relationships

“AMA policy adopted last year identifies loneliness as a public health issue that affects people of all ages.” ~ American Medical Association

February is the month of love and connection. But what if you don’t feel connected? In a January 2020 (pre-lockdown) survey of 10,000 adults, 61% said they were lonely. And loneliness is more than just a mental health issue. It’s been linked to increased heart problems, stroke, and other medical issues. 

According to psychiatrist Dr. Tiffani Bell Washington, MD, MPH, “Loneliness is essentially the feeling of being uncomfortable or in distress when someone feels that there is a gap between the connection they would like and the connection they actually have... You can be in a crowd full of people, you can know all of them, and you can still feel lonely.” 

She added that superficial social connections, no matter how many, don’t really decrease loneliness. “What you really want is something deeper—someone to know you on the inside,” she said. “It's really based on perception of the difference between the relationship you'd like and the relationship that you have with others.”

Types of Loneliness

Loneliness and social isolation are two sides to the same coin. As stated above, a person can be lonely in a crowd. But many people are also at risk for social isolation. These include marginalized populations, older people, and those in remote areas. Either way, the lack of connection to others is detrimental because humans are hard-wired for connection. 

How to Combat Loneliness

When it comes to “fixing” the problem of loneliness, there are two major things to consider: connection with others and connection with ourselves (being content while alone). 

Connecting with others doesn’t have to mean going to crowded places or attending parties every week. Since we long for others who really “get” us, it’s helpful to find those who share our interests, values, and backgrounds. Writers, for example, tend to work in isolation. As a profession, they are often considered introverts. But attending writer’s conferences and joining writer’s groups—either locally or online, offers connection for people who share similar interests and who often view life in comparable ways.

Ways to Connect with Others

• Consider your interests and hobbies, and find groups who share those. If you live in a remote area, find an online group that meets online. 

• Join a community or volunteer organization. Look for someone else who looks lonely and befriend them. 

• Take your lunch to a park or other place and people watch. Even if you don’t talk to anyone, just being around other humans can help you feel less lonely. 

• Find creative ways to connect. If you live far from family and friends, set up online appointments to meet for coffee, dinner, online games, or even watch a movie or sporting event. You can use these to join birthday parties and holiday gatherings too.

• Make a large group smaller. If you’re already in a large group that makes you feel lonely, invite a few people you have something in common with and start a group within a group. This can be a study group, a book club, a dinner club, or anything else that brings a deeper connection.   

Ways to Connect with Yourself (Hint: Self-Care!)

• Learn to relish your alone time. Schedule appointments with yourself to do things you really want to do, that you need to do alone, anyway. Get a massage or a facial. Take a bubble bath. Turn on some of your favorite music, light a candle, read a novel. 

• Reorganize or redecorate a room in your home. 

• Start a new hobby. YouTube is an excellent resource for learning to paint, play guitar, garden, or just about anything else you might be interested in. 

• Go outside. Talk a walk or a jog in a park or around your neighborhood, or simply enjoy a cup of tea while you listen to birdsong. 

• Talk to yourself. Tell yourself the things you’d say to your best friend, if they were feeling disconnected. Remind yourself that you’re amazing, interesting, intelligent, and fun. Do this every day—out loud or in your head. 

Several studies link loneliness with depression, immune suppression, and other health problems. If you’re feeling lonely, it’s important to combat the issue in any way you can. Sometimes you can do all the right things and the loneliness persists. Don’t hesitate to reach out to a therapist who can help you explore ways to bridge the gap between the connections you want and the connections you have. You are worth the effort.

 

Thanksgiving and Christmas are often spent with extended family—which can bring stress by itself. Add in the recent emotionally charged election and the divisiveness it’s caused, and this year’s holiday dinners have leveled up. 

In today’s political climate, people are moving away from politely expressing a differing view while respecting others’ opinions. Oftentimes, they’re not willing to keep the topic off the table, have an open discussion, or even remain civil. Where relationships might’ve been prioritized over political views in the past, lines have now been drawn in the sand. People have unfollowed others on social media, cancelled events, and shut down relationships with family and friends. 

It's not surprising that even the thought of coming together to share a meal can cause dread, tension, and anxiety over potential conflict. Even if you think you know someone well, you can’t always predict how they’ll react. And you can’t change them. But you can change the way you respond. Check out the strategies below to help you survive this year’s holiday dinners. 

Strategies to Survive Your Holiday Dinner

Set boundaries before and during the event. If you’re the host, send a text or an email to request that guests avoid polarizing topics. Politely remind them again as you sit down to dinner. If you’re the guest, decide ahead of time what you will and will not endure. If things get too much for you, excuse yourself as politely as possible, tell everyone you love them, wish them a happy holiday, and explain that you’re not feeling well and have to leave. 

Shift the Focus. When conversations veer into iffy territory, redirect. Ask lots of questions. People love to talk about themselves and their thoughts. The more questions you ask, the more you control the narrative. Tell a joke. Have a couple of corny “dad” jokes ready. When things get awkward, save the day with humor. Groans are better than heated stares. Suggest playing a game or watching a movie. 

Take a break. Scope out a place to decompress before you need it. Politely excuse yourself. Spend a few minutes scrolling through social media, watching funny cat videos, or listening to your favorite music. Take some deep breaths. 

Limit your time. It’s better to stay for an hour or two and leave on a good note. 

Strategies for What to Say to Avoid Political Conversation

• When you want to change the subject. “Can I interrupt? We need to talk about XYZ.” This approach changes the topic and gives you a way out. 

• When you want to disagree. “My opinion is different, but you make an interesting point.” This is a respectful way to disagree that also lets others feel heard. 

• When you need a break. “This isn’t something I want to talk about right now. Can we talk about X?” Most people will at least think about not pushing back once you’ve clearly stated you want to talk about something else. 

• When you feel uncomfortable. “For personal reasons, I’d rather not discuss this. Mind if we ditch this topic?” By being direct and honest, you can state your feelings without it being awkward.”

• When you’re stressed and need to shut a conversation down. “I respectfully disagree and think it would be best if we didn’t talk about it anymore.” This gives calm and respectful feedback while making your views clear.

• When someone gets emotional. “I see you feel strongly about this. I’m starting to feel a bit uncomfortable. Can we talk about something else?” When you say what’s happening for you personally, you can move forward in a way that’s respectful to both of you.

8 Strategies to Handle Conflict When It Arises

• Stay calm and civil. Getting angry, calling names, villainizing people, yelling, or arguing only escalates conflict. When you calmly respond to someone, they’re more likely to hear your viewpoint. 

• Agree to disagree. People see the same event from different viewpoints. Sometimes, it’s enough to acknowledge that it’s okay not to agree. 

• Separate people from their opinions. You can still care about and respect someone if their beliefs and choices differ from yours. 

• Acknowledge and validate both of your fears, anxieties, and anger, and focus on the relationship rather than the conflict.   

• Listen actively. Active listening communicates someone’s worth and helps you understand the thoughts, feelings, and emotions behind what they’re saying. Try to hear the assumptions, cultural values, and beliefs behind their message so you can “walk a few blocks in their shoes.” 

• Know your message. If possible, consider your own emotions and thoughts before a conflict occurs. Decide how you can best communicate your needs, interests, values, and principles ahead of time so you’re prepared to respond in a calm, respectful manner. 

• Use defusing speech and body language. 

• Choose “I” instead of “you” statements. Focus on the actual conflict instead of how you’re reacting to it. (“I feel frustrated when you tell me what my opinion should be.”)

• Avoid triggers. Stay away from exaggerated words (always or never), emotionally charged words, and aggressive nonverbal language (crossing your arms, rolling your eyes, pointing a finger, getting into someone’s personal space).

Keep in Mind

If you’re the one who wants to talk politics, be sensitive, and respectful. Try saying, “I’d like to hear your thoughts on X. Is that something you’d be interested in discussing with me?” Asking for permission gives others the opportunity to participate or to opt out of a discussion.

You can’t control others, but you can control yourself. Remember to be the person you wish everyone else was. Show grace and compassion. Treat others the way you want to be treated. And if the tension becomes too much, it’s okay to walk away.

According to popular music, Hallmark movies, and holiday greeting cards, this time of year is filled with peace, joy, and good tidings. But for many who have lost a loved one, that picture isn’t entirely accurate. Instead of joy, we feel sadness. Instead of peace, we feel anxiety. If you or someone you know is coping with loss this season, it’s important to remember that healing is a process. With significant loss, grief may always be present. However, it does dull with time as we learn to do life in new ways without that person.

If you’ve recently (or perhaps not so recently) experienced a significant loss, consider the following as you navigate the holidays: 

• Set boundaries. It's okay to not want to be around happy, festive people. Watching others carry on with their lives can be especially hard. If needed, feel free to turn down invitations. Thank people for their offers but tell them you’d rather celebrate alone this year. 
• Decorate as much or as little as you want. If putting up the tree makes you feel close to your loved one, do it. If stringing lights makes your grief more intense, don’t. You have a right to deal with the holidays in ways that feel right to you. 
• Make a plan. If you celebrate with others, drive yourself so you can leave when you’re ready, or ask a trusted friend or family member to drive you with that plan in mind. 
• Cry. Or laugh at old times. Whatever you do, let yourself feel what you feel and be okay with it. Don’t be afraid of the intense emotions that surface during this time. They’re part of the healing process. 
• Honor your loved one. Carry on their favorite holiday tradition or donate to a charity in their name. Do something to show yourself—and the world—that this person you loved is not forgotten. 
• Change it up. If doing the same things you did with your loved one makes you sad, it’s okay to come up with new traditions. Take a trip or make a new dish you’ve wanted to try. If there’s something you always wanted to do but your loved one wasn’t on board, consider doing it now.
• Volunteer. One of the quickest ways to get past our own pain is to reach out to others who are hurting. Bake a cake for a sick friend. Put in some time at a local food bank. It will get your mind off your grief, make you feel better, and bless others in the process.  
• Write a letter to your loved one. Let them know how you feel and how you’re managing without them. Just writing it down will help with the grief process. 
• Consider the young ones. Many holiday traditions are centered around children. Think about how they may feel if you don’t participate. Keep yourself in their lives, even if just for a few of the celebrations and traditions. 
• Reach out. Don’t be afraid to ask friends and family for help dealing with your grief. Most people want to be there for you, but they don’t know how. Tell them, and it may help with their own grieving process. 

If someone you know has lost a loved one, it can be difficult to know what to say or do. Below are some things to keep in mind as you show your support:  

• Offer, but don’t insist. Ask the person to join you at holiday gatherings but be understanding if the answer is no. Give an open invitation, and don’t be surprised if they change their mind at the last minute. They may initially accept and then back out. Or they may say no, only to decide later they want to take part.
• Listen without judgment. Everyone grieves differently. Be supportive, but don’t offer advice or platitudes. Don’t say, “At least he’s not in pain anymore,” or any variation of that. When someone is grieving, they just want their person back. Let them feel their grief. 
• Send a special card. For your grieving friend, you might forgo the traditional smiling family photo card and send a more subdued and sensitive message instead. 
• Commit. After the funeral is over and the casserole dishes are returned, many friends disappear. But the months after a death can be long and lonely. Check on your friend often, over a long period of time. 
• Donate in honor of the lost person, and let your friend know you’ve done so.

Remember that grief doesn’t just happen that first holiday season after a person is gone. Sometimes, holidays are a little sad for many years to come. However, the load does lighten with time. Though you will always long for that person in your holiday celebrations, you will eventually learn to laugh, love, and enjoy life without them. Hang in there. It really does get better. And, if needed, you can always reach out to a therapist for help.

“There are certain words you and your dying loved one should exchange while you can.” ~ Dr. Ira Byock, author of Dying Well.

Mary never tells her dad she loves him. Rick has said some things to his wife he wished he hadn’t. June and her sister have never gotten along. Nina’s carrying around guilt over something that happened between her and her best friend. Mary, Rick, June, and Nina all have one thing in common. They’re going to lose a person they love. And they’re not ready.      

While no one would choose a terminal diagnosis for someone they love, a drawn-out death offers what a sudden death cannot—time to say goodbye. There’s no doubt these conversations may be some of the hardest you’ll ever have. But deciding to have them anyway can bring peace and closure to you and the dying person and leave you both without regrets.  

What to Expect Near the End 

As you start thinking about losing someone you love, knowing what to expect can take away some fear of the unknown. It can also give you a rough idea of how much time you have left to say goodbye. 

When someone moves into what doctors call “actively dying” and has no medical intervention, they go through 3 stages of death. The process can last as little as 24 hours or longer than 14 days. 

The stages can look like this: 

Early stage: 

• can no longer get out of bed
• doesn’t want to or can’t eat and drink
• sleeps a lot
• has delirium (confusion, hallucinations, restlessness, short attention span)

Middle stage: 

• sleeps most of the time
• harder to wake up 
• can’t swallow
• has a “death rattle” sound when breathing  

Late stage: 

• can fall into a coma 
• may run a fever 
• has irregular breathing; sometimes stops breathing 
• arms and legs can look mottled or blotchy  

 

Why You Need to Say Goodbye to Your Loved One

When someone dies unexpectedly, you may struggle with regrets over what you said or didn’t say and what you did or didn’t do. With a terminal diagnosis, that doesn’t have to happen. You have an opportunity to end things between you and the dying person the way you’d both like. 

Here are some things you might want to do:   

• talk through unresolved issues or conflicts 
• make amends for something you might’ve done 
• let go of resentments you’re holding against them
• work to heal any old wounds either of you is hanging onto 
• bring up good memories you share
• share your appreciation for who they were to you and the impact they had on your life

 

Dr. Ira Byock wrote a book called Dying Well. As a hospice advocate, he believes there are certain words you and your dying loved one should exchange while you can.  

These are some things you might want to say: 

• I love you
• I forgive you
• Forgive me
• Thank you
• Goodbye

Why Your Loved One Needs to Hear You Say Goodbye to Them

Sometimes, a dying person will cling to life when they believe the people who love them aren’t ready for them to go. They may also be afraid or struggle with what they’re leaving behind or what they’re about to face. Reassuring them can bring the relief and release they need. It can also bring you both comfort. 

Here are some things a dying person might need to hear:

• It’s okay to go when you’re ready.
• Don’t be afraid.
• I’ll be all right without you.
• I’ll take care of the things you’re worried about leaving behind.

The chance to say goodbye is a gift. Moving forward with no regrets after your loved one’s death is also a gift. You’ll never be sorry for using the time you have left with them to work things out, say what needs to be said, or tell them how much they mean to you.