Understanding Adverse Childhood Experiences
- Julia Harvey
- Nov 1, 2024
- 2 min read

What Are Adverse Childhood Experiences (ACEs)?
Adverse Childhood Experiences (ACEs) refer to a range of traumatic events that can occur in childhood and adolescence. These experiences may include physical, emotional, or sexual abuse; neglect; parental substance abuse; living with a parent with mental illness; witnessing or being a victim of domestic violence; or the separation of parents through divorce or the loss of a parent through bereavement.
Current research has shown that exposure to ACEs can have lasting effects on mental health, social relationships, and physical health. ACEs are not exact measures, they are often retrospective – an adult in therapy trying to make sense of the impact to them.
How ACEs Can Affect Adult Life
The effects of ACEs can be profound and long-lasting, affecting various aspects of adult life, including:
1. Relationships: Adults who experienced ACEs may struggle with forming or maintaining close relationships. Fear of abandonment, difficulty trusting others, and issues with emotional regulation can create barriers to intimacy and connection.
2. Mental Health: Childhood trauma is strongly linked to a variety of mental health issues in adulthood. Conditions like depression, anxiety, and post-traumatic stress disorder (PTSD) can all be rooted in ACEs. The impact of these early experiences may also make it harder for individuals to regulate their emotions or cope with stress in healthy ways.
3. Physical Health: Studies have shown that ACEs can also have long-term effects on physical health. Chronic stress from childhood trauma can affect the body's immune system, increase inflammation, and lead to conditions such as chronic pain.
What is Psychodynamic Counselling?
Psychodynamic theory suggests that early childhood experiences shape our unconscious mind and form the foundation of our adult psychological functioning. It works with the deep-rooted emotional patterns and unconscious forces that shape behaviour, relationships, and mental health.
One of the key concepts in psychodynamics is the importance of early relationships—particularly the bond between a child and their caregivers. Secure attachment fosters feelings of safety and trust, allowing children to explore the world and develop a sense of self-worth. However, ACEs often disrupt this attachment. This can lead to feelings of unworthiness, fear of abandonment, or difficulties in forming healthy adult relationships.
When children or adolescents experience trauma, they may not have the emotional tools to process or cope with their feelings. As a result, these emotions can become repressed, pushed into the unconscious mind. Over time, repressed emotions can manifest in a variety of ways—such as anxiety, depression or anger.
How can Psychodynamic Counselling Help?
Psychodynamic counselling seeks to bring these unconscious emotions to the surface so that they can be processed, understood, and healed. By exploring early memories and emotional patterns, individuals can gain insight into how their past is influencing their present.
1. Insight and Self-Awareness: Individuals gain self-awareness to change destructive patterns.
2. Working Through: Counselling provides a supportive environment for individuals to confront their trauma. Rather than avoiding or repressing painful memories, clients can work through these experiences, gradually integrating them into their life narrative.
3. Strengthening Emotional Resilience: Over time, clients can cope with life's challenges. As they process unresolved feelings, individuals gain greater emotional flexibility.
If you feel that ACEs may be affecting you, please do get in touch: sarahmcmurraycounselling@gmail.com



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