Definition: Relational Trauma
Relational trauma is the cumulative psychological and nervous system injury caused by repeated patterns of emotional neglect, inconsistent attunement, criticism, or abuse within early caregiving relationships. It is not a single event trauma like an accident or sudden loss — it’s about what happened over time, often quietly and invisibly, shaping how you learned to relate to yourself and others. For high-achieving women, relational trauma matters because it often hides behind success and competence, quietly fueling chronic self-doubt, difficulty trusting others, or an exhausting need to overachieve as a way to feel safe or worthy.
Definition: Adverse Childhood Experiences (ACE)
Adverse Childhood Experiences (ACE) are specific categories of childhood trauma and household dysfunction that researchers have linked to long-term health and emotional struggles. But having a low or zero ACE score doesn’t mean your childhood was without impact — ACE scores focus on extremes like abuse or neglect, not the more subtle, persistent emotional injuries that relational trauma captures. You matter beyond a checklist, and for high-achieving women, minimizing your early wounds just because they don’t fit neatly into a list can keep you stuck in patterns that quietly undermine your wellbeing and relationships.
If you’re asking me that question, some part of you already knows.
Quick Summary
- You might be quietly struggling with the long shadow of relational trauma if your moods feel like a Weeble Wobble — pushed around by external forces, never quite steady or secure in your emotional life.
- Relational trauma isn’t about one dramatic moment but the cumulative impact of emotional neglect, inconsistent care, or criticism that shapes how you move through relationships and see yourself.
- Healing begins when you recognize these patterns not as personal failings but as signs of a childhood that shaped your nervous system, opening the door to clarity, compassion, and recovery work tailored to your unique story.
“But Annie,” she said, “How do I know if my childhood negatively impacted me? I mean, I think it did but how do I know?”
SUMMARY
Many driven, ambitious women carry the effects of a difficult childhood without ever calling it ‘trauma’—because it didn’t look extreme enough to name. This post offers five concrete signs that your early experiences may still be shaping your adult patterns, relationships, and sense of self. You don’t need an ACE score to validate what you lived through. If you’re asking the question, some part of you already knows the answer.
My response: “If you’re asking me that question, some part of you already knows.”
And then we talk more about the specifics of her life and her history, making sense of it all and helping her see herself and her experiences with more clarity.
“How do I know if my childhood negatively impacted me?”
I get asked this question a lot because there’s no definitive checklist for what makes a childhood dysfunctional or negatively impactful.
Relational Trauma
Relational trauma refers to the psychological and nervous system injuries that result from repeated, harmful, or inadequate experiences within early caregiving relationships. Unlike single-incident trauma, relational trauma is cumulative—built from patterns of emotional neglect, inconsistent attunement, criticism, or abuse that occur over time in childhood. Its effects often show up in adult life as difficulty with trust, chronic self-doubt, overachievement as a coping strategy, or persistent unease in close relationships.
We come close to this with resources like Kaiser’s invaluable ACE study, but what if you don’t see yourself in the extremity of those questions asked?
Do your negative childhood experiences count as “negative” if they don’t look as “extreme” as the examples given in that study?
How do you know if your childhood negatively impacted you?
How do you know if you come from a relational trauma history if the broad strokes of your past don’t seem “extreme”?
In today’s post, I list five of the common ways that your childhood might have negatively impacted you and, more importantly, what’s possible in terms of overcoming those impacts.
If you’ve struggled with the question, “Do I have a childhood trauma history?” or ever asked yourself, “Would I benefit from relational trauma recovery work?” please read on to see if any part of what I share resonates with you.
5 Signs Your Childhood May Have Negatively Impacted You
1 ) Your moods and emotions feel like a veritable Weeble Wobble.
Do you remember that toy from the 1970s, the Weeble Wobble? You push it to one side, it falls but bounces back (thanks to the weight in its bottom). You push it to the other side and it falls down but bounces back. Always at the mercy of some external force to dictate the way it moves.
I think that, very often, for folks who come from adverse early beginnings, who come from relational trauma backgrounds, our inner lives often feel like a veritable Weeble Wobble.
You can insert a panoply of adjectives here: stormy, intense, chaotic, variable, all-over-the-place. The words all mean the same thing as the Weeble Wobble demonstrates: your mood isn’t very stable. Your mood is influenced by external forces often.
You’re perceived well and treated well, your esteem soars. You are treated or perceived poorly, your confidence plummets. You’re in a great mood and then your husband comes home in a foul mood. Yours plummets, too. You were feeling good about yourself but received a slightly terse email from your boss. You feel anxious and wonder what you did, your evening ruined as you ruminate.
For those of us from adverse early beginnings, it’s not uncommon to have challenges with emotional regulation, with emotional equanimity. And so one sign your childhood may have negatively impacted you is if your inner life – your moods and emotions – feel like a veritable Weeble Wobble. Always at the mercy of outside forces.
Signs You May Be Carrying Relational Trauma
Take this 5-minute, 25-question quiz to find out — and learn what to do next if you do.
2 ) You have challenges making, keeping, and sustaining good relationships.
With a romantic partner, with friends, with mentors and colleagues, and even the neighbor down the hallway in your apartment building who keeps making overtures for friendship. You struggle to make and keep good, healthy relationships in your life. At least in the way that you want.
And/or, you may have plenty of relationships in your life, but they don’t feel healthy. They don’t treat you well and honor your dignity and personhood. You think that the good decent partners always seem taken. You experience major ruptures with girlfriends time after time. And you always seem to end up with toxic, narcissistic bosses who remind you of your father.
It’s not uncommon for those who grow up in dysfunctional, chaotic, neglectful, or outright abusive homes to have challenges seeking out and keeping healthy, functional relationships.
After all, if you don’t grow up in a home where healthy, functional relationships were modeled and lived out, how are you supposed to magically know how to find and keep good healthy relationships in your own life once you outgrow that home?
Often, as part of relational trauma recovery work, we have to unlearn and relearn what a healthy, functional relationship looks like and feels like.
3 ) You move through the world masking your lack of esteem, feeling like you’re “faking it” and like you’re about to be found out all the time.
Call it imposter syndrome. Call it faking being a grown-up. The experience of feeling like your inside experience doesn’t match up with your external actions is, to a certain extent, normal and natural.
You launch a company, or plunge into new parenthood, or find yourself in charge of managing a huge team of staff, many of whom are more seasoned and older than you… in each of these scenarios, it’s somewhat normal and natural (especially in the beginning!) to feel like you’re faking it, figuring it out as you go.
What I’m talking about is different. It’s feeling like everyone else got handed the Guidebook to Life. Except you. It’s feeling like if people really knew you and your past, they’d run away. It’s feeling like you’re never really up for what life requires and you wear a mask of confidence. But inside you feel like you’re holding it all together with proverbial paperclips and tape. Constantly belittling yourself and your abilities. Feeling like you’re not up for it, feeling like it’s all going to crumble and fall apart at any moment.
Low self-esteem, impaired self-perception, and feeling like you’re moving through the world faking everything and simply not up for what life requires can be another hallmark that you were negatively impacted by your past.
4 ) You feel the need to escape. Often. Repeatedly.
Life feels like too much and, to take care of yourself, you developed ways of coping. Of escaping.
You escape the boredom, stress, overwhelm, strain, and emotional pain of your daily life through repetitive actions or substances, sometimes compulsively.
Binge eating and purging. Gaming for hours. Disappearing into Netflix. Three, four glasses of wine a night. Or, and here’s a slippery one: you work. A lot. Like all the time.
Whatever the escape looks like. You do it. You find yourself counting the hours until you can just escape, zone out, relax, disappear.
Again, while a certain amount of escapism is normal and natural (really, who doesn’t love Netflix?!), a telltale that this is, perhaps, indicative of unresolved issues is the degree of severity and compulsivity of the escaping.
In other words, if you feel like you don’t have choice over it, it’s a problem.
And that – that way you choose to cope with life and all its attendant hard-to-tolerate-feelings and the lack of choice you have around it – may be a sign that your childhood negatively impacted you and you need more tools and skills to deepen your emotional capacity and abilities to cope with stressors.
5 ) You don’t know what “normal” is.
Now, let me be clear: normal is a bit of a four-letter word in therapy. There really is no “normal” insomuch as there’s no black and white single way of things being okay or not okay.
But there is a kind of “normal” in terms of what’s healthy and functional versus unhealthy and dysfunctional that folks who come from relational trauma backgrounds often fail to understand.
It’s normal for a father to scream and rage at the kids one minute and then act like nothing happened the next morning, right?
No, it’s not.
It’s normal for me to not tell him I want to be exclusive because I shouldn’t pressure him, right?
What made you think that was normal dating behavior?
It’s normal to feel super depressed at night and wonder what the point is, right?
You get the picture…
So often, when you come from adverse early beginnings, there’s a misunderstanding of what “normal” (e.g.: healthy and functional looks like). With relationships. Life expectations. Self-expectations.
Often in relational trauma recovery work, we unpack all the maladaptive beliefs internalized from childhood and take a closer look at what “normal” actually is. We rewire your expectations and help you develop more functional, adaptive beliefs. About yourself, about others, and about the world.
But here’s the most important thing to bear in mind.
Today I shared with you five anecdotal ways that you may have been negatively affected by your childhood.
My hope is that by writing out these examples you might see yourself and your story, your personal history, with a little more clarity.
But here’s the most important thing to bear in mind.
Like I mentioned in the intro to this post, even if you didn’t see yourself in these descriptors in the same way that you don’t see yourself in the questions posed by the Kaiser ACE’s study, it’s important to remember that if even some part of you – even a small part of you – is asking the question, “Did my childhood negatively affect me?” then you already know the answer.
Trust yourself and your perception of your experience. No one else is the expert of you. Not me, not the pop psychologist on TV, not your parents, and not the deity you were told is the expert of you. Only you are the expert of you. Trust your judgment here. You already know the answer.
Recognizing Your Trauma Story Through Assessment-Based Therapy
When you sit across from your therapist insisting your childhood “wasn’t that bad” while simultaneously describing emotional chaos, relationship struggles, and compulsive escaping, you’re demonstrating exactly why the question “was my childhood really that bad” needs professional exploration—because trauma survivors consistently minimize their experiences while living with profound impacts they’ve normalized as “just how life is.”
Your trauma-informed therapist understands that recognition is the first crucial step in healing. They know the Kaiser ACE study, while valuable, doesn’t capture the full spectrum of relational trauma—the emotional neglect, the parentification, the conditional love, the thousand small abandonments that don’t fit neat checkboxes but leave you feeling like a Weeble Wobble, constantly destabilized by external forces. They help you see that your struggles aren’t personal failings but predictable responses to inadequate early caregiving.
The assessment process involves exploring those five key areas: your emotional regulation (or lack thereof), your relationship patterns and repetitions, your sense of self-worth and authenticity, your coping mechanisms and their compulsivity, and your internalized beliefs about what’s “normal.” Your therapist isn’t looking for extreme abuse to validate your experience—they’re helping you connect the dots between what you experienced and how you’re struggling now.
Together, you examine specific examples: how a terse email destroys your entire evening, how you always end up with partners who remind you of your critical parent, how you can run a company but feel like a fraud, how you can’t get through an evening without three glasses of wine. Each pattern gets traced back to its origin—not to blame but to understand, not to dwell but to recognize what needs healing.
Most importantly, therapy validates what you’ve always suspected but been afraid to claim: that your childhood did impact you, that your struggles make perfect sense given your history, and that recognizing this truth isn’t weakness or self-pity but the beginning of genuine healing. You’re not crazy for thinking something was wrong—you’re finally seeing clearly.
Here’s to healing relational trauma and creating thriving lives on solid foundations.
Warmly,
Annie
Related Reading
- Six reasons why you might struggle with the term “childhood trauma.”
- What counts as trauma? Was it childhood trauma if I was privileged?
- Childhood Trauma Adaptations: Superpowers & Kryptonite (Part 3)
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Frequently Asked Questions
How do I know if my childhood was actually traumatic?
There’s no checklist that covers every experience, and many people dismiss their own histories because they didn’t look ‘bad enough’ compared to others. Key questions to ask yourself: Did you feel consistently safe? Were your emotional needs reliably met? Did you have at least one adult who truly saw and supported you? If the answers are mostly no, your childhood likely had a significant negative impact regardless of how ‘extreme’ it appeared from the outside.
Can childhood trauma affect me even if I had material comfort growing up?
Absolutely. Relational trauma can occur in households that appear stable and well-resourced. Emotional neglect, chronic criticism, a parent’s mental illness, constant conflict, or emotional unavailability all leave marks on the nervous system and attachment system regardless of socioeconomic status.
What are the most common ways childhood trauma shows up in adult women?
Common patterns include chronic people-pleasing, difficulty setting boundaries, overachievement as a survival strategy, trouble receiving care or help, a persistent sense of not being enough, anxiety or hypervigilance in relationships, and difficulty identifying or expressing your own needs.
Is it possible to heal from a difficult childhood as an adult?
Yes. Healing from childhood adversity is genuinely possible, particularly with trauma-informed therapy, somatic work, and relational repair. Your nervous system retains neuroplasticity throughout adulthood, meaning new experiences can create new patterns—even for very old wounds.
Why do I keep minimizing what I experienced as a child?
Minimizing is one of the most common defenses for people from difficult childhoods, especially those who were parentified, who needed to keep the peace, or whose reality was regularly dismissed. It can also be a way of protecting love for caregivers who also caused harm. Recognizing minimization is often the first step toward honest self-assessment.
This is part of our comprehensive guide on this topic. For the full picture, read: Childhood Trauma: A Therapist’s Complete Guide.
DISCLAIMER: The content of this post is for psychoeducational and informational purposes only and does not constitute therapy, clinical advice, or a therapist-client relationship. For full details, please read our Medical Disclaimer. If you are in crisis, please call or text 988 (Suicide & Crisis Lifeline) or text HOME to 741741 (Crisis Text Line).
You deserve a life that feels as good as it looks. Let’s work on that together.
References
- Felitti, V. J., Anda, R. F., Nordenberg, D., Williamson, D. F., Spitz, A. M., Edwards, V., Koss, M. P., & Marks, J. S. (1998). Relationship of childhood abuse and household dysfunction to many of the leading causes of death in adults: The Adverse Childhood Experiences (ACE) Study. American Journal of Preventive Medicine.
- Schore, A. N. (2003). Affect Regulation and the Repair of the Self. Norton & Company.
- van der Kolk, B. A. (2014). The Body Keeps the Score: Brain, Mind, and Body in the Healing of Trauma. Viking.
- Cicchetti, D., & Toth, S. L. (2005). Child maltreatment. Annual Review of Clinical Psychology.
- Clance, P. R., & Imes, S. A. (1978). The imposter phenomenon in high achieving women: Dynamics and therapeutic intervention. Psychotherapy: Theory, Research & Practice.
- Khantzian, E. J. (1997). The self-medication hypothesis of substance use disorders: A reconsideration and recent applications. Harvard Review of Psychiatry.
- Doidge, N. (2007). The Brain That Changes Itself: Stories of Personal Triumph from the Frontiers of Brain Science. Viking.
- Jurkovic, G. J. (1997). Lost Childhoods: The Plight of the Parentified Child. Brunner/Mazel.
- Herman, J. L. (1992). Trauma and Recovery: The Aftermath of Violence—From Domestic Abuse to Political Terror. Basic Books.
What’s Still Running You?
If your past is quietly shaping your present, it’s time to identify what’s holding you back and take the first step toward a life that actually feels as good as it looks from the outside. Take the free quiz now.

About the Author
Annie Wright, LMFT
Annie Wright, LMFT helps ambitious women finally feel as good as their resume looks.
As a licensed psychotherapist, trauma-informed executive coach, and relational trauma specialist with over 15,000 clinical hours, she guides ambitious women — including Silicon Valley leaders, physicians, and entrepreneurs — in repairing the psychological foundations beneath their impressive lives. Annie is the founder and former CEO of Evergreen Counseling, a multimillion-dollar trauma-informed therapy center she built, scaled, and successfully exited. A regular contributor to Psychology Today, her expert commentary has appeared in Forbes, Business Insider, Inc., NBC, and The Information. She is currently writing her first book with W.W. Norton.
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