Medical Sabbaticals: Reducing Exposure as Harm Reduction in Healthcare

It’s awful to be disbelieved, unseen, minimized, and dismissed, particularly by the people we turn to for support and help. It’s also really bad for the nervous system.

This is part of why I cut way back on seeing healthcare practitioners. It kept hurting. So, twice in the last 3 or 4 years I went on 3-month healthcare sabbaticals. Each time, I took a break from all but the most supportive and necessary appointments. So, basically, whatever it took to get the nerve blocks I needed, plus chiropractor and craniosacral practitioner.

Sometimes I also saw a physical therapist, but, due to cumulative load of negative interactions and becoming weary of having to teach every single freaking practitioner. Especially because I still encountered misattunement and poor care. So, I don’t see a physical therapist anymore.

Those periods of reduced medical stressors gave my system a break from the most negatively impactful experiences. It was a real boost!

These days I’m working to reduce medical exposure as much as possible. Even though I really appreciate and get along with my pain specialists, each visit includes medicalized experiences that are not good for me. Most importantly, if they have a new assistant I have to teach them about IPNB, can accurately expect they will do something harmful within the first two visits.

I’m not refusing care, but figuring out what is truly supportive of my core biological needs at this time and what isn’t. A standard process or common treatment is not necessarily harmless for me. Too often it is harmful, and harm reduction has to be a priority. It’s simply too hard to recover when the harm keeps happening on repeat.

About Shay Seaborne, CPTSD

Shay Seaborne CPTSD teaches Relational Neuroscience for stress reduction, trauma recovery, and community building. Shay has studied the neurobiology of fear / trauma /PTSD since 2014 and Interpersonal Neurobiology (IPNB) since 2019. They write, speak, teach, and make art to convey their experiences as well as their understanding of the neurobiology of fear, trauma theory, Interpersonal Neurobiology concepts, and principles of trauma recovery. A native of Northern Virginia, Shay settled in Delaware to sail KALMAR NYCKEL, the state’s tall ship. But once they finally had mental health insurance, their life rapidly changed. The standard treatment for PTSD nearly killed them. The psychiatric abuse began a cascade of negative medical encounters that repeatedly caused additional harm and the development of severe Medical PTSD. Shay wishes everyone could recognize that "mental health problems" are symptoms of dysregulation, our mainstream culture is neuro-negative, and we can heal ourselves and each other through awareness, understanding, and safe connection.
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