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Some Thoughts On Pain Management For Musicians

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Pain Management for Musicians

Pain Management For Musicians…

Let’s talk about pain management…

I think we can all agree that in general, nobody likes pain. That said, It is important to recognize that pain is an important feature of our design, where it functions as an early warning signal that something is wrong.

When we feel pain, we make corrections to minimize damage and through this action, reduce the pain response that got our attention in the first place.

Unavoidably, we will all experience pain at some point in our lives and hopefully, we will be able to figure out how to manage it so that we can keep enjoying life to the fullest.

Before we begin, I must state here that the following article is not meant to be diagnostic.

I am in no way, shape, or form giving professional advice or making treatment recommendations. I am sharing my own thoughts based on my own experience. If you are dealing with pain, you should always seek the advice of your health care team first.

The first and most important element here is to recognize or know why you are having symptoms.

Having an accurate diagnosis is absolutely paramount. Sometimes it is easy to figure out; if you start working out at the gym and your arms hurt the next day, you have a pretty good idea of what is going on. On the other hand, if your left arm suddenly starts radiating pain, you might be having a heart attack.

The key here is to make the right decision as to when you need help getting a diagnosis and who to turn to to get all your treatment options explained. 

Once you have a diagnosis, you may want to consider alternative options to compliment your treatment plan to find a program that works best for you.

It is important to recognize that sometimes even health professionals have difficulty coming up with a definitive diagnosis, or they can misdiagnose a problem, resulting in a second or third opinion to precisely figure what the problem actually is.

We have all been told that prevention’s the best medicine so it is in our greatest interest to practice the sound habits that help us avoid trauma.

As bass players, good posture is a solid goal both when performing as well as when moving our equipment. I am sure that you have seen some of Dr. Randy Kertz’s videos to this effect and there are many great suggestions to prolong our ability to perform actively.

If you are looking for even more detailed information, Dr. Kertz has two volumes of “The Bassist’s Guide to Injury Management Prevention and Better Health” that you should definitely check out.

In that vein let me share this conversation I recently had with Dr. Kertz on this very topic.

Good life choices are critical in pain prevention.

Staying healthy is a great way to stay comfortable. Good diet, healthy weight, adequate rest, good mental hygiene, and routine health maintenance are a solid start. As we grow older, we also (hopefully) learn how to avoid potentially hazardous activities and become more safety conscientious. I have learned firsthand that we don’t heal as quickly as we used to as we age.

Even though we make the best efforts possible, the pain will occur at some point and we need to be prepared to manage it as best we can so as to remain active and enjoy life.

Let’s start with some basics on pain management.

In western medicine, we have been taught that if we have pain, we take a pill.

There are over-the-counter options such as Ibuprophen, Aspirin, Acetaminophen, and others of the kind. When taken sparingly and for the right reason, these are quite effective. If your doctor suggests, you can even bump up the effectiveness if you combine an NSAID and Acetaminophen, staggering the doses so you take each one about three hours after the other if you want to get the maximum effect possible.

We need to keep in mind that excessive use of these “Over-the-Counter” medications can cause serious problems so never assume that they are totally harmless. As stated previously, you will want to speak directly with your doctor for correct dosages for your particular situation.

The next category would be prescription-strength medications including opiates and synthetic opioids.

These require that a doctor be involved and are also effective in the right circumstances. The catch is that they can be addictive, so if you need to take these, it would be a good idea to discuss how to wean yourself off of them as soon as you can with your doctor’s direction. There are circumstances where long-term pain management is needed and there are specialists for these situations that can go far beyond the scope of your general practitioner.

Let’s now move to some non-pharmacological options I have found to be effective:

Heat:

Heat therapy works by increasing the circulation to an area, soothing discomfort, and relaxing muscles. It can be applied either dry or wet and if you are needing to use it therapeutically, please look up the best ways to apply it for your particular needs. Every occasion that I have spent some time in a hot tub or a sauna, I emerged feeling very relaxed and markedly better than before I went in. 

Cryotherapy:

Cold has the opposite effect of heat as far as circulation goes. It reduces blood flow to an area and is useful in reducing inflammation and swelling that causes pain. You may also have a temporary reduction of nerve activity, hence fewer pain signals being sent out. There are a variety of ways to apply cold ranging from common ice packs or aerosol sprays like Biofreeze to whole-body approaches in a bath or chamber.

Getting cold applied to a traumatized area immediately can help cut down on how much pain you will have over the long term. For example, an icepack on a recently vaccinated muscle significantly cuts down on the overall soreness.

If you plan to use cryotherapy for pain management, make sure you know how you are supposed to apply it and what your expectations are. I witnessed a Pan-American weightlifter miss a lift and wrench his shoulder out of its socket. His coach ran out and sprayed him with a can of coolant but he did not seem to improve much and was still in a lot of pain.

Another over-the-counter approach involves topical agents.

You place them on your skin around the affected area and they might provide enough relief to get you by. As these need to be absorbed through your skin, they are most effective for musculo/skeletal aches. As they can still get into your bloodstream, I would suggest you get the purest quality available and continue to use only as needed trying to keep it at a minimum.

Arnica:

Arnica is a well-known anti-inflammatory and has a solid track record for osteoarthritis and blunt trauma that produces bruises. In homeopathic doses, it is safe and can be found in a plethora of different brands and format preparations. I used Arnica regularly until I discovered CBD.

CBD: 

There has been a literal flood of CBD products in recent years.

Pain Management - Full Spectrum CBD from Extract Labs

I have had excellent results with the Full Spectrum CBD from Extract Labs out of Boulder Colorado. They are very detail-oriented as to the fabrication process and achieving high purity.

In my experience, this product has proven very effective and it has a pleasant aroma and feel. The muscle cream has arnica and menthol in addition to CBD and was great when I was dealing with back pain. The face cream worked well, where you don’t want to use menthol, and has a calming lavender aroma. The 80 gm Loc-Tins they use to package this CBD are a great size and very sturdy, making them a good travel* choice.

Extract Labs has a very generous 50% discount for veterans and active-duty military that is particularly worth mentioning.

CBD + Menthol foam from Kannaco

A CBD + Menthol foam from Kannaco out of Kansas has worked very well for me. It has a very spreadable consistency and is perfect if you are applying to irregular or larger surfaces.

The smell is nice and clean and not overwhelming. I got a huge amount of relief from this when my neck got stiff after working on a drip-line project in my garden. My improvement was substantial after just one day of use. The 50 ml container is a great size for travel* and would be perfect if you plan to exert yourself as part of your recreational activities or hard labor. I would think that this brand is less vulnerable to warmer temperatures than some of the other CBD products that are salve or ointment.

Aces Joint Repair

The CBD strongman, the one with the highest percentage of CBD, comes from Aces Joint Repair out of Portland, Oregon. This rub has over 11% CBD and is formulated for musicians, athletes, and people with very active lifestyles.

It has a very nice consistency and absorbs very quickly into your skin. It exudes a light menthol aroma that is pleasant and not too strong and as a bonus, you get that classic cooling sensation that comes with mentholated products.

I found it to be quite effective on my stiff neck and sore back after a combination of a long practice session and a fence staining project. I did use this one sparingly because of the greater concentration and a little bit goes a long way. They package it in a  7oz “Paint Can”, a 3.52oz tin, and “Unit Dose “ 1.05 oz travel* packets that will fit perfectly in your gig bag or backpack.

Looking at all of these CBD formats, I have been very impressed with the results as everyone I tried delivered substantial levels of pain relief. They were so effective that they were all I needed to be quite comfortable.

It is worth mentioning that these companies also have other CBD products that may be excellent as well but I have limited my trials to those related to pain relief.

The different ways they deliver the active ingredient would probably be a key factor in selecting which brand to use. Some people may prefer foam over cream and unit does are certainly a great idea for travelers*. It really boils down to personal taste and I can see each being indicated for different circumstances.

One important factor to consider when selecting a CBD product for pain management is chemical purity because you don’t want impurities getting through your skin along with the therapeutic agents. All the products I tried have readily available lab analysis reports for you to review and are very up from about the high quality of their respective products.

*Prior to travel, please check the latest regulations on traveling with CBD, as the rules have been changing.

Hai Tong Pi:

HAI TONG PI TANG

Hai Tong Pi Tang is based on a Chinese traditional herbal formula based on Erythrina and they do have a version with CBD.

This liniment has been used for thousands of years for acute and chronic injury and they claim it supports a healthy inflammatory response. It kind of smells like pancakes and the aroma can be modified if needed. This was recommended for arthritis and joint pain by a friend who has been using it for some time now.

Kinesiology Tape:

Pain Management K Tape

If you have been watching the Olympics you may have noticed many athletes wearing K-Tape. This tape and method were invented by Dr. Kenzo Kase to reduce pain and inflammation.

The approach is to microscopically lift the skin to motivate one’s body to heal itself. As this tape is very flexible, it is often worn while the patient is being active. This is perfect if you have identified a problem movement or area and know how to place the tape to get the best results. I think this is particularly useful if you are suffering an injury that stems from repetitive motions that you have been able to identify as the cause of your malady.

Intraoral pain management:

I do want to mention an area that gets overlooked with pain management, sores in the mouth. If you have ever bit yourself, burnt yourself on hot food, or scraped your mouth with a sharp chip or a piece of toast you have likely got an aphthous ulcer (canker sore).

The Natural Dentist

Although annoying, these will usually resolve on their own in 14 days. I have found that rinsing with mouthwash by The Natural Dentist promptly and repetitively can reduce your discomfort but also cut your healing time down in half.

If you have tooth pain, I strongly recommend you see a dentist as soon as possible. There are topical agents and remedies but they don’t address the cause and you don’t want to give things a chance to get out of hand, especially when out on tour! Infections in the head and neck area can be life-threatening so definitive treatment is always the best approach.

Getting help from machines designed for home use or touring musicians may be another good approach for pain management.

Light Therapy:

Light can treat pain. There have been studies using safe levels of light at the red end of the spectrum to help with joint and muscle pain by reducing inflammation that is very promising. Most of the applications have been for athletes but this modality can work for anyone.

dna vibe Jazz Band - Pain Management

The DNA Vibe is a cutting-edge technological device that uses both red light and near red light wavelengths combined with micro-vibrations and magnetics.

The idea is a resonance with our cells that enhances the reparative nature we already have and by accelerating our healing, there is decreased pain in both intensity and duration.

My wife and I have been personally testing a unit and we have both noticed remarkable improvements so far! I was so impressed that I reached out to DNA Vibe’s Founder and CEO, Perry Kamel, to find out more about the science behind the treatment modality.

Join me in this conversation with Perry:

TENS therapy (Transcutaneous Electrical Nerve Stimulation):

iTENS

There are home versions of TENS units that you can use to apply an electrical shock to painful areas. The one that I use is the iTENS Wide Blue Wings Muscle Relaxation Device, which works with a smartphone or tablet.

This system is very easy to use for pain management, has preset timer programs for different parts of your body and you can control the level of shocks delivered. The shock level is not too uncomfortable and you are able to decrease it if you feel the need.

Massage and vibration for pain management:

Spending some time in a massage chair can be quite helpful for back and leg pain and for overall relaxation. They are definitely costly and take up space but they can be used routinely in the convenience of your home.

I first tried one of these chairs in a mall in Dallas and decided that I had to get one someday. Many years after, when Sharper Image had storefronts, my wife got me one of these as a gift and I used it daily until it gave up. By then, I was convinced of their value and replacement was a necessity. I have tried more portable versions that you can place on any chair or you hold them in place and I don’t find them to work as well.

Massage Chair

Fortunately, Costco carries a variety of these chairs and will deliver them (membership required).

Some smaller more portable versions might bring some relief and are indicated for people on the go.

Portable Massage

I have been seeing a lot of therapeutic “Thumpers” being used to help with muscle stiffness and soreness lately. These obviously don’t take up as much space and are best for a targeted approach where you work localized sore spots.

You might need someone to help you reach areas that aren’t readily accessible by yourself.

Vibration Platform - Pain Management

Full body vibration on a platform can help manage some pain by both building your core muscles and helping to relax them.

In addition, they claim to help improve your balance, muscle tone, and lymph movement.

I do own one and I like to spend 10-30 minutes daily on mine; I add some light dumbbell work and watch TV while I am standing on it.

These platforms have preset programs or you can customize your intensity level to meet your needs. I find these most effective if you use them daily and I notice a big difference if I don’t make time to use mine routinely. I miss mine a lot when I travel but the sheer size is a limiting factor.

Alternative Therapies:

In addition to Physicians, you might benefit from alternative health care professionals for pain management. Naturopaths, Physical Therapists, Chiropractors, Acupuncturists, Massage therapists, Reiki masters, Reflexologists, and Energy healers who practice more non-invasive, treatment modalities. These highly trained individuals might possibly provide you with viable options to achieve a reasonable level of comfort.

Pain Management Wrap Up…

I am sure there are a lot of treatment options for pain management that I have not mentioned here only because this topic is extensive and could fill volumes. My main objective is to expose the tip of this iceberg and start the conversation. As a community, I am sure we have a massive amount of knowledge and if we share it, someone out there might benefit.

I would hope that by just addressing the topic, that this article might help someone avoid addiction, unnecessary treatments or surgery and still enjoy a high-quality lifestyle.

Bass Player Health

Those Damn Relationships – Part 1.

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Those Damn Relationships – Part 1.

By Daniel Barrera, M.Ed., C.A.R.T., LPC A
Licensed Professional Counselor Associate in Texas, helping musicians and creatives thrive.

Relationships can be wonderful. They can also be a complete nightmare. Most of the time when we talk about relationships, we’re talking about other people. Romantic partners. Friends. Family members. Co-workers, Bandmates, etc.

Of course, musicians understand this idea better than most. Anyone who has spent years with an instrument knows that people don’t just play music. Over time, they develop a relationship with it. But over the years, I’ve started to notice something interesting. Human beings form relationships with all sorts of things…not just people.

That realization really hit home for me during a counseling session several years ago. At the time, I had been working with a client who came into counseling with the usual emotional aches and pains that bring people through a therapist’s door. Their intake paperwork mentioned depression, anxiety, grief…the kinds of struggles that many of us wrestle with at different points in life.

Over the course of several sessions, things began to improve. The client became more hopeful and confident. Life didn’t feel quite as heavy as it had when we first started meeting. One afternoon, I was reviewing their initial intake paperwork to make sure we had covered everything they had originally wanted to address. 

That’s when I noticed something we hadn’t really talked about yet.

Buried among the other concerns was a short note saying they wanted to quit smoking. Now, anyone who has ever tried to quit smoking knows that it’s rarely as simple as just deciding to stop. People mean it when they say they want to quit. But then stress shows up, old habits creep back in, and suddenly they’re lighting another cigarette while wondering how they ended up right back where they started.

At our next session, I mentioned the note from their intake form. The moment I brought up smoking, the look on the client’s face told me I had just stepped onto sensitive ground. In my work, I’ve seen people in some very vulnerable moments, but this reaction made me pause for a second. For a moment, I wondered if I had just opened a door they weren’t ready to walk through. Thankfully, they didn’t get up and leave.

After taking a moment to gather themselves, the client admitted that smoking had been a serious struggle in their life. So, I did what therapists often do in moments like that. I let the silence sit there for a bit. Sometimes silence gives people just enough room to decide whether they want to keep the door closed…or start opening it.

After a few moments, I simply said, “Tell me more.”

I could see the client’s facial expressions change and the subtle shifts in their voice as certain memories surfaced. Some moments sounded lighter. Others carried more weight. At one point, I found myself saying something almost instinctively, “It’s all related,” and in many ways it was.

As the conversation continued, the client started describing the culture surrounding smoking. They talked about cigarettes, lighters, the rituals that came with it, and the strange mix of feelings they had about quitting. They recounted times they had quit for several months, only to find themselves starting up again, much to their shame. They even spoke about the unique differences between cigarettes and vaping, and why they preferred one over the other, even while knowing both were harmful. I was fascinated, but I also found myself feeling sad as they shared the suffering they had experienced as a smoker. My client was now in their late twenties, and the rapid approach of their 30th birthday felt significant to them.

Then I asked them to go back to the beginning. Not the moment when smoking became a problem. But the moment when it started. Or maybe more accurately…the moment when they first discovered cigarettes. The client paused for a moment. They then said, “Well, I first met cigarettes when I was eight years old.” That caught my attention immediately. I remember noticing and making a mental note when they used that word.

“Met.” 

That word stayed with me.

At first, it caught me by surprise. Then curiosity kicked in. A moment later, I found myself quietly smiling because the idea was so obvious once I heard it framed that way. It was one of those strange moments where a lightbulb turns on and you realize what it’s illuminating had been there all along, hiding in plain sight. As I kept listening, what I realized in that moment was that I wasn’t simply hearing the story of a “bad habit”. I was hearing the story of a relationship…and every relationship has a beginning.

And that’s where we’ll pick up the story next time.

After The Last Note
Music and creativity have always had a way of opening doors to perspectives or parts of life we did not even realize were closed. If a song, piece of music, performance, or experience has ever made you pause, reflect, question something, or see your life or personal or band relationships more clearly, I would love to hear about it.

I am always open to reader questions, topic ideas, or even specific songs you would like to see explored from a mental health perspective, especially where music, creativity, and everyday life intersect. You can send your thoughts, experiences, or questions to: Letsconnect@nlsccc.com

About the Author
Daniel Barrera, M.Ed., C.A.R.T., LPC Associate,
is a licensed professional counselor associate in Texas who also spent many years immersed in the creative world as a bass player, graphic designer, copywriter, and voice-over artist. His counseling work lives at the intersection of creativity and mental health, informed by lived experience on both sides of the stage.

Since 2012, he has worked with musicians, artists, writers, and other creatives to help them navigate the emotional realities that often accompany a creative life. His writing reflects a deep respect for the artistic process and the inner struggles that shape it.

Learn more at www.nlsccc.com

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Bass Player Health

Why Is Being Kind to Ourselves So Hard?

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Why Is Being Kind to Ourselves So Hard?

By Daniel Barrera, M.Ed., C.A.R.T., LPC A
Licensed Professional Counselor and Life Coach helping musicians and creatives thrive.

Most of us are taught to be kind to others. Be patient. Be understanding. Give people the benefit of the doubt. And many of us are actually pretty good at this. We show up for friends when they’re struggling. We soften our tone when someone makes a mistake. We can usually see stress, context, or pain when it comes to other people.

But when the focus turns inward, something shifts.

The kindness fades.
The patience disappears.
Understanding turns into harsh self-criticism.

It often seems that we speak to ourselves in ways we would never speak to someone we love, respect and care about.

Why is that?

A mistake becomes proof that we are “failures” or that we don’t measure up.
A hard day becomes evidence that something is wrong with us or that “it’s not meant to be.”
Struggling feels like weakness instead of something human that we all go through.

Somewhere along the way, many of us learned that being hard on ourselves was necessary. That harsh self-criticism keeps us motivated. That kindness will “spoil us.” That if we ease up, we will fall behind, lose discipline, stop growing, or…become lazy.

Considering how much we suffer under those ideas, perhaps they deserve a closer look.

It is important to make a clear distinction here. There is a difference between accountability and cruelty. Accountability does not mean avoiding responsibility. It does not mean pretending everything is fine when it isn’t. It is not about glossing over mistakes or being lenient when we have clearly missed the mark. Accountability allows us to be honest and specific. It says, “Something didn’t go the way I wanted. What can I learn from this? What needs to change?”

Cruelty, on the other hand, seeks to punish rather than correct. It demands humiliation as payment for our shortcomings. It attacks who we are, not what we did. It leaves us feeling ashamed, unworthy, and small.

Accountability says, “I made a mistake.”
Cruelty says, “I am the mistake!”

Cruelty does not help us grow. It seeks to break us down so that we will “learn!” Many of us recognize that voice. It echoes deep within the cold dungeon of our inner world, insisting that pain is necessary, that we deserve the beating, and that only suffering will make us better. It leaves us on the floor, egos bruised, bloodied, and deflated, believing that harshness is the price of growth. 

We learned alright, but…at what cost?

We would not wish that on others. So why do we accept it for ourselves?

Balanced accountability keeps us human and connected to ourselves and others.
Cruelty strips that humanity away and diminishes our confidence and ability to connect. When we have a grounded sense of accountability, we can respond to ourselves with the same steadiness and compassion we offer others. Think about how you treat someone you respect and love when they mess up. You don’t ignore the mistake, but you don’t define them by it either.
You allow room for learning, context, correction, and growth.

Now consider this question.
Do I offer myself that same consideration, kindness, and grace?

For many people, the honest answer is no. Instead, we expect ourselves to be stronger, faster, more confident, and more put together than anyone else. We keep moving the goalposts and then punish ourselves for not reaching them. Over time, the tone of that inner dialogue matters profoundly.

How we talk to ourselves affects how safe and worthy we feel in our own skin. It influences how we handle stress, personal and professional relationships, anger, and disappointment. Our resilience is shaped by that internal tone. When we are harsh with ourselves, it becomes harder to rebound from mistakes. When accountability is honest and humane, we are more likely to stay on our feet and recover without everything collapsing inside.

Harsh self-talk often shows up as exhaustion,irritability, or a quiet, persistent sense of never being enough. Being kind to yourself usually starts with something much smaller than people expect.

It starts with noticing.
Noticing how quickly you turn on yourself.
Noticing the harsh words you use internally.
Noticing when your inner voice sounds more like criticism, judgment, or punishment than support.

Noticing does not mean fixing everything right away. It does not mean forcing positive thoughts or letting yourself off the hook. It simply means becoming aware of how you are treating yourself in moments of struggle. Awareness creates space. And in that space, choice becomes possible. The choice to change how we speak to ourselves, and ultimately how we think and feel about ourselves. 

A helpful place to begin is this simple reflection.
Would I speak this way to someone I love, respect, and care about?

If the answer is no, it does not mean you are failing or incapable of change. It means you are human. And it means there is room to practice something different.

Not perfection.
Not constant positivity.
Just a little more fairness.

Speaking to ourselves with self-respect, self-liking, and self-compassion can ground us more deeply than harshness ever could. From that grounded steadiness, healthy resilience emerges and a confident authenticity tends to follow.

What’s not to love about that?

After The Last Note
Music and creativity have always had a way of opening doors to perspectives or parts of life we did not even realize were closed. If a song, piece of music, performance, or experience has ever made you pause, reflect, question something, or see your life or personal or band relationships more clearly, I would love to hear about it.

I am always open to reader questions, topic ideas, or even specific songs you would like to see explored from a mental health perspective, especially where music, creativity, and everyday life intersect. You can send your thoughts, experiences, or questions to: Letsconnect@nlsccc.com

About the Author
Daniel Barrera, M.Ed., C.A.R.T., LPC Associate,
is a licensed professional counselor in Texas who also spent years immersed in the creative world as a bass player, graphic designer, copywriter, and voice-over artist. His counseling work lives at the intersection of creativity and mental health, informed by lived experience on both sides of the stage.

Since 2012, he has worked with musicians, artists, writers, and other creatives to help them navigate the emotional realities that often accompany a creative life. His writing reflects a deep respect for the artistic process and the inner struggles that shape it.

Learn more at www.nlsccc.com

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Bass Player Health

Listening Past the Hook: What ‘Escape (The Piña Colada Song)’ Still Has to Teach Us

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Listening Past the Hook: What ‘Escape (The Piña Colada Song)’ Still Has to Teach Us

There are songs you hear your whole life, and then there are songs you finally listen to.

That distinction hit me one lazy Sunday afternoon. My wife and I had finished our household chores and settled into that quiet pocket of the day when the light softens and time slows down. ‘Yacht Rock Radio’ on Sirius XM played in the background. Ice clinked in our glasses. Then an old song from 1979, ‘Escape (The Piña Colada Song)’ by Rupert Holmes drifted through the room.

I’ve heard that song countless times. Smooth melody. Easy groove. Catchy chorus. I don’t know if it was what I was drinking or being really relaxed or what, but this time, instead of letting it fade into the background, I listened to the lyrics. Suddenly, the song became new again and I found myself listening a little closer.

If you haven’t heard the song before, the story goes like this: a man is lying next to his partner, feeling tired of their relationship, “like a worn-out recording of a favorite song.” While she sleeps, he reads a personal ad that says:

“If you like piña coladas and getting caught in the rain, if you’re not into yoga, if you have half a brain. If you like making love at midnight in the dunes of the cape, then I’m the love that you’ve looked for. Write to me and escape.”

Something about that ad awakens something deep within him. He decides to”take out a personal ad” and writes back. He plans to meet the mystery woman at a bar called O’Malley’s, secretly hoping for something new and exciting. Then, of course, comes the twist, when he finally meets her, and it turns out to be his partner.

“I knew her smile in an instant, I knew the curve of her face…It was my own lovely lady, and she said, ‘Oh, it’s you.”

The line, “Oh, it’s you”, always makes me laugh. You can almost hear the mix of shock, sarcasm, and maybe even relief in her voice. That’s also the moment my “therapeutic spidey sense” kicked in, and I started to imagine the deeper machinations in this couple’s relationship.

The Real Lesson Hidden in the Lyrics
That final moment in the song, when they recognize each other, is fascinating to me because of what doesn’t happen next. There’s no raging, shaming, public blowup, or moral lecturing. Instead, there’s laughter…maybe even curiosity. What fascinated me isn’t the “near-affair”, it’s that in that instant, they both realize something powerful: they still want the same things. They’ve just forgotten how to tell each other. I’ve seen that exact moment play out with many couples I have worked with. 

As musicians, we understand how that happens. We fall in love with a person, instrument, a band, a sound. Over time, repetition dulls the edge. Routines replace curiosity. We stop listening deeply. What once felt alive becomes familiar noise. Relationships work the same way.

Sometimes, after years of drifting apart, people rediscover who they used to be together, the playful, curious versions of themselves that got buried under the monotony of bills, routines, and exhaustion. They forgot why they connected with each other and stopped being curious to the point they became bored and disinterested in each other.

Thankfully, there is a way out of that rut…but, that kind of reconnection takes courage. It starts with a question that’s both scary and freeing: 

“How did we get here?”

That question can lead to honest conversations, forgiveness, and sometimes a rediscovery of mental, emotional, and physical intimacy that’s even deeper than before…if couples are open to it. Some couples find it hard to move past the initial accusations and the self-righteous indignation that often follows. Sadly, many don’t make it past this stage and eventually “divorce”, both literally and figuratively.

But if they can survive that storm, if they choose to preserve what’s left and try to repair their bond, the real work of forgiveness and reconciliation can begin. In the couples I’ve seen move through that tumultuous phase, something remarkable happens. They start to rediscover what first drew them together. That’s the gateway and then, if they go deeper, their focus shifts to reconnecting and rebuilding a playful intimacy, the kind that invites vulnerability and draws them closer once again.

As this “rediscovery” begins to happen, the groove comes back, and a familiar but fresh rhythm starts to pulsate through every fiber of their being…as it used to.

Why This Song Still Resonates
I think ‘Escape (The Piña Colada Song)’ endures because it captures something timeless. It’s funny, yes, but it’s also real. It’s about the longing we all have to be seen, heard, and to feel alive in our romantic relationships. Sometimes, the spark we’re searching for isn’t out there with someone new. It’s probably lying right beside us, but we’ve just stopped being curious and, most importantly, paying attention.

Closing Invitation
Music has always had a way of opening doors to perspectives or aspects of life we didn’t even realize were closed. If a song has ever made you pause, reflect, or question something about your own life or relationships, I’d love to hear about it. 

I’m always open to reader questions, topics, or even songs you’d like to see explored from a mental health perspective, especially as they intersect with music, creativity, and the realities of everyday life. You can send in your experiences or questions to: Letsconnect@nlsccc.com.


About the Author
Daniel Barrera, M.Ed., C.A.R.T., LPC Associate,
is a licensed professional counselor and life coach in Texas. He is the founder of New Leaf Services counseling agency. Since 2012, he has been dedicated to helping musicians, artists, writers, and other creative individuals navigate the unique challenges they face as people and performers. His goal is simple: to help creatives thrive personally and professionally so they can continue sharing their art with the world.

You can visit his website at:
 www.nlsccc.com

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Bass Player Health

Who Shaped Your Sound?

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Who Shaped Your Sound?

Reflections on the Influences Who Shaped Your Music and Your Life…

There is something powerful about this time of year. As the seasons shift and the year-end holidays approach, many of us may start reflecting on our lives. Perhaps our thoughts might go toward the people who helped shape us. Not just as musicians, but as human beings.

Every player has a story about someone who saw something in them before they could see it in themselves. Maybe it was a band director who stayed after school to help you understand a tricky rhythm. Maybe it was a family member who worked overtime to buy you your first bass. Maybe it was a friend who encouraged you to play that first nerve-wracking gig.

We do not become who we are alone. We become who we are because people invested in us, supported us, believed in us, or challenged us to be better. Their kindness, guidance, or example has shaped how we think, how we work, and how we carry ourselves in the world. We stand on those foundations whether we realize it or not.

Musicians often talk about tone, technique, and gear. Yet behind all those things is something more basic and more human. Someone taught us what it means to strive, to practice, to show up, and to keep reaching for something higher. Some did this intentionally. Others did it without even knowing they were doing anything special.

As we mature, we begin to see their influence more clearly. The teacher who pushed you to tune your ear. The older musicians who let you sit in even though you were still learning. The mentor who told you the truth when it was uncomfortable but necessary. These people shaped not only our musicianship but our character. Their imprint lives on in the way we approach our craft and our lives.

Their example became a catalyst for our own inner drive. It gave us a template for the kind of legacy we want to leave behind. The old saying is true. If we have achieved anything, it is because we stand on the shoulders of giants. When we look closely at what others have done for us, it becomes clear that everything we have become was influenced by people who gave us a boost up.

So, with all that in mind, this season invites a simple question. Can we take everything that has been poured into us and use it to encourage others and seek improvement in our lives and playing? Can we use the inspiration we have received to create more goodness, more connection, and more harmony in the communities we touch and within ourselves?

Imagine what our world would look like if we made a deliberate effort to express gratitude and generosity. Think of the effect it would have on our bandmates, collaborators, friends, partners, coworkers, and even the strangers we cross paths with. Creativity thrives in environments where encouragement is shared freely. As musicians, we are already wired to express what lives inside us. Gratitude is simply another form of expression.

This might be a good time to reach out to someone who made a difference in your life. It could be a former teacher, a long-lost mentor, a relative, or a friend who helped you in ways you did not fully appreciate at the time. You might write a short letter, send an email, or make a call to say something like, “I wanted to acknowledge the kindness you showed me back then. You made a difference in my life, and I am a better person and musician for it.” How would you feel receiving a message of appreciation like that?

There is another layer worth reflecting on. Even the difficult people and painful situations in our past have taught us something. They may have shown us what we do not want for our lives. They may have, inadvertently, pushed us toward healthier boundaries, self-healing, and a deeper understanding of ourselves. Not that what they did is to be excused or letting them off the hook. But it is worth noting that pain can teach in its own way. It sharpens our awareness. It clarifies what matters. It gives us wisdom and resilience that we can carry forward in our emotional gig bag.

Let me be clear. We do not need to contact those who have harmed us. What we can do is internally acknowledge what we learned from those situations and place those lessons in our emotional gig bag for when we need them. I will have more to say about this in future pieces.

Like a musical score, every person and every experience plays a part in shaping us into the musical piece that is us. Some lift us. Some challenge us. Some wound us. Some inspire us. Taken together, they contribute to who we are and who we are becoming. When we understand this, we can use all of it as fuel for growth and to spread our music into the world.

For right now, during this year-end holiday season, let this be an invitation to look at our journey with honesty, gratitude, and most importantly, self-compassion as we take time to thank the people who helped us rise. To learn from the moments that hurt. To keep becoming more grounded, more aware, and more generous human beings.

When we consider everything being discussed in this piece, it becomes clear that we are not self-made. We have made choices that shaped our lives, but those choices were influenced by others for better or worse. None of us learned, played, or grew in isolation. Even if we practiced alone in our bedrooms, basements, or garages, someone contributed to the environment and encouragement that helped us grow. We are the product of countless people’s hands, voices, lessons, and moments. When we recognize that truth, we can become better musicians and better neighbors on this shared planet.

So, as we reflect during this holiday season, can we consider the possibility of taking everything we have received from the people who came through our lives and pour some of it back into the world?

Perhaps that may be the real gift we can offer to ourselves and others while we are here on planet Earth.


About the Author
Daniel Barrera, M.Ed., C.A.R.T., LPC Associate,
is a licensed professional counselor and life coach in Texas. He is the founder of New Leaf Services counseling agency. Since 2012, he has been dedicated to helping musicians, artists, writers, and other creative individuals navigate the unique challenges they face as people and performers. His goal is simple: to help creatives thrive personally and professionally so they can continue sharing their art with the world.

You can visit his website at:
 www.nlsccc.com

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Bass Player Health

Beyond the Breakdown: How A Professional Therapist Can Help Creatives Thrive

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Beyond the Breakdown: How A Professional Therapist Can Help Creatives Thrive

Therapy: Not Just for Crisis.

When most people picture therapy, they imagine someone walking into a counselor’s office during a breaking point, deep in depression, overwhelmed by anxiety, or facing a major life collapse. The truth is, while therapy can absolutely be a lifeline in those moments, it doesn’t have to be reserved for crisis.

In fact, waiting until things feel unbearable may rob you of the chance to address challenges before they spiral out of control. Working with a professional therapist can be just as valuable when life feels “mostly fine,” but you know something is off, or you want to grow in ways that go beyond just survival.

For musicians, artists, and other creatives, this often means finding support not just for the struggles of mental health, but also for the rhythms of everyday life, career shifts, stage stress, fame, personal relationships, and the search for balance between art and everything else.

More Than Life Coaching.

Sometimes therapy gets compared to “life coaching”. There is overlap: both aim to help you move forward, clarify your goals, and build confidence in your choices. But here’s the difference: a licensed therapist isn’t just giving opinions or quick fixes. Therapists are trained to recognize deeper patterns, use proven counseling approaches, and help you unlock solutions that already exist within you. The work reminds me of that famous scene in ‘The Wizard of Oz’, when Glenda tells Dorothy, “Everything you need is already within you.”  That’s what good therapy does.  Professional therapists do not hand you answers; they help you find the strength and clarity you already carry to become your own therapist.

Growth Beyond Crisis.

You don’t have to be drowning to benefit from therapy. Many people use it as a tool for growth, transition, and self-discovery. It’s less about “fixing what’s broken” and more about fine-tuning the way you live, think, and relate to others.

Maybe you’re:

  • Considering a career change but unsure how to take the leap, manage the risks, or deal with the self-doubt that comes with starting something new.
  • Struggling to set boundaries in personal or professional relationships, and finding yourself drained because you’re always saying yes when you mean no.
  • Feeling disconnected from your sense of purpose or creativity, going through the motions but missing the spark that once fueled you.
  • Managing success or new opportunities, such as stepping into a leadership role, landing bigger gigs, or expanding your career, and finding the pressure overwhelming.
  • Trying to break old patterns, habits or ways of thinking that keep repeating themselves and holding you back.
  • Looking to strengthen relationships, whether with family, friends, bandmates, or partners, so they feel healthier and more supportive.
  • Wanting to know yourself better, to understand your motivations, triggers, and values so you can make decisions with clarity and confidence.

These aren’t necessarily crises, but they’re real challenges that shape the direction of your life and your art. Therapy provides a safe, structured space to sort through them, test out new perspectives, and move forward with greater resilience and confidence.

Preventative Care for Your Mind and Emotions.

We all know the importance of routine check-ups with a doctor. You don’t wait until you’re in the emergency room to get a physical; you go for preventative care. Therapy or life coaching can serve the same role for your mental health.

Addressing stress, confusion, or frustration early can keep them from building into something bigger. Think of it as mental tune-ups: small adjustments that keep you performing at your best. By working with a therapist regularly or even occasionally, you build resilience and coping tools that stay with you long after the session ends.

Life Transitions and Everyday Stressors.

Life is full of transitions: graduating, moving to a new city, relationship beginnings or ending, starting a family, stepping onto a bigger stage, or even deciding to step away from one. These shifts, whether exciting or intimidating, can stir up emotions that are hard to process alone.

Even smaller stressors, the ones we brush off as “no big deal,” can pile up. Balancing gigs, day jobs, finances, relationships, and creative work take a toll over time. A therapist can help you unpack these stressors before they weigh you down, giving you practical strategies for managing them and space to breathe while you navigate change.

Building Self-Awareness and Emotional Intelligence.

One of the most underrated benefits of therapy is self-awareness. Working with a therapist can give insight into your own thought patterns, emotional triggers, and behavioral habits.

This awareness isn’t just about “fixing problems.” It’s about sharpening your ability to connect with others, make thoughtful decisions, and navigate life with more presence. For musicians and creatives, it can even fuel your art, deepening the connection between what you feel and how you express it.

Therapy Isn’t Forever; It’s a Resource.

Another misconception is that starting therapy means committing to a long, drawn-out process. In reality, many people find that even a single session or just a handful can bring meaningful clarity and direction.

The goal isn’t to keep you in therapy forever, it’s to help you build tools, uncover insights, and move forward with greater confidence. Good therapy is less about dependence and more about empowerment.  You don’t need a diagnosis or a dramatic crisis to justify reaching out for help. Therapy is for life as much as it is for a mental health crisis. It’s for clarity, confidence, growth, and peace of mind.

Whether you’re trying to make sense of a big transition, strengthen your relationships, or simply find balance between your creative life and everything else, therapy can be the resource that helps you get there.

Ready to Explore?

Therapy isn’t about handing you a written-out note for a note chart. It’s like an improvisation, you get the framework, but you play the notes that make sense for you and fit in the song of your life. That’s how you discover your own voice, clarity, and direction. If you’re ready to explore that, I’d love to hear from you.


If you’ve ever wondered whether talking to a professional counselor could make a difference in your life, why not find out? I offer a FREE 15–20 minute conversation where we can talk through your concerns, answer your questions, and see if my services are a good fit for you. Learn more at www.nlsccc.com

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