbone of our communities. Honoring them, acknowledging their hardships, and creating policies that allow their worlds to expand rather than become smaller, are essential components to protecting the welfare, health, and livelihoods of current and future generations.

Written by Audry Van Houweling, Owner & Founder

She soars Psychiatry, LLC www.shesoarspsych.com

Sisters & Silverton, Oregon

A New Year’s Wish for 2022: Civility

Feelings of powerlessness are insidious. While sometimes an opportunity for productive action, most often they plunge us into a state of primitive adrenaline: fight, flight, or freeze. These feelings may echo times of powerlessness from times past. They have a knack for triggering the shadows of our inner child, our greatest fears, and fortifying our defenses primed from traumas gone by. When faced with trauma, it is not simply the event itself per se that is damaging, but the surrounding feelings of powerlessness themselves leaving us feeling lost, unknowing, exposed, and shaken.  

Powerlessness has encircled the world the last two years. I could give you the (long) laundry list as to why, but I think we have all seen that list many times by now. It has left many of us looking for solutions, avenues to control, somebody to blame. The muddy waters and complexities surrounding circumstances of the past two years, have given us an unfinished narrative. How did this happen? Who is to blame? What is the best course of action? When does this end? Instead of being able to sit with a storyline that is very much “under construction”, we seek to fill the gaps with our own handywork. We create a story for ourselves that best provides a sense of safety, freedom, and control. We create our own enemies, our own protagonists, and our own plot twists. We each carry our own manuscript informed by layers of experience, culture, beliefs, opportunity, adversity, and relationships encompassing the multi-chapter, pre-COVID prologue unique to each of us. 

Civility costs nothing and buys everything.”

Mary Worley Montagu

Evolution has taught us that when most vulnerable and powerless, we are stronger with a tribe. Our relationship to others is central to our identity and consequent behavior. Prior to the digital age (and COVID), connections to a group were solidified face-face. Emotions, sentiment, tone, and body language could be appreciated. While opportunities for face-face engagement continue to exist, our social affiliations have become far more informed by algorithmic and superficial mechanisms that pave the way for hate and extremism as the ethics of civil engagement are stripped away. Our media feeds often hijack critical thinking skills and discernment. While many of us desire decency and common courtesy, we are also being manipulated into territorialism as our fears and vulnerabilities are exploited. Powerlessness and fear can be genuine but, can also be manufactured.  

With many of us triggered and primed to project our fears, we may find ourselves more skeptical, untrusting, skittish, withdrawn, and fearful of judgment. Civility seems riskier as it demands a loosening of our defenses in a time where self-preservation seems so critical. Finding a scapegoat gives us false reassurance that there is a target, a definable problem, some entity to be fixed or silenced. More than anything, finding a scapegoat allows us to bypass responsibility and escape vulnerability. 

When I see somebody overcome by anger or fear in my office, I often find myself envisioning them as a child. What happened? What informed such a reaction? What struggle is behind the emotion? We all have our dark places, our shadows. As unfair as it might be, we are not necessarily responsible for what happened to us, but inevitably most of us are responsible for how we respond to it. This is not always easy, is laced with privilege, and often cannot be done without help along the way.  

“The wound is not my fault, but the healing is my responsibility.”

Marianne Williamson

Our mind plays a lot of tricks on us. What might allow for fleeting feelings of safety or control, may not be productive and can sometimes be harmful. Having convictions can be admirable, but if we are too zealous, we back ourselves into our own corner. Rigid beliefs and behaviors lead to stagnation, the inability to grow, and lost opportunities for connection. Our world shrinks. Resourcefulness, openness, and flexibility become limited. Clutching tightly to certain labels, affiliations, and marking our territory on either side of the fence can have the allure of power. Perhaps, instead of having to choose a side of the fence, more applause should be given for those sitting on the fence thoughtfully observing either side, learning to be comfortable with ambivalence. 

As the natural transition of 2022 is upon us, my secret wish is that we can all have the courage to be introspective…to own our energy, our shadows, and our responses. When we find ourselves saddled with anger, fear, and resentment, let’s hope we can all do better at opening the door for self-compassion and reflection rather than sabotaging with projection and blame. We owe it to ourselves, we definitely owe it to our youth, and the world will thank us for it. 

Cheers to civility, cheers to kindness, cheers to responsibility. Happy New Year! 

With gratitude,

Audry Van Houweling, Owner, She Soars Psychiatry, LLC

Sisters & Silverton, Oregon

www.shesoarspsych.com

Prioritizing Resilience Over Stability

Life is HARD. 

There is no way around this fact. If you are lucky enough to have resources and privilege to bypass certain stressors and outcomes, some of life’s curveballs may be dodged, but ultimately, we will all experience our own versions of grief, heartache, trauma, and pain. 

The circumstances of our world the past two years have forced many of us to become far more intimate with our emotional fragility as the triggers and vulnerability to emotional distress have been vast. More isolated with fewer coping resources, many of us have felt overwhelmed with an emotional intensity we may have not encountered before. 

Seeking mental health support has become near trendy. Stigma has lessened and seeking counsel has generated more applause than perhaps ever before. The art of self-care is proudly featured throughout popular culture and social media platforms. Mental health professionals find themselves inundated with inquiries and waitlists are months long. While the interest in shameless self-improvement deserves an exuberant cheer, accommodating the “worried well” while also saving space for individuals in crisis is a struggle many mental health agencies and professionals are grappling with. Despite the boom of interest in mental health, the prevalence of crisis is not slowing. Studies throughout hospital systems demonstrate an overall decrease in total emergency room visits in general (this makes sense in the context of COVID), but a significant increase in the median number of total mental health emergencies. 

What is stability anyhow? 

Stability seems to be the elusive and highly sought-after goal throughout healthcare disciplines as treatment plans develop. Chart notes tracking a patient’s progress echo… 

“Patient presents as stable” 

“Patient reports overall stability” 

“Patient leaves the emergency room in stable condition” 

Stability seems to be the endgame for many health professions, but especially in regard to mental healthcare, what is “stability” anyhow? The very notion of stability is up for interpretation and rich with bias per the reporter. My version of stability may very likely differ from the next provider. While there are no true standards for what constitutes emotional stability, stability in mental healthcare is most generally noted as the absence of emotional distress. Of course, many of us are well accustomed to appearing “stable” while perhaps dealing with depths of distress internally and furthermore, what constitutes the presence or absence of emotional distress is also rich with interpretation and bias.  

Follow me if you will… 

If so-called stability is the absence of emotional distress and yet life is inevitably hard, creating inevitable emotional distress, then is the pedestal we place stability upon more predicated on avoidance than resilience? Are we haphazardly creating a mindset of emotional aversion than acceptance? There are certainly other definitions and theories of emotional stability out there, but ultimately, emotional wellness is not served by trying to run from what we cannot hide from.

Confronting Avoidance and Entitlement 

I do not seek to take away the pain of my clients, but rather to empower them to sit with the pain while developing more adaptive and constructive responses. I do not seek to make my clients “happy”, but to cultivate gratitude and lightness alongside the grief and heaviness. Do I prescribe medication? Yes. It is a cure-all? No. Is it a stepping-stone allowing clients to strengthen other aspects of resiliency? Hopefully.  

In our Westernized world rich with privilege, many of us are lucky enough to have access to primitive necessities keeping us away from the basic pursuits of survival. Internal struggles are less about where to find the next meal, but more so rife with comparison, insecurity, jealousy, purposelessness, anger, and existential fears. Underscored by the filtered and edited world of social media, we can be tricked into believing that if our lives are not rich with happiness and inspiration, we are somehow “not OK”. We are too quick to believe that such happiness is something we ought to be entitled to in our professional and personal lives, which often only enhances the discomfort felt during life’s inevitable hardships. We are a culture not so well equipped to handle pain. We are, however, very good at numbing, distracting, repressing, and avoiding what we perceive as uncomfortable feelings. I have said it before and will say it again, it is not the feelings of sadness, anxiety, loss, or shame that are problems in themselves, but often the avoidant responses that create greater suffering. 

Emotional wellness is not a destination, but a daily intentional process that demands radical responsibility. It is not something to be solved or “fixed”.  Alongside medication, treatment protocols, supplements, and lab testing, comes the willingness to acknowledge pain layer by layer, become more comfortable with discomfort, take ownership of our behaviors, and strive for more productive responses. 

Cultivating Emotional Resiliency 

Like stability, the concept of resiliency is also up for interpretation. Unlike the concept of stability however, implied within resiliency is the inevitability of hardship. At its core, resiliency acknowledges struggle and distress.  

Amid greater rhetoric around mental health and social-emotional learning, it is important not to enhance hypervigilance or skittishness around negative emotional states, but to enhance coping and responsiveness to the tough times that are part of being human. The conversation can’t stop at “its OK to not be OK”, but expanded to how can we continue to be decent and relatively healthy humans when we are not feeling “OK”? How can we better acknowledge and problem-solve so that we don’t project our distress on others? How can we create a lifestyle that enhances energy and compassion? How can we find meaning in a tough world? How can we limit distraction and numbing? How can we ask for help? 

The struggle is real y’all. There is no need for comparative suffering…it is not a competition. We have all had our dark days. Emotional distress will happen, stability is IMHO overrated, but resilience can be cultivated. In my version of resiliency, perhaps one of the greatest skills is learning to connect and ask for help. So do yourself a favor and reach out. You are not meant to ride out this rodeo called life alone. 

Thanks for listening.

With gratitude,

Audry Van Houweling, Owner, She Soars Psychiatry

Sisters & Silverton, Oregon

www.shesoarspsych.com

The Myth of the “True Self”

I went rummaging through my garage the other day. With every intention of finding my plastic pumpkin to put on my doorstep in a half-hearted effort to appear festive, I instead came upon one of those old keepsake boxes lodged somewhere between my camping supplies and rusted paint canisters. Needless to say, I forgot about my pumpkin for the next couple hours. 

I came across a report written when I was 15. It was my then (very serious) life plan. Always a planner, the 10-page timeline composed with typical adolescent invincibility and certainty, outlined with remarkable detail how life will proceed…I played basketball for the legendary Pat Summitt at the University of Tennessee, I became a veterinarian, I decided not to marry until I was exactly 27 years old, I married a fellow vet (apparently named Kevin) who as luck would have it, was a previous Abercrombie & Fitch model…we had 3 children illustrated by cut-outs from the JC Penney catalog, we moved to Jackson Hole, Wyoming, and magically had the means to buy a multi-million-dollar equine estate on 50 acres against the Tetons. Perhaps it was Kevin’s modeling royalties? Not sure. 

Not to delve too far into my life story, but my teenage self who was very married to her idea of authenticity did not have as functional a crystal ball as she thought. Fast forwarding, I got married at 22, settled for hooping it up during late night pick-up games…mostly schooling my future husband who while quite attractive, did not hail from Abercrombie & Fitch…we did live in Wyoming for a while in a very economical however structurally questionable apartment (one of our 10 post-marriage moves), and we are for now settled in Sisters, Oregon with four-legged children only.  

All this to say that as much as we might feel we are staying allegiant to our authenticity in the moment, life has a way of surprising us.  

Stop Seeking and Just Be 

The quest for the ‘true self’ has been touted in pop culture and psychology as something the enlightened human ought to uncover. It has inspired modalities of therapy, meditations, retreats, podcasts, and God only knows how many self-help books. There is some implication that with enough introspection and self-discovery, we ought to find our ‘true self’ at the end of some rainbow and then hope to hold on to him/her forever. It is all a bit overrated in my book.

If we are getting scientific, how we feel and perceive ourselves and those around us is so multifaceted around physiology, environment, and circumstance, that one could argue that we wake up a new animal each morning. The idea of unearthing our true self and remaining in perpetual alignment is simply, not aligned with the human experience. 

A lot of anxiety comes for folks in the perceived quest for happiness. We develop benchmarks for contentment. When I lose 10 pounds…when I own a house…when I advance my career…when I fall in love. We chase ideas of “reaching our full potential”, or finding our “purpose”, and yes, the perpetual and never fully fruitful quest of finding our “true self”. Problem is that while on that quest we can lose sight of the present. Perhaps we ought to change the narrative that the true self is found in simple acknowledgement of who we are in this moment. Goals are good, but postponing contentment erases purpose altogether. 

Social Incentives 

When we make a mistake or behave in a way we regret, we may often find ourselves saying, “that was just not like me” or “that’s not who I am”. It seems that a lot of our perception of what our true self ought to be is closely aligned with concepts of reputation and social acceptance. This makes good sense in the lens of evolutionary psychology that proposes we are ultimately more protected as an individual when we can make friends and have allies. Interestingly, research has suggested that our perceived authenticity is stronger when we are more aligned with external social structures.  

Depending on our routines, many of us may encounter multiple social settings within the course of our day…our work setting, our family setting, our friends setting, etc. How we show up in regard to personality, professionalism, and behavior is very likely to change a bit depending on the social setting. Does that mean we are foregoing our authenticity? Perhaps it just means we are adaptable and socially flexible humans. Kudos to us. 

While I am not advocating for being a doormat, we cannot separate the fact that our perception of identity is inextricably linked to our social and cultural landscape that will undoubtedly change overtime. Having a sense of our core values that help fortify our internal compass is important, but accepting these values may shift allows us the space to redefine meaning throughout our life. 

Finding Peace in the Dissonance 

Humans are strange creatures. If we were all strictly allegiant to authentically expressing our internal thoughts and feelings, we would all undoubtedly be locked up. We all have our shadows, our moments of scary thoughts, sometimes violent thoughts, sometimes just plain weird thoughts. While we will have our slip ups, many of us have learned through supportive social conditioning how to filter and redirect such moments. Much of the time we can play the role of a decent human without our moments of internal recklessness being found out. 

There will always be a degree of dissonance between our internal thought life and our external expressions of identity. Sometimes we can be too painfully aware of our inner insecurities, places of shame, and negative self-talk. Some of us become masters at masking our inner shadows, but nevertheless we can feel like imposters. We convince ourselves that the dissonance between the inside and the outside means we are fraudulent- not adhering to our “truth”. As we scroll through filtered, blissful images on social media we can furthermore become convinced that others have somehow figured out this game of inner and outer harmony that we are seemingly lacking. We are all fooling ourselves. 

How Can You Best Show Up Today? 

Many of us may be aware of the ways we can improve, our opportunities for growth, our goals. We may have convinced ourselves that in order to find our “truth” that such conditions need to be met. Have you ever asked yourself what happens in the meantime however? 

Forget about your true self. Let go of the quest. What about your best self—today? With everything that has culminated thus far, how can you best show up for yourself today and in this moment? How about for others? Something else may transpire tomorrow. Your best self may change. Trust that your best is simply enough. 

For now, my best self will return to the garage on the very important quest to find my adrift plastic pumpkin. 

Thanks for listening everyone.

With gratitude,

Audry Van Houweling, Owner, She Soars Psychiatry, LLC

Sisters & Silverton, Oregon

www.shesoarspsych.com