Representation Matters.

Today is the International Day of Trans Visibility and this morning I saw this piece of art in my social media feed.

56201130_10157428215713598_5544235667359268864_nIt was created by an artist Hannah Daisy @makedaisychains (photo credit to her.  https://www.patreon.com/hannahdaisy)

I felt deeply moved by the image and spent most of the day thinking about it.   Why did this image impact me so intensely?  As a non-binary person who has scars from self harm, I felt represented and valid in a way that I didn’t even realize I needed.  In this image, the arm with scars is just one in a series of different and unique arms raised in an empowered fist.   It is SO rare to see art that includes self harm scars that neither stigmatizes, sensationalizes nor glorifies self injury (and cutting specifically).  In this art piece, the self harm scars are matter of fact but are not the focus of the image.  The scars are shown as healed/healing and thus represent a hopeful message of recovery and life after self harm.  The image implies that recovery is possible, but also depicts the reality that mental illness is not always an invisible illness.  It shows that scars do not have to be hidden and can be accepted as part (but not the defining aspect) of a person.  This image does not show the person who self harmed as an object of pity or of revulsion.  It doesn’t make me feel sorry for the person, it makes me feel that they are a SURVIVOR.

As a person who has a multitude of scars from decades of self harm, I needed to see this. I needed the representation SO much. I needed the message that I’m not shameful, disgusting, broken, crazy, insane or violent.  I needed the message that my scars do not define me.  I needed the message that SOMEBODY out there, an artist, sees my scars as a sign of strength, resilience and SURVIVAL.  I don’t want to feel ashamed of my scars.  I don’t want to feel judged by society.  I don’t want to receive stares of pity or confusion on a summer day.  I want to choose my clothes based on what feels comfortable, not based on what will hide the scars and keep me safe from stigma.   Because there is an intense amount of societal stigma associated with self harming behaviour (and cutting in particular).  It is misunderstood, even by mental health providers.  It is often treated as a contagion, something that will spread like a virus to others.  It often leads to exclusion and intense self hatred/shame/guilt and isolation.  It is almost always portrayed as entirely undesirable and destructive, never acknowledged as a complex, coping mechanism that has often helped a person survive extremely difficult times when they had few other options to survive.   Self harm is almost always conflated with suicide, when often  people who self injure are doing so as a way to stay alive and to cope with hopeless, intense or overwhelming emotions.  (Self harm and suicide can go hand in hand, but not always).

I felt seen and I felt valid.  I can’t remember the last time a piece of art made me feel so  affirmed and understood.

Later in the day, I was scrolling through social media and saw the same image on another website.  But this time the image was altered:

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In the second image, the scars are censored.  They are replaced with what looks like the reflection of white lights or stars.   This second image made me feel erased, ashamed and frustrated.   I can understand that the website might not want to trigger folks and it might not want to be seen as “promoting” self harm behaviours.  I can understand why someone might think censoring the image was in the best interests of the public, but as a person who self harms, I completely disagree with the censoring.

I didn’t feel triggered by the first image, I felt REPRESENTED.  As I mentioned, I don’t believe the image in any way glorified or promoted self harm.  I saw the image as respectfully acknowledging the fact that many trans and gender diverse struggle, in a large part because of transphobia and lack of acceptance, with various types of self harming behaviours.   That doesn’t mean that we are weird, odd, crazy or broken. It means we are surviving.

What this censoring means to me?

It means that the people running the second website think I should hide my scars, that they are a bad influence on others or that they might make people uncomfortable.  It makes me feel that I should be invisible or deserve to be invisible. It makes me feel that self harm is SO terrible that it needs to be blotted out and erased, replaced with stars and light that won’t make anyone uncomfortable.

Does that mean that my existence makes you uncomfortable?

Should I be ashamed and hide myself away?

Is my mental health disability SO unpalatable to others that it needs to be censored?

If today is International Trans Day of Visibility, I think that means ALL trans and gender diverse folks deserve to be visible (if they want to be) and that includes trans folks with mental, physical and invisible disabilities.  We have to work from an intersectional perspective that does not erase the various lived experiences of people.  Representation DOES matter.  People with disabilities so often lack positive, affirming and realistic representations of ourselves in media, art and society.   Representations that neither treat us like inspirational stories nor tragedies.

Because we are SO much more than that.

How to Heal when the World Wishes for Your Silence

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What do healing and recovery look like within a world that you feel wishes you did not exist?   What does it mean to speak up about being a survivor of sexual violence in a society that, despite everything, is still maintained by silencing victims and glorifying misogyny and violence?   What does it mean to be a person with scars, a visible psychiatric survivor who is struggling to meet the criteria of “normal” in a capitalistic world which glorifies busyness and productivity?  What does it mean to be a queer person trying to create self confidence and pride in a world which contains homophobic and transphobic violence and microaggressions all around?

How does one heal in a world which wishes for your silence?

I’ve been struggling a lot with intersecting experiences of mental health stigma, abelism, sexism, transphobia and queer/homophobia.

I’d like to be proud of myself or even to accept myself as I am.  I’d like to believe that being a survivor makes me strong and brave.  I’d like to believe that my scars make me unique rather than disgusting.  I’d like to believe that being queer is just as acceptable as being straight.  I’d like to believe that I’m not broken, dirty, shameful, guilty or weak.   I’d like to believe that I am not TOO MUCH to handle, not too sensitive, too radical, too depressed, too whiny, or too demanding.   I’d like to believe that I live in a world which fights for the rights of people who are different in various ways.

I’d like to believe that I’m okay, just as I am.

Recently I feel like there is no place for me in this world.  I don’t feel I’m living up to my potential.  I feel like a disappointment to those around me.  I feel like an inadequate parent and am consumed by guilt for not being able to protect my children from violence.  I’m currently unemployed and this makes me feel like I have no worth in society because I’m not being productive.   I don’t feel well enough to be working full time and taking care of my kids full time, but I’m having trouble finding a suitable part time or flexible job.  I feel lonely, isolated and full of self doubt.

Last week my daughter described experiencing sexual harassment on the school yard.  She’s not even in Junior high school yet.  She was walking across the yard towards her friends and was briefly alone when a boy she did not know yelled “Come here pussy” at her and then chased after her when she said “No” and started to run away.  The most disturbing aspect of the conversation was how she went on to describe various ways that she could get boys to leave her alone if they didn’t listen to her.  She talked about saying “I already have a boyfriend” and various other things she could say or do to protect herself.   She told me these strategies matter of fact, and it broke my heart to realize that such a very young girl already had a clear idea of being vigilant around boys and men  and had already concocted tactics to protect herself.

I don’t know how not to be broken-hearted about how little things have changed in the world since I was a child.  The media and the #metoo movement would have us believe that we are making progress in the fight against gender based violence.  I disagree.  I don’t think we are making much progress at all.  Generally, perpetrators of violence are still walking free with very few (if any consequences) and survivors of violence are still being held responsible for protecting themselves at every moment.

The only thing I can identify that has changed is that my daughter knew that this was wrong.  This was the second time she was sexually harassed at school this year and both times she told me about it.  She knows that without consent any type of sexual action is assault or harassment.  She knows that she has the right to protect herself, to run away and to say whatever she has to say to stay safe.  She knows that it isn’t her fault and she knows what consent means.

When I was younger, and until shockingly recently, I just assumed this was the way things were.  I didn’t understand the concept of consent.  I just assumed that I was the one who was wrong, strange or broken because I didn’t enjoy sex or sexual comments.  I thought I just had to get used to it, endure, zone out, and put up with it.  I didn’t even understand the concept that sex was something that was supposed to feel good and/or be enjoyable and collaborative.  I didn’t know that it was an option for me to be queer, bisexual, a lesbian or gender non-conforming.  I didn’t know women could be with other women.   In essence, I didn’t know enough to have the option to know myself or protect myself.  I didn’t know enough to even know how to begin telling anyone I was being abused because I didn’t have vocabulary to express it and I thought it was my fault.

I’m learning and unlearning these things as an adult in my 30s.  My own children knew more about consent, gender, sexuality and sex by the age of 10, then I did at the age of 30.

Things seem quite bleak lately.  It’s winter and I’m longing for the summer sunshine warming my skin.  My kids are struggling with the impacts of past abuse.  Schools and services are not trauma informed.  I’m watching my child experience stigma and lack of understanding around her mental health issues.  I’m struggling with the impact of past abuse.  There doesn’t seem to be much to look forward to.  I don’t see a clear path forward and I don’t have answers to many of my questions.  I feel overwhelmed, hopeless and anxious most of the time.  Almost everything online, in the news and social media triggers me and makes me feel more hopeless about ending gender based violence and oppression.

The one thing that seems to have improved is that my children have more tools that I did.  They have more knowledge and more understanding.  I might not have been able to protect them completely, but at least they know that violence is not normal and that it is not their fault.

 

Burn the systems to the ground.

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I don’t feel inclined to stay quiet and feel ashamed about this anymore. I’m struggling too much with the recent news and the state of the world for survivors. For others who have been through this, you are not alone. I talk about it to let others know that it isn’t their fault.

CW: sexual violence, systemic violence/oppression/disbelief
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Why am I triggered right now in the wake of the Kavanagh situation?

Why do I often wish I HAD stayed silent about my experiences of abuse and NEVER told a soul?

Because of the Children’s Aid Worker who asked me “Don’t you know how to protect yourself? Are you afraid for yourself or your children?” in a sneering, sarcastic voice

Because of the Judges who told me that my experiences of violence were irrelevant to family law, who implied I was lying because I hadn’t reported to the police, then accused me of making accusations to gain an advantage in court (after I reported)

Because of the OCL Social Worker who told me that I needed to get counseling for my anxiety and heavily implied that if I didn’t stop “coaching” my daughter to say bad things about her father that she’d have grave concerns about me creating conflict and that I’d lose custody.

Because of the OPS detective who closed my case TWICE without telling me and completely failed to investigate or take notes and then lied to cover himself.

Because of how traumatic it was to have my confidential psychiatric records photocopied and handed in an envelope to my abuser in a court room.

Because the trauma of testifying in court to get custody and protect my children was so intense that I barely remember the three days I spent doing it.

Because the trauma of listening to my psychiatrist speak about the abuse and its impacts in court was so much that I had to leave the courtroom crying due to the intensity of the flashbacks.

Because our family Doctor lied in court and then discharged me and my kids from her practice accusing me of being a bad parent with terrible boundaries as a result of the “parental conflict” that was being caused entirely by my ex. As a result my kids had no family Doctor for 18 months.

Because of the school principal who blatantly lied in court to support my ex saying she “didn’t recall” my daughter crying and screaming and refusing to leave with her father after a particularly stressful incident at home.

Because of the Children’s Aid Worker who told me that I should be “calmer and more neutral” about the transphobic behaviour of my ex.

Because of the Children’s Aid Workers who implied that if I didn’t stop reporting (and if other’s didn’t stop reporting) that they would get ME into trouble for making too many reports.

Because of the judge who clearly wrote in her final order that she didn’t believe I was abused.

I’m tired of the world implying that I’m “too crazy,” “too emotional,” “too sensitive,” “too angry,” “too anxious,” “too controlling,” “too whiny” “too radical” and just plain TOO MUCH when I talk about my experiences.

#whyIwishIhadnotreported  #whymetooisnotenough

 

On being a survivor.

It’s very difficult to know how to exist in a world where it is made clear at all levels of society, that perpetrators’ experiences and rights will always be prioritized over those of survivors (particularly women, children and gender non-conforming folks).

What happens if your perpetrators aren’t politicians or religious leaders, or people with power and status? Does anyone even care? Do those cases ever proceed to court or hearings? Do they get media coverage? Or are they, for the most part invisible, silenced even in cases where the victim DOES come forward, does report and does seek assistance?

How does it feel for survivors to turn on news or social media and be constantly bombarded with how little society values their pain and suffering?

How can any survivors ever really heal and feel safe in a world where their experiences are invalidated, discounted, silenced and disbelieved…not just once, not twice but OVER AND OVER AND OVER for the rest of their lives?

How to make sense of the level of victim blaming and responsibility placed on survivors, while those survivors simultaneously watch excuses be made for their perpetrators? Not just once, but daily and at all levels of society, nationally and internationally. How to understand that your perpetrators’ pasts were just the folly of youth, and his future is too bright to spoil, while you are grappling with severe PTSD on a daily basis as a result of the violence? How to understand that for him it was a “misunderstanding of consent” while you knew what you were doing and were responsible for staying with him?

How to exist when EVERY post about sexual violence reminds you of how your own experiences will NEVER be validated by official society (court, media, child protection) and that your perpetrators will continue to exist without meaningful consequences until the end of their lives?

How to exist when parental rights are prioritized over child protection and the rights of children?

These issues are not just happening in the USA. It’s easy to criticize America and feel morally superior as Canadians. But we have these problems here too. Survivors are not believed here too. Perpetrators have high level, successful jobs here too. Gender based violence is a society wide, structural, social problem here too.

There should be more stigma and consequences associated with being a rapist, than stigma and consequences associated with reporting/surviving rape. Until we not only BELIEVE survivors, but CARE about and prioritize survivors, not much will change.

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.

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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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.

Demisexuality. How did I not know about this?

 

I was scrolling through my facebook feed earlier this week, reading articles, checking out the news of the day when I came across a term that I was not familiar with: demisexual.

I clicked on the article to learn more, and my mind was blown WIDE open.  I decided to write this blog post in case others out there were not aware of this orientation.

I always felt different from others around me in relation to sexuality.  In my early 30s I began to think that I might be asexual.  At that time, I thought that I might not ever have another sexual relationship and I was okay with that.  At that time, I was also in the process of leaving an abusive marriage, one that no longer had any real intimacy for me.

After leaving my ex, I discovered that I wasn’t asexual, I just preferred consensual sexual interactions!  But I still had reason to believe that I wasn’t “just like” other people I knew.  I rarely thought about sex, and I rarely felt sexual attraction to anyone of any gender.  Within the context of a relationship, when I felt safe and comfortable, I was able to enjoy sex, but I couldn’t relate to the concept of a “sex drive.”

There were other signs that I was different.  My co-workers sometimes shared stories about sex with their partners and I felt uncomfortable.  In fact, thinking about sexual acts generally filled me with a sense of disgust and abhorrence.  I didn’t have any desire to experiment or try new things.  I really felt that I COULD live without sex if I had to.  I yearned for cuddles and physical closeness, but I never felt a strong need for sex itself.

I learned this week that there is a term for my experience “demisexual” or “grey-asexual/grace.”

I shared what I’d read with a friend of mine, along with my great surprise and pleasure at discovering the term.  She told me “oh, I thought you knew! I thought that was how you identified!”  I laughed out loud, apparently this was obvious to other people! It made complete sense to me too, I just lacked any language to describe it, thus I thought I was the only one!

It turns out there is a whole community of folks who identify with the spectrum between sexual and asexual.  I just didn’t know about it!

I’m pretty happy.  I’m actually really okay with my orientation.

It makes sense now why I couldn’t understand casual sex and why poly relationships or open relationships didn’t appeal to me.  For me, sexual attraction only exists within the context of an intimate relationship and I rarely experience sexual attraction to anyone who is not my sexual partner.  I don’t have any interest in watching porn.  I don’t even want to think about porn.  And though I want to support my friends, I rarely enjoy listening to them talk about their own sex lives.

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I’m not a freak.  I’m just a demisexual!

Vulnerability Hangover.

I’ve been feeling generally better over the last month.  I cut my hair short and have been expressing my gender in more neutral and androgynous ways.  It feels lighter and more authentic.  I waited a long time to cut my hair and I don’t regret it.  It’s a pixie style cut and since I got it I’ve felt less self conscious and physically awkward.  I’ve had some days where I felt more confident, less hesitant and less full of self doubt.  It’s felt good.

Since getting custody of my children, after a four year long court battle, there have been slow positive changes.  My kids are happily settled into new schools.  I get to spend more time with them.  Their mental health is generally more stable.

It’s Fall, the leaves have started changing and the world around looks beautiful.

But today I woke up with an intense and familiar feeling: that I’m taking up too much space.  The desire to take up less space is tightly bound together with my battle with anorexia.  The feeling of wanting to disappear or be invisible means that I’m more comfortable when my weight is lower.  I feel internal pressure to be thin, thinner or eat less, not because I care so much what I look like, but because the sensation of taking up too much space becomes unbearable.  I don’t feel like I deserve to eat enough to take up my full amount of space. Restricting food and controlling weight symbolically feels like taking up less space.  I’m not sure how to describe the feeling.  Worthless? Shameful? Self critical?  Useless?  Annoying?

I could go on, but I think you get the point.  It feels awful.

Over time I’ve noticed that there is a pattern to the days I feel this intense desire to take up less space, hide or disappear.  Days when my body feels wrong, too big…too much!  These feelings are linked to trauma and abuse, to my boundaries being crossed and to me pushing myself, challenging myself to do more (i.e take up space).

I posted on facebook today about feeling like I was taking up too much space.  Someone I know referred to it as a “vulnerability hangover” and they were exactly right.

Yesterday, I took on a piece of very personal advocacy work.  I attended a mediation meeting with an organization that has not played a positive role in my family’s lives.  I was scared.  I felt alone.  I felt threatened and scared.  And yes, I felt incredibly vulnerable.  I’m not able to write very much about the meeting, because it was confidential.  But it lasted many hours and I left feeling disassociated and numb.  I wasn’t upset, but I wasn’t fully present either.   I didn’t really want to talk about it.  I just wanted to sleep.

I woke up this morning and I felt like I was taking up too much space.  I wanted to hide and disappear.  I felt like crying through most of the day.  I felt irritable and angry over tiny things.  I felt stupid and useless.  I felt like I wasn’t going to be able to do a good job at anything.  I was doubting my abilities.

The familiar feeling of not being important was racing through my head.  Feeling like nobody likes me, that people merely tolerate my annoying presence.  Like a buzzing fly which someone feels too guilty to swat dead.  I felt too big.  Too much.

It was incredibly helpful for this person, who I don’t even know that well, to point out that the strong feelings were likely related to how vulnerable I was yesterday.  How exposed I felt.

So, today I have a vulnerability hangover.  It feels awful.

But I’m hoping that the advocacy was worth it.  That it was more effective and healthier than staying silent.  I’m hoping it makes a difference in another family’s lives.

I spoke my truth.  It was risky and terrifying, but I did it.  I wanted to run away, but I didn’t.  I faced some fears and came out the other side in one piece.

Just hungover.