Many of our day to day routines are mundane and simplistic and we generally will do them, as a matter of necessity, but we derive little meaning from them other than meeting a need. The deeper need is to feel a sense of alignment with our intrinsic interests leading to potential growth and development. Those activities can be deeply meaningful to us and may even feel quite profound as we feel them more deeply and spend more time processing them in our minds. There are health benefits to such an orientation as well with improved outcomes across the health spectrum. As a middle-aged soon to be 51 year old with my last child graduating high school and off to college the prospect of shifting my sense of purpose to focus less on parental duties to what intrinsically motivates me is quite real. Fortunately, the existential issue of meaning and purpose in life has always been an object of reflection throughout my life and I have strived to arrange my life in such a way as to allow my daily energy budget to be expended on those issues I am most interested in.
I also take the long perspective and have the additional example of observing how my mother seems to be aging at 73. She’s now living in a seniors-only apartment complex but is still independent. As time has worn on I have weighed whether her situation will become my situation. I have also considered how very different our paths in life have been and how my proactive actions to afford myself certain opportunities has resulted in what will, in all likelihood, be continued opportunities for engagement with issues I feel a personal connection with. So many of the seniors I see fall into oine of the two camps: either they seem to exhibit a sense of purpose and focus on things that keep them mentally active, socially engaged, and experiencing life in a sense beyond themselves or they seem to exhibit an intense inner focus where their purpose appears to be much more narrow and anxiety-filled with greater attention to every ache, pain, and shortcoming (real and imagined).
Barry’s story below of feeling a desire to “just relax” countered by a need to “be a good person” through doing things (feeling productive) is probably typical of most people. For the sensitive person the need to care for ourselves increases as we age, not just the need for self-management but the way we live our lives overall. As the demands of parenthood decrease for most of us (though more seniors are now raising grandkids) our focus can shift to the incedible sense of freedom and opportunity we should feel to realign our lives to become more satisfying in a personal sense. Too many of us simply continue on as we always have without taking advantage of the opportunity to really “shake things up.” Obviously, some HSPs will cringe at the notion of “shaking things up” but many would benefit from a complete change of scenery and routine. High sensation seeking highly sensitive people live in a state of continual “shakeup” so our focus is usually on what comes next. In both cases, we should focus on what gives our lives meaning. It is a fallacy to focus on what makes us happy, as happiness is, at best, a fleeting state. The more we engage in activities that give our lives a sense of meaning so why focus on an illusion (happiness)? The more your daily life aligns with your intrinsic interests the greater the likelihood you will feel “happy.”
Lastly, we might ask our selves how do I know what gives my life a sense of meaning? What if you have simply spent your life in pursuit of your daily bread? When daily existence has prodeominantly occupied your time you will likely need to pull back and do some explorations to find things that give your life purpose. I’m not suggesting hobbies here, as that implies superficiality. Rather, focus on where your deep down interests lie and seek ways to explore those more fully. This may involve moving beyond your comfort zone… To contextualize this let’s consider that life is always uncertain and unpredictable, if you don’t believe this simply wait until the next hurricane hits, the next car repair is a priority, or someting simply happens you could have never imagined. The nature of life is flux, to believe otherwise is an illusion. What we can predict is that we will age and that our time is finite. Far from being depressing this reality should envigorate us to explore ourselves, to do things we have never done, or to experience a sense of meaning through a hundred small acts we can do where we live.
This approach to living actually applies across the lifespan. Finding meaning in life through choosing how we spend our time is the great opportunity we have, the responsibility is to honor the gift of life by continuing to grow and develop in every way. As fall begins I invite you to consider what gives your life meaning and how you might rearrange it to be more fullfilling, satisfying, and purposeful.
-Tracy Cooper
Thrive: The Highly Sensitive Person and Career
Thrill: The High Sensation Seeking Highly Sensitive Person
Soul Purpose: Seniors With Strong Reasons To Live Often Live Stronger

After making it through the maelstrom of middle age, many adults find themselves approaching older age wondering “what will give purpose to my life?” now that the kids have flown the nest and retirement is in the cards.
How they answer the question can have significant implications for their health.
Over the past two decades, dozens of studies have shown that seniors with a sense of purpose in life are less likely to develop Alzheimer’s disease, mild cognitive impairment, disabilities, heart attacks or strokes, and more likely to live longer than people without this kind of underlying motivation.
Now, a new report in JAMA Psychiatry adds to this body of evidence by showing that older adults with a solid sense of purpose tend to retain strong hand grips and walking speeds — key indicators of how rapidly people are aging.
Why would a psychological construct (“I feel that I have goals and something to live for”) have this kind of impact? Seniors with a sense of purpose may be more physically active and take better care of their health, some research suggests. Also, they may be less susceptible to stress, which can fuel dangerous inflammation.
NAVIGATING AGING“Purposeful individuals tend to be less reactive to stressors and more engaged, generally, in their daily lives, which can promote cognitive and physical health,” said Patrick Hill, an assistant professor of psychological and brain sciences at Washington University in St. Louis who wasn’t associated with the study.
But what is purpose, really? And how can it be cultivated?
Anne Newman, a 69-year-old who splits her time between Hartsdale, north of New York City, and Delray Beach, Fla., said she’s been asking herself this “on a minute-by-minute basis” since closing her psychotherapy practice late last year.
Building and maintaining a career became a primary driver in her life after Newman raised two daughters and went back to work at age 48. As a therapist, “I really loved helping people make changes in their lives that put them in a different, better position,” she said.
Things became difficult when Newman’s husband, Joseph, moved to Florida and she started commuting back and forth from New York. Over time, the travel took a toll, and Newman decided she didn’t want a long-distance marriage. So, she began winding down her practice and thinking about her next chapter.
Experts advise that people seeking a sense of purpose consider spending more time on activities they enjoy or using work skills in a new way. Newman loves drawing and photography. She has investigated work and volunteer opportunities in Florida, but nothing has grabbed her just yet.
“Not knowing what’s going to take the place of work in my life — it feels horrible, like I’m floundering,” she admitted, in a phone interview.
I didn’t ask myself did I have a larger purpose in life — I asked myself what gives meaning to my life.
Many people go through a period of trial and error after retirement and don’t find what they’re looking for right away, said Dr. Dilip Jeste, senior associate dean for healthy aging and senior care at the University of California-San Diego. “This doesn’t happen overnight.”
“People don’t like to talk about their discomfort because they think it’s unusual. And yet, everybody thinks about this existential question at this time of life: ‘What are we here for?’” he noted.
Newman’s focus has been on getting “involved in something other than personal satisfaction — something larger than myself.” But that may be overreaching.
“I think people can get a sense of purpose from very simple things: from taking care of a pet, working in the garden or being kind to a neighbor,” said Patricia Boyle, a leading researcher in this field and professor of behavioral sciences at the Rush Alzheimer’s Disease Center at Rush University Medical Center in Chicago.
“Even small goals can help motivate someone to keep going,” she continued. “Purpose can involve a larger goal, but it’s not a requirement.”
Older adults often discover a sense of purpose from taking care of grandchildren, volunteering, becoming involved in community service work or religion, she said. “A purpose in life can arise from learning a new thing, accomplishing a new goal, working together with other people or making new social connections when others are lost,” she said.
Tara Gruenewald’s research highlights how important it is for older adults to feel they play a valuable role in the life of others.
“I think what we often lose as we age into older adulthood is not a desire to contribute meaningfully to others but the opportunity to do so,” said Gruenewald, chair of the department of psychology at California’s Crean College of Health and Behavioral Sciences at Chapman University. Her research has found that people who perceive themselves as being useful had a stronger feeling of well-being and were less likely to become disabled and die than those who didn’t see themselves this way.
“In midlife, we contribute to others partly because it’s demanded of us in work and in our social relationships,” Gruenewald said. “As we grow older, we have to seek out opportunities to contribute and give to others.”
Some researchers try to tease out distinctions between having a sense of purpose and finding meaning in life; others don’t. “Practically, I think there’s a lot of overlap,” Boyle said.
After Barry Dym, 75, retired a year ago from a long career as an organizational consultant and a marriage and family therapist, he said, “I didn’t ask myself did I have a larger purpose in life — I asked myself what gives meaning to my life.”
Answering that question wasn’t difficult; certain themes had defined choices he’d made throughout his life. “What gives meaning to me is helping people. Trying to have an impact. Working with people very closely and helping them become much better at what they do,” Dym said in a phone conversation from his home in Lexington, Mass.
In retirement, he’s carrying that forward by mentoring several people with whom he has a professional and personal relationship, bringing together groups of people to talk about aging, and starting a blog. Recently, he said, he wrote about discovering that he feels freer now to “explore who I am, where I came from and what meaning things have to me than at any other point of my life.”
And therein lies a dilemma. “I feel of two minds about purpose in older age,” Dym said. “In some ways, I’d like to just shuck off that sense of having to do something to be a good person, and just relax. And in other ways, I feel deeply fulfilled by the things I do.”
We’re eager to hear from readers about questions you’d like answered, problems you’ve been having with your care and advice you need in dealing with the health care system. Visit khn.org/columnists to submit your requests or tips.
KHN’s coverage related to aging & improving care of older adults is supported by The John A. Hartford Foundation.


In many ways, our current society is set up to avoid as much pain as possible. Whether it is new technology, new medical or pharmaceutical advancements, or the 







Remember the old 1980s commercial “This is your brain on drugs?” Here we have your brain on trauma. For many highly sensitive people (HSPs) early childhood trauma creates real differences in the way our brains function as compared to those who suffered no trauma. The following short article by Jennifer Sweeton offers us a quick view of the three main areas of the brain that may suffer as a result of trauma.
Highly sensitive people, or those who have the innate personality trait Sensory Processing Sensitivity, process all stimulation in a more elaborate fashion in the brain. Negative events, in short, affect us more deeply and for a longer period of time than they might for those without the trait. Early experiences with Adverse Childhood Experiences (ACEs) can impart lifelong issues with anxiety, depression, shyness, antisocial behaviors, and self-destructive tendencies. Perhaps half (or more) of HSPs suffer from mutliple ACEs and may benefit from mindfulness training or other brain retraining practices that serve to strengthen the thinking and emotion regulating centers of the brain while quieting the fear center. My advice to HSPs suffering from ACEs is to work on learning to quiet the brain before seeking psychotherapy. Psychologists can only be of real value if one is calm enough to engage the thinking center of the brain and not be overly dominated by fear and anxiety. This is not an easy task and you should not feel like there is a pill to cure your problems. It will require that you do real work on yourself to quiet the “monkey chatter” in your brain. Humans are primates and subject to the same tendencies for anxiety and fear as any other member of the great ape family. The difference is that humans have a greater capacity to reason and think through why we are feeling fear or anxiety and take action to improve our lives.
Concurrent with learning to recognize and control our emotions and moods is the desperate need to control our thinking (fair-minded crititcal thought). Most people operate on an unconscious or automatic thinking level where they fail to apply effective thinking strategies to the demands of modern life. The more we are able to apply critical thinking to our lives the more we are able to understand why we may be feeling fear or anxiety. Once we know why feel a certain emotion we can choose to let it pass or focus on resolving it. Emotions are there to serve as activators of survival behaviors. Fear and anxiety are there to alert us to a threat or danger to which we may need to take possible action (run away, defend ourselves, etc..). When we experience ACEs in childhood (and beyond) our fear center is overactivated and alerts us to threats that may not be real or as severe as we are feeling. Combine that with lessened connectivity between the thinking and emotion regulation centers of the brain and you have a recipe for reacting to normal stimuli with unwarranted fear and anxiety.
Let’s be clear: anxiety and fear are no fun! They can be paralyzing and defeating to those who are experiencing them. For people with an overactivated fear center life is full of threats and anxieties that serve to very effectively limit their ability to realize their potential; even hold a job and support themselves. This isn’t always true and many people with ACEs are able to function well in life and in their careers but not without work on their parts to mitigate the overactivated fear response and emotion regulation. Indeed, research has shown that having even ONE caring, safe relationship can lead to better outcomes in life. Would you believe that some people do not have that ONE safe relationship? It’s true and they struggle mightily if they do not give up altogether.
I implore you to carefully examine how you respond to life’s demands. Do you overreact with fear, seeing threats and danger at every turn while others seem to register nothing unusual? Do you feel extremes of mood and emotion in normal circumstances where others seem to be more balanced? Do you act out of fear or anxiety without thinking any of it through? If your answer is yes you may be able to help yourself through beginning to work on your inner life through exercise, meditation (in whatever way works for you), and seeking the skilled help of a therapist who specializes in trauma and PTSD. Understand and be prepared for the reality that the single best indicator of improvement will be your willingness and desire to get better. There is no magic pill nor can a therapist heal you. It is on you to do the work and take the journey to greater well-being and well-functioning. Take heart though in the fact that you are probably more resilient than you think, more aware of your issues than you give yourself credit for, and desirous of improving the quaility of your life for yourself and your family.
Tracy Cooper, PhD
This Is Your Brain on Trauma
Source:
https://www.psychologytoday.com/blog/workings-well-being/201703/is-your-brain-trauma?utm_source=FacebookPost&utm_medium=FBPost&utm_campaign=FBPost
Approximately 50 percent of the population will experience a traumatic event at some point in their lives. While reactions to trauma can vary widely, and not everyone will develop Post-Traumatic Stress Disorder (PTSD), trauma can change the brain in some predictable ways that everyone should be aware of, especially if you or someone close to you is struggling to cope after trauma. With increased awareness, you can seek treatment to address your symptoms and learn skills that could actually rewire your brain for recovery. Additionally, knowing what’s going on can be immensely helpful because it may help you realize that you’re not crazy, irreversibly damaged, or a bad person. Instead, you can think of a traumatized brain as one that functions differently as a result of traumatic events. And just as your brain changed in response to your past experiences with the world, it can also change in response to your future experiences. In other words, the brain is “plastic,” and you can change it.
3 Areas to Know
Trauma can alter brain functioning in many ways, but three of the most important changes appear to occur in the following areas:
1. The prefrontal cortex (PFC), known as the “Thinking Center”
2. The anterior cingulate cortex (ACC), known as the “Emotion Regulation Center”
3. The amygdala, known as the “Fear Center”
The PFC, or thinking center, is located near the top of your head, behind your forehead. It’s responsible for abilities including rational thought, problem-solving, personality, planning, empathy, and awareness of ourselves and others. When this area of the brain is strong, we are able to think clearly, make good decisions, and be aware of ourselves and others.
The ACC, or emotion regulation center, is located next to the prefrontal cortex, but is deeper inside the brain. This area is responsible (in part) for regulating emotion, and (ideally) has a close working relationship with the thinking center. When this region is strong, we are able to manage difficult thoughts and emotions without being totally overwhelmed by them. While we might want to send a snarky email to a coworker, the emotion regulation center reminds us that this is not a good idea, and helps us manage our emotions so that we don’t do things we regret.
Finally, the amygdala, a tiny structure deep inside our brain, serves as its fear center. This subcortical area is outside of our conscious awareness or control, and its primary job is to receive all incoming information – everything you see, hear, touch, smell, and taste – and answer one question: “Is this a threat?” If it detects that a dangerous threat is present, it produces fear in us. When this area is activated, we feel afraid, reactive, and vigilant.
What’s Going on in a Traumatized Brain
Traumatized brains look different from non-traumatized brains in three predictable ways:
1. The Thinking Center is underactivated,
2. The Emotion Regulation Center is underactivated
3. The Fear Center is overactivated.
What these activations indicate is that, often, a traumatized brain is “bottom-heavy,” meaning that activations of lower, more primitive areas, including the fear center, are high, while higher areas of the brain (also known as cortical areas) are underactivated. In other words, if you are traumatized, you may experience chronic stress, vigilance, fear, and irritation. You may also have a hard time feeling safe, calming down, or sleeping. These symptoms are all the result of a hyperactive amygdala.
At the same time, individuals who are traumatized may notice difficulties with concentration and attention, and often report they can’t think clearly. This, not surprisingly, is due to the thinking center being underactivated.
Finally, survivors of trauma will sometimes complain that they feel incapable of managing their emotions. For example, if someone spooks them, they may experience a rapid heart rate long after the joke is up, or may have a hard time “just letting go” of minor annoyances. Even when they want to calm down and feel better, they just can’t. This is in large part due to a weakened emotion regulation center.
What You Can Do Now
Changing the brain takes effort, repetition, and time. The best gift you can give yourself toward this goal is psychotherapy. If you’re ready to start that journey, look for a psychologist who specializes in trauma and PTSD, and who uses evidence-based methods that change the brain by working with both the body and the mind.
Also, consider adding a body-based or mindfulness-based technique to your daily routine, to help begin deactivating the fear center. This is a vital first step to healing, as when we are able to quiet the fear center, we are better able to work on strengthening and activating the thinking center and emotion regulation center. Two such exercises include diaphragmatic breathing and autogenic training. (Access free, guided practices of these techniques HERE.) The recommendation is to practice these techniques, or similar ones, for short periods of time multiple times per day. Remember, practice makes progress.