Adapting to Darkness
There are certain concepts no parent wants to face, and witnessing your child’s suffering is always near the top of the list. Sure, broken bones and sinus infections will occur, and while challenging in the moment, they will pass. But real pain, the kind that settles deep in the heart and lingers long after the visible wounds have healed, is something altogether different, something every parent fears, and always hopes they will never have to confront.
Back in July of 2024, a Vision Therapy patient, who I had become quite fond of, shared something deeply troubling and extremely personal during one of our sessions. Without going into detail, it was the kind of share that involved my taking steps to report the circumstances to the authorities, so those responsible for such things could be dealt with, and our patient protected.
She told me something had happened. Something that took place at night and left her permanently afraid of the dark. It wasn’t just a passing fear or a leftover from childhood; it was a deep, physical anxiety. One that made nighttime unbearable and shadows feel unsafe. I sat there, absolutely still, listening, the dad in me on red alert. Because sometimes, as the trusted adult in the room, that’s the first and most important thing we can do: hold space, and try not to lose our composure.
In that moment, my clinical role faded into the background. I wasn’t just a Vision Therapist. I was a safe person. I couldn’t undo what had happened, but I could offer calm in the moment. I could let her know that I saw her, that I believed her, and that she was not alone. Trust like that doesn’t come easily. It’s built slowly, session after session, in small gestures and gentle consistency. But once it’s earned, it becomes sacred. Never has this been so true as with that patient on that day.
Helping her with convergence, tracking, and spatial awareness remained the goal, but now, something bigger had taken root beneath it all. We had a new, unspoken mission: to help her feel safe visually engaging with the world again. Each success in therapy was no longer just about visual progress; it became a small act of reclaiming control by proving to herself that she was strong.
This is where Vision Therapy transcends charts and procedures. In the hands of those of us who care enough to let it, it becomes a safe container for growth. A quiet stage where a young person can struggle and succeed without judgment, and with someone cheering in their corner. Sometimes, it’s not the lenses or equipment that move the needle, it’s someone saying, “You did that. That was brave. And I’m proud of you.”
As Vision Therapists, we’re trained to be attentive to visual posture, to subtle shifts in performance, to integration of systems, and to the quiet clues that something deeper might be going on. We learn to look beyond the eyes and into the whole person. But when trauma steps into the therapy room, not as a case study, but as a trembling voice and a teen’s unspoken fear, it lands with a weight no training fully prepares you for. Trauma doesn’t always introduce itself. Often, it sits quietly at the edges, until one day it doesn’t. And when that moment comes, we don’t need to have all the answers. We just need to stay present. Not to fix, but to stand beside. Especially when the darkness they’re navigating is both literal and deeply symbolic.

Being a trusted adult means showing up, remembering the tiny victories, listening when the words are hard, and encouraging in the right moments. It’s these quiet acts that build the foundation for the bigger ones – like confiding something hard, or trying something new, or stepping back into the dark without fear.
So yes, we worked on visual skills. But we also worked on something much deeper. Together, we moved through the shadows, slowly sharpening the edges of her world, bringing focus, light, and safety where there had once been blur and fear. That’s what it means to offer clarity in the midst of chaos. That’s what it means to be a trusted adult.
It’s a moment and a story I will carry with me, always.
Her family and I will be connected forever, as I have learned some bonds are simply forged in fire. What began as a referral for Vision Therapy quickly became something much deeper; a shared path marked by vulnerability, trust, and quiet resilience. When a parent entrusts you with their child’s care, and that quickly turns into becoming a part of their child’s emotional safety, something profound shifts. It changes the relationship, yes, but if I’m being honest, it also changed me. They brought her to me for her vision. None of us knew it would become the beginning of a much longer journey – one that would stretch me, teach me, and ultimately become a defining moment in my career.
Her Vision Therapy paused a few weeks after that day, as she turned her energy toward other mental health and emotional needs – and rightfully so. She’s been to hell and back in the process. Her mom and I have stayed in touch, and I was relieved and grateful to hear recently that things are starting to get better. Slowly, yes. But better. We all hope to have dinner sometime soon, just to reconnect, outside the clinic walls, as people who care about the same brave kid.
And if I’m honest, there are moments I still don’t feel worthy of the trust she placed in me. I was just the adult in the room; the one who showed up, and tried to listen well, without knowing anything different was about to happen. But somehow, in that space between the charts and the quiet moments, she handed me something sacred. It humbles me beyond words thinking about it even now – almost a year later.
The truth is being the trusted adult isn’t about being perfect. It’s about being there. And sometimes, being there is exactly what they need.
And as I have learned, sometimes, it’s all they need.
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Something I have always admired about you Robert is your caring and being able to be that “safe place” for your friends, family, and patients.
This was powerful Sent from my iPhone
We don’t treat symptoms or conditions. We care for people. Our’s is a calling, not a job.
Michael e. Margaretten, O.D., F.A.A.O., F..C.O.V.D., F.A.C.O.P.