Learning self care through active practice

The same principles apply to supporting self care as the business case for breastfeeding: employees who are more satisfied and loyal and cost savings realized in the retention of experienced employees, the reduction in sick time taken, and lower health care and insurance costs.

Nearly a decade ago, Healthy Children Project’s Donna Walls, RN, BSN, ICCE, IBCLC, ANLC helped establish a meditation room in the maternity care wing of the hospital she worked at. With soft lighting, comfy chairs and the option for aromatherapy and calming music, the room was well-received, or necessary as Walls would argue.

Photo by Karolina Grabowska: https://www.pexels.com/photo/woman-kneeling-on-a-yoga-mat-4498216/

Now, Walls co-teaches an overview of holistic health as part of the Allied Health program at Sinclair College in Ohio.

Walls and colleague Jeri Layer recently presented a compressed version of the course, “Learning Self Care Through Active Practice”, to Sinclair faculty.

In their course, they ask participants to consider what they do on a daily basis to maintain physical and mental health.  Participants are also asked to consider: what are their stress triggers and what are the sensations associated in those times of stress?

Typically, as a nation, we have been taught to be reactionary with our health, but Walls says that even before the COVID-19 pandemic struck, she started to notice people paying attention to mental health and self-care.

“The pandemic put a really bright light on it,” Walls says.

Walls and Layer have broken down self-care into very specific strategies and offer a variety of modalities for humans to promote emotional, mental and physical health.

Photo by Valeria Boltneva: https://www.pexels.com/photo/closeup-photo-of-white-petaled-flowers-965982/

For instance, aromatherapy can come in the form of simple awareness of the scents around us like freshly baked bread, the air after a rain, or the scent of roses. Essential oils can be used therapeutically as they have “a direct effect on the brain and trigger emotions and hormonal responses.”

The duo advise how to use essential oils along with methods of administering like steam inhalation, direct application to the skin with carrier oils, or used in diffusers like lamp rings or cotton balls for example. Oral ingestion is NOT recommended, they warn.

Tapping, or the Emotional Freedom Technique (EFT), is another modality proposed.

“Tapping is a self-help technique that involves tapping with fingertips on points of ‘energy meridians’ located around the body,” Walls explains. “It is based on the theory used for acupuncture, but without the use of needles, to stimulate energy points on the body which create a balance both emotionally and physically.”

Affirmations can be coupled with tapping.

Walls and Layer share these:

“Even though I feel this anxiety, I deeply and completely accept myself.”

“Even though I panic when I think about ______, I am strong enough to deal with this.”

“Even though I’m having pain, I can see myself relaxing and releasing this pain.”

Other self-care techniques include the Havening Technique which is a method that uses sensory input to alter thought, mood, and behavior through a process called synaptic depotentiation, mindful breathing, 4-7-8 breathing, box breathing, and three-part breathing, and mediation.

The majority of these practices are inexpensive and accessible making them good options for whenever the need arises.

Walls and Layer emphasize the importance of building the immune system as a self-care tool. Part of building a healthy gut, a major component of the immune system, is minimizing the use of antibacterials and instead, washing hands with toxin-free soaps.

Using appropriate herbs, ensuring proper micronutrients through whole foods and prioritizing sleep are all vital components in caring for ourselves holistically, the duo teach in their course.

Photo by Nathan Cowley: https://www.pexels.com/photo/woman-slicing-gourd-1153369/

Walls acknowledges that it’s often most difficult to carve out time for self-care when we need it the most.

Reminiscing about when her children were young, Walls says, “I look back on those really busy times in my life and wonder ‘How did I get through those crazy times?’ I think I learned early on how to do a lot of these self care techniques… and I am really glad because I can see the benefits as the years have gone on… I am reaping the benefits now at my age from [practicing self-care] back then.”

When we practice self-care, we’re setting examples for the next generation, too. Walls points out that her adult daughter now uses many of techniques she observed as a child with her own children and with the children she works with at an elementary school.

Walls likens this to a concept Dalai Lama is credited with: “Just as ripples spread out when a single pebble is dropped into water, the actions of individuals can have far-reaching effects.”

Photo by Felix Mittermeier: https://www.pexels.com/photo/closeup-photography-of-water-drop-355724/

Check out another Our Milky Way piece Self-care strategies for lactation care providers for more thoughts on providing sustainable care.

Self-care strategies for lactation care providers

Tomorrow is World Mental Health Day. Read on about self-care strategies for lactation care providers.

Image credit: WHO

When a gas-powered vehicle is low on fuel, it’ll often show signs of fuel starvation like a sputtering engine and intermittent power surges. Eventually, when the engine dies completely, the hydraulic power to the brakes and steering lose power too. Steering and stopping is still possible at this point, but it requires greater effort.

Perinatal professional Sara BhaduriHauck, CLC of Mandala Motherhood analogizes the vehicle and the human body and how self-care and nurturing mental health is crucial to providing sustainable care.

“It feels good to give,” she begins, speaking from the perspective of lactation care provider. “But you can only give so much.”

Learning to sense the feelings and sensations that warn us of burnout, is like filling up the gas tank when it hits a quarter tank.

“Keep an eye on your gas tank,” BhaduriHauck advises.

This wisdom of self-discipline, knowing when to stop giving to others so that one can give to themselves, allows for a healthy care provider/client relationship.

Liba Chaya Golman, CLC with lev lactation shared her struggle after a particular session: “I just met with a dyad dealing with weight loss and low supply and while we have a short term plan and pediatrician involvement, I am feeling so emotionally spent after the consultation. I’m empathetic by nature and became a CLC after my own difficult breastfeeding experience. I feel capable of managing the situation and have people to refer to and rely on, but came home and cried after the visit.” Soliciting tips for lactation provider self-care, BhaduriHauck offered up some suggestions.

“I find therapy to be an amazing self-care tool, especially when client situations trigger my own traumas,” she shared. “The situations that hit us the hardest shed light on the areas inside of ourselves that need some tender attention.”

BhaduriHauck endured traumatic birth experiences herself, like so many maternal child health care providers who are drawn to this work because of personal challenges that they endured.

After slogging through our mental health system,  BhaduriHauck eventually connected with a trauma-informed therapist specializing in EMDR and a perinatal mental health specialist. Later, BhaduriHauck pursued training as a postpartum doula.

“Doing that work and learning how to help other people also helped me help myself,” she explains. “You have to have healed enough of your own emotional stuff to put it down and to pick up someone else’s, but in learning to help others, I was also learning how to support myself.”

She continues that journaling allows care providers to give their feelings space and “attention to be seen and articulated.”

“Sometimes I just need the space to express them before I can let them go,” she shares.

Affirmations are another avenue of self-care for care providers to explore.

BhaduriHauck uses this one most often: This work isn’t about its outcomes. It’s about making a difference.

“Over-giving/over-investing is something I fall into naturally, and I have to work at creating distance between a client’s situation and my responsibility to it,” she explains. “Reminding myself that me just doing my job, makes a world of difference to the client [and]  helps me release some of the big feelings I’m holding onto about the client’s situation.”

BhaduriHauck acknowledges two types of processing: active and passive.

Going to therapy, having someone who is trained in validating and providing empathy, is an example of active processing. When our feelings are “infused with empathy,” as BhaduriHauck puts it, “we can put them away inside ourselves softer.” The opposite of this can happen if we have not chosen the listener appropriately, she warns.

Passive processing sometimes comes in the form of slowing our pace and down regulating our nervous systems. For BhaduriHauck, she finds a calmer state of being by going for a walk, snuggling her dog, or taking a hot bath. In these scenarios, she might not be actively processing trauma or emotions, but she’s giving her body space.

Intentionality in practice can help preserve mental health, and allow a care provider to be a more effective support person too. BhaduriHauck suggests checking in with oneself, “Am I doing this in service of the client, or in service to myself?” If it’s the latter, there are better avenues to pursue the boost of “feeling good by doing good” and/or getting the assurance that “my knowledge is valuable”.

BhaduriHauck shares some final thoughts on mental health as a lactation care provider. “The emotional learning I’ve done in becoming a care provider and overcoming my own struggles, they’ve gone hand in hand.  My experiences help other people and others’ experiences have helped me in learning emotional management techniques. When I talk to parents… I can listen without it triggering past traumas.”

Photo by Madison Inouye

She goes on, effective care requires the provider to have trained themselves to embrace the emotional component of the work in ways that are in service to their clients.

In 2021, the CDC issued a call to action to protect health care workers’ mental health. You can find that  information here.

The National Alliance on Mental Illness (NAMI) offers resources for Health Care Professionals including peer and professional support options. Find those resources listed here.

Praeclarus Press offers Burnout, Secondary Traumatic Stress, and Moral Injury in Maternity Care Providers, an opportunity to learn about the stresses of maternity care and how to care for yourself on the job. Learn about the course here.