A diagnosis - or even the possibility of one - can divide life into a before and an after. It doesn’t just change a medical chart. It can change how you relate to your body, your identity, your sexuality, your partner, and the future you thought you understood. In this episode, Angie and Krissy sit down with NARM Master Therapist Sara Champie, LCSW, for a deeply personal conversation about developmental trauma, hereditary cancer risk, and staying connected to yourself when your body changes the entire damn map. Sara shares her experience of losing her mother to ovarian cancer at age 10, receiving her own BRCA1-positive genetic results by mail with little support, and living for years with elevated cancer risk. She also opens up about choosing a prophylactic double mastectomy—on her timeline and according to her values, rather than being rushed into someone else’s plan. Together, they explore what serious illness can awaken: old survival strategies, guilt about burdening others, the reflex to caretake everyone else, and the pressure for women to remain healthy, attractive, capable, and “whole.” They also talk honestly about intimacy after illness and surgery - including body image, dissociation, scars, hormonal changes, surgical menopause, and reconnecting with a body that may no longer feel familiar. At the center of it all is one powerful question: Who are we now? Not who were we before the diagnosis, surgery, or loss - but who are we today, and what do we need now? In this episode, we talk about:How illness can reactivate childhood survival strategiesThe “woman who holds everything together” and the cost of caretakingGuilt, self-blame, and believing you should have known something was wrongSara’s experience with childhood loss, BRCA1, and hereditary cancer riskMaking medical decisions at your own pace and from your own valuesCultural messages about health, femininity, aging, and being “whole”Body image, hormones, and sexual connection after treatmentReconnecting with a changed body through curiosity and compassionTrusting yourself as part of informed medical decision-makingAbout Sara ChampieSara Champie, LCSW, is a psychotherapist and NARM Master Therapist specializing in developmental trauma, grief, cancer, hereditary genetic risk, and life-altering medical decisions. She also hosts Walking the Genetic Line, a podcast exploring hereditary cancer risk, trauma, identity, and healing. Connect with Sara:Website: sarachampielcsw.com Instagram: @sarachampielcsw Podcast: Walking the Genetic Line Connect with your hosts:Krissy Johnson, LMFT In The Life Therapy Instagram: @inthelifetherapy Website: inthelifetherapy.com Angie Martin, LCPC, LMHC New Approach Mental Health Instagram: @newapproachmentalhealth Website: newapproachmentalhealth.com Follow Sex, Secrets, & SassIf you enjoyed this episode, follow Sex, Secrets, & Sass wherever you listen to podcasts so you don’t miss what’s coming next. And if something in this conversation made you laugh, think, squirm a little, or text your best friend immediately, we’d love it if you’d rate, review, and share the show. It helps more people find us and keeps these conversations going.