Overcoming Adverse Childhood Experiences (ACEs) and Addiction

August 27, 2025

Written By: James Baker, MS, LAAC

How Childhood Experiences Shape Adult Behavior

Have you ever wondered why some people seem to function well despite being surrounded by dysfunction? The answer often lies in the powerful impact our earliest memories have on shaping who we are and how they influence us more than we might realize.

For many of us, cherished childhood memories are a source of comfort and joy. Whether it’s the excitement of a favorite holiday, an unforgettable birthday, or the presence of a supportive parent, coach, or mentor, these experiences leave an indelible mark on our hearts. They form our worldview, shape our behaviors, and provide context for how we interact with the world around us.

But for individuals who have experienced Adverse Childhood Experiences (ACEs), these memories often take on a different tone; one that is turbulent, painful, and fraught with emotional scars. ACEs can significantly increase the risk for addiction, domestic violence, and other traumatic experiences, creating layers of unhealthy circumstances that people struggle to reconcile with throughout their lives.

The behavioral health and recovery community has long recognized the connection between past trauma and current behavior. Simply put, this is an example of cause and effect. Our past experiences shape how we think, feel, and respond to the circumstances we face today. The ripple effect of trauma continues to influence our emotional reactions and behavioral patterns, often without us even realizing it.

It is crucial to approach individuals who have taken the courageous step of seeking help with compassion and a trauma-informed perspective. An approach grounded in empathy, practicality, and understanding enables those struggling with dysfunction and addiction to make sense of their lives. As anyone who has faced a challenge can attest, when a goal feels reasonable, measurable, and achievable, it becomes easier to achieve.

Supporting people in their most vulnerable moments is vital. By working with them in a collaborative and empowering manner, we can help them build a healthier life, one where they reestablish the most important relationship they’ll ever have: the relationship with themselves.

The Hidden Impact of Childhood Trauma: Understanding ACEs

Childhood trauma doesn’t always leave visible scars, but its emotional and psychological impact can be profound and long-lasting. These hidden wounds often create a complex web of risk factors that can affect a child’s development and well-being. Trauma can stem from a variety of experiences, including violence, sexual abuse, health challenges, or instability in life circumstances, such as frequent moves, parental divorce, or uncertainty surrounding basic needs like housing, food, or clothing.

According to the CDC, individuals who have experienced ACEs are at a higher risk for a variety of long-term challenges, including mental health disorders, chronic diseases, and substance use disorders. The long-term impact of these early experiences can shape not only a child’s development but also their ability to thrive in adulthood.

The Impact of ACEs on Addiction and Long-Term Health Outcomes

National data from the CDC and the National Child Traumatic Stress Network reveal that nearly 1 in 6 adults have experienced four or more types of ACEs. These traumatic events significantly increase the risk of substance abuse, incarceration, and domestic violence. Teens who experience physical or sexual abuse are more than three times as likely to struggle with substance abuse. Among adolescents in treatment for substance abuse, over 70% have a history of trauma.

The more ACEs an individual has, the higher their risk for not only addiction but also chronic illness, mental health issues, and involvement in the criminal justice system. When children grow up in environments shaped by fear and instability, they often internalize these experiences, leading to unhealthy coping mechanisms, such as addiction, that can persist into adulthood.

How Trauma Impacts Brain Development and Long-Term Risks

Childhood trauma can significantly disrupt the brain in areas responsible for emotional regulation, impulse control, and decision-making. When disrupted, the amygdala (fear response), the hippocampus (memory) and the prefrontal cortex (self-control) can lead to individuals experiencing:

  1. Increased anxiety and hypervigilance (always on guard)
  2. Mood disorders (e.g., depression, PTSD)
  3. Poor impulse control (reacting instead of responding to situations)
  4. Difficulty forming relationships (or trusting others)

These developmental disruptions significantly raise the risk of addiction and incarceration. Impaired emotional regulation can lead to substance use as a form of escape, while poor decision-making and impulse control can contribute to risky behaviors and criminal involvement.

The Link Between Childhood Trauma and Substance Abuse

For many individuals who have experienced significant trauma, substance use doesn’t begin with a desire to “get high” or seek “fun.” Instead, it stems from a painful and dysfunctional perception of their environment, as well as a desperate need to escape reality.

Drugs and alcohol quickly become coping mechanisms, attempting to fill the void left by overwhelming emotional pain and traumatic memories. Over time, these substances take control, robbing individuals of their dignity, independence, and future, trapping them in a cycle of dysfunction that is difficult to get out of.

Here are some examples of how trauma can evolve into addiction:

Trauma Experience

Emotional Response

Substance Use Behavior

History of emotional abuse

Anxiety, panic attacks

Turns to alcohol or other substances for relief

Early exposure to substance use

Dysfunctional coping behavior, escapism

Early experimentation with alcohol or other substances

History of sexual trauma or abuse

Hyper-vigilance, fear

Uses alcohol or opiates to escape past trauma

Emotional neglect or abandonment

Poor emotional regulation or response

External validation in risky behaviors and often substance use

Untreated PTSD / C-PTSD

Overwhelm, dissociation

Uses alcohol or substances to self-medicate

For individuals with dual diagnoses (co-occurring mental health disorders and substance use), the need to self-medicate becomes even more dangerous. The self-soothing behaviors used to manage mental health symptoms often lead to more severe substance use disorders. As these individuals attempt to numb emotional pain, it can perpetuate a vicious cycle, where untreated trauma and mental illness drive increased substance use, which in turn worsens the mental health condition.

This combination significantly increases the risk for more severe substance abuse, chronic health issues, domestic violence, and involvement in the criminal justice system. The ongoing struggle of managing both mental health and addiction can have adverse life outcomes, but with the proper treatment, it is possible to break the cycle.

Healing from Trauma and Addiction

Healing from trauma and addiction is neither linear nor simple. It’s messy, courageous, and deeply personal. It often begins with learning how to feel safe again – in your body, in your relationships, and in your environment.

Long-term recovery goes beyond simply remaining clean from substances; it’s about living a life in sobriety by establishing stability and sustainability in life.

Critical Goals for recovery include:

  1. Building Trust and Safety: Learning what safety feels like with care providers, loved ones, and within your own body.
  2. Developing Coping Tools That Heal: Techniques such as mindfulness, grounding exercises, and creative outlets help individuals process emotions without relying on substances.
  3. Strengthening Connection and Community: Support groups, family reconnection, and healthy relationships provide stability and accountability.
  4. Creating Structure and Purpose: Consistent routines, vocational training, and goal-setting help restore self-worth and direction.
  5. Addressing Physical Wellness: Proper nutrition, sleep hygiene, and regular medical care support brain health and overall recovery.
  6. Ongoing Therapy and Relapse Prevention: Trauma work takes time. Continued access to trauma-informed therapy and a solid relapse prevention plan are essential for long-term success.

Therapy, especially over time, helps untangle trauma that once felt insurmountable. Recovery doesn’t erase the past, but it empowers you to reclaim your future on your own terms.

Why Trauma-Informed Addiction Treatment Matters

You can’t effectively treat addiction without addressing the wounds beneath it. Trauma-informed care recognizes the profound impact of past trauma and integrates compassion, safety, and understanding into every step of recovery.

At Buena Vista Recovery, our approach to trauma-informed care includes:

  1. Dual Diagnosis Treatment: addressing both addiction and co-occurring mental health conditions while simultaneously providing comprehensive, integrated care for lasting recovery.
  2. Individual and Group Therapy: Providing safe spaces to process trauma, build coping skills, and connect with others who share similar experiences.
  3. Evidence-Based Therapies:
  4. Cognitive Behavioral Therapy (CBT): Helps people recognize and change problematic behaviors and thoughts.
  5. Eye Movement Desensitization and Reprocessing (EMDR): Helps individuals address painful memories, reframe experiences, and release trauma, providing a healthier psychological understanding of the past.
  6. Acceptance and Commitment Therapy (ACT): Encourages individuals to embrace their thoughts and feelings, promoting emotional flexibility and psychological resilience.
  7. Dialectical Behavior Therapy (DBT): Focuses on building skills for emotional regulation, mindfulness, and interpersonal effectiveness.
  8. Personalized Treatment Plans: Designed not just to address addiction, but to empower individuals by uncovering their unrealized aspirations, hopes, and potential. These plans are tailored to each person’s unique history, strengths, and recovery goals, enabling them to rediscover their true sense of self and direction.

By addressing the root cause of addiction and its deep emotional impact, patients won’t simply achieve sobriety – they will instead gain resilience, self-awareness, and the tools necessary to reclaim their lives.

Taking the First Step Toward Recovery

So, if you’re having a difficult time and constantly come back to memories that continue to elicit pain in your life, remember: your past does not define your future, and these memories no longer deserve to occupy the emotional and psychological real estate in your life that they have for so long.

Healing is not only possible; it’s within reach. You can heal from the pain. You can heal from your addiction.

There is help. There is hope. And there is a place that understands the weight of your story and is ready to help you lift it.

At Buena Vista Recovery, we offer the support, compassion, and trauma-informed care you need to take that first step toward healing.

Call us today at 480-999-0851 or visit us here to start writing your own story and begin your journey toward lasting recovery.

You are not alone. Your future is waiting for you. Start your recovery today.

CHANDLER
3033 South Arizona Avenue
Chandler, Arizona 85248

TUCSON
5151 East Pima Road
Tucson, Arizona 85712

SCOTTSDALE
8171 E Indian Bend Rd
Scottsdale, Arizona 85250


THANK YOU
for visiting us at
Buena Vista Recovery

Speak to a
Treatment Advisor

Phone: 480.999.0851
close-link