On Being Resilient

One thing that families living with HD/JHD learn fairly quickly is resilience.

As a grassroots nonprofit run by family members living with Huntington’s disease, Help 4 HD International practices resilience as an organization on a daily basis. HD hasn’t been able to break us as individuals, and Mother Nature won’t break us as an organization. We will continue to serve our families, despite devastating events like Hurricanes Matthew, Harvey, and Irma. Matthew didn’t stop our annual symposium in October 2016; Harvey is not stopping our Houston HIPE Day on September 30; Irma is not stopping our annual symposium in Tampa on October 21, next month. We are resilient!

According to “Developing Resilience” (https://www.skillsyouneed.com/ps/resilience.html), resilience is “the ‘rubber ball’ factor: the ability to bounce back in the event of adversity.”

The article goes on to say that, “Resilience is NOT [emphasis mine] necessarily about overcoming huge challenges; each of us faces plenty of challenges on a daily basis for which we must draw on our reserves of resilience.”

Sometimes, then, resilience doesn’t mean we vanquish adversity; it means we keep going in spite of  adversity.

Those who live with Huntington’s and Juvenile Huntington’s disease would probably agree that there’s more than enough adversity to go around just in the course of daily life: being at risk, learning that a loved one has tested positive, dealing with a new symptom, finding a doctor who’s familiar with the disease, finding the right med (or combination of meds), finding an appropriate care facility, losing one’s independence, losing part (or all) of the family’s income … the list goes on and on.

So does everyone have resilience? Is there some secret formula? How do you deal with all the adversity this disease throws at you?

First, everyone who is not totally compromised by physical or mental illness has some degree of resilience. It may be physical, mental, or emotional, or any combination of the three.

Think back to childhood: when you fell on the playground and scraped your knee, you got back up and kept playing. That’s physical resilience. Nearly all of us have seen a child who’s been felled by the flu only to bounce back, filled with energy, as soon as the fever is gone. Again, physical resilience. An adult who’s had a knee replacement eventually walks normally again. Physical resilience.

Again, let’s go back to childhood. Remember that bad grade on a school test? You studied smarter the next time, and you aced the next test. That’s mental resilience. As an adult, you may have become frustrated at getting to the grocery store only to forget what you went there to get. Next time, you write out a list, or you use a mnemonic device (a memory trick). Mental resilience. Sometimes it’s devising a strategy to deal with adversity.

Maybe as a teen you went through a bad breakup, but eventually, you decided to try dating again. That’s emotional resilience. Most of us have known someone who’s gone through severe depression, but through medication and/or counseling, that person has come through the depression. Again, that’s emotional resilience. Someone who’s lost a beloved pet has grieved the loss but has learned to love a new pet. Emotional resilience. Sometimes it means admitting there’s adversity and asking for help.

But what if the hurt or the grief or the loss or the fear is so overwhelming that it seems impossible to bounce back from such intense adversity? Can resilience be learned? Yes! It can be learned, and it can be practiced.

According to “Developing Resilience,” the first step is awareness. Notice what is going on around you and inside your head. Second is thinking. Learn how to interpret the events that are going on in a rational (“it’s not the end of the world”)way. Third, reach out. Know when (and often whom) to ask for help. Finally, develop fitness—the mental and physical ability to cope with adversity without becoming ill.

The American Psychology Association (APA) in “The Road to Resilience” offers several strategies to build resilience (http://www.apa.org/helpcenter/road-resilience.aspx). Those that I find particularly helpful in living with Huntington’s and Juvenile Huntington’s disease follow:

Make connections—HD and JHD are isolating, partly because they are “rare” diseases that people don’

t understand and partly because the progression of the diseases can stretch out over such a long period of time that people, even family, drift away. One of the most empowering things for me is knowing I am not alone. I began my connection with others back in the 1980s, with a support group that met once a month, an hour’s drive away on a school night. The love and understanding that I found there kept me going back month after month and began my introduction to community members that I’m still in touch with to this day. I’ve connected with people through Yahoo groups for caregivers, various Facebook groups, conventions, fundraising and awareness events, education days, and symposia. I talk to strangers on airplanes and in the grocery store, and find out that lo and behold, they know someone affected by HD. Hmmm ….. maybe not so rare after all? These people have become my extended family.Avoid seeing crises as insurmountable problems—Granted, it can be daunting to find the answers and help we need, and maybe we can’t even find it where we’re looking. I have a friend in California who recently needed to place her son

in a care home; she couldn’t find one in California that would take him, but she found one in New Jersey, and she’s moved him there and is living nearby. Not the ideal solution she’d hoped to find, but a solution nonetheless. Networking is important here; talk to those connections you’ve made!Take decisive actions—This goes with the suggestion made above. We can sit around all day wishing the problems would go away, but they won’t. We have to choose a course of action that moves towards a resolution that we can live with. For me, advocacy is a large part of a very deliberate decision to do SOMEthing, ANYthing, in the face of a disease that often leaves us feeling quite helpless. When behaviors with my loved one have gotten out of control, I’ve had to take actions I didn’t want to take, having him hospitalized, which in our state involves being picked up by the sheriff’s department and taken to the hospital handcuffed, in the back of the deputy’s car.Look for opportunities for self-discovery—It’s important that we not lose our sense of who we are in the face of HD. While it’s easy to get lost in the challenges of living with HD, each of us is more than the disea

se, more than a patient, more than a caregiver. Nurture those other parts of yourself!Maintain a hopeful outlook—This is probably the most hopeful time in the history of Huntington’s disease. There are very viable therapies and even possible cures on the horizon. Read about the clinical trials. Get involved in any that you can join. Listen to our research updates on BlogTalkRadio (blogtalkradio.com/help4hd) and on our Vimeo channel (www.vimeo.com/help4hd).Take care of yourself—You know the old saying, “On an airplane, put the oxygen mask on yourself first.” It’s true that if we don’t take care of ourselves, we cannot take care of anyone else. It’s true that people with HD/JHD who live a healthy lifestyle generally seem to do better with the disease. Whether it’s taking a walk, reading a book, taking a bubble bath, doing yoga or photography, playing music, getting a massage, a manicure, a pedicure, whatever recharges your batteries, do it!

Practice resilience! Be that rubber ball! Adjust your sails! And please, join us at our next event!