Attending to Your Medical Health Is a Fundamental Self-Care Skill
Medical care is not indulgent or optional window dressing; it is foundational self-care. This essay explores why appointments, follow-up, and self-advocacy can feel difficult after relational trauma, and offers a practical, compassionate approach to tending your body with the same seriousness you bring to the rest of your life.
What is fundamental self-care?
It bothers me so much that self-care has been co-opted in recent years to be synonymous with bubble baths and mani-pedis.
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I’ve written about my frustration with this pop culture co-opting before, but for the sake of today’s essay, I’ll reiterate that, in my personal and professional opinion, fundamental self-care is not the window dressing that makes things look and feel temporarily better.
Instead, fundamental self-care is often the hard, consistent, unsexy, unglamorous, non-Instagrammable actions and behaviors required to take care of ourselves sustainably and consistently well as adults.
Fundamental self-care is akin to the proverbial foundation, framing, insulation, sheetrock, HVAC, and sound wiring and plumbing of the proverbial house of your life.
Fundamental self-care is not the proverbial decorating , finding the chintzy, vintage throw pillows, collecting frames for the gallery wall, or hanging the pink neon sign proclaiming “Rosé all day!” , in your house of life.
That stuff can certainly feel more fun to focus on , I get it, who wants to research HVAC systems? , but if you’re spending your time and energy focused on the proverbial decorations and accessorizing instead of or before the fundamentals, it’s a little akin to re-arranging the deck chairs on the Titanic.
Sure, it looks cute, but your boat is still sinking.
So, stepping away from my mixed metaphors, what does this mean and how does this actually apply to your life and your relational trauma recovery work?
Fundamental self-care, for me, means first attending to the necessary psychological, logistical, mental, and, yes, medical work required to help you live a functional, responsible, healthy adult life.
I dive into a big list of what fundamental self-care looks like in practice in this essay, but for the sake of today’s post, I want to extrapolate on one of the fundamental self-care skills: attending to our medical health as a fundamental self-care step.
Fundamental self-care is the steady, practical work that supports a functional and sustainable adult life, including psychological, logistical, and medical needs.
In plain terms: It is the care that keeps your life supported from the inside out, even when it is not glamorous.
Why is tending to our medical health a fundamental self-care step?
I may be stating the obvious here but without our health, nothing else really matters.
If you’re not alive and in good health, you can’t work to achieve that financial abundance that means so much to you.
If you’re ignoring your basic medical health, what’s the cost to the potential dream career you wish to build?
If you’re sick and ill health, how many dates do you think you can even go on to meet “The One”?
And if you don’t have good medical health, how long will you be alive to see the love of your life , your child , grow up?
Now, I do want to say, all of the above , being financially abundant, building a meaningful career, finding the One, having and loving a child , all of these things are, of course, possible with varying degrees of health, well-being, and able-bodiedness.
These achievements aren’t relegated just to the healthy, mentally robust, and able-bodied among us.
But they are, arguably for many of us, more possible when we’re in subjectively good medical health (whatever and however that means for us in the unique bodies and constitutions and physical privileges we were each individually endowed with).
So my point is not that these things aren’t possible for anyone with less than perfect health, but rather that we owe it to ourselves and our dreams for our one wild and precious life to take good care of our medical health (whatever our subjective starting point for this might be) in order to better and best achieve our hopes and dreams and plan.
Medical self-advocacy is the practice of asking questions, seeking clarity, documenting concerns, and pursuing appropriate follow-up in health care.
In plain terms: You are allowed to ask for information, speak up when something feels dismissed, and seek another opinion.
Why is this often so hard for those who come from relational trauma backgrounds?
For some, attending to your basic medical health may sound like an obvious thing to do (and quite honestly, if this is you, feel free to not read the rest of this essay).
But for many of us , particularly those of us from relational trauma backgrounds , we may struggle with this.
Why?
In my personal and professional experience, this is because of a few reasons:
We didn’t have this modeled for us well (if at all) as children by our caregivers who had their own mental health and logistical deficits;
We grew up in financial scarcity and still don’t have the insurance coverage or money required to attend well to our medical health well;
We grew up with a fundamental and maladaptive belief that we’re broken and not worthy so really, what’s the point of taking good care of ourselves?
We , like many , have had negative (if not traumatic) experiences with the medical community that further reinforced our childhood trauma histories (these experiences might include but aren’t limited to: fat-shaming, dismissal and gaslighting, racial bias, or being spoken to or treated plain inappropriately) and we don’t want to experience that again or have to stand up to the medical community if it happens again.
And perhaps the reason why it feels hard for you to take good care of yourself medically is for another reason altogether.
Whatever the reason for the lack of skillful and consistent ability to do this, in my opinion, it’s still a critical self-care skill for everyone , particularly those of us who come from relational trauma backgrounds who are working so hard to otherwise be our own good-enough inner parents , to learn, practice, and refine.
What does it mean to attend to our medical health well?
So what does it actually mean to attend to our basic medical health well?
In my personal and professional experience, this means, abstractly, taking care of and treating ourselves as well as a devoted, caring, and fiercely protective good-enough parent would have done for us.
Practically and tangibly, I’ll share what I anecdotally* believe attending to our medical health looks like:
Making sure you have regular, annual physical check-ups with your primary care physician and routinely have your bloodwork done and then, following up on the suggestions and guidance given to you by your licensed medical professional after this is complete;
Making sure you have regular, annual check-ups with your OBGYN (if applicable) and then, following up on the suggestions and guidance given to you by your licensed medical professional after this is complete;
Making sure you have regular, annual check-ups with your optometrist and/or audiologist (if applicable) and then, following up on the suggestions and guidance given to you by your licensed medical professional after this is complete;
Making sure you have regular, bi-annual dental check-ups with your dentist and then, following up on the suggestions and guidance given to you by your licensed medical professional after this is complete;
Making sure you are regularly filling and refilling any prescriptions you are prescribed so there are no gaps in your medication treatment (which could lead to adverse consequences).
Seeking out professional support to help you address any long-standing health issues and injuries which, even though you’ve grown accustomed to them could, if resolved, greatly improve the quality of your life (for example: unresolved PTSD symptoms, imbalances in your gait and skeletal structure from old sports injuries, a growing cataract, etc.)
When you notice new and abnormal symptoms, signs, or growths anywhere on or in your body, reaching out ASAP to specific and targeted licensed medical professionals who can help you assess what’s going on and help you determine next steps.
If and when you experience dismissal or insufficient service from your medical providers, asking/demanding that your presenting concerns and requests for specific next steps (even if they don’t think that provider doesn’t think they are necessary) be put into your medical records for that visit, then asking for a copy of those records, and, if necessary seeking out a second opinion, a third opinion, and/or speaking to the department head that that medical professional reports to.
Rearranging your finances and spending and budgeting to prioritize having medical health care coverage so that all of the above feels more possible and doesn’t (in this super broken American healthcare system we have) plunge you into bankruptcy.
*This is the point in the essay where I have to remind you that I’m not an MD and practicing medical doctor. My opinions are my own and should not be construed or substituted for advice and guidance from a licensed medical doctor.
This list is not exhaustive but it is, I find, a great way to begin actively practicing the skill of attending to your basic, medical health.
And, if you read this list and anxieties, doubts, and maladaptive beliefs start to surface (for instance, “I could NEVER be that assertive with a doctor!” or “I’m too ashamed of my body to go in for an appointment even though I’m worried about this mole.”) I want you to please consider reaching out for therapy support: you matter way too much to ignore your own medical health.
Did you relate to this post? What’s one way in which you’ve improved the way you attend to your own medical health as a result of your own healing and recovery from your adverse childhood? What’s one more action or step you might add to this essay as a way that you practice attending to your own basic medical care?
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Q: What is the most important idea in this essay?
A: This essay centers on medical care is not indulgent or optional window dressing; it is foundational self-care.
Q: Why can this pattern feel so difficult to change?
A: Patterns that once helped a person cope can become difficult to shift because they are tied to learned expectations, emotion, and the body’s protective responses.
Q: Does this mean something is wrong with me?
A: No. The response described here can make sense in the context of experience; recognizing it creates room for choice and support.
Q: What is one place I can begin?
A: Begin by noticing the pattern with curiosity and considering one small, concrete action that reflects the essay’s guidance.
Q: When might therapy support be helpful?
A: Therapy can be useful when the pattern is persistent, painful, or interferes with safety, relationships, health, or daily functioning.
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Annie Wright, LMFT
Licensed Marriage & Family Therapist · Relational Trauma Specialist · W.W. Norton Author
“Helping driven women finally feel as good as their résumé looks.”
Annie Wright is a licensed psychotherapist with 15,000+ clinical hours since 2013 and an EMDRIA Certified Therapist. She’s the founder and former CEO of Evergreen Counseling, a multimillion-dollar trauma-informed therapy center she successfully exited. She’s currently writing her first book, The Everything Years: Navigating the Pressure and Promise of Your Thirties, with W.W. Norton (2027). Her expert commentary has appeared in Psychology Today, Forbes, Business Insider, NBC News, and The Information.
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Annie Wright, LMFT
LMFT · Relational Trauma Specialist · Author, W.W. Norton 2027
Helping driven women finally feel as good as their résumé looks.
Annie Wright is an EMDR-certified licensed psychotherapist and relational trauma specialist with over 15,000 clinical hours, and she's been in practice since 2013. Trained in EMDR, psychodynamic, and somatic modalities, she is licensed in 14 U.S. jurisdictions and registered to provide telehealth in Florida (California, Colorado (telehealth only), Connecticut, the District of Columbia, Florida, Illinois, Maine, Maryland, New Hampshire, New Jersey, New York, Texas, Utah, Virginia, and Washington). Annie works with driven and ambitious women from relational trauma backgrounds, and everything she writes about is field-tested across thousands of clinical sessions. She is the founder and former CEO of Evergreen Counseling, a multimillion-dollar trauma-informed therapy center she built, scaled, and successfully exited, and is currently writing her first book, The Everything Years: Navigating the Pressure and Promise of Your Thirties, with W.W. Norton (2027). A regular contributor to Psychology Today, her expert commentary has appeared in USA Today, Forbes, Business Insider, Inc., NBC, and The Information.
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