Five Signs of Untreated Childhood Trauma
Katie Honeywell, LPCMH, NCC
November 28, 2022 · 9 min read
What if many of the personality traits we take for granted — the people-pleasing, the constant humor, the secret-keeping, the irritability — are not actually who we are, but survival strategies we developed in response to childhood experiences we have never fully processed? Polyvagal Theory and Internal Family Systems offer a framework for understanding how untreated childhood trauma shows up in adult life in ways we often fail to recognize.
The Nervous System Framework
Stephen Porges' Polyvagal Theory (2011) describes three primary states of the autonomic nervous system:
- Social engagement (ventral vagal): The state of safety, connection, and regulated interaction with the world
- Sympathetic activation (fight/flight): The mobilization response to perceived threat — increased energy, alertness, and action
- Dorsal vagal shutdown (freeze/collapse): The immobilization response when threat is overwhelming — numbness, disconnection, and conservation of energy
When childhood trauma is untreated, the nervous system can become chronically stuck in one or more of these survival states. The resulting behaviors become habitual — they feel like "just who I am" rather than adaptive strategies that can be changed. Richard Schwartz's Internal Family Systems theory (2020) adds another layer, describing how protector parts develop to shield our most vulnerable selves (exiles) from pain.
Five Signs of Untreated Childhood Trauma
1. People Pleasing
People pleasing — the compulsive need to make others happy, often at the expense of your own needs — is a fawn/flight response. The child who grew up in an unpredictable or dangerous environment learned that the safest strategy was to monitor the moods of others and adjust their behavior accordingly. Make the angry parent happy. Anticipate what others need before they ask. Never express a preference that might cause conflict.
In adulthood, this looks like difficulty saying no, chronic overextension, resentment that builds silently, and a profound disconnection from one's own desires and needs. The person may not even know what they want — they have spent so long attuning to others that their own internal signal has gone quiet.
2. Inappropriate Humor
Using humor to deflect serious topics, making jokes about painful experiences, or being the "funny one" in every social situation can be a strategy for staying in the social engagement system at all costs. If I can keep everyone laughing, no one will notice the pain. If I can make this situation funny, I do not have to feel how much it hurts.
I will share a personal example: for years, I used humor as my primary coping mechanism. It took significant therapeutic work to recognize that my "great sense of humor" was actually a sophisticated defense that kept me — and everyone around me — at a safe distance from my actual emotional experience. The humor was not the problem; the inability to access anything other than humor was.
3. Secret Keeping
The habit of keeping secrets — not just about traumatic experiences, but about everyday feelings, struggles, and vulnerabilities — is a flight response driven by deep shame. The child who learned that disclosure led to punishment, dismissal, or further abuse develops an adult pattern of hiding anything that feels vulnerable.
Secret keeping maintains isolation, prevents genuine intimacy, and reinforces the belief that one's authentic self is unacceptable. The person may have many relationships but feel profoundly alone because no one knows the real them.
4. Yelling and Irritability
Chronic irritability, a quick temper, and difficulty managing anger are signs of a nervous system stuck in the fight zone. The sympathetic nervous system is chronically activated, and the person is perpetually ready for conflict — even when no real threat is present. Minor frustrations trigger disproportionate responses because the nervous system is interpreting them through the lens of past danger.
This pattern is often the most visible and most consequential sign of untreated trauma, as it directly impacts relationships, parenting, and professional life. Yet it is frequently treated as a behavioral problem rather than recognized as a trauma response.
5. Smartphone Scrolling as Dissociation
In the modern era, one of the most common — and most normalized — forms of dissociation is compulsive smartphone scrolling. The endless scroll of social media, news feeds, and entertainment platforms provides a perfect dissociative escape: it numbs distressing emotions, fills empty time that might otherwise be spent feeling, and creates a mild dopamine drip that keeps the nervous system in a state of low-level activation just above the freeze response.
This is dorsal vagal shutdown in a socially acceptable package. The person is physically present but psychologically absent — disconnected from their emotions, their body, their relationships, and the present moment. When the phone goes away, the feelings that were being avoided come rushing back, which drives the compulsive return to the screen.
From Survival to Choice
Recognizing these patterns as trauma responses rather than personality traits is the first step toward change. Through IFS, we can understand these behaviors as protector parts that developed for good reason and that deserve gratitude rather than judgment. Through trauma-focused treatment, we can help the nervous system learn that the threat is past and that new responses are possible.
The traits you think define you may actually be the strategies that saved you. And what saved you then may be limiting you now. Recognizing the difference is where healing begins.
References
- Porges, S. W. (2011). The Polyvagal Theory: Neurophysiological Foundations of Emotions, Attachment, Communication, and Self-Regulation. W.W. Norton.
- Schwartz, R. C., & Sweezy, M. (2020). Internal family systems therapy (2nd ed.). Guilford Press.
About the Author
Katie Honeywell, LPCMH, NCC
LPCMH, NCC
Katie Honeywell integrates Polyvagal Theory and Internal Family Systems into her understanding of childhood trauma responses.