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.

Bee Orchid
By Lisa G Saw July 15, 2026
WILDLIFE HIGHLIGHTS We were up in Yorkshire at the start of the month enjoying a week's holiday at Bempton Cliffs. Gannets and Puffins were on the cards for us up there, and lots more besides. You'll be able to read more about our trip in due course. 
Spotted Sandpiper
By Lisa G Saw July 4, 2026
WILDLIFE HIGHLIGHTS May ended up being a quiet month for me in terms of wildlife sightings, because Bob managed to put his back out sadly, which curtailed our outings together. In fact, we had been due to go to Kent on the 1st May as an early Birthday trip for him, but we had to cancel that. To be honest, it was actually nice for me having a bit of downtime with Bob, though obviously I wasn't happy about the reason! Although Bob's back is taking a while to fully recover, he's gradually getting there and doing much better now. Whilst there are only a few wildlife highlights to share with you for May, I've got to say, they were fabulous! I didn't have to travel far, as most were seen in our back garden in Seaford. It's amazing how much you can enjoy when you pay close attention to what's in your garden. Literally, within a few days of Bob putting his back out, we heard that two Spotted Sandpipers ( Actitis macularius ) had been seen along the River Ouse north of Piddinghoe, not far from Seaford. It's an exceptionally rare vagrant that you'd normally expect to see in North America, or in Central and South America where it overwinters. It would certainly draw a lot of keen birders to the area, and for that reason I didn't even consider going to look for it myself over the bank holiday weekend, as I'm not really a birder per se. But, by the Monday, I was tempted and Bob encouraged me to go, despite the likelihood it could be busy. It was very disappointing for him, as there was no way he could manage it, which was such a shame. So, having checked the latest sightings that day, I set off in the afternoon for Southease. I really hoped I would see them, but more than that, I prayed I'd have a really great close view of it on my own, which I knew was highly unlikely. As I walked along the east side of the bank south towards their last known location, I saw a man approaching from the other direction. We briefly stopped to chat. He was clearly a birder and shared the good news that he'd seen it, which was very encouraging for me. I continued on further, and then another two men approached. Once again, we stopped to chat. When I set off again, I noticed that there was no one else on my side of the bank. What luck! However, on the other side of the bank there were two small clusters of people, a little distance apart. The sun was behind them, so their side would have been better for photos, which no doubt was why they had gone to the west side. I just hoped the bit of cloud cover we had, would be to my advantage, making it easier to photograph from the east. The first group were pointing their bins or large camera lenses towards my side of the bank, so I knew where to look for the Spotted Sandpiper. I slowed down as I approached and it didn't take long for me to have my first glimpse of this attractive wader species through my bins. It's so striking. Just look at those lovely spots on its chest.
By Lisa G Saw May 21, 2026
WILDLIFE HIGHLIGHTS April was an amazing month for wildlife moments for myself and Bob, so much so, it's been a struggle to narrow it down to just the encounters I've shared below...and there's still quite a few! The month was off to a great start with a new species for me - the Black-necked Grebe. One was seen for a number of days at West Rise Marsh, on the outskirts of Eastbourne. Bob had already been to see it during the week, but was happy to go again with me when I was free. Despite the very windy conditions, we had some lovely views of this stunning bird.
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