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Processing childhood trauma in therapy

Updated · Editorial principles and sources

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.

  1. Stabilization and safety
    Building the therapeutic relationship, learning safe coping skills, managing symptoms. This phase is necessary before trauma processing.
  2. Processing trauma memories
    Safe processing of traumatic memories with therapist support. Feelings related to memories are processed in a controlled way.
  3. 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.

Frequently asked questions

Can childhood trauma still be processed as an adult?
Yes, childhood trauma can be processed at any age. Many people seek therapy only as adults, when they understand the impact of childhood experiences on their current life. The brain retains its plasticity throughout life, which makes change possible.
How do I know if I have unprocessed childhood trauma?
Signs can include recurring relationship problems, difficulty trusting others, emotional regulation difficulties, chronic shame or guilt, over- or underachieving, and physical symptoms such as tension and chronic pain. This list is not a diagnosis: talking with a therapist or doctor can help clarify the background. If you are in immediate danger, call 112. For crisis support, call the MIELI Crisis Helpline on 09 2525 0111 (in Finnish, 24/7).
Which therapy method is best for childhood trauma?
Childhood trauma is worked through with, for example, psychodynamic therapy, schema therapy, trauma-focused therapies and psychophysical therapy. A professional assesses which suits you. Treatment is often long-term.
Is processing trauma painful?
Processing trauma can bring up difficult emotions, but therapy progresses at your pace. A good therapist ensures you have adequate emotion regulation skills before trauma processing begins. The stabilization phase at the beginning creates a safe foundation for the work.
Find a trauma therapist