Milwaukee Journal Sentinel

Victims of abuse need to focus on self-care

- PHILIP CHARD Philip Chard is a psychother­apist, author and trainer. Email Chard at outofmymin­d@philipchar­d.com or visit philipchar­d.com.

Hobbled with anxiety, depression and an eating disorder, Nikki is struggling to slog her way through college.

Alan is on his third job in two years, and on the ledge with the current one. He’s driven by chronic anger, and bristles at the world like a human porcupine.

Sharon’s heart is like a vault. Lacking the capacity for emotional intimacy, she suffers deep loneliness and feels alienated from others.

What these souls have in common is a past. Each was the victim of abuse as a child. They endured traumatic suffering at a very young and vulnerable age.

Neurologic­al and psychologi­cal assessment­s prove, beyond doubt, that childhood emotional trauma is toxic to the brain and impedes subsequent psychologi­cal developmen­t. I’d like to sugarcoat that for those affected, but I simply can’t.

However, these three individual­s, and those like them, are not without hope. We know that behavior and personalit­y can change for the better. Nonetheles­s, these folks face a steeper hill to climb than those who did not suffer similar mistreatme­nt.

An astounding number of people who seek mental health care endured emotional trauma in their youth. Some studies show as many as 80% of psychother­apy clients fall into this category.

It’s important to remember that during childhood and adolescenc­e the brain is highly malleable. The influence of the social environmen­t is at its peak, meaning the impacts of emotional abuse from family or peers are deep and durable.

The abuse itself manifests in a variety of forms. Interestin­gly, within limits, verbal abuse is more emotionall­y devastatin­g than physical maltreatme­nt, with the exception of sexual assault. The emotional wounds from an angry beating, while painful, are not as hurtful in the long run as those from repeated spoken assaults.

In either case, neuroscien­tists regard abuse, including bullying, as a “neurotoxin” to the brain. It destructiv­ely alters neurochemi­stry and synaptic functionin­g in lasting ways.

As adults, what this requires of the victims is a dedicated focus on selfcare, in some instances augmented with profession­al counseling. Considerab­le progress is possible, but the commitment must be firm and ongoing.

Foundation­al approaches include meditation, spiritual retreats, expressive journaling, an anti-inflammato­ry

Childhood emotional trauma is an all too common genesis of adult distress and dysfunctio­n. And while not all wounds fully heal, they need not define who one is and how one lives this life.

diet and mindful exercise, such as yoga or tai chi. These practices offer greater emotional self-regulation, mindfulnes­s and physical well-being. In other words, they heal.

For many, it is also important to include a social component, such as participat­ion in a faith community, a support group or volunteer work interactin­g with people or other animals. Finally, research has verified that immersion in the natural world is emotionall­y healing. It helps one lose the mind (obsessive worry or self-denigratio­n) and regain the senses (experienti­al engagement with life).

Childhood emotional trauma is an all too common genesis of adult distress and dysfunctio­n. And while not all wounds fully heal, they need not define who one is and how one lives this life.

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