The Skills Necessary To Deal With Anguish

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Hand-drawn art by Rupali Bhuva
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Truly accepting pain is not at all like passive resignation. Rather, it is active engagement with life in its most intimate sense. It is meeting, dancing with, raging at, turning toward. To accept your pain on this level you must cultivate particular skills. Then After you have developed some proficiency in these skills, dealing with pain feels much more like an embrace, or the bond that forms between sparring partners, than it feels like resignation. Resignation is too passive.

So What are the skills necessary for dealing with catastrophe, pain, anguish that you have day in and day out and probably will have for a long time? If you're in this difficult situation, your job is to (1)acknowledge that stuff and what its costing you, and (2) to enrich your life exponentially.
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Acknowledging your suffering, just exactly what it is costing you to live with the painful situation you have, is the first step on the path of penetration into the wellspring of energy we often tie up in efforts we make to get away from our despair. I work with people who have degenerative diseases like arthritis, MS, stroke. Many of them have constant, unremitting pain. They say to me, "Why would I want to acknowledge my suffering? To live in the present moment with all my agony? I'd rather distract myself." Why indeed?

Maybe the bottom line is that if you develop a strategy to deal with suffering that rests on merely distracting yourself, it won't work in the long run. Maybe you can deny it or distract yourself for a short time -- hours or days. Denial is great for the short term -- it can allow you to meet a deadline despite a crisis or it can help you gradually accept an overwhelming circumstance -- but longterm it carries a pretty high price. If you deny your pain or your suffering for a long time, you begin to exist on a bleak tundra of nonfeeling. In order to stay in denial, you have to turn away from all incoming information about your situation: other people's feedback, your own feelings coming up from your gut. So your consciousness gets very narrow and your life continues on one level of your being with no variation or richness or feeling.

[..] 

Earlier I mentioned that one of the skills it's useful to cultivate is enriching your life exponentially. What I mean by that is If at any given moment you are aware of ten different elements -- for instance, the sound of my voice, your bottom on the chair, the sound of cars passing outside, the thought of the laundry you have to do, the hum of the air-conditioner, the sliding of your glasses down your nose, an unpleasant stab of sharp back pain, cool air going into your nostrils, warm air going out -- that's too much pain, one out of ten; that's unbearable pain that will dominate your life. But if at this moment you are aware of a hundred elements, not only the ten things you noticed before but more subtle things, like the animal presence of other people sitting quietly in the room, the shadow of the lamp against the wall, the brush of your hair against your ear, the pull of your clothes against your skin, for instance, and you have pain along with all those other things you are noticing, then your pain is one of a hundred elements of your consciousness at that moment, and that is pain you can live with. It's merely one of the multitude of sensations in your life.

As a person with a chronic illness who works with other people who have longterm physical difficulties and the despair/bitterness that accompany such difficulties, I'm very interested in what people do that has some influence on their healing process. Over the years I've noticed that among the most important healing experiences that people can have are experiences of deep pleasure. This is true of both physical and spiritual healing. When your suffering is chronic or intense, you cannot let your pleasures come randomly. You need to take the perception of pleasure very seriously and learn how to build the occurrence of such feelings into your life. If you are overwhelmed by emotional stress or physical pain, I advise you to cultivate the ability to recognize pleasure wherever the potential for its existence may lie.


-- Excerpted from a talk given by Darlene Cohen to the Multiple Sclerosis Society in March, 2000

Seed Questions for Reflection

What do you make of the idea that truly accepting pain is "active engagement" - a kind of "meeting, dancing with, raging at, turning toward" - rather than passive resignation? Can you share a personal story of a time when you shifted from trying to distract yourself from suffering to acknowledging what it was costing you, and enriching your life exponentially? What helps you notice the totality of each moment and a deep pleasure within it?

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8 Past Reflections
CR
May 11, 2026
Pause a moment. Stop thinking. See. Listen. Feel. Hear. Taste. Stay long enough with each to notice fine aspects.
I think of pain and dealing with pain differently than Darlene Cohen. For me, life produces pain such as the pain of injury, illness, death. Pain hurts and is a signal that something is not working right and I have a problem. I engage pain in that I pay attention to it and what it's telling me about what's wrong. Suffering is different than pain. To suffer means to bear or carry. Suffering is the way in which I bear or deal with pain, such as the strategy I implement to deal with it. Life provides pain, I provide suffering. The challenge is for me to suffer pain in a way that decreases the problem or pain, and not suffer pain in a way that increases the problem or pain. Distracting myself from suffering is to not heed it or learn from it and is a very ineffective strategy. I don't notice the totality of each moment. That seems beyond me. I can notice a good deal of a moment, and I do that when I am present, open, and attentive.
B
BarbaraS. May 12, 2026
Interesting perspective, thank you for sharing!
JP
May 7, 2026
The opening sentence of this passage authored by Darlene Cohen is very helpful to me to understand the paradoxical nature of my pain. There are two ways of dealing with pain: accepting it mindfully in its most intimate sense rather than rejecting or denying it. In my relatively long life ( I am 101 years old ), I have learned many lessons of living mindfully. When I experience pain I accept it unconditionally, mindfully, let it come and let it go, not rejecting or denying it. Accepting pain unconditionally, and going through it without complaining about it has been very helpful to me. I recognize my pain, go through it mindfully without grumbling, complaining and judging and doing whatever I can to reduce it. I get a lot of support from my family and friends. Denying, suppressing and repressing my pain doesn't help me. I try to understand my pain, what causes it, what sustains it without judging it and letting it come and let it go. This way I feel less pain. Accepting my chronic pai... View full comment
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BarbaraS. May 12, 2026
I tend to lean the way of this thinking as well. I went through cancer treatment/chemo/surgeries and just learn to embrace what is. I learned to be thankful and grateful for everything, including the treatments.

At 101 yrs. old, I can only imagine the stories you have to tell. I've always enjoyed your posts here as they are so reflective, thank you for being you and being here, Jagdish! If I may be so bold to call you by your first name.
NP
Nimish Purohit May 12, 2026
I second BarbaraS's observations about Jagdish Dave's comments on each "Awakin Readings' posts. Yes, to deal with Anguish is indeed an "active engagement process.
MA
May 7, 2026
Wow. How relevant. No later than this morning. The pain, the panic, the absolute terror of being thrown into the deep end of the pool and told "figure it out." It started when I was 7 days old (maybe even younger) and that terror is deeply embodied. Finally feeling it finally opens up a path for it to travel and no longer stay stuck. When I'm denying it (as freeing as it feels in the moment), it's locked in the prison of my body. When I feel it fully (as stuck and painful as it feels in the moment), it moves. And ultimately, it doesn't want to stay trapped in my body any more than I want it there, so it goes. With gentleness and power. And I find myself truly free.