Filling in the Gaps in the Understanding of the NPE Experience

By Jodi Klugman-Rabb, LMFTThe DNA discovery situation is unique in several ways. It’s unique to our time because of our access to science, and it’s unique in mental health because of the combination of issues triggered throughout the experience. Those who experience an unexpected DNA discovery may include adoptees, NPEs (not parent expected), and donor conceived individuals. Although they take different paths to their DNA discoveries, the emotional issues they experience along the way are quite related and, in some cases, identical. Yet, the mental health community isn’t at all well-prepared to deal with the DNA discovery experience.

Astonishingly, there are practicing therapists who cannot engage their empathy when facing a DNA discovery client. I hear stories of NPEs leaving sessions feeling worse than they did going in because the therapists dismissed their pain, just as their known families did. After seeking help to sort out their feelings and cope with their confusion, these clients leave with guilt added to the cornucopia of emotional turmoil, being told by therapists “he’s still your dad” or “it really hasn’t changed anything about you.”

In fact, much has changed for NPEs, but as in any case of grief, it often isn’t apparent to the outside observer. I counsel as many bereaved clients on how to engage support from loved ones as I do NPEs, and that’s because we as a species are not good at dealing with emotional pain. We want it to go away, to be as short lived as possible and be something someone else deals with. The DNA discovery experience rivals most traumas—with sudden grief and loss, unwanted changes in family dynamics, and profound identity confusion, all condensed in a short period of time.

As a licensed marriage and family therapist, I’m trained in all the areas triggered by the DNA discovery so I know to treat the discovery as a trauma that’s complicated with grief, identity crises, and the breakdown of interpersonal relationships. As a therapist, I’m skilled at the techniques and have the ability to recognize when something has crossed the threshold of normal to become clinically significant, and I have cultivated empathy as a general rule in the art of my field, because that’s the most important quality.

I recognized the need for a curriculum to organize how mental health professionals would respond to our fast-growing DNA discovery population, to help them access the skills they already had but didn’t know how to combine, so I created Parental Identity Discovery,™ a first of its kind treatment protocol dedicated to DNA discoveries. In more than 18 years of clinical practice, I’ve cultivated expertise needed for informed treatment of DNA discoveries: EMDR for trauma, grief counseling, and family systems and cognitive-behavioral theories. Living through the NPE discovery showed me how little I knew about identity, so I’ve set out to research everything my field has to offer and include it in the protocol, finding space for me to contribute to filling the gaps. Each aspect of the treatment relies on proven techniques to inform a new way of addressing generally individual issues.

Peer support is important in our large cohort to help people feel less alone and provide a more tolerant ear. But some people need more than peer support can offer, and for them, therapy can make all the difference. But it requires proper training and licensure. Finding a good therapist is harder than it needs to be, but they’re out there, and hopefully those who get adequate training specifically in the needs of NPEs will combine that special knowledge with the skills they most likely already have so they can truly be of service to people affected by DNA discoveries.Jodi Klugman-Rabb, LMFT practices in California. She writes about the NPE experience in the “Finding Family” blog for Psychology Today and hosts and produces the “Sex, Lies & the Truth” podcast. For more information on her work with DNA discovery go to her website or register for the training through Eventbrite.BEFORE YOU GO…

Look on our home page https://severancemag.comfor more articles about the experience of NPEs, adoptees, and donor-conceived individuals.