Resilience in the Face of Covid19

Person sits inside a bubble surrounded outside by nature.

Covid19 has captured our attentions most of our waking hours and even intruded into some that should be reserved for sleep. Many continue to feel lost and helpless as no real solutions are immediately in sight. But in recent days I have seen so many wonderful people joining together in virtual groups to support one another and/or address the issues that we can address. There are community groups forming to meet the needs of neighbors and those who are at high risk and must isolate. I joined a group of crafters to make facemasks for medical providers who are currently seeing patients without them due to the shortage. These small yet powerful acts allow each of us to practice and apply the skills & attitudes of resilience now and going forward.

It’s really simple. Connect & communicate. There are a multitude of online groups focusing on a variety of issues. Be flexible in your thinking…open to possibilities. Problem-solve alone and in these virtual groups. Do what you can. Manage strong feelings that come with feeling helpless by finding a way have some control over what you can. No act is too small nor insignificant. Believe in your ability to do so. Trust yourself. Look to the meaning and purpose in your life and you’ll discover what motivates you. Look for virtual groups where those of similar values are acting on them. Join in. Take a look at the big picture with optimistic eyes and you will see what you can do. Care for yourself and others while doing so. You needn’t sacrifice your health nor that of your loved ones in order to make a difference. Above all else…find time to laugh. It may just be the best possible medicine we have available right now.

Be well…all of you!!


Photo of Charlene Fernald Moynihan
Charlene Fernald Moynihan

Greater Portland’s Response to the Opioid Crisis

Sketch of a translucent handshake with a red heart i the background.


Our communities continue to struggle with an epidemic of opioid misuse and abuse. This epidemic has many causes. One contributing factor is our healthcare systems’ overreliance on pain medications to treat a large number of patients with chronic pain. Unfortunately, our current workforce does not include an inadequate array of behavioral and non-opioid options for the large populations of patients with chronic pain. Alternative treatments and models of care needed now, not later.

We are excited to introduce you to an innovative and important project in our community. We have organized a consortium of independent practitioners from various disciplines to participate in a project to respond to the needs cited above. The consortium includes skilled psychologists and other experienced clinicians as well as others who are interested in gaining such experience. Continue reading “Greater Portland’s Response to the Opioid Crisis”

Chronic Pain

Staying home is not the best option.

Silhouette of a seated person inside a bubble.

As we said in the last blog a positive attitude and self-management skills can make it much easier to live with chronic pain. And as we said in the last blog, beliefs, circumstances, your mood, and the attention paid to the pain symptoms will determine in good part how difficult it is to manage.

Here is the situation people often face when dealing with chronic pain. The pain causes you to stay home alone, a lot. Your friends say, “Get out. Do something. Stop thinking about your pain all of the time.” They just don’t get it. If you hear it just one more time the outcome won’t be pretty. It’s easier to stay away from people than to risk arguing with them about the way you’re managing the pain or not managing it. Continue reading “Chronic Pain”

Addiction to Pain Medications

Alternatives to Managing Pain.

Circled Dr's appointment on a calendar.

The problems with pain medications are not new ones. The epidemic that many talk of in terms of opioid addiction is real. Many states in response to this problem have created new guidelines and requirements for the prescription of these medications. Some physicians have simply stopped prescribing them because they may not agree with or want to work with the new guidelines. This has left some patients without a prescriber.

A few months ago I posted a blog about non-pharmaceutical interventions for the treatment of chronic pain. The response to that blog was in general positive, but I got a number of angry responses from people who felt I was saying that pain medication should be replaced with these non-pharmaceutical interventions. That is not what I was saying. Unfortunately, people can become so dependent upon these medications they firmly believe there is no way they could manage without them. And for some that may be true. Continue reading “Addiction to Pain Medications”

Chronic Pain

How the skills and attitudes of resilience can help manage chronic pain.

Blue-eyed man looks at his reflection in a broken mirror.


Attitude alone cannot cure chronic illness or chronic pain. Positive attitude and certain self-management skills can make it much easier to live with. In previous blogs, we have discussed chronic pain and its relationship to the opioid epidemic. In the next couple of blog posts, we are going to be discussing situations that people find themselves frequently when they experience chronic pain. And we will discuss the ways in which the skills and attitudes of resilience can help you manage the pain.

There is a great deal of research that shows that the experience of pain can be modified by circumstances, beliefs, mood, and the attention we pay to the pain symptoms. For example with arthritis of the knee, how depressed the person is better predicts how disabled, limited and uncomfortable they will be. What goes on in a person’s mind is often more important than what is going on in their body.

Continue reading “Chronic Pain”