Contours of Illness and Healing

I was sick for a while before I knew I was sick. I’d been tired. So tired. I’m normally a lower-energy person who needs more rest than others, but this was extreme. I supposed it was more perimenopause.

I had aches and pains. By the end of the day, I felt like I had the flu. I couldn’t wait to relax in a warm shower for a few minutes and then lie flat in bed. I used to take a walk in the evening, but I didn’t even have the stamina for that anymore. 

I assumed it was aging. I’ve heard you get a lot of aches and pains as you get older. I thought this was just my life now, a life where everything hurt all the time. I simply had to get used to it.

I was having a lot of what I believed to be hot flashes, even though I’m on HRT. My face would flush, and I would overheat, sweating profusely, sometimes while on a work call. It was just menopause, though. Right? 

I was so tired, I could barely work. Even when I was awake, I struggled to focus on the task in front of me. I knew menopause came with brain fog, but this was next-level. Would I ever be able to concentrate again?

I was out of breath all the time, pulling back on exercise, and it seemed not even sleep could restore my strength. I remember one weekend in particular we were going to have a family night, and after my nap I could barely lift my hands. What was wrong with me?

I was discouraged because I had just finished this beautiful month of semi-sabbatical in May. I’d spent time restoring my relationships and renewing my creativity. I had ideas and energy for moving forward in life, then bam! Hard stop.

You know how moms take their kids to the doctor — or at least call the doctor — at the first sign something is wrong, but we don’t always take ourselves? Um, yeah, that was me. Until I could barely sleep, swallow, or move for the pain.

So one morning I finally dragged myself to the doctor. I feared an autoimmune disease. They happen more to women in their 40s and 50 — and more to women in general. And I know enough of the medical world to know that sometimes people contract viruses such as Ebstein-Barr (which causes mono and which I got tested for) and never recover. They remain ill, sometimes bedbound, permanently.

Thankfully it didn’t look like my tests were pointing to anything permanent or autoimmune, but to something else: thyroiditis. The pace of recovery would be slow. Sometimes there would be no improvement day to day, and I would only notice improvement from week to week. Sometimes I would get worse instead of better, as progress turned to regress. And truth be told, I’m not fully recovered yet.

I’ve been seriously ill before, but it’s been many years. Most of the time when I get sick, I’m down for a couple days, and then I recover. And although I had lots of people praying for me this time around, I have to admit I wasn’t always very patient in waiting for improvement or healing. Whenever I was conscious, that is.

//

Several months ago I asked God to expand my horizons. One Sunday during communion I went forward for the bread and the cup, and when I returned to my seat, a prayer from long ago popped into my mind, and I prayed it. 

I hadn’t thought of the prayer of Jabez in a quarter of a century, and I certainly wasn’t praying it in a prosperity-gospel type of way. Still, although I’d intended the petition for one area of my life, God seemed to be answering it in other areas. He opened invitations and pathways I didn’t see coming. Stirred my heart to long for more depth, more fruit, more of Him in my life. I started seeking, pulling on the threads of my desires.

Until I got sick. I lay on the recliner for weeks. I had a little supply bag — books, phone, sudoku, water or rehydration mix, sugar-free mints. Still, most of what I did was sleep. Monitor temperature and heart rate. Manage pain and pills. I basically lost the month of June; my children can attest to this.

As I recovered, I knew I needed to rebuild my capacity. Slowly begin small amounts of work. Slowly start to move my body more. Keep resting a lot, trying not to overdo anything or push myself too soon. 

But as I continued improving, I remembered all this deep work I’d done before my health declined. And I suddenly saw that the daily habits of my life weren’t sturdy enough to support the spiritual, creative, and vocational expansion I was longing for and starting to step into. I needed better scaffolding for my life, a better structure to hold all the plans and dreams that were being birthed inside me.

If I wanted to be more fruitful, I needed a healthier support system to cultivate that growth. I couldn’t just rebuild my former capacity. I needed to build more capacity than before.

And so I outlined ways to make that happen. I scrutinized my daily schedule, figuring out where I was losing time to news reels, task switching, internet scrolling. Ascertaining how to stack the daily routines of meal prep, personal care, household tasks. Learning how to bundle and batch, streamline and save. 

Turns out, I was scattering my tasks simply because I could. Because I work from home and can do anything at any time. And also because my midlife brain is so distractible. But then again, this is how I lived for years as a homeschool mom, flitting from one need to the next, never knowing if I would finish a task before a child needed me for something else.

I hadn’t realized that I was fissioning away my days. I had to do nothing for a month to realize that I could do more than the somethings I was doing before.

But I also know I recoil from strict schedules. I do much better being able to finish a task before moving onto the next, even if the clock says it’s time. The perfectionist in me hates a schedule. I thought back to the early days of homeschooling and how I’d approached our days. I’d developed a routine for ourselves — a particular order to our tasks and a general time placement for them, whether before breakfast, before lunch, before dinner, or before bed.

Something too structured, and I collapse in fear of failure. Something too loose, and I don’t accomplish enough. The concept of scaffolding seemed spacious enough, sturdy enough, to balance these competing inclinations and still hold my dreams and desires.

Even before I got sick, I’d had a hunger to go deeper into the spiritual life, the creative life. I’d been working through books and chatting with friends about these things. I’d been a little bit wander-y, of course, but I’d been on the right track. I feared I’d lost the momentum with this illness. 

But that doesn’t have to be true. I can build a better scaffolding to support the bigger, more expansive life I’m dreaming of. I’ve always had limited capacity, and even more so in midlife, but as I heal from physical sickness, I’m reaching for more capacity. I guess that’s what dreams, visions, invitations will do to you — prompt you to alter things that aren’t working so you can open your soul to something new.

Seen in this light, I suppose even sickness has its upsides.

Individual and Couples Counseling Now Available in the Joplin/Webb City Area!

Hello there, and thanks for stopping by!

I’m so excited to offer individual and couples counseling in Southwest Missouri! If you’re interested in setting up a session, please visit Stone and Sky Counseling or see my listing on Psychology Today. Three-day individual and couples counseling intensives are also available.

Background
Since 2014, I have had the privilege of walking alongside hundreds of couples and individuals in dozens of countries. As a pastoral counselor, empathetic coach, Nationally Certified Counselor (NCC), and Provisionally Licensed Professional Counselor (PLPC), I have experience journeying with people through issues such as grief and loss, life transitions, anxiety, ADHD, depression, trauma, OCD, abuse (spiritual, sexual, physical, emotional), debriefing, Autism, ministry burnout, addictions, and more. With all clients, I take a person-centered, trauma-informed, experiential approach.

Before moving to Cambodia in 2012, I worked bi-vocationally as an ER/trauma nurse and youth and worship pastor. I am also a licensed attorney in California and hold a master’s in clinical mental health counseling from Colorado Christian University. As a PLPC, I am supervised by Dr. Karl Wendt, LPC #001808.

For Pastors and Ministry Folks
My wife and I have been involved in local church ministry, in one form or another, since 2000. Before moving abroad, I was a youth and worship minister for about ten years. From 2012 to 2020, my family and I lived as cross-cultural missionaries in Phnom Penh Cambodia and I served the community as a pastor at an international church and as a pastoral counselor at a local counseling center, working with folks from over thirty nations.

I’ve led trainings, seminars, or coaching sessions in China, Thailand, the Czech Republic, Italy, Kyrgyzstan, Cambodia, Laos, the US, England, and Myanmar.

For Marriages
With couples, I utilize an attachment-based, emotionally-focused approach. I also greatly appreciate the evidence-based tools and resources from Dr. John Gottman. Since 2014, I’ve had the privilege of meeting with several hundred couples who were trying to overcome unhealthy patterns in their relationship, boost communication, improve their sex life, prepare for married life, and more. I am trained to administer the Prepare/Enrich relationship assessment. See the “Roadmap” I often use with couples here.

For Medical Professionals and First Responders:
It is my privilege to offer specialized care for for medical professionals and first responders. If that’s you, keep reading.

If you’re looking for a counselor who understands what a Level 1 Trauma Center feels like during a full moon; if you’re looking for a therapist who’s assisted Kansas City police officers in subduing violent patients; if you want to visit with someone who knows the unique stressors and pressures of dealing with life and death situations during a normal Tuesday, keep reading!

With a background in ER/trauma nursing, law, ministry, and counseling, I now provide individual and couples counseling at Mount Hope Christian Counseling Center in Webb City.

Visit www.stoneandskycounseling.com for more information or to book an initial session.

Stone and Sky Counseling, LLC

with Jonathan Trotter, RN, MA, JD, NCC, PLPC

at Mount Hope Christian Counseling Center

2830 Mt. Hope Road, Webb City, MO 64870

(417) 624-9659 · jonathan@stoneandskycounseling.com

10 Ways to Choose Life in the Middle of an Eating Disorder

by Elizabeth

restaurant-1756687_960_720

Last fall I taught a class to international teen girls which I entitled “Life After ED,” where ED refers to eating disorders. I borrowed that title from a book I have not read because it so perfectly encapsulates what I want people to know: there is life after eating disorders. People need the hope of a life abundant when they’re in the midst of a struggle with scarcity.

When we talk about eating disorders, we’re talking about a range of struggles, including anorexia, bulimia, binge eating disorder, orthorexia (obsession with “right” eating), and eating disorders not otherwise specified (EDNOS). The research I’ve read indicates that 75% to 80% of women will deal with some sort of food or body image issue in their life, and many are easy to hide, so when I talk about eating disorders, I’m not just talking about extreme cases. Food and body image issues are struggles for all of us.

[Men deal with eating disorders too, but I don’t know those stats, nor do I have significant knowledge of that subject.]

Most of the girls in that class were Third Culture Kids, and most of them didn’t know my story. It feels like such a healed part of my life that I rarely think about it nowadays — and I often forget to tell it. So I started out by telling my personal story through the lens of a cross-cultural transition, because that was my experience. Then I touched on some theology regarding our bodies (including the concept of Imago Dei), and finished with a discussion of ways to seek healing and freedom in this area.

Today I’m only going to share some practical ways to choose life in the midst of a body image or food struggle. As I’m still in the early stages of truly understanding “the theology of the body” (yes that too is a borrowed book title), I’m going to skip that section of my class. And because I’ve published my eating disorder story before, I won’t rehash it here, even though the story I told these girls had some additional (and also very personal) details.

So without further ado, here’s my list. And since this list is relatively short, feel free to ask for clarifications on any of the items, whether publicly or privately.

 

  1. Break the shackles of shame. I want to take away the shame of struggling with these things. They’re common to women. They’re not terrible or shocking, whether it’s to me or to God or to so many other women out there. So take a deep breath. These struggles with food and body hatred are just part of your life right now. The only way to move forward and get them out of your life is to acknowledge them. And remember, you are NOT alone.
  2. Get some help. You really need some outside help to fight your food and body image battles. It’s very hard to walk this path alone. So talk to someone – a parent, a counselor, a pastor, a teacher, another safe adult. But NOT a peer. Not a friend. It’s not that you can’t confess these things to your friends, but you can get into trouble partnering with a friend in fighting an eating disorder. It can become about competition. Or it can become about endorsement, where you and your friends all know you struggle, and you “accept” each other, but there is no accountability to grow or change. A counselor, on the other hand, will help you delve into the reasons why you stumbled into this eating disorder in the first place. A Christian counselor, in particular, will help you stand on the truth of God’s word and seek Jesus for the healing of your mind and your body. But make sure your counselor feels safe to you. If you’re not comfortable with one, look for another.
  3. Don’t expect a quick fix. There is no special prayer or special person’s prayer that will magically and instantaneously cure your struggle. There is only consistently walking with Jesus toward healing and restoration and consistently realigning your mind with the truth of God’s love. There is only “a long obedience in the same direction” (to reference yet another book I haven’t read).
  4. Don’t be thrown off guard by relapses. They are normal; I had three. Three separate times I stopped eating enough, lost too much weight, and stopped my normal female functioning too. It happened twice in high school and once after I had my second child. Remember, relapses are NOT the end of recovery or healing, and they don’t mean that no healing or recovery has occurred. They are just a temporary setback. So take a deep breath and start again to walk this road of healing.
  5. Don’t get your ideas of what your body is supposed to look like from magazines or images on the internet. This is simple to understand but difficult to live. I know how tempting it is to look at those pictures and compare yourself to them. I know how tempting it is to compare yourself to your own personal idea of a perfect body. But those images, whether on a screen or on a glossy magazine page, or inside your own head, don’t tell the truth. They aren’t real. Don’t let them lie to you about what is beautiful or valuable or what you must look like. Reject those ideas, they’re not from God. Put down the magazines or turn off your phone or your computer if you have to.
  6. Know where your value and worth come from. When God formed us from the dust, He stamped us with His image, something He didn’t do for any other creature. This is the idea of imago dei: the belief that all human beings, regardless of status or creed or “usefulness” or even likability, are valuable, because the God who created them is the one who gives them their value. Imago dei is what needs to be restored when we struggle with disordered eating, body image distortion, body shame, body hatred, or the effects of sexual abuse. So remember how much you are worth — body, soul, and all.
  7. Look in the mirror and declare God’s Word over yourself. This can be really hard and uncomfortable at first. Get into your underclothes and stand in front of that mirror and speak out loud statements like, “I am fearfully and wonderfully made,” or “I am created in the image of God, and God himself says that’s very good,” or “I am a child of God,” or “I am in Christ Jesus, and there is no condemnation for me, not even from myself,” or “The Spirit is setting me free from these things.” It’s hard at this stage to accept your physical body as something good, but try practicing these things and see if they help.
  8. Work on portion control, but avoid calorie counting. Portion control can be hard. Whether you’re accustomed to restricting OR overeating, it’s difficult to learn to listen to your body’s signs of hunger and fullness and to eat a normal, regular amount of food that’s not too big and not too small. Look up recommended portion sizes if you want, but don’t pay too much attention to calorie counts. Calorie counting is both legalistic and addictive and tends to be used in fear, not freedom. So don’t get hung up on calories.
  9. Hold onto hope for healing, restoration, and life abundant. I stand before you today free of obsessive thoughts of body hatred. I may have occasional thoughts of dissatisfaction, but I am free of obsession and the accompanying depression that my body is not good enough (and that therefore I am not good enough). So I want you to have HOPE: hope for freedom and wholeness and a full life after dealing with eating disorders.
  10. Remember that God is not giving up on you. God longs to live in you, in body, soul, and spirit. He will not give up on you, no matter how many times you binge, purge, or starve. He loves you the SAME. Always the same, eternal, everlasting, pure, perfect love. Of course we will make mistakes and let our beliefs and thoughts get all messed up. Of course we will make mistakes and make poor choices: that’s why Jesus came. God knew we would need Him, and He never gives up on us.

 

Linking up with Velvet Ashes

Leaving the Village — Thoughts from Mark 8:22-38

Leaving the Village — Thoughts from Mark 8:22-38

Note: I am beginning to link past sermons to our new podcast channel on iTunes (trotters41), so you will see a few more posts like this one as we migrate the data. Thanks for your patience!