Tag Archive for Maria Lupo

Pausing to Breathe: An Excerpt from SHAKEN

Nelly instructed Kristy to place her hands on her belly

and focus on the rise and fall with each breath.

“Let yourself get big,” Nelly said.

“So many girls today want to shrink their bellies

down to nothing.

Let yourself get big. Develop those diaphragm muscles.

They will serve you well.”

I’ve been thinking that I’d like to share another scene from Shaken, but which one? I was unsure until, er, recent events forced my hand. Yesterday and today I’ve been seeing a lot of “just breathe” advice. But how, exactly, does one do that?

In this scene, we see Kristy in art therapy practicing that calming strategy. 

To write this scene, I called upon a friend, Erin Svare, who teaches yoga and fitness and women’s health. Erin gave me a lot of the language that I put into Nelly’s mouth. 

Two certified art therapists were also hugely helpful for those scenes, “helpful” in that I couldn’t have possibly done it without them. They answered questions, read first drafts, offered comments and encouragement. Thanks again, Tracy Gilbert and Maria Lupo, for the important work that you do — and for sharing a small piece of that with me. 

SETTING THE SCENE: It is late in the book, Kristy is recovering from post-concussion syndrome, and things are looking up. She meets with Nelly, her art therapist, for their penultimate session, which includes watercolors, breathing exercises, and goldfish. 

It was one of those times with Nelly when it didn’t feel like therapy at all. Truthfully, it rarely did. Maybe that was another one of Nelly’s tricks? Today was their ninth appointment, and next to last. Something about insurance only paying for ten. Nelly gave Kristy a few prompts and Kristy just . . . drew. Painted, actually, with watercolors, which she enjoyed. Nelly didn’t try to interpret the meaning of Kristy’s pictures. She never did. It wasn’t like that. Kristy just felt chill. Relaxed and calm. She found that she liked making art—so long as she didn’t worry if it was “good” or not— and the creative time helped her think about things. Strange how that worked.

Sometimes she talked about those thoughts with Nelly, and other times Kristy just turned them over in her mind: like a spade digging into the moist earth.

“I think you are doing very well,” Nelly said toward the end of the session, bracelets jangling, as she and Kristy put away the art supplies.

Kristy didn’t understand at first. She studied her painting and made a face. “Very well” seemed like a wild exaggeration. Nelly had asked her to draw herself picking apples from a tree. So Kristy did. It wasn’t anything special. In the image, Kristy stood on a ladder, reaching up and collecting the apples that were red and ripe. At the last minute, Kristy included Jimbo in the picture holding the ladder steady, and Binny, who was saying in a word balloon: “I’ll make a pie!

“I guess it’s okay,” Kristy said. “I’m not very good at people.”

“I don’t mean your artwork—which is beautiful, by the way, and happy—I mean you.”

“I think so, yes,” Kristy agreed. “My headaches have mostly gone away. I still get anxious sometimes.” “That might always be true,” Nelly advised. “This life comes with stress. Tell you what. Let’s practice your breathing.”

“Again?” Kristy asked, but was already eagerly rolling out an exercise mat. She lay down on her back. “Practice makes perfect,” Nelly said.

“Well, actually, no,” Kristy contended, propping herself up on an elbow. “Coach Izzy, my school soccer coach, she’s a stickler for technique. She says that if you practice the wrong way, then you are just hard-wiring those mistakes into your muscle memory. She says, ‘Perfect practice makes perfect.’”

“Ah, gotcha,” Nelly replied. “Coach Izzy sounds like she’s on the ball.”

Nelly instructed Kristy to place her hands on her belly and focus on the rise and fall with each breath. “Let yourself get big,” Nelly said. “So many girls today want to shrink their bellies down to nothing. Let yourself get big. Develop those diaphragm muscles. They will serve you well.”

Nelly continued talking in a soothing tone. “You know that feeling when you can’t catch your breath? When your breathing gets shallow, high in the chest? Those are our emergency breathing muscles.”

“Panic attacks,” Kristy said. “I feel like I’m drowning in air when that happens.”

“It’s a scary feeling,” Nelly said. “That’s why we’re practicing this now. Belly breathing is a tool, Kristy. A tool that is always with us—we just have to remember to use it. Belly breathing calms the nervous system, slows the heartbeat, and primes the body for work. When you feel those anxiety triggers coming along, breathing can help you cope.”

Kristy murmured, relaxed and entranced. Eyes closed, ears listening, heart open.

“We know that great athletes in every sport have an ability to tune out the noise. They eliminate the distractions. They silence the negative self-talk in their own heads,” Nelly said. “I’ve worked with athletes right here in this office. Believe me, it works.”

She reviewed with Kristy a strategy called equal parts breath. “Inhale to the count of four, pause, exhale to the count of four, pause.”

Kristy practiced counting, imagined a box with four numbered corners and a little ball bouncing from corner to corner. “Now move your hands and feel how your rib cage widens and narrows. That’s right, put your hands right there. Your body is settling,” Nelly said. “Later you can lengthen your breath. Work up to a count of six, or eight. After more practice, try to go a little longer on the exhale. In for four, out for six.”

“It’s a nice distraction,” Kristy observed.

“Yes,” Nelly said with a light laugh. “You are focused on counting, being in your body. The outside noise goes away. You are in the present moment. Practice that every day and you are setting yourself up for success. The same way a basketball player practices foul shots. Then during the game, with all that outside pressure, she can calmly knock down those shots. Breathing is a tool you can access when you face stressful situations.”

“I like it,” Kristy said. “Makes sense.”

They moved to the leather chairs and grabbed handfuls of Goldfish from a bowl on the table. The perfect snack food, in Kristy’s opinion. The size, the little hollow part in the middle, the zesty flavor. What more could anyone want?

 

Art Therapy and Post-Concussion Syndrome in My Upcoming Novel, SHAKEN: An Excerpt

My next middle-grade book, Shaken, comes out in early September. Today’s excerpt includes two passages from Kristy’s first art therapy session. I was provided with generous help from two art therapists, Tracy Gilbert and Maria Lupo, who guided my thinking, suggested research materials, and reviewed the manuscript, offering thoughts and insights. For example, the book referenced below, by Susan Farber Straus, came directly from Tracy’s own practice. 

But first, a little background on the book:

For 7th-grader Kristy Barrett, soccer is life. It has always been at the center of Kristy’s world. Her friendships and self-worth, her dreams and daily activities, all revolve around the sport. Until she suffers from a serious concussion and has to set soccer aside for an uncertain amount of time. Kristy begins to struggle in school, experience stress, anxiety, and panic attacks which ultimately bring her to some questionable decisions . . . and the care of a therapist as she suffers from post-concussion syndrome. It’s a story about identity, therapy, new friendships, making mistakes and, finally, coming true to one’s ever-evolving self. 

 

 

Nelly Grey was a large Black woman in a flowy orange dress with a scoop neckline. She wore a big, bold gem- stone necklace and enormous hoop earrings. On both wrists she had at least twenty jangly, rattling bracelets of all types: leather, silver, gemstone, whatever. And yet somehow, despite her powerful presence, Nelly had a way of making space for everyone in the room (and right now that included Kristy and her mother, unfortunately). It was a neat trick and Kristy wasn’t quite sure how Nelly pulled it off. The woman, in her sixties probably—there were gray strands in her black hair—had a natural warmth and charisma. Kristy liked her immediately and immensely. How do people do that, she wondered.

They settled into leather chairs at one end of the office, which contained bookshelves and art and framed diplomas displayed on the wall. The room was lit by various standing lamps. On the other end of the space, to Kristy’s left, there was a large worktable with bins of art supplies on shelves along the wall. Like Nelly herself, the space looked inviting, welcoming. Kristy caught Nelly observing her. “We’ll get to mak- ing art soon, Kristy, but first I wanted to have a short sit-down with your mom included. Is that all right?”

She smiled at Kristy’s mother, who looked nervous and jittery.

“I have certain things I like to do with every new client and family. I’m sure you might have questions about art therapy.” Nelly indicated the diplomas on the wall. “Let me give you the definition. An art therapist is a licensed mental health counselor who uses images, and creativity, to help clients work on issues, feelings, and unconscious thoughts—rather than just traditional talk therapy. I am a board-certified art psycho- therapist with a doctorate in medical and health humanities.” Nelly dramatically wiped her brow, whew. “A lot of schooling and, I’m glad to say, my student loans are finally paid off.

“I’m also an artist. I’ve made things all my life. Jewelry, paintings, pottery, you name it. It’s as natural to me as breathing—and possibly just as important. I get a joy and satisfaction out of art that relaxes and soothes me. If nothing else,” Nelly said to Kristy, “I hope that we can experience some of that feeling together.”

Kristy nodded. She was eager to get started—once her mother left the room. It felt awkward with her mom hanging around, oppressive, the way the first day of summer camp never really began until the parents drove away.

Nelly reached down for a book by the side of her chair. “Over the years, I’ve found that I like to start out by sharing one of my favorite books to explain a little bit about how this works.” Nelly looked from Kristy to her mother. She held up a picture book titled Healing Days, by Susan Farber Straus. The subtitle read: A Guide for Kids Who Have Experienced Trauma. “I know this is just a picture book, but it’s absolutely wonderful. It gets right down to it. Besides, adults tend to talk too much—we’d be here until next Tuesday if I tried to share one of my college textbooks.”

 

<< snip: after some conversation, and conflict, mother leaves the room >>

 

“Let’s go over to the art table,” Nelly suggested. “This is where I keep all my best supplies. Let’s see if we can be quiet for a bit and draw something.”

Nelly brought out paper and all sorts of supplies. She asked if Kristy could try to draw what a panic attack feels like. And without thinking, Kristy reached for a black colored pencil and got to work.

Nelly sorted beads in a bin. She sketched in a note- book while Kristy drew. They sat across the same table in a communion of silence and creativity. Nelly offered Kristy some Goldfish.

“Flavor Blasted?” Kristy asked, thinking of Binny and the chickens. Wonderful, kind, hilarious Binny.

“That’s the only kind I buy,” Nelly said, handing Kristy a bowl.

And later, toward the end of the session, Nelly touched Kristy’s hand. “We don’t know each other well yet—that will come, in time—but I’d like you to start paying attention to your inner narrative. The words you use to describe yourself. What we call our self-talk.

“The stories you tell yourself about yourself. Sometimes, when we feel this kind of pain, we are cruelest to ourselves. Words are very important, Kristy. One goal that I have for us is to shift from shame, and blame, to gratitude. Instead of saying to your mom, ‘I’m sorry for being a pain,’ or ‘I’m sorry I’ve disappointed you,’ I’d love to see you try flipping that to a more positive story:

“Thank you for being supportive, thank you for giving me a safe space to vent, thank you for understanding.

“But she doesn’t understand,” Kristy said.

Nelly nodded. “And that must be very frustrating for you. But it seems to me that she tries. Don’t you think? I mean, here we are, right? Look around. You’ve seen doctors and concussion specialists and my dear colleague Marilyn Bienvenue. It looks like you might be pretty lucky to me, to have that support.”

Kristy sniffled, picked up a red pencil, and focused intently on her picture.

After five minutes or so, Kristy asked in a soft voice, “Do you really think it’s trauma? What happened to me?”

Nelly leaned back, folded her hands together. “I do,” she said, shaking her head. “I really do.”

Kristy’s lips tightened. She leaned closer to the page, hunched over it, coloring in a tiny detail. Her lips moved and a sound escaped: “Me too,” she agreed.