different affirma-
tions. Arthritis is about experiencing criticism in unsupportive
families. So for arthritis sufferers in difficult families, the affirma-
tion would be: “I am love. I now choose to love and approve of
myself. I see others with love.”
And as you are changing your thinking to a healthier mind-
set, turn your attention outward and look at the balance between
your needs and the needs of your family or other social group. Are
you letting these people take advantage of you? Are you not stand-
ing up for yourself? Do you seem to give more to your friends and
family than you receive? Remember, to feel safe and secure you
need to learn how to protect and support yourself in addition to
adding to the safety and security of these other people. Always
remember that you are not the sole resource for everyone—they
can look to others for help and advice, too. If you have a prob-
lem stepping aside every once in a while, there are groups you
can join. Look into Co-Dependents Anonymous (CoDA) or other
groups that can help you learn to balance your own needs with
the needs of others.
So remember, love your family, but love yourself, too. Worry
and care about your friends, but spend some time looking at your
own life and make positive changes. Think of yourself in the same
way you would a good friend, and don’t neglect that relationship.
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A ll i s w e ll
We all have times when we lose sight of our own needs. The key is
to recognize and rectify this behavior before more serious health
problems occur.
From the Clinic Files: Immune System Case Study
Starting at age eight, Andrea, now 17, was caretaker to her five
younger brothers and sisters. Her parents were unavailable to the
children, so Andrea took responsibility for creating a more stable
home environment. But her siblings’ comfort came at a great per-
sonal cost to Andrea. She sacrificed her own needs and even her
safety time and time again, and she never had the chance to enjoy
a carefree childhood or cultivate an independent identity.
Too young to handle the role of surrogate mom, Andrea devel-
oped a series of health problems from an early age—she had a mild
curvature of her spine, which was treated with a brace. She tended
to get joint and back pain when family stress became unbearable.
After her parents died, her spine and joint pain was agonizing
and she developed a butterfly rash. This combination sent her to
the doctor, who eventually diagnosed her with lupus, or systemic
lupus erythematosus (SLE). She had been getting warning signs
for years in the form of bone and joint problems but disregarded
them because she was handling the turbulent lives of her siblings.
The first thing we did for Andrea was recommend a specific
test to verify that she actually had lupus. She went to her internal
medicine doctor, who administered a test to find out if the anti-
body ANA DS (antinuclear antibody double strand) was present.
With lupus the body makes these cells that can “attack” almost
every organ of the body—whether it’s in its mildest form (fever,
bone, joint, skin, or thyroid illness) or its more severe cases (lung,
kidney, and brain ailments).
The test came back positive, so we knew that lupus was indeed
the cause of her pain. If this and other blood tests had repeatedly
come back negative, lupus wouldn’t be the issue. In addition to
the ANA DS test, her physician tested blood cell counts, checking
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We Are Family
the total number of white and red blood cells and platelets; lupus
tends to lower these numbers.
Like most “autoimmune illnesses,” lupus goes through ups
and downs—there are periods of painful joint, skin, respiratory,
fatigue, and other symptoms, and then there are symptom-free
intervals of remission. We directed Andrea’s treatment toward get-
ting her immune system into