Out with the old, in with the older.
Signs of an unsuccessful shift
Ambi was accompanied by a CARET member to talk with a new person (NP).
In preparation for the conversation Ambi
- collected all the tools that historically have supported self-regulation
- noticed nervousness symptoms (racing heart, cold-sweaty palms, mild nausea, body tension)
- stayed busy with tasks to avoid noticing the physical symptoms and thoughts
- these internal conversations included (but aren’t limited to):
- this new person (NP) isn’t going to believe you
- this NP is going to agree you are crazy, broken and the problem
- the CARET member continues to identify you this way (crazy, broken, problem, too much)
- you have no choice. you HAVE to go do “hard things” because CARET is uncomfortable and doesn’t know what to do with you.
On the way to NP:
- CARET asked Ambi if there was anything they wanted to share
- Ambi responded:
- “My goal for this conversation with NP is to allow both of us [CARET & Ambi] to share in a safe space so that we can feel heard and understood.”
- Internally Ambi thought of another goal:
- That both CARET and I leave the conversation with action-able tips to improve our communication (and thus my personal safety) moving forward.
Entering new space where Ambi was to meet NP:
- Extreme sympathetic nervous system symptoms
- distal limbs colder than ice
- body trembling with fear
- etc.
- Ambi acted to honor the body’s clues by
- finding a seat near a window
- tucking feet up and in to assume a more compact position
- take out journal (one of self-regulation tools)
- try to minimize environmental input
- focus on deep breaths
- minimal engagement with CARET sharing unsolicited updates
- Still Ambi noticed
- CARET pacing the space
- CARET asking Ambi to fill out a form for the both of them
- noises of doors opening, distant conversations, background music

Throughout the conversation with NP
- Ambi was consciously attempting to remain contained, yet appear “normal”, while honouring bodily cues of impending danger
- Ambi noticed that NP shared a medical diagnosis with Ambi – NP’s brain was neuro-diverse
- NP also had the capacity, and skills to act as a translator between Ambi and CARET!
- Ambi felt a subtle shift, hope of mutually validating conversations with CARET moving forward
- YAY!!!

Back at Ambi’s personal residence
- CARET expressed their desire for Ambi to run into the house to grab >3 items and return, while CARET called a fellow CARET.
- Ambi shared their desire to feed self (woohoo momentary decrease in nausea!!!)
- offering a compromise of CARET engaging in their call while Ambi goes inside to eat, then together they could collect items for next outing
- CARET appeared agreeable to call fellow CARET then come inside
- Apon entering the residence Ambi retrieved personal leftovers (intended for Ambi’s lunch this past week)
- While eating, Ambi was struck with joy and excitement to engage in a meaningful home-focused task that
- sparked long-lasting joy
- Ambi could enjoy individually and enjoyed sharing with others
- encouraged being present
- Ambi was slowly building confidence in
- While preparing items for Ambis home-focused task, CARET was also indulging in leftovers but sought more subsistence – in the form of an odorous canned food
- Ambi recognized this scented food as one of CARET’s preferred
- So simultaneously Ambi verbally acknowledged the odour and retrieved one self-regulatory tool to combat the aromas at a personal level (Ambi used to regulate Ambi)
- CARET observed Ambi’s pursuit and brought said scent-laden food into Ambi’s sacred space.
- Ambi felt overwhelmed by the olfactory threat and said
- “you know I am sensitive to smells, can you please remove that item?”
- To which CARET responded amusingly that it was a joke, while not acknowledging or acting on Ambi’s request for object removal
- Still overwhelmed Ambi deserted the safe space in an attempt for self-preservation
- CARET made verbal implications that Ambi was over-reacting
- Ambi felt overwhelmed by the olfactory threat and said
- Identifying an additional auditory threat Ambi re-entered the danger zone to retrieve a second tool to minimize audible assault
- CARET told Ambi to “smile” while further invalidating Ambi’s attempts for self-regulation
- With the few drops of capacity remaining in Ambi’s bucket
- Ambi implemented both tools and informed CARET that the outing would have to wait until after Ambi completed the meaningful task
- Ambi could feel the negative energy wafting off of CARET like the heat of a red iron
- But Ambi stood strong
- “Why don’t you do it this way?” CARET asked while Ambi engaged in the task
- But Ambi stood strong
- CARET carried a task behind Ambi and bumped (Ambi thinks intentionally) into Ambi
- But Ambi stood strong
- CARET initiated step one of their task and returned to assess Ambi’s progress
- But Ambi stood strong
- Ambi implemented both tools and informed CARET that the outing would have to wait until after Ambi completed the meaningful task
After completing the meaningful task CARET approached Ambi ready to embark on the outing
- Ambi expressed awareness of body needing to rest
- CARET was confused, unaware of Ambi’s state
- Ambi shared the state of her capacity bucket was dry, that rest was needed to refill before engaging in outings.
- Still perplexed CARET inquired as follows (limited to 3 of many inquiries)
- “Well can’t you get a bigger bucket?”
- “Well when will you be able to do an outing?”
- “You have done hard things in the past, it’s not realistic to not do them now!”
- Bucket bare and NP translator absent Ambi attempted to communicate:
- I recognize this is hard to understand given my previous performance and previously immense capacity for hard things
- What I need in this moment is an easy thing – to rest and have time to refill my bucket
- I still love you CARET and our relationship
- This is really hard for me to take rest, but I want to feel better – I don’t want to live with a desolate bucket
- To which CARET responded that Ambi
- “so selfish“
- “don’t care about me [CARET], our relationship or our outings”
- “I have no choice but to put up with your decision”
- and much more…
- Ambi’s body began sending intense signals to exit the futile conversation
- to which CARET expressed additional verbal onslaught at Ambi
