Just. Show. Up.

“I’m to blame as well,” I thought, as I realized how the lack of interconnectedness within us, as members of a commune, of social and personal networks, is causing such a strong sense of isolation, loneliness, dissatisfaction, which is further resulting in the rise in mental health problems. But yet we don’t want to talk about the sadness we feel, the frustration and unhappiness that gnaws at us everyday, questioning the purpose of our existence, feeling anxious and worried of how the future will be; will I continue to feel as desolate, fragmented, and numb as I feel now? We scroll through social media and feel a pang of how “together” everyone’s lives seem to be, how happy they look; Little do we know how empty their lives may be too; and despite the pain in our hearts, we post stories and pictures of smiling faces, if only one could really see the vacant looks in those eyes.

“How are you doing?” we are asked. And with a smile we say “Good.” Really? Are we feeling that way or are we hiding behind a façade that we don’t want others to see?

When we hear of someone who decided to end their lives, we lament, “I wish he/she would have spoken to me.” or “Did I miss any signs?”

Maybe we need to reflect on why we don’t speak about mental health issues. And then move onto what would make us share our angst so that we can focus on feeling better, on our well-being.

Here are the most common reasons why people may not speak up about their inner anguish :

  1. I have a strong will-power. I am sure I can deal with my problems myself.

  2. How will the counselor/therapist help me with MY problems?

  3. What will people say if they get to know I am in therapy. It will show how weak I am, and affect my boss’/family’s/friend’s perceptions of me.

  4. Time will heal. And all that time does is tick by, and the pain intensifies.

  5. The focus on emotional and psychological well-being isn’t as emphasized as physical well-being is. Physical conditions such as diabetes and hypertension are so much more acceptable than depression and anxiety, isn’t it?

  6. The resistance to focus inwards, to reflect, introspect, and want to put in the effort to develop their inner selves is too strong. “I am so afraid to see what comes up,” or “Therapy is hard work.” And the expectation is that the therapist will do something to fix the person (“do you have a magic wand?), which is so far from the truth.

  7. Denial of the problems. “No no. I am absolutely fine.” Not. “I just need to busy myself a bit more and things will be OK.”

  8. Even if we do muster the courage to share our struggles, they are met with “You are fine. It’s not such a big deal. Look how much you have going for you (with a focus on external, observable things such as job, money, relationship, family, which often may not be related to one’s inner state of being at all.)

  9. We feel a roller coaster of emotions ranging from shame, guilt, weakness, hopelessness, and a fear of being judged if we do muster up the courage to share our inner world. And so, we bottle up, suppress, hide, escape, and lead lives on auto pilot, devoid of true joy and authenticity. The connection with loved ones becomes more fragile and tenuous, where we grieve that we’re all alone, no one understands us, and everyone is busy in their own lives.

I know I am talking about more serious issues that affect so many of us that: trauma, stress, anxiety, depression, withdrawal. But we often get here and find ourselves sucked into the vortex of a storm because we are stuck in this quick sand alone, with every struggle leading us further into a downward spiral. Any help from others may be unseen, unheard, or dismissed for reasons known only to us.

As if we weren’t already drifting apart because of how busy our lives become, and lately the impact of the pandemic and the lockdowns, there have been fall outs that happen, guilt we may experience for the wedge that came in the relationship, that we personally were responsible for and had our parts to play, and the hesitation remains of making that move to seek for forgiveness, or to grant it if we were wronged. There is radio silence which further doesn’t portend well for the relationship’s resurrection, if there was any hope. We lose touch with a bit of ourselves, the part that thrives on social interaction, support, and connectedness. The isolation and loneliness further deepens.

Saying “I am there” helps because it lets people know that they are cared for. And being there for real, helps even more. Our loved ones may not be looking for advice, help, or solutions to their problems, but just to have someone who listens with empathy, is there to hold them in a safe space, without their fear of being judged, is often one of the best ways to feel heard, validated, and not alone in their struggles. Knowing someone cares is often the first step in breaking the barriers towards sharing and helps build trust.

Like I said, I’m attempting to show up more for loved ones within and outside of my role as a psychologist. In the busy-ness of life, I forget to respond to the many messages one gets on all forms of social media communication. Sometimes it’s tough to keep track of to be honest. The non-responsiveness is not intentional, just that the demands placed on us are often more than the resources we have to handle them which most people may not know of, and I don’t fault them for being upset with people who may seem unavailable. I guess that’s exactly the point, I wish we would empathize with each other a lot more, to know what’s happening, to check if everything is OK, than be clouded by judgements, angst, hurt, resentments, and the like. When we congregate in a space of love and understanding, the communication, spoken and unspoken is so much more powerful.

Clear out the misunderstandings, break the silence, make an attempt to re-connect again, receive the invitation to connect unless a serious transgression that is unforgivable makes you sever ties. Communicate that as well. Appreciate that call, message or gesture rather than making jibes or taunts which may make the person feel like their efforts went in vain and closes the door thinking the other person isn’t interested. Make space for the introverts amongst us, who may not be at ease with constant social stimulation and would prefer close, trusting relationships. Make space for the outgoing, boisterous ones amongst us whose constant requests for meet ups is because they enjoy the comfort and joy that comes from human connections. We all have our ways of connecting, be it in person, or through a message. Make space for all of it, and not just from what suits us.

We are juggling so many priorities, that some may get put on the back burner. We are all trying to do our best. When I advocate strongly about self-care and self-compassion, people often misconstrue it as being selfish, when it is everything but that. Sometimes connecting with friends may be put on that back burner because family has taken priority due to a life or a medical situation, grief of a loss of a loved one incapacitates us, or maybe work is demanding. That does not mean that friends aren’t important or that we have “no time for them.” We may not have time NOW but that doesn’t mean that we are absent all along. If only we could understand that our interactions are fluid, evolving, silent at times, maybe fraught at others, but the relationship may continue to be deep, fulfilling, picking up from where we left.

And no, we don’t always have it together, we may be struggling, and we are not superhuman that we remain unscathed from the often very difficult curveballs life throws at us. It’s OK to say “I am not OK,” and that we may need a sounding board, or some space, or professional help or whatever else we may need to find our footing again. Please let go of the bravado, the skepticism, and the inhibitions, fears, or whatever else holds us back. Most of all let go of that self-worn badge that perpetuates toxic positivity, strength even when its flailing but still we pretend, and martyrdom. You are doing yourselves a huge disservice by trying to portray someone you are not, and shattering into a gazillion smithereens inside.

This much I know. We are all struggling, in some way or the other. We may walk alone, or feel alone even in a crowd. We may question our very existence, or feel like life has nothing meaningful to give. We may be dealing with dysfunctional relationships, tearing us apart within. We may have failed and fallen, bruised our souls, gotten up and teetered again, with nothing to hold onto. We may have sunk into a deep chasm, thinking we are beyond repair, beyond any help, or we may be looking for that hand to hold, for that person to walk with us even in the dark, even when the path is strewn with obstacles. For that person to hear our heart cry and not just hear the spoken word, to see the pain behind the tears, and not just feel uncomfortable at the sight of them; to not feel compelled to “fix,” or “solve,” but just to be there, the way we would want them to be.

Holding hands.jpg

As I glanced through my pictures from my days working as a psychologist at a hospital, I came across this picture of a young girl who was admitted there. Having sustained a spinal cord injury that left her paralyzed waist down, here she was in therapy with me, dealing with the trauma of that fall. She held my hand, and showed off her freshly painted blue nails, a way of perking her mood up, she said. The grip was tight, an indication of fear and a cry for help, which I caught on. Just that one gesture and I knew we had a long path to traverse and a therapeutic relationship to build.

Yes, we are all struggling, as I have observed inside and outside my clinic doors, and the best thing we can do is try and earnestly step into each other’s shoes, offer understanding, and most of all kindness and our authentic, genuine presence. The rest just falls into place.

I am ready to show up with all I have, a medley of love, kindness, healing, my annoying social idiosyncrasies, and am ready to take on that responsibility again. Are you?

Because Life Is The Most Breath-Taking Experience

(Part 4 of 4 of the story of my tryst with destiny in running my first ultramarathon, in Ladakh)

I had done a 55 km run in the Himalayas.

I was letting that sink in, as I watched the mountains bathed in moonlight whizz past me. Irshad, our cab driver who I had grown so fond of, over so many days of driving us around Ladakh, played Nusrat Fateh Ali Khan to serenade our tired souls.

This, of course, was a stark contrast to the heartbreak-themed songs he played on our drive to Nubra a week back.

“O besharam, o behaya, o bewafa, tera ki haal hai (O shameless one, O scruple-less one, O unfaithful one, how are you doing?),” was one of them as I peered at him from the back seat, and wondered what pain has he gone through to listen to such songs.

So yes, Nusrat songs were a welcome break, and it almost felt like Irshad knew what would be apt for that moment. I thanked him for being with us from 5:00 AM that day—as our mobile fueling station, and for the encouragement that he and Stobgail ley together sent our way to boost us.

It was 9:30 PM by the time we reached our guest house, and Tsewang ley and Rikki, the manager, welcomed us with ceremonial Ladakhi scarves to congratulate us on our achievement. The smiles on their faces were beaming, and it felt that the victory was not just ours, but was felt and shared with so many, who have been with us on this journey since we arrived in Leh.

You would have thought that we would be ravenous, and would be excited to have a huge celebratory feast. I had at least envisioned that, but in the end it was a serving of rice and daal that we could manage to eat, and were happy with.

I lay in bed, staring at the ceiling for an hour, with nothing in particular brimming in the mind. I recapped the last few months, of life focused around training for this run, the determination, the early morning long runs starting at 5:00 AM through every season this year, continuing through the  grief and loss of the second wave, of  5 months of home remodelling that I was supervising disrupted by yet another lockdown and yet continuing to work through and making the home liveable. That  period brought with it its own set of stressors, heartburn, and sleepless nights, through which I persisted. As I reminisced, the painful cramp in the calf jolted me out of the reverie as I dragged myself through the fatigue to finally take a shower and then sleep. After all, the adventures were to resume the next day.

Tso Moriri

Tso Moriri

The drive to Tso Moriri was going to be about 8 hours long. Tso Moriri: a gorgeous lake where we planned on going for a short 15 km trek, and not as frequented as Pangong Tso were the reasons it was our chosen destination. The drive was through changing mountain faces, paved and unpaved roads, bouncing over small, gravely paths, passing hundreds of sheep and shepherds by, pausing to see some hot springs in Chumathang, as they bubbled through and the steam rose to make their presence felt. If one isn’t attentive enough, these natural wonders are so easy to miss, because people are just blindly driving to their next destination on their check list. We drove through an innocuous mountain pass, and finally reached as the full moon rose, shimmering over the lake, and spreading its light far and wide. It was a sight to see and I was transfixed.

The search for a place to say started when we reached Karzok, a tiny village whose length you can walk through within 7-10 minutes at an easy walking pace, and I wanted any place where I could get a fill of the lake and mountains. And so, a homestay where the sit out looked exactly over the most picturesque views was chosen. The owner knew only smatterings of Hindi which made it so humbling, but we were never lost in translation, because compassion, care, and kindness know no barriers of language.

The silent sheep and the moonlit sky (and lake)

The silent sheep and the moonlit sky (and lake)

There was silence all around, even when you stepped out and were among people. And as I stood out on the sit out for about 10-15 minutes, my eyes took in the moon-bathed lake, and the snow-capped mountains around them, and my nostrils picked up a faint dung smell, and I of course attributed it to the animals that would be around as the ones on whom the villagers’ livelihood depended.

Silence, all around.

I repeat that because as I took in the 360 degree view of the village around me, I happened to look just immediately below me, into the quadrangle of the adjacent home, and I saw about 150-200 sheep in their pen, quiet, some sleeping, some grooming themselves, and some nudging their friend lying next to them playfully. Not a bleat, not a sound. I know I sound like a silly city gawker making so much out of nothing, but it was the surprise with which they caught me, and how just like the humans in the village, they seemed to have a “speak only when you need to” code.

I wondered if I would be woken up at 4 AM with a few of them screaming to be let out, but the silence continued as I woke up to finally see the lake in its entire glory. It was surreal, like I was gazing at a photograph. The sky with the clouds, and a sun playing hide and seek, the lake and the horses grazing on its shore who appeared so still, that you had to look at them constantly to see any signs of movement. The placidity, the calmness was everywhere.

After having spent some time with the homestay owners’ 5-year-old daughter, we set off on our trek by the lake. Did we just run 55 kms a day before? It seemed so far away now, with new adventures looming ahead.

The trek along the lake

The trek along the lake

The trail had no other walkers, which made it so much more peaceful and personal. The sound of the crashing shores, gurgling brooks from the glacial melts, and the mountains as our companions, our feet did what they knew best now. Walk the distance.

The Mani Walls

The Mani Walls

I love surprise discoveries…Like the several Mani walls all along the length of the lake; and in some places they stood as cairns, one almost as tall as me. Manis: those beautiful plates, stones, and rocks that are hand inscribed with prayers offered to the higher power, with a sense of devotion, gratitude, and surrender. Everything about this place had such a strong spiritual connection, that it’s tough to not get drawn into its essence.

After having spent I don’t know how much time sitting by the lake, seeing the beautiful hues of the water, the way the clouds’ reflection brought out the light blue, or the clear sky with the sun shining brought on the dark turquoise, or the pebbles and rocks on the shore, changing it to a light green, we decided to head back.

And then I saw that lovely huge mountain dog in the middle of the field that I passed by. A white fur ball of love. I called out and he looked up, and his eyes shone through. And I called out again, and he bounded up and across the field, on his three legs; the fourth was a tiny stump that he lost to an accident perhaps. And so the meeting was as expected. He snuck up next to me, and plonked down as if saying, “here, love me as much as you want.” And I did, through his mud covered belly, and his floppy ears, and his wet nose, and repeat all over again 😊.

My Gentle Giant :)

My Gentle Giant :)

I had no idea what the next day’s plan was. All I knew was that it involved a “walk up a ridge.” Okaaaay, how tough can that be. And so our return to Leh was through a different route, through a salt lake called Tso Kar, Debring, and then through Tanglang La which is where that “ridge” was. I remembered Tanglang La from 2019, where I saw the beautiful ice stalactites that hung like chandeliers along the mountain faces. The ridge was my first.

Back to being on bumpy, gravely, paved & unpaved roads, sandy stretches, some road constructions, through detours, and “I don’t know how long” stretches of time which was also becoming a regular feature here, I was beginning to wonder if there would be an end in sight. In a place like Ladakh, even if the mind, by mistake, or even through a spirit of audacity, brings up a sense of impatience, or the urge to see the destination soon, it is soon quashed by what your eyes are treated to. Hot springs again, wild asses prancing around, the huge expanse of salt seen in an almost dried up Tso Kar, and a few dust devils. You are gently guided back to being in the present moment.

The “ridge” starting at 17,480 feet

The “ridge” starting at 17,480 feet

As we were approaching Tanglang La, Chetan pointed out to that ridge from a distance. I looked at it, and then I looked at him with disbelief, and back at it again, taking in the ginormous wall like ridge that I was being asked to climb; a km long, it rose from 17,480 feet to I didn’t even know what height, when I saw it inching closer.

“Are you serious?” I asked.

“This is your victory lap after your 55 kms,” he said.

Now, when you say something like this, how can you not get charged up by that? And so I decided to take this on, hoping the pass would let me. You can’t trifle with mountain sickness however well acclimatized you may feel.

It was a climb worth remembering, all along bunkers and trenches made by the Indian Army in 1962. Slow and steady, I reached the top, an altitude of 18,000 feet, the highest I have ever been on. The panoramic view of the mountains all around me was my reward, and felt so much more than a victory lap. Nothing beats the exhilaration, the indescribable joy of being cradled in the arms of nature.  Of truly knowing that you are capable of so much more than you settle for. I thought the 55 kms ultra was my peak, but here was yet another internal summit that I climbed, which pushed my limit even further. The sky is truly limitless, and so was I, the horizon was never ending, and the thirst in me to go on was just getting more unquenchable.

I’m on the top of the world :)

I’m on the top of the world :)

It was time to bid Ladakh a farewell, with a heart filled with gratitude for all that the place and its people offered me, for being with me as I paid a silent tribute to Mom, for helping me see grief in a new light, as one of restoration and moving forward. A befitting farewell with a promise to return, to make newer discoveries, bring about internal shifts towards a better self, to let go, to carry the spirit of surrender, of being in the here and now, of life lessons that stay, and remind me that you carry all that you need, within you.

As I finished writing this today, I happened to see my “Memories” from this date, two years ago on Facebook (Oct 5th 2019), where I had been a contributor to a weekly running column in the newspaper. The topic was “Running Can Help Cope With The Loss Of A Loved One.” It dawned on me that just then I felt a strong sense of closure. I will share the post from that day here in its entirety so you know what I mean.

WHEN AIR BECOMES BREATH

While I grieved and tried to cope with Mom's loss to a progressive lung disorder last year, I realized that running took on a whole new meaning for me this year. My marathons have been in her memory, and will continue to be from here on, keeping her alive in me with each breath that I take.

As her struggles to breathe increased around this time a year before that date, she would often in despair say to me, "May one never to have to fight for one’s breath so much, baba (she used to call me that).”

And then, as if her illness wasn't enough, I was diagnosed with a mild ventilatory defect and I thought my running had come to an end. The pulmonary function test that both Mom and I had to do (hers was more frequent) was a tough one for her. She struggled in that glass box trying to breathe deep and hold her inhalations and exhalations as part of the test and I felt so helpless watching her while the technician told me to stop from going up to her. Mom came out and said she would never do that test again, and I agreed. She didn’t have to because a month later she passed on.

A few months after, I had to go through that test again for an annual review to see how my lungs were doing, especially with the strong family history. That same hospital, the same technician, that same glass box. I was filled with tears and a rage remembering what Mom went through, and I decided to kick that test’s butt, just for her. I had been working on strengthening my lung capacity so I was hopeful that the mild ventilatory defect wouldn’t have progressed. If anything, I should have gotten better. I just wanted to continue running, maybe even take it up a notch higher. With each breath I thought of her, fighting for her, thinking I was breathing for her. For all those breaths she struggled with in her last year, I wanted to take a million of those in for her.

And kick butt I did. My lung function test came out normal. I shed a few more tears reading the report.

“This one’s for you, Mom,” I whispered.

This is my tenth year of running, but this time I took to it with a vengeance. I started running more, training better and more sensibly, and returning to the basics of breathing. Now each time a breath pulsates through my body, it is for Mom. If ever I feel like giving up, I would remember her and would imagine her smiling face, egging me to go on. It isn’t even about crossing that finish line anymore, it is about taking that one step forward, keeping that momentum of moving onwards. It is about being at peace with myself, reconnecting with myself, feeling one with her. 

Have you read, “When Breath Becomes Air” by Paul Kalanithi? A surgeon, Paul wrote his story while battling with an inoperable stage IV lung cancer, and was faced with his own mortality, with finite days to live. He couldn’t complete the book but it was released after his passing with an epilogue from his wife. I wondered what the title meant when I read it years ago. It now made sense. As he struggled with his own breathing, having to use a BiPap at night to help him, he refused to be hooked to more life-saving machines so that he could spend time with his wife and kids. The title was based on a line from a poem by Baron Brooke in 1628.

“You that seek what life is in death,
Now find it air that once was breath.
New names unknown, old names gone.
Till time end bodies, but souls none.
Reader! Then make time while you be,
But steps to your eternity."

What does it symbolize? What is the difference between “air” and “breath?” Breath is what flows through us as living beings, and so when breath becomes air, it signifies the act of dying, with breath being the life force that comes to an end. Breathing is so automatic for most of us, we don’t even give it a second thought, till someone struggles with it often due to an illness. And we are now known to take life for granted. We don’t think of how meaningful our lives have been, of what difference we made to the world, be it with our words or our actions, whether we lived true to ourselves. It’s only when we are faced with our own mortality do these questions arise. Why wait for the face off with finite days? Why not live each moment now?

It’s two weeks to my full marathon for Mom. And I know who I will be thinking of when I run…

My breath, always for you, Mom…always for you.” 

Onwards and upwards…off the beaten track

Onwards and upwards…off the beaten track