How Would You React If You Found Out You Were Dying?

How Would You React If You Found Out You Were Dying?

Through my non-profit “Thru My Eyes” I interview parents who are faced with life threatening illnesses and enable them to leave a video legacy for their children and loved ones. People often ask me, how are you able to sit and speak with someone so intimately, while asking them some of the hardest questions and still remain composed and present while fully knowing what lies ahead for them?

I earnestly explain that it is truly a gift and an honor that I am invited into their home and that they open their heart and entrust me with the most intimate details of their lives. At intense emotional moments during an interview, I may become tearful as I become so deeply and emotionally impacted by their unique histories and experiences. They respond to my emotionality by playfully expressing, “I don’t know how you do this, I would have been crying much sooner.” We connect over my empathy and their warmth and kindness.

I attempted to reach out to a 44 year old male whose interview had to be cancelled the prior week because he was suddenly hospitalized. His wife got in touch and informed me that he was sent home with home hospice because his health had regressed so rapidly and to the point where he was barely conscious and able to carry a conversation. She reported that she had really wanted the video legacy for her two young children, ages thirteen and nine, but at this point it was too late for him to be interviewed. She regretted that he had waited so long to come to the decision, but she also realized that it inevitably was his decision to make.

During my years of group therapy training, I joined a psychotherapy group for psychotherapists. The group therapist/leader was an esteemed leader and educator in the field. During our group sessions, the group members, including myself, witnessed signs of decline in his health. When we expressed our concern to him, he readily disclosed his battle with cancer. Eventually and suddenly, when he was unable to work with us, we met at his home to show our support and express our concerns about never having gotten the opportunity to appropriately and effectively plan our termination and transition to another group. He shared that he was having a challenging time facing his illness and reassured us that he would seek his own treatment to explore and work through why he was struggling.

Upon his death and when we went to pay our condolences, his wife disclosed to us that he did attend one treatment session with her being there along-side him and that throughout the session he refused to have any dialogue in regard to his illness. He sat idly as she shared with the therapist. She expressed to us, “He just couldn’t do it. He loved life way too much to face that he wouldn’t be part of it all anymore.” Through her expression of his sentiments and thoughts, my expectations and feelings shifted. I recognized that my expectations focused around my ideals about his professionalism rather than his humanity. I truly appreciated his desire and need to live and continue to love life until the very last minute. He committed to never losing his will to live and veraciously stood by that.

Like so many, people choose to approach the very act of videotaping with reluctance and fear, feeling it is an inevitable “death sentence” and that they are making a personal statement in regard to “giving up their will to live.” Even through reassurance and explanation that it is similar to taking out a life insurance policy and that it is done as a precaution but never with the idea that it will ever inevitably need to be utilized, people still tend to be reluctant to committing to the process. Unfortunately, way too often delay is fraught with regret because it is too far into the progression of their illness and the window of opportunity, where they are well enough to communicate their personal story, is missed.           

I wonder about the factors that contribute to the way individuals cope and respond to their devastating prognosis. There are those individuals who seem accepting of their inevitable death and are generally open to receiving support from others and sharing in their challenges. There are those individuals who are extremely private about their illness and share with relatively few. There are still others who seem in denial of their fate up until or very close to their death. This directly impacts how quickly they contact us and whether they are effectively able to follow through with the videotaping process.

I also ponder about the various ways that individuals choose to inevitably conduct their videotaping. Some opt to share intrinsic details of their lives based on the questions they have selected to address. Others prefer a combined approach of sharing details of their lives and talking directly into the camera to specific beloved family members and friends. While others want to spend their time entirely speaking directly into the camera to selected family members and friends. The approach differs from person to person based on their desires and needs.

Dede, a 40 year old female with an 8 year old daughter who was the inspiration for the creation of the Foundation and who it is dedicated to, was an incredibly vibrant, optimistic and joyful person. She showed up to the gym exuding this persona right up to and until her very last days. I personally observed her struggle and spoke to her about the challenges she was experiencing and those she expected her family to endure following her death. One day I asked her, “How is it that you remain so gracious, cheerful and joyful given what you’re going through?” She responded, “When I knew how grave my situation was I decided I can either leave this earth being depressed, sad and angry or I can choose to be appreciative, happy and feel loved and I decided that I’m opting for the latter and that every day I would dedicate my life to living that way no matter what.” I was so moved by her words. She held true to the commitment she had made to herself.

I can relate to many of the people I interview because of being close to their age and having children of similar ages. I leave each experience with further gratitude for my life and health and contemplate how I might handle it if I were in their position. I speak from a place of what I hope and imagine for. I grasp the idea and agree that “you never truly know” until you find yourself in that position. For me, I would hope and imagine organizing a living funeral where I preemptively would be able to openly and candidly express myself to those I love. I imagine getting in touch with and feeling gratitude for every day I had left and would speak openly about my impending death and allow others to express themselves as well if they desired to. For now… I will try my best to live in the moment, have gratitude for the life I live and commit to that life no matter what.  


 

About the Author: Michelle P. Maidenberg, PhDmichelle headshot

Michelle P. Maidenberg, Ph.D., MPH, LCSW-R, CGP is the President/Clinical Director of Westchester Group Works, a Center for Group Therapy in Harrison, NY. She also maintains a private practice. She is the Co-Founder and Clinical Director of “Thru My Eyes” a nonprofit 501c3 organization that offers free clinically-guided videotaping to chronically medically ill individuals who want to leave video legacies for their children and loved ones. 

Dr. Maidenberg is Adjunct Faculty at New York University (NYU). She created and coordinates the Cognitive-Behavioral Therapy Program at Camp Shane, a health & weight management camp for children and teens in NY, AZ, GA, CA & TX and Shane Resorts, a resort focusing on health & weight management for young adults and adults in NY & TX.  She is author of “Free Your Child From Overeating” 53 Strategies For Lifelong Change Using Cognitive-Behavioral Therapy, Acceptance and Commitment Therapy & Mindfulness which is forthcoming in Spring 2016.

You can find Michelle via her websites, www.MichelleMaidenberg.com or www.WestchesterGroupWorks.com, and follow her on Facebook or Twitter.

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Over the past the past 24 hours, I’ve been in Devonport, Tasmania to deliver two sessions to parents and carers - ‘Big Feelings, Connection, and Confidence’, then later an open Q and A where parents brought their real life questions - and we talked.

Thank you for welcoming me so warmly, and for trusting me with your questions, your stories, and your vulnerability. 

This was an openness where real change begins. Parenting is hard - beautiful and messy and hard. In the last 24 hours, I’ve been moved by the openness and honesty of parents I’ve shared space with. This is where generational patterns start to shift.

So many of the parents I met are already doing this deep, brave work. The questions asked were honest, raw, and profoundly human — the kind of questions that can feel heavy and isolating until you hear someone else ask them too.

Our children will grow in the most incredible ways if we allow them the space, and if we hold that space with love and leadership and a curious mind. And, if we open ourselves to them, and are willing to shift and stretch and grow, they will grow us too.

Thank you to @devonportevents for everything you’ve done to make these events happen.♥️
Can’t wait for this! I’ll be in Devonport, Tasmania next week to present two talks for parents and carers. 

The first is on Monday evening 19 May for a talk about how to support big feelings, behaviour and regulation in young people. This is not just another anxiety talk. You’ll walk away feeling hopeful, empowered, and with strategies you can start using straight away. 

Then, on Tuesday morning 20 May, I’ll be giving another talk for parents and carers but this will be a Q&A. Bring your questions to me! Even if you don’t have questions, the ones I answer will be loaded with practical information that will support you in your parenting journey. 

So grateful to @devonportevents for organising the events. They are public talks, open to everyone. 

Tickets available at Humanitix - search Devonport events and scroll down until you find me! 

Would love to see you there.♥️
Hello Adelaide! I’ll be in Adelaide on Friday 27 June to present a full-day workshop on anxiety. 

This is not just another anxiety workshop, and is for anyone who lives or works with young people - therapists, educators, parents, OTs - anyone. 

Tickets are still available. Search Hey Sigmund workshops for a full list of events, dates, and to buy tickets or see here https://www.heysigmund.com/public-events/
First we decide, ‘Is this discomfort from something unsafe or is it from something growthful?’

Then ask, ‘Is this a time to lift them out of the brave space, or support them through it?’

To help, look at how they’ll feel when they (eventually) get through it. If they could do this bravely thing easily tomorrow, would they feel proud? Happy? Excited? Grateful they did it? 

‘Brave’ isn’t about outcome. It’s about handling the discomfort of the brave space and the anxiety that comes with that. They don’t have to handle it all at once. The move through the brave space can be a shuffle rather than a leap. 

The more we normalise the anxiety they feel, and the more we help them feel safer with it (see ‘Hey Warrior’ or ‘Ups and Downs’ for a hand with this), the more we strengthen their capacity to move through the brave space with confidence. This will take time, experience, and probably lots of anxiety along the way. It’s just how growth is. 

We don’t need to get rid of their anxiety. The key is to help them recognise that they can feel anxious and do brave. They won’t believe this until they experience it. Anxiety shrinks the feeling of brave, not the capacity for it. 

What’s important is supporting them through the brave space lovingly, gently (though sometimes it won’t feel so gentle) and ‘with’, little step by little step. It doesn’t matter how small the steps are, as long as they’re forward.♥️
Of course we’ll never ever stop loving them. But when we send them away (time out),
ignore them, get annoyed at them - it feels to them like we might.

It’s why more traditional responses to tricky behaviour don’t work the way we think they did. The goal of behaviour becomes more about avoiding any chance of disconnection. It drive lies and secrecy more than learning or their willingness to be open to us.

Of course, no parent is available and calm and connected all the time - and we don’t need to be. 

It’s about what we do most, how we handle their tricky behaviour and their big feelings, and how we repair when we (perhaps understandably) lose our cool. (We’re human and ‘cool’ can be an elusive little beast at times for all of us.)

This isn’t about having no boundaries. It isn’t about being permissive. It’s about holding boundaries lovingly and with warmth.

The fix:

- Embrace them, (‘you’re such a great kid’). Reject their behaviour (‘that behaviour isn’t okay’). 

- If there’s a need for consequences, let this be about them putting things right, rather than about the loss of your or affection.

- If they tell the truth, even if it’s about something that takes your breath away, reward the truth. Let them see you’re always safe to come to, no matter what.

We tell them we’ll love them through anything, and that they can come to us for anything, but we have to show them. And that behaviour that threatens to steal your cool, counts as ‘anything’.

- Be guided by your values. The big ones in our family are honesty, kindness, courage, respect. This means rewarding honesty, acknowledging the courage that takes, and being kind and respectful when they get things wrong. Mean is mean. It’s not constructive. It’s not discipline. It’s not helpful. If we would feel it as mean if it was done to us, it counts as mean when we do it to them.

Hold your boundary, add the warmth. And breathe.

Big behaviour and bad decisions don’t come from bad kids. They come from kids who don’t have the skills or resources in the moment to do otherwise.

Our job as their adults is to help them build those skills and resources but this takes time. And you. They can’t do this without you.❤️

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