In Sickness and In Health

Dr. Tom Spudic

A man is holding a sign that says happy anniversary

I married an older woman—she’s roughly one month older than me. I get a lot of mileage out of the month of October.

We were both 22 when we got married and the last thing on my mind was illness. I was a college athlete, my dear wife was (and is) a firecracker and neither one of us would ever get much older than 30. Uh…yeah.

50+ years later, I look at life differently. I still love being married to her. We enjoy pretty good health, but that never getting older than 30 thing didn’t really work out. The same is true of illness. I’ve had two knee replacements, minor back surgery and early stage Parkinson’s. My “older woman”, though as beautiful as the day we married (I mean it), has had heart valve surgery and treatment for breast cancer. Plus she’s lived with a pain in her neck for 50 years.


I’m glad that a promise to support each other in sickness and in health was a standard part of the wedding vows. Otherwise I would have been even more clueless about how you need to love your spouse in health, so you can better love her/him when age and illness come.


These thoughts come to mind as we deal with the reality of the coronavirus. The possibility of serious illness is always with us, but we are rarely faced with that “unexpected” reality. Getting old and death are things that we like to pretend will never happen.


It’s a bit ironic. Among the most enriching experiences of our long married life has been comforting each other during illness or loss. When I first got married, little did I dream that sharing these times of closeness would mean so much to me. We were together at my father’s funeral. We were both present when my father-in-law, passed away. When my mother died we both prayed at her bedside. We jointly visit my 97 year old mother-in-law. Those comforting experiences have been incredible, as we’ve helped each other in times of illness and death.


My point is this. Work to truly love each other today, so that you can fully be there tomorrow when it is sorely needed. Treat each other with love, respect and compassion today. Make it a habit. That doesn’t mean you won’t disagree or argue with your spouse. Sometimes that’s necessary. Your marriage won’t be perfect. But never demean, show contempt, hatred or humiliate your spouse. Scripture is very wise:

(Sirach 28:18)


Many have fallen by the edge of the sword, but not as many as by the tongue.

We’ve been strengthened by each other in dealing with life’s challenges. Marriage can be incredibly comforting in the hardest of circumstances. If we are to have our spouse by our side when we most need them, we need to treat them with respect and compassion the rest of the time.

Illness does not only come to us physically. It can also come to us through selfishness, unbridled anger, addiction and other aspects of our fallen human nature. If we are to be present in sickness and in health, we must sometimes eliminate the “illness” in our own marriages.


…Should a man refuse mercy to his fellows, yet seek pardon for his own sins? (Sirach 28:4)

It’s not always easy. Over the course of a marriage, wounds and hurts accumulate. Forgiving and asking for forgiveness are a central part of a happy marriage. Even “77×7” doesn’t cover all of the times we may need to forgive. Pray for the courage and fortitude to forgive, and the strength to ask for forgiveness. Listening and treating each other with compassion/respect is a lifetime project.



Forgive us our trespasses as we forgive those who trespass against us.

Christian marriage is more than giggles and laughs, even though we’ve had plenty of both. There is also a deepness of understanding which is difficult to explain but very much worth working toward.

It brings a smile to my face.


Husband prevented from visiting nursing home due to threat of coronavirus.
Photo copied from article in The Stream by Margaret Olohan 3/16/20

By Peter Attridge, PhD February 25, 2026
W e’ve all been there. You’re standing in front of the mirror, maybe trying to psych yourself up for a big presentation or a first date, and that little voice in your head—let's call him "Lloyd"—decides to pipe up. "Are we really wearing that shirt?" Lloyd asks. "And by the way, remember that time in third grade when you called your teacher 'Mom'? Yeah. You're still that person." Lloyd is a jerk (no offense to any Lloyd’s reading this, I know you’re awesome). But Lloyd is also a symptom of a much larger, much noisier cultural problem: the confusion between self-esteem and self-worth . Our culture is obsessed with "hacking" our confidence. We have 15-step skincare routines to make us feel pretty, LinkedIn badges to make us feel smart, and enough positive affirmation mugs to fill a small warehouse. But here’s the kicker: you can have sky-high self-esteem because you just got a promotion and your hair looks great, and still have zero self-worth when the lights go out. The Great Value Mix-Up Let’s get nerdy for a second. In therapy-speak, self-esteem is often transactional. It’s how you feel about yourself based on your performance, your looks, or how many people liked your last social media post. It’s a roller coaster. You win? High esteem. You trip over a flat surface in public? Low esteem. Side note: This one is personal for me. Self-worth , on the other hand, is your intrinsic value. It’s the baseline. It’s the belief that even if you lose your job, your gym goals fail, and you accidentally reply-all to a company-wide email with a meme of a cat eating spaghetti, you are still fundamentally valuable. A Little Help from Upstairs Even if you aren’t hitting the pews every Sunday, there’s some serious psychological gold in the Catholic perspective on this. The Church teaches that you are Imago Dei —made in the image and likeness of God. Before you roll your eyes, think about the clinical implication of that. If your value is "given" to you by a Creator, it means you didn't earn it. And if you didn't earn it, you can’t lose it. In the Catholic view, we often get caught in the "guilt trip" stereotype. But true humility isn't thinking less of yourself; it's thinking of yourself less . It’s realizing that you don't have to be the CEO of the Universe to be worthy of love. You’re a beloved child, which is basically the ultimate spiritual tenure; you can’t be fired from being you. How to Actually Cultivate Self-Worth (Without the Fluff) If you’re tired of Lloyd’s commentary, here are a few ways to start building a foundation that doesn't crumble when life gets messy: 1. Fire the "Performance Review" Judge Most of us run our lives like we’re constantly under a 24/7 performance review. Stop asking, "Did I do enough today to deserve to feel good?" and start asking, "How did I honor my inherent dignity today?" Did you rest when you were tired? Did you say no to a toxic request? Those are acts of self-worth. 2. Embrace the "Messy Stable" There’s a beautiful irony in the Nativity story—God showing up in a literal barn. It’s a reminder that holiness and worth don’t require a pristine environment. Your life can be a bit of a dumpster fire right now, and you are still a masterpiece in progress. You don’t have to "clean up" before you’re allowed to value yourself. 3. Practice "Radical Acceptance" This is a favorite in the therapy world. It doesn't mean you like your flaws; it means you stop fighting the reality of them. “Yes, I am someone who struggles with anxiety. And yes, I am still worthy of a seat at the table.” When you stop wasting energy hating your shadow self, you have more energy to actually grow. Finding Your Way Home: Holy Family Counseling Center Sometimes, Lloyd’s voice is just too loud to handle on your own. If you find that your sense of worth is consistently tied to your "to-do" list or that old wounds are keeping you from believing you’re enough, you don’t have to navigate that desert alone. At Holy Family Counseling Center , we specialize in this exact intersection of psychological expertise and spiritual depth. Our clinicians help you peel back the layers of "performance-based identity" to find the resilient, God-given worth underneath. Whether you are dealing with depression, anxiety, or just the heavy weight of expectations, we offer a space where your faith is respected as a part of your healing. You can find us at www .holyfamilycounselingcenter.com to start a conversation that’s about healing, not just "fixing."
By Peter Attridge, PhD February 9, 2026
I spend a lot of my days telling people to slow down. I say it gently, of course. I say it while holding a mug of coffee that’s gone cold because I forgot to drink it. I say it while glancing at my own calendar, which—if I’m honest—often looks like a competitive sport. As a Catholic therapist, I live at the intersection of faith and feelings, prayer and patterns, grace and nervous systems. And every Lent, without fail, the same theme shows up in my office and in my own life: I am tired, and I don’t know how to stop. Our culture is not particularly fond of stopping. We admire hustle. We reward output. We celebrate efficiency, productivity, and optimization. Even rest has been rebranded as something you do so that you can work better later. God forbid you rest simply because you are human. Lent arrives each year like an unwanted knock at the door of this over-scheduled life. It barges in with a planner and a productivity app. Almost as a continuation of New Year’s Resolutions that we already are done with. It asks us to do more as our Lenten promises add on to our to-do lists. Or maybe, just maybe it asks us—almost annoyingly—to do less. Or at least, to do fewer things that keep us from becoming who we are meant to be. From a therapeutic standpoint, this makes perfect sense. The Pace That Is Killing Us (Softly, With Notifications) Most of my clients don’t come in saying, “I worship productivity as a false god.” They come in saying things like, “I can’t sleep,” or “I feel numb,” or “I’m doing everything right, so why do I feel so empty?” Many of them are faithful people who pray and genuinely want to grow closer to God—yet they approach their spiritual lives the same way they approach their inboxes: quickly, efficiently, and usually while multitasking. This goes the same for my clients that have no faith tradition. Our society has trained us to move faster than our souls can keep up with. Technology promises connection, but it rarely allows for communion. We scroll, skim, swipe, and react, but we don’t linger. We consume information constantly, yet we rarely digest it. Psychologically speaking, this keeps our nervous systems in a chronic state of low-grade stress. Spiritually speaking, it makes silence feel threatening. The problem isn’t that productivity is bad. Work is good. Creation itself begins with God working—slowly, deliberately, and with frequent pauses to notice that things are good. The problem is that productivity has become a measure of worth. If I am not producing, achieving, improving, or optimizing, then I must be failing. That belief quietly seeps into our relationship with God. We start to believe that holiness is something we accomplish rather than something we receive. Lent becomes another self-improvement project. Give up sugar. Pray more. Be better. Try harder. Exhaust yourself in the name of sanctity. No wonder so many people burn out quickly. A Therapist's Observation: Growth Requires Slowness In therapy, change does not happen quickly. If it does, I’m usually suspicious. Real growth requires safety, repetition, and time. Trauma heals slowly. Habits change slowly. Trust develops slowly. Even insight—those “aha” moments we love—takes time to sink from the head into the heart. When people try to rush healing, they often end up reinforcing the very patterns they’re trying to escape. The same is true spiritually. You cannot bully your soul into holiness. You cannot shame yourself into virtue. You cannot sprint your way into deep prayer. This is where Lent, properly understood, becomes a gift rather than a burden. Lent is not about cramming more spiritual activity into an already overstuffed life. It is about creating space. Space to notice what drives us. Space to feel what we’ve been avoiding. Space to listen for God, who rarely shouts. The Church, in her wisdom, has always known this. Which brings us to some of my favorite unlikely spiritual guides: a group of ancient monks who ran away to the desert. Lessons From the Desert (No WI-FI, Plenty of Wisdom) The Desert Fathers and Mothers were early Christians who left the cities to seek God in solitude, silence, and simplicity. As a therapist, I’m endlessly fascinated by them—not because they were perfect, but because they were painfully honest about the human condition. They understood distraction, compulsion, pride, and despair long before smartphones gave them new names. One of the most striking things about the Desert tradition is how little emphasis there is on doing impressive things. The advice is often boring. Stay in your cell. Be faithful to prayer. Eat simply. Sleep. Work with your hands. Repeat. There’s a famous saying attributed to Abba Moses: “Go, sit in your cell, and your cell will teach you everything.” In modern terms, this is deeply inconvenient advice. Sit? With my thoughts? Without noise? Absolutely not. And yet, psychologically, it’s brilliant. When we slow down and remove constant stimulation, what rises to the surface is not usually peace. It’s restlessness. Anxiety. Old wounds. Temptations we’d rather not acknowledge. The Desert Fathers didn’t flee distraction because they were holy; they became holy because they stopped fleeing themselves. Lent invites us into a kind of interior desert—not to punish us, but to tell us the truth about what we’re carrying. Why Slowing Down Feels So Hard From a therapeutic lens, our resistance to slowing down makes sense. Busyness is an excellent coping strategy. It keeps us from feeling grief. It distracts us from loneliness. It gives us a sense of control in a world that is often frightening and unpredictable. Spiritually, busyness can become a way of avoiding God. That may sound harsh, but it’s usually not intentional. God asks for our hearts, and our hearts are messy. It is much easier to give Him tasks. The Desert Fathers warned against what they called acedia , often translated as sloth, but better understood as a restless avoidance of the present moment. Acedia whispers, “Anywhere but here. Anything but this.” It can look like laziness, but it can also look like frantic activity. Sound familiar? Lent is an antidote to acedia, not because it makes us more productive, but because it roots us more deeply in reality. It asks us to stay. Lent as a Season of Regulating the Soul In therapy, one of the first goals is helping people regulate their nervous systems. When we are constantly overstimulated, our capacity for reflection, empathy, and prayer shrinks. Slowing down is not a luxury; it is a requirement for integration. Lent offers built-in practices that do exactly this—if we let them. Fasting, for example, is not about willpower. It is about learning to tolerate desire without immediately satisfying it. That skill is essential for emotional maturity and spiritual freedom. When we fast, we discover how quickly we reach for comfort—and how deeply we are loved even when we are uncomfortable. Prayer during Lent is often simplified. Fewer words. More silence. This can feel unproductive, but silence is where we relearn how to listen. As the Desert Fathers knew, God is not impressed by eloquence. He responds to availability. Almsgiving slows us down by pulling us out of our self-absorption. It interrupts the illusion that our lives are solely about us. When done thoughtfully, it cultivates compassion rather than guilt. None of these practices are meant to exhaust us. They are meant to humanize us. A Gentle Warning About “Winning” Lent Every year, I see people treat Lent like a spiritual CrossFit competition. Who gave up the most? Who prayed the longest? Who suffered hardest? This approach is usually fueled by good intentions and a not-so-good relationship with self-compassion. From both a therapeutic and Catholic perspective, suffering is not redemptive unless it is united to love. The goal of Lent is not to break ourselves open through sheer force. It is to allow God to do the work we cannot do on our own. The Desert Fathers were surprisingly wary of extremes. They warned that ascetic practices pursued without humility often lead to pride or collapse. Moderation, they insisted, was key—not because God is bland, but because humans are fragile. If your Lenten practices leave you more irritable, disconnected, or self-critical, that is information worth praying with. Practicing Slowness This Lent (Without Moving to the Desert) You do not need to quit your job, smash your phone, or start weaving baskets in the wilderness. Slowing down for Lent can be profoundly ordinary. You might choose to do one thing at a time. Eat without scrolling. Pray without background noise. Walk without headphones once in a while. Let silence be awkward. It usually passes. You might shorten your prayer time but show up more consistently. Five minutes of honest presence is often more transformative than an hour of distracted effort. You might resist the urge to fill every empty moment. Boredom is not a failure; it is a doorway. You might notice where you rush and gently ask why. Not to judge yourself—therapists hate that—but to understand yourself. Above all, you might let Lent be less about self-improvement and more about self-reception. God does not need you to optimize your soul. He desires you, as you are, tired and unfinished and deeply loved. The Slow Work There is a line often attributed to Teilhard de Chardin about trusting the slow work of God. Whether or not he said it exactly that way, the sentiment is deeply therapeutic. God is not in a hurry. We are. The Desert Fathers believed that transformation happens quietly, over time, through faithfulness to small things. So does modern psychology. So does anyone who has ever tried to change a habit or heal a wound. Lent is not a detour from real life. It is a return to it. A chance to move at a pace that allows us to notice grace. A season to remember that we are not machines, not projects, not problems to be fixed—but beloved creatures, invited to rest even as we repent. So if this Lent you find yourself slowing down, feeling uncomfortable, resisting the urge to be impressive—take heart. You are probably doing it right. And if you fail? Welcome to the desert. We’ve all been there. Stay awhile. God is already closer than you think. In my own work at Holy Family Counseling Center , I see this truth play out every day. People don’t come because they are bad or spiritually lazy; they come because they are human beings trying to survive at an inhuman pace. Again and again, healing begins not when someone learns a new technique, but when they finally give themselves permission to slow down—emotionally, spiritually, and relationally. Lent offers this same invitation on a wider scale: to pause long enough to notice where we are rushing, what we are avoiding, and how gently God is waiting for us there. Therapy and faith, at their best, are doing the same holy work—helping us become more fully present to ourselves, to others, and to God.
By Peter Attridge, PhD, LMFT January 16, 2026
As the calendar turns and the glitter of the Christmas Season begins to settle into the quiet, gray periphery of January, there is a collective pressure to "reset". We are inundated with messages about the "New You", usually packaged in the form of rigid resolutions or the sudden, frantic desire to fix everything that felt broken in the previous year. As a therapist, I often see the fallout of this "Resolution Culture" in my office. By the second or third week of January, many of my clients feel a sense of premature failure. They set a bar based on a fleeting burst of midnight motivation, and when the reality of daily life—the fatigue, the stress, the old habits—returns, they feel more discouraged than they did in December. This year, I want to invite you to step away from the secular treadmill of self-improvement and instead lean into the liturgical rhythm of the Church. We are currently in the season of Epiphany , a time that offers a much more compassionate and profound framework for personal growth than any gym membership or habit-tracker ever could. Moving Beyond the New Year, New Me Myth One problem with New Year’s resolutions is that they are often rooted in a rejection of self. We look at our flaws and say, "I must delete this version of myself and install a better one". From both a psychological and a Catholic perspective, this is a flawed starting point. In therapy, we know that true, lasting change doesn't come from self-hatred; it comes from integration . In Catholic teaching, we are reminded that we are already "fearfully and wonderfully made". Our goal isn't to become someone else, but to become more fully who God created us to be. Instead of resolutions, let’s look at this time of year from a different perspective, that of the Epiphany —the manifestation of Christ to the Gentiles, represented by the journey of the Magi. The Wisdom of the Magi: A Different Kind of Journey The journey of the Wise Men wasn't a race; it was a long, arduous, and patient trek guided by a singular light. They didn't have a 12-step plan to change who they were; they had a star. 1. Finding Your "Star" (Values vs. Goals) In clinical practice, we often distinguish between goals and values. A goal is something you can check off a list (e.g., lose ten pounds). A value is a direction you move in (e.g., caring for the temple of the Holy Spirit). The Magi followed a star—a distant, steady light. They didn't reach it in a day. As you look at this new year, ask yourself: What is my star? Is it a deeper capacity for patience? Is it a commitment to silence? Is it the courage to set boundaries that protect your peace? When we focus on the "star" (the value) rather than a rigid "resolution" (the goal), we allow room for the journey to be messy. If the Magi took a wrong turn, they didn't go home; they looked back up at the sky and corrected their course. 2. The Gifts: Inventory, Not Deletion The Magi brought gold, frankincense, and myrrh. They brought what they had. In this season, I encourage you to do a "Soul Inventory." Instead of looking at what you lack, look at what you are carrying. What are the "gifts" of your personality? What are the "myrrhs"—the bitter pains or griefs—that you are currently holding? In the therapeutic process, we bring these things into the light. In the Catholic tradition, we offer them to the Christ Child. Nothing is wasted. Even your struggles are gifts in the sense that they are the raw material God uses for your sanctification. Epiphany as a Bridge to Lent Many people see January as a vacuum and February as a countdown to Lent. But the Church, in her wisdom, uses this time as a bridge. Epiphany is about revelation —seeing things as they truly are. If Lent is the season of "doing" (e.g., fasting, almsgiving, prayer), then the weeks following Epiphany are the season of "seeing." You cannot effectively fast from a habit if you don't understand the hunger it’s trying to fill. You cannot give alms with a joyful heart if you haven't recognized the abundance God has already given you. Preparing the Soil Think of this time as "tilling the soil." Before a farmer plants (Lent), he must clear the rocks and turn the earth. This is the psychological work of January and February. Observation without Judgment: Spend these weeks simply noticing your patterns. When do you feel most anxious? When do you feel most distant from God? Don't try to fix it yet. Just see it. The Power of Another Way: After meeting Jesus, the Magi "departed for their country by another way" (Matthew 2:12). This is a beautiful metaphor for the therapeutic journey. Once you encounter the truth—whether in the confessional or the therapist’s chair—you cannot simply go back to the old routes. You are invited to find a "new way" home. Practical Soul-Work for the Season Since we are moving away from the pressure of resolutions, how do we actually use this time? Here are a few "low-pressure, high-grace" suggestions for the weeks ahead: 1. Practice The Examen - St. Ignatius of Loyola gave us a brilliant psychological tool in the Daily Examen. At the end of the day, don't list your failures. Instead, ask: Where did I see God's light today? * Where did I turn away from it? This builds the "muscle" of awareness that you will need when Lent arrives. 2. Identify Your "Herod" - In the Epiphany story, Herod represents the ego, the fear, and the desire for control that feels threatened by the "New King" (grace). What is the Herod in your life right now? Is it a need for perfection? Is it a specific resentment you’re clinging to? Recognizing your internal Herod is the first step toward preventing it from sabotaging your spiritual growth. 3. Rest as a Spiritual Discipline - The Magi traveled far, but they also stopped. Our culture demands constant production. But in the quiet of winter, the earth rests. Allow yourself a Sabbath of the Mind. If you are feeling burnt out, the most Catholic and psychologically sound thing you can do isn't to add a new prayer routine, but to sleep an extra hour and acknowledge your human limitations. We are creatures, not the Creator. Looking Toward the Desert Soon enough, the ashes will be placed on our foreheads, and we will enter the desert of Lent. But we don't have to rush there. If we spend this Epiphany season truly following our "star"—seeking the truth of who we are and who Christ is—we won't enter Lent out of a sense of should or guilt. Instead, we will enter Lent like people who have seen a Great Light. We will fast because we’ve realized we are hungry for something better than what the world offers. We will pray because we’ve realized we can’t make the journey alone. A Final Thought from the Couch If you find yourself struggling this January—if the New Year energy feels more like a heavy weight than a fresh start—take a deep breath. You are not a project to be solved. You are a person to be loved. The Magi didn't find a palace; they found a child in a humble, probably messy, stable. God meets you in the messy stable of your current life—not the perfected palace of your resolutions. This year, let’s stop trying to resolve our lives and start trying to reveal them. Let the light of the Epiphany show you the way, one small, patient step at a time. Walking Together at Holy Family Counseling Center If navigating these internal movements feels overwhelming, remember that you don’t have to follow the star alone. At Holy Family Counseling Center , we specialize in walking alongside individuals and families as they integrate their psychological health with their Catholic faith. Whether you are struggling to identify your Herod or simply need a safe space to process the myrrh in your life, our clinicians are here to help you find that other way toward healing and peace.