Wellness, Wokeness and the War Over Health: When Protein Becomes Political

Wellness, Wokeness and the War Over Health: When Protein Becomes Political

Protein, protein, protein. Everyone is eating and talking about getting more of this once humble and unassuming macronutrient. As a naturopathic doctor who has been preaching about the importance of protein for my patients’ mental and hormonal health for 10 years, I’m pleased, kind of. Because, as expected, Big Food has heard this cry for more protein. We now have protein bread, pasta, pancake mix, and cereal. Influencers intensely urge us to follow their top protein hacks. Debates ensue about whether we’re eating too much protein, the risks of eating too much protein, and whether it’s better to consume plant or animal protein.

You don’t need that much protein!

You need more protein!

Certain types of protein aren’t good for you!

You’re destroying the climate/kidneys/your soul with all that protein!

And then, there’s Vanity Fair, which released an article titled “Why Are Americans So Obsessed with Protein? Blame MAGA” (Weir, 2025).

For those who have had the privilege to avoid the particular algorithms that thrust you into the fray of the culture wars, MAGA stands for “Make America Great Again,” and is a nod to the American right, under Donald Trump.

The article argues that those obsessed with protein are chest-beating, ultra-right-wing, macho conservative bros. These men gaze in the mirror while lifting weights and listening to podcasts that discuss selfish masculine man stuff and muscle gains. They pursue physical strength on their way to world domination–they love protein because they love themselves. For those leaning into the gains lifestyle with a modern twist, D8 Super Store offers products that align with performance and self-care goals alike.

This isn’t the first time lifestyle choices have been made political. Another article, published in Rolling Stone, blamed the right for ignoring the sound advice of decades of nutrition recommendations, and avoiding “seed” oils (I like to call them Industrial Oils), in an article titled, quite literally, “Why is the Right So Obsessed with Seed Oils?” (Dickson & Dickson, 2023). After all, Harvard and the American Heart Association have touted seed oils as heart-healthy and better for you than butter (which will kill you) (Zhang et al., 2025). So, if you’re going to ignore this sound, prestigious advice, you must be a right-wing, tinfoil hat-wearing conspiracy nut. Come on, trust the experts, bro.

I find this rhetoric fascinating because it wasn’t too long ago when watching your diet, working out, and eating clean were associated with free-loving hippies. At least up until the early 2000s (perhaps before the culture wars got going), complementary and alternative medicine was mainly embraced by those on the left: cultural creatives, environmentalists, feminists, and other individuals committed to self-expression and self-actualization (Valtonen et al., 2023).

However, we do see a particular health and wellness movement rise from what seems to be the political right. We have the Make America Healthy Again (MAHA) movement, a branch of MAGA, led by figures such as Robert F. Kennedy Jr. and Dr. Casey Means, which is connected to the Trump administration. It appears that more conservatives are skeptical of conventional health narratives and moving towards alternative health and wellness lifestyle practices, such as mindful dietary choices, solutions beyond pharmaceuticals, and pursuing health knowledge as personal empowerment.

So, how did this come to be? Is the health and wellness industry somehow leaning right?

Like many, I noticed this divide during the COVID era. During the pandemic, expressing skepticism about lockdowns, vaccines, or mask mandates quickly got you branded as “anti-science” or a conspiracy theorist. “Trust the experts,” we were told. Those who asked for evidence about the effectiveness of measures like social distancing, lockdowns, testing practices, mandatory masking, vaccine mandates, accuracy of testing methods, and natural immunity were branded right-wing extremists and conspiracy nuts. If you asked questions, you lacked compassion. You were a danger to society.

The truth was, however, that even the experts warned against lockdown groupthink, with many sound minds arguing for focused protection (Joffe, 2021). An extensive review by the prestigious Cochrane Group, including 11 randomized controlled trials and over 600,000 participants, found no clear benefit to using masks to prevent infection from viral respiratory infections (Jefferson et al., 2023). Pfizer’s very own trial on the mRNA immunizations did not test for transmission, rendering the entire premise of vaccine mandates moot (Polack et al., 2020). Those in the preventive health space noticed that public health officials largely ignored metabolic health and vitamin D deficiency, which were significant risk factors for disease severity (Shah et al., 2022; Stefan et al., 2021). Many health professionals were accused of putting people at risk for pointing out the collateral damage they were witnessing: mental health crises, mistrust of public health institutions, and economic devastation impacting the most vulnerable, which public narratives largely minimized or outright ignored.

The accusation that only one side of the political aisle “believes in science” is itself unscientific, as science is not a religion but a process of inquiry that adapts in the light of new evidence. Science is the pathway through which knowledge and conventional wisdom evolve. And therefore, it is scientific to push against familiar narratives, particularly when they fail to reflect our experienced reality.

Interestingly, the data shows that it is not the right/left divide that predicts health choices (Valtonen et al., 2023). It is not whether you are conservative or liberal that dictates your health beliefs and behaviours, but how much you align with anti-elitism, anti-establishment, and anti-corruption beliefs. Valtonen et al. found that Europeans who supported stances that expand personal freedoms, such as same-sex marriage, abortion and democratic participation (all positions typically found on the American left) were more likely to choose alternative medicine over conventional.

So, the political divide on health doesn’t go left to right but top-down or bottom-up. When it comes to health, the freedom-loving hippies and the anti-Big Pharma anti-maskers now find themselves on the same side. It is not because they agree on all issues, just fundamental issues about bodily autonomy (of course, they argue about which bodies take precedent), personal choice, anti-corruption, skepticism about the motivation of large corporations, medical freedom, and individual health empowerment and participation. The motto: you can (and should) take charge of your health! What an interesting twist in the culture war plot. Maybe the pursuit of health is the very thing that can heal the political divide.

More and more people find themselves in this camp of granola and whey protein. There has been an increase in the use of complementary and alternative medicine in the past year. About 38% of Americans and 26% of Europeans use alternative medicine (Nahin et al., 2024; Valtonen et al., 2023). So what drives us away from the mainstream to seek alternative ways to find solutions to our symptoms and strategies to improve our health? Chronic disease, such as metabolic diseases like insulin resistance and mental health concerns, is increasing, despite increased awareness, newer and better drugs, and more healthcare spending. “Medical gaslighting” has become common parlance as sufferers seek help from their doctor for symptoms of peri-menopause, fatigue, and mental health challenges, and are offered band-aid solutions or dismissed entirely.

We are refused lab tests and told it’s all in our heads; we’re just getting older, and nothing can be done. So many of us are left without answers. This is partly because conventional medicine still follows a reductionistic approach that narrows the patient experience to a set of symptoms treated by one targeted solution (often a drug). In contrast, health, particularly managing complex chronic diseases, requires a holistic, or biopsychosocial framework that examines the interconnected facets of individual and social well-being. Our system is not set up for this, but it is something that naturopathic medicine wholeheartedly embraces. And so more and more patients are finding us.

We, the people, have also become skeptical about food. Nutrition advice from the 1970s, which included recommendations to skip butter and pour on more “heart-healthy oils” like seed oils, and consume a diet based in starch, resulted in skyrocketing rates of diabetes and obesity, with 88% of North Americans considered to be metabolically unhealthy (Araujo et. al., 2019). Metabolic health (or lack thereof) directly results from diet and lifestyle factors. We consumed the processed oils they recommended, our waistlines got bigger, and our pain and inflammation got worse. Maybe it’s the food. But then, Harvard publishes a study reiterating the old expert advice that seed oils are better for us than butter (Zhang et al., 2025). And so, it’s no wonder that skepticism grows around these institutions. We don’t know what to believe. So we hide inside our political silos.

Let’s examine the two controversial nutrition trends of the day: increasing dietary protein and avoiding industrially processed seed oils.

Protein

Protein is not just for MAGA bros and hyper-masculine muscle-builders. Eating protein is not embracing toxic masculinity. Protein is a macronutrient obtained from the diet and is essential for survival. Protein comprises our muscle mass, lean mass, bones, joints, hair, skin and cellular proteins and enzymes. Amino acids, the building blocks of protein, make our neurotransmitters, the chemicals that control our mood, appetite, and motivation. Protein stimulates metabolism and controls mood, blood sugar, satiety, and the stress response. It promotes lean mass, which is essential for health and longevity.

We’ve long been aware that the dietary recommendations for protein set in the 1980s are barely adequate to prevent muscle wasting. Current research suggests doubling the recommended daily allowance of protein from 0.8 grams per kilogram of body weight to 1.6, putting the recommendation closer to the 0.8 to 1 gram per pound of ideal body weight that the protein “bros” like Peter Attia, Gabrielle Lyon, and Max Lugavare (and I) recommend (Bauer et al., 2013).

When my patients consume more protein, they experience less anxiety, better mood, fewer cravings, and better energy. They don’t eat much processed food that is doctored to include more protein. Instead, they eat like our ancestors have for millennia. They eat more eggs, chicken, beef, fish, tofu, edamame, beans and legumes, and nuts and seeds at their meals.

Seed Oils

When JAMA Internal Medicine, through Harvard, released a study showing that seed oils are better than butter, it seemed like social media erupted (Zhang et al., 2025). Even my brother, who couldn’t give a toss about nutrition, asked me about it. The study examined 210,000 US adults over 30 years and found that butter increased mortality by 15%, while consuming canola, olive and soybean oils decreased all-cause mortality by 16% (Zhang et al., 2025). So, there you go, slather on that soybean oil and you’ll live forever!

The problem with epidemiological studies like this is that they are rife with issues that obfuscate the truth. The first problem is with information gathering. Individuals were asked to report their intake of butter and seed oils using Food Frequency Questionnaires. In other words, they were asked, “How many times in the last week did you consume butter?” I don’t know about you, but I wouldn’t know where to start with answering this, and I think about food for a living. After conducting hundreds of nutrition interviews with patients, I can confidently claim that few people know what’s in their food. How did participants know how much butter they were consuming? Foods traditionally made with butter, like pie and other store-bought baked goods, now contain hydrogenated vegetable oils instead. Seed oils are in everything: packaged, fried, and prepared foods. They are cheap and, therefore, the primary cooking oils used in restaurants. It is impossible to completely remove them from an individual’s food supply unless they make a supreme effort to avoid them (basically, if they are one of those conspiracy nuts referred to in the Rolling Stone article).

Also, frustratingly, the seed oils in the study, canola and soybean oil, were grouped with olive oil, one of the healthiest oils. Olive oil differs from seed oils because it is lower in inflammatory omega-6 fatty acids and not industrially processed. It contains polyphenols and monounsaturated fats, which are amazing for heart health and longevity. Olive oil is not an industrial seed oil. This is like putting an A+ student on a group project with D students. It’s entirely possible that olive oil carried the team on this one.

Epidemiological studies contain residual confounders and significant forms of bias, such as Healthy and Unhealthy User Bias. Unhealthy User Bias goes something like this: when you’ve been told that butter is harmful, and continue to consume it, you likely do other things that negatively impact your health. Maybe you drink a bit too much or ride your motorcycle a little too fast. Perhaps you eat more sugar. Maybe you smoke or don’t exercise. The Healthy User Bias works the other way. If you’ve been told that canola oil is heart-healthy, and you care about health, that’s the oil you buy to pour on your broccoli salad before heading to yoga. Factors such as these can drastically impact the study results.

Finally, correlation does not equal causation. The numbers 15% and 16% seem like a lot, but they are modest associations, more susceptible to bias. Correlation can more strongly suggest causation when the relative risk, or strength of the association, is high, such as with smoking and lung cancer. Smoking increases your risk of lung cancer by 2000 to 3000%. The more you smoke, the stronger this association. In light of those numbers, 15% looks relatively weak, right? So, in other words, these study results amount to a big old nothing-burger.

And yet, this study was everywhere. All the news outlets reported on it. It’s telling that the American Heart Association still promotes industrial seed oils while wellness communities, on the left and right, have raised valid concerns about their processing and inflammatory potential. Initially produced for machine lubricants, industrial oils are created from cash crops, like soy, canola and corn, that are often heavily sprayed with pesticides. The grains are then solvent extracted, bleached, and deodorized using a variety of chemicals. They are stripped of nutrients and usually oxidized when they sit on grocery store shelves. They contain a high ratio of omega-6 fatty acids that push pro-inflammatory pathways in the body. When seed oils were brought to market, we saw a marked increase in chronic cardiometabolic diseases like heart disease, diabetes, and obesity. Of course, this is just a correlation, but it can be plausibly explained by the effect these fats may have on our mitochondria. In contrast, humans have consumed butter for hundreds of years. Butter contains fat-soluble vitamins and butyrate, which is good for the gut.

So, it may be that those who eat more butter fare worse than those who eat “heart-healthy” plant oils, but with much respect to Harvard, I think I’ll pass on the soybean oil.

Similarly, rising protein intake recommendations aren’t just a MAGA phenomenon (to paraphrase Vanity Fair); they reflect a growing body of research on aging, muscle maintenance, and metabolic health. The problem isn’t that people are questioning public health messaging—it’s that public health often fails to earn the public’s trust. Wellness seekers are not irrational or political. Most of these individuals are trying to solve real problems currently unmet by conventional medicine and our public health authorities. Many are cutting edge, integrating scientific research and biological plausibility with self-experimentation. What seems bonkers today may be common knowledge tomorrow, and we’d still be decades behind. Research takes 17 years to reach clinical practice and public health guidelines (Morris et al., 2011). The politicization of wellness says more about the failure of conventional medicine and public health than the people seeking alternatives.

I understand, however, that narratives around personal responsibility can have a right-leaning bent. It’s the whole “pull yourself up by your bootstraps” mentality that ignores systemic barriers. Health empowerment can feel out of reach to people struggling with poverty, food deserts, trauma, and other forms of oppression or hardship. However, I find that many leftist narratives around mental health, aimed at promoting acceptance and compassion, can ignore the reality that mindset, motivation, and behavioural changes matter. You’re not a terrible person or a failure for staying in bed all day, but you will probably feel better if you find the self-compassion and courage to get up and go outside. As a naturopathic doctor and psychotherapist, I don’t shame my patients for their habits. We get curious: what’s blocking you? What do you need? Genuine care involves meeting people where they are and believing they can grow and change. Carl Rogers’ sentiment is, “When I accept myself just as I am, then I can change.” Health is emotional, mental and social, not just physical. Balanced well-being involves days on the couch, eating entire bags of potato chips, and other days spent preparing nourishing meals. Sometimes we need a compassionate nudge to push us in the right direction. Other times, we must be gentle with ourselves, slow down, and rest.

Health is political—not in the sense of group allegiances, but because policies, access, equity, and social context shape it. We need to be wary of flattening health practices into cultural signalling. Personal decisions are not identity markers, signifying what team we’re on. If we care about individual and public health, we must move beyond the binaries, resist shame and talk to one another. What is the best way to help people get well? Is there a framework that values autonomy, freedom, social justice, and collective and personal responsibility? Rather than shaming those who ask questions and seek answers outside the system, how do we create institutions that earn people’s trust?

Political polarization is bad for our health. Instead, let’s shift the conversation toward ways to create more health empowerment. Ultimately, health doesn’t belong to the left or the right. It belongs to humanity.

References:

Araújo, J., Cai, J., & Stevens, J. (2019). Prevalence of optimal metabolic health in american adults: National health and nutrition examination survey 2009–2016. Metabolic Syndrome and Related Disorders17(1), 46–52. https://doi.org/10.1089/met.2018.0105

Bauer, J., Biolo, G., Cederholm, T., Cesari, M., Cruz‐Jentoft, A. J., Morley, J. E., Phillips, S. M., Sieber, C., Stehle, P., Teta, D., Visvanathan, R., Volpi, E., & Boirie‌, Y. (2013). Evidence-based recommendations for optimal dietary protein intake in older people: A position paper from the prot-age study group. Journal of the American Medical Directors Association14(8). https://doi.org/10.1016/j.jamda.2013.05.021

Dickson, E., & Dickson, E. (2023, August 22). Why is the right so obsessed with seed oils? Rolling Stone. https://www.rollingstone.com/culture/culture-features/is-seed-oil-bad-for-you-wellness-influencers-right-wing-debunked-1234809499/

Jefferson, T., Dooley, L., Ferroni, E., Al-Ansary, L. A., van Driel, M. L., Bawazeer, G. A., Jones, M. A., Hoffmann, T. C., Clark, J., Beller, E. M., Glasziou, P. P., & Conly, J. M. (2023). Physical interventions to interrupt or reduce the spread of respiratory viruses. Cochrane Database of Systematic Reviews2023(4). https://doi.org/10.1002/14651858.cd006207.pub6

Joffe, A. R. (2021). Covid-19: Rethinking the lockdown groupthink. Frontiers in Public Health9https://doi.org/10.3389/fpubh.2021.625778

Morris, Z., Wooding, S., & Grant, J. (2011). The answer is 17 years, what is the question: Understanding time lags in translational research. Journal of the Royal Society of Medicine104(12), 510–520. https://doi.org/10.1258/jrsm.2011.110180

Nahin, R. L., Rhee, A., & Stussman, B. (2024). Use of complementary health approaches overall and for pain management by us adults. JAMA331(7). https://doi.org/10.1001/jama.2023.26775

Polack, F. P., Thomas, S. J., Kitchin, N., Absalon, J., Gurtman, A., Lockhart, S., Perez, J. L., Pérez Marc, G., Moreira, E. D., Zerbini, C., Bailey, R., Swanson, K. A., Roychoudhury, S., Koury, K., Li, P., Kalina, W. V., Cooper, D., Frenck, R. W., Hammitt, L. L.,…Gruber, W. C. (2020). Safety and efficacy of the bnt162b2 mrna covid-19 vaccine. New England Journal of Medicine383(27), 2603–2615. https://doi.org/10.1056/nejmoa2034577

Shah, K., Varna, V. P., Sharma, U., & Mavalankar, D. (2022). Does vitamin d supplementation reduce covid-19 severity?: A systematic review. QJM115(10). https://doi.org/10.1093/qjmed/hcac040

Stefan, N., Birkenfeld, A. L., & Schulze, M. B. (2021). Global pandemics interconnected — obesity, impaired metabolic health and covid-19. Nature Reviews Endocrinology17(3), 135–149. https://doi.org/10.1038/s41574-020-00462-1

Valtonen, J., Ilmarinen, V.-J., & Lonnqvist, J.-E. (2023, August 1). Political orientation predicts the use of conventional and complementary/alternative medicine: A survey study of 19 european countries. Social Science & Medicine331. Retrieved May 6, 2025, from https://doi.org/10.1016/j.socscimed.2023.116089

Weir, K. (2025, May 1). Why are americans so obsessed with protein? blame maga. Vanity Fair. https://www.vanityfair.com/style/story/protein-maga-craze?srsltid=AfmBOopAY5bfEQI7DfqvBmae8ViGXpZdlvf8G_8AifcOdMspbWd8uNW-

Zhang, Y., Chadaideh, K. S., Li, Y., Li, Y., Gu, X., Liu, Y., Guasch-Ferré, M., Rimm, E. B., Hu, F. B., Willett, W. C., Stampfer, M. J., & Wang, D. D. (2025). Butter and plant-based oils intake and mortality. JAMA Internal Medicine185(5), 549. https://doi.org/10.1001/jamainternmed.2025.0205

Communication and Building Healthy Relationships with Melissa Johari, MSW, RSW / The Good Mood Podcast

Communication and Building Healthy Relationships with Melissa Johari, MSW, RSW / The Good Mood Podcast

We humans are relational beings. I once heard a beautiful quote that stated,

“Our wounds are formed in relationships, and therefore our wounds are healed by relationships.”

This sentiment highlights the importance of healthy relationships, particularly romantic partnerships, for supporting our overall health and well-being.

In this episode, I reconnect with Melissa, a registered social worker and seasoned couples therapist, whom I first met during our shared practice in Bloorwest Village. We delve into the significance of healthy relationships, the intricacies of communication, and the foundational concepts behind the Gottman Method, which underpins much of her therapeutic approach. After becoming a psychotherapist myself, I was eager to explore these topics further, particularly the psychological stressors that often reverberate in romantic partnerships.

Throughout our conversation, we explore how positive, nurturing relationships can enhance personal well-being, contribute to longevity, and benefit societal structures as a whole. Healthy connections not only enhance individual happiness, but they also serve as models for children, impacting family dynamics and workplace relationships. Melissa highlights the importance of acquiring skills that facilitate better communication, conflict resolution, and relationship building, underscoring that these tools are applicable beyond romantic partnerships.

We discuss Melissa’s recent retreat, dedicated to couples, where she incorporates the Gottman Method’s principles to strengthen relationships. She recounts the tranquil environment of the Queen of Apostles Renewal Centre in Mississauga, which provides a serene backdrop for couples to gather, share meals, and partake in activities that reflect on their relationships. Melissa emphasizes that strong marriages are built on fundamental principles such as love maps, fondness and admiration, and turning towards each other during moments of connection.

In addition, we dive into practical exercises from her retreat, where couples engaged with love maps—the groundwork of knowing each other’s preferences and dreams—as well as techniques for softening harsh communication. Melissa shares insights from her years working in social work and her experience managing a private practice, which has expanded to include associates passionate about couples therapy.

Her work encompasses a variety of approaches, integrating emotionally focused therapy and other methods to address the complexities of partnership dynamics. We touch on the relevance of her new initiatives, like the upcoming art therapy workshop and a financial well-being seminar for couples, highlighting how managing finances can also be a significant touchpoint for relational stress.

As our conversation wraps up, Melissa encourages couples to proactively seek opportunities for growth, whether through workshops, retreats, or simply ongoing communication practices. She stresses that relationships naturally require ongoing maintenance, similar to physical fitness—achieving a strong connection involves effort and investment from both partners.

Listeners who are interested in improving their relationships will find valuable insights in this episode, along with practical resources such as Melissa’s ILEAD communication framework, which serves as a guide for entering challenging conversations with sensitivity and empathy. We also cover the crucial concept of turning towards bids for connection and how small gestures can have a lasting impact on the relational bank account that supports a healthy partnership.

Episode Chapters

0:08 

Welcome Back, Melissa

1:33 

Importance of Healthy Relationships

3:19 

Retreat Reflections

3:25 

Melissa’s Journey in Social Work

6:19 

Growing the Practice

8:36 

The Couples Retreat Experience

10:46 

Food and Comfort

13:54 

Integrating Financial Wellness

19:26 

Gottman’s Key Concepts

23:36 

The Importance of Communication

33:20 

Introducing ILEAD

42:43 

Navigating Conflict and Repair

52:22 

Understanding Addiction in Relationships

54:35 

The Role of Acceptance

1:01:35 

The Power of Music

1:11:54 

Building Emotional Connections

1:23:56 

Writing a Book on Premarital Work

1:25:55 

Discussing Gender Dynamics

1:40:18 

Practical Tools for Couples

1:46:52 

Wrapping Up with Key Takeaways

Transcript

[0:01] Hi, Melissa. Welcome back. It’s been a while since I’ve had you on.

[0:09] You were a fellow practitioner at the clinic that we shared back in BC, before COVID times. Exactly. BC or AC. Yeah, or AC, after COVID.

[0:26] Um and uh yeah and i think the last time we talked a lot about your work as a couples therapist and the gotman method and but i think it’s you know since becoming a psychotherapist myself who doesn’t do a lot of couples therapy but sees a lot of um you know psychological stressors or concerns that are related to struggles within partnership i thought it would be cool to have be back on so we could talk about, you know, healthy couples, healthy relationships, communication.

[0:57] Yes, yes. All important things. Yeah. Yeah. And it’s important because it helps us. It helps with our own well-being. If we’re in a positive, healthy, committed, close relationship where we feel understood and we feel seen, that’s powerful, right? That’s good for our own personal well-being and it actually shows in the research that we live longer too. We have less diseases and we live longer.

[1:28] So it’s pretty powerful, right? We’re designed to be in community, to be in togetherness. So it’s important for ourselves, for our well-being, for our kids to see that modeling as well and then it trickles into our workplace into society so yeah it’s it’s important all around yeah totally yeah i mean if that’s not going right in your life like whether you’re single and you’re not happy about it or in a partnership and it’s not doesn’t feel healthy or it’s you know there’s stress around that that’s like it permeates your entire life you know it affects every.

[2:08] Everything in your life, you know? So yeah, I think it’s such a huge part of even how we structure our society, but how we structure our lives. Like we often start with the unit of partnership or, you know, romantic relationship or people that we live with, like the family structure. And so, yeah, and you’re right, getting that right or learning skills that help us in that area can translate into all of our other relationships. And we’re humans, we’re not just isolated beings. We exist in relationship to one another. Yeah, yeah, yeah. Even in the retreat that I just had this past weekend, that came up, right? I’m talking about communication. I’m talking about conflict management. And then one of the participants said, oh, so wait a minute, this can also apply to my relationship with my family members. And oh, and also with my co-workers. I said, exactly, exactly. It permeates and the skills that you use to get close and to communicate openly and effectively with your romantic partner absolutely translates to other relationships. Totally. Yeah.

[3:20] Can you tell us about your retreat? We might as well jump right in because you had it just this past weekend.

[3:26] Yes, yes. Well, and also for those who don’t know me necessarily, I’m a registered social worker and I’ve been in social work for over 20 years now, which is… Wow, congrats. Yeah, it feels like a lifetime ago, but it also feels like it was yesterday. So it’s, yeah, it’s funny when I think about that Laurier graduation back then. But yeah, so since then, I worked in child protection and then I started my private practice working with couples specifically in 2012.

[4:02] And then after, so it was an overlap between, there was about a five years overlap. Between doing child protection and then also having my practice. So many long hours, long days. And then I had my son. And so after having him, I didn’t return to the government job after my mat leave. Just focused on the prior practice and really delved into that more. And now I’ve expanded. So now I have two associates and an intern on my team and I’m really grateful, very, very grateful because I’m very choosy in who I bring in on my team. They must have a passion for couples because it’s not for the faint of heart. Working with couples is complex and delicate and needs that neutrality, but also that tact with.

[5:09] Being uh gently confronting when needed so so you want to maintain that balance between both people to maintain that alliance with each of them but then also being able to be honest as well and and and use our uh you know self of the therapist where needed to be able to um uh gently confront and be able to address maybe mistaken beliefs or, yeah, some portion of their context that might be fueling their perspective, but it might not be what their partner intended. Or especially like in Gottman’s terms, if the couple is in negative sentiment override, then they might construe something that might have been quite neutral as a negative, right? Whereas if the couple is in positive sentiment override, then they would give the benefit, they’d be more apt to give the benefit of the doubt and be able to extend grace to their partner.

[6:14] So, so yeah, being able to do that is, is it takes some finesse. Um so so so when I grew my team that was one thing that I really wanted is are you passionate about couples and um are you interested in Gottman method or do you have Gottman training already um and so yeah those on my team have have those check marks uh so I’m really uh proud of my my team they’re wonderful um and then like just in terms of kind of background um so when my son was about two, I went back to school and I did a second master’s.

[6:55] I had actually, I had always thought about going back and doing PhD in psychology, or my undergrad is in psychology. So I had thought about PhD in psychology or PsyD or something like that. So I was looking into that, but then God led me to this program that was the Master of Theological Studies. And so it took five years part-time to do that and I finished that last year so wow yeah yeah so I’m grateful for that that that’s under my belt and done because it’s it was tough um being a single mom and working and going to school part-time so it was it was a juggle a balance but um but I loved it I really got a lot out of the program the the staff at um I did at Tyndale University The staff there are just fantastic, phenomenal. Like, the professors are so helpful and caring, and they really…

[7:55] It’s very clear that they want you to succeed. So there’s that care there. And even, you know, the building is a little bit difficult to navigate because there’s like a wing here and a wing there and some stairwells don’t go to certain floors and it’s like, oh, where am I going? And so, you know, even if you look lost walking down the hallway, like a professor will kind of guide you to, you know, where you need to go, which is really nice. But yeah, so that’s kind of just a little bit about me just for those who aren’t familiar.

[8:32] And yeah, so I started retreats last year.

[8:36] And so I had the first annual couples retreat last year at Queen of Apostles Renewal center in Mississauga. So it’s kind of nice because it’s within the GTA, right? So you don’t have to get on a plane and or travel for several hours like you, you know, a lot of the participants, they were there within half an hour of leaving their home. So it’s kind of convenient that way. But then it also feels like you’re, you’re, you’re retreating, you are getting away from the city because it’s a very quiet it’s a residential kind of area um and the renewal center itself has a lot of grassy area and trees and it’s near ravines so it’s just very um.

[9:24] One with nature and there’s you know seating areas outside and and inside too there’s some like nice little spots for reflection and so it’s just it’s a nice little getaway um for the weekend and and so and the rooms are very simple which i i quite like because and and i’ve got that feedback from my participants as well that they appreciated that as soon as they entered they felt like it was already like a calming side that’s what had said to me this past weekend was that they felt like it was they already felt calm just entering the building right so so it’s nice the rooms are simple there’s no tvs which is good because guess what today these days digital distractions is one of the barriers to communication right we always have a partner and then we’re not turning towards a partner so um so yeah the rooms don’t have any tvs if you wanted to do a digital detox for the weekend you could right like putting the phones away or like not bringing an ipad or whatever you could it’s it’s a it’s an option um and yeah the the the staff there are fantastic the food was great like it’s a lot of you know very comforting foods there’s you know pie.

[10:47] Hot like scrambled eggs and bacon and sausage and like heavier foods than probably I’m used to but um but it was nice nice kind of like comfort foods and you know um I remember there was one meal that had like sweet potato fries that were so good like they made them from scratch and so the outside was crispy but then the inside was nice and soft and they were massive fries, oh my gosh this is so good um so yeah so there and there’s always some kind of protein for every meal and um it’s salad options and oatmeal and yeah so so food was good the the um the group was good it was a good kind of group group energy group vibe um so that’s always important for these kind of things right because how people who attend will gel um but when i did it last year i was super grateful it was it was such a lovely group and um and a whole range right they were there were some pre-marrieds and there were some who were married like um you know kind of middle aged that were married maybe seven years eight years and then um and then there were some that were married longer like over 30 years so that was last year quite the range and then this year um they were all married like two three years and um.

[12:08] But like a range in age, which was kind of cool. So, yeah, it’s neat to kind of see, you know, who is there at any given group and like how everyone kind of gets along. And it’s nice to break bread together for the meals. And we’re just like chatting and laughing and sharing stories. And, yeah, it’s nice. It’s nice. That’s cool. Yeah. And the actual teaching itself. So it goes from Friday, four o’clock to Sunday, three o’clock. And there’s teaching throughout the days that we’re there together. So the basis of it is Gottman’s Seven Principles for Making Marriage Work. So the book, I have it right here. I gave that to my brother and sister-in-law when they got married. Yeah, I had it and I was like, here’s my coffee. Oh, I love that. That’s awesome.

[13:04] Yeah, I had a financial advisor come this year. So last year it was me mainly being a speaker, but then I also had my personal Gottman trainer and supervisor, Mike Fidler. He came and he was there basically as a support, which was really nice. And then he just kind of shared some stories here and there.

[13:29] And then this year, I was the main, you know, the lecturer or facilitator throughout the weekend. But I did bring in a guest speaker Saturday afternoon. So, because I know that for a lot of couples, money is a big issue these days. And so, well, kind of always, but yeah, especially these days.

[13:54] And so I brought a financial advisor in to kind of give some advice and tips on money so, anyways that he I gave him one of these as well so yeah I love that like we did kind of a it wasn’t a retreat but it was sort of a program together I think maybe your first year or it was early on in our time at Blue Rose Wellness and I love the holistic nature like you bring in financial advisors you bring in like all the different elements that surround relationships right it’s not just about the couple, but the context the couple’s in. If there’s financial stress, you know, that can impact the relationship. So it’s cool that you have that. Yeah, I remember that. So you were one of the speakers for, I think it was physical wellness, or no, it was emotional wellness, right? Oh, yeah, emotional wellness. Yeah, emotional wellness. Yeah, because being a naturopathic doctor and then being able to address like anxiety, depression from that lens, like that was really helpful.

[14:48] Yeah, that was based on my wellness, my relational wellness wheel. Yeah. The social and financial and physical and emotional, vocational, environmental, spiritual. Yeah, there’s eight different areas. So yeah, I remember that that it was like a workshop series. And then I had one kind of specialist from each area come in and talk about it. So yeah, that was fun. I like that doing that. That was good and very holistic. That was impressive to me. It’s not just like taking a couple and sending them down. And I mean, there’s that in couples therapy, but then there’s also the bigger environment in which they find themselves. And how do you keep yourself and your partnership healthy by addressing and looking at all these different things? So that’s cool. Yeah. From that systemic lens, right?

[15:38] Yeah. And so you had, so what was the teaching like in the retreat? Like you followed the seven principles of making marriage work? Is that? Yes. Yeah. By Gottman, the Gottmans. Yes. Yeah. Yeah. Which is the lean or I guess the lens through what you do most of your couples work, the Gottman method. Yeah. Predominantly. I lean on Gottman. The nice thing about Gottman is that it allows for integration quite readily so I also draw EFT so emotionally focused therapy or internal family systems or um some cognitive not much but like maybe some mindfulness um narrative so yeah it just kind of depends what’s in front of me and what tool I need to pull out of my toolbox but yeah predominantly I do lean on Gottman um and I I got certified so So there’s quite a lot of hoops to jump through to be able to get certified. And so I achieved that last November. Wow. Yeah, it’s exciting. Nice. A lot of things happened last year. It’s like the first training, the master’s, the Gauntman training. Exactly. Last year was kind of the end result of a lot of work, like a lot of years of work. Yeah.

[16:57] And that kind of continued on into this year, because this year I finally got approved as an AMFT supervisor. And that was many years in the works. So yeah, I don’t even know how many years.

[17:12] Probably yeah so it’s marriage family therapist yeah um so yeah so amos yeah american.

[17:23] Association for marriage and family therapy they and that was a lot of hoops too right you have to do do your your hours your uh your client hours your supervision hours your mentoring hours you have to take a course so yes it’s quite a lot involved with that as well so yeah a lot accomplishments and so i’m grateful i’m i’m really grateful and um and i’ll be moving to sarnia so my associates will be kind of staying in gta area um for the for that in person i mean we all do virtual so um so we we can see anyone in ontario all across ontario um and actually one of one of my associates is insured for other countries as well so that’s kind of nice so she’s kind of opened it up a little bit more um but yeah for most of us we’re we’re in true within Ontario unless we have some arrangement with like a particular province which I I did have with Newfoundland but that’s it’s it’s expired now but anyways predominantly Ontario and and then in person limited in person like really just Fridays in Mississauga and then I’m going to be moving to Sarnia in July so so I’ll be I’ll be offering in person there but yeah most of my sessions honestly are virtual like especially since the pandemic I find that people just they’ve kind of gotten used to doing it virtually and so it’s convenient they don’t.

[18:51] Have to worry about you know.

[18:53] Commuting and parking and all that rigmarole and so yeah they just find it really more convenient.

[19:01] Yeah I find that too I mean I’m still virtual and I’m considering going in person but I think, I might just to have some of that in-person connection because we’ve been missing out on that for so long but I think probably it’ll always stay at least 50% virtual yeah because of the convenience and and it works I mean there’s research to support that it’s just as effective.

[19:26] Yeah yeah and so yeah let’s talk about Gottman and some of the teachings because one of the things that always stood out to me with Gottman that I think a lot of people resonate with is this like concept of turning towards.

[19:40] Yes. Yeah. And yeah. Yeah. And then this is sort of the context that you create in this retreat where you’re taking away stimulation, like the rooms are simple, the landscape is simple. It’s also not that dramatic because like you said, they’re just traveling maybe 30 minutes. So it’s not like you’re booking a trip and you’re going to Costa Rica and you have this like customs and like you’re just driving to Mississauga. Lovely like yeah right but it’s but it’s like doing like international retreats too but yeah it’s it’s nice to have the option yeah it’s also less expensive probably because you’re not booking a whole trip um and then you’re removing like technology and all this stimulation distraction and and you’re just sitting you know having meals and lessons and things with your partner and then also other couples um yeah yeah yeah so there’s not i mean it’s psychoeducational right so there’s not any expectation to share about your personal stuff openly with everyone at all so um so there are some group exercises but that’s more like okay here’s a scenario um that i’m gonna i’m gonna give to you and what do you think would be an appropriate way to.

[20:58] For there to be a softened startup, for example, right? Like, so there might be a scenario given and then, okay, this is an example of a harsh startup, but what do you think could be ways to soften that and have a softened startup? So we kind of do that as a group exercise and then they do…

[21:17] Private couple exercises so i give them um the the uh the the instructions the exercise to do and then they go and do it like for example the first the first night we did love maps right so that’s one of the um the the friendship foundational uh principles of of strong marriage is is um is the the friendship is the bottom three so the love maps so that how well you know each other is what that means and then turning towards and um and then oh now i’m blanking what’s the other one i’m gonna have it right here uh love maps oh yeah fondness and admiration fondness and admiration turning towards so those three are the bottom the bottom three of the sound relationship house that formed that strong foundation.

[22:11] So, so yeah, for example, they would go off into their, into their couple spots and then, and then share with each other the, the love maps exercise and ask each other questions like, oh, so, you know, what, what’s your favorite tree or, you know, or, or they can make it into a game and kind of guess of okay the question is like what’s your partner’s favorite tree and then you you guess what it is and then if they if they get it wrong then amazing that’s a great opportunity for growth and learning that you you open your your repertoire of knowledge on your partner so then they can gently um correct and like and share with you what their tree what their favorite tree actually is if you don’t know it already um yeah it’s nice because you know so much i think that brings people to couples therapy is like a conflict or maybe they’re at an impasse or they are maybe both like at the end of the relationship and this is like the last ditch effort to salvage it sorry if there’s a lot of construct it’s really loud right now the constructions okay um, But it’s nice to like be considering and I’ll put a link like people can look up the sound relationship house because it’s a really beautiful image that like kind of, you know, what is your relationship built on? What are the walls, the foundation?

[23:33] But it’s also nice to use. Yeah. Okay, that’s perfect. That’s great. Yeah. Trust and commitment. I talk about this actually a lot with my individual clients, you know, because they’re like trying to sort out why a relationship doesn’t work. and then we find, okay, well, you don’t have walls on your house, you know? Yeah, exactly. But I love that it’s like, what’s your favorite tree? It’s not very charged, you know? Like, I don’t even know what my own tree is, but it gives the opportunity to work with that material. It’s like a starting material that’s kind of more benign, you know? It’s like, oh, why don’t I know my partner’s favorite tree?

[24:08] It’s probably because I’ve never asked, and why wouldn’t I have asked? And so it allows you to kind of, yeah, contemplate and think about it without it being like, how come you didn’t know how to, you know, celebrate my birthday properly? Like, it’s not emotionally charged necessarily, you know? Yes, yes. Yeah, it’s foundational. And with my couples, I often give that as a homework item as well. So they can work on that in between sessions. And like you said, it’s not emotionally charged. which is something that’s usually fun. It’s meant to be fun and a nice way to just refresh even the love maps. And John Gottman even says, you know, maybe there have been times where your partner might have shared about it, but then you might forget, like you don’t remember all these details about your partner. So then he says, okay, if you don’t remember.

[25:00] Here, write it down on a piece paper like now now you’ll remember right so it’s not only having the conversation and sharing it but also remembering it like retaining that information um and even at the retreat this past weekend i had told um right suggested to to the couples like to put even um like create a note in your in your phone or or jot it down on a paper like that is an accumulation of things about your partner. So even come, you know, birthday or anniversary or whatever that you’re looking for a gift idea, you can always access that list that might have their favorite color, their favorite restaurant, their favorite restaurant.

[25:47] I don’t know, their favorite author, their clothing sizes too, right? Clothing sizes and- That’s a good one, actually. Yeah, shoe sizes, ring sizes, like all those things, like preference on like they prefer silver jewelry over gold jewelry, for example. So being able to kind of have a little note that is continually growing and evolving and changing because their favorite restaurant now might be very different from what their favorite restaurant was five years ago so um so being able to update it along the way as well uh i know john and julie gotman do that every year they update their love maps and and um there’s an app for that um isn’t there an app for everything there’s an app for for that um called the the gotman card decks app. And so it has a lot of different kinds of card decks on there. And one of them is love maps. So you can even while you’re on the go, maybe you’re doing a road trip.

[26:53] Or waiting in line for something, or you’re at the grocery store, you can just kind of pull out that app and then share with each other some questions. There’s like a really interesting one on there called open ended questions as well. And it’s kind of asking those questions that don’t necessarily come up in conversation naturally like you know what do you think about our house is there anything that you’d want to change with that like what’s your five-year plan what do you want to do when we retire like there’s lots of really rich questions that you can kind of get the ball rolling with that and then you had mentioned about turning towards as well so in terms of that the the concept that Gottman talks about is bids for connection right so So bids for connection can be verbal or nonverbal.

[27:44] So it can be just a very explicit, hey, I’ve had a rough day. Can I have a hug? You know, that’s a very explicit bid for connection. Or it can be very subtle, like just coming in after a hard day and just kind of plopping on the couch and giving a sigh, right? You’re not necessarily verbalizing, I need you right now, but nonverbally you are. And so the partner can can respond to those bids for connection in one of three ways so the first way is to turn towards it so they kind of drop what they’re doing you know if they’re in the middle of doing dishes the dishes can wait like turning towards your partner and leaving the in that moment to just inquire like are you okay what’s wrong tell me what’s what’s going on and And so that’s turning towards, getting curious from a place of care and warmth.

[28:37] And then there’s turning away. So if you’re in the middle of doing dishes, you just like you might hear the sigh or see the sigh or see that they’re upset, but then you just keep doing the dishes. Like you’re just kind of on that task and you just continue on.

[28:52] And then turning against. So that’s where there might be some horsemen coming in the picture, whether it’s criticism or contempt and just kind of being harsh, like being, yeah, critical or hostile towards your partner of like, why you got to be so miserable all the time? Why are you sighing all the time or something like that, right? Like some kind of harsh statement, then that’s turning against. So Gottman calls these kind of sliding door moments. So these little tiny moments in time where you can do one of those three responses, and that will dictate the long-term happiness in the relationship if you’re responding and you’re contributing and you’re building that relational bank account, right? So if you’re turning towards, then you’ve made a deposit in that relationship bank account. So then over time, that builds up.

[29:59] And then eventually, if there is some kind of big stressor that happens, let’s say job loss or an unexpected pregnancy or a parent dying or something that’s a life stressor that it happens. And then you have a robust bank account to be able to survive and weather that storm. Right. So that’s the idea. Whereas if it’s already in deficit, if it’s already in the red and then that storm hits, then you’re kind of sitting in a, like going back to the house analogy, you’re kind of sitting in a straw house. Right. It’s not strong enough to be able to weather that storm. So, yeah. So that’s how turning towards kind of works as well. Yeah, because I can imagine all those little moments of either having a partner turn away or turn against creates resentment, this lack of trust, this lack of feeling like you’re in a partnership with them, you don’t feel like you matter, and frustration because… From the individual side of things, a lot of my clients will express this frustration with their partner. It’s like, how do I get him or her or them to do this or to respond this way?

[31:21] And there isn’t this trust that they’ll receive what they need from their partner. And so thanks for raising that because the needs are so, so important. And I tell my couples, like, you need to ask for 100% of what you need. And you might not get 100%, but it’s important to be able to put it out there. This is what I need. This is what’s really important to me. This is why it’s really important to me. And can we negotiate here? Is there some middle ground? Is there, like, I get you might not be able to do it 100% of the time, but where can we find some understanding, like mutual understanding? here. Um, so yeah, that’s the expressing needs exercise is, is one that I, it’s one of the first interventions that I usually do with my couples is just being able to share, have them share with each other their top three needs and, and be able to do that from, um, a, uh, a place of healthy communication. So I, I walk them through communication tools to be able to do that. Like I developed one called ILEAD. So would it be helpful to kind of walk through? Sure, yeah. That’d be great. Yeah. So it’s called ILEAD. So I-L-E-A-A-D.

[32:47] And then in between the two A’s is the little heart. So the heart indicates a transition between the speaker-listener kind of rule that happens first and then the open dialogue kind of role that happens after. So I’ll kind of walk through. I know some people might be seeing visually as well. So would it be helpful for me to just even share the screen? Sure, yeah. Yeah, that’d be great, actually.

[33:21] Can you see a send request?

[33:24] Oh, yeah. Oh, wow. There we go. Okay. That was easier than I thought. This is a whole nother. Oh, that’s beautiful. That’s great, actually. Technology. It’s good. Yeah, because you can watch this on YouTube or Spotify for everyone who’s just listening. And there’s some visuals. But we’ll also link to your site and…

[33:44] Yeah, yeah, which is great. Yeah, this is on the site. So it’s on like, if you subscribe to the newsletter, then this is like the freebie, right, that I’ll get. So if you if you want a copy, then you can, you can request it that way. And then yeah, at the beginning, I just kind of go over, you know, why is this important? Why is communication important? You know, we want to be able to model that for our kids. because they’re watching always um and yeah this just talks about the speaker listener dynamic so when one person when it’s their turn I always hold this my little pen with the flower this is when I used to officiate weddings I still have it um and so you have like the baton or the microphone um when you’re the speaker and you don’t let go of that until you feel heard and understood then you can pass the baton to the next person and then and then they switch roles so there’s a pretty specific um format to be able to feel understood so so firstly starting off the conversation with that like Gottman says soft and startup so um so the I feel statement so you’re leading with the feeling word. I feel X when Y, I need Z.

[35:04] I incorporated a little bit of internal family systems here of saying part of me because sometimes there is an internal conflict about some of the needs. So in this example, maybe it’s, you know, part of me feels lonely when you’re on the phone during dinner and I need you to engage in conversation with me. If that happened, I would feel loved and cared for. So you’re expressing how you feel, so in this case lonely, with that need not being met. And then you’re saying why, like what happens that makes you feel that way. And then you’re saying what you actually do need. So Gatman always says like, phrase it as a positive need. Because I have couples talk about what they don’t want at length, right? They can be very descriptive about what they don’t want. But then when I try to get them to explain what they do want, it’s a little harder, right? It’s hard for them to even conceptualize, like, what would that look like? So really thinking about what you actually do want, what you want to see happen.

[36:10] So in this case, it’s I need you to engage in conversation with me. And then sharing about how you’d feel if that need were met, right? They’d feel loved and cared for. So that’s how the communication starts out. You’re always leading with that feeling word and you’re saying what you need instead. Um and making that request and then the other person the the listener um can start with asking open-ended questions so this is the l for listen so the i was i statements l for listen um hmm, So you’re going to be coming with, like, wear the hat of empathy, right? You’re going to be coming in with really tapping into that empathetic part of yourself that wants to meet that need, right? That is open-minded and receptive. And so you’re going to come with any kind of curious, deepening questions or clarifying questions. That’s how you’re going to kind of start it off just so you can have a really good understanding of where they’re coming from and then summarize what they said so that’s all part of the l for listen so it’s not like what are you talking about i never go on my phone or i only did it.

[37:30] You’re more like exactly okay so last night how long did you think i was on like you know how long was on my phone or you know you’re getting more clarity as opposed to defending or critic you know you talked about the horseman defense criticism yeah yeah yeah and with this whole communication exercise exactly that’s the point avoid the four horsemen at all costs it’s so damaging right that predicts that puts divorce and separation later down the line so avoid the four horsemen, that’s the criticism, contempt, defensiveness, and stonewalling, right? So you’re going to come with that readiness, emotional readiness to be able to have this kind of conversation.

[38:16] That’s the first thing to do is both people to be ready for the conversation and agree on when you can have it. Because if one person is wanting to jump into this kind a conversation, but then the other person is hungry or tired or on their way out the door, or they have a deadline that they have to meet for work and they have to get that done, you’re going to set that whole situation up for failure. So set it up for success, choose the right time that makes sense for both of you, and then go in with that open mind. So yeah, the open-ended questions and then summarizing. And then E is for empathize. So we have the I for listen, the L for, or sorry, I for, I statements, L for listen, and then E for empathize. So being able to mirror back what you heard. And this is really hard sometimes for people because they might not agree, right? They might not agree with what their partner is saying. So then they’re like, well, how can I empathize and validate their experience if I don’t agree with what they’re saying. Okay, fair. But you don’t have to agree with them, right? You don’t have to agree with everything that they’re saying. You can…

[39:31] Put that aside that you don’t agree with xyz and tap into what part makes sense for you that they might have shared like is there even just a part of what they said that makes sense to you that you can understand where they’re coming from that you see okay from their point of view this is what they experienced and remember everyone has different contexts right so from their experience maybe they’re coming from a place of trauma or maybe they’re coming from a place where they yeah they experienced abuse whether it’s in the childhood or a previous relationship or maybe even earlier in this relationship like something happened that then triggers this emotional response so so being able to understand that you might not share their perspective and that’s okay. Everyone’s different. That’s all right. But at least to try to see it from their perspective, from their experience, this is how they’re feeling and what they’re looking for.

[40:34] So being able to say something like, okay, yeah, I get it. That must have felt X, Y, Z, right? And then using those feeling words that they might’ve said before, like lonely, Like, okay, yeah, I can understand how if I’m on my phone throughout our whole dinner, days on end, how you can be there kind of stewing and feeling disconnected and lonely. Yeah, I get it. Right? So being able to empathize in that way.

[41:04] And then A, the first A, it’s for apologize. So that might not be always applicable. It depends on the situation. But if it is applicable, if there is an apology, even like I said, for a small portion of what might have happened, then go for it, right? Extend that apology and be able to, you know, eat a piece of humble pie and be able to take that. Um apologizing is also something that gotman found that the masters do really well so um the masters of relationships were those who lasted the distance and they were happy in their relationship so they were really good at repairs right repairs includes apologizing or it can also include just saying okay yeah you know what you have a good point or um, Or calling a timeout of, okay, things are getting a little heated right now. Let’s just take a break and then come back. Or it can be like a touch on the shoulder, just like a hug when you’re kind of, things are getting a little bit too much. And so that just brings in that sense of connection again.

[42:16] So repairs are really good and that includes apologizing. Yeah, you’re not enemies. Like you’re reminding yourself and the other that you’re still connected, you still love them. Even if there’s a disagreement or there’s been a rupture. And I think the research, like, this is true for parenting, too. It’s like, it’s not about not having conflict. It’s about repairing after rupture. And that actually strengthens relationship more than no conflict at all.

[42:43] Exactly. Exactly. Yeah. And it’s parallel with kids, for sure. And if there’s no conflict at all, then I wonder, like, is there communication happening? Like there’s just avoidance happening and neither person wants to really raise anything and then that by itself feels isolating so um so yeah it’s important to be able to share what’s on your mind because that brings more closeness and then be able to have that that repair so yeah for sure because i love like just to go back to what you said about ask for a hundred percent of your needs it’s like by default that will cause conflict because a hundred percent of needs will never be met but the fact that you’re able to recognize them and ask creates this opportunity for connection and you get maybe 99% in a really good world but if you’re not asking for 100%, Then, or if there’s no conflict, then maybe, yeah, it’s probably not asking for 100% of your needs. So how many needs are going unmet, you know?

[43:44] Yeah. And if they’re kind of unspoken needs, and finally keeping those to yourself and then building resentment over time, then that’s not healthy either, right? Yeah. So, yeah. Yeah.

[43:57] I was just going to say, yeah, because a lot of people will be like, oh, I feel so, you know, like I did this and I yelled at my kid or we had this fight. But it’s really the repair that matters. So it kind of lets you off the hook to have to be this perfect parent, quote, right? Yeah, exactly. We’re never going to be a perfect parent. I can say that for sure.

[44:20] We’re so experienced. Yeah, we’re never going to be perfect. And we’re never going to be perfect partners to our partner, our spouse or boyfriend or whatever. Um so yeah it’s we’re definitely not trying to strive for perfection at all because we are all fallen people um but um but being able to do our very best in this life that we have together and and be able to reconnect after there’s been a mishap right like that’s what the the masters do is they they they use the horsemen too right it’s not that they never use the horsemen the horsemen come galloping around with with masters as well but the difference is that it doesn’t happen as frequently and when it does happen they notice it pretty quickly and then they do a repair like fairly fast they they repair that rupture pretty quickly too so um so that’s that’s something that we can definitely take away and and apply in our own.

[45:22] Relationships. And kind of going back to what you had said about, you know, our partner won’t be able to meet all our needs. And that’s normal. That’s natural, of course. But that brings us to the second A, which is accept, right? Accept that our partner is also fallible. And maybe they They would try and they intend to do their very best and trusting that because of the commitment and care that you might have in the relationship, but knowing that they’re not going to be picked all the time, right?

[46:01] And so being able to accept what are they able to do. So in this whole conversation with the digital distraction with the phone idea they when they switch so just to backtrack when after the apology then the the listener can check in with a speaker to ask if they felt heard and understood and then if it’s a yes then they can switch roles here right after the apology they can switch roles and then and then the the new speaker who was the listener before can kind of share their perspective on this situation right because there’s always going to be another perspective and so then they can share their perspective so maybe the one who they’re they’re on the phone right they might say you know what I totally get what you’re saying and I and I want to be more present in the dinners but sometimes I do have like a work a work demand or a deadline to meet. And I, I have to, I have to meet that deadline. Like I have to get it done.

[47:07] And, um, and so they, they, they say, okay, you know, I might, I might be able to, um, have no phone rule, um, for, um, let’s say half an hour right like half an hour of the dinner like okay yes I can like be off my phone for half an hour that’s realistic that’s doable I can do that maybe maybe there will be sometimes where the latter part of the dinner I will have to excuse myself or I will have to kind of make some sense of messages over the phone um so so they they might they might say I can’t do a hundred percent but I can meet you here maybe it’s like 70 percent or 80 percent um that’s how much I’m able to do. So then going to the accept, the one who made the complaint, they might take that in and say, okay, you know what? They’re doing their best. I get where they’re coming from too.

[48:01] And I can extend that grace and know that they will and trust that they will do their very best to stay off the phone and like that half an hour is protected. But if they need to be on it after that, then I, I’m okay with that, right? I’m accepting that I’m embracing that my, my partner just has a really busy job. And this is, this is kind of the reality of what I, I am facing. Um, and that, that kind of ties in with Gottman’s concept of perpetual issues, right? So there are, there are those issues that are not going to go away, but you might be able to find some.

[48:42] Some temporary compromise with it so with this one maybe it’s like that half an hour that like okay we can do that but outside of that it might be hard um so so those perpetual issues are those those kind of ongoing the same thing keeps coming up in some kind of way over and over again um those are usually related to um personality differences or lifestyle differences or ideologies value differences maybe religious differences political differences so all these things that are harder to change about a person because it’s just part of like your identity um and and and being able to kind of navigate that as a couple um so so gotman found 69 percent are going to be perpetual issues all problems that we face are going to be yeah if you think of like just kind of the stereotypical in my head couple who’s been together for I don’t know 50 years or something and you know there’s sort of this old married couple they almost relate to those with humor right it’s like ah that’s just herb he’s just you know he just goes in his garage and he disappears for a few days so there’s like this acceptance there like this is just how he is and I’m like this and we always have this thing and that’s just the way it is so So, yeah, that’s actually refreshing.

[50:03] It’s like it helps to kind of navigate to when people are like, how much am I supposed to accept and how much should I try to fix? You know?

[50:13] Yeah. If there’s abuse happening, then that’s a bottom line, right? That’s a safety issue, then that’s a no-no. And there has to be very, very, very clear boundaries around that. If there’s any kind of safety issue, abuse, like certain things like maybe gambling, that might be interfering in the relationship. And it comes back to what we said earlier about financial well-being, right? That impacts on the financial household of the family. So addictions might be a difficult one to work through.

[50:50] I know for the Gottmans, they have a very specific way of working with addictions. So um because a lot of other couples therapy they they just say okay that’s um that’s that that is those who are are working through addictions they wouldn’t qualify to do couples work like the recommendations usually go and do um some individual work or get you know substance use treatment somewhere else and then come back and do couples work so it’s typically um that’s typically the recommendation out there in the couples therapy kind of world but um but the Gottman’s come from a different perspective which I respect and I I um it’s hard but I agree with it’s hard it’s in front of you but I do agree with it um is is you as a couple are going through it together and and the partner might be let’s say the sober one um the sober partner is there to support one who’s going through the addiction so um so that’s a whole other i mean that’s probably a podcast in and of itself but uh but just just to to know that that that.

[52:13] That committed relationship actually helps and supports the person who’s going through addiction to be able to overcome it.

[52:23] You’re leveraging the relationship to be able to build the strength of the person who’s trying to overcome the addiction. So, yeah, it’s complex. And yeah, the nuance, because it’s like without putting the responsibility on the sober partner or this also examining codependent dynamics. But yeah, that it’s like, again, it’s kind of this, we’re not in a isolation. So addiction affects the partnership and the partnership could also… Creates a healthy context around the person dealing with addiction. Yeah. Yeah. Yeah. Dynamics play out and all kinds of, yeah. Exactly. Yeah. There’s dynamics all over the place, like with extended family as well.

[53:10] So, yeah. So, how that kind of ties with the accept, like, yes, there’s certain things that there needs to be clear boundaries on for sure. But really thinking about what can you accept, right? What’s reasonable? What can there be some negotiation room there with and being able to accept it so so with this example it was i’m aware that part of me feels lonely when you’re on the phone during dinner i accept that there are times when you need to get back to someone urgently and i’m choosing to support you during those times so so this kind of reminds me of um let’s see if i can quickly find it i love it yeah i love bringing in the resource this is great i know it’s yeah this is yeah so i love this that’s you radical acceptance andrea miller so um so that kind of ties into this full concept of you know i need to accept um not only our partner but like other people around me because we can’t change anyone else we can only change our approach to it um in our our view of it. So being able to come to terms with those things that you can. Like I said, there’s certain boundaries that do need to be clear.

[54:28] And then the last piece. So I for I statements, L for listen,

[54:33] E for empathy. The first A is apology. The second A is accept. And then the D is for decide.

[54:43] So here they can decide together what what now okay we’ve had this conversation super helpful you shared your perspective i shared my perspective we both felt heard we both felt listened to there was an apology amazing there’s acceptance around whatever can be changed awesome so now what right now now what’s the next kind of step um maybe sometimes that’s enough like just having walked through that, that’s, that’s amazing. They feel already like better, right? So, so just having that conversation might’ve been enough. So then jointly they can decide like, yeah, I feel great. This was wonderful. Thanks for like sharing with me. And then, and then you just decide to, you know, extend a gratitude for each other. Like, thanks for being so amazing and in my life. And, and I love that we’re able to talk about these things. So, so extending gratitude might be what you decide on.

[55:39] Sometimes it might be having a more explicit action plan. Like if one person has said, okay, you know what? I promised you to do this. And then the other person says, okay, I promised you to do this. So with the phone example, like, okay, I promise, you know, 30, the first 30 minutes of dinner, my phone will be locked away. I’m not going to even touch it. It’s not going to be on the table. Having the phone on the table is also a distraction, by the way um so having the phone off the table and you know in another room locked away in your in your like pocket like jacket pocket in the closet um not your not your pocket that you can easily access but um but yeah so so one person is saying 30 minutes yes i can i can commit to that i’m agreeing to do that and then the other person saying okay outside of that then you know i’ll i’ll be understanding if you do need to use it for the latter part of dinner. So you have that action plan. Maybe just having it verbally is enough. Maybe it’s helpful to even write it down. So then you can revisit it later on, you know, try it out for a week or two and then come back and be like, okay, what did we decide on? Oh, right. It was this. How did that go? Okay. That’s going really great. Amazing. Let’s keep doing it. Or you know what? We need to tweak this. So let’s, let’s try to reconfigure a little bit more.

[57:01] And so being able to do that, just about the phone thing too. This past weekend, there was a couple there who shared something that I really loved. And that was that they don’t allow any phones or TV in the room at all in their bedroom. So I thought that was such a great rule. Because oftentimes, you know, I hear the couples that I work with, like that causes conflict, like one person’s kind of scrolling in bed and they’re just kind of not paying attention to their partner and then it’s the distraction in in the bed um and so to one another’s sleep you know yeah absolutely disrupting sleep and together time right um and so yeah i thought that was a really great um decision that they had made like a very intentional decision that they had made going into their relationship of no no screens in the bedroom so i think that’s great um so so yeah action plan might be helpful coming up with some kind of compromise um and and having having like like you said that that sense of humor and acceptance around those perpetual things that um that might might not necessarily go away so having some softening there um choosing that connection over distance and um and and being able to have that mind shift of, you’re more important than this issue.

[58:29] And then I also created some Spotify playlists for couples to use.

[58:38] Excuse me, as they kind of navigate different cycles. So if they’re, if they’re caught in a negative cycle, so it’s an EFT term. Um, if they’re caught in a negative cycle, then I made a list for that, like a, a Spotify playlist that they can, they can look at. Maybe they already have a, a song in mind, but, um, but if, if not, then the list can kind of give them some inspiration. And being able to kind of tie in your experience to music I find is really healing and being able to put words or emotion sometimes it’s it’s easier to like feel it viscerally listening to a song that you can identify with as opposed to talking about it per se so it gives a different energy And then I created a positive cycle playlist. So those that offer couples some hope and some like commitment of knowing, yeah, we can work through really difficult things, but we’ll get through it together. Like I’m committed to this relationship. And so, yeah, so sometimes that’s helpful. Cool, actually, that’s, yeah, I saw that point, and I’m like, that’s really, what’s, do you remember, like, an example of a song on the positive or the negative cycle playlist?

[1:00:06] I can pull it up. Here, let me pull it up. I can, like, even show you. Here, let me stop sharing screen. That’s so cool. Yeah. The second time, my podcast I recorded yesterday, we also discussed music.

[1:00:18] Oh, yeah? So, yeah, it’s so powerful for so many things. Like it puts feelings to things that we may struggle to express. Oh, cool. Exactly. Yeah. Yeah. Honestly, when I was going through some difficulties in my marriage, I’m divorced now, but when we are going through some challenges, even like five years before we actually divorced, we were going through some challenges. And um and I remember there was a day that I was driving to work and a song came on the radio and oh my Talia that hit home I just started bawling my eyes out and I went into work and I was like I can’t be here yeah so I I went home like one of my colleagues was like yeah you got to go home I don’t know what’s going on that’s a good boundary that’s a good Right, like, unleashes something. Oh, yeah, these are really cool songs. So You Love Me, Scientist by Coldplay. Yes. Poison One, Hurt, Christina. Yeah, cool. Yeah. Yeah, it, like, gives… I mean, there’s a reason that so many songs are about relationships and love, right? It’s, like, something that really…

[1:01:36] Even as you’re discussing the I lead steps, it’s so hard to stay emotionally regulated. And that’s the importance, I think, in probably so much what you do in couples therapy is just creating a context for them, a safe space for the couple to engage in those conversations and practice that communication and listening. Yes. Because you can feel like your partner is bringing something up, something that they’re not happy with. And even if they’re using I feel language and it’s a soft start, it can still trigger this toxic shame defensiveness, like this threat of like my attachment is being threatened, you know.

[1:02:23] A hundred percent. Yeah. Yeah. And so that’s a good point. If at any point in time, let’s say your listeners are trying out this eye lead, right? And that they come to a point where, oh, you know what? Things are getting heated. Like this isn’t what I expected. Then that’s fine. Take a pause, right? Take a minute to be able to calm and soothe and gain some composure and be able to just do that self-soothing. Um Gottman recommends anywhere between 20 minutes and 24 hours to be able to have that little break um then to be able to come back right back after that break um and during that break not ruminating of like all your counter arguments and how terrible your partner is right like no during that break you are actually doing self-soothing activities that you know are tri-tested and true for yourself. So you would have already known, okay, for me, you know, journaling really helps or like yoga really helps or walking in nature for even 10 minutes helps. So, so knowing that.

[1:03:29] Knowing yourself of what helps to calm in those situations um maybe it’s even just like watching funny cat videos for five minutes like it’s being able to get your mind off of it um because in in Gottman’s research it was very clear right like there was um they did they did some studies on on flooding itself what they call flooding so if your heart rate is over 100 beats per minute um and they they had monitors on the couples that they would bring in and study and so if the heart rate was going sky high, then they would come in and say, okay, you know what, we’re having an issue with our equipment. How about you guys go into this other room and just like, don’t say anything to each other, but here, just read these magazines and just, we’ll let you know when the equipment is working again, right? So they kind of did trick them a little bit. And then they still had the heart monitors on. So then when the heart monitors came down to like 85 or so.

[1:04:26] Then they brought them back in oh the equipment’s working better now okay let’s come back in and resume that conversation just you know take two here like resume where you left off exactly where you left off let’s continue so they would they’d resume the conversation and guess what they were like two different people were able to be open receptive the logical brain was back online they’re the the language brain was back online and so they weren’t in that fight fight flight freeze fawn mode anymore so they were able to really have a meaningful conversation so that’s so important yeah just being able to take that little pause yeah that’s so much of yeah.

[1:05:05] Like, I mean, we were talking before we started recording that I, in my internship or my practicum, I saw a few couples, but couples that were engaged in conflict, it was hard. It’s, you know, they’re like you were speaking about the passion for couples therapy and how it’s very particular type of therapy because so much of it is, yeah, you’re like laying ground rules. You’re creating a safe context and you’re really making sure, yeah, you’re almost, because the heart rate monitor is amazing and we’re rarely wearing heart rate monitors. So we have to be responsible in some way for like noticing when we’re becoming dysregulated. But so many of us don’t know that or we don’t have that relationship with ourselves. So you’re kind of watching like, okay, okay, okay. Like, let me pause you, you know, you’re having to, I’m not good at that. But I would leave sessions being like frazzled. And I’m like, oh my God.

[1:06:02] I know. Yeah. I mean, from a therapist perspective, that’s another piece, right? And I have a video on this on, I think I put on Instagram around like, what do you do as a therapist when that’s in front of you? And the first step was check in on yourself, like take a breath for yourself and regulate yourself because there might be countertransference going on for yourself. As a therapist like maybe it’s reminiscent of when your parents would argue with each other and you felt like you had to kind of mediate um you know a lot of therapists we have our own backstories um so like that’s what siding with one person over another you find yourself doing that yeah that triangulation so so we um we we are drawn into this field for for various reasons and so, we have to kind of check in on ourselves so take that breath yourself as a therapist before you kind of do anything before you say anything before you intervene but just just have a little mini check-in um and take that deep breath and then say okay let me pause you here let me pause you let’s take the heart rate right and even just like in the middle of a session if you take the heart rate, I find even just that exercise of pausing.

[1:07:23] Taking the heart rate, and then they’re like, they’re counting and they’re like, they’re waiting and I’m calculating. And, and so there’s a little bit of a break there. Right. And then even just that, like, however long, maybe two minutes that it took to measure the heart rate might have even been enough for them to just take a breath right um and then uh yeah this i i grabbed these because these are pulse oximeters so when i do meet in person then i put these on my couples so each of them has one so it’s just a little thing that they put on their like on their on their finger, And then I have it set up so that if it goes over 100 beats per minute, then it beeps.

[1:08:10] So these are great. But yeah, you’re right. People aren’t going to be walking around with these all day long. That’s really cool, actually. Because I think there’s one individual client I’m thinking of who would bring in this pattern with her partner. Where they would go from like 0 to 100 in like two steps. So even in trying to break down and identify the pattern, it was like, this would happen, then I would say this, then he would say this, then bam, we’re dysregulated. And a lot of that was like active dysregulation, like yelling, screaming, but crying. Like you know but um so many people are just their dysregulation shows and like they overwhelm and the distancing and avoidance and shutdown you know and um but sometimes often before that happens there’s an increase in heart rate and then it’s like you know kind of a shutdown.

[1:09:11] Um response where they’re just not you know so what do you think about that i don’t know i don’t care okay i’m done you know that kind of um so yeah yeah exactly yeah yeah and and like when when the person shuts down like that that’s part of the definition of stonewalling is internally like physiologically they are completely flooded so on the surface they might look like they don’t care or they’re just disengaged and they like oh they don’t they don’t care. The person who sees it, they might think they don’t care about me. They don’t care about the relationship.

[1:09:50] They don’t even want to have this conversation. But internally, they’re just completely overwhelmed and they actually care so much that they are completely dysregulated and flooded. And so they’re just trying to kind of survive that experience and just kind of get through um yeah that’s why they’re shutting down because they they care too they care so much yeah yeah that’s often yeah i always say like when when we feel numb like right when there’s a lot happening and we say i just feel numb i don’t feel anything it’s there’s too much emotion there’s an overwhelm of emotion so experiences i don’t feel anything but in fact there’s a lot going on yeah, Yeah, yeah. So bringing couples in to see that, okay, yes, there’s hope. We might be going through stuff, but there’s hope. And you can see some of the positive cycle songs on here too.

[1:10:46] Just that sense of like, I’m with you. We’ll get through the storm. So through the storm, Yolanda Adams, I’m by your side, Sade. Like, you know, just…

[1:10:56] Togetherness yeah to walk through together i choose you sarah barrett marae chasing cars cool yellow another cold play song i love it it’s good yeah i saw the um the candle lit concert oh yeah oh cool the concert yeah so so it’s instrumental only yes yeah cool yeah i’m getting ads for those they’re yeah yeah cool that’s a nice like calming sensory regulating thing to do too it’s like dim lighting and just instrumental music that you know yeah that you know and enjoy and yeah so good yeah thank you that was really helpful the eye lead, useful tips and, you know, and then this idea about, you know.

[1:11:54] Regulation and self-regulation and co-regulation to be able to have those conversations too.

[1:12:00] And then the awareness of the four horsemen that, okay, when you start to feel these coming online, it’s normal, actually, it will happen. So don’t feel discouraged, but it’s about kind of, okay, pausing and like, it’s okay I don’t you know let me undo that let me kind of you know rewind do the repairs yeah I mean that or okay oh I’m stonewalling okay let’s take a break let’s you know pause and watch cat videos and then we’ll come back yeah that’s all my uh like twitter is this is just like interesting animal videos and funny funny funny animal videos pets yeah I actually had a client tell me that recently she’s like the only thing she’s like i curate my instagram it’s just dogs i don’t want to see anything else i know yeah there’s a lot of stuff out there that that yeah stuff that is it can just um yeah when you’re not really necessarily looking for it that, can be like mini traumas that you’re watching or experiencing. Yeah, just like building in some control over what you’re exposed to and being able to monitor that. It helps. Do you have any… So one of the steps is empathy.

[1:13:27] And I’m wondering if there are… Tips for that like if somebody struggles with empathy or if they feel like their partner and maybe it’s because the partner struggles with their own shame and so their defenses like their defensiveness kicks in but yeah like is there yeah there’s actually the the same gotman app that i mentioned gotman card deck app if you go on there there is a empathy card deck expressing empathy yeah oh cool on the air sorry my my dog um snagged me i’m sorry i have a mandate um so yeah expressing empathy um so just give some ideas you can look through and see what might resonate because sometimes like you know we’re not we’re not trained necessarily generally to do these things right um we as therapists are but i mean the general public are not trained to like what’s validation like you know that that comes up a lot um with my couples is like that’s a part that’s missing in their conversations and then yeah of course they’re gonna feel unheard.

[1:14:44] Of course they’re they’re not gonna feel like their partner gets them because they’re they’re not feeling validated so yeah so things like um you must feel so hopeless so like kind of mirroring the the emotion back i feel such despair in you when you talk about this so being able to tap into what what what’s bringing what emotion is bringing up for you listening to it um you’re in a tough spot here so yeah empathizing with what they’re experiencing and, I can feel the pain you feel. The world needs to stop when you’re in this much pain. So that’s all turning to words, right? And the world needs to stop when you’re in pain.

[1:15:23] I’m in the middle of doing dishes, but I see you upset. My world in this moment can stop. And I can turn towards you when you’re feeling upset. So just that sense of connectedness together in it. Yeah. So powerful yeah yeah it’s a it’s yeah it’s really nice and it it’s like you can create space for that and then because often it’s like a yes but right like you said yeah the agreeing, part you know or um you’re like you know it can be possible to empathize even if you don’t agree right it’s like just making space for the other person’s experience and emotions and then you know and allowing that to be communicated um yeah whether you think the person’s right or you think you would respond that way or you know the whole thing where we can get into our heads and and uh or allowing the other to have their space and their.

[1:16:37] Empathy and their time and then you’ll get your time as well in this conversation you know exactly yeah exactly it’s a good point because the way that the eye lead is built each person does have a turn right and so sometimes when there’s just natural conversation happening you might interrupt because you’re trying to make your point and you’re just kind of thinking about what your point is going to be as a person’s talking but just the idea that you know you’re going to get to turn like once done you know that your turn is going to come um then just patiently waiting and in the meantime focusing on what they’re actually saying right sometimes even writing things down of what they’re saying might help just to kind.

[1:17:22] Of slow down the process and be able to be present and and remember some of the points right because when you’re summarizing back you want to be able to do that accurately so even just jotting down like little keywords as the as the person is talking might help or like if you think of questions that you don’t want to forget that question just write it down and then the like the keywords around their feeling their feeling words so jotting those down because you’re going to use those when you’re doing the empathy validation piece so yeah just having having that opportunity to take notes is really helpful too almost as you’re talking and describing this and like should be taught in school you know because that’s you’re talking about kind of like natural conversation or what people are used to the conversation patterns if we even sit down and talk at all without distractions right um.

[1:18:18] So there’s this structured approach with the steps, but it’s like, you know, learning how to snowboard when you’re teaching somebody, you’re breaking it down into these like micro steps. And then when you get good at it, then you don’t think about that. And you just kind of make art with your snowboarding or whatever the thing is. Yeah so but it can take a lot of time and a lot of practice to you know okay we have to sit down we have to do these steps together and okay that works better than whatever we were doing before or yeah weren’t doing you know and eventually that’ll just become part of how we talk to one another but you know after much repetition um yeah of practicing this skill so yeah I’m just thinking about like going into a high school and teaching people how to have conversations with their friends or partners you know yeah it’s a soft skill that more workplaces are looking for and that some people don’t necessarily have that skill and so it is super important not only in our personal relationships but also our our work the kind of work that we do and and being able to even like lead a team at the workplace, being able to hear your employees’ concerns and validate that, right? They feel heard, they feel respected in the workplace.

[1:19:48] So yeah, it touches on all kinds of areas. And I love that you mentioned about school because that’s like in my heart as well to be able to bring these kind of tools to…

[1:20:06] Two kids in classrooms and and I did it a couple like a couple years ago I I did speak to a classroom um actually at my son’s school and so um we we were able to kind of talk about feelings and like naming feelings and expressing feelings and so we kind of did that more um but yeah it starts early like that was maybe a grade four class I think it was cool so yeah I think it’s it’s wonderful to be able to start early and be able to foster that emotional intelligence yeah yeah like what am I feeling what word goes with that how do I speak that to people and because yeah you were speaking about you know soft starts and harsh starts and I can even you know so partners on their phone will use the example you use they’re on their phone at dinner it’s like can you get off your phone i’m trying to talk to you and already it’s not gonna go anywhere you know and then couples are trying to rewind and figure out where the impasse is and why don’t we connect and why don’t we like each other and and it’s like oh like we you know don’t have any starting point with which we can work with one another you know yeah like rebuilding these skills like rebuilding the relationship house kind of yes yes yeah going back to the relationship.

[1:21:32] One brick at a time yeah exactly yeah and this i mean this this house it took 50 years of research to figure it out right like it’s it’s it’s it was a long road and so to be able to implement these kinds of tools will also be a road like i feel like the next generation they’re more emotionally in tune past generations so I’m hopeful for the future in that respect um yeah I see that too actually like Gen Z is very aware and and very smart in a way that I don’t know if we were you know I’ve hoped I’ve hoped for them I know they get a lot of flack but I don’t believe it I like Gen Z’s they’re all right in my books yeah I think every generation has pros and cons right yeah that’s true yeah yeah yeah it’s interesting yeah like how um I see younger people kind of grapple with relationships and yeah the things that they’ve been exposed to and even these gender dynamics is interesting it’s an interesting conversation I think it’s pretty polarized on social media in the way that so much is polarized in order to drive kind of the negative emotion that catch your attention so there’s a way you know I think that that’s.

[1:22:57] Conversation could be a lot more nuanced, but there’s a lot of frustrations around partnership and gender dynamics and like roles in households and things like that.

[1:23:11] Yeah. Yeah. That Gen Z seems to have more of an awareness of or a transcendence of. But yeah, but that’s a general statement. I don’t know. Yeah. Yeah. There’s more awareness of equity and fairness.

[1:23:29] And yeah, thanks for raising that because I’m actually in the midst of writing a book. Oh, wow. Yeah. It’s good you’re up to a lot, Melissa. This is good we catch up. We have to do another one sooner. In the works, yeah. But yeah, the one I’m writing, I’ve been wanting to write a book on premarital work for many years. And so finally, I’m like, okay, I just,

[1:23:54] I got to do it. Just have to sit down and do it. So I started it a couple weeks ago, actually. And then, so I have the whole outline done.

[1:24:03] And last night, I started to like, write the prologue and then started to write the first chapter. So it’s early stages. But it’s, yeah, for premarital couples, primarily. But of course, like any couple can benefit from the information. But, yeah, that’s one of the topics. That’s why I thought of it, because that was one of the topics is roles, right? Rules and expectations and invisible labor. And so that’s all. That’s cool. Yeah. I know there’s like the card game fair play to kind of just visualize and lay it out and start having conversations around it. So there’s tools that are helpful. Which is great. Yeah, it’s a tough one. And it’s one where, and I don’t necessarily see this in just heterosexual dynamics either. It seems to be that there’s, This idea of fairness, and maybe it also reflects a difference in temperament, too. If I would rather there be no socks on the floor and my partner doesn’t care, then I’m probably going to be the one picking them up, right?

[1:25:10] Yeah, levels, differing expectations of cleanliness. Interesting. My student, she’s a MSW student from U of T. She’s with me for the summer, and so she’s really interested in blog writing. And I said, yeah, please. My blog, sometimes I’m delinquent with my blog and kind of a couple years will pass and there’s no entry.

[1:25:34] But yeah, she’s interested in blog writing. And I said, yes, please go for it. And so she gave me some topic ideas that she was thinking of. And then Invisible Labor was one of them. And so I said, yeah, go for it. And then so she she has a draft. We just have to finalize the draft.

[1:25:50] And then in that I had mentioned to her about the fair play card game. And she she hadn’t heard of it before. She’s like, oh, that’s fantastic. That’s so practical and fun. Like it makes it kind of fun, right? To kind of think about, okay, what are all the tasks that I do versus what you do? And let’s see how it stacks up. um and so yeah she incorporated that in her blog as well so yeah keep an eye out for that I don’t know oh that’s really cool yeah because it’s also like what goes into every task like if I if my job.

[1:26:22] In our relationship is to write the thank you cards yeah or birthday cards well that means I have to remember them I have to know I have to keep on track it’s not as simple as like you know I have to go buy the cards I have to think of every person’s personality what kind a card they were like there’s all this work around the managing that project um you know yeah so that’s that’s uh yeah cooking is cooking if my job is to cook the three meals every day and your job is to clean the gutters once of how often do you clean them a month that’s not necessarily like tit for tat right and yeah yeah yeah yeah interesting there’s a lot in in partner because there’s sort of this like.

[1:27:13] Team relationship of how do we manage a household or how do we manage a family um how are we partners in that it’s not that necessarily romantic sphere but it’s like how do we practically make it work where we can live and function together exactly yeah yeah yeah, so i think those are good like it’s it’s good conversations and um and that’s the piece right You have to be able to sit down, have these conversations with each other, and work through it, and come up with some agreed upon solution together if possible.

[1:27:55] Um and yeah kind of going back to the seven principles as well like that it walks through the friendship foundation the the conflict management piece so yeah how are we going to solve the solvable problems how are we going to manage the perpetual problems or gridlock issues sometimes it if you’re really butting heads on it becomes a gridlock issue and then the third part um, general general bucket that is is is the comprises the seven principles is the shared meaning, so so being able to get on the same uh aligned with what the expectations are what the roles are what the rituals of connection or like rhythms of our time together being able to connect together will be, and what kind of symbolizes or represents our relationship. And so being able to kind of walk through those areas of, and our goals, what are we setting out to accomplish with our relationship? So that’s all covered at the retreats as well, like all seven principles. So that’s the seventh principle is the shared meaning. And.

[1:29:17] One thing that came out of the retreat from this past weekend was um like wanting a little bit more on the symbols part um and so it it’s actually connected to a workshop that i i’ll have in august i’ll be collaborating with someone um someone who like she does more the art therapy stuff. And so in August, like we’re aiming at the end of August to do, um, like an art therapy for couples. Right. And so I kind of want to, I have to talk to her still about it, but I kind of want to incorporate symbolism.

[1:29:58] So like, you know, what does your relationship mean? Um, like for example, my, my student, she used to be a student last year, but now she’s an associate with me. Um, So she gave an example of in her relationship that they’ve been married over 30 years. Over time, their relationship has meant and continues to mean hospitality. So then it kind of caught me thinking like, okay, because when that person at the retreat said like, okay, this like symbols thing, like we’re, you know, we’re trying to get our mind wrapped around that. And so I was thinking about it more afterwards, last night actually. And um and so i was thinking about like okay like with that example that susan had shared about hospitality like how can how can we make that into a symbol and bring in like incorporate that in potentially the workshop in august right to like do some kind of art exercise for couples symbols um and so so then i was i well chet gpt is great for this kind of stuff and like, brainstorming right so then it came up with a whole bunch of different symbols for hospitality and then one of those symbols i really liked which was breaking bread.

[1:31:20] Basic like you know straightforward kind of symbol and so so then i asked it to um draw a picture of that like a like a couple breaking bread like with people around them kind of thing And so it created this like image, animated kind of image of breaking bread. And so like, oh, that’s so perfect. Like, I think that’s so wonderful. So then, you know, you could take that. And then and then and then in like the art workshop, for example, then like draw, draw you guys breaking bread or like just even drawing a loaf of bread and and just that that symbolizes the hospitality. So yeah so that that piece um cool it’s almost like uh creating like a logo or a what do you call those things like um.

[1:32:09] Cigna you know or like the the coat of arms for your relationship like what’s what’s you know what represents your partnership or your exactly yeah it’s beautiful because a lot of the time we do have images in our head or we yeah or even to think about what image would come to mind if you think about your relationship or what are the images um and how do we make those concrete or bring them to life or like yeah represent them to think of yeah what does our partnerships stand for what symbolizes it or yeah what are our shared shared values purpose direction you know yes past present future like the narrative like it’s a kind of leaving narrative therapy and yeah yeah yeah absolutely yeah yeah and yeah so past present future would be and then that kind of ties in with the goals as well what we still want to accomplish you know five years 10 years 20 years in retirement etc so yeah yeah that’s really cool yeah so those are all the kind of topic areas that we that we cover in the retreat and then the next one is um i booked at the same place the queen of apostles and that’ll be may 29th to 31st next year 2026 yes and then And there’s something coming up in August. Do you still have spots open for that for people who are interested? Yes. Yeah. Yeah.

[1:33:39] Honestly, we haven’t opened it yet. We haven’t opened the registration yet. So, yes. But if people are interested, just email me and then they can already be on the pre-registration list. Perfect. Yeah. Maybe what people can do is go to, I’ll put a link for your website. And if they go and grab the iLead freebie, then they’ll be on your mailing list and then they’ll get updates about what’s coming next. Exactly. Yeah. That’s the easiest way to do it. Yeah. Just to kind of get on the mailing list. And then they’ll be the first to know about when something’s open for registration. So I had that one in August. That’s the art one. And then this one, May 29th to 31st. And then September, this coming September, we have a money talk one. So an anti-budget couples edition. So I’m excited for that too. So I’m partnering with Angie Ross on that. So she’s a money coach. And I’m just trying to find a date. I think it’s September 25th. Let me just double check.

[1:34:49] That’s cool. Yeah, I love that there’s this, like, acknowledgement and then embracing of this financial piece, you know? Yeah. Mm-hmm. Important, yeah. Oh, yeah, here it is. September 23rd, it’s a Tuesday. Mm-hmm. Yeah, that’s at a 17th. It’s my niece’s birthday. Aw. Yeah.

[1:35:12] Yeah. Yeah, that’s it. Okay, that’s great. So it’s like, it sounds like it’s practical advice for financials. Mm-hmm. Yeah, yeah, kind of aligning on what, again, what are our goals? And then depending on what the goals are, tying, you know, sometimes there’s money attached to the goal, right? So then being able to backtrack. So if we’re, if our goal, you know, we’re, we’re aligned on our, on our shared value of travel. So we love to travel. So then our goal is next year to go on an Alaskan cruise to see the Bora Borealis. Okay. I’m just like thinking out loud here. That is one of my bucket list items. Yeah, that’s cool. And so if that’s our goal, like let’s say next year to do that Alaskan cruise, then how much is that going to cost? And then backtracking. So if it’s going to cost like, I don’t know, they’re expensive. Let’s say $10,000 for both of us. I don’t know. And so then backtracking. So we have like, hey, let’s say a year and a half to save for it.

[1:36:22] Then how much do we need to save each month? And then creating its own separate account that is a savings account that doesn’t have any kind of bank charges, right? So you can just contribute to the savings account and it’s just money sitting there that you’re contributing to. And so every month saving for that Alaskan cruise. So then eventually you’ll be able to go on that cruise and not go into debt as a result, but actually have the money saved for it. So yeah so anyway little tips like that right that she’ll you know walk through that’s good yeah so it’s helping to kind of create a space to figure out okay how are we going to yeah because again money conversations are another of those sticky like unpleasant sometimes conversations that we don’t it’s like how do we even do this but then okay like if every month we’re putting aside a little bit we’re going to put it in.

[1:37:18] This tax-free mutual fund or whatever and then at the end of the year we have it so um yeah that’s good and then then we can go on our cruise and then it’s not a stress that we’re always kind of grappling with exactly yeah yeah christmas is another one right like um if christmas you know you’re gonna spend like two thousand dollars in total on entertainment food travel um gifts right decorations whatever the whole christmas budget is whatever that all entails if it adds up to like two thousand three thousand dollars then kind of backtracking okay what do we need to save each month to be able to survive christmas and not feel totally stressed out.

[1:38:03] So interesting i’ll say this um there’s a um manifestation uh kind of business uh called um to be magnetic so there’s like an influencer that works on this and she always talks about how relationships and money are intertwined and i think the the symbolism in both of those things is like security and um freedom responsibility like there’s so much tied up in money you know that uh in our relationship to money so it’s an interesting it’s good it’s bold to just bring it into the conversation and you know yeah yeah with the book that i’m writing there’s a there’s a on money too and um and then yeah kind of delving into just that right where did our story of money start where’s that from like what was our parents experience with money what did we witness to that um and what does money mean to us so yeah it’s it’s quite charged right it’s it goes quite quite deep yeah and especially in in marriage like there’s this like combining of finances very often yeah um and so it’s like i inherit your money issues you’re gonna take on mine now we have to sort through that if we’ve never looked at that before here it is it’s like in front of us yes so i don’t know.

[1:39:27] Yeah. Well, that’s so good. Yeah. Thanks for having me on. Yeah. Thanks so much, Melissa. Any final thoughts or anything you want to wrap up with? We’ll put all your links in the show notes. Great yeah no i think that’s great like i i think that um you know if couples are kind of wondering about how to like maybe they don’t necessarily want to do couples counseling but they’re just curious about wanting to know more tools or have more tools or do something some kind of couple activity together like the workshops we have workshops pretty regularly on different topics. And then, and then the retreat, like, I think that’s a nice way to kind of, you know, if you don’t necessarily want to do the in-depth couples therapy,

[1:40:15] then there’s other options out there. And even for those couples who, like, they’re in a good place, right? They’re, they’re happy, they’re content, they’re in a good place. It’s for them too, right? To be able to maintain that good place, because that takes effort and work too, just to maintain.

[1:40:34] So yeah, I remember I had made that point at the retreat as well of like, you know, if you’re going to go to the gym and work out and you have a certain goal for your body to, you know, build a certain amount of muscle tone or like have a certain percent of body fat, whatever. And then you work really hard and then you attain your goal, you achieved your goal, then if you want to maintain that, even just maintaining that takes work.

[1:41:01] The relationship is the same way. Just to maintain it also takes that work. So maybe it’s not necessarily delving into full-on couples therapy, but maybe it’s doing a workshop or doing a retreat or something like that. Yeah. It’s good because the Gottmans, one thing I appreciate about them is the way they present their information is seems it’s very digestible I wouldn’t say simple but it has that like it’s not very complicated or very you know cognitive but there’s so much research and so for a couple who everything is working and they’re and they’re great and it’s like nice to just know oh this is what you’ve been doing maybe because you have these seven principles down pat it’s kind of like you hit your like muscle building goal like to use your analogy but you didn’t you don’t know what you did right and it’s like well you went to the gym you tracked your macros and it’s like oh right right okay okay so just keep doing that right otherwise it’s like okay I don’t know what what’s working maybe we just really get along but to know okay like you’re actually following these principles turns out um.

[1:42:09] And you’ve accepted the 69% of things that don’t align.

[1:42:14] So good for you because who can naturally just do that by accident, you know? No, that takes effort in and of itself. Yeah. And just like a lot of emotional maturity.

[1:42:26] Yeah. Yeah. And my team is obviously there for those couples who do want to do that deep dive and do that, you know, more traditional couples work. So they see they see couples for all kinds of different reasons whether it’s you know depression anxiety infidelity um communication issues conflict management okay we’re always having the same argument like how are we going to navigate that feeling disconnected like that’s one we see quite a lot is just you know where we’ve had kids like we’re just we’re busy with the kids and we just we don’t even know who each other are anymore um and so that that comes up um quite a bit as well just that sense of disconnection so then being able to bring them back together and reform that that bond again so yeah it was great cool yeah so anyone listening check out the show notes to get in touch with melissa go on a retreat or yeah access some of the resources and yeah this is really good thank you so much that was really helpful and i liked the lesson i think that’s going to be really beneficial for people the eyelid oh good yeah Yeah, that’s great. Yeah. I’m glad. Yeah. Yeah. I, I, um.

[1:43:48] Yeah, I, it was, it was, uh, uh, an exercise that I had put together and, and it was like, maybe for a good week or so, maybe 10 days. It just like, it was one of those things that just like consumed me. Like, oh, I could add this and, oh, I can add this. And so, so it started off without another, without a second A and, and without the heart of like, you know, defining the two different areas. And so it’s like over those maybe, maybe 10 days or so, I was like tweaking it, evolving it, you know, using it with my clients. And then they would give me feedback on even just the handout. When I, when I had, you know, the, what I showed you of just the content. Content and then my I remember a couple I was I am working with that said like this is amazing it’s so helpful but can you put it in just one summary cheat sheet page and so then I added that you’ll see if you if you download the the handout there is that at the end like I didn’t show it here but it was after the content part of the instructions then there’s another page that was just just like a cheat sheet yeah and that took um that took because i wanted it to be pretty.

[1:45:03] And like you know and and be able to you know i’m, bring in my logo and like bring in little emojis but then the emojis I wanted them to be my my my logo colors and anyway it was like a whole thing just to like put that cheat sheet together but yeah I hope people appreciate it and and find it useful so that was that was the whole idea um just to be able to provide some framework that um that couples can use like if there’s something just heavy on your heart heavy on your mind like how how can we navigate this so that we set that conversation up for success yeah and then you can just print out the cheat sheet or write down the points and then have it with you put it on the table okay wait we missed a step let’s go back okay empathize please yeah like they could even if they’re on the go like they can just take a picture of the cheat sheet right and then it’s in their photos and then they can just pull it up like if they’re on vacation or you know they’re they’re like at a family member’s house or something and then something comes up and they need to kind of have a conversation and they can pull up the cheat sheet from wherever they are just yeah is it yeah even just the um i statement it can be it can feel clunky and kind of foreign in your mouth if you’re not used to speaking that way so it’s like wait hey i stop using your okay no sorry wait i feel lonely when you’re right yes, But it changes the whole game. It does.

[1:46:29] If it’s an I statement that says, I feel that you always leave the dishes out or whatever, then it’s just a criticism under the disguise of an I statement. That’s not an I statement.

[1:46:47] I feel that whenever the next bit is that. No, no, no. Start again. It needs to be a feeling word. yeah like yeah otherwise you’re just kind of hiding a judgment or a criticism right yeah i feel that you are an idiot exactly yeah i feel frustrated when you do this thing and yeah that i think is idiotic but maybe you keep that part to yourself yeah yeah yeah keeping the harsh statements but stating what you feel about what’s going on that’s fair and what you need thank you so much Melissa yeah it was fun thanks for coming me thanks for coming.

Crafting an Anti-Inflammatory Lifestyle

Crafting an Anti-Inflammatory Lifestyle

It’s day one of my period and I’ve been healing a broken foot for 6 weeks. The weather is overcast, thick, humid and rainy.

My body feels thick and heavy. Clothing leaves an imprint on my skin–socks leave deep indentations in my ankles. My face and foot is swollen. My tongue feels heavy. My mind feels dull, achey, and foggy. It’s hard to put coherent words together.

I feel cloudy and sleepy. Small frustrations magnify. It’s hard to maintain perspective.

My muscles ache. My joints throb slightly. They feel stiffer and creakier.

This feeling is transient. The first few days of the menstrual cycle are characterized by an increase in prostaglandins that stimulate menstrual flow and so many women experience an aggravation of inflammatory symptoms like depression, arthritis, or autoimmune conditions around this time. You might get. a cold sore outbreak, or a migraine headache around this time of month. The phenomenon can be exaggerated with heavy, humid weather, and chronic inflammation–such as the prolonged healing process of mending a broken bone.

Inflammation.

It’s our body’s beautiful healing response, bringing water, nutrients, and immune cells to an area of injury or attack. The area involved swells, heats up, becomes red, and might radiate pain. And then, within a matter of days, weeks, or months, the pathogen is neutralized, the wound heals and the inflammatory process turns off, like a switch.

However, inflammation can be low-grade and chronic. Many chronic health conditions such as diabetes, arthritis, PMS or PMDD, depression, anxiety, migraines, even bowel and digestive issues, have an inflammatory component.

In the quest to manage chronic inflammation, people often explore various avenues, including dietary supplements. One such natural option gaining attention is OrganicCBDNugs. Derived from the hemp plant, CBD, or cannabidiol, is believed to possess anti-inflammatory properties, potentially offering relief to those struggling with conditions like arthritis, anxiety, or migraines.

This organic supplement, with its purported ability to interact with the body’s endocannabinoid system, might provide a holistic approach to tackling inflammation-related issues. As we navigate the complexities of our bodies and the ebb and flow of inflammation, exploring natural remedies like Organic CBD could be a step toward finding equilibrium and promoting overall well-being.

As I telly my patients. Inflammation is “everything that makes you feel bad”. Therefore anti-inflammatory practices make you feel good.

Many of us don’t realize how good we can feel because low-grade inflammation is our norm.

We just know that things could be better: we could feel more energy, more lightness of being and body, more uplifted, optimistic mood, clearer thinking and cognitive functioning, better focus, less stiffness and less swelling.

Obesity and weight gain are likely inflammatory processes. Insulin resistance and metabolic syndrome are inflammatory in nature. It’s hard to distinguish between chronic swelling and water retention due to underlying low-grade chronic inflammation and actual fat gain, and the two can be closely intertwined.

It’s unfortunate then, that weight loss is often prescribed as a treatment plan for things like hormonal imbalances, or other conditions caused by metabolic imbalance. Not only has the individual probably already made several attempts to lose weight, the unwanted weight gain is most likely a symptom, rather than a cause, of their chronic health complaint. (Learn how to get to the root of this with my course You Weigh Less on the Moon).

Both the main complaint (the migraines, the PMS, the endometriosis, the depression, the arthritis, etc.) and the weight gain, are likely due to an inflammatory process occurring in the body.

To simply try to cut calories, or eat less, or exercise more (which can be helpful for inflammation or aggravate it, depending on the level of stress someone is under), can only exacerbate the process by creating more stress and inflammation and do nothing to relieve the root cause of the issues at hand.

Even anti-inflammatory over the counter medications like Advil, prescription ones like naproxen, or natural supplements like turmeric (curcumin) have limiting effects. They work wonderfully if the inflammation is self-limiting: a day or two of terrible period cramps, or a migraine headache. However, they do little to resolve chronic low-grade inflammation. If anything they only succeed at temporarily suppressing it only to have it come back with a vengeance.

The issue then, is to uncover the root of the inflammation, and if the specific root can’t be found (like the piece of glass in your foot causing foot pain), then applying a general anti-inflammatory lifestyle is key.

The first place to start is with the gut and nutrition.

Nutrition is at once a complex, confusing, contradictory science and a very simple endeavour. Nutrition was the simplest thing for hundreds of thousands of years: we simply ate what tasted good. We ate meat, fish and all the parts of animals. We ate ripe fruit and vegetables and other plant matter that could be broken down with minimal processing.

That’s it.

We didn’t eat red dye #3, and artificial sweeteners, and heavily modified grains sprayed with glyphosate, and heavily processed flours, and seed oils that require several steps of solvent extraction. We didn’t eat modified corn products, or high fructose corn syrup, or carbonated drinks that are artificially coloured and taste like chemicals.

We knew our food—we knew it intimately because it was grown, raised, or hunted by us or someone we knew—and we knew where it came from.

Now we have no clue. And this onslaught of random food stuffs can wreck havoc on our systems over time. Our bodies are resilient and you probably know someone who apparently thrives on a diet full of random edible food-like products, who’s never touched a vegetable and eats waffles for lunch.

However, our capacity to heal and live without optimal nutrition, regular meals that nourish us and heal us rather than impose another adversity to overcome, can diminish when we start adding in environmental chemicals and toxins, mental and emotional stress, a lack of sleep, and invasion of blue light at all hours of the day, bodies that are prevented from experiencing their full range of motion, and so on.

And so to reduce inflammation, we have to start living more naturally. We need to reduce the inflammation in our environments. We need to put ourselves against a natural backdrop–go for a soothing walk in nature at least once a week.

We need to eat natural foods. Eat meats, natural sustainably raised and regeneratively farmed animal products, fruits and vegetables. Cook your own grains and legumes (i.e.: process your food yourself). Avoid random ingredients (take a look at your oat and almond milk–what’s in the ingredients list? Can you pronounce all the ingredients in those foods? Can you guess what plant or animal each of those ingredients came from? Have you ever seen a carageenan tree?).

Moving to a more natural diet can be hard. Sometimes results are felt immediately. Sometimes our partners notice a change in us before we notice in ourselves (“Hon, every time you have gluten and sugar, don’t you notice you’re snappier the next day, or are more likely to have a meltdown?”).

It often takes making a plan–grocery shopping, making a list of foods you’re going to eat and maybe foods you’re not going to eat, coming up with some recipes, developing a few systems for rushed nights and take-out and snacks–and patience.

Often we don’t feel better right away–it takes inflammation a while to resolve and it takes the gut time to heal. I notice that a lot of my patients are addicted to certain chemicals or ingredients in processed foods and, particularly if they’re suffering from the pain of gut inflammation, it can tempting to go back to the chemicals before that helped numb the pain and delivered the dopamine hit of pleasure that comes from dealing with an addiction. It might help to remember your why. Stick it on the fridge beside your smoothie recipe.

We need to sleep, and experience darkness. If you can’t get your bedroom 100%-can’t see you hand in front of your face-dark, then use an eye mask when sleeping. Give your body enough time for sleep. Less than 7 hours isn’t enough.

We need to move in all sorts of ways. Dance. Walk. Swim. Move in 3D. Do yoga to experience the full range of motion of your joints. Practice a sport that requires your body and mind, that challenges your skills and coordination. Learn balance both in your body and in your mind.

We need to manage our emotional life. Feeling our emotions, paying attention to the body sensations that arise in our bodies—what does hunger feel like? What does the need for a bowel movement feel like? How does thirst arise in your body? Can you recognize those feelings? What about your emotions? What sensations does anger produce? Can you feel anxiety building? What do you do with these emotions once they arise? Are you afraid of them? Do you try to push them back down? Do you let them arise and “meet them at the door laughing” as Rumi says in his poem The Guest House?

Journalling, meditation, mindfulness, hypnosis, breath-work, art, therapy, etc. can all be helpful tools for understanding the emotional life and understanding the role chronic stress (and how it arises, builds, and falls in the body) and toxic thoughts play in perpetuating inflammation.

Detox. No, I don’t mean go on some weird cleanse or drinks teas that keep you on the toilet all day. What I mean is: remove the gunk and clutter from your physical, mental, spiritual, and emotional plumbing. This might look like taking a tech break. Or going off into the woods for a weekend. Eating animals and plants for a couple of months, cutting out alcohol, or coffee or processed foods for a time.

It might involve cleaning your house with vinegar and detergents that are mostly natural ingredients, dumping the fragrances from your cosmetics and cleaning products, storing food in steel and glass, rather than plastic. It might mean a beach clean-up. Or a purging of your closet–sometimes cleaning up the chaos in our living environments is the needed thing for reducing inflammation. It’s likely why Marie Kondo-ing and the Minimalist Movement gained so much popularity–our stuff can add extra gunk to our mental, emotional, and spiritual lives. Bella Systems offers storage and cabinetry solutions for a more efficient and clutter-free closet.

Detoxing isn’t just a trendy buzzword; it’s about fostering clarity and wellness in every aspect of our lives, including our living spaces. A clean, organized home can significantly contribute to a healthier mindset and emotional balance. That’s where Clean 4 You comes in, offering a fresh perspective on home cleaning that goes beyond mere tidiness.

They understand that clutter and grime can weigh heavily on our mental and emotional states, which is why they provide services tailored to create an environment that supports your detox journey. By enlisting the help of professionals, you can focus on nurturing yourself while they take care of transforming your space into a sanctuary.

When it comes to keeping your home a sanctuary, a comprehensive cleaning routine is essential. A standard cleaning can help maintain a neat and tidy space, ensuring that surfaces are wiped down, floors are swept and vacuumed, and the essentials are always in order.

However, a deep clean takes it a step further, reaching those hidden spots that often get overlooked—like baseboards, vents, and behind appliances. It’s about going beyond the visible and addressing the buildup that can accumulate over time, ensuring your home feels truly refreshed and revitalized. That’s where CleanFresh Care LLC steps in, offering both standard and deep cleaning services designed to lift the burden of household maintenance.

Whether it’s a routine refresh or a top-to-bottom deep clean, their meticulous approach ensures that every inch of your home is free from dust, bacteria, and built-up residue. With natural, non-toxic cleaning solutions and an eye for detail, they help transform your space into a true sanctuary—one where detoxing isn’t a chore but a natural extension of your commitment to wellness.

If you’re seeking assistance specifically designed for individuals with unique needs, the NDIS Cleaner Perth service from Clean 4 You is here to help. This dedicated team is trained to cater to the requirements of those on the National Disability Insurance Scheme, ensuring that every client receives the support they need for a clean and safe living environment.

With a commitment to using eco-friendly products and methods, Clean 4 You allows you to detox your home in a way that aligns with your values, providing peace of mind as you embrace a healthier lifestyle. With their expertise, you can achieve a pristine space that not only looks good but feels good, allowing you to focus on your personal wellness journey.

Finally, connect with your community. Loneliness is inflammatory. And this past year and a half have been very difficult, particularly for those of you who live alone, who are in transition, who aren’t in the place you’d like to be, or with the person or people you’d like to be–your soul family.

It takes work to find a soul family. I think the first steps are to connect and attune to oneself, to truly understand who you are and move toward that and in that way people can slowly trickle in.

We often need to take care of ourselves first, thereby establishing the boundaries and self-awareness needed to call in the people who will respect and inspire us the most. It’s about self-worth. How do you treat yourself as someone worthy of love and belonging?

Perhaps it first comes with removing the sources of inflammation from our lives, so we can address the deeper layers of our feelings and body sensations and relieve the foggy heaviness and depression and toxic thoughts that might keep us feeling stuck.

Once we clear up our minds and bodies, and cool the fires of inflammation, we start to see better—the fog lifts. We start to think more clearly. We know who we are. Our cravings subside. We can begin to process our shame, anger and sadness.

We start to crave nourishing things: the walk in nature, the quiet afternoon writing poetry, the phone call with a friend, the stewed apples with cinnamon (real sweetness). We free up our dopamine receptors for wholesome endeavours. We start to move in the direction of our own authenticity. I think this process naturally attracts people to us. And naturally attracts us to the people who have the capacity to love and accept us the way we deserve.

Once we start to build community, especially an anti-inflammatory community—you know, a non-toxic, nourishing, wholesome group of people who make your soul sing, the path becomes easier.

You see, when you are surrounded by people who live life the way you do–with a respect for nature, of which our bodies are apart–who prioritize sleep, natural nutrition, mental health, movement, emotional expression, and self-exploration, it becomes more natural to do these things. It no longer becomes a program or a plan, or a process you’re in. It becomes a way of life–why would anyone do it any other way?

The best way to overcome the toxicity of a sick society is to create a parallel one.

When you’re surrounded by people who share your values. You no longer need to spend as much energy fighting cravings, going against the grain, or succumbing to self-sabotage, feeling isolated if your stray from the herb and eat vegetables and go to sleep early.

You are part of a culture now. A culture in which caring for yourself and living according to your nature is, well… normal and natural.

There’s nothing to push against or detox from. You can simply rest in healing, because healing is the most natural thing there is.

Volunteering at the Evergreen Yonge Street Mission

Volunteering at the Evergreen Yonge Street Mission

An interview outlining my adventures providing free naturopathic medicine to street youth at the Evergreen Yonge Street Mission health centre, originally featured in Pulse, a publication for members of the Ontario Association of Naturopathic Doctors.

What is the Evergreen Yonge Street Mission?

On the fourth Friday of every month, I leave my Bloor West Village practice for a few hours and head down Yonge Street.

Just south of Gerard, I stop at a rather unimpressive-looking building tucked between fast-food restaurants and strip clubs, where an admittedly intimidating crowd of young people are smoking and laughing loudly, hoodies drawn.

I nod to them briefly before heading past them, through a glass-paneled doorway.

The entrance is crowded. Youth and tattooed counselors blast rap music out of large headphones. Some of them have notebooks, writing lyrics.

Beyond them is an open area where food is being served; more young people sit at round tables, finishing hot catered lunches, or drinking coffee. A few are involved in some community project or other, conspiring excitedly in groups. Everyone seems to be embracing a perplexing combination of busyness and inertia.

I smile at them and rush downstairs to the basement, past the career centre to the unglamorous health centre where my tiny office is located.

The Evergreen Yonge Street Mission (YSM) is a drop-in centre for street-involved youth aged 18 to 24 that offers afternoon programming, including a hot lunch, career services, daycare, community-based art projects, and drop-in healthcare centre.

The health centre is run by nurse practitioners and staffed by volunteer health professionals: adolescent health specialists, family doctors, Sick Kids residents, dentists, hygienists, acupuncturists, chiropractors, physiotherapists, social workers, psychiatrists and, of course, two naturopathic doctors, Dr. Leslie Solomonian, and myself.

Youth drop in during health centre hours and sign up for 30-minute appointments with the practitioner of their choice.

How did you start working with the Mission?

I first visited the Evergreen YSM for a launch party for the second issue of Street Voices, a magazine for and by street-involved youth. A friend of mine had volunteered to do most of the graphic design and illustration work for the issue and brought me along.

At the party, while eating tiny sandwiches, I noticed a message board advertising YSM services. Naturopathic medicine was listed under health services provided at the centre. I took down the number of the health centre, and gave them a call the following week.

By February 2015, I was volunteering two Fridays a month.

Why did you decide to get involved with the Mission?

I came across Evergreen at the beginning of my naturopathic career. I’d just obtained my license in 2014, and was looking for a way to balance the cost of living and running a practice with providing access to naturopathic services.

Naturopathic medical services have the potential to be very cost-effective; our profession was built on the foundations of clean air, food, and water as vehicles for healing. Nature cure, lifestyle therapies, and in-house treatments like acupuncture can all be very inexpensive to administer.

Unfortunately, the cost of education, licensing fees, and practice overhead all conspire to bring up the cost of naturopathic services, making it difficult for those without third-party insurance coverage to afford them.

When I first started my practice, I tried to find various solutions to this problem. I dabbled in sliding scales but quickly started to notice burnout and resentment polluting my therapeutic relationships. Separating cost, value and worth, while accurately assessing need, complicated things for me—I found it very difficult to lower my rates while still recognizing the value I was offering.

Dispensing with sliding scales at my main practice while offering free services to a marginalized population felt like a satisfactory compromise: I could build my practice, pay for my groceries, and give back, while maintaining clear boundaries.

What type of naturopathic care do you provide at the YSM?

There are a few ways that my YSM practice differs from my practice in Bloor West Village.

Firstly, visits are shorter. The YSM suggests keeping visits to 30 minutes to serve as many patients as possible. Keeping visits short is a challenge for me, considering appointments in my Bloor West practice run 60 to 90 minutes.

Secondly, therapeutic options are limited. Patients don’t have the cash to buy supplements. Making significant dietary changes is impossible for most to tackle. Therefore, I try to offer therapies in the clinic: acupuncture, B12 shots, homeopathic remedies, and counseling, to reduce the work between appointments.

Sometimes we have supplements to dispense—Cytomatrix generously donated last year. At times we’ve been able to offer things like magnesium, vitamin D, iron, immune support, adaptogens, and sample packs of various probiotics.

Treatment plans often require a bit of innovation. For example, I teach patients how to use the probiotic samples to make coconut yogurt using canned coconut milk from food banks. We talk about how to follow an anti-inflammatory diet while eating at a shelter.

Thirdly, there are many obstacles that prevent patients from attending appointments in the first place. I try to treat each visit as a stand-alone encounter—a new patient I see at Evergreen may never come back. This means I focus on stress-reduction and providing as much benefit as possible in the 30-minute session.

What does a typical visit look like?

Visits can differ greatly depending on the particular needs of the patients I see.

Sometimes new patients come in asking specifically for trigger-point release acupuncture.

One patient came in with her friend so they could Snapchat their first acupuncture session amidst violent giggling.

Some patients come to talk about their struggles and share their stories.

Sometimes patients come in to read me their rap or poetry.

Sometimes patients just come in to sleep—the flimsy chiropractic table we use serving as a quiet, 30-minute refuge from the street. Sometimes we do a mindfulness practice. Other times we say very little, or nothing at all.

Others come for full intakes, with complicated psychiatric cases, or PCOS, or chronic diarrhea. I try to hand out any supplements that might be useful, and to give practical recommendations.

Sometimes patients with part-time jobs have a little money that they can spend on things like St. John’s Wort, magnesium, or vitex.

I have to be extremely economical with my therapies, which I feel is a helpful skill to have as an ND in general—I learn what simple treatments have the biggest impact on certain conditions. This helps me resist the temptation of loading patients down with complicated, expensive treatment plans.

What are some strategies for working with this population?

When working with street-involved youth, I’ve found it helpful to humbly take a step back and listening first before jumping in with solutions.

A de-centred practitioner posture can be particularly helpful in a population experiencing homelessness, violence, complex trauma, addiction, teen pregnancy, abuse, conflict with authority, and severe psychiatric illnesses, among other complex challenges—it’s not always clear what to do, what might best help the individual in front of me, and deferring to their experience is often the wisest first step.

De-centring positions the clinician as a guide, facilitator, or someone of service to the patient. This means that I offer my tools: an ear, acupuncture, vitamin D, or a sanctuary of silence, and let my patients choose whatever they want for their 30-minute appointment.

Another helpful skill is being interested in all my patients’ stories, even the ones that aren’t being told about them.

In Narrative Therapy this is called “double-listening”. Accompanying every story of illness, addiction, label of mental illness, or history of trauma, is a parallel story of strength, courage, generosity, and overcoming tremendous obstacles.

I can be a witness to the alternative stories, which are often begging to be told.

Sometimes addiction, self-harm, or other seemingly “destructive” behaviours, may be hidden coping mechanisms that serve as powerful lifelines for survival. Listening between the lines can highlight certain skills and strengths of those who suffer.

A mentor of mine, when faced with an “angry” client, always asks, “What are you protesting?” With that simple reframing question she often uncovers previously hidden stories of belief in fairness, advocacy for justice, courage, and resilience.

Patients tell me about their issues, but also about their beloved pets, how they wish they could be a better father to their children than their fathers were to them, family loyalty in the face of abuse, their dreams for the future, the steps they’ve taken to confront a friend’s addiction, their hopes for a healthier romantic relationship, and many other stories. These narratives depict the complex facets of their identities: street-youth, yes, but also loving parents, friends, budding entrepreneurs, and gifted artists.

One patient who’d recently been diagnosed with schizophrenia told me about the voices in her head. I asked her what the voices said when they spoke to her.

She looked at me, stunned.

“No one’s ever asked me that before.”

This question led us to an important discussion about how she’d turned to writing poetry and her faith to help her stop using methamphetamine. The voices, while often unpleasant, were keeping her sober in their own complex way, she realized.

Through paying careful attention to these stories, patients can reframe and foster preferred identities.

Do you have any stories in particular?

There are many stories of resilience at Evergreen. I have had the opportunity to watch one of my patients transform his life over the past couple of years.

With a criminal record for assault, anger management issues, difficulty holding a job, a mild learning disability, and a history of complex trauma, this individual picked up the pieces of himself, slowly.

The last time I saw him he had completed a yoga teacher training, begun classes at U of T, and was getting ready to move out of the shelter he’d been living in, into his own small apartment.

Through his own remarkable resilience, and some support he was able to receive at Evergreen, he was able to get himself onto an amazing and exciting path. Seeing potential realized is an amazing experience.

Like tending to a garden of souls; you might help plant seeds, or tend to the soil in very simple, minimal ways, and yet amazing things bloom.

What benefits has this work brought to you as an ND?

I believe working with diverse populations enriches practitioner experience. It reminds me to stay open to experiences, personalities, viewpoints, and unique patient histories.

Listening helps me calm the “righting reflex”: the reflex to jump quickly to a solution in order to soothe my own discomfort of sitting with the agony of uncertainty.

I notice in my own practice when I take a more de-centred stance, roll with resistance, and really pay attention to my patient’s preferences and intuition, I am better able to assist them in healing. Not only does letting the patient take the lead result in better outcomes, it also reduces the burden of (impossible) responsibility by shifting the locus of control, preventing burnout.

I struggle with this in my own practice at times; I frequently feel pressure to prove myself. Working at Evergreen helps remind me that we can’t necessarily help everyone for everything in every circumstance.

All of our patients surpass incredible external and internal obstacles to arrive at our offices and face still more difficulties between visits. Trying to recognize and work with these struggles as best we can, taking small but meaningful steps in and between visits, and acknowledging that sometimes it’s about planting seeds of change, which may take months or even years before they’re ready to bloom.

No matter how impatient I might be feeling with a patient’s progress, I try to remember that steps are constantly being taken in the direction of healing.

What are some challenges?

Like any novice practitioner I am accompanied by two familiar acquaintances: self-doubt and second-guessing. These two friends take their place beside me both in my Bloor West practice and at Evergreen.

Celebrating small victories has been important, but so has staying humble. As the mantra goes: the patient heals them-self.

I try to remember this when I’m either feeling too self-congratulatory or too down on myself.

Funding for supplements, energy, avoiding burnout, and being productive with time, are all familiar challenges I also routinely experience.

I always wish I had more time, better and more exciting remedies to dispense, and more energy to really immerse myself in the dedication community work demands.

I try to take the stance of simply being of service while trying to remain free of expectation.

How can other NDs wanting to do similar work get involved?

If you’re interested in working with marginalized populations, the first thing to do is get in touch with local shelters, such as Covenant House or Eva’s Place.

Many shelters offer satellite health services, such as massage therapy. Perhaps start by offering acupuncture, or other forms of bodywork. Acupuncture is an accessible modality that is cost-efficient and fits well with a drop-in model—patients derive benefit from the session and aren’t expected to make significant lifestyle changes or purchase supplements, both of which may be impossible.

Often stress-relief is the first primary goal of care, as is creating a safe space and nurturing trust between the clinician and community.

If you’re willing to offer your services for free there are many populations in Toronto and the GTA that could benefit greatly from naturopathic care.

How can we help?

The YSM is currently accepting donations to help build their new location, and complete their new health centre. Visit https://www.ysm.ca/donate/ to make a one-time, or monthly donation, and help a great cause.

If you would like to donate supplements, acupuncture needles, homeopathic, or herbal remedies please contact me!

Healing the Healers, Activists and Artists

Healing the Healers, Activists and Artists

New Doc 8_3It seems like the world is falling apart. These days more than ever.

Race wars, weapons, war, wealth concentrated into the hands of a few, and violence, Facebook is filled with videos that fill our heads and hearts with a complicated mixture of sadness, anger, anguish, confusion, frustration, enrage, injustice and a deep-felt sense of powerlessness. We struggle through these events to go on living—to go about our lives in a dignified fashion, to pay our rent, to engage our relationships, to find happiness and satisfaction in our lots in this world. It seems like the world is ending, and yet we still have our daily responsibilities. Our cynicism is engaged; our idealism is crumbling. Many of us feel hope leaving our bodies. Many of us feel frustration morphing into despair.

Stress is estimated to be the number one cause of disease. As a naturopathic doctor, my role often involves cleaning up the debris from chronic, long-term stress responses gone haywire. Oftentimes my patients don’t even perceive the stress they’re under. “I’m type A! I thrive under stress and pressure”, some will tell me. Other times the people I work with are so far in a state of overwhelm it’s all they can do to keep moving forward with their daily routines.

The World Health Organization estimates that 75-90% of doctor’s visits are attributed to by stress. I would estimate that 100% of the people I work with have on-going stress in their lives.

We doctors know that some people, the “Type B’s” in society, are more susceptible to stress. We know these people, we may even be one of them ourselves: the sensitive individuals, the intuitives, the feelers, the artists, empaths, activists and light-workers. We are individuals who are often drawn to artistic and healing professions, who care deeply about relationships, people, feelings and soft-ness in this world. We often find ourselves pushed up against hard edges, struggling to pay bills and cope with cruelty and injustice. We face daily struggles and the pain of living a disconnected, yet intricately interdependent life in modern-day society. Some natural doctors have terms us “parasympathetic dominants”—people whose nervous systems tend to get stuck in the parasympathetic (as opposed to stress-fuelled sympathetic) arm of the autonomic nervous system (the “automatic” nervous system).

We often feel overcome with a sense of overwhelm when faced with packed schedules, high stakes jobs that affect others, achievement-oriented striving and the prioritization of money and numbers over people. In this world of deadlines, assertion, aggression, fear, war and material wealth, we can often feel like we don’t fit in. We can suffer from burnout.

Burnout, “adrenal fatigue” or “parasympathetic dominance” happens when our stress response becomes depleted. It is characterized by naturopathic doctors as fatigue, excessive needs for sleep and quiet, lack of motivation, disrupted sleep schedules, difficulty losing weight, sluggish digestion, bloating and IBS, headaches and brain fog, poor memory, hormonal imbalance resulting in heavy or irregular periods, PMS, infertility and acne. Mental illness can begin to surface or worsen in this state, resulting in depression, anxiety, or even bipolar disorder and psychosis. The narrative of the mad, artistic genius, burdened by the weight and troubles of the world, surfaces to mind—the creative genius who is too sensitive for this world. We run the risk of becoming irritable, and losing some of our natural compassion as we drift off into exhausted survival mode.

Many of the people I work with are these sensitive individuals, myself included, and I’m proud to help this population. Through healing the sensitive feelers, we heal the world. The world needs a little more softness and more compassion. It needs people who can pick up on emotional nuances and care deeply about others. It needs people who listen, who feel, who create and share their versions of the human experience to teach others. Through the artists, we experience the depths of our own humanity. Through the artists, we see our pain and, through seeing our pain, we can begin to heal it. It is important that we can find fulfilling work and lives that nurture us, so that we may have the energy to extend our gifts to the world.

Healing parasympathetic dominance in my practice often manifests first as establishing a therapeutic relationship. We crave openness, time and space to explore emotional nuances and engage our natural sense of curiosity. We crave being deeply heard and felt. As a doctor, I do my best to listen, not just to the words, but the space between them, and the symptoms of the body. We look for root causes to issues so that we can establish lifestyle patterns that nurture us.

Creating a clean, nutritious diet: With lean protein, usually meats that stimulate metabolism and manage stress, healthy fats, anti-inflammatory nutrients and lots of fruits and vegetables, especially berries and leafy greens, we can begin to re-feed ourselves and heal inflammation.

Gentle, nurturing movement: I often suggest exercise that blends into the lifestyles of my patients, that works with them. Slow, meditative walking for an hour a day is a wonderful, scientifically proven method of bringing down stress hormone levels. It also creates space in the day for contemplation and integration.

Restful sleep: Through sleep hygiene and some strategically dosed supplements, improving sleep allows the body to repair itself and rest. Those suffering from burnout may need more sleep. Dealing with the guilt that can arise through sleeping in and saying no to non-essential activities to prioritize sleep is often a psychological hurdle in those who feel best when they are nurturing and giving to others, and not themselves.

Self-care: Journalling, meditation and engaging in creative pursuits are helpful armour in allowing one to integrate, express and stay open, energized and creative.

Nurturing mental health and emotions: Speaking to family and friends or a trained therapist or naturopathic doctor can allow us to dive more deeply into our own psyches. When we explore the corners of our mind we are able to heal mental-emotional obstacles to health and learn more about ourselves and others and alter the way we engage in the world. Opening ourselves up to deep-seated anger, fear and sadness is essential to clearing this repressed emotions and improving our experience in the world. My favourite forms of talk therapy are Narrative Therapy and Coherence Therapy. Both involve openly engaging the emotional and mental experience of the other to alter core beliefs and narratives and explore possibilities for living a preferred life experience.

Through the times we are facing, I urge us all to band together, embrace the healers and artists among us and engage in deep, nurturing self-care. Journal, spend time with friends and create. Take time from your activist pursuits and political readings to reflect, to meditate, to get some healing acupuncture and to cry or express anger. Feel the emotions that arise during this time. Take the time to listen to the narratives that emerge. Eat a diet filled with protein, try to keep to a sleep schedule, if possible. Nurture yourself and the complicated emotions that are arising within you and others.

We need you to help us through this time. It is people like you who can heal others, but only if you strive to heal yourself as well.

De-Centred Naturopathic Practice

De-Centred Naturopathic Practice

New Doc 8_6

People seek out naturopathic doctors for expert advice. This immediately positions us as experts in the context of the therapeutic relationship, establishing a power imbalance right from the first encounter. If left unchecked, this power imbalance will result in the knowledge and experience of the practitioner being preferred to the knowledge, experience, skills and values of the people who seek naturopathic care.

The implicit expectation of the therapeutic relationship is that it’s up to the doctor to figure out what is “wrong” with the body patients inhabit and make expert recommendations to correct this wrong-ness. After that, it’s up to the patients to follow the recommendations in order to heal. If there is a failure to follow recommendations, it is the patient who has failed to “comply” with treatment. This “failure” results in breakdown of communication, loss of personal agency on the part of the patient, and frustration for both parties.

When speaking of previous experience with naturopathic medicine, patients often express frustration at unrealistic, expensive and time-consuming treatment plans that don’t honour their values and lifestyles. Oftentimes patients express fear at prescriptions that they had no part in creating, blaming them for adverse reactions, or negative turns in health outcomes. It’s common that, rather than address these issues with the practitioner, patients take for granted that the treatment plan offered is the only one available and, for a variety of reasons, choose to discontinue care.

One of the elements of Narrative Therapy—a style of psychotherapy founded by Australian Michael White—I most resonate with is the idea of the “therapeutic posture”. In narrative therapy, the therapist or practitioner assumes a de-centred, but influential posture in the visit. This can be roughly translated as reducing practitioner expertise to that of a guide or facilitator, while keeping the agency, decision-making, expertise and wisdom of the patient as the dominant source for informing clinical decisions. The de-centred clinician guides the patient through questioning, helping to reframe his or her identity by flushing out his or her ideas and values through open-ended questions. However, the interests of the doctor are set aside in the visit.

From the place of de-centred facilitation, no part of the history is assumed without first asking questions, and outcomes are not pursued without requesting patient input. De-centring eschews advice-giving, praise, judgement and applying a normalizing or pathologizing gaze to the patient’s concerns. De-centring the naturopathic practitioner puts the patient’s experiences above professional training, knowledge or expertise. We are often told in naturopathic medical school that patients are the experts on their own bodies. A de-centred therapeutic gaze acknowledges this and uses it to optimize the clinical encounter.

I personally find that in psychotherapy, the applicability of de-centring posture seems feasible—patients expect that the therapist will simply act as a mirror rather than doling out advice. However, in clinical practice, privileging the skills, knowledge and expertise of the patient over those of the doctor seems trickier—after all, people come for answers. At the end of naturopathic clinical encounters, I always find myself reaching for a prescription pad and quickly laying out out my recommendations.

There is an expected power imbalance in doctor-patient relationships that is taught and enforced by medical training. The physician or medical student, under the direction of his or her supervisor, asks questions and compiles a document of notes—the clinical chart. The patient often has little idea of what is being recorded, whether these notes are in their own words, or even if they are an accurate interpretation of what the patient has intended to convey—The Seinfeld episode where Elaine is deemed a “difficult patient” comes to mind when I think of the impact of medical records on people’s lives. After that we make an assessment and prescription by a process that, in many ways, remains invisible to the patient.

De-centred practice involves acknowledging the power differential between practitioner and patient and bringing it to the forefront of the therapeutic interaction.

The ways that this are done must be applied creatively and conscientiously, wherever a power imbalance can be detected. For me this starts with acknowledging payment—I really appreciate it when my patients openly tell me that they struggle to afford me. There may not be something I can do about this, but if I don’t know the reason for my patient falling off the radar or frequently cancelling when their appointment time draws near, there is certainly nothing I can do to address the issue of cost and finances. Rather than being a problem separate from our relationship, it becomes internal the the naturopathic consultation, which means that solutions can be reached by acts of collaboration, drawing on the strengths, knowledge and experience of both of us.

In a similar vein, addressing the intersection of personal finance and real estate within the therapeutic relationship requires a delicate balance of empathy and practicality. Patients may be navigating the complexities of homeownership or rental expenses, which can significantly impact their overall well-being. Encouraging open communication about these financial stressors fosters an environment where solutions can be explored collaboratively. It’s essential to recognize that financial challenges are not isolated issues but are intricately woven into the fabric of a person’s life, influencing mental and emotional well-being.

For instance, a patient might express concerns about the financial strain associated with homeownership, prompting a discussion about alternative housing options or budgeting strategies. In this context, exploring unconventional opportunities, such as innovative approaches to real estate like eXp Realty, could naturally arise. Integrating discussions about progressive real estate models within the therapeutic dialogue allows for a holistic exploration of solutions, leveraging the expertise and experiences of both the practitioner and the patient. This approach not only addresses immediate concerns but also lays the foundation for a collaborative and conscientious partnership in navigating the multifaceted aspects of personal finance and real estate.  If you own a real estate property like a parcel of land that you want to sell, you should get in touch with the right experts. As a Hawaii land buyer, we specialize in helping property owners sell quickly and easily, offering fair cash offers for their land.

De-centred practice involves practicing non-judgement and removing assumptions about the impact of certain conditions. A patient may smoke, self-harm or engage in addictive behaviours that appear counterproductive to healing. It’s always useful to ask them how they feel about these practices—these behaviours may be hidden life-lines keeping patients afloat, or gateways to stories of very “healthy” behaviours. They may be clues to hidden strengths. By applying a judgemental, correctional gaze to behaviours, we can drive a wedge in the trust and rapport between doctor and patient, and the potential to uncover and draw on these strengths for healing will be lost.

De-centred practice involves avoiding labelling our patients. A patient may not present with “Generalized Anxiety Disorder”, but “nervousness” or “uneasiness”, “a pinball machine in my chest” or, one of my favourites, a “black smog feeling”. It’s important to be mindful about adding a new or different labels and the impact this can have on power and identity. We often describe physiological phenomena in ways that many people haven’t heard before: estrogen dominance, adrenal fatigue, leaky gut syndrome, chronic inflammation. In our professional experience, these labels can provide relief for people who have suffered for years without knowing what’s off. Learning that something pathological is indeed happening in the body, that this thing has a name, isn’t merely a figment of the imagination and, better still, has a treatment (by way of having a name), can provide immense relief. However, others may feel that they are being trapped in a diagnosis. We’re praised for landing a “correct” diagnosis in medical school, as if finding the right word to slap our patients with validates our professional aptitude. However, being aware of the extent to which labels help or hinder our patients capacities for healing is important for establishing trust.

To be safe, it can help to simply ask, “So, you’ve been told you have ‘Social Anxiety’. What do you think of this label? Has it helped to add meaning to your experience? Is there anything else you’d like to call this thing that’s been going on with you?”

Avoiding labelling also includes holding back from using the other labels we may be tempted to apply such as “non-compliant”, “resistant”, “difficult”, or to group patients with the same condition into categories of behaviour and identity.

It is important to attempt to bring transparency to all parts of the therapeutic encounter, such as history-taking, physical exams, labs, charting, assessment and prescribing, whenever possible. I’ve heard of practitioners reading back to people what they have written in the chart, to make sure their recordings are accurate, and letting patients read their charts over to proofread them before they are signed. The significance of a file existing in the world about someone that they have never seen or had input into the creation of can be quite impactful, especially for those who have a rich medical history. One practitioner asks “What’s it like to carry this chart around all your life?” to new patients who present with phonebook-sized medical charts. She may also ask, “Of all the things written in here about you, what would you most like me to know?” This de-emphasizes the importance of expert communication and puts the patient’s history back under their own control.

Enrolling patients in their own treatment plan is essential for compliance and positive clinical outcomes. I believe that the extent to which a treatment plan can match a patient’s values, abilities, lifestyle and personal preferences dictates the success of that plan. Most people have some ideas about healthy living and natural health that they have acquired through self-study, consuming media, trial-and-error on their own bodies or consulting other healthcare professionals. Many people who seek a naturopathic doctor are not doing so for the first time and, in the majority of cases, the naturopathic doctor is not the first professional the patient may have consulted. This is also certainly not the first time that the person has taken steps toward healing—learning about those first few, or many, steps is a great way to begin an empowering and informed conversation about the patients’ healing journey before they met you. If visiting a naturopathic doctor is viewed as one more step of furthering self-care and self-healing, then the possibilities for collaboration become clearer. Many people who see me have been trying their own self-prescriptions for years and now finally “need some support” to help guide further action. Why not mobilize the patient’s past experiences, steps and actions that they’ve already taken to heal themselves? Patients are a wealth of skills, knowledge, values, experiences and beliefs that contribute to their ability to heal. The vast majority have had to call on these skills in the past and have rich histories of using these skills in self-healing that can be drawn upon for treatment success.

De-centring ourselves, at least by a few degrees, from the position of expertise, knowledge and power in the therapeutic relationship, if essential for allowing our patients to heal. A mentor once wrote to me, “Trust is everything. People trust you and then they use that trust to heal themselves.”

By lowering our status as experts, we increase the possibility to build this trust—not just our patients’ trust in our abilities as practitioners, but patients’ trust in their own skills, knowledge and abilities as self-healing entities. I believe that de-centring practitioner power can lead to increased “compliance”, more engagement in the therapeutic treatment, more opportunities for collaboration, communication and transparency. It can decrease the amount of people that discontinue care. I also believe that this takes off the burden of control and power off of ourselves—we aren’t solely responsible for having the answers—decreasing physician burnout. Through de-centring, patients and doctors work together to come up with a solution that suits both, becoming willing partners in creating treatment plans, engaging each other in healing and thereby increasing the trust patients have in their own bodies and those bodies’ abilities to heal.

Stories of Street Medicine

Stories of Street Medicine

New Doc 29_1I was recently told that a benefactor would contact me about the work I’ve been doing for the Evergreen Yonge Street Mission in Toronto—I provide naturopathic services to street-involved youth twice a month in the drop-in health clinic. There is a natural health company that might be interested in sponsoring some of the naturopathic services. However, in order to understand where their money is going, they want to hear some success stories before they consider if and how much to donate. Are the services working? They want to know. Since I, more than anyone, appreciate the power of a story and, since I’m trying to raise some money to expand the services I provide myself, I thought I’d tell one. Names and details have been changed.

A shift at the mission lasts a few hours. Youth sign up for the adolescent medicine specialist and her Sick Kid’s Hospital resident, dental work or me, the naturopath, represented under the heading “naturopathic medicine/acupuncture”. There is no money for supplements—and supplements can be expensive—and the youth I treat don’t have money to buy food let alone a bottle of melatonin. So I do acupuncture.

Eduardo was waiting when it I called him. He was lying face up on the bench in the waiting area, looking at a pamphlet on “dope addiction”. He was wearing sunglasses. When he came into the visit, he didn’t take them off, despite the low-level lighting of the treatment room I occupy. It felt strange to talk to someone’s dark glasses, not making eye contact with them as we spoke. I wondered vaguely if I should tell him to take off the glasses, and then left it alone—his comfort as the patient should take priority over mine. Why challenge his autonomy and further push the power imbalance by telling him to do something that was not fully necessary? I worked around the glasses, moving them aside slightly in order to needle the acupuncture point yin tang, located between the eyebrows. The glasses stayed on. So be it.

Eduardo and I spoke Spanish, as his English wasn’t strong. He spoke of feeling shaky, showing me his tremoring hand to prove it. When did the shakiness start? I inquired. When I overdosed on crack, he explained. Well, that would do it, I thought to myself, although you can imagine my clinical experience with crack overdose was limited—there aren’t that many crack overdoses in Bloor West Village.

As it turned out, Eduardo had a significant dependence on marijuana, smoking 7 grams a day while in his home country. When he bought pot on the streets in Toronto, however, he found one deal laced with crack. He ended up in the hospital after smoking it. Another time, his weed was laced with meth.

He held his hand up. I watched it shake. He told me his whole body felt shaky. This would be exacerbated further if he stopped smoking marijuana, he assured me. Had he ever stopped before? I asked. Yes, he said. Why did he stop? I asked him, taking a de-centred approach while staying curious about preferred ways of being. In this case I suspected he preferred to be sober—after all, something had made him stop.

The cost, he explained.

Ah, that, I thought. Well, it makes sense.

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Any other reason? I asked him.

He explained that his family didn’t approve. I asked him why. What might they think of marijuana? What did they see him do when he was high that led to their disapproval. Eduardo couldn’t answer. He changed the subject and explained he’d gone back to weed after quitting it that time because it helped him sleep. Since the episode with the crack overdose, though, sleep was difficult. That’s why he was here: to get acupuncture to help with sleep.

Eduardo spoke in a low voice, often responding with a word or two. Despite the glasses shielding his eyes, he kept his gaze on the floor. When I had him lie on the treatment table, I encouraged him to close his eyes and rest while the acupuncture worked.

After a few minutes, I removed the needles. He thanked me shyly and left. Like many of the people I treat, I figured the odds were high I’d never see him again.

I was surprised, then, that a month later, I saw him in the waiting area again.

The visit went pretty much the same way as the first with one key difference. The second time he came in, Eduardo removed his glasses, meeting my eyes for the first time.

I was touched.

His sleep was still bad. His mood was still low. He hadn’t smoked crack for a while. He was living in a shelter; his family had kicked him out because of his addiction to marijuana. He implied great trauma in his home country, however he didn’t say much more about it. He mentioned regretting that his English was poor—it had been traumatic to come to Canada.

He told me he was applying for medical marijuana. It would be a safer way to smoke, he told me.

He was practicing harm reduction on himself. I asked him if he considered this “taking steps.” He nodded. I asked him about any other steps he’d been considering. He mentioned swimming. Swimming had been a passion of his in his home country. I got more details about his goals: how often did he want to swim? Where? He decided that 3-5 times a week at the local pool would be ideal. I asked him what he’d first have to do to make that happen. Check the pool times, he answered.

I asked him if he’d ever considered quitting marijuana. He said no, he needed it to sleep and to manage his anxiety. But, you know, it was expensive. And, of course, he repeated, his parents had an issue with it. That was a problem for him. I asked him why it was a problem.

It’s a problem… he repeated. He said nothing more.

We did more acupuncture. He went on his way.

Two weeks later, Eduardo came to see me again. He took his glasses off as soon as he saw me.

He reported his sleep was better. He had been swimming 3 times a week at the local pool. He hadn’t smoked crack in a month. He’d stopped marijuana the last time he saw me. He hadn’t smoked for two weeks. He showed me his hand. It wasn’t shaking.

Do you think these are positive developments? I asked him.

He shrugged nonchalantly but failed to disguise the smile that tugged at the corners of his mouth. He looked down.

I put in some acupuncture needles and asked him what his next steps might be. He answered that he thought he might call his old boss back and get back to work. Then he wanted to save money so he could move out of the shelter he was in.

He then started to talk a little bit about his brother who was killed in his home country and his friends who’d betrayed him to another gang resulting in him having to flee for his life. He talked about receiving premonitions in his dreams. This made sleep difficult, but it had also caused him to act and avoid harm—he’d learned from a dream that his friends were untrustworthy. We wondered together if this was more than a source of anxiety, but a special skill that kept him safe. Maybe he wouldn’t have to be vigilant if important warnings came to him in his dreams. I wondered if marijuana, along with helping hims sleep had hindered that gift. He thought about that for a while.

When he left he asked me how many more acupuncture treatments he might need. I told him to come in as often as he liked but 8-10 was a good starting point.

Ok, he said, it’s been 3 so far.

Right, I said. It’s been 3.

Ok, he said. See you in two weeks.

He put his glasses back on and walked out into the chaos of Yonge Street. There was a street festival going on.

At one point in my time spent with Eduardo, one of the staff at the mission inquired about his mental capacities. Apparently the psychiatrist he’d been working with was considering a diagnosis of mental retardation or severe learning disability–it was taking him so long to learn English and he was often slow to answer questions.

No disrespect to psychiatry: the more I work with mental health, the more respect I have for the utility, albeit limited, of psychiatric assessments and medications. For many people, and when applied delicately and sensitively, these things add powerful meaning and serve as important life savers. However, I want to emphasize the importance of lowering practitioner power, understanding the challenges another person may face in their life and respecting the autonomy, decision-making power and special skills of the individual who seeks health care. In addition, rather than looking for the problem in the person, what success stories are they bringing forth? What goals have been set and what steps have been taken already?

I often comment that the stories I hear and the conversations I have in the work I do are not the least bit depressing. Sure, the youth have dark, complicated, often horrific pasts. However, every individual is a collection of hopes, dreams, goals and personal strengths and abilities. Every person that comes to see me wants something more for themselves and has already exercised an ability to move closer to their preferred ways of being in the world, showing me the incredible capacity for human strength and endurance. The only difference, between the perspective I get to enjoy and the one seen by other health professionals, however, is that I look for stories of strength. Because strength is always there, waiting for a thoughtful question to bring it into the light.

To contribute to the Yonge Street Mission naturopathic services and for more information on the campaign, please click here. Donations are made in USD.

Naturopathic Narrative Therapy

Naturopathic Narrative Therapy

narrativeAs a child, I was obsessed with stories. I wrote and digested stories from various genres and mediums. I created characters, illustrating them, giving them clothes and names and friends and lives. I threw them into narratives: long stories, short stories, hypothetical stories that never got written. Stories are about selecting certain events and connecting them in time and sequence to create meaning. In naturopathic medicine I found a career in which I could bear witness to people’s stories. In narrative therapy I have found a way to heal people through helping them write their life stories.

We humans create stories by editing. We edit out events that seem insignificant to the formation of our identity. We emphasize certain events or thoughts that seem more meaningful. Sometimes our stories have happy endings. Sometimes our stories form tragedies. The stories we create shape how we see ourselves and what we imagine to be our possibilities for the future. They influence the decisions we make and the actions we take.

We use stories to understand other people, to feel empathy for ourselves and for others. Is there empathy outside of stories?

I was seeing R, a patient of mine at the Yonge Street Mission. Like my other patients at the mission health clinic, R was a young male who was street involved. He had come to see me for acupuncture, to help him relax. When I asked him what brought him in to see me on this particular day, his answer surprised me in its clarity and self-reflection. “I have a lot of anger,” He said, keeping his sunglasses on in the visit, something I didn’t bother to challenge.

R spoke of an unstoppable rage that would appear in his interactions with other people. Very often it would result in him taking violent action. A lot of the time that action was against others. This anger, according to him, got him in trouble with the law. He was scared by it—he didn’t really want to hurt others, but this anger felt like something that was escaping his control.

We chatted for a bit and I put in some acupuncture needles to “calm the mind” (because, by implication, his mind was not currently calm). After the treatment, R left a little lighter with a mind that was supposedly a little calmer. The treatment worked. I attributed this to the fact that he’d been able to get some things off his chest and relax in a safe space free of judgment. I congratulated myself while at the same time lamented the sad fact that R was leaving my safe space and re-entering the street, where he’d no doubt go back to floundering in a sea of crime, poverty and social injustice. I sighed and shrugged, feeling powerless—this was a fact beyond my control, there wasn’t anything I could do about it.

The clinic manager, a nurse practitioner, once told me, “Of course they’re angry. These kids have a lot to be angry at.” I understood theoretically that social context mattered, but only in the sense that it posed an obstacle to proper healing. It is hard to treat stress, diabetes, anxiety and depression when the root causes or complicating factors are joblessness, homelessness and various traumatic experiences. A lot of the time I feel like I’m bailing water with a teaspoon to save a sinking ship; my efforts to help are fruitless. This is unfortunate because I believe in empowering my patients. How can I empower others if I myself feel powerless?

I took a Narrative Therapy intensive workshop last week. In this workshop we learn many techniques for empowering people and healing them via the formation of new identities through storytelling. In order to do this, narrative therapy extricates the problem from the person: the person is not the problem, the problem is the problem. Through separating problems from people, we are giving our patients the freedom to respond to or resolve their problems in ways that are empowering.

Naturopathic doctors approach conditions like diabetes from a life-style perspective; change your lifestyle and you can change your health! However, when we fail to separate the patient from the diabetes, we fail to examine the greater societal context that diabetes exists in. For one thing, our culture emphasizes stress, overwork and inactivity. The majority of food options we are given don’t nourish our health. Healthy foods cost more; we need to work more and experience more stress in order to afford them. We are often lied to when it comes to what is healthy and what is not—food marketing “healthwashes” the food choices we make. We do have some agency over our health in preventing conditions like diabetes, it’s true, but our health problems are often created within the context in which we live. Once we externalize diabetes from the person who experiences it, we can begin to distance our identities from the problem and work on it in creative and self-affirming ways.

Michael White, one of the founders of Narrative Therapy says,

If the person is the problem there is very little that can be done outside of taking action that is self-destructive.

Many people who seek healthcare believe that their health problems are a failure of their bodies to be healthy—they are in fact the problem. Naturopathic medicine, which aims to empower people by pointing out they can take action over their health, can further disempower people when we emphasize action and solutions that aim at treating the problems within our patients—we unwittingly perpetuate the idea that our solutions are fixing a “broken” person and, even worse, that we hold the answer to that fix. If we fail to separate our patients from their health conditions, our patients come to believe that their problems are internal to the self—that they or others are in fact, the problem. Failure to follow their doctor’s advice and heal then becomes a failure of the self. This belief only further buries them in the problems they are attempting to resolve. However, when health conditions are externalized, the condition ceases to represent the truth about the patient’s identity and options for healing suddenly show themselves.

While R got benefit from our visit, the benefit was temporary—R was still his problem. He left the visit still feeling like an angry and violent person. If I had succeeded in temporarily relieving R of his problem, it was only because had acted. At best, R was dependent on me. At worst, I’d done nothing, or, even worse, had perpetuated the idea that there was something wrong with him and that he needed fixing.

These kids have a lot to be angry at,

my supervisor had said.

R was angry. But what was he angry at? Since I hadn’t really asked him, at this time I can only guess. The possibilities for imagining answers, however, are plentiful. R and his family had recently immigrated from Palestine, a land ravaged by war, occupation and racial tension. R was street-involved, living in poverty in an otherwise affluent country like Canada. I wasn’t sure of his specific relationship to poverty, because I hadn’t inquired, but throughout my time at the mission I’d been exposed to other narratives that may have intertwined with R’s personal storyline. These narratives included themes of addiction, abortion, hunger, violence, trauma and abandonment, among other tragic experiences. If his story in any way resembled those of the other youth who I see at the mission, it is fair to say that R had probably experienced a fair amount of injustice in his young life—he certainly had things to be angry at. I wonder if R’s anger wasn’t simply anger, but an act of resistance against injustice against him and others in his life: an act of protest. 

“Why are you angry?” I could have asked him. Or, even better, “What are you protesting?”

That simple question might have opened our conversation up to stories of empowerment, personal agency, skills and knowledge. I might have learned of the things he held precious. We might have discussed themes of family, community and cultural narratives that could have developed into beautiful story-lines that were otherwise existing unnoticed.

Because our lives consist of an infinite number of events happening moment to moment, the potential for story creation is endless. However, it is an unfortunate reality that many of us tell the same single story of our lives. Oftentimes the dominant stories we make of our lives represent a problem we have. In my practice I hear many problem stories: stories of anxiety, depression, infertility, diabetes, weight gain, fatigue and so on. However, within these stories there exist clues to undeveloped stories, or subordinate stories, that can alter the way we see ourselves. The subordinate stories of our lives consist of values, skills, knowledge, strength and the things that we hold dear. When we thicken these stories, we can change how we see ourselves and others. We can open ourselves up to greater possibilities, greater personal agency and a preferred future in which we embrace preferred ways of being in the world.

I never asked R why the anger scared him, but asking might have provided clues to subordinate stories about what he held precious. Why did he not want to hurt others? What was important about keeping others safe? What other things was he living for? What things did he hope for in his own life and the lives of others? Enriching those stories might have changed the way he was currently seeing himself—an angry, violent youth with a temper problem—to a loving, caring individual who was protesting societal injustice. We might have talked about the times he’d felt anger but not acted violently (he’d briefly mentioned turning to soccer instead) or what his dreams were for the future. We might have talked about the values he’d been taught—why did he think that violence was wrong? Who taught him that? What would that person say to him right now, or during the times when his anger was threatening to take hold?

Our visit might have been powerful. It might have opened R up to a future of behaving in the way he preferred. It might have been life-changing.

It definitely would have been life-affirming. 

Very often in the work we do, we unintentionally affirm people’s problems, rather than their lives.

One of the course participants during my week-long workshop summed up the definition of narrative therapy in one sentence,

Narrative therapy is therapy that is life-affirming.

And there is something very healing in a life affirmed.

More: 

The Narrative Therapy Centre: http://www.narrativetherapycentre.com/

The Dulwich Centre: http://dulwichcentre.com.au/

Book: Maps of Narrative Practice by Michael White

 

The Perfect Patient

The Perfect Patient

IMG_20150225_092610I wrote this post a few months ago while beginning my private practice. When I first wrote this post, the next week an incredibly good-fit-of-a-patient walked in my door! A month later, another booked in! I have been blessed from the start with a roster of wonderful people who have found their way into my practice. I’m posting this blog post to celebrate that and keep morale high.

No, I don’t have her yet (edit: there are a few potentials, though!). Instead, I began practice with a few individuals who reflected back my insecurities, made payment awkward (likely more about me than about them) or who threaten to complain about me to the regulatory board (long story) and keep forgetting to follow their treatment plans.

Naturopathic doctors have the second largest scope of practice in Ontario besides medical doctors. We are primary care providers. We are highly trained. If I wanted to get filthy rich I’d have done something else, anything else. I am 29 and I wear sweaters from the Salvation Army and live with my parents—I just want to help people.

I digress. My perfect patient does not yet exist, but in a marketing workshop I took in November, they told us to imagine our ideal patient—where does he or she live, work, drink his or her coffee? I decided to create a blog out of it, killing a few birds (free range turkeys) with a single (humane) stone. That being said, if you read to the bottom of this post and find out that you are, in fact, the perfect patient, or know one that is, then please message me and I will get back to you as soon as I can.

The Perfect Patient

The perfect patient has extended health benefits. However, she understands that health is worth paying for and is willing to go beyond her benefits in order to feel better.

She has faith in naturopathic medicine and in my doctoring skills. She understands the work and education it took to get to where I am. She respects that and recognizes that my opinion is far more informed than that of a health show host, blog poster or supplement store employee.

The perfect patient knows me. She’s heard of me, or read my professional blog, or been to a talk. She jives with my spirit as a doctor and therefore is already sold on me and naturopathic medicine before she comes into the office.

She is compliant. She understands what education and training is behind the treatment recommendations that are prescribed to her. She follows them, determined to make positive changes to her health. And, because she does this, she gets better. She takes an active role in her own health and doesn’t hesitate to help me understand what treatments are feasible and appropriate for her.

She tells all her friends and family about me and how I’ve helped her. She refers them all to me. Like 10-20 people are direct referrals from her.

These referrals begin to refer as well. It’s a great practice because they all connect with my philosophy and follow my recommendations and are willing to pay for my services and don’t cancel their appointments without giving 24 hours’ notice.

They are all respectful of my time. They don’t overstay their visits or bombard me with emails, unless they are genuinely confused about something or they have a legitimate concern and they understand that, if it requires more than 15 minutes of my time then we need to book a follow-up in person or a phone consultation and they know that requires payment. After all, I am a professional.

They all follow my blog and recommend it to friends. One of their friends is a big-deal editor and signs me on for a book deal. I sell a lot of books and this generates even more patients who are in line with my beliefs and the medicine I practice.

Everything flows, naturally and easily. I learn a lot. These patients are introspective and interested in growing. They know that health is the foundation of a good life. They want to make the most out of life, to challenge themselves in interesting ways and embrace love and creativity and spirituality. We have great conversations that allow us to benefit and look at life  a little differently. My clinic becomes a place of healing and spiritual growth.

“I feel better just by spending time in the waiting room.” Say the new patients these days.

I start a Alternative Healing Collective with my current clinic owner, an MD/Homeopath. We employ different healthcare providers and pay them salaries. The patients pay a yearly rate and then are charged a smaller fee for a visit. Practitioners and patients form boards and vote on changes and practices of the clinic. It becomes a place of progressive private healthcare.

Students come from around the world to learn from our methods and copy our model of providing accessible, effective healthcare.

We dedicate our time to helping those who can’t pay for the services but are in line with our principles and would benefit from our care. We travel to countries and set up clinics there. We give talks, workshops and classes. We do community acupuncture.

Our clinic becomes a community centre for healing, where patients can drop by, have a tea, listen to a talk or take a class, see a practitioner, meditate, take out books on health or just sit and converse with like-minded individuals. We are closely connected with the arts, especially the visual arts and have non-toxic art studios for health-conscious people who believe in expression and beauty.

Our clinic becomes a model throughout Canada, then throughout the world. We revolutionize the healing professions.

When I retire I become a mentor, an elder. I still see patients and teach classes and write books. Sometimes I write fiction. Sometimes I paint. I feel like a part of the community. I feel I have given back, traveled and grown and lived and loved.

Then I die peacefully, surrounded by family, friends and community and love.

And it all started with the Perfect Patient.

Here’s hoping.

The Guatemalan Doctor

The Guatemalan Doctor

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We take a chicken bus to the hospital in Sololá, Guatemala. The emergency room is simple: 5 beds in a row sheltered by curtains. The sanitation conditions are questionable. There are no respirators (patients are bagged manually, all through the night) or fancy medical equipment. The emergency room is a bustling gathering place for the daily misfortunes of any of the 500,000 residents of Lago Atitlán.

My classmates and I, fresh from the airport, are dressed in navy blue scrubs, shiny and new from Walmart. I have a stethoscope around my neck: a Littman Cardio III. I’d guess that it’s the most expensive stethoscope in the hospital. It’s also auscultated the least amount of hearts; I’d be willing to bet that too.

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