Australian Doctor 12th July Issue 2024 | Page 19

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ausdoc . com . au 12 JULY 2024

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All this is driven by shame , hurt ,
he died , he reiterated how useless and
betrayal , devastation , helplessness and
unlovable I was and how he was looking
hopelessness .
forward to watching me “ crash and burn
And fear , always fear . I am one of the lucky ones . I made it out
within six months ” without him . He reiterated that I was nothing with-
the other side .
out him , that everything good in my life
When he left
He left one day to pursue his career in
was because of him . That I was ungrateful and unworthy . Those things were hard to hear , on the
another city . He made it clear that he was
back of so many years of abuse , but they
leaving me , not the other way around .
also spurred me on to prove him wrong .
I changed the locks and finally felt
Inside me , deeply hidden from him ,
physically safe , with him in another city .
I still had a kernel of self-worth , and it
Then he died .
saved me .
Suicide .
I was one of the lucky ones in so many
He had threatened suicide many times
ways . My work as a doctor was enough to
before , keeping me in check , and that is
pay the bills — first , when he left the fam-
not uncommon either . Devastating , but
ily home and then after he died .
common .
It was enough to support my shattered
When the police knocked on my door
sense of self-worth and catch a glimpse of
very late one night to break the news , I
recovery .
was in shock but not in disbelief .
Many women in the position I found
The first words that came out of my
myself in are not so fortunate , trapped by
mouth were , “ He always told me he
financial dependence , lack of support and
would do something like this .”
lack of agency .
The second thing I thought but did not
What happened to me is not uncom-
say was , “ Thank God he didn ’ t take me ,
mon , unfortunately .
the kids or anyone else with him .”
I have had enough time to process
I felt relieved , then guilty for feeling
what I went through , although there are
relieved , then angry , sad , grief-stricken ,
still some very deep traumatic memories
then numb and then back to being
that surface at times and are distressing
relieved .
and painful .
The emotions of a survivor when their
I was lucky enough to meet a kind ,
abuser dies by suicide are , in my expe-
gentle , loving and trustworthy man who
rience , complicated , confusing , difficult
taught me what a healthy , respectful rela-
and almost impossible to describe .
tionship looks like .
Navigating those emotions takes a
He has helped me and my children
very long time and adds significantly to
heal .
the trauma of the abuse .
breaking my treasured belongings , sexually
abusing me , sabotaging my friendships
I could not see how bad the situation had become . Perhaps because I had lost my own
Threats of suicide intersect with trauma , mental illness and childhood abuse and should never be brushed off , but unfortunately , they can also be used for the purposes of control in the context of domestic violence , leaving the victim in a permanent state of terror .
If this news story has raised issues for you or you are concerned about someone you know , you can call the following support services 24 hours a day , seven days a week : 1800 RESPECT ( the national domestic , family and sexual violence counselling service ) 1800 737 732
and finally strangling me . The escalation to strangling was
sense of agency , and I was so isolated . Definitely because I was deeply , deeply
It can be near impossible for a victim to determine what is a real threat and
Lifeline 13 11 14
terrifying . I found the courage to plan my exit the
ashamed that this was happening to me . Family violence occurs across the
what is a threat made to manipulate and control .
Beyond Blue 1300 224 636
night he pinned me against the fridge , put his hands around my neck until I could not
board . I know that now . I am not unique . In my work as a doctor , I have heard countless
It is destabilising and devastating and , in my experience , near impossible to
Men ’ s Referral Service 1300 766 491
breathe , stared into my eyes and hissed ,
stories of abuse .
navigate .
“ I ’ m angry .” I realised in that instant that he really could kill me if he wanted to . I strongly
Often , even when a patient is presenting with injuries consistent with violence and abuse , they will deny and deflect out of fear
Statistics show that men who use the threat of self-harm to coerce their partners are many times more likely to be
State- and territory-based doctors ’ health services :
ACT 1300 374 377
believe that realisation saved my life .
I finally acted
Why had I not come to this conclusion
of what their abuser will do next if they divulge and always , always because they are so ashamed .
In my own journey with shame , I also
perpetrators of extreme acts of domestic violence , including murder .
We should never ignore threats of selfharm , but victims of domestic violence
NSW 02 9437 6552
NT 08 8366 0250
sooner ? Perhaps because I still loved him ,
learnt to deflect , deny and divert . That bruise on my arm ? “ I ’ m so clumsy !
will recognise that the threat of self-harm is a very real tool used by perpetrators to
Queensland 07 3833 4352
despite everything , and I wanted to protect him .
Perhaps because I knew that at least some of his behaviour was driven by a difficult childhood , and childhood trauma is
I really need to be more careful .”
The way I jump whenever I hear someone raise their voice ? “ Nothing to see here ; I have always been the nervous kind !”
The fact that I often do not turn up to
manipulate and control .
In my case , my ex-husband ’ s threats of self-harm paralysed me , kept me captive , kept me exactly where he needed me to be .
SA 08 8366 0250
Tasmania 1300 374 377
Victoria 1300 330 543
common in men who perpetrate . Perhaps because I had become so condi-
events at the last minute ? “ I ’ m so sorry . I ’ m prone to migraines at the most inoppor-
It was horrific . Before he left , before he understood
WA 08 9321 3098
tioned to believe that this was my fault that
tune times .”
that he was losing control of me , before

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