For When Times Are Tough

I've talked in previous posts (Missed Miscarriage, Yellow Nursery Stripes, April 19, From August to August) about the healing process I went through after my miscarriage - facing the grief and finding the strength to try it all again in pursuit of my dreams.

One thing I did was spend a lot of time finding and compiling facts and quotations I found personally helpful. I started with encouraging statistics and uplifting sentiments that were miscarriage-specific, but as I felt emotionally stronger, my document quickly evolved into one filled with more generic advice - something I thought I might be able to refer to again, for any number of losses (deaths, relationships, career choices, self-doubt, etc.), whenever the inevitable next one happened in my life.

Finding these quotations and organizing them into a love letter of sorts/a how-to guide for myself was very therapeutic for me (and admittedly a very "Ravenclaw" thing to do, so I realize it's not everyone's cup of tea...) It was also likely the process of creating the list, more than the actual content, which helped me most, since it necessitated spending time self-reflecting and prioritizing my mental health. I don't know if I actually will refer to this list again in the future; I might compile an entirely new list instead.

Still, I thought I would share some of the quotations I found (and the structure I organized them into), in case this might help anyone else, too. When I find it hard to accept my own thoughts or truly believe my own words, reading the words that others have written can be wonderfully affirming and invaluable.

An abridged version of the document I created is below. (And yes, the full document I wrote - and am still adding to, whenever I find more quotes that speak to me - really is even longer than this!) :)

***

You're allowed to feel the way you feel. You are allowed to grieve for things you've lost. First, you need to give yourself that time.

Then, when the grief is no longer all-consuming, read this letter to remind yourself that you are also allowed to romanticize, reframe, and transform your pain. You do not have to keep living in it.

Some of these sentiments contradict each others; still others are at least occasionally untrue. They may be things you want to believe, but have trouble actually believing. On days when you are determined to get in the way of your own happiness, that may seem like enough reason to reject them. But remember: something does not have to be an absolute truth to be beneficial.

"You're going to live your life based on delusions (and you are, because we all do)... Why not at least select a delusion that is helpful?" (Elizabeth Gilbert - Big Magic: Creative Living Beyond Fear)

Think of this not as a list of truths, but as a list of useful delusions. And if that is not enough - if at any time your grief returns or you don't have it in you to forge continuously ahead - you are allowed to take a step back and grieve all over again. Grief is not linear. The words below will not always give you comfort. But in those moments when you're healed enough to hear them, they are here for you.

"The time to repair the roof is when the sun is shining." (John F. Kennedy)

This letter is your roof, and you have prepared it so it will be there for you when next it rains. Use it. May these words inspire you, and may its compilation remind you of your foresight and strength. You have outlived grief in the past, and you will outlive it again.

*

Dear Andrea,

Times are tough right now - so tough that you may want nothing more than to deny it or move quickly past it. But first you need to make sure you've allowed yourself to truly feel your grief. Name it. Analyze it. Confront it. Write about it.

• "Numbing the pain for awhile will make it worse when you finally feel it." (J.K. Rowling - Harry Potter and the Goblet of Fire)
• "Of all the things in the world, suffering is the most real. You can never ignore it or doubt it." (Yuval Noah Harari - 21 Lessons for the 21st Century)
• "Research has found that the act of not discussing a traumatic event or confiding it to another person can be more damaging than the actual event... Writing about traumatic experience can produce measurable changes in physical and mental health." (Brene Brown - Daring Greatly)
• "To survive something we first need to know what it is we're surviving." (Miriam Toews - All My Puny Sorrows)

To be human is to grieve, and for better or worse, you are a part of the web of humanity.

• "Every human requires food and water to survive and every human has a heart that bleeds, loves, and grieves." (Suzy Kassem - Rise Up and Salute the Sun)
• "Life isn't pretty / We all get a little wrecked sometimes." (The Veronicas - On Your Side)
• "You are allowed to feel messed up and inside out. It doesn't mean you're defective - it just means you're human." (David Mitchell - Cloud Atlas)
• "Life is a series of losses... We're all terminal." (Kate Bowler - Everything Happens for a Reason: And Other Lies I've Loved)
• "There's always gonna be another mountain / I'm always gonna wanna make it move / Always gonna be an uphill battle / Sometimes I'm gonna have to lose" (Miley Cyrus - The Climb)
• "It if don't hurt now, just wait, just wait awhile / Ain't in fun / Living in the real world" (Paramore - Ain't It Fun)

Life is, at times, inexplicably and inescapably awful. The bad and good in life are permanently tied up in each other. Uncleavable.

• "I've made some friends, and I've lost some too." (Andrew McMahon - Cecilia and the Satellites)
• "You know time will give and time will take." (Phillip Phillips - Raging Fire)
• "I can't reconcile the way that the world is jolted by events that are wonderful and terrible, the gorgeous and the tragic. Except that I am beginning to believe that these opportunities do not cancel each other out. Life is so beautiful. Life is so hard." (Kate Bowler - Everything Happens for a Reason: And Other Lies I've Loved)

You did nothing to deserve this pain. You did nothing wrong. In fact - you're doing everything right. You're hurt right now because in trying to experience all the good that life has to offer, you also stumbled upon the bad. You lost because you were brave enough to try to win.

• "Now we're falling through the ice / We made our bed and rolled the dice / Well every gamble has a price." (Banners - Empires on Fire)
• "Everybody tries to put some love on the line / And everybody feels a broken heart sometimes." (Teddy Geiger - These Walls)
• "The sorrow we feel when we lose a loved one is the price we pay to have had them in our lives." (Rob Liano)
• "What are you passionate enough about that you can endure the most disagreeable aspects of it?" (Elizabeth Gilbert - Big Magic: Creative Living Beyond Fear)

When you love someone or something, you make yourself vulnerable to loss.

• "The course of true love never did run smooth." (William Shakespeare - A Midsummer Night's Dream)
• "Love is uncertain. It is incredibly risky. And loving someone leaves us emotionally exposed." (Brene Brown - Daring Greatly)
• "Where there is desire, there is gonna be a flame / Where there is a flame, someone's bound to get burned." (Pink - Try)
• "I find it bittersweet / 'Cause you gave me something to lose / If you love someone and you're not afraid to lose 'em / You'll probably never love someone like I do." (Lukas Graham - Love Someone)
• "He who loves 50 people has 50 woes; he who loves no one has no woes." (Buddha)
• "Here's the truth: Who is spared love is spared grief." (David Mitchell - Bone Clocks)

But that is no reason not to love, or live.

• "Vulnerability is the core, the heart, the center of meaningful human experiences... To foreclose on our emotional life out of a fear that the costs will be too high is to walk away from the very thing that gives purpose and meaning to living... Living without connections - without knowing love and belonging - is not victory." (Brene Brown - Daring Greatly)
• "When we were children, we used to think that when we were grown up we would no longer be vulnerable. But to grow up is to accept vulnerability. To be alive is to be vulnerable." (Madeleine L'Engle)
• "Love doesn't discriminate / Between the sinners and the saints / It takes and it takes and it takes / And we keep loving anyway... Death doesn't discriminate / Between the sinners and the saints / It takes and it takes and it takes / And we keep living anyway" (Hamilton Soundtrack -Wait for It)
• "Hope that you fall in love / And it hurts so bad / The only way you can know / You gave it all you had." (One Republic - I Lived)
• "If this love is pain, well darling, let's hurt tonight." (One Republic - Let's Hurt Tonight)

If we try to avoid the bad, we will fail to experience any of the good. There is nothing to do but lean in and embrace it all.

• "The world is an ugly place. We must live in it." (Madeline Miller - Circe)
• "If you hide under the covers / You might never see the light of day" (Mary Poppins Returns - Trip a Little Light Fantastic)
• "Numbing vulnerability doesn't just deaden the pain of our difficult experiences; numbing vulnerability also dulls our experiences of love, joy, belonging, creativity, and empathy. We can't selectively numb emotion. Numb the dark and you numb the light." (Brene Brown - Daring Greatly)
• "Action may not always bring happiness, but there is no happiness without action." (Benjamin Disraeli)
• "You are here to risk your heart. You are here to be swallowed up. And when it happens that you are broken, or betrayed, or left, or hurt, or death brushes near, let yourself sit by an apple tree and listen to the apples falling all around you in heaps, wasting their sweetness. Tell yourself you tasted as many as you could." (Louise Erdrich - The Painted Drum)

Practice fearlessness - even when you're afraid.

• "Even when I'm scared I have to try to fly / Sometimes I fall / But I've seen it done before / I gotta step outside these walls" (Teddy Geiger - These Walls)
• "If the highest aim of a captain were to preserve his ship, he would keep it in port forever." (Thomas Aquinas)
• "You have plenty of courage. All you need is confidence in yourself. There is no living thing that is not afraid when it faces danger. The true courage is in facing danger when you are afraid." (L. Frank Baum - The Wonderful Wizard of Oz)
• "I wanted you to see what real courage is. It's when you're licked before you begin, but you begin anyway and see it through no matter what." (Harper Lee - To Kill a Mockingbird)
• "Living a life that is driven more strongly by curiosity than by fear... You have to be willing to take risks if you want to live a creative existence." (Elizabeth Gilbert - Big Magic: Creative Living Beyond Fear)
• "May your choices reflect your hopes, not your fears." (Nelson Mandela)

We can't choose what happens to us when we try. But we can choose to try anyway. And the act of making that choice both forges and proves our inner strength.

• "There are only two mistakes one can make: not going all the way, and not starting." (Buddha)
• "I am not what has happened to me. I am what I choose to become." (Carl Jung)
• "Vulnerability is not weakness, and the uncertainty, risk, and emotional exposure we face every day are not optional. Our only choice is a question of engagement. Our willingness to own and engage with our vulnerability determines the depth of our courage and the clarity of our purpose." (Brene Brown - Daring Greatly)
• "It was the difference between being dragged into the area to face a battle to the death and walking into the arena with your head held high. Some people, perhaps, would say that there was little to choose between the two ways, but... there was all the difference in the world." (J.K. Rowling - Harry Potter and the Half-Blood Prince)
• "The credit belongs to the man who is actually in the arena... who strives valiantly; who errs, who comes short again and again, because there is no effort without error and shortcoming; who at the best knows in the end the triumph of high achievement, and who at the worst, if he fails, at least fails while daring greatly." (Theodore Roosevelt)

Picking yourself up and trying again is a choice you may have to make over and over again. But you can, and you will.

• "Just because it burns doesn't mean you're gonna die / You gotta get up and try, try, try" (Pink - Try)
• "Being defeated is often a temporary condition. Giving up is what makes it permanent." (Marilyn vos Savant)
• "You may have to fight a battle more than once to win it." (Margaret Thatcher)
• "This is how things go. You fix them, and they go awry, and then you fix them again." (Madeline Miller - Circe)
• "It was important to fight, and fight again, and keep fighting, for only then could evil be kept at bay, though never quite eradicated." (J.K. Rowling - Harry Potter and the Half-Blood Prince)
• "Our greatest glory is not in never failing, but in rising every time we fall." (Confucius)
• "I'll rise up / High like the waves / I'll rise up / In spite of the ache / I'll rise up / And I'll do it a thousand times again." (Andra Day - Rise Up)

You will glean wisdom from this pain. It will grow you and deepen you.

• "Experience is the only thing that brings knowledge and the longer you are on earth the more experiences you are sure to get." (L. Frank Baum - The Wonderful Wizard of Oz)
• "Biology gives you a brain. Life turns it into a mind." (Jeffrey Eugenides - Middlesex)
• "It matters not what someone is born, but what they grow to be." (J.K. Rowling - Harry Potter and the Goblet of Fire)
• "People who only have good experiences aren't very interesting. They may be content, and happy after a fashion, but they aren't very deep." (Peter Cameron - Someday This Pain Will Be Useful to You)
• "The goal is not getting comfortable, but normalizing discomfort. We need to cultivate the courage to be uncomfortable and to teach people around us how to accept discomfort as a part of growth." (Brene Brown - Daring Greatly)
• "Don't give in / Don't you dare quit so easy / There is a lot we can learn from this loss" (Snow Patrol - Don't Give In)
• "It's times like these you learn to live again / It's times like these you give and give again / It's times like these / Time and time again" (Foo Fighters - Times Like These)

Suffering brings enlightenment and empathy.

• "The wound is the place where the Light enters you." (Rumi)
• "I had to go through hell to prove I'm not insane / Had to meet the devil just to know his name." (Ella Henderson - Ghost)
• "Vulnerability is the birthplace of love, belonging, joy, courage, and creativity. It is the source of hope, empathy, accountability, and authenticity. If we want greater clarity of our purpose or deeper or more meaningful spiritual lives, vulnerability is the path. (Brene Brown - Daring Greatly)
• "There is no shame in what you are feeling. On the contrary, the fact that you can feel pain like this is your greatest strength." (J.K. Rowling - Harry Potter and the Order of the Phoenix)
• "My own suffering began to feel like it had revealed to me the suffering of others, a world of those who, like me, are stumbling in the debris of dreams they thought they were entitled to and plans they didn't realize they had made." (Kate Bowler - Everything Happens For a Reason: And Other Lies I've Loved)
• "The pain sculpts us into someone who understands more deeply, hurts more often, appreciates more quickly, cries more easily, hopes more desperately, and loves more openly." (Unknown)
• "In order to act morally...you need to develop a deep appreciation of suffering... And if you want to know the truth of the universe, about the meaning of life, and about your own identity, the best place to start is by observing suffering and exploring what it is." (Yuval Noah Harari - 21 Lessons for the 21st Century)
• "Compassion is not a relationship between the healer and the wounded. It's a relationship between equals. Only when we know our own darkness well can we be present with the darkness of others." (Pema Chodron)

You are a block of marble, and pain is the chisel gradually shaping you into the masterpiece that you are. It's good that difficult times are inevitable - because they are also useful.

• "Under this pressure, under this weight / We are diamonds taking shape" (Coldplay - Adventure of a Lifetime)
• "Grief does not change you. It reveals you." (John Green - The Fault in Our Stars)
• "Even if I could [erase your scars], I wouldn't. Scars can come in handy. I have one myself above my left knee that is a perfect map of the London Underground." (J.K. Rowling - Harry Potter and the Sorcerer's Stone)
• "The scars themselves I offered to wipe away. He shook his head. 'How would I know myself?' They suited him. Whoever saw him must salute and say: There is a man who has seen the world. There is a captain with stories to tell." (Madeline Miller - Circe)
• "I am brave, I am bruised / I am who I'm meant to be / This is me." (Keala Settle, The Greatest Showman Soundtrack - This is Me)

Life is built from pain; so use your pain to build the life you desire. Treat this experience as nourishment for your soul and the spark that can light your creative projects.

• "The winter's cold / But the snow still lightly settles on the trees / And a mess is still a moment I can seize" (Gabe Dixon Band - All Will Be Well)
• "You're going to go through tough times - that's life. But I say, 'Nothing happens to you, it happens for you.' See the positive in negative events." (Joel Osteen)
• "I cannot bear this world a moment longer... Then child, make another." (Madeline Miller - Circe)
• "The opposite of war isn't peace... It's creation!" (Rent Soundtrack - La Vie Boheme)
• "Grief needs an outlet. Creativity offers one." (Hope Edelman)
• "Artists crave experiences because that's how they make art." (Whitney Scharer - The Age of Light)
• "Pick up a pen, start writing / I wanna talk about what I have learned / The hard-won wisdom I have earned." (Hamilton Soundtrack - One Last Time)

There is a time in every compelling narrative when things get difficult. Without conflict to overcome, there is no story. It is not easy - but it is worth it.

• "There was only one way to the other side, and that was through the pain." (Vanessa Diffenbaugh - The Language of Flowers)
• "The harder the struggle, the more glorious the triumph." (Unknown)
• "Such narrative arcs make good movies but shitty existences." (David Mitchell - Bone Clocks)
• "I guess the bad can get better / Gotta be wrong before it's right / But still the growing pains, growing pains are keeping me up at night" (Alessia Cara - Growing Pains)
• "You have set yourselves a difficult task, but you will succeed if you persevere; and you will find a joy in overcoming obstacles. Remember, no effort that we make to attain something beautiful is ever lost." (Helen Keller)

Challenging times are opportunities to remind yourself what you're made of, and chances to grow further evidence of your tenacity and success.

• "When we meet real tragedy in life, we can react in two ways - either by losing hope and falling into self-destructive habits, or by using the challenge to find our inner strength." (Dalai Lama)
• "Grief and resilience live together." (Michelle Obama - Becoming)
• "What does not destroy me makes me stronger." (Friedrich Nietzsche)
• "Do not confuse my bad days as a sign of weakness. Those are the days I am actually fighting my hardest." (Unknown)
• "Experience gives us the advantage of knowing that we can survive the exposure and uncertainty, and that it's worth the risk." (Brene Brown - Daring Greatly)
• "You can take everything I have / You can take everything I am / Like I'm made of glass, like I'm made of paper / Go on and try to tear me down / I will keep rising from the ground / Like a skyscraper" (Demi Lovato - Skyscraper)

In the future, you will cherish the memories of this experience, and draw on them for comfort and strength.

• "Give it all or give it up / I won't settle for enough / It's the highs and it's the lows we remember" (Ocean Park Standoff - Good News)
• "There will be a sea of tears / But sooner or later the sea will dry up / And you'll learn to embrace the wet sand revealed." (Sanhita Baruah)
• "One day in retrospect, the years of struggle will strike you as the most beautiful." (Sigmund Freud)
• "Someday you're gonna look back on this moment of your life as such a sweet time of grieving. You'll see that you were in mourning and your heart was broken, but your life was changing." (Elizabeth Gilbert)

Your narrative is your own narrative, and it will follow its own timeline.

• "There is purpose in your season of waiting." (Megan Smalley)
• "Time is a force and we must allow it to do its work, must respect its power." (Miriam Toews - All My Puny Sorrows)
• "Anxiety happens when you think you have to figure out everything all at once. Breathe. You're strong. You got this. Take it day by day." (Karen Salmansohn)
• "If we walk far enough, we shall sometime come to someplace." (L. Frank Baum - The Wonderful Wizard of Oz)
• "Don't rush through the experiences and circumstances that have the most capacity to transform you." (Rob Bell)

Don't worry about what future bad things might happen.

• "Contemplating the task ahead would not make it easier." (J.K. Rowling - Harry Potter and the Deathly Hallows)
• "I don't think being frightened will help." (Madeline Miller - Circe)
• "Worry does not take away tomorrow's troubles. It takes away today's peace." (Randy Armstrong)
• "No good sittin' worryin' about it. What's comin' will come, an' we'll meet it when it does." (J.K. Rowling - Harry Potter and the Goblet of Fire)

Don't wallow in what would've-could've-should've been, either.

• "Nostalgia is a dangerous form of comparison." (Brene Brown - Daring Greatly)
• "You're holding on to what you never had" (Hailee Steinfeld - Let Go)
• "Don't fall in love with the way things were / It'll fuck up your mind" (Snow Patrol - Don't Give In)
• "Leave the past behind you. If you don't leave it there, it clutters everything up and you just keep tripping over it." (Laini Taylor - Muse of Nightmares)
• "May your past be the sound / Of your feet upon the ground / And carry on" (Fun. - Carry On)

Focus instead on the vast potential of your present and future - the things that are still changeable, the successes and joys you've yet to see. Allow yourself to be happy and optimistic. Allow yourself to hope and dream and want things.

• "Yesterday is not ours to recover, but tomorrow is ours to win or lose." (Lyndon B. Johnson)
• "It is as wrong to deny the possible as it is to deny the problem." (Dr. Dennis Saleebey)
• "We must have the stubbornness to accept our gladness in the ruthless furnace of this world." (Jack Gilbert)
• "You'll never find a rainbow if you're looking down." (Charlie Chaplin)
• "We are all in the gutter, but some of us are looking at the stars." (Oscar Wilde)
• "Happiness can be found, even in the darkest of times, if one only remembers to turn on the light." (J.K. Rowling - Harry Potter and the Prisoner of Azkaban)
• "The world unwraps itself to you, again and again as soon as you are ready to see it anew." (Gregory Maguire - Wicked)

Allow yourself to try again - to throw yourself back into the fray, to make new plans and follow through on them.

• "It does not do to dwell on dreams and forget to live." (J.K. Rowling - Harry Potter and the Sorcerer's Stone)
• "Life won't just happen to you. You have to happen to it." (Laini Taylor - Strange the Dreamer)
• "Hope is a combination of setting goals, having the tenacity and perseverance to pursue them, and believing in our own abilities." (Brene Brown - Daring Greatly)
• "Wishes don't just come true. They're only the target you paint around what you want. You still have to hit the bull's-eye yourself." (Laini Taylor - Muse of Nightmares)

Life doles out enough grief without you willfully adding more as a form of self-punishment. You don't have to wallow in it and invite it to prolong its stay in your heart.

• "I keep dragging around what's bringing me down / If I just let go, I'd be set free" (Linkin Park/Kiiara - Heavy)
• "All the broken hearts in the world still beat / Let's not make it harder than it has to be" (Ingrid Michaelson - Girls Chase Boys)
• "All my life had been murk and depths, but I was not a part of that dark water. I was a creature within it." (Madeline Miller - Circe)
• "I'd been stoking the most negative parts of myself, caught up in the notion that everything was unfair and then assiduously, like a Harvard-trained lawyer, collecting evidence to feed that hypothesis. I now tried out a new hypothesis: It was possible that I was more in charge of my happiness than I was allowing myself to be." (Michelle Obama - Becoming)
• "Our creativity grows like sidewalk weeds out of the cracks between our pathologies - not from the pathologies themselves... I refuse to seek out suffering in the name of artistic authenticity." (Elizabeth Gilbert - Big Magic: Creative Living Beyond Fear)

Don't let hopelessness catch you in its spiral, telling you that where you are now is where you will remain forever. This is a self-fulling prophecy, a trap - and to believe such absolutes is a form of arrogance. You do not know what is to come.

• "Please keep in mind that whatever you're going through, this challenging time in your life is merely IN your life. It is not your whole life. So be sure to keep this slice of life in perspective and don't let it overwhelm you. Remember: nothing is everything. The part is not greater than the whole." (Karen Salmansohn)
• "Tone down the prophecies of doom and switch from panic mode to bewilderment. Panic is a form of hubris. It comes from the smug feeling that one knows exactly where the world is heading: down. Bewilderment is more humble and therefore more clear-sighted... Try telling yourself, 'Truth is, I just don't understand what's going on.'" (Yuval Noah Harari - 21 Lessons for the 21st Century)
• "Doubt kills more dreams than failure ever will." (Suzy Kassem)
• "Just because something isn't happening for you right now doesn't mean that it will never happen." (Unknown)
• "In this sad world of ours sorrow comes to all and it often comes with bitter agony. You may believe that you will never feel better. But this is not true. You are sure to be happy again." (Abraham Lincoln)

It is often easier to fall for that trap of depression than it is to remain hopeful - but just because something is easy does not mean it is the best course.

• "There will be a time when we must choose between what is easy and what is right." (J.K. Rowling - Harry Potter and the Goblet of Fire)
• "He had been broken and reassembled as a shell, only then to do the bravest thing of all: He had kept on living, though there are easier paths to take." (Laini Taylor - Strange the Dreamer)
• "Dying is easy - living is harder" (Hamilton Soundtrack - Right Hand Man)
• "We must try not to sink beneath our anguish, but battle on." (J.K. Rowling - Harry Potter and the Half-Blood Prince)
• "Don't squander joy. We can't prepare for tragedy and loss. When we turn every opportunity to feel joy into a test drive for despair, we actually diminish our resilience. Every time we allow ourselves to lean into joy and give in to those moments, we build resilience and we cultivate hope." (Brene Brown - Daring Greatly)
• "Healing takes courage, and we all have courage, even if we have to dig a little to find it." (Tori Amos)

Faith is fuel, keeping you moving through long stretches of desert. Belief in the future, in a light you cannot see, is not foolishness, but bravery.

• "You don't have to see the whole staircase. Just take the first step." (Martin Luther King, Jr.)
• "You need a leap of faith to leave your old life behind. True metamorphosis doesn't come with flowcharts." (David Mitchell - Bone Clocks)
• "That's what faith is, isn't it? Following the music when we don't hear it." (Francisco X. Stork - Marcelo in the Real World)

Believe in yourself. Forgive yourself. Be kind to yourself.

• "Never apologize, never explain it away, never be ashamed of it. You did your best with what you knew, and you worked with what you had, in the time that you were given." (Elizabeth Gilbert - Big Magic: Creative Living Beyond Fear)
• "Cultivate the courage to be imperfect and self-compassionate. Perfectionism is not the path that leads us to our gifts and to our sense of purpose; it is a hazardous detour... Our worthiness, that core belief that we are enough, comes only when we own our stories (even the messy ones)." (Brene Brown - Daring Greatly)
• "Even when it's not pretty or perfect. Even when it's more real than you want it to be. Your story is what you have, what you will always have. It is something to own." (Michelle Obama - Becoming)
• "We have to be willing to give ourselves a break and appreciate the beauty of our cracks and imperfections. To be kinder and gentler with ourselves and each other. To talk to ourselves the same way we'd talk to someone we care about." (Brene Brown - Daring Greatly)
• "You, yourself, as much as anybody in the entire universe, deserve your love and affection." (Buddha)

There are things that are going to be outside your control. Understanding that is not an admission of failure, but an important step toward acceptance.

• "Control is a drug, and we are all hooked, whether or not we truly believe that we can master the future with our words and attitudes. The entire motivational-speaking industry rests on the assumption that you can have what you want, you can be what you want... [and that] there is a hidden logic to this seeming chaos... [But] nothing human or divine will map out this life, this life that has been more painful than I could have imagined. More beautiful than I could have imagined." (Kate Bowler - Everything Happens for a Reason: And Other Lies I've Loved)
• "Someday it might make sense to you - why you needed to go through this botched-up mess in order to land in a better place. Or maybe it will never make sense. So be it. Move on anyway." (Elizabeth Gilbert - Big Magic: Creative Living Beyond Fear)
• "'It is not fair' and 'It cannot be' are two different things." (Madeline Miller - Circe)
• "Fairness is one of the most compelling claims of the American Dream, a vision of success propelled by hard work, determination, and maybe the occasional pair of bootstraps... In a world of fair, nothing clung to can ever slip away... Give up that little piece of the American Dream that says 'You are limitless'. Everything is not possible." (Kate Bowler - Everything Happens for a Reason: And Other Lies I've Loved)

But just because some things are uncontrollable does not mean everything is. Control what you can. Even when you are swimming in uncertainty, there is always something you can do. You can try to enjoy today.

• "We are never so wise as when we live in this moment." (Paul Kalanithi - When Breath Becomes Air)
• "Do not save this for tomorrow / Embrace the past and you can live for now / This is the new year / A new beginning" (A Great Big World - This is the New Year)
• "There's only now / There's only here/ Give in to love / Or live in fear / No other path / No other way / No day but today" (Rent Soundtrack - Another Day)

Be grateful for where you are right now. If your lungs are still breathing, your heart still beating, you have at least two things to marvel at.

• "A rainy day is better than no day." (Rachel Simon - The Story of Beautiful Girl)
• "Even if I'm dying, until I actually die, I am still living." (Paul Kalanithi - When Breath Becomes Air)
• "Live unburdened. Live free. Live without forevers that don't always come... The water is rising and levees may break and it will sweep us all away. But until then, I am here." (Kate Bowler - Everything Happens for a Reason: And Other Lies I've Loved)
• "Look around, look around at how lucky we are to be alive right now / Look at where you are / Look at where you started / The fact that you're alive is a miracle / Just stay alive, that would be enough" (Hamilton Soundtrack - That Would Be Enough)
• "Aging is a fucking privilege." (Kate Bowler - Everything Happens for a Reason: And Other Lies I've Loved)
• "It doesn't mean that it does not hurt. It doesn't mean that we are not frightened. Only that: we are here. This is what it means to swim in the tide, to walk the earth and feel it touch your feet. This is what it means to be alive." (Madeline Miller - Circe)

Remember: if the bad and good are permanently tied up in each other, that means good times are also inevitable. Good times are coming. You will get through this. This too shall pass.

• "If life didn't change, it wouldn't be life, it'd be a photograph." (David Mitchell - Bone Clocks)
• "Even the darkest night will end and the sun will rise." (Victor Hugo)
• "It's been a long cold lonely winter / It feels like years since it's been here... Here comes the sun / Here comes the sun, and I say / It's alright" (The Beatles - Here Comes the Sun)
• "All will be well / You can ask me how but only time will tell" (Gabe Dixon Band - All Will Be Well)
• "This feeling will pass. This workload will pass. These people will pass. This moment will pass. This fatigue will pass." (Lin-Manuel Miranda - Gmorning Gnight)
• "It's funny how some distance makes everything seem small / And the fears that once controlled me can't get to me at all" (Frozen Soundtrack - Let it Go)
• "Pain will come with time, but time will heal the pain." (Anthony Liccione)

Letting go of the comfort of grieving can be difficult. But you are capable of accomplishing this final hurdle in moving on. Just because something is gone does not mean it will be forgotten.

• "I wanna let go but there's comfort in the panic" (Linkin Park/Kiiara - Heavy)
• "The brain is built to forget things as we continue to live; memories are meant to fade and disintegrate and sharp edges become blunt; the pain of letting go of grief is just as painful or even more painful than the grief itself. It means goodbye." (Miriam Toews - All My Puny Sorrows)
• "This is what I know about loss: It doesn't get better. You just get (somewhat) used to it." (Jennifer Niven - Holding Up the Universe)
• "You think the dead we loved ever truly leave us? You think that we don't recall them more clearly in times of great trouble?" (J.K. Rowling - Harry Potter and the Prisoner of Azkaban)
• "Nothing's really left or loss without a trace / Nothing's gone forever - only out of place... Maybe all you're missing lives inside of you" (Mary Poppins Returns - Where Lost Things Go)

I love you and I believe in you.

Love, Andrea

From August to August

I learned I was pregnant the first time on August 10, 2018. I was four weeks along then, and had two long weeks to get through before my first doctor's appointment to confirm the pregnancy. It would be another two weeks after that first appointment before I would learn that I was having a missed miscarriage; I had a D&C at 1 day shy of 9 weeks, on September 13, 2018.

For my second pregnancy, I again saw my first positive home pregnancy test at four weeks, on May 5, 2019. Soon after, my doctor brought me in for early hCG blood draws to ensure that the pregnancy was progressing appropriately this time. At 4 weeks 2 days, my hCG was 2,836 (rather high for an initial draw); two days later it had more than doubled, and was now at 7,420! It was a good sign, and I was scheduled for my first ultrasound at 5 weeks 4 days. Baby was measuring a few days early (6 weeks 1 day) and had a confirmed heartbeat!

Thankfully, my second pregnancy has continued to follow this much different trajectory than my first. I had another ultrasound at 6 weeks 5 days, another at 8 weeks 4 days, another at 11 weeks 4 days, and another at 16 weeks 2 days. (Being considered "high risk" has its perks.) Baby has consistently looked healthy, measuring a few days ahead at every single appointment. :)

Now, it's August again, a year since my first pregnancy began, and I recently passed the halfway mark (20 weeks) in this second pregnancy. I'm due in early January 2020.

During my first trimester (May-July 2019), I had a few people ask me if I was more nervous/less excited this time, given that my first pregnancy ended in loss. I guess people supposed that I'd be more guarded with my emotions, knowing how a pregnancy could end. But the truth is, I wasn't. Not during the first trimester, and not now that I'm in the second trimester either.

I was actually quite worried about miscarriage during my first pregnancy - almost as if I somehow knew it would happen, even though I really had no reason to suppose it would. I tried to pretend I wasn't afraid, and even took specific steps (like telling close family and friends very early) to try to help myself feel less worried and get more excited about it.

This time, if I didn't tell people quite as early (or didn't seem as excited when I did), it's because I didn't feel as anxious. I let myself get excited on my own - and so didn't need other people's excitement to help me get there. Nearly right away, I started working on a baby registry. I bought cute baby clothes (probably too many). In June, my husband and I installed custom shelves and hanging rods in our nursery closet. (And yeah, I did end up telling several people early again after all.)

I still knew the chances of loss - perhaps even more keenly than I had during that first pregnancy. The difference was that last time knowing those chances had made me anxious and afraid... and this time, they didn't.

At least 1 in 4 pregnancies end in miscarriage. If you include pregnancies that end before a person might know they're pregnant (eggs that were fertilized but never fully implanted in the uterine lining, cycles that end with an on-time or only slightly-delayed period), it's probably closer to 1 in 2. The truth is that a lot has to go exactly right for a pregnancy to happen. If anything is even slightly off with the environment inside the uterus, or the genetic code of a fertilized egg, the pregnancy won't be viable and will end in miscarriage. Most of the time these things can't be controlled; there is nothing that can be done to stop it.

My first pregnancy, I tried to do everything right. I ate only the "right" foods, and I did my best to hit my blood sugar targets (even though I had no mealtime insulin to help me achieve that lofty goal). I worried about paint fumes and household chemicals and driving over potholes (which is a frequent occurrence in Michigan). I had a list on the notes app of my phone titled "Things to Avoid While Pregnant" that I compiled and frequently consulted. I knew that most miscarriages couldn't be prevented, but still hoped I would be able to stack the odds in my favor. I couldn't.

So when my second pregnancy began, I didn't worry so much. I obviously still followed (and continue to follow) the general eating guidelines - no raw meat or fish, no unpasteurized cheeses - but I allowed myself to eat cooked hot dogs and sausage, and put Caesar dressing on my salad, which I'd denied myself last time (the first because of "poisonous nitrates", the second because of the possibility of raw eggs, even though that possibility is basically zero for any Caesar dressing you buy in the grocery store). If the bathroom counters or shower needed to be cleaned, I cleaned them without worrying about breathing in chemicals for a few short minutes. And not once did I consult my "Things to Avoid While Pregnant" list. As a result, I was a lot less anxious those first few weeks of my second pregnancy. I'd freed myself from the unrealistic expectations that I could control how things went.

I was less anxious for other reasons too, including the logical fallacy that I'd already had a miscarriage, and so thought it less likely that I would have another. After all, if 1 in 4 pregnancies end in miscarriage, wasn't I now "due" an average of 3 healthy pregnancies before I had to worry about miscarriage again? It doesn't actually work like that of course... At best, the events are independent, meaning the chances are the same every time. At worst, the first miscarriage wasn't just a "fluke" after all, and was caused by an underlying problem with the potential to recur again and again, meaning the chances of future miscarriages would be higher, not lower. But there's logic, and there's feelings, and part of me just felt that my second pregnancy was bound to go better than my first. I knew it had no real basis in fact, but I let myself believe that it did, because believing it made me feel better.

It also helped that my second pregnancy immediately felt different than my first. I had early symptoms this time (sensitive, tender breasts) that I never felt until AFTER my D&C last time; there were still other symptoms that I had with my first pregnancy (lower back pain, GI distress, and muscle fatigue) which were significantly lessened the second time around. Different symptoms don't guarantee a different outcome of course - but it's easy to fall into that line of thinking, and once again, I didn't discourage myself from doing so. If believing that was true made me feel better, why not believe?

It also likely helped that my doctors brought me in sooner for blood work and an early ultrasound, and that everything looked great right from the get-go - and continued to look great. Every time I went in for another ultrasound and saw reassurance on the screen that everything was still going well, I felt such relief. I mean it when I say I didn't spend much of my first trimester this pregnancy worrying about having another missed miscarriage... but that doesn't mean I never worried. A few hours before each of the first few ultrasounds, it would all come back to me - being in that room with the ultrasound tech and learning the bad news. In those moments, it was hard not to worry that it would all happen again. But then I'd go in for the appointment and NOT hear bad news, and that relief would buoy me for weeks - until a few hours before my next ultrasound, when last-minute doubts and anxieties would rear their ugly heads again.

But I think the biggest reason I was less afraid this time was because the possibility was less unknown. I knew what it was to have a miscarriage. I knew what it entailed. And I knew that it was survivable. Framing it that way doesn't completely stop you from worrying that it might happen again, but it does help - A LOT. I knew I would be just as devastated (perhaps even more so) if I had a second miscarriage... but I also knew that I would recover. Now that we'd successfully gotten pregnant twice, both times within a few months of trying, I could say with more confidence that we didn't have fertility problems. And I had faith that we would keep trying - that we could and would get pregnant as many times as we needed to (or find an alternative, if necessary), and that eventually we would see through our dream of becoming parents.

So whenever the possibility of miscarriage crosses my mind (or stillbirth, which it would be considered now, after the 20 week mark), I try not to dwell on it long. I know that if it happens again, it would only be a temporary setback (even though it wouldn't feel like it at the time). I know that I'm resilient and strong and capable of moving on and trying anew. And I also know that I have a support system that would help get me there.

Nearly a year after my miscarriage, I still think about it a lot. Not the anxiety, fear, or grief I felt - but the love and support I was surrounded with. I remember my husband reading me funny tweets from his phone to keep my spirits up while we were waiting in the pre-op room before my D&C. I remember the bouquets of flowers my parents and in-laws sent. I remember the doctors and nurses being kind to me, and the emails from work that I could "take all the time I needed" before returning. And I remember the outpouring of support I received from people (many whom I hadn't talked to in years) on this blog and on Facebook, when I "went public" with the story of my miscarriage on Pregnancy and Infant Loss Remembrance Day last October.

I remind myself of all those things whenever there's something to worry about... Because while it's true that I didn't worry as much about another missed miscarriage, I definitely worried about OTHER things instead during that first trimester.

In the very beginning (before my first ultrasound proved otherwise), I worried that my hCG levels were TOO high, and that it might mean a molar pregnancy - which would result in its own kind of miscarriage, likely requiring a delay of several months before we'd be cleared to try to get pregnant again.

Then, my early ultrasounds found a mass in my right ovary, which I was told was "probably" a cyst (a benign and common occurrence that happens in about 10% of pregnancies) - but which "might" be a heteroectopic pregnancy instead (a much less common occurrence, happening in only 1 in 300,000 natural pregnancies). A heteroectopic pregnancy would mean I had two fertilized eggs (twins) but that one implanted improperly in my fallopian tube or ovary, instead of in my uterus. It would mean that the inviable ectopic pregnancy could rupture and destroy my fallopian tube, impacting my future fertility. And it would also probably mean careful surgery to remove the ectopic pregnancy without harming the healthy pregnancy in my uterus - a surgery which, even if done correctly, could result in my healthy pregnancy miscarrying, as happens in about 30% of cases of abdominal surgery during the first trimester. I tried not to worry about the possibility too much (and the statistics were very comforting here, implying that a corpus luteum ovarian cyst was MUCH more likely), but because there was visible blood flow around that ovary and my hCG levels were slightly elevated, the ultrasound techs and my regular OB doctors kept insisting that a heteroectopic pregnancy "couldn't be excluded," even after examining the cyst on two different ultrasounds. Finally, at 8.5 weeks, I got a second opinion from Maternal Fetal Medicine (MFM); they firmly concluded that it was only a cyst after all.

There were other medical scares too (all of which concerned my health, never the baby's). During a breast exam at my OB's office, I was told that they'd felt a possible lump, and only after a full ultrasound of both breasts was the possibility of breast cancer ruled out. And a few weeks later, towards the end of my first trimester, an EKG that MFM ordered to check my heart functionality came back "borderline" and had to be followed up with an echocardiogram - a full heart ultrasound. Those results also came back with good news, concluding that I had no genetic heart defects after all.

To get through the anxiety that all these potential complications brought, I again turned to what I knew: that I was resilient and strong, that I had a wonderful support system, and that one day, somehow, we'd be through all the setbacks and see our dream realized.

These weren't new realizations - I actually wrote a letter to myself last August that suggested all those things - but now I had the evidence of my September miscarriage to back up that hypothesis.

This is what I wrote on August 17, 2018, addressed to myself to open one year in the future (August 17, 2019):

"I'm currently 5 weeks pregnant and about to tell Mom and Dad the news that they're going to be grandparents. I'm nervous about telling them (telling anyone, really), because even though the chance of miscarriage goes down every day this pregnancy continues, there's still about a 17% chance of miscarriage right now (at least, according to this site) - which is 1 in 6, a roll of the die. I haven't even had the pregnancy medically confirmed yet (and won't until my first appointment/ultrasound in a week) - so I only know I'm pregnant at all from a handful of mild symptoms and the two positive home pregnancy tests I've taken... I'm hoping that telling some people will help make this all feel a little more real. But I also don't want to feel responsible for dragging others through the roller coaster of emotions (up, then back down) if (heaven forbid) something were to happen and this pregnancy doesn't end up 'sticking' after all. I want to have a support system I can lean on if that were to happen - but I also feel guilty enlisting people to be that support system, especially if they don't want to be. (Chances are they DO want to be - but you know me. Always doubting that people might actually want to help me.)

"I'm anxious about a lot of things - if and when certain pregnancy symptoms might appear, whether or not this pregnancy will 'stick,' what my blood glucose is going to do over the next crazy 8 months. So I'm writing this letter to future-me so that I can at least find reassurance in the future, even if I can't now. Future-me is probably laughing right now reading this, remembering this anxious feeling from a year ago but knowing that everything turned out ok and I delivered a healthy baby in April. You have your own struggles now I'm sure, struggles so immediately pressing that all the worries from early pregnancy must seem very distant. You've been recovering from giving birth and adjusting to motherhood. You have a 4 month old, for crying out loud! I can't even fathom right now. But at least you can read this letter and find reassurance that you made it through everything you were worried about this time last year - which means you can also make it through whatever aspects of parenthood have you worried now.

"And if you're reading this and AREN'T bolstered by the knowledge that everything turned out ok - because something happened along the way and this pregnancy turned out not to be viable - then I hope you find reassurance in this letter anyway, in remembering that at this time last year you were worrying about 'roping people into' being your support system (a worry that likely seems frivolous now, after seeing how that support system helped you after all), and imagining miscarriage as the worst thing you could think of (which now you know you were able to survive)... I hope all your wishes about this pregnancy and this baby and motherhood have come true. If they haven't, I hope that you haven't given up on them. I really do believe that I will be an incredible mom - which means that you are too (already, or will be soon)."

Turns out I didn't really need to reread those words for reassurance this month - because I'd remembered the gist of what I'd written, even without seeing it over the last year.

It's funny - if you'd told me the week immediately before or after my D&C in September 2018 that I would one day in the not-too-distant future look back on that time for solace, I would've had a hard time believing you. What solace is there to find in loss and grief? But the me-before-miscarriage understood how helpful that might be, and the me-of-early-2019 employed that tactic religiously. Throughout the cycles when we were trying to get pregnant again, and then in the early months of this pregnancy, I frequently reminded myself of what I had already survived, as proof that I could do it again. I reminded myself of my strength and resilience - and the strength of my relationships.

By the time I opened that August 2018 letter a couple weeks ago and re-read those words, I was already well into my second trimester - out of the "danger zone" when most miscarriages are likely to happen. I'd already told everyone about my new pregnancy, even posting the happy announcement on Facebook.

But there are still things I could be worried about. (There always are.) I don't know what my third trimester will bring, and what (if any) complications my diabetes might cause. I don't know how labor and delivery will go. I don't know if parenthood will be what I imagine it to be, or how easily I'll adapt to the unique challenges that will bring. But I'm not going to heap unnecessary suffering on myself and deny myself the current pleasures of hope, excitement, and joy. Instead of living based on my fears, worrying about what might go wrong, I'm choosing to live based on my hopes and dreams, letting myself get excited about what could go right.

As Hagrid said in J.K. Rowling's Harry Potter and the Goblet of Fire, "No good sittin' worryin' abou' it. What's comin' will come, an' we'll meet it when it does."

April 19

Today, April 19 is the due date my pregnancy would've had, if it had gone to term. When I miscarried back in September, this due date still felt very far away; I thought for sure I'd be pregnant again by the time April 19 finally rolled around, and be able to use that new pregnancy for solace. But trying to conceive after miscarriage has unfortunately turned into a longer journey than I anticipated, and as much as I wish I had good news to share right now - I don't.

There are days (this week in particular) when it's hard not to focus on the could've-beens, thinking about that alternate universe where my pregnancy went to term and I became a mother this week. There are other days when it's hard to remain optimistic about getting pregnant again. There are days when I feel like a failure. Though deep down I know it's not my fault and there's nothing else I could be doing right now to try to make this work, a part of me still feels like I'm letting everyone down (myself included) every month that my period shows up again. I feel like I'm depriving the people I care about from the happy ending they're waiting to hear.

In moments of defeatism, I have several quotes I turn to for inspiration. My favorite right now is this one, from Helen Keller: “Remember, no effort that we make to attain something beautiful is ever lost.” I remind myself that even though we can't control the outcome, we can keep trying anyway... and then try to find hope in our resilience. Many days, this doesn't feel like enough. I want to do more than that, have control over more than that. But at least that's something.

These are not things we usually talk about. Worse, these are things that are hard to talk about. It's hard to post about disappointments and things that feel like personal failures - especially on social media platforms where most people only post their success stories, happy memories, and best selfies. It's hard to admit that there are things we can't earn just by wanting, just by trying. It's even hard to admit to wanting something at all, in a world that encourages us to blow out birthday candles and wish on shooting stars in silence. Not only is vulnerability hard - but, we are taught, also punishable. Share your deepest hopes and dreams aloud, and risk seeing them "jinxed" and never fulfilled.

But as hard as it is to be vulnerable - especially with something like this, where I'm still in the middle of the story, without any idea of how long I'll be here - it's also hard to be lonely. And going through a miscarriage and trying to conceive are often very lonely endeavors. When you're struggling with something privately, and your pain goes unrecognized, it's hard not to start feeling invisible. And that's a shitty thing to feel, on top of everything else.

Which is why I'm sharing all this. I debated with myself for a long time about whether or not to post anything, writing and rewriting several drafts over the last several days, weeks, months... Ultimately I decided that, at least this week, I want to be visible again (and I deserve to be). I want my experience to be acknowledged, my pain to be just a little less private - if only for a moment.

You can read more about my miscarriage here - the post I wrote last October 15 for Pregnancy Loss Remembrance Day.

"Ability Bouquet (Stronger Together)" - In Progress 1

My final 19x25 drawing in the "Stronger Together" series is called "Ability Bouquet." In it, I use 24 flowers that represent physical, emotional, and mental strength, health, and age-related abilities, as well as flowers in various stages of maturity (buds, full blooms, and dried/wilting flowers) or visible healthfulness (flowers that are limp, ripped, or otherwise broken).

For a longer blog post about what all I'm including under this "ability umbrella," please visit my last post.

The flowers that I chose for this bouquet are the following:

• Daffodil - rebirth, new beginnings, uncertainty, returned affection, springtime, creativity, inspiration, renewal and vitality, awareness, inner reflection, memory, and forgiveness

• Tulip - springtime, enduring love, forgotten or neglected love, abundance, prosperity, royalty, indulgence, charity and supporting the less fortunate

• White Lilac - joy of youth, youthful confidence, purity, innocence

• Crocus - youthful gladness, cheerfulness, glee

• Cherry Blossoms - transience, good education, womanhood, love, wisdom, short lived beauty of youth

• Dahlia - diversity, elegance, inner strength, creativity, change, dignity

• White Rose - purity, innocence, reverence, silence, memory, loss

• Hollyhock - ambition, abundance, fertility

• Aloe - healing, protection, affection, grief, luck

• Dandelion - overcoming hardship, resilience, healing from emotional/physical pain, emotional/spiritual intelligence, survival, long-lasting happiness and youthful joy, getting wishes fulfilled

• Chamomile - patience, wealth, healthfulness

• Geranium - fertility, health, love, protection, true friendship, comfort, stupidity, folly

• Hellebore - scandal, calumny, poison

• Acanthus - art, enduring life, pain/sin/punishment, mourning death

• Lady's Mantle - comforting

• Anemone - luck and protection against evil, abandonment, truth, sincerity, forsaken, sickness, vanishing hopes, death, parting, transition

• Hen and Chicks Succulent - survival, always living

• Lupine - happiness, inner strength to recover from trauma, new opportunities, positivity

• Yarrow - good health, everlasting love, courage, psychic powers, cure for a broken heart

• Heliotrope - eternal love, prophetic dreams, healing, warmth, invisibility

• Marigold - pain, grief, cruelty, jealousy, beauty and warmth of the rising sun, creativity, drive to succeed

• Tansy - hostile thoughts, health, longevity

• Flannel Flower - mental health awareness, purity, safe boundaries, self-expression

• Mullein - courage, protection, health, love, divination, exorcism

Once I decided which flowers to use, it was time to plan the composition for the drawing. I made some quick sketches on newsprint to figure out the placement of the flowers, and which ones I might show as damaged, browned, or wilting.

My next post will start the sketch on black paper!

The Ability Umbrella

For my final colored pencil drawing in this "Stronger Together" series, I will be focusing on ability. Before I start getting into the actual step-by-step process of creating the drawing, however, I want to take a minute to describe what I mean when I use the term "ability."

We all have different physical, mental, and emotional/psychological abilities (and limitations), which are impacted by our age, health, genetics, and life experiences.

Let's start with the physical - the one that most people would think of first when considering differences in ability. There are people who we might call physically disabled, because they are not "as able" as fit, healthy individuals - whether permanently or temporarily, or whether due to genetics, age, disease, or injury. Their physical disabilities might make it more difficult for them to interact with their environments - and in fact, many communities do a lot to accommodate these people with physical handicaps, to make their public spaces equally accessible to everyone. Elevators and ramps might be utilized, as well as push-button and automatic doors, for those lacking the ability to climb stairs or open doors. Signs might be written in words and in Braille, or crosswalks equipped with visual and auditory cues, to accommodate those with visual impairments. Where audible communication is integral to the use of a space, assistive listening devices might be provided for the deaf or hearing impaired - like individual headphones, written subtitles, or lectures or speeches that are simultaneously spoken and signed with American Sign Language.

These differences in physical ability don't have to be as "serious" as the above examples, of course. For example, there are minor differences in physical ability that will change as children grow older, taller and stronger. A perfectly healthy child still won't have the same abilities as an adult, due to their size and physical maturity. We accommodate children who are too short to reach the bathroom sink by lifting them up or supplying them with a step stool. We also protect them from systems designed for adult use, such as front seat airbags in automobiles, and require them to sit in the back and use appropriate child-sized car seats until they can safely sit in the front.

But more than all this, physical ability goes beyond the obvious signs we can see from the outside. There are countless diseases and genetic predispositions that wreak havoc only inwardly, with no visible outward symptoms. Many people suffer from these "invisible" illnesses, which include diabetes, IBS, Crohn's disease, ulcerative colitis, infertility, ADD/ADHD, sleep disorders, allergies and food intolerances, asthma, lupus, endometriosis, fibromyalgia, migraines, arthritis, and other chronic pain disorders. These might affect someone's physical ability to work a full day, do something significant they may want to do (like have children, travel, or train for a marathon), or even get out of bed in the morning. Some of the symptoms can be treated or managed - but not always with 100% effectiveness, or for 100% of the time.

I start with this list of physical limitations that might impact our abilities because I think most of us can agree that people are still people, regardless of health or injury. Some people might need more assistance than others, some might rely on eyeglasses or walkers or hearing aids to get them through the day, and some may rely on a combination of understanding, compassion, and several different medications to manage invisible symptoms - but regardless of what life has thrown us in the way of physical health, we are all people who still deserve to be respected and treated with dignity, people who deserve to have their voices heard and their physical limitations accommodated for as much as possible, and people who have a lot to offer the world back in return.

The same holds true for those suffering from mental illnesses, emotional/psychological disorders, or neuro-atypicalness. These include autism/Aspergers syndrome, depression, bipolar disorder, anxiety disorders and phobias, schizophrenia, personality disorders, eating disorders, substance abuse, and PTSD. Like "invisible" physical diseases, these are not usually obvious to outsiders, and are often stigmatized. People are often told that their suffering is all in their head, or their fault, or their responsibility to fix all by themselves, without outside assistance like medication, therapy, or strong support systems.

In addition to these diagnosable disorders, we also have differences in our mental and emotional abilities based on our experiences, how we were raised, any traumas we've lived through, our cognitive habits, genetics, or proclivities. We don't all process the world in the same way, and we all employ a variety of coping mechanisms (to various degrees of helpfulness or healthfulness) to help us through our day-to-day lives.

These differences in physical, emotional, and mental ability in turn impact what skills and talents we're drawn to or cultivate. Someone on the autism spectrum who finds emotional connection difficult or impossible might thrive on intense focus and in-depth research, while someone who is plagued by bipolar disorder might be able to tap into parallel wells of creativity and emotion and produce a beautiful piece of art. Someone with a hearing impairment might steer away from career opportunities that rely on their ears - or might attempt a career as a musician anyway, just for the challenge. Someone without arms might face having to learn how to do everyday tasks with their feet or teeth, and end up having better balance and control and of their muscles than someone without the same physical limitations.

We are stronger when we work together. We all have at least one limitation or another, and we all have something (or more than one something) that we can do well. We have different abilities and different ways of approaching the same problem. When we help each other out, we can accomplish great things.

Our physical, emotional, and mental abilities comprise part of who we are, and we do what we do because of who we are. But, we are also not only our physical, emotional, and mental abilities. We transcend these characteristics, just like we can transcend our race, our gender, our sexuality, our religion, and our class. I am a straight, white, atheist, middle-class female, with the beginnings of latent autoimmune diabetes in adults, using therapy to work on her emotional/mental health - and yet, I am also more than just the sum of those individual parts. I am first and foremost a human, just like everyone else. And we all deserve to be treated as such. To repeat - regardless of how we live our lives, we are all people who still deserve to be respected and treated with dignity, people who deserve to have their voices heard, and people who have a lot to offer the world back in return.

Self Compliments

At the end of 2016, I had the idea to write some compliments about myself. It came from a desire to make sure to capture my self-esteem (while I had some) and find a way to preserve it, in case I needed reminding in the future of my worth and what I am capable of. I started writing some positive adjectives about myself, as I thought of them. Then, I consulted lists of positive adjectives online and added to my list, finding more adjectives that I thought fit me. (A lot of these were variations of the same idea, or even synonyms of each other. But I wrote them down anyway, just so the list looked lengthy and very impressive.)

I thought it would be good to start 2017 off on the right foot and make sure I reminded myself on a consistent basis what some of those adjectives were. I divided up my "compliments" into 52 groups, one for each week of the year, and then I set up emails to myself through the website FutureMe.org, which lets you schedule emails to be sent to yourself at a later date, sending one email to my inbox every Monday.

In the future, I don't think I would do it this way again. Often, the email arrives in the middle of a bunch of spam emails and I barely pay attention to it. Even when I do pay attention and take the time to really read it and absorb the words, I find that it has little impact on a day when I already feel confident. Instead of scheduling them in advance, then, I think a better idea would have been to print them out and cut them up and put them in a jar or something. Then, when a time came when I needed to hear some encouragement, I could reach in there and find one to read.

In general, though, I do think it's a good exercise to do, and I would recommend it to anyone who struggles with self-esteem, even if only on an occasional basis. Take the time on a day when you're feeling good, and write compliments to yourself. This works on two levels. First, it's always nice to hear good things about yourself and be reminded of times you had success in the past, things you're proud of, positive qualities intrinsic to your personality, etc. Second, seeing words that you yourself wrote in the past will remind you that you once believed in the words you wrote (and therefore can believe in them again). I know my first reaction when I hear a compliment is to be embarrassed, or to brush it off as just "somebody being nice" and not "somebody actually telling the truth." But that reaction doesn't happen when they're compliments to me, written by me, that get sent to my email by me, and aren't seen by anyone else but me. There's no one else around, so I don't have to feel embarrassed, or worry that if I show too much gratitude for the compliment I'll somehow be less deserving of it (because I guess my subconscious thinks that only humble people deserve love?). Furthermore, because I picked out these adjectives and wrote these compliments to myself, I have to believe them and take them seriously, because I already have believed them and taken them seriously in the past. It sounds confusing, I know. But somehow, it just works.

It does feel a little silly, writing what are essentially love letters to yourself. But they really are helpful, especially if you're someone who always focuses on the negative, ruminating and beating yourself up over every failure or mistake you've made, but neglecting to take the time to acknowledge successes and challenges you've overcome. It's like you're retraining your brain to focus on good things, too, by purposefully doing just that.

Here are some samples of these compliment letters I've written to myself, in case you want to use these as a jumping-off point to show yourself some self-love as well:

Don't forget, you are calm, calming, and capable! You are welcoming, worthwhile, and worthy. You are self-reliant, creative, and persistent in whatever you do. You are a good person, and you have value. 

Don't forget, you are considerate and consistent! You always do the best you can at the time with what you know. Your confidence, self-esteem, and inner wisdom are increasing with each day. You are a good person, and you have value. 

Don't forget, you are wanted, warm-hearted, and warranted! You are thankful, thorough, and thoughtful. You play a big role in your own career success. You are a good person, and you have value. 

Don't forget, you are deserving, determined, and devoted! You are scholarly, self-disciplined, and self-governing. You draw from your inner strength. You are a good person, and you have value. 

Don't forget, you are artistic, awake, and authentic! You are selfless (to a fault) but working towards self-empowerment. You are self-expressive. You are unique; you feel good about being alive and being you. You are a good person, and you have value. 

Don't forget, you are grateful and grounded! You are prolific, and you are progressive. You matter and what you have to offer this world also matters. You are a good person, and you have value. 

Don't forget, you are merciful, mindful, and multi-dimensional! You are a better person for the hardships you have gone through with your family and friends. You are a good person, and you have value. 

Don't forget, you are compassionate and composed! You are necessary and needed. You choose friends who approve of you and love you; you actively work at bettering your life. You are a good person, and you have value. 

Don't forget, you are nurturing, nourishing, and nourished! You are affectionate and accomplished. You let go of worries that drain your energy, and channel them into creative endeavors. You are a good person, and you have value.

Don't forget, you are illustrious, improving, and incomparable! You are hopeful and helpful. You are self-reflective and capable of recognizing and moving beyond your mistakes. You are a good person, and you have value.

Don't forget, you are patient, peaceful, and perceptive! You are knowledgable and kind. You make smart, calculated plans for your future. You are a good person, and you have value.

Don't forget, you are ambitious and articulate! By allowing yourself to be happy, you inspire others to be happy as well. You are a sunshine-spreader! You are a good person, and you have value.

Don't forget, you are disciplined, driven, and durable! You are learned, but always willing to learn more. You are capable of loving all of who you are. You are a good person, and you have value.

As you can see, a lot of them get a little repetitive. The point is not to make every note completely different - just to find different ways of telling yourself the same things over and over again, until they start to stick and you see them for yourself.

I followed the same basic pattern every time. By starting with "don't forget" I reminded myself that what followed was going to be something I had at one point believed; if I hadn't thought these things about myself lately, it was just because I'd forgotten, not because they were no longer true. I then continued with a string of adjectives, pulled from the list of adjectives I'd created for myself. (I alphabetized the list, so when I copy-pasted three or four adjectives from my list, they were already in fun, alliterative phrases!)

Then, I included an affirmation, from lists I found online. Things like "You are capable of moving beyond your mistakes" or "You are a better person for the hardships you've endured" or "You feel good about being alive and being you." I often find it hard to think of these kinds of affirmations in "I" statements (as in, "I am capable of moving beyond my mistakes" or "I am a better person" or "I feel good about being alive and being me"), because they feel more false that way. I start to second-guess them: "But I don't feel capable today, right now! This is all just a lie!" For me, using "I" opens up chances for me to search for holes to poke through them; whereas, if I word it with a "you" instead, and pretend that I'm talking to myself and telling myself these things, I'm more likely to accept them. Of course those sentiments aren't always true; but they are always possible, and that's the point. Even if you don't feel capable right now, you still are capable, because you've been capable in the past and will be again in the future. By using "you," I find it easier to accept it as a statement that could be true, and that therefore is true - instead of using "I" and wondering if it is true, and therefore concluding that maybe it can't be. (But all that is really just personally preference.)

Finally, I close with "You are a good person and you have value," because this is the conclusion I want to reach every time. I'm a good person because I try to be a good person. I'm a good person because of all the positive qualities I have, and the effort I put in to working on myself. I have value, because I am a person. I deserve the good things that happen to me, or the things that work out in my favor, because every person does. I am allowed to acknowledge and bask in successes I've achieved; I am allowed to be happy.