CINXE.COM
<!doctype html><html lang="en"><head><title data-rh="true">Skin Hunger And The Failure to Thrive | by Rev. Sheri Heller, LCSW, RSW | Invisible Illness | Medium</title><meta data-rh="true" charset="utf-8"/><meta data-rh="true" name="viewport" content="width=device-width,minimum-scale=1,initial-scale=1,maximum-scale=1"/><meta data-rh="true" name="theme-color" content="#000000"/><meta data-rh="true" name="twitter:app:name:iphone" content="Medium"/><meta data-rh="true" name="twitter:app:id:iphone" content="828256236"/><meta data-rh="true" property="al:ios:app_name" content="Medium"/><meta data-rh="true" property="al:ios:app_store_id" content="828256236"/><meta data-rh="true" property="al:android:package" content="com.medium.reader"/><meta data-rh="true" property="fb:app_id" content="542599432471018"/><meta data-rh="true" property="og:site_name" content="Medium"/><meta data-rh="true" property="og:type" content="article"/><meta data-rh="true" property="article:published_time" content="2024-11-16T22:52:22.009Z"/><meta data-rh="true" name="title" content="Skin Hunger And The Failure to Thrive | by Rev. Sheri Heller, LCSW, RSW | Invisible Illness | Medium"/><meta data-rh="true" property="og:title" content="Skin Hunger And The Failure to Thrive"/><meta data-rh="true" property="al:android:url" content="medium://p/19c9e3ff4799"/><meta data-rh="true" property="al:ios:url" content="medium://p/19c9e3ff4799"/><meta data-rh="true" property="al:android:app_name" content="Medium"/><meta data-rh="true" name="description" content="It’s common knowledge that children require consistent exposure to many kinds of novel sensory stimulation and experiences in order to adequately respond to the environment and develop into healthy…"/><meta data-rh="true" property="og:description" content="The tragic repercussions of being denied loving touch"/><meta data-rh="true" property="og:url" content="https://medium.com/invisible-illness/skin-hunger-and-the-failure-to-thrive-19c9e3ff4799"/><meta data-rh="true" property="al:web:url" content="https://medium.com/invisible-illness/skin-hunger-and-the-failure-to-thrive-19c9e3ff4799"/><meta data-rh="true" property="og:image" content="https://miro.medium.com/v2/da:true/resize:fit:1200/0*SbRYCigQl2-V8Kq1"/><meta data-rh="true" property="article:author" content="https://sheriheller.medium.com"/><meta data-rh="true" name="author" content="Rev. Sheri Heller, LCSW, RSW"/><meta data-rh="true" name="robots" content="index,noarchive,follow,max-image-preview:large"/><meta data-rh="true" name="referrer" content="unsafe-url"/><meta data-rh="true" property="twitter:title" content="Skin Hunger And The Failure to Thrive"/><meta data-rh="true" name="twitter:site" content="@InvisibleIllpub"/><meta data-rh="true" name="twitter:app:url:iphone" content="medium://p/19c9e3ff4799"/><meta data-rh="true" property="twitter:description" content="The tragic repercussions of being denied loving touch"/><meta data-rh="true" name="twitter:image:src" content="https://miro.medium.com/v2/da:true/resize:fit:1200/0*SbRYCigQl2-V8Kq1"/><meta data-rh="true" name="twitter:card" content="summary_large_image"/><meta data-rh="true" name="twitter:creator" content="@SheriHeller"/><meta data-rh="true" name="twitter:label1" content="Reading time"/><meta data-rh="true" name="twitter:data1" content="9 min read"/><link data-rh="true" rel="icon" href="https://miro.medium.com/v2/5d8de952517e8160e40ef9841c781cdc14a5db313057fa3c3de41c6f5b494b19"/><link data-rh="true" rel="search" type="application/opensearchdescription+xml" title="Medium" href="/osd.xml"/><link data-rh="true" rel="apple-touch-icon" sizes="152x152" href="https://miro.medium.com/v2/resize:fill:304:304/10fd5c419ac61637245384e7099e131627900034828f4f386bdaa47a74eae156"/><link data-rh="true" rel="apple-touch-icon" sizes="120x120" href="https://miro.medium.com/v2/resize:fill:240:240/10fd5c419ac61637245384e7099e131627900034828f4f386bdaa47a74eae156"/><link data-rh="true" rel="apple-touch-icon" sizes="76x76" href="https://miro.medium.com/v2/resize:fill:152:152/10fd5c419ac61637245384e7099e131627900034828f4f386bdaa47a74eae156"/><link data-rh="true" rel="apple-touch-icon" sizes="60x60" href="https://miro.medium.com/v2/resize:fill:120:120/10fd5c419ac61637245384e7099e131627900034828f4f386bdaa47a74eae156"/><link data-rh="true" rel="mask-icon" href="https://miro.medium.com/v2/resize:fill:1000:1000/7*GAOKVe--MXbEJmV9230oOQ.png" color="#171717"/><link data-rh="true" rel="preconnect" href="https://glyph.medium.com" crossOrigin=""/><link data-rh="true" id="glyph_preload_link" rel="preload" as="style" type="text/css" href="https://glyph.medium.com/css/unbound.css"/><link data-rh="true" id="glyph_link" rel="stylesheet" type="text/css" href="https://glyph.medium.com/css/unbound.css"/><link data-rh="true" rel="author" href="https://sheriheller.medium.com"/><link data-rh="true" rel="canonical" href="https://medium.com/invisible-illness/skin-hunger-and-the-failure-to-thrive-19c9e3ff4799"/><link data-rh="true" rel="alternate" href="android-app://com.medium.reader/https/medium.com/p/19c9e3ff4799"/><script data-rh="true" type="application/ld+json">{"@context":"http:\u002F\u002Fschema.org","@type":"NewsArticle","image":["https:\u002F\u002Fmiro.medium.com\u002Fv2\u002Fda:true\u002Fresize:fit:1200\u002F0*SbRYCigQl2-V8Kq1"],"url":"https:\u002F\u002Fmedium.com\u002Finvisible-illness\u002Fskin-hunger-and-the-failure-to-thrive-19c9e3ff4799","dateCreated":"2024-11-16T22:52:22.009Z","datePublished":"2024-11-16T22:52:22.009Z","dateModified":"2024-11-20T07:42:59.739Z","headline":"Skin Hunger And The Failure to Thrive - Invisible Illness - Medium","name":"Skin Hunger And The Failure to Thrive - Invisible Illness - Medium","description":"It’s common knowledge that children require consistent exposure to many kinds of novel sensory stimulation and experiences in order to adequately respond to the environment and develop into healthy…","identifier":"19c9e3ff4799","author":{"@type":"Person","name":"Rev. Sheri Heller, LCSW, RSW","url":"https:\u002F\u002Fsheriheller.medium.com"},"creator":["Rev. Sheri Heller, LCSW, RSW"],"publisher":{"@type":"Organization","name":"Invisible Illness","url":"https:\u002F\u002Fmedium.com\u002Finvisible-illness","logo":{"@type":"ImageObject","width":307,"height":60,"url":"https:\u002F\u002Fmiro.medium.com\u002Fv2\u002Fresize:fit:614\u002F1*b_48OPb_E9Ro2lNwpR2sEw.png"}},"mainEntityOfPage":"https:\u002F\u002Fmedium.com\u002Finvisible-illness\u002Fskin-hunger-and-the-failure-to-thrive-19c9e3ff4799","isAccessibleForFree":"False","hasPart":{"@type":"WebPageElement","isAccessibleForFree":"False","cssSelector":".meteredContent"}}</script><style type="text/css" data-fela-rehydration="555" data-fela-type="STATIC">html{box-sizing:border-box;-webkit-text-size-adjust:100%}*, *:before, *:after{box-sizing:inherit}body{margin:0;padding:0;text-rendering:optimizeLegibility;-webkit-font-smoothing:antialiased;color:rgba(0,0,0,0.8);position:relative;min-height:100vh}h1, h2, h3, h4, h5, h6, dl, dd, ol, ul, menu, figure, blockquote, p, pre, form{margin:0}menu, ol, ul{padding:0;list-style:none;list-style-image:none}main{display:block}a{color:inherit;text-decoration:none}a, button, input{-webkit-tap-highlight-color:transparent}img, svg{vertical-align:middle}button{background:transparent;overflow:visible}button, input, optgroup, select, textarea{margin:0}:root{--reach-tabs:1;--reach-menu-button:1}#speechify-root{font-family:Sohne, sans-serif}div[data-popper-reference-hidden="true"]{visibility:hidden;pointer-events:none}.grecaptcha-badge{visibility:hidden} /*XCode style (c) Angel Garcia <angelgarcia.mail@gmail.com>*/.hljs {background: #fff;color: black; }/* Gray DOCTYPE selectors like WebKit */ .xml .hljs-meta {color: #c0c0c0; }.hljs-comment, .hljs-quote {color: #007400; }.hljs-tag, .hljs-attribute, .hljs-keyword, .hljs-selector-tag, .hljs-literal, .hljs-name {color: #aa0d91; }.hljs-variable, .hljs-template-variable {color: #3F6E74; }.hljs-code, .hljs-string, .hljs-meta .hljs-string {color: #c41a16; }.hljs-regexp, .hljs-link {color: #0E0EFF; }.hljs-title, .hljs-symbol, .hljs-bullet, .hljs-number {color: #1c00cf; }.hljs-section, .hljs-meta {color: #643820; }.hljs-title.class_, .hljs-class .hljs-title, .hljs-type, .hljs-built_in, .hljs-params {color: #5c2699; }.hljs-attr {color: #836C28; }.hljs-subst {color: #000; }.hljs-formula {background-color: #eee;font-style: italic; }.hljs-addition {background-color: #baeeba; }.hljs-deletion {background-color: #ffc8bd; }.hljs-selector-id, .hljs-selector-class {color: #9b703f; }.hljs-doctag, .hljs-strong {font-weight: bold; }.hljs-emphasis {font-style: italic; } </style><style type="text/css" data-fela-rehydration="555" data-fela-type="KEYFRAME">@-webkit-keyframes k1{0%{opacity:0.8}50%{opacity:0.5}100%{opacity:0.8}}@-moz-keyframes k1{0%{opacity:0.8}50%{opacity:0.5}100%{opacity:0.8}}@keyframes k1{0%{opacity:0.8}50%{opacity:0.5}100%{opacity:0.8}}</style><style type="text/css" data-fela-rehydration="555" data-fela-type="RULE">.a{font-family:medium-content-sans-serif-font, -apple-system, BlinkMacSystemFont, "Segoe UI", Roboto, Oxygen, Ubuntu, Cantarell, "Open Sans", "Helvetica Neue", sans-serif}.b{font-weight:400}.c{background-color:rgba(255, 255, 255, 1)}.l{display:block}.m{position:sticky}.n{top:0}.o{z-index:500}.p{padding:0 24px}.q{align-items:center}.r{border-bottom:solid 1px #F2F2F2}.y{height:41px}.z{line-height:20px}.ab{display:flex}.ac{height:57px}.ae{flex:1 0 auto}.af{color:inherit}.ag{fill:inherit}.ah{font-size:inherit}.ai{border:inherit}.aj{font-family:inherit}.ak{letter-spacing:inherit}.al{font-weight:inherit}.am{padding:0}.an{margin:0}.ao{cursor:pointer}.ap:disabled{cursor:not-allowed}.aq:disabled{color:#6B6B6B}.ar:disabled{fill:#6B6B6B}.au{width:auto}.av path{fill:#242424}.aw{height:25px}.ax{margin-left:16px}.ay{border:none}.az{border-radius:20px}.ba{width:240px}.bb{background:#F9F9F9}.bc path{fill:#6B6B6B}.be{outline:none}.bf{font-family:sohne, "Helvetica Neue", Helvetica, Arial, sans-serif}.bg{font-size:14px}.bh{width:100%}.bi{padding:10px 20px 10px 0}.bj{background-color:transparent}.bk{color:#242424}.bl::placeholder{color:#6B6B6B}.bm{display:inline-block}.bn{margin-left:12px}.bo{margin-right:12px}.bp{border-radius:4px}.bq{margin-left:24px}.br{height:24px}.bx{background-color:#F9F9F9}.by{border-radius:50%}.bz{height:32px}.ca{width:32px}.cb{justify-content:center}.ch{max-width:680px}.ci{min-width:0}.cj{animation:k1 1.2s ease-in-out infinite}.ck{height:100vh}.cl{margin-bottom:16px}.cm{margin-top:48px}.cn{align-items:flex-start}.co{flex-direction:column}.cp{justify-content:space-between}.cq{margin-bottom:24px}.cw{width:80%}.cx{background-color:#F2F2F2}.dd{height:44px}.de{width:44px}.df{margin:auto 0}.dg{margin-bottom:4px}.dh{height:16px}.di{width:120px}.dj{width:80px}.dp{margin-bottom:8px}.dq{width:96%}.dr{width:98%}.ds{width:81%}.dt{background-color:rgba(249, 249, 249, 1)}.du{border-bottom:solid 1px rgba(231, 231, 231, 1)}.dv{margin-left:8px}.dw{color:rgba(109, 110, 110, 1)}.dx{font-size:13px}.dy:disabled{color:rgba(109, 110, 110, 1)}.dz:disabled{fill:rgba(109, 110, 110, 1)}.ec{height:100%}.ev{color:rgba(251, 255, 255, 1)}.ew{fill:rgba(251, 255, 255, 1)}.ex{background:rgba(26, 58, 107, 1)}.ey{border-color:rgba(26, 58, 107, 1)}.fc:disabled{cursor:inherit !important}.fd:disabled{opacity:0.3}.fe:disabled:hover{background:rgba(26, 58, 107, 1)}.ff:disabled:hover{border-color:rgba(26, 58, 107, 1)}.fg{border-radius:99em}.fh{border-width:1px}.fi{border-style:solid}.fj{box-sizing:border-box}.fk{text-decoration:none}.fl{text-align:center}.fm path{fill:rgba(60, 62, 62, 1)}.fn{background:rgba(240, 240, 240, 1)}.fo path{fill:rgba(109, 110, 110, 1)}.fq{color:rgba(60, 62, 62, 1)}.fr::placeholder{color:rgba(109, 110, 110, 1)}.fu{margin-right:32px}.fv{position:relative}.fw{fill:rgba(109, 110, 110, 1)}.fz{background:transparent}.ga svg{margin-left:4px}.gb svg{fill:rgba(109, 110, 110, 1)}.gd{box-shadow:inset 0 0 0 1px rgba(0, 0, 0, 0.05)}.ge{position:absolute}.gg{background-color:rgba(231, 231, 231, 1)}.gm{margin:0 24px}.gq{background:rgba(249, 249, 249, 1)}.gr{border:1px solid rgba(231, 231, 231, 1)}.gs{box-shadow:0 1px 4px rgba(231, 231, 231, 1)}.gt{max-height:100vh}.gu{overflow-y:auto}.gv{left:0}.gw{top:calc(100vh + 100px)}.gx{bottom:calc(100vh + 100px)}.gy{width:10px}.gz{pointer-events:none}.ha{margin-top:32px}.hb{gap:8px}.hc{display:inline-flex}.hd{padding:6px 12px 6px 10px}.he{border-radius:8px}.hf{font-family:source-serif-pro, Georgia, Cambria, "Times New Roman", Times, serif}.hg{word-break:break-word}.hh{word-wrap:break-word}.hi:after{display:block}.hj:after{content:""}.hk:after{clear:both}.hl{line-height:1.23}.hm{letter-spacing:0}.hn{font-style:normal}.id{margin-top:0px}.ie{margin-bottom:-0.27em}.if{line-height:1.394}.ja{align-items:baseline}.jb{width:48px}.jc{height:48px}.jd{border:2px solid rgba(249, 249, 249, 1)}.je{z-index:0}.jf{box-shadow:none}.jg{border:1px solid rgba(0, 0, 0, 0.05)}.jh{margin-left:-12px}.ji{width:28px}.jj{height:28px}.jk{z-index:1}.jl{width:24px}.jm{margin-bottom:2px}.jn{flex-wrap:nowrap}.jo{font-size:16px}.jp{line-height:24px}.jr{margin-left:2px}.js{margin-top:1px}.jt{cursor:initial}.ju{margin:0 8px}.jv{display:inline}.jw{color:rgba(26, 58, 107, 1)}.jx{fill:rgba(26, 58, 107, 1)}.ka{flex:0 0 auto}.kd{flex-wrap:wrap}.ke{white-space:pre-wrap}.kf{margin-right:4px}.kg{overflow:hidden}.kh{max-height:20px}.ki{text-overflow:ellipsis}.kj{display:-webkit-box}.kk{-webkit-line-clamp:1}.kl{-webkit-box-orient:vertical}.km{word-break:break-all}.ko{padding-left:8px}.kp{padding-right:8px}.lq> *{flex-shrink:0}.lr{overflow-x:scroll}.ls::-webkit-scrollbar{display:none}.lt{scrollbar-width:none}.lu{-ms-overflow-style:none}.lv{width:74px}.lw{flex-direction:row}.lx{z-index:2}.ma{-webkit-user-select:none}.mb{border:0}.me{outline:0}.mf{user-select:none}.mg> svg{pointer-events:none}.mp{cursor:progress}.mq{margin-left:4px}.mr{opacity:1}.ms{padding:4px 0}.mu{width:16px}.nb{max-width:100%}.nc{padding:8px 2px}.nd svg{color:rgba(109, 110, 110, 1)}.nu{clear:both}.oa{margin-left:auto}.ob{margin-right:auto}.oc{max-width:6000px}.oi{padding-top:5px}.oj{padding-bottom:5px}.ol{cursor:zoom-in}.om{z-index:auto}.oo{height:auto}.op{margin-top:10px}.oq{max-width:728px}.ot{text-decoration:underline}.ou{line-height:1.58}.ov{letter-spacing:-0.004em}.po{margin-bottom:-0.46em}.pp{clear:left}.pq{float:left}.pr{font-size:66px}.ps{line-height:.83}.py{border-top:none}.pz{margin-bottom:50px}.qa{height:52px}.qb{max-height:52px}.qc{box-sizing:content-box}.qd{position:static}.qf{max-width:155px}.ql{margin-right:20px}.qm{margin-bottom:64px}.qn{margin-bottom:48px}.rb{border-radius:2px}.rd{height:64px}.re{width:64px}.rf{align-self:flex-end}.rg{flex:1 1 auto}.rk{padding-right:4px}.rl{font-weight:500}.ry{margin-top:8px}.rz{margin-top:16px}.sa{color:rgba(249, 249, 249, 1)}.sb{padding:8px 16px}.sc{fill:rgba(249, 249, 249, 1)}.sd{background:rgba(46, 47, 48, 1)}.se{border-color:rgba(46, 47, 48, 1)}.sh:disabled{opacity:0.1}.si:disabled:hover{background:rgba(46, 47, 48, 1)}.sj:disabled:hover{border-color:rgba(46, 47, 48, 1)}.sk{margin-top:2px}.sq{height:0px}.te{gap:18px}.tf{fill:rgba(86, 87, 87, 1)}.th{padding-bottom:6px}.ti{border-bottom:1px solid rgba(231, 231, 231, 1)}.to{fill:rgba(60, 62, 62, 1)}.tp{background:0}.tq{border-color:rgba(131, 132, 132, 1)}.tr:disabled:hover{color:rgba(60, 62, 62, 1)}.ts:disabled:hover{fill:rgba(60, 62, 62, 1)}.tt:disabled:hover{border-color:rgba(131, 132, 132, 1)}.ue{background-color:rgba(240, 240, 240, 1)}.uf{border-bottom:solid 1px rgba(212, 212, 212, 1)}.ug{margin-top:72px}.uh{padding:24px 0}.ui{margin-bottom:0px}.uj{margin-right:16px}.as:hover:not(:disabled){color:rgba(25, 25, 25, 1)}.at:hover:not(:disabled){fill:rgba(25, 25, 25, 1)}.ea:hover:not(:disabled){color:rgba(46, 47, 48, 1)}.eb:hover:not(:disabled){fill:rgba(46, 47, 48, 1)}.ez:hover{background:rgba(81, 106, 147, 1)}.fa:hover{border-color:rgba(81, 106, 147, 1)}.fb:hover{cursor:pointer}.fx:hover{color:rgba(60, 62, 62, 1)}.fy:hover{fill:rgba(60, 62, 62, 1)}.gc:hover svg{fill:rgba(60, 62, 62, 1)}.gf:hover{background-color:rgba(0, 0, 0, 0.1)}.jq:hover{text-decoration:underline}.jy:hover:not(:disabled){color:rgba(81, 106, 147, 1)}.jz:hover:not(:disabled){fill:rgba(81, 106, 147, 1)}.md:hover{fill:rgba(32, 33, 34, 1)}.mt:hover p{color:rgba(32, 33, 34, 1)}.mv:hover{color:rgba(32, 33, 34, 1)}.ne:hover svg{color:rgba(32, 33, 34, 1)}.rc:hover{background-color:none}.sf:hover{background:rgba(32, 33, 34, 1)}.sg:hover{border-color:rgba(131, 132, 132, 1)}.tg:hover{fill:rgba(46, 47, 48, 1)}.bd:focus-within path{fill:#242424}.fp:focus-within path{fill:rgba(60, 62, 62, 1)}.mc:focus{fill:rgba(32, 33, 34, 1)}.nf:focus svg{color:rgba(32, 33, 34, 1)}.on:focus{transform:scale(1.01)}.mh:active{border-style:none}</style><style type="text/css" data-fela-rehydration="555" data-fela-type="RULE" media="all and (min-width: 1080px)">.d{display:none}.bw{width:64px}.cg{margin:0 64px}.cv{height:48px}.dc{margin-bottom:52px}.do{margin-bottom:48px}.el{font-size:14px}.em{line-height:20px}.et{font-size:13px}.eu{padding:5px 12px}.ft{display:flex}.gl{margin-bottom:50px}.gp{max-width:680px}.ia{font-size:42px}.ib{line-height:52px}.ic{letter-spacing:-0.011em}.is{font-size:22px}.it{margin-top:0.92em}.iu{line-height:28px}.iz{align-items:center}.lc{border-top:solid 1px rgba(231, 231, 231, 1)}.ld{border-bottom:solid 1px rgba(231, 231, 231, 1)}.le{margin:32px 0 0}.lf{padding:3px 8px}.lo> *{margin-right:24px}.lp> :last-child{margin-right:0}.mo{margin-top:0px}.na{margin:0}.nz{max-width:1192px}.oh{margin-top:56px}.pk{font-size:20px}.pl{margin-top:2.14em}.pm{line-height:32px}.pn{letter-spacing:-0.003em}.px{padding-top:7px}.qk{display:inline-block}.qo{flex-direction:row}.qr{margin-bottom:0}.qs{margin-right:20px}.rh{max-width:500px}.rw{line-height:24px}.rx{letter-spacing:0}.sp{margin-bottom:88px}.tb{font-size:24px}.tc{line-height:30px}.td{letter-spacing:-0.016em}.tn{margin:40px 0 16px}.ty{width:min-width}.ud{padding-top:72px}</style><style type="text/css" data-fela-rehydration="555" data-fela-type="RULE" media="all and (max-width: 1079.98px)">.e{display:none}.mn{margin-top:0px}.or{margin-left:auto}.os{text-align:center}.qj{display:inline-block}</style><style type="text/css" data-fela-rehydration="555" data-fela-type="RULE" media="all and (max-width: 903.98px)">.f{display:none}.mm{margin-top:0px}.qi{display:inline-block}</style><style type="text/css" data-fela-rehydration="555" data-fela-type="RULE" media="all and (max-width: 727.98px)">.g{display:none}.mk{margin-top:0px}.ml{margin-right:0px}.qh{display:inline-block}</style><style type="text/css" data-fela-rehydration="555" data-fela-type="RULE" media="all and (max-width: 551.98px)">.h{display:none}.s{display:flex}.t{justify-content:space-between}.bs{width:24px}.cc{margin:0 24px}.cr{height:40px}.cy{margin-bottom:44px}.dk{margin-bottom:32px}.ed{font-size:13px}.ee{line-height:20px}.eo{padding:0px 8px 1px}.gh{margin-bottom:2px}.ho{font-size:32px}.hp{line-height:38px}.hq{letter-spacing:-0.014em}.ig{font-size:18px}.ih{margin-top:0.79em}.ii{line-height:24px}.iv{align-items:flex-start}.kb{flex-direction:column}.kq{margin:24px -24px 0}.kr{padding:0}.lg> *{margin-right:8px}.lh> :last-child{margin-right:24px}.ly{margin-left:0px}.mi{margin-top:0px}.mj{margin-right:0px}.mw{margin:0}.ng{border:1px solid rgba(231, 231, 231, 1)}.nh{border-radius:99em}.ni{padding:0px 16px 0px 12px}.nj{height:38px}.nk{align-items:center}.nm svg{margin-right:8px}.nv{max-width:100%}.od{margin-top:40px}.ow{margin-top:1.56em}.ox{line-height:28px}.oy{letter-spacing:-0.003em}.pt{padding-top:0}.qg{display:inline-block}.qz{margin-bottom:20px}.ra{margin-right:0}.rm{font-size:24px}.rn{line-height:30px}.ro{letter-spacing:-0.016em}.sl{margin-bottom:64px}.sr{font-size:20px}.ss{letter-spacing:0}.tj{margin:32px 0 16px}.tu{width:100%}.tz{padding-top:48px}.nl:hover{border-color:rgba(212, 212, 212, 1)}</style><style type="text/css" data-fela-rehydration="555" data-fela-type="RULE" media="all and (min-width: 904px) and (max-width: 1079.98px)">.i{display:none}.bv{width:64px}.cf{margin:0 64px}.cu{height:48px}.db{margin-bottom:52px}.dn{margin-bottom:48px}.ej{font-size:14px}.ek{line-height:20px}.er{font-size:13px}.es{padding:5px 12px}.fs{display:flex}.gk{margin-bottom:50px}.go{max-width:680px}.hx{font-size:42px}.hy{line-height:52px}.hz{letter-spacing:-0.011em}.ip{font-size:22px}.iq{margin-top:0.92em}.ir{line-height:28px}.iy{align-items:center}.ky{border-top:solid 1px rgba(231, 231, 231, 1)}.kz{border-bottom:solid 1px rgba(231, 231, 231, 1)}.la{margin:32px 0 0}.lb{padding:3px 8px}.lm> *{margin-right:24px}.ln> :last-child{margin-right:0}.mz{margin:0}.ny{max-width:1192px}.og{margin-top:56px}.pg{font-size:20px}.ph{margin-top:2.14em}.pi{line-height:32px}.pj{letter-spacing:-0.003em}.pw{padding-top:7px}.qp{flex-direction:row}.qt{margin-bottom:0}.qu{margin-right:20px}.ri{max-width:500px}.ru{line-height:24px}.rv{letter-spacing:0}.so{margin-bottom:88px}.sy{font-size:24px}.sz{line-height:30px}.ta{letter-spacing:-0.016em}.tm{margin:40px 0 16px}.tx{width:min-width}.uc{padding-top:72px}</style><style type="text/css" data-fela-rehydration="555" data-fela-type="RULE" media="all and (min-width: 728px) and (max-width: 903.98px)">.j{display:none}.w{display:flex}.x{justify-content:space-between}.bu{width:64px}.ce{margin:0 48px}.ct{height:48px}.da{margin-bottom:52px}.dm{margin-bottom:48px}.eh{font-size:13px}.ei{line-height:20px}.eq{padding:0px 8px 1px}.gj{margin-bottom:50px}.gn{max-width:680px}.hu{font-size:42px}.hv{line-height:52px}.hw{letter-spacing:-0.011em}.im{font-size:22px}.in{margin-top:0.92em}.io{line-height:28px}.ix{align-items:center}.ku{border-top:solid 1px rgba(231, 231, 231, 1)}.kv{border-bottom:solid 1px rgba(231, 231, 231, 1)}.kw{margin:32px 0 0}.kx{padding:3px 8px}.lk> *{margin-right:24px}.ll> :last-child{margin-right:0}.my{margin:0}.nx{max-width:100%}.of{margin-top:56px}.pc{font-size:20px}.pd{margin-top:2.14em}.pe{line-height:32px}.pf{letter-spacing:-0.003em}.pv{padding-top:7px}.qq{flex-direction:row}.qv{margin-bottom:0}.qw{margin-right:20px}.rj{max-width:500px}.rs{line-height:24px}.rt{letter-spacing:0}.sn{margin-bottom:88px}.sv{font-size:24px}.sw{line-height:30px}.sx{letter-spacing:-0.016em}.tl{margin:40px 0 16px}.tw{width:min-width}.ub{padding-top:72px}</style><style type="text/css" data-fela-rehydration="555" data-fela-type="RULE" media="all and (min-width: 552px) and (max-width: 727.98px)">.k{display:none}.u{display:flex}.v{justify-content:space-between}.bt{width:24px}.cd{margin:0 24px}.cs{height:40px}.cz{margin-bottom:44px}.dl{margin-bottom:32px}.ef{font-size:13px}.eg{line-height:20px}.ep{padding:0px 8px 1px}.gi{margin-bottom:2px}.hr{font-size:32px}.hs{line-height:38px}.ht{letter-spacing:-0.014em}.ij{font-size:18px}.ik{margin-top:0.79em}.il{line-height:24px}.iw{align-items:flex-start}.kc{flex-direction:column}.ks{margin:24px 0 0}.kt{padding:0}.li> *{margin-right:8px}.lj> :last-child{margin-right:8px}.lz{margin-left:0px}.mx{margin:0}.nn{border:1px solid rgba(231, 231, 231, 1)}.no{border-radius:99em}.np{padding:0px 16px 0px 12px}.nq{height:38px}.nr{align-items:center}.nt svg{margin-right:8px}.nw{max-width:100%}.oe{margin-top:40px}.oz{margin-top:1.56em}.pa{line-height:28px}.pb{letter-spacing:-0.003em}.pu{padding-top:0}.qx{margin-bottom:20px}.qy{margin-right:0}.rp{font-size:24px}.rq{line-height:30px}.rr{letter-spacing:-0.016em}.sm{margin-bottom:64px}.st{font-size:20px}.su{letter-spacing:0}.tk{margin:32px 0 16px}.tv{width:100%}.ua{padding-top:48px}.ns:hover{border-color:rgba(212, 212, 212, 1)}</style><style type="text/css" data-fela-rehydration="555" data-fela-type="RULE" media="print">.qe{display:none}</style><style type="text/css" data-fela-rehydration="555" data-fela-type="RULE" media="(orientation: landscape) and (max-width: 903.98px)">.kn{max-height:none}</style><style type="text/css" data-fela-rehydration="555" data-fela-type="RULE" media="(prefers-reduced-motion: no-preference)">.ok{transition:transform 300ms cubic-bezier(0.2, 0, 0.2, 1)}</style></head><body><div id="root"><div class="a b c"><div class="d e f g h i j k"></div><script>document.domain = document.domain;</script><div class="l dt"><div class="l m n o dt"><div class="p q du s t u v w x i d y z"><a class="dw ag dx bf ak b am an ao ap dy dz ea eb s u w i d q ec z" href="https://rsci.app.link/?%24canonical_url=https%3A%2F%2Fmedium.com%2Fp%2F19c9e3ff4799&%7Efeature=LoOpenInAppButton&%7Echannel=ShowPostUnderCollection&source=---top_nav_layout_nav-----------------------------------------" rel="noopener follow">Open in app<svg xmlns="http://www.w3.org/2000/svg" width="10" height="10" fill="none" viewBox="0 0 10 10" class="dv"><path fill="currentColor" d="M.985 8.485a.375.375 0 1 0 .53.53zM8.75 1.25h.375A.375.375 0 0 0 8.75.875zM8.375 6.5a.375.375 0 1 0 .75 0zM3.5.875a.375.375 0 1 0 0 .75zm-1.985 8.14 7.5-7.5-.53-.53-7.5 7.5zm6.86-7.765V6.5h.75V1.25zM3.5 1.625h5.25v-.75H3.5z"></path></svg></a><div class="ab q"><p class="bf b ed ee ef eg eh ei ej ek el em dw"><span><button class="bf b ed ee eo ef eg ep eh ei eq er ek es et em eu ev ew ex ey ez fa fb fc fd fe ff fg fh fi fj bm fk fl" data-testid="headerSignUpButton">Sign up</button></span></p><div class="ax l"><p class="bf b ed ee ef eg eh ei ej ek el em dw"><span><a class="af ag ah ai aj ak al am an ao ap dy dz ea eb" data-testid="headerSignInButton" rel="noopener follow" href="/m/signin?operation=login&redirect=https%3A%2F%2Fmedium.com%2Finvisible-illness%2Fskin-hunger-and-the-failure-to-thrive-19c9e3ff4799&source=post_page---top_nav_layout_nav-----------------------global_nav------------------">Sign in</a></span></p></div></div></div><div class="p q du ab ac"><div class="ab q ae"><a class="af ag ah ai aj ak al am an ao ap dy dz ea eb ab" aria-label="Homepage" data-testid="headerMediumLogo" rel="noopener follow" href="/?source=---top_nav_layout_nav-----------------------------------------"><svg xmlns="http://www.w3.org/2000/svg" width="719" height="160" fill="none" viewBox="0 0 719 160" class="au fm aw"><path fill="#242424" d="m174.104 9.734.215-.047V8.02H130.39L89.6 103.89 48.81 8.021H1.472v1.666l.212.047c8.018 1.81 12.09 4.509 12.09 14.242V137.93c0 9.734-4.087 12.433-12.106 14.243l-.212.047v1.671h32.118v-1.665l-.213-.048c-8.018-1.809-12.089-4.509-12.089-14.242V30.586l52.399 123.305h2.972l53.925-126.743V140.75c-.687 7.688-4.721 10.062-11.982 11.701l-.215.05v1.652h55.948v-1.652l-.215-.05c-7.269-1.639-11.4-4.013-12.087-11.701l-.037-116.774h.037c0-9.733 4.071-12.432 12.087-14.242m25.555 75.488c.915-20.474 8.268-35.252 20.606-35.507 3.806.063 6.998 1.312 9.479 3.714 5.272 5.118 7.751 15.812 7.368 31.793zm-.553 5.77h65.573v-.275c-.186-15.656-4.721-27.834-13.466-36.196-7.559-7.227-18.751-11.203-30.507-11.203h-.263c-6.101 0-13.584 1.48-18.909 4.16-6.061 2.807-11.407 7.003-15.855 12.511-7.161 8.874-11.499 20.866-12.554 34.343q-.05.606-.092 1.212a50 50 0 0 0-.065 1.151 85.807 85.807 0 0 0-.094 5.689c.71 30.524 17.198 54.917 46.483 54.917 25.705 0 40.675-18.791 44.407-44.013l-1.886-.664c-6.557 13.556-18.334 21.771-31.738 20.769-18.297-1.369-32.314-19.922-31.042-42.395m139.722 41.359c-2.151 5.101-6.639 7.908-12.653 7.908s-11.513-4.129-15.418-11.63c-4.197-8.053-6.405-19.436-6.405-32.92 0-28.067 8.729-46.22 22.24-46.22 5.657 0 10.111 2.807 12.236 7.704zm43.499 20.008c-8.019-1.897-12.089-4.722-12.089-14.951V1.309l-48.716 14.353v1.757l.299-.024c6.72-.543 11.278.386 13.925 2.83 2.072 1.915 3.082 4.853 3.082 8.987v18.66c-4.803-3.067-10.516-4.56-17.448-4.56-14.059 0-26.909 5.92-36.176 16.672-9.66 11.205-14.767 26.518-14.767 44.278-.003 31.72 15.612 53.039 38.851 53.039 13.595 0 24.533-7.449 29.54-20.013v16.865h43.711v-1.746zM424.1 19.819c0-9.904-7.468-17.374-17.375-17.374-9.859 0-17.573 7.632-17.573 17.374s7.721 17.374 17.573 17.374c9.907 0 17.375-7.47 17.375-17.374m11.499 132.546c-8.019-1.897-12.089-4.722-12.089-14.951h-.035V43.635l-43.714 12.551v1.705l.263.024c9.458.842 12.047 4.1 12.047 15.152v81.086h43.751v-1.746zm112.013 0c-8.018-1.897-12.089-4.722-12.089-14.951V43.635l-41.621 12.137v1.71l.246.026c7.733.813 9.967 4.257 9.967 15.36v59.279c-2.578 5.102-7.415 8.131-13.274 8.336-9.503 0-14.736-6.419-14.736-18.073V43.638l-43.714 12.55v1.703l.262.024c9.459.84 12.05 4.097 12.05 15.152v50.17a56.3 56.3 0 0 0 .91 10.444l.787 3.423c3.701 13.262 13.398 20.197 28.59 20.197 12.868 0 24.147-7.966 29.115-20.43v17.311h43.714v-1.747zm169.818 1.788v-1.749l-.213-.05c-8.7-2.006-12.089-5.789-12.089-13.49v-63.79c0-19.89-11.171-31.761-29.883-31.761-13.64 0-25.141 7.882-29.569 20.16-3.517-13.01-13.639-20.16-28.606-20.16-13.146 0-23.449 6.938-27.869 18.657V43.643L545.487 55.68v1.715l.263.024c9.345.829 12.047 4.181 12.047 14.95v81.784h40.787v-1.746l-.215-.053c-6.941-1.631-9.181-4.606-9.181-12.239V66.998c1.836-4.289 5.537-9.37 12.853-9.37 9.086 0 13.692 6.296 13.692 18.697v77.828h40.797v-1.746l-.215-.053c-6.94-1.631-9.18-4.606-9.18-12.239V75.066a42 42 0 0 0-.578-7.26c1.947-4.661 5.86-10.177 13.475-10.177 9.214 0 13.691 6.114 13.691 18.696v77.828z"></path></svg></a><div class="ax h"><div class="ab ay az ba fn q fo fp"><div class="bm" aria-hidden="false" aria-describedby="searchResults" aria-labelledby="searchResults"></div><div class="bn bo ab"><svg xmlns="http://www.w3.org/2000/svg" width="24" height="24" fill="none" viewBox="0 0 24 24"><path fill="currentColor" fill-rule="evenodd" d="M4.092 11.06a6.95 6.95 0 1 1 13.9 0 6.95 6.95 0 0 1-13.9 0m6.95-8.05a8.05 8.05 0 1 0 5.13 14.26l3.75 3.75a.56.56 0 1 0 .79-.79l-3.73-3.73A8.05 8.05 0 0 0 11.042 3z" clip-rule="evenodd"></path></svg></div><input role="combobox" aria-controls="searchResults" aria-expanded="false" aria-label="search" data-testid="headerSearchInput" tabindex="0" class="ay be bf bg z bh bi bj fq fr" placeholder="Search" value=""/></div></div></div><div class="h k w fs ft"><div class="fu ab"><span><a class="af ag ah ai aj ak al am an ao ap dy dz ea eb" data-testid="headerWriteButton" rel="noopener follow" href="/m/signin?operation=register&redirect=https%3A%2F%2Fmedium.com%2Fnew-story&source=---top_nav_layout_nav-----------------------new_post_topnav------------------"><div class="bf b bg z dw fv fw ab q fx fy"><svg xmlns="http://www.w3.org/2000/svg" width="24" height="24" fill="none" viewBox="0 0 24 24" aria-label="Write"><path fill="currentColor" d="M14 4a.5.5 0 0 0 0-1zm7 6a.5.5 0 0 0-1 0zm-7-7H4v1h10zM3 4v16h1V4zm1 17h16v-1H4zm17-1V10h-1v10zm-1 1a1 1 0 0 0 1-1h-1zM3 20a1 1 0 0 0 1 1v-1zM4 3a1 1 0 0 0-1 1h1z"></path><path stroke="currentColor" d="m17.5 4.5-8.458 8.458a.25.25 0 0 0-.06.098l-.824 2.47a.25.25 0 0 0 .316.316l2.47-.823a.25.25 0 0 0 .098-.06L19.5 6.5m-2-2 2.323-2.323a.25.25 0 0 1 .354 0l1.646 1.646a.25.25 0 0 1 0 .354L19.5 6.5m-2-2 2 2"></path></svg><div class="dv l">Write</div></div></a></span></div></div><div class="k j i d"><div class="fu ab"><a class="af ag ah ai aj ak al am an ao ap dy dz ea eb" data-testid="headerSearchButton" rel="noopener follow" href="/search?source=---top_nav_layout_nav-----------------------------------------"><div class="bf b bg z dw fv fw ab q fx fy"><svg xmlns="http://www.w3.org/2000/svg" width="24" height="24" fill="none" viewBox="0 0 24 24" aria-label="Search"><path fill="currentColor" fill-rule="evenodd" d="M4.092 11.06a6.95 6.95 0 1 1 13.9 0 6.95 6.95 0 0 1-13.9 0m6.95-8.05a8.05 8.05 0 1 0 5.13 14.26l3.75 3.75a.56.56 0 1 0 .79-.79l-3.73-3.73A8.05 8.05 0 0 0 11.042 3z" clip-rule="evenodd"></path></svg></div></a></div></div><div class="fu h k j"><div class="ab q"><p class="bf b ed ee ef eg eh ei ej ek el em dw"><span><button class="bf b ed ee eo ef eg ep eh ei eq er ek es et em eu ev ew ex ey ez fa fb fc fd fe ff fg fh fi fj bm fk fl" data-testid="headerSignUpButton">Sign up</button></span></p><div class="ax l"><p class="bf b ed ee ef eg eh ei ej ek el em dw"><span><a class="af ag ah ai aj ak al am an ao ap dy dz ea eb" data-testid="headerSignInButton" rel="noopener follow" href="/m/signin?operation=login&redirect=https%3A%2F%2Fmedium.com%2Finvisible-illness%2Fskin-hunger-and-the-failure-to-thrive-19c9e3ff4799&source=post_page---top_nav_layout_nav-----------------------global_nav------------------">Sign in</a></span></p></div></div></div><div class="l" aria-hidden="false"><button class="ay fz am ab q ao ga gb gc" aria-label="user options menu" data-testid="headerUserIcon"><div class="l fv"><img alt="" class="l fj by bz ca gg" src="https://miro.medium.com/v2/resize:fill:64:64/1*dmbNkD5D-u45r44go_cf0g.png" width="32" height="32" loading="lazy" role="presentation"/><div class="gd by l bz ca ge n ay gf"></div></div></button></div></div></div><div class="l"><div class="gh gi gj gk gl l"><div class="ab cb"><div class="ci bh gm gn go gp"></div></div><article class="meteredContent"><div class="l"><div class="l"><span class="l"></span><section><div><div class="ge gv gw gx gy gz"></div><div><div class="speechify-ignore l"><div class="ha l"></div><div class="ab cb"><div class="ci bh gm gn go gp"><div class="cq ab hb"><div><div class="bm" aria-hidden="false"><div class="hc q hd gr he hb ao"><svg xmlns="http://www.w3.org/2000/svg" width="16px" height="16px" fill="none" viewBox="0 0 64 64"><path fill="#FFC017" d="m39.637 40.831-5.771 15.871a1.99 1.99 0 0 1-3.732 0l-5.771-15.87a2.02 2.02 0 0 0-1.194-1.195L7.298 33.866a1.99 1.99 0 0 1 0-3.732l15.87-5.771a2.02 2.02 0 0 0 1.195-1.194l5.771-15.871a1.99 1.99 0 0 1 3.732 0l5.771 15.87a2.02 2.02 0 0 0 1.194 1.195l15.871 5.771a1.99 1.99 0 0 1 0 3.732l-15.87 5.771a2.02 2.02 0 0 0-1.195 1.194"></path></svg><p class="hf b bg z dw">Member-only story</p></div></div></div></div></div></div></div></div><div class="hg hh hi hj hk"><div class="ab cb"><div class="ci bh gm gn go gp"><div><h1 id="e94d" class="pw-post-title hl hm hn hf b ho hp hq hr hs ht hu hv hw hx hy hz ia ib ic id ie fq" data-testid="storyTitle">Skin Hunger And The Failure to Thrive</h1></div><div><h2 id="6ee5" class="pw-subtitle-paragraph if hm hn hf b ig ih ii ij ik il im in io ip iq ir is it iu cq dw">The tragic repercussions of being denied loving touch</h2><div><div class="speechify-ignore ab cp"><div class="speechify-ignore bh l"><div class="iv iw ix iy iz ab"><div><div class="ab ja"><div><div class="bm" aria-hidden="false"><a rel="noopener follow" href="/@sheriheller?source=post_page---byline--19c9e3ff4799---------------------------------------"><div class="l jb jc by jd je"><div class="l fv"><img alt="Rev. Sheri Heller, LCSW, RSW" class="l fj by dd de gg" src="https://miro.medium.com/v2/resize:fill:88:88/1*KPqRFu-T5awhi7m9L40T9g@2x.jpeg" width="44" height="44" loading="lazy" data-testid="authorPhoto"/><div class="jf by l dd de ge n jg gf"></div></div></div></a></div></div><div class="jh ab fv"><div><div class="bm" aria-hidden="false"><a href="https://medium.com/invisible-illness?source=post_page---byline--19c9e3ff4799---------------------------------------" rel="noopener follow"><div class="l ji jj by jd jk"><div class="l fv"><img alt="Invisible Illness" class="l fj by br jl gg" src="https://miro.medium.com/v2/resize:fill:48:48/1*KCdWeLHgIFfw5gv7fX97Eg.jpeg" width="24" height="24" loading="lazy" data-testid="publicationPhoto"/><div class="jf by l br jl ge n jg gf"></div></div></div></a></div></div></div></div></div><div class="bn bh l"><div class="ab"><div style="flex:1"><span class="hf b bg z fq"><div class="jm ab q"><div class="ab q jn"><div class="ab q"><div><div class="bm" aria-hidden="false"><p class="hf b jo jp fq"><a class="af ag ah ai aj ak al am an ao ap dy dz jq" data-testid="authorName" rel="noopener follow" href="/@sheriheller?source=post_page---byline--19c9e3ff4799---------------------------------------">Rev. Sheri Heller, LCSW, RSW</a></p></div></div></div><div class="jr js l"><div class="ab jt"><div class="ab"><svg xmlns="http://www.w3.org/2000/svg" width="16" height="16" fill="none" viewBox="0 0 16 16"><path fill="#437AFF" d="M15.163 8c0 .65-.459 1.144-.863 1.575-.232.244-.471.5-.563.719s-.086.543-.092.875c-.006.606-.018 1.3-.49 1.781-.47.481-1.15.494-1.744.5-.324.006-.655.013-.857.094s-.465.337-.704.575c-.422.412-.906.881-1.542.881-.637 0-1.12-.469-1.543-.881-.239-.238-.49-.482-.704-.575-.214-.094-.532-.088-.857-.094-.593-.006-1.273-.019-1.744-.5s-.484-1.175-.49-1.781c-.006-.332-.012-.669-.092-.875-.08-.207-.33-.475-.563-.719-.404-.431-.863-.925-.863-1.575s.46-1.144.863-1.575c.233-.244.472-.5.563-.719.092-.219.086-.544.092-.875.006-.606.019-1.3.49-1.781s1.15-.494 1.744-.5c.325-.006.655-.012.857-.094.202-.081.465-.337.704-.575C7.188 1.47 7.671 1 8.308 1s1.12.469 1.542.881c.239.238.49.481.704.575s.533.088.857.094c.594.006 1.273.019 1.745.5.47.481.483 1.175.49 1.781.005.331.011.669.091.875s.33.475.563.719c.404.431.863.925.863 1.575"></path><path fill="#fff" d="M7.328 10.5c.195 0 .381.08.519.22.137.141.215.331.216.53 0 .066.026.13.072.177a.24.24 0 0 0 .346 0 .25.25 0 0 0 .071-.177c.001-.199.079-.389.216-.53a.73.73 0 0 1 .519-.22h1.959c.13 0 .254-.053.346-.146a.5.5 0 0 0 .143-.354V6a.5.5 0 0 0-.143-.354.49.49 0 0 0-.346-.146h-1.47c-.324 0-.635.132-.865.366-.23.235-.359.552-.359.884v2.5c0 .066-.025.13-.071.177a.24.24 0 0 1-.346 0 .25.25 0 0 1-.072-.177v-2.5c0-.332-.13-.65-.359-.884A1.21 1.21 0 0 0 6.84 5.5h-1.47a.49.49 0 0 0-.346.146A.5.5 0 0 0 4.88 6v4c0 .133.051.26.143.354a.49.49 0 0 0 .347.146z"></path></svg></div></div></div><span class="ju jv" aria-hidden="true"><span class="hf b bg z dw">·</span></span><p class="hf b jo jp dw"><span><a class="jw jx ah ai aj ak al am an ao ap dy dz fd jy jz" rel="noopener follow" href="/m/signin?actionUrl=https%3A%2F%2Fmedium.com%2F_%2Fsubscribe%2Fuser%2F8fb1ad8f499b&operation=register&redirect=https%3A%2F%2Fmedium.com%2Finvisible-illness%2Fskin-hunger-and-the-failure-to-thrive-19c9e3ff4799&user=Rev.+Sheri+Heller%2C+LCSW%2C+RSW&userId=8fb1ad8f499b&source=post_page-8fb1ad8f499b--byline--19c9e3ff4799---------------------post_header------------------">Follow</a></span></p></div></div></span></div></div><div class="l ka"><span class="hf b bg z dw"><div class="ab cn kb kc kd"><div class="gh gi ab"><div class="hf b bg z dw ab ke"><span class="kf l ka">Published in</span><div><div class="l" aria-hidden="false"><a class="af ag ah ai aj ak al am an ao ap dy dz jq ab q" data-testid="publicationName" href="https://medium.com/invisible-illness?source=post_page---byline--19c9e3ff4799---------------------------------------" rel="noopener follow"><p class="hf b bg z kg kh ki kj kk kl km kn fq">Invisible Illness</p></a></div></div></div><div class="h k"><span class="ju jv" aria-hidden="true"><span class="hf b bg z dw">·</span></span></div></div><span class="hf b bg z dw"><div class="ab ae"><span data-testid="storyReadTime">9 min read</span><div class="ko kp l" aria-hidden="true"><span class="l" aria-hidden="true"><span class="hf b bg z dw">·</span></span></div><span data-testid="storyPublishDate">Nov 16, 2024</span></div></span></div></span></div></div></div><div class="ab cp kq kr ks kt ku kv kw kx ky kz la lb lc ld le lf"><div class="h k w fs ft q"><div class="lv l"><div class="ab q lw lx"><div class="pw-multi-vote-icon fv kf ly lz ma"><span><a class="af ag ah ai aj ak al am an ao ap dy dz ea eb" data-testid="headerClapButton" rel="noopener follow" href="/m/signin?actionUrl=https%3A%2F%2Fmedium.com%2F_%2Fvote%2Finvisible-illness%2F19c9e3ff4799&operation=register&redirect=https%3A%2F%2Fmedium.com%2Finvisible-illness%2Fskin-hunger-and-the-failure-to-thrive-19c9e3ff4799&user=Rev.+Sheri+Heller%2C+LCSW%2C+RSW&userId=8fb1ad8f499b&source=---header_actions--19c9e3ff4799---------------------clap_footer------------------"><div><div class="bm" aria-hidden="false"><div class="mb ao fw mc md me am mf mg mh ma"><svg xmlns="http://www.w3.org/2000/svg" width="24" height="24" viewBox="0 0 24 24" aria-label="clap"><path fill-rule="evenodd" d="M11.37.828 12 3.282l.63-2.454zM13.916 3.953l1.523-2.112-1.184-.39zM8.589 1.84l1.522 2.112-.337-2.501zM18.523 18.92c-.86.86-1.75 1.246-2.62 1.33a6 6 0 0 0 .407-.372c2.388-2.389 2.86-4.951 1.399-7.623l-.912-1.603-.79-1.672c-.26-.56-.194-.98.203-1.288a.7.7 0 0 1 .546-.132c.283.046.546.231.728.5l2.363 4.157c.976 1.624 1.141 4.237-1.324 6.702m-10.999-.438L3.37 14.328a.828.828 0 0 1 .585-1.408.83.83 0 0 1 .585.242l2.158 2.157a.365.365 0 0 0 .516-.516l-2.157-2.158-1.449-1.449a.826.826 0 0 1 1.167-1.17l3.438 3.44a.363.363 0 0 0 .516 0 .364.364 0 0 0 0-.516L5.293 9.513l-.97-.97a.826.826 0 0 1 0-1.166.84.84 0 0 1 1.167 0l.97.968 3.437 3.436a.36.36 0 0 0 .517 0 .366.366 0 0 0 0-.516L6.977 7.83a.82.82 0 0 1-.241-.584.82.82 0 0 1 .824-.826c.219 0 .43.087.584.242l5.787 5.787a.366.366 0 0 0 .587-.415l-1.117-2.363c-.26-.56-.194-.98.204-1.289a.7.7 0 0 1 .546-.132c.283.046.545.232.727.501l2.193 3.86c1.302 2.38.883 4.59-1.277 6.75-1.156 1.156-2.602 1.627-4.19 1.367-1.418-.236-2.866-1.033-4.079-2.246M10.75 5.971l2.12 2.12c-.41.502-.465 1.17-.128 1.89l.22.465-3.523-3.523a.8.8 0 0 1-.097-.368c0-.22.086-.428.241-.584a.847.847 0 0 1 1.167 0m7.355 1.705c-.31-.461-.746-.758-1.23-.837a1.44 1.44 0 0 0-1.11.275c-.312.24-.505.543-.59.881a1.74 1.74 0 0 0-.906-.465 1.47 1.47 0 0 0-.82.106l-2.182-2.182a1.56 1.56 0 0 0-2.2 0 1.54 1.54 0 0 0-.396.701 1.56 1.56 0 0 0-2.21-.01 1.55 1.55 0 0 0-.416.753c-.624-.624-1.649-.624-2.237-.037a1.557 1.557 0 0 0 0 2.2c-.239.1-.501.238-.715.453a1.56 1.56 0 0 0 0 2.2l.516.515a1.556 1.556 0 0 0-.753 2.615L7.01 19c1.32 1.319 2.909 2.189 4.475 2.449q.482.08.971.08c.85 0 1.653-.198 2.393-.579.231.033.46.054.686.054 1.266 0 2.457-.52 3.505-1.567 2.763-2.763 2.552-5.734 1.439-7.586z" clip-rule="evenodd"></path></svg></div></div></div></a></span></div><div class="pw-multi-vote-count l mi mj mk ml mm mn mo"><p class="hf b dx z dw"><span class="mp">--</span></p></div></div></div><div><div class="bm" aria-hidden="false"><button class="ao mb mr ms ab q fw md mt" aria-label="responses"><svg xmlns="http://www.w3.org/2000/svg" width="24" height="24" viewBox="0 0 24 24" class="id"><path d="M18.006 16.803c1.533-1.456 2.234-3.325 2.234-5.321C20.24 7.357 16.709 4 12.191 4S4 7.357 4 11.482c0 4.126 3.674 7.482 8.191 7.482.817 0 1.622-.111 2.393-.327.231.2.48.391.744.559 1.06.693 2.203 1.044 3.399 1.044.224-.008.4-.112.486-.287a.49.49 0 0 0-.042-.518c-.495-.67-.845-1.364-1.04-2.057a4 4 0 0 1-.125-.598zm-3.122 1.055-.067-.223-.315.096a8 8 0 0 1-2.311.338c-4.023 0-7.292-2.955-7.292-6.587 0-3.633 3.269-6.588 7.292-6.588 4.014 0 7.112 2.958 7.112 6.593 0 1.794-.608 3.469-2.027 4.72l-.195.168v.255c0 .056 0 .151.016.295.025.231.081.478.154.733.154.558.398 1.117.722 1.659a5.3 5.3 0 0 1-2.165-.845c-.276-.176-.714-.383-.941-.59z"></path></svg><p class="hf b dx z dw"><span class="pw-responses-count mq id">25</span></p></button></div></div></div><div class="ab q lg lh li lj lk ll lm ln lo lp lq lr ls lt lu"><div class="mu k j i d"></div><div class="h k"><div><div class="bm" aria-hidden="false"><span><a class="af ag ah ai aj ak al am an ao ap dy dz ea eb" data-testid="headerBookmarkButton" rel="noopener follow" href="/m/signin?actionUrl=https%3A%2F%2Fmedium.com%2F_%2Fbookmark%2Fp%2F19c9e3ff4799&operation=register&redirect=https%3A%2F%2Fmedium.com%2Finvisible-illness%2Fskin-hunger-and-the-failure-to-thrive-19c9e3ff4799&source=---header_actions--19c9e3ff4799---------------------bookmark_footer------------------"><svg xmlns="http://www.w3.org/2000/svg" width="25" height="25" fill="none" viewBox="0 0 25 25" class="dw mv" aria-label="Add to list bookmark button"><path fill="currentColor" d="M18 2.5a.5.5 0 0 1 1 0V5h2.5a.5.5 0 0 1 0 1H19v2.5a.5.5 0 1 1-1 0V6h-2.5a.5.5 0 0 1 0-1H18zM7 7a1 1 0 0 1 1-1h3.5a.5.5 0 0 0 0-1H8a2 2 0 0 0-2 2v14a.5.5 0 0 0 .805.396L12.5 17l5.695 4.396A.5.5 0 0 0 19 21v-8.5a.5.5 0 0 0-1 0v7.485l-5.195-4.012a.5.5 0 0 0-.61 0L7 19.985z"></path></svg></a></span></div></div></div><div class="fj hc cn"><div class="l ae"><div class="ab cb"><div class="mw mx my mz na nb ci bh"><div class="ab"></div></div></div></div></div><div class="bm" aria-hidden="false" aria-describedby="postFooterSocialMenu" aria-labelledby="postFooterSocialMenu"><div><div class="bm" aria-hidden="false"><button aria-controls="postFooterSocialMenu" aria-expanded="false" aria-label="Share Post" data-testid="headerSocialShareButton" class="af fw ah ai aj ak al nc an ao ap fd nd ne mt nf ng nh ni nj s nk nl nm nn no np nq u nr ns nt"><svg xmlns="http://www.w3.org/2000/svg" width="24" height="24" fill="none" viewBox="0 0 24 24"><path fill="currentColor" fill-rule="evenodd" d="M15.218 4.931a.4.4 0 0 1-.118.132l.012.006a.45.45 0 0 1-.292.074.5.5 0 0 1-.3-.13l-2.02-2.02v7.07c0 .28-.23.5-.5.5s-.5-.22-.5-.5v-7.04l-2 2a.45.45 0 0 1-.57.04h-.02a.4.4 0 0 1-.16-.3.4.4 0 0 1 .1-.32l2.8-2.8a.5.5 0 0 1 .7 0l2.8 2.79a.42.42 0 0 1 .068.498m-.106.138.008.004v-.01zM16 7.063h1.5a2 2 0 0 1 2 2v10a2 2 0 0 1-2 2h-11c-1.1 0-2-.9-2-2v-10a2 2 0 0 1 2-2H8a.5.5 0 0 1 .35.15.5.5 0 0 1 .15.35.5.5 0 0 1-.15.35.5.5 0 0 1-.35.15H6.4c-.5 0-.9.4-.9.9v10.2a.9.9 0 0 0 .9.9h11.2c.5 0 .9-.4.9-.9v-10.2c0-.5-.4-.9-.9-.9H16a.5.5 0 0 1 0-1" clip-rule="evenodd"></path></svg><div class="j i d"><p class="hf b bg z dw">Share</p></div></button></div></div></div></div></div></div></div></div></div></div></div><div class="nu"><div class="ab cb"><div class="mw nv mx nw my nx cf ny cg nz ci bh"><figure class="od oe of og oh nu oi oj paragraph-image"><div role="button" tabindex="0" class="ok ol fv om bh on"><div class="oa ob oc"><picture><source srcSet="https://miro.medium.com/v2/resize:fit:640/format:webp/0*SbRYCigQl2-V8Kq1 640w, https://miro.medium.com/v2/resize:fit:720/format:webp/0*SbRYCigQl2-V8Kq1 720w, https://miro.medium.com/v2/resize:fit:750/format:webp/0*SbRYCigQl2-V8Kq1 750w, https://miro.medium.com/v2/resize:fit:786/format:webp/0*SbRYCigQl2-V8Kq1 786w, https://miro.medium.com/v2/resize:fit:828/format:webp/0*SbRYCigQl2-V8Kq1 828w, https://miro.medium.com/v2/resize:fit:1100/format:webp/0*SbRYCigQl2-V8Kq1 1100w, https://miro.medium.com/v2/resize:fit:2000/format:webp/0*SbRYCigQl2-V8Kq1 2000w" sizes="(min-resolution: 4dppx) and (max-width: 700px) 50vw, (-webkit-min-device-pixel-ratio: 4) and (max-width: 700px) 50vw, (min-resolution: 3dppx) and (max-width: 700px) 67vw, (-webkit-min-device-pixel-ratio: 3) and (max-width: 700px) 65vw, (min-resolution: 2.5dppx) and (max-width: 700px) 80vw, (-webkit-min-device-pixel-ratio: 2.5) and (max-width: 700px) 80vw, (min-resolution: 2dppx) and (max-width: 700px) 100vw, (-webkit-min-device-pixel-ratio: 2) and (max-width: 700px) 100vw, 1000px" type="image/webp"/><source data-testid="og" srcSet="https://miro.medium.com/v2/resize:fit:640/0*SbRYCigQl2-V8Kq1 640w, https://miro.medium.com/v2/resize:fit:720/0*SbRYCigQl2-V8Kq1 720w, https://miro.medium.com/v2/resize:fit:750/0*SbRYCigQl2-V8Kq1 750w, https://miro.medium.com/v2/resize:fit:786/0*SbRYCigQl2-V8Kq1 786w, https://miro.medium.com/v2/resize:fit:828/0*SbRYCigQl2-V8Kq1 828w, https://miro.medium.com/v2/resize:fit:1100/0*SbRYCigQl2-V8Kq1 1100w, https://miro.medium.com/v2/resize:fit:2000/0*SbRYCigQl2-V8Kq1 2000w" sizes="(min-resolution: 4dppx) and (max-width: 700px) 50vw, (-webkit-min-device-pixel-ratio: 4) and (max-width: 700px) 50vw, (min-resolution: 3dppx) and (max-width: 700px) 67vw, (-webkit-min-device-pixel-ratio: 3) and (max-width: 700px) 65vw, (min-resolution: 2.5dppx) and (max-width: 700px) 80vw, (-webkit-min-device-pixel-ratio: 2.5) and (max-width: 700px) 80vw, (min-resolution: 2dppx) and (max-width: 700px) 100vw, (-webkit-min-device-pixel-ratio: 2) and (max-width: 700px) 100vw, 1000px"/><img alt="" class="bh nb oo dt" width="1000" height="667" loading="eager" role="presentation"/></picture></div></div><figcaption class="op fl oq oa ob or os hf b bg z dw">Photo by <a class="af ot" href="https://unsplash.com/@thomascpark?utm_source=medium&utm_medium=referral" rel="noopener ugc nofollow" target="_blank">Thomas Park</a> on <a class="af ot" href="https://unsplash.com/?utm_source=medium&utm_medium=referral" rel="noopener ugc nofollow" target="_blank">Unsplash</a></figcaption></figure></div></div></div><div class="ab cb"><div class="ci bh gm gn go gp"><p id="0e51" class="pw-post-body-paragraph ou ov hn hf b ig ow ox oy ij oz pa pb pc pd pe pf pg ph pi pj pk pl pm pn po hg fq pp"><span class="l pq pr ps bo pt pu pv pw px fv">I</span>t’s common knowledge that children require consistent exposure to many kinds of novel sensory stimulation and experiences in order to adequately respond to the environment and develop into healthy human beings. This includes <a class="af ot" href="https://www.brighthorizons.com/resources/Article/Caring-Touch-Is-Critical-to-Thriving" rel="noopener ugc nofollow" target="_blank">caring touch</a>. In fact, r<a class="af ot" href="https://pmc.ncbi.nlm.nih.gov/articles/PMC3287094/" rel="noopener ugc nofollow" target="_blank">esearch</a> in neonatal intensive care units (NICUs), substantiate the importance of consistent touch, revealing that <a class="af ot" href="https://pmc.ncbi.nlm.nih.gov/articles/PMC6956667/" rel="noopener ugc nofollow" target="_blank">premature infants</a> who receive regular skin-to-skin contact, also known as <a class="af ot" href="https://my.clevelandclinic.org/health/treatments/12578-kangaroo-care" rel="noopener ugc nofollow" target="_blank">kangaroo care</a>, have better physical and emotional outcomes. Additionally, <a class="af ot" href="https://pmc.ncbi.nlm.nih.gov/articles/PMC9309640/" rel="noopener ugc nofollow" target="_blank">studies indicate</a> that infant massage correlates with a significant increase with weight gain and physical growth.</p><p id="a4b8" class="pw-post-body-paragraph ou ov hn hf b ig ow ox oy ij oz pa pb pc pd pe pf pg ph pi pj pk pl pm pn po hg fq">However, for those who are afflicted with <a class="af ot" rel="noopener" href="/p/a12b700661a7">complex trauma</a>, s<a class="af ot" href="https://www.goodtherapy.org/blog/skin-hunger/" rel="noopener ugc nofollow" target="_blank">kin hunger</a> (aka touch starvation), a deep need for physical touch and human contact, is a condition endured throughout youth and well into adulthood. Considering that skin hunger often stems from early-life neglect or abuse where nurturing, healthy touch was absent or inconsistent, as a complex trauma clinician of over three decades, addressing this tragic emotional and sensory deficit is a priority in trauma-informed treatment.</p><p id="be03" class="pw-post-body-paragraph ou ov hn hf b ig ow ox oy ij oz pa pb pc pd pe pf pg ph pi pj pk pl pm pn po hg fq">Given that physical contact is the foundation for forming a secure attachment with a caregiver and that touch lowers cortisol, a stress…</p></div></div></div></div></section></div></div></article></div><div class="l"></div><footer class="py pz qa qb qc ab q qd jk dt"><div class="l ae"><div class="ab cb"><div class="ci bh gm gn go gp"><div class="ab cp qe"><div class="ab q lw"><div class="qf l"><span class="l qg qh qi e d"><div class="ab q lw lx"><div class="pw-multi-vote-icon fv kf ly lz ma"><span><a class="af ag ah ai aj ak al am an ao ap dy dz ea eb" data-testid="footerClapButton" rel="noopener follow" href="/m/signin?actionUrl=https%3A%2F%2Fmedium.com%2F_%2Fvote%2Finvisible-illness%2F19c9e3ff4799&operation=register&redirect=https%3A%2F%2Fmedium.com%2Finvisible-illness%2Fskin-hunger-and-the-failure-to-thrive-19c9e3ff4799&user=Rev.+Sheri+Heller%2C+LCSW%2C+RSW&userId=8fb1ad8f499b&source=---footer_actions--19c9e3ff4799---------------------clap_footer------------------"><div><div class="bm" aria-hidden="false"><div class="mb ao fw mc md me am mf mg mh ma"><svg xmlns="http://www.w3.org/2000/svg" width="24" height="24" viewBox="0 0 24 24" aria-label="clap"><path fill-rule="evenodd" d="M11.37.828 12 3.282l.63-2.454zM13.916 3.953l1.523-2.112-1.184-.39zM8.589 1.84l1.522 2.112-.337-2.501zM18.523 18.92c-.86.86-1.75 1.246-2.62 1.33a6 6 0 0 0 .407-.372c2.388-2.389 2.86-4.951 1.399-7.623l-.912-1.603-.79-1.672c-.26-.56-.194-.98.203-1.288a.7.7 0 0 1 .546-.132c.283.046.546.231.728.5l2.363 4.157c.976 1.624 1.141 4.237-1.324 6.702m-10.999-.438L3.37 14.328a.828.828 0 0 1 .585-1.408.83.83 0 0 1 .585.242l2.158 2.157a.365.365 0 0 0 .516-.516l-2.157-2.158-1.449-1.449a.826.826 0 0 1 1.167-1.17l3.438 3.44a.363.363 0 0 0 .516 0 .364.364 0 0 0 0-.516L5.293 9.513l-.97-.97a.826.826 0 0 1 0-1.166.84.84 0 0 1 1.167 0l.97.968 3.437 3.436a.36.36 0 0 0 .517 0 .366.366 0 0 0 0-.516L6.977 7.83a.82.82 0 0 1-.241-.584.82.82 0 0 1 .824-.826c.219 0 .43.087.584.242l5.787 5.787a.366.366 0 0 0 .587-.415l-1.117-2.363c-.26-.56-.194-.98.204-1.289a.7.7 0 0 1 .546-.132c.283.046.545.232.727.501l2.193 3.86c1.302 2.38.883 4.59-1.277 6.75-1.156 1.156-2.602 1.627-4.19 1.367-1.418-.236-2.866-1.033-4.079-2.246M10.75 5.971l2.12 2.12c-.41.502-.465 1.17-.128 1.89l.22.465-3.523-3.523a.8.8 0 0 1-.097-.368c0-.22.086-.428.241-.584a.847.847 0 0 1 1.167 0m7.355 1.705c-.31-.461-.746-.758-1.23-.837a1.44 1.44 0 0 0-1.11.275c-.312.24-.505.543-.59.881a1.74 1.74 0 0 0-.906-.465 1.47 1.47 0 0 0-.82.106l-2.182-2.182a1.56 1.56 0 0 0-2.2 0 1.54 1.54 0 0 0-.396.701 1.56 1.56 0 0 0-2.21-.01 1.55 1.55 0 0 0-.416.753c-.624-.624-1.649-.624-2.237-.037a1.557 1.557 0 0 0 0 2.2c-.239.1-.501.238-.715.453a1.56 1.56 0 0 0 0 2.2l.516.515a1.556 1.556 0 0 0-.753 2.615L7.01 19c1.32 1.319 2.909 2.189 4.475 2.449q.482.08.971.08c.85 0 1.653-.198 2.393-.579.231.033.46.054.686.054 1.266 0 2.457-.52 3.505-1.567 2.763-2.763 2.552-5.734 1.439-7.586z" clip-rule="evenodd"></path></svg></div></div></div></a></span></div><div class="pw-multi-vote-count l mi mj mk ml mm mn mo"><p class="hf b dx z dw"><span class="mp">--</span></p></div></div></span><span class="l h g f qj qk"><div class="ab q lw lx"><div class="pw-multi-vote-icon fv kf ly lz ma"><span><a class="af ag ah ai aj ak al am an ao ap dy dz ea eb" data-testid="footerClapButton" rel="noopener follow" href="/m/signin?actionUrl=https%3A%2F%2Fmedium.com%2F_%2Fvote%2Finvisible-illness%2F19c9e3ff4799&operation=register&redirect=https%3A%2F%2Fmedium.com%2Finvisible-illness%2Fskin-hunger-and-the-failure-to-thrive-19c9e3ff4799&user=Rev.+Sheri+Heller%2C+LCSW%2C+RSW&userId=8fb1ad8f499b&source=---footer_actions--19c9e3ff4799---------------------clap_footer------------------"><div><div class="bm" aria-hidden="false"><div class="mb ao fw mc md me am mf mg mh ma"><svg xmlns="http://www.w3.org/2000/svg" width="24" height="24" viewBox="0 0 24 24" aria-label="clap"><path fill-rule="evenodd" d="M11.37.828 12 3.282l.63-2.454zM13.916 3.953l1.523-2.112-1.184-.39zM8.589 1.84l1.522 2.112-.337-2.501zM18.523 18.92c-.86.86-1.75 1.246-2.62 1.33a6 6 0 0 0 .407-.372c2.388-2.389 2.86-4.951 1.399-7.623l-.912-1.603-.79-1.672c-.26-.56-.194-.98.203-1.288a.7.7 0 0 1 .546-.132c.283.046.546.231.728.5l2.363 4.157c.976 1.624 1.141 4.237-1.324 6.702m-10.999-.438L3.37 14.328a.828.828 0 0 1 .585-1.408.83.83 0 0 1 .585.242l2.158 2.157a.365.365 0 0 0 .516-.516l-2.157-2.158-1.449-1.449a.826.826 0 0 1 1.167-1.17l3.438 3.44a.363.363 0 0 0 .516 0 .364.364 0 0 0 0-.516L5.293 9.513l-.97-.97a.826.826 0 0 1 0-1.166.84.84 0 0 1 1.167 0l.97.968 3.437 3.436a.36.36 0 0 0 .517 0 .366.366 0 0 0 0-.516L6.977 7.83a.82.82 0 0 1-.241-.584.82.82 0 0 1 .824-.826c.219 0 .43.087.584.242l5.787 5.787a.366.366 0 0 0 .587-.415l-1.117-2.363c-.26-.56-.194-.98.204-1.289a.7.7 0 0 1 .546-.132c.283.046.545.232.727.501l2.193 3.86c1.302 2.38.883 4.59-1.277 6.75-1.156 1.156-2.602 1.627-4.19 1.367-1.418-.236-2.866-1.033-4.079-2.246M10.75 5.971l2.12 2.12c-.41.502-.465 1.17-.128 1.89l.22.465-3.523-3.523a.8.8 0 0 1-.097-.368c0-.22.086-.428.241-.584a.847.847 0 0 1 1.167 0m7.355 1.705c-.31-.461-.746-.758-1.23-.837a1.44 1.44 0 0 0-1.11.275c-.312.24-.505.543-.59.881a1.74 1.74 0 0 0-.906-.465 1.47 1.47 0 0 0-.82.106l-2.182-2.182a1.56 1.56 0 0 0-2.2 0 1.54 1.54 0 0 0-.396.701 1.56 1.56 0 0 0-2.21-.01 1.55 1.55 0 0 0-.416.753c-.624-.624-1.649-.624-2.237-.037a1.557 1.557 0 0 0 0 2.2c-.239.1-.501.238-.715.453a1.56 1.56 0 0 0 0 2.2l.516.515a1.556 1.556 0 0 0-.753 2.615L7.01 19c1.32 1.319 2.909 2.189 4.475 2.449q.482.08.971.08c.85 0 1.653-.198 2.393-.579.231.033.46.054.686.054 1.266 0 2.457-.52 3.505-1.567 2.763-2.763 2.552-5.734 1.439-7.586z" clip-rule="evenodd"></path></svg></div></div></div></a></span></div><div class="pw-multi-vote-count l mi mj mk ml mm mn mo"><p class="hf b dx z dw"><span class="mp">--</span></p></div></div></span></div><div class="bq ab"><div><div class="bm" aria-hidden="false"><button class="ao mb mr ms ab q fw md mt" aria-label="responses"><svg xmlns="http://www.w3.org/2000/svg" width="24" height="24" viewBox="0 0 24 24" class="id"><path d="M18.006 16.803c1.533-1.456 2.234-3.325 2.234-5.321C20.24 7.357 16.709 4 12.191 4S4 7.357 4 11.482c0 4.126 3.674 7.482 8.191 7.482.817 0 1.622-.111 2.393-.327.231.2.48.391.744.559 1.06.693 2.203 1.044 3.399 1.044.224-.008.4-.112.486-.287a.49.49 0 0 0-.042-.518c-.495-.67-.845-1.364-1.04-2.057a4 4 0 0 1-.125-.598zm-3.122 1.055-.067-.223-.315.096a8 8 0 0 1-2.311.338c-4.023 0-7.292-2.955-7.292-6.587 0-3.633 3.269-6.588 7.292-6.588 4.014 0 7.112 2.958 7.112 6.593 0 1.794-.608 3.469-2.027 4.72l-.195.168v.255c0 .056 0 .151.016.295.025.231.081.478.154.733.154.558.398 1.117.722 1.659a5.3 5.3 0 0 1-2.165-.845c-.276-.176-.714-.383-.941-.59z"></path></svg><p class="hf b bg z dw"><span class="pw-responses-count mq id">25</span></p></button></div></div></div></div><div class="ab q"><div class="ql l ka"><div><div class="bm" aria-hidden="false"><span><a class="af ag ah ai aj ak al am an ao ap dy dz ea eb" data-testid="footerBookmarkButton" rel="noopener follow" href="/m/signin?actionUrl=https%3A%2F%2Fmedium.com%2F_%2Fbookmark%2Fp%2F19c9e3ff4799&operation=register&redirect=https%3A%2F%2Fmedium.com%2Finvisible-illness%2Fskin-hunger-and-the-failure-to-thrive-19c9e3ff4799&source=---footer_actions--19c9e3ff4799---------------------bookmark_footer------------------"><svg xmlns="http://www.w3.org/2000/svg" width="25" height="25" fill="none" viewBox="0 0 25 25" class="dw mv" aria-label="Add to list bookmark button"><path fill="currentColor" d="M18 2.5a.5.5 0 0 1 1 0V5h2.5a.5.5 0 0 1 0 1H19v2.5a.5.5 0 1 1-1 0V6h-2.5a.5.5 0 0 1 0-1H18zM7 7a1 1 0 0 1 1-1h3.5a.5.5 0 0 0 0-1H8a2 2 0 0 0-2 2v14a.5.5 0 0 0 .805.396L12.5 17l5.695 4.396A.5.5 0 0 0 19 21v-8.5a.5.5 0 0 0-1 0v7.485l-5.195-4.012a.5.5 0 0 0-.61 0L7 19.985z"></path></svg></a></span></div></div></div><div class="ql l ka"><div class="bm" aria-hidden="false" aria-describedby="postFooterSocialMenu" aria-labelledby="postFooterSocialMenu"><div><div class="bm" aria-hidden="false"><button aria-controls="postFooterSocialMenu" aria-expanded="false" aria-label="Share Post" data-testid="footerSocialShareButton" class="af fw ah ai aj ak al nc an ao ap fd nd ne mt nf"><svg xmlns="http://www.w3.org/2000/svg" width="24" height="24" fill="none" viewBox="0 0 24 24"><path fill="currentColor" fill-rule="evenodd" d="M15.218 4.931a.4.4 0 0 1-.118.132l.012.006a.45.45 0 0 1-.292.074.5.5 0 0 1-.3-.13l-2.02-2.02v7.07c0 .28-.23.5-.5.5s-.5-.22-.5-.5v-7.04l-2 2a.45.45 0 0 1-.57.04h-.02a.4.4 0 0 1-.16-.3.4.4 0 0 1 .1-.32l2.8-2.8a.5.5 0 0 1 .7 0l2.8 2.79a.42.42 0 0 1 .068.498m-.106.138.008.004v-.01zM16 7.063h1.5a2 2 0 0 1 2 2v10a2 2 0 0 1-2 2h-11c-1.1 0-2-.9-2-2v-10a2 2 0 0 1 2-2H8a.5.5 0 0 1 .35.15.5.5 0 0 1 .15.35.5.5 0 0 1-.15.35.5.5 0 0 1-.35.15H6.4c-.5 0-.9.4-.9.9v10.2a.9.9 0 0 0 .9.9h11.2c.5 0 .9-.4.9-.9v-10.2c0-.5-.4-.9-.9-.9H16a.5.5 0 0 1 0-1" clip-rule="evenodd"></path></svg></button></div></div></div></div></div></div></div></div></div></footer><div class="qm l"><div><div class="ab cb"><div class="ci bh gm gn go gp"><div class="qn l"><div class="ab qo qp qq kc kb"><div class="qr qs qt qu qv qw qx qy qz ra ab cp"><div class="h k"><a href="https://medium.com/invisible-illness?source=post_page---post_publication_info--19c9e3ff4799---------------------------------------" rel="noopener follow"><div class="fv ab"><img alt="Invisible Illness" class="rb jb jc gg" src="https://miro.medium.com/v2/resize:fill:96:96/1*KCdWeLHgIFfw5gv7fX97Eg.jpeg" width="48" height="48" loading="lazy"/><div class="rb l jc jb ge n gd rc"></div></div></a></div><div class="j i d"><a href="https://medium.com/invisible-illness?source=post_page---post_publication_info--19c9e3ff4799---------------------------------------" rel="noopener follow"><div class="fv ab"><img alt="Invisible Illness" class="rb re rd gg" src="https://miro.medium.com/v2/resize:fill:128:128/1*KCdWeLHgIFfw5gv7fX97Eg.jpeg" width="64" height="64" loading="lazy"/><div class="rb l rd re ge n gd rc"></div></div></a></div><div class="j i d rf ka"><div class="ab"></div></div></div><div class="ab co rg"><div class="rh ri rj nw nv l"><a class="af ag ah aj ak al am an ao ap dy dz ea eb ab q" href="https://medium.com/invisible-illness?source=post_page---post_publication_info--19c9e3ff4799---------------------------------------" rel="noopener follow"><h2 class="pw-author-name hf rl rm rn ro rp rq rr pc rs rt pg ru rv pk rw rx fq"><span class="hg rk">Published in <!-- -->Invisible Illness</span></h2></a><div class="ry ab ja"><div class="l ka"><span class="pw-follower-count hf b bg z dw"><a class="af ag ah ai aj ak al am an ao ap dy dz jq" rel="noopener follow" href="/invisible-illness/followers?source=post_page---post_publication_info--19c9e3ff4799---------------------------------------">78K Followers</a></span></div><div class="hf b bg z dw ab ke"><span class="ju l" aria-hidden="true"><span class="hf b bg z dw">·</span></span><a class="af ag ah ai aj ak al am an ao ap dy dz jq" rel="noopener follow" href="/invisible-illness/complex-trauma-helplessness-67830fac6377?source=post_page---post_publication_info--19c9e3ff4799---------------------------------------">Last published <!-- -->19 hours ago</a></div></div><div class="rz l"><p class="hf b bg z fq"><span class="hg">Medium’s biggest mental health publication</span></p></div></div></div><div class="h k"><div class="ab"></div></div></div></div><div class="ab qo qp qq kc kb"><div class="qr qs qt qu qv qw qx qy qz ra ab cp"><div class="h k"><a tabindex="0" rel="noopener follow" href="/@sheriheller?source=post_page---post_author_info--19c9e3ff4799---------------------------------------"><div class="l fv"><img alt="Rev. Sheri Heller, LCSW, RSW" class="l fj by jc jb gg" src="https://miro.medium.com/v2/resize:fill:96:96/1*KPqRFu-T5awhi7m9L40T9g@2x.jpeg" width="48" height="48" loading="lazy"/><div class="gd by l jc jb ge n ay rc"></div></div></a></div><div class="j i d"><a tabindex="0" rel="noopener follow" href="/@sheriheller?source=post_page---post_author_info--19c9e3ff4799---------------------------------------"><div class="l fv"><img alt="Rev. Sheri Heller, LCSW, RSW" class="l fj by rd re gg" src="https://miro.medium.com/v2/resize:fill:128:128/1*KPqRFu-T5awhi7m9L40T9g@2x.jpeg" width="64" height="64" loading="lazy"/><div class="gd by l rd re ge n ay rc"></div></div></a></div><div class="j i d rf ka"><div class="ab"><span><button class="bf b bg z sa sb sc sd se sf sg fb fc sh si sj fg fh fi fj bm fk fl">Follow</button></span></div></div></div><div class="ab co rg"><div class="rh ri rj nw nv l"><a class="af ag ah aj ak al am an ao ap dy dz ea eb ab q" rel="noopener follow" href="/@sheriheller?source=post_page---post_author_info--19c9e3ff4799---------------------------------------"><h2 class="pw-author-name hf rl rm rn ro rp rq rr pc rs rt pg ru rv pk rw rx fq"><span class="hg rk">Written by <!-- -->Rev. Sheri Heller, LCSW, RSW</span></h2><div class="sk ab"><div><div class="ab" aria-hidden="false"><div class="ab jt"><div class="ab"><svg xmlns="http://www.w3.org/2000/svg" width="20" height="20" fill="none" viewBox="0 0 16 16"><path fill="#437AFF" d="M15.163 8c0 .65-.459 1.144-.863 1.575-.232.244-.471.5-.563.719s-.086.543-.092.875c-.006.606-.018 1.3-.49 1.781-.47.481-1.15.494-1.744.5-.324.006-.655.013-.857.094s-.465.337-.704.575c-.422.412-.906.881-1.542.881-.637 0-1.12-.469-1.543-.881-.239-.238-.49-.482-.704-.575-.214-.094-.532-.088-.857-.094-.593-.006-1.273-.019-1.744-.5s-.484-1.175-.49-1.781c-.006-.332-.012-.669-.092-.875-.08-.207-.33-.475-.563-.719-.404-.431-.863-.925-.863-1.575s.46-1.144.863-1.575c.233-.244.472-.5.563-.719.092-.219.086-.544.092-.875.006-.606.019-1.3.49-1.781s1.15-.494 1.744-.5c.325-.006.655-.012.857-.094.202-.081.465-.337.704-.575C7.188 1.47 7.671 1 8.308 1s1.12.469 1.542.881c.239.238.49.481.704.575s.533.088.857.094c.594.006 1.273.019 1.745.5.47.481.483 1.175.49 1.781.005.331.011.669.091.875s.33.475.563.719c.404.431.863.925.863 1.575"></path><path fill="#fff" d="M7.328 10.5c.195 0 .381.08.519.22.137.141.215.331.216.53 0 .066.026.13.072.177a.24.24 0 0 0 .346 0 .25.25 0 0 0 .071-.177c.001-.199.079-.389.216-.53a.73.73 0 0 1 .519-.22h1.959c.13 0 .254-.053.346-.146a.5.5 0 0 0 .143-.354V6a.5.5 0 0 0-.143-.354.49.49 0 0 0-.346-.146h-1.47c-.324 0-.635.132-.865.366-.23.235-.359.552-.359.884v2.5c0 .066-.025.13-.071.177a.24.24 0 0 1-.346 0 .25.25 0 0 1-.072-.177v-2.5c0-.332-.13-.65-.359-.884A1.21 1.21 0 0 0 6.84 5.5h-1.47a.49.49 0 0 0-.346.146A.5.5 0 0 0 4.88 6v4c0 .133.051.26.143.354a.49.49 0 0 0 .347.146z"></path></svg></div></div></div></div></div></a><div class="ry ab ja"><div class="l ka"><span class="pw-follower-count hf b bg z dw"><a class="af ag ah ai aj ak al am an ao ap dy dz jq" rel="noopener follow" href="/@sheriheller/followers?source=post_page---post_author_info--19c9e3ff4799---------------------------------------">23K Followers</a></span></div><div class="hf b bg z dw ab ke"><span class="ju l" aria-hidden="true"><span class="hf b bg z dw">·</span></span><a class="af ag ah ai aj ak al am an ao ap dy dz jq" rel="noopener follow" href="/@sheriheller/following?source=post_page---post_author_info--19c9e3ff4799---------------------------------------">356 Following</a></div></div><div class="rz l"><p class="hf b bg z fq">Complex trauma clinician and writer. Survivor turned thriver, with a love for world travel, the arts and nature. I think outside the box. <a class="af ag ah ai aj ak al am an ao ap dy dz ot hh" href="http://Sheritherapist.com" rel="noopener ugc nofollow">Sheritherapist.com</a></p></div></div></div><div class="h k"><div class="ab"><span><button class="bf b bg z sa sb sc sd se sf sg fb fc sh si sj fg fh fi fj bm fk fl">Follow</button></span></div></div></div></div></div></div></div><div class="sl sm sn so sp l"><div class="sq bh du qm"></div><div class="ab cb"><div class="ci bh gm gn go gp"><div class="ab q cp"><h2 class="hf rl sr ii ss st il su sv sw sx sy sz ta tb tc td fq">Responses (<!-- -->25<!-- -->)</h2><div class="ab te"><div><div class="bm" aria-hidden="false"><a class="tf tg" href="https://policy.medium.com/medium-rules-30e5502c4eb4?source=post_page---post_responses--19c9e3ff4799---------------------------------------" rel="noopener follow" target="_blank"><svg xmlns="http://www.w3.org/2000/svg" width="25" height="25" viewBox="0 0 25 25"><path fill-rule="evenodd" d="M11.987 5.036a.754.754 0 0 1 .914-.01c.972.721 1.767 1.218 2.6 1.543.828.322 1.719.485 2.887.505a.755.755 0 0 1 .741.757c-.018 3.623-.43 6.256-1.449 8.21-1.034 1.984-2.662 3.209-4.966 4.083a.75.75 0 0 1-.537-.003c-2.243-.874-3.858-2.095-4.897-4.074-1.024-1.951-1.457-4.583-1.476-8.216a.755.755 0 0 1 .741-.757c1.195-.02 2.1-.182 2.923-.503.827-.322 1.6-.815 2.519-1.535m.468.903c-.897.69-1.717 1.21-2.623 1.564-.898.35-1.856.527-3.026.565.037 3.45.469 5.817 1.36 7.515.884 1.684 2.25 2.762 4.284 3.571 2.092-.81 3.465-1.89 4.344-3.575.886-1.698 1.299-4.065 1.334-7.512-1.149-.039-2.091-.217-2.99-.567-.906-.353-1.745-.873-2.683-1.561m-.009 9.155a2.672 2.672 0 1 0 0-5.344 2.672 2.672 0 0 0 0 5.344m0 1a3.672 3.672 0 1 0 0-7.344 3.672 3.672 0 0 0 0 7.344m-1.813-3.777.525-.526.916.917 1.623-1.625.526.526-2.149 2.152z" clip-rule="evenodd"></path></svg></a></div></div></div></div><div class="th ti tj tk tl tm tn l"></div><div class="ha l"><button class="hf b bg z fq sb to tp tq mv md sg fb fc fd tr ts tt fg tu tv tw tx ty fh fi fj bm fk fl">See all responses</button></div></div></div></div><div class="tz ua ub uc ud l ue"><div class="h k j"><div class="sq bh uf ug"></div><div class="ab cb"><div class="ci bh gm gn go gp"><div class="uh ab lw kd"><div class="ui uj l"><a class="af ag ah ai aj ak al am an ao ap dy dz ea eb" href="https://help.medium.com/hc/en-us?source=post_page-----19c9e3ff4799---------------------------------------" rel="noopener follow"><p class="hf b dx z dw">Help</p></a></div><div class="ui uj l"><a class="af ag ah ai aj ak al am an ao ap dy dz ea eb" href="https://medium.statuspage.io/?source=post_page-----19c9e3ff4799---------------------------------------" rel="noopener follow"><p class="hf b dx z dw">Status</p></a></div><div class="ui uj l"><a class="af ag ah ai aj ak al am an ao ap dy dz ea eb" rel="noopener follow" href="/about?autoplay=1&source=post_page-----19c9e3ff4799---------------------------------------"><p class="hf b dx z dw">About</p></a></div><div class="ui uj l"><a class="af ag ah ai aj ak al am an ao ap dy dz ea eb" rel="noopener follow" href="/jobs-at-medium/work-at-medium-959d1a85284e?source=post_page-----19c9e3ff4799---------------------------------------"><p class="hf b dx z dw">Careers</p></a></div><div class="ui uj l"><a class="af ag ah ai aj ak al am an ao ap dy dz ea eb" href="mailto:pressinquiries@medium.com" rel="noopener follow"><p class="hf b dx z dw">Press</p></a></div><div class="ui uj l"><a class="af ag ah ai aj ak al am an ao ap dy dz ea eb" href="https://blog.medium.com/?source=post_page-----19c9e3ff4799---------------------------------------" rel="noopener follow"><p class="hf b dx z dw">Blog</p></a></div><div class="ui uj l"><a class="af ag ah ai aj ak al am an ao ap dy dz ea eb" href="https://policy.medium.com/medium-privacy-policy-f03bf92035c9?source=post_page-----19c9e3ff4799---------------------------------------" rel="noopener follow"><p class="hf b dx z dw">Privacy</p></a></div><div class="ui uj l"><a class="af ag ah ai aj ak al am an ao ap dy dz ea eb" href="https://policy.medium.com/medium-terms-of-service-9db0094a1e0f?source=post_page-----19c9e3ff4799---------------------------------------" rel="noopener follow"><p class="hf b dx z dw">Terms</p></a></div><div class="ui uj l"><a class="af ag ah ai aj ak al am an ao ap dy dz ea eb" href="https://speechify.com/medium?source=post_page-----19c9e3ff4799---------------------------------------" rel="noopener follow"><p class="hf b dx z dw">Text to speech</p></a></div><div class="ui l"><a class="af ag ah ai aj ak al am an ao ap dy dz ea eb" rel="noopener follow" href="/business?source=post_page-----19c9e3ff4799---------------------------------------"><p class="hf b dx z dw">Teams</p></a></div></div></div></div></div></div></div></div></div></div><script>window.__BUILD_ID__="main-20250214-225023-b6ac233ec4"</script><script>window.__GRAPHQL_URI__ = "https://medium.com/_/graphql"</script><script>window.__PRELOADED_STATE__ = {"algolia":{"queries":{}},"cache":{"experimentGroupSet":true,"reason":"","group":"enabled","tags":["group-edgeCachePosts","post-19c9e3ff4799","user-8fb1ad8f499b","collection-b224b324ef5"],"serverVariantState":"44136fa355b3678a1146ad16f7e8649e94fb4fc21fe77e8310c060f61caaff8a","middlewareEnabled":true,"cacheStatus":"DYNAMIC","shouldUseCache":true,"vary":[],"pubFeaturingPostPageLabelEnabled":false},"client":{"hydrated":false,"isUs":false,"isNativeMedium":false,"isSafariMobile":false,"isSafari":false,"isFirefox":false,"routingEntity":{"type":"DEFAULT","explicit":false},"viewerIsBot":false},"debug":{"requestId":"5b3d9d8e-1ad0-4abe-8286-0ffaa1830fbc","requestTag":"","hybridDevServices":[],"originalSpanCarrier":{"traceparent":"00-0adee0b3f77668d6e4684f37e344b5d9-5799b5b68adf668f-01"}},"multiVote":{"clapsPerPost":{}},"navigation":{"branch":{"show":null,"hasRendered":null,"blockedByCTA":false},"hideGoogleOneTap":false,"hasRenderedAlternateUserBanner":null,"currentLocation":"https:\u002F\u002Fmedium.com\u002Finvisible-illness\u002Fskin-hunger-and-the-failure-to-thrive-19c9e3ff4799","host":"medium.com","hostname":"medium.com","referrer":"","hasSetReferrer":false,"susiModal":{"step":null,"operation":"register"},"postRead":false,"partnerProgram":{"selectedCountryCode":null},"queryString":"","currentHash":""},"config":{"nodeEnv":"production","version":"main-20250214-225023-b6ac233ec4","target":"production","productName":"Medium","publicUrl":"https:\u002F\u002Fcdn-client.medium.com\u002Flite","authDomain":"medium.com","authGoogleClientId":"216296035834-k1k6qe060s2tp2a2jam4ljdcms00sttg.apps.googleusercontent.com","favicon":"production","glyphUrl":"https:\u002F\u002Fglyph.medium.com","branchKey":"key_live_ofxXr2qTrrU9NqURK8ZwEhknBxiI6KBm","algolia":{"appId":"MQ57UUUQZ2","apiKeySearch":"394474ced050e3911ae2249ecc774921","indexPrefix":"medium_","host":"-dsn.algolia.net"},"recaptchaKey":"6Lfc37IUAAAAAKGGtC6rLS13R1Hrw_BqADfS1LRk","recaptcha3Key":"6Lf8R9wUAAAAABMI_85Wb8melS7Zj6ziuf99Yot5","recaptchaEnterpriseKeyId":"6Le-uGgpAAAAAPprRaokM8AKthQ9KNGdoxaGUvVp","datadog":{"applicationId":"6702d87d-a7e0-42fe-bbcb-95b469547ea0","clientToken":"pub853ea8d17ad6821d9f8f11861d23dfed","rumToken":"pubf9cc52896502b9413b68ba36fc0c7162","context":{"deployment":{"target":"production","tag":"main-20250214-225023-b6ac233ec4","commit":"b6ac233ec4e33c48e304b373b7df8c338a410ef2"}},"datacenter":"us"},"googleAnalyticsCode":"G-7JY7T788PK","googlePay":{"apiVersion":"2","apiVersionMinor":"0","merchantId":"BCR2DN6TV7EMTGBM","merchantName":"Medium","instanceMerchantId":"13685562959212738550"},"applePay":{"version":3},"signInWallCustomDomainCollectionIds":["3a8144eabfe3","336d898217ee","61061eb0c96b","138adf9c44c","819cc2aaeee0"],"mediumMastodonDomainName":"me.dm","mediumOwnedAndOperatedCollectionIds":["8a9336e5bb4","b7e45b22fec3","193b68bd4fba","8d6b8a439e32","54c98c43354d","3f6ecf56618","d944778ce714","92d2092dc598","ae2a65f35510","1285ba81cada","544c7006046e","fc8964313712","40187e704f1c","88d9857e584e","7b6769f2748b","bcc38c8f6edf","cef6983b292","cb8577c9149e","444d13b52878","713d7dbc99b0","ef8e90590e66","191186aaafa0","55760f21cdc5","9dc80918cc93","bdc4052bbdba","8ccfed20cbb2"],"tierOneDomains":["medium.com","thebolditalic.com","arcdigital.media","towardsdatascience.com","uxdesign.cc","codeburst.io","psiloveyou.xyz","writingcooperative.com","entrepreneurshandbook.co","prototypr.io","betterhumans.coach.me","theascent.pub"],"topicsToFollow":["d61cf867d93f","8a146bc21b28","1eca0103fff3","4d562ee63426","aef1078a3ef5","e15e46793f8d","6158eb913466","55f1c20aba7a","3d18b94f6858","4861fee224fd","63c6f1f93ee","1d98b3a9a871","decb52b64abf","ae5d4995e225","830cded25262"],"topicToTagMappings":{"accessibility":"accessibility","addiction":"addiction","android-development":"android-development","art":"art","artificial-intelligence":"artificial-intelligence","astrology":"astrology","basic-income":"basic-income","beauty":"beauty","biotech":"biotech","blockchain":"blockchain","books":"books","business":"business","cannabis":"cannabis","cities":"cities","climate-change":"climate-change","comics":"comics","coronavirus":"coronavirus","creativity":"creativity","cryptocurrency":"cryptocurrency","culture":"culture","cybersecurity":"cybersecurity","data-science":"data-science","design":"design","digital-life":"digital-life","disability":"disability","economy":"economy","education":"education","equality":"equality","family":"family","feminism":"feminism","fiction":"fiction","film":"film","fitness":"fitness","food":"food","freelancing":"freelancing","future":"future","gadgets":"gadgets","gaming":"gaming","gun-control":"gun-control","health":"health","history":"history","humor":"humor","immigration":"immigration","ios-development":"ios-development","javascript":"javascript","justice":"justice","language":"language","leadership":"leadership","lgbtqia":"lgbtqia","lifestyle":"lifestyle","machine-learning":"machine-learning","makers":"makers","marketing":"marketing","math":"math","media":"media","mental-health":"mental-health","mindfulness":"mindfulness","money":"money","music":"music","neuroscience":"neuroscience","nonfiction":"nonfiction","outdoors":"outdoors","parenting":"parenting","pets":"pets","philosophy":"philosophy","photography":"photography","podcasts":"podcast","poetry":"poetry","politics":"politics","privacy":"privacy","product-management":"product-management","productivity":"productivity","programming":"programming","psychedelics":"psychedelics","psychology":"psychology","race":"race","relationships":"relationships","religion":"religion","remote-work":"remote-work","san-francisco":"san-francisco","science":"science","self":"self","self-driving-cars":"self-driving-cars","sexuality":"sexuality","social-media":"social-media","society":"society","software-engineering":"software-engineering","space":"space","spirituality":"spirituality","sports":"sports","startups":"startup","style":"style","technology":"technology","transportation":"transportation","travel":"travel","true-crime":"true-crime","tv":"tv","ux":"ux","venture-capital":"venture-capital","visual-design":"visual-design","work":"work","world":"world","writing":"writing"},"defaultImages":{"avatar":{"imageId":"1*dmbNkD5D-u45r44go_cf0g.png","height":150,"width":150},"orgLogo":{"imageId":"7*V1_7XP4snlmqrc_0Njontw.png","height":110,"width":500},"postLogo":{"imageId":"bd978bb536350a710e8efb012513429cabdc4c28700604261aeda246d0f980b7","height":810,"width":1440},"postPreviewImage":{"imageId":"1*hn4v1tCaJy7cWMyb0bpNpQ.png","height":386,"width":579}},"collectionStructuredData":{"8d6b8a439e32":{"name":"Elemental","data":{"@type":"NewsMediaOrganization","ethicsPolicy":"https:\u002F\u002Fhelp.medium.com\u002Fhc\u002Fen-us\u002Farticles\u002F360043290473","logo":{"@type":"ImageObject","url":"https:\u002F\u002Fcdn-images-1.medium.com\u002Fmax\u002F980\u002F1*9ygdqoKprhwuTVKUM0DLPA@2x.png","width":980,"height":159}}},"3f6ecf56618":{"name":"Forge","data":{"@type":"NewsMediaOrganization","ethicsPolicy":"https:\u002F\u002Fhelp.medium.com\u002Fhc\u002Fen-us\u002Farticles\u002F360043290473","logo":{"@type":"ImageObject","url":"https:\u002F\u002Fcdn-images-1.medium.com\u002Fmax\u002F596\u002F1*uULpIlImcO5TDuBZ6lm7Lg@2x.png","width":596,"height":183}}},"ae2a65f35510":{"name":"GEN","data":{"@type":"NewsMediaOrganization","ethicsPolicy":"https:\u002F\u002Fhelp.medium.com\u002Fhc\u002Fen-us\u002Farticles\u002F360043290473","logo":{"@type":"ImageObject","url":"https:\u002F\u002Fmiro.medium.com\u002Fmax\u002F264\u002F1*RdVZMdvfV3YiZTw6mX7yWA.png","width":264,"height":140}}},"88d9857e584e":{"name":"LEVEL","data":{"@type":"NewsMediaOrganization","ethicsPolicy":"https:\u002F\u002Fhelp.medium.com\u002Fhc\u002Fen-us\u002Farticles\u002F360043290473","logo":{"@type":"ImageObject","url":"https:\u002F\u002Fmiro.medium.com\u002Fmax\u002F540\u002F1*JqYMhNX6KNNb2UlqGqO2WQ.png","width":540,"height":108}}},"7b6769f2748b":{"name":"Marker","data":{"@type":"NewsMediaOrganization","ethicsPolicy":"https:\u002F\u002Fhelp.medium.com\u002Fhc\u002Fen-us\u002Farticles\u002F360043290473","logo":{"@type":"ImageObject","url":"https:\u002F\u002Fcdn-images-1.medium.com\u002Fmax\u002F383\u002F1*haCUs0wF6TgOOvfoY-jEoQ@2x.png","width":383,"height":92}}},"444d13b52878":{"name":"OneZero","data":{"@type":"NewsMediaOrganization","ethicsPolicy":"https:\u002F\u002Fhelp.medium.com\u002Fhc\u002Fen-us\u002Farticles\u002F360043290473","logo":{"@type":"ImageObject","url":"https:\u002F\u002Fmiro.medium.com\u002Fmax\u002F540\u002F1*cw32fIqCbRWzwJaoQw6BUg.png","width":540,"height":123}}},"8ccfed20cbb2":{"name":"Zora","data":{"@type":"NewsMediaOrganization","ethicsPolicy":"https:\u002F\u002Fhelp.medium.com\u002Fhc\u002Fen-us\u002Farticles\u002F360043290473","logo":{"@type":"ImageObject","url":"https:\u002F\u002Fmiro.medium.com\u002Fmax\u002F540\u002F1*tZUQqRcCCZDXjjiZ4bDvgQ.png","width":540,"height":106}}}},"embeddedPostIds":{"coronavirus":"cd3010f9d81f"},"sharedCdcMessaging":{"COVID_APPLICABLE_TAG_SLUGS":[],"COVID_APPLICABLE_TOPIC_NAMES":[],"COVID_APPLICABLE_TOPIC_NAMES_FOR_TOPIC_PAGE":[],"COVID_MESSAGES":{"tierA":{"text":"For more information on the novel coronavirus and Covid-19, visit cdc.gov.","markups":[{"start":66,"end":73,"href":"https:\u002F\u002Fwww.cdc.gov\u002Fcoronavirus\u002F2019-nCoV"}]},"tierB":{"text":"Anyone can publish on Medium per our Policies, but we don’t fact-check every story. For more info about the coronavirus, see cdc.gov.","markups":[{"start":37,"end":45,"href":"https:\u002F\u002Fhelp.medium.com\u002Fhc\u002Fen-us\u002Fcategories\u002F201931128-Policies-Safety"},{"start":125,"end":132,"href":"https:\u002F\u002Fwww.cdc.gov\u002Fcoronavirus\u002F2019-nCoV"}]},"paywall":{"text":"This article has been made free for everyone, thanks to Medium Members. For more information on the novel coronavirus and Covid-19, visit cdc.gov.","markups":[{"start":56,"end":70,"href":"https:\u002F\u002Fmedium.com\u002Fmembership"},{"start":138,"end":145,"href":"https:\u002F\u002Fwww.cdc.gov\u002Fcoronavirus\u002F2019-nCoV"}]},"unbound":{"text":"This article is free for everyone, thanks to Medium Members. For more information on the novel coronavirus and Covid-19, visit cdc.gov.","markups":[{"start":45,"end":59,"href":"https:\u002F\u002Fmedium.com\u002Fmembership"},{"start":127,"end":134,"href":"https:\u002F\u002Fwww.cdc.gov\u002Fcoronavirus\u002F2019-nCoV"}]}},"COVID_BANNER_POST_ID_OVERRIDE_WHITELIST":["3b31a67bff4a"]},"sharedVoteMessaging":{"TAGS":["politics","election-2020","government","us-politics","election","2020-presidential-race","trump","donald-trump","democrats","republicans","congress","republican-party","democratic-party","biden","joe-biden","maga"],"TOPICS":["politics","election"],"MESSAGE":{"text":"Find out more about the U.S. election results here.","markups":[{"start":46,"end":50,"href":"https:\u002F\u002Fcookpolitical.com\u002F2020-national-popular-vote-tracker"}]},"EXCLUDE_POSTS":["397ef29e3ca5"]},"embedPostRules":[],"recircOptions":{"v1":{"limit":3},"v2":{"limit":8}},"braintreeClientKey":"production_zjkj96jm_m56f8fqpf7ngnrd4","braintree":{"enabled":true,"merchantId":"m56f8fqpf7ngnrd4","merchantAccountId":{"usd":"AMediumCorporation_instant","eur":"amediumcorporation_EUR","cad":"amediumcorporation_CAD"},"publicKey":"ds2nn34bg2z7j5gd","braintreeEnvironment":"production","dashboardUrl":"https:\u002F\u002Fwww.braintreegateway.com\u002Fmerchants","gracePeriodDurationInDays":14,"mediumMembershipPlanId":{"monthly":"ce105f8c57a3","monthlyV2":"e8a5e126-792b-4ee6-8fba-d574c1b02fc5","monthlyWithTrial":"d5ee3dbe3db8","monthlyPremium":"fa741a9b47a2","yearly":"a40ad4a43185","yearlyV2":"3815d7d6-b8ca-4224-9b8c-182f9047866e","yearlyStaff":"d74fb811198a","yearlyWithTrial":"b3bc7350e5c7","yearlyPremium":"e21bd2c12166","monthlyOneYearFree":"e6c0637a-2bad-4171-ab4f-3c268633d83c","monthly25PercentOffFirstYear":"235ecc62-0cdb-49ae-9378-726cd21c504b","monthly20PercentOffFirstYear":"ba518864-9c13-4a99-91ca-411bf0cac756","monthly15PercentOffFirstYear":"594c029b-9f89-43d5-88f8-8173af4e070e","monthly10PercentOffFirstYear":"c6c7bc9a-40f2-4b51-8126-e28511d5bdb0","monthlyForStudents":"629ebe51-da7d-41fd-8293-34cd2f2030a8","yearlyOneYearFree":"78ba7be9-0d9f-4ece-aa3e-b54b826f2bf1","yearly25PercentOffFirstYear":"2dbb010d-bb8f-4eeb-ad5c-a08509f42d34","yearly20PercentOffFirstYear":"47565488-435b-47f8-bf93-40d5fbe0ebc8","yearly15PercentOffFirstYear":"8259809b-0881-47d9-acf7-6c001c7f720f","yearly10PercentOffFirstYear":"9dd694fb-96e1-472c-8d9e-3c868d5c1506","yearlyForStudents":"e29345ef-ab1c-4234-95c5-70e50fe6bc23","monthlyCad":"p52orjkaceei","yearlyCad":"h4q9g2up9ktt"},"braintreeDiscountId":{"oneMonthFree":"MONTHS_FREE_01","threeMonthsFree":"MONTHS_FREE_03","sixMonthsFree":"MONTHS_FREE_06","fiftyPercentOffOneYear":"FIFTY_PERCENT_OFF_ONE_YEAR"},"3DSecureVersion":"2","defaultCurrency":"usd","providerPlanIdCurrency":{"4ycw":"usd","rz3b":"usd","3kqm":"usd","jzw6":"usd","c2q2":"usd","nnsw":"usd","q8qw":"usd","d9y6":"usd","fx7w":"cad","nwf2":"cad"}},"paypalClientId":"AXj1G4fotC2GE8KzWX9mSxCH1wmPE3nJglf4Z2ig_amnhvlMVX87otaq58niAg9iuLktVNF_1WCMnN7v","paypal":{"host":"https:\u002F\u002Fapi.paypal.com:443","clientMode":"production","serverMode":"live","webhookId":"4G466076A0294510S","monthlyPlan":{"planId":"P-9WR0658853113943TMU5FDQA","name":"Medium Membership (Monthly) with setup fee","description":"Unlimited access to the best and brightest stories on Medium. Membership billed monthly."},"yearlyPlan":{"planId":"P-7N8963881P8875835MU5JOPQ","name":"Medium Membership (Annual) with setup fee","description":"Unlimited access to the best and brightest stories on Medium. Membership billed annually."},"oneYearGift":{"name":"Medium Membership (1 Year, Digital Gift Code)","description":"Unlimited access to the best and brightest stories on Medium. Gift codes can be redeemed at medium.com\u002Fredeem.","price":"50.00","currency":"USD","sku":"membership-gift-1-yr"},"oldMonthlyPlan":{"planId":"P-96U02458LM656772MJZUVH2Y","name":"Medium Membership (Monthly)","description":"Unlimited access to the best and brightest stories on Medium. Membership billed monthly."},"oldYearlyPlan":{"planId":"P-59P80963JF186412JJZU3SMI","name":"Medium Membership (Annual)","description":"Unlimited access to the best and brightest stories on Medium. Membership billed annually."},"monthlyPlanWithTrial":{"planId":"P-66C21969LR178604GJPVKUKY","name":"Medium Membership (Monthly) with setup fee","description":"Unlimited access to the best and brightest stories on Medium. Membership billed monthly."},"yearlyPlanWithTrial":{"planId":"P-6XW32684EX226940VKCT2MFA","name":"Medium Membership (Annual) with setup fee","description":"Unlimited access to the best and brightest stories on Medium. Membership billed annually."},"oldMonthlyPlanNoSetupFee":{"planId":"P-4N046520HR188054PCJC7LJI","name":"Medium Membership (Monthly)","description":"Unlimited access to the best and brightest stories on Medium. Membership billed monthly."},"oldYearlyPlanNoSetupFee":{"planId":"P-7A4913502Y5181304CJEJMXQ","name":"Medium Membership (Annual)","description":"Unlimited access to the best and brightest stories on Medium. Membership billed annually."},"sdkUrl":"https:\u002F\u002Fwww.paypal.com\u002Fsdk\u002Fjs"},"stripePublishableKey":"pk_live_7FReX44VnNIInZwrIIx6ghjl","log":{"json":true,"level":"info"},"imageUploadMaxSizeMb":25,"staffPicks":{"title":"Staff Picks","catalogId":"c7bc6e1ee00f"}},"session":{"xsrf":""}}</script><script>window.__APOLLO_STATE__ = {"ROOT_QUERY":{"__typename":"Query","viewer":null,"collectionByDomainOrSlug({\"domainOrSlug\":\"invisible-illness\"})":{"__ref":"Collection:b224b324ef5"},"postResult({\"id\":\"19c9e3ff4799\"})":{"__ref":"Post:19c9e3ff4799"}},"ImageMetadata:":{"__typename":"ImageMetadata","id":""},"Collection:b224b324ef5":{"__typename":"Collection","id":"b224b324ef5","favicon":{"__ref":"ImageMetadata:"},"customStyleSheet":{"__ref":"CustomStyleSheet:a7264c3601a8"},"colorPalette":{"__typename":"ColorPalette","highlightSpectrum":{"__typename":"ColorSpectrum","backgroundColor":"#FFFFFFFF","colorPoints":[{"__typename":"ColorPoint","color":"#FFEBF3FF","point":0},{"__typename":"ColorPoint","color":"#FFE7F2FF","point":0.1},{"__typename":"ColorPoint","color":"#FFE3F0FF","point":0.2},{"__typename":"ColorPoint","color":"#FFDFEEFF","point":0.3},{"__typename":"ColorPoint","color":"#FFDBECFF","point":0.4},{"__typename":"ColorPoint","color":"#FFD7EBFF","point":0.5},{"__typename":"ColorPoint","color":"#FFD3E9FF","point":0.6},{"__typename":"ColorPoint","color":"#FFCFE7FF","point":0.7},{"__typename":"ColorPoint","color":"#FFCAE5FF","point":0.8},{"__typename":"ColorPoint","color":"#FFC6E4FF","point":0.9},{"__typename":"ColorPoint","color":"#FFC2E2FF","point":1}]},"defaultBackgroundSpectrum":{"__typename":"ColorSpectrum","backgroundColor":"#FFFFFFFF","colorPoints":[{"__typename":"ColorPoint","color":"#FF5E85D7","point":0},{"__typename":"ColorPoint","color":"#FF597CC5","point":0.1},{"__typename":"ColorPoint","color":"#FF5373B4","point":0.2},{"__typename":"ColorPoint","color":"#FF4E69A2","point":0.3},{"__typename":"ColorPoint","color":"#FF475F90","point":0.4},{"__typename":"ColorPoint","color":"#FF41557F","point":0.5},{"__typename":"ColorPoint","color":"#FF394B6D","point":0.6},{"__typename":"ColorPoint","color":"#FF323F5C","point":0.7},{"__typename":"ColorPoint","color":"#FF29344A","point":0.8},{"__typename":"ColorPoint","color":"#FF1F2838","point":0.9},{"__typename":"ColorPoint","color":"#FF151A26","point":1}]},"tintBackgroundSpectrum":{"__typename":"ColorSpectrum","backgroundColor":"#FF234999","colorPoints":[{"__typename":"ColorPoint","color":"#FF234999","point":0},{"__typename":"ColorPoint","color":"#FF3E60A8","point":0.1},{"__typename":"ColorPoint","color":"#FF5675B6","point":0.2},{"__typename":"ColorPoint","color":"#FF6C89C3","point":0.3},{"__typename":"ColorPoint","color":"#FF829CD0","point":0.4},{"__typename":"ColorPoint","color":"#FF97ADDC","point":0.5},{"__typename":"ColorPoint","color":"#FFABBFE7","point":0.6},{"__typename":"ColorPoint","color":"#FFBFCFF2","point":0.7},{"__typename":"ColorPoint","color":"#FFD3E0FD","point":0.8},{"__typename":"ColorPoint","color":"#FFE6F0FF","point":0.9},{"__typename":"ColorPoint","color":"#FFF9FFFF","point":1}]}},"domain":null,"slug":"invisible-illness","googleAnalyticsId":null,"name":"Invisible Illness","avatar":{"__ref":"ImageMetadata:1*KCdWeLHgIFfw5gv7fX97Eg.jpeg"},"description":"Medium’s biggest mental health publication","subscriberCount":78075,"latestPostsConnection({\"paging\":{\"limit\":1}})":{"__typename":"PostConnection","posts":[{"__ref":"Post:67830fac6377"}]},"isAuroraVisible":true,"tintColor":"#FF234999","newsletterV3":{"__ref":"NewsletterV3:7a4d839094b2"},"viewerEdge":{"__ref":"CollectionViewerEdge:collectionId:b224b324ef5-viewerId:lo_6056909b0bf2"},"twitterUsername":"InvisibleIllpub","facebookPageId":null,"logo":{"__ref":"ImageMetadata:1*b_48OPb_E9Ro2lNwpR2sEw.png"}},"CustomStyleSheet:a7264c3601a8":{"__typename":"CustomStyleSheet","id":"a7264c3601a8","global":{"__typename":"GlobalStyles","colorPalette":{"__typename":"StyleSheetColorPalette","primary":{"__typename":"ColorValue","colorPalette":{"__typename":"ColorPalette","highlightSpectrum":{"__typename":"ColorSpectrum","backgroundColor":"#FFFFFFFF","colorPoints":[{"__typename":"ColorPoint","color":"#FFEDF3FF","point":0},{"__typename":"ColorPoint","color":"#FFE9F2FF","point":0.1},{"__typename":"ColorPoint","color":"#FFE6F0FF","point":0.2},{"__typename":"ColorPoint","color":"#FFE2EEFF","point":0.3},{"__typename":"ColorPoint","color":"#FFDFEDFF","point":0.4},{"__typename":"ColorPoint","color":"#FFDBEBFF","point":0.5},{"__typename":"ColorPoint","color":"#FFD8E9FF","point":0.6},{"__typename":"ColorPoint","color":"#FFD4E8FF","point":0.7},{"__typename":"ColorPoint","color":"#FFD0E6FF","point":0.8},{"__typename":"ColorPoint","color":"#FFCCE4FF","point":0.9},{"__typename":"ColorPoint","color":"#FFC9E2FF","point":1}]},"defaultBackgroundSpectrum":{"__typename":"ColorSpectrum","backgroundColor":"#FFFFFFFF","colorPoints":[{"__typename":"ColorPoint","color":"#FF6787BC","point":0},{"__typename":"ColorPoint","color":"#FF617EAD","point":0.1},{"__typename":"ColorPoint","color":"#FF5A749E","point":0.2},{"__typename":"ColorPoint","color":"#FF546A8F","point":0.3},{"__typename":"ColorPoint","color":"#FF4D6080","point":0.4},{"__typename":"ColorPoint","color":"#FF455671","point":0.5},{"__typename":"ColorPoint","color":"#FF3D4B62","point":0.6},{"__typename":"ColorPoint","color":"#FF354053","point":0.7},{"__typename":"ColorPoint","color":"#FF2B3443","point":0.8},{"__typename":"ColorPoint","color":"#FF212833","point":0.9},{"__typename":"ColorPoint","color":"#FF161A22","point":1}]},"tintBackgroundSpectrum":{"__typename":"ColorSpectrum","backgroundColor":"#FF1a3a6b","colorPoints":[{"__typename":"ColorPoint","color":"#FF1A3A6B","point":0},{"__typename":"ColorPoint","color":"#FF375380","point":0.1},{"__typename":"ColorPoint","color":"#FF516A93","point":0.2},{"__typename":"ColorPoint","color":"#FF687FA5","point":0.3},{"__typename":"ColorPoint","color":"#FF7F94B6","point":0.4},{"__typename":"ColorPoint","color":"#FF95A7C6","point":0.5},{"__typename":"ColorPoint","color":"#FFAABAD4","point":0.6},{"__typename":"ColorPoint","color":"#FFBFCCE3","point":0.7},{"__typename":"ColorPoint","color":"#FFD3DDF1","point":0.8},{"__typename":"ColorPoint","color":"#FFE7EFFE","point":0.9},{"__typename":"ColorPoint","color":"#FFFBFFFF","point":1}]}},"rgb":"1a3a6b"},"background":{"__typename":"ColorValue","rgb":"f9f9f9","alpha":"ff","colorPalette":{"__typename":"ColorPalette","highlightSpectrum":{"__typename":"ColorSpectrum","backgroundColor":"#FFFFFFFF","colorPoints":[{"__typename":"ColorPoint","color":"#FFF4F2F2","point":0},{"__typename":"ColorPoint","color":"#FFF2F0F0","point":0.1},{"__typename":"ColorPoint","color":"#FFF0EEEE","point":0.2},{"__typename":"ColorPoint","color":"#FFEEECEC","point":0.3},{"__typename":"ColorPoint","color":"#FFECEBEA","point":0.4},{"__typename":"ColorPoint","color":"#FFEAE9E8","point":0.5},{"__typename":"ColorPoint","color":"#FFE8E7E7","point":0.6},{"__typename":"ColorPoint","color":"#FFE6E5E5","point":0.7},{"__typename":"ColorPoint","color":"#FFE4E3E3","point":0.8},{"__typename":"ColorPoint","color":"#FFE2E1E1","point":0.9},{"__typename":"ColorPoint","color":"#FFE0DFDF","point":1}]},"defaultBackgroundSpectrum":{"__typename":"ColorSpectrum","backgroundColor":"#FFFFFFFF","colorPoints":[{"__typename":"ColorPoint","color":"#FF848585","point":0},{"__typename":"ColorPoint","color":"#FF7B7B7B","point":0.1},{"__typename":"ColorPoint","color":"#FF717272","point":0.2},{"__typename":"ColorPoint","color":"#FF686868","point":0.3},{"__typename":"ColorPoint","color":"#FF5E5E5E","point":0.4},{"__typename":"ColorPoint","color":"#FF545454","point":0.5},{"__typename":"ColorPoint","color":"#FF494A4A","point":0.6},{"__typename":"ColorPoint","color":"#FF3F3F3F","point":0.7},{"__typename":"ColorPoint","color":"#FF333333","point":0.8},{"__typename":"ColorPoint","color":"#FF272727","point":0.9},{"__typename":"ColorPoint","color":"#FF1A1A1A","point":1}]},"tintBackgroundSpectrum":{"__typename":"ColorSpectrum","backgroundColor":"#FFf9f9f9","colorPoints":[{"__typename":"ColorPoint","color":"#FFF9F9F9","point":0},{"__typename":"ColorPoint","color":"#FFE7E7E7","point":0.1},{"__typename":"ColorPoint","color":"#FFD4D4D4","point":0.2},{"__typename":"ColorPoint","color":"#FFC1C1C1","point":0.3},{"__typename":"ColorPoint","color":"#FFADADAE","point":0.4},{"__typename":"ColorPoint","color":"#FF989999","point":0.5},{"__typename":"ColorPoint","color":"#FF838484","point":0.6},{"__typename":"ColorPoint","color":"#FF6D6E6E","point":0.7},{"__typename":"ColorPoint","color":"#FF565757","point":0.8},{"__typename":"ColorPoint","color":"#FF3C3E3E","point":0.9},{"__typename":"ColorPoint","color":"#FF202122","point":1}]}}}},"fonts":{"__typename":"StyleSheetFonts","font1":{"__typename":"StyleSheetFont","name":"SERIF_2"},"font2":{"__typename":"StyleSheetFont","name":"SERIF_2"},"font3":{"__typename":"StyleSheetFont","name":"SERIF_2"}}},"header":{"__typename":"HeaderStyles","backgroundImage":{"__ref":"ImageMetadata:1*zTeczaKQu7QhIW5RJ_EfEg.jpeg"}}},"ImageMetadata:1*KCdWeLHgIFfw5gv7fX97Eg.jpeg":{"__typename":"ImageMetadata","id":"1*KCdWeLHgIFfw5gv7fX97Eg.jpeg"},"User:8fb1ad8f499b":{"__typename":"User","id":"8fb1ad8f499b","customDomainState":{"__typename":"CustomDomainState","live":{"__typename":"CustomDomain","domain":"sheriheller.medium.com"}},"hasSubdomain":true,"username":"sheriheller","linkedAccounts":{"__ref":"LinkedAccounts:8fb1ad8f499b"},"isSuspended":false,"name":"Rev. Sheri Heller, LCSW, RSW","imageId":"1*KPqRFu-T5awhi7m9L40T9g@2x.jpeg","verifications":{"__typename":"VerifiedInfo","isBookAuthor":true},"socialStats":{"__typename":"SocialStats","followerCount":23493,"followingCount":325,"collectionFollowingCount":31},"bio":"Complex trauma clinician and writer. Survivor turned thriver, with a love for world travel, the arts and nature. I think outside the box. Sheritherapist.com","membership":{"__ref":"Membership:b94b8169-fe2a-4964-8c89-c9f99af0b7ea"},"allowNotes":true,"viewerEdge":{"__ref":"UserViewerEdge:userId:8fb1ad8f499b-viewerId:lo_6056909b0bf2"},"twitterScreenName":"SheriHeller"},"Post:67830fac6377":{"__typename":"Post","id":"67830fac6377","firstPublishedAt":1739715149746,"creator":{"__ref":"User:8fb1ad8f499b"},"collection":{"__ref":"Collection:b224b324ef5"},"isSeries":false,"mediumUrl":"https:\u002F\u002Fmedium.com\u002Finvisible-illness\u002Fcomplex-trauma-helplessness-67830fac6377","sequence":null,"uniqueSlug":"complex-trauma-helplessness-67830fac6377"},"NewsletterV3:7a4d839094b2":{"__typename":"NewsletterV3","id":"7a4d839094b2"},"LinkedAccounts:8fb1ad8f499b":{"__typename":"LinkedAccounts","mastodon":null,"id":"8fb1ad8f499b"},"Membership:b94b8169-fe2a-4964-8c89-c9f99af0b7ea":{"__typename":"Membership","tier":"MEMBER","id":"b94b8169-fe2a-4964-8c89-c9f99af0b7ea"},"Paragraph:73508c18fe17_0":{"__typename":"Paragraph","id":"73508c18fe17_0","name":"e94d","type":"H3","href":null,"layout":null,"metadata":null,"text":"Skin Hunger And The Failure to Thrive","hasDropCap":null,"dropCapImage":null,"markups":[],"codeBlockMetadata":null,"iframe":null,"mixtapeMetadata":null},"Paragraph:73508c18fe17_1":{"__typename":"Paragraph","id":"73508c18fe17_1","name":"6ee5","type":"H4","href":null,"layout":null,"metadata":null,"text":"The tragic repercussions of being denied loving touch","hasDropCap":null,"dropCapImage":null,"markups":[],"codeBlockMetadata":null,"iframe":null,"mixtapeMetadata":null},"ImageMetadata:0*SbRYCigQl2-V8Kq1":{"__typename":"ImageMetadata","id":"0*SbRYCigQl2-V8Kq1","originalHeight":4000,"originalWidth":6000,"focusPercentX":null,"focusPercentY":null,"alt":null},"Paragraph:73508c18fe17_2":{"__typename":"Paragraph","id":"73508c18fe17_2","name":"8464","type":"IMG","href":null,"layout":"OUTSET_CENTER","metadata":{"__ref":"ImageMetadata:0*SbRYCigQl2-V8Kq1"},"text":"Photo by Thomas Park on Unsplash","hasDropCap":null,"dropCapImage":null,"markups":[{"__typename":"Markup","type":"A","start":9,"end":20,"href":"https:\u002F\u002Funsplash.com\u002F@thomascpark?utm_source=medium&utm_medium=referral","anchorType":"LINK","userId":null,"linkMetadata":null},{"__typename":"Markup","type":"A","start":24,"end":32,"href":"https:\u002F\u002Funsplash.com?utm_source=medium&utm_medium=referral","anchorType":"LINK","userId":null,"linkMetadata":null}],"codeBlockMetadata":null,"iframe":null,"mixtapeMetadata":null},"Paragraph:73508c18fe17_3":{"__typename":"Paragraph","id":"73508c18fe17_3","name":"0e51","type":"P","href":null,"layout":null,"metadata":null,"text":"It’s common knowledge that children require consistent exposure to many kinds of novel sensory stimulation and experiences in order to adequately respond to the environment and develop into healthy human beings. This includes caring touch. In fact, research in neonatal intensive care units (NICUs), substantiate the importance of consistent touch, revealing that premature infants who receive regular skin-to-skin contact, also known as kangaroo care, have better physical and emotional outcomes. Additionally, studies indicate that infant massage correlates with a significant increase with weight gain and physical growth.","hasDropCap":true,"dropCapImage":null,"markups":[{"__typename":"Markup","type":"A","start":226,"end":238,"href":"https:\u002F\u002Fwww.brighthorizons.com\u002Fresources\u002FArticle\u002FCaring-Touch-Is-Critical-to-Thriving","anchorType":"LINK","userId":null,"linkMetadata":null},{"__typename":"Markup","type":"A","start":250,"end":257,"href":"https:\u002F\u002Fpmc.ncbi.nlm.nih.gov\u002Farticles\u002FPMC3287094\u002F","anchorType":"LINK","userId":null,"linkMetadata":null},{"__typename":"Markup","type":"A","start":364,"end":381,"href":"https:\u002F\u002Fpmc.ncbi.nlm.nih.gov\u002Farticles\u002FPMC6956667\u002F","anchorType":"LINK","userId":null,"linkMetadata":null},{"__typename":"Markup","type":"A","start":438,"end":451,"href":"https:\u002F\u002Fmy.clevelandclinic.org\u002Fhealth\u002Ftreatments\u002F12578-kangaroo-care","anchorType":"LINK","userId":null,"linkMetadata":null},{"__typename":"Markup","type":"A","start":512,"end":528,"href":"https:\u002F\u002Fpmc.ncbi.nlm.nih.gov\u002Farticles\u002FPMC9309640\u002F","anchorType":"LINK","userId":null,"linkMetadata":null}],"codeBlockMetadata":null,"iframe":null,"mixtapeMetadata":null},"Paragraph:73508c18fe17_4":{"__typename":"Paragraph","id":"73508c18fe17_4","name":"a4b8","type":"P","href":null,"layout":null,"metadata":null,"text":"However, for those who are afflicted with complex trauma, skin hunger (aka touch starvation), a deep need for physical touch and human contact, is a condition endured throughout youth and well into adulthood. Considering that skin hunger often stems from early-life neglect or abuse where nurturing, healthy touch was absent or inconsistent, as a complex trauma clinician of over three decades, addressing this tragic emotional and sensory deficit is a priority in trauma-informed treatment.","hasDropCap":null,"dropCapImage":null,"markups":[{"__typename":"Markup","type":"A","start":42,"end":56,"href":"https:\u002F\u002Fmedium.com\u002Fp\u002Fa12b700661a7","anchorType":"LINK","userId":null,"linkMetadata":null},{"__typename":"Markup","type":"A","start":59,"end":69,"href":"https:\u002F\u002Fwww.goodtherapy.org\u002Fblog\u002Fskin-hunger\u002F","anchorType":"LINK","userId":null,"linkMetadata":null}],"codeBlockMetadata":null,"iframe":null,"mixtapeMetadata":null},"Paragraph:73508c18fe17_5":{"__typename":"Paragraph","id":"73508c18fe17_5","name":"be03","type":"P","href":null,"layout":null,"metadata":null,"text":"Given that physical contact is the foundation for forming a secure attachment with a caregiver and that touch lowers cortisol, a stress…","hasDropCap":null,"dropCapImage":null,"markups":[],"codeBlockMetadata":null,"iframe":null,"mixtapeMetadata":null},"CollectionViewerEdge:collectionId:b224b324ef5-viewerId:lo_6056909b0bf2":{"__typename":"CollectionViewerEdge","id":"collectionId:b224b324ef5-viewerId:lo_6056909b0bf2","isEditor":false,"isMuting":false},"UserViewerEdge:userId:8fb1ad8f499b-viewerId:lo_6056909b0bf2":{"__typename":"UserViewerEdge","id":"userId:8fb1ad8f499b-viewerId:lo_6056909b0bf2","isMuting":false},"ImageMetadata:1*b_48OPb_E9Ro2lNwpR2sEw.png":{"__typename":"ImageMetadata","id":"1*b_48OPb_E9Ro2lNwpR2sEw.png","originalWidth":1218,"originalHeight":238},"PostViewerEdge:postId:19c9e3ff4799-viewerId:lo_6056909b0bf2":{"__typename":"PostViewerEdge","shouldIndexPostForExternalSearch":true,"id":"postId:19c9e3ff4799-viewerId:lo_6056909b0bf2"},"Tag:mental-health":{"__typename":"Tag","id":"mental-health","displayTitle":"Mental Health","normalizedTagSlug":"mental-health"},"Tag:attachment":{"__typename":"Tag","id":"attachment","displayTitle":"Attachment","normalizedTagSlug":"attachment"},"Tag:touch":{"__typename":"Tag","id":"touch","displayTitle":"Touch","normalizedTagSlug":"touch"},"Tag:psychology":{"__typename":"Tag","id":"psychology","displayTitle":"Psychology","normalizedTagSlug":"psychology"},"Tag:love":{"__typename":"Tag","id":"love","displayTitle":"Love","normalizedTagSlug":"love"},"ImageMetadata:1*zTeczaKQu7QhIW5RJ_EfEg.jpeg":{"__typename":"ImageMetadata","id":"1*zTeczaKQu7QhIW5RJ_EfEg.jpeg"},"Post:19c9e3ff4799":{"__typename":"Post","id":"19c9e3ff4799","collection":{"__ref":"Collection:b224b324ef5"},"content({\"postMeteringOptions\":{\"referrer\":\"\"}})":{"__typename":"PostContent","isLockedPreviewOnly":true,"bodyModel":{"__typename":"RichText","sections":[{"__typename":"Section","name":null,"startIndex":0,"textLayout":null,"imageLayout":null,"backgroundImage":null,"videoLayout":null,"backgroundVideo":null}],"paragraphs":[{"__ref":"Paragraph:73508c18fe17_0"},{"__ref":"Paragraph:73508c18fe17_1"},{"__ref":"Paragraph:73508c18fe17_2"},{"__ref":"Paragraph:73508c18fe17_3"},{"__ref":"Paragraph:73508c18fe17_4"},{"__ref":"Paragraph:73508c18fe17_5"}]},"validatedShareKey":"","shareKeyCreator":null},"creator":{"__ref":"User:8fb1ad8f499b"},"inResponseToEntityType":null,"isLocked":true,"isMarkedPaywallOnly":false,"lockedSource":"LOCKED_POST_SOURCE_UGC","mediumUrl":"https:\u002F\u002Fmedium.com\u002Finvisible-illness\u002Fskin-hunger-and-the-failure-to-thrive-19c9e3ff4799","primaryTopic":null,"topics":[{"__typename":"Topic","slug":"mental-health"},{"__typename":"Topic","slug":"psychology"}],"isLimitedState":false,"isPublished":true,"allowResponses":true,"latestPublishedVersion":"73508c18fe17","visibility":"LOCKED","postResponses":{"__typename":"PostResponses","count":25},"responseDistribution":"NOT_DISTRIBUTED","clapCount":2524,"title":"Skin Hunger And The Failure to Thrive","isSeries":false,"sequence":null,"uniqueSlug":"skin-hunger-and-the-failure-to-thrive-19c9e3ff4799","socialTitle":"","socialDek":"","canonicalUrl":"","metaDescription":"","latestPublishedAt":1731797542009,"readingTime":8.202830188679245,"previewContent":{"__typename":"PreviewContent","subtitle":"The tragic repercussions of being denied loving touch"},"previewImage":{"__ref":"ImageMetadata:0*SbRYCigQl2-V8Kq1"},"isShortform":false,"seoTitle":"","firstPublishedAt":1731797542009,"updatedAt":1732088579739,"shortformType":"SHORTFORM_TYPE_LINK","seoDescription":"","viewerEdge":{"__ref":"PostViewerEdge:postId:19c9e3ff4799-viewerId:lo_6056909b0bf2"},"isSuspended":false,"license":"ALL_RIGHTS_RESERVED","tags":[{"__ref":"Tag:mental-health"},{"__ref":"Tag:attachment"},{"__ref":"Tag:touch"},{"__ref":"Tag:psychology"},{"__ref":"Tag:love"}],"isFeaturedInPublishedPublication":false,"isNewsletter":false,"statusForCollection":"APPROVED","pendingCollection":null,"detectedLanguage":"en","wordCount":2028,"layerCake":1,"responsesLocked":false}}</script><script>window.__MIDDLEWARE_STATE__={"session":{"xsrf":""},"cache":{"cacheStatus":"MISS"}}</script><script src="https://cdn-client.medium.com/lite/static/js/manifest.8b67b313.js"></script><script src="https://cdn-client.medium.com/lite/static/js/9865.1496d74a.js"></script><script src="https://cdn-client.medium.com/lite/static/js/main.94ea62ed.js"></script><script src="https://cdn-client.medium.com/lite/static/js/instrumentation.5bef8967.chunk.js"></script> <script src="https://cdn-client.medium.com/lite/static/js/reporting.ff22a7a5.chunk.js"></script> <script src="https://cdn-client.medium.com/lite/static/js/9120.5df29668.chunk.js"></script> <script src="https://cdn-client.medium.com/lite/static/js/5049.d1ead72d.chunk.js"></script> <script src="https://cdn-client.medium.com/lite/static/js/4505.6dfaf853.chunk.js"></script> <script src="https://cdn-client.medium.com/lite/static/js/6618.db187378.chunk.js"></script> <script src="https://cdn-client.medium.com/lite/static/js/9380.fb176dee.chunk.js"></script> <script src="https://cdn-client.medium.com/lite/static/js/2707.dc8dbee4.chunk.js"></script> <script src="https://cdn-client.medium.com/lite/static/js/9977.933c1c9a.chunk.js"></script> <script src="https://cdn-client.medium.com/lite/static/js/8599.68bc318b.chunk.js"></script> <script src="https://cdn-client.medium.com/lite/static/js/3045.1cc3d8cb.chunk.js"></script> <script src="https://cdn-client.medium.com/lite/static/js/6349.3329b100.chunk.js"></script> <script src="https://cdn-client.medium.com/lite/static/js/2648.26563adf.chunk.js"></script> <script src="https://cdn-client.medium.com/lite/static/js/8393.a4ecfb83.chunk.js"></script> <script src="https://cdn-client.medium.com/lite/static/js/6428.36238b5a.chunk.js"></script> <script src="https://cdn-client.medium.com/lite/static/js/6199.6da73f3b.chunk.js"></script> <script src="https://cdn-client.medium.com/lite/static/js/5642.7d9f7f3d.chunk.js"></script> <script src="https://cdn-client.medium.com/lite/static/js/6546.67eb283b.chunk.js"></script> <script src="https://cdn-client.medium.com/lite/static/js/6834.8aa8d357.chunk.js"></script> <script src="https://cdn-client.medium.com/lite/static/js/4492.0c3e1a1d.chunk.js"></script> <script src="https://cdn-client.medium.com/lite/static/js/2571.6814b962.chunk.js"></script> <script src="https://cdn-client.medium.com/lite/static/js/839.1c286b32.chunk.js"></script> <script src="https://cdn-client.medium.com/lite/static/js/6128.f8800a13.chunk.js"></script> <script src="https://cdn-client.medium.com/lite/static/js/2135.2e8dc177.chunk.js"></script> <script src="https://cdn-client.medium.com/lite/static/js/7975.60bcefe8.chunk.js"></script> <script src="https://cdn-client.medium.com/lite/static/js/144.86429b48.chunk.js"></script> <script src="https://cdn-client.medium.com/lite/static/js/5240.6281357f.chunk.js"></script> <script src="https://cdn-client.medium.com/lite/static/js/8819.c627c2bf.chunk.js"></script> <script src="https://cdn-client.medium.com/lite/static/js/8204.d0637ed0.chunk.js"></script> <script src="https://cdn-client.medium.com/lite/static/js/PostPage.MainContent.c3ee9367.chunk.js"></script> <script src="https://cdn-client.medium.com/lite/static/js/8414.0d800846.chunk.js"></script> <script src="https://cdn-client.medium.com/lite/static/js/3974.8d3e0217.chunk.js"></script> <script src="https://cdn-client.medium.com/lite/static/js/2527.18a8996d.chunk.js"></script> <script src="https://cdn-client.medium.com/lite/static/js/PostResponsesContent.e1e580cb.chunk.js"></script> <script src="https://cdn-client.medium.com/lite/static/js/responses.editor.e89462cb.chunk.js"></script><script>window.main();</script><script>(function(){function c(){var b=a.contentDocument||a.contentWindow.document;if(b){var d=b.createElement('script');d.innerHTML="window.__CF$cv$params={r:'9134f59e3cb0ce1e',t:'MTczOTc4NjczMS4wMDAwMDA='};var a=document.createElement('script');a.nonce='';a.src='/cdn-cgi/challenge-platform/scripts/jsd/main.js';document.getElementsByTagName('head')[0].appendChild(a);";b.getElementsByTagName('head')[0].appendChild(d)}}if(document.body){var a=document.createElement('iframe');a.height=1;a.width=1;a.style.position='absolute';a.style.top=0;a.style.left=0;a.style.border='none';a.style.visibility='hidden';document.body.appendChild(a);if('loading'!==document.readyState)c();else if(window.addEventListener)document.addEventListener('DOMContentLoaded',c);else{var e=document.onreadystatechange||function(){};document.onreadystatechange=function(b){e(b);'loading'!==document.readyState&&(document.onreadystatechange=e,c())}}}})();</script></body></html>