A personal comic I made some time ago about discovering AVPD and how I relate to it. This isn’t meant to be diagnostic at all and everyone experiences it differently.

Unless it impacts your work performance…

Or your grades

Or how you act

Or if it causes you to say no

Or if you’re harder to be around

Or if you need time alone

Or if you talk about it

Or show symptoms

“It’s okay to not be okay”

Unless you have trauma

Unless you have one of those “scary” mental illnesses

Unless it inconveniences me

Unless you’re undiagnosed

Unless you cry or scream or make a scene

Unless you don’t keep that shit to yourself

Unless you make me uncomfortable

Unless I can’t infantilize or fetishize you

Unless you have hallucinations

Unless you have psychosis

Unless you get angry

Unless I think you’re cringe

Unless you can’t preform hygiene tasks

Unless you’re disabled, or trans, or gay, or not white, or fat, or AFAB, or intersex, or a man… so I guess anyone

“It’s okay to not be okay”

As long as nobody ever finds out.

he also said that it was incredibly unlikely that sexism will ever be resolved in the medical field. that the majority of medications i will ever take - even some of which are "for women" - will not be clinically tested on my body.

the problem, he said, was in getting any human clinical trial approved. to test on a body with a uterus - any body, even elderly patients or those who have been sterilized - was often nigh-impossible, because the concern was that the test patient may, at any point, become pregnant. once/if the patient became pregnant, the study would not be about "the effects of New Medication on the body." instead, the trial would fail - the results would be "the effects of New Medication on a developing fetus/pregnant patient."

it was massively easier, he said, to just test without accounting for a uterus. that's how he phrased it - accounting for a uterus.

at the time, i remember him talking about the ethical implications of testing on a developing fetus; how such testing could theoretically bankrupt a company if a lawsuit was filed. he talked about informed consent and about how long it took for any legislation to be passed about this - that in 1993; the year i was born, it finally became illegal to outright exclude women and minorities from clinical trials.

i remember him shrugging. "that's not to say it doesn't happen," he said. my ears were ringing.

i was thinking about how every time i have been rushed to the ER, the first thing they have asked me is if i am pregnant. when i broke my wrist at 16 years old - despite never having had sex - they made me wait three hours for the test to come back negative before they gave me pain meds. the possibility of a child haunts my health.

how many people have died on the table because they were waiting for the pregnancy test before treatment. how many people have died on the table because they were pregnant, and the only thing we care about is the fetus.

it is hard to explain to other people, but it feels like some kind of strange ghost. our entire lives, we are supposed to "save" our bodies for our future partners. but really we are just saving the body for the future child, aren't we? that hovering future-almost that cartwheels around in a miasma. you can't get your tubes tied, what if you change your mind? think of the child you must have, eventually.