Category Archives: communication

So … Where Do Those Characters Come From?

Every author hears that question. Probably more so, it’s what people wonder when a therapist starts writing fiction. Friends, family and, possibly, clients and colleagues, wonder whose secrets I have mined to create the characters in my books.

Well, with the first novel in the series out there (Falling Feathers) and a second expected out before year’s end (Never Just One), two more in the queue for 2026 and one in development for 2027, I am happy to take on that question directly.

The fact of it is, unfortunately, that I am tucked into each of these characters.

I am Alex, the put-everyone-else-first person until the stress gets to critical mass and then she must say, No, that’s enough.

I am Joe, who can get so excited about a topic of interest to me, that I can turn any dialogue into an awkward monologue/college lecture.

I am Sandy, who wants to save the world, and probably needs to stop talking about how much better the organic produce is. But it really is better, that’s the thing.

I am Beth, who thinks if I just work a little harder, I can fix any situation.

I am Gloria, who thinks she knows best what everyone else should do. Period.

I am Bob, who smiles and nods at others’ advice and then wanders off to do what I please.

Even the characters I dislike have pieces of me. That’s the way it goes. Writing fiction is like a long and brutal examination of conscience, thrown out there for other people’s enjoyment.

To the extent any reader feels a flash of recognition – well, hello, friend! Looks like we have something in common. I hope you enjoy the books.

Riding the Rapids

We recently spent a few days hiking up mountains, camping and white-water rafting in Wyoming and Montana, because isn’t that what people who are afraid of heights (me) and can’t swim (yeah, me, again) do for fun? And it was fun. It’s good to push out of the comfort zone.

Most parents and the other adults who care for and work with children are quite serious about helping them get out of their supposed comfort zones and into a healthier lifestyle. Recently, I was speaking to a group of adults about the topic, “Raising Mentally Healthy Children.” We spent our time focused on what we can do.

One problem that arises in these conversations – whether in a group, one-on-one, or with a family, is that making time for change seems impossible. The days are packed, and nothing on the schedule seems negotiable. Yet, in reality, what’s not negotiable is what humans need to be healthy and thriving.

What most kids need, and what we need, too, is more appropriately divvied-up time. For example, children and teens benefit from a solid two hours or more of physical activity every day. They need time outdoors, in nature, for their immune systems, Vitamin D, circadian rhythms and even their eyesight development. The near-and-far variation in focus that being outdoors elicits promotes healthy eyesight in young children; kids are supposed to go from crouching down to study a beetle to peering across the field to see if that’s a hawk in the tree and then taking off running to make sure. Optimally, they’re outside for at least two or so hours every day – more on weekends.

Kids need enough sleep – probably 9 or 10 hours a night, with an absence of screens. Recent research links high levels of artificial light at night (ALAN) with increased rates of cancer due to disruption of the circadian rhythm. An immediate risk with insufficient sleep is the attention system. Sleep-deprived people are irritable, inattentive, forgetful, disorganized and generally not fun to be around. Sleep-deprived drivers test as impaired, much like those with alcohol and/or drugs in their system. Think about inexperienced and sleep-deprived teenagers driving to and from school and work, often in the dark.

Kids, and we adults, need unstructured time. Most of the adults present had a creative hobby or two, and we all agreed that it takes time to shift gears into that hobby. It’s hard to walk in the door after work and immediately pick up a paintbrush, or guitar, or journal, or woodworking tools, and be in flow. The segue into creativity requires a sort of almost boring downtime – something many adults and children avoid compulsively through electronics. 

I can’t tell people what sacrifices have to be made for their family to have a healthier life. It varies from family to family, and it is never easy. It might be simple or quite complex, but it is never easy. However – after the white-water part, when you aren’t on nature’s roller coaster, there are always some smooth, easy times ahead. Thank you to all the parents who go for it – who strive to be sure their children to have the range of experiences they need to grow up resilient, curious and confident.

Not another horrible day

A different day, another awful situation. 

A child, or teen, or young adult has been struggling with emotional turmoil and is tumbling into danger. They confide in a friend, or maybe a few friends.

They may have “met” someone in an online chat and now this person is their “boyfriend” or “girlfriend,” and they are planning to run way to meet this person.

Perhaps the young person has been “sexting” with someone they know personally, or “met” online, and now are being threatened with “sextortion,” that the images of them will be spread around, unless they meet some demand. This has recently led to many teen and young adult suicides.

Perhaps the young person shares that they are a victim of abuse.

Or, perhaps they stumbled upon, or were led to, the terrible misinformation that hurting oneself is a useful way to cope with painful feelings. The young person proceeds to experiment with self-harm, and posts online about it.

So-called friends hear the plan, listen to the horrible stories, or see the images of scratches, cuts or burns, and fail to turn to an adult for guidance.

Every parent I’ve ever spoken to is under the impression that their child would, of course, come to them if a friend were in grave danger. And sometimes that is true, but an awful lot of the time – in almost any of these kinds of incidents I’ve ever encountered in clinical practice or consulted on, as it happens – that was not the case. The case was, almost every time, that other young people knew about the plan to run away, or the abuse, or the self-harm, and did not seek the guidance of an adult.

Sometimes these “friends” have an unflagging alliance, suddenly, to keeping promises (unlike the promises they have made to you, dear parent, about everything from cleaning their room to homework being done well to treating your automobile with respect). Sometimes they believe they are better equipped to help than an adult would be, although they cannot arrest an abuser, drive someone to the emergency room or help them connect with a mental health professional for counseling, and their capacity to manage extreme distress is probably not much better than the troubled friend’s skills. Sometimes they dread social disapproval for breaking the rule that you keep adults out of it, whether the “it” is someone self-harming, or sharing that they are a victim of abuse, or are planning to run away from home to meet up with the “boyfriend” they “met” online.

I urge you to have frequent, open conversations about these topics with your young people. Make them age appropriate; be calm and encouraging. If you are too stressed out, you may be misread as “angry.” Remember that adolescents go through a stage where their brain interprets almost every non-happy facial expression as “angry.” If that happens, the conversation will probably be a complete failure.

Be calm, be matter-of-fact, and be sincere. Ask questions, too:

How do the people you know handle things like a friend telling them this kind of stuff?

If this was your friend, what would you do?

If it were (fill in the blank for some close friend or family member), what would you want their friends to do in this type of situation?

Why do you think people are reluctant to ask adults for help with this?

What would make an adult seem safe to go to with this problem?

Don’t lecture; have the conversation. It may be a conversation that occurs for a few minutes at a time over an extended period. That’s okay; sometimes a few sentence and letting it simmer is what’s necessary.  

You may, without knowing it, be setting the groundwork to save a life.

Boundaries, Fences and the Berlin Wall

My cousin George died a few years ago, still with Soviet bullet fragments in one leg from his part in helping people escape from East Germany to the west. He had been a young man seemingly allergic to caution and willing to risk death to help others through what was intended to be an implacable barrier, the old Berlin Wall.

There are walls, and fences, and boundaries. The fences around our back yard allow bunnies to slip from one yard to the next. Yesterday, a squirrel chased a small bunny – not much bigger than said squirrel. The bunny escaped under the fence; the squirrel scurried up the fence to be sure the bunny was banished to the neighbor’s yard. The bunny, meanwhile, scampered right back into our yard. Up above, the squirrel looked left and right for the bunny. They had, apparently, an issue with boundaries.

Boundaries.  Twenty-plus years ago, boundaries were discussed most often in therapy, helping clients, often victims of emotional, physical and/or sexual abuse, learn how to put up practical, realistic limits for interactions with others. As the topic became more commonly known, wise writers and speakers (Brene Brown, for example) provided practical and inspiring information about developing and maintaining these healthy limits.

Like anything else, though, something good can be misused.

Medications that are essential to reduce some pain for someone in the final stages of cancer kill non-patients via drug abuse.

Entire genres of horror movies revolve around practical items used as devices of mayhem.

And the important psychological concept of boundaries – that we are each distinct beings and have a right to dignity and mutual respect ¬ is weaponized, like so much else in therapy, by far too many people.

As an example, consider the meme that “No is a complete sentence.”  That’s fine, as far it goes. But how often is that level of curtness warranted?

Husband: “Would you like to go out for ice cream?”

Lori: “No.”

Okay, for one thing, unless I am on a medically required pre-surg fast I wouldn’t ever say no to ice cream, so it’s ludicrous on that count. Secondly, it’s just rude. “No.” Better: no, thank you; tomorrow would be better, or, No, not this instant; could we go after I finish this paperwork?

No is a complete sentence, and optimally a loud one, when someone behaves inappropriately – then drawing attention to the need to stop an encroachment makes “NO! NO! NO!” a complete paragraph.

But the magical complete “No” is the least of my concerns. What happens more is the application of “I’m setting a boundary” when the person (usually a gaslighting partner or manipulative family member) really means, I’ve decided to be mean to you and I am using the magic hall pass word of boundary to get away with it. It’s totally legitimate to set a boundary. Yet, when used to justify inconsiderate behavior, it becomes a useful tool gone bad, a well-oiled emotional chainsaw in the wrong hands.

Of course, there are many people who refuse to accept reasonable boundaries.

For example, the fact, grandparents, that your (and my) fantasy of grandparent-life looked one way does not impose that script on our adult children. Whether we like it or not, they largely write that script and we can be enthusiastic about our roles, or be miserable grumbles and find ourselves little more than walk-ons.

Adult children who are not financially dependent on you do not need your unsolicited guidance on what they should be doing with their money. That conversation reasonably happens when they breach their “I’m a grownup boundary” by asking for money. They have, at that point, called you up from the Parent Reserves to Active Duty, and at that point you can ask questions, like, exactly what are they proposing to “pay off” with your IRA distribution for the entire year? Counter their complaints about boundaries that they are the ones opening that door.

When someone brings up the boundary word, it is time to breathe, ask some clarifying questions, and then take some time to reflect.

Does this feel like gameplaying – do the “boundaries” in this relationship keep shifting like quicksand?

Can you discern the difference between your disappointment and actual manipulation and meanness?

Does this sound as if the person is using psychological terminology to justify distancing from family? Is it possible that there are factors you don’t know about, or don’t sufficiently understand, that make this reasonable to them and for them at this time? This is entirely separate from you being disappointed.  Example: if big family holidays include family members who have been cruel, or abusive, or harshly critical, or have bullying senses of “humor” towards this person, the person placing a boundary up is acting in reasonable self-interest.

Usually, in the short term, the uncomfortable fact is that you can’t change the situation; you must figure out how to adapt. Pushing against the decision will, inadvertently, reinforce the decision; your arguments, tears and complaints will be interpreted as more evidence of disrespect for their asserted interpersonal boundaries – whether they are emotional boundaries, actual physical distance, or the dire separation equivalent to the old Berlin Wall.

Why didn’t you call me?

The Mystery of the Missing Phone Call

If you leave voicemail and I do not call you back, odds are it is because the voicemail did not come through, or, as sometimes happens due to cell phones, it was impossible to understand.  During 2024, there was a week in the autumn in which my cell phone record clearly shows no phone calls and yet later, several people complained about having called and receiving no call back. Their number popped up showing they’d called during the week in question, but the cell phone call logs of that week showed no such call. These things happen; it is regrettable and out of your, and my, control. If there is no call in a day or so during the business week, please call again! 

If you email me and ask me to call you, I will email back and invite you to call me. Sometimes people find this annoying or avoidant. I have two reasons for this.

First, I cannot be sure that whomever is emailing (or texting) is the person in question. That is why we therapists have requests about not sending confidential information by text or email.  Believe it or not, several times in my over quarter-century in practice, people have left voicemail or email with a name and number that was not their own. They had decided that “Alex” was in need of a therapist. In their imagination, leaving unsuspecting me a message to call “Alex” was a way to have “Alex” unexpectedly encounter a real, live therapist and jump at the chance to make an appointment. This is not how it ends up, believe me. On occasion, people have called and directly requested that I call some family member or friend, and I decline. I appreciate the honesty in the latter case, but it is still inappropriate.

Secondly, I cannot be sure that I will be calling when it is safe and private.

Thanks for calling!

Loneliness can kill you…part 3

This is the third of three posts. This one focuses on the art of conversation:  being better at conversation will help you overcome loneliness.  As noted in part 2 of this series, a lot of people struggle with reflection and/or asking questions that elicit a deeper conversation.

So, here are two strategies to help with these.

Reflection:  reflection has to do with being able to identify how someone else feels, and mirror that back to them with your expression and your words.  Laughing when someone tells you something sad (it happens, trust me) is not good. Identifying all negative emotions as some form of “mad” or “angry” is not helpful, either.  Sometimes, when you are watching a show, put it on mute and try to verbalize the emotions that characters are experiencing. Then go back and watch with the sound on. See how you did. Experiment with mimicking their facial expressions and see what feelings you experience; the imitated expression can trigger a shadow of the other person’s emotion via our mirror neurons.  If your emotional vocabulary is lacking, do an online search for Dr. Gloria Wilcox’ “The Feeling Wheel” for a research-based set of some of the many emotion words.

Asking questions:  there are plenty of sources for “conversation starters.” I have used Gary Chapman’s conversation starter cards for couples and for families with clients, as well as a discount store’s set of conversation starters for couples, families, and general-use conversation. Basically, at this writing, for about $1.25, you can get about 100 sample conversation starters. Here’s how to practice by yourself: pull a random card, look at the question, make up an answer someone might give, and see how many questions you can come up with related to that answer.

Random example:

Who was your favorite teacher?

And, here are just a few of the many possible questions to take the conversation further:

  1. What was special about this teacher?
  2. What is one of your favorite memories about being in that teacher’s class?
  3. Did other students feel the same way? Why or why not?
  4. How did having this teacher help you out in future classes with other, not-so-great teachers?
  5. If you could meet this teacher now, what would you want to say?
  6. Have you had any opportunities to help others the way this teacher helped you? What was that like for you?
  7. If you were going to encapsulate what you learned from this teacher as a “life lesson,” what would it be? How has that lesson reverberated for you since those days?
  8. Did you ever have a teacher who was sort of the evil opposite of this teacher? Who helped you get through that school year?

Practice making up questions. You won’t be peppering people with multiple questions; the goal isn’t to overwhelm people with an endless interrogation. The idea is to develop confidence that you can invite someone to have a richer conversation by asking a thoughtful question or two, and have the kind of dialogue that helps heal the loneliness that you, and perhaps they, are experiencing.

Because loneliness can kill you.

Loneliness can kill you, Part 2

Connecting with others is vital to overcome loneliness.  Just being around people, including your spouse, children, parents, other family members and friends, is no guarantee you will feel connected.

In one of the marriage prep/marriage enrichment workshops I facilitate for the Diocese of St. Petersburg, I teach (in part) listening skills that help enrich conversations and allow deeper understanding and connection.

Here are some simple steps to better listening:

  1. Eye contact – or related means of showing dedicated attention. Put the phone down; mute the big screen. Obviously, don’t turn from driving to make eye contact, but give attention.
  2. Reflect: reflecting is giving feedback that lets the other person know you are listening and understanding. Think of reflection in 3 levels:
    1. Content: what information is being relayed? Here is where summarizing or paraphrasing feedback can indicate you are paying attention. Sometimes this is all you need, as when making sure you’ve got necessary information.
    1. Emotion: when it’s more than just basic information, how does the speaker feel about the situation? Happy? Anxious? Worried? Sad? Annoyed or angry?  Reflecting words that indicate a grasp for the emotion(s) being expressed helps the person speaking understand that you have an interest and concern in how they feel. This be as simple as, “That’s great news; you must be so relieved,” when, for example, medical tests come back clear.
    1. Meaning: depending on the topic, and your relationship with the person, you may have insight into what the topic means to them; its significance to their life, hopes and dreams.  Feedback that touches on the meaning this must have indicates you have been paying attention – not just now, but in the past, too. If someone has been working towards a promotion and their annual review is 4.5 out of 5, they may be disappointed instead of pleased. Just complimenting the 4.5 when, to them, it means the promotion just became unlikely will indicate you haven’t been paying attention to their work-related conversations.
  3. Ask questions: elicit more information and keep on reflecting all through the process. Avoid “why” as an early question, as it can trigger defensiveness, but when you’ve demonstrated concern and interest, the “why’s” can be asked.
  4. Show support; this doesn’t mean agreeing, but some emotional support if something is clearly a big deal to the person speaking makes a difference.
  5. Empathize and encourage.

A lot of people struggle with reflecting and asking questions.  More on that in Part 3 of Loneliness can kill you.

Loneliness can kill you…Part 1

According to new research from the journal Nature, Human Behavior published on January 3, 2025, loneliness and social isolation lead to molecular changes that, in my simple terms, seem to set the body up for serious problems – increased risk for dementia, depression, cardiovascular disease, diabetes, stroke, and early death.  The researchers’ recommendations include routinely asking about loneliness and isolation, the way a health professional asks about sleep habits, alcohol use, and drug use.

If you are lonely on an ongoing basis, this is for you.

Loneliness can strike through no fault of one’s own.

Losing your spouse, for example, or a best friend, will almost inevitably lead to a long stretch of deep loneliness during the initial year or so of grief, and can continue beyond, as the bereaved person struggles to outsource some of that emotional, intellectual and spiritual intimacy to other relationships. In a healthy marriage, you share all sorts of confidences with a spouse that you simply might not share with anyone else – fears, dreams for the future, spiritual insights and struggles, and the warmth of shared memories that are no one else’s but the two of yours.  Somehow, some of that must be extended to others, and depth built over time. It an absolutely monumental task to parcel out these small slices of the immeasurable depth of a healthy marriage.

Moving, alone, to a new city, for a new job, can be exciting, but the reality can include aching loneliness when everyone at the new job goes home to their lives and you go to your apartment and try to figure out how to build a life. Developing the big, and small, connections that make a place feel like home can be daunting, and for most people, it takes longer than they had ever anticipated.

Loneliness hits other people, too. Those who are living primarily second-hand, separated by screens and trying to substitute electronic connections for human ones, are often intensely lonely. Some people interact with others in person, but the conversations are shallow, guarded and therefore nearly empty of connection and meaning. This type of loneliness can be even more painful, because it seems inexplicable; how can a person live with family or a partner and yet feel deeply lonely?

So, what to do? Unfortunately, the impetus is mostly on the lonely people to do something differently.

Here are some suggestions I would give to a client in such a situation.

  1. Go to church or synagogue. If you are grieving, try to go back to your own – but if that’s painful, go somewhere else, at least for now. If you are new to the area, just find a place that seems like a possibility. Then go to the hospitality time afterwards. Introduce yourself, and invite people to tell you about the faith community. Do not stand around with your cup of coffee and wait for people to notice you. Set a goal: perhaps that you will introduce yourself to three people, get their names, and ask a little about this community. See what happens. Try to focus on the other person; make the conversation a chance to get to know them and about their community – not about you. If it goes fairly well, go back the next week, greet those three people (and anyone else you met) by name if you can, re-introduce yourself without taking them forgetting your name personally, and see if you can meet a couple of other people. Within a month, you will have some acquaintance with a dozen or more people and have a solid idea if this community offers activities for education, worship and service for you to join.
  2. Even if you usually like to do things solo join at least one activity – one exercise class, one art class, one talk at the local bookstore, etc. – on a regular basis. Get to be a regular. Greet other people.
  3. Volunteer in your community. Do this with others. Doing good solo is beautiful, but if you’re not getting out of your head and focused on others in an interactive way, you are missing part of the point.
  4. Be friendly but don’t try to bully people into being your friends. For example, if you are new to the area, don’t wear out your welcome with the neighbors who came over to introduce themselves on moving day.
  5. Please do not use alcohol or other substances, or resort to hanging out having drinks as a way to cut loneliness.
  6. Be patient and keep trying! Think of these steps as experiments. Track what happens over time; be willing to change to a different experiment if the first one isn’t working after a month or so.

As you can see, the remedies for loneliness all include getting out of your head and into the world. Focusing on others, in small ways (such as greeting them and showing interest) to big ones (such as volunteering), is a critical part of overcoming loneliness. This can be really hard, because loneliness tends to make people even more withdrawn, more insular – it is a self-perpetuating problem unless you boldly step out, even with small but courageous steps, into focus on others.

More about connecting with others in Loneliness can Kill You, Part 2, coming soon.

I Just Needed to Vent about That

Back in my running days, I once reached mile 18 in a marathon when I noticed the blood coming through my running shoes. “Didn’t you notice?” I was asked. I said, no, not really, as I changed socks and went back to the run. You might think I have the pain tolerance of a superhuman, but that’s not the case at all. First twinge and I am on the phone with my dentist’s office, where everyone knows me by first name. Discomfort comes in categories and for me, blisters, in the context of a marathon, were in one category and dental pain in an entirely different one.

This issue of categories of discomfort intersects with the variety of responses to life’s pains and problems.

“I just need to vent.”

“Sorry – I’m just going to vent.”

“Look, I don’t need any advice – I just need to sort of verbal vomit this stuff.”

Lots of ways to say it, but the short form is “vent.” As in, blow off steam, let off a bit of pressure. It sounds like a good idea, right? I mean, holding all that in can’t be good for us.

And neither, as it happens, is merely venting for the sake of venting. With a caveat.

That caveat is the situation in which someone really is in a painfully difficult situation in which there are no tenable options except to endure it. Consider, for example, the pain of the spouse who is caregiver to their dying husband or wife. They have already accepted the help of Hospice or palliative care; friends and family have stepped up. But the loneliness, the grief, the pain and exhaustion still are there. This is a person who can benefit from some venting to a compassionate listener who isn’t going to give them silly advice or trite encouragement.

Then there are all the rest of us.

Venting, in small doses, here and there, might be helpful. It stops being helpful when it becomes some sort of permanent coping mechanism, perhaps even seemingly a part of the personality.  Consider the coworkers who deal with unhappy work situations by commiserating over drinks or takeout week after week but never find the time to look for something better. They keep the level of discomfort just within tolerable levels by venting and indulging in bonding-in-misery.  Perhaps it’s the person for whom griping is a personality trait: anything is fair game. They confuse unmet whims with discomfort. Real discomfort has a very useful purpose.

Discomfort lets you know there’s a problem. Sometimes the problem is serious, and sometime it isn’t. Elite athletes, including very dedicated amateurs, react to pain differently from the non-elites.  An elite athlete will disregard non-critical discomfort and stop on a dime if the wrong sort of twinge – something a non-athlete might not even notice – suddenly starts. That’s why a marathoner will be surprised at their bloody socks at the end of a race but would have stopped a workout if there was a fleeting not-right sensation in the back of the knee.

If you’re a “venter,” maybe it’s worth reflecting on if you are habitually venting – like a beginning exerciser who thinks every stitch in their side is an emergency. Or are you more like a semi-regular exerciser, who can tell the difference between serious and nonserious discomfort, but would like an excuse to hit the snooze button and go back to sleep- so you vent instead of taking constructive action? Perhaps you keep venting in its place: very occasionally, but mostly for the times when options are very limited.

Please share about the day with your loved ones, including the joys and frustrations. Just realize that if the same frustrations keep being aired, that something in the situation needs reflection and change – whether it’s the circumstances or the approach to them. After all, in a year, or two, or five, do you want to be having the same conversation about the same problem?

Mom Wisdom: See, I wouldn’t like that

My mom has much wisdom, and it is often compressed into a succinct statement. One such statement is the beautifully versatile, “See, I wouldn’t like that.”

It is a thoughtful, personally disclosing and completely nonjudgmental response to all sorts of statements and behaviors. 

A distant relative has gotten an uncomfortable looking piercing. See, I wouldn’t like that, having a hole in my lip. But it’s not my lip.

Another family member is an avid hunter, while she is a vegetarian. See, I wouldn’t like that. But I’m sure it’s good to save money on food and of course the poor animal had at least a better quality of life while it lasted than those poor animals trapped in commercial stalls.

An elderly family member is planning a hiking and camping trip in the mountains. Well, good for her, but I wouldn’t like that. I’m sure she’ll have fun.

She will not pretend to agree with an opinion to keep the peace; she will not be abrasive or confrontational about it, either. She will not pretend that she, too, would want to skydive or travel someplace with large insects or otherwise engage in activities that she finds unappealing. She will listen, ask lots of questions, show genuine interest in the topic, seek to understand the other person’s enthusiasm, be encouraging and may also remark, well, see, I wouldn’t like that.

We have, to some extent, adopted this expression. Even when making an observation about something, such whether to go to the local First-Friday concert when the music is not a genre we enjoy, no criticism is necessary, just the agreement that lots of people will really enjoy it but, see, we wouldn’t like that.

I wonder what changes would ripple out if more people, instead of criticizing others for thinking or doing differently, the first stance was that respectful curiosity followed by a personal reflection that has nothing to do with whether the other party is “right” or “wrong.”  The alternative is a world where people fight or even cut one another out of their lives for matters that are more personal opinions than principles and too often, too little effort is made to find some common ground. And, see, I wouldn’t like that.