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Freud & Fashion

...BECAUSE IT'S STYLISH TO TALK ABOUT MENTAL HEALTH, ESPECIALLY HOW WE MAINTAIN OUR OWN.

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PersonalPsychiatry

Social Toughness

written by freudandfashion
Social Toughness

{Ventura, California}

I may be an extrovert, but I grew up struggling with social anxiety and still find myself battling it to this day (if this combination of extrovert/socially anxious sounds confusing, you can check out a post I wrote here).  I remember being in pre-school and the teacher reporting to my parents that I never talked (I was selectively mute, meaning I kept silent while at school but talked in other environments such as home), which made it hard to befriend other kids.  Therapy and pushing myself to be in uncomfortable settings (I took public speaking courses, ran for leadership office positions in high school even though I didn’t speak, and continue to be in group therapy which is extremely difficult for me) have helped me tolerate the anxiety, though I still get overwhelmed each time I go somewhere new or unfamiliar.

The first time I ever ate out at a sit-down restaurant alone was after working late as a post-graduate researcher at UC Davis.  I felt nervous and swore everyone was staring at me, but felt accomplished after finishing my meal and leaving the restaurant.  Even though I work part-time, I usually spend my off-days running errands, cleaning, blogging, catching up with paperwork, etc…most of the time staying at home in my comfort zone.  I try to plan solo outings every once in awhile to reinforce my copings skills, so this week, I decided to take a break and enjoy an outing alone for at least a few hours with no responsibility and no to-do list except to explore downtown Ventura.  I remember the fun days of residency when my friends and I would explore random towns in Oregon, though I hardly get the opportunity to do the same since moving back to southern California (showing friends around Hollywood and all the LA touristy spots doesn’t count).

I’ve had several patients whom I’ve helped work through their symptoms of social anxiety and it’s always rewarding to hear them tell me about their recent outings.  So here’s a few pictures that I took from my solo outing this week:

{Shopping for a good cause}

{windy Ventura Pier selfie}

Thought of the Day:  If you struggle with anxiety, which techniques have you found helpful to overcome it?

May 14, 2015 11 comments
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Personal

Mother’s Day Note

written by freudandfashion
Mother’s Day Note

{Napa, California}

Oftentimes, I observe my mom and wish that I could match her levels of energy, thoughtfulness, and ability to multi-task.  Fortunately, some of her traits were passed on to me, though I still hope for late-onset development of her culinary skills.  Even as an adult, if I’m ever out of line or “misbehave” in any way, my mom is the one person whom I will always fear to put me in my place!  But seriously, she embodies all the qualities I’d hope to possess when I have my own children.  I love you Mom, Happy Mother’s Day 🙂

And to all the wonderful mothers and mother figures — hope you have a well-deserved, enjoyable & relaxing day!

May 10, 2015 5 comments
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Personal

Home Sweet Home

written by freudandfashion
Home Sweet Home

{Fairfield, California}

As a fledgling adult who moved away from home for college then medical school, my family often made trips to visit me, especially to drop off or prepare a home-cooked meal (I lived 30 minutes away from home for college and 7 hours away for medical school).  Now that I’ve completed all my training, I return the favor for all the support I received and visit them in northern California as often as I can (except I’m not the best cook, so my family probably prefers that I NOT make the home-cooked meals).  I am currently staying at my parents’ place this weekend for a mini family reunion and feel pretty excited that I get to reunite with family members visiting from the Philippines whom I haven’t seen in years (and apparently there’s a boxing match everyone’s watching tonight).  We all have our own priorities in life and at one point my education and career took precedence over family, but I learned my lesson after missing out on numerous momentous events.  Having a lucrative career can bring a sense of satisfaction, but true happiness can’t be attained unless balanced with those who support you the most.

I hope you have a balanced weekend!

May 2, 2015 11 comments
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Personal

Something New

written by freudandfashion
Something New

{Upland, California}

My life throughout medical school was pretty monotonous: wake up, attend lecture, eat, go to anatomy lab, study, eat, sleep.  I started to exhibit more signs of life once residency started, though limitations to participate in enjoyable activities always existed.  I could never rid of feeling guilty each time I did something other than study because there was always an upcoming crucial exam (licensing exams, PRITE, etc) to prepare for.  My cognitive distortion was that I’d perform terribly unless I spent every waking hour reviewing for the test, therefore I rarely experienced a day where I felt totally relaxed and present.  Fighting the little voice in my head telling me to do something more productive, I’ve been giving myself permission to do more fun activities and am amazed that the self-critical voice is starting to diminish.

So, in continuation of my New Year’s resolution to be aware of my need for self-care, I took a break from paperwork this week and joined my cousin and friend on a trip to their local rock climbing gym.  I completed a couple routes belaying for the first time and rediscovered how much I enjoyed the adrenaline rush.  It was so much fun!

Therefore, I’d like to encourage all the students and any slightly rigid readers out there (like myself) to try a new activity this coming week.  Anything from taking a different walking path to trying a new coffee shop, or avoiding the couch after work/school (seriously, anything to break the monotony is worth something and brings you a little bit out of your comfort zone).  If you’re open to sharing or maybe you already participated in something new this week, post in comments below!

Have a wonderful weekend!

April 24, 2015 15 comments
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Personal

Lessons of the Week

written by freudandfashion
Lessons of the Week

{Playa Del Rey, California}

If you read my last post, you’ll know that my mood has been a bit off this week.  Yet, now that it’s Friday, I can reflect on the positive lessons I learned from the experience.

1.  Be cautious of making any crucial decisions when you’re feeling emotionally off.  Let’s just say that losing control of my emotions led to an impulsive desire to regain control, which manifested as having the urge to make irrational decisions (regarding my job, therapy, and relationships).  Fortunately, I gained enough insight and control of my emotions in time before committing to anything!

2.  No matter how stressed, angry, or upset you may be, if possible try your best to remain present for others.  I felt exhausted during clinic yesterday.  Then, one of the last patients on my schedule tells me that I’m the only doctor she has who listens and doesn’t make her feel as if she’s being judged.  I was touched by her comment (and I also thought, “wait shouldn’t every doctor be that way?”).  I don’t suppress my feelings of lethargy (in fact, if my patients ask, I’ll be honest and tell them if I’m feeling a bit more tired), but I make sure that my energy levels and mood don’t interfere with the connection I have with my patients.  If it does interfere with my interactions, then it’s a sign that I’m in need of a vacation!

3.  Grief is tough and very confusing.  Period. If support is available, please utilize them. It took me awhile to reach out, but I’m glad I did. And I appreciate all of you for reading, commenting, and helping me realize that I’m not alone.

April 17, 2015 6 comments
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Personaltherapy

Grief In Repeat

written by freudandfashion
Grief In Repeat

{Upland, California}

Upon driving into my garage coming home from work this evening, I suddenly burst into tears as the garage door slowly closed behind me.  I haven’t felt like myself at all this past week.  I tried my hardest to discern the reason for my melancholic mood and pinpointed a series of events that occurred after the subject of death was brought up during my therapy session this past weekend.  The subject of terminal illness and inevitable death is never an easy one, even as a physician who had to pronounce deaths in the hospital wards and was educated on how to talk to patients about advance directives (Do Not Resuscitate/DNR), hospice, etc.  We all have triggers that may occur randomly during our day that may unleash suppressed feelings that go deeper beyond whatever triggered us in that present moment.  A patient once told me that hamburgers made her sad because her deceased father cooked them all the time at family gatherings.  For others, something as simple as a hamburger triggering profound emotions may sound ridiculous, but we must be empathetic to each individual because none of us know of the history, context, or meaning that a symbol (such as hamburgers) provided in a person’s life.

My initial trigger was watching the movie Furious 7 last week.  Now, I know that millions of devoted Paul Walker fans (including myself) were profoundly impacted by his tragic death, but the uncontrollable amount of tears that I shed was far too disproportionate to the mild attachment I had for the actor.  Since everyone I knew who watched the movie admitted to shedding tears, I didn’t think much of my emotional response at the time.  But, during my group therapy session, I was extremely angered about an unrelated topic, and again, I couldn’t figure out the reason why.  Leaving my therapy session in a pissed off mood, I contemplated quitting group because I didn’t want to be a part of anything that made me feel angry and unsupported.  I looked at my phone and started scrolling Instagram to distract myself from my emotions, and stopped incessantly scrolling once I came across the picture below, which my sister posted for National Siblings Day with the following caption:

It was always the four of us. Although we’re all grown up with separate lives, we will always have the same love for each other, and share the same values that our Lola and Lolo (Grandma & Grandpa) taught us. My latepost In honor of ‪‎siblings Day 4/10 and my lolo’s birthday 4/7. I love you all. I miss you Lolo & Lola.

Last week was my grandfather’s birthday.  The theme of losing such a devoted and integral part of a family is the theme that resonated most with me about the movie.  And watching the ending somehow re-opened the wound in my heart that I experienced when I first received news that my grandfather passed away from cancer thirteen years ago.  I continue to re-experience feelings of grief each year around his birthday and this year is no exception.  I wrote about my grandfather’s influence and my difficulties coping with losing him in previous blogposts (here, here & here).  Last week, a few of my patients discussed their own grief, which is always a hard subject to process.  I always do my best to provide them with as much support as possible because I know what it’s like to feel isolated, angered, and confused by a complex mixture of emotions.

I used to want to believe that “time heals all wounds,” but one of my inspiring readers modified my perspective of the statement to make it more accurate: time may help make the grief a bit more tolerable.  Grief never goes away, but rather is re-experienced in different, sometimes confusing ways.  But, just like the goal of the movie, I try to shift my focus from sadness to embracing my grandfather’s strength and legacy.  I can already feel the wound close a tiny bit as it starts to repair itself yet again.

April 15, 2015 16 comments
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Personaltherapy

Let Go

written by freudandfashion
Let Go

{Ventura, California}

Several of my readers know how much I struggle with self-care and criticize myself on days that I feel less productive (I wrote about the subject here, here, and here).  I’m starting to let go of the guilty, judgmental thoughts, which I’m sure are ingrained in the minds of many others like myself who’ve spent most of their lives incessantly working towards a degree and busy career.  Last month, I disclosed to one of my patients that I sometimes sit on the couch and watch tv for hours on days I feel exhausted and overwhelmed.  I regretted telling her the information because I realized my attempt to make her feel less guilty about doing a similar “lazy” regimen was really an attempt to validate my own actions of simply resting on my days off.  I realized how much I still need to work on letting go.  I need to let go of the pressures, demands, guilt, and self-criticism.

Well, I’m happy to report that I went to the beach this week, strolled, and stared out at the water as the surfers rode the waves.  The thought of rushing home to answer emails popped up in my head a few times, but I surprisingly allowed myself to let the thoughts go.  I’ve been working on this process of self-care for years, but I’m making progress.  And that’s all that matters (no self-criticism involved).

What activities of self-care did you incorporate this week?  I hope you all have a wonderful, relaxing weekend!

April 10, 2015 12 comments
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Personal

Residency Memories

written by freudandfashion
Residency Memories

{Voodoo Doughnut, Eugene, Oregon}

I enjoy taking a stroll down memory lane every once in awhile to reminisce about the past.  While trying to find a photo for my next blog post, I came across pictures of fun times in Oregon during residency training.  In effort not to embarrass my fellow colleagues (think trashy theme party, dancing to “Baby Got Back,” and movie nights with some of the most grotesque films ever made, to name a few examples), I limited the photos to the least embarrassing (not surprisingly, many photos were eliminated), pictures mostly of myself, or with the obtained consent from my residency friends (if identifiable in the photos).  I may constantly mention the hardships of the journey through medical school and residency, but my three years spent in Oregon brought about many friendships, fun experiences, and memorable moments that I’ll treasure forever.

{Residency Retreat at Black Butte, Oregon}

{Wine Tasting in the beautiful Willamette Valley, Oregon}

{My 1st time golfing}

{Good thing I didn’t get graded on my Pictionary skills because I clearly would’ve failed}

{Oregon Medical Association conference in Bend, Oregon}

{My 1st time snowshoeing, Bend, Oregon}

{My Princess-themed party that my awesome co-residents threw for me before graduation}

April 2, 2015 6 comments
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Personal

Drift Away

written by freudandfashion
Drift Away

{San Diego, CA}

My whole week was a bit of a blur.  I sometimes wish that I could take a vacation for a few months and have no responsibilities whatsoever.  Where would I go?  I have no idea.  What would I do?  No clue.  Come to think about it, having no responsibilities for an extended period of time might be depressing.  After all, my entire life has been devoted to my career, which is a huge part of my identity.  Without my work, I’d lose my sense of purpose especially since being a physician makes up a large percentage of who I am.  Perhaps that’s why retiring can be so hard (I have several retirees who present with depression).  With that in mind, I suppose the better alternative to an extended vacation would be to continue working, but at a comfortable pace with firm limits and boundaries in place.  It sounds so simple.  After all, I know my limits and the workload I can handle before getting overwhelmed…but it’s my job to reinforce it.  I guess reinforcing it is sometimes harder than the job itself.

March 28, 2015 6 comments
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LifestylePersonal

Finding Balance

written by freudandfashion
Finding Balance

{McDowell Sonoran Preserve, Scottsdale, AZ}

During my stay in Arizona, I was fortunate to reunite with friends from my residency training program and was especially excited to spend time with one of my closest friends from medical school.  One of the subjects we talked about most was the struggle to obtain or achieve work/life balance.  Balance and avoidance of burnout is essential for overall emotional and physical health.  Burnout has been shown to be more prevalent in medical students, residents, and early career physicians compared to the general U.S. population.

My life is much more balanced than it has ever been, and I believe the biggest barrier towards accomplishing this in the past was the perceived lack of time as an undergrad, medical student, and psychiatry resident.  I emphasize the word perceived because I truly believed that sacrificing my personal life for the sake of my future career was well worth the burnout.  Well, by choosing to become a physician, yes, an immense degree of sacrifice is required.  If I failed at any point in the process, would I have been upset?  Hell yes!  And I actually did almost fail because I put so much pressure on myself to do well that my anxiety sky-rocketed and impacted my test-taking abilities.  Therefore, my scores were in no way reflective of the amount of time I spent studying, which really sucked (no need for a more formal term for my emotion; “sucked” pretty much sums it up).  At that point, I broke down, cried, and told my parents that I wanted to quit medical school.  And it wasn’t until then that I realized they didn’t care which profession I chose — they just wanted me to be happy.  What a huge relief!  All this time I thought I’d dishonor my traditional Asian family if I didn’t become a physician.  Suddenly, at that moment, the weight and pressure to please my family lifted.  I felt liberated.  However, the remaining pressure I possessed was the pressure I placed on myself because I didn’t know of any other way to approach life while working towards my medical degree.

Looking back, if I had the opportunity to offer my past medical school self any advice, I’d tell her the following:

  1. To sacrifice a few hours of studying a week in order to instead go out and do something enjoyable to enhance personal growth and interests.
  2. To be less self-critical.  Little does she know that she’ll be just fine if she doesn’t graduate from the most prestigious, academic medical school or get accepted into the most renowned residency program.
  3. Just try your best and don’t beat yourself up in the process.  After all, one of the top 5 things people regret most on their deathbed is “I wish I hadn’t worked so hard.”  I definitely know that I’d never say I regret not working or studying more.  Simple activities, such as enjoying nature and going on hikes, are far more memorable in my mind compared to the insomnia I experienced trying to squeeze in last-minute studying for a histology exam.

March 17, 2015 7 comments
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