Monday, December 21, 2015

Possibilities, Perils, and Embracing Retirement





    This guy has his retirement figured out. Beautiful, isn't?
Every so often, a few thoughtful gems land in my email account. This happened recently. Well, the gems did not land recently, I just unearthed them as I waded through long neglected, unread emails.

In my email box, I discovered Mark Moran's (Psychiatric News, July 2015) article highlighting pieces from psychiatrist Glen Gabbard's presentation, Possibilities, Perils for Aging Physicians. Gabbard's lecture, sponsored by the Senior Physicians Section of the AMA, was addressed to the AMA's House of Delegates in July. While Gabbard specifically focuses on aging physicians, I think the gist of his message applies to social workers, psychologists, psychotherapists, clergy, and many others in helping professions and non-helping professions.

 In his presentation, Gabbard makes several points, including that the "practice of medicine is not a job, it's more of a calling," that "the profound gratifications that medicine offers....make aging a challenge" and that the perfectionism, compulsiveness, and an "exaggerated sense of responsibility for one's patients," qualities that make for an excellent physician, can also make "slowing down or retiring difficult or impossible" (Moran, 2015). To this Gabbard adds the kicker, "We have a need to be needed."

Hmm. That last thought cuts true and deep -- the need to be needed.

     In part, Gabbard is pointing out that one's profession and therefore professional identity impact the evenness or unevenness of the transition into retirement.  This, of course, makes sense.  Our talents as well as who we are and what we have experienced combine to draw us toward our chosen careers and can make stepping into the next phase tricky.

    Gabbard, a psychoanalyst, speaks not just to the perils of the transition but also to the upside, the wonderful possibilities of the retirement phase. "Don't postpone" he advises. "The 60s and 70s are a time for harvesting -- spend money on those things you have postponed."
     "Retirement should not be about leaving something; it should be about going to something. Whether you work part-time, not at all, or full time, have a plan about what gives you joy. You have nothing to prove, you have run the race and are no longer in competition."

     Gabbard's points are well made. Move toward something, seek joy, don't postpone (the old live life with urgency idea), and spend time harvesting the fruits of your labor.

     Is this easier said then done?

     Over the years, I'd heard former colleagues suggest that they would "leave their practices feet first," either from financial need or another need and in fact, some did just 
that. Perhaps not quite the approach Gabbard is suggesting.

     However you decide to configure this phase, experts have some suggestions: (Retirement blues: Taking it too easy can be hard on you, Healthbeat Harvard Medical School)

-- Stay engaged since social connectedness is important for health.
-- Find a balance of activities that challenge, like improving a skill or learning something new.
-- Some stress is good, so choose activities that cause you to stretch, but not too easy or too hard.

This year has whizzed by and I'm wondering how I've applied this advice. Guess I'll find out in my next post. Until then, 
Stay calm and carry on 



    Here I am learning something new. And I'm fairly certain when I fell, I stretched something.....does     that count?