macular degeneration, macular, diagnosis Attitude Adjustment – My Macular Degeneration Journey/Journal

Expect More, Not Less

Recently Lin told me about the “expect less” conversation that went on in the Facebook group. I can’t relate. [Linda/Lin: this is actually from a post where there was ‘advice for living’, and it included this phrase. It kept bothering me.]

Just like those people who tell me that they don’t expect anything and then when they get nothing they are not disappointed. I can’t relate there either.

I have lived my life aiming high. Often ridiculously, absurdly high. If I don’t get the grand prize, I often get a lesser one. That is still rewarding. Trying hard does not guarantee success but not trying almost always guarantees failure.

There are esoteric schools of thought – or at least we here in the West consider them to be esoteric – that say people possess “magnets” in themselves. The energy in these magnets attracts related energy in the Universe. Put positive energy out and you get positive back. Negate attracts negative.

Maybe, but I like Henry Ford’s take on all of this. To quote: “Whether you think you can, or you think you can’t – you’re right.” We try and do and get pretty much exactly what we expect. Expect less and you try for less.

No thank you.

Now, there are those of you who are sitting there and saying I am wrong. You are saying there are things you can no longer do because of visual impairment. You are saying it makes sense to expect less because you cannot do or be what you used to do or be. Fair enough. But how about if we think about expecting things to be different rather than lessened? Different can still be full and good.

What can you still do? What do you now have time to try that you were not able to try before?

Visual impairment does not only close doors, it opens windows. Go get a ladder and climb on in!

Expecting things to go your way does not always work perfectly. There have been times that, try as I might, I could not attend an event or in general, get circumstances to conform to my wishes.

Oh well…some you win. Some you lose and some get rained out. But these failures were due to circumstances, not a failure of will. Trying my damnest and not succeeding due to the circumstances somehow sits better than not trying and settling for less just because…well, what? Because a visual handicap is supposed to somehow make life less ? Is that truly what you believe?

I am coming up on four years of being “legally blind”. My life is different. My life is not less. Almost daily I am amazed by the kindness of people around me. Almost every day I am amazed by the wealth of opportunities that present themselves. Quite frankly, if my life were any “more”, I could not keep up! Why do these people and opportunities come my way? I believe it is because I am open to them. I actively seek them out. I expect more, not less.

Circumstances change. Vision loss closes door. It also opens windows. Go get a ladder and climb on in!

Written December 23rd, 2019

Rage Against the Dying of the Light

“Do not go gentle into that good night,
Old age should burn and rave at the close of day,
Rage, rage against the dying of the light.”

Dylan Thomas
1914 – 1953

Brain Pickings refers to that poem as a “rapturous ode to the tenacity of the human spirit”. Yep. That’s what I wanted.

When I got home from my cruise there was good news and bad news. The good news was a girls’ weekend – the first one in several years – was in the works. The bad news was that getting together had developed an urgency. One of us had been diagnosed with a serious condition.

I have referred to my delightfully enjoyable, misspent youth on different occasions. These people were some of the players on that stage. These are some of the people who have weaved in and out of my life for over 50 years. These are the people who, when you say “I need you”, drop everything and come.

This weekend we went.

Getting there was not easy. For some strange reason, a bus trip from here to a point 80 miles away was scheduled to take nine hours! I asked around. I begged. I negotiated. I found myself rides that would not have me on a bus all day. I would have taken the bus if I had to, but the Universe decided to cooperate with me. Thank you.

I was afraid it would be a solemn weekend, but I underestimated the people I was meeting. We went to a good restaurant. We went to a wine tasting party. Santa Claus was there, and we sat on his lap – three at a time. We got matching pajamas and had a slumber party.

Metaphorically speaking, we danced on the deck of the Titanic and it was good.

Why do I tell you this? Probably because I came to several, simply profound conclusions that you might wish to ponder yourself. Thoughts like…

Life is short, but it does not need to always be brutal.

When the going gets rough, drink wine, eat brownies and have a slumber party!

Surround yourself with the people and things that you love.

Take your good memories out and play with them regularly. Be sure to share those “toys”.

Laugh. Life is the funniest, weirdest thing to ever have happened to you. Might as well appreciate the humor.

And don’t forget to do this often and do it soon.

We are making plans to all get together again in the spring. Adversity has a way of showing you what is important. It focuses your attention. It makes you realize you may have been neglecting the things you value most. If it is important and you want it, do it now.

What does this have to do with vision loss? Nothing. Everything. I was the only one who has vision loss, but I was not the only one dealing with a physical problem. We helped one another. We commiserated together. We contributed in the ways we could. Everything balanced out.

In one other way we have been fortunate. Our alarm sounded at the beginning of the end, not at the end itself. We have time to make a few more memories.

“Do not go gentle into that good night,
Old age should burn and rave at the close of day,
Rage, rage against the dying of the light.”

What is important to you? If it is important and you want it, do it. Do it now.

Written November 24th, 2019

Next: Happy New Year 2020!

It’s Contagious!

Emotions call to their brethren in others. If someone addresses us in anger, we get angry. If we go where people are laughing, we laugh as well. This is called emotional contagion. It is quite common and some people believe it may be at the root of such positive things as social cohesion and empathy.

However, sometimes, when the emotions are negative, it is not such a good thing. Therapists will suggest couples each take a time out when the discussion threatens to become a heated argument, for example. Escalating anger, with each partner’s emotion feeding on the emotion of the other, can be a dangerous thing.

Then there is mass hysteria. Mass hysteria is the transmission of the perception of threat through a population. It is usually spread by rumor but may also be spread in other ways, such as suggestion or example. Wikipedia speaks of the “dancing plague” of 1518. While this sounds to me like a really fun “plague” to have if you absolutely must have one – light years better than the Black Death, for instance – I am not sure I would want to boogie my way into the Afterworld as some folks did.

Closer to our own time, have you heard about the mass hysteria associated with Orson Wells’ radio presentation of War of the Worlds? While many people question the veracity of claims of suicides etc, the power of radio and other forms of mass media to spread the perception of threat is seldom questioned.

Where am I going with this? Here. Specifically, we are both blessed and cursed to have social media. We are able to share many things with friends new and old. We are able to support and comfort one another but with that same social media we are also able to scare each other nearly to death.

Each of us is different. Not everyone has the same background and not everyone will have the same future. Two courses of the same condition are rarely alike. Two people will often respond to the same treatment very differently. However, when we hear someone else’s story we somehow fear her story will be ours. Emotions take over and we despair.

The way we can keep from falling into the trap of assuming the fate of others will be ours and sinking deeper into despair is to step back and look at the facts. Using rational mind to counter emotional mind in order to get to the calm accepting state that is wise mind actually does work. [Lin/Linda: Rational mind, emotional mind and wise mind are from Sue’s page Three States of Mind. Check it out!]

In the case of the War of the Worlds broadcast, there were a number of ways to check the facts. The “news” of the “invasion” was only on one radio station. There was a disclaimer at the start of the show and the show was only an hour long. Change the station, ask a neighbor, wait before you panic…several different options for avoiding mass hysteria here.

How about in the world of AMD and social media?

Let’s take the conversion issue for example. Conversion from dry to wet AMD is scary but hardly inevitable. FACT: based on info from the Age-Related Macular Degeneration Foundation, approximately 10% of those with dry AMD convert to wet. That means we who have dry AMD have a 90% chance of staying dry and never converting. Why bet you will convert if those are the odds? Smart money is on assuming we stay dry.

How about “horrible” eye shots? When I felt nothing with the shots I may or may not be getting, Lin did a quick survey and got around 50 people who said they never had an issue. That was 50 people who read it, were available and answered within a couple of hours.

Bad results are not inevitable but it is the bad results people will tell you about.

Each of us is unique. We cannot assume from one person’s story that her fate will be our fate. If you are worried about something, step back, breathe and check the facts. Much of the time what we fear simply is not going to happen.

Where to get the facts? Ask us! If we don’t know, Lin and I will find out for you.

Oh, and if you want a good distraction, Orson Wells’ War of the Worlds radio broadcast is on You Tube. 57 minutes long. Enjoy.

Written August 10th, 2019

Next: CONTROL FREAKS OF THE WORLD UNITE!

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’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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Coming Out

Hi. Friday evening and it is kicking up a good thunderstorm…Gee, how novel.

I am still back on why people don’t come out of the visually impaired “closet”. I had a client today who has a rare medical condition and does not want to share with colleagues either. Once again I am made aware of something and examples of that same thing pop up like toadstools.

Anyway, he basically said if people know he is different, he will be treated differently. Made me think: how different are we?

Looking on the web I discovered in a December 2, 2014, Newsroom article that at that time 40% of the population 65 and over had a disability. This was 15.7 million people! Now granted, the largest group was mobility issues but vision problems came in fifth.

In other words, once you hit 65, you can expect nearly half of your peers to have some sort of disability. Everyone into the pool! Maybe we are not so different after all.

If you are religious or have an interest in philosophy you have heard people say pain and suffering are part of the human condition. They just affirm we are human. They allow us to join others and experience being human together.

Ok. They have a point. Shared adversity often binds people together. Anything else?

Todd Hall in 8 Ways You Can Grow from Suffering has a couple of points I found interesting. Hill’s fifth point was suffering deepens our appreciation of our vulnerability. We are all vulnerable. For example, this time places flooded that I cannot remember flooding before. Houses on hills got water-filled basements. The Fates are capricious. It is the human condition: we are vulnerable.

Hall’s sixth point is suffering allow us to accept our limitations. He pointed out acceptance of limitations takes much less energy than it does to fight it. There is a certain peace in that.

Having limitations binds us to the rest of humanity. Remember “No Man is an Island?” In our limitations, we reach out both to ask for and offer help. In others words, it is not just shared adversity that can bind us together but individual adversity as well.

So, the truth of the matter is, having a disability does not make us different from much of the rest of humanity. We are not the odd men out. And if you factor in the vulnerability factor – bad things could happen to anyone at any time – each of us is just one of seven billion in the same fix. The fix we are in is being human.

One last thing before I close. There is only one letter different between human and humane. It is, of course, the “e” although it would have worked out better if it were a “u”. If it were a “u”, I could have been really glib and said “you” coming out of the “closet” about your vision loss and joining in would allow the humans around you to become humane. Compassionate, one of the virtues is expressed and strengthened in the presence of suffering.

Pretty good argument? But what do I know? I am, after all, only human.

Written August 17th, 2018

Next: From the Top of the Pile

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When the Going Gets Tough…

It seems we live for the challenge. As if my visual problems and my husband’s health problems are not enough, we just seem to ATTRACT things.

Man vs Wild, with Wild being the Maggie Monster, continues. She clears a 4’ fence (in a leap with a little boost at the end, hind feet in the chain link), so we put up a six-foot fence. She goes under a fence; we anchor it. She has now started crawling under the deck to get out. The girl is a wonder. It would not be so bad, but she gets herself into the pool, comes out and uses the furniture as her towel!

In addition to the Maggie Monster games, I have been dealing with the business office at school – can you spell SNAFU? – and trying to get fingerprinted (or not) for the mini, mini continuing education class I am teaching in the fall. Everything turns into an event!

So, life is just one, big challenge. When we don’t have any, we seem to attract them. Probably the way we live our lives. We wanted the puppygirls. I want to teach my mini, mini course on AMD.

There are essentially two ways to look at challenges. Either you consider it all an incredible pain in the tush or…game on!

The Huffington Post wrote about ten reasons to love the obstacles that show up in life. Quoting Ryan Holliday, the Huffington article suggests we succeed not in spite of obstacles but because of them.

Obstacles show us who we are, for example. Have you made a decision on how you will handle the obstacle of vision loss? What do you think about that? Can you, as who you are, live with that decision? Maybe it is not “you” at all.

Obstacles show us what we need to do next. What do we need to work on? We continue working on keeping the puppygirls enclosed and safe. Maybe you need to work on finding transportation or finding a low vision specialist to teach you skills. What do you need to do to get over the hurdle?

Holliday says obstacles make us tough. When the going gets tough, the tough get going.

I found this one intriguing. Number 8 on the list is “obstacles allow us to change our lives for the better” and the first line in it says“sometimes they are an excuse for changing our lives”.

Hate your old job? Maybe this is an opportunity to get training for a new one. Very often Blindness and Visual Services can help you switch careers. What do you REALLY want to be when you grow up? If it is reasonable for a VIP, there is a chance you can do it still.

And then there is the ever famous “I want to see the world before I go blind!”. Sounds like a great excuse for jetting off to me!

Those are just a few of the 10 reasons they listed. Check out the article for the rest. Hope this little “reframe” of obstacles into challenges was helpful!

PS The puppygirls have now pushed out the sliding side of the air conditioner and gone out the window! Maggie went next door and forced her way under the fence of the neighbor’s dog yard. This is the first time I have ever had a dog that broke IN somewhere!

Game on!??

Written July 1st, 2018

Next: In the Pipeline for Wet AMD

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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”

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

 

Attitude Adjustment

Alrightee then. End of feeling sorry for myself…for now. When the horse throws you off, you get back on and all that. It is attitude adjustment time.

Counting my ‘positive pennies’ the first half of today has been good. I tried my gown on this morning and it fit. That is a positive. I picked it up for $25 two years ago at the thrift store. It is actually a pretty gown for $25. This evening my gown and I go to the Mom Prom.

My husband dropped me off on the other side of those two, scary main roads and I rode my bike the rest of the way in to Zumba at the Y. Then I rode into town, chained my bike at the library and went to the street fair.

Since my class was putting on a demonstration, I participated. Participation is often a good thing. Afterwards I wandered around, ate fresh-cut fries and a chocolate brownie (we have discussed my dietary shortcomings; haven’t we?) Also ran into several people I know.

Back on the bike for the ride home. Coming home I passed a whole hedge of lilac bushes. I could have stood there all day and taken in the fragrance.

All told not at all bad start to my day. I may have age-related macular degeneration and central vision loss but I can still savor chocolate brownies and smell the lilacs. Oh, and they had this great group that does Chicago and Al Jarreau and all sort of music from our youth (assuming you are also on the upward side of 60!) The lead singer is excellent. I enjoyed their performance.

Attitude adjustment. Just like the three most important things in real estate are location, location, location, it appears the three most important things in keeping yourself mentally healthy with AMD are attitude, attitude, attitude.

I found a 2005 study by Jennifer Tolman et al. The study was on psychosocial adaptation to vision loss. Also on adaptation’s relationship to depression. Tolman and her people discovered it really is basically a matter of acceptance and compensation for vision loss. It is the internal experience that really counts. You know: if you believe you can’t, you can’t. If you believe you won’t, you won’t. Ya gotta believe in the possibilities in your life.

Tolman published the Adaptation to Vision Loss Scale (AVL) in her article. It consists of about 24 yes/no questions. Many of them have to do with self and personal power. It is interesting to look through. If you take it and find yourself answering as if you are powerless and/or have lost yourself, you might want to consider getting some help. Depression is a possibility.

Another thing she found related to depression was making use of services and adaptive technology, etc. I see that as a chicken and the egg sort of thing. Services make you less depressed but you have to have the motivation to go look first.

So that is pretty much it. We all have our setbacks. We just cannot wallow too long. Sometimes it is time for an attitude adjustment.

written April 29th, 2017

Continue reading “Attitude Adjustment”