This book is an invitation for you to use the simple act of writing as a way of reimagining who you are or remembering who you were. To use writing to discover and fulfill your deepest desire. To accept pain, fear, uncertainty, strife. And to find, too, a place of safety, security, serenity, and joyfulness. To claim your voice, to tell your story.
– Louise DeSalvo, Writing as a Way of Healing
This course, Writing towards Wholeness: Expressive Writing for Self-Care and Healing, extends DeSalvo’s invitation (and draws on her excellent work, along with the work of many other fantastic writers). The course starts on May 8, and runs until June 19. In these six weeks together, we will learn what expressive writing is, how to use it, and how to care for ourselves through the process of writing our difficult stories.
Each week will include video content, writing prompts, exercises, and a scheduled live chat. The course is designed to be modular – if you’re not interested in the behind-the-scenes lit reviews, discussion of the hows-and-whys, or extra information, you can skip the video content. If you’re just interested in learning about the topic and trying it out later, you can skip the prompts and exercises.
The course is capped at 10 participants, and I’ll be available for individual cheerleading, coaching, and that gentle butt-kick of accountability for each participant individually, in addition to the content available to the group. As of May 3, there are 4 spots still available.
The time commitment for the course is flexible, but you’ll get the most out of it if you can spend 10-20 minutes writing, 4-6 days per week, in addition to the few minutes it takes to read the emails. The video content will be anywhere from 3-15 minutes per week, and the live chat will be 45-minutes per week. With an investment of 1-2 hours per week, you should see some significant progress. And if you do every exercise and read every link and watch every video, you could spend 3-4 hours per week (though I have absolutely no expectation of that!)
The cost for the course is $60, with sliding scale available. It’s $45 for patrons of my Patreon, and it’s free for coaching clients.
If you’d like to sign up, email me!
- Introduction to the course and the core resource books
- How expressive writing works (and the limits of its utility)
- Designing a self-care plan
In Week One, I’ll give you a mini review of the current state of the scientific research into the healing effects of expressive writing. Expressive writing has been studied as a tool for healing since the first paper was published on the topic in 1986, and there have been hundreds of studies since. We won’t talk about all of those studies, but I’ll give you a brief overview to help ground you in the science behind the practice. We’ll also talk about the limits of expressive writing, and alternatives to writing. Drawing, dancing, mind-mapping, and other artistic forms of expression are welcome, and we’ll touch on the research that supports their benefits. In Week One, we’ll also bump up against the limits of the research. The fact is that we don’t know why expressive writing does and doesn’t work, and although we’re getting closer to answers, they’re still in the future.
You’ll also begin to design a personalized self-care plan in Week One. We’ll talk about how to identify your needs, and set yourself up for success.
- Narrative trajectories
- Personal anthologies
In Week Two, we’ll introduce the narrative side of the project. Drawing on David Denborough’s work with “everyday narrative therapy,” you’ll start to identify and explore your own life story. We’ll talk about personal origin stories, and how to create an anthology of your own formative positive moments. These positive story will work with your self-care plan to help give you a solid grounding in self-compassion and non-judgmental self-awareness. For many of us, the negative stories are easier to believe and easier to call to mind, so although this week is focused on the positives, it’s definitely going to be a bit uncomfortable at times. Good thing we have a self-care plan in place!
- Writing and trauma recovery
- Other benefits of expressive writing
Week Three will dig deeper into the specifics of how writing can be used to work with trauma and other issues (such as focus at work or school, or managing depression, anxiety, or other mental health issues). We’ll talk about how trauma impacts the body, and some of the research into the health effects of trauma. We’ll also talk about externalization, and start practicing seeing problems as being something outside of ourselves, rather than something inherent to ourselves. If that sounds weird and counterintuitive, don’t worry. I’ve got exercises and simple explanations to make it more accessible and engaging.
- Expressive writing
This is it. We’re doin’ it! In Week Four, we’ll put our self-care plan into full effect, and engage in four days of 15-20 minutes of writing about an emotional topic. If you’re a trauma survivor, don’t worry – you don’t have to write about the scariest or most challenging – we’ll talk about a wide range of potential topics and you can write about whatever feels right for you. You will have access to all of the course materials even after the course wraps up, so you can always come back to it as many times as you want.
- Reframing, reshaping, recovering
We’ll take the body of writing (or drawing, or talking, or dancing) that you’ve generated over the last month and start thinking about how it fits into our narrative trajectory – the path we want our lives to take and the path we see ourselves having already taken. We’ll talk about how to use the skills and tools we’ve gained so far to reshape and reframe our stories, and to use these narrative strategies to recover from traumas and difficulties.
- Tools for a sustainable practice
- Discussion and wrap-up
In our final week, we’ll talk about how to use these tools going forward.
I am so excited about this course. I have used writing as a coping and healing tool for decades, and writing has gotten me through some of the worst times in my life, and helped me appreciate some of the best. Telling our stories intentionally, compassionately, and wholeheartedly has the potential to change the way we see ourselves in the world, to help us feel centered and strong in the stories of our own lives.
Dressed up as a Gloom Fairy – one of the self-care strategies that got me through university.
This is a Patreon reward post. At $5 per month, you, too, can have a personalized post on the topic of your choice during your birthday month!
Red Davis (one of the first people to back my Patreon! *heart eyes*) is a current student and good friend. He asked for “a post relating to disabilities and mental health disorders within a university, professional, or social context; recurring themes of self-shame, embarrassment, and self-imposed solitude often debilitate many in higher learning or work situations.”
I will admit, I struggled with this post.
I wanted to write it, of course. Helping people navigate these hostile contexts while existing on the margins is exactly what I want to do in my coaching and self-care resource creation. Not only that, but it’s a reward that I’ve committed to providing for someone who is dipping into a tight student budget to support me, and make this work possible.
Every time I sat down to work on the post, my own feelings of shame, embarrassment, and self-imposed isolation flooded through me.
I remembered, specifically, one afternoon in 2012, standing in a hallway at the U of C, probably the Social Sciences building. One of the little ones, too brightly lit, with old computers on white tables, and plastic chairs, and a few students wandering. Wearing my winter jacket, dragging my backpack on wheels because the fibromyalgia no longer let me carry all those books, on my cell with the campus dental office cancelling an appointment because I was having a panic attack.
That panic attack cost me $100 in a late cancellation fee, and I never rebooked. Now, 5 years later, that memory still sparks shame and anger, and an icy-gut feeling of humiliation over the fact that my panic attacks cost me so much money at a time when I had so little, and that they kept me away from necessary healthcare. (And they have continued to do so! That appointment would have been my first visit to a dentist in years, and when I said I never rebooked, I mean that I never rebooked. It’s on my to-do list for this week. Seriously. I’m gonna do it. For real. I swear.)
The memory is about the money, the shame of “wasting” money on a “ridiculous” mental health issue. Sort of. Maybe. I mean, the money is part of it.
But it’s also about the voice on the other end of the phone, the impatience and irritation of the receptionist, and the feeling of shame when I started to cry and she cut me off. “Sorry, no exceptions to the cancellation fee, if you were going to be unable to make it, you should have called yesterday.”
These feelings are deeply physical. Shame, humiliation, fear – these are all visceral reactions, gut feelings. 5 years after that phone call, I still feel the twisting in my belly as the shame winds through me.
And when Red touches on self-imposed solitude, this twisting shame belly is part of that. Shame, after all, is an isolating emotion. It pushes us away from each other, drags us off into dark corners to hide ourselves.
How do we reach out when we are captives of our shame?
But shame is not the only factor.
Time and energy are also factors.
How do we maintain our social circle when disabilities make the work of school or professional life take longer, and take more out of us?
When fibromyalgia arrived on the scene, stealing my energy and my reading comprehension, and for one horrific semester, my ability to write… everything took longer. Everything took longer. Crossing the street took longer! Reading a paper took longer, and took more out of me. I was tired at the end of a page, exhausted at the end of a chapter. I deferred coursework, missed deadlines, spent endless hours in doctors’ offices and at the disability resource centre – hours that were then not available for schoolwork or paying work or socializing.
The anger at no longer being able to operate as I had was immobilizing, and embarrassing. The shame was overwhelming. The exhaustion was beyond comprehension. It triggered a depression… or did the depression precede the pain? Those years are a dark smear of distress across my memory.
How do you make it through post-secondary or professional contexts when dealing with disabilities or mental health issues?
How do you survive?
How do you continue, knowing that your brain and your body are working against your ability to fit into these contexts?
In 2013, I did my first Year of Self-Care.
I needed it. Even through the blur of my distress, I knew that I needed it. I was falling apart. I was a wreck – physically, emotionally, mentally, financially.
I don’t honestly remember much from the beginning of that project.
I know that I was desperate.
When I was 18, at another desperate point in my life, I had done a Year of Independence in an effort to heal some relationship trauma. It was one of the highlights of my youth, remains one of my favourite experiences. I leaned on that, and set out some plans.
It wasn’t easy.
But one of my founding principles for that year was compassion for myself. The act of compassion and care, even when the feeling was unattainable.
I needed to start there, because at the time, my body and my brain felt like my enemies. I think that’s a common experience for people dealing with disability or neurodivergence. It’s hard to practice effective and sustainable self-care when you feel like your own enemy.
The Year of Self-Care included a lot of hit-and-miss experimentation.
During that year, I discovered how much I enjoy the ritual of tea, and that’s the year I learned to make London Fogs. I still make amazing London Fogs (though not as often as I used to – I need a new milk frother).
I also experimented much more intentionally with using outfits as armour and as a self-affirming tool. Gloom Fairy, The Pirate King, and Elf Commander all have roots in those Year of Self-Care experiments.
How do you continue, knowing that your brain and your body are working against your ability to fit into these contexts?
It was the year that the Wall of Self-Care went up, white boards with anxiety bubbles, and self-care lists, and my inspiration board.
It was the year I learned to swim, in order to challenge a phobia, and get my fibromyalgia pain under control, and prove to myself that I could.
It was the year of endless struggle, and I was lucky because it was also the year of infinite support.
It was a hard year. But it was a good year.
A list of self-care to-do items posted on Facebook in 2013 with the comment: This afternoon took a sudden, unexpectedly intense turn for the worse, so I hung up some stick-on white boards (expanding my wall of self-care) and made a list. Intentional self-care! For those of us whose default position is ‘the unfortunate person crying in the stairwell.’ Sigh.
A badge given to me by my friend Patti when I successfully managed to tread water.
A love note from my little niephling.
The biggest lesson from that year was that self-care is fucking hard. It’s hard. Making a cup of tea when you’re exhausted, and ashamed, and embarrassed, and feeling lonely despite your community – it’s hard. Reaching out for help? Holy shit, that is not easy. Doing anything other than wallowing is just really hard.
Making choices intentionally, and choosing compassion and care, it takes effort. And you fuck up, a lot. You fuck up all the time. It took a year and half to complete my Year of Self-Care (my “Year of Whatever”s are almost always a year and a half – either the new year to my birthday the next year, or my birthday to the new year. I like some wiggle room.)
In that year and a half, I made plans and failed to complete them. I made the same plan again and failed. I made a slightly different plan and failed in a different way. I made a totally new plan and still failed. I tried again and failed. I made schedules and failed to stick to them. I set goals and didn’t meet them. I dropped more balls than I kept in the air, and that’s okay.
It doesn’t feel okay at the time. It feels awful. But that process of failing at self-care is an important part of the journey. Self-care has to involve deep compassion for your broken, aching self. It can’t all be celebrations and successes. It won’t be. If it was, you wouldn’t need it so badly.
In order to get to a place where you have effective and sustainable self-care practices in place, you need to go through the process of pushing against the resistance. The internal resistance, sure. The shame, the fear, the feelings of selfishness and the anxiety over failure. But mostly, mostly, the external resistance.
You have to smash your fist against the cost of self-care. That $100 penalty for a panic attack. The cost of admission to the pool. The cost of white boards. The cost of missed work hours. The cost of healthcare, even here in Canada. The cost of therapy. The cost of nourishing food. These costs that you cannot always afford. You have to run into that wall over and over and over until you find ways under, or through, or around it. And sometimes you don’t. Sometimes you can’t. Self-care cannot belong only to the financially secure. Those of us who are disabled or neurodivergent or otherwise marginalized are much more likely to be dealing with economic insecurity, to be living in poverty, to be stretched too thin, to have ends that not only don’t meet, they don’t even make eye contact. We deserve self-care, too. But it takes time to find those tools, because it’s much quicker and easier when you do have the money for it.
And you have to smash your fist against the unreasonable and inhumane demands of post-secondary and professional institutions. Deadlines and dress codes and disdain. I dropped a course I really loved because handwritten notes were mandatory for a huge percentage of the grade, but my hands hurt too much to write long-hand. More bitterly, I dropped out of the Arts and Sciences Honours Academy because the professor in third year required mandatory attendance, with no more than two exceptions for medical issues. “Breathe deeply and drink a mug of tea” doesn’t wash the salt from those wounds. Getting to sustainable self-care means feeling that sting, doing what you can with the resources that you have, trying to find ways around it. Finding the understanding professors, begging with the disability resource centre, paying the $25 to have a doctor write a letter saying that yes, you really do need these accommodations. It takes time, and it takes energy, and it takes a lot of permission to just be angry and bitter on your way to being calm.
And doctors… another wall, another round of smashing and smashing and smashing until you find the way through. Get the diagnosis, get the prescription, get the help. Or, sometimes, you don’t. Find other ways to cope.
The systems are not built for us.
It hurts to contort ourselves to fit within them.
That pain is real. That injustice is real.
There are ways forward. My Year of Self-Care made a huge difference for me. I’m not meaning to downplay the importance of doing that gritty work of developing more wholehearted self-care and self-storying strategies. But I get frustrated at resources that don’t acknowledge how hard this is, and how much the odds are stacked against anyone who differs from the straight, white, cisgender, able-bodied, neurotypical, class privileged norm.
When I started working on this post, I did what I always do at the beginning of a writing project. I opened a new Chrome window and I googled this shit out of my topic. I started with “self-care for students” and I found dozens of posts. Every post-secondary institution seems to have some kind of self-care guide for students. (Perhaps because post-secondary institutions are set up in such a way that any student who doesn’t have an extremely solid base of socioeconomic stability is pretty much fucked when it comes to mental, emotional, and physical health? Dunno, just a theory.)
These resources place a huge emphasis the individual doing everything possible to maintain their self-care
This resource from the University of Michigan is a perfect example.
“Taking steps to develop a healthier lifestyle can pay enormous dividends by reducing stress and improving your physical health, both of which can improve your mental health as well. Students with mental health disorders are at a higher risk for some unhealthy behaviors. You may find it challenging to make healthy choices and manage your stress effectively while in college. This section of the website will help you find ways to take care of your health, which can help you to feel better and prevent or manage your mental health symptoms.”
Look at that language! You’re at higher risk for unhealthy behaviours. You may find it challenging to make healthy choices. Gross. Gross! There is nothing there about how the structures and systems and expectations and normativity around you are the source of that distress, and put stumbling blocks in front of your movements towards “health.” It pushes the responsibility entirely onto the student who is struggling, and then wipes its hands clean. There’s good advice in that resource, but it comes in bitter packaging.
Even posts like this assume that the identity of “student” is also normatively able-bodied and neurotypical.
“College students’ ability to deny basic needs like sleep can oftentimes seem like a badge of honor proving we are reckless and young. At my school, it can seem like a competition to see who can stay up longer to study, and pulling all-nighters seems like proof we are true UChicago students. One’s talk of working grueling hours in the library is met with solidarity and sympathetic laughter, while taking a break or decreasing course load seems to be associated with weakness.”
College students who can’t meet that expectation are, I guess, not “true students.” When the article concludes that:
“If we want to improve our psychological and emotional health, college students could perhaps benefit from changing their mindsets and relationships to work. Taking breaks and letting our minds rest could be an effective strategy for achieving our goals in the long run, because stress or lack of sleep can hinder productivity. Maybe the next time a friend bemoans having to pull an all-nighter for a class, we can think about how our response may perpetuate a culture that idolizes self-destructive behavior. Perhaps rather than laughing or saying that we understand their struggle, we can gently encourage them to take a break. Or, if it’s you who’s putting in those late-night hours, maybe go home for sleep rather than the campus cafe for coffee. You deserve it. You matter, and your health matters.”
There is still the assumption that this is a choice, and that is not the case for every student.
So, in conclusion, it’s fucking hard. And it’s not your fault. And you can figure it out, but it will take time. And you will continue to run into walls.
Being your own ally is not easy. It’s even harder when there are complicating factors like disability, pain, depression, anxiety, or other chronic issues that aren’t going away. And it’s even harder when you’re in hostile environments like many post-secondary and professional contexts.
But I believe in you. There is a way forward. There is always a way forward.
This post was available to my Patreon patrons on Feb 11. If you would like to see posts a week early, visit my Patreon.
This week was challenging. I say that most weeks, though. There’s so much change. I don’t know who I am within these new roles, and everything keeps shifting.
I’m not actually an ocean navigator, despite the wave in my logo. I’m terrified of water (that’s one major reason we picked the wave, and that will be another post). I navigate a metaphorical ocean, but still, I think that the best metaphors are grounded in some reality. And so I sometimes read about the ocean, and how currents work.
There are all kinds of different currents in the ocean.
There are surface currents, driven primarily by wind. Rip currents that happen when a large volume of water funnels through a narrow gap in a sandbar, or between rocks. There are upwellings and downwellings, which happen when the wind blows across the surface of the water and either deep water rises up to fill the displacement, or surface water accumulates if the wind blows it against a shoreline.
And there are deep water currents, too. Like the “global conveyor belt,” a deep-water current that circles the globe and is the foundation of the food chain. It moves more slowly than surface currents, and it takes a thousand years for a section of the belt to complete its journey around the globe.
And there are tidal currents, which switch directions and respond to the gravitational pull of the moon. Flood currents and ebb currents, predictable and cyclical and strong.
Metaphorically, and in reality, these various currents have a significant impact on the whole – whether it is the ocean influencing life across our planet, or the inner ocean influencing the self. The tides, or the deep water ribbons that move slowly and forcefully, or the surface with its rip currents, and its upwellings and downwellings (and the rich metaphor of algae bloom and anaerobic suffocation in the downwelling – the choking off of life when there is no connection to the deeper water – and in the further stretch towards recognizing how downwelling, even though it creates areas of reduced productivity, is necessary for the ecosystem because it allows for deep water ventilation – there are times when lower productivity is necessary for survival).
The sun setting on the ocean.
All photos in the post, unless noted, are copyright-free photographs via Pixabay.
So these metaphors, and these currents, and this difficult, difficult week.
Deep water currents change slowly. Climate scientists are worried about the global conveyor belt because increased rainfall and polar melt will change the salinity of the ocean, and therefore change its density. If the belt changes, everything changes.
And there are changes in my own deep water currents. They change everything.
My work life is changing. I have been aware, for almost a year now, that my steady day job is not guaranteed. The economy, changes in management, the nature of my role. It’s been almost a year of nearly constant low-level stress, with monthly peaking moments of intense anxiety (usually when my student loans come out of my account – lolsob). My day job – boring, predictable, reliable, and one that I am exceptionally good at – has been a constant for me for almost a decade. I’ve been with the same company, in various roles, for ten years. And I’ve been in this particular role for almost six. Seven? I don’t know. A long time. It’s been an anchor. Sometimes weighing me down, but also keeping me stable.
My work life is changing, too, because of this. The coaching and the self-care work, the workshops and resource creation and writing and trying to shape this into a career. The desire to move from work that is reliable and that I am reliably good at but uninspired by, to work that I am passionate about and personally invested in. I will be good at this. I will make a difference. But while I move towards that, there is chaos and uncertainty.
Uncertainty especially in my financial life. I have not been truly financially stable since I was married – my husband made a solid lower middle-class wage, more than enough to allow me to run my dog training business and weather the ups and downs of entrepreneurship, and to buy clothes and food and craft supplies without worrying about it, and to have hobbies and go out for dinners and have adventures. I didn’t worry about money, when I was married. And I have worried about money constantly, since divorcing. It is, like the work stress, a constant low-level hum of anxiety with regular surges to the surface. These tidal currents – the huge gravitational force of capitalism pulling deep fear to the surface.
And that financial anxiety is also tied to my relationships. This deep current originates in my family of origin, in watching the dynamic between my parents when it came to money, and agency, and independence, and reliance. Who earns it, who spends it, who makes choices about it. And then, my divorce and the year after I left, with months of rent on the credit card and groceries paid for by my best friend – a level of vulnerability and insecurity that I had never previously experienced, and one that still trickles icy through my memory, makes me wary of taking risks. And then time spent supporting a partner, who now supports me, and another partner who also supports me. And the vague sense of unease I have every time I require help, ask for a loan to bridge a financial gap, make a choice that may impact someone else.
And now the “someone else” is so complicated by the addition of two little elses. The new relationship of stepparenting. And knowing that my choices now are not just going to impact my financial stability, but also the financial stability of my relationship with my nesting partner, and rippling out from there to affect my stepkids, both neurodivergent, both requiring additional supports. And in addition to the worry about being able to provide materially there is also the worry about being able to provide emotionally and mentally. To heal the old wounds that I still carry so that I don’t pass them on, to adjust to this new role in a way that doesn’t place emotional weight on the kids as I adapt. The shift, such a huge shift, from knowing in a deep and fundamental way that I would never be a parent, to knowing that now I am a parent. And also, the drive to learn enough about the unique needs of these two specific kids, individuals, amazing little humans, to be able to help them, and to help my partner.
And that’s the key, that’s the deep water current that is changing right now – my very sense of self, in multiple areas.
And so then researching. Reading Understanding Stepfamilies: A Practical Guide for Professionals Working with Blended Families (in this, I am both the professional and the family – approaching my life, as I always have, from an academic perspective), reading Family Therapy and the Autism Spectrum: Autism Conversations in Narrative Practice, reading The Whole-Brain Child and The Real Experts: Readings for Parents of Autistic Children. Learning a whole new language, a new area of knowledge. And finding gaps in it – both when it comes to stepparenting and when it comes to parenting neurodivergent kids. Gaps filled frustratingly with the assumption of heterosexuality, monogamy, and cisgender identity, gaps filled with transantagonism, ableism, normativity and social pressure in so many bitter flavours it overwhelms my palate and leaves me gulping for fresh water in the form of writing, reading, trying to find connection and community and incorporate this work into my coaching because if I am falling into this gap, other people must be, too.
And also reading about coaching, about relationships, about narrative therapy – Opening Up by Writing It Down and Retelling the Stories of Our Lives and Levels 1 and 2 of the Gottman Institute ‘Gottman Method Couples Therapy’ and half a dozen other books and courses. And underneath all this research, which I love, is the slow tug of grief at leaving academia, because I decided not to pursue an MA in counselling psychology and instead started on this endeavor and it’s the right choice, and I will make a difference, and I will continue to be an academic and a researcher and a writer (writing a book! And learning how to do that). Independent scholarship is a real thing, and I will do it, but still, the changes.
Some of the books that I’m currently reading.
Photograph by Tiffany Sostar
And this change, this shift away from academics, is huge. Because deciding to finally go to university was a big deal. I had always wanted to. And I had been told, shortly after I graduated high school, that I didn’t have what it takes. I believed that story. That story became part of my core set of beliefs about myself. I was smart, I was a good writer, but I was not persistent. I did not have the “sticktoitiveness” to get through university. So I read academic theory on my own time (this essay – Reading Wonder Woman’s Body: Mythologies of Gender and Nation, by Mitra Emad, was my first academic love), and wrote nerdy papers about feminism and gender on my own time, and didn’t believe I could hack it in post secondary. Until I started dating someone who said “why aren’t you in school? You’re sending me links to feminist theory because you’re reading it for fun – apply to the University of Calgary.” And I trusted him. So I did it. And I graduated with a First Class BA Honours in English and a First Class BA Honours in Women’s Studies. I did it. I challenged that core story and I changed it. And I miss academics. As broken and abusive as that ivory tower is, still, I miss it.
And I miss myself within it.
And that’s the key, that’s the deep water current that is changing right now – my very sense of self, in multiple areas.
Who I am.
Who I am as a labourer – emotional, domestic, social, and other. Where and for whom and how I work, and how I get paid, and where my money goes and where it comes from, and how I spend my time, and my intellectual energy, and what I write and when I write it and who I write it for, and who judges it, and who judges me, and how I define my value and my worth, and where I find myself, and what I call myself, and who sees me and how they see me, and how I see me.
These are the ocean currents of my life, and myself. The deep water currents and the surface currents and the tidal currents. The core self, and the self in relationship, and the self in society.
So, these weeks are challenging. As I move through my life I am aware of the currents shifting, and I don’t know what the ecosystem looks like once they’ve shifted. Who I will be, how I will be, what I will be.
But change is constant, and it is not the enemy.
The Earth has experienced changes before, and I have experienced massive change, too.
I have faith in my ability to survive the chaotic betweentime, and I have faith that I will eventually settle into new patterns and find new wholeness and new peace.
I’m happy with how things are changing. I love coaching. I love this work. I love my kids. I love my partner, and my entire polyamorous pod. I love researching, and I love finding subversive ways to inhabit liminal spaces – bisexual, genderqueer, invisibly disabled, neurodivergent – I was made for the liminal spaces and the betweenings. Independent scholarship feels like an exciting new liminal space to step into. Just like stepparenting feels like an exciting liminal space to explore, with rich potential for writing and researching and offering help and hope to others. Just like parenting while queer, and parenting while non-binary, also feels liminal and rich with betweenness and both/andness.
This is an upwelling – the wind has blown hard across my surface and there is space now for deep water to rise, and bring new life to the surface.
It’s scary, but the ocean always is, for me.
I love it anyway.
This is the last in a four-part series exploring the Let’s Talk campaign. Part One is here, Part Two is here, Part Three is here. If you would like to support this work, please consider becoming a patron on my Patreon.
Let’s Talk about pushing the conversation out of the comfort zone – an interview with B.
B is a lawyer in Calgary whose family law practice is explicitly trans and queer-inclusive, and he is committed to social justice within family law. He used the Let’s Talk campaign as an opportunity to explicitly and directly address his own personal mental health struggles with his employer.
I know the Bell Let’s Talk day is really complicated. On the one hand it’s great to see the dialogue happen. On the other hand, it’s hard to get over the commercialization of this really important issue. It’s helpful to see celebrities speak out about mental wellness but it’s easy to feel like you’re only allowed to experience mental wellness if you’re a celebrity.
I think individual people can try to take advantage of the positive momentum behind this movement, though. I recently experimented with using Bell’s Let’s Talk day as a framework to address my own personal challenges with mental illness with my employer. I don’t know how it will work out. But I feel positive about my experiment and I’m hopeful it will work out.
I’m 32 years old. I’ve been a member of the Law Society of Alberta since 2010 and I’ve been an associate at the firm where I practice family law for 4 years. I like working where I do. Generally speaking, I think our management team is compassionate and actually cares about the people who work here. I know I’m lucky in that regard. However, like most businesses, profitability is still the bottom line. It’s impossible to be successful in our world without keeping a careful eye on productivity. Lawyers at my firm have targets; our value, as employees, is closely tied with the amount of money we make for the partnership.
In every year leading up to 2016 I maintained steady growth in my numbers. At various times, I have been the top associate in a number of areas. I bring in a lot of my own work, I have a good profile in the community, and I’m very productive. Up until 2016 I routinely received overwhelmingly positive feedback from the management team and from other partners. In 2016, though, a lot of that positive feedback dried up.
2016 marked an extremely challenging year for me, personally. My mother battled cancer throughout the year and ended up with a number of related and serious health conditions; my grandfather died; and a number of other personal things came up that created a very large black hole in my life that seemed to suck up everything I had to offer, and then some. I found myself in one of the darkest places I’ve ever been. Without getting into all of the details, all of the areas in my life that previously gave me fulfillment suffered in one sense or another. My career was no exception.
In 2016 all of my numbers shrank. I had to pare back all of my commitments in the community. I ended up putting off my continuing education (I am engaged in an LL.M and was scheduled to finish in 2016). I also became somewhat less involved in our firm culture (ie: attendances at firm dinners and firm events like our golf tournament). The impact of my mental wellness became real to me when, in a very short span of time, a few members of the partnership came to me with the exact same feedback: “We hope you’re ok. A bunch of us at the partnership table noticed you’re not your usual self.” When I asked for more specifics I was simply told that the partnership thought of me as a leader in positive energy around the firm and that people were starting to notice a definite deficit in that leadership. My performance with respect to my targets was also referenced, though I was told that the partnership wasn’t nearly as concerned about that at this time: “everyone is entitled to an off-year.”
My initial response to this feedback was absolute panic. As feedback about this kind of stuff goes, this was all very mild. However, I’ve been around the block enough times to know that this is how it starts. Many of my colleagues and friends have experienced mental wellness issues. I know that it starts with mild feedback but quickly escalates to more overt displays of displeasure over your “attitude” until you’re eventually fired because your employer thinks that you don’t really want to be there anyway. When I received my more mild feedback I really heard: “there’s something wrong with you. We don’t like you anymore. You’d better fix it.” In fairness, no one was saying that: it’s just what I heard.
I received that feedback about 5 months ago. This month, our associate evaluations were due. Every year associates have to fill out a reflective evaluation in advance of our employee reviews with management. The evaluations include the standard information you’d expect to see: “What are your goals for the upcoming year?;” “how can you achieve those goals?;” etc.
My evaluations have been relatively easy to fill out in the past. This year, in light of my performance and the feedback I received throughout the year, my evaluation was much more challenging. I decided I had two options: I could gloss over my weaker performance with a commitment to improving; or I could directly address the challenges I’ve grappled with.
Glossing over my weaker performance had some appeal. My numbers weren’t abyssal. Really, the only reason it’s noticeable is because I’ve had such positive success in every other year. Surely experiencing some shrinkage during one of the biggest recessions in a lifetime is forgivable or even expected. However, glossing over my performance didn’t address the feedback issue. Additionally, it potentially set me up for an impossible 2017. Promising to return to growth in 2017 might only lead to a more challenging review in 2018 if I can’t deliver.
On my personal evaluation, I decided to more directly engage with my employer about my personal challenges. I referenced the feedback I received. I was honest about my immediate internal response to the feedback, but then I praised the partnership for paying such close attention to the wellbeing of the associates and thanked them for their concern. I didn’t provide many details, but I hinted at the personal issues I’ve struggled with while referencing the major items (it’s no secret, at the firm, that my mother was diagnosed with cancer). I identified my hopes for 2017 but assured the partnership that I knew my challenges didn’t just evaporate with the change of the year (and, thus, reminding the partnership that my challenges didn’t just evaporate with the change of the year). And then, I expressly invited anyone on the management team or the partnership to talk to me about anything they wanted to talk to me about.
Inviting the partnership to talk to me was probably most challenging. However, I think it was the most important part of my evaluation. I needed the partnership to know that they could, and should, be open and transparent with me about any concerns they have. The partnership was clearly already having conversations about me. Inviting them to talk to me directly essentially gave me a place in that conversation. Also, getting more transparent and direct feedback allows me to try to be more responsive to specific concerns while being open about my own particular needs. Finally, opening up a dialogue with my employer helps with my own anxiety. Instead of panicking about the extent to which my employer is secretly hating me, I hope to have more confidence that I am, in fact, hearing everyone’s true concerns and that those concerns aren’t as catastrophic as my brain tells me they are.
Helpfully, Bell’s Let’s Talk day opened up a tiny crack in the door for me to make my invitation. My evaluation introduced Let’s Talk Day. I said that Let’s Talk Day helped me find the right way to address my challenges at work. I suggested that it’s a perfect opportunity for us to maintain openness in the partner/associate relationship. After introducing Let’s Talk Day I said:
“…It is important to me to be reliable and to meet your expectations, notwithstanding whatever else is going on for me. Please continue to discuss your concerns with me openly. I welcome your compassion but I also want to be valuable. I am open to receiving feedback and criticism about my work. Talk to me about your concerns; talk to me about my performance; talk to me about my work: let’s talk!”
This approach is not without its risks and I’ve yet to actually find out whether my experiment was successful (my review will take place next month). Certainly, I expect my frankness and vulnerability will catch the partnership off-guard. But I’m hoping that demonstrating my vulnerability and inviting my employer to be open with me about their needs will create a dialogue that will help both me and my employer to continue to develop a positive and mutually beneficial relationship. I’m experiencing a great deal of anxiety over my evaluation and my imagination is cooking up all sorts of nasty ways this could go horribly sour. But I know that another year of quiet suffering as my career erodes before my eyes would be the end of me. My vulnerability gamble might not work, but I’m thankful I’ve tried. I’m privileged and lucky enough to work in a place where an approach like this might have a shot. I figured I had to take a chance.
Win or lose, I’m glad Let’s Talk Day helped me find the framework to take this chance. Notwithstanding my current anxiety over my evaluation, I feel the most positive I’ve felt in a long time about the way my mental illness has impacted my career. I expect things will still be very hard and I might end up facing more dramatic loses to my career. But, for a moment, my mental wellness was no longer my own private burden to bear in the workplace.
B was able to use the Let’s Talk campaign as a way to start a conversation that he hopes his management will be open to. He’s in a good position because of years of steady growth, and because of his reputation within the firm.
Although I am hopeful and happy that B was able to take this step, I think that his story should be an indicator of how much more work still lies ahead. He is the outlier, in that he was able to leverage Let’s Talk day as an opening with his employer (though he isn’t sure yet whether this will be effective). He’s also in a better position to open up this conversation because his mental health challenges can be framed as situational, and externalized. The same is not true for individuals who are bi-polar, as Emily is, or who have other neurodivergences that can’t be situated so easily outside their core identity. In order for every person struggling with unsupported neurodivergences or mental illnesses to find help, acceptance, and equality, these conversations must move beyond the individualistic peer-to-peer model that is most common on Let’s Talk day (and beyond).
Similar to Flora’s concern that using her own name would negatively impact her employability in the future, B expressed concern about what he has witnessed when other individuals either admit to or are assumed to have mental health challenges. It is tragically common for unsupported neurodivergence to negatively impact employment. It happens too often, too easily, and is too quickly dismissed as a problem with the individual, for the individual to manage on their own.
In order for us to see significant, systemic changes that address both the issues that lead to so many people suffering with unsupported neurodivergences – unemployed, underemployed, homeless, and hungry – and that open up new and more holistic avenues to health, we need to push these conversations far past our current societal comfort zone. We need to start talking about the harms of systemic oppression on racialized, disabled, fat, poor, queer, trans, neurodivergent and otherwise marginalized folks.
We need to talk about intergenerational trauma, and about the deep harms of capitalism, colonialism, and systemic inequality. (These harms that hurt everyone, though not everyone equally. Inequality causes greater unhappiness in the poor as well as the rich. And our inability to speak openly about the ongoing harms of colonialism – not just on the colonized, though those harms are exponentially greater – but also on those of us descended from colonizers, who lack a connection to our own cultures and often feel that loss deeply but without any language to articulate and heal. The negative impact of these ongoing injustices is felt, to wildly varying degrees, by each of us. Healing these fractures in our social foundation will help everyone find easier and more accessible avenues to health.)
We need these awkward, uncomfortable, painful conversations.
We need them on Let’s Talk day, and we need them on every other day.
And we can’t do it alone. We can’t do it individually, in isolation and steeped in the shame that currently surrounds needing and accessing help.
Let’s Talk about where to find help
Valerie, a mental health clinician in Calgary, shared these resources for Calgarians:
– Distress Centre at 403-266-4357 (24 hour phones, plus walk-in therapy and crisis therapy)
– AHS Mobile Response Team – reached through Distress Centre, can see you at home or in the community
If you need to be seen in person more urgently, we recommend one of the Urgent Care sites:
Sheldon Chumir Urgent Care Mental Health
1st Floor – 1213-4th Street SW
Provides mental health assessments
Hours: Monday-Friday 08:00 am until 10:00 pm; weekends and statutory holidays 08:00 am until 08:00 pm
South Calgary Health Centre Mental Health Urgent Care
1st Floor – 31 Sunpark Plaza SE
Provides mental health assessments
Hours: 08:00 am until 10:00 pm; 7 days per week
If you’re interested in same-day, free, walk-in counselling, consider:
Eastside Family Centre
Suite 255, 495-36th Street NE
Hours: Monday-Thursday 11:00 am until 07:00 pm
Friday 11:00 am until 06:00 pm
Saturday 11:00 am until 02:00 pm
South Calgary Health Centre – Single Session Walk-In
31 Sunpark Plaza SE (2nd Floor)
Hours: M-Th 4:00 pm – 7:00 pm; Friday 10:00am to 1:00pm
Distress Centre – Walk-In
300, 1010 8th Avenue SW
Hours: Monday to Friday, 1:00pm to 4:00pm
In emergency situations, please head to the nearest hospital emergency department.
If you want to discuss resources for yourself, or a loved one, consider calling Access Mental Health (403-943-1500, M-F 8-5) or 2-1-1 (24hrs).
The Greatist shared these 81 Awesome Mental Health Resources When You Can’t Afford a Therapist.
Healthy Minds Canada has compiled this comprehensive list of resources.
And I will be generating a curated list of resources in the near future.
Good luck, my friends. Let’s keep talking.
This is the third in a four-part series exploring the Let’s Talk campaign. Part One is here, Part Two is here. If you would like to read the article in its entirety right now, it is available on my Patreon.
Let’s Talk about social determinants of health, and moving beyond individualism – an interview with Flora
Flora (not her actual name) is a resident physician. She is a compassionate friend, a lover of horses, and a social justice-minded caregiver, with a practice that focuses on removing barriers to health for vulnerable people.
I think the Let’s Talk campaign is an important conversation starter, but it places the focus on mental health in the hands of individuals, when a lot of the mental health issues I see are related to societal issues that can’t be resolved by simply having people willing to talk about the way mental illness has impacted them personally.
No amount of talking about it is going to change housing, food, and job insecurity for vulnerable people. This isn’t to say that mental health doesn’t impact all of us, even those with the most privilege. But the individualist focus erases and ignores a lot of the ways that we create and then reinforce situations that create mental illness.
In medicine we see a lot of focus on resiliency as a cure for burnout in physicians. And I can’t help but read it as “Learn to deal with our abuse better.”
I don’t feel comfortable owning it at all. Like, labour laws don’t apply to us, the expectations on us are huge and the consequences of our mistakes are literally fatal. So don’t tell me that I just need to be more resilient.
To me resiliency is better conceptualized as “coping reserves.” It means the thing is still hard, because you have to cope, but you have the resources to deal with it.
I had a pretty big reserve after about two full years of solid mental health! But I’ve been slammed by a ton of stuff and my backups are empty now.
It’s frustrating, like running through the savings you’ve set aside for years in two months. You know you were putting it away for just this occasion but it still feels very vulnerable.
My program is super flexible and reasonable and supportive (yay public health, we understand the social determinants of health!) but I am terrified of what happens when I am struggling in the real world.
Within our microcosm, the system is designed to support my well-being primarily and then allow me to have output second, but the thing is I had to get through 8 years of “we don’t give a shit, produce the end product” to get to this place.
And so the people who struggled in undergrad, where’s their support and well-being? They provide counselling resources but that leaves the solution in the hands of the person who is struggling.
What about the people who were dealing with mental health and all the intersectional vulnerabilities who never even got the chance to access post secondary because of it? They have to hope they get a job with health insurance so they get $200 of counselling a year, as long as they pay up front and wait for reimbursement?
Starting the conversation is great. I’m glad more and more people are talking about it. It’s like the It Gets Better Project though. “Don’t kill yourself because we support you in a shitty situation and your situation might improve.” Not, “let’s fix the raging homophobia that drives you to suicidality.”
Both approaches are important but we can’t keep pulling people out of the river. Let’s keep them from falling in upstream.”
Flora offered a quick crash course in the social determinants of health with these links:
The Public Health Agency of Canada on “What Makes Canadians Healthy or Unhealthy“
The World Health Organization on Social Determinants of Health
And this comprehensive PDF on Social Determinants of Health from Canadian Facts
When discussing how to refer to her in this article, she said, “I would prefer ‘a resident physician,’ or Flora, because I have no idea what the politics will be like when I go to get hired. You’d think it wouldn’t matter because my entire job is advocacy for social change but…”
That “but” is a critical part of this conversation. The fact that people who are actively engaged in health and wellness still can’t afford to be open about their experiences for fear of the impact on their careers is telling. It points to the fact that systemic change is necessary, and that these conversations are not going far enough. The Let’s Talk campaign may be sparking conversations, but it’s keeping the issue focused on individuals when the reality is so much more complex and systemic. It may be individuals who experience the negative outcomes of unsupported neurodivergence and mental illness, but the systems and structures that make this so challenging are much bigger, much broader, and will require solutions that move beyond the individual.
We need social change.
Let’s Talk about corporations
Shannon, who has accessed a range of mental health resources, questions whether the benefits are worth the cost of providing so much free advertising for Bell.
Do the posts still count if you delete them all tomorrow? That was kind of my plan. But after 20 tweets I just raised a buck and how much did I advertise some shitty company? I don’t think it’s worth it. I’m thinking a better option would be to just give a dollar to a mental health initiative that’s useful and talking can always be encouraged other ways. Also, I don’t think the whole thing should cause so much extra stress for me if the whole point is to “help” mental illness… whatever that means. By the way, I don’t really know what it does mean. I don’t think the campaign generally does encourage openness at all. I agree that having conversations is important. And at the same time they’re jerks for doing it. I feel like they’re taking advantage of me.
Marginalized communities are unfortunately very familiar with being the “benefactors” of awareness campaigns that are nothing more than thinly veiled advertising, or the “awareness” that doesn’t actually accomplish anything.
Corporations using vulnerable groups to generate advertising is not new. Pinktober, or the highly commercialized “Breast Cancer Awareness Month,” is a glaring example. Beatrice Aucoin, a breast cancer survivor and queer activist who writes extensively for ReThink Breast Cancer, says,
I think it’s good in that there is actual good being done with the Let’s Talk campaign: money donated by Bell for hashtag use or texts sent or whatever it is.
I think where criticisms can come in is thinking about what we are actually doing with whatever we share. I’ve seen some people on twitter start important conversations on it. I’ve also seen valid criticism of appearing to support: someone changes a profile photo to have a Let’s Talk frame or uses the hashtag when in reality when people want to talk to them about mental health, they are unsupportive or distance themselves from the person seeking support.
This has a more complicated edge for me than breast cancer corporate ties.
Slapping a pink ribbon on a product that doesn’t give to a charity or help breast cancer patients in some way? That’s bad and making money off of sick people. You also have to keep in mind what cancer charity is being given to, which is way more problematic in the US than in Canada. I’m part of a grassroots counter-culture of breast cancer patients who, mostly in October, examine products that are pink or say something about breast cancer. The ones that are clearly using us without giving back, we take photos and put them on social media and tag the companies to demand #whyisthispink. Some breast cancer peeps object to companies doing pink ribbon things at all, which I actually don’t because corporate giving and selling products are part of how charitable funds are raised.
If Bell supports charities that support mental health, that’s good. If that support doesn’t extend to allowing qualified employees with disclosed mental illnesses to work for them, that’s awful and needs to be called out, just as people who don’t support those in their lives with mental health issues need to be called out if they participate in the Let’s Talk campaign every year but don’t really support the people in their lives dealing with mental illness.
Shannon’s sense that the campaign doesn’t actually encourage openness, which Beatrice also points out, is supported by most of the people I spoke with. Although the campaign sparks conversations (mainly conversations about talking about mental health, rather than conversations directly about mental health) but these conversations didn’t extend far enough to open the door for people struggling to be honest about the details of their neurodivergences, and the impact of that on their lives, especially not with their employers.
In Part Four, we’ll talk about pushing the conversation out of that comfort zone and using the campaign as leverage with employers in an interview with B.
This is the second in a four-part series exploring the Let’s Talk campaign. Part One is here. If you would like to read the article in its entirety right now, it is available on my Patreon.
Let’s Talk about hospitalization, and the “Scary Brain Stuff” – an interview with Emily
Emily is a creative, playful, artistic woman with strong connections to her family and friend group and a penchant for wearing T-Rex costumes.
I’m glad that conversations are trying to happen and that more attention is being placed on people with mental illness – that it`s not the scary, “crazy” thing that we continue to see in movies and TV. The fact that initiatives like this are happening in order to try and destigmatize these issues and get people talking is good.
However, after today people will forget. This isn’t enough. It needs to be a constant public dialogue.
I’m glad people are showing solidarity but I still don’t feel like I can just come out and say that I have a severe anxiety disorder and Bi-polar II.
I told my boss last week about my Bi-polar II. She had no clue what it was and immediately started acting weird.
Mental illnesses such as Bi-polar, Depression, Schizophrenia, are all under a blanket of “scary brain stuff” that people don’t seem to understand and don’t get because the people that have these can look and act “normal”. It’s scary because we can’t identify it or label it right away.
Initiatives like #letstalk are nice and all but it’s not actually starting a conversation. It’s just giving most people something to do so they can feel good about themselves and have their Good Deed of the Week crossed off.
I still know that I can’t call into work because I’m having an awful day and can’t get out of bed because today I’m out of spoons and crying. It’s not visible, it’s not understood, and therefore not an acceptable illness or weakness. Mental illness is still joked about, feared, and not taken seriously.
I spent almost a year (on and off) in the hospital because my brain was literally trying to kill me. I am doing so much better now and I’m on medications that make it so I can live and love and FEEL and work. I HAD to go to the hospital in order for that to happen.
But I can’t tell most people that I spent time in a psychiatric ward because to them that’s where “crazy”, “unstable”, “weirdos” and “freaks” go.
It’s not a place that is viewed as where you go to get help.
If I were to say that I had to be in the hospital because of kidney issues or another major physical illness, but that it was all good and I’m well and there’s nothing to worry about, no one would bat an eye. There would be minor concern, obviously, but it wouldn’t have the impact that saying I had to be hospitalized for mental illness would.
One of those wouldn’t keep me from getting a job.
Let’s Talk about long-term and alternative supports
That issue of being able to get, and keep, a job is one that came up in most of the conversations I had about this issue.
The standard work week, and the expectation that people will be productive in these normative ways – work the regular job, pay the rent, see your therapist after work and read some self-help books on the weekend – really limits the avenues to health that are available. For most of the working population, taking an extended period of time away from work to access support is not a reasonable option. And for individuals who find themselves without a choice because their neurodivergences don’t allow them to work, the costs are huge. Emily needed that time in the hospital, but the impact on her ability to find work after an extended absence was significant and the financial impact of that time is still an issue for her.
Current workplace culture and expectations also cut off access to alternative supports and paths to healing.
Teresa says, “So, I’m not a huge fan of the Bell campaign although I’m certainly for more talking, reaching out and asking for help. I am a big fan of peer supported open dialogue, sanctuaries like Soteria and Diabasis House, health and lifestyle coaching, depth and transpersonal psychology, humanistic, existential, ecotherapy, art therapy, narrative therapy, trauma therapy…there is lots of good stuff out there but psychiatry holds too much power and is far too often the first place people are directed by campaigns like this.”
Accessing a sanctuary like Soteria or Diabasis House is expensive and time-consuming, and although sanctuary-supported living has significant positive outcomes for participants, it doesn’t have the necessary funding and our work culture doesn’t support it.
Part of the reason sanctuary spaces aren’t commonplace or accepted is because they challenge the deeply individualistic model that we take towards almost everything. Community care is critical, but our emphasis so often is on self-care and self-reliance.
Although I am a “self-care coach,” I believe strongly in the importance of community care. Often, community care is self care, and it is only possible to maintain sustainable community care when you have good self care practices.
We need safe spaces to fall apart in community, and we need to find ways to integrate community care with self care.
Let’s Talk about the intersection of race and mental health
Communities that have been marginalized for generations, and denied access to mental wellness supports, are the leaders when it comes to finding and creating alternative strategies for self and community care.
Black women, who are so often held to an impossible standard of strength, and whose struggle is often dismissed as nothing more than anger, are doing a lot of work when it comes to moving the conversation around self-care and community-care forward. This post at Blavity, by Amani Ariel, is important. She speaks explicitly about the ways in which self-care culture – with its heavy individualism and the isolating effect of an underlying message that says “you need care, so take care of that yourself” – can exacerbate rather than heal trauma.
Let’s Talk included Gloria Swain and the Let’s Actually Talk initiative, acknowledging the ways in which access to mental health supports and even space for the conversation is restricted for marginalized communities. It’s an important step.
It’s hard to talk about mental illness, especially if you’re a Black woman whose ancestors have suffered in silence for centuries because we were told we had to be strong and not complain. It’s difficult for the Black community to end the stigma when the people speaking about this illness look nothing like us. Mental illness does not see race, sex or economical status; yet, those who are marginalized are the ones whose voices and needs are not prioritized in such campaigns and dialogue. Making me feel like my depression isn’t important doesn’t help me heal. I am not invisible.
My name is Gloria and my depression is political. (Text from this Let’s Talk campaign image.)
Indigenous communities also face significant barriers to access, and see their traditional practices and sacred teachings appropriated into contemporary self-care/self-help practices that erase and exclude the indigenous cultures being used as inspiration. This happens throughout our culture, but particularly in many new age approaches. (A similar appropriation, erasure, and exclusion happens in a lot of yoga studios. Decolonizing Yoga is a great resource for folks who want to bring an intersectional awareness to their practice.)
SooJin Pate has also written about self-care within marginalized communities. This post includes specific ideas for self-care practices, including narrative framing strategies that are similar to my own work.
Communities that are vulnerable in multiple ways face significant barriers to accessing the mental wellness resources that are available, and since those resources are underfunded, understaffed, and the demand far exceeds the current capacity, it is often the most vulnerable who are the least able to access care, or to find care that acknowledges the specific intersections of their experience. Race, class, gender, orientation, ability – none of these identity categories exist in a vacuum. It can be difficult to understand how someone else’s experience is different from our own, but the willingness to stay present for uncomfortable conversations is a critical part of deep community care, and it is a valuable tool for self-care and growth.
In Part Three, we’ll talk about social determinants of health, and moving beyond individualism in an interview with a resident physician.