Last weekend I had the great opportunity to meet Sara Nash (from the Single Gal's Guide to RA blog).

She is as fun and funny in person as she is on her blog.  We spent time talking about dating and creating relationships, both romantic and other.  Sara shared her experiences, and some heartfelt questions.

In honor of St. Valentine's Day, I will pass along some of the wisdom and humor we gathered together.

Loving and Being Loved is an Important and Essential Part of Life.

It can be tempting to believe that it's "just not worth the effort" to extend yourself and create some meaningful relationships.  When you don't feel well, or perhaps you see yourself as damaged, or compromised, it is also a temptation to believe you're not worth it.

Neither of those beliefs is accurate.

Finding someone to love -- and being willing to let yourself be loved -- is one of the greatest gifts we can receive or share.  It can take some intention, some willingness to risk, and a dash of humor, but a loving relationship is possible -- and incredibly nourishing.

Commit Yourself to the Process.

Relationships don't "just happen."

There is often some tricky trial and error.

Sara and some others at our meeting talked about some "off" experiences -- dates who didn't "get" her, or who left because of the diagnosis of RA.

Well, isn't that their loss????

It's no fun to feel rejected, but sometimes these experiences are the only way to sort the keepers from the not-so-good ones.

Then it comes back to your own confidence -- that you are a gutsy, interesting, many-faceted prize.

You are more than your diagnosis -- it doesn't define you, and it is not the most important part of your self-understanding.

It is piece of your life, a shade of your color, but not your dominant hue.

You may have some inner work to do to know you are lovable and have a lot to give -- and if I'm talking to you, get started!

You may have work to do to put your intention out in the world, and put yourself in the path of relationships.  This requires some planning and some effort, but this is also doable.

Committing to the process is a good place to get started.

Manage the Unpredictable.

That sounds like a contradiction -- how can we manage what isn't known?

With a chronic disease -- that has fatigue and pain as unwelcome companions -- learning to manage and plan for the unseen circumstances can help provide a cushion of time, energy, and space.

As Sara said, "When you have a chronic disease, you learn you have to be very well organized."

That's part of it -- and preparing for contingencies is the other part.

Do you have a quick three- or four-sentence description of your illness, if you would need to explain to someone why you take pills, or why you walk more slowly?

Have you practiced some generic cover lines for times when you don't want to disclose?  If you would need to end a date, or chose an activity that is a little less strenuous than a mountain hike, you don't need to over explain or make yourself feel more vulnerable.

Everybody gets the flu, and many folks don't like to hike or bike.  A simple "I don't think that appeals to me," or "I got an unexpected bug.  I enjoyed our time so far, and I'd like to call you tomorrow when I'm feeling better."

Having some practiced words in your back pocket -- and giving yourself permission -- are two ways you can manage.

You probably have some I haven't thought of, and it's wonderful to share.

If you are beyond the dating and into a long-term relationship -- most of this still applies!

We still need to commit -- and re-commit -- to the process of loving and being loved.  A relationship is a deep gift in our lives -- and also requires intention, attention, and an eye to the unpredictable.

I wish you all well on your journey, and whatever your relationship status, bless yourself with a gift of appreciation and loving thoughts this Valentine's Day.

A valentine from me to you, and a valentine from you to you.

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A client of mine was struggling.

He has been living with rheumatoid arthritis (RA) and working full time.  He supports a growing family and wants to do everything he can to make their lives happy, healthy, and secure.  He loves his wife and wants happiness for her, so he will bend his schedule, take on household maintenance, and shoulder extra chores to make her life easier.

The result of this effort is that he is usually tired, and is regularly overwhelmed.  He doesn't know how to change his life -- and he's not sure he wants to.

My client isn't living this way just because he's a super nice guy (although he is).  He is living a script -- a story he told himself about who he is.  It's a story that makes him feel proud of himself and, even more than that, secure.  He knows what his life is about.  He's a breadwinner.  He's a fix-it guy.  He's reliable.  He can be counted on.

Most of us have a story.  Even when we're not aware, it lurks in the background, under the radar.  It's the story of who we think we are -- and who we're not -- and it is a subtle picture of how we believe life should go.

For my client, life was about responsibility, and also about the satisfaction of being in charge.

Then he had a diagnosis of RA.

His life changed. But his story didn't.

That happens a lot.  We think a diagnosis, or a family trauma, or a loss, or even something wonderful like a new job, shouldn't change us that much.  We move on.  If it's an illness, we treat it like it's just another add-on in our busy lives.

The result is that we miss the challenge and the opportunity that life has given us to grow in a new way.  To live differently and explore other parts of ourselves.  It is not easy.  We usually wouldn't choose the pain, the disruption, or the limitation that life seems to be offering as a pathway.  There are difficult choices.  These may mean saying no to a long held dream, or something we feel we should have.

My client began to suffer from severe flares, and he couldn't do everything for everyone anymore.  He had to ask for help.  He had to let go of some independence, and his story that he was The Go-To Guy in the family.  This was hard -- even humiliating for him.

The process of changing our story is a complicated one.  We are walking in the fog -- inventing ourselves as we go.

When we begin to emerge from these life- and psyche-altering times, there is surprise -- and often good news.  No, our life is not what we thought it should be.  But there are amazing compensations that we could not have imagined.

My client found his wife rose to the challenge of his illness magnificently.  Yes, he had wanted to protect and cherish her.  It was a startling gift to feel protected and cherished by her.  He let go of some of his compulsive management of family life, and found he could be a dad who relaxed as often as he worked.  It wasn't a quick or painless journey.  But as he allowed his story about himself to soften and evolve, he discovered hidden treasures.

I wonder what version of your life story you are clinging to -- and what you can let go of to allow new realities to emerge.

What is the new story you might begin to tell?

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"Emotional Wellness Helps RA" is the title of a recent post on PsychCentral that caught my eye:

http://psychcentral.com/news/2009/08/05/emotional-wellness-helps-ra/7550.html

The incidence of depression among people with RA is twice that of the general population.  An additional study found that when spouses and partners of those with RA are depressed it correlates with a poorer prognosis for the person with RA.

Being emotionally healthy is essential for those who have RA and for their family -- it can alter the course of the disease and supports better pain control.

So how do you become "emotionally healthy"?

What the studies look at is depression -- that feeling of hopelessness, powerlessness and the sense that things will never change.  Other symptoms of depression can be persistent anger, sleeplessness (or always wanting to sleep), or an overall grey feeling -- nothing seems good or worth looking forward to.

These feelings can creep up and subtly worsen over time.  Early intervention is the best way to stave off a more serious bout of depression.

Yet most people don't treat depression.  They hope it will just go away.  They don't want to be whiners, or feel "weak."  Many folks also don't want to take more pills or feel like they have another disease, so they just try to ignore those downbeat thoughts.  They try to "act" cheerful or okay.

The bad news is that this strategy doesn't work.  And depression is wily and tenacious once it takes hold.

Dealing with it early is the most effective approach.  Here are a few ways to start if you find yourself regularly feeling blue or blah:

Talk to Somebody

Find a neutral, supportive person who can listen.  It is best to rely on someone who knows something about depression -- a religious leader, or a medical support person like a nurse or therapist.  Many communities have free or low-cost clinics that can be a great place of help and hope.

Talking to a professional can help you put your concerns in the hands of someone who is an expert in these matters.  You will get lots of good advice and perspective.

Physical Movement

This is free, easy, and one of the most researched tools to combat depression.  I didn't say exercise because that can connote a huge program that feels too overwhelming before you even begin.  What helps is just getting your body in motion.  A short walk every day.  Moving some parts of your body -- stretching, breathing, whatever you can do.

The more often you get your self moving each day, the more it helps.

Humor

OK, you don't find very much funny.  But laughing out loud or a good chuckle lifts your spirits and shifts your brain chemistry.  What tickles each of our funny bones is very individual, so you may have to experiment.  Is it a silly spot on YouTube?  An old movie like When Harry Met Sally?  Jokes from the Reader's Digest?  Jon Stewart?

Give yourself the prescription of two funny contacts a day.

Create Community

Who is in your tribe?  Pain and depression lead to isolation, which makes pain and depression worse.  Where are your friends?  To whom do you talk?  Facebook friends and chat rooms are a good place to begin, but be willing to move on to real-time relationships.  Invite someone for coffee.  Go out for breakfast after church or temple.

I know, you don't feel like doing this.  It's hard.  I get it.  Your cave feels safe.  But you need to get into the world and be around people.  Set a goal.  One outreach in two days.  Then you can build from there.

One of my favorite blogs is The Happiness Project by Gretchen Rubin.  The other day she had this great line:  "The absence of feeling bad isn't enough to make you feel good -- you must strive to find sources of feeling good."

As always, you are in charge, and your sources of feeling good are particular to you.  Remember it is an active process -- not a passive one.  Follow the practice of identifying what these sources of feeling good are.  You have to be willing to act on what you know and feel.

Depression is tough -- but I know you can take the first step towards healing.

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