Curt and Katie interview Jane Armstrong, LCSW, a clinical social worker in Texas, about terminating a wanted pregnancy for medical reasons. We look at the impacts of the overturn of Roe v Wade on reproductive care. We also dig into what termination for medical reasons (TFMR) is, how society stigmatizes these parents, and what therapists can do to effectively support clients facing this decision and the outcome of TFMR.
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An Interview with Jane Armstrong, LCSW-S, PMH-C
Jane is a termination for medical reasons (TFMR) mom, native Texan, & clinical social worker certified in perinatal mental health. Following the birth & death of her first child, Frankie, through TFMR, Jane opened Both/And Therapy, PLLC to provide individual therapy & support groups to other TFMR parents. These services aim to support clients through the unique barriers & grief of ending a wanted pregnancy, particularly in the state of Texas where such care is no longer accessible. She’s passionate about building community, eliminating shame, & honoring grief for TFMR families.
In this podcast episode, we talk about Termination for Medical Reasons (TFMR)
In the wake of Roe v. Wade being overturned, we reached out to Jane Armstrong, LCSW-S, PMH-C who specializes in TFMR and is based out of Texas, a state with some of the biggest barriers to this type of medical, reproductive care.
What are the clinical impacts on individuals who are considering or who have had an abortion?
Trauma related to pregnancy as well as abortion
The differences between ending wanted and unwanted pregnancies
The shame – societal and internalized
What therapists can get wrong when interacting with the topic of abortion
Unexamined bias related to abortion
TFMR – is baby loss and TFMR parents are entitled to grief
Disenfranchised grief and traumatic loss
The impact of anti-abortion legislation on patients considering abortion and TFMR
Lack of access to all types of medical care
Logistics related to getting access to medical care
The emotional impact of continuing to carry a pregnancy when it is known that the baby will die
How late parents can find out about medical concerns that mean that TFMR is indicated
The lack of time to make a decision
What is Termination For Medical Reasons (TFMR)?
Terminating a pregnancy due to health issues with the pregnant person or with the baby
For the pregnant person: fatal Hyperemesis Gravidarum, requirement for treatment, mental health conditions
For the baby: 12 week genetic screenings or subsequent testing, scans, etc. can point out chromosomal abnormalities, neural tube deficits
How can therapists work with TFMR clients?
The conflict between the laws and a clinician’s own ethics
Make sure your clients know you will be a support resource to them
The importance of the client being able to tell their story
Recognizing that TFMR is typically not talked about and opening space for these clients
Trauma, grief, loss – sitting with the client with their hard stuff
Helping clients to make this impossible decision
Affirming parenthood and the challenge of the decision
Decision versus “choice” and the ways in which bias can enter the conversation about decision-making
Our Generous Sponsor for this episode of the Modern Therapist’s Survival Guide:
Thrizer
Who we are:
Curt Widhalm is an LMFT in private practice in the Los Angeles area. He is the cofounder of the Therapy Reimagined conference, an Adjunct Professor at Pepperdine University and CSUN, a former Subject Matter Expert for the California Board of Behavioral Sciences, former CFO of the California Association of Marriage and Family Therapists, and a loving husband and father. He is 1/2 great person, 1/2 provocateur, and 1/2 geek, in that order. He dabbles in the dark art of making "dad jokes" and usually has a half-empty cup of coffee somewhere nearby. http://www.curtwidhalm.com
Katie Vernoy is an LMFT, coach, and consultant supporting leaders, visionaries, executives, and helping professionals to create sustainable careers. Katie, with Curt, has developed workshops and a conference, Therapy Reimagined, to support therapists navigating through the modern challenges of this profession. Katie is also a former President of the California Association of Marriage and Family Therapists. In her spare time, Katie is secretly siphoning off Curt's youthful energy, so that she can take over the world. http://www.katievernoy.com
A Quick Note:
Our opinions are our own. We are only speaking for ourselves – except when we speak for each other, or over each other. We’re working on it.
Our guests are also only speaking for themselves and have their own opinions. We aren’t trying to take their voice, and no one speaks for us either. Mostly because they don’t want to, but hey.
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