How childhood trauma affects health across a lifetime | Nadine Burke Harris
100 Comments


In the mid-’90s, the CDC and Kaiser Permanente discovered an exposure
that dramatically increased the risk for seven out of 10 of the leading
causes of death in the United States. In high doses, it affects
brain development, the immune system, hormonal systems, and even the way our DNA
is read and transcribed. Folks who are exposed in very high doses have triple the lifetime risk
of heart disease and lung cancer and a 20-year difference
in life expectancy. And yet, doctors today are not trained
in routine screening or treatment. Now, the exposure I’m talking about is
not a pesticide or a packaging chemical. It’s childhood trauma. Okay. What kind of trauma
am I talking about here? I’m not talking about failing a test
or losing a basketball game. I am talking about threats
that are so severe or pervasive that they literally get under our skin
and change our physiology: things like abuse or neglect, or growing up with a parent
who struggles with mental illness or substance dependence. Now, for a long time, I viewed these things in the way
I was trained to view them, either as a social problem —
refer to social services — or as a mental health problem —
refer to mental health services. And then something happened
to make me rethink my entire approach. When I finished my residency, I wanted to go someplace
where I felt really needed, someplace where I could make a difference. So I came to work for
California Pacific Medical Center, one of the best private hospitals
in Northern California, and together, we opened a clinic
in Bayview-Hunters Point, one of the poorest, most underserved
neighborhoods in San Francisco. Now, prior to that point, there had been only
one pediatrician in all of Bayview to serve more than 10,000 children, so we hung a shingle, and we were able
to provide top-quality care regardless of ability to pay. It was so cool. We targeted
the typical health disparities: access to care, immunization rates,
asthma hospitalization rates, and we hit all of our numbers. We felt very proud of ourselves. But then I started noticing
a disturbing trend. A lot of kids were being
referred to me for ADHD, or Attention Deficit
Hyperactivity Disorder, but when I actually did
a thorough history and physical, what I found was that
for most of my patients, I couldn’t make a diagnosis of ADHD. Most of the kids I was seeing
had experienced such severe trauma that it felt like something else
was going on. Somehow I was missing something important. Now, before I did my residency,
I did a master’s degree in public health, and one of the things that they teach you
in public health school is that if you’re a doctor and you see 100 kids
that all drink from the same well, and 98 of them develop diarrhea, you can go ahead
and write that prescription for dose after dose
after dose of antibiotics, or you can walk over and say,
“What the hell is in this well?” So I began reading everything that
I could get my hands on about how exposure to adversity affects the developing brains
and bodies of children. And then one day,
my colleague walked into my office, and he said, “Dr. Burke,
have you seen this?” In his hand was a copy
of a research study called the Adverse Childhood
Experiences Study. That day changed my clinical practice
and ultimately my career. The Adverse Childhood Experiences Study is something that everybody
needs to know about. It was done by Dr. Vince Felitti at Kaiser
and Dr. Bob Anda at the CDC, and together, they asked 17,500 adults
about their history of exposure to what they called “adverse
childhood experiences,” or ACEs. Those include physical, emotional,
or sexual abuse; physical or emotional neglect; parental mental illness,
substance dependence, incarceration; parental separation or divorce; or domestic violence. For every yes, you would get
a point on your ACE score. And then what they did was they correlated these ACE scores
against health outcomes. What they found was striking. Two things: Number one, ACEs are incredibly common. Sixty-seven percent of the population
had at least one ACE, and 12.6 percent, one in eight,
had four or more ACEs. The second thing that they found was that there was
a dose-response relationship between ACEs and health outcomes: the higher your ACE score,
the worse your health outcomes. For a person with an ACE score
of four or more, their relative risk of chronic
obstructive pulmonary disease was two and a half times that
of someone with an ACE score of zero. For hepatitis, it was also
two and a half times. For depression, it was
four and a half times. For suicidality, it was 12 times. A person with an ACE score
of seven or more had triple the lifetime risk
of lung cancer and three and a half times the risk
of ischemic heart disease, the number one killer
in the United States of America. Well, of course this makes sense. Some people looked at this data
and they said, “Come on. You have a rough childhood,
you’re more likely to drink and smoke and do all these things
that are going to ruin your health. This isn’t science.
This is just bad behavior.” It turns out this is exactly
where the science comes in. We now understand
better than we ever have before how exposure to early adversity affects the developing brains
and bodies of children. It affects areas like
the nucleus accumbens, the pleasure and reward
center of the brain that is implicated
in substance dependence. It inhibits the prefrontal cortex, which is necessary for impulse control
and executive function, a critical area for learning. And on MRI scans, we see measurable differences
in the amygdala, the brain’s fear response center. So there are real neurologic reasons why folks exposed
to high doses of adversity are more likely to engage
in high-risk behavior, and that’s important to know. But it turns out that even if you don’t
engage in any high-risk behavior, you’re still more likely
to develop heart disease or cancer. The reason for this has to do with
the hypothalamic–pituitary–adrenal axis, the brain’s and body’s
stress response system that governs our fight-or-flight response. How does it work? Well, imagine you’re walking
in the forest and you see a bear. Immediately, your hypothalamus
sends a signal to your pituitary, which sends a signal
to your adrenal gland that says, “Release stress hormones!
Adrenaline! Cortisol!” And so your heart starts to pound, Your pupils dilate, your airways open up, and you are ready to either
fight that bear or run from the bear. And that is wonderful if you’re in a forest
and there’s a bear. (Laughter) But the problem is what happens
when the bear comes home every night, and this system is activated
over and over and over again, and it goes from being
adaptive, or life-saving, to maladaptive, or health-damaging. Children are especially sensitive
to this repeated stress activation, because their brains and bodies
are just developing. High doses of adversity not only affect
brain structure and function, they affect the developing immune system, developing hormonal systems, and even the way our DNA
is read and transcribed. So for me, this information
threw my old training out the window, because when we understand
the mechanism of a disease, when we know not only
which pathways are disrupted, but how, then as doctors, it is our job
to use this science for prevention and treatment. That’s what we do. So in San Francisco, we created
the Center for Youth Wellness to prevent, screen and heal the impacts
of ACEs and toxic stress. We started simply with routine screening
of every one of our kids at their regular physical, because I know that if my patient
has an ACE score of 4, she’s two and a half times as likely
to develop hepatitis or COPD, she’s four and half times as likely
to become depressed, and she’s 12 times as likely
to attempt to take her own life as my patient with zero ACEs. I know that when she’s in my exam room. For our patients who do screen positive, we have a multidisciplinary treatment team
that works to reduce the dose of adversity and treat symptoms using best practices,
including home visits, care coordination, mental health care, nutrition, holistic interventions, and yes,
medication when necessary. But we also educate parents
about the impacts of ACEs and toxic stress the same way you would for covering
electrical outlets, or lead poisoning, and we tailor the care
of our asthmatics and our diabetics in a way that recognizes that they may
need more aggressive treatment, given the changes to their hormonal
and immune systems. So the other thing that happens
when you understand this science is that you want to shout it
from the rooftops, because this isn’t just an issue
for kids in Bayview. I figured the minute
that everybody else heard about this, it would be routine screening,
multi-disciplinary treatment teams, and it would be a race to the most
effective clinical treatment protocols. Yeah. That did not happen. And that was a huge learning for me. What I had thought of as simply
best clinical practice I now understand to be a movement. In the words of Dr. Robert Block, the former President
of the American Academy of Pediatrics, “Adverse childhood experiences are the single greatest
unaddressed public health threat facing our nation today.” And for a lot of people,
that’s a terrifying prospect. The scope and scale of the problem
seems so large that it feels overwhelming to think about how we might approach it. But for me, that’s actually
where the hopes lies, because when we have the right framework, when we recognize this to be
a public health crisis, then we can begin to use the right
tool kit to come up with solutions. From tobacco to lead poisoning
to HIV/AIDS, the United States actually has
quite a strong track record with addressing public health problems, but replicating those successes
with ACEs and toxic stress is going to take determination
and commitment, and when I look at what
our nation’s response has been so far, I wonder, why haven’t we taken this more seriously? You know, at first I thought
that we marginalized the issue because it doesn’t apply to us. That’s an issue for those kids
in those neighborhoods. Which is weird, because the data
doesn’t bear that out. The original ACEs study
was done in a population that was 70 percent Caucasian, 70 percent college-educated. But then, the more I talked to folks, I’m beginning to think that maybe
I had it completely backwards. If I were to ask
how many people in this room grew up with a family member
who suffered from mental illness, I bet a few hands would go up. And then if I were to ask how many folks
had a parent who maybe drank too much, or who really believed that
if you spare the rod, you spoil the child, I bet a few more hands would go up. Even in this room, this is an issue
that touches many of us, and I am beginning to believe
that we marginalize the issue because it does apply to us. Maybe it’s easier to see
in other zip codes because we don’t want to look at it. We’d rather be sick. Fortunately, scientific advances
and, frankly, economic realities make that option less viable every day. The science is clear: Early adversity dramatically affects
health across a lifetime. Today, we are beginning to understand
how to interrupt the progression from early adversity
to disease and early death, and 30 years from now, the child who has a high ACE score and whose behavioral symptoms
go unrecognized, whose asthma management
is not connected, and who goes on to develop
high blood pressure and early heart disease or cancer will be just as anomalous
as a six-month mortality from HIV/AIDS. People will look at that situation
and say, “What the heck happened there?” This is treatable. This is beatable. The single most important thing
that we need today is the courage to look
this problem in the face and say, this is real
and this is all of us. I believe that we are the movement. Thank you. (Applause)

100 thoughts on “How childhood trauma affects health across a lifetime | Nadine Burke Harris

  1. Wow that talk hit home for me, it was awesome. I suffered at the hand of my father. He emotionally and verbally abused me . There were times when he physically abused me too, but the worst abuse was the sexual abuse. I was a sick kid. I always got colds and the flu, because of that I was off school quite often, my mum would look after me, she was a great mum, she protected me from my father. When I was 11 years old my mother died and I was left with the monster who had all the power and he used every bit of it against me. The trauma made me sick, I got every bug that was out there, I got asthma and my school work was shocking, I didn’t see why I needed to learn about people landing on the moon or algebra when I was going home to the monster.
    Hearing that kids that are abused get sicker than most, that was a wonderful eye opener for me. The thing that made me different from other kids, and I hate this difference because it still effects me today, is my economic state, my father was rich, I went to the best private schools and I even got to go to a private boarding school which was absolutely wonderful and a dream come true until the monster would ring me and make me feel so guilty to be away from him and not looking after him. No one picked up on the abuse, I was even told by a teacher that I was so lucky to be in such a loving family because my dad sent me to a private school even though my mother had passed away, she thought my dad was great. My long winded post (sorry about that) is that there are people in my situation that are falling through the cracks because they come from a wealthy family, please don’t forget about people like me. I know that most of the attention needs to be on the kids that are struggling to make ends meet, I’m not saying they are less important than me because they arent they need the help and understanding more than me what I’m trying to say is abuse happens in all groups in society, some a lot more than others and they need the care offered because they are desperate.
    I guess what I’m saying is the silent killer is out there is many groups of society. I tried to speak out once and I was laughed at and told to keep my lies to myself. Present day is a struggle for me, I have bipolar, PTSD, and crippling depression , life is a daily struggle, but I’ll get better I know I will.

  2. Fantastic insights! 76% of people have at least one childhood trauma – this proves something that I felt about society long time already. Almost everyone can tell you a story and we have to finally understand that childhood trauma is not the exception but the unfortunate rule! There is so much responsibility on the shoulders of parents and it breaks my heart when parents put their own bullshit on their little children. Work through your problem and then have children but not the other way around.

  3. Wow!!! Video was so good. I never once wanted to read the comments until after she finished. She made such phenomenal and strong points. It really affects you later in life…

  4. Thank you very much you're amazing information about the situation is very important thank you for content

  5. I’ll be watching this in-full a bit later, but from my own experience, the Title provokes an immediate response from me. I struggled as a victim of verbal & physical Bullying at Boarding-School from the age of 8yo. It followed me to Public School & I finally learnt to stand-up for myself at the age of 16yo – which was a bit too late!

    Couple that with undiagnosed A.D.D. & you get a child who was majorly depressed, from a very young age, and couldn’t understand why he was so crap at learning new stuff at School!! As a result, I chose to self-medicate with Sweets & Junk Food (Pizza) ….and then later on, Prescription Opiate Painkillers for a Back Injury! Finally something I could have total control over – my PAIN (or a major reduction in it at least!)

    Fast forward 30+ years & I get diagnosed with Bowel Cancer in April 2017. Bowel Cancer is one of the ones that is apparently caused by deep, emotional trauma! Well, that makes sense, right!? 😕

  6. As a once child now an adult that had a rough childhood. Read outwitting the devil by Napolian hill. Sometimes it starts in the womb your parents have been in a high stress environment in the womb what are your chances then?

  7. A narc mom and sister – emotional and verbal abuse gaslighting, projection, cover ups, control and manipulation. Wow she mentions pituitary – I have a pituitary tumor –

  8. "But the problem is what happens when the bear comes home every night…" this metaphor resonates with infinitely many of my childhood memories. It was a vicious cycle. I cannot describe how much I am grateful for Dr. Burke's speech on this topic since I have been having various concerning health problems but I had not ideas how I am so sick most of the time. Because of my own experience, I'm always desperate to make a difference in this world, especially for those who had/are having traumatic childhood. This speech has definitely supplied me with a new insight on this matter. It's absolutely inspiring and motivating. Thank you!

  9. I appreciate the attention given to these topics but I wish professionals would stop stigmatizing people with mental illnesses raising children. If a parent with mental illness neglects or abuses a child, it is called neglect or abuse. I am a parent with difficult mental health problems but I am a damn good mom and I work 10x as hard as any other parent to make sure my kids are happy and well adjusted. Having a parent with mental illness is not a form of trauma. Neglect and abuse on their part certainly is though.

  10. You nailed it, Dr. Harris. I was treated by a functional medicine Dr based on his full understanding of failure or dysfunction of the HPA axis. I was diagnosed with fibro, in 2013, by three Drs. One Dr. was a rheumatologist at Duke University. The functional medicine Dr who treated me stated he had never seen cortisol levels as low as mine, the lowest being a “1.” He helped heal my adrenal glands and had me try several other supplements to address my symptoms. At the end of the 6 month treatment, which insurance did not cover and cost $4,000.00, I was left with the same level of pain. I guess he had not treated a patient with such an extreme case of fibromyalgia? I thought since he understood the source of the illness, he would have a treatment protocol which would heal all my symptoms. His response to my disappointment and remaining pain was, “I’m sorry you feel that way.” When a Dr states he or she understands the cause of my illness and firmly believes he or she can heal me, but does not, how else am I to feel? This Dr completely invalidated my suffering. I suffered for 5 more years until I found an alternative healing modality which would root out the source of trauma. A QHHT session triggered the beginning of healing for me. Western medicine has yet to understand how crucial the HPA axis is in regard to treating fibromyalgia, ME/ CFS and possibly several other chronic illnesses. Thank you for discovering it and having a treatment plan in place, before chronic illness or a life threatening health issue develops. Blessings.

  11. when she said what if that bear comes home every night:( I juts imagine a kid with their little heart pounding all that stress is no good

  12. I’m so glad this lady is saying this because it’s a conclusion I’ve been thinking about recently. I believe abusive parents and parents who refuse to react properly to their own emotions, are responsible for many of the bad things in society

  13. I was molested by my two step brothers since I was 3 yrs.old , I cried for help for years to everyone and no one helped me. I grew up and stopped the abuse myself, I grew up and my ex of 17 yrs. had an affair with my real brothers wife of 20 yrs. had a baby, made my real brother think its his, so my ex and sister-in law ran off together. I gained weight from depression, raising 4 kids on my own, no child support what so ever, not even a dime..well, I got my Medical degree. I struggle everyday of my life, waking up to a reminder, so how much worse does this get? well now my mom is trying to convince my kids that I am mentally ill. Wow! I would not be like this if she would have just protected me as a child. She blames me for what happened to me as a child. I went to see a counsler for 4 years. So am I the one who is off my rocker? So now my daughter is an adult now and is my voice to expose my molesters all over facebook, now their children will know what they have done to me for years. As for my mother,.. I will never have anything to do with her ever in my life. I am still here and I am teaching my children the dangers of this world.

  14. Makes sense why at 44 they've diagnosed me with sarcoidosis, degenerative disk disease, fibromyalgia, copd,chronic pancreatitis, adhd and so much more. Daily trauma from 4to 14. Why don't doctors look at this!!!!!

  15. I wanted to get with this at first but I feel like honestly this was a
    waste of time to watch because she is being so melodramatic to me she is
    acting like every little thing is abuse and going to predispose you to
    unavoidable health risk & problems growing up.

    As someone who is mentally ill this actually pisses me off
    SIGNIFICANTLY, if you think that any form of corporal punishment is akin
    to physical abuse then you have become so liberally radical that you
    ought to have some sense knocked into you!

    Oh and just to let you know Dr. Nadine I think that she means well but
    she studies a certain pool of people and bam it is the holy grail let me
    just say something perhaps other people aren't racing to follow this
    protocol because they too can spot malarkey from a mile away!

     Ha ha as you can tell I am candid and I know for a fact that my parents
    caused me many types of agony but one thing I was sparred from was
    domestic violence and I am not in denial if I don't see it that way and
    don't feel like that and nobody ever had to intervene then enough said!

  16. Wow. I got a 100 on my A.C.E. exam, every boxed checked. I'm doomed, but I was doomed a while ago. As a result of my self-destruction I have H.I.V., kidney failure, and depression. :(. But I am finally learning to love myself and heal from my trauma.

  17. TedMed needs to translate this presentation or provide captions into other languages. There are many non-English speaking communities that can benefit.

  18. This made me emotional. My mother and her "boyfriends" were the "bears" in my life. And it still affects me to this day.

  19. This is a wonderful talk. I’m so glad to learn that she was the first Surgeon General if California. I believe that the loss of a parent to death should be added to the ACE score since it also has a profoundly negative impact on childhood development and health outcomes.

  20. Yeah, but somehow I am still okay. I put it all behind me. I don't think about it. I am happy now, and this comes from a man who's best childhood Christmas was spent in a children's home, not with any of my so-called family.

  21. Wow she's right.I'm 40 now but the list she gave I would be a 6 or 7.And I've had a heart valve and hip replacement.And I can workout myself from the past problems why.And why i am on the meds I am now.

  22. Thank you. So interesting and so much knowledge conveyed in a short lecture. Sounds obvious – once you have been told.

  23. Wait, don't tell me, blacks are exposed to more adversities than non-blacks, right?

    Hmmmm,Is this why there is now adversity scores on the S.A.T.?
    Here's a suggestion, take better care of your kids, "my brothers"………..

  24. This is kind of depressing. If you”re already an adult who experienced significant childhood trauma… doomed?

  25. HEY GUY GREETINGS FROM CHILE, SOMEONE CAN PASS MY SOME LINK TO GET THE ADVER CHILD EXPERENCIES INFORM PLEASE

  26. I don’t want to be a bear, I don’t know if I should start a family but I want one so bad. I say I will never talk to them and treat them like my parents did me, and that I would protect them from school bullies unlike my parents and teachers… but can I really promise to protect them at every dying moment?

  27. Ok but HOW? how do we treat it? How do we beat it? As a 38 year old who is severely damaged from my childhood…. i feel like a lost cause…

  28. I’m going to get savaged for my comment but I’ve always been of the opinion that MOST people have NO business having children. Sad but true.

  29. Still with the haves and have nots attitude and approach- you don’t get to live an elitist lifestyle any longer we are sick and tired of division- and those of us with ‘high aces score’ are the ones with the courage to see thru the bs and demand change. Yes the way the medical industry treats children with heavy issues is completely wrong and damaging to us all

  30. Another symptom of dysfunction is the high rate of death caused by stomach cancer, I was raised by the Narcissist responsible and had stomach ulcers from the time I was 19 to 58 yrs.

  31. it is very important to acknowledge that not only can a person suffer harm from high levels of adversity,but a person can suffer harm from too little adversity. another important factor relevant to the future health of a child is the context and timing of adversity. a child who is punished often and without reason is under the added stress of not having any pathway to making decisions that reduce unwanted results. a child who is never punished for inappropriate behavior goes on to adulthood without the discipline & respect for others that are necessary for success in dealing with the wider world of society. a quick search on google of the word coddling will pull up the following book. ( ISBN-10: 0735224897 The Coddling of the American Mind: How Good Intentions and Bad Ideas Are Setting Up a Generation for Failure, Jonathan Haidt ) sibling count is a known factor in the mental health of children and adults. children who grow up without siblings are less likely to develop the social skills that children from large extended families will. symptoms of PTSD can be passed on from generation to generation by Transgenerational trauma. ( https://en.wikipedia.org/wiki/Transgenerational_trauma )

  32. Yeah. I believe spiritual and sexual abuse are one of the worst types of abuse. I feel many people don't fully recover from spiritual abuse. My family literally has /had demons in them. It is wild to think about the things that happened in my family… Pedophila, incest.. I had 15 family members that joined a religious cult. It literally nuked my family. None- of us speak to each other. It is so sad and devastating for me

  33. honestly.. it hurts MORE that you KNOW now. And NOT BE ABLE TO DO ANYTHING ABOUT IT. God I’m bursting into tears, I wanted an explanation for the way I am and I got it . I wish I could do anything everything to stop this .

  34. I know this video is old but i know what she is talking about. I was born in 1957,before i was 1 year old my mother gave me to a friend of hers they had me about 1 year and my grandmother told her to bring me back home. My grandmother didn't know i was with someone else she was living in another state at the time. As i grew i was told by my mother she wish I was never born, i lived with my grandmother until she passed i was 12 years old then. It got so bad I called a judge and ask to be put in a foster care unit i was old enough to take care of my self at that time I was about 14 .The judge said as long as I have roof over my head and food in my mouth i was fine. But there was stuff going on i knew it was a long time ago but it didn't stop at home it keep happening until I was 18 years old. So I know something about what she is talking about. Thank you for listening to me. ☹

  35. I’m 39 yrs old. I suffered from child physical and psychological abused from both of my parents. I was able to move away from my dad when I was 12 but was raised from my mother and the psychological abuse and manipulative way of parenting has always affected me. I’m 39yrs and still have nightmares. I don’t know how I managed to be happily married with 3 kids. It’s a battle internally to not let these voices control me. I do have anxiety but I have been able to control my mind without medication just through meditating and also creating boundaries to those who I know are toxics to my life.

  36. We take it more seriously by addressing it differently. We can make the country more money and We can solve world peace by this; by starting from the source(the children) and by making it against the law to have more than 2 children. There would be more money and more attention going to EVERYONE that's the problem.

  37. I guess I grow up with a family not to much money and fighting all the time. My family always made me wear my brothers clothes and I got picked on in school for being a girl wearing strange stuff all the time. I was also very tall for my age. Mom and dad later divorced. I have some really strange symptoms when I get stressed. I can get so stressed I get sick, for just calling a phone call or have to talk to a crowd. It’s like my belly turns up side down and my eyes start see more white, and my head is hurting and can’t work. It’s hard to describe but it’s just a horrible reaction. I’m also not so social in groups of people, I’m not shy. But I just don’t like speaking in front of to many people. I’m just 25 years but I noticed I have some really strange things going on in my body. It will probably effect me while my life. I try read and look to get more information how to repair myself. But it’s really hard to repair a broken soul and body. To all out there, if you don’t have a good relationship, not enough money. Don’t born a baby. I won’t do the same mistake as my family did, I will work hard so my future kid don’t have to suffer the way I have

  38. Dr. Harris, Please call the White House for these resolution's on what is the problem in our environment.
    I am a high Ace study case and a parent of twin teenagers with more likely a 3/4 Ace. Where do we go?
    [email protected]#il.c%m

  39. Well this is depressing af! So doesnt matter how good I treat myself as an adult I'm doomed?! So my parents always win?! Why fucking try then???? Damn think better off not knowing this.

  40. I try to control how I react to stress and my body just takes over and I cant control it.I knkw the terrible cascade of effects that are going to happen,but I cant stop it.I had a ton of stress as a kid and stress has continued to be in my adult life and I cant escape it.This constant stress has led to high bloodpressure, weightgain a d fatigue. I have tried breathing techniques and meditation and it's not working.

  41. I believe it happens at every age. And can start at any age. I have a chronic release of adrenaline and cortisol every morning I wake. There is NO treatment that I know of. No medicine that I know of short of a beta blocker to reduce the effect of the adrenaline. Otherwise, child or no child the outcome, I'm afraid, will be the same.

  42. This is HUUUUUGEEEEEEE!!!!!! It’s just common sense to consider the source of illness and treat the root cause and not the symptoms. Unfortunately there’s no money in this proven theory yet…… We are getting closer though.

  43. It makes angry that when I presented at the age of depression at the age of 12,, instead of 'Doctors' once questioning the environment I was being raised in they enable my abusive parents by treating me as if I was the problem.

  44. "Why haven't we taken this more seriously?" I would say big pharma wanting to sell billions of dollars worth of drugs probably has a lot to do with that.

  45. course this brings up an old problem: if we talk about childhood trauma are we giving it more publicity and in a sense promoting it?

  46. I totally agree with what she is saying and sounds like they have done great work in CA, but unfortunately the insurance companies are in the way, because a diagnosis is necessary to get them the trauma related treatment they need in the school settings; at least in PA anyway**

  47. A big part of this issue is that a LOT of parents are abusive, whether they intend to be or not. Most standard forms of parenting involve multiple abusive elements. Some of us even become abusers ourselves after the abuse we experienced is long gone. Abusive people don't want to look themselves in the eye and admit that they've done what they have. Instead, they passively form this network of people who turn a blind eye to abuse to protect themselves from consequences. Doctors are not exempt from this. Nobody is. Anybody could be an abusive parent or family member who is afraid to admit it, and for that reason they won't sanction any change that draws attention to that fact.

  48. My bears were at home at school at my grandparents in the foster homes….even… relationships and parents of those people… Ive had maybe a total of 3 years of my life… without a "bear" this last year being one of those… Id like to at least make it to 70…but I can't get treatment… I've tried and tried ..but im in WV and im basically invisible… My support is 4 people and only one is actually capable of support the rest…too young or disabled. I feel like im here treating myself…my own dr and therapist…i am getting better but at a painful slow crawl cus…being broken and abused and uneducated how do you treat yourself? Sometimes i fantasize that someone like this women would hear me ..and I'd get help…tbh. i dont want to die…and i do fear for my life because of my mental health issues. Very lonely feeling.

  49. Just hearing about the bear analogy caused me to cry. Years of childhood trauma creates scars that don't seem to go away. My believe in God and healthy relationships have saved me from involving myself in any unhealthy coping skills.

  50. And this isn't just an issue for children! It's a WAKE UP PARENTS…and a note to adults to GET THEIR STUFF TOGETHER and heal, themselves. Stop the cycle.

  51. I knew there will be a connection somewhere, between childhood trauma and health, physical medical health not just mental health. Thanks for this. Confirmation. Lets all keep working for the betterment of the future generations. This is one of the best TED talk I've seen. Well done Doctor, real good job. Wishing you more strength.

  52. Wait the medical world dosen't want to use the study… Mental well being is directly linked to physical well being. Wouldn't it make it easier for them to keep this on fill. Oh wait, right. If you salve the issue they stop coming back, then you don't have anyone to push pills on. Oh capitalism, is that you in there? Seems every time a logical idea that would better the world gets put on the table you shoot it down likely for the all mighty dollar. We know you're in their capitalism! Now you come outta there, or We're coming in after you.

  53. Her use of "substance dependence " jumped out and slapped me across the face in the best way possible. Language is powerful and i feel like people don't see it much

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