Why I Can Offer Sound Without Being Emotionally Available for Medical Needs
- Julie Jewels Smoot
- Jan 12
- 2 min read

This is something I want to be clear about, because it matters — to my integrity, to the people who listen to my work, and to the boundaries that keep this work ethical.
I am not emotionally available for other people’s medical needs.
And I am still able to offer sound.
These two statements are not in conflict.
What I Mean When I Say I’m Not Emotionally Available for Medical Needs
Being emotionally available for medical needs usually means being in a role that requires ongoing responsiveness: holding fear, absorbing uncertainty, participating in crisis language, and staying present inside systems that are invasive, urgent, and emotionally charged.
After surviving sexual violence and after watching my mother die from metastatic breast cancer, my nervous system has clear limits around this kind of engagement.
Saying I am not emotionally available for medical needs is not a lack of care. It is an accurate statement of capacity.
I cannot safely be in roles that require me to contain, co-regulate, or respond to medical suffering.
What My Sound Work Is — and Is Not
My work is not medical care. It is not therapy. It is not treatment.
I do not:
offer diagnosis or guidance
respond to medical stories or crises
hold people’s personal narratives
promise outcomes or healing
provide emotional support in real time
The sound is offered without instruction and without expectation. Listening is optional. Stopping is allowed.
This work is intentionally non-relational.
That design is not accidental — it is protective.
Offering Sound Does Not Require Emotional Availability
Being emotionally available means responding, adjusting, reassuring, and holding someone else’s experience.
My sound work does not ask that of me.
I am not present to listeners. I am present in the work.
Once the sound is released, it does not require my nervous system to engage, manage, or contain anyone else. There is no exchange.
There is no dependency.
Sound exists. Listeners choose how — or whether — to engage.
Why This Structure Is Ethical
It would be unethical for me to:
present myself as emotionally available when I am not
blur the line between sound and medical support
invite dependency I cannot safely hold
By being explicit about my limits and by designing my work around consent and self-direction, I am protecting both myself and the listener.
No one is asked to hand their care over to me. No one is asked to stay. No one is asked to trust me with their medical story.
Care Without Extraction
My work offers sound without demand. Presence without performance. Access without obligation.
This is the only way I can offer care without harming myself — and without misleading others.
I am not emotionally available for medical needs. I am available to create sound that does not require my emotional labor.
Those truths can coexist.
A Closing Clarification
If you are looking for medical, therapeutic, or emotional support, this work is not a replacement for that.
If you are looking for sound that can exist alongside your experience — without instruction, pressure, or expectation — you are welcome here.
Nothing is required of you. And nothing is being taken from me.



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