Signs of Childhood Trauma in Adulthood

Signs of Childhood Trauma in Adulthood

Written by

Viktoria Samokhval, Сertified clinical psychologist and psychotherapist

Published on 1 Aug, 2025

23 min read

Childhood experiences are something you bear in your memory throughout life. No matter if you remember them or not, many events in your past shape how you view the world, behave in critical situations, and how you communicate and choose partners. Negative events, such as like unprocessed or unresolved childhood trauma, can shape our thinking and behavioral patterns in a harmful way, and it is a more widespread phenomenon than we probably imagine. According to the National Center for PTSD (Post Traumatic Stress Disorder), about 15% to 43% of girls and 14% to 43% of boys go through at least one childhood trauma. 

Not everyone who has gone through some traumatic experience gets communication or behavioral troubles later, it is a fact. Still, the number of people who can't build healthy relationships, perform well enough at work, or simply recognize and control their emotions because of the prior trauma is big enough. 

Is there a way to resolve these issues and find healing? For sure. Healing a childhood trauma often requires committed work with a mental health specialist and therapeutic support to improve one’s quality of life. But before that, it’s crucial to recognize the signs—some show up early, while others surface later and deeply affect a person’s identity and relationships.
So, if your goal is to reconnect with your authentic self and build healthier relationships, integrating your traumatic experiences—not erasing them—can become a powerful step toward long-term emotional resilience.

Overview of Childhood Trauma and Adult Life

When a stressful or traumatic event happens, it causes an emotional response. In many cases, these are early signs of childhood trauma — physiological and psychological reactions that stem from unresolved trauma or traumatic childhood memories. Bodies can react on a physical level too, especially under chronic stress, and this might lead to physical health issues like chronic pain, sleep disturbances, or even symptoms of post-traumatic stress disorder (PTSD).

Nevertheless, the effect of trauma is typically negative. After the peak of distress, the human psyche adapts, forming new behavioral patterns and emotional regulation strategies to survive. This can impact mental health, leading to mental illness conditions, persistent anxiety, or emotional dysregulation.

For example, those who experienced childhood abuse or emotional abuse may develop attachment issues, low self-esteem, or difficulties maintaining healthy relationships. These are common childhood trauma symptoms observed by mental health professionals. The emotionally traumatized brain — especially in childhood trauma survivors or those with repressed childhood memories — sends constant danger signals and prioritizes avoidance or withdrawal. This defense mechanism, although protective, often disrupts a person's everyday life, relationships, and overall well-being.

Trauma Triggers in Adulthood

In the broad meaning, a trigger is anything that causes emotional discomfort or a certain behavior. This term is usually used to describe negative feelings and situations. If we talk about the triggers that relate to trauma, it would mean that a triggering event, sound, situation, or person reminds you of your traumatic experience. The memories come up instantly and are often out of your control, that's why the healing process often involves learning to recognize your triggers, reduce their emotional charge, and gradually reshape your response, so you can feel safer and more grounded in everyday life.

Commonly, triggers are internal or external. As you can guess by their name, it depends on where they come from.

Internal triggers are usually associated with emotional experiences and bodily sensations, like:

  • sudden memories;
  • sadness and frustration;
  • fear and anxiety;
  • vulnerability;
  • loneliness;
  • feeling of abandonment;
  • sweating;
  • pain;
  • muscle tension.

When any of these symptoms appear, your brain may associate them with the same feeling you experienced during the traumatic events in the past, and overwhelm your mind with intrusive images, flashbacks, or vivid sensory memories, causing strong stress again.

External triggers work the same way, but they usually come from the surroundings and happen outside your body. Here is a short list of external trigger examples:

  • meeting a person connected to the traumatic event;
  • hearing sounds or music reminding you of trauma;
  • sensing the smell associated with trauma;
  • hearing someone's memory of the traumatic event;
  • trauma anniversary.

Of course, external triggers may vary and be very specific and personal, as well as the internal ones. They all can cause strong, uncomfortable feelings. Identifying what exactly makes you feel bad and sorting out its connection to childhood trauma can be a key to starting to heal.

Childhood Trauma: Emotional Signs and Resilience

Childhood trauma survivors tend to develop mental health conditions that negatively influence their overall well-being. Repressed childhood trauma can significantly complicate one's ability to recognize and express different feelings. Besides, the emotional conditions that come as a result of an unresolved trauma can be rather serious and worth the attention of a professional. Pay attention to the list below to find out the major emotional signs of childhood trauma in adults.

Anxiety

An unpredictable, chaotic, and unstable environment can easily lead to anxiety and fear of the future, especially when shaped by trauma, which often strips a person of their inner sense of safety, stability, and grounding. If you have been hurt once, chances are you will try to be more attentive and vigilant in the future in an attempt not to get hurt again. This tension of waiting for bad things to happen turns into anxiety and leads to mental and even physical exhaustion.

Research conducted in 2010 proved that children who used to grew up in an unstable environment with much adversity show higher stress reactivity in early adulthood, and this is a vulnerability factor for the development of diseases.

Depression

Although not all depression is related directly to childhood traumatic experience, several studies have proved that there is a link between the two. Particularly, experiencing a childhood trauma in early years might lead to a lower cortisol response to stress in adulthood. And a blunted cortisol response, in turn, is linked to a diminished sense of competence and higher rates of depression, though it’s just one of many contributing risk factors, not a direct cause.. 

Generally speaking, those who have undergone some sort of adverse childhood experiences tend to feel dispirited, unimportant, and incapable of making a valuable impact in work or personal relationships. The psychological and physical reactions collide to create long-lasting changes in mood and self-perception. Depression is often linked to more mental health conditions, so if you have been a victim of child abuse, you might develop a complex of health issues.

Self-Esteem Struggles

Traumatic events often leave a big scar on a person's mentality, making them wonder what could be done to prevent or avoid them. This kind of second-guessing and doubt may lead to issues with self-esteem. Having doubts in yourself is quite natural when you are a child: you don't know much about the outer world yet, and so it is okay for you to lack confidence. The people around often seem so wise and experienced when you are little. But the ones who have gone through a rough experience like trauma can bear the burden of low self-esteem through the years. 

And this problem does not come alone, unfortunately. The chronic feelings of guilt and shame often accompany self-esteem problems, creating a worse self-image in the person's head.

Childhood trauma often leads to feeling you should take up less space, both physically and emotionally, which is rooted in shame. Also, guilt can pop up suddenly, in various situations: your inner voice might whisper that you are guilty of some things you objectively find to be out of your responsibility zone. It is like your mind is playing games with you: you can understand that it's not real, but the feelings of guilt and shame get overwhelming, anyway.

That is why it is vital to remind yourself that you are enough, that you matter, and that you are more than your traumas. 

Attachment Matters: Avoidant, Anxious, Disorganized in Adult Bonds

As emotional regulation is the first thing to get damaged after a childhood trauma, it's only natural that it influences all kinds of interactions, be it personal or romantic relationships, or any kind of business negotiations. The effects of traumatic experiences may surface years later, sometimes contributing to communication difficulties, though not all trauma leads to PTSD, which is a separate clinical diagnosis. In cases like this, the brain builds up a coping mechanism to protect you from the reminders of stress. It feels like something is wrong, but you can't recall what caused this feeling.

Codependency is a condition where a person's self-esteem and emotional state depend heavily on another person. This is a common pattern seen in adult survivors of childhood trauma. The sense of internal stability and self-worth becomes tied to emotional validation and approval from others. It's one of the most frequent symptoms of unresolved childhood trauma and often stems from adverse childhood experiences where emotional needs were ignored or minimized.

In adulthood, codependency may manifest as:

  • Neglecting personal needs in favor of others, even to one's own detriment.
  • Difficulty saying no due to fear of conflict or rejection.
  • Constant need for external validation, anxiety, or a sense of inner emptiness when alone.
  • Feeling overly responsible for others’ emotions and trying to "fix" people.
  • Staying in unhealthy relationships out of fear of abandonment or failure.

These are common behavioral symptoms of childhood trauma in adults. This set of symptoms often aligns with broader mental health disorders and illustrates the difficulty of breaking free from early conditioning. Recognizing these patterns is essential to begin healing childhood trauma and reducing the impact of intrusive memories over time.

Oftentimes, previous trauma and the negative experience tied to it give rise to two seemingly opposite but often coexisting patterns, a longing for closeness and a simultaneous fear of it.

Fear of abandonment or intimacy

A person who has been hurt once tends to be very cautious about how they interact with their partners, friends, or romantic interests. Being left behind before, they seek guarantees later: it is vital for them not to be abandoned again. If you have experienced neglect when you were little, you are likely to be very clingy and react very emotionally to what you would consider an attempt to leave you. No matter if the neglect you have experienced in your childhood was emotional or physical, it can influence your behavior equally hard. Fear of abandonment usually looks like this:

  1. You become a people pleaser and try to do whatever it takes to make others happy—in your mind, it creates an illusion that they will feel drawn to you, and, therefore, won't leave you.
  2. You feel insecure and not worthy of love—this might seem a controversial idea, but it logically matches the previous symptom. Once you have a blunt self-image, you try to deserve someone's love and affection.
  3. Over-sensitivity to criticism—within this symptom, even mildly negative feedback is taken very badly. Defensive behavior, as well as exaggerated emotional reactions, excludes the possibility of constructive dialogue, turning a conversation into a fight.
  4. Quick attachment—even if a partner does not seem reliable, a person with a fear of abandonment will likely try to hold onto them hard, again, making attempts to save the relationship, even though it might not be working out.
  5. Strong, often unreasonable jealousy—this one comes from low self-esteem, too, and from the feeling of unworthiness. If you notice that you have become very suspicious of your partner and try to overcontrol them, this might be a sign of fear of abandonment—a fear that there are people better than you, who are more likely to be chosen as a romantic interest.

Fear of intimacy, although it might seem the opposite, also roots into viewing yourself as a non-interesting partner. It can encompass both physical and emotional intimacy, resulting in relationship problems on many levels. The most significant result of this is avoidance, when the person can't handle getting close to anybody. It can take different forms and be exposed in various ways.

  1. The person refuses to talk about their spiritual beliefs and experiences, or thoughts on higher powers;
  2. Spiritual: sharing beliefs in higher powers or hidden connections;
  3. Emotional: sharing feelings, especially the deepest ones;
  4. Intellectual: sharing points of view on various topics, especially controversial ones;
  5. Experiential:
  6. Sexual 

Patterns of codependency

Codependency is a condition where a person's self-esteem and emotional state depend heavily on another person. This is a common pattern seen in adult survivors of childhood trauma. The sense of internal stability and self-worth becomes tied to emotional validation and approval from others. It's one of the most frequent symptoms of unresolved childhood trauma and often stems from experienced trauma where emotional needs were ignored or minimized. In many cases, these dynamics originate from early neglect of a child's emotional boundaries, autonomy, or expression.

In adulthood, codependency may manifest as:

  • Neglecting personal needs in favor of others, even to one's detriment.
  • Difficulty saying no due to fear of conflict or rejection.
  • Constant need for external validation, anxiety, or a sense of inner emptiness when alone.
  • Feeling overly responsible for others’ emotions and trying to "fix" people.
  • Staying in unhealthy relationships out of fear of abandonment or failure.

These are common behavioral symptoms of childhood trauma in adults. While breaking these patterns can be challenging, recognizing their roots is the first step to healing childhood trauma and learning to develop long-term, respectful relationships. Understanding the impact of early traumatic experiences helps set the foundation for emotional regulation, setting boundaries, and self-respect.

Behavioral Signs: Perfectionism, Avoidance, and More

In childhood, many people internalize a false lesson — that love and safety must be earned, and that they are conditional. This is a common reality for those who experienced emotional abuse or other adverse childhood experiences in childhood. As a result, two major behavioral responses often emerge: perfectionism and avoidant behavior, both as survival strategies to cope with emotional pain and anxiety.

Perfectionism might initially appear as a positive trait, but in the context of childhood trauma, it is frequently rooted in a fear of rejection. That fear can manifest as part of a generalized anxiety disorder and evolve into persistent anxiety. Instead of a drive for excellence, perfectionism becomes an exhausting attempt to prevent emotional harm. The inner voice often says:

  • "If I'm not perfect, I won’t be loved."
  • "If I fail, I don’t deserve recognition."

Avoidance is another protective mechanism common among those with repressed childhood trauma. When faced with triggers — a conversation, responsibility, or even self-reflection — the brain opts to escape. This can look like:

  • Chronic procrastination (linked to self-destructive behaviors)
  • Planning without action — a classic symptom of emotional dysregulation
  • Avoiding conflict and intimacy as a form of emotional numbness
  • Withdrawing from responsibility or initiative, especially in the presence of low self-esteem

Over time, these patterns become embedded in a person's everyday life, making it harder to maintain healthy relationships or fully engage with emotional growth. These are classic behavioral signs of childhood trauma in adults, and recognizing them is a crucial step in the journey to address childhood trauma and reclaim emotional regulation.

When a person is faced with the consequences of childhood trauma, the emotional pain can become so overwhelming that there is an intense urge to disconnect from it by any means. Some may throw themselves into work, others into food, alcohol, binge-watching shows, social media, or substance abuse. These are classic human survival responses, often seen in childhood trauma survivors as a result of repressed trauma or an untreated mental health disorders. In many cases, such patterns are closely tied to broader mental illness disorders and may include self-medicating with substances or behavioral addictions.

However, these coping strategies provide only short-term relief and do not address the root of the problem. On the contrary, they may exacerbate the condition, increasing anxiety symptoms, contributing to sleep disturbances, and decreasing resilience to chronic stress and emotional overload.

The ongoing effort to suppress childhood trauma symptoms and the persistent anxiety that stems from inner conflict often leads to restlessness and physical tension when attempting to slow down. Recognizing these patterns can be the first step in processing traumatic memories, addressing repressed childhood memories, and gradually learning to treat trauma with tools like cognitive processing therapy or guidance from mental health professionals.

Another subtle yet notable sign of childhood trauma is instability. One of its typical manifestations is a sudden drop in engagement. A new project might begin with enthusiasm but be entirely abandoned within a few days due to a complete loss of interest. Similarly, several days of high productivity and elevated mood may be followed by emotional exhaustion and disorientation.

This pattern is often linked to an unstable childhood environment. The brain becomes accustomed to functioning in a constant state of survival, without access to rest or emotional safety. As a result, stability itself may feel unfamiliar or even provoke anxiety. For a brain shaped by instability, consistency can become associated with threat.

This should not be mistaken for laziness or unreliability. Rather, it reflects a reliance on previously established behavioral models. The key is that these patterns can be changed.

Physical Manifestations

Unresolved psychological trauma and repressed memories often manifest through physical symptoms. While trauma begins in the mind, its long-term effects frequently extend to the body, resulting in various physical health conditions. These can be seen in individuals with dissociative amnesia, emotional numbness, or heightened sensitivity to stress. The connection between psychological trauma and somatic responses is widely acknowledged by mental illness professionals, particularly in cases involving sexual abuse, child trauma, or other adverse experiences in childhood.

Childhood trauma doesn’t stay in the mind only. For many individuals, it manifests physically, even when the person is not fully aware of its origins.

People with repressed trauma often report:

  • Chronic neck, back pain, or frequent headaches
  • Fatigue that sleep does not relieve
  • Digestive problems and frequent illnesses

These issues are rooted in the way the nervous system responds to chronic stress or post traumatic stress disorder (PTSD). The body remains in a prolonged state of alert, keeping muscles tense and stress hormones elevated. Over time, this wears down the body and leads to long-term physical health conditions.

When unprocessed emotions have no outlet, the body begins to "speak" in symptoms. These may include:

  • Panic attacks that mimic heart attacks
  • Ongoing abdominal pain
  • Breathing issues and a sensation of choking

Such responses are typical in individuals who experienced childhood trauma or psychological trauma early in life. It is crucial not to ignore these signals. Unlike the mind, which may attempt to suppress or forget traumatic memories, the body always remembers.

Strategies for Healing

Effective treatment approaches supported by the Mental Health Services Administration emphasize the importance of a holistic view that includes both psychological support and, when necessary, medical intervention. In cases of complex mental illness disorders, such as borderline personality disorder or generalized anxiety disorder, structured therapy with certified professionals becomes crucial. In many cases, accessing a specialized mental health center can also provide consistency, medical supervision, and a supportive therapeutic environment. Modalities such as exposure therapy or eye movement desensitization are increasingly used in evidence-based protocols to process trauma and restore emotional resilience.

Trauma-focused modalities, such as exposure therapy or EMDR (Eye Movement Desensitization and Reprocessing), are increasingly used in evidence-based protocols to help individuals safely revisit traumatic memories and reduce their emotional intensity. EMDR works by engaging bilateral stimulation (typically through guided eye movements) while the person recalls distressing experiences. This process helps the brain reprocess traumatic information, making it feel less overwhelming and allowing for emotional integration and resolution.

The recovery process is never easy. There are days when everything may feel meaningless, and giving up seems like the only option. But healing is possible, and the journey doesn't have to be taken alone.

Cognitive Behavioral Therapy (CBT)

Cognitive Behavioral Therapy (CBT) is one of the most effective, evidence-based methods for treating repressed childhood trauma. CBT helps individuals:

  • Identify destructive thought patterns
  • Understand their origins
  • Replace them with healthier beliefs

For example, if a child repeatedly heard phrases like "don’t be so sensitive", therapy can help transform that belief into "sensitivity is a strength, not a weakness."

Journaling and Self-Reflection

Writing down thoughts helps externalize emotions and observe them from a distance. Useful prompts include:

  • What memory has been resurfacing lately?
  • What does the inner child truly need?
  • What topics or emotions trigger avoidance?

Regular tracking of emotions and triggers makes it easier to notice repeating reactions, uncover hidden causes, and restore a sense of clarity and control.

Conclusion

Understanding child trauma and its long-term impact on mental health is essential to prevent future complications. This awareness helps clinicians and caregivers address childhood trauma in adults more effectively and provide the necessary tools to support resilience and growth. Adults who experienced childhood trauma often carry intrusive memories or struggle with emotional numbness well into later life. Symptoms of childhood trauma may remain hidden behind socially accepted behaviors or internalized beliefs about self-worth. These internalized patterns can lead to lowered self-esteem, anxiety disorders, or even depression if left untreated.

Resilience is possible. While traumatic experiences like natural disasters, sexual abuse, or early childhood neglect leave lasting marks, many adult survivors succeed in building stable, fulfilling lives once they begin to process trauma in a supported environment.

Healing childhood trauma is not about forgetting traumatic memories, but about learning to live with them. It means being able to make peace with the past. There is no need to be "fixed" or "perfect" in order to be worthy of love, success, or joy.

Recognizing one's experience in this context is not a verdict, but an invitation. Acknowledging pain is already a step toward freedom. From there, it becomes possible to choose what to carry forward — and what to let go of.

Support is available. Therapy, a safe environment, and tools like journaling or emotional tracking can all be part of the healing process. Most importantly, no one has to walk this path alone. Every story matters. Every feeling is valid. And the future can be softer, brighter, and more grounded than the past.

Trauma

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Viktoria Samokhval, Сertified clinical psychologist and psychotherapist

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