Let’s Talk…

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So you want to talk about mental health and stigma?

Let’s talk about:
-how few mental health care services there are for children under 12
-how long the waiting lists are for any of our vastly inadequate publicly funded mental health services
-how Canada has a two-tired mental health system and those who are economically marginalized are often completely unable to access any long term mental health care
-how few mental health care services are truly trauma informed
-how people who cope through substance use, self harm, suicidal thoughts or other “negative” coping techniques are stigmatized, blamed and often thought to be manipulative or attention seeking
-lack of services for eating disorders and long wait lists which exclude everyone except the most ill
-abelism
-the capitalist idea that people’s worth is directly defined by how productive they are (which contributes to the stigma faced by mentally ill people who are not able to work)
-lack of affordable housing options which keep survivors of violence from being able to leave
-poverty: it’s not easy to recover from mental illness when you don’t have the money for food
-racism, colonialism, transphobia, homophobia, sexism, classism and oppression which impacts people’s ability to access services and to recover
-the idea that mentally ill people are lazy and need to just try harder or cheer up
-the fact that many treatments and medications actually make people worse and the fact that it is often an extremely difficult and painful process to find a medication that helps (and whether or not these medication are affordable)
-how few psychiatrists there are and how short their appointment times are
-the lack of publicly funded counseling services, especially ones that are not just brief, time limited sessions (which often aren’t enough for trauma survivors or those with a serious illness)
-how people with mental illness still face discrimination in the workplace
-the whole “but you don’t look sick” issue which feeds into stigma
-the fact that most people don’t qualify for services until their situation is severe, chronic and urgent
-the lack of preventative care for mental illness
-how the school system is not trauma informed and how children with mental illness are often viewed as “problems”
-sexual violence, violence and intimate partner violence:the majority of people living with severe mental illness have experienced violence
-how lonely and isolating it can be to live with a mental illness
-how people who are “high functioning” are often not viewed as having a real illness, but those who are not able to function adequately in society are viewed as lazy or crazy
-high rates of suicide for trans and gender diverse people, specifically those who are not affirmed, accepted and supported
-how difficult (if not impossible) our fragmented mental health care system is to navigate
-high rates of burnout for staff working in the system which is overworked, underfunded and under resourced
-lack of culturally appropriate care for Indigenous folks
-the problematic aspects of the DSM
-media stereotypes which present people with a mental illness as violent, unpredictable and scary monsters (most recently the movie Split)
-horrible stigma perpetuating “games” such as the asylum escape rooms
-stigmatizing use of language (using mental illness related words as casual descriptors)
-joking about suicide
-the silence and isolation that family members, caregivers and the person themselves faces because their illness is a mental illness not a physical one (nobody is bringing casseroles after you attempt suicide)
-how hard it is to be a parent with a mental illness and the fears that child protection might take away your children because you have a history of self harm
-how hard it is to ask for help or be honest about struggling with mental illness because of the fears of stigma and exclusion
-how little funding there is for ending gender based violence
-how people with mental illness can become criminalized due to interactions with the police

This isn’t just about ending stigma.
#letstalk

 

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.

 

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.

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

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/

Complex feelings.

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I’m going to talk about something that people who have not experienced prolonged interpersonal abuse rarely understand, and people who have survived it immediately relate to.   The technical psychology term for it is “trauma bonding” but what it refers to, in simple terms, is the complex and multi-faceted feelings a victim has for their abuser.

It’s very hard for me to talk to people in my life about this.  Well meaning people who want to help and who actually care about me a lot, don’t understand this.  This is why it is so important to support survivors of violence by listening to them, validating them and meeting them where THEY are at.  Make sure you clearly understand where they are at, before you begin projecting what you think they should be feeling or where you think they should be at.   If you don’t listen closely, and validate the complexity of the situation, the survivor will shut down and stop sharing with you.  This is not about you.  It was never about you.  If you didn’t live through it, you don’t get a say in how the survivor “should” be feeling.

I’ve known my ex-partner for 17 years, 1 month and 25 days.  We’ve been in a type of relationship for more than half my life.  We were together for 13 years and have been separated/divorced for 4 years, 1.5 months.  Even though we separated we have been (in theory) sharing responsibility for our two children.  In that way, we were still bonded and in a relationship, even though it was at a distance, non-communicative and unproductive.  It was still a type of co-parenting situation, even if we didn’t actually make any real decisions together.

This represents a large portion of my life and a tangled web of complex emotions.

My ex-partner is moving to the other side of the country in 3 weeks.  He’s leaving.  The house we lived in has been sold.  An everything-must-go yard sale planned.  My kids have brought the majority of their possessions here.

And he hasn’t even communicated this with me directly.   Everything I know, I’ve learned through my children.  After over 17 years, he is leaving without even telling me, let alone consulting me or gathering input from me.  Without discussing how this might impact my children, or quite frankly me.

He’s never been one for consent.

Quite honestly, there have been many times over the past four years where I wished for this outcome.  I wished for him to move away, leave us be.  I wished to not be afraid every time I saw a car like his.  I wished to not worry about running into him at the grocery store.  I wished for him not to emotionally abuse the children and I wished not to have to pick up the pieces of that on a weekly basis.  I wished to never see him again.  I didn’t really wish harm on him, I just wished he would move away and let us heal.

I wished for it.  But I didn’t believe he would actually abandon his kids.  I didn’t actually believe he cared so very little about them, that after 4 years of fighting for custody, he would just walk away.

And because I wished for it, people expect me to be happy.  People are congratulating me.  People are thrilled and excited for me.   From the outside, this looks like a dream come true to them.

But honestly, it isn’t.  Not at all.  I’m going through a complex mix of grief, loss, abandonment, fear, anger, anxiety and confusion.  I’m having to face the fact that what I actually wanted is never, and was never, going to happen.

What I actually wanted, was for things to calm down.  I wanted to co-parent, cooperatively, but at a distance.  I wanted us to continue to raise these kids, in separate houses, but working together in their best interest.  I wanted a truce.  I wanted the abuse to end.  I wanted to leave, but I wanted to leave to stop the abuse, not to cut off all contact with him.  I wanted the right to stop the abuse, without sacrificing the entire relationship.  I thought the common bond of sharing children together would continue.  I thought I would be able to talk with him about issues directly related to the children.  I didn’t think we’d be friends, but I had hoped we could co-parent.  I wanted to have a choice.

I never signed up to be a solo parent.  This is not something I feel like celebrating.  I can’t celebrate because I’m grieving.

Truly this is not what I wanted.  I don’t hate him.  I don’t love him, I don’t think I ever did, but I don’t hate him.  I feel deeply sad and disappointed.  I am having trouble trusting and connecting with anyone.  I feel responsible.

And I understand completely that survivors have a complex relationship with their past abusers.  I understand it when people say that they still love the person who raped them.  I have so much compassion for people who have to parent with someone they don’t trust.  Abuse is not simple.  The feelings aren’t simple and survivors need the space to feel accepted for all their confused feelings.

It’s not their fault if they still care about their abuser.  It’s not their fault if they get confused and think it is their own fault.  It’s not their fault if they hope it will get better. It’s not their fault if they dream of reconciliation despite all evidence that the abuser can’t change.   Don’t be disappointed in them.  They can’t help it.  The psychology term for it is trauma bonding, but quite simply they are tormented by self-blame and confusion.

Gaslighting and the cycle of abuse means the survivor feels responsible.

In my case, the abuser has quite literally blamed every aspect of this process, including the abuse and his decision to move, on me.  He told the kids it is my fault he is leaving, because he has “nothing here.”

So, even though you can probably clearly see that it isn’t my fault, I feel responsible.

Even though I intellectually know that it isn’t my fault,  I still feel devastated.  Even though I know intellectually we are better off without his abuse, I’m still scared to be responsible for the kids on my own.

It’s okay to want someone gone, then mourn the overwhelming sense of abandonment.

It’s okay to have whatever feelings you have.  This isn’t a clear situation.  The abuse was designed to confuse you, and that confusion remains long after you leave.

But it’s pretty hard to open up, cry and receive comfort, when you don’t feel entitled to these feelings and when you feel you SHOULD be happy, because it’s what YOU wanted and what people expect.

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Slide credit: Soni McCarty, LMHC 

 

 

What the parent of a trans child really needs to hear…

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There’s something I haven’t shared very much about in this blog.  I’ve debated for a year about whether or not to write about my children.  I have mixed feelings, even though my blog is anonymous, I want to protect their privacy.  I’ve decided not to write many specifics about them, but I do talk about parenting issues in general, including parenting through mental illness.  I do this because I want to break the isolation I have felt as a parent with a mental illness.  I know other parents out there have felt the way I have, judgment, fears of being judged, fears of not being enough, fears of relapse and more…

But I’m living with a different type of parenting challenge.

I’m raising a transgender daughter.

I wanted to write a post with a few tips on what to say and what NOT to say to the parent of a transgender child.  As I write this post, I want to clearly state that I don’t speak for all parents of transgender children, nor do I speak for trans folks themselves.  I’m speaking for myself, a queer, white, femme but not quite binary person, living with mental illness and raising a trans female daughter.

Things that I don’t need to hear:

  1. You are so brave! I don’t know if I could do it!  I don’t want to be put on a pedestal.  I’m not doing anything superhuman.  I’m parenting my child.  Supporting my child in her social transitioning wasn’t even something I debated.  I knew very early on that I could have a dead “son” or a happy, healthy daughter.  This was a no-brainer.  I’d like to think you would make the same choice, if it came to saving the life of your own child.  I’m not brave or special.  I’m just a regular mom, taking care of a slightly extraordinary girl.
  2. How do you know it’s not just a phase?  What if she grows out of it?  Maybe she’ll just be gay.  Please stop.  Don’t say any of these things.  First, it’s not your business.  Second, my child knows herself best and I guarantee I know her better than you do.  Even if it is a phase, which I highly doubt, she will have a chance to explore it and she will know I support her unconditionally.   These comments also irk me because they are laced with veiled transphobia.   They imply that being trans is something undesirable, that being cis-gender is normal and being trans is something deviant.  I reject this.  Gender exists on a spectrum.  We all have gender identity and gender expression.  Trans folks are no different.  Being cis gender is not inherently better.   I don’t wish my child would “just be gay.”  My child is herself, and I celebrate that.
  3. It’s so difficult for me/us to accommodate this.  This is something I heard from my child’s school.  It made me feel physically ill.  Grown adults saying that creating a universal, gender neutral washroom was SO difficult and using my child’s chosen name was so stressful for the staff.   I’m sorry, but this isn’t about you.  Using a person’s pronouns and chosen name is basic respect.  Mis-gendering a trans person is violent and aggressive.  It’s much more difficult for my child to go into school every day, worry about using the bathroom safely, worry about people respecting her, than it is for adults to adjust to using a name, or change a sign on a bathroom.  This is also another form of veiled transphobia.
  4. I understand.  Please use this phrase with caution.  Unless you have parented a trans child, or you are a trans identified person, please don’t say this to me.  If you don’t have lived experience you don’t really understand what my family is living.  An alternative to this could be to say “I hear you” or “I believe you.”

What I would like to hear as I parent my trans child:

  1. How are things going?  Would you like to go for coffee?  Do you want some company?   Parenting is isolating.  Any parent knows this.  Being a single parent is very isolating.  Being a single parent, with a mental illness, parenting a child who has some unique and special needs is extremely isolating.  Please continue to invite me to do things.  Ask me out for coffee.  Come over to my house and chat.  Let me vent about my fears, worries and struggles.  Be there to hear about our successes.  Because I need these things in the same way that any parent does.  I need a sense of community and so does my child.
  2. You are a good mother.  You are doing the right thing by supporting your child.  Sometimes I need reassurance, especially when I doubt myself or am overwhelmed with fears for the future.  Don’t jump in and give advice (unless asked for), don’t tell me my worries are irrational, don’t shut me down.  Just let me talk.  Believe me, validate me and hold space for the unique challenges my family faces.
  3.  Pretty much ANYTHING coming from other parents of trans children or other trans folks.  Its helps me and my child immensely to know that we are not alone. Hearing about the lived experiences of others and being part of an amazing community of LGBTTQ+ folks in our city has been nothing short of life saving.   If you are parenting a trans child, my one piece of advice would be to seek out a source of community.  Community is different than medical care/counseling, though your child may benefit from that as well.  Community includes online support groups, facebook groups, playgroups, youth groups, parenting groups, pride celebrations, camps etc…reach out and find one in your area.  If you live in Canada, you can contact me and I’ll help you get started. I guarantee you won’t be sorry and you’ll meet some of the most amazing people imaginable.

Best of all, if this is new to you, there are so many resources available.  Educate yourself.  Read.  Learn.  Because trans kids and youth are out there and they need our love and support.  And so do their parents!

Save

Celebrating One Year of Hopeforsanity Blog!

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It’s been one year since I started writing this blog.  If you are a new reader I encourage you to go back and read the first few posts of this blog.  To all of you who are reading, following, liking, sharing and commenting: THANK YOU!  I’m writing this blog for the dual purpose of expressing myself and connecting with others who are struggling, letting them know they are not alone.  You are not alone.   Though this blog has dealt with graphic and dark topics, I aim for the overall message to be one of hope and resilience.

Twenty one years ago tomorrow (April 12, 1996) the entire course of my life changed.  I was 15 years old and I entered into an abusive relationship that altered my relationship to myself, my friends, my family and my body.  I went from a relatively happy, self assured, popular 15 year old girl, to an anorexic, withdrawn, self-hating, 16 year old young woman.

I believe Ana was born at this time.  It’s no coincidence that Ana is 15 years old.  Ana is my traumatized child self personified.   Ana is angry in ways my younger self could not be.  Ana is all the fear, shame, guilt and hopelessness personified into a rebellious teenager who only wants to hurt me and say a giant F U to the rules of the world.

Sometimes I wonder how my life would be different if I’d never dated X.  If I’d never tried to befriend him.  If I’d never believed that I could help him feel better about himself.

I also wonder how my life would have been different if I’d been taught as a child that it’s okay not to be “nice” to someone who is hurting you.  I wonder how my life would have been different if I’d been less concerned with being “perfect” and more concerned with protecting myself.  I wonder how my life would have been different if I’d realized that saving myself was even an option.  I was an easy target for perpetrators of abuse.  I played the role of rescuer, helper, caretaker and I never wanted to let anyone down or disappoint anyone.

People who don’t understand normal coping reactions to sexual violence have asked me:  Why didn’t you just scream?  Why didn’t you tell someone?  Why didn’t you push him and run away?

All I can say is that the answer is so complicated.  The answer lies in the social conditioning of some women living in a patriarchal, rape culture.  The answer lies in being taught to be “good” rather than to be true to oneself.  The answer lies in physiological responses which caused me to freeze and disassociate rather than fighting or fleeing.   Those physiological responses were not random, but were connected to the socialization of being a “good girl.”

My 15 year old self never would have considered screaming or fighting back.  Because she was ashamed, blamed herself and never wanted to make a scene.  My 15 year old self was confused and inexperienced and it took her a while to figure out that she didn’t like the sexual experiences that were being forced on her.  It took her a while to figure out that she wasn’t really choosing.  By the time she realized it wasn’t right, she was already coping by disassociating to lessen the impact of the abuse.  By the time she started firmly saying no, the pattern of abuse and the cycle of violence was already firmly established.   And because she was not naturally an assertive child and had not been taught to fight back in self defense, when her no wasn’t listened to, she began to shut down even further, withdraw further and develop other ingenious coping techniques such as anorexia, self harm and disassociating completely.

These reactions weren’t accidental.  They were conditioned from a young age.  Adults have to teach children to fight back.  Adults have to teach children that being nice can stop when someone crosses a boundary.  Adults have to teach children to fight like hell to escape a dangerous situation.  And even if a child learns all these things, it is still possible that in a violent situation freezing can be the only available option.   Many people being abused feel that fighting back would only result in further violence and physical injuries.

In my case, what kept me frozen was guilt and shame.  I thought I was doing something shameful by being sexual.  I thought that his family and my family would judge me.  I thought that my friends would judge me for neglecting them (as I was being socially isolated by the abuser).   Self blame kept me frozen and not fighting back.

Even as an adult, 21 years later, I still cope with conflict and stress by freezing or disassociating.  I’m still not skilled at saying no.  I also have difficulty saying yes or asking for what I need.

I think for a person who has experienced sexual violence it is difficult to say no.  Because in the abusive situation no was ignored and pushed past.  So staying silent feels less painful than having no not respected.  If I never really say no, I can’t be abused again.  It’s warped logic.  It is not productive or helpful, and it also prevents me from comfortably saying yes.

For someone whose boundaries have been consistently violated, setting boundaries can become a life long struggle.  A skill that must be learned or relearned gradually and with patience and self compassion.

Quite simply, I survived in abusive relationships for many years because I literally felt I had no other option.  I didn’t even feel like I deserved to be respected and I was gaslighted into believing the abuse was my own fault.

It’s never helpful to ask a survivor “Why didn’t  you just leave?”

Keep those thoughts to yourself.

They would have left if they could have.  And if they did leave, they are successful.  It doesn’t matter how long it took.  It took as long as it needed and not a moment longer.  Celebrate the reality, don’t question why it didn’t happen sooner.  “Why didn’t you just leave?” is a type of victim blaming statement.   If you don’t understand how someone could be trapped into an abusive relationship, educate yourself.  Don’t ask the survivor to educate you on their own painful lived experiences.  Survivors need to feel believed and validated, not questioned into justifying their existence.

Every year on April 12, I count another year of my life that has been impacted by sexual violence.  It is a grim reminder that for many survivors, myself including,  that the abuse was not “a long time ago” and we can’t “just get over it”  or “just move on.”  For people living with PTSD, time is a slippery beast.  Ana is still 15 years old.  Ana is me, she’s a part of me.  A part of me that never really grew up.  A part of me that needs parenting.

I’ve never parented a teenager before. I have no experience.  But I guess I’ll have to start somewhere.  And starting with acknowledging she is here, and she has unmet needs, is as good a place as any!

 

Be Your Own Hero.

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It’s been a difficult time for me.  I’ve been waiting 90 days+ for the verdict in my family law trial.  I’m experiencing a lot of triggers and finding it harder to stay positive and optimistic about the future.

Quite frankly, it is terrible for my mental and physical health to have contact with my abuser.  It upsets me, it triggers me, it causes flashbacks and disassociation, it confuses me, gaslights me, makes me doubt myself, my abilities, makes me feel crazy and like nobody believes me.

Unfortunately, he is the father of my children and I can’t just go no contact.

It’s awful.  It’s awful being told I have to “get along” with someone who treated me so badly.  It’s frustrating being told by many institutions such as the kids school, the CAS and some doctors, that I should be more neutral, not let my past impact me, that he’s a loving parent and basically a good person.

Hold on a minute….basically a good person?

That’s what I told myself for years.  It’s just sexual abuse.  It’s just the sexual stuff, he’s otherwise “basically a good person.”  Telling myself that kept me locked into the relationship for years longer than I should have stayed.

Someone who doesn’t believe in consent is not “basically a good person” they are an abusive person.  He is an abusive person.

Privilege in society allows abusers to “pass” as basically good people.  They know how to act, to charm, to make their victims look crazy or unreliable or unbelievable, they know how to discredit others, they know how to tell different lies to different people to suit their needs.  Most abusers can make you think they are basically good people, but in reality, the signs are there that they are not good people.

The saddest part is that because abusers are expert liars and manipulators they can often convince everyone who might be able to help you, that they are good people!   So the abuse they perpetrate goes unnoticed and unacknowledged by anyone who might be able to support or rescue you.

Suddenly, they are “basically good people” and you are perceived as mentally ill and crazy.

Abusers gaslight the system.  That, combined with the societal privilege, rape culture, and patriarchy, allow them to pass unseen, and unnoticed through our world, abusing people as they please and not being stopped.  In a parallel experience, the survivors are believed less and less, as a web of lies is spun about them by the abuser to those around her who might assist her in escaping.

This is what I’m experiencing in my life.  It’s been 3.5 years since I left my abuser but I’m still locked in a web of abuse.  Very few people within the “system” believe me, and those who DO believe me and my kids, are seen as biased!  It’s an unbelievable, frustrating and maddening situation.

The more I protest, advocate and fight for myself and my kids, the more I am labelled radical, crazy, not neutral, too angry etc.

So what are my options?

I feel like the only option is to be my own hero.

At the end of the day, my ex-partner would like nothing more than for me to fall into a crisis and commit suicide.  He wants me to kill myself so that he can be right.  So he can prove that I’m crazy and that I don’t care about, and have never cared about, my kids.  He won’t stop punishing us until he reaches this goal.

But it’s been 3.5 years, and generally I’m more mentally healthy than I was before.  Generally, I take care of myself.  I’m working full time.  I’m becoming more confident in myself and my career.  I have some supportive friends and a supportive family.  I’m not falling into a crisis.

I won’t let him destroy me.  I’ll stay alive as long as I can just to spite him.

I’ll be my own hero, if nobody else will step up to protect my kids.  I’ll protect them and myself and do everything in my power to survive.

Survival is the best revenge.

If you are experiencing abuse, be your own hero.  Believe yourself.  Support yourself.  The rest will slowly follow.

If depression were treated like a physical illness

The holidays can be a difficult time for people struggling with invisible illness such as mental illness or chronic pain.  During the holidays we are “supposed” to be happy.  We “should” relax and have fun.  We are “meant” to connect with friends and family.  It’s happiest time of the year, right?

But what if you aren’t happy?  What if you want to be happy and connected more than anything else, but you can’t be?  What if depression is stealing the happy, the relaxing, the fun and the connection right out of your holidays?

People all around me have been cancelling plans due to the flu, a cold and other winter illnesses.  This is acceptable and even expected in the winter time.   It’s even considered polite and good manners to stay home and keep your germs to yourself.  It’s understood that you aren’t feeling your best and that you have no energy when you have the flu. It’s okay to stay in bed and eat soup and sleep for hours.  People are sympathetic and nobody expects you to just “cheer up.”

I can’t even tell people that I’m sick. I can’t cancel plans.  I can’t stay in bed.   I feel disapproving looks from people around me when I’m not smiling and when I sit quietly or lose my temper  more easily that usual.  I’m exhausted, and I won’t feel better after a few days in bed.  Even if I could spend a few days there.

It’s Christmas time and I’m living with depression and anxiety.

Yes.  I’m sick.  I’m more severely depressed and anxious than I’ve been in a long time.

I want to call in sick to life.  I’m not even suicidal, I don’t want to die.  I just want to give up on “acting normal” and “keeping up appearances.”  I can’t imagine going back to work next Monday, the thought makes me panicky almost to the point of tears.  I have fantasies about developing some serious physical illness…nothing TOO serious, just enough to get me about a month off work with no questions ask, but not SO serious that I’d be in the hospital.  I want someone to take care of everything and take all the stress away.

This is what happens when society doesn’t acknowledge mental illness in the same way it does physical illness.  People who are depressed are lowered to the point of imagining horrible illness as a reason to be “justified” in taking sick leave, or even just taking the day off to rest.

Because when you are depressed you get treated like a misbehaving, whining child when you are not happy and not feeling connected.   When you are depressed you feel like a shitty parent when you don’t want to play with your kids, or you can’t enjoy your time with them.  When you are anxious and don’t want to leave the house you have to push yourself through it, even when you don’t enjoy a single minute of the activity you are doing.

When you are depressed, a “good night’s sleep” won’t fix it.  When you are depressed, “just cheering” up won’t work.

When you are depressed, you can’t just “lighten up” or “just relax.”

Believe me.  I WANT to relax.  I WANT to lighten up.  I want to laugh with my children.  I WANT to have fun with you.  I WANT to feel connected.  I WANT to feel like more than an empty shell marching through the tasks of the day.  I WANT to have energy.  I’m fully aware that I’m not acting normally and I’m terribly self conscious about it.  I feel guilty all the time about how depression impacts me and those around me.

I didn’t ask for this, any more than you asked for that cold, flu or stomach bug.

I didn’t ask for this, any more than anyone ever ASKS to be ill.

I don’t need to be fixed.  I don’t need suggestions on how I can help myself.  I don’t need to be told to look on the bright side.  (by the way neither do people dealing with chronic physical illnesses!)

I need you to keep me company while I shuffle through this dark period.  I need you to be there for me and to not judge me.  I need you to remember that I’m sick and not malingering or misbehaving or ungrateful or lazy.  I need you to remember that I’m trying my best and sometimes MORE than my best just to get through each day.  I’m using every ounce of energy to hide the depression from you, from my kids, from everyone.

I’m in pain.  I’m tired.  I don’t feel hopeful.  The world seems like a dark place and I can’t see the end of it because my thoughts aren’t clear.  Just as a runny nose and cough are symptoms of a cold,  depression makes me think that everyone hates me, that I’m worthless and that I don’t deserve basic things.   Just as a flu causes a high fever and aches, anxiety causes me to imagine horrible things and obsessive irrational thoughts.

These are symptoms.   It’s not a choice.

I’m depressed and anxious.  I’m sick and that is not a choice.

I had the best holidays I could, while not feeling well or happy.