{"id":4046,"date":"2016-07-08T18:50:55","date_gmt":"2016-07-08T22:50:55","guid":{"rendered":"http:\/\/healwritenow.com\/?p=4046"},"modified":"2016-07-08T18:50:55","modified_gmt":"2016-07-08T22:50:55","slug":"childhood-adversity-makes-us-unhealthy-adults-can-part-2","status":"publish","type":"post","link":"https:\/\/healwritenow.com\/childhood-adversity-makes-us-unhealthy-adults-can-part-2\/","title":{"rendered":"Childhood Adversity Makes Us Unhealthy Adults & What We Can Do – Part 2"},"content":{"rendered":"

To read part one of this story, go here<\/a>:<\/p>\n

It was in October 2014, and it was a one-hour conversation I had with Lisa Vasile, a nurse practitioner of functional medicine at Visions Healthcare in Needham, MA.<\/p>\n

We sat by her desk.<\/p>\n

\"Lisa

Lisa Vasile, Nurse Practitioner<\/p><\/div>\n

She didn\u2019t poke or prod my body. She didn\u2019t record my weight, height or blood pressure. She didn\u2019t wear a lab coat or ask me to be naked under a johnnie. We talked.<\/p>\n

I told her I wasn\u2019t sleeping well and was hoping to taper off medications for post-traumatic stress disorder. I was weighing the long-term side effects of prescription drugs with the possible relapse or withdrawal if I went off. My concerns were early menopause, premature aging and worries about disease and early death.<\/p>\n

I brought a research binder about the ACE Study from the Centers for Disease Control and Prevention (CDC) website.<\/p>\n

\n

\n<\/div>\n

Vasile hadn\u2019t heard of the ACE Study when we met, but wasn\u2019t at all surprised by the major findings.<\/p>\n

\u201cWe know stress is a major player in disease, (stress) happening now or in childhood where it\u2019s been cumulative,\u201d she said, which is why functional medicine practitioners, \u201cdive deep\u201d into childhood.<\/p>\n

Unlike traditional medicine, which often focuses on the treatment of acute problems, often with drugs and surgery, functional medicine explores the causes of diseases and issues. Patients partner with practitioners to identify, treat and prevent them, and start their journey with a practitioner who takes a thorough history.<\/p>\n

\u201cWere you a wanted child?\u201d was one of the first questions Vasile asked me.<\/p>\n

\u201cIt\u2019s probably safe to say I wasn\u2019t planned,\u201d I said.<\/p>\n

I told her my mother got pregnant at 16 with my sister, and was 19 when she had me. I told her I didn\u2019t know my father, a violent alcoholic who left before my first birthday.<\/p>\n

She wasn\u2019t looking for fill-in-the blank answers. She made eye contact with me and was curious about my experience of my own childhood. That felt so different than being with someone filling out a form or staring from behind a computer screen.<\/p>\n

We went over falls \u2014 one from a porch and another from a moving car \u2014 and the pinky that got amputated before I was two. I mentioned abuse, bed-wetting and when my period started, as well as family moves and changing dads, towns and schools.<\/p>\n

She treated trauma and family facts the same as information about ear infections, bronchitis and antibiotic use. She seemed neutral, caring and curious.<\/p>\n

At typical appointments, when asked about my father\u2019s health, I have said\u00a0\u201cunknown,\u201d if I feared the person asking would be unable to handle hearing about homelessness, alcoholism, abuse, desertion or mental illness without judging me.<\/p>\n

Psych topics often feel out of place with physicians, like ordering steak off a vegan menu.<\/h4>\n

Vasile was different, even in the way she worded things, such as when she asked:<\/p>\n

\u201cHow did those early childhood experiences manifest during the teens?\u201d<\/p>\n

How<\/em> \u2013 not if.<\/p>\n

It made it easier to mention depression, migraines, anemia and my use of diet pills.<\/p>\n

It made it possible to share a secret I\u2019d never disclosed with a nurse or doctor \u2013 that I\u2019d been bulimic for most of my teens. In every other medical appointment, I had held back this information even when I\u2019d had a spastic colon, GI problems, vitamin deficiencies and problems absorbing food as an adult. It was embarrassing, long in the past and no one had ever asked.<\/p>\n

Vasile asked everything about my childhood, including if I did sports, had friends and what skills and passions I\u2019d had.<\/p>\n

She seemed to break my childhood into four distinct periods.<\/p>\n

1. 0-5
\n2. 6-12
\n3. 13-18
\n4. 19-24<\/p>\n

I\u2019m not sure I\u2019d ever talked about the college years, which had been particularly rough for me. Even though I was the first in my family to finish college. I did not feel lucky. During those years, my grandmother and the guy I called Dad both battled cancer and died. My sister met our biological father, and a friend committed suicide. I got anxiety attacks for the first time and was diagnosed with post-traumatic stress disorder (PTSD) by the therapist I started seeing.<\/p>\n

Nothing I said seemed to shock Vasile. She just nodded her head as if I\u2019d say my skin was itchy after the chicken pox.\"2015ace<\/p>\n

She even educated me about the impact of stress:<\/p>\n

\u2022 how stress in childhood prevents proper growth and the way the body handles stress;
\n\u2022 how frequent antibiotic use from ear infections or bronchitis can impact gut health and weaken the immune system;
\n\u2022 how nutrition can be used to support good health;
\n\u2022 how an eating disorder, vegetarianism and anemia, all of which I had during my teens, can contribute to depression and anxiety;
\n\u2022 how my childhood and adult stressors probably had an influence on the age I was when menopause started.<\/p>\n

She explained the tests she\u2019d like to have done.<\/p>\n

\u2022 Blood work to check my hormones, vitamins, minerals, cholesterol;
\n\u2022 Blood work to assess cardiac health and inflammation;
\n\u2022 A bone scan to check bone health as bulimia can be a factor in osteoporosis;
\n\u2022 The mammogram I was behind on;
\n\u2022 Allergy testing.<\/p>\n

As for tapering off prescription medications for PTSD, she suggested waiting on test results. She didn\u2019t want to place any additional demands on me such as weaning off medications without supporting me better first.<\/p>\n

I teared up in relief. I confessed that even though my PTSD management skills were strong, life had been harder since menopause. I felt more fragile, less hearty and didn\u2019t know if it was from hormone changes or life events (divorce, flood, money, mid-life dating).<\/p>\n

\"ACE

ACE art: Margaret Bellafiore & author<\/p><\/div>\n

I\u2019d always been able to dig deep, into my bone marrow if necessary, to suck it up, endure or rally but this \u2018super power\u2019 seemed to be fading fast. I wondered if my nervous system was like a set of balding tires that I couldn\u2019t replace or change. I\u2019d hydroplane and skid off course easily no matter how slowly I drove. Could I get some tread back in order to cover more varied terrain without worry about flat tires?<\/p>\n

After our visit, I made more sense to myself. My symptoms weren\u2019t strange. I wasn\u2019t strange. Vasile\u00a0thought there were things she could suggest which might provide some relief.<\/p>\n

She validated my concerns and experiences. Rather than leave feeling numb, depressed or like damaged goods, the way I usually felt leaving medical appointments, I felt great.<\/p>\n

She treated me like a marathon runner at the end of a race \u2013 as though I was successful but tired. She was there with a high five, water and a blanket.<\/p>\n

It was life-changing.<\/p>\n

Jackson Nakazawa said others have benefitted from ACE-informed medical appointments. She wrote:<\/p>\n

\u201cIn one recent study of 125,000 patients, Felitti found that those who took the ACE Study questionnaire as part of their medical history and who discussed their ACE Scores with their doctors had a 35% reduction in their doctor visits and an 11 percent reduction in emergency room visits over the course of the following year.\u201d<\/p>\n

Why?<\/p>\n

The \u201cpractitioner-patient conversation is a really important conversation,\u201d said Jackson Nakazawa. \u201cWhen the doctor is fully present and caring, we begin to activate reward mechanisms in the brain that are associated with a healing effect, similar to the placebo response.\u201d When we activate \u201cthis interpersonal neurobiology between patient and doctor, the relationship becomes a healing force that furthers personal healing,\u201d she said.\"Capture1\"<\/p>\n

Is it possible that some people would just avoid going to doctors and hospitals after an ACE conversation because it\u2019s awkward or painful to talk about the past? I can\u2019t speak for others but that wasn\u2019t the case for me. It was a relief not to suppress, deny or avoid the truth of trauma or complicated family stories or medical background.<\/p>\n

I know I felt better about my past, future and myself after my appointment.<\/p>\n

I couldn\u2019t wait for my follow-up where my test results would be discussed and we\u2019d develop my personalized don\u2019t-die-early plan.<\/p>\n

The Don\u2019t-Die-Early-Plan to Combat My High ACE Score<\/h3>\n

My grandfathers both died at about age 50. One of a heart attack and one from cirrhosis. My paternal grandmother died of cirrhosis in her later 50\u2019s and my maternal grandmother died of cancer in her mid-60\u2019s. My mother battled cancer in her early 20\u2019s \u2013 and twice in recent decades. Alcoholism and mental illness plagued my father starting in his teens and until he died of cirrhosis at age 69.<\/p>\n

Gone is the smug notion that as long as I don\u2019t drink or smoke I can be a doting grandmother living well into my 90\u2019s. Being a sober non-smoker doesn\u2019t inoculate me from health risks associated with developmental trauma and post-traumatic stress. There\u2019s no easy way to override the long reach of childhood toxic stress, trauma and neglect.<\/p>\n

Is it possible for me to live a normal life span?\"capture6\"<\/p>\n

Can I reverse the death-disease-despair curse of early adversity?<\/p>\n

\u201cThere is no recipe or formula\u201d for those with high ACE scores, says Vasile. \u201cEverybody is different and every BODY is different.\u201d<\/p>\n

However, Vasile\u2019s approach to health that she uses with all her patients is one that I\u2019ve found helpful. It\u2019s called DINE.<\/p>\n

D<\/strong> is for Detox.
\nI<\/strong> is for Inflammation.
\nN<\/strong> is for Nutrition.
\nE<\/strong> is for Energy.<\/p>\n

Detox<\/strong>
\nDetox involves removing health threats such as smoking cigarettes, drug or alcohol abuse, and even food, which many people use food as medicine or a coping mechanism, she says, either to numb or comfort themselves. Vasile advises most of her patients to limit or eliminate dairy and gluten from the diet, no matter whether they\u2019re allergic or not. Doing so, will \u201creduce inflammation in the body\u201d and \u201cmakes people feel better\u201d because \u201cthe immune system and serotonin levels get shot because of dairy or gluten,\u201d she says. She suggests \u201ceating as many colors of fresh fruit and vegetables in the rainbow as possible.\u201d<\/p>\n

She addressed unhealthy relationships with other people, jobs, situations or environments as part of her detox approach as well. It helped me admit how stressful it had become to live in a flood zone as sea levels raise.<\/p>\n

Some changes, like moving, cause more stress before things improve and this can be more challenging when changing or leaving jobs or relationships too.<\/p>\n

Inflammation<\/strong>
\n\u201cWe know stress is bad\u201d and \u201ccrucial in disease,\u201d Vasile explains, \u201cCumulatively \u2013 it\u2019s worse.\u201d<\/p>\n

\u201cStress is fine if you\u2019re running from a tiger,\u201d she explains, but stress \u201cisn\u2019t curative. It\u2019s inflammatory. It inflames and attacks the body.\u201d\"Capture4\"<\/p>\n

She explains how not sleeping well, one of my menopausal problems, can \u201cincrease cortisol and cortisol being up all the time is very inflammatory on the body. \u201c<\/p>\n

She says studies have shown C-reactive protein (CRP) increases after major life stressors. To assess cardiac health and inflammation, she tested my CRP level.<\/p>\n

My CRP was elevated, which didn\u2019t surprise her given my childhood adversity and major adult stressors such as divorce, single parenting and having my home flood twice. She recommended an anti-inflammatory, and to \u201cmake yourself happy on a regular basis.\u201d<\/p>\n

Daily joy might mean meditation for some or painting the toe nails for others. She sometimes recommends acupuncture and Reiki in addition to anti-inflammatory supplements for those with high CRP levels.\"aces<\/p>\n

Nutrition\u00a0<\/strong>
\nFor good nutrition, Vasile had one simple bit of advice: \u201cEat as many foods with a sticker UPC code on them \u2014 like apples and peppers have \u2014 as possible.\u201d The suggestion many of us hear \u2014 to shop the perimeters of grocery stores where food is fresh \u2014 is ideal.<\/p>\n

For me, she suggested Vitamin D supplements at a high dose (5000 iu daily with food), magnesium (in powder form, at night, 175 to 350 mg. daily) and iron (with organic beet root, twice a day with Vitamin C) as my levels were all low. The magnesium was meant to improve my sleep and reduce my anxiety.<\/p>\n

She suggested daily fish oil supplements as well as primrose oil. I got only the fish oil only (to save money).<\/p>\n

Energy<\/strong>
\nBy energy, Vasile means moving energy with exercise and physical activity, as well as working with the energy system as is done with techniques such as acupuncture, body work and with spirituality.<\/p>\n

She calls energy the \u201cfourth leg of a healthy table\u201d that stabilizes the system so it\u2019s less likely to tip. The types of energy work she\u2019s recommended for people to use at home are meditation, journaling, HeartMath, (a type of biofeedback which can be done online or on smart phone 5 to 10 minutes a day), as well as walking and yoga.<\/p>\n

Journaling, hypnotherapy, therapy, and EMDR are ways she suggests to help balance energy after trauma, she said. \u201cAny way to pull (trauma) out and dump it instead of carrying it\u201d in the body can be useful.<\/p>\n

She suggests a daily gratitude list or journal before bed so people are \u201cshutting down with the positive\u201d each night. This practice can increase levels of happiness in three to six months.<\/p>\n

\u201cThere\u2019s a lot of research that journaling is very therapeutic,\u201d she also said. She suggests a three-page writing habit each morning with page one used to dump stress, page two listing things to look forward to and the third page detailing what one is thankful for.<\/p>\n

I\u2019ve written in my journal since I was 11, and she encouraged me to continue. We pondered whether writing might be one reason my health is not worse.\"PTSD<\/p>\n

I had two appointments within three months with Vasile \u2013 enough to make me feel empowered and hopeful about my physical and emotional health. However, the practice that employed her, Visions Healthcare, closed in August 2015 soon after implementing a $33 per month fee for patients. Because insurance companies only covered a fraction of most office visits, the patient payment plan was meant to help defray costs. Patients such as myself were unwilling or unable to pay. Vasile runs a private practice now, 4 Better Health<\/span><\/a>, in Hopkinton, MA.<\/p>\n

While I can no longer afford to see Vasile at her new practice, I\u2019ve benefited from my two insurance-covered appointments. I\u2019m incorporating her DINE protocol with some success.<\/p>\n

\u2022 DETOX \u2014 Going gluten- and dairy-free can be difficult, expensive and boring. When I\u2019ve adhered to her advice, my joints are less achy, my nose has stopped running and I never get bloated. I\u2019m working at making these changes work for me more often.<\/p>\n

\u2022 INFLAMMATION \u2013 With the anti-inflammatories, I nap less and feel less groggy in the afternoon. I have normal blood panels regularly for the first time in my adult life. Whenever I had a complete blood count (CBC) I usually had at least one low value. This year I\u2019ve had two normal CBC\u2019s in a row. That\u2019s a significant change for me. I\u2019ll continue to monitor my CRP levels with my insurance covering providers.<\/p>\n

\u2022 NUTRITION \u2013 With the supplements and a better diet, I don\u2019t feel quite as depleted or thrown off when super-stressed.<\/p>\n

\u2022 ENERGY \u2013 I found a therapist covered by my insurance who does tapping and energy work along with talk therapy. My spiritual needs are met by weekly yoga, hikes, the poetry of Mary Oliver and Rumi, connecting with other survivors of ACEs who \u201cget it\u201d so we can \u201cget it together.\u201d My almost daily practice of listening to guided meditations and imagery from healers such as Tara Brach<\/span><\/a>, Cheri Huber<\/span><\/a>, Pema Chodron<\/span><\/a>, Belleruth Naparstek<\/span><\/a> and Rick Hanson<\/span><\/a> is most helpful. All validate the impact of grief, trauma and adversity and also offer relief \u2013 teaching why and how mindfulness-based approaches can be helpful.<\/p>\n

\u2022 Although I switched from Paxil to Prozac \u2014 something I\u2019d failed to achieve prior to incorporating Vasile\u2019s protocol \u2014 I did not wean off all my medications as I\u2019d hoped. As a single mother I couldn\u2019t afford not to be fully functioning. I need to be emotionally present and to pay the bills.<\/p>\n

\"DonnaFrom first-hand experiences, I know trauma-informed care can improve physical and emotional health. I wish it were available still to me and others with ACEs.<\/p>\n

At least I know we ACE-informed patients can make a difference. Vasile now uses the 10-question ACE survey in her practice.<\/p>\n

\u201cWe use the ACE score on our intake form,\u201d she said.<\/p>\n

It\u2019s \u201cso great to have this information when meeting with patients,\u201d she said. \u201cClearly there\u2019s so much more coming with them than their complaint at hand \u2014 and so much more risk should we not be aware of their ACEs.\u201d<\/p>\n

Meanwhile, patients like Heidi are told not to focus on the past even as\u00a0symptoms erupt in the present.\u00a0Patients with high ACEs, with bodies often burdened by toxic stress are eager for medical practitioners to get informed about ACEs research and science.<\/p>\n

We just want to live a normal life span.<\/p>\n

 <\/p>\n

 <\/p>\n

\n

\n<\/div>\n

 <\/p>\n

 <\/p>\n

\n

\n<\/div>\n

 <\/p>\n","protected":false},"excerpt":{"rendered":"

To read part one of this story, go here: It was in October 2014, and it was a one-hour conversation I had with Lisa Vasile, a nurse practitioner of functional medicine at Visions Healthcare in Needham, MA. We sat by her desk. She didn\u2019t poke or prod my body. She didn\u2019t record my weight, height […]<\/p>\n","protected":false},"author":1,"featured_media":4043,"comment_status":"open","ping_status":"open","sticky":false,"template":"","format":"standard","meta":[],"categories":[171,192,232,229,75],"tags":[],"yoast_head":"\nChildhood Adversity Makes Us Unhealthy Adults & What We Can Do - Part 2 - Heal Write Now for Trauma Survivors & Adults Abused as Children<\/title>\n<meta name=\"robots\" content=\"index, follow, max-snippet:-1, max-image-preview:large, max-video-preview:-1\" \/>\n<link rel=\"canonical\" href=\"https:\/\/healwritenow.com\/childhood-adversity-makes-us-unhealthy-adults-can-part-2\/\" \/>\n<meta property=\"og:locale\" content=\"en_US\" \/>\n<meta property=\"og:type\" content=\"article\" \/>\n<meta property=\"og:title\" content=\"Childhood Adversity Makes Us Unhealthy Adults & What We Can Do - Part 2 - Heal Write Now for Trauma Survivors & Adults Abused as Children\" \/>\n<meta property=\"og:description\" content=\"To read part one of this story, go here: It was in October 2014, and it was a one-hour conversation I had with Lisa Vasile, a nurse practitioner of functional medicine at Visions Healthcare in Needham, MA. We sat by her desk. She didn\u2019t poke or prod my body. She didn\u2019t record my weight, height […]\" \/>\n<meta property=\"og:url\" content=\"https:\/\/healwritenow.com\/childhood-adversity-makes-us-unhealthy-adults-can-part-2\/\" \/>\n<meta property=\"og:site_name\" content=\"Heal Write Now for Trauma Survivors & Adults Abused as Children\" \/>\n<meta property=\"article:publisher\" content=\"https:\/\/www.facebook.com\/HealWriteNow?ref=hl\" \/>\n<meta property=\"article:author\" content=\"https:\/\/www.facebook.com\/HealWriteNow\/\" \/>\n<meta property=\"article:published_time\" content=\"2016-07-08T22:50:55+00:00\" \/>\n<meta property=\"og:image\" content=\"https:\/\/healwritenow.com\/wp-content\/uploads\/2016\/07\/Lisa-Vasile-headshot-1-683x1024.jpg\" \/>\n\t<meta property=\"og:image:width\" content=\"683\" \/>\n\t<meta property=\"og:image:height\" content=\"1024\" \/>\n\t<meta property=\"og:image:type\" content=\"image\/jpeg\" \/>\n<meta name=\"twitter:card\" content=\"summary\" \/>\n<meta name=\"twitter:creator\" content=\"@healwritenow\" \/>\n<meta name=\"twitter:site\" content=\"@HealWriteNow\" \/>\n<meta name=\"twitter:label1\" content=\"Written by\" \/>\n\t<meta name=\"twitter:data1\" content=\"Cissy White\" \/>\n\t<meta name=\"twitter:label2\" content=\"Est. reading time\" \/>\n\t<meta name=\"twitter:data2\" content=\"14 minutes\" \/>\n<script type=\"application\/ld+json\" class=\"yoast-schema-graph\">{\"@context\":\"https:\/\/schema.org\",\"@graph\":[{\"@type\":\"WebSite\",\"@id\":\"https:\/\/healwritenow.com\/#website\",\"url\":\"https:\/\/healwritenow.com\/\",\"name\":\"Heal Write Now for Trauma Survivors & Adults Abused as Children\",\"description\":\"Writing & Inspiration to Heal Trauma\",\"potentialAction\":[{\"@type\":\"SearchAction\",\"target\":{\"@type\":\"EntryPoint\",\"urlTemplate\":\"https:\/\/healwritenow.com\/?s={search_term_string}\"},\"query-input\":\"required name=search_term_string\"}],\"inLanguage\":\"en-US\"},{\"@type\":\"ImageObject\",\"inLanguage\":\"en-US\",\"@id\":\"https:\/\/healwritenow.com\/childhood-adversity-makes-us-unhealthy-adults-can-part-2\/#primaryimage\",\"url\":\"https:\/\/healwritenow.com\/wp-content\/uploads\/2016\/07\/Lisa-Vasile-headshot-1.jpg\",\"contentUrl\":\"https:\/\/healwritenow.com\/wp-content\/uploads\/2016\/07\/Lisa-Vasile-headshot-1.jpg\",\"width\":2400,\"height\":3600,\"caption\":\"Lisa Vasile, Nurse Practitioner\"},{\"@type\":\"WebPage\",\"@id\":\"https:\/\/healwritenow.com\/childhood-adversity-makes-us-unhealthy-adults-can-part-2\/#webpage\",\"url\":\"https:\/\/healwritenow.com\/childhood-adversity-makes-us-unhealthy-adults-can-part-2\/\",\"name\":\"Childhood Adversity Makes Us Unhealthy Adults & What We Can Do - 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Part 2 - Heal Write Now for Trauma Survivors & Adults Abused as Children","robots":{"index":"index","follow":"follow","max-snippet":"max-snippet:-1","max-image-preview":"max-image-preview:large","max-video-preview":"max-video-preview:-1"},"canonical":"https:\/\/healwritenow.com\/childhood-adversity-makes-us-unhealthy-adults-can-part-2\/","og_locale":"en_US","og_type":"article","og_title":"Childhood Adversity Makes Us Unhealthy Adults & What We Can Do - Part 2 - Heal Write Now for Trauma Survivors & Adults Abused as Children","og_description":"To read part one of this story, go here: It was in October 2014, and it was a one-hour conversation I had with Lisa Vasile, a nurse practitioner of functional medicine at Visions Healthcare in Needham, MA. We sat by her desk. She didn\u2019t poke or prod my body. She didn\u2019t record my weight, height […]","og_url":"https:\/\/healwritenow.com\/childhood-adversity-makes-us-unhealthy-adults-can-part-2\/","og_site_name":"Heal Write Now for Trauma Survivors & Adults Abused as Children","article_publisher":"https:\/\/www.facebook.com\/HealWriteNow?ref=hl","article_author":"https:\/\/www.facebook.com\/HealWriteNow\/","article_published_time":"2016-07-08T22:50:55+00:00","og_image":[{"width":683,"height":1024,"url":"https:\/\/healwritenow.com\/wp-content\/uploads\/2016\/07\/Lisa-Vasile-headshot-1-683x1024.jpg","type":"image\/jpeg"}],"twitter_card":"summary","twitter_creator":"@healwritenow","twitter_site":"@HealWriteNow","twitter_misc":{"Written by":"Cissy White","Est. reading time":"14 minutes"},"schema":{"@context":"https:\/\/schema.org","@graph":[{"@type":"WebSite","@id":"https:\/\/healwritenow.com\/#website","url":"https:\/\/healwritenow.com\/","name":"Heal Write Now for Trauma Survivors & Adults Abused as Children","description":"Writing & Inspiration to Heal Trauma","potentialAction":[{"@type":"SearchAction","target":{"@type":"EntryPoint","urlTemplate":"https:\/\/healwritenow.com\/?s={search_term_string}"},"query-input":"required name=search_term_string"}],"inLanguage":"en-US"},{"@type":"ImageObject","inLanguage":"en-US","@id":"https:\/\/healwritenow.com\/childhood-adversity-makes-us-unhealthy-adults-can-part-2\/#primaryimage","url":"https:\/\/healwritenow.com\/wp-content\/uploads\/2016\/07\/Lisa-Vasile-headshot-1.jpg","contentUrl":"https:\/\/healwritenow.com\/wp-content\/uploads\/2016\/07\/Lisa-Vasile-headshot-1.jpg","width":2400,"height":3600,"caption":"Lisa Vasile, Nurse Practitioner"},{"@type":"WebPage","@id":"https:\/\/healwritenow.com\/childhood-adversity-makes-us-unhealthy-adults-can-part-2\/#webpage","url":"https:\/\/healwritenow.com\/childhood-adversity-makes-us-unhealthy-adults-can-part-2\/","name":"Childhood Adversity Makes Us Unhealthy Adults & What We Can Do - Part 2 - Heal Write Now for Trauma Survivors & Adults Abused as Children","isPartOf":{"@id":"https:\/\/healwritenow.com\/#website"},"primaryImageOfPage":{"@id":"https:\/\/healwritenow.com\/childhood-adversity-makes-us-unhealthy-adults-can-part-2\/#primaryimage"},"datePublished":"2016-07-08T22:50:55+00:00","dateModified":"2016-07-08T22:50:55+00:00","author":{"@id":"https:\/\/healwritenow.com\/#\/schema\/person\/21a13a82ce4000c7383830e1634cb9bd"},"breadcrumb":{"@id":"https:\/\/healwritenow.com\/childhood-adversity-makes-us-unhealthy-adults-can-part-2\/#breadcrumb"},"inLanguage":"en-US","potentialAction":[{"@type":"ReadAction","target":["https:\/\/healwritenow.com\/childhood-adversity-makes-us-unhealthy-adults-can-part-2\/"]}]},{"@type":"BreadcrumbList","@id":"https:\/\/healwritenow.com\/childhood-adversity-makes-us-unhealthy-adults-can-part-2\/#breadcrumb","itemListElement":[{"@type":"ListItem","position":1,"name":"Home","item":"https:\/\/healwritenow.com\/"},{"@type":"ListItem","position":2,"name":"Childhood Adversity Makes Us Unhealthy Adults & What We Can Do – Part 2"}]},{"@type":"Person","@id":"https:\/\/healwritenow.com\/#\/schema\/person\/21a13a82ce4000c7383830e1634cb9bd","name":"Cissy White","description":"Essayist \/ Journalist \/ Activist \/ Strategist \/ Feminist","sameAs":["http:\/\/www.healwritenow.com","https:\/\/www.facebook.com\/HealWriteNow\/","https:\/\/twitter.com\/healwritenow"],"url":"https:\/\/healwritenow.com\/author\/cissy-white\/"}]}},"_links":{"self":[{"href":"https:\/\/healwritenow.com\/wp-json\/wp\/v2\/posts\/4046"}],"collection":[{"href":"https:\/\/healwritenow.com\/wp-json\/wp\/v2\/posts"}],"about":[{"href":"https:\/\/healwritenow.com\/wp-json\/wp\/v2\/types\/post"}],"author":[{"embeddable":true,"href":"https:\/\/healwritenow.com\/wp-json\/wp\/v2\/users\/1"}],"replies":[{"embeddable":true,"href":"https:\/\/healwritenow.com\/wp-json\/wp\/v2\/comments?post=4046"}],"version-history":[{"count":1,"href":"https:\/\/healwritenow.com\/wp-json\/wp\/v2\/posts\/4046\/revisions"}],"predecessor-version":[{"id":4047,"href":"https:\/\/healwritenow.com\/wp-json\/wp\/v2\/posts\/4046\/revisions\/4047"}],"wp:featuredmedia":[{"embeddable":true,"href":"https:\/\/healwritenow.com\/wp-json\/wp\/v2\/media\/4043"}],"wp:attachment":[{"href":"https:\/\/healwritenow.com\/wp-json\/wp\/v2\/media?parent=4046"}],"wp:term":[{"taxonomy":"category","embeddable":true,"href":"https:\/\/healwritenow.com\/wp-json\/wp\/v2\/categories?post=4046"},{"taxonomy":"post_tag","embeddable":true,"href":"https:\/\/healwritenow.com\/wp-json\/wp\/v2\/tags?post=4046"}],"curies":[{"name":"wp","href":"https:\/\/api.w.org\/{rel}","templated":true}]}}