What I wish doctors knew about helping people manage pain is that there seems to be a lot of disconnect and lack of communication in the healthcare system. When I was in acute care, I was prescribed a number of medications that nobody really discussed with me. They just gave them to me. When I found out I was on methadone, I asked what the plan was to wean me off of it because I didn't want to be on it long-term. Nobody seemed to have an answer. When I was discharged from the hospital, they took me off methadone cold turkey and sent me home. After I got home, I received a phone call from an outpatient substance abuse treatment clinic. They told me they would be treating me for methadone dependence, but the earliest appointment they had was three weeks after I had already been discharged and taken off the medication. They actually said they were going to put me back on it so they could wean me off it. I remember thinking, if this was something that needed to be addressed, why was...
As someone who’s lost a loved one (my father and my dog), suffered a stroke, had skin cancer, navigated a toxic relationship, faced financial uncertainty, and now lives as an amputee —all back-to-back—I found myself in a chronic state of fight-or-flight, hypervigilance, and nervous system dysregulation. This article dives a little deeper into what that actually means, and—more importantly—how healing can begin. When the body goes through sustained stress, grief, relational instability, health crises, and financial insecurity, the nervous system adapts in the only way it knows how: it stays alert. It stays on guard. It learns that safety is not guaranteed, so it remains in a constant state of monitoring the environment for what might go wrong next. Over time, this protective response can become the baseline rather than a temporary reaction. In this state, life begins to feel different. Everyday sensations can become amplified. Sounds feel sharper or more intrusive than they used...