But, even with it all thankfully behind me now, the whole experience reinforced for me the absolute criticality of attending to my health as a fundamental self-care skill as I work to be the best inner parent possible to myself and model good self-care for my daughter as she grows and watches me.

Honestly, I was grateful for the work I’d done personally in my own recovery from my relational trauma history to have honed this skill and to, at this point in time, be so good at taking care of myself with speed, diligence, and relentless self-advocacy. 

If this was 10 or 15 years ago, I may not have responded as quickly (or, to be honest, at all) to this scare, and then who knows what consequences that would have had.

The whole experience (and my reflections on how I responded as a relentlessly self-loving 39-year-old versus what my 29-year-old self would have done) reminded me that this skill — attending to your health — is often a fundamental self-care skill that so many folks who come from relational trauma recovery backgrounds may struggle with and that this skill can and must be learned, re-learned, and developed in our relational trauma recovery journeys.

And so today’s essay speaks to this: the criticality of attending to your health as a fundamental self-care skill, why this is often so hard for folks who come from relational trauma recovery backgrounds, and what it might mean and look like to develop and improve this skill.

If any part of you relates to the challenge of attending to your basic, fundamental health and medical care and you’d like to improve this skill, please join me on the blog to keep reading.

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. 

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.

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.

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 (Side note: it was actually my dentist who caught the health scare issue I dealt with! Go to your dentist.);
• 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 and if shame, anxiety, and maladaptive beliefs about your own worthiness are keeping you from practicing this fundamental self-care skill, let’s get you the support you need to make this feel more possible.

If you’re in California or Florida and ready to begin high-quality, trauma-informed therapy, my team and I at Evergreen Counseling can help. Book a complimentary consultation with our clinical intake director, and she’ll match you to the therapist who’s the best fit for you personally, clinically, and logistically. (It may even be me!)

Wherever you live, join the waitlist for my upcoming course, “Fixing the Foundations.” It’s designed to transform entrenched survival patterns into authentic inner steadiness through a multi-phase, neuroscience-backed approach.

Want to go even deeper? Take my free quiz to discover more about your relational blueprint. Once you do, I’ll add you to my mailing list so you’ll receive my twice-monthly “Letters from Annie”—personal stories, expert insights, and gentle guidance for your healing journey.

These newsletters are the only place I share intimate glimpses into my own life, the resources helping me right now, words that uplift me, and practices that nourish me—exclusively for my subscribers.

Sign up to stay connected, enjoy behind-the-scenes looks, and get support that goes beyond what I post on my website.

And now, I’d love to hear from you in the comments below:

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?

Please, if you feel so inclined, leave a message in the comments below so our monthly blog readership of 20,000 plus people can benefit from your wisdom and experience.

Thank you for being here. Until next time, please take such good care of yourself. You’re so worth it.

Warmly,

Annie