Prior to a 10 year sabbatical from psychiatry, I trained and sub-specialized in treating children with attachment related issues - many from international orphanages or foster care. When I returned to psychiatry, the focus of my work (and my own healing) was more physiologic - addressing areas such as nutrient imbalances, toxicity, inflammation, etc. That I was seeing good responses to such treatments, even for children with attachment issues, confirmed for me that these were the topics to write about and share. Inevitably, my work (and approaches to my own health and my daughter's health) has come full circle. I'm realizing that we can't fully understand topics like inflammation or mast cell activation, the autonomic nervous system, right and left brain hemisphere differences, or even methylation without putting them into the context of our first three years of life.