Can Childhood Adversity Cause Anxiety?

What Are Adverse Childhood Experiences?

I was asked recently whether childhood adversity can contribute to problems with anxiety in adulthood, so this blog will summarise my thoughts based on my clinical experience and knowledge from academic study. The short answer is yes. We know that adverse childhood experiences (ACE’s), such as your parents separating, witnessing domestic violence, or having one or both parents with their own mental health difficulties, can be a significant factor in the development of difficulties with both physical and psychological health in life. Research also shows that the higher number of ACE’s that an individual experiences, the more likely they are to go on and develop mental health problems such as depression later down the line.

Biological Factors Linked To Anxiety

When I studied for my CBT training, I remember a statistic that suggested that we are about 30% more likely to develop problems with anxiety if our biological parents had problems with anxiety. This figure means that if your parents experienced anxiety, you are more genetically vulnerable to experiencing anxiety. The other 70% was put down to environmental factors such as what we see happen around us, whether that be at home, school, or other social settings. Please note, these figures may have changed since I did my training a few years ago!

Environmental Factors Linked To Anxiety

If you grew up with an anxious caregiver, you could have learnt how to think and behave in an anxious way and this learning can stay with you way into adulthood. For example, if one of your parents held the belief that ‘thinking of the worst-case scenario means that anything better than that is a bonus,’ it is likely that at some point you will pick up on that idea and start to believe it yourself. The reason for this is that your children look up to and respect you (not all the time admittedly!) and will model how you think and behave because that is what is modelled to them.

It makes sense in a world where things go wrong at different points to think in this way. However, if you adopt that thinking style and apply it to different areas of your life, it is likely that anxiety will start to become an issue for you at some point.

Learning To Think & Behave In An Anxious Way

The way you think is habitual and can become so subconsciously ingrained. We know that your beliefs drive your behaviour, so unhelpful, catastrophic ideas like the example above can lead you to do all sorts of behaviours such as excessive planning and preparing before doing something new. These behaviours again make logical sense given the content of the belief, however, can go on to become a problem when you struggle to go somewhere new or do something without a comprehensive plan detailing all potential eventualities. The behaviours also serve to keep the anxious belief in place because we never learn whether something will go wrong or not if we continue to do lots of things to try and prevent bad things from happening. All of this can have quite an impact on friendships and relationships, especially if your loved ones do not hold the same belief and are therefore more spontaneous when doing things.

How Can Therapy Help With Anxiety

The good news is, we all hold both helpful and unhelpful beliefs based on our own experiences growing up, and the purpose of psychological therapy is to help you identify what beliefs you may have developed along the way and whether they are currently helping you or becoming more of a hinderance. Common examples of negative beliefs can be things like, "The world is a dangerous place where bad things always happen," "People will reject me if I don't help them," and "I am a really bad person."

After identifying the beliefs that are causing you problems, therapy can then help you try and change some of these to more realistic ones whilst supporting you to try and behave in accordance with your new beliefs. You may find that a more helpful belief to hold may be something like, "Some people have let me down, but not everyone will," "Bad things happen, but lots of good happens in the world too," and "I may think I am a bad person, but I have lots of great qualities that outweigh my shortcomings."

At the same time, therapy can help you to practice more helpful behaviours such as being more spontaneous and testing how the world really works, rather than how you have been conditioned to think it works from an early age.

Once again, the right therapy, at the right time, by the right therapist trained in the help you need, can make all the difference in helping you heal and move on from anxiety related to difficult experiences from your childhood.

Useful Links:

https://laurahanstherapy.co.uk/mental-health/how-to-manage-excessive-worrying/

https://laurahanstherapy.co.uk/therapy/excessive-reassurance-seeking-anxiety/

Adverse Childhood Experiences (ACEs) and Attachment - Royal Manchester Children's Hospital (mft.nhs.uk)

 

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