Realistic trauma recovery is ultimately about self-care. Radical self-care. 

And radical self-care requires radical acceptance— but that’s a different subject. 

What do I mean when I say self-care? I don’t mean it in the abstract way it’s often thrown around. 

I mean self-care in the literal sense: are we caring for ourselves? As in, are we meeting our needs? 

Trauma survivors often have a complicated relationship with our needs. 

We’ve often been conditioned to believe our needs don’t matter. 

We’ve been conditioned to believe even HAVING needs, let alone expressing them, makes us “too much.” A “burden.” “High maintenance.” 

I’m going to tell you the exact opposite: getting in touch with our needs and taking realistic steps toward meeting our needs is essential. Non-negotiable. 

What are our needs, beyond survival needs like nutrition and hydration and rest? 

Different theorists are going to have different answers to that question, but the framework I like the best posits six psychological needs that are shared by almost all humans: predictability, novelty, significance, connection, growth, and contribution. 

Most psychological needs I hear expressed by most people trace back to one or more of those. 

Predictability is a particularly important need for trauma survivors, insofar as our experiences have “taught” us that the world is unpredictable and uncontrollable— often in tragic, painful ways. 

But we also have a psychological need for novelty— to not have EVERY event of our life scripted out in advance, which would lead us to becoming bored and unmotivated. 

(In my experience, the tension between our needs for predictability and novelty often help explain our relationship and career choices— for better or worse.) 

Similarly, trauma survivors tend to have a conflicted relationship with our need for significance— to know we matter, that our existence and happiness is important— because we’ve been told over and over again by our bullies and abusers that we DON’T matter. 

The need for connection can also throw us survivors for a loop— I’m not sure we simultaneously crave and fear anything as intensely as connection on a daily basis. 

Growth can be a tricky need for trauma survivors, especially when we’ve gotten the sh*t kicked out of us by Trauma Brain to the tune of, “your life is over, don’t bother trying to learn anything new or develop any new skills.” 

Likewise, Trauma Brain can get us sideways with our need to contribute, insofar as it can convince us we don’t HAVE anything to meaningfully contribute to other people or the world. 

There’s no denying that we trauma survivors can have enormously tumultuous, complicated relationships with each of the six basic psychological needs— but we cannot let that stop us from taking each need seriously, and taking realistic steps to meet each need in some way. 

We do not recover from trauma by pretending certain of our basic psychological needs “don’t matter.” 

We don’t recover from trauma by deciding we’re just going to ignore needs that we feel weird or icky about. 

Radical self-care of the kind that heals trauma asks us to take our needs seriously. 

I recommend writing them down— predictability, novelty, significance, connection, growth, and contribution— and keeping them handy. Check in on them every now and then, and ask how your life patterns are or aren’t serving them. 

We can’t escape our needs. 

And, as it turns out, we don’t need to. 

Regardless of the bullsh*t Trauma Brain is whispering in your ear right now. 

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