Processing childhood trauma in therapy
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In brief
Childhood traumatic experiences can profoundly affect an adult's emotional life, relationships, and body. Therapy provides a safe way to process these experiences and build new patterns of behavior. Complex trauma treatment progresses in phases: first stabilization, then trauma processing, and finally integration.
What are childhood traumas?
Childhood traumas (ACE, Adverse Childhood Experiences) are harmful experiences that occur before the age of 18. Their effects often extend into adulthood.
- Physical, emotional, or sexual abuse
- Emotional or physical neglect
- Parent's substance abuse or mental health problems
- Witnessing domestic violence
- Loss of a parent or family breakdown
- Bullying
How do childhood traumas affect adulthood?
Unprocessed childhood traumas can affect adult life in many ways:
Emotional life
Difficulty regulating emotions, sudden emotional reactions, anxiety, depression, feelings of shame and guilt.
Relationships
Trust issues, insecure attachment patterns, difficulty setting boundaries, dependence or withdrawal in relationships.
Body and health
Chronic pain, sleep difficulties, tension states, connection to the body may be weakened. Research shows a link between childhood traumas and adult physical illnesses.
Processing childhood trauma in therapy
Working through childhood trauma typically progresses in phases, and therapy is often long-term.
- Stabilization and safety
Building the therapeutic relationship, learning safe coping skills, managing symptoms. This phase is necessary before trauma processing. - Processing trauma memories
Safe processing of traumatic memories with therapist support. Feelings related to memories are processed in a controlled way. - Integration and growth
Building a new self-image and life narrative. Strengthening relationships and daily life. Transforming the meaning of trauma into part of one's life story.
Suitable therapy methods
Psychodynamic therapy
Often long-term therapy that explores how childhood experiences affect current patterns and relationships. Also used in treating complex trauma.
Schema therapy
Combines different therapeutic approaches. Identifies harmful schemas (beliefs and behavior patterns) formed in childhood and helps change them.
Psychophysical therapy
Takes the mind-body connection into account. May suit when trauma shows up as bodily symptoms and the connection to one's body has weakened.