Do You Know Your ACE Score?

What are Adverse Childhood Experiences and how do they impact your physical and emotional well-being?

The CDC (Center for Disease Control)/Kaiser Permanente ACE Study was conducted between 1995-1997 and collected confidential data from over 17,000 Kaiser HMO members during physical exams. This was one of the largest investigations into child abuse, neglect, and household challenges that looked at later physical health and well-being. For both waves of this study, two-thirds of the people who completed the ACE questionnaire reported at least one adverse experience, and more than 1 in 5 experienced three or more ACEs. The greater number of adverse childhood experiences reported was associated with both physical and mental health challenges in later life.

Adverse Childhood Experiences are potentially traumatic events that occur in a person between the ages of 0-17. They include experiencing violence, physical and/or sexual abuse, neglect, witnessing violence at home, losing a family member, or having a family member attempt or die by suicide. The CDC estimated that up to 1.9 million cases of heart disease and 21 million cases of depression could have been potentially avoided by preventing ACEs. Women and several racial/ethnicity groups were at higher risk of having experienced 4 or more types of ACEs. It is believed that having 4 or more ACEs is associated with a higher risk of injury, sexually transmitted infections, maternal and child health problems, eating disorders, teen pregnancy, involvement in sex trafficking, and a wide range of health issues including diabetes, heart disease, and cancer to name a few. Additionally, when there are significant trauma experiences as children, it can impact you as an adult when you experience a new trauma.

Prevention of adverse experiences is one way to help protect children. This may include treatment for substance abuse for their parents, mental health care for parents (and sometimes children), and additional help from community resources for children and families. Common mental health challenges for those who have experienced adverse childhood experiences as children include anxiety, depression, and post traumatic stress disorder. The good news is you can seek help from both medical and mental health professionals to treat the medical issues associated with ACEs and alleviate mental health symptoms that occurred from childhood trauma.

Please feel free to ask your therapist to assist you in screening for adverse childhood experiences during your initial consultation. For more information about ACEs, feel free to listen to the attached: TED Talk about this very important topic.

For additional reading about ACEs, feel free to search www.cdc.gov

Signs of an Abusive Relationship- Take the quiz!

You may be thinking “ how does someone not know they are in an abusive relationship?” well the answer at times is not always clear due to the manipulation and gaslighting that can come along with it. I will give some signs that you are in an abusive relationship while describing what types of abuse there are.

Emotional Abuse- There will be some attacks on their partner's self-worth, name-calling and belittling, and humiliation. There may be some accusations for example of cheating or various behavior that are unjust. The abuser will then rationalize their behavior by saying “ relax, it was just a joke.” Or “ you make
me act this way.” Another thing that can happen is in public everything is all smiles and in private, the abuser turns on his partner in these negative and abusive ways leaving the victim feeling confused, worthless, and hurt. Gaslighting is a form of emotional abuse and what this is, is a way to make you feel “crazy.” If
there is something to be true about the abuser and you confront them, they will do whatever it takes to make you feel like you imagined the whole thing and make you question yourself. It will turn you against your own logic, even if the truth is right there in your face and in some circumstances even make your abuser look like “ the good guy.”

Physical Abuse- This will be instances of hitting, kicking, biting, pushing/shoving, throwing objects at them, or harming with a weapon. Using any type of restraints classifies as abuse.

Sexual Abuse- This one is common, yet not talked about often and this looks like where the abuser will force sexual contact ( not just intercourse) on their partner. Treating your partner like a sexual object is also abusive. Using sex to get what you want and assign value and importance to your partner is abusive. Withholding sex and affection as a form of punishment is a way to be abusive as well.

Threats and Intimidation- An abuser might threaten their partner by giving a threatening look or gesture, with the point being they want to instill fear. They might track your every move. They could threaten to destroy your property or harm something or someone they love. This instills fear, anxiety, and panic in their partner.

Isolation- The abuser will isolate their partner from their friends and family. They might do this by limiting or even cutting off all contact from others. They may physically do this, but it is often done by intimation and mind games. They will chip away at their partner's self-esteem so that they are the only person in their partner's world, which is abusive.

Economic Abuse- What this looks like is withholding money from your partner and not letting them get their own job or their own money so that they can be financially dependent on their abuser.

Using Children As Pawns- What this looks like is threatening custody of the children in order to get what the abuser wants. It can also look like criticizing their partner's parenting skills and telling their children lies about the other parent.

Think you could be in an abusive relationship?

Take the Quiz