“…survival…is not synonymous with wholeness. We don’t survive whole.”
Daria Burke, Of My Own Making
The Superfund site
“Something in me…screams…This is not all I am. I had something more in mind to do….We are reclaiming what another human being…decided to ruin, to take for themselves…Many of us don’t die. But our trajectories are forever altered.”
Jen Cross, Writing Ourselves Whole
And Cross goes on to so eloquently point out that they didn’t just TAKE from us; they left us with a MESS to clean up, comparing us to an “oil spill,” a Superfund site in need of cleanup that will never be quite the same. :
“We spend the bulb and blossom of our lives cleaning up a toxic waste site. Meanwhile, we watch our friends come into full flower: making connections, reaching out, writing books, making marriages and families, developing their crafts, their skills, themselves. We watch them build careers, and wonder what is wrong with us that we can’t do what they’re doing. But we are still salvaging the superfund site inside of us. We painstakingly wipe off every blade of grass and feather of every bird that is a necessary part of our inside selves. The oil is never completely eradicated. Some of the areas impacted never recover…never become what they ought to have been…And then we simply have to mourn their loss, grieve what might have been….Meanwhile, those who polluted us are allowed to continue…”
I agree with every word…and deeply feel the effects of both what was taken…and what was left…and what goes forward…
“The past is not the past…We all bring every second of our lives to who we are today.”
Andre Dubus III, with Melanie Brooks, in Writing Hard Stories – Celebrated Memoirists Who Shaped Art From Trauma
About costs
Let me first be clear… I have managed to reclaim a lot in life. And Cross notes the same in her book when she indicated that we can become a hybrid of what we were meant to be; that we can go on, go forward, and still thrive.
But too often society “glosses over” that whole in-between section, the blatant, cold, hard reality that exists in between “the abuse and the thriving.” So for once, I want to be very specific about just what this life of mine has cost me…about the fact that no matter how good we make it – there were…and ARE…costs we incurred.
And by “we” I mean not just myself, or other abuse survivors, but society in general.
But first, let me talk about my personal costs in this.
The weight of the past
There was the intensity, the frequency, and especially the duration of the assaults. An entire life derailed, detoured into his needs. I became an appendage…like some science-fiction “psychological protein drink” for his needs. From infancy on, he used and abused me.

But then, add on two more huge boulders to this painting:

Those two capture the weight of all the following years- 1983- 2013: escaping, disintegrating, crawling back up, learning, healing, recovering, rebuilding, then standing guard. And every encounter with him drained me. Re-traumatized. Reminded me of the rules I was supposed to live by…his rules. Each time I confronted him, it knocked down some of my progress. And I would have to start back and rebuild that.
Then, after his death in 2013, there began the slow unraveling of emotions and stressors I’d held in check all my life, until he was gone.
So even once I was out of that house, there were the aftereffects of all of that – The pain. The exhaustion of all those years…a lifetime lost to fighting him.
Development and Relationships
I made a list one day of all the various things I knew were impacted by my abuse. Things lost, taken, or broken.
And the first thing I lost…RIGHT FROM THE BEGINNING – was INNOCENCE. I lost the opportunity to experience life just as it was for an infant. To sample my surroundings on my own, without being “tainted”…without the exposure to sensations in my body that my mind and emotions were nowhere near ready for.
There was the theft of “normal.” Even as there probably is no normal in life, still, there is usually an “average path” to development. No one gets perfect parents. But many get caring ones. Ones trying hard to do it right. Ones that try to give you “age-appropriate” experiences. Love. Life as good as they can make it. And who approach parenthood as adults providing for their children, not the other way around.
Our house didn’t even come close to normal. The house was a vacuum cleaner set up to funnel all the nurturing and need fulfillment to my father, not to the kids.
Then, there was brain and cognitive development.
“The prolonged activation of stress hormones in early childhood can reduce neural connections in the thinking area of the brain dedicated to learning and reasoning, thus limiting cognitive ability. Continuous trauma can weaken remaining neural pathways to the thinking part of your brain and strengthen neural pathways to the survival part.”
Amanda Merck in Salud-America, “4 Ways Childhood Trauma Changes a Child’s Brain and Body“ February 6, 2018
In another section of that same article, she notes that trauma overloads the developing child’s system in other ways — including hormonally – which affects brain development: “Hormone level changes early in life when brain development is most rapid can have a drastic impact on brain architecture and function….”
I struggled with things in elementary school. From math to paying attention. A few of the nuns I had pointed out learning issues to my parents. The fact that I did as well as I did was due to a combination of the intensive nature of the nuns’ methods and my love of learning. But it wasn’t always easy.
Social and emotional development were hijacked as well. We were not supposed to get too close to anyone outside the family. Everything was supposed to be “family-first” or “family-only.” Outside friendships were kept to a minimum. That meant no ability for normal childhood and teenage friendships, emotional development, or age-appropriate social skills. For that matter, even intra-family relationships were pretty much blocked. My father disrupted the connection between my mother and me or with other family members.
So while I had “some” friends in early childhood, and a couple in my teen years, the relationships were always awkward, ineffective, and superficial, flooded with insecurity, neediness, and low self-esteem. Little wonder that in adulthood, I had so much trouble with my relationships with women friends and often chose unhealthy ones.
And then, of course, how do you develop into a healthy, mature, sexual adult when the whole lifetime experience was drowned in incest?
“…a father’s dominance, possessiveness…can undermine or destroy a girl’s heterosexual development. More abusive is the father who ignores his natural role as a protector of his young daughter’s sexuality, and because of a need for male dominance, violates her normal sexual development through incest. She will spend the rest of her life reclaiming her sexuality and the fact that as a woman she does have rights.”
It was hard enough not having much of a relationship with my mother, and carrying that wound of insecurity and neediness into my friendships. But then add in what Dad did to me. It was so confusing. I basically was terrified of men even as I was attracted to them. And I was trying to figure out who I was sexually. It wouldn’t have mattered to me what my eventual orientation was, but given my usual draw toward men, I couldn’t understand why I had that transitional same-sex experience with an early friend. It’s only been in the last few years that I could make sense of all the ways I was still struggling with any kind of relationships, and with an identity of any kind.
And identity, or the lack of…talk about another huge core wound…
I coulda been a contender… If I had an identity…
I could have been a doctor…a marine biologist…an English teacher…any one of the many dreams I had. And none of them were possible because I wasn’t the sort of person who could reach for those things. I was not equipped for life, relationships, or any opportunities or career directions life might have gifted me.
Those required a healthy, mature, young adult with well-developed cognitive, social, and leadership skills. I had none of those. I didn’t even have a separate identity.
Jen Cross, in her book, Writing Ourselves Whole, captured the magnitude of the “identity destruction.”
“My stepfather had tried to occupy every fragment, every nook and cranny, every inch of my psyche — he believed, and trained me to believe, that he had a right to every thought in my head, every emotion, every instinct….In my adolescence, a grown man fed identity to me, shoved it down my throat.”
xix, 53
The one difference in my life was that last line- he started feeding the identity he wanted me to have, from infancy on. The fact I managed to eventually have any of my own thoughts was a sheer miracle.
I felt so inferior and immature compared to my peers. While they were busy carving out careers, traveling, moving up in their jobs, I was hanging on, struggling, afraid to travel and hoping to God no one wanted more out of me in my job than I felt I could give. Not a prescription for ANY kind of success, personal or professional. I wanted to do what I felt I could and be left alone beyond that. I was afraid.
Being a lab person, I mapped out my “failure” this way. I was “Person #1. I’d spent most of my childhood, young- and middle-adult years running from opportunities. I did them. I was high-functioning. But I tried to avoid things in jobs that other people were actively seeking.
Person #2 was my perception of an “average peer.” From this, I felt it was clear that by mid-life, they had left me far behind.

I’ll come back to this later with a slightly different analysis of this graph. But for most of my adult life, I felt like “a fraud.” On paper, my resume looked good. Under my surface facade of “competent,” I felt broken and terrified.
It is only now in my seventies that I feel I have the emotional stability and depth to handle those early career dreams. But…it’s too late.
And there is one other aspect of “identity” that is lost sometimes – the sense that part of you died and was lost for good. Judith Herman spoke of this aspect in her book, Trauma and Recovery. She noted that even when a traumatized person moves forward, they sometimes retain a distorted sense of reality and more go through the motions of life than actually being connected to it.
Health
And then there was health. Those same stress-hormone-driven-changes in my brain were also taking place in my body. Even as a child, my heart and circulatory system, immune system, endocrine system, and sex-development organs were all being adversely affected. And my glucose levels. And the levels of inflammation in my body.
We all have seen those “Diagnoses and Medical ‘word salad lists’” splashed across our medical history charts. Here’s a list of just some of the things people who’ve been sexually abused or traumatized in life may have on their charts:
- Prediabetes/Type II Diabetes
- GAD (generalized anxiety disorder)
- Depression, major, recurrent, in complete remission
- PTSD (post-traumatic stress disorder)
- Postmenopausal hormone replacement therapy
- OSA (obstructive sleep apnea)
- Obesity (unspecified)
- Adenomatous polyp of colon
- Irritable Bowel Syndrome
- Diverticulosis
- Urinary incontinence, urge
- Chronic sinusitis with recurrent bronchitis
- S/P appendectomy
- S/P cholecystectomy
- S/P hysterectomy with oophorectomy
- Primary osteoarthritis of left hip
- Trochanteric bursitis of left hip
- Osteoarthritis of left sacroiliac joint
And it goes on and on and on. The list can also include things like: autoimmune diseases (Lupus, Rheumatoid Arthritis), cancer, heart disease, lung disease, and so, yes, like Bessel van der Kolk said in his book – our bodies DO keep the score for all the damage done to us right from childhood.
Even if you are a high-functioning survivor, there are still any number of emotional, inflammatory, endocrine, GI, Urinary, or other health issues. And unnecessary surgeries.
I had my gallbladder out when I was in my twenties. It turned out there was nothing wrong with it. The symptoms were related to abuse. I have dealt with a lifetime of side effects from that surgery. At least now, unlike then, it is standard procedure for gastroenterologists to ask young women with GI issues if there is any history of sexual abuse.
I am aware every time I visit the doctor that damage has been done to my body, and some of those items on those lists are on my chart.

There are also the costs that came because it took me a lifetime to learn to love myself and give myself the compassion I deserved.
And there is one last health effect to mention – that caused by silence…and the weight of carrying secrets…
Silence
I had to be silent…keep secrets…for way too many years. And I have paid a health cost in that.
“Major secrets can be stressful….keeping secrets from those close to us can affect our health, including our immune function, the action of our heart and vascular systems, and even the biochemical workings of our brain and nervous systems…keeping back thoughts, feelings, and behaviors can place us at risk for both major and minor diseases.”
Researchers James W. Pennebaker, PhD, and Joshua M. Smyth, PhD, summarized their findings from several years of work and hundreds of studies in their book, Opening Up By Writing It Down: How Expressive Writing Improves Health and Eases Emotional Pain. In short, they distilled it all down to this formula: “A secret plus a confession equals catharsis.”
They went on to explain that while speaking about it can help, acquiring understanding and meaning is key to releasing those events from our psyches. Those were the critical elements to healing…to transformation.
In fact, research demonstrated that those who wrote about and found meaning in their abuse actually demonstrated improved immune function. So the very act of opening up has the potential to improve one’s physical as well as emotional health.
TIME!!!!
Why so impatient?! Because so much of my life was lost to him. So much taken. Whatever I have left is precious, and I HATE when life or some person WASTES MY TIME.
There is the lost time of being a child. Abuse makes us grow up too fast. We have to parent our parents. Deal with adult issues and sexual drives long before we are ready. Time. Precious, innocent time stolen. And there is the fact that I cannot depend on having a future. I only have now.
Author and professor of divinity at Duke University, Kate Bowler, spoke of this same mindset after a serious cancer diagnosis. Even though she is now in remission, she feels that the “future” was no longer something she had. Her sense of time was totally altered.
And author Daria Burke spoke of an altered and rushed sense of time in decision-making. The chaos of the abusive household refined her skills for survival such that she would quickly assess each crisis moment and make a rapid judgment on how to navigate it. I do the same thing.
So there is no longer a sense of time as something available to me, or that I can depend on.
Inheritance
There are “gained costs” too. And not in a good way. When abusive parents inflict pain on their children, they not only take from them; they “dump” on them. Those parents hand their children their own scars. The pain they carry in life. Their misguided beliefs. Their unhealthy relationships and behaviors. As Daria Burke wrote in her book Of My Own Making, she worried about not just the damage done to her and what she lost or left behind, but also what of her mother’s problems she carried within her. Would she too become the very thing her mother was because of what she lived through?
I have spent my life determined to NOT be either my mother or my father. Yet I carry their scars. I am all too aware of their behaviors and mentality in dealing with life. So it was all the more reason I have worked so long and hard with a therapist in life. To correct all that misguided programming.
And there is one huge cost in my life – financial….
Financial – Therapy
One afternoon, I pondered the question…exactly how much money, out-of-pocket, not counting costs paid by my insurance, have I had to spend to heal? It’s a daunting question.
I tried to figure out a way to estimate it, while at the same time, afraid to see that final total. And again, a total out of my pocket, not counting whatever my insurance paid at the time.
For the years when I first got out of my parents’ house, I worked full-time in the hospital lab. At the time, I had good insurance coverage that paid for some years of off-and-on therapy. So I didn’t even count those years. However, if it were today, with insurance coverage being so much poorer, that amount would be on top of whatever amount I figured.
These are wild guesses, possibly underestimating the costs. I took the hourly rate, multiplied it by the rough number of hours in the various time periods, and for a while divided that number in half since my health insurance in those years usually covered about half the costs of the therapy.
I will preface my comments by noting that there are all levels of therapists, counselors, and social workers whose range of experiences vary, along with their costs. There are group therapy sessions that are less expensive. And now, unlike the past, there are online counselors and therapists at reasonable rates. Often, too, employers may offer therapy services through an agency they contract with, again, making the costs more affordable.
Some of these options were not available to me, and also, because of the severity and length of my abuse, I needed PhD-level therapists who specialized in trauma. The years 2009-2026 we had much less or no insurance help.
So again, this is simply what we incurred. It was our choice to go this route, and fortunately, between our jobs and insurance at those times, we made it work. We weren’t rich. It was our choice. Just know there is a wide range of options available.
My best guesses:
- 1984-1986 — $ 0.00
- 1988-1990 — $4800.00
- 1994-1999 — $7200.00 (including the course on effective marriage skills)
- 2007-2008 — $1200.00
- 2009-present — about $3500/year (including many EMDR sessions and poor or no insurance)
Wild guess lifetime total: >$70,000.00
I have many mixed feelings about that. It sucked. We carried this as one of our “costs of living,” monthly bills.
I will simply say that my husband and I made a choice to break a multi-generational cycle, to heal me, to teach him and me the emotional skills we never got at home. We chose to do this for our sakes, for our marriage, and for our son and his future. How each person handles this, to what extent, for how long, is a personal choice. It has been worth it to save our lives.
But…it is a shame that any survivor has to pay any amount to heal.
Bottom line on a personal scale
The costs are huge. Lost past. Lost savings. Having to clean up the mess in the present, emotionally and physically. Lost opportunities in life. Lost friends. Jobs. Joy. Health. Time. TIME!!!!! It’s the root cause of my impatience now. I REFUSE TO WASTE ANY MORE MOMENTS in life!
And the reality is, these were “LOST” …they were STOLEN….TAKEN.
I could spend the rest of my life in bitter resentment. But that, too, would be a cost. And that is ONE cost, I will NOT pay. My goal my whole life has been about “What can I get back? What can I still do? What can I reinvent? How can I NOT let HIM win?!”
And I will talk about that in the last post of this Albedo section – Healing. Because despite all, there are ALWAYS possibilities if one refuses to quit. And I will claim any and all that I have the chance to get.
But before I go into that, just some observations about the costs of abuse on a larger scale.
Note:
I am seeking financial support to complete my memoir, work with an editor, and make a visit to my home state for fact-checking. Your help would mean the world to me as I take this step toward healing and giving voice to my journey.
Please like, comment, and share this post to help spread the word. The link for my fundraiser is on GoFundMe. Thank you for your support.



