The effects of exposure to trauma in childhood have repeatedly been linked to the development of maladaptive personality traits and personality disorders [1,2,3,4]. In contrast, much less is known about personality related problems that may arise in adulthood.
Trauma victims have a tendency to internalize their suffering. They take others' actions as a reflection of their worth. As a result, they tend to blame themselves for mistreatment. For some people, this can lead to withdrawal and extremely negative thinking.
BPD as a sequela of childhood traumas often occurs with multiple comorbidities (e.g. mood, anxiety, obsessive-compulsive, eating, dissociative, addictive, psychotic, and somatoform disorders). In such cases it tends to have a prolonged course, to be severe, and treatment-refractory.
Narcissism and its Origins
Narcissism tends to emerge as a psychological defence in response to excessive levels of parental criticism, abuse or neglect in early life. Narcissistic personalities tend to be formed by emotional injury as a result of overwhelming shame, loss or deprivation during childhood.
“We found a strong link between childhood trauma and BPD, which is particularly large when emotional abuse and neglect was involved.”
Emotional Trauma Symptoms
Psychological Concerns: Anxiety and panic attacks, fear, anger, irritability, obsessions and compulsions, shock and disbelief, emotional numbing and detachment, depression, shame and guilt (especially if the person dealing with the trauma survived while others didn't)
Adults who have experienced childhood trauma usually have heightened levels of anxiety. They may worry excessively and have trouble managing their anxiety. It can lead to persistent feelings of sadness, lack of interest in activities, and difficulty experiencing pleasure.
A child who has experienced this type of trauma and holds much shame may show us behaviours such as: envy, anger, and anxiety, effects of sadness, depression, depletion, loneliness, isolation and avoidance. They will highlight to us their inadequacy, their powerlessness and at times their own self-disgust.
Trauma can be held in the body, leading to physical symptoms years later — such as headaches, jumpiness, chronic pain, and dissociation. When you have an overwhelming experience, your logical mind might feel “over it” before your body does.
Many may often ask themselves, “Will I feel this way forever?” The answer to this is both simple and complex. The effects of trauma that evolve into ost-traumatic stress disorder (PTSD) will never entirely go away. However, they can be managed with proper treatment to make them less severe to live a normal life.
Most unresolved childhood trauma affects self-esteem and creates anxiety. Did you suffer a serious childhood illness? If so, you were likely isolated at home or hospitalized. This meant being removed from normal social activities and you probably felt lonely, maybe even worried about being different.
Without treatment, repeated childhood exposure to traumatic events can affect the brain and nervous system and increase health-risk behaviors (e.g., smoking, eating disorders, substance use, and high-risk activities).
Other manifestations of childhood trauma in adulthood include difficulties with social interaction, multiple health problems, low self-esteem and a lack of direction. Adults with unresolved childhood trauma are more prone to post-traumatic stress disorder (PTSD), suicide and self-harm.
Post-traumatic stress disorder (PTSD).
Children and adolescents with PTSD have symptoms such as persistent, frightening thoughts and memories or flashbacks of a traumatic event or events.
A study of young adults found that childhood trauma was significantly correlated with elevated psychological distress, increased sleep disturbances, reduced emotional well-being, and lower perceived social support.
Most people are indeed entirely unaware that they are suffering from trauma at all. Many put their symptoms and negative experiences down to stress which is often vague and unhelpful, particularly when trying to get to the core of the problem.
Initial reactions to trauma can include exhaustion, confusion, sadness, anxiety, agitation, numbness, dissociation, confusion, physical arousal, and blunted affect. Most responses are normal in that they affect most survivors and are socially acceptable, psychologically effective, and self-limited.
They might even smile or laugh. This can seem strange or confusing, but in fact it's very common - it happens because trauma can cause such strong feelings that your mind may 'cut off' or dissociate from your emotions. Hearing about trauma can be really hard, whether or not someone shares specific details.
Separations, disagreements, and rejections—real or perceived—are the most common triggers for symptoms. A person with BPD is highly sensitive to abandonment and being alone, which brings about intense feelings of anger, fear, suicidal thoughts and self-harm, and very impulsive decisions.
Stressful or traumatic life events
Often having felt afraid, upset, unsupported or invalidated. Family difficulties or instability, such as living with a parent or carer who experienced an addiction. Sexual, physical or emotional abuse or neglect. Losing a parent.
If the trauma is left untreated, one can experience nightmares, insomnia, anxiety, depression, phobias, substance abuse, panic attacks, anger, irritability, or hopelessness. The individual might also begin to have physical symptoms such as gastrointestinal distress, rapid heartbeat, or extreme fatigue.