December 26, 2016

Just another Christmas

Dear Bloggers,

A bit late for the time of the month in this last month of the year there is so much to do and work is more irregular than other months. Although I have some free time but many people want something from me. They are all needy and I am working a lot of late shifts to earn my money as a bus driver.


Slowly but definitely is the nocturnal horizon sliding by. On the radio their playing Christmas songs and easy listening songs it's that time of the year again and I hum them along softly. A typical ride home after a late evening shift. Suddenly, there are shooting all kinds of thoughts about the past through my head. I plink away a little teardrop that is rolling down my cheek. I think about all the beautiful moments of my past and see myself in the smoking ruins that remain of it. I dance in my mind together through the night with my dearest girlfriend who just all too soon slipped away from us. Gently giggling we shuffle along, tightly pressed against each other by through the splinters of my present life. By now I'm used to absorb all the blows that life brings me. Though I sometimes wonder why I and I question myself did I deserve this mess? I'm really happy in life and a great sense of humor is very important, so please do not misunderstand me. I have a wonderful family and I can enjoy their being to the fullest every day. Already there has changed a lot in the last few years. But that doesn't keep me really from working hard for them and I do it with love.



My eyes stare into the darkness of the night and I roll quietly on to the highway. Beautiful thoughts flickering through my mind, thoughts from long gone. I go all the way back to my early childhood. The time when everything was just right and the only thing we knew about violence and terror attacks were from the time of the Second World War, the village where I grew up had everything a man needed. There was a butcher and two bakeries, a haberdashery shop and two small supermarkets. There was a drugstore, a cigar shop, a hairdresser and a bicycle repair shop. There were a few restaurants and some bars. Not much bigger than this was our world. If you had to go to a hospital or other needs you had to travel to a bigger town. 



My late mother was not having a driving license so we had to rely on my dads free time or we had to take the bus, which only stopped there three times a day. Yet I do not feel I've missed something. Maybe going on vacation because there was unfortunately not a chance to do that. Of course I listened with red glowing ears to the beautiful holiday stories and adventures that other children had experienced in my class, like some guys who went with their fathers in the truck all the way to France and the others had gone to a camping place in places that sounded completely foreign to me. I camped with my parents in the backyard and I needed to help them out to earn my pocket money. And no I there's really no harm of doing some labour. At some later age, I was staying with an aunt and uncle of mine, but it turned out as a big dip because I was severe homesick. 


Since I'm quite a bit of a dreamer and I am not always being convenient for things that I said, so I got lost during a school trip. In my teenage years I was quite defiant and rebellious and I had trouble with authority from teachers. And teachers were to me more a target to argue with and kicking against the rules and yes I often could win these battles with all its consequences. Through all the hassle I got expelled from school because I had hit back a teacher because he could not win the debate so at that time you just received a blow to your head from the teacher. And no I did not sit back and let it come over me. So I gave him a punch back and he went down. After speaking with the principal of the school, we had to find another school. Not easy I must say. After a while I felt a lot better at the new and much smaller school I felt much more at home here but it was too late for me too pick up all my grades and I did not have the knowledge to leave school with a diploma. 



In the meantime, I drank my first beers and I got into a preconceived plan of a certain "Monique" from the area of Sneek my first French kiss. My God what was I upside down of this first real kiss and I was nervous for this moment to do something with a girl so intimate, yet there was no follow up on my fumbling and she let me know that it was only one time. A little bit disappointed I went home with a hundred thousand drowned butterflies in my stomach. 



And on the other hand I am so glad I did this. In a way or another, the ball was rolling. And the fair in the autumn I had suddenly "thick friendship" and out of nowhere after a month or six it was suddenly all over and we broke up. My heart was not simply broken but completely shattered into a thousand small pieces. After a few months I started on something new and I had to join the military in the meantime for my service that we had to do for our country. Just before that I had to join the army, I had my final exams at school and out of the blue came the sad news that my dear girlfriend had passed away. It tore my heart into pieces and I lost at that time all the confidents in having a relationship and in faith of the Lord. I could hardly swallow my grief I had a hard time with my feelings and anger was playing tricks on me.


BANG, she all of a sudden was there and I was staring at her as if I had been struck by lightning. There she was a beautiful but very shy girl from Germany with the looks of an angel. After a couple of days I dared to make contact with her and we exchanged addresses. It was a long and warm penfriendsrelationship. Unfortunately I was too shy and anxious to express my feelings to her. So in that respect it was therefore nothing sexual though we were staying over at eachother homes and were occasionally together and slept in seperate bedrooms. We were just very good friends and I really learned a lot out of our correspondence. With lots of fun and sometimes mixed emotions I wrote down things that were on my mind and all in handwriting I expressed my troubles and she just gave me good thoughtful answers. And yes, She is still having a very beautiful and special place in my heart.


Meanwhile, I arrived home I reverse the car into the driveway, and the whole neighborhood is into a deep sleep. I walk in and take our dogs out of their benches. Yet here I sit day-dreaming on the couch and then I think of another relationship that unfortunately ended up into nothing after a while. No my heart broke down repeatedly but I don't blame nobody for this, at best I question myself occasionally and ask what I have done so wrong in all of those situations and was I such a jerk that I was worth to leave? I hope nobody's done anything too short. Yes, I'm only a human being and far from perfect I can tell, should this be the case then we can always talk about. BANG !!! Suddenly the joy suddenly hits me back into intense grief. 


Tears are rolling down my cheeks when I think back how many there are who we have lost both young and old. And some of them are easier to cope with than others anyway it is always for someone a drama. With these thoughts I sneak quietly into bed, and I wish my wife a good night and I cry myself into sleep quietly. At moments like this I miss the warmth and love of my Mum to comfort me. Despite of everything, I am a happy person and we have two wonderful daughters and my wife is slowly but surely recovering end does step by step a little bit better. I can enjoy happily lots of small and simple things like our own children that are during the Summer Holidays are camping in our back yard. They do not complain at all because they are here also on a holiday. Yet they do have a wish for more time together as a family for a day to go out together. Slowly but surely our little girls grow up. I try to catch my breath ...... my lip trembles a bit ..... and I wonder "When and where is their first kiss?" I realize again that life is far too short to be miserable.

My advice is: "" Enjoy every moment that tou have, because before you know it is already over."


The Old Sailor,

November 14, 2016

They call it a conversion disorder

Dear Bloggers,

The recent discussion between me and the caretakers of my spouse are a difficult case and is leading to speculation and misinformation about the nature of psychogenic illness. I therefore thought it would be useful to discuss the concept of a conversion disorder in general.
 
According to one of the doctors who tried to explain me about dealing with the disbelief of most of the patients they react many times like this: “So you’re telling me it’s all in my head?”



The concept of what are now called conversion symptoms is a tricky one for various reasons. There is an unfortunate stigma attached to the notion that our brains can cause physical symptoms. Making the diagnosis is complex. Outcomes are variable and are hampered by the difficulty in communicating the diagnosis to patients. Conversion disorder symptoms often mask underlying physiological disease. And the risks of both false positives and false negatives are high.

This complexity leads some to argue, in essence, that a conversion disorder symptoms do not exist at all. The diagnosis is tricky as the patient might feel it like a way to blame the patient for the failings of the physician.
What are conversion disorder symptoms?


Various terms have been used over the years to refer to symptoms that are generated by psychological stress or other factors. Hysteria is an unfortunate term which was invented to refer to the uterus, as if such symptom were uniquely female. For obvious reasons the term “hysteria” is no longer used. 

Psychosomatic is still a proper term, meaning physical symptoms with a mental cause, but the term does have a bit of a stigma attached. The term conversion disorder is most widely used today, or psychogenic simply meaning having a mental cause.


As my wife has been diagnosed with complex PTSD with anxiety related problems and has a psychogenic overlay. In this case there is an underlying physiological disease or disorder which then results in stress and anxiety which further generates the conversion disorder symptoms on top of the physiological symptoms. 
 

Psychogenic signs and symptoms are real the patient really experiences them. A conversion disorder is a real disorder, it is just that the problem is with the brain’s software, not hardware.

Sometimes my wife is overtaken by her anxiety disorder, which may be reactive or may be primary and due to a biochemical disorder in the brain. Anxiety puts a lot of stress on the body and can absolutely manifest with physical, and sometimes very dramatic, symptoms. Stress itself can also manifest with physical symptoms. My wife is living like she is constantly being scared with very hectic moves


So we all have psychogenic symptoms at some point in our lives, and we take them for granted. The fact that more dramatic symptoms can also result from purely psychogenic causes should not be that surprising.
How do we known when symptoms are psychogenic?


At times patients will have psychogenic weakness, either partial or complete paralysis of a limb. This happens to my wife when the tension gets to high at that moment she loses power in her right hand and she is dragging one leg around. The first times I was very worried and thought she was having a stroke as she didn't feel her face on one side as well.True neurological weakness has certain features which cannot be simulated (voluntarily or involuntarily) and there are techniques they use in the neurological exam to look for these features. And strange enough there was nothing found.


Further still, without a detailed knowledge of neuroanatomy, patients with psychogenic symptoms will tend to display distributions of symptoms that do not follow anatomical pathways. Or they will display patterns of movements that do not correspond to any part of the motor system.

To summarize, there are cases in which patients exhibit neurological symptoms which seem to defy neuroanatomy, reveal features of effort, do not correspond to known systems in the nervous system, and lack any hard or objective finding that should be present. Even in these cases, they're likely to do a full workup looking for an underlying problem (as stated above, psychogenic symptoms may simply be overlaying a physiological lesion or disease). In psychogenic cases thorough neuroanatomical scans are normal, as are physiological tests for nervous system function.


It is not a negative judgment about the patient, it is simply an attempt to make an accurate diagnosis.

Sometimes patients are simply uncomfortable with this situation (perhaps because it was not communicated to them well). They may seek a diagnosis until they find someone willing to make one, and then they will blame their previous doctors for “missing” the real diagnosis. Sometimes the actual diagnosis is missed, and patients were right to seek other opinions. But at other times the new diagnosis is the fake, but it is more acceptable to the patient than the stigma of stress or anxiety induced symptoms.


It should also be pointed out that sometimes there is an underlying disorder causing psychogenic symptoms – serious anxiety or depression. These are just as much “real” disorders as anything else.

Patients who have disturbing symptoms due to psychological stress or anxiety will often seek multiple opinions.
In some cases the patient has what can only be called mental illness, and needs to be redirected toward psychiatric treatment.


Conclusion

In a perfect world the unfortunate stigma attached to the psychogenic and conversion disorder diagnosis would disappear. It is very counterproductive. We need broader understanding that the brain is also an organ and can manifest symptoms in a variety of ways. Psychogenic causes are just another item on the differential diagnosis.

The Old Sailor,

October 4, 2016

Trying hard to win the war within yourself

Dear Bloggers,

My wife is going through some traumatic times as she is emotional abused for almost three years in a row by two psychopathic and narcissistic persons (managers) that did everything to bring employees down that didn't fit into their profile. The company gives them a lot of freedom and it is a very sick atmosphere. A lot of former employees signed for their resignation and got a few months pay so they agreed to keep their mouth shut. My wife wasn't in the flow for leaving the company as she enjoyed what she was doing and this was against all the expectations of her manager. He was not amused with the fact that she was putting up so much resistance to keep her job. 


She kept up the fight for three years and dragged herself to work everyday. I pulled the plug in February of 2014 and she was tired and mentally so beaten up. In the last two years we have been trying to get her back on her feet with psychological help and psychiatric assistance. She has been checked on a medical scale by a neurologist and she was tested on defects by a neuro psychologist, lucky enough that there is no damage found in the brain. She is diagnosed with Complex PTSD with a panic and a anxiety disorder. Our wonderful future has been destroyed by two bastards that should be held responsible. 
 
Post-Traumatic Stress Disorder, PTSD, is mostly associated with soldiers returning from war. After the horrors witnessed in such an unnatural setting, many wo/men have a difficult time returning to “normal” life, often suffering from flashbacks, panic attacks, and severe anxiety.

Contrary to popular misconceptions, Post-Traumatic Stress Disorder (PTSD) and Acute Stress Disorder (or Reaction) are not typical responses to prolonged abuse. They are the outcomes of sudden exposure to severe or extreme stressors (stressful events). Yet, some victims whose life or body have been directly and unequivocally threatened by an abuser react by developing these syndromes. PTSD is, therefore, typically associated with the aftermath of physical and sexual abuse in both children and adults.
Any traumatic event can trigger it. Rape, assault, acts of physical or verbal violence, even repeated emotional abuse or the sudden split of a significant relationship, especially if abuse was involved.

Repeated abuse has long lasting pernicious and traumatic effects such as panic attacks, hyper vigilance, sleep disturbances, flashbacks (intrusive memories), suicidal ideation, and psychosomatic symptoms. The victims experience shame, depression, anxiety, embarrassment, guilt, humiliation, abandonment, and an enhanced sense of vulnerability.
My wife is rather ashamed to admit that she has experienced them all. These last few weeks have made me realize just how deep the managers have traumatized me, she said. It was my husband who noticed, actually. He said that I was exhibiting symptoms of PTSD, and he was right. How embarrassing to be experiencing PTSD because of such a short-lived work-relationship. But all of a sudden there it is.

However, this reaction doesn’t reflect her or her ability to cope with it, as much as it speaks to the depth of the abuse. The depth of the trauma caused by emotional, cruel verbal, and even narcissistic pressure abuse, not to mention the sudden change in her personality and subsequent abandonment.


The first phase of PTSD involves incapacitating and overwhelming fear. The victim feels like she has been thrust into a nightmare or a horror movie. She is rendered helpless by her own terror. She keeps re-living the experiences through recurrent and intrusive visual and auditory hallucinations (“flashbacks”) or dreams. In some flashbacks, the victim completely lapses into a dissociative state and physically re-enacts the event while being thoroughly oblivious to her whereabouts.
In an attempt to suppress this constant playback and the attendant exaggerated startle response, the victim tries to avoid all stimuli associated, however indirectly, with the traumatic event. Many develop full-scale phobias (agoraphobia, claustrophobia, fear of heights, aversion to specific animals, objects, modes of transportation, neighbourhoods, buildings, occupations, weather, and so on). My wife has somethings the other way round for example she has no more fear of heights and isn't afraid of spiders anymore. Strange how the brain works
Her fear has been so great, that an email from him throws me into a panic attack, knowing that it just contains more pain. She doesn’t read them when they come in. In fact, she does not longer know if they are coming in or not, thanks to email filters that just delete them before we will even see them.
Thank goodness for technology.


Emotional abuse, like gaslighting as well as so many other insidious forms, is hard to recognize and even harder to prove. Let me first of all explain the gaslighting effect: “Gaslighting is an insidious form of emotional abuse and manipulation that is difficult to recognize and even harder to break free from. That’s because it plays into one of our worst fears – of being abandoned – and many of our deepest needs: to be understood, appreciated, and loved. The abuser is usually a very insecure person. He has a need to put others down in an attempt to make himself feel better. He must be seen as right at all times.” Often, the only indication that your partner is causing emotional damage is to trust yourself and how you feel.
  • Are you asking yourself if you’re crazy?
  • Are you questioning reality?
  • Do you feel blamed for everything in the relationship?
  • Do you feel unsafe to talk with your partner about anything? 

     
Certainly not all charming people are predators or abusive, but it is something of which to take note, especially if they are particularly charming. Please, please look closer, or perhaps, take a step back and look at the bigger picture. Find out about their past relationships. How many? How did they end? Do they take responsibility for their actions? Their words? Are they relatively consistent in their words/actions?
indication: They don’t take responsibility for their own actions.
Please believe me when I say that these actions are insidious. I mean it. They are so subtle and often covered up by grand gestures of love and excessive affection. It is very intoxicating and convincing, but beneath it all there might be a constant assault on your sense of self through gaslighting and other forms of covert abuse.


The first step is recognizing abuse as abuse. One very surprising thing I learned about this over the past few weeks is that some types of emotional abuse feel like love. Another reason the trauma is so deep: it’s not just the damage , but it is unhealed damage from a lifetime of emotional abuse.

Research PTSD and Emotional Abuse. If you are exhibiting any of the signs, you might be trapped in a betrayal or trauma bond with the abuser. This makes it even harder to get away and heal.

Let us all learn how to protect ourselves from such people, for in this society, there is no other recourse. No way to prove it. No way to make them accountable for the damage they cause. Our only hope of defense against this type of abuse is to recognize the danger early, reinforce our armor, and get away before a trauma bond can be created. Slowly we start with counseling. To me it’s an interesting one, and it might be helpful to you, reading this blog, as it shows how one is in so much denial at first because of the shock and disbelieve, and how, if you commit to healing, you can uncover some pretty horrific things and extensive PTSD.


My wife quotes: “I might never be working again and damaged for life. Still, I’d rather know, accept, and heal than to fall into the same trap with another predator”.
Let's hope the future brings better times.



The Old Sailor,

September 4, 2016

Getting sick of being busy

Dear Bloggers, 
 
My thoughts are spinning through my head as I write this down tears are running down my cheeks. It is very sad how beloved persons are slipping through our fingers. The brain is a strange peace of equipment and it can do strange things. I just drove home from a night shift as my mind was running around in circles.



Thinking about the roller coaster life that I am leading. Outside there is nothing left of the summer weather as rain bashes on my screen and the smell of a died out fireplace enters the car. My wife is having trouble again with her anxiety, our kids went to new schools this week and my mother in law has been taken into care as she is suffering from Parkinson's an Dementia my father in law is not able anymore to take the full day and night care of her. It is pretty tough for both of them. But the home were she stays is giving her good care.


Dementia is often viewed as a disease of the mind, an illness that erases treasured memories but leaves the body intact.

But dementia is a physical illness, too and a progressive, terminal disease that shuts down the body as it attacks the brain. Although the early stages can last for years, the life expectancy of a patient with advanced dementia is similar to that of a patient with advanced cancer.
 

The continued focus on treatment to prolong life often means that pain relief is inadequate, and symptoms like confusion and anxiety are worsened. I think it suggests that family members would be far less likely to subject their loved ones to such treatment if they had a better understanding of dementia as progressive, debilitating illness that ultimately shuts down the body after years of mental deterioration.

When family members understand the clinical course of dementia and the poor prognosis, the patients were far less likely to undergo these distressing interventions,” I would say that: “Dementia is a terminal illness and needs to be recognized as such so these patients receive better palliative care.”
Our mother in law is suffering from Parkinson's disease and to me there are a lot of similarities to Alzheimer's. 


As a teenager, I saw a neighbour decline from Alzheimer's disease. During his final months, he was repeatedly treated for infections and put in restraints or sedated to control agitation.

Seeing my mother in law in that state is so distressing that I will eventually stop taking the grandchildren to visit,” Simply transferring a dementia patient from the nursing home to a hospital can lead to confusion, falls or a decline in eating which in turn, often leads to further treatment.


Geriatricians say a large part of the problem is that the patients are unable to make their wishes known. In the absence of a living will, family members often struggle with guilt and are afraid to stop the aggressive treatment because they do not want to be seen as abandoning a loved one in mental decline.Doctors need to spend more time explaining the prognosis for advanced dementia, making it clear that palliative care does not mean less care. 
 
When I go there on a Sunday to visit my mother in law and take her for a strawl, I enjoy the home that breathes slowly and reminds me that on the outside of this building the real crazy people are running around in circles. Driving in a full panic state with their SUV with the kids in the back to all kinds of sports. That is why I do not like the pressure were we are under nowadays.


I saw a dear friend a few days ago. I stopped by to ask her how he was doing, how his family was. He looked up, voice lowered, and just whimpered: “I’m so busy… I am so busy… have so much going on.”

Almost immediately after, I ran into another friend and asked him how he was. Again, same tone, same response: “I’m just so busy… got so much to do.”
The tone was exacerbated, tired, even overwhelmed.

How did we create a world in which we have more and more and more to do with less time for leisure, less time for reflection, less time for community, less time to just… be? Welcome to the land of Burn Outs.

This disease of being “busy” (and let’s call it what it is, the dis-ease of being busy, when we are never at ease) is spiritually destructive to our health and well being. It stops our ability to be fully present with those we love the most in our families, and keeps us from forming the kind of community that we all so desperately crave.


Since the 1950s, we have had so many new technological innovations that we thought (or were promised) would make our lives easier, faster, simpler. Yet, we have no more “free” or leisurely time today than we did decades ago.
For some of us, the “privileged” ones, the lines between work and home have become blurred. We are on our devices. (getting the bended neck syndrome) All The Freaking Time. Smart phones and laptops mean that there is no division between the office and home. When the kids are in bed, we are back online.


The reality looks very different for others. For many, working two jobs in low-paying sectors is the only way to keep the family afloat. Twenty percent of our children are living in poverty, and too many of our parents are working minimum wage jobs just to put a roof over their head and something resembling food on the table. We are so busy.

The old models, including that of a nuclear family with one parent working outside the home, have passed away for most of us. We now have a majority of families being single families, or where both parents are working outside the home. It is not working. It is modern slavery to pay all the bills from the tax office etc.



It doesn’t have to be this way.
I am not asking how many items are on your to-do list, nor asking how many items are in your inbox. I want to know how your heart is doing, at this very moment. Tell me. Tell me your heart is joyful, tell me your heart is aching, tell me your heart is sad, tell me your heart craves a human touch. Examine your own heart and explore your soul, and then tell me something about your heart and your soul.


Tell me you remember you are still a human being, not just a human doing. Tell me you’re more than just a machine, checking off items from your to-do list. Have that conversation, that glance, that touch. Be a healing conversation, one filled with grace and presence.


We need a different relationship to work, to technology. We know what we want: a meaningful life, a sense of community, a balanced existence. It’s not just about “leaning in” or faster iPhones. We want to be truly human.
How exactly are we supposed to examine the dark corners of our soul when we are so busy? How are we supposed to live the examined life?


Somehow we need a different model of organizing our lives, our societies, our families, our communities. I want my kids to be dirty, messy, even bored and learning to become human. I want us to have a kind of existence where we can pause, look each other in the eye, touch one another, and inquire together:


Let us insist on a type of human-to-human connection where when one of us responds by saying, “I am just so busy,” we can follow up by saying, “I know, love. We all are. But I want to know how your heart is doing.”

The Old Sailor,

August 2, 2016

Summertime is not always fun


Dear Bloggers,

This is the time of year to make the whole Internet smell like coconut flavoured sunscreen. And campfire logs things that I associate with Summer. And of course the smell of fresh-mown grass.


It's like when you imagine the Internet will sparkle like fireflies and humming bees and butterflies in the garden. Stretch yourself out on your lawn, with that scratchy grass tickling the backs of your legs. Reading a book and fall asleep in the morning Sun.


The smell of grilled burgers on the back deck in the garden. The sound of kids playing in the pool. The sweet taste of a fresh mixed Mocktail, with cubes clinking against the glass on a sizzling summer afternoon.

These are vacation stories. We want to do some crazy roller coaster rides and our summer BBQs and our trips to museums and our lazy days in the garden. Maybe this are our best vacations as we are poor and having trouble to plan a day out. Hopefully one day life will surprise us, we just should not lose hope.


Tell me: Where have your best vacations taken you? Or kept you? Did you go far away, or stay right at home? What are your best vacation stories?
While the stereotypical summer vacation usually involves a caravan or a beach, the vacations most of us take are much less nostalgic and far more varied than that. Or even if there is a beach or a caravan, it’s not the one we see in movies or read in books. They are most of the time less romantic. Some of the best vacations, in fact, don’t involve packing or traveling at all; they happen in the backyard or on the front porch. I am telling you some of our best vacation stories, the ones where things didn’t turn out as expected, where plans changed and so did we. As I share what happened when we step away from every days business for vacation.


We probably won't be lazing away your summer by the pool, but with a little extra planning we'll still be able to create your own kind of magical summer memories.

Lazy days aren't really a thing
My favorite part of summer vacation is lazy days without a single plan in the world. In a perfect world, I would sleep in, enjoy a slow morning while the kids played and then we would all take off on a spontaneous adventure. Yes, did you picture that! The reality is that my daughter, thrives on structure and needs to know exactly what's going to happen throughout the day. And my spouse needs to know in advance what she can expect otherwise she is not capable to manage all the signals from everything around her. Lovely thing that is called PTSD. My other daughter is having a job and so that means our summer activities during vacation need to be planned as it is a school day. Sigh.


To keep things manageable but still fun, providing structured activities for our kid and my wife can reduce their stress and help us all get more from our summer vacation. A bit of organizing nut fun for all of us.
Therapies don't take breaks.

Most of us look forward to the break from the school year. When you're in my position it's a never ending story. There's a seemingly endless round of therapies, and none of them pause for the summer.



If anything, summer is sometimes more hectic than the school year because we have to fit all of these therapies in around those memory-building moments we're we loose track of what day of the week it is. Good luck we need for finding the energy to have a backyard camp out after a long week of shuttling from therapy to therapy! The good news is that often our kids are much less interested in new adventures than we are, and they don't mind taking it easy after a long day of therapies. They drop on the couch with a book or a cell phone.


It costs a fortune to get my wife the care she needs
I swear by my wife's equine therapies and she loves going to them, but they aren't cheap. Plus, she has to be taken there as she is not capable to travel on her own due to panic attacks; she requires special needs for a summer break and needs to be prepared to make it work, and all of these specialized therapies and going to camp out come with a price.


As much as we might want to take our family to exotic destinations or even to the lake for a long weekend, the money we spend on fuel and specialized therapies can leave us with nothing left to spend on summer fun. It's bitter when you work hard but you don't make enough to cover the costs.

Summer fun isn't so fun.
Most kids love going to water parks or play spaces, but for my wife these places can trigger sensory overload. Heat, noise and crowds are the biggest trigger hells, and that can leave us scrambling to fill these endless summer days. There are few places that appeal to kids and that don't get to crowded during the summer, so often we find ourselves spending more time at home (even though we'd really rather be out and about).


This is even more challenging when we have a neuro-typical kid, too. Balancing the needs of kids who are begging to go to the lake or the splash park is always a challenge when the same places they love create anxiety and fear in my spouse. There's no right or wrong answer, but it's easy to feel like we aren't meeting any one's needs during the summer.


Going on a trip is sometimes like a really bad trip to the dentist
I've always loved to travel. But for my daughter, going on a trip is extremely exciting and for my wife anxiety-inducing, even if it's only for a day. She relies on her dogs for comfort and the familiarity and of our home for stability, and being away from them for any period of time is eating all her energy and due to the anxiety she is getting easily upset. 


No matter how much we talk through the details of the trip ahead of time, there's no predicting how it'll go exactly. We've had terrible meltdowns on road trips and perfect planned rides, but the one constant in our travel experiences has been the lack of consistency.

Through the years, I've learned to plan the best I can and just ride the wave of whatever happens. My daughter may have meltdowns and my wife will get triggered in public places, and people may be huge jerks about it, but we enjoy the day out, and the rest of the world can just suck it up and deal with a meltdown once in awhile. Part of being a partner and a dad is the part learning to accept what you can't change and letting go of any and all guilt or embarrassment about it.


There's no break ... for us
It's important to find ways to take care of ourselves over the summer, not just our kids. That's easier said than done when there's few breaks to be found, but if we don't prioritize ourselves we can't be the moms and dads our kids need us to be or the parents we want to be. Being an caretaker dad/husband/man is a huge part of my live, but it's important not let our entire identities become consumed by our parenting either. I need to do silly man things and be a lover even though it's hard sometimes.


Most of all, we all need to remember that it's often a tough path but we're in this together. Find your support group and share your experiences with fellow spouses who have to deal with it as well. Just don't forget the drinks.



The Old Sailor,

Talking and Writing

Dear Bloggers,   Why is it that some folks (such as myself and my daughter) talk so much? This visit, I am learning how I process throug...