Signs that the school year is coming to an end

5/23/2013

54 Comments

I recently began volunteering with a great organization called Bite Me Cancer. Bite Me Cancer was created by Nikki Ferraro who was diagnosed with thyroid cancer in April 2010 when she was seventeen. Nikki wanted the foundation to specifically support teens with cancer since she found this population to be underserved when she was diagnosed. She also wanted her foundation to raise awareness and research funds for thyroid cancer as it is the fastest growing cancer in the United States. In April 2013, Bite Me Cancer had already raised $50,000 to support a 2-year research grant for thyroid cancer.

When Nikki was in the hospital she received a few gifts from nonprofit organizations consisting of items like stuffed animal and crayons. Although grateful for the thought, she didn't find that this suited her needs or those of other teens. As part of Nikki's mission, she has created the Teen Support Bags Program that she calls "A Bit of Bite Me Cancer". Through donations and fundraising, Bite Me Cancer is creating and distributing support bags to teens diagnosed with cancer. The bags include items of particular interest to teens such as an iTunes gift cards, a USB drive, a water bottle, a baseball cap, a journal, a stress ball, a Sudoko book and some items with "Bite Me Cancer Attitude is Everything" logo on them.

My role has been to help find facilities that serve teens diagnosed with cancer. I am contacting hospitals and tracking down the correct staff member to help distribute the bags to the patients. I am definitely getting better at my task, but it can be quite taxing to find that right place, person or contact. As I sat this morning weeding through websites, departments and phone numbers I felt a visceral pang in my stomach. Nikki's parents and parents all over the country are searching these sites looking for care for their children who have cancer. The overwhelmed feeling I experienced while trying to find the right contact was nothing compared to what these parents are going through.

I have written about another volunteer endeavor pertaining to pediatric cancers, Make-A-Wish with Gabriella, and read this blog religiously about a boy who lost his life to cancer. The courage and pain exhibited by these kids and parents is amazing. I recently read this post by Lexi Sweatpants, a mom who has a child with autism and a child with Down's Syndrome. She said that she is so tired of hearing people praise her and say things like "G-d knew you could handle this". She wrote "there is nothing fundamentally different about me than any other mother. I am a normal mother in an abnormal situation. I do what I do because I have to, and you would too if you were put into the same situation." These words struck me hard; no parent should ever have to hear the words "your child is sick", and yet they do every single day.

To suddenly become a member of the 'Parent of a Sick Child Club' is devastating; I agree with Ms. Sweatpants, these parents aren't stronger or hand-picked, they put one foot in front of the other and do what they have to do for their children, just like anyone else would do. Nikki's mom, Sharon Ferraro, told me that she heard another parent put her own thoughts to words, "We don’t know how strong we are until we are forced to be that strong.”

I am glad that I can help in some small way. If a teenager in the hospital gets some cool things in a Bite Me Cancer bag because I made a phone call, it is the least I can do.

You can help too. Join me and the Bite Me Cancer crew at the:

Bite Me Cancer Foundation's Second Annual Fundraiser and
"Take a Swing at Cancer"
Sunday, June 9, 2013, 5:30pm - 8:30pm
Dulles Golf Center & Sports Park
(21593 Jesse Court, Dulles, VA 20166)

http://www.bitemecancer.org/take-a-swing-at-cancer.asp

Addendum: I have spent the past two days reading almost every word written about Zach Sobiech. When I wrote this post, I was not aware of Zach, his family or his beautiful music. Now, I can't stop thinking about them. I would be remiss to publish a post about teenagers and cancer on the day of his funeral without mentioning Zach. May his memory be a blessing and may his family find peace. Laurie

Laurie Levine
Bite Me Cancer

5/23/2013

54 Comments

I recently began volunteering with a great organization called Bite Me Cancer. Bite Me Cancer was created by Nikki Ferraro who was diagnosed with thyroid cancer in April 2010 when she was seventeen. Nikki wanted the foundation to specifically support teens with cancer since she found this population to be underserved when she was diagnosed. She also wanted her foundation to raise awareness and research funds for thyroid cancer as it is the fastest growing cancer in the United States. In April 2013, Bite Me Cancer had already raised $50,000 to support a 2-year research grant for thyroid cancer.

When Nikki was in the hospital she received a few gifts from nonprofit organizations consisting of items like stuffed animal and crayons. Although grateful for the thought, she didn't find that this suited her needs or those of other teens. As part of Nikki's mission, she has created the Teen Support Bags Program that she calls "A Bit of Bite Me Cancer". Through donations and fundraising, Bite Me Cancer is creating and distributing support bags to teens diagnosed with cancer. The bags include items of particular interest to teens such as an iTunes gift cards, a USB drive, a water bottle, a baseball cap, a journal, a stress ball, a Sudoko book and some items with "Bite Me Cancer Attitude is Everything" logo on them.

My role has been to help find facilities that serve teens diagnosed with cancer. I am contacting hospitals and tracking down the correct staff member to help distribute the bags to the patients. I am definitely getting better at my task, but it can be quite taxing to find that right place, person or contact. As I sat this morning weeding through websites, departments and phone numbers I felt a visceral pang in my stomach. Nikki's parents and parents all over the country are searching these sites looking for care for their children who have cancer. The overwhelmed feeling I experienced while trying to find the right contact was nothing compared to what these parents are going through.

I have written about another volunteer endeavor pertaining to pediatric cancers, Make-A-Wish with Gabriella, and read this blog religiously about a boy who lost his life to cancer. The courage and pain exhibited by these kids and parents is amazing. I recently read this post by Lexi Sweatpants, a mom who has a child with autism and a child with Down's Syndrome. She said that she is so tired of hearing people praise her and say things like "G-d knew you could handle this". She wrote "there is nothing fundamentally different about me than any other mother. I am a normal mother in an abnormal situation. I do what I do because I have to, and you would too if you were put into the same situation." These words struck me hard; no parent should ever have to hear the words "your child is sick", and yet they do every single day.

To suddenly become a member of the 'Parent of a Sick Child Club' is devastating; I agree with Ms. Sweatpants, these parents aren't stronger or hand-picked, they put one foot in front of the other and do what they have to do for their children, just like anyone else would do. Nikki's mom, Sharon Ferraro, told me that she heard another parent put her own thoughts to words, "We don’t know how strong we are until we are forced to be that strong.”

I am glad that I can help in some small way. If a teenager in the hospital gets some cool things in a Bite Me Cancer bag because I made a phone call, it is the least I can do.

You can help too. Join me and the Bite Me Cancer crew at the:

Bite Me Cancer Foundation's Second Annual Fundraiser and
"Take a Swing at Cancer"
Sunday, June 9, 2013, 5:30pm - 8:30pm
Dulles Golf Center & Sports Park
(21593 Jesse Court, Dulles, VA 20166)

http://www.bitemecancer.org/take-a-swing-at-cancer.asp

Addendum: I have spent the past two days reading almost every word written about Zach Sobiech. When I wrote this post, I was not aware of Zach, his family or his beautiful music. Now, I can't stop thinking about them. I would be remiss to publish a post about teenagers and cancer on the day of his funeral without mentioning Zach. May his memory be a blessing and may his family find peace. Laurie

Laurie Levine
If my walls could talk

5/16/2013

4 Comments

After long days at work I can't have the radio on during my ride home; I need the silence. Ten clients in a row today. Poor planning? maybe, but due to scheduling, it is how it played out. Backing out of the parking spot, my brain starts to process the day and all that was discussed in my office:

Memories of sexual abuse, divorce, psychosis, anxiety, obsessive compulsive disorder, adoption, grief and loss, addiction, anger management, bipolar disorder.

That is a heavy day, and yet, despite the exhaustion, I feel really good. I am making a strong connection with a teen who, a few months back, literally sat in my office for an entire session without saying one word. Through an art therapy exercise, a young woman is beginning to feel some relief and joy. A college freshman looked bright and positive for the first time since I met him a few weeks ago while talking about his new job and plans for summer school. And, I got a big thank you from a woman who sat on my couch this fall sobbing about her recent separation; she is now stable on medication, reunited with her husband and moving out of state.

At the red light on Fairfax County Parkway, I shiverred imagining what would happen if my walls could talk. Like the toys coming to life in Toy Story when the kids leave, are my walls processing all that happens within their bounds?

Days like this can be emotional and wearing, but yet so promising. I have the privilege of witnessing these beautiful transformations. People are often at their lowest when we first meet and then via baby steps, they start to feel less hopeless, perhaps even hopeful as they make their way on to joy. It is so rewarding to be part of this process.

I do hope that my walls appreciate what it is that they get to be a part of, I sure do

Laurie Levine
Mother's or Not Day

5/12/2013

12 Comments

My son informed me this morning that I was celebrating my 18th Mother's Day. If that doesn't make me feel old.......talk to me next month at his graduation.

I remember after he was born that Mother's Day had an entirely different meaning to me. It became my favorite day of the year, not only because it was for and about ME, but those pre-school Mother's Day brunches with the hand made cards and dead dandelions coming home in a painted flower pot were always so sweet and special.

What I really grew to love about Mother's Day was the community feeling I have with all the other mothers in my path. Most of my Mother's Days have been spent in and out of the temple dropping kids at Hebrew School and on the soccer field. Both of those places are swarming with mothers and I love the communal wishing of "Happy Mother's Day" to my fellow mothers.

This year I have been thinking a lot about the women that are not currently mothering either by choice, or by many unexplained phenomena that are preventing the opportunity to mother. I know women that are unable to get pregnant, who haven't found a partner with whom to parent or who are waiting for a child via adoption. I also know too many women that have lost children either during pregnancy or after a their child has been born.

I read this blog post (http://nomoretomorrows.wordpress.com/2013/05/11/for-the-mothers-who-are-but-arent/) from a woman who lost a child in utero and it brought tears to my heart. I also read this post called "Dear Moms of Adopted Children" (http://www.kathylynnharris.com/dear-moms-of-adopted-children/). I saw photos posted of friends and their moms who are no longer living and many photos of friends with their moms or of grandma's and their grandchildren. While this day is joyful for many, it can also be painful and stinging for many others.

A friend posted this on Facebook today and it couldn't be farther from the truth:

"Living across the country from my family, I've come to believe that it really does take a village. I am blessed to have so many friends who are willing to help care for my kids and keep them in line. Happy Mothers' Day to my village and to all my friends, nearby and far away. Today we honor all women who guide our children, whether or not they are mothers in the literal sense. Enjoy your day."

I've been thinking about all of the women in our community that give so much love and support to our kids; some are mothers, some are not. I know many women that are aunts and that love their nieces and nephews as much as their mothers do. Often the aunts make for the better playmate/confidante/partner-in-crime because they are exactly that: NOT the mother. I think about all of the women that take care of our kids while we go to work; day care providers, nannies and au pairs - WHAT WOULD WE DO WITHOUT THEM?

What really used to be a Hallmark holiday has, with the help of social media, become a much written about, posted about and/or tweeted about day. Whether it was sweet, sour or bittersweet for you, I wish you joy in this moment and the knowledge that tomorrow we ALL go back to the drawing board: work, laundry, meals etc.

Laurie

Laurie Levine
Avon Breast Cancer Walk

5/8/2013

18 Comments

I have just completed the Avon Walk for Breast Cancer for the third year in a row. It is a two day walk that covers 39.3 miles (a marathon on Saturday and a half-marathon on Sunday). The Walk starts at the Washington Monument on the Mall in Washington DC and continues for 26.2 miles throughout the streets of the district finishing at a park turned into the Wellness Village in Chevy Chase, MD. The next day we leave the Wellness Center and walk 13.1 miles back to the Mall. Each of the over two thousand walkers commit to raise $1800 to go towards fighting breast cancer via research and treatment for those who are uninsured.

The months leading up to the Walk require a great deal of preparation. My team, The Reston Rack Pack, comprised of ten women, trained on a regular basis. We met both days of most weekends early in the morning. We are intimate with every crack on the W&OD trail, the location of each port-a-pot in Western Fairfax County and know the mileage between Reston Parkway and most large intersections within a ten mile span. We also individually and as a group worked to raise our mandated $1800 to participate in the Walk; we raised a total of $26,262.85 which went towards the 4.5 million dollars raised by the DC Walk this year.

On Walk Weekend, we first congregated downtown Friday afternoon to check-in to the hotel and attend Event Eve. At Event Eve we finished any last minute registration, shopped for more pink accouterments and took in the scene; a bustling of Avon staff, volunteers and walkers all excited to be together and work towards eradicating breast cancer.

We got to the Mall in the wee hours of Saturday morning and following an Opening Ceremony were walking by 7:15. We were blessed with beautiful blue skies and perfect temperatures. It is so great to walk through the streets of D.C. and have the opportunity to see so many wonderful sites on foot; one of my favorite moments is walking with thousands of people in pink along the Mall towards the Capitol.

There was so much support along the way. The official Avon Crew are committed to helping the Walkers; they act as crossing guards, work the water and food stations and support us along the way via motorcycles, bicycles and vans. There were also hundreds of people cheering us on at every corner, neighborhood and rest stop. Oh, and the horns; I may have lost some hearing in my left ear from the blasting car horns of passerby's cheering us on and showing their support.

It takes a long time to walk twenty-six miles. Think of the thousands of conversations that are had. I met tons of really great people along the way. Three juniors in high school were walking for their first time each on behalf of different friends and relatives that have been touched by breast cancer. I met a team of women from West Virginia who helped us make up silly country songs while walking through Penn Quarter and I saw a mom and her son walking in memory of their daughter/sister lost to breast cancer. We have all been touched in one way or another by this horrible illness and it is evident throughout the Walk. Photos and ribbons and signs remind us of those who are fighting, surviving or have lost their battle with breast cancer.

On Saturday, I finished at about 5:00; there were people finishing hours before and after me. It is not a race, it is a Walk and no matter what time we cross Mile 26 on that first day, it is a huge moment for celebration.

We had dinner at the Wellness Village and some of our team members tented there, while many of us (yes, that would be ME) took the buses provided by Avon back to the hotel for the night.

Sunday morning, reverse and repeat. Buses back to the Wellness Village, breakfast and walking by 7:30.

This was the first year that I was blister free; Sunday morning can be very difficult for many. Blisters, sores, and muscle pain can make for a painful thirteen miles, I have SO been there. This year, though, I felt great. The thirteen miles back past the Washington Cathedral and down Embassy Row were beautiful and fun (and just a tad bit silly as our decorum begins to disintegrate into mindless humor for the last several miles). And, I must say, once you have walked twenty-six miles, thirteen is a breeze.

I have yet to cross the finish line on the Mall without shedding tears. It is so emotional and fulfilling. There are tons of people cheering us the whole way and especially at the end. They thank us for walking and we thank them for their support; neither could happen without the other. After our finish, I had the honor of seeing many other teams and individuals cross the finish line with tears and hollers. I know they are walking for loved ones, I know they are missing their moms and friends, I know that we all want an end to this beast that is cancer.

Thank you for indulging me and reading about this wonderful experience. I could not have done it without the amazing women on my team or without the generous donations of many of you.

Laurie Levine
Happy Anniversary

5/1/2013

8 Comments

One year ago today it began.

I had researched and thought and wrote and debated. I had talked the ears off of all my colleagues. I had drafted forms and paid for all kinds of official documents. I found an office to rent and painted it with my friends. I had bought furniture and hauled it around and put it together and then it was time.

May 1, 2012 I began seeing clients in my new office. The space was beautiful and the clients were magnificent. Most of my clients from my old place of employment joined me in my new spot. I knew them, they were familiar with me and my work and they were only too gracious to continue working with me even if it meant driving a little farther to get to their appointments.

Enter: The SQUARE. Throughout all my research and driving my colleagues crazy consulting with my peers, I learned that the Square was one of the most affordable ways to accept credit cards. It is a tiny little, uhm, square thing that plugs into my phone. I can swipe a credit card and voila, get paid. It is really cool the way it has clients sign on my phone and then sends the receipt directly to their email WHEN.IT.WORKS!

On day one, I am pretty calm and collected despite this huge new endeavor. After seeing my first client, I pull out the Square. The good news is that I know and am comfortable with the client because the bad news is, the Square doesn't fair. I swipe and swipe and swipe....sweat starts building, my heart starts beating and I am moving into panic. In that moment every anxiety, worry and fear that I had about this new business venture was directed on.to.the SQUARE.

In some ways it was really perfect. The anxiety had a place to go. I was never concerned about my clinical work because I had been doing it for years, that part was simple, the business part was new and scary. Forms, billing, marketing, these things had my in a panic, but sitting with my clients in my new and beautiful office was just fun. At the end of many of those first several sessions, though, I knew I had to accept the payment. I often would subliminally think "check, check, check", but most of my clients (like me) would pull out the plastic and I would begin to get nervous. Would it work this time?

I have had a fabulous year. I can honestly say that I have not had a bad day at work, not even once. I have been blessed with new clients throughout the year via marketing, referrals and just good grace. I am also lucky enough to still be working with some of the clients that came over with me a year ago.

As for the Square. It continues to be my nemesis. We have a love/hate relationship. My clients know the tricks; one client advises me to swipe quickly twice, another thinks his daughter has the magic touch so she gives it a whirl, we all know that I stand by the window hoping for better service, and many have seen my dance to the Square G-ds. The good news is that my panic has subsided, all that initial anxiety is gone and the Square is just a finicky little gadget that has helped me tremendously.

I can not thank you all enough for your wonderful support and encouragement throughout this very special year. Let's raise a glass to many more therapeutic, fun, helpful and productive days at the office of Laurie Levine LCSW LLC

Laurie Levine
Work in Progress

4/24/2013

4 Comments

I remember when I was in my mid-twenties, had just received my Master's in Social Work, and was working at my first job with the Prince William County Department of Social Services. I worked for a special grant program in the foster care department. I had a supervisor that had been at the agency for decades and I remember meeting with her about one of the families on my caseload. She was advising me on how to proceed with the family and I thought, while sitting in her stark government office, "how will I ever know what to do?".

At that point I was feeling a bit confident about the intake session, that first appointment when you meet a family. It was straightforward, fairly prescribed and basically just gathering information about the family, getting history and demographics. I didn't think I could mess it up that badly. What was supposed to transpire in the subsequent sessions terrified me. There were treatment plans to be written and decisions to be made about how to help the family, what services they needed and the idea that I was supposed to provide some kind of counseling? I.WAS.PETRIFIED.

Fast forward twenty years.

Last week a couple came into my office. Within the first thirty minutes of the intake session I had diagnosed each partner, assessed the faulty dynamics of their relationship and had a plan in my head as to how to proceed. Each client isn't always as simple to assess, but I have continually been amazed at how I have learned, grown and developed as a therapist over the past two decades.

I don't always do it right; I have clients disagree with me, get angry and even, yes, fire me, but overall I feel like I can get beyond the first intake session without crumbling into my own panic.

I have worked with certain clients for a period of months to years. Not only have I witnessed them change, grow and heal, but I have been able to see my patterns and skills improve as I work with these clients on a regular basis.

I have shared in other blog posts about my peer supervision group. These are the women that hear the panic; when I have a difficult client, or one of those "OMG I DON'T KNOW WHAT TO DO NEXT" moments I can't call them fast enough. We have spent hours processing cases and guiding one another with clinical advice. The good news is that I have many more "Ah, that was a great session" moments than the aforementioned sessions, but when I am faced with a difficult case, it is so nice to have these talented clinicians with whom to consult.

I am not writing to toot my horn. I am simply writing because I have these moments that I realize, "I know what I am doing" and it makes me giggle. I can still picture that young woman in her supervisor's office in the early 90's, what a long way we've come.

Laurie Levine
Boston

4/15/2013

8 Comments

My sister called me early this morning, giddy, excited and chatting enthusiastically before I had my coffee. She had just gone for a run (another thing I hadn't done) and was totally pumped for her favorite day of the year: The Boston Marathon.

We grew up on the Marathon, either standing on Comm Ave, or somewhere in Wellesley or Newton. In 8th grade I remember riding out to Hopkinton to take my dad to the start of his Boston Marathon moment (the moments turned into 4+ hours, but who's counting?)

When I learned today what had transpired in Boston, my heart sank. How could there be a bombing on my sister's favorite day of the year? How could this celebration of months and months, miles and miles of training be detonated in such a way?

This annual tradition is forever changed. Like our airports, our schools, and our public venues, our races will now be affected. It hurts to know that our kids are growing up in such a different world.

Be safe, hug your peeps, and DON'T MESS WITH BOSTON, we are one tough group.

Laurie Levine
Back to the Rat Race

4/1/2013

5 Comments

Many of us in Northern Virginia heard our alarm clocks for the first time in over a week this morning. After a slower paced spring break we are back to the school buses, packing lunches, homework and shuttling around from one practice to another.

It was so nice to let go of the schedule for a bit. We slowed down, slept in, travelled and played. The kids seemed lighter, slower and relaxed. Many parents that I know took the week off from work, or at least a couple of days. Throw in Passover and Easter to the mix and it's been one big party (well, mostly, unless you observe the Passover dietary rules which is an entirely different blog post).

Last night as we sat around the dining room table for the first time in over a week and ate a home cooked meal, we were laughing and being silly with an edge of "it's time to get back to normal". We had spent MANY hours together, in the car and at meals and in a hotel room, there had been little alone time and we just might have been starting to rub each other the wrong way. My big announcement was "in the morning, everyone is going to leave". One kid rolled his eyes dreading the school bell while another one was somewhat relieved to get back to school and his friends and the routine.

There is something to be said for routine. We depend on some sense of normalcy and patterns. Despite the monotony of it, our kids do thrive with a schedule. I work with a family whose father defied all routine. He wouldn't adhere to meal times, bed times or a homework schedule. The kids were suffering; they fell asleep in class and were struggling academically. With the help of many professionals, this dad began to implement some routine into his daughters' lives and they are doing much better. With a good night's sleep and a consistent schedule the girls (and all of us) perform better in our daily lives.

Flexibility is key; a night out once in a while or breakfast for dinner in front of the television on occasion, but overall, spring break or not, routine is a good thing. Our bodies crave it as do our minds and souls.

As we get back to the grind, keep this in mind while we are rubbing our eyes from lack of sleep and cursing the traffic, there is something to be said for getting back on that hamster wheel.

Laurie Levine
Balancing the Helping Hand

3/14/2013

2 Comments

I met with three different women last week each of whom was concerned about her mother. One of my clients was in her mid twenties, another in her mid thirties and the third woman was in her early forties. Each of them are worried that their mothers aren't doing enough in their daily lives. They worry that their moms are isolated, don't get out and don't have peers or interests. Two of the moms have husbands that work during the day and the other mom is living alone. My clients each came to me with personal issues and struggles, but this one week they all happened to be discussing their moms.

I was thinking about how much each daughter should encourage, urge or interfere in her mom's lives. What is the right balance? One client was attending a workshop and her mom came along, another was joining her mom at worship services. The third has been an integral part in her mother's 'new normal' of adjusting to living alone. The one who was attending church with mom began to feel badly when she wanted to explore some other spiritual options; she was torn between meeting her own needs and meeting the needs of her mom.

As a therapist, this is an interesting dynamic to witness. My client is my interest; my job is to provide the tools for my client to feel better, achieve her goals and find calm and joy in her daily life. I hear about, in this case, their mothers and have new concerns and empathy. Would we call this a client 'once removed'? What happens when what is best for my client may be in conflict with what is best for the client once removed?

The twenty-something woman has recently moved into her first apartment after years of schooling. Her mom is struggling with her baby becoming an independent adult. My client feels torn between having dinners with her mom and taking care of her own social needs. I help my client with her boundaries; encourage her to take care of herself, live her new 'adult' life and nurture her independent relationships. Is it my client's role to fill her mother's emotional needs? Not necessarily. In a perfect world, the 'client once removed' would begin her own therapy to empower herself to make changes to become personally fulfilled without tugging at her daughter to feel complete.

Three weeks ago, the client in her early forties was so worried about her mom that she asked if she could bring mom in to her therapy session. After talking about the pros and cons and discussing all confidentiality needs, we agreed that this would be an appropriate move. The next week, they both came to the session. At almost eighty, mom was full of life; proud and in charge and chatty as could be (unless I asked her something that made her uncomfortable or was too close to a real feeling. She repeatedly told me that in her day one didn't go to therapy except for one person she knew who had a "breakdown"and was taken to the "sanitarium"). Mom insisted that she was happy, enjoyed her television shows and socializes when she gets her hair done and with the people at her favorite restaurant that she frequents up to three time a week. The following week my client/her daughter came back for her session. She said that she had "let go"; hearing her mom talk with me had convinced her that mom was going to call the shots. As much as my client would like for mom to get out more and have some friends, she was letting go, it wasn't her call to make.

Last month a friend's mother had surgery. This morning she was sharing with me how her mom had been doing. My friend was hands-on during the initial time of surgery and recuperation. She has since backed off; "my mom (who is eighty) is very independent and doesn't need me to be hovering". Just recently she told her mom to drive over to her house, she told me "I had to push her for fear that she would be too afraid to resume driving."

As she talked, I had an "aha" moment about this half-written post. There is a time for a dinner with mom and extra visits after surgery, but there is also a time and a need for boundaries. It can be very complicated to set those boundaries for fear of hurting "mom's" (or anyone's) feelings. Taking care of one's self is not selfish, it is self-care. When my clients are giving all of their time and energy over to their moms, they rarely have anything left for themselves. The more they learn in therapy how to take care of themselves, the more balanced and healthy energy they will have to give back to their moms and others in their lives.

Laurie Levine