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Learning about family secrets that fracture your sense of identity can be profoundly shocking and destabilizing. If you’ve experienced a powerful emotional blow that’s left you feeling bruised, battered, and off balance, though you may not recognize it as such, what you’re experiencing is trauma. If you’ve been told or you suspect you’re overacting, be assured that feeling traumatized is a completely normal response to an exceedingly distressing event. While many around you may not understand or take seriously your feelings and expect you to brush it off and get over it—trauma isn’t something you just get over. It needs to be acknowledged and addressed, and it may be useful or even necessary to seek professional help that will allow you to move forward with less distress and integrate the experience into your life Jamie Marich, PhD, a clinical trauma specialist, talks with us about recognizing trauma, understanding its consequences, and helpful strategies. She’s founder of the Institute for Creative Mindfulness and the author of seven books on trauma healing and recovery. Among the approaches she uses with clients are EMDR therapy, mindfulness, yoga, dance, reiki, and expressive arts. She’s led trauma recovery retreats at the Kripalu School for Yoga & Health in Massachusetts’ Berkshire Mountains and at the Esalen Institute in Big Sur, California. Her most recent book, published this year, is Process Not Perfection: Expressive Arts Solutions for Trauma Recovery.

As the new network television season begins this week, adoptees, NPEs (not parent expected or non-parental events), and donor conceived individuals are among the casts of characters on primetime programs. But will the series’ writers and producers bring a level of reality and depth to the depictions or simply exploit their experiences for dramatic purposes without accuracy, nuance, and sensitivity? On October 2, the first show with a high-concept premise about donor conception premieres on Fox. The plot of “Almost Family” unfolds as it becomes known that renowned fertility doctor Leon Bechley boosted his clinic’s success rate by using his own sperm to help clients conceive—a practice that led to the conception of dozens of children. While it would appear to be a plot line ripped from recent headlines, the show is based on the Australian Network 10 series “Sisters,” which premiered in October 2017 and may have been inspired by an earlier headline concerning an Indiana fertility doctor who in 2016 was sued for using his own sperm more than 50 times to inseminate patients. The show began streaming as a Netflix Original Series in September 2018. As in “Sisters,” “Almost Family” focuses on the effect this bombshell has on Bechley’s daughter, Julia, and two women who discover that they were conceived from his sperm. One, Edie Palmer, has been a longtime friend of Julia. The other is a former Olympic athlete, Roxy Doyle. Both shows purport to be about the redefinition of family and the issues that surface as these sisters face the facts of their conception, navigate the challenges, and encounter an ever-increasing number of siblings. “Sisters,” with 7 episodes, begins promisingly enough. Dialogue suggests that feelings, experiences, and concerns arising from the characters’ discovery that they not only were donor conceived but conceived with the sperm of a fertility doctor will be on point.

In our society, we engage in age-old rituals that help share the burden of grief after a loss. We hold the hands of the bereaved through services and at gravesites. We send cards and flowers, make donations, and create meal chains. We stand in solidarity and share stories about the lost loved ones to buoy the spirits of those who mourn them. We offer practical and spiritual succor, shoulders to cry on, and a promise of being there for the bereaved when they need us. Only sometimes we don’t. For losses that fall outside of society’s norms—particularly those linked with something perceived as shameful or socially embarrassing—the rituals are often absent or ignored, the grievers left alone to tend to their wounds, without empathy and support. Kenneth Doka, PhD, formerly a professor of gerontology and now senior consultant to the Hospice Foundation of America and author of numerous books about grief, coined the term disenfranchised grief in 1987 to describe the sorrow associated with these situations that stand outside society’s norms of “legitimate” loss. It refers to the emotional aftermath of losses that are not acknowledged or validated by others—a solitary state in which individuals are unable to mourn openly and may suffer in silence. They believe—or are made to feel—that they’re not entitled to the ministrations typically provided when bereavement is socially sanctioned, that their losses aren’t worthy of grief, or that their feelings are inappropriate.

Until recently, most people likely haven’t encountered someone who’s been knocked off balance by a DNA test result, so it’s understandable they might not appreciate the magnitude of the impact. But it’s just a matter of time. Mind-blowing DNA revelations are becoming so common that some DNA testing companies have trained their customer service staff representatives to respond empathetically. While those employees may know the right thing to say, here, in the real world, the people around us often haven’t got a clue how it feels — like a punch to the gut. If you’ve become untethered from your genetic family, you might get a second surprise: some of your friends and loved ones may be remarkably unsympathetic, often infuriatingly judgmental, and sometimes even hostile. It’s clear that although DNA surprises have become ubiquitous, social attitudes haven’t kept pace, and a stigma remains.

Infants and babies taken from their birthmothers tend to perceive that severance as a danger, a threat to their wellbeing. The physical sensations associated with being removed from their mothers and the consequent feelings of being unsafe are stored in the body and the mind as implicit memories — remnants of trauma that remain and can cause distress throughout life. But because individuals don’t understand these as memories — that is, as narratives they can express — they may not identify their experiences as traumatic or link their distress symptoms to these early preverbal experiences.