Why are psychiatrists so ignorant about eating disorders?

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I recently accompanied a friend to an intake appointment at our local eating disorder treatment centre.  The program operates out of a psychiatry program at a major hospital in our city.  It’s a medium sized city, and a fairly well known treatment program which is publicly funded and free to access.

I was completely disgusted by a good portion of what the Dr said.   Sadly, many of the things he said were things I have personally heard from other doctors.   I found it pretty triggering and it wasn’t even my appointment.

Let me share a few thoughts about what NOT to say to someone in recovery from an eating disorder (especially if you are a Dr who is supposed to be an expert!):

  1. Do NOT ask people about their history with traumatic events and then proceed to tell them that their abuse is connected to their eating disorder, but that your eating disorder program does not treat trauma.   This makes absolutely NO sense.  If aren’t willing to help someone address the roots of their coping techniques, don’t bother asking intensely personal information.  It comes across as invasive, asking questions for the sake of personal curiosity rather than to actually help someone.

Instead:  All eating disorder programs and specialists should be willing to help patients cope with the traumatic events they have survived.  If they hadn’t experienced those traumas they likely wouldn’t have turned to eating disordered ways of coping in the first place!  You don’t have to be a trauma expert, you just need to be trauma informed.  Validate!  Believe people!  Let them talk about the links between their traumas and their eating disordered behaviours.   I can almost guarantee that nobody will achieve lasting recovery without addressing the root causes of their problematic coping techniques.  Conversely, do not refuse to allow people with eating disorders to access PTSD services.  Do not forbid patients from discussing addictions either.

People don’t exist in boxes.  Someone often copes with PTSD, eating disorder AND addiction.  They shouldn’t be forced to lie about some things to access services for other related issues.   Services NEED to be intersectional or they are borderline useless and can further stigmatize vulnerable people.

2.  Do NOT shame people about their weight, body shape or the foods they eat.  People of ALL shapes, sizes, genders, races and socioeconomic statuses can suffer with eating disorders.  Do NOT promote restrictive eating by underestimating what a healthy amount of food is.  Do NOT set goal weights so low that someone will still be underweight when they finish treatment. Conversely do NOT assume that everyone who has a BMI over 25 is unhealthy.  Fat people can be healthy.   Encouraging someone who is fat to drastically restrict causes shame and further disordered eating.  All bodies look different, people can be healthy at different sizes.  The goal should be to reduce body shame and increase normalized eating.  This will NOT look identical for each person in recovery.  Do NOT place moral values on food such as labeling certain things as “junk” and “unsafe” or off limits.  Believe me, the person with an eating disorder has enough of these nasty thoughts in their head already.   This attitude needs to start with children from a very young age, where they can be taught that food is not something that makes them good or bad.  Our value as humans is not correlated in any way with the food choices we make.  All people have inherent worth or value, no matter their body shape, size or food choices.

Instead:  Promote body positivity within eating disorder treatment.  Do not assume that all recovered bodies will be a certain size.  Encourage people to gradually learn to return to intuitive eating, and trusting their bodies.   Explain that some people in recovery from restricting eating disorders may be extremely hungry while they restore their weight.  This is normal.   It’s okay to eat slightly more than your meal plan if you are genuinely hungry.   Focusing only on BMI, weight and portion sizes can turn into another type of obsessive compulsive eating behaviour.   Teach people that normalized eating can vary from day to day and that is okay.   You aren’t a bad person or shameful because you ate 3 cookies instead of 2.  You aren’t broken or weird if you are still hungry after a 1 cup serving of cereal.  Meal plans are important in early recovery, but they are NOT the be all and end all of treatment.     Don’t treat people who are thin as morally superior to people who are overweight.  Ideally, don’t make comments on people’s bodies at all.

3. Do NOT assume you can tell whether or not someone has an eating disorder based on their appearance.  If someone is struggling with disordered eating symptoms, they deserve care, help and compassion.  It makes NO sense to only provide services to the very sickest people who are basically on the verge of death.  By this point the health consequences can be severe and the behaviours are SO entrenched it can be extremely difficult to recover.  As with most illnesses and mental illnesses early intervention and prevention are KEY.   Providing services based on how medically unstable someone is only encourages people to compete to see who is the sickest.  It makes people who have larger bodies feel they don’t deserve help or aren’t sick enough to MATTER.  It perpetuates the stereotype that only young, white, rich VERY thin women can have eating disorders.  An eating disorder is a serious mental and physical illness and ALL people who suffer, regardless of race, gender, size etc deserve treatment.

Instead:  Stop using BMI alone as a measure of health.  The newest version of the DSM has removed BMI criteria from the anorexia criteria.  Doctors need to follow suit.  Even if someone is at a BMI of 19.5 or 20, or even higher, they can still be struggling with anorexia. Being weight restored or reaching a minimum BMI of 18.5 is NOT the only indicator of recovery.   Ideally body positivity should be encouraged and fostered at all stages of the recovery process.  Governments need to increase funding for eating disorder treatment to make it more readily accessible to folks who are at risk or at the early stages of illness.   Fight fatphobia and discrimination based on weight (and class) when you see it happening around you.

4. Do NOT make negative comments about food at ALL.  I can’t even count the number of times I’ve heard people say things like “I’m so bad for eating this cake”  or even “I feel so guilty for eating a sandwich instead of a salad.”   Don’t promote fad diets.  Don’t promote cutting out whole food categories. Don’t promote the idea of “clean” eating as morally superior.  Don’t imply that eating a salad is virtuous and eating cake is dirty.  Just stop.  PLEASE.  People around you are listening.  Impressionable people. Young kids whose opinions about food are just forming.   Friends and family members who may be struggling with eating disorders themselves.   This may be controversial, but unless you have a food allergy, there is NO need to obsessively eliminate particular foods from your diet.  Everyone has preferences, but that is NOT the same as conferring MORAL value on food.

Instead:  Remember that food can serve many purposes including enjoyment, nourishment, connection (sharing a meal with friends and family), ritual, celebration etc.  but food’s purpose is NOT to cause shame and guilt.  Be vigilant about situations when food is given a moral value (good or bad, clean or dirty).  If you feel confident, let people around you know that judgmental comments about food are not welcome and can be triggering for those in eating disorder recovery and those who are predisposed to developing eating disorders.

We all deserve to have a positive relationship with our bodies and the food we eat.

I wish I didn’t care.

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Intellectually I know that it is counter productive and makes no sense to expect anything at all, anything even remotely approaching care or consideration, from my children’s father.  I know he is a narcissist and I know that he hates me.  I know that he will always be the victim in every situation and that I will always be wrong, bad, crazy or plain evil.  I know that it is unhealthy to expect anything else.  I know that the very definition of insanity would be expecting him to change.   In a way, it is easy to accept that he abhors me and probably wishes me dead.  I can accept that he wanted to be on the other side of the country to me and basically never speak to me again.  I’m okay with that.

What I’m not okay with is how completely he disregards the needs and feelings of his children.  I find myself entirely filled with rage, disgust and despair.   And I get disappointed, angry and upset EVERY SINGLE TIME he fails to meet even a minimum standard of decent parenting.

In March, my younger daughter scratched her eye on a school field trip.  It was luckily fairly minor and healed within a few days with antibiotic drops, but it was still her eye, and it was still scary.  I took her to the ER at the children’s hospital here and I notified her father about the injury and need to seek medical care.   I’m legally required to notify him of doctor’s appointments and medical information, but he never replies or acknowledges the information I send.   It makes me SO angry that a parent, living across the country, would not even text or call to check to make sure his kid was okay.

This week my daughter fell playing soccer and got a concussion.  Again, I took her to the ER and again I notified her father.  I sent him the handouts the Dr gave us and let him know how the injury occurred.  His child has a mild brain injury and he couldn’t even text or reply to the email to check on her?  Really?

I can’t imagine under any circumstances that I would not want to check to make sure my child was okay.   I would be on the phone or texting back the minute I got the email.  I’d be calling her myself to see how she was feeling.

An empathetic, kind person might even ask me how I was doing.  Thank me for taking her to get prompt medical attention.  Thank me for taking care of her during the recovery period.  Apologize for not being there.  React like a normal human and a loving parent.

It’s isolating being a solo parent.  It can be lonely and it can be scary when your child is sick or hurt.  It is a lot of responsibility making the decisions alone.   It’s hard caring for children without much of a break.   It’s bad enough if you are fully alone, or if the other parent is supportive but far away, but it is terrible when the other parent is absent, but not gone and completely working at cross purposes to co-parenting.

I find it very triggering.  I’m so angry and I just want to scream at him.  But he isn’t here and he won’t be here.  I don’t even know if he reads the emails I send, so there isn’t much point in screaming endlessly into a void.  On the other hand, I’m legally required to continue keeping him informed so I feel trapped.

Sending him a message about his child’s health and not getting a response makes me angry.  But if he replied I can almost guarantee that the response would upset me just as much, if not more.  It’s a lose-lose-lose situation.   And the worst part of it is that my kids can see just how little he cares.   He almost only ever engages with them on his terms.  He rarely directly answers their questions (if at all) and often gives roundabout confusing half-answers and suspects them of sneaking around (when they are just asking for a simple password!).   It is truly maddening.

We are all trying to get on with our lives.  A lot of positive things have happened over the last few months.  A greater sense of stability and normalcy has settled into our days.  I’ve been struggling to know exactly what to write about in this blog and what direction to take it in going forward.

For much more of our day to day lives we are freer now.  I can make decisions more easily and accomplish more in a shorter amount of time.  But weeks like this I still feel caged.  I rage at the legal system which has literally forced me to stay in regular contact with my abuser, no matter whether or not he actual responds (or even reads my messages).  I still don’t feel free because he still has some level of control over aspects of our lives.  I try to rise above and to think as little as possible about him and the harm he has caused, but it’s not always possible to block it out.

It’s difficult to move forward knowing that he will never face any legal consequences.  He was able to pick up, move to another province and more or less start over.  He still thinks that I’m “mental” and his mother still thinks that I belong in a mental hospital.  “Once a mental person, always a mental person” she told my daughter.

People who can repeatedly call a child’s mother “mental” to their own children are not good people.  He is not a good person.  I know that, but I’m still angry.  And I’m angry at myself for the strange twisted hope and disappointment I feel every time he fails, yet again to ACTUALLY CARE about any of us.

And the fact that I care SO MUCH means that I am an empathetic, kind, loving human who wants what most people want: connection.   My humanity allows me to be deeply hurt, but I would not trade it for his empty life.

13 years ago…my last admission at South Street

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Photo credit: http://www.lhsc.on.ca

For me, PTSD is extremely linked to anniversaries of dates.  January into February is a difficult time, with the memories of my last extended hospital stay in 2005 and my family law trial in 2016.  I often have flashbacks, memories and symptoms, and then notice the date and realize what is triggering them.

My last admission to South Street was in early January 2005.  I was there for about 5 weeks, my longest admission at that facility.  I was transferred in early February to the Regional Mental Health Care facility, the former London Psychiatric Hospital, where I stayed until sometime in March.  Since then, I’ve largely been free from in-patient admissions.

In my mind, I can walk through the buildings at South Street, especially the main building.  The large stone steps which led to the main entrance.  The single stall washroom off the lobby where I cut myself on a number of occasions, with sharps I brought back inside from walks.   The smell of institutional brown paper towel, and the cheap, strong soap found in hospitals everywhere still brings me back to South Street.  The smell of adhesive first aid tape and band aids, bring back the rusty smell of blood harden on towels during long emergency room waits.

Past the lobby was a small gift shop on the right side of the hall.  I would go down there to browse sometimes or to buy a magazine.   Just past the shop was a cafeteria.  It was more of a snack bar, I suppose they had meals there, but at that time I rarely ate more than a muffin or rice krispie square.  Being in the hospital was an excuse for Ana to get away with restricting more, when nobody was watching me eat or expecting me to do so.  I remember walking through the line style cafeteria.  I’m not sure what I bought, maybe cookies.   A little further, past the first set of elevators was a Tim Hortons kiosk.  It was small and didn’t carry a full selection of items.  It was open longer hours than the cafeteria, which shut at the end of the office hour work day.  I remember it being more dimly lit in the evenings.  There was a second set of elevators, the only ones which went all the way to the 7th and 8th floor: psychiatry.   If you kept walking to the rear of the building, there was a door to the “patio” which was where people went to smoke.   It was also the place where psych patients who had off unit privileges but not full privileges to leave the property, went to get fresh air.   The hallway split into a Y shape at this point.  To the left was the admitting department.  You could walk down a long hallway and exit there as well.

That last time I was admitted, I was a patient on the 7th floor.   There was an orderly who sat at a desk at the entrance to the inpatient unit, which was to the left side of the Y.  The stem of the Y had offices and the right hand side of the Y had other departments, like occupational therapy, and a patient dining room.   The hall was carpeted.   The carpet was dirty, even though it was vacuumed daily.   Patients and visitors had to sign in at the desk.   As a patient, passes off the unit were awarded in increments.  Maybe a 15 minute pass, lead to 30 minutes, led to 4 hours and then to an overnight pass.  Smokers were given 15 minute breaks at intervals throughout the day.  Visiting hours ended at 8pm and at that time the orderly went home and the door to the unit was locked.  Patients returning after 8pm had to ring a bell which alerted the nurses to let us in.  I remember coming back after an evening home, or out with my ex-husband.  The hospital was quiet, the main floor abandoned with the exception of security at the main entrance.  The elevator ride was quiet, the halls semi darkened.  It was easy to believe the building was haunted.  I would be buzzed back onto the unit, check in with the nurses to get my evening medication and then get ready for bed.

The rooms all had reinforced glass windows, many of them had metal grills covering them.  Some of them opened a tiny crack and others did not.   The hallway seemed impossibly long, with the nursing station 3/4 of the way towards the far end.  For all intents and purposes, it wasn’t all that safe.  The nurses were quite far away from most of the patient rooms.   They didn’t search us when we came back from passes.  It was quite easy to smuggle in anything.   On a different admission, I had a roommate who used cocaine and cut herself in our shared washroom. Another time, a patient who was supposed to be recovering from an eating disorder continually smuggled in laxatives which she took by the handful.   A third patient, being tube fed and struggling with bulimia would order large amounts of food and then purge.

It wasn’t exactly a safe place.

I spent a lot of time sleeping, resting and talking to other patients.  I filed out my menus and looked forward to the muffins and cereal at breakfast.   I ordered peanut butter and jam sandwiches for lunch.  The vegetarian and vegan options for dinner were largely inedible.  Sometimes I went home for dinner, sometimes I just didn’t eat.  The meals arrived at 8am, 12pm and 5pm on trays, covered with burgundy or dark blue coloured domes to keep the food hot.   There was a fridge with cheap Colt Ginger ale cans (regular and diet).   Sometimes I brought cereal from home.  I often went for a walk to the Tim Horton’s down the road where I would order caramel coffee cake and black coffee.   They don’t make that cake anymore, but you could order extra caramel sauce drizzled over it.

I coloured and read books.  I waited, sometimes what seemed like endlessly, for the doctor to arrive.  Sometimes the doctors checked in with you ever week day.   Sometimes they didn’t appear for days.  They appeared at unpredictable intervals.  Much of the time they spoke to us in our rooms, even in ward rooms with 4 beds, affording us little privacy.   If we were lucky we might get 15 minutes to talk to the Dr.    That last admission I had a very kind doctor.  He spoke to me in a private room.  It wasn’t his office, just a room for meeting with patients.  He believed me.  He talked about referring me to the mood disorders program at the RMHC.  He didn’t think I was borderline.   Sometimes there would be medical students or nursing students.  I liked them because they were allowed longer to talk to us.  It was lonely and there was little actual treatment in the hospital, aside from medication and medication adjustments.  The medical students gave each patient a physical exam within 24 hours of being admitted.  Even when I was in and out of South Street, I got the check up every time.  In reality, these 1st year medical students were just using us to practice doing physical exams.  But I didn’t mind.  I liked the attention and the chance to speak to someone.  The days were often long, and even the nurses were busy, assigned to multiple patients each shift.

Sometimes, if I was having a rough night, my nurse would bring me into a small room attached to the nursing station.  We would talk about how I was doing.  Mainly I talked about the urges I had to self harm.  Even in the hospital I generally harmed myself on an almost daily basis.   Looking back it’s hard to see exactly how I was helped by these admissions.  Once I even ended up needing stitches, while I was admitted.  I cut myself in the ground floor washroom, then went up to the 7th floor to confess.  A different medical student, maybe a psychiatry resident stitched it for me in my room.

In the sad, lonely state of mind I was in, there was something about the ritual of having my cuts sutured, that comforted me deeply.  I think it was a moment of literal relief to have something FIXED.  The inner trauma I was struggling with was coming back to the surface with frightening intensity.  I was in a new relationship that had rapidly become all consuming, emotionally and then sexually abusive.  I felt trapped.  I felt numb, depressed and hypomanic, agitated and anxious all at once.  I was in a frantic state which was triggered by SSRIs and other antidepressants.  I wasn’t thinking clearly for over 4 years.  I was afraid all the time, and yet I felt invincible in a way.  I knew only peripherally that my impulsive self harm and suicide attempts were extremely dangerous.  I both wanted to die, and felt like I was not at risk from the self harm.  I felt torn, tangled and pulled down, like I was drowning in trauma and suicidal thoughts.  I felt like a mechanical robot, and a wind up toy spinning out of control.

When I look back at myself during those 4 years, I barely recognize any aspects of my true self.  I was changed, and not in a positive way.

I was so young.  I was 20-24 years old.   I felt like a child, colouring, whining for help, begging for someone to SEE me.  I didn’t feel truly SEEN by anyone at that time.  I think I’d felt invisible and misunderstood for so long, that I actually was disappearing, even to myself.  I felt like I’d aged decades in a few short months.  I felt like a child trapped in the body of an older person.   My health was poor, due to medication side effects, self harm, self starvation and lack of structure and routine.  I became more and more socially isolated.  I lost connection with the “normal” world and I became a full time psych patient.  I filled out and inhabited the role of a sick person.  So much so that I no longer realized I was playing a role.  It became all I knew of ME.  I lost myself.   I lost myself in more ways that I can express in words.  I wanted to be rescued.  With all my heart I wanted to be rescued, but I learned to carefully shut people out.  I was also being isolated by my abusive partner.

That last winter in South Street, I was so suicidal I couldn’t leave the hospital alone.  I was perpetually compelled by thoughts of throwing myself in front of traffic on the busy road near the hospital.  I didn’t trust myself to walk anymore.  I knew all the train tracks that criss crossed the  neighbourhood, and all the shops which sold sharps I could use to harm myself.  I was a dead person walking.  I was more than half dead, I had more than one foot out the door of life.  I had 95% given up.

But somehow that last doctor who admitted me, he didn’t see my case as hopeless.  He didn’t see me as someone who was just “trying to get attention” or “manipulate the system”   I think he realized that it was possible the medication was making me worse.  I think he realized, and actually believed me that my next suicide attempt would be a completion.  He quietly talked to me, and quietly sent the referral to the specialist.  I didn’t have much hope, but I sensed that things were different.  Instead of lying to get myself discharged, I stayed there until the bed became available on the mood disorder unit.

5 weeks later, I was off all anti-depressants and on a new mood stabilizer.  The mood disorder specialist retrieved my life from the purgatory and hell of anti-depressant side effects, including medication induced hypomania.

Less than a year later, I was pregnant with my first child.

I never had another extended hospital admission.

South Street has been demolished for years now.  I visited the site last summer to see for myself that it was gone.

But South Street haunts my memories.  The images are so vivid, but in the faded colours of a worn down, dirty building.  Those years were brightly intense simultaneously to being muted and grey.

I expect they will be with me always.  But 13 years ago, I never imagined I would even get out alive.

No Need to Argue.

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“There’s no need to argue anymore. 
I gave all I could, but it left me so sore. 
And the thing that makes me mad, 
Is the one thing that I had, 

I knew, I knew, 
I’d lose you. 
You’ll always be special to me, 
Special to me, to me. 

And I remember all the things we once shared, 
Watching T.V. movies on the living room armchair. 
But they say it will work out fine. 
Was it all a waste of time. 

‘Cause I knew, I knew, 
I’d lose you. 
You’ll always be special to me, 
Special to me, to me. 

Will I forget in time, ah, 
You said I was on your mind? 
There’s no need to argue, 
No need to argue anymore. 
There’s no need to argue anymore. 

Special.”

-The Cranberries, No Need to Argue, 1994

My 15 year old self is crying inside me right now as I read the news of Dolores O’Riordan’s death.  The Cranberries WERE the soundtrack to my life for many years of my teenage life.  I still have their album No Need to Argue in my car, and their songs on my playlists.  I remember listening to their CDs with my friends, at parties, and on my Discman taking the bus to and from school.  It was THE music of that moment in time, for many teenagers I knew.

I saw them play live in Montreal,  August 30, 1996.  I was 15 and it was my first stadium concert experience.  I remember being taken a back by how absolutely tiny Dolores O’Riordan was.  Her voice was unique, powerful and occupied an immense space in my life.  But in front of me, she was dwarfed by her large guitar.

I attended the concert with X, my boyfriend at the time.  We used to listen to the cranberries together all the time that year.  That concert is one of the positive memories I have of our relationship which was largely abusive.

I remember being younger (maybe it was earlier in 1995) at a party at my friend’s place.  Those were THE parties.  Some of the best memories of my high school years.  Teenagers all throughout the house.  It was just before some people started drinking and doing drugs.  High school, the joy of a party, without the ending of the innocence of childhood, when peer pressure began leading to alcohol and complicating situations.

Everyone had dumped their coats at the bottom of the staircase.  I remember lying there with the person I was dating.  The cranberries CDs playing on repeat in the background.  It was warm and dark and I felt safe, happy and at ease.  I remember laughing and talking with him, content in the knowledge that we were in a safe place, surrounded by our friends.  Life felt simple in those moments.  I knew where I belonged.  I fit in and was a part of a larger shared experience of being a teenager at a particular point in time.

The cranberries were the soundtrack to those happy times with friends.  The cranberries were BELONGING.

And they were one of the soundtracks to the abuse that followed.  Their CDs on playing on his stereo, in the dark navy blue of his room, while he touched me and forced me to do things.  They on the beloved stereo system that I got for my 16th birthday, while he abused me on my bed and on the floor of my room.  We talked about the music, we listened to the new CD “To the Faithful Departed” together.   The sense of belonging was also departing from me, as I became increasingly tied to, and faithful, to him.  I no longer felt safe and happy.  I felt trapped, guilty, ashamed and alone.

In 1997, I had escaped from X.  But I was spiraling deeper and deeper into the isolation of anorexia.   I listened to the cranberries, on repeat, on my stereo.   I was alone in my own room at that point, listening and writing by candlelight.   Listening while I did my homework and long into the evening.  I was detached and slowly fading into invisibility.

The cranberries came with me throughout the rest of my life.  The iconic sounds of Zombie transport me back to 1995, every time I hear them.

The cranberries are simultaneously belonging and safety, along with abuse and isolation.  The cranberries represent what being a teenager meant to me.

Dolores O’Riordan, gone too soon, but her music never forgotten.

 

All mixed up.

It’s been a long time since I’ve written a blog post.  Even tonight as I sit down to type this, I’m not clear on what I’m going to write about.

I’ve been focused on my children and my family for the last few months.  It’s been difficult to connect or find the energy to do much other than collapse on the couch to watch Netflix at the end of each busy day.  I have my children with me full time now.  Their father moved to another part of the country and they haven’t seen him since October.  He didn’t plan a visit for Christmas.

We are all of us coping with this abandonment in different ways.

For me, there has been an incredible amount of anger.

I don’t feel comfortable in the anger.  I don’t feel comfortable with how little patience I have and how quickly I snap at people or shut them out if they cross a line from support into offering advice.  I’ve isolated myself more than usual.

The anger is just barely covering a deep well of sadness and fear.  Sometimes I feel completely overwhelmed with the amount of trauma my small family has endured in the past few years.  I worry about the impact it will have on my children.  I worry about not having the right help for them.  I worry about not being patient enough.  I worry about being a solo parent, all the responsibility on me.  I worry about the lifelong impact of parental abandonment after years of emotional abuse and neglect.

I think about the research that has been done about adverse childhood experiences  (ACEs) in relation to trauma theory and the negative impact on health.  For those who might not be familiar with the research, here is a visual representation:

 

My kids have experienced emotional abuse and neglect and physical neglect at times.  I don’t know for certain about physical and sexual abuse.  I may never know.  They have a parent with a mental illness.  Their parents are divorced and their mother is a survivor of family violence.  There is a history of substance abuse on both sides of their family (though not with either parent).

I try not to think about it.  I try to think about the research on resilience which shows that if children have even one positive, consistent and stable adult in their life, it mitigates the impact of ACEs.   I try to believe.  I need to believe it is true in order to function on a daily basis, rather than fall into a pit of hopeless despair.

My older child was recently diagnosed with learning disabilities.  This did not come as a surprise to me.  For two years her father refused to consent for the testing to be re-done.  Earlier testing had been inconclusive for a number of reasons and it was recommended to be repeated.  He refused to agree.  He denied she had any learning issues and blamed me for instilling anxiety in both my children.

Yesterday, as I listened to the feedback from the psychologist.  I heard her saying again and again how different aspects of the test results, including some of the discrepancies between the recent and prior testing, could be linked to the impact of trauma on a developing brain.

Essentially, she was talking about the impact of ACEs on my child’s brain.

I felt numb.  What reaction is normal?  How can a caring parent just accept these things?  How to function and keep moving forward, filled with the knowledge that my kids have experienced trauma?

Intellectually, I know it isn’t my fault.  I know I’ve done the best I could.  But the dark voice inside tells me that it is my fault.  That I never should have had children.  That someone with a mental illness like mine should never have been a mother.  That I never should have had children with an abusive partner.  That I should have left him sooner.  That I should have stayed with him to protect the kids…

All the ways…all the blame.

I push it all down.   Try to keep busy.  Try to block out the thoughts and worries.  Turn on the TV.  Pick up my cell phone.  Browse the internet mindlessly for hours.

In the evening, I feel a sense of panic.  I’m a fraud.  I’m not capable.  I find myself thinking old thoughts, falling back into old thought patterns.  “I can escape my responsibilities by hurting myself”  and “It’s too hard.  I can’t do it. I’m a failure”  I think about self harm and suicide.  Then berate myself for how literally insane it is.  I can’t die.  I’m simultaneously gripped in a tight knot of constant fear and terror about dying and leaving my kids alone with their father, and desperate to escape from a life that often feels TOO painful to endure.   I think about suicide and actively wish I was not alive, while at the same time worrying about getting sick or having an accident, and the consequences on my children if I’m not here 100% of the time and 100% functional.

It’s exhausting.  I honestly want to sleep and watch TV, curled in warm blankets, for many days.  I want to escape from SO much responsibility.  But I can’t.  I get up each day, and I function.  I do ALL the things.  I keep going, because I have to.

My mind is a bit all over the place recently.  Instead of having a certain set of trauma memories and flashbacks which bother me consistently, I have been experiencing mixed up flashes of a whole spread of my traumatic experiences.  Memories popping into my mind, unexpectedly, and me pushing them back down again.

I started a new job, teaching a course at the university I went to during the years before my separation.  Going back to the campus brought back memories of those two years, when I was so unwell, cutting myself and ending up in the emergency room on a regular basis.  I received ECT the week I completed my last semester.  I felt depressed and trapped and I hadn’t yet made the connection to my abusive marriage.  During those years, it was still JUST ME.  I felt like I’d exhausted every treatment option and I was ready to give up.  I wrote a post-it note suicide notes to my children but then went to the hospital and had my injuries treated.  I felt like I was falling into pieces and not able to put them together again.  I never felt calm or safe.  I had nightmares and woke up screaming and trying to escape from imagined abusers.

My brain also dredged up memories and flashbacks of the undergraduate professor who sexually assaulted me in my apartment, less than a year after my graduation.  It happened in December.  I sat frozen on my couch while he touched me.  I didn’t fight back, I didn’t say no.  I just froze and disassociated, my eyes fixed on his black and gold scarf.  I was powerless to stop him. The only reason it ended was that at some point he noticed that I was completely gone and even he didn’t want to touch a statue.  It took what felt like hours before I could even speak to ask him to leave.  I remember crying, but as a statue would cry, tears moving over a frozen face.

In a way, I feel safer now that my ex-husband doesn’t live in the city.  But I still tense up when I see a car like his.  I still get jumpy at night sometimes, thinking I hear someone in the house.  I still get anxious about something happening to the kids, even a minor injury, that he might get angry about.  I am in equal parts afraid he will respond to my mandatory email updates about the children, and furious that he ignores me so completely.  I feel at the same time invisible and caged.   I feel trapped in a cage.

The cage of abuse and trauma.  I don’t know how to escape and I don’t know how to release my children from the cage either.  When abuse has gone on for so long, the abuser doesn’t even have to be in the same city, or have contact with you, to control you with the fear of what MIGHT happen.  The bars of the cage are memories, fears, and what ifs.  The fear alone is enough to modulate our behaviour, even with little or no contact from him.

I’m tired.  I get tired of hearing myself say that I’m tired.  But I’m tired.  I’m always tired.

Yes, there are good days and things to be thankful for.  This post isn’t ungrateful or dismissive of the blessings in my life.  It’s more to say that no matter how bright the joys and how wonderful the blessing, I still feel caged.  I still wonder how it can be possible to “live a normal life”  or “be healed” or “recovered”  after so much trauma.

I know it’s possible.  I know that ACEs aren’t a death sentence.  I know that our family has a lot of support, a lot of strengths and a lot of STRENGTH.

But some days PTSD makes it hard to be optimistic.  Is a bird in a cage optimistic about escaping?  Or in captivity do they gradually stop singing and lose their vibrancy?  A bird doesn’t belong in a cage.

And neither do I.

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Not my art.  Taken from Pinterest online

December 6th -National Day of Remembrance and Action on Violence Against Women

Another year has passed and we still have so much work to do to end gender based violence and violence against women.
Until the violence stops..

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On December 6, 1989,  fourteen female engineering students were murdered at school in Montreal.  They were murdered because they were women and their murders were extreme acts of gender based violence.

Just last week, on December 1, 2016, a Toronto doctor was murdered by her physician husband.  Someone posted something on facebook, commenting that this murderer must be “sick,” or “mentally ill,” and I was angry.

Violence against women, domestic violence, and gender based violence that escalates to femicide is not caused by seriously mentally ill men.  That’s a myth and it’s a dangerous one which overlooks the very real structural and societal causes of violence against women.  Causes such as patriarchy, rape culture, poverty, racism, sexism, homophobia and other types of oppression and inequality that impact women and gender non-conforming folks.  Mentally ill and other folks with disabilities are far more likely to be the victims of violent crime…

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All mental health care, all health care, needs to be TRAUMA INFORMED CARE.

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I’m feeling frustrated about the barriers to receiving high quality, publicly funded, trauma informed mental health care.  Especially the barriers faced by trans and gender non-conforming folks.

I know that I’m blessed to live in a country that has free universal health care, but we still have a two-tiered system.  Psychological care, social work and counseling that happens outside hospital settings is fee-for-service.  There are many barriers for those without finances or work place insurance in terms of accessing mental health care.  Based on my own experiences, I believe that medication alone should almost never be the first line of treatment for mental illness, and that medication should never be used without corresponding counseling of some type.   This does not mean that I’m anti-medication or anti-choice or even fully anti-psychiatry.  It just means that I see mental health as more than just a chemical imbalance in the brain.  It means that I know that supportive, validating counseling can be helpful in treating most illnesses.  I highly value feminist based counseling, intersectional approaches, peer support models and any type of counseling where the patient has a say in what happens and is treated like the expert in their own lives.

I’m personally quite negatively biased against cognitive behavioural therapy.  That does not mean that I don’t think it has a place, or that it can never be useful.  I believe it can be helpful with certain types of issues, such as OCD.   But CBT leaves a LOT to be desired in relation to trauma therapy.  It focuses too much on the individual thoughts, feelings and behaviours and too little on trauma, societal oppression and practical barriers.

When I was younger, and I first entered into the mental health care system, my parents found a clinic and doctors that supposedly were experts in the field of eating disorders.  Now, maybe they were good doctors, but I can say with absolute certainty that they were not trauma informed.  I don’t really remember every being asked exactly WHY I had developed anorexia, or if anything had happened to me.

I’m not an expert, by any means, but I know that young people rarely (if ever) develop eating disorders and self harm just on a whim, out of the blue.  Generally eating disorders are symptoms of a larger problem, generally eating behaviours are coping techniques to deal with something.

I was a smart teenager.  I knew to some extent why I wasn’t eating.  I had learned that it was an effective way to zone out, feel lighter, feel empty and take up less space.  I became addicted to that feeling of zoning out, it helped me cope with the sexual abuse I was experiencing.  It wasn’t about my looks, it wasn’t about losing weight and it wasn’t about existential angst (per se).   I’m not sure if anyone actually ever asked me why I wasn’t eating.  And after a certain amount of time had passed, it became irrelevant to everyone.  Nobody cared why, they only cared about me eating so I wouldn’t die.  I didn’t believe I could die.   I’m not sure I REALLY cared if I died. I think I did at that time, but I certainly didn’t care by the time I started taking anti-depressants.  I pretty much welcomed the idea of death and started to think about suicide at 17.

These psychologists I went to see worked from a CBT model.  I remember being 16 and sitting in the psychologist’s office while he drew diagrams of how thoughts impacted feelings which impacted behaviours which further influenced thoughts and feelings.  I quickly picked up on the pattern of it.  I realized that a very specific set of responses were the desired outcome.  I followed the pattern and started saying what he wanted to hear.  I didn’t internalize any of it.  It became a game to me, not a game to manipulate or hurt anyone, but a test to see if I said what was expected if I’d be allowed to go back to school and stop missing music class for the appointments (which to me appeared pointless).

Fairly soon after that, I became physically starved to the point my brain wasn’t really working rationally anymore.  The physical side effects of the disease confused my brain and the restricting and exercising became obsessive to the point of OCD.  The behaviour self perpetuated and I lost track of why I started doing it.  I lost track of what happened to me.  I lost track of the abuse.  I lost track of everything.  I felt panicky most of the time.  I was always cold.

When someone is that sick, no type of therapy is going to work.  Eating is the only treatment.  I went to an inpatient program, started the process of weight restoration and my mind gradually cleared.  I don’t remember being asked in treatment why I starved myself to the point of near death.  I think people were relieved that I was eating and that I returned to some level of semi-normalcy.   I was still thin.  I still had strange eating habits and anxiety around food.  I still avoided eating with most people.  But I was well enough to “pass” as recovered.

I began to recover some memories around the age of 18.  But they weren’t concrete at first.  They were flashbacks, physical reactions, nightmares.  I remember talking about it indirectly to my boyfriend at the end of high school.  Telling him that something had happened with my last boyfriend.  I don’t remember if I shared many details.  I think the idea was only slightly formed in my head.   I didn’t connect the dots and fully disclose until I was 20.

Then I was thrust into the psychiatric, medical model.  I was drugged and drugged and drugged more.  The worse I got, the more drugs were given.  I was medicated to the point I could barely stay awake during the day time. I felt foggy.  I gained weight.   I was diagnosed with PTSD, but I still didn’t receive trauma informed care.

I did an inpatient program for PTSD.  It helped a LOT.  I learned a lot.  But I couldn’t fully actualize the learning because I was on too much medication and I was in an abusive unhealthy relationship.  I knew by then that the trauma piece was at the centre of my struggles, but I didn’t fully comprehend that my current situation was a major factor.

All this to say, that my life story is a testament to the perils of practicing medicine without considering the impact of trauma on physical and mental health.

I’m so passionate about looking at the roots of why people cope in the ways they do.  What societal circumstances and traumas caused them to cope in the ways they do?

Now I’m a parent.  My children struggle with anxiety.  My younger child is transgender.  She has secrets.  There are things she won’t talk about to anyone.  She struggles with focusing sometimes.  I see a lot of signs of trauma and of the impacts of things she has lived through.  Experiencing transphobia in and of itself is trauma.  Being misgendered, people using her old name, being treated as less than a real girl, being told that her mom is crazy for “forcing her” to be a girl….I could go on, but it’s a lot.  A lot for a child.  Rejection by a parental figure is one of the clearest predictors of mental illness in trans children and youth.  Acceptance is the highest predictor of mental health.

Again.  It’s not rocket science.  Of course a child will feel safer if they are accepted.

Now I’m the one trying to find the doctors, trying to access the care, trying to get referrals, wait on lists, be taken seriously.  20 years later, I’m still fighting to find a mental health care provider who truly understands the impact of trauma on a child and who is willing to practice trans positive, trauma informed care.  I don’t want her forced into CBT.  I don’t want her to be medicated.  I want someone to help her feel safe enough to express what is on her mind.  I want someone to hear why SHE uses the coping she does.  I don’t want doctors to guess and assume.  I don’t want them to misdiagnose her as well as mis-gendering her.

She deserves to be heard.  I don’t want her to be writing a post like this in 20 years.

Kids will say what they think adults want to hear.  They may do it consciously, or unconsciously or for their own reasons.  They do it to please, to stay safe, to feel a sense of control and many other reasons.  It takes a special type of doctor or counselor to help a child feel safe enough to tell their truth.   Because after enough time hiding, even she will be confused about what her truth is.

Mental health care for children should be free.  The practitioners should be trauma informed.  There should be enough funding that kids can access the care they need without lengthy wait lists.  There should not be a two tiered system where those who can pay can access things those in poverty cannot.  Poverty is a risk factor as it is, without it also limiting access to care.  Ideally there should be a system that is easier to navigate, where parents don’t feel they are fighting and advocating to the point of exhaustion.

Mental health care is a right, not a privilege.

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Photo: https://makingmomentsmeaningful.blog/2017/04/13/trauma-informed-care-values-youth-worker-values/

The Minutia. Barriers after Leaving: A rant.

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I’ve written quite a few posts about the struggles of leaving an abusive relationship.  Those posts were mainly focused on the large barriers, things directly related to the abuse and fear.  Today (4 years, 2.5 months) after leaving, I’m still facing minute and incredibly frustrating barriers.  This is a rant about jumping through fucking ridiculous hoops.  Hoops that would be frustrating after any separation, but downright impossible and dangerous after leaving an abusive situation.

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Four years ago, when I physically separated from my ex-husband, my cell phone was registered on a bill that was in his name.  We had all our cable/tv/phone services under one bill which was in his name.  Thus, even though I was living in my own home, the bill and all the information about my cell usage was sent to him.  I wanted as much distance as possible from him.  I didn’t want him to know if I called my doctor or a crisis line, or which of my friends I was in regular contact with.  I called the cell phone company and, even though my name was an authorized contact on the file, they would not consent to transferring my cell phone to my own bill without his consent.   He was the account holder.  They required him to call in.  I asked him to make the call.  He ignored me.  I asked him again, he refused.  I called the company multiple times, I begged, I cried,  I explained that I needed to keep my cell number because I’d sent out job application and resumes.  I told them about the divorce, the abuse, and I cried again.  They absolutely WOULD NOT release the phone number and contract to me without his consent.

I contacted him and told him that if he didn’t release the phone to me by X date, I would return the phone to him and he would be responsible for paying it to the end of the contract.  That date came, he still had not cooperated.  I wiped the SIM card, dropped the phone off at his place and got myself a new phone.

I lost my address, my home phone number and my cell phone number.  I’m certain he would not have passed on any mail, or messages to me.  I have no idea what I might have missed in those months following the separation. My home phone had recorded voice messages from Marian, which I had saved.  When she died, I knew they were gone and I wouldn’t hear her voice again.  I had to re-do my resume, contact doctors, schools etc. and give them not only my new address but my new cell phone number too.

It was frustrating.  It didn’t seem logical.  I felt the power of his control over my life.  He knew I wanted to keep my phone number, so he refused to give it to me.  He would have had to pay out the end of the contract, but he was willing to take a financial hit just to punish me.

***

I need to renew my kids passports. I already delayed doing this for over a year, waiting to get custody, so I could put my address on the forms.  Ideally, they want both parents to sign the forms.  Do you think he would sign them? No.  Of course not!  He said that he forgot.  Then he started ignoring my emails.  So now I will have to bring the court order and divorce papers to the passport office and plead my case.  Maybe they will issue the passports, maybe they won’t.  But I will have to stand there and dredge up this embarrassing awful story about how we are separated, how he moved out of the city and I can’t contact him.  I will have to take my chances on whether or not the person working that day will process the forms with only one signature, or not.  And if they won’t?  Either we won’t be able to travel, or my lawyer will have to try to get him to sign.  But if he won’t sign?  Then what?  Go back to court, just to get a passport renewed.  Sigh.

***

About 18 months ago, I received extended health benefits through my place of employment.  I was so pleased and felt so good about being independent and self sufficient.  I was proud of my ability to work, after many years of being disabled by the violence and ensuring mental illness.

But my good feelings quickly diminished when I learned that I could not put my children’s health claims through my own insurance without claiming through his insurance first.  The rules are that the person whose birthday falls first in the year is the primary insurance, which made mine the secondary.  Since we were divorced, I was not an authorized contact on his insurance.  This meant that in order to submit extended health claims (psychologist, dentist etc) through my plan, I had to submit the claims through his plan first.  Which meant I needed his signature.

FUCK.

In 18 months, he was never once willing to coordinate the benefits.  All I needed was for him to submit the claims through his plan, then provide me with documentation about which portion was not covered.  I could then submit it through my  plan.  With the plans combined, most of the kids expenses would have been fully covered.

But he wouldn’t do it.  Absolutely just refused, ignored and at the same time, told the kids consistently that they didn’t need counseling.  He told them not to trust the counselor and that it was a waste of money, too expensive and it wouldn’t help because I was the crazy one.

So I wasn’t able to use the extended benefits.  I paid for my kids expenses on my own.  Legally we were supposed to be splitting the costs in proportion to our salaries, but that would require even more communication and the more he knew I wanted it, the less he would cooperate.

I’m extremely lucky, I’m in a position where I can pay for my kids extended health care.  But imagine how deep of an impact this would have on someone without a full time job.

The abuse, power and control can continue, financially and administratively for as long as the abuser wants.   There should be protections, that in cases of abuse, rules can be bent or made more flexible.  There should be recognition that continued contact with the abuser is mentally damaging to the survivor at best, and physically dangerous at worst.

***

Fast forward again, to today, years after leaving.   My children’s father quit his job and moved to another part of the country.  Thus his insurance is no longer active.

But I STILL haven’t been able to use my own insurance.  I went to the pharmacy yesterday and his insurance was still on file.

Today, I spent probably 30 minutes on the phone with the provincial drug benefit.  They said they can’t reactive the coverage for my kids, unless they have a letter from Dad’s insurance company saying the insurance was terminated.

FUCK.

There is no way in hell I could get that letter.  I’m not an authorized person on the file for his drug plan.  They won’t talk to me.  If I email him, to ask him, he will ignore me.  He’s in another part of the country.

The frustration is immense.  I wanted to burst into tears and hang up the phone.

Luckily, there is another option, the pharmacy can write a letter to the drug benefit company explaining that the coverage through Dad was terminated.  So I spent another 10 minutes on the phone with them.  I’m hoping it will be sorted out within 1-2 weeks.

These are “minor’ frustrations.  Administrative hoops.  But for a survivor of violence, these hoops are a continuation of the power and control wielded by the abuser.  These phone calls and details can trigger me, make me feel powerless, angry or hopeless.  And they are still continuing 4 years after separation.

No, survivors can’t JUST LEAVE!

I’m writing this, partially to vent, but  partially to share details about WHY leaving is so hard.  WHY people stay in abusive relationship.  WHY the impact lasts for so long.  It’s not just the major stuff.  It’s the giant toppling pile of minute barriers which unite to form a wall of frustration.

It takes a lot of strength to keep climbing the wall.

If you are a survivor, I believe you.  I’m sorry you have to go through this.

If you know a survivor.  Believe them.  Give them a hug and tell them you are sorry for what they are going through.  Offer a helping hand. Let them vent, even if it was “a long time ago.”

The impact of intimate partner violence is long lasting.  Today, November 15th, SHINE the light on violence against women.  We all need to be a part of the solution.  We all need to work to end domestic violence.

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Living Outside the Binary.

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There have been an enormous number of changes in my life over the past 3 months.  I haven’t been blogging as much, but I hope to create some new posts about those changes soon.

I’ve been reflecting a great deal recently on how much society wants to squish people into binary boxes and categories.  Either/or.  Society doesn’t promote the shades of grey, the spectrum, the people living at the intersections of multiple gradient scales and who do not fix neatly into categories.

It’s quite difficult at times, being a person who doesn’t identify with many binary categories.   I sometimes feel invisible, different, crazy, or like my identities are not real or valid.  In some situations, I don’t even feel safe or comfortable challenging the binary norms which are coercively placed on me.

In terms of sexual orientation,  I’m non-binary.  I identify as queer, which means I’m not exclusively heterosexual or gay.  I’m open to relationships and dating with people of any gender.  I don’t fit neatly into a box.

In terms of gender identity, I’m non-binary.  I identify as genderqueer, which means I do not feel exclusively like a man or woman, but something else.   A different place on a spectrum, and outside the realm of female or male

In terms of sexuality, I’m non-binary.  I identify as demisexual, which means I’m on the asexual spectrum.  Not entirely interested in sex, but not completely disinterested in it either.

In terms of my health/disability status, I’m non-binary.  I identify as having both physical and mental health disabilities.  But I don’t “look sick” and I am extremely “high functioning” despite the level of symptoms I experience daily.  I’m able to work, but I don’t always have the energy to do all the things.  Some days I feel pretty good and others I feel barely functional.

The reality is, I think a huge number of people identify as non-binary in some ways.  Maybe you haven’t explicitly thought of it this way, but very few people exist solely in all the normative, expected boxes and categories.  No person has just one single identity.  Life happens at the intersections of our identities.

I’ve experienced some level of not being believed or validated for my identities.  I’ve felt not queer enough to fit in with gay people, but not straight enough to exist comfortable in heteronormative spaces.   I feel too feminine to be non-binary.  I feel like I’m “lazy” if my symptoms cause me to struggle on a given day.  I feel like I SHOULD be something very specific and it’s definitely not what I am.

The worst part of it is how I don’t consistently believe and validate myself.  Internalized oppression is something I struggle with constantly.  I tell myself that I’m not “queer enough” or that I don’t “look non-binary enough.”  I tell myself that I’m not functioning well enough to be normal, but I’m way too “able” to identify as disabled.  I put myself down.  I tell myself I don’t belong. I tell myself that folks won’t believe me.  I tell myself that one day I’ll be found out, and that others think I’m a fake or a fraud, or lying to get attention or to gain an advantage.

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Internalized oppression leads me to gaslight myself.  Internalized oppression means I don’t often accept myself.  Some of the worst pressures to fix into the neat clean boxes of normal society comes from my own internal critic!

I don’t believe in binary systems.  I don’t believe the messages of ableism, homophobia, transphobia and patriarchy.   On one level I don’t believe them or believe in them, and yet I put so much pressure on myself to “pass” as “normal” when I don’t even know what normal means.

I don’t actually want to be normal.  I want to be myself.  I want to be accepted as the person I am.   On one hand, I love the fact that I’m diverse and have experiences that can exist on a rainbow spectrum, rather than in black and white boxes.  But at the same time, I feel pressure to confirm, to choose, to fit in, to pick sides.

I’m not going to fit neatly into boxes.  It’s not possible.  I would have to deny so many aspects of myself that I wouldn’t be me.  I would have to compromise my own deeply held truths, just to be fully seen by society as valid.  I reject that option.

Instead, I’m creating communities and groups of friends who do accept me as I am.  People who do see me as valid, just the way I am.  People who aren’t trying to place me into categories that don’t fit, like uncomfortable outgrown clothing.

The spectrum is beautiful.  I like to think this is part of the symbolism behind the rainbow pride flag.  We are all part of a spectrum, like the light spectrum which creates a beautiful rainbow. Without each individual colour, the spectrum would be incomplete and neither the bright light or the rainbow would exist.  Spectrums are all around us and within us.

Embrace the non-binary.  Embrace the intersections.  They are beautiful and valid.

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Me Too.

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#metoo

Why the fuck is anyone surprised?  Women, femmes and non-binary folks ALL experience sexual harassment and/or sexual assault.   Feminists and women have been talking about this for literally decades.  There have been a number of different twitter and social media campaigns which have gone viral in the past year or two alone.

Honestly, this was the first time it really got to me.  I was so triggered last night that I couldn’t sleep.  I was suddenly terrified that my ex would show up at my house and kill me.  This has been a fear of mine for years and it escalates during any times of transition and whenever media stories about women being murdered as a result of domestic violence hit the press.  I was lying there at midnight my heart racing, jumping at every sound.  My logical mind told me that I was safe, but my PTSD mind/body/heart was screaming that I was in danger.

And I was angry.

I’m angry because I have no faith that me tweeting or posting #metoo on social media will protect me.  Of course me too!  Of course!  I’ve been blamed for not telling anyone about being abused.  Then I was blamed for how I told people.  Then it seemed I was blamed for telling at all.  I wasn’t believed.  I wasn’t believed by SO many people and institutions.  Sometimes I feel blamed for not recovering more quickly, for being “cynical” or for struggling with PTSD.

Both of the times I experienced intimate partner violence, people could have known.  There were signs.  I was desperately sick.  In and out of hospital.  Trying to kill myself.  Self harming on a regular basis and starving myself.  It wasn’t a mystery that something was seriously wrong.

All the signs add up.  I had literally every possible coping mechanism and reaction to experiencing violence from disassociation, to depression, from shame to self hatred. When I finally talked about it, there was no logical reason to question my story.  But of course the stigma of mental illness clouded the picture.  Some people didn’t believe me because they thought I was mentally ill.  They were wrong.  I was mentally ill because #metoo.

Women, femme and non-binary people struggle with so many negative, and in many cases life long, impacts as a result of sexual assault and harassment.  In some ways, I feel like I’ve lost a good portion of my life.  It’s actually too painful to fully acknowledge and grieve the things (and parts of myself) I’ve lost as a direct result of violence.

I don’t want to keep talking about it.  I don’t even always want to tell the stories in this blog.

#metoo rubbed me the wrong way.

I want to see #ididit  or #ignoredit.  I want to see perpetrators get on social media and admit to the sexual assault and harassment they have done.  I want to see men, especially cis men, get online and talk about how they failed to intervene, how they participated in, and benefited from, rape culture.

Because make no mistake, #metoo, is about rape culture.  But it is time to stop placing the responsibility for changing rape culture on the survivors.  It’s time for men to step up and hold each other accountable.  It’s time for men to mentor young boys, teach them about consent culture and tell that that sexual assault and harassment is not cool, not okay and clearly illegal.    It’s time for criminal courts to sentence rapists to REAL punishments.  It’s time for police forces to actually take reports of sexual assault seriously, for officers to believe survivors and investigate the crimes competently and efficiently.  It’s time to take the work of ending gender based violence out of the sexual assault centres which support survivors, and into classrooms, homes, court rooms, and everywhere in our society.   Ending gender based violence is going to take an overhauling of the entire criminal justice, policing and education systems.

We need real accountability for perpetrators.  Women, feminists and sexual assault support workers have been doing this work for too long, unsupported by society.  We get labeled “radical” or “hostile” or experience other put downs.  We get further punished for speaking up against this violence within a society that profits from, and even praises violence against women.

We need to believe survivors.  We need to create safer spaces for those who can’t yet disclose to come forward when they are ready.  We need to create a safe place to land for survivors.   We need to create a consent culture and a society which fully supports survivors.

AND in parallel we need the help of MEN and the system (which was largely designed by white, affluent men) to hold perpetrators accountable.

One survivor is too many!  We shouldn’t need to scroll through pages and pages of folks posting #metoo to realize the magnitude of this problem.   We already know the magnitude, we need to stop pretending that we don’t.  We need an end to victim blaming and a realization that sexual assault and harassment is SO common and SO wide spread, that I don’t know a single woman or gender non-conforming person who couldn’t post #metoo if they had that option.

But they shouldn’t have to.

End gender based violence.   End violence against women.

Enough is enough.