Childhood trauma

How to stay safe when researching your trauma

Types of childhood trauma

Understanding the different types of childhood trauma can help you recognise patterns in your own experience. These categories often overlap, and many people experienced multiple types of abuse or neglect.

  • Any inappropriate sexual contact, exposure, or behaviour involving a child.

    Examples include:

    • Inappropriate touching or being touched inappropriately

    • Being exposed to sexual content, images, or adult sexual behaviour

    • Being photographed or filmed in sexual situations

    • Verbal sexual comments or "jokes" directed at you as a child

    • Being forced or coerced into sexual acts

    • Inappropriate boundaries around privacy, bathing, or changing

    Sexual Abuse by Other Children: Sexual abuse perpetrated by another child often feels different at the time - it may seem more exploratory or normalised because the age gap is closer. However, it's important to recognise that there's often still a power imbalance between the children involved, and the harm done is real regardless of the perpetrator's age.

    Just because the perpetrator was young and may have had limited understanding themselves doesn't make them less of a perpetrator - there are simply different layers to their identity, experience, and intentions. In our therapeutic work, we acknowledge these nuances whilst focusing primarily on the impact those actions have had on you.

    Protective Narratives: Many survivors develop protective narratives around their experiences: "If it wasn't that harmful, then I'm not broken. If I'm not broken, then I have a future and I'm whole." We acknowledge and work with these protective narratives, understanding that they served a purpose whilst also exploring how the experiences may have affected you, even if the harm wasn't immediately apparent at the time.

  • Any intentional physical harm or threat of harm to a child.

    Examples include:

    • Hitting, slapping, punching, or kicking beyond reasonable discipline

    • Throwing objects at you or threatening to hurt you physically

    • Burning, biting, or other forms of physical harm

    • Withholding food, water, or medical care as punishment

    • Physical restraint that goes beyond safety needs

    • Threatening violence even if not carried out

  • This is violence. Emotional abuse is not "less than" physical or sexual abuse - it causes profound and lasting harm to a child's developing sense of self and worth.

    Examples include:

    • Persistent criticism, humiliation, or verbal attacks

    • Name-calling, insults, or being told you're worthless, stupid, or unwanted

    • Threats of abandonment ("I'm going to leave you here")

    • Extreme controlling behaviour or isolation from friends and activities

    • Using guilt, shame, or fear to manipulate your behaviour

    • Withholding love or affection as punishment

    • Comparing you negatively to others consistently

    • Dismissing or invalidating your emotions ("You're too sensitive")

    • Gaslighting - making you question your own reality or memories

  • Exposure to violence between adults or towards others in your environment.

    Examples include:

    • Witnessing domestic violence between parents or caregivers

    • Seeing one parent physically, emotionally, or sexually abuse the other

    • Being present during violent arguments, threats, or intimidation

    • Witnessing violence in your community or neighbourhood

    • Exposure to a parent's mental health crises, including suicidal behaviour

    • Living with a parent's substance abuse and the chaos that often accompanies it

    • Seeing siblings or other family members being abused

  • When a child is inappropriately elevated into an adult role and expected to provide emotional or practical care that should come from adults. While parentification isn't always recognised as trauma in its own right, it can often be a secondary effect of other trauma and is very much harmful in its impact.

    Examples include:

    • Being your parent's emotional confidant or therapist

    • Having adult problems and worries shared with you inappropriately

    • Being expected to care for younger siblings as if you were the parent

    • Managing household responsibilities that should be handled by adults

    • Mediating between parents during conflicts

    • Being expected to manage a parent's emotions or mental health

    • Having your own childhood needs ignored whilst you care for others

    • Being treated as a peer rather than a child who needs guidance and protection

    This is trauma because: You lose your childhood and are exposed to adult concerns and responsibilities when you need protection, care, and age-appropriate guidance yourself.

  • The failure to meet a child's basic physical, emotional, or developmental needs.

    Examples include:

    • Lack of adequate food, clothing, shelter, or medical care

    • Emotional unavailability or consistent lack of attention

    • Failure to provide age-appropriate supervision or protection

    • Not responding to your emotional needs or distress

    • Leaving you alone for inappropriate periods

    • Failing to provide educational opportunities or support

    • Ignoring signs that you were being harmed by others

    • Not celebrating achievements or acknowledging milestones

How childhood trauma shows up in your adult life

Children's brains are designed to adapt to their environment for survival. When that environment includes threat, unpredictability, or emotional unavailability, the developing brain makes adaptations that serve the child in that context but create difficulties in adult life.

  • Lack of healthy relationship models

    One of the most significant ways childhood trauma affects adult life is through the absence of healthy relationship templates. When you were focused on surviving your childhood, you didn't have the opportunity to learn how to build and maintain safe, healthy relationships as an adult.

    Replicating learned patterns

    Your relationship history often reflects what you learned as a child about how to behave in relationships, how to receive love, how to earn love, and what behaviours might be punished. These patterns can show up as:

    • Accepting treatment that mirrors childhood dynamics

    • Believing you must earn love through performance or caretaking

    • Expecting punishment or rejection when you express needs

    • Recreating familiar but unhealthy relationship patterns

    Boundary and trust difficulties

    • Either rigid boundaries that keep everyone at distance or no boundaries at all

    • Difficulty saying no or advocating for your needs

    • Difficulty trusting others' motives or consistency, expecting betrayal or abandonment

    • Testing relationships through pushing people away or creating conflict

  • Perfectionism

    • Impossibly high standards for yourself and sometimes others

    • Fear that any mistake will result in rejection or failure

    • Difficulty delegating or accepting help

    Imposter Syndrome

    • Persistent feeling that you don't deserve your success

    • Fear of being "found out" as inadequate or fraudulent

    • Difficulty accepting praise or recognition

    People-pleasing

    • Excessive focus on others' needs at expense of your own

    • Difficulty with conflict or disappointing others

    • Exhaustion from constantly managing others' emotions

    Hypervigilance at work

    • Constant scanning for signs of danger or disapproval from colleagues or supervisors

    • Difficulty relaxing or feeling genuinely safe in professional environments

    • Exhaustion from perpetual alertness to potential threats

  • Internal critic

    • Harsh, persistent self-criticism that goes beyond proportionate self-reflection

    • Difficulty with self-compassion or treating yourself kindly

    • Tendency to blame yourself for others' behaviour or reactions

    • Internal voice that's far more critical than what would be considered proportionate

    Core beliefs about worth

    • Deep-seated beliefs about being unworthy, unlovable, or fundamentally flawed

    • Persistent sense that you're "too much" or "not enough" - often both at the same time

    • Difficulty accepting genuine care or positive feedback

    • Feeling like you have to earn the right to exist or take up space

    Emotional disconnection

    • Difficulty identifying what you're feeling in the moment

    • Tendency to intellectualise emotions rather than feel them

    • Numbness or disconnection from your body and physical sensations

    • Either being overwhelmed by emotions or feeling completely numb

    Identity confusion

    • Difficulty knowing who you are beyond roles and achievements

    • Sense of being empty or hollow inside despite external success

    • Feeling like you're performing a version of yourself rather than being authentic

    • Struggling to identify your own needs, wants, and preferences

  • Chronic stress responses

    • Overactive threat detection system that interprets neutral situations as threatening

    • Difficulty distinguishing between real and perceived danger

    • Physical symptoms like chronic tension, headaches, digestive issues

    • Sleep difficulties and hypervigilance even in safe environments

    Emotional regulation difficulties

    • Intense emotional reactions that seem disproportionate to current situations

    • Difficulty managing stress and overwhelming emotions

    • Tendency to either feel everything intensely or nothing at all

    • Problems with impulse control and decision-making under stress

    Memory and concentration issues

    • Fragmented or incomplete memories of childhood

    • Difficulty with concentration and attention

    • Problems with learning and memory consolidation

    • Feeling like your mind goes blank under pressure

Learn more about treatment options

Treatment principles for childhood trauma

Everything is figureoutable

A lot of people who’ve been through childhood trauma describe shame and embarrassment about not having “life skills” or “adulting skills”. Anything from labelling and expressing emotions, to navigating taxes, knowing who you are, or how to date can feel daunting and like you are cosplaying as an adult. You don’t have those skills because while other kids were playing, exploring, and learning, you were trying to survive your childhood. Having limited adulting skills was the price for making it out alive. I treat this as a skills and knowledge issue, not a character defect. And that is completely fixable. We are learning a skill like any other. It’ll be clunky, awkward, and you’ll probably feel a bit stupid until you figure out a way of doing those skills your way.

When harm happened in relationships, the healing also needs to happen in relationships

Kids are so vulnerable to harm. (Exhibit A: What other animal needs their grapes cut in half, so they don’t choke to death?) Yet the very people who were meant to love and protect you hurt you or exposed you to harm. Saying you have “trust issues” lays the blame at your door when people have not only been NOT trustworthy but actively harmful and exploitative. Whilst mistrust is understandable and valid, it doesn’t apply to everyone and we may choose to have close relationships as part of a meaningful life. This is where the therapeutic relationship comes in. It is a “practice relationship”, kind of what a swimming pool is to swimming the English Channel.

We create a safe place where you can test out:

  • Healthy communication and conflict resolution

  • Expressing needs and setting boundaries

  • Asking questions that will be met with patience and no judgement

  • Experimenting with vulnerability and checking how it feels

  • Learning through experience rather than theory alone

When it’s done right, the therapy space will give you an experience of relational safety, healthy attachment and boundaries. Trauma has set the bar for what acceptable behaviour is towards you. Spoiler: It is in hell. While we are unlikely to defend ourselves as fiercely as our loved ones (that bar is set correctly!), we want to get close to that.

You’ve lost enough. Let’s rebuild the life you deserve.

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