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EPISODE 44

HEALING & SELF-TRUST

RELATIONSHIPS

MENTAL HEALTH

The Realities of Intimate Partner Violence - Part 2

Sarah Ludwig, LPC

Licensed Professional Counselor

💡 ABOUT THIS EPISODE

Natalie sits down with Sarah Ludwig, LPC for part two of a conversation on intimate partner violence — this time turning the lens toward the people surrounding it. They get into the difference between domestic violence and intimate partner violence, what power and control actually look like in healthy versus harmful relationships, and why the consent conversation around strangulation is far less murky than mainstream culture has made it.


This episode is for the village. The friends, the parents, the siblings, the coworkers who know something is wrong and have no idea what to do with that. Sarah walks through what real support looks like, why acceptance of a hard situation is not the same as approval of it, and how to show up for someone without taking their power away in the process. This one is for anyone who has ever loved someone in a situation like this and had no idea what to do next.

🎯 KEY TAKEAWAYS

  • Domestic violence and intimate partner violence are not the same thing Both terms get used interchangeably but they describe different dynamics — and knowing the difference changes how you identify and respond to what you're seeing.

  • Power and control are not inherently harmful The framing we inherit from the wheel of violence puts a negative lens on dynamics that are also completely human — the harm is in how they're used, not in their existence.

  • Consent around strangulation is not a gray area Strangulation is a felony in every state, one of the strongest predictors of lethality in intimate partner violence, and sexual advocacy groups do not condone any form of it — regardless of context.

  • Acceptance of a situation is not approval of it Accepting that someone you love is in an abusive relationship means acknowledging what is real — not endorsing it, not giving up on them.

  • Making decisions for someone takes their power away In a dynamic where power has already been stripped, telling someone what to do — even with good intentions — is the opposite of what they need.

  • It is okay to walk away On average it takes at least seven attempts to leave a relationship like this. If you have nothing left to give, you are allowed to say that. Your limits are real.

  • The support team needs resources too Victim service organizations are no cost, no insurance record, completely confidential — and anyone can call, not just the person in the relationship.

TOPICS

LEADERSHIP & CAREER

STRATEGIC THINKING

ENTREPRENEURSHIP

YOUR HOST

Natalie Bulger

Founder, NC Bulger Solutions

Healthcare risk and compliance consultant, Pittsburgh's 40 Under 40 honoree, and the person asking the questions everyone else is too polished to ask. A living example of taking hot mess to high potential every day.

I📄

Read the Full Transcript

Prefer to read? The complete episode transcript is available here.

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EPISODE 44

Sarah Ludwig, LPC

The Realities of Intimate Partner Violence - Part 2

Licensed Professional Counselor

NC Bulger Solutions, LLC

NC Bulger Solutions, LLC serves healthcare organizations, nonprofits, and corporate teams across the Greater Pittsburgh region and nationwide. Specializing in healthcare compliance consulting, enterprise risk management, interim CCO services, and leadership training. Founded by Natalie Bulger, CHC, FACHE — Pittsburgh's 40 Under 40 honoree and former VHA Director of Risk Management.

 

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