Six questions for conquering crazy-think and making good decisions
I don’t do suffering well. Some generous people said that they thought I handled the pulmonary embolism thing gracefully, but a) they would have retracted all of that and slowly backed away in fear if they could have heard my inner dialogue, and b) sitting in a quiet hospital room and listening to my iPod didn’t exactly make me St. Josephine Bakhita. Also, it’s usually the little trials that throw me for a loop more than the big ones: I can kind of go with the flow when major medical procedures go awry, but getting interrupted 50 times when I thought I might actually get ten freaking minutes to write a blog post (no idea where I came up with that example!!!!) sends me into an abyss of despair that makes me angrily question whether there is anything good in the human experience.
Needless to say, when I’m in these kinds of situations, I don’t tend to make great decisions. For example, I have this stupid sinus infection that I (and Augmentin) can’t seem to kick, and the presence of constant pain in my left cheek combined with a baby who wakes me up many times per night has left me in a not-great mental state. (Yeah, I have a neti pot. Hasn’t helped, but I use it anyway because I look so glamorous doing it.) It’s easy to let times like this trigger the beginning of a downward spiral in which I decline opportunities I should probably take, give up on activities that were good and fruitful, and open up my calendar and CANCEL ALL THE THINGS.
To inject some much-needed sanity into my decision making process during these times, I often go through a checklist of questions that my old spiritual director would ask. This post is kind of a rerun since I posted this list a couple of years ago (and I also have a new and wonderful spiritual director now who also asks great questions), but I thought I’d put it up again since these ideas are helping me keep the crazy-think at bay.
6 Questions My Spiritual Director Would Ask When
I Had a Tough Decision to Make and Was Being Crazy About It:
1. Have you prayed about it?
It’s hard to believe that this question is even necessary, but with me it usually is. With embarrassing frequency I’d come to my old spiritual director, Christie, and pour out my angst about some conundrum, ending with shaking my fist at the heavens and wondering why God wasn’t helping me. There were more than a few awkward moments the resulted from her gently asking, “Have you prayed about it?”, and I had to find a way to avoid seeming like a spiritual vegetable while offering the honest answer of “no.”
2. How does it impact your primary vocation?
I can’t overstate the importance of this question. It’s brought more peace to my life than any other thought exercise. The Catholic idea of vocation is that the meaning of life is to serve others, and your vocation (e.g. married life, religious life, priesthood, etc.) is the main way that God intends for you to serve. It’s his primary path for you to find peace and fulfillment — therefore, no legitimate call from God would negatively impact your vocation. God would never call a parish priest to do something that made him feel burdened and resentful of offering the Mass on Sunday, he would never call a father to something that made him feel tied down and frustrated by his wife and kids, etc. It doesn’t mean that the only things you ever do are directly related to the duties of your vocation, but that those duties are your top priority.
Whenever I’ve started going down a path that introduced tension, resentment, or other bad vibes into the family, it’s always turned out to be the wrong decision. This isn’t to be confused with short-term sacrifices that may be difficult, like when Joe was studying for the CPA exam and it was super stressful at times but we were both ultimately on the same page about it; it’s more about choices that fundamentally put you at odds with your spouse or your kids. Over and over again, I’ve found that if a call you hear is really from God (and not just your own selfish desires doing their best imitation of the Holy Spirit), one sure sign is that it will ultimately end up strengthening your work in your primary vocation.
3. What does your spouse think?
Like with #1, I often get so caught up in analyzing things that I forget to ask for Joe’s input, especially if it’s a small matter. My spiritual director would always hone in on this question too, since the Holy Spirit often speaks through our spouses, especially when we’re not doing a good job of listening to him ourselves. (For people who are not married, an alternative might be to ask your parents, siblings, or a trusted friend.)
4. Are you taking care of yourself?
At one point I’d been in a rut and was trying to figure out how to get my life back on track, but it felt like my discernment process was going nowhere. My prayer life was nonexistence, and, worse, I found that I didn’t even really care about praying. When I came to Christie to complain about it, and she immediately asked if I was taking care of myself. I explained that if tearing through entire bags of junk food at a time, drinking too much wine, never exercising, and staying up past midnight to surf the web could be considered “taking care of myself,” then yes, I was doing a fantastic job.
She paused for a moment, then said, “I think we’ve found at least part of the problem.” Experiences of suffering can be amazing times of closeness to God…but if your suffering is self-inflicted due to obsessive attachments to the things of the world, it’s probably not going to lead you to any super spiritual experiences. Christie said that before I began looking into any deeper causes for my spiritual dryness, I needed to start taking care of myself first. Sure enough, once I started eating a better diet and getting some sleep I was able to take the first steps toward getting my prayer life back on track, which helped me in every area of life.
5. Are you making decisions based on fear?
If you hear an inner voice telling you that you need to do something because you’ll be a big huge loser failure and everyone will hate you if you don’t, it’s pretty safe to say that that is not the voice of the Holy Spirit.
Christie always had to remind me of this. For example, at one point I was discerning whether or not to homeschool, but all of my thinking was fear-based: I was tempted to homeschool because I was freaked out about something I’d heard about the local school and I had images of my kids getting bullied playing in my head over and over again. On the other hand, I thought I should send them to school because I was sure I would screw everything up and end up with teenagers who couldn’t read and had mostly imaginary friends.
Christie encouraged me to stop living in fear and start boldly asking what God wanted our family to do, to make a conscious effort to trust that he would give us what we needed when we needed it if we just followed his path. It took a while to silence all the trains of thought that were filled with fear and anxiousness, but once I did the discernment process went much more smoothly, and I quickly came to a decision that brought me a lot of peace.
6. Which path would bring you the most peace?
Similar to the above, Christie would sometimes ask me to imagine myself going through each of the various options that were before me in some dilemma, and to consider which one would bring me the most peace. Fairly often, I would find that when I actually took the time to do this, I was filled with anxiety when I thought of going the route that looked best on paper, and felt a perfect sense of peace when I considered taking the route that seemed a little crazy — and the peace-filled option always ended up being the right path.
More info
I usually get a lot of great questions when I bring up the subject of spiritual direction, so here are some additional resources:
- How to find a spiritual director.
- This spiritual direction blog is a wealth of information on discernment and the spiritual life. Definitely worth bookmarking and reading regularly.
- This post called 9 Things to Do When Needing Direction has some great tips on this topic.
Never say never, and other thoughts on having more kids
Some folks have asked if my doctors are putting pressure on me not to have more children. I usually respond with a sound like hoooooo-ho-ho-hooooo (which is not supposed to be a sound like what Santa says, but rather a hearty laugh to indicate, YOU HAVE NO IDEA).
The doctors have said this before, when I was diagnosed with the clotting disorder after getting a deep vein thrombosis during my second pregnancy, but, luckily for my third, fourth, fifth, and sixth children, I knew that they weren’t that serious when they said, “You seriously can’t have any more children.”
But now they’re saying it with extra drama, and there’s nothing like lungs full of blood clots (for me) and lungs full of holes (for the baby) to make me think that they might actually mean it this time.
So what does that mean for me? When I converted to Catholicism, to my great surprise I came to agree whole-heartedly with what the Church teaches about contraception. I do Natural Family Planning (badly), and probably have about eight years of fertility left. Am I still going to stick with it? Am I resentful of these rules? Do I even want to have more kids? If the subject lines of my email inbox are any indication, a lot of folks are curious about this; hey, I would be too if I followed someone’s blog who found herself in this situation.
So let’s go ahead and crack open that can of worms, and I’ll give you my long answer to the question: Your doctors said you can’t have any more kids. What now?
Let’s talk about risk
First of all, let’s remember that when we speak about the dangers of pregnancy or any other undertaking, we’re talking about risk. This is not certainty. Nobody has a crystal ball. It’s all just educated guesses.
This sounds obvious, but it’s surprisingly easy to forget.
You hear a doctor say, “You shouldn’t do XYZ because it would put your health at risk,” and it’s tempting to immediately declare, “‘Risk,’ you say? I SHALL NEVER DO XYZ AGAIN THEN!” But it’s critical to do the best we can to identify what level of risk we’re talking about.
In my own case, for example, I have a responsibility to my existing children not to take unnecessary risks with my life. The word to hone in on here is “unnecessary,” though, because the reality is that we take risks with our lives all the time. I’m thinking about taking a road trip this summer that would involve driving for hours down two-lane roads with 70-mile-per-hour speed limits and no barriers separating oncoming traffic. I would be driving on a weekend, when plenty of people are on the road after having beers at nearby lakes. There is no question that my life would be in danger if I went on that trip; in fact, the danger to my health in that situation is probably not even drastically lower than it would be with another pregnancy. Yet we perceive the pregnancy as being so much more fraught than the fun road trip.
For a variety of reasons, we’re always tempted to freak out and get all fearful when it comes to new life, much more so than in other areas of life. A mother setting out to climb a famous mountain as a personal self-fulfillment project would be congratulated and encouraged, whereas another mother being open to pregnancy despite concerning health conditions would be chided and discouraged, even if the risk to both women’s health from their respective activities were the same.
So, especially when it comes to the question of more children, we need to look very carefully at the question, “How big is the risk?” There are times when we’ll take a closer look and find that the risk is real and huge and deeply concerning; but other times we might just find that the risk isn’t all that much greater than it would be with plenty of other “normal” activities, and that the doom and gloom predictions about future pregnancy were fueled as much by our culture’s fear of life than as by a reasonable analysis of risk.
The hope factor
Every risk has a flipside, and this is another area that is too often forgotten about when we’re talking about pregnancy: the benefits of undertaking the risk.
We have this problem in our society of seeing new human lives as burdens. Instead of celebrating new people, too often we chalk them up to carbon footprints and mouths to feed. We deem others (always others, not people we know) to be “overpopulation.” And I’m not using “we” rhetorically: Seriously, I’m not immune to the mentality either.
The soundtrack to all of my pregnancies is the noise of my whining voice. I always forget about the life of the new son or daughter that I’m carrying, and talk about the huge burden that “the pregnancy” is placing on me. Maybe it’s all those years I spent immersed in secular culture, but I am naturally sympathetic to the frame of mind that wants to immediately shut down the pregnancy train as soon as the doctor says the word “risk.” Especially in the case of those of us who already have a lot of children, why not? After all, how many kids does one person need?
But children are more than a number in the family birth order, and each human life is infinitely valuable. Think of someone you love: When you consider the worth of his or her life, it makes you view the pregnancy that brought him or her into existence differently. It makes you willing to accept higher levels of risk to add a person like that to the world.
Imagine that you were diagnosed with a rare and fatal illness, and you discovered that there was a doctor who had developed a brand new way to treat it. Imagine that this doctor cured you. Imagine the waves of joy and relief that would sweep over you when you found out that he had defeated the disease that threatened to cut your life short. Now imagine that you found out that he was his mother’s seventh child, and that her pregnancy with him went against warnings from her doctors not to have any more children. Would his mother seem crazy for becoming pregnant anyway? Would she seem irresponsible for deciding that adding another soul to her family was worth the risk?
Unfortunately, sometimes we need to remind ourselves what other people can do for us in order to remember the value of their lives.
I’m not suggesting that there’s never a good reason to avoid pregnancy; even aside from health risks, there are plenty of other reasons couples might decide that it’s not a good time for another kid. I only suggest that when we make those decisions, it’s critical that we make them in light of the hope that every new baby brings. When you think of making sacrifices for a nameless, faceless “pregnancy,” it doesn’t seem worth much effort. But the cost/benefit ratio changes drastically when you really think about the worth of one boy or girl’s life.
NFP is worth it
All that said, I do think there’s enough risk in my own situation that I should chill on the pregnancy front for now, maybe forever. In that case, then, wouldn’t contraception or sterilization make everything easier? To put it concisely:
No.
First of all, Natural Family Planning can be an effective way to space children. (I’ll give you a moment to stop laughing and clean up the drink you just spilled on your keyboard.) No, seriously, if you’re willing to invest a little time to learn the ropes, it can work just as well as contraception. I’ll be the first to admit that it’s not always easy, and that the challenges that come with NFP are very real. However, it’s not like the alternatives offer problem-free solutions either. As the great Simcha Fisher once said, “When it comes to facing fertility, all God’s children got angst.”
I know a lot of other couples who have given up contraception to use NFP, and not a single one of them has ever returned to contraception use. I’m not saying it never happens, but, at least in my experience, it’s rare. That’s totally counter-intuitive since NFP is a sacrifice-based system, but I think what most couples find when they give up artificial birth control to space children naturally (especially when they involve God in the process), is that the high level of personal sacrifice involved is a feature, not a bug. NFP is not just another form of birth control; it’s an entirely new lifestyle. It makes you see yourself and your spouse and your children entirely differently. It makes you see the meaning of life differently. It even makes you see your relationship with God differently. And once you’ve spent a while living that kind of life, you don’t want to go back.
Intellectually, I don’t think that contraception is a good thing. I’ve come to believe that it takes away women’s reproductive freedom, and, on a societal level, fuels abortion culture. But, when I think of my own situation, I never even get that far in the analysis. Like so many other people who have made the switch to NFP, I simply couldn’t be okay with any form of sterilization anymore, whether temporary or permanent. I don’t know how to articulate it other than to say I just couldn’t do it. On a purely visceral level, in that place deep in the heart where the most important truths about our humanity reside, I know as surely as I know anything else that those Catholic teachings about human sexuality are true and good.
So what now?
As you can imagine, I’ve gotten some flack about all of this lately, especially in light of this disastrous pregnancy. Sometimes I catch myself reacting by saying:
“I didn’t know!”
I mean, yeah, I knew that I had a blood clotting disorder that’s exacerbated by pregnancy, and, okay, there was that one just slightly life-threatening DVT in my second pregnancy. BUT! I thought that it would be fine once I took preventative Lovenox. I didn’t know that it was possible to end up with bilateral pulmonary embolisms when you were on blood thinners — I thought that I was stabbing myself with needles every day to prevent that kind of thing! I didn’t know that a one-month supply of said blood thinners would set me back FOUR THOUSAND dollars. I didn’t know that I’d end up having to undergo medical procedures that were like something out of a bad episode of Fear Factor. I didn’t know that one of my veins would turn black from having over 10 blood draws in the same arm over a few hours. I certainly didn’t know that my baby would have his own, unrelated life-threatening lung issues that would put him in intensive care for two weeks. Sheesh, people, I didn’t know!
The implication there is that I would have done something differently if I had known that I was signing up for a pregnancy that was like something out of a homeric epic.
But would I?
I look down at my sweet baby boy, who is sleeping in my lap as I type, and I am overwhelmed with love and joy at his existence. I am filled with certainty that his life was meant to be. I can barely even remember all the pain I went through to bring him into the world, because that finite amount of suffering seems so utterly insignificant in comparison to the infinite value of his life.
Yet I am also sitting here saying that it would probably be best if I didn’t have more children. It leaves me in a place of strange tension: If this baby was so worth it, wouldn’t that be the case for another one? As a mother, I certainly have a duty to my precious children not to take risks with my health; but if I’d followed that train of thought more closely before, most of said precious children would not even exist.
It is when I ponder these truths that I realize: It’s so freaking complicated.
There are no more difficult, complicated, messy decisions in the human experience than the decisions we make about having kids. In no area of life is there more at stake, more opportunities for suffering and loss, and more opportunities for joy and love and connection that will last through eternity.
I don’t have all the answers; many days, I don’t feel like I have any. I have no idea if I’ll ever have another biological child. Today I’m thinking that I probably won’t…but will I feel that way tomorrow? If I’ve learned anything so far this year, it’s that your whole world can be turned upside down in a matter of hours, leaving you with an entirely different perspective on life than you had the day before. Luckily, with NFP, you make these kinds of decisions on a month-to-month, rather than a long-term basis. I’ll have regular opportunities to re-evaluate my choices.
And so when people ask about whether I think I’ll have more children, I usually respond with a responsible-sounding answer about how I am aware of the risks and currently plan to take the prudent course and avoid pregnancy for the rest of my fertile years. But then I’ll glance over at my little blond-haired son, and sometimes his tiny, ink-blue eyes will catch mine, and I can barely suppress a smile as I think: Never say never.

A few odd things about me, and a question for you
There’s this thing going around where bloggers share five things about themselves that people might not know about them. I just love these posts! Micaela at California to Korea was kind enough to tag me for participation, and since I’m always up for an easy post idea, I couldn’t resist! Here it goes:
1: MEXICO

A visit to Mexico City when I was 21.
Our family has close ties to Mexico, and I always assumed that our kids would grow up spending a lot of time there. My paternal grandfather (the one who’s always cooking for us, even at 98 years old) spent over 30 years living in Mexico and South America, working as an engineer overseeing the construction of refineries. My dad grew up there, mostly in Mexico City and Tampico, and speaks Spanish with a Mexican accent. We often went to Mexico to visit friends in my childhood, and to this day my grandfather talks about how much he misses it.
Joe has a similar background: His grandparents had some orange groves along the Texas-Mexico border, and Joe spent many summers picking oranges all day, then crossing the border in the evenings to hang out in Reynosa. His uncle’s wife is from a small town in Nayarit, and she still has a charming little cottage on the Pacific ocean that we used to love to visit.

Joe learning to shuck oysters in Tepic, Mexico, in 2001.
Unfortunately, the parts of Mexico where we have the closest ties have been some of the hardest hit by drug violence, so our kids have never even visited. I really hope that one day we’re able to start going down there again, since I think of getting to know Mexico as an important part of our kids’ family heritage.
2: THE COLON CANCER GENE
I’ve done a lot of talking lately about my genetic blood clotting disorder, Factor II, since it’s responsible for all of the recent health drama. However, my family also carries another genetic disorder as well: HNPCC, which is known as the colon cancer gene mutation. People who have HNPCC will almost certainly get colon cancer, and are at high risk for other types of cancers as well (both my dad and his mother had colon cancer because of it, though it wasn’t fatal for either of them). For many years, our family has been involved with researchers at MD Anderson to study this mutation. They’ve gathered lots of blood samples from us, and have been particularly interested in our family tree. It’s fascinating and tragic to watch the gene get passed down over the generations: when you look at one of our family trees that lists causes of death, you can watch the disease snake its way through the family line.
One time when I was at MD Anderson, the researchers spread out a huge map of the United States that was covered with colored lines. The lines were the family trees of all known people with HNPCC, all going back to one man who immigrated to the US from Hesse, Germany in the mid-1700s. Five percent of all colon cancer cases are due to HNPCC, and it all goes back to this one guy. So, if your family is an HNPCC carrier (of if you’ve never been tested but have a strong family history of colon cancer that tends to have its onset when people are in their 40s), then we’re related!
Children of carriers have a 50/50 chance of inheriting the mutation. I was tested back in 2004, when I was pregnant with my first child. Before they would give me the results, they wanted me to talk to a counselor who would help me process the news either way. (I wasn’t upset about it, but that may be because I’m an only child: evidently there can be a lot of anguish if, say, one sibling finds that she does not have it, when her brother does.) I’ll never forget the day they called me with the results. I’d been taking a nap and the phone woke me up. I saw that it was the researcher’s number. I braced myself when I answered, knowing that what she was about to say would change my life. She skipped any kind of greeting and got right to the point: “You don’t have it,” she said. I exhaled and felt overwhelmed with relief that I had just won the biggest coin flip of my life.
3: BULLYING
There is only one thing in my life that I can’t really talk or write about in detail because it was so traumatic, and that’s the year I spent at a bad junior high in Littleton, Colorado. It was a dangerously overcrowded school where most of the teachers had mentally checked out due to their own bad circumstances, and a Lord of the Flies environment had taken over. (Half of the kids at that school went to a high school called Chatfield, the other went to one called Columbine.) We moved around a lot when I was growing up, and I attended eight different schools in a variety of places across the country in my K-12 education, so I’m pretty familiar with what normal kid teasing and bullying looks like. What I saw in Littleton was something else. The actions I witnessed, and sometimes experienced firsthand, were fueled by a kind of cruel heartlessness that could only be described as demonic. When I saw that viral video of the kids harassing the elderly bus monitor, I was saddened but not shocked. There wasn’t a week that went by at that school in Littleton that I didn’t see (or end up on the receiving end of) something like that. To say that that was a formative experience for me is an understatement; it very much impacts the person I am today.
4: 10,000 HOURS

A wild Friday night at the Bishop household! (Bonus fact: my maiden name is Bishop.)
As I mentioned above, we moved around a lot when I was growing up. As an awkward, nerdy only child, it usually took me a long time to meet people at new schools. I’m an introvert and had a good relationship with my parents, so it didn’t bother me too much that I would sometimes go months and months without a single friend (other than sitting alone at the lunch table so much — man, that never stopped being weird).
The most significant thing that came of it, however, was that it launched my love of writing. This was just after word processor computer programs had come on the scene, and so I would pour my energy into writing essays, novels, and even little plays. During summers and weekends, I would sometimes spend six, eight, or even 10 hours a day writing. When I encountered Malcolm Gladwell’s famous “10,000 hours” rule, I was amazed to realize that I had easily done 10,000 hours of writing in my life. I think that makes me proof that having that much experience doesn’t necessarily mean that you’ll be a genius at the top of your field; some of us need 10,000 hours of practice in order to be minimally competent.
5: BAPTISM

Baby me, with my mom, uncle, and grandmother. Our Lady of the Assumption, Atlanta, 1977.
I was baptized Catholic as a baby. I had no religious upbringing after that (so much so that once when someone responded to me with the rhetorical question, “Is the Pope Catholic?” I had to ask, “Wait, is the Pope Catholic?”), but I am convinced that the grace of my baptism played a large role in helping me find my way home. I wrote more about that here.
* * * * *
Well, that’s a lot about me. Now let me ask you something:
Typing up #3 made me realize that that was the most formative experience of my life outside of my religious conversion, in that it was an experience that has led to significant and long-lasting changes in who I am as a person and how I relate to the world (mostly in a good way). So my question for you is:
What was the most formative experience of your life?





