This story is from November 30, 2025

6 signs your childhood trauma is affecting you as an adult, according to top doc

6 signs your childhood trauma is affecting you as an adult, according to top doc
Childhood trauma leaves lasting impacts. The past is past simply doesn’t apply here. These past experiences can resurface in adulthood, affecting daily life. Dr Judith Joseph, a psychiatrist, highlights six signs. These include intense startle responses and people-pleasing. Hypervigilance and anger outbursts are also noted. Understanding these manifestations is key to seeking support and recovery.
When discussing childhood trauma, the phrase "the past is past" simply doesn’t hold true. The emotional wounds you bear from your childhood can resurface years down the line, often in ways that catch you off guard and without any prior indication. For numerous adults, the enduring effects of distressing childhood experiences are clearly visible in their day-to-day lives, often manifesting in surprising and unexpected manners. In a recent video shared on Instagram, Dr. Judith Joseph, a board-certified psychiatrist who received her training at Columbia University, New York Presbyterian Hospital, and the New York State Psychiatric Institute, elaborates on how unresolved childhood trauma can show itself in various aspects of adulthood. Here, we outline six key indicators that childhood trauma may be influencing your adult life. Take a look

Understanding childhood trauma

Childhood trauma is much more serious than you imagine. It may have a long-term impact on your mental wellness. As children, developing brains adapt to survive in threatening environments. Though these survival mechanisms can be protective in early stages, they can persist into adulthood and create challenges in everyday situations. Dr Joseph also noted that the trauma response goes beyond the commonly discussed fight-or-flight reactions. Addressing and healing from childhood trauma early can significantly improve emotional resilience and overall mental health in adulthood.
The symptoms related to PTSD, or post-traumatic stress disorder, extend beyond just the commonly known fight or flight responses. In fact, there are additional reactions to trauma that manifest as Fawn and Freeze responses. It’s important to note that there are more than 20 distinct symptoms associated with PTSD, and if an individual does not exhibit the most widely recognized symptoms, it’s possible for a diagnosis to be missed or overlooked entirely," explained the psychiatrist. PTSD symptoms can be categorized into four main groups: intrusion symptoms, avoidance behaviors, alterations in cognition and mood, and physical responses.Not every traumatic event necessarily leads to PTSD. According to the National Institute of Mental Health, about one half of all US adults will experience at least one traumatic event in their lives, but most do not develop PTSD.A recent study by researchers at the University of Georgia, published in Development and Psychopathology, found that adverse experiences and environments in childhood may cause a chain reaction of mental and physical health problems later in life. “Things that happen to you in childhood, from how you’re raised as a child to the environment that you’re in, can lead to long-standing issues,” said Sierra Carter, co-author of the study.

6 ways childhood trauma shows up in adult life

Now, let’s take a look at how childhood trauma manifests in adulthood. According to Dr Joseph, the signs include:
  • Intense startle response: even small sounds make you jump.
  • People-pleasing: this trait develops because of deep feelings of unworthiness, according to the doctor.
  • Overspending or engaging in risky behaviours to constantly live on the edge.
  • Hypervigilance: you are always afraid and believe you are in danger in some way, so your guard is always up.
  • Alcohol abuse: abusing alcohol because you have learned it calms the fight-or-flight response when triggered.
  • Anger outbursts: intense reactions to very small triggers because even minor things are perceived as major slights.
PTSD can be easily overlooked if individuals do not display the most widely known symptoms. It can affect your everyday life and even your relationships. A 2025 study by Penn State researchers found that people with post-traumatic stress disorder (PTSD) symptoms often have trouble communicating and resolving relationship difficulties with their romantic partners. The study was published in the journal Behaviour Research and Therapy. The first step towards healing is recognising these signs. Understanding how childhood trauma manifests in adulthood can help you seek the support required and begin the recovery journey.Note: The information provided in this article is for educational purposes only and is not intended as medical advice. Always consult a qualified healthcare professional before starting any new medication or treatment, or before changing your diet or supplement regimen.

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