inclusion

The sentence my childless ears needed to hear from a medical provider... and didn't

“Katie, you might have kids but if you don’t life will still be awesome.”

No one along my ‘journey’ of potential parenthood thought to give me this particular insight or support. A few were very supportive of whatever mood I brought into my appointment but still didn’t quite get into the territory of helping me see that life without children would still be vibrantly awesome.

Instead I heard:

“Just relax, I bet it will happen in Maui.”

“You’re so healthy, I’m sure you’ll get pregnant!”

“You have plenty of time” (I was 42. That was.. perhaps inaccurate?)

“Don’t give up yet.”

“I can just feel it, next year at your checkup you’ll be a mom.”

“Stay hopeful and positive.”

“It’s probably just…. (insert weird stereotypes, medical myths, and pop psychology)”

I was such a compliant and provider-pleasing patient that I actually smiled and nodded during this crap. I’d cry in the car or be grumpy for days after without understanding why. I learned to tell myself what I needed to hear. My husband and I repeated it to each other frequently “We’re going to get through this and life will be amazing no matter which path!” or, on less perky days “This sucks, but we can still have a house full of dogs and craft projects one day if we don’t have kids, right?”

I started peeking over into the books, podcasts, and blogs of childless folks to make sure it was ok there. It was! It was the most authentic and validating space. I lurked around but didn’t participate until childlessness felt like my full identity. I learned a lot and could name what I was going through - disenfranchised grief, ambiguous loss- and that it would transform my life and sense of self in unexpected ways, but not always horrible. They gave the first confirmation of the reality that life is still shiny and happy without kids.

Should providers stop saying hopeful things? Perhaps not, that would be kind of a bummer too. At the very least, stop telling people to relax. The support we give our clients and patients needs to resonate with their mood and the circumstance and give permission for the person to take off the mask of positivity. Make sure to check in with the ones that smile through the appointment too.

The Terminology of Parenthood or Non-Parenthood Carries a lot of Weight

For some of us, what to call oneself as an adult without children can feel very complicated and disempowering. Parenthood is seen as the standard and any term to describe non-parenthood includes a ‘lack’ of something. Options I’ve seen: childfree, childless, childfree after infertility, childless not by choice CNBC, childless by choice, childless by circumstance, involuntarily childless, voluntarily childfree, nonparent, nonmom, nondad.

Thesaurus.com gives us this really appealing list of synonyms to choose from:

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Words can feel so invalidating to the lived experience of childlessness

It can be an identity crisis we didn’t know was coming. What does it feel like to name yourself childfree in a world that sees you as a second class adult or judges your choice? What is it like to call yourself childless to demarcate the fact that you have lived through a huge transformation in your expectations about life but then be presented with overt or subtle critique that if you really wanted parenthood you would have found a way.

Each person, even within the same relationship, may prefer a different term. It can also change! Personally, some days I feel quite childless and then others I identify with childfree. I’m a non-mom who loves aunthood. I smile at every baby but have never yearned to go through pregnancy. I have a childless home life but delight in the part of my practice that is child-full. If I abbreviated my truth it would be - CACABICBAAFR: Childfree after circumstantial and biologic infertility compounded by ambivalence and financial reality. I assume every other person I meet without kids has a unique story. It’s important to follow the lead of the person and respect the terms that they use even if they don’t resonate with you.

Mental Health professionals and childless clients

A note for any mental health professionals reading this- If you work with childless people and have yet to think about your own unconscious biases about this group, a great place to start is thinking about how the terminology of non-parenthood may enter your sessions. We are taught to both follow the client’s lead and also to examine our countertransference in the room. What about this terminology strikes a chord within you and why? In my writing on my website I tend to use “childless” and “childfree” because they are so widely known but I respect and honor all terms!