Hope Springs Forth

We looked onward with hope at the end of 2024. 2025 asked us to cling to these words with all we could and all we had and then some.

My cousin Erica’s husband, Matt, was diagnosed with stage 5 kidney disease at the end of 2024 and on dialysis. He was placed on the transplant list that could have him waiting 8-10 years. Erica was pregnant with their second son. The urgency was real for all of us. My sister and I signed up to be living donors. After rounds of tests, I was determined the better candidate due to a marker I share with Matt that they only see in blood relatives (which we are not). I asked the nephrologist how this was possible and he said “really good luck”.

To this day, I am still in awe of the pure grace of this reality.

Matt and I underwent transplant surgery on September 30th. After his surgery, his surgeon told me his body began to respond immediately to the new kidney. He is off dialysis and has gone from 8% kidney function to 68%. My remaining kidney picked up the burden of both pretty quickly as well. Our bodies are incredible.

I’m thankful for the CPMC team: our surgeons, nephrologists, nurses, techs, social workers and all involved from the onset. You gave us both a gift that has changed us forever. I’m humbled by the love and support that overflowed from family, friends, our partners, my mental health colleagues and our faith community. I am also grateful to my clients who were so kind and encouraging in their learning why I would be taking a medical absence and their care for and investment in Matt, whom they’ll never meet.

Hope springs forth. We need this reminder when things are dark and confusing. Matt will have a full life of energy to wrangle a baby and toddler and watch them grow into boys and adolescents and adults. He and Erica will get to celebrate their 10 year anniversary this coming year with hope that they’ll see their 20th.

Spiritual Direction

My friend TJ is a trained spiritual director who completed her Master of Spiritual Formation degree in May 2025. In addition, TJ is a facilitator with The Allender Center, where she was trained in Narrative Focused Trauma Care.

I am thrilled TJ is offering her skills of compassion, depth, vulnerability, and her desire for others to find beauty and abundance in this incredible way.

I asked her to share more about how spiritual direction can offer those wanting to connect more deeply with themselves and their spirituality.

“Spiritual direction offers intentional time and space to attend to the sacred and divine in one’s life.”
— TJ Poon

Spiritual direction offers intentional time and space to attend to the sacred and divine in one's life. Spiritual directors offer generous listening and a witnessing posture, joining the directee in attuning to the movements of the Divine (as defined by the directee) in their lives. While called “direction,” this process is non-directive and allows the person to freely explore the sacred movements in their life with the presence of a loving witness. My desire for people I walk with in spiritual direction is that they would continually find themselves feeling more loved and free - secure in their belovedness, and free to explore their spirituality.

Because spiritual directors are trained to be able to support directees from a variety of spiritual backgrounds, spiritual direction can be enjoyed by people of varying faith traditions or even people who aren't sure where they are spiritually. People who find themselves questioning the faith they grew up with, or just wanting to make it their own, often find spiritual direction to be supportive as they explore where they are.

Spiritual direction takes place in a format that is similar to therapy, usually in one-on-one sessions. However, spiritual directors do not diagnose or attempt to provide mental health guidance. Rather, they offer an intentional space to focus on the spiritual aspect of a person’s life. Sessions are centered on the sacred, and spiritual directors look to the “third chair” (the presence of the holy) as the primary actor in the relationship.

That being said, spiritual direction can be an excellent complement to therapy. Sometimes issues come up in one's life that hold a spiritual dimension that might benefit from more exploration than a therapeutic process can give. Spiritual direction can be a supportive place to explore those questions, while not interfering with the counselor/client relationship or that unique healing work. 

The metaphor of “panning for gold” is a good one for the spiritual direction process. Often, a directee brings the facts and facets of their life that might be quite jumbled and look like nothing special on the surface. In direction space, a spiritual director sits with the directee as they “sift” those experiences, looking together for the gold - where the Divine shows up and is at work in places that maybe hadn't been seen before. 

If you are interested in pursuing spiritual direction, you can contact TJ at www.tjpoon.com or Spiritual Directors International (SDI) maintains a directory of spiritual directors. 

Elbow Room

“How did [other people] find it so easy to saunter through the world with all their muscles relaxed and a careless eye roving the horizon, bubbling over with fancy and humour, sensitive to beauty, not continually on their guard and not needing to be? What was the secret of that fine, easy laugher which he could not by any efforts imitate? Everything about them was different. They could not even fling themselves into chairs without suggesting by the very posture of their limbs a certain lordliness, a leonine indolence. There was elbow-room in their lives as there had never been in his.”

-That Hideous Strength, C.S. Lewis

I’ve shared before about the bittersweet nature our job as therapists is. Recently, I have said goodbye to 3 clients who did incredible work over the years which meant that it was time for us to say goodbye professionally. Around the same time, I finished reading The Space Trilogy by CS Lewis and the quote above made me think about each of the 3 clients’ growth that I had the honor of participating in and witnessing.

Each wanted to feel more assured and steady and secure in themselves. They saw ways they were struggling to do find inner solid ground that impacted how they saw themselves and the world around them. Over the course of our work together, exploring their defense structures, their fears and old patterns of relating, they found their footing and it became more and more sturdy. They gave themselves the elbow room to breathe and be themselves and invite closeness without being threatening. I hope we can all find an easiness in the ways we “saunter through the world”.

Brain Strategies

We know that the brain’s integration plays a significant role in our mental health. I’d like to share two strategies for how to integrate our right and left hemispheres as described in The Whole Brain Child by Drs. Siegel and Payne Bryson.

1) Connect & Redirect: Often times, we will respond to emotional reactivity with logic (trying to “fix” the emotion with a solution to the feeling) but based on how the brain works, it’s more effective to connect with emotions BEFORE redirecting behavior.

  • Ways to connect with the right which provides COMFORT:

    • touch

    • tone of voice

    • facial expressions

    • empathy

    • pausing

  • Ways to connect to the left which helps SOLVE:

    • solutions

    • words

    • planning

    • logical explanations

    • boundaries

This approach allows for empathy with a boundary. For example, in our distress of feeling hurt, we may lash out and say something cruel to someone we love. The behavior is not appropriate but correcting it before connecting emotionally may cause more reactivity. Acknowledging the hurt through compassion can then be followed up by holding someone accountable who will likely be more receptive.

2) Name it to Tame It: I’ve written about this previously and educate clients on this strategy often especially for trauma. This strategy integrates the brain as we name our story and experiences. This is why trauma informed therapy contributes to healing; it provides space for clients to name things in a safe, non judgmental environment. We all need a coherent narrative of our experiences. It isn’t necessarily what happened factually but how we made sense of what happened to us. Brain integration can help us understand our experiences in a new way.

  • Telling your story with the brain:

    • L Brain- explain, put things in order, and assign words

    • R Brain--autobiographical info, whole context and emotional info (our sense of self, where our stories receive texture and meaning)

      *EMDR (Eye Movement Desensitization and Reprocessing) allows for integration of both hemispheres of the brain and is one of the top modalities for treating trauma.

  • Our stories should have at least 3 things:

    • Facts/details (L brain)

    • Feelings/child’s actual internal experience, emotional meaning (R brain)

    • Empowerment/strategy/resilience. The happy ending is you survived. You are not the victim to circumstance or yours or rothers’ emotional responses.

When hard things happen, we share our stories.

Jayber Crow

I was gifted this book by Wendell Berry and within the first chapters understood why this book and especially this character is so beloved.

This story offers profound insights from the vantage point of this man’s reflections and observations. One in particular stood out to me:

“The world doesn’t stop because you are in love or in mourning or in need of time to think. And so when I have thought I was in my story or in charge of it, I really have been only on the edge of it, carried along. Is this because we are in an eternal story that is happening partly in time?”

The humility that we are part of something bigger can be overwhelming and even scary. That the world carries on and moves forward even if we aren’t ready or don’t like the pace. I often find the therapeutic space to be one where things can slow down if even for a bit out of the week and we receive what we need to rejoin the world around us that needs us to partake and give what we can and our role in it.