**Conflict of interest**

The author declares no conflict of interest.

### **Notes/thanks/other declarations**

I would especially like to thank my children who have tolerated "good enough mothering" while growing up on an inclusive green care farm animal sanctuary. They have been great traveling companions during international conferences in Toronto, Canada; Vienna, Austria; and Shanghai, China. My advocacy in raising awareness about ND-PAE in the psychiatric community are supported by my outpatient clinical practice, Therapeutic & Learning Centers, P-LLC (www.susandrich.com) and my nonprofit 501c3, 7th Generation Foundation, Inc. (www.7thGenerationFoundationInc.org).
