Melinda Stewart argues that when overwhelming emotions defy words, they often manifest as behaviors—writer’s block, self-harm, refusal, selective mutism, disordered eating, compulsions, or substance use. She urges understanding these actions as expressions of uncontainable feeling and translating and containing the voice of the heart.

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Please hear me! What happens when there are no words to express anguish so deep, sorrow so profound, nor fear so paralyzing that all reason stops? For the gifted, who feel more things more deeply than words can sometimes hold, the unspeakable can become actions; “symptoms” perhaps. Writer’s block, cutting, school refusal, selective mutism, eating disorders, compulsions, and substance abuse are all examples of actions that can sometimes hold the uncontainable. We must never fail to try first to understand their purpose before we attempt their extinction. Sometimes our job is simply to translate and contain the voice of the heart.

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