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Back from the Abyss: Psychiatry in Stories

From Seoul to Wichita-- Attachment trauma and adoption

Back from the Abyss: Psychiatry in Stories

Craig Heacock MD

Psychiatry, Bipolar, Suicide, Depression, Ketamine, Psychotherapy, Science, Psychedelics, Health & Fitness, Addiction, Medicine, Psychology, Mental Health

4.8452 Ratings

🗓️ 10 March 2022

⏱️ 62 minutes

🧾️ Download transcript

Summary

This is the story of Shae, who was adopted as a baby from South Korea and raised in Wichita Kansas in a family of Swedish descent. From her initial attachment wounds, subsequent heartbreak, and later a shocking revelation in late adolescence, Shae's inner light and resilience guided her to where she is today— a mother, a business owner, an adoptee voice of strength and compassion. To reach out to Shae directly: poetseoul@gmailAdoptee Voices-- Supporting adoptee storytellinghttps://adopt...

Transcript

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0:00.0

Welcome to Back from the Abyss. I'm Dr. Craig Hecock.

0:16.8

A couple of items before we move into today's story.

0:27.0

First, in light of some of the things I discussed two episodes ago in the 20 years of Psychiatry Insights and Pearls episode, I wanted to share with all of you a recent story

0:32.1

about a session gone bad, and I got approval with a patient to discuss this case.

0:38.7

And I think this story is interesting because it combines some of the elements I talked about in that 20-year episode. And I

0:43.9

think you all might find this interesting. Basically, if you remember, I talked about some of the

0:50.1

problems with video sessions, how we can unconsciously and unintentionally hurt our patients

0:55.3

and clients, this ongoing necessity of constant self-examination, and also how our personal

1:01.7

strengths can actually become weaknesses in the clinical setting. So basically what happened was this.

1:07.6

I did a video session with this really sweet woman who I'd

1:12.6

been seeing for depression and anxiety. It's about three months ago. And we've been trying to get her

1:17.5

off benzos. And she's very physiologically and psychologically dependent. And she's really been

1:22.1

struggling. And I said, well, let's do a family session with her husband. And she lives far away.

1:26.2

And I said, let's just do it by video.

1:34.3

So I never met her husband, so they pop on the screen. And, you know, we have seemingly nice connection. And I kind of launch into the topic of how to get her off benzos. What happened was,

1:43.7

I think I had no, I know I had no idea how much dread and panic she was having.

1:49.1

I mean, I could tell on the screen that she was nervous. She's very hesitant. And I was really pushing

1:55.1

her and saying, you can do this. And, you know, I knew when we hung up from the video session that

2:00.6

hadn't gone well, but I didn't know how badly until she contacted me again a few weeks ago.

2:07.2

And she admitted that she was just crushed at how I had treated her, that I hadn't heard her, that I hadn't read her fear.

2:15.9

And as she and I talked, first of all, I thanked her profusely for

2:18.8

reaching out to me because, you know, empathic repairs are crucial for this work we do in

...

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