I don't know. Usually it's a new sense of appreciation for all the things that make up my world. I'm not necessarily saying gratitude, but a different perspective on things. It doesn't happen much anymore since I'm living in a crappy place and don't drive because of panic attacks. However, when I was able to drive to a park or nature preserve and just wander around a bit I start seeing things differently. Same as when I take my camera and take photos; it takes me out of myself.

Maybe that's the key; stepping out of one's pain to gain a different insight on things.