Idealism in Social Work
I found a paper I had written for my undergraduate social work degree. In it, I alluded to the fact that I wanted to change the world. My idealism was prolific throughout the paper; however, my vision of how I fit into the world may have been a tad skewed.
Interestingly, I am not the same professional in social work that I was when I began this journey many decades ago. Furthermore, I am not the same person. Personal experiences, professional encounters, and traumatic cases have provided me with a new outlook on how I view our profession. Looking back at the time that paper was written is almost embarrassing. I wonder if I truly helped my client’s or rendered them dependent upon me.
Social Work Goals
As a social worker, I have always made it a point to be more personable and open. I worked hard to break the stereotypical vision that most people appeared to have of the white gloved woman going through your house and looking for things you have done wrong. I focused on what was going right and after I earned some trust, we could go into what wasn’t working so well.
There is such a fine line between enabling and empowering our clients and that line is often drawn in the sand. Additionally, that line appears to be always moving and being redrawn. As a young social worker, my goal was to “fix” everyone and every situation I was called into. I didn’t want anyone to suffer, nor did I feel accomplished unless a problem was solved. Only once the issue was taken care of, was I comfortable leaving the people involved.
Enabling or Empowering?
As the years progressed and I gained more experience, I learned how damaging enabling a client can actually be. While in the short-term those identified problems may have been taken care of, there were no skills learned by the client during that process. Once I was removed from the case, the same issues were likely to return, leaving the client in the same situation as they were when I entered.
Listen, I get it. It feels good to help. It feels good to be needed. However, when we solve every problem for our client, we are meeting OUR needs, not theirs. The client may be grateful and express themselves as such, but who did we actually help? Who’s needs were fulfilled?
In social work, our jobs can be diverse. Many of us went into the field because of our personal experiences and many of us are very good at what we do. At some point in our career, there must be a defining moment where we see the clarity of our responsibilities. If we are continuously enabling our clients, we are not working for them, we are working to meet our own needs.
Check Yourself as a social worker
It is our responsibility to draw that line in the sand. We are the social work professionals. We were brought in to meet the needs of a client, not meet our own needs. It is our job to continuously monitor ourselves so we can meet the needs of our client’s. It is our job to empower our individual client’s in order they do not need us anymore. And don’t forget to take care of you, my friend.
Ugggg…what a fuckin nightmare. It is different for everyone, yet no one really understands what it is or where it comes from.
I have experienced anxiety since I was a little kid, however, I didn’t understand that was the underlying condition. I could (and still can) rationalize it away. Like most kids, I would be afraid of what was under my bed, or what could be lurking in my closet. However, I took it a step further and began to unplug every electronic device in my room, so a fire would not emerge. Futhermore, I would be afraid when my brother ate alone, because I didn’t want him to choke. Additionally, there were days I went without eating because I was sure I had a lump in my throat. It took the doctor telling me I was fine before I ate some real food (therapist friends, analyze that one, I have).
What you see is not what is happening
Perhaps the biggest and most creative thing I pulled off was the following: One day I was playing in our attic, (which also kind of became a toy room, as it was a small room off directly off of my bedroom)…I discovered we had rat poison in there and I freaked out. From that point on, I would not touch anything from the attic as I associated it with that poison and was terrified I would become poisoned. I associated the rat poison with harm to my own person.
Eventually, this manifested into me my touching my food and I even made a game at the school lunch table…I wanted to see who could eat without touching their food. I can’t remember how long this went on, but even as an adult, I can remember how strong those feelings were and how I was sure something bad would happen if I couldn’t control my surroundings. Side-note: I am pretty sure I never stepped foot in in that attic again.
Often, anxiety stems from a lack of control of your world. It’s no secret that life is chaotic and as a child who needed structure, I began to internalize my anxiety, often leading to racing thoughts and dysfunctional though patterns. I would begin to doubt my worthiness, or I would begin to exhibit Obsessive Compulsive Disorder behaviors. I wondered why God didn’t love me enough to protect me from the things that were happening around me.
As I grew into a teenager, those OCD behaviors manifested. I would draw crosses on my homework, or I would feel the need to avoid certain foods, drinks, or places for fear of something bad happening to me. Little did I understand that I was creating my own little world of negative thinking and fearfulness.
I was typically home alone from the time I got home from school (when I attended) to when I went to bed, leading me to be terrified of something happening. To ensure I would know if anyone ever entered my home and to feed into my OCD, I would place all of our throw rugs a certain way. If they had been moved, I would know someone had entered my home. I remember one day I arrived home from work and saw the first rug scattered by the front door…as I walked trepidisciously through the large, two story home, each rug was moved…I was so fricken terrified that I ran out the front door, only to discover, my best friends parked down the street laughing at me.
I knew my brain was wired differently, I just didn’t know how to handle it. I did the best I could to control those thoughts, but it was exhausting. This once A student and pretty good athlete began to fail classes and lose interest in sports. I began to self medicate with alcohol as it would numb my senses. I slept more. The cycle began and contrary to my own interference, the guilt, self loathing and anxiety continued to increase.
Looking back, the adult me wants to hug the child me so tightly that little me understands she is not alone. This was during a time period when my parents were either working or not home and my brother was trying to figure out his next chapter. I was the lost child. The one that drifted just under the radar and did enough positive things to walk the line. I needed help, but even I couldn’t recognize that, nor could I ask for it. And when I did, or when it was offered, I was not the easiest patient to work with.
Anxiety looks different in everyone
The grown up me looks back and recognizes my delinquent behavior for what it was…anxiety and depression. I was begging for attention, regardless of positive or negative. My interactions with adults were minimal, as my dad worked nights and I didn’t live with my mom. My teachers saw very little of me, as I only attended school sporadically. When I was there, I was apathetic and/or disrespectful.
There is a saying “All it takes is one person to believe in a child for them to be successful.” Fortunately for me, I had a teacher and an associate principal who both saw past my emotional walls and believed in me. I pushed them away and I definitely tried to maintain my boundaries, but they prevailed, and because of them, I did graduate from high school.
Adult versus child perceptions
Conversely, the other thing the grown up in me can see is that my parents were doing the best they could do. Divorce is devastating for all involved, no matter what steps brought a family to separate (I could write another piece on this). We can question the why’s and the why nots, but at the end of the day, we can’t change anything. It’s really fuckin hard to parent when you are struggling to take care of yourself, trust me, I know this for a fact.
Grant yourself GRACE, my friend. I am.
just call me, anxiety girl
Seniors and suicide
According to the American Association of Marriage and Family Therapy, “seniors make up 12% of our population but are 18% of all suicide deaths”. This study was created pre-covid. And while the statistics are yet to be available, I would expect these numbers will rise drastically as our oldest community members continue to live in isolation.
In the state of Nebraska, suicide is the 7th leading cause of death for ages 55-64 and the 18th leading cause of death for those over 65 (Suicide Facts and Figures, Nebraska 2020). Additionally, Census.gov reports that 14% of Nebraska residents are seniors and 30% of them are living alone. That leaves a high percentage of that 70% residing in long term care or assisted living facilities. And due to Covid 19, the majority of those facilities are on lockdown.
What Lockdown Looks like
If you have ever been to a senior community, you know that community is the key word. We expect a sense of community, interaction and activity. Now due to Covid 19, you are often met with a stifling silence. The new normal upon entering a facility is:
- Document on a questionnaire your current symptoms.
- Take your temperature and record it.
- Don a mask.
And this is just for those who are able to enter. Since March of 2020, essential workers are the only people who are permitted into these facilities.
Staff suffers too
I’ll be honest as my heart hurts for the administrators and staff. They are in these positions out of true love and respect for the people they work. They are taking this personally and are going above and beyond to be more on on the floor and interacting with the residents.
However, that doesn’t take the place of family visitation. In many cases, our seniors are quarantined in their rooms, looking at the same four walls daily. Visitation with family is done through a window, each placing their hands on the respective side while hiding the tears that are forming. Phone calls have taken the place of physically hearing a loved one’s voice. And hugs are no longer allowed.
During quarantine communal meals have been deemed unsafe, so they miss their dinner companions. There are no more Bingo tournaments or community sing alongs. They can’t meet a friend and work on a puzzle together, nor can they do group crafts. The lack of connecting with others can lead a normally “emotionally healthy” person into situational depression.
What Depression Looks like
Depression looks differently in an aging loved one. As many of our seniors also suffer from memory loss and/or dementia, they truly have no understanding of their current situation. This creates additional stressors on both the individual resident and the staff.
A person who once enjoyed activities may now show no interest in t hose activities. They may refuse to color, put together a puzzle or or even participate in physical therapy. Their appetite begins to decline and there is little interest in a favored dessert. A once smiling person may become tearful and express a loss of hope and/or a desire to not go on.
While they may not have a plan to end their life, their overall hopelessness has taken over any shred of their current situation changing. As the time slips by, so does their physical and emotional strength. They present as angry, withdrawn, and are failing to thrive.
What you can do
Realize the effect that Covid 19 is having on this lost population.
- Recognize a change in bevior in a loved one and report it to their respective caregivers. Don’t minimize the overall impact of this pandemic.
- Be honest when talking with your family member and acknowledge how hard this is. Often we try to protect or fragile family members and they may misinterpret your apathy as a disregard for their situation.
- Make an effort to communicate. Make the call, send the letter or the text. Let them know you are thinking of them.
- Send them a care package of their favorite items. Many who are used to doing their own shopping are now unable to do so and are missing having the things they love around them.
- Send notes, cards and drawing to a local facility and let them know the outside world cares.
Recognize that your loved one is grieving. They are grieving the life they once lived. Yes, it is hard to be around them when they are feeling so hopeless. This is about providing hope in an unprecedented time to someone who desperately needs a thread of hope to cling to. And for the unknown future, this is our new normal.
Thoughts? Share with us your experiences with this situation. Email me at:email@example.com.
Parenting Moment Pause
At the age of ten, my child is such a character. He is funny, kind, and continuously makes us smile.
When I was ten, I was a fantastic student and a people pleaser, if not a tad bit of a brat. It was at this age that I learned that death is real. It was the summer heading into 5th grade when two of our neighborhood boys were killed in a motorcycle accident. To this day I remember where I was when I heard about it. I was with my best friend and we were babysitting her niece when her parents and aunt came and broke the news.
These friends were also her neighbors and the reality of what had happened was crushing. We would never be the same and our childhood innocence was shattered. Watching our friends parents grieve and watching the community come together to support them was incredibly overwhelming and our childhood minds didn’t realize these moments would stay with us forever.
I want to preserve that innocence in my ten year old for as long as possible. Has he experienced death? Yes. That’s unavoidable. However, as a parent, it is my job to also instill hope, love, and grace.
As I look at my oldest child, I see myself at that same age learning that families don’t always stay together. At 12, my parent’s divorced and life as we knew it was changing. Looking back at that situation as an adult, I see things so differently than I did as a child.
At 12, I took an amazing trip across the country with my brother and my father to celebrate my brother’s graduation. The memories are priceless and still make me smile. For example, crushing my brother at Circus Circus in Las Vegas and him accusing me of cheating ( it sucks when your little sister can kick your ass at the water guns).
Unfortunately, the return home was awful. First my dad moved out, then they traded spots and my mom left. Dad worked nights, so I went from having someone home with me constantly to coming home to an empty house and putting myself to bed. While my brother was there he was living his own life and moving toward his own goals.
At 12 I began parenting myself. As I look at my beautiful 12 year old hormonal son, I can’t imagine him having that responsibility. Granted, there are times he probably would love to be on his own, however that isn’t a choice he is developmentally able to make.
As a child, I was grief-stricken by these events. As an adult, I can look back and recognize the events that forever imprinted my life. As a parent, I can’t imagine the pain my parents and the parents of our friends were going through. “be kind, for everyone you meet is fighting some kind of battle you know nothing about” is one of my favorite quotes and I still believe this to be true. We are all hiding behind our smiles and putting our brave faces on for the world.
As a parent, I have experienced my share of grief and I have tried to shield my children from the crushing affects of it. That doesn’t mean they have not seen my cry, for they have. They have lost their beloved pets, uncle and grandmother and they know the circle of life.
And as their parent, I want to protect their innocence. I want to shield them from the ugliness of our world, however that may look. But, as their mom, my job isn’t to do that. It is to equip them and empower them so they can handle whatever comes their way. God help me in doing that. There is a reason they say it takes a village…
Just remember, my friend that we are all doing the best we can at any given moment. Let’s practice grace, not only with one another, but with ourselves as well.
The Lion King
Remember watching the movie and listen to the song, “The Circle of Life” and the celebration that ensued with the birth of the baby? And who didn’t cry with Simba’s father died? I know I am a bawling mess every time I watch that show. there is a part of me that wishes real life was more like cartoons though, as they seem to quickly move through those tough emotions.
In real life, those emotions don’t move that quickly. They ebb and flow, allowing us to feel focused one moment and utterly drowning the next. believe me, I understand why Simba disappeared into the unknown to be alone and refused to come back to what he knew. There are so many emotions vying for control. Guilt, grief, anger, sadness, joy and then they all start to mess together until we are not sure what we feel anymore.
Four years ago we unexpectedly lost my brother. I am still grieving and sometimes that hurt hits as and feels as though I have been gut punched. In the time following, our family lost a well loved minister, two beloved uncles and my mother’s partner. Last year my mom passed. Additionally, my immediate family lost two loving dogs, which also sucked.
For four years, I have been on the fuckin roller coaster of living and loving and crying and grieving. There have been times where I have been truly paralyzed by grief and there have been other times where my motivation to live was overpowering.
Grief doesn’t come with a handbook (ok, maybe a guidebook)…but one size does not fit all. For me, as I struggled, being a mom was my foremost goal and I while I wanted to keep a sense of security for my kids, I knew there were days that I just wasn’t present. Putting a smile on my face while talking to my loved ones about their own losses was so terribly hard. Keeping the consistency of a somewhat schedule and getting the kids where they needed to go kept me focused for short periods of time.
June has some tough anniversaries for my family. First my brother and more recently, we had our mom’s first anniversary of her death. Sometimes I think the anticipation of the anniversary can be worse than going through the day itself. Honestly, I suck at remembering anniversaries but my mind and body seem to know what’s going on, even when I don’t.
The best unsolicited advice I can give anyone reading this is the following. “be gentle with yourself”. Grief can come in like a fricken hurricane, go into a wave pool and return to a level five storm before we even know what we are dealing with. I now there were so many times I was figuratively getting ready to dip a toe into the water and BOOM, I was fricken sinking into the deep end.
It’s time to live
I know one thing. My brother would be irritated with me for not stepping up and taking life by the wings. He was a live in the moment type of guy and I remember him always falling asleep in his recliner because he ran himself ragged. While my mom’s body just wore out. She never recovered from the death of my brother, and especially the death of her other half, Ray.
She was done and her body was done. Thus the circle of life was complete.
Both of them taught me that life is meant to live. So challenge yourself today to take a new route. Step out of your comfort zone. Share those compliments you keep in your head. After all, sometimes tomorrow never comes…and what will your legacy be?
You Are Always So Positive
A friend recently reached out to me for some support and in her opening sentence, she stated “you are always so positive”. I took a breath and told her that I am really not always positive.
And I really am not.
The positive posts I make on social media are often those that resonate with where I am in my own emotional health. My hope is that if I can get a positive feeling from them that others may also. I work hard on feeding my mind positive affirmations so that they may take hold of my anxious thoughts.
I have doubts
Self disclosure…I have always had low self esteem. Well, that’s not entirely true. As a child, I believed I could do anything and be anything that I wanted. I excelled at school, creative writing and sports. However, I did struggle from severe anxiety. Even as I excelled, I went to bed so fearful of our house having a fire, that I would unplug every appliance that I could. I would be afraid to leave my brother alone in case he chocked while he was eating. The thoughts were exhausting, yet I excelled at school, so know one would ever know.
I still have doubts
As an adult, I have always struggled with the comparison game. Looks, talent, parenting…the competition is always there and I work hard on telling it to get the fuck out of here. As a woman, I know how debilitating the comparison game can be. Today, I can literally feel how damaging that stupid game is. I admit I am blessed that God changed my thinking and taught me to lift others up. Thee is room for all of us in this crazy world.
I truly believe that many of us are doing the best we can and by tearing others down, we are also revealing the deepest and darkest parts of ourselves that we keep hidden. Being an asshole does nothing but let other’s know we are focused on the wrong parts of ourselves.
The struggle is real
“Be kind, because everyone you meet is fighting a battle you know nothing about” is my favorite quote. I have it on my wall and I focus on it regularly because it reminds me that we cannot see what’s happening behind the shy smile of the new mom. We tend to judge the stony faced woman and make an assumption that she thinks she is better than we are. When is reality, she is terrified to be in a public place with no friends for support
We admire the strong muscles of the woman working out next to us and have no idea that she has struggled with body image since the age of ten. We look at the artist who is standing at her gallery with a huge smile, not knowing she is terrified of being judged.
We watch the mom carry her screaming toddler out of the store and immediately think she needs to get control of that kid (this one was me). In reality, all we needed was another mom to share the understanding…seriously, we have all been there.
I work out in order to give that energy somewhere positive to go. I continually refocus my thoughts and remind myself that I am worthy of being happy. It is the reason I need to spend alone time after a large gathering, or I may not accept an invitiation. Trust me, I want friends and I want to be invited. However, sometimes I let those crazy ass thoughts overpower me and I just retreat.
So, am I always so positive?
NOPE. Negative. Not even close.
But I am a work in progress and I believe we are stronger together in this battle. To my tribe that continually lifts me up, thank you. I love you more than you will ever know and thank you for sharing your light with me.