The encouragement to ‘practice self care’ floats round the internet a lot. Sometimes it rather feels that if you are still ill, still struggling, it might be your fault for not doing enough of the self care things – I doubt I’m the only one who feels this on a bad day. Self-care is a rather vague sort of notion and the prompt to undertake it rather assumes that what’s needed is fairly easy, or obvious… and often it isn’t.
If you only have mild problems, or only have one problem, then it can be easy to identify what would help. However, when you have multiple problems, what eases one can exacerbate another. Is loneliness making you depressed? But would going out to spend time people trigger your anxiety, or cost energy you don’t have, or are you in too much pain to do it? Then there’s no easy self-care answer to be had.
Trying to find the balance between being active enough to maintain some kind of health, and not wiping out your resources, is an ongoing issue for many people. Part of the trouble is that you don’t know upfront how far you can get. Will some physical activity ease the loss of energy due to depression, or lead to a panic attack that wipes you out entirely? Will the improved circulation from moving about help with healing, or will the aching muscles cost you too much? The big one for me is always, get on the trampoline to sort the dysfunctional lymph glands, or rest the sore muscles. I hurt either way, the question is, which will be worst, which outcome can I least afford? I don’t always get it right.
Sometimes ‘self care’ means trying to figure out the way forward that will hurt least, or deciding which hurt you can most afford. I’ll take body pain if I can gain some ground for mental health, most days. Except on the days when it’s the body pain causing my brain to shut down, or leaving me too open to panic.
Self-care is a lovely idea. If it’s easy to do, then the problems aren’t that big in the first place. If you can fix yourself with a few days off, a nice bath, a walk in the woods – then you were not in massive crisis to begin with. I’m glad for you, but please don’t assume that’s a measure of how anyone else is doing. And if you’re on the other side of this – if no matter how you try to look after things you can’t get on top of your problems, it isn’t your fault. Not everything can be fixed. Not everything can be healed and put right with enough care and attention. Sometimes there isn’t enough self care possible to change how things are.
Also, sometimes self-care isn’t the answer because people need caring for. If someone is over-worked, over-burdened, doing too much emotional labour, being put under too much pressure – it should not be on them to also save themselves. Pushing people towards self-care can be a way of avoiding feeling responsible for them. Sometimes, the answer is to get in there and ask what would help. Take some of the weight off their shoulders. Don’t leave them to fight all their own battles (sexism, racism, ageism, fat shaming, abelism and all things of this ilk are exhausting and take a real toll). Don’t imagine that telling someone to practice self-care is actually helping them – it’s just well meaning noise. If you want to help, make sure they have the space, the time and the resources to practice self care, because without that, telling a person to fix themselves is just adding to what they have to bear.