Raphael Stevens

From the outside, it looked as if Tenise Hordge, 39, had it all. After spending 18 years climbing the corporate ladder, the engineer had the impressive title, big salary and corner office. But she wasn’t happy.

After her daughter was born prematurely in 2017, she began to feel adrift at work. Who cares about this title I have? she remembers thinking. It didn’t help her carry her baby to full term. The money was not helping her daughter come home from the hospital sooner. Then came 2020. Hordge was exhausted, in so many ways. “I didn’t want to continue being this person I no longer was,” she says.

You might call it an identity crisis, but psychologists would describe what Hordge was going through as a crisis of purpose.

What does that actually mean?

Purpose is a driving force in your life that connects you to values and ideals bigger than yourself, says psychologist Chloe Carmichael, PhD, a WH advisor and the author of Nervous Energy. Some prioritise crushing it in their careers. Excellence is a value, “so the drive to be excellent as a professional can be a purpose,” says Carmichael. But purpose can also take other forms—you may be motivated to devote yourself to religion, create art, or advocate for a social cause.

“You can create meaning in your life no matter your circumstances.”

All this may seem a bit abstract, but research shows purposeful living has a real impact on our well-being. Not only are those who move through life with a defined purpose more likely to stay happy in their jobs, but they are also better at keeping up with regular health screenings and less likely to have anxiety and depression. A strong sense of purpose has been linked to greater longevity too.

It can be good to intentionally rethink and renew your purpose periodically throughout your life. This helps you stay in tune with what’s important to you at different points in time. FYI: Adults are more likely to feel happy with their life if they have a purpose and concrete strategies to carry out that purpose, a study in Frontiers in Psychology found.

On that note, let us introduce you to a process called “life crafting.” It involves actively reflecting on your life via writing and thinking exercises—then setting goals to make changes so that how you spend your time aligns with what you value most, says Michaéla Schippers, a professor of behaviour and performance management at Rotterdam School of Management at Erasmus University in the Netherlands, who coined the term.

You’re prompted to take an honest look at your passions, skills and even social life. “For a lot of people, without realising it, they find they are working a certain job or living in a way their parents wanted for them or what they think society demands of them,” says Schippers.

Life crafting involves actively reflecting on your life—then setting goals to make changes.

In Hordge’s case, it definitely took time—and a lot of planning—to figure out her next steps. Hordge wanted to help new moms navigate the challenges she faced, especially in breastfeeding. When her daughter was in the NICU, having a lactation consultant made a huge difference. She decided that was what she wanted to do and nailed down the specifics of how to turn it into reality. First, she used her bonus to cover a year’s worth of expenses. She and her husband paid off their car loans and debts. She found a certification program near her family so she could complete her clinical hours and have help with her two children. She found a lawyer and set up an LLC. Hordge now runs her own business helping new moms.

“You can create meaning in your life no matter your circumstances,” Schippers says. “But what’s really important is that you have to set aside time to focus on it. It’s something you create for yourself. You’re the only one who can do it.”

The good news is anyone willing to put in the effort can reap the benefits of life crafting. Keep reading for a step-by-step guide with exercises from experts to find your spark, design your future and set a unique and fulfilling vision in motion.

READ MORE: 18 Mental Health Books For Anxiety, People-Pleasing And More

1. Get to Know Yourself

The first step is clarifying your values. “My biggest piece of advice is to relearn yourself,” Hordge says. “Once you understand who you are, you’ll know what’s important to you.” The cultural obsession with status or achievement drives many to go after the next pay raise or better title versus something truly meaningful to them. “For high-achieving women and especially women of colour, we’re valued and judged by what we do and not who we are,” says Omolara Thomas Uwemedimo, MD, founder of Melanin and Medicine. “That allows people to do all these things because of positive reinforcement from others without asking, ‘Is this what I really want?’”

Explore Your Values

Organising your thoughts in writing is key, per research. Ideally, you want to identify a passion that aligns with your values. So, from the two prompts below, pick one that speaks to you and write a short essay to discover where you stand:

Look to the past. Your past experiences shape you, sure—but they can also teach you a lot about your purpose. “Look back at the moments in your life that have been meaningful to you,” Dr. Uwemedimo says. “That can help you find what brings joy and lead you to where you should put your focus.”

Look to the future. Think about what kinds of relationships you’d like to have in your private and professional lives and what kind of career you want. Also, become aware of your current habits and skills while reflecting on the ones you adore or want to develop. That’s the first step toward breaking old patterns and building new routines.

2. Set Goals

Research shows that goals that are aligned with values are better for overall well-being. So, once you clarify your values, you’re already halfway there. Now give some thought to how you might turn them into action. For Hordge, that meant a career change. But finding your purpose can also mean simply creating space in your life to do more of what brings you meaning. For example, if it’s being a parent, a goal may be to find a way to delegate more tasks so you can spend time with your family.

Imagine the Alternate Universe…

Fantasise what your life will look like if you don’t take any actions. This actually motivates you to follow through because you’re confronted with the consequences of doing the opposite. Ask yourself, “What would my future look like five to 10 years down the road if nothing changes?”

…Then Prioritise

Write a passage laying out your ideal life. How would you spend your days if there were no limits of any kind? When Schippers started assigning first-year students this exercise, the university saw a 22 percent decrease in dropout rates among those who wrote it. List specific goals that will help you achieve your ideal life, then prioritise them. Identify the stumbling blocks that could get in your way and write down how you might work through them.

READ MORE: Can Manifesting Really Help You Smash Your Goals?

3. Open Up

Finally, announce your plans to the world, Schippers says. Sharing your goals increases accountability and makes it more likely you will achieve them. Post your goals on Instagram, or simply talk through them with your partner or friend.

It’s also important to start a new conversation with yourself. Life crafting can help you cultivate what’s known as an “internal locus of control.” With it, you believe it’s within your control to shape and affect the outcome and experience you have in life.

Visualise Your Success

Once you get the ball rolling, spend a few minutes each day or week picturing yourself living the ideal life you wrote about in your essay. If your goal is to travel the world, you might imagine looking up at the northern lights or chatting with the locals in Rome. Then envision yourself messaging your 2023 self to let her know you’re proud of her. “This can help you feel connected to the person you aspire to be,” Carmichael says. “This way, your aspirational self feels more attainable.”

This article by Amelia Harnish originally appeared in the March 2023 issue of Women’s Health. More

According to the Cancer Association of South Africa (CANSA), it’s far better to have an early-stage diagnosis, as it results in better breast cancer treatment and long-term survival. The only way to get an early diagnosis? Checking your breasts regularly at home, and making sure you attend your scheduled mammograms. But there are so many mammogram myths that scores of women are opting out of this practice. An informal survey amongst women who are hesitant to go even though they have the means to go shows that the top reasons include thinking it’s painful, having fear of radiation and being afraid of that Big C diagnosis.

Plus, skipping just one screening can increase a woman’s risk of dying from breast cancer, per a study of half a million Swedish women.

Since mammograms are essential, we’ve broken through a few of the myths and addressed them, courtesy of the radiologists at SCP Radiologist Practice and Dr Lizanne Langenhoven, who specialises in the treatment of breast cancer. Here’s what you really need to know about mammograms.

Myth #1: Mammograms are too painful

Many women still rely on their mother’s experience with early mammograms which were painful. Mammography machines have progressed exponentially since the early days, so the level of discomfort experienced during the procedure is now significantly reduced. Modern technology and digital equipment allow us to use less compression and still obtain quality imaging. Also, the amount of pressure is different for each individual, depending on the breast size and composition. Pressure is often manually adjusted so speak to your mammographer if you experience any discomfort.

READ MORE: Getting A Mammogram: What To Know, Even If You’re Young

Myth #2: Mammograms mean exposure to cancer-causing radiation

A mammogram uses relatively low-dose radiation. The total dose is approximately 0.5 mSv (2D mammogram). To put that into perspective, we are exposed to 3.0 mSv of background radiation from our natural surroundings per year. Radiologists also strictly follow what’s known as the ALARA principle – to always apply radiation “as low as reasonably achievable”. Clearly, the benefits of this screening tool vastly outweigh the actual low-dose radiation.

Myth #3: You don’t need a mammogram if you go for thermography

At present, thermography cannot substitute mammography but may be used as complementary screening. Dr Langenhoven cautions that thermography is not all it is cut out to be. In order for the cancer to give off heat signals, it has to be significant in size. Mammography on the other hand can detect changes in the breast before they progress to cancer. A mammogram therefore picks up the disease course much sooner than thermography.

READ MORE: 8 Breast Cancer Myths You NEED To Stop Believing

Myth #4: Ultrasounds are safer

“Mammography is our workhorse.  We look for masses, calcifications, and architectural distortion,” says Dr Langenhoven. “Ultrasound is a supplementary investigation used to further evaluate morphology, blood flow, consistency of masses, and lymph nodes that are abnormal on a mammogram.” Tomosynthesis, a type of X-ray, is also supplementary, used to further evaluate architectural distortion seen on a mammogram. They all work together. With denser breasts mammography is less sensitive, which is when we add the supplementary investigations to improve the sensitivity of detection.

Myth #5: I can’t have a mammogram I have breast implants

Yes, you can, is the short answer. If you have breast implants the compression and positioning are adjusted. The amount of pressure is equivalent to sleeping on your stomach. Modern technology means there is a very low risk of implant rupture or damage. It is usually combined with ultrasound for better evaluation of the implants.

READ MORE: 11 Symptoms Of Breast Cancer In Women That Aren’t Lumps

Myth #6: If am diagnosed with breast cancer I am going to die anyway. So I would rather not find out

Perhaps the biggest and most harmful myth of all. The truth is that we’re in a period of time where 90% of women with early breast cancer can be cured of their disease, says Dr Langenhoven. “In the same way we don’t drive cars from the ’50s, our treatment is no longer ancient either!” she remarks.

“The good news is that our understanding of the different subtypes of breast cancer has improved significantly over the past few years! We no longer follow a one-type-fits-all approach and many women may even safely be spared chemotherapy in a curative setting,” she says.  

“As with everything else in life, it is easier to address a ‘small’ or ‘early’ problem than it is to address a much larger problem! I’ve seen breast cancer diagnosed at a size of 2mm on a mammogram – meaning that treatment is tailored to a very low-risk situation. In short, the earlier we become aware of an existing problem, the sooner it can be addressed and with much less invasive treatment.”

Added to that, the side-effect profiles of our new drugs improve the quality of life during treatment. And the fact that we now identify and treat four distinct subtypes of breast cancer means that we can target the specific growth pattern at play and avoid unnecessary treatment. In short, modern medicine means your chances of dying of breast cancer are reduced. But screenings are still the champion in our fight against breast cancer.

Different screenings for breast cancer

“When you consider that around 90% of women find their own breast lumps, it is a very important part of the screening process,” says Dr Langenhoven. “Although 80 percent of these lumps are not malignant, there are cases where women owe their lives to their own self-examination.”

Mammogram

A mammogram involves breast imaging using low-dose X-rays to form a 2D image. The advantage? It often reveals abnormalities undetected in a clinical breast examination. Four images are taken, two of each breast. The breast is lightly compressed for less than 1 minute during the examination to improve diagnostic accuracy.

Tomosynthesis

This is a form of 3D mammography and uses X-rays as well as sophisticated software to create a 3D image of the breast. It is considered better at detecting cancer and reducing false positives in dense breast tissue.  It is invaluable in problem-solving and is used in combination with 2D mammography.

Breast ultrasound

Ultrasound is a supplementary investigation used to further evaluate morphology, blood flow, and consistency of masses and lymph nodes that are abnormal mammography.  It uses no radiation but rather real-time imaging, using sound waves to create an image. It’s a slightly longer process and is also valuable in problem-solving. It is used in combination with a mammogram not in place of it.

MRI

The digital MR image uses strong magnetic fields and radio waves but no radiation. You will receive an intravenous injection and then lie on your stomach, in an MRI ‘tunnel’ for around 45 minutes.  An MRI for breast screening is usually used for problem-solving, high-risk screening and for women who have breast implants.

Biopsy

Your doctor might recommend a breast biopsy when a suspicious area is found in your breast, like a breast lump or other signs and symptoms of breast cancer. It is also used to investigate unusual findings on a mammogram, ultrasound, or other breast examination.

Thermography

Thermography is a test that uses an infrared camera to detect heat patterns and blood flow in body tissues. Digital infrared thermal imaging (DTI) is the type of thermography that can be used to show these patterns and flow in the breasts. More