Trauma & Mental-Health Roots

Addiction rarely starts with the substance. This section goes underneath it - to the trauma, the adverse childhood experiences, the anxiety and depression and ADHD, and the shame that so often sit at the root. The goal is to take these connections seriously and accurately: trauma matters enormously, but "trauma causes addiction" is a claim that needs nuance, not a slogan. This is where the Atlas is at its most differentiated, because almost no one writes this landscape both compassionately and precisely.

Start here

  • Does trauma cause addiction? — the respectful, more-scientific correction to the popular story

  • What are ACEs and what do they actually predict? — correlation, not destiny

  • What is emotional regulation and can you learn it as an adult? — the bridge to behavior change

Every question in this section

  • Does trauma cause addiction?

  • What are ACEs and what do they actually predict?

  • Addiction and PTSD: why they co-occur and how to treat both

  • What is self-medication? The hypothesis and its limits

  • Anxiety and addiction: which comes first?

  • Depression and substance use: breaking the loop

  • ADHD and addiction risk: what parents and adults should know

  • What is emotional regulation and can you learn it as an adult?

  • Somatic approaches to trauma: what's evidence-based and what isn't

  • Healing shame: the evidence-based path

Link up: The Behavior Change Atlas

Curated by Dr. Adi Jaffe, PhD (UCLA), author of The Abstinence Myth and Unhooked.