Birth: The Effects of a Complicated Start in Life #AtoZChallenge

Posted on by Astrid

Hi everyone and welcome to my letter B post in the #AtoZChallenge. I’m doing this challenge on healing past hurts. Today, I want to go far into my past: I want to talk about the effects of a complicated birth.

As regular readers know, I was born prematurely and spent the first three months of my life in hospital. Of course, I have no conscious memories of this time, but that doesn’t mean my complicated start in life didn’t have an impact. There is evidence that many people who were born prematurely or otherwise had a difficult start to life, experience attachment problems into adulthood. Now of course I didn’t have the most positive childhood either and there is no way of knowing whether I would still have attachment issues had my parents been well-attuned to me. Of course, this is also a difficult question, since my parents experienced their own trauma having me prematurely.

The thing remains though, a child who was born prematurely, spends time in a clinical setting that they should’ve spent literally inside their mother’s body. There are attempts to lessen the burden this has on children (and parents). For example, kangarooing, in which a baby experiences skin-to-skin contact with their parents, is encouraged as soon as it is possible. However, for preemies and other NICU graduates who are now adults, this may not have been the case. Many older NICU graduates hardly saw or heard their parents for the first few weeks to months of their life. My parents, thankfully, lived in the same city I was in the neonatal unit in, so they were able to visit often.

One thing that haunts me though, and I’ve mentioned this several times, is the effect my being medically complex from birth on left on my parents’ attachment to me. Like I said, whether I would’ve experienced attachment issues had my parents not mistreated me as a child, is a difficult question because one of the reasons they treated me so poorly is their difficulty coping with my being disabled. My father quite literally asked the doctor whether it’d make sense to keep me alive after I’d had a brain bleed a few weeks after birth.

It’s telling, in my opinion, that when you look up “birth trauma” online, what comes up most frequently is not the effects a child’s own start in life could’ve had on them, but the effects of complicated childbirth on parents. And like I said, one goes hand-in-hand with the other.

I’m Participating in the #AtoZChallenge Again After All

Posted on by Astrid

Hi everyone. A few weeks ago, I wrote my intended theme reveal for the #AtoZChallenge. I had been unsure of my theme for a while and also unsure of whether I even wanted a theme. I finally decided on doing the challenge on gender and sexual diversity, published my theme reveal and then remembered to ask one of the hosts whether it meant my blog should be marked as having adult content. I got the response to do so just to be safe. That somehow put me off and I decided to delete my theme reveal post (thankfully I hadn’t put it into the Google document yet). I hope the fact that I’ve disclosed being queer on here a few times, doesn’t automatically mean my blog has adult content.

Fast forward to last Friday and I had the phone call with my mother I mentioned in my post that day. That got me thinking I want to write to process my feelings. So here I am thinking of doing my challenge on healing past hurts. I have not prepared any posts yet, so I’m not sure where this is headed, but I think it will be part journal/personal musing, part mental health awareness. Wish me luck!

Chosen Family #WotW

Posted on by Astrid

Hi everyone. Today, I’m joining in with Anne’s Word of the Week linky, as well as Natalie’s #WeekendCoffeeShare. My word of the week (or rather, phrase, as it usually is), is “chosen family”.

First, as I usually do when writing my weekend coffee shares, I’d like to write about the weather. Over the weekend, it was good: relatively warm and somewhat sunny too. I even sat in the sun for a bit on Sunday. However, most of this week brought cooler temperatures and rain. Today, the daytime high was 9°C. That’s considered normal for this time of year, which I honestly believe is crazy but oh well.

Now here’s why my phrase of the week is “chosen family”: several things this week made me realize my wife is more like family than my birth family. Yes, even now that we’re officially in the divorce process.

You see, we had our first meeting with the divorce mediator and financial advisor on Tuesday. I won’t go into detail as to what we’ve been discussing, but it looks like we’re both going to be okay and we’ll find a way together to make this work. We’ll have our next meeting on April 14.

On Saturday, I was at our house too. I got strange queries in Chrome so had run a full virus scan two weeks ago and it’d found a threat. I initially brushed it off, but finally told my best friend/wife. She was a bit stressed, because I had not paid attention to the full implications of this and for example changed my passwords. I didn’t know what the malware might’ve done, so went to our house on Saturday so that she could check it over. It looks like no actual damage was done, thankfully. In case I’ve mentioned the name of the recipe manager I used though (I’m pretty sure I touted it as the perfect app) and anyone’s installed it too: that was the source of the malware. No more Chrome extensions for me.

Today, my mother texted me to check on me. I, stupidly enough, called her. We’ve been in very limited contact for years now due to her attitudes towards my childhood trauma. After I got more of the same shit, among which comments insinuating that I should move closer to my family because my friendship with my best friend may not be forever, I had had enough. I don’t know yet what will happen in the long run, but for now I’m genuinely done with my family of origin. My best friend feels more like family than my parents do and yes, I’m aware that our friendship might dissolve over time. Then again, no relationship is forever.

Fear (Or Another Four-Letter F Word)

Posted on by Astrid

Fear. I’ve used this word as a starting point for my writings many times. The idea comes from Mari L. McCarthy’s journaling prompts. The idea is to pick a four-letter F word and write about it or use it as a prompt. Well, I’m doing that now, but I doubt I’m actually going to write about fear. I honestly don’t know what to write at this point and am not feeling anything in particular. That is, I guess I “should” be feeling something, but I don’t know what. Alexithymia. That’s what I believe this is called. Any emotional state for me is “good”, “bad” or “neutral” like right now. I don’t ever feel totally relaxed I believe. There’s always some level of stress or anxiety or fear in my body or mind.

My movement therapist tries to tell me that my body needs to get used to the feeling of being relaxed, because due to my early childhood trauma, it never learned to trust this feeling. That makes some sense, in that I almost always feel like I’m on high alert even when I’m half asleep. Is that even possible? And if so, isn’t it just normal? Do I even know what “normal” is, being that I’m autistic and otherwise neurodivergent, multiply-disabled and a trauma survivor? I doubt it. But if I’ve lived my life like this for nearly four decades, is there any way of changing it? I hope there is, because this feeling of always being on high alert is exhausting.

This is another freewrite I originally typed up in Google Keep, then finished here.

“One Chance!” Still Haunts Me…

Posted on by Astrid

Today, I’m feeling like writing but am uninspired, so I’ve been checking out a ton of writing prompts and the like. I’ve been fiddling with various notetaking apps too so that I can finally write snippets without them needing to be finished right away. I know I could do WordPress drafts, but I for whatever reason don’t like that. I’m now trying out Google Keep.

One of the writing prompt series was Halloween-themed and the question was about my most recent nightmare. I can’t remember and, thankfully, I rarely get vivid nightmares anymore. I do get snippets of conversations that replay in my dreams. “One chance!” yells the staff trying to force me to accept her new colleague. Those two words haunt me. I have had this experience before.

I recently learned that PTSD nightmares do not necessarily involve the details of your trauma. I don’t know whether the Redditor who said this, based this idea on the DSM, as I’m fairly certain that in the criteria for PTSD, nightmares do need to be trauma-specific except in young children. However, even just reading that someone else experienced vivid dreams that aren’t necessarily connected directly to their trauma, feels validating.

When I was living on my own, I experienced extremely vivid dreams almost nightly and, even when those dreams weren’t directly connected to my trauma, they were disturbing nonetheless.

In a somewhat similar fashion, the staff’s comment haunting me, in itself, might sound rather innoceous. I mean, I know that it doesn’t necessarily take physical or sexual abuse for someone to be traumatized (again, contrary to what the DSM says), but if this comment were a one-off experience rather than a symptom of the rather traumatizing power dynamics involved in institutional care settings, it wouldn’t have stuck with me. Or it might have, but it wouldn’t have had the negative connotation it has now.

There’s a reason secondary triggers are a thing. I often feel shame about the numbers of triggers I have. Usually though, when the context isn’t in itself distressing, I’m able to point out that something is a trigger for me and move on.

Not with this one, but then again it was actually a boundary that was crossed. If this had happened with three people who aren’t professionally related, it’d have been considered a form of harassment. I still struggle with this concept: that what is considered “normal” in a care setting, would be considered a violation anywhere else.

Resilience and Post-Traumatic Growth #AtoZChallenge

Posted on by Astrid

Hi everyone. For my letter R post in the #AtoZChallenge, I want to talk about resilience. Resilience, basically, is the ability to bounce back when faced with challenges. It is also linked to post-traumatic growth.

First, what characteristics and attitudes make someone resilient? These include optimism, the ability to regulate your emotions, and the ability to see failure as helpful feedback rather than wallowing in self-blame.

Several factors contribute to resilience. Some of these are most likely genetic. Early life experiences play a role too. However, that doesn’t mean that resilience can’t be learned to some extent. For example, you can learn to break out of negative thought patterns, to regulate your emotions, to look for positives during a setback and to see failure as a learning opportunity.

Some people believe that experiencing a traumatic event, makes you less resilient. This isn’t necessarily true though. This is where post-traumatic growth comes in.

Post-traumatic growth is the experience that survivors of trauma are able to develop in a positive way after the traumatic event. For example, they recognize their inner strength for having overcome their trauma, form stronger connections with loved ones as well as other survivors, and find new opportunities for finding meaning in life.

The reason post-traumatic growth happens, is the fact that traumas force a victim to re-evaluate their sense of self and their stance in the world.

Not everyone who experienced trauma, will experience post-traumatic growth, but about half to two-thirds will. Again, whether you will experience post-traumatic growth, is related to how resilient you are in general.

So how do you learn to cultivate resilience? You can learn to reframe challenges as opportunities and, as a result, look at the benefits of stress. After all, viewing stress as solely negative, may lead to an additional stressor, ie. “stress about stress”.

Other ways of cultivating a positive outlook on life, such as practising gratitude and self-care, can help too.

Grief: Dealing With Loss (Of Any Kind) #AtoZChallenge

Posted on by Astrid

Hi everyone. I’ve been struggling a lot lately again and, as a result, today am particularly late writing my #AtoZChallenge contribution. Today’s letter is G and I want to talk about grief.

Grief can refer to a person’s reaction to losing a loved one to death. That’s the most heard of definition anyway. Grief for a loved one who has passed away can last very long and, in fact, isn’t considered abnormal for the first year. If a person still experiences significantly distressing symptoms of grief more than a year after their loved one has passed, they may be diagnosable with prolonged grief disorder (also known as complicated grief).

Grief, of course, can also refer to the distressing symptoms experienced after losing a beloved pet. It doesn’t matter in this respect that the pet isn’t human; grief can still be experienced very deeply. I mention this because, like I said on Saturday, my spouse and I lost our cat Barry that day.

Grief, however, can also relate to distressing symptoms experienced after a loss that isn’t due to death. For example, heartbreak is in a way grief too. So are the distressing symptoms I experienced when losing my sight and, later on, many acquired skills due to autistic burnout.

Most people will be familiar with the five stages of grief described by Elisabeth Kübler-Ross. These stages are denial, anger, bargaining, depression and acceptance. In reality though, many people will not necessarily experience these stages in order and they may fall back due to stress. Still, many of the symptoms associated with the earlier stages in this model, made it into the criteria for prolonged grief disorder. Symptoms of prolonged grief include:


  • Identity disruption (eg. feeling as though a part of oneself has died).

  • Marked sense of disbelief about the death.

  • Avoidance of reminders that the person is dead.

  • Intense emotional pain (eg. anger, bitterness, sorrow) related to the death.

  • Difficulty reintegrating, such as problems engaging with friends, pursuing interests or planning for the future.

  • Emotional numbness (absence or marked reduction of emotional experience).

  • Feeling that life is meaningless.

  • Intense loneliness: feeling alone or detached from others.

Of course, people can experience many of these symptoms without having lost a loved one to death. Emotional numbness and avoidance of triggers, after all, are also symptoms of post-traumatic stress disorder. Many other symptoms occur in people who were traumatized in some way too. As an example, I relate to all symptoms when the aspect of bereavement is removed, and not just since Barry was put down. I don’t know whether that makes sense, but oh well.

Parenting Advice From a Childfree Survivor of Childhood Trauma

Posted on by Astrid

Hi everyone. Today’s RagTag Daily Prompt is “parenting”. Since I’m currently recovering from meeting my parents for my birthday, I’m going to make a list of parenting advice my parents should’ve received. I realize their inability to love me unconditionally wasn’t unwillingness. In fact, the fear that I may have this same inability is one reason I’m childfree. This post is a random list and may come across a bit harsh, but so be it.

1. A family is not a business. It doesn’t have to be run efficiently. Yes, I understand you get impatient with your child’s struggles at times, but this isn’t their problem – it’s yours.

I was constantly shamed for needing too much help and my parents gave up on teaching me basic skills of daily living because I got frustrated and the task didn’t get done efficiently.

2. Challenging behavior does not make the child (especially young child) bad or manipulative. Behavior is communication, yes, but to search for hidden motives behind it, is actually quite arrogant.

I was told by my parents that, by age seven, I had come up with some idea to manipulate everyone into thinking I was different in all kinds of other ways besides blind because I didn’t accept my blindness. News flash: I am those other things.

3. Children are incredibly loyal to authority figures, be it their parents, teachers, or others. When you fight the school or healthcare system over something rather than trying to be cooperative, the child will experience a conflict of loyalty. This means that, just because they side with you eventually, it isn’t necessarily in their best interest.

My parents were constantly fighting the school over my needs, because the school denied my intelligence. Then again, my parents minimized my emotional difficulties. When an educational psychologist who saw both my intelligence and my emotional issues, nonetheless advised special education for me, my parents still weren’t happy even though they’d chosen this ed psych, because they were dead set on me being mainstreamed.

4. Your child is not an extension of your ego. For this reason, they do not have to follow an educational or career path you like. It isn’t their job to make up for your lost dreams.

See also above. From the time I was a young child on, it was clear that, by age eighteen, I’d live on my own and go to university. Interestingly, neither of my parents have a college degree and particularly my mother feels “dumb” for it even though she worked herself up to a management position that usually requires a college degree.

5. Your child doesn’t need to prove their value. They do not need to prove they were “worth raising” by being anything, be it independent, successful, or whatever. If you don’t want a disabled child, a child of a certain gender, or whatever, you shouldn’t have a child.

I have probably said this before, but my parents, particularly my father, seriously think that a child needs to prove they were worth raising by being successful in life as an adult. He didn’t mean me when he said this, “because you’re training for independent living”. Well, now that I’m in an institution with seven hours of one-on-one a day, he obviously does mean me, since the few times I’ve seen him since he’s barely acknowledged me.

6. Love your child unconditionally. This does not mean agreeing with every single decision they make, but it does mean being there for them when they need you. And this doesn’t end when they turn 21. With a few exceptions (an adult child becoming a criminal, for example), parenting is a lifelong commitment.

I am linking this post up with #WWWhimsy as well.

No Such Thing As “Minor” Trauma

Posted on by Astrid

Recently, there was a discussion online I participated in about what caused our complex PTSD. I mentioned emotional, mental and physical abuse, bullying, a few instances of sexual violation and medical trauma. Most others not only went into far more detail than I was comfortable, but also discussed traumatic experiences that seemed far worse compared to those I’d gone through. When I mentioned this, saying reading others’ stories made me feel as though my trauma was minor, someone else commented how there’s no such thing as “minor” trauma.

Indeed, if something was significant enough to have caused C-PTSD, it was traumatic, and this means it was major. I am reminded of something my spouse said at one point when I was seeing a potential new trauma therapist back in 2013 (who ended up rejecting me for reasons not related to me). I was doubting the reality of my trauma. To this, my spouse said that, in reality, something as “minor” as slipping on the bathroom floor, could be life-threatening, so in theory I could’ve developed PTSD from that. I didn’t and I didn’t develop PTSD from any of my countless other falls, but I might have. Of course, this is a bit far-fetched, and of course I couldn’t have developed complex PTSD from falling, but I hope my point is clear: it’s not always easy to distinguish between events that objectively speaking count as trauma and things that don’t.

There are trauma centers here in the Netherlands that adhere very strictly to criterion A (the presence of things that count as trauma, according to professionals) in DSM-5 for treating people with (C-)PTSD. I’m not sure I’d meet their criterion. I mean, yes, I did experience exactly one potentially life-threatening medical event that I remember, when I was four. I was also hit quite regularly, but does that go beyond “tough love”? If it doesn’t, I’m pretty sure it doesn’t meet the trauma criterion for (C-)PTSD.

Then again, I’m not seeking to get into one of these centers. Tomorrow, I’ll have a get-to-know-me appointment with the care agency’s therapy practice. They haven’t yet decided whether they can help me or not. I hope they can, because right now I’m feeling rather hopeless.

No Longer Defective #Bloganuary

Posted on by Astrid

Today’s daily prompt for #Bloganuary is to share about your biggest challenges. At one point, I believe I wrote on this blog that my biggest challenge ever is my poor distress tolerance. Right now, I’d like to take it to a deeper level and say that my two biggest challenges are basic mistrust and a sense of being defective. I think the sense of being defective is even worse. This stems from my being an Enneagram type Four – or my being a Four is a result of my sense of defectiveness. In fact, the most distressed Fours are called “Defectives”. The healthiest are called “Appreciators”.

Being an externally-oriented Four – I’m undecided as to whether my instinctual variant is Social or Sexual -, I commonly blame others, be they in my past or present, for my sense of defectiveness. Now it is true that my parents commonly alternated between idealizing and devaluing me, that I was severely bullied in school and that I suffered numerous other traumas. That’s an explanation. It’s not an excuse.

There’s a thing I forgot to list when writing my not-quite-resolutions for 2024 earlier today: to work on personal growth more. I mean, honestly, I’m pretty stable where it comes to the most severe of (C-)PTSD symptoms. I do still get nightmares and flashbacks, but they do not ruin my day nearly everyday. Rather, my main issues are probably clinically classified as personality disorder symptoms, shameful as that feels to me to admit. I may or may not need a therapist to work on those, and if I do need one, I may or may not be able to find one. I can, however, work on exploring my issues on my own. I want to stop seeing myself as defective and start moving towards becoming the appreciator I know I can be.