Lisa G Saw • November 23, 2022

Symptom Dialogue

After a difficult year, including a family bereavement and two chronic injuries affecting my ability to work, I reached the point when I realised I needed to listen to my body and find out what it was telling me, which I mentioned at the end of the previous blog in this series, Holistic View of Health. Essentially, I knew I needed to look more closely at the emotional issues affecting me and try to understand what was going on at a much deeper level, and not just focus my attention on treating the injuries. So, I decided to give the Symptom Dialogue exercise a go, which was outlined in The Mind Body Bible by Dr Mark Atkinson. The exercise can even be used to address a disease or situation and not just a symptom. I decided to first focus on my foot problem (plantar fasciitis) because this was the primary injury mainly affecting my ability to teach my dance classes.

 

I felt it was important to be in the right frame of mind and be clear of any mental chatter, so I went through the process first thing in the morning. As well as it being the quietest time of the day, I’m also more creative and productive then, and I feel fresh. To make sure I was undisturbed, I set aside well over an hour of quiet time with my phone on silent. I even avoided using my computer despite the fact it would’ve been quicker for writing down my thoughts - instead, I went old-school and used pen and paper. It felt more organic and natural that way. I took a few long and slow deep breaths and relaxed.

 

The book recommends not treating the symptom like “the enemy, as something that needs to be removed or eradicated” and I realised that was exactly what I’d been doing, like I was fighting it. Instead, the aim was to explore the potential positives or opportunities that may be arising as a result of the symptom. Essentially, it was time for me to change my perspective. I needed to accept what was happening, be open to what I may learn and be grateful for the opportunity to know myself better.

 

The next step was to think of my symptom as an object, to make it easier to explore what it was trying to reveal to me. The idea was to accept the first thing that popped into my head. Immediately, I saw a ball. Then, at the top of a blank piece of paper I wrote, ‘If this foot pain could speak to me what would it say?’, which I know sounds a little odd. But, I was amazed at the random words and thoughts that came to me. I scribbled it all down and even wrote some words more than once, when there were recurring thoughts. The main thing was not to try to figure out the meaning behind it all, but simply let it all flow out across the paper.

 

Initially, my thoughts were all centred on when I'd first noticed the pain in my foot, at the start of the Covid pandemic and the first lockdown. Unsurprisingly, freedom, loneliness and frustration were the words that came to me more than once. Then thoughts drifted to the present day and feeling tired – everything was getting too much. I wanted and needed more time. Time for things other than work. No pressure. Less Stress. Time to be. Space. Time to reflect. Time for me. Time to write. Time for doing the things that make me happy.

 

Eventually, I felt drained of thoughts relating to my foot pain and I moved on to the next stage, which was looking at the downsides and upsides of the symptom. I was supposed to have an equal number of both. On the face of it, it might seem as though thinking of positives might be difficult, but after letting all my thoughts out, it was surprisingly easy. I think there are always positives that can be gleaned from our experiences when we look for them. The positives for me were having time out, slowing down, reflecting, listening to my body, going with the flow, not planning and basically giving myself some rest.

 

When I reflected on the object I’d associated with my symptom – the ball – it seemed so appropriate. At first there was this feeling of literally being stopped from moving, then of not moving forward, figuratively speaking, and then later, the realisation I was always on the go and seldom stationary, hardly resting or giving myself time to reflect.

 

The sense of clarity I’d gained from going through the whole process was remarkable. All that remained was to come up with an action plan for moving forward. I knew I had to give myself the time and rest I so sorely needed. In fact, I’d already addressed that, because a week before completing this exercise I'd made the difficult decision to have a complete break from teaching during the summer, but, I also needed a plan for the future, once my classes resumed. I had to look at my work-life balance and figure out how I could change my workload so it was physically less demanding on me and sustainable in the long term, plus allow me time for other creative pursuits.

 

By the end of the exercise, I felt so much better and more positive. I felt the joy of having the time and freedom to do what I needed to do in order to move forward. It felt truly liberating. It was also just the start. Now I’d opened the door to my innermost thoughts, over the course of a few days, I repeated the exercise whilst thinking about different issues and each time new insights were revealed. I even focused on the stress one time, as I knew I had so much tension in my neck, shoulders and back. I wrote so much more on that occasion than any of the other times. Curiously, the object that came to me was a life ring and at the start I had a visual of it in the water and then of me holding on to it, but by the end of all my thoughts, it had grown in size and I was actually sitting on it, floating on the water, feeling fully supported by all those around me. What was really apparent was the shift in the narrative from negative to positive as the flow of thoughts lead me to a much better place. I felt like I was letting go of certain negative thoughts about the future and fully appreciating all the good people and things in my life. I felt a sense of calm and found an inner peace.

 

Whilst I certainly believed that anything was possible moving forward, there was much I had to let go of and it wouldn’t happen overnight. I’d been holding on to a lot of pain and hurt from the past, in ways I’d never even realised, which had resulted in creating a protective shield around myself, gradually growing over the years. Only now I was realising how this barrier was blocking me from starting a new relationship with someone special. Aside from this, I also felt burdens, pressures and responsibilities that came from the different areas of my life, which weighed heavily on my shoulders. I realised I had to learn to relax and let go of the worry, frustration and tension because it wasn’t helping me at all.

 

My aim was to go out in nature more, without my camera – for a change – and experience it in different ways and really feel the benefit of mindfulness. But, perhaps most significantly of all, my desire to write was reawakened. For one thing, I felt inspired to write about this year. However, something more important to me was sitting on my computer waiting to be read by someone other than me. In 2020 I’d completed writing a non-fiction book. Finally, it felt like the right time to fully embrace what I wanted to achieve and that was to have it published.

 

Awareness is such a gift. It’s been enlightening. After completing the Symptom Dialogue exercise several times, it helped me realise what I really want in life, also that it’s within my control to make it happen. I’m not sure even my words here can convey how empowering that feels. It’s like I’ve seen inside my soul and I’m learning to be my true authentic self. I’m letting go of fears and barriers, anything that’s been inhibiting me from chasing my dreams. I’m excited about what lies ahead and I feel hope and optimism is radiating through me. When I think back to the pain I experienced at the start of the year, I now realise how true it is that difficult times help us grow stronger. This was just the beginning of my emotional journey. It feels like now, this year, is the time for me to face my past and work through my issues, so I can fully and completely embrace the future.

White-fronted Goose flying, East Sussex
By Lisa G Saw February 7, 2026
WILDLIFE HIGHLIGHTS January can be a difficult month for many people. I don't usually suffer from the January Blues, but I did notice this year I felt a certain flatness. I think it was largely because there were days when Bob and I would go out for a walk and hardly see anything at all. Well, that is, anything out of the ordinary. There's no doubting it - I get a real lift when nature reveals its beauty to me in its many wonderful and surprising ways. But, it's been a good reminder that even the simple things can give great pleasure if we take the time to appreciate them. Sometimes, it's worth looking with more careful eyes and appreciating even the ordinary. The year actually was off to a great start, when the snow fell early on in the month. I love the snow! I'll leap at any opportunity I have to walk in it! Living close to the coast meant we didn't have any on our doorstep, but Ashdown Forest had a good covering and it wasn't too far away to visit. Even the car park looked lovely, with the sun shining through the wintry trees on this gorgeous sunny day. It might have been crisp and cold, but we were dressed for it and of course had some welcome hot drinks after our walk. The highlight of the day, aside from the snow, was having some brief glimpses of a couple of Crossbills at the top of the fir trees, though not as good as we'd had in December .
Starling Murmuration over Eastbourne Pier
By Lisa G Saw January 15, 2026
WILDLIFE HIGHLIGHTS This is the first post in a new series I'm starting in which I'll be sharing my wildlife highlights from each month, and some of my memorable experiences out in nature. Mostly, the focus is on my outings locally in Sussex, but sometimes Bob and I venture to nearby counties too. I hope you enjoy reading about my outings and seeing the photos. It's amazing what can be found on your doorstep when you look for it, or take the time to notice what might be right in front of you. I was going to start this series with January - you know: new year, new start, and all that - but, December turned out to be a great month for us. I had a bit more time off towards the end of the month, so I thought why not start with the highlights at the end of 2025. Bob and I spend a lot of time walking around the South Downs in East Sussex, as it's so close to home. We can literally walk from our front door and be surrounded by fields within minutes. We know we're very lucky to be in this position. Bob knows 'his patch' very well and I'm starting to appreciate the many gems to be found thoughout the year.  On more than one occasion during the month we chose to walk along part of the Cuckmere River and photograph the Scandinavian Rock Pipits that were very ameanable! The best encounters were usually when I waited for them to come towards me. So, crouching down low, I'd patiently wait. I was very pleased with these first shots when the light was lovely and low.
Dog Falls
By Lisa G Saw November 23, 2025
This autumn Bob and I returned to the Highands, two years after our last trip to the area. With his son Matt and fiancée Emily now living there, it was a great opportunity to see them, enjoy some wildlife watching and spend time out in nature. The weather forecast for our time away was less than ideal, but we were determined to make the most of our visit, even if that meant wearing waterproofs most days! We stayed in two different self-catered accommodation in the Aigas Valley near where Matt and Emily live, on the west side of Loch Ness. It was lovely staying somewhere new and very picturesque, especially during the autumn. The only downside about the holiday was that I managed to hurt my back the day before leaving. It was very frustrating, but I didn't want it to ruin the holiday, so I tried to focus more on enjoying the experience of where we were and not worrying too much about the photography. That being said, I did use my camera on the first morning as a little test. On that first day, and on two subsequent days, we explored Glen Affric. It looked beautiful with the autumn colours (top and below). On every visit, we stopped at Dog Falls, where the picturesque River Affric tumbles and cascades over the rocks. For a stretch, a path runs alongside it, providing us with plenty of opportunities to stop and look out for any Dippers. As luck would have it, I did spot one very early on. It flew across the river to the far side and proceeded to bob up and down, periodically diping its head into the water looking for food. It was wonderful to have some time watching it, and keeping up with it as it worked its way down river. But eventually, it flew off and we lost sight of it. Unfortunately, it was to be our only Dipper sighting the whole time we were in these parts and none of the photos were worth keeping.
Show More