What Developmental Trauma in Adults Looks Like When Nothing “Bad” Happened

Episode 155

 

Written by Sarah Herstich, LCSW, Certified EMDR Therapist, EMDRIA-Approved Consultant, Somatic Experiencing Practitioner, and host of The Complex Trauma Podcast. This post grew out of my conversation with Zipa Leah Scheinberg, LCSW, on the podcast.

Developmental trauma in adults is the lasting impact of growing up without enough of what a child needs to develop, like comfort, attunement, consistency, and protection, or with too much of something painful for too long without support. It often comes from what never happened, which is why so many adults struggle to recognize it.

Key Takeaways

  • Developmental trauma in adults often comes from absence, like never being comforted, mirrored, or delighted in, rather than from one terrible event.

  • You can come from a loving home with food on the table and still carry developmental trauma.

  • Zipa Leah Scheinberg's BITES framework names five areas that developmental trauma can interrupt: belonging, identity, trust, existential meaning, and shame.

  • Understanding your patterns is an important step, and it usually needs to be paired with slow, embodied practice for those patterns to change.

  • Developmental trauma interrupts development. It does not end your capacity to keep developing as an adult.

"But it wasn't that bad"

I hear some version of this sentence all the time. "I was loved. I had food. Other people had it so much worse. I don't know why I'm even doing this trauma thing." And then, in the same breath, "So why am I crying all the time? Why do my relationships keep hurting? Why do I feel like this?"

If that sounds like you, I want you to know you're not being ungrateful, and you're not making something out of nothing. Some of the deepest wounds people carry come from the things that were supposed to happen and didn't, which is why there's often no memory to point to.

My guest Zipa Leah Scheinberg, LCSW, an EMDR Certified Therapist and EMDRIA Approved Consultant, calls this trauma by omission. There's rarely a single scene you can point to and say, "That's the day nobody helped me understand what I felt." There's no snapshot of never being delighted in. And yet those absences can shape a person as much as the painful things that did happen.

Zipa knows this from the inside. She grew up as the youngest of ten in a home shaped by her father's survival of the Holocaust, where the two questions were "Are you warm?" and "Do you have food?" There was love, and there was very little room for wanting or needing anything beyond survival. She described having a need as feeling less forbidden than foreign, like a language nobody in the house spoke.

What is developmental trauma?

Developmental trauma is trauma that happens while a child is still developing, usually through ongoing relationships with caregivers. It includes consistently getting too little of what you needed, like love, limits, comfort, and attunement, and getting too much of what hurt for too long without support.

Zipa uses an image I love. Picture a tree. For a tree to grow well, it needs rich soil. Developmental trauma affects the soil. The tree still grows, because trees are resilient and so are kids, but it grows without enough nutrients to fully support itself.

The nutrients a child needs include love, respect, healthy limits, attunement, mirroring, comfort, kindness, reliability, and consistency. When those are missing over and over, the child adapts. On top of that, many kids are also living with harder things, like a parent with mental illness or addiction, poverty, racism, or medical trauma. Developmental trauma is what happens when a growing person has to keep surviving without what they need to grow.

What's the difference between developmental trauma and complex trauma?

Five ways developmental trauma shows up in adults, based on Zipa Leah Scheinberg’s BITES framework.

Five ways rumination can show up as a trauma response, from replaying conversations to the heavy what’s-the-point loop.

Developmental trauma and complex trauma overlap a lot. Complex trauma describes repeated, prolonged trauma, often in relationships a person can't easily escape. Developmental trauma focuses on when that happens, during childhood, and on how it shapes the capacities that were supposed to form.

Complex PTSD (CPTSD) is recognized as a diagnosis in the World Health Organization's ICD-11. Developmental trauma is a clinical framework rather than a formal diagnosis, but many trauma therapists use it because it helps explain why so many adults with CPTSD struggle with identity, relationships, and self-worth. For a lot of the people who listen to the podcast, their complex trauma is developmental trauma. It started early, it happened in relationship, and it shaped how they see themselves and the world.

Signs of developmental trauma in adults, using the BITES framework

Developmental trauma in adults often shows up as struggles with belonging, identity, trust, a sense of mattering, and shame. Zipa Leah Scheinberg organizes these into her BITES framework, named because life can take a bite out of you.

What I appreciate about this framework is that it goes a layer under beliefs. In EMDR we work a lot with negative beliefs, like "I'm not good enough." BITES looks at the five domains every person needs in order to thrive, and asks where development got interrupted.

Belonging, or feeling like an outsider with people who love you

Belonging starts with belonging to yourself, and it's built in relationship with people who feel like home. When belonging was interrupted in childhood, it can show up in ways that feel confusing or even embarrassing.

Zipa shared a conversation with a friend who noticed that every time she saw a kind older woman, at the store or at Disney World, some part of her thought, "Wouldn't it be nice if she was my mom?" That longing has nothing to do with how smart or how healed you are. It's a primal need to belong to somebody.

Belonging wounds can also look like feeling homesick for a place you've never been. Or sitting at the holiday table surrounded by people who love you and feeling like you're outside the window looking in. You know they love you. You still can't quite reach them.

Identity, or who you are underneath your survival patterns

Identity is the domain for anyone who has ever said, "I'm a people pleaser" or "I'm codependent," and then wondered what to do next. As Zipa put it, nobody is born codependent. Patterns like people pleasing, overachieving, or going silent and withdrawing are survival responses that hardened into something rigid.

Sometimes those strategies are useful. There are seasons when you have to pull on your overachiever to meet a deadline or care for your kids. The problem is when you have no choice. Healing in this domain is about moving from rigidity to flexibility, and getting to decide when to use a strategy and when to set it down.

Trust, or learning that your reality is real

Trust includes trusting others, and it also includes trusting yourself. For many survivors, the deepest wound here is doubting their own perception. You had a feeling about someone, you talked yourself out of it, and it turned out you were right.

It's hard to build trust inside when it was never modeled outside. Zipa described being offered mentorship by a kind, generous supervisor and feeling half thrilled and half terrified. Even months into working together, a small part of her still wondered why she deserved that goodness. I think a lot of you will recognize that feeling.

Existential meaning, or "Do I matter? Am I real?"

This domain holds the big questions. Do I matter? Am I real? If I yell into the void, will anyone hear me? These questions often show up alongside dissociation, especially depersonalization and derealization, where you or the world around you can feel unreal.

Zipa works with this domain through meaning and spirituality, though not in a religious sense. The heart of it is that your worth goes beyond what you do or how lovable you are. You matter because you exist, and your voice deserves to be heard.

Shame, or when your whole system shuts down

For people who grew up with developmental trauma, shame can stop being a passing feeling and become a state the whole nervous system lives in. Zipa compares emotions to pieces on a chessboard. Sadness, fear, and anger are all different pieces. Shame is when you flip the whole board.

Everything shuts down. There's self-loathing, an urge to run, and a deep sense of defeat. Shame also pulls people away from love and relationships, which can make every other domain harder to heal. One small clue that shame is close is the phrase "Am I being ridiculous?" If you're asking that, shame is probably already in the room.

Why doesn't understanding your trauma change it?

Understanding your trauma happens mostly in your thinking brain, while developmental trauma lives in your body, your emotions, and your relationships. Insight can explain a pattern, but changing it usually takes slow, repeated, embodied experiences that help build the capacities you didn't get to develop as a child.

So many people come to therapy saying, "I know exactly why I do this, and I still can't stop." When Zipa hears that, she hears a real desire to understand. She also hears how many survivors learned to live in their heads, because feeling was too much. The thinking brain can study the pattern from every angle while the pain, the grief, and the body sensations never get touched.

She made a distinction I keep thinking about. You can reprocess old pain, and you can rebuild new capacities, and those aren't always the same thing. EMDR and other trauma therapies can help reprocess what happened, sometimes faster than you'd expect. Learning how to receive kindness, stay steady in a hard conversation, or trust your own read on someone still takes practice. That part goes slowly.

Zipa says it plainly in her workbook. If you're hoping that reading about development will heal you, she's sorry, but it doesn't work that way. She looked for the shortcut. There isn't one.

Can you heal developmental trauma as an adult?

Yes, adults can heal developmental trauma. The capacities that didn't form in childhood can keep developing, usually through small, repeated experiences of safety, choice, and connection. Healing tends to be slow, and it happens in the body and in relationships, not only through understanding.

Here are a few of the ideas from Zipa's work that I think are worth carrying with you.

Start by staying with yourself

Zipa teaches a practice she calls STAY, a way of coming back to yourself. The first step is simply to stop. That sounds easy, and it's one of the hardest things for a survivor to do, especially when you're running at full speed. The next step is to track what's happening inside, like "I feel terrified" or "my back just started to hurt." Each time you pause and notice, you're building a little more belonging to yourself.

Notice the voice of exile and the voice of belonging

Zipa describes two voices most of us carry. The voice of exile is the inner critic, the part that says "this is probably silly" or "I hope you don't mind" before you've even said what you need. The voice of belonging brings you back to yourself. The goal is to recognize when the critical voice is pulling you away from your steady, capable, dignified self, and to slowly strengthen the voice of belonging alongside it. You don't have to starve the critic out of existence for that to work.

Let the good moments land

Real change often happens in tiny moments. You tell a friend, "I didn't like that," and they answer, "I'm so glad you told me." If you can let that moment land in your body, something starts to build. Learning to take in good experiences is a capacity in itself, and for many survivors it's one of the hardest.

Stop blaming yourself for being dysregulated

One of my favorite parts of our conversation was when Zipa said you can't manifest yourself out of complex trauma. You also can't regulate your way out of it on command. Your nervous system responds to threat for a reason. When wellness culture tells you that you attracted a harmful person or failed to stay regulated, it becomes one more way to blame yourself. Healing includes building the discernment to notice when something doesn't feel right, without turning that awareness into shame.

Expect it to take time

Development works slowly. Zipa compared it to a one-year-old running a marathon. Adults can develop faster than children can, and you can have powerful breakthroughs in an intensive weekend. Your mind, body, and heart still need time to catch up, and you still need to practice. If someone promises to erase your trauma in a weekend, that's a marketing strategy.

What Zipa wants survivors to know is this. Have deep respect for what you lived through, because it actually happened and it was painful. Then get curious instead of ashamed. Your triggers, your dreams, and your hardest moments are stories to be curious about, not proof that something is wrong with you.

Developmental trauma interrupts development. It does not end your capacity to develop. The parts of you that never got the chance to grow are still allowed to grow now.

Listen to the full conversation

You can hear my full conversation with Zipa Leah Scheinberg on The Complex Trauma Podcast. We talk about her BITES framework, what it was like to grow up without language for her needs, toxic belonging, and why healing takes time.

To learn more from Zipa, visit her website for free resources and her BITES email series, or join the waitlist for her belonging workbook. She also writes on Substack and shares on Instagram.

If this post hit close to home, you might also like my episode on grieving what you never had, which explores what it means to grieve the things that never happened in childhood.


Frequently Asked Questions

What is developmental trauma in adults?

Developmental trauma in adults is the ongoing impact of growing up without enough of what a child needs, like comfort, attunement, and consistency, or with too much pain for too long without support. In adulthood, it often shows up as struggles with belonging, identity, trust, self-worth, and shame.

Can you have developmental trauma if your childhood was fine?

Yes. Developmental trauma often comes from what was missing, like emotional attunement or permission to have needs, rather than from obvious harm. Many adults with developmental trauma describe loving families and still feel the effects of what they didn't receive.

What is the difference between developmental trauma and CPTSD?

CPTSD is a formal diagnosis in the ICD-11 that describes the effects of repeated, prolonged trauma. Developmental trauma is a clinical framework that focuses on trauma during childhood and how it interrupts development. The two often overlap, and many adults with CPTSD have developmental trauma underneath it.

Why do I feel like an outsider with people who love me?

Feeling like an outsider with people who love you can be a sign that belonging was interrupted in childhood. Your mind may know you're loved while your body never learned what belonging feels like. Building that sense of belonging, starting with belonging to yourself, is part of healing developmental trauma.

Why can't I stop patterns I understand?

Understanding a pattern happens mostly in your thinking brain, while developmental trauma is held in your body and relationships. Changing a pattern usually takes repeated, embodied practice that builds capacities you didn't get to develop as a child.

What is the BITES framework?

The BITES framework is Zipa Leah Scheinberg's model for understanding and healing developmental trauma. It names five domains that trauma can interrupt: belonging, identity, trust, existential meaning, and shame. Each domain includes capacities that can keep developing in adulthood.

Can developmental trauma be healed in adulthood?

Yes. Developmental trauma interrupts development, but it does not end your capacity to develop. Healing usually happens slowly, through therapy, embodied practice, and safe relationships that help you build what you missed.



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Is Rumination a Trauma Response? Why You Can’t Stop Replaying Things