A good friend spent part of her weekend doing some reading on trauma for work and discovered the acronym H.O.P.E. standing for the phrase Hold On Pain Ends. She knows I have tremendous faith in the transformative power of hope. Holding on and believing that all will be well again is a wonderful feeling and vision for healing.
Many people think of trauma as it relates to military personnel who return from active duty with PTSD. People who have been in accidents, suffered abuse, had violence directed at them, witnessed atrocities, been through disasters, lost loved ones, and have been through (or continue to go through) an illness also can be diagnosed with PTSD. Any negative event can cause trauma.
Cancer and Trauma
PTSD is a mental health condition that develops after exposure to a traumatic event. Cancer survivors have experienced their fair share of traumatic events. Painful and emotionally stressful tests, treatments, receiving bad news, hard emotions to process, and living with chronic or painful physical issues are possible sources of trauma. Looking in the mirror at a changed body, living with lymphedema, and having the pain of neuropathy are daily reminders for some people. Fear of recurrence may always be on a person’s mind. Some anxiety is normal and quite frankly unavoidable for cancer patients and survivors. When these feelings persist or worsen, it could be a sign of ongoing trauma. Symptoms may include things like nightmares, trouble concentrating, feeling fearful, guilty, angry, avoiding things that trigger bad memories, and loss of interest in people or activities you used to enjoy. Other possibilities may also cause these.
I believe seeking professional help is the best approach to address working through trauma. Sharing what is painful can help identify the root cause whether the pain is physical or emotional. Effective solutions can be tailored to a person’s specific needs. Speaking to family, friends, or support groups are other possible choices. Even writing it out can be helpful in sorting out what you think and how you feel as a pathway to ending pain.
My thoughts keep coming back to that acronym about holding on because pain ends. Hope is hope. How else can a person take an active role in feeling physically and mentally healthier? No official trauma labels need to be involved. Everyone has times where something painful is experienced. I am not a mental health professional, but nonetheless have a few thoughts to share for dealing with pain. I think of it as a way to Help Other People Excel. I can’t say that’s original. I also can’t find a source to credit.
Pain can be a teacher.
Sometimes I need to experience pain and sit with it so I know what not to do. When I’m sore, my body is often bringing something to my attention. I may need to rest. Maybe I’m doing a movement incorrectly. Possibly I’m using new muscles and my body is thanking me for using them but reminding me to do so gradually. I’m also being taught something if I experience emotional pain. Every experience teaches me something, even the ones I find emotionally difficult. You can’t ignore physical or emotional pain. Both get worse if you do. Listen to your body.
Grief is allowed.
You can’t just “get over” things. Just as with the grief when someone passes, many events can still be a passing of something and involve grieving. Again, just as with the grief when someone passes, it comes in waves. One day you are just fine with not working and having a flexible schedule, and the next day this very same thing has you in tears all day. Some insensitive comments leave you unfazed, and then there are others that you believe are beyond cruel that echo over and over again. Some grieve body parts. There are many things you “used to” do that now no longer exist. Those who have had cancer have lost a lot. There can be unexpected spurts of grief that come at the worst times. It’s normal. Allowing yourself time to feel feelings will eventually lead to more good days than bad.
Find a new focus.
Starting something new gives an opportunity to move forward with something different. Fresh starts have their merits. It could be a new hobby or interest. I have mentioned before that working out has turned into a positive focus for me. I also have more time to write. Maybe it’s something bigger like a new job, relationship, home, or city. Change may be exactly what is needed. If nothing else, change serves as a good distraction. Everyone needs a break from whatever makes life harder.
Here is my repetitive plug for exercise. Physical activity can help you see you are stronger than you know. This helps physically and emotionally. I have a long ways to go to make myself even stronger, but I’m stronger than I used to be. Exercise helps me feel more confident and in control. It makes me feel good. I feel less stressed. Exercise provides an opportunity for me to work on my inner strength while I work on improving my body. Finding and reclaiming power by moving is extremely therapeutic. Work with a punching bag is a very effective way to reclaim power.
The effects of being outdoors for me are similar to exercising. It makes me feel good and less stressed just like exercise does. Fresh air and nature calms me. Problems often sort themselves out as I spend time in the woods. My head always feels clearer. Maybe it’s because nature is grounding. If you do not have access to a handy outdoor source like a park, farm, or green spaces, something as small as a garden plot can give you the opportunity to dig, to let dirt fall through your fingers, to weed, to plant, and to watch something new grow. Container gardening has become very popular in areas where green space is limited. This is also a great option if you have some physical limitations. Sitting in the shade with a refreshing lemonade and reading a good book still counts as getting outside.
Forgive yourself for past actions. I have heard a lot of people say how important it is to forgive others, show universal love and kindness, speak positively, and have at least one good friend you can count on. All important. Even more important is to forgive yourself, love yourself, have positive self-talk, and be your own friend. I have been pretty hard on myself and now I am much kinder. I believe pain can end when we treat ourselves like we treat others. Each day is a new opportunity to treat yourself well with kindness and forgiveness. Reset every morning.
Believe in hope. Expect the best. Hope begets hope. For me, things always come back to my unwavering belief in hope. One of my favorite hope quotes reads:
“When the world says,
‘Try it one more time.’ “ – Unknown
I love that the source is unknown. It somehow makes it even more appealing to me. It’s as if there is an anonymous and universal whisper that could be from anyone anywhere in the world. The whisper may be a gentle hush. I like thinking of it that way. I see it in the flame of a candle. I hear it when a bird sings. I feel it with good friends. I find it in some of my favorite places. You know where some of those places are if you know me well.
Here is one of my favorite places where I hear the hush. Can you hear it, too?
Author Anne Lamott describes a hush as something sacred. Hope whispers softly and pushes us to keep trying. Hope as a hush is sacred indeed. Pain ends. Hope remains. It can replace pain and grow exponentially. I continue to listen to the whispers of hope.