Grief, Chronic Illness & Generational Healing With Natasha Trujillo, PH.D

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Grief, Chronic Illness & Generational Healing With Natasha Trujillo, PH.D
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Grief isn’t just about loss—it’s about learning to navigate change, especially when living with chronic illness. In this powerful episode of Endo Battery, Dr. Natasha Trujillo joins us to explore how generational grief shapes our emotional responses and how perfectionism, acceptance, and resilience play a role in our healing journeys.

🔹 How generational experiences influence the way we process grief
🔹 Why grief with chronic illness isn’t linear—and how to honor your journey
🔹 The connection between perfectionism, loss, and self-worth
🔹 How family history impacts chronic health struggles
🔹 Practical strategies for redefining success and embracing resilience

If you’ve ever felt like grief is an unspoken part of your chronic illness experience, this episode is for you. Tune in and discover new ways to process, heal, and find strength in community. 💛

Buy: And She was Never The Same Again

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Navigating Mental Health and Resilience

Speaker 1
0:02

Welcome

to

EndoBattery
,

where

I

share

my

journey

with

endometriosis

and

chronic

illness
,

while

learning

and

growing

along

the

way
.

This

podcast

is

not

a

substitute

for

medical

advice
,

but

a

supportive

space

to

provide

community

and

valuable

information

so

you

never

have

to

face

this

journey

alone
.

We

embrace

a

range

of

perspectives

that

may

not

always

align

with

our

own
.

Believing

that

open

dialogue

helps

us

grow

and

gain

new

tools

always

align

with

our

own
.

Believing

that

open

dialogue

helps

us

grow

and

gain

new

tools
.

Join

me

as

I

share

stories

of

strength
,

resilience

and

hope
,

from

personal

experiences

to

expert

insights
.

I'm

your

host
,

alana
,

and

this

is

EndoBattery

charging

our

lives

when

endometriosis

drains

us
.

Welcome

to

EndoBattery
.

Grab

your

cup

of

coffee

or

your

cup

of

tea

and

join

me

at

the

table
.

Today
,

we're

joined

at

the

table

by

our

incredible

guest
,

a

powerhouse

in

the

world

of

mental

health
,

athletics

and

advocacy

Dr

Natasha

Trujillo
.

Speaker 1
0:56

Dr

Trujillo

is

a

licensed

counseling

and

sports

psychologist

whose

work

is

transforming

the

way

we

understand

mental

health

in

high-performance

spaces
.

With

a

doctorate

from

Purdue

University

and

years

of

hands-on

experience

supporting

collegiate

athletes
,

she

has

dedicated

her

career

to

breaking

down

barriers
,

increasing

access

to

care

and

destigmatizing

mental

health

struggles

in

sports
.

Dr

Trujillo

has

worked

across

multiple

levels

of

care
,

from

university

counseling

centers

to

intensive

outpatient

programs
,

helping

athletes

navigate

everything

from

performance

pressures

to

eating

disorders
.

She's

also

a

passionate

advocate

for

equity

and

inclusion
,

ensuring

mental

health

care

is

accessible

to

all
.

And
,

beyond

her

work

in

athletics
,

she

specializes

in

grief
,

loss

and

self-injury
,

areas

that

deeply

impact

so

many

lives
.

Speaker 1
1:47

But

Dr

Trujillo

isn't

just

a

clinician

she's

also

an

author
.

Her

book

and

she

Was

Never

the

Same

Again

takes

readers

on

a

journey

through

trauma
,

healing

and

transformation
.

It's

a

powerful

exploration

of

resilience

and

I

can't

wait

to

dive

into

it

with

her

today
.

So

grab

that

cup

of

coffee

or

tea

and

let's

welcome

Dr

Natasha

Trujillo

to

the

table
.

Thank

you

so

much
,

dr

Trujillo
,

for

joining

me

today

and

sitting

at

the

table

with

me
.

I

am

honored

to

have

you

here

as

my

guest

and

boy
.

We

have

a

lot

to

talk

about
.

So

thank

you

so

much

for

joining

me

today
.

Thanks

so

much

for

having

me
.

Speaker 2
2:22

Glad

to

be

here
.

Speaker 1
2:25

Yeah
,

there's

a

lot

of

what

you

wrote

in

your

book

that

I

resonated

with

deeply

and

I

think

that

your

expertise

and

what

you've

gone

through

and

what

you've

detailed

in

your

book

have

really

allowed

me

to

see

things

differently
.

I

started

as

I

was

listening

to

your

book
.

I

was

starting

to

process

a

lot

of

what

you

were

saying

in

my

own

life

and

I

think

it

correlates

a

lot

to

those

who

live

with

chronic

illness

and

grief

and

everything

else

that

we

go

through
.

Can

you

explain

a

little

bit

about

your

book

and

who

you

are

and

what

got

you

to

this

point

in

your

career
?

Speaker 2
2:58

Yeah
,

I'll

start

with

a

little

background
.

So

I'm

a

counseling

and

sports

psychologist
.

I

have

been
,

I'm

currently

in

private

practice
.

I've

been

in

private

practice

for

the

last

couple

of

years
.

I

was

lucky

enough

to

get

to

train

in

a

variety

of

settings
.

So

I

started

out

in

residential

treatment

facilities

without

risk

youth

and

then

I

kind

of

bounced

around
.

I

did

a

lot

in

university

counseling

centers
.

I

worked

in

college

athletics

for

several

years
,

community

mental

health

centers
,

inpatient
,

outpatient
,

worked

at

an

eating

disorder

facility
,

so

I've

kind

of

been

all

over
.

And

then

of

course

I

specialize

working

with

athletes
.

I'm

also

a

sports

psychologist

and

so

that

has

been

incredible

to

really

start

to

build

my

private

practice

around

the

passions

and

the

interests

that

I

have
.

It

makes

it

feel

a

lot

less

like

work
.

Speaker 2
3:40

And

then

on

the

clinical

side

of

things
,

I

specialize

in

grief

and

loss
,

eating

disorders
,

trauma
,

perfectionism
,

anxiety

and

depressive

disorders

and

then

all

things

performance

psych
.

Speaker 2
3:51

So

that

combination

of

things

I

think

keeps

me

very

busy

and

that

a

lot

of

that

was

what

made

me

want

to

write

the

book
.

Speaker 2
4:00

So

I

guess

a

few

years

ago

now

I

was

experiencing

my

own

grief
,

to

be

completely

honest

with

you
,

and

I

was

struggling

and

I

don't

feel

like

I

was

dealing

with

it

very

well
,

and

that

came

with

a

lot

of

shame

and

a

lot

of

guilt
,

because

I'm

a

psychologist

and

I

specialize

in

that
,

and

so

I

just

started

to

write
,

and

the

more

I

wrote
,

the

more

I

was

like

you

know
.

Speaker 2
4:27

I

think

this

can

actually

be

helpful

for

more

than

just

me
,

and

the

way

that

you

described

what

the

book

has

done

for

you

and

how

you've

been

able

to

kind

of

dig

in

and

use

my

stories

as

a

catalyst

to

look

at

your

own

life

is

exactly

what

I

wanted

readers

to

be

able

to

take

away

to

make

some

of

these

things

that

are

more

untalkable

or

feel

untalkable

and

hard

to

look

at

in

your

own

life

and

kind

of

start

to

process

and

work

with

it

and

have

some

different

ideas

and

stepping

stones

to

do

your

own

work

and

integrate

the

losses

in

your

own

life

a

little

bit

more

fully
.

It's

kind

of

what

got

me

here
.

Understanding Generational Grief and Coping

Speaker 1
5:02

The

thing

that

I

loved

about

your

book

is

that

it

wasn't

just

like

a

self-help

book
.

Speaker 1
5:07

It

was

digging

into

your

family

history
,

it

was

digging

into

your

past
.

It

was

digging

into

who

you

are

and

processing

the

things

that

you've

gone

through

and

what

your

family

has

gone

through
.

And

something

that

I

really

resonated

with

was

the

generational

grief

and

coping
,

how

it

affected

us

generations

down
,

and

I

didn't

really

put

a

lot

of

that

together

and
,

as

someone

who

has

experienced

grief

and

loss

very

closely

and

seeing

how

that

grief

and

loss

has

affected

the

way

that

I

cope

with

my

own

grief

and

loss
,

is

something

that

I

felt

like

we

need

to

talk

about

this

more
,

because

generational

coping

and

generational

grieving

is

still

very

much

a

thing
,

and

I

think

that

translates

in

how

we

deal

with

our

chronic

illnesses

and

our

fight

to

find

recognition

in

who

we

are

as

people

who

struggle

with

chronic

illnesses

and

trauma

and

all

that

life

throws

at

you
.

Can

you

just

explain

what

that

is

a

little

bit
,

what

that

generational

grief

and

coping

looks

like

and

what

it

is
?

Yeah
,

of

course
.

Speaker 2
6:17

So

my

book

is

a

little

interesting

in

that

it

doesn't

really

fit

nicely

into

any

particular

genre

or

box
.

Yeah
,

so

I

appreciate

you

saying

that

it

definitely

extends

beyond

a

self-help

book
,

because

I

yeah
,

I

would

actually

say

it

is

not

a

self-help

book
.

Of

course

there's

a

lot

of

components

that

deeply

make

you

think
,

but

one

of

my

biggest

talking

points

with

grief

is

that

there

is

no

how-to
,

and

so

self-help

to

me

or

how-to

with

grief
,

I

think

really

undermines

the

complexity

of

it

and

the

individuality

of

it
,

and

so

self-help

to

me

or

how

to

with

grief
,

I

think

really

undermines

the

complexity

of

it

and

the

individuality

of

it
,

and

so

I

felt

like

that

was

too

narrow
.

But

then

the

book

really

is

not

a

memoir

because

there

are

entire

chapters

that

are

dedicated

to

people

who

have

impacted

me

deeply
,

but

I

don't

have

anything

to

do

with

those

stories
.

I

wasn't

even

alive

for

some

of

those

stories
.

Speaker 2
7:02

So

I

penned

the

book

as

a

multi-generational

memoir

and
,

to

be

honest

with

you
,

I

made

that

up

because

I've

never

heard

or

seen

another

book

that's

called

a

multi-generational

memoir
.

Speaker 2
7:13

But

I

felt

like

that

was

so

important

because
,

again
,

when

I

was

looking

at

you

know

why

am

I

struggling

with

my

grief

so

much
,

and

how

do

I

see

the

world

and

where

does

that

come

from
?

Speaker 2
7:22

I

couldn't

help

but

think

about

the

people

who

have

been

the

most

impactful

to

me
,

and

that

is

my

family

right
,

that

is
,

close

family

members
,

close

friends

and

how

have

they

dealt

with

grief

and

how

has

our

family

collectively

made

sense

of
,

or

not

made

sense

of
,

talked

about

or

not

talked

about
,

some

of

the

most

difficult

parts

of

life
?

And

so

I

had

to

kind

of

go

back

and

hash

that

out

and

pay

attention

to

those

things
,

because
,

even

if

I

wasn't

alive
,

the

way

that

some

of

those

events

impacted

you

know
,

my

parents
,

for

example
,

vicariously

impact

me

too
,

and

so

it

gave

me

a

lot

more

understanding

and

context
,

not

just

of

my

family

members

but

also

of

me
,

and

that's

really

important

when

we're

trying

to

figure

out

what

is

important

to

us

and

why

are

we

the

way

that

we

are

and

how

do

we

cope

right
,

what's

going

to

be

helpful

for

us

to

create

a

life

that

we

can

say

we're

satisfied

with

and

proud

of
.

Speaker 1
8:14

Well
,

and

that's

the

thing

is

like

looking

back

at

that

and

looking

at

your

story
,

how

it

translated

to

your

own

physical

challenges
,

was

like
,

oh

okay
,

I

see

myself

in

this
.

Speaker 1
8:28

You
,

at

a

very

young

age
,

got

very

sick

and

you

almost

died

and

because

of

all

the

trauma

from

your

parents

past

and

how

they

dealt

with

that

kind

of

put

pressures

on

you

moving

forward

in

your

own

life
,

and

so
,

if

you

guys

haven't
,

I'm

going

to

encourage

everyone

to

go

read

this

book

and

it's

called

and

she

was

never

the

same

again

because

I

really

truly

made

you

look

at

how

you

deal

with

your

own

losses
,

and

that

could

mean

your

physical

losses
,

that

could

mean

your

loss

of

ability

to

do

something

you

really

want

to

do
.

Speaker 1
9:03

And

this

is

especially

prevalent

with

those

of

us

in

the

chronic

illness

community
,

because

there's

many

times

that

we

have

goals
,

dreams
,

ambitions

and

even

a

dream

job

that

we

can't

do

anymore

because

of

our

chronic

illness
.

And

the

way

that

you

coped

with

it

which

I

thought

many

of

us

do

is

we

tend

to

ignore

it

or

we

push

it

away

until

we

can't

anymore

and

then

we

find

other

coping

mechanisms

to

not

address

what's

really

at

the

core

of

our

grief
,

and

that

was

something

that

hit

me

really

hard

as

someone

who

tends

to

be

a

little

bit

more

on

the

perfectionism

state
,

who

will

always

tell

you

when

you

ask

how

are

you

doing

today
,

I'm

great
,

you

know
,

like

that

automatic

response

when

you're

not

okay
,

and

ignoring

the

pain
,

both

psychologically
,

mentally
,

emotionally

and

physically
,

to

just

continue

with

what

I

think

society

tells

us

we

need

to

continue

with
.

Speaker 1
10:01

Do

you

want

to

tell

us

a

little

bit

more

about

that

and

how

that

has

impacted

you

and

how

others

can

help

find

healthy

coping

mechanisms

for

that
?

Speaker 2
10:11

Certainly
.

Yeah
,

I

love

that

you

just

used

the

word

grief

and

associated

it

with

chronic

illness
,

because

I

feel

like

oftentimes

that

doesn't

happen
,

right
.

People

only

think

that

we

grieve

if

somebody

has

died
,

right
,

and

that

is

just

simply

not

true
.

We

grieve

so

many

different

types

of

things

throughout

life
,

and

so

I

think

it's

incredibly

important

just

to

name

that
,

and

I've

noticed

in

my

clinical

work
,

you

know
,

when

I

help

people

understand

that

they

are

grieving

non-death

losses
,

it's

incredible

to

see

some

light

bulbs

come

on

and

to

be

able

to

give

them

different

language

and

different

perspectives
,

to

really

dig

into

what

that

loss

looks

like

and

to

help

them

see

both

the

gains

and

the

losses

and

the

different

life

experiences

that

we

go

through

has

been

incredible
.

Speaker 2
10:54

So
,

of

course
,

yeah

to

your

point

with

my

own

experience

with

chronic

illness

and

I

detail

this

in

the

book

but

I

had

a

flight

for

life

when

I

was

about

two

and

a

half

and

almost

died
,

and

from

that

point

it

was

respiratory

failure

and

I've

had

respiratory

problems

ever

since
.

Speaker 2
11:09

So

my

whole

life

I've

had

some

flavor

of

some

sort

of

flare

up

right
,

just

something

kind

of

going

on

with

my

respiratory

system

or

it's

affected

other

systems
,

etc
.

Speaker 2
11:19

And

so

I

think

that

is

incredibly

important
,

because

even

though

I'm

very

stubborn

and

very

perfectionistic

and

it's

never

stopped

me

from

doing

anything

I

still

look

at

my

life

very

Navigating Grief and Chronic Illness

Speaker 2
11:29

differently
.

Speaker 2
11:29

And

for

a

young

person

to

have

a

chronic

illness
,

I

think

that

is

also

something

quite

unique
,

in

that

none

of

my

friends

you

know

they

knew

that

I

had

issues

breathing

and

they

were

very

supportive
,

but

they

also

didn't

really

get

it
.

And

so

I

think

when

you're

exposed

to

chronic

illness
,

you

are

experienced

with

the

more

existential

things

in

life

right
,

morality

and

you

are

forced

to

face

them
,

maybe

a

little

sooner

than

others

might
,

and

that

changes

your

perspective
.

And

there

is

both

beautiful

things

in

that
,

but

there

is

also

a

lot

of

loss

and

a

lot

of

grief

in

that

too
,

and

so

one

of

my

intentions

is

just

to

kind

of

draw

light

to

that

and

make

sure

that

people

are

able

to

kind

of

look

at

both

and

hold

both

at

the

same

time
,

because

that's

what

you'll

find

is

typically

these

are

both

and

situations
,

rather

than

either

or
,

and

that's

why

it

was

very

important

to

me

to

have

my

book

start

with

the

word

and

right
,

and

she

was

never

the

same
.

Speaker 1
12:26

I

love

that

title
,

by

the

way
.

When

we

are

thrown

obstacles

in

life
,

we

aren't

the

same
,

but

to

say
,

and

she

was

never

the

same

is
.

I

don't

know

something

about

that

title
.

I

was

like
,

yes
,

you

get

it
.

I

was

like

it

resonates

with

you

when

you've

gone

through

experiences

like

this
.

Speaker 1
12:45

You

know

and

for

someone

like

me
.

I've

gone

through

grief

and

losing

someone
,

um

a

lot

of

people
,

and

it
,

and

this

season

particularly
,

is

very

hard

for

me

to

do

that

and

what

I

noticed

in

these

seasons

is

the

way

that

I

have

grieved

and

carried

and

coped

with

those

losses

translates

into

how

I

grieve

and

cope

and

process

my

own

personal

chronic

illness

grief

and

it

is

not

linear
.

It

is

very

like

up

and

down
.

It

is

very

circular

and

times
.

You

know
,

I

was

just

talking

to

my

husband

about

this

the

other

day
.

I

was

like

I

love

Christmas

time
,

I

love

having

my

trees
,

but

I

decorating

them

is

a

trigger

for

me

and

then

I

start

and

right
,

Right
.

Speaker 2
13:29

Exactly
,

yeah
,

I

love

it
.

And
,

man
,

this

is

painful

now
.

Exactly
.

Speaker 1
13:34

Absolutely
,

and

then

I

also

noticed

the

breakdown

in

my

physical

body

and

grieving

that

as

well
,

and

I

think

that

a

lot

of

us

who

deal

with

chronic

illnesses
,

when

we

are

dealing

with

grief

beyond

our

chronic

illness
,

our

bodies

respond

and

I

don't

know

if

you've

seen

this

in

your

own

practice

or

if

you

can

expand

on

that

with

athletes

even
,

or

with

the

people

that

you've

worked

with
.

That

tends

to

be

for

me
,

a

trigger

is

like

not

dealing

with

or

walking

through

grief

Because
,

like

I

said
,

sometimes

we

don't

deal

with

it

well

and

sometimes

we're

just

walking

through

it
,

but

our

bodies

and

other

things

respond

to

that
.

Speaker 2
14:12

In

my

opinion

and

what

I've

experienced
,

yeah
,

well
,

and

that's

a

bi-directional

relationship

too
,

right
?

I

definitely

had

people

come

to

me

who

are

grieving

and

they're

like
,

oh

my

gosh
,

it

feels

like

I'm

having

a

heart

attack
,

or

you

know
.

They'll

describe

these

physical

symptoms
.

It's
,

it

can

manifest

physically

and

grief

can

intensify

pre-existing
,

you

know
,

physical

or

chronic

conditions

that

you

already

have
.

So

that's

definitely

a

bi-directional

relationship

and
,

again
,

I

don't

think

that

gets

talked

about

enough
.

So

then

you

have

a

lot

of

people

who

feel

very

isolated

and

crazy
,

frankly
,

right
,

like

something

is

really

wrong

with

them
,

and

all

of

these

are

components

of

grief
.

I

love

that

Navigating Chronic Illness and Emotions

Speaker 2
14:51

.

Speaker 2
14:51

Thank

you

for

what

you

said

about

the

title
,

the

only

two

things

that

I

knew

when

I

decided

to

write

the

book
.

Speaker 2
14:56

I

knew

immediately

what

the

title

was

going

to

be

and

what

the

last

sentence

of

the

book

was

going

to

be
.

Those

were

the

two

things

that

I

was

like
,

yes
,

I

have

those

things

down
,

but

that

was

so

intentional

for

me
,

partially

because

of

the

both

and

that

I

just

mentioned
.

But

again
,

I

often

have

people

come

to

me

and

they

say

I'm

still

and

still

is

kind

of

a

bad

word

in

the

grief

world
,

if

you

will

right

I'm

still

grieving

or

I

still

don't

feel

back

to

normal

or

I'm

still

not

myself
,

and

I

burst

their

bubble

a

lot

of

the

time

because

I'm

like
,

yeah
,

that's

not

a

goal
,

that's

not

an

expectation
,

this

thing

that

is

so

significant

being

diagnosed

with

a

chronic

illness
,

for

example
,

it

is

so

significant

You're

not

going

to

return

to

who

you

were

before
.

And

so

I

don't

want

to

set

people

up

to

have

those

sorts

of

expectations

or

to

feel

like

they're

doing

it

wrong

or

they're

behind

or

they're

fundamentally

flawed

in

some

way

because

they

haven't

returned

to

this

previous

version
.

Well
,

that's

expected
.

Speaker 1
15:59

Right
,

and

for

me
,

there's

moments

where

I'm

like

I

feel

broken

and

I'm

like

I

might

be

broken

in

some

senses
,

but

it's

beautifully

broken

in

the

sense

that

I

can

still

carry

on

most

of

the

time
.

But

that's

not

true

for

everyone
,

and

that

sense

of

brokenness

and

that

sense

of

loss

of

who

we

thought

we

would

be

is

so

profound

in

this

and

in

the

other

part

of

this

too
,

and

and

you

can

even

touch

on

this

if

you

want

but

for

me

it's

the

constant

next

diagnosis
,

because

for

a

lot

of

us

within

the

endometriosis

community

and

chronic

illness

community
,

we

don't

have

just

one

chronic

illness
,

we

typically

have

multiple
,

and

so

it's

like

seeking

out

this

pain
,

oh

here's

another

pain

I

have

to

go

chase
,

and

here's
.

And

so

that

grief

behind

and

that

anger

and

that

frustration

and

just

will

I
,

that

hopelessness

at

times
,

will

I

ever
?

Speaker 1
16:54

get

out

of

this
,

will

I

ever

not

feel

like

I'm

chasing

the

next

thing
?

How

do

you

help

people

cope

with

things

like

that
?

Speaker 2
17:02

Yes
,

absolutely

Okay
.

So

you've

mentioned

this

a

little

bit
,

but

if

we

draw

this

out

a

little

bit

more
,

I

think

one

of

the

biggest

reasons

why

people

struggle

so

much

with

certain

diagnoses

or

certain

fixed

things

in

their

life

is

because

of

the

avoidance

and

the

resistance

and

the

hesitation

to

accept

that

it

is
.

And

I

want

to

be

very

careful

in

saying

that

working

on

acceptance

doesn't

mean

that

you

have

to

like

it

or

agree

with

it

or

prefer

it
.

But

there

are

certain

things

that

are

outside

of

our

control

and

it

is

our

job

as

people

who

have

to

cope
,

to

figure

out

what

is

within

our

control

and

what

is

not
.

And

so

sometimes

I

think

working

on

that

relationship

to

minimize

how

much

you

avoid

or
,

you

know
,

reject
,

I

think

that

can

be

really
,

really

helpful

in

dealing

with

the

ups

and

downs

that

come

with

chronic

illness
.

So

I

can

even

use

myself

as

an

example
.

Speaker 2
17:55

When

I

was

younger
,

I

think

I

struggled

so

much

because

I

was

very

avoidant
,

you

know

people

would

say
,

and

I

played

sports

right
,

and

since

I'd

be

struggling
,

you

know

having

an

asthma

attack

on

the

side
,

basically

blue

and

my

coaches

were

like
,

can

you

stop
,

get

out

of

this

drill
?

And

I

was

like
?

Absolutely

not
.

And

looking

back

on

that
,

some

of

that

stubbornness

and

that

refusal

to

accept

ended

up

making

things

worse

for

me
,

right
?

Because

I

pushed

when

I

shouldn't

and

I

was

not

letting

anyone

help

me
.

So

I

was

isolating

myself

more

and
,

you

know
,

I

had

more

shame

because

I

was

trying

to

control

things

that

I

couldn't
.

And

so

now

you

know
,

doing

all

this

work

of

course

my

training

has

helped

immensely

with

this
.

Speaker 2
18:37

But

I

think

now

I'm

at

this

place

where

I

history
,

you

know

I

will

always

kind

of

be

associated

my

nickname

was

Wheezy
,

like

that

will

always

kind

of

be

part

of

who

I

am

now
,

and

the

less

I

avoid

that
,

the

less

that

I

resist

that

notion
,

the

easier

it

is

for

me

to

cope

too
.

So
,

on

the

acceptance

front
,

you

know

it

allows

you

to

live

more

intentional

and

I

think

it

allows

you

to

be

more

present
,

focused
,

because

I

don't

always

know

day

to

day

how

are

my

lungs

going

to

be

today
?

Am

I

going

to

have

a

hard

day
?

Is

something

going

to

hurt
?

I

don't

always

know

that
.

I

know

how

to

deal

with

those

days

when

I

don't

feel

great

and

I

know

how

to

really

embrace

those

days

when

I

feel

incredible
,

right
.

So

I

think

that

too

just

kind

of

allows

you

to

not

feel

quite

as

chained

down

and

certainly

not

as

anxious

and

trying

to

anticipate

and

predict

the

future
,

because

it

doesn't
.

It

doesn't

actually

help

anything
.

You

can

worry

all

you

want
.

It

doesn't

actually

prevent

or

make

anything

better
.

Speaker 1
19:39

But

as

hard

as

we

try

to

make

it

better

and

we

do

that
,

and

I

see

that

in

myself
.

You

know

something

you

said

in

your

book
,

and

I'm

probably

paraphrasing

this
.

You

talked

about

hating

your

body

for

what

it

couldn't

do

often

lied

about

the

pain

you

were

in

and

finding

ways

to

punish

your

body

without

showing

others

that

you

were

human
.

Speaker 1
19:59

And

I
,

as

someone

who

does

that
,

still

sometimes

I

have

to

catch

myself
,

and

something

that

is

the

hardest

thing

to

do

when

you

live

with

chronic

illnesses

and

I

think

it's

just

being

human
,

honestly
,

and

because

we're

in

the

society

that

we

are
,

we

push

things

aside

because

we

aren't

expected

to

have

grace

for

ourselves
.

Sometimes

We'll

say

it
,

but

then

we

don't

follow

through

with

having

grace

for

ourselves

and

treating

ourselves

like

human

beings
.

And

something

that

I've

had

to

work

on

is
,

if

I

wouldn't

expect

others

to

work

and

fight

through

their

extreme

pain
,

why

would

I

do

that

to

myself
?

Why

would

I

not

treat

myself

with

integrity
?

And

that

is

something

I

have

struggled

with

so

much
.

But

that

part

of

the

book

I

was

like

oh

gosh
,

well
,

like

that

just

hit

me

like

a

brick
,

because

I

still

do

that

to

this

day

sometimes
.

Speaker 2
20:49

Yes
,

one
.

You

had

mentioned

perfectionism

earlier
,

and

I

mean

there's

an

entire

chapter

in

the

book

about

perfectionism
,

because

I

feel

like

there's

so

much

grief

and

loss

inherent

in

perfectionism

and

that's

not

often

a

connection

that

people

make
.

But

I

think

that

adds

to

this

too
,

because
,

as

people

who

struggle

with

perfectionism
,

it's

like

OK
,

but

I'm
.

That

adds

to

this

too
,

because

as

people

who

struggle

with

perfectionism
,

it's

like

okay
,

but

I'm

the

exception
.

So
,

yeah
,

I

can

say

all

these

things

and

everyone

else

should

do

this
,

but

I

have

to

figure

out

a

different

way
,

or

I

have

to
,

you

know
,

be

successful

without

doing

a
,

b
,

c

and

d
,

because

that

makes

me

more

perfect
,

or

I

don't

need

x
,

y

and

z
.

So

I

think

that

can

make

it

very
,

very

complicated
.

And

then

again
,

that

sense

of

what

are

we

in

control

over

and

what

are

we

not

in

control

over
,

that

can

make

the

relationship

that

we

have

with

ourselves

very
,

very

complex

and

very

complicated
.

Speaker 1
21:36

And

of

course
,

grief

is

interwoven

with

all

of

that

and

anger
,

like

I

feel

like

there's

a

lot

of

anger

sometimes

towards

myself
,

and

it's

how

we

process

and

cope

with

that

anger

that

can

make

a

difference

too
,

because

whether

you

acknowledge

it

or

you

walk

through

anger

knowing

that

it's

okay

to

be

angry

at

your

body

at

times

or

at

the

situation

that

you're

in
.

Speaker 1
22:01

How

do

we

get

out

of

that
?

What

is

a

healthy

way

for

those

of

us

who

have

that

anger

towards

our

body

or

towards

the

trauma

that

we've

experienced

because

of

what's

going

on

in

our

body
?

How

do

we

process

and

cope

with

that
?

What

are

some

healthy

ways

to

do

that
?

Speaker 2
22:14

Yes
,

it

is
.

Yes
,

it

is

Well
.

And

I

will

also

say

I

don't

think

we

need

to

give

anger

a

bad

rap

either
.

I

think

that's

a

very

appropriate

and

adaptive

emotion

in

this

situation
.

Right
,

you

have

a

chronic

illness
,

you

have

something

that

takes

you

away

from

something

that

you

really

wanted

to

pursue
,

or

shoot
,

you

know

you

just

have

a

bad

day

and

your

plans

get

changed
.

It's

okay
.

It's

okay

to

be

angry
.

That

is

appropriate
,

that

makes

sense

in

that

situation
.

Speaker 2
22:41

I

often

encourage

people

to

go

a

little

bit

deeper

too
,

just

in

terms

of

what

is

underneath

some

of

that

anger
.

The

anger

iceberg

is

one

of

my

very

favorite

things

to

use

in

therapy
.

So
,

basically
,

you

know
,

if

you

picture

an

iceberg
,

you

have

what

you

see
.

If

you're

standing

on

a

boat

and

you're

looking

at

the

tip

of

the

iceberg
,

that's

what

you

see
,

and

so

oftentimes

that

is

anger
.

And

in

our

society
,

anger

is

often

a

more

acceptable

emotion

than

other

more

vulnerable

emotions

maybe
,

and

so

that's

the

tip
,

that's

what

you

see
.

But

we

know

that

when

you

go

under

the

surface

and

you

really

look

at

what's

underneath
,

it's

huge
,

right
,

yeah
,

and

there's

so

many

emotions

in

there
.

Speaker 2
23:19

So

I

often

ask

people

what's

under

the

tip

of

your

iceberg
,

and

when

we

think

about

anger
,

you

know
,

in

this

situation
,

you

wake

up

and

all

your

plans

get

changed

because

you

just

don't

feel

well
.

Speaker 2
23:30

That's

sadness
,

that

is

great
,

yeah
,

that

is

great
.

That

is

loss
,

that

is

fear
,

that

is
,

you

know
,

there's

guilt

possibly
,

even

if

it's

not

appropriate

guilt

necessarily
,

you

still

might

feel

it

because

you

have

to

change

plans

A
,

b

and

C
,

and

so

I

think

that's

another

strategy

that

I

really

want

people

to

consider

is

what

is

underneath

some

of

that

anger
?

I

think

some

self-reflection

too
.

Are

you

handling

that

anger

in

a

way

that

you

feel

is

adaptive

and

healthy

for

you
?

There's

so

many

different

outlets
,

and

who

am

I

or

anyone

else

to

say

what's

right

and

what's

wrong
,

but

just

being

able

to

self-reflect

and

figure

out
,

am

I

handling

this

in

a

way

that

works

for

me
?

And

if

I'm

not
,

what

do

I

want

to

do

with

that
?

So
,

I

think
,

being

willing

to

ask

yourself

hard

questions

and

if

you're

recognizing

that

you

need

to

do

some

work

and

figure

something

out
,

take

those

risks
?

Interpreting Medical Trauma and Familial Influence

Speaker 1
24:25

How

do

people

I

mean
,

we've

all

walked

through

trauma

and

a

lot

of

us

have

dealt

with

medical

trauma

what

are

some

signs

of

on

dealt

with

medical

trauma
?

Because

I

know

that

for

me

I

didn't

realize

I

was

walking

through

medical

trauma

until

years

later
.

But

I

look

back

and

I

see

those

those

little

inklings

of

like

that

was

medical

trauma
.

That

was

me

not

realizing

that

because

of

this

past

experience

in

healthcare

I

responded

this

way

or

I

avoided

going

to

the

doctor

this

time

when

I

should

have

gone

because

of

past

experiences
.

That's

how

I

dealt

with

it

and

that's

how

I

noticed

it
.

But

what

are

things

that

you

see
?

Maybe

some

patients

that

come

in

that

have

maybe

some

medical

trauma

ways

that

they

kind

of

avoid

and

that

they

need

to

maybe

address

it
.

Speaker 2
25:16

Totally
.

Yeah
.

It's

so

funny

too
,

because

so

earlier

I

said

I

like

that

we're

using

this

word

grief

being

associated

with

things

that

are

not

just

death
,

right
,

Right
,

we

do
.

We

have

to

give

people

language

and

context

and

allow

them

to

think

about

these

ideas

through

different

perspectives

and

vantage

points
,

and

what

you

just

said

reminded

me
.

So

I

was

getting

my

master's

degree

and

I

had

an

incredible

supervisor
.

She

was

so

wonderful

and

we

were

talking

a

little

bit

about

my

medical

history

and

I

had

never

called

it

trauma
.

I

didn't

see

it

that

way
.

It

was

just

like
,

yeah
,

this

is

just

something

I

went

through

and

something

I

continue

to

go

through

and

it

is

what

it

is

Right
.

And

she

used

the

word

trauma

and

I

was

honestly

offended
.

I

was

like
,

no
,

I've

never

been

through

any

trauma
.

What
?

No
,

no
,

and

I

will

never

forget

that

reaction
.

I

was

kind

of

angry

with

her

and

she

was

like
,

ok
,

so

tell

me

how
.

This

isn't

trauma
.

It's

like

okay
.

So

again
,

for

giving

me

that

language

and

giving

me

that

perspective

and

that

vantage

point

was

amazing
,

and

so

part

of

how

I

would

answer

this

question

is

give

yourself

permission

to

explore

and

to

kind

of

consider

it

From

a

trauma

lens
.

Speaker 2
26:30

I

often

think

about

avoidance
.

Speaker 2
26:32

How

much

does

an

experience

that

you

have

had

in

your

life

make

you

hesitate

or

make

you

push

things

aside

or

make

you

fearful

of

things

in

a

way

where

you

know

you'll

take

a

route

that's

a

little

longer
,

yeah
,

or

you'll

do

something

to

truly

not

have

to

confront

something
.

Speaker 2
26:49

And

I

think

that

awareness

is

oftentimes

something

where

it's

like
,

yeah
,

there's

something

here
.

I

also

think

another

huge

sign

is

just

intrusive

thoughts
.

You

know
,

how

often

do

you

as

much

as

you

want

to

push

it

aside

does

it

always

seem

to

find

its

way

back
.

So

I'll

see

this

a

lot
,

with

people

who

will

tell

me

I

just

think

about

a

flare

up

happening

all

the

time

and

I

can't

stop

thinking

about
.

You

know

what

this

doctor

said

to

me
,

or

what

this

doctor

didn't

say

to

me
,

or

you

know

this

experience

in

the

lab

or

when

I

was

getting

imaging
,

or

whatever

it

may

be
.

So

I

think

that

those

intrusive

thoughts

that

come

up

when

you're

not

expecting

it
,

when

they

aren't

wanted
,

and

if

you

have

a

really

hard

time

pushing

some

of

that

away
,

we're

working

through

it
.

Let's

say
,

probably

not

pushing

things

away
,

but

working

through

it
.

That

is

also

a

huge

indication
.

Speaker 1
27:38

I

push

it

away
.

Sometimes

that's

future

Alana

problems
,

and

then

it

gets

to

future
.

Alana

and

I'm

like
,

I

don't

like

pastelana

right

now
.

Speaker 2
27:46

Yes
,

yes
,

one
.

It's

interesting

Again
,

this

is

a

both

and

for

me
,

because

there

are

times

where

we

do

we

do

have

to

push

it

aside
,

right
,

like

we

have

our

responsibility

or

we

have

something

where

it's

like

this

is

just

not

the

time
.

So

I

do

think

there's

a

time

and

a

place

for

some

compartmentalization

and

knowing

when

we

can

turn

that

volume

up

and

deal

with

it

or

when

we

need

to

turn

it

down
.

But

I

think

chronic

avoidance
,

chronic

pushing

away
,

certainly

leads

to

more

distress

over

time
.

Speaker 1
28:16

Absolutely
.

Yeah
,

it

does
,

and

I've

experienced

that
.

Something

that

you

talk

a

lot

about

in

your

book

is

your

family

and

the

experiences

that

you've

had
.

They've

had
,

therefore
,

you've

had
.

We've

kind

of

talked

about

this

a

little

bit
.

Speaker 1
28:30

But

when

those

of

us

in

the

chronic

illness

community

are

walking

through

some

real

challenges

and

we

have

family

members

that

don't

understand

it

or

they

deal

with

it

differently
,

how

can

that

affect

us
?

Because

that

to

me
,

you

know
,

we

talk

about

grief

and

we

talk

about

how

different

generations

handle

things
.

For

instance
,

a

lot

of

generations

before

ours

didn't

talk

about

their

periods
.

They

didn't

talk

about

their

hysterectomies

or

their

pain
,

so

we

didn't

even

have

some

of

that

family

history
.

But

then

when

we

had

it
,

it

was

normalized

to

have

painful

periods
.

It

was

normalized

to

just

push

through
,

or

you're

being

lazy
,

get

up
,

push

through
.

I

think

there's

a

lot

of

this

that

we

deal

with

and

you

talk

a

lot

about

this

in

your

book
.

Can

you

kind

of

walk

us

through

that

a

little

bit
,

because

I

mean
,

gosh
,

that

one

was

huge

for

me

to

acknowledge

that

because

of

my

parents'

generation

and

grandparents'

generation

and

what

their

grief

and

how

they've

processed

is

how

they

kind

of

treated

me

in

mine
.

Speaker 2
29:34

Yes
,

yeah
,

so

there's

a

few

different

chapters

throughout

the

book

that

address

these

kinds

of

things
,

and

I

just

felt

like

this

was

so

important

to

point

out

because
,

yes
,

I

have

my

experience

with

respiratory

issues
,

but

I

also

thought

it

was

important

to

look

at

some

of

the

family

members

who

I've

been

closest

to
,

who

have

struggled

with

their

own

chronic

illnesses

some

still

alive

and

some

who

have

died

and

so

being

able

to

look

at
.

I

have

a

huge

family
.

There's

a

lot

of

moving

pieces
,

so

I'm

going

to

look

at

some

of

the

family

members

who

have
,

and

because

of

that

and

because

of

my

experiences

with

loss

throughout

my

life
,

that

was

always

something

that

drew

me

truly
,

that

drew

me

to

my

field

and

drew

me

to

my

study
.

You

know
,

it

kind

of

makes

sense

that

I've

fallen

into

these

things
,

because

everyone

does

breathe

differently

Navigating Grief and Parenting Perspectives

Speaker 2
30:16

.

Again
,

similarly
,

that's

why

I

wanted

to

write

a

book

that

was

not

a

how-to

Right
,

because

what

works

for

you

is

probably

not

going

to

work

for

me
,

is

probably

probably

not

going

to

work

for

any

of

the

people

listening

to

this
,

and

there

might

be

similarities
,

of

course
,

but

it's

definitely

not

a

one-size-fits-all

and

that

can

be

really

challenging
,

and

I

speak

to

this
,

for

example
,

in

the

chapters

where

I

talk

about

my

grandma

dying
,

there

were

even

times

where

I

have

this

knowledge

and

I

have

this

insight
,

but

in

my

head

my

grandpa

wasn't

handling

her

death

the

way

that

I

wanted

him

to
,

and

first

of

all
,

that's

not

my

call
,

right
,

but

he

seemingly

was

just

so

okay

and

that

bothered

me
.

Speaker 2
30:59

I

wanted

to

see

more
,

and

I

don't

really

know

why
,

but

that

was

not

my

place
,

and

so

I

really

had

to

figure

out
.

Speaker 2
31:05

You

know
,

what

he's

doing

is

do
,

even

if

I

don't

agree

with

it

or

don't

get

it
.

You

know
,

again
,

how

can

I

accept

that
,

even

if

it's

not

what

I

would

prefer
?

And

so

I

think
,

anytime

you're

dealing

with

some

sort

of

loss

and

it's

affecting

more

than

just

one

person
,

those

are

really

things

to

consider
.

And

so

I

try

to

document

that

and

I

try

to

kind

of

send

a

message

and

give

you

different

perspectives
,

to

see

how

do

individual

needs

start

to

compete

with

other

people's

individual

needs
,

and

then

what

are

collective

needs
?

And

again
,

this

is

so

complex

and

so

messy
,

but

that's

kind

of

exactly

the

point

of

addressing

it

and

talking

about

it

is
,

yes
,

there

is

no

straight

answer
,

but

being

self-aware

and

being

other

aware

and

being

able

to

communicate

and

have

discussions

about

some

of

these

things

that

are

really

challenging

and
,

quote

unquote
,

untalkable
.

I

think

that

is

what

allows

us

to

figure

out

how

to

hang

on

and

move

through

the

choppy

waters
.

Speaker 1
32:16

You

know
,

one

of

the

biggest

fears

that

I

have

as

someone

that

has

kids

and

I

have

a

chronic

illness

and

they

see

me

walk

through

the

pain
.

I

mean

I'm

even

hearing

my

daughters

recently

cause

I've

had

so

many

pain

flares

with

my

jaw

and

everything

and

they're

like

mom
,

your

jaw

is

always

hurting
.

I'm

like

I

know
,

I

don't
,

I

don't
,

I

can't

fix

it
.

I

was

like

I

I'm

going

to

try

to

continue

showing

up

and

I'm

going

to
,

you

know
,

but

one

of

my

biggest

fears

is

the

impact

that

this

is

having

on

them

and

I

think
,

as

someone

with

chronic

illnesses
,

it's

like

so

many

of

us

have

this

fear

and

a

lot

of

people

choose

not

to

have

kids

because

they

don't

want

to

put

their

kids

through

this
.

Speaker 1
32:57

And

that's

valid

and

that

is

reasonable

and

and

I

understand

that

because

it

is

hard

to

be

cognizant

of

am

I

doing

something

to

affect

my

child

negatively

in

remembering

the

way

that

I

have

coped

with

this

disease

and

how

do

we

address

this
?

Like

I

feel

like

this

is

something

that

we

don't

hardly

ever

talk

about
.

Speaker 2
33:19

Yes
,

I

mean

my

gut

instinct
.

Hearing

you

say

that

is

to

make

sure

that

you're

not

putting

misplaced

pressure

on

yourself
.

You

don't

have

all

the

answers

right
,

that's

okay
.

I

also

think

about

using
,

I

guess
,

extreme

words

in

the

language
.

So
,

for

example
,

you

know
,

you

said
,

mom
,

your

jaw

is

always

hurting
.

Speaker 2
33:39

There

are

moments

where

it

isn't
,

and

I

think

that

those

sorts

of

ideas

or

messages

are

really

important

to

pick

up

on

and

to

spread

my

grandma

again
.

This

is

covered

heavily

in

the

book
,

but

my

grandma

pride

and

she

was

so

good

about
,

you

know
,

like

today

the

pain's

only

a

two

and

usually

it's

a

set

like

she

was

just

so

good

at

holding

that

both

in

the

end

and

seeing

both

the

gains

and

the

losses

at

the

same

time

in

a

way

that

I

don't

think

I'll

ever

be

that

good

at

it
.

She

was

just

amazing
,

absolutely

incredible

at

that
.

So

I

think

that's

important

too

is

just

to

kind

of

pull

yourself

back

from

that

Never
,

always
,

or

just

sort

of

those

extreme

ends

of

any

spectrum

and

try

to

find

your

way

in

the

gray
.

Speaker 2
34:33

And

I

also

think

too
,

sometimes

I'll

chat

with

parents

who

want

to

shield

their

kids

from

everything

or

they

don't

want

to

express

certain

emotions

around

their

kids
,

and

I'm

a

firm

believer

that

you

still

have

to

teach

them

how

to

deal

with

pain
.

You

still

have

to

teach

them

how

to

deal

with

grief

and

with

loss
.

And

that's

one

thing

I

commend

my

parents

over

and

over

and

over

for

is

they

never

shield
?

They

were

developmentally

appropriate

with

me
,

right
,

but

they

never

shielded

me

and

they

tried

to

teach

me

Right
.

So

when

I

was

at

my

first

funeral
,

you

know

they

tried

to

help

me

understand

to

the

best

of

my

ability

as

a

10

year

old

what

was

going

on
,

and

that

was

critical
,

because

I

want

to

know
,

you

know
,

how

do

you

deal

with

sadness
,

how

do

you

deal

with

anger
,

because

if

I

can

see

that

done

adaptively

when

I'm

a

child

for

people

around

me
,

that

helps

me

figure

out

how

I'm

going

to

self-regulate

too
.

Speaker 1
35:25

That's

something

that
,

you

know
,

my

husband

and

I

have

been

very

intentional

about

with

our

girls
,

and

something

that

I

think

we

need

to

reflect

on

ourselves

sometimes
.

Better

is

that

it's

okay

to

talk

through

your

grieving
.

It's

okay

to

express

your

grieving

in

different

ways
.

I

lost

my

brother

when

I

was

10

years

old

and

he

was

15
.

He

died

suddenly
,

and

so

for

me
,

I've

had

to

see

my

parents

grieve

and

I've

had

to

walk

through

grief

as

a

young

child
,

and

I

think

when

you

have

both

perspectives

of

that
,

it

really

highlights

the

need

to

not

stay

in

a

space

of

loathing

grief

but

accepting

that

it's

okay

to

walk

through

it

and

that

it's

going

to

be

hard

sometimes
,

and

sometimes

you

won't

even

know

you're

grieving
.

Sometimes

it's

just

kind

of

it's

there

you

know

and
.

Speaker 1
36:19

I've

experienced

that

in

both

you

know
,

losing

someone

and

in

my

chronic

illnesses
,

because

they

kind

of

mirror

each

other

in

a

lot

of

ways

walking

through

and

being

okay

with
,

okay
,

my

body

is

not

serving

me

well

right

now
,

but

tomorrow

is

another

day
.

Like

the

sun

is

going

to

come

out

tomorrow

Annie

said

it

best
,

like

you

know
,

but

I've
,

I've

really

experienced

that

and

I

do

think

that

there

is

and

I'm

not

perfect

at

it

and

I

always

am

still

working

at

this

but

like

I

think

there's

moments

of

myself

being

like

I'm

accepting

of

this

and

then

moments

where

I'm

not

and

I

can

tell

a

difference

in

the

way

that

I

process

life

and

how

I

manage

walking

through

life
.

Speaker 2
37:00

Oh
,

yes
,

yeah
,

and

again
,

I

think

that

is

okay
.

This

stuff

is

really

hard
.

So

you

know

I

said

earlier
,

take

some

of

that

pressure

off

of

yourself

Embracing Compassion and Flexibility in Adversity

Speaker 2
37:09

.

I'd

also

encourage

the

same

thing

Show

yourself

a

little

bit

of

compassion

If

there's

moments

where

you

are

just

really

angry

or

really

sad

or

feel

really

powerless
.

That

all

sounds

like

very

appropriate

and

normal

reactions

to

some

of

what

people

who

chronic

illness

live

with

and

go

through
.

Speaker 1
37:25

Yeah
.

Speaker 2
37:26

So

please

practice
,

you

know
,

some

kindness

and

some

compassion

along

the

way

Again
.

Even

being

able

to

demonstrate

that

to

your

kids
,

that's

huge
.

Speaker 1
37:35

Yeah
,

and

it's

hard
,

you

know
,

there

are

moments

where

they're

driving

me

nuts

and

I'm

in

pain

and

I'm

like

I

want

to

have

outbursts
,

Like

I

have

to

remind

myself

that

this

is

not

their

fault
,

Like

this

is

no

one's

fault

and

and

they

deserve

the

same

amount

of

grace

and

I

deserve

the

same

amount

of

grace
,

you

know
,

and

and

that's

really

hard
,

Although

I

did

find

the

other

day

there's

this

place

in

Greeley

here

in

Colorado
,

that

they

have

rage

rooms

and

I'm

like

this

is

amazing

for

chronic

illness

communities
.

We

need

they

have

rage

rooms

and

I'm

like

this

is

amazing

for

chronic

illness

communities
.

We

need

to

have

rage

rooms

everywhere
.

We

just

break

things
,

we

just

rip

paintings
,

you

know
,

because

wouldn't

that

that's

like

a

good
,

healthy

way

of

letting

it

all

out

sometimes
.

So

if

you

have

a

rage

room

near

you
,

I

highly

encourage

you

to

seek

it

out
.

Speaker 2
38:22

Yes
,

yes
,

and

again
,

I

you

know

I

love

that

because

we

don't

want

to

demonize

anger
.

I

think

that

anger

oftentimes

serves

a

very

important

function

and

of

course
,

too

much

of

any

emotion

can

be

problematic
.

So

you

know

you

want

to

check

that

too
.

But

it

doesn't

need

to

be

demonized
.

And

neither

does

grief

right
,

neither

does

grief
.

Speaker 2
38:43

Grief

and

this

is

a

huge

part

of

my

book

that

I

refer

to

in

so

many

different

areas
,

but

this

concept

of

gains

and

losses

is

just

huge

to

me

and

I

think

about

grief

in

many

ways

as

a

companion
,

right

like

it

is
.

It

is

unwanted
,

it

is

not

a

companion

that

I

would

actively

invite

into

my

home
,

but

once

it

is

there
,

it

is

there

and

yes
,

it

it
.

That

connection

or

that

companionship

changes

shape
,

it

looks

different

over

time
,

but

it

is

there
.

And

I

think

when

you

can

just

kind

of

integrate

that

into

your

life

and

know

that

it

is

there
,

sometimes

it

will

be

more

present

than

others
.

I

do
.

I

think

that

allows

you

just

to

kind

of

see

both

sides
.

Speaker 2
39:19

I

think

about

the

death

of

my

grandma

and

I

will

never
,

I

have

accepted

that
.

I

understand
,

right

that

she

is

dead
.

I

don't

like

that
.

I'm

never

going

to

like

that
.

I'm

never

going

to

prefer

or

want

that
.

But

I

also

recognize

that

that

relationship

that

I

have

with

grief

now

and

how

intensely

I

feel

that

at

times
,

that's

also

really

beautiful
,

as

painful

as

it

is

to

say
,

because

it

speaks

to

how

deep

my

relationship

was

with

her
.

Speaker 2
39:45

Yeah
,

and

how

much

meant

to

me
.

Yeah
,

I

wouldn't

feel

that

deeply

right
,

I

would

not

feel

so

broken

at

times
,

had

I

not

loved

her

to

the

extent

that

I

did

and

do
,

and

so
,

similarly

with

chronic

illness

right
,

even

when

you're

kind

of

functionality

of

your

body

or

missed

opportunities
.

Part

of

that

is

also

beautiful
,

because

it's

like

wow
,

look

at

these

aspirations
,

look

at

these

goals
,

and

then

your

task

is

how

can

I

still

have

some

of

that
?

You

know
,

how

do

I
?

What

are

my

accommodations
?

What

can

I

still

do

with

that

too
,

even

if

I

have

to

change

course

a

little

bit

to

still

live

as

close

to

the

life

that

I

can

or

that

I

would
?

Speaker 1
40:26

Right
,

yeah
,

I

mean
,

I

feel

like

that's

something

that

we

oftentimes

face
,

and

I

mean

there's

so

many

other

elements

of

especially

endometriosis

that

we

could

always

go

into
,

but

I

think

that's

a

huge

part

of

it
.

What

are

some

practical

ways

people

can

balance

the

need

for

self-compassion

with

the

responsibilities

they

feel

they

can't

escape
,

because

they

sometimes

don't

align
?

Speaker 2
40:51

Yeah
,

yeah
,

definitely
,

I

mean

really

the

first

thing

that

comes
.

I

guess

a

couple

of

things

that

come

to

mind
.

One

is

the

accepted

piece

that

we've

been

talking

about
.

I

think

that's

a

big

theme
.

Speaker 2
41:00

I

also

think

too

about

mindfulness

and

the

temporary

nature

or

kind

of

the

fleeting

nature

of

all

of

our

emotions
,

good

ones

and

bad

ones
.

Speaker 2
41:10

So

I

think

kind

of

pulling

yourself

again

away

from

that

extreme

and

I

think

about

this

too
,

when

I

have

a

really

challenging

grief

day
,

for

whatever

reason
,

I

know

this

logically
,

you

know
,

even

in

a

few

hours

I

might

feel

differently
,

even

in

a

tomorrow

I

might

feel

differently
.

Even

in

a

tomorrow

I

might

feel

differently
.

So

I

think

kind

of

recognizing

that

a

lot

of

that

is

leading

and

then

to

kind

of

zoom

out

and

see

big

picture
.

Because
,

again
,

when

we're

in

those

moments

it's

it

can

be

really

hard

to

have

self

compassion

because

it

just

feels

like

we're

in

this

endless

abyss
,

right
,

and

so

I

think

kind

of

zooming

out

and

seeing

big

picture

as

well

can

be

really

helpful
.

What

parts

of

the

story

are

you

not

telling

yourself

or

not

paying

attention

to
?

What

details

are

you

maybe

getting

too

fixated

on

in

a

way

that

doesn't

paint

the

full

picture
?

I

think

some

of

those

cognitive

strategies

can

be

quite

helpful

too
.

Speaker 1
42:00

Yeah
,

absolutely
.

I'm

like

this

is

making

me

think

through

it
,

so

it's

fine
,

I'll

deal

with

this

in

just

a

minute
.

How

can

we

redefine

success

and

accomplishment

in

a

way

that

honors

our

limitations

of

physical

and

our

emotional

selves
?

Speaker 2
42:26

and

I

speak

to

this

at

several

points

in

the

book

but

giving

myself

permission

and

working

to

be

a

more

flexible

person
.

As

an

incredibly

high

achiever

and

a

perfectionist
,

I

would

say

I

was

pretty

high

in

the

rigidity

scale

Growing

up
.

I

wanted

things

to

be

done

just

one

way

and

there

was

only

one

right

way

and

all

of

that

good

stuff
.

And

so

I

think
,

flexibility
,

giving

yourself

permission

to

change

your

own

mind
,

giving

yourself

permission

to

reshape

your

goals

I

talk

about

this

a

lot

with

athletes
.

I

have

worked

with

several

athletes

who

have

career-ending

injuries

and

it's

like

nope
,

my

sport

is

my

life
.

What

do

I

do

after

this
?

So

the

more

ability

you

have

to

be

flexible

and

to

kind

of

redefine

things

and

give

yourself

permission

to

redefine

things
,

redefine

your

values
,

redefine

concepts
,

like

I

think

about

mental

toughness

and

what

do

we

do

if

we

can

look

at

that

a

little

differently

and

redefine

it
?

You

know

how

does

that

open

up

new

opportunities

for

us
.

So

I

think

those

are

those

are

the

things

that

are

top

of

mind

for

me
.

Speaker 1
43:19

Yeah
,

yeah
,

Grace
,

and

I

do
.

I

have

to

say

for

me

one

thing

I'll

and

I

say

this

in

almost

every

episode

loss

of

myself

at

times

is

finding

people

who

can

help

bring

me

back

and

encourage

me

and

help

me

and

grieve

with

me
.

That's

been

really

key

too
.

Speaker 2
43:55

Just

to

be
,

yeah
,

just

to

be

right
.

Oftentimes

people

don't

need

to

do

anything

and

with

grief
,

oftentimes

they

can't

do

anything

that's

really

going

to

make

you

feel

better
.

But

just

being

alongside

because

loss

is

just

so

lonely

and

so

isolating

and
,

yeah
,

I

couldn't

agree

more

when

you

have

a

couple

of

people

who

can

be

with

you

in

it
,

even

if

they're

not

doing

anything
,

that

is

in

and

of

itself

an

intervention
.

They

are

doing

something

just

like

being

alongside

you
.

Yeah
,

that's

huge
.

Yeah
,

that's

huge
.

White
,

making

the

untalkable

things

more

talkable

again
.

That's

one

of

the

huge

reasons

why

I

wrote

this

book

is

to

kind

of

shed

some

light

on

some

of

the

things

that

people

do

shy

away

from

and

just

help

them

understand
.

You

know
,

there's

really
,

there's

really

some

some

game
.

There's

a

lot

of

games

to

be

taken

from

addressing

some

of

these

things
.

That

doesn't

mean

it's

not

hard
,

but

it's

certainly

worth

it
.

Speaker 1
44:48

Absolutely
.

Exploring Grief, Trauma, and Resilience

Speaker 1
44:49

Thank

you

so

much
,

dr

Trujillo
,

for

sharing

your

insights

and

your

expertise
.

Your

book

and

she

Was

Never

the

Same

Again

is

a

powerful

reminder

that

the

interconnectedness

of

grief

and

trauma

and

resilience
,

and

how

much

we

can

stand

to

gain

by

exploring

these

deeply

human

experiences
,

are

impactful
,

and

so

thank

you

for
,

first

of

all
,

writing

the

book
,

but

secondly
,

for

joining

me

today

at

the

table

and

just

sharing

your

vulnerability

with

us

and

your

insights
,

because

I'm

going

to

need

more

of

those

probably

Absolutely
.

Speaker 2
45:21

I

appreciate

you

having

me

here

and

letting

me

join

your

community

and
,

yeah
,

this

has

been

wonderful
.

Speaker 1
45:28

So
,

thank

you

and

until

next

time
.

Everyone

continue

advocating

for

you

and

for

those

that

you

love
.

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