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Ways childhood neglect shows up later in life.

3/26/2025

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Childhood neglect can show up in adulthood in a lot of different ways, often in patterns that feel frustrating or confusing but make total sense when you trace them back to early experiences. Since neglect is the absence of consistent care and attunement, adults who experienced it may struggle with self-worth, relationships, and emotional regulation in ways that feel deeply ingrained. Some of these might be familiar to you.

1. Difficulty Recognizing or Expressing Needs
If your needs were ignored or met with indifference, you may have learned to suppress them. As an adult, this can look like:
  • Struggling to identify what you need, whether emotionally, physically, or in relationships
  • Feeling guilty or ashamed for asking for help
  • Automatically prioritizing others while neglecting yourself

2. Chronic Self-Reliance or Hyper-Independence

When caregivers weren’t reliably there, you might have learned early on that you could only rely on yourself. This can lead to:
  • Avoiding emotional dependence on others, even in safe relationships
  • Pushing through exhaustion or distress alone rather than seeking support
  • Feeling uncomfortable when others offer care or affection

3. Emotional Numbness or Dissociation

Without consistent emotional validation, some people shut down their feelings as a survival strategy. This might show up as:
  • Feeling detached from your emotions or struggling to identify them
  • Having a hard time connecting with joy or excitement
  • Using distractions (work, screens, substances, etc.) to avoid emotional discomfort

4. Fear of Intimacy or Connection

Neglect can make relationships feel unsafe or unreliable. As an adult, you might experience:
  • Avoidance of deep emotional intimacy, even in relationships you value
  • A belief that others will leave or lose interest if you “need too much”
  • Feeling lonely but unsure how to let people in

5. Low Self-Worth & Inner Criticism

When childhood neglect sends the message that your feelings or presence don’t matter, it can shape your self-image. This can look like:
  • Harsh self-criticism or perfectionism
  • Feeling unworthy of love, success, or happiness
  • A deep-seated belief that you are fundamentally “too much” or “not enough”

6. Anxiety & Nervous System Dysregulation

When a child grows up without a sense of security, their nervous system stays on high alert. As an adult, this can present as:
  • Chronic anxiety or hypervigilance, always scanning for potential rejection
  • Feeling exhausted but unable to relax
  • Struggling with self-soothing or emotional regulation

7. Struggles with Self-Care & Boundaries

If no one modeled care for you, it can be hard to know how to care for yourself. This might mean:
  • Ignoring your own physical or emotional needs until you hit burnout
  • Feeling undeserving of rest, pleasure, or kindness
  • Difficulty setting or enforcing boundaries in relationships

Healing from childhood neglect means learning to give yourself what you didn’t receive—validation, care, and connection. It takes time, but even small steps toward recognizing your own needs, allowing yourself to be cared for, and challenging old beliefs can make a huge difference.
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Joanne Mackie, LMHC, CCTPI and CCTPII, CGPS I & II
917-336-4467


I am licensed in the following US jurisdictions:
New York City and New York State
Bergen County, New Jersey and the State of New Jersey
Miami Dade, Florida and the State of Florida 
Greenwich, Connecticut and the State of Connecticut


  • Let's Talk Trauma
    • What is CPTSD
    • Anxiety and Trauma
    • Depression and Trauma
    • Grief and Trauma
    • Anger and Trauma
  • Grief and Loss
    • Pet Bereavement
  • About Me
    • FAQ
    • Therapeutic relationship
  • About You
  • Methods
    • Somatic Therapies
    • Parts Work
  • Contact Therapist
    • Payment
  • Blog
  • Trusted Colleagues