macular degeneration, macular, diagnosis acceptance – My Macular Degeneration Journey/Journal

Goofing Up

I hate to feel stupid. I have had a life of being, if not the sharpest knife in the drawer, at least one of the sharpest. It is totally frustrating to make mistakes!

These days I have a tendency to read clocks and watches wrong. This morning we were out the door much earlier than we needed to be. We sat and waited much longer than we should have had to. My fault. I read the time wrong.

I suggested to my husband that he should start double checking me. I am not sure he still quite “gets it”. He is used to me running the show. Calling the shots. OK, he is also used to my objecting if he questions me. This ‘goofing up on the simplest things Sue’ is new.

Then I had to have my camera checked. My auto focus wasn’t. I was afraid it was a serious issue. We leave on vacation in a week! I need my camera!

Nope. The problem was I had somehow turned off the auto focus. I did not realize it. I could not see that extra, little switch. My camera guy was going to just tell me about the possibility in an email, but he decided not to. It would be quicker and easier if he just did it. After all, I miss things. I don’t get things. Things have changed for me.

Oh, well, at least my photos will be better. It has been years since I was able to focus a camera. Let the auto focus do it…now that it is on.

Then off to the hospital for blood work. There is a list of names on the monitor on the wall. Look for your name. Yeah. Right. I have to get to about a foot from the monitor to read my damn name. Should i get a chair and park it in front of the monitor? The clerical person suggested I get the pink lady to help. Let the pink lady monitor the monitor…some of the other patients cued me in instead. At the end of the day, most people are exceptionally kind.

Which brings me back around to those stupid mistakes. I guess I need to practice what I preach and accept this is all part of having a degenerative eye disease. Having people in waiting rooms accept my limitations is reasonably easy. They have known me for 30 seconds. What about people who have known me for 30 years?

I ask to have things double checked. People don’t believe I am serious. After all, I “seldom” make mistakes. How many gaffs and screw-ups do they need before they believe me? How long before people understand I am asking for help because I need help!?!?

So, life goes on. It is all a learning curve. Old habits die harder than new. It really does not make sense to expect people to “get it” on the first or second try. I expect as I lose more sight, I will be teaching this “lesson” over and over. It seems to be just the way it gets.

Written March 25th, 2019

Next: IS THE WAITING OVER?

I’m stressed, anxious, depressed. How do I deal with this?

First, what you’re feeling is ‘normal’ for those who get a diagnosis of any vision-threatening disease. Some of you have been told by your eye specialist, “There’s nothing I can do for you.” That certainly can contribute to the stress of getting the diagnosis!

Research shows that stress may be a contributing factor to the progression of AMD. Even though more research is necessary, we need to be able to manage our emotional health to make better decisions and to be open to learning new and better ways to cope with the disease.

Who is Sue and Why Should I Read What She Writes?

She’s my friend of 40+ years who became legally blind (20/63 to 20/80 in one eye & between 20/160 and 20/200 in the other) from advanced dry AMD/geographic in 2016. After less than a year of learning how to deal with her visual impairment both physically and emotionally, Sue has a ‘normal for her’ life. At age 69 and with advanced dry AMD/geographic atrophy, she works as a psychologist, attends regular exercise classes, rides her bike safely, travels locally and abroad, takes photographs, walks her dogs, kayaks, attends social events with her friends, co-workers, exercise class buddies, and new friends she’s been making along the way!

My Recommendations

‘Advice to the Newly Diagnosed’

Since she’s written over 600 pages, I’ve collected some of them:

Sue’s other pages for the newly diagnosed and highly-rated pages

Dealing with the Emotional Reaction to Vision Loss

Stress and AMD

The article ‘Assessing the Impact of Stress on Age-Related Eye Disease’ says, “Article says, “Dougherty and colleagues also note that stress may be associated with increased inflammation and that AMD is an inflammatory disease — raising the possibility that stress may contribute to disease progression. Future research using repeated assessments with the PSS and measurement of inflammatory markers might help determine how perceived stress levels affect the risk of AMD progression and deteriorating vision”


Sue on Assignment: Coping Fatigue?

In my job as a DBT therapist, I am a huge proponent of tolerating and coping. Accept that which you cannot change. Acceptance and tolerance of that which we cannot change reduce suffering. [To read about DBT, check out Sue’s page Teacher, Teach Thyself.]

I believe that is totally true. The Buddha taught us the road to suffering is a desire for things we do not and often cannot have. The Buddha was a smart man. That is why he was the Buddha.

However, when I had a client with physical, social and financial challenges tell me he was sick of coping, the only thing I could think was “Amen, brother. I am with you on that.”

There does not appear to be such a thing as coping fatigue, but there should be. There are days I am sick to death of working around, making do, being tolerant. There are days – in a paraphrase of my father – I think my life and this disease should crap or get off the pot. Don’t just sit there. DO something! I may not be falling into the abyss, but I am not making any progress either. Can we get moving here?!?!

A reader asked why I am excited about possibly being in the APL-2 study even when I am not 100% confident about it. Not in so many words, but I responded that it represents movement and if I don’t have some movement – even if it might be around in circles – I will go insane. Those trials represent my hope for problem-solving and change, the other end of my dialectic.

Sometimes, when I am tired of coping, I go the other way. I say “the devil with it” and take a break from the struggle.  I might snuggle down with a couple of dogs and a bowl of ice cream. (Make that a couple of dogs trying to eat my ice cream!) It is not a bad thing to mentally put my burden down and take a rest from even trying to muddle my way through. Of course, a bit later I pick everything up again and continue on the road.

I went looking for some expert advice on coping fatigue (I actually think I could make some money on this concept. It is a catchy title!). I did find an article from Psychology Today entitled 6 Tips for What to Do When You Feel Exhausted by Life. Close enough.

The first tip intrigued me, and I am not going to get much beyond it – or possibly even through it – in the number of words I allow myself. The point was to give up the Just World fallacy. Just World capitalized. What the hey?

According to Wikipedia, the Just World hypothesis says we reap what we sow. It says bad people get bad things and good people get nothing but good things. That concept is great if you are trying to scare people into walking the straight and narrow, but I am not so sure it always holds water. Yes, to quote Forrest Gump “Stupid is as stupid does”. We often reap what we sow when we do stupid things, but does that apply to something like a chronic condition? Are we bad people because a bad thing happened to us?

I will continue with this. I found the concept intriguing. I promise you it actually has relevance to coping with AMD. Really. I promise.  Hold on…I will get there.

Written November 30th, 2018

Next: It’s Not Your Fault

Go back to the list of “On Assignment” pages

Sue’s Best Pages – Part 4

continued from part 3

Part 4 Using the Tools from DBT (Dialectical Behavioral Therapy)

  • “For the past two years, I have had the opportunity to teach the educational components of Dialectical Behavioral Therapy (DBT). Just by chance, the unit I was teaching was Emotional Regulation. If anyone needed emotional regulation at that time it was me. Teacher, teach thyself.”
  • “DBT has a technique called Opposite to Emotion. It is just what it sounds like. If you have an unhealthy emotion, act in the way you would act if you were having the opposite emotion. Behavior follows emotion but emotion also follows behavior.”
  • “One of the DBT Distress Tolerance Skills is ACCEPTS (another acronym I’ll explain). The A is for activities.  A lot of time to sit around and think about everything that is going wrong is not good for anyone. Getting out and about and – for even just an hour – forgetting that all hell is breaking loose in your life is great therapy.”
  • “Enough said on that. Besides activities and comparisons, there are five more ACCEPTS skills: contribute, (opposite-to) emotion, pushing away, thoughts and sensations (the CEPTS). This website is my idea of contribute. Contribute means doing for others. Get out of yourself and make things better for someone else.”
  • “DBT has some skills for improving the moment. These skills are good for getting through the rough patches when you are down or frustrated and there is not a great deal you can do about fixing things at that time. Conveniently, they are called – acronym alert here – IMPROVE skills.”
  • Dialectic Behavioral Therapy (DBT) has Self-Soothing Skills that are taught as part of the distress tolerance module. You remember self-soothing? When you were one it was the thumb in the mouth and the favorite blankie. Maybe it was sitting in your crib and rocking. Right now those ways of self-soothing might not appear very appealing, but they worked when you were one. What can we old, mature folks do that will work as well without the stigma…or the buck teeth?”
  • “Back on track, DBT concepts here. I think that this situation may highlight the ACCEPTS skills. I see contributing (the first ‘c’ in ACCEPTS). We sometimes have to weather a crisis by getting out of our own problems and helping someone else. It gets the focus off of us. It gets us back into the human race and allows us to flex our compassion muscles instead of our self-pity ones.”

Next: Coming soon – Technology

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Life is Not Fair

I am capable of throwing one, fine pity party. Nothing is going my way. Everyone hates me, and I will never be able to cope with this! [Lin/Linda: We’ll have a little sing along about this at the end of the page. ::grin::]

There are some days I would be just as happy to retire to my bed with a half a gallon of chocolate ice cream and a spoon -don’t forget the spoon! – as well as a full box of tissue – you don’t want to get your ice cream soggy! I just want to eat myself into oblivion and cry myself to sleep. To face this all the next day…

Dry AMD is a long campaign involving loss after loss. I have been living with – surviving, tolerating, whatever – this condition for over two-and-a-half years now and it can be damn discouraging. What do you do when you are out of ice cream and have to face reality? How do we get back to an even keel?

First of all, let’s look at your physical state. Are you sleeping well? Eating well? Exercising? Taking care of illness? We all know things do not go as well when we are physically out of sorts. If you want to tolerate your vision loss better, take your allergy medication. Walk the stairs. Eat your vegetables! A fit and healthy you is a more tolerant you.

As much as we are hoping and praying and looking every day for a treatment, the name of the game right now is tolerance. How do I tolerate today? …and today? …and today? Sometimes it comes down to how do I tolerate this moment. Depends on the day.

We have talked about distress tolerance skills in other posts. They should be available through a simple search of the website. Quickly here, I want to mention avoiding a black and white attitude in your interpretation of situations. Is it really true that nothing ever goes your way and everyone hates you? Is it true you will never be able to cope? Absolutely are rare in life. If you have even once been successful in coping, that means there is a chance it can happen again. Don’t be so quick to dismiss yourself.

Interpretations are extremely important. The lens we look through upon the world is critical. Try to look at the bright side. Maybe today is one day closer to a substantive treatment, not one more day that must be endured on the way to the grave. It is all in the spin, doctor. Reinterpret and reframe again and again.

And last of all for this page, stop wasting energy fighting reality. No, it is not fair. Somewhere along the line, someone told you life is not fair. You should believe him. Bad things happen to good people and this time it was your turn. Why? Dunno. Back to Alfred Lord Tennyson, “Ours is not to reason why. Ours is but to do and die.” Make the best of a bad situation. Put your energy towards things that can be affected, not towards things that cannot.

Maybe the meaning in your suffering will be a classic poem. Could be worse.

[Lin/Linda: As promised: sing along with the video “Nobody Likes Me, Everybody Hates Me, Think I’ll Go Eat Worms!”]

Written August 20th, 2018

Next: No Train for Christmas

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Coping: A Review

We are coming to the end of the first dry day in about a week. Apparently, it is “monsoon season” in Central Pennsylvania. Creeks and the river have been running down main roads and getting from here to there has become an adventure in problem-solving, not to mention creativity.

Having clients stranded or pumping out basements has left me with time to “play catch up” and actually get some things done at work. Hallelujah. Not as stressed as I was.

Lin told me there has been an influx of new Facebook group members. She reported there are many new members struggling with the diagnosis and wondering about the future. She has been republishing pages about coping skills, but I thought I would do a quick review anyway.

First of all, the chances of you going totally blind are small. Age-related macular degeneration is a condition of the macula and affects central vision. It is important all patients with AMD to learn the facts about their condition. Knowledge truly is power. What we imagine is often 100 times worse than reality. Often that monster under the bed is actually a dust bunny. And no, I am not trivializing AMD and calling it a dust bunny. However, it only has sharp horns and razor-sharp fangs if you give them to it.

Get the facts. Knowing what you are dealing with is a lot less scary than what you imagine.

Along with getting the facts goes acceptance. We cannot solve a problem unless we accept we have a problem to solve! Acceptance that, yes, you are truly in this fix will allow you to go and look for help. Fighting reality may work for a while, but in the end, we get creamed.

I will admit I got more from agencies than many other people get. I admit it. I have a big mouth and a will of iron. I am obscenely stubborn. For another thing, I am still working. People who are not working don’t get as much. After all, in my state Blindness and Visual Services is a subsection of the Office of Vocational Rehabilitation. Their whole goal is to keep you working.

That means ideally, if at all possible, you go to agencies while you are still working or at least are in a position to go to work. If you are not in those positions, go anyway. People who do best with vision loss are those who learn practical skills and get the necessary assistive devices. Even if they won’t pay for your devices, agencies can make recommendations for things you might eventually purchase.

If I had to say which one thing to have, it would be an iPad. There are multiple, free apps that can take the place of more expensive equipment and do the job almost as well.

So those would be my recommendations for starting to cope well with AMD. The start is to reclaim your power. Remember vision loss can be damn inconvenient, but in the end, it is a limiting factor, not a paralyzing one. And in the end, just like traveling in a flood zone, with a little problem solving and creativity, you can get there!

Written August 16th, 2018

Next: I Know Who I Am

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Life’s Transitions

I had to get transportation home from school today. Although home and school are less than ten miles apart, it took me an hour and a half to get home. One of the riders lives in the hinterlands, God’s country, call it what you will. The bottom line was this: we went baja-ing in the short bus. [Lin/Linda: I had to look up ‘baja-ing’ – also spelled ‘baha-ing’ – in the Urban Dictionary.  It means “To cruise around on a motocross bike, four-wheeler, big pickup truck, jet ski, speed boat or some other vehicle where you may experience excitement by jumping dirt mounds, waves, or some other form of obstacle.” I’ll email them to add ‘short bus’! ::grin::]

Good thing rural Pennsylvania is pretty country. The roads were not. Potholes, ruts and mud. Also kids riding horses, as well as deer, dogs and goats – yes, goats! – all in the road. The goats were hanging out near a house with a sign, “not my goats”. The resident may have put up the sign in self-defense, but the humor was delicious. Especially since we had already been riding for an hour!

I needed that humor. It punctuated the ‘fact’ my life can be a comedy of the absurd and sometimes the only thing to do is to sit back and enjoy it. When baja-ing in the short bus, be sure to notice the goats!

I needed the humor because I am embroiled in a big life transition right now. Retiring from school and approaching 65 have got me reeling. Pick a retirement plan. Pick a Medicare plan. Find health insurance for my husband. HOW much?!?!? Find cheaper health insurance for my husband. Check what will happen to my state certifications. Good grief.

Then there is the stuff at the counseling center. Launching a BIG project there. That ‘free’ training we got the other week is going to be paid for with sweat and aggravation.

How to handle transitions. Carefully, very carefully; right? Psychology Today had a piece about ten ways to handle life’s transitions. That piece talks about moving as an important transition but I should think leaving a job, sight loss, that sort of thing would be just as important. I would suspect the “ten ways” would apply in some ways. Ya think?

Anyway, Psych Today suggests we give the devil his due. Transitions are important and they need to be acknowledged, not shoved away and never thought about. Painful or not, these times define our lives.

Then there is the question of attitude. Threat or challenge? Good or bad? I have yet to be jumping up and down with joy about retirement or sight loss, but I have tried to find meaning in them. Remember Viktor Frankl said, to paraphrase, sometimes the dignity with which you handle your challenges gives the pain of those challenges meaning. Focus on the positives whatever they might be.

Then of course, there are supports. Turn to your friends. Turn to yourself! We haven’t all gotten this far without some successes. That successful person is still in there and ready to help. Take confidence from all she accomplished. You can do it!

That brings us to role models. If you cannot be a role model for yourself, find someone to show you the way. There are people who have walked your path before you. They got through it and so can you.

Written May 23rd, 2018

Next: Shine a Light Under the Bed

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That Little Summer Dress

I bought a little, summer dress the other week. It has paisleys on it. Paisleys!  Everything old is new again. I don’t believe I have worn paisley since high school. Remember the Beatles Summer of Love (1967)? [Lin/Linda: Long live Beatlemania!]

Anyway, that is just a bit of nostalgia to help us feel more positive.  In truth, I am writing about the dress because it – and what I have on with it – represent a bit of, well, defiance on my part.

Now I have you curious.? I will let you mull a second before I tell you.  Nothing bad. Capri leggings and sneaker ‘slides’, no backs on the shoes. Bright red. Definitely not a little, old lady outfit.

I have been having some problems with the people putting on this week-long seminar. They have been reasonably OK with my being visually impaired. (Like they have a choice? I am not above screaming ADA.) The problem is they arranged for continuing education credit for social workers but not for psychologists! They are now scrambling to try to rectify that little oversight and I am wondering if it is still worth my going!

I got very judgmental about this oversight. Just because psychologists will be in the minority, just because we are different, we should not be ignored!  What rude event managers!

Then I felt bad about being judgmental and thought about conforming as much as I could and keeping my mouth shut.  We different people can be such bothers!

Then I started thinking how I have a right to be different, to be me. Next thing you know I have on my paisley dress, leggings and red shoes and I am off to work! So I am different. Deal.

And the DBT skill that is? Opposite action to urge. I had the urge to just slink away but, since I had done nothing wrong and there was no reason for me to feel I was wrong by being different, I did the opposite to the urge and presented myself as even more different!  My action was opposite to my ‘wrong’ urge.

Thinking about the above situation made me wonder how many of you feel guilty about being ‘different’, about being such ‘bothers’ to the rest of the world. Who just tries to muddle along without any special consideration because you don’t want to put people out?

Goodtherapy.org did a 2013 article on shame and the disabled. Shame is different from guilt. Guilt is feeling bad for what you did. Shame is feeling bad for being who you are. Goodtherapy reported people can limit themselves severely because of the shame they feel about having a disability.

In a 2010 posting on intentblog.com RainMacs the blogger, talked about snarky comments and feeling paranoid about being “found out”. This was  even though she was not faking!

Most of the posting I found were blogs with very few of them being research. Sort of surprising I did not find a lot of research because nearly all of the blogs mentioned guilt and shame as emotions of those with sight loss. No one seemed to pick up on that as a research topic.

So to recap:  I am different. Sometimes I feel guilty about that. Sometimes this square peg would really like to fit into a round hole. Sometimes it would be nice not to have to ‘inconvenience’ people.

Then I stop and ask two questions: did I do anything wrong? Is there something inherently ‘wrong’ about me? If I can answer “no” to both of those questions, I put on a cute, paisley dress with leggings and bright red sneakers.  And that difference about me? I flaunt it.  It is alright to be me, flaws and all.

This little light…let it shine, let it shine, let it shine.

Written May 4th, 2018

Next: I Need a Sherpa

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Keep an Open Mind

Hi! Looking for information on coping with vision loss I found an article that covered something called the Coping with Vision Loss Study. It was covered on the VisionAware.org site.

The study was a small one (n=163) but it had a noble goal: to document the process of coping with vision loss. The information came from people who had gone through the process of vision loss. 45% had macular degeneration.

The study determined the most prevalent emotional reaction to the diagnosis of a condition that would cause vision loss was anxiety. Personally I do not need to ever have panic attacks like the ones I had ever again!

Even though anxiety was a major concern for the greatest number of people, it does not mean other, emotional problems were not present. A fair number of respondents were found to be dealing with moderate to severe depression.

Of course, since the study was about actually coping with vision loss, the emphasis was on factors and strategies for getting by and avoiding these adverse, emotional reactions. The study reported respondents had a variety of suggestions for doing this. These suggestions included seeking out the most competent specialists available as well as getting a second or even a third opinion, following doctors’ directions and connecting with others who have personal experience with vision loss.

These suggestions from the study respondents centered on personal responsibility and becoming your own, best advocate (as opposed to your own, worst enemy!) Be proactive about your life and your condition. Become knowledgeable about the condition. Get your questions answered. Monitor your own vision loss and seek out training so you can learn new skills to increase your independence.

Building support networks was another idea endorsed by the respondents. The respondents specifically mentioned family, friends, specialists and helpful community resources.

Community agencies were also listed as very important. Many agencies for the visually impaired can be helpful in finding support and educational resources as well as help you find the appropriate assistive technology.

Technology does not seem as appealing to the older generations as it does to younger folks. Yet respondents encouraged those who are new diagnosed to embrace the technology that is available. Competent use of iPads and magnifiers can significant improvement the quality of life for the visually impaired.

The article mentions a great many things we have talked about. It reviews the importance of proper lighting and contrast, for example. Finding someone who can help you with these sorts of things is important.

The list of recommendations from the study authors veers off into some things that are more personal and possibly even more essential for adjustment. The list includes things like being patient and gentle with yourself. Adaptation is not an overnight process, often grieving the loss is necessary before moving on. Take time to do so, but try not to get stuck in your grief.

I paint my pigheadedness as positive and call it persistence or fortitude. However, stubbornness can also be a bad thing when it keeps you from experimenting with technology or other strategies for living. The study suggested keeping an open mind and doing what is effective.

Which brings us to the last one I want to mention: there is more than one way to skin a cat (I reiterate: where did that saying come from? Did our ancestors spend that much time hanging out and trying various ways to skin cats? Yuck.) Find new ways to get things done. The idea the only right way of doing things is how I was taught at my father’s knee does no longer apply. Learn to be flexible and do what works.

There are other things that were discovered by the study, but those are the highlights as I saw them. Hope it was helpful!

Written Feb. 4th, 2018

Continue reading “Keep an Open Mind”

Sight Loss as a Challenge

Greetings. I have a dozen things to do and very little done. Maybe writing a page will help to get me motivated.

I read the pages from our two, most recent guest authors. Great pages from what sounds like two, good people. They both sound like people who took their vision loss as a challenge rather than a death sentence.

People who may have had to let their disability slow them down but never let it stop them.

Right now i’m pretty sure there are some of you who are bristling about that last paragraph. How can sight loss be a challenge? Challenges have a chance of being overcome. How am I going to overcome THIS ? I cannot accept this. I can never resign myself to going blind!

I touched on this a little before but I want to go into this concern in a bit more depth. Acceptance is not resignation and resignation is not acceptance. Acceptance is acknowledging a set of less than ideal conditions exist. For example: I am losing my sight. Acceptance also means acknowledging there are some things you have to give up or some new strategies you have to adopt in order to get by. Acceptance allows you to test the environment and make the allowances needed to move forward.

Resignation is not acceptance at all. Resignation means giving up. It is ripping your clothes and throwing yourself on your proverbial sword. Done. Over. Finis.

I know people who have given up. After all, “I is a psychologist; I is.” They moan. They complain. They lament the truly raw deal they have gotten from life.

What is left for these people? Not much. Not if they don’t learn to accept their situation. Resignation is a dark pit with no ways out. Acceptance allows you to see the branching tunnels with the glimmers of light at their ends. Acceptance makes room for hope.

There is a saying, “happiness is wanting what you have”. It is sort of a pop culture rendition of the Second Noble Truth. Yeah, Buddha again, and I’m a non-practicing Methodist, for crying out loud. What can I say? Siddhartha was one enlightened guy. I like him!

To refresh your memory, the Second Noble Truth says that desire, craving, wanting is the root of all suffering. In other words, pining after what you don’t have and you cannot get makes you miserable. Accepting the situation and being grateful for what you have left lightens the load.

This is not exactly easy. Looking on the dark side has survival value. Therefore we are pretty much pre-programmed to keying into and lock-on to the negatives in life. After all, your ancestors needed to see the wolves in the bushes, not the pretty flowers that were on those same bushes! Seeing the positive takes constant effort and a whole lot of – another DBT alert – turning the mind towards what you need to do to accept and feel better.

So kudos to Vickie and Bob. They seem to be actively working to accept, make the best of bad situations, and move forward. And encouragement to the rest of you. Accepting you are losing your sight will free you from hopelessness. It will free the energy you are using on worrying and fretting and allow you to use that energy to find ways to enrich your lives.

Remember accepting is not resignation and we who accept are NOT giving up. There will be an answer. We will find it.

January 13th, 2018


Next: Underwhelmed

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Sue’s Best Pages – Part 2

continued from page 1

Part 2 Dealing with the Emotional Reaction to Vision Loss

  • “AMD can lead you to question whether or not you have any value. It may lead you to feel unworthy and guilty about being dependent upon others for so much. These are symptoms of depression, too.”
  • “No sense getting peeved and denying it. It is what it is and I feel the way I feel. That is the way it is. Acceptance of what is important.”
  • “If you don’t feel very accomplished or brave? Fake it! There are people watching. Be the person they will emulate during tough times in their lives. Show them what grace under fire really looks like.”
  • “Remember this journey is not a sprint, it is a marathon. In fact, it is a marathon that we don’t even know the course.”
  • “Many of us are facing limitations. These are limitations we don’t like and don’t want. Limitations that hit right at our independence and threaten who we are and how we interact with our worlds.”

Next: The Highest Rated Pages