Sometimes when I need to take a break from a series, I’ll grab something non-fiction to read. I don’t remember if I found this book due to reading Lost Connections by Johann Hari, or if it was just recommended to me by Kindle.
It’s an excellent, accessible, and all around amazing book explaining in clear detail about ACEs, Adverse Childhood Experiences, and their impact on health in both the short and long term. Even better, she goes into a number of things we’ve found so far that help correct the impact of ACEs.
I can’t agree strongly enough with her position that we should be screening people for ACEs as consistently as we are checking their blood pressure and cholesterol, and taking their ACE score into account in terms of increased risk of disease and problems throughout the lifespan.
This writer is such a convincing advocate, that I’m already noodling about how to change my intake paperwork with my own clients to screen for these issues and help them get onto a better path psychologically. I expect this to be a book that I’ll re-read, and “borrow” extensively from in terms of helping to educate my clients about their stress-reactions, how they work, and why they have the impact that they do.
I also agree with her about needing to de-stigmatize what it means to be someone who has faced adversity, and that this is a problem for all groups and walks of life, not just the very poor or POC. I took the test in Appendix 1 of this book, and my own ACE score is 5. I’m white, was raised middle-class, and had a lot of advantages in my life. I also face seriously increased health risks because of the adverse experiences I had as a child. These experiences in turn make me more vulnerable to toxic stress reactions, not just having tolerable stress reactions.
Also, I want to quickly call out the six things she lists as counters to toxic stress: sleep, exercise, nutrition, mindfulness, mental health, and healthy relationships. These are all factors we can cultivate to a greater or lesser degree in our own lives to combat toxic stress and overturn the impact ACEs have on our health and well-being.
As a therapist, I know the value of good sleep, and I see how much it increases my clients’ suffering when they can’t get enough or good enough sleep. Exercise is still one of the best anti-depressants we know of, and I can’t tell you how many times I’ve advocated for my clients to take a walk, even if it’s a brief one around the block. They have all my sympathy as I do so, because I still find myself resistant to getting outside of my house and walking, even knowing it would be good for me. Nutrition, same deal, I know that eating more nutrients would be better for me, and I find myself turning to the same high-sugar, high-fat foods when I’m feeling down or stressed. Mindfulness: I took a class last year from my therapist on Mindfulness-Based Stress Reduction (MBSR). I know that engaging in my mindfulness practice every day would be a wonderful boost, and I struggle with my motivation too. In all of the above, I make a point of working from a variant of harm-reduction, and try to just add one more healthy thing in a week. Some weeks that’s 2 minutes of mindfulness. Some weeks it’s a couple of walks in the local park. Some weeks it’s getting more servings of vegetables or fruit. Above all, I try to remember to exercise self-compassion and encouragement, because talking down to myself is not going to improve my motivation.
Mental health is my work. Every day I see clients, I’m helping them prioritize their own mental health. I have my own therapist that I see every couple of weeks to maintain my own mental health, and to challenge me on the blocks in my own life. Healthy relationships are my joy, and my partners help me every day in managing my stress and finding better ways to be all of myself.
What I will say in summary about this book is that it reminded me of all the challenges and adversity I’ve already faced, helped me grieve and feel the pain of those hurts, and reminded me of the things I can do now, and every day in the future, to make my life the best it can be. I would highly recommend it to everyone.