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There was a lot of trauma around my birth too and apparantly the family were asked to choose which one lived.
That's just awful SD - but I'm very glad you made it and are here. You'll heal, but yes it does take a ton of time.
I really understand what you're saying about dissociation interrupting things like mindfulness, touch, trust.
Based on some of our somatic work my T suspects my Mom drank with me (no shock) and I know I made her ill enough she was in the hospital for the first part of her pregnancy as well.
I think there are a ton of different development stages that can lead to very specific issues and I wonder also how much of it is genetic or personality based. I think when I would cry I'd get an angry abusive parent or just no assistance reliably instead of intermittently (but who knows) which I think may have caused a lot of my dissmissive stuff but who knows. I know my parents joked about leaving me until I turned blue in the cold because I'd take off or have no blankets and no one would check on me and I wouldn't cry.
I also know there is a very real stage where kids feel like literally their parent does not exist when they leave. I don't have that - I'm not sure if it's because I don't care (but I do care) or because I somehow made it okay through that stage. I can imagine it is very confusing to feel someone is just gone - I really can't imagine what that would be like. I don't give my Ts much extension outside of their office (sorta giving them context like how when you grow up it's weird to see your teacher has a life outside of being your teacher) but I still know they are out there. Maybe somehow I've had the feelings but not related to them.
Okay, sorry this reply was long!