Childhood Trauma And Anxiety

Medically reviewed by Melissa Guarnaccia, LCSW
Updated March 25th, 2025 by BetterHelp Editorial Team

Anxiety disorders are mental health conditions that can be draining and disruptive to everyday life. Individuals who live with anxiety may wonder whether childhood trauma contributed to their symptoms. Researchers have not found a single cause for depressive and anxiety disorders; rather, they hypothesize that they may be developed through a combination of genetic and environmental risk factors. One such factor can be traumatic stress experienced during childhood development. Still, the science behind childhood trauma and anxiety can be complicated. Below, explore research on these topics and how to find support if you’ve been impacted. 

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Exploring links between childhood trauma, anxiety disorders, and other mental disorders 

Research shows that childhood trauma can have lasting impacts on mental health, with a particularly strong connection between trauma and anxiety. Brain development during the formative years can be altered by challenges like child abuse (including physical abuse, sexual abuse, and emotional abuse), childhood poverty, physical neglect, or exposure to a traumatic event. Some of these changes can include the following: 

  • A reduced volume in the hippocampus, which can affect emotional regulation and memory processing
  • Decreased activity in the prefrontal cortex, which can lead to poor decision-making and reduced impulse control
  • An overactive amygdala, which leads to a heightened fear response

Emotional stress has an impact on physical symptoms and vice versa. Traumatic experiences in childhood can dysregulate the stress response on a physiological level, and continued stress and anxiety can perpetuate a cycle of poor physical and mental health. 

How traumatic events can impact mental health

Trauma-induced anxiety can differ from general anxiety in several ways, though it can be challenging to observe these differences as a layperson. Trauma-induced anxiety is often more situationally motivated, triggered by reminders of the traumatic event. This anxiety can also cause more intense avoidance behaviors, and according to the National Comorbidity Survey, replication is more likely to co-occur with other mental health disorders such as post-traumatic stress disorder (PTSD).  

New research on the timing of trauma during development

Yale University published a study that observed that the timing of trauma can be a factor in whether childhood adversity creates future mood and anxiety disorders or fosters mental resilience in children. Using neuroimaging technology, researchers observed the corticolimbic circuitry in participants to measure activation in conjunction with images that signaled either threat or safety. 

Depending on the age of the person experiencing the traumatic events and the nature of the trauma, the developing brain may either experience a dysregulated nervous response or become more resilient toward stressors. Researchers found that those exposed to low or moderate levels of exposure to adversity in middle childhood and adolescence had lower levels of anxiety.

The study offered insights into neuroplasticity, developmental stages, and when traumatic experiences are most likely to make a significant impact on mental health. These results can allow scientists and researchers to have a better understanding of who may be at greater risk of developing anxiety disorders or other psychiatric challenges.  

Symptoms of trauma-induced anxiety

Anxiety symptoms can include a range of both physical and emotional symptoms, including:

  • Persistent fear or worry, often without discernible cause
  • Avoidance behaviors
  • Intrusive thoughts
  • Panic attacks 
  • A racing heart 
  • Sweating and trembling
  • Difficulty sleeping
  • Hypervigilance

These symptoms can also vary depending on the situation and type of anxiety disorder. Social anxiety disorder can include anxiety and avoidance of social situations, while panic disorders include intense physical and mental sensations that can occur around specific situations. 

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Strategies for protecting mental health in childhood

Early detection of the impacts of childhood trauma can be key to effective treatment. While not all caregivers may be capable of recognizing and addressing a problem, some may. By taking action, they may protect their child against poor mental health outcomes in the future. Below are a few strategies to consider as a caregiver. 

Parental training to avoid childhood trauma

For those who may recognize that their parenting style is maladaptive due to the influences of their own upbringing, parental training or therapy can be helpful ways to shift behaviors into healthier directions. Parental training can teach you new parenting skills. Generally, the authoritative parenting style is associated with higher self-esteem and more significant growth in children. 

Teaching coping skills and resilience for anxiety and mental health challenges in childhood

Caregivers are not always able to prevent all forms of adversity or trauma in a child’s life. However, they can help by providing protective factors that mitigate the impact of this trauma. These factors can include open and nonjudgmental lines of communication with their child, providing an outlet for their feelings, offering positive experiences, and teaching their child stress management and coping techniques, such as mindfulness and regular exercise. 

Community programs to reduce the likelihood of traumatic events 

For children who are growing up in lower socio-economic areas, are being bullied, or have fewer resources, community programs can help offer positive experiences. Programs may include after-school programs through the school system, community sports, camps, or parenting programs offered by various nonprofit organizations in your area. 

Healing from childhood trauma in adulthood

Adults who have experienced childhood trauma and are currently living with the effects of trauma-based anxiety may turn to several resources and treatments to manage symptoms, including but not limited to the following. 

Medical and therapeutic approaches to anxiety disorders

Anxiety disorders and post-traumatic stress disorder are often treated with a combination of medication and therapy. A doctor or psychiatrist may manage the medication while referring the client to a mental health professional for psychotherapy. Medicines for managing anxiety can include:

  • Benzodiazepines (for short-term use)
  • Selective serotonin reuptake inhibitors (SSRIs)
  • Beta-blockers (for physical symptoms)
  • Serotonin-norepinephrine reuptake inhibitors (SNRIs)

The BetterHelp platform is not intended to provide information on which medication or medical treatment may be suitable for you. The content provides generalized information that is not specific to one individual. Do not take any action without consulting a qualified medical professional.

Stress management and self-care for anxiety

Several self-help solutions may reduce symptoms of anxiety, including stress management strategies and self-care practices. Popular protective mental health strategies include:

  • Practicing good sleep hygiene: Stick to a sleep schedule, avoid caffeine after 2 pm, and keep your bedroom cool, dark, and dedicated only to sleep and sex
  • Exercise: Getting regular moderate-intensity exercise with a combination of cardio (walking, biking, dancing), strength, and balance movements
  • Socialization: Creating and maintaining strong social connections, as forging meaningful relationships with others is a strong protective factor for mental health
  • Practicing mindfulness: Mindfulness may include breathing exercises, meditation, or yoga, among other exercises 
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Therapy for anxiety disorders

Two popular therapeutic approaches for trauma-based anxiety can include cognitive-behavioral therapy (CBT) or trauma-focused cognitive-behavioral therapy (TB-CBT). These evidence-based approaches focus on processing traumatic memories, challenging negative thought and behavior patterns associated with trauma, and teaching adaptive coping skills. Other therapies that are often used on their own or in conjunction with other types of talk therapy include eye movement desensitization and reprocessing (EMDR) and mindfulness therapies, such as mindfulness-based cognitive therapy (MBCT) or mindfulness-based stress reduction (MBSR). 

Some people with anxiety may have difficulty scheduling appointments over the phone and attending in-person therapy sessions. Online therapy offers an effective solution. With an online platform like BetterHelp, fill out an online questionnaire to be matched with a licensed therapist that meets your needs. You can then schedule sessions online and attend from the comfort of your own home through video conference, phone, or live messaging. 

Takeaway

Trauma-induced anxiety can have a significant impact on day-to-day life and relationships. By providing outlets and treatment at an early age, you may be able to circumvent some of the risk factors and either reduce or eliminate symptoms. However, even for an adult who has developed symptoms, anxiety disorders are very treatable. Reach out to your medical provider for advice on possible anti-anxiety medications, and contact a therapist in your area or through a trusted online source to manage symptoms and improve your mental health and overall quality of life.

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