When I Am No Longer Emotionally Available for Someone Else’s Medical Needs
- Julie Jewels Smoot
- Jan 12
- 2 min read

There came a point when something in me went quiet and clear at the same time.
Not dramatic.
Not angry.
Just certain.
I can’t do this anymore.
After being raped.
After watching my mother die from metastatic breast cancer.
After living inside medical systems that demanded constant vigilance, strength, and emotional steadiness.
I reached the limit of my emotional availability.
And that limit is real.
Trauma Changed My Capacity
Trauma didn’t just hurt me.
It reorganized what I am capable of holding.
Sexual violence broke my sense of safety.
Medical trauma reshaped my relationship to bodies, illness, and care.
Watching my mother decline over time drained something I don’t get back by resting harder or trying more.
I still feel compassion.
I still care.
But I no longer have the capacity to be emotionally present for someone else’s medical needs without harming myself.
That matters, even if it makes others uncomfortable.
Medical Needs Ask More Than People Admit
Being emotionally available for someone else’s medical situation is not neutral or small.
It asks me to:
hold fear and uncertainty
stay regulated while others unravel
witness vulnerability and decline
engage systems that already injured me
After what I’ve lived through, that kind of availability doesn’t feel generous—it feels dangerous.
Saying no is not abandonment. It is self-preservation.
I Am Allowed to Stop Being the Container
For a long time, I was the one who could handle it.
The one who stayed steady.
The one who showed up.
Once you prove you can endure, people expect you to keep doing it.
But endurance is not consent.
I am no longer willing to sacrifice my nervous system to meet expectations that ignore what I’ve already survived.
Saying “I’m not emotionally available for this” is not cruelty. It is honesty.
This Boundary Is Not Punishment
This boundary does not mean I don’t care.
It does not mean I lack empathy.
It does not mean I don’t understand suffering.
It means I know my limits.
I am not withholding love.
I am refusing further harm.
A boundary is not a judgment of another person’s needs.
It is information about my own capacity.
Grief and Trauma Changed What I Can Hold
Watching my mother die from cancer changed me permanently.
So did being raped.
Those experiences altered what kinds of pain I can witness without being pulled back into my own.
I do not owe anyone access to the parts of me that were injured.
Care does not require self-erasure.
This Boundary Is Not Too Late
If I’m honest, this boundary probably should have been set earlier.
But trauma delays clarity. Grief blurs limits. Survival teaches people to override themselves.
Reaching this point is not failure.
It is reckoning.
Saying “I can’t do this anymore” is not giving up.
It is choosing to remain intact.
And that choice is mine.
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