Home Care
People often ask me, if care tasks are not moral then what are they? The answer is they are functional. That's it! When I thought I was supposed to have a clean kitchen all the time I almost never had one because that was far too big and nebulous of a chore. However, now that I am for a functional kitchen every night before I go to bed, it's totally doable!
So what does having a functional space mean? That can look different for everyone. When I ask myself what makes my kitchen function for my family I can begin to identify concrete needs such as enough clean dishes for the day, enough clear counter space to prepare food safely, access to my sink and a stove burner, an empty trash can, and some fresh dish towels. My kitchen won't be functional if it has bugs or bacteria so I also know I need to throw away food waste.
A *clean kitchen* can take hours since there is almost always more that can be cleaned. But a functional kitchen only requires a finite list of six tasks!
So when you are feeling overwhelmed remember: the goal is functional.
And besides, no one ever lays on their deathbed wishing they’d cleaned the bathroom more.
Additional Resources
DIGITAL WORKBOOKS
Looking for downloadable resources on stress-free cleaning and decluttering? Looking for resources to help you organize your home? Check out my digital guides for mental health and home care in the shop.
COMPASSIONATE PROFESSIONAL ORGANIZERS
If you are looking for compassionate and practical 1:1 help finding systems that make your home function I recommend Alison Lush.
When struggle makes it hard to care for your kitty friends, try some of these solutions.
You can also check out my Amazon Storefront to see what products I recommend and use in my home.
Feeding
Nothing you ate yesterday, said today, or have left undone for tomorrow can take away your right to be fed. Your inability to create a nutritiously perfect meal today does not mean your body is better off not eating. All calories are good calories when you're having a hard time.
Struggle Care Cookbook
The official Struggle Care cookbook is a 38 page recipe book for those who are looking for a gentle and accessible approach to cooking. With 18 recipes that can be made with only 1-2 dishes, these simple recipes include inspirational quotes to help you remember that cooking is morally neutral. The Struggle Care cookbook also contains information on how to grocery shop, plan on a budget, and variations on ingredients that help make cooking quicker and less overwhelming.
Check out these free recipes to get you started.
Sometimes we need to unpack a complicated relationship to eating, weight, and body image before we can truly see food as morally neutral. The following resource is a good place to start.
The F*ck It Diet by Caroline Dooner
In The F*ck It Diet, Caroline Dooner tackles the inherent flaws of dieting and diet culture, and offers readers a counterintuitively simple path to healing their physical, emotional, and mental relationship with food. What’s the secret anti-diet? Eat. Whatever you want. Honor your appetite and listen to your hunger. Trust that your body knows what it is doing. Oh, and don’t forget to rest, breathe, and be kind to yourself while you’re at it. Once you get yourself out of survival mode, it will become easier and easier to eat what your body really needs—a healthier relationship with food ultimately leads to a healthier you.
Listen to the podcast.
Health at Every Size
Research shows that diets don't work. After initial weight loss, almost all dieters gain the weight back and many regain more. In addition to not creating long-term weight loss, research shows that diets are actually bad for your health.
Health at Every Size is an approach that celebrates bodies of all sizes and seeks to promote:
A holistic view of health that emphasizes enjoyable food & exercise habits without a focus on weight loss
An end to weight stigma in the medical and other health fields at both the individual and policy level.
The moral neutrality of weight and health.
Read more about Health at Every Size here.
Search for a HAES practitioner (doctor, dietitian, fitness coach etc.) here.
Hygiene
When mental and physical barriers make traditional hygiene routines overwhelming or unrealistic we sometimes ignore our hygiene needs altogether and secretly feel shame that we are failing in this area of life. However, you are not alone and you are not failing. Struggling with hygiene tasks is due to functional barriers, not a moral failings. You are just as valid of an adult as anyone else. You deserve to feel clean and comfortable and you deserve adaptive routines and products to help you get there! Below are products that can help you work with yourself instead of against yourself when it comes to hygiene care tasks.
You can also watch a replay of my livestream on hygiene hacks here
Toothbrushing
Some of my most viral videos on TikTok are about struggling to brush your teeth. Millions of people do not consistently brush their teeth and almost all of them feel the shame of believing they are disgusting--and alone. But you aren’t. One of the most common casualties of mental health, executive dysfunction, and overwhelmed individuals is dental hygiene. Even the most seemingly successful people can struggle to regularly brush their teeth. it doesn't make you gross. It makes you a human having a hard time and people who are having a hard time deserve compassion
The key to cracking this hygiene care task is to ask yourself, "What exactly is the barrier for me?" Your answer will tell you what kind of adaptive product or routine is best for you.
Sensory Issue
"I don't like the bristles of toothbrushes"
If it's the feeling of stiff bristles you can't stand, perhaps you'd rather your mouth be caressed by the loving touch of 12,000 silky bristles. If that sounds like your kind of party, the SilkoBrush is for you. The website calls says "SilkoBrush™ is perfect for those with sensitive teeth, bleeding gums, or tooth aches." and calls their toothbrushes as "soft as a feather."
Attention Issue
"Brushing my teeth is boring"
Quip is a sleek electric toothbrush that buzzes when it's time to switch quadrants in your mouth. It connects to an app to give you all sorts of cool feedback about your oral health. Colgate hum gives you the same guided experience with the plus of letting you adjust your vibration strength.
Sensory Issue
"I hate the taste of mint!"
You might be putting off brushing your teeth because you hate the taste or feel of the mint flavoring. It can be surprisingly hard to find a non-mint toothpaste. But many people find that once they switch, they no longer put off brushing their teeth.
Check out these products:
Executive Dysfunction
"I just forget." or "There are too many steps."
Perhaps you've heard my hack of keeping a toothbrush and toothpaste in every bathroom of my house and in my car. Combine that with these pre-pasted options and you've got yourself a one step, low barrier routine that allows you to brush your teeth quickly wherever you are.
Wisps are little plastic disposable toothbrushes with tiny drops of toothpaste on them. Perfect for your car or bag to freshen up your tooth when you've forgotten to brush.
When getting out of bed is difficult, having pre-pasted toothbrushes on your bedside can get the job done.
Showering
Many people take for granted the ease at which they can autopilot the multiple steps it takes to take a full shower or have the energy it takes to undress, stand, and lift your arms. If a full shower routine is a barrier for you, check out these cool adaptive products. Even if you are overwhelmed, mentally ill, or physically sick, you still deserve to feel clean and comfortable. As always, get curious with yourself as to what the barrier is for you.
Executive dysfunction & motivation barrier
"There are too many steps"
Just because a full shower feels out of reach doesn't mean you have to abandon every option for cleaning yourself. Freshening up with some wipes (I like water wipes because it's just water) and dry shampoo can go a long way.
Energy barrier
"I'm too tired/fatigued/lack the energy"
I always say that washing your hair in the kitchen sink is a valid choice for hair care. Sometimes permission to just sit in the shower and clean part of your body is what we need to hear. If sitting on the ground doesn't sound like a relaxing shower to you, consider a shower chair. This one comes with a back to help support your whole body:
Get more reach more easily with this loofah on a stick!
Attention Issue
"I'm bored"
Turn showering into your special time to listen to a podcast or rock out to your favorite artist. Turn up your radio or computer or consider a Bluetooth shower speaker. Here is an affordable option:
Medication
Remembering to Take Your Meds
Adaptive Products and Routines to Help
Whether it's your cholesterol meds, SSRIs, or your birth control, so much of our health often relies on consistently taking prescribed medications. This is both a great and a hard thing, especially if you are taking medications to help your focus, executive functioning, or motivation, since… you sort of need those things in order to remember to take the medication in the first place. There are all sorts of barriers to taking medication consistently but luckily there are lots of adaptive products and routines that can help.
The important thing to remember is that you are not lazy, stupid, or irresponsible just because you struggle to take your medication consistently. Feeling guilty and “trying harder” is usually not the best approach. It’s ok to work with your mind instead of against it. Think about what barriers exist for you and see if these ideas can help!
MEDICATION ORGANIZERS
If you find yourself wondering….did I take my meds already? Then you need to know about Timer Cap. This pill bottle features a timer on the top so you can know, down to the minute, when the last time you took your medication was. This can also be helpful for extra accountability if someone in your home is taking a controlled substance since it allows a second party to see how often and how recent pills are being taken. (note: these bottles do not have a child lock on them)
The MedQ daily pill box is a pill organizer with a built in alarm to tell you when to take your medication. The alarm both flashes and beeps for up to 30 mins if the medication isn’t taken. It's a bit pricey, but helpful if you need a non-snooze button option. (Note: this product does not have a child lock)
AUVON iMedassist Weekly Pill Organizer
If you like to keep it simple (and cheap!) you can go with AUVON, which offers brightly colored flip boxes for each day of the week. They also feature an easy open spring feature for people with limited hand strength or mobility. This is the one I have and I love it!
APPS
There are also medication reminder apps that will remind you to take your medication wherever you are. Check out these two free ones.
Medisafe helps you manage and take your medication on time with our first-of-its-kind cloud-synced mobile medication management platform. Medisafe allows your family, friends & caregivers to aid (if you so choose) by being alerted as to whether or not you took your medication. Download through the app store.
Pill reminder is an easy-to-use app that allows you to set customizable reminders to take medications and keeps track of your medication inventory (and gives you refill alerts when you’re running low!) Download on the app store.
Routines
If you’ve followed me for any amount of time you’ve probably heard me talk about closing duties. This is a short list of things I complete every evening after my kids go to bed to make my kitchen functional. After a few months of practicing it routinely, it became an automatic habit. Recently, I added “take my medication” to my closing duties list. Bundling a task like taking medication with a routine you are already doing every day is a helpful way to bring taking your meds into the flow.
If you are interested in closing duties, check out the template on my online store. If you are someone that gains momentum by using tracking charts, there is also a weekly star chart to help you be consistent and celebrate at the end of each week. The star chart is available for both "Opening Duties" and "Closing Duties."
Medication Management
The best place to start if you are interested in medication for your mental health is your primary care doctor. Ask for a referral to a psychiatrist in your area. After an evaluation, the psychiatrist will discuss if medication is a good fit for you. If you don’t have access to a psychiatrist and you are in the USA, there are some online options as well.
Receive a formal evaluation for ADHD from a network of licensed psychologists, from the comfort of your home. No appointment necessary, 24/7. Adult and pediatric assessments available now across all 50 states.
To see what products I recommend, check out my Amazon Storefront.
Movement
Coming soon!
Parenting
How do we raise kids to have a healthy relationship with cleaning and other care tasks? These steps can help.
How Not To Hate Your Husband After Kids by Jancee Dunn
How Not To Hate Your Husband After Kids tackles the last taboo subject of parenthood: the startling, white-hot fury that new (and not-so-new) mothers often have for their mates. After Jancee Dunn had her baby, she found that she was doing virtually all the household chores, even though she and her husband worked equal hours. She asked herself: How did I become the 'expert' at changing a diaper? On the brink of marital Armageddon, Dunn plunges into the latest relationship research, solicits the counsel of the country's most renowned couples' and sex therapists, canvasses fellow parents, and even consults an FBI hostage negotiator on how to effectively contain an "explosive situation." Instead of having the same fights over and over, Dunn and her husband must figure out a way to resolve their larger issues and fix their family while there is still time. As they discover, adding a demanding new person to your relationship means you have to reevaluate -- and rebuild -- your marriage.
There are also resources for kids closing duties and other routines in the shop.
To see what products I recommend, check out my Amazon Storefront.
Self-Compassion
Self-kindness, or self-compassion is a foundational principle of Struggle Care. The next time you are having trouble getting out of bed or getting up to do something due to feeling listless or unmotivated, check in to what your inner dialogue is saying. Often what we tell ourselves when we are struggling to find motivation is "I should be getting up. Ugh, get up you shithead come on!" What if instead of this shame-fueled tirade against yourself you said something like, "It would be such a kindness to future-me if I were to get up right now and do _______. That task will allow me to experience comfort, convenience, and pleasure later."
It isn't a hack, really. It's not a formula guaranteed to make you get up. Sometimes you may not get up even with the change in self-talk. But you know what? You weren't getting up when you were being mean to yourself either so at least you can be nice to yourself. No one ever shamed themselves into better mental health. If shame isn’t getting you results then what do you have to lose by being kind to yourself?
Resources on shame and self-compassion:
Dr. Kristen Neff
Kristin Neff received her doctorate from the University of California at Berkeley, and is currently an Associate Professor of Educational Psychology at the University of Texas at Austin. In addition to writing numerous academic articles and book chapters on the topic, she is author of the book Self-Compassion: The Proven Power of Being Kind to Yourself, and in June 2021 she will be releasing her new book Fierce Self-Compassion: How Women Can Harness Kindness to Speak Up, Claim Their Power and Thrive. Her website has tons of resources and exercises on developing self-compassion.
Dr. Brene Brown
Brene Brown is a research professor at the University of Houston. She has spent the past two decades studying courage, vulnerability, shame, and empathy, is the author of five #1 New York Times bestsellers, and is the host of the weekly Spotify Original podcasts Unlocking Us and Dare to Lead.
I Thought it Was Just Me by Brene Brown, Ph.D, LMSW
The quest for perfection is exhausting and unrelenting. There is a constant barrage of social expectations that teach us that being imperfect is synonymous with being inadequate. Everywhere we turn, there are messages that tell us who, what and how we’re supposed to be. So, we learn to hide our struggles and protect ourselves from shame, judgment, criticism and blame by seeking safety in pretending and perfection. I Thought It Was Just Me shines a long-overdue light on an important truth: Our imperfections are what connect us to each other and to our humanity. Our vulnerabilities are not weaknesses; they are powerful reminders to keep our hearts and minds open to the reality that we’re all in this together.
To see what products I recommend, check out my Amazon Storefront.
Therapy
Struggle care is about learning how to tackle care tasks when you have functional barriers. It isn't meant to be a replacement for therapy or medical care. Therapy, medications, or other professional interventions are necessary for many people to reach their functioning potential. If you do not currently have a mental health or medical provider we encourage you to find one. There are low-cost options listed below for those in the USA. Remember that you do not have to qualify for a diagnosis to deserve relief from your distress. Please seek a professional provider to guide you and meet your unique needs. Struggle Care will be here to help you between sessions.
How to find a good therapist
First step
Identify a therapist
There are a couple of different routes to finding a therapist. If you are wanting to use your insurance you can call your insurance directly and ask for a list of covered providers in your area. Some insurance companies let you search on their website for this. When speaking with your insurance make sure to ask them.
1. What types of therapies are covered?
2. Is there a session limit?
3. What will be the out of pocket cost to you?
4. Is there a referral required from a primary care physician?
5. Are there specific diagnosis that must be present in order for the session to be covered?
Another way to search for a therapist is by using a website such as www.PsychologyToday.com. This website allows you to search by zip code as well as gender, price, insurance, and topic. There is a feature to email a therapist to ask questions as well as short bios on each therapist. When emailing a therapist, you can simply say:
"Hello, I am inquiring to see if you are currently taking new clients for individual therapy. If you are, please let me know your fee, whether you accept X insurance, and when it may be convenient to schedule a short phone call to see if we would be a good fit. Thank you."
If a therapist responds with a price that you cannot afford, it is always ok to respond asking whether they offer a sliding scale. A sliding scale means people with different income levels pay different prices. You can say something like, "Thank you for the information. $100 is out of my budget at this time. Do you offer any appointments on a sliding scale?" If they do not you can ask them for a referral to someone that does.
Note: A reputable therapy search site specifically for black women is https://therapyforblackgirls.com/
Second step
Consultation
Any counselor worth their salt will be willing to give you a 15 minute phone consultation. The purpose of this consultation is to see if you would be a good fit to work together. They won't give you any advice on your specific issues but they will ask and answer questions about their counseling style and experience. Here are 5 questions to ask in a consult.
1. What days and times do you see clients?
If you have a pretty flexible schedule you may not need to ask this. However, not all therapists see clients on evenings or weekends so if you will need a session during those times its best to get this answer at the beginning.
2. What kind of experience do you have working with _____?
You want a therapist that has experience in the types of issues you experience. It is good to ask this question both about your identity or role and about your issues. For example, "What kind of experience do you have working with transgender individuals...interracial couple...depression...trauma?"
3. In terms of your approach, what does a typical session look like?
The reason we ask the question this way is it forces the therapist to describe what the practical application of their theory looks like. If you ask "what is your approach" they may answer in broad terms about counseling theory. But saying "I take a cognitive behavioral therapy approach" doesn't tell you much unless you already know what that therapy means. Asking them what a typical session looks like will get you a better answer as to whether they are active, passive, use a lot of homework, ask a lot of questions, etc.
4. I am looking to attend therapy for the (short/long) term. How long do you typically see clients?
Whether you are looking for a long term therapeutic relationship or a short-term (a few sessions or weeks) approach, you need to see what this therapist has experience with and whether they think they can meet your goals within your time frame.
5. Do you have any questions for me?
The therapist will probably ask you to describe what issues you are facing to see if they feel they can help you. You don't have to tell your life story at this time. A simple, "I have been experiencing a lot of mood swings" or "I am going through a divorce and want some support" will do. They will ask you follow up questions.
Third step
Verifying credentials
If you would like to double check your counselors credentials you can Google: your state + license title + “license verification." For example: "Texas + licensed professional counselor + license verification" will bring up a website where you can look up this person's license.
Fourth step
First session
It is important to recognize that this first session is not a marriage ceremony, it's a job interview. You are getting to know them and their approach while they get to know your background. They will probably begin by asking you to "tell me a little about yourself" or "So what brings you to therapy?" A good way to answer is, "I am hoping to get some support on some issues I am experiencing. I'd like to tell you a little about myself and then talk about my expectations for therapy." You can tell them about what problems you have been experiencing and then bring up these topics:
1. Things therapists (or friends) have done that have helped me in the past:
If you have been in therapy before, let the therapist know about your past experiences in counseling and what approaches worked well for you. Ask them if they can utilize these approaches. For example, "In the past, I have worked well with therapists that lead the conversation and ask lots of questions. Is that something you can do?" If you have never had a therapist you can talk about what anyone has done that is helpful. For example, "It really helps me when my friends just listen to my problems without trying to fix them. Is that something you can do?"
2. Things therapists (or friends) have done that have been very unhelpful:
It's also important to tell the therapist about approaches others have tried that did NOT work for you. This includes harmful or hurtful things past counselors have said. For example, "I had a therapist that just sat there and nodded and I hated it. I always wished he would participate more." or "I had a therapist say I needed to lose weight if I wanted to succeed and I really do not want my physical appearance discussed like that."
3. During therapy, I would like to first focus on: a. Exploring the roots of these issues and where they came from OR b. Developing coping skills for the present.
Good therapy can focus on exploring where issues originated from and understanding where your beliefs come from and how to change them. Good therapy can also focus on how to get through the day without having a panic attack. Both are valid, you just need to let your therapist know which is your priority right now.
4. My biggest concern about therapy is:
I recommend talking openly in the first session about what your concerns or hesitations about therapy are so you can see how your therapist reacts and plans to help.
5. Do you engage in professional supervision?
Professional supervision is when therapists meet with other therapists and discuss (without breaking your confidentiality) the cases they are working on. They do this to get input on best practices and to talk about what comes up for them so they can be self-aware, do their own work, and remain professional and helpful during sessions. I always recommend finding someone who engages in peer supervision.
6. Religion, Sexuality, Gender, and Medication.
These are important areas you need to ask your therapist about to ensure they are going to approach your care with respect. It is not enough to ask "are you comfortable working with a lesbian?" or "do you work with atheists?" You need to ask questions that force the therapist to divulge any prejudices or barriers they may have to honoring you and your journey. Find all of the above info plus examples of how to ask these specific questions on my free FINDING A THERAPIST pdf in the shop.
7. Policy Questions.
What is your cancellation policy? and Do you offer emergency sessions or phone calls? are both good things to know.
Fifth step
After the first session
After the first session you will either say, "I would like to set up another session and begin working together" or "Thank you for your time. I don't think it's a good fit for right now." If you feel uncomfortable about the second phrase, you can always add "Thank you for your time. I can tell you're a great therapist but I don't think we are the right fit for now" This may be a more comfortable way to grease the exit :)
Another resource for you: if you are looking to begin a conversation with a new or existing therapist about what approach you would like to explore, check out the THERAPIST QUALITIES pdf which you can download for free in the shop and take into session to discuss.
Therapy Resources
Open Path Psychotherapy Collective
Open Path Psychotherapy Collective is a non-profit nationwide network of mental health professionals dedicated to providing in-office mental health care—at a steeply reduced rate—to individuals, couples, children, and families in need.
National Alliance on Mental Illness
NAMI, the National Alliance on Mental Illness, is the nation’s largest grassroots mental health organization dedicated to building better lives for the millions of Americans affected by mental illness.
Therapy for Black Girls
Therapy for Black Girls is an online space dedicated to encouraging the mental wellness of Black women and girls.
The Loveland Foundation
Loveland Foundation is committed to showing up for communities of color in unique and powerful ways, with a particular focus on Black women and girls. Our resources and initiatives are collaborative and they prioritize opportunity, access, validation, and healing. We are becoming the ones we’ve been waiting for.
Are you a student? Check out mental health resources for students here.
To see what products I recommend, check out my Amazon Storefront.