I am replying to my peer’s post on the Deepest wall


Week 6 Discussion 1: The Deepest Well

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  2. My courses
  3. NU-665C-06-23PCFA
  4. Week 6: Childhood Trauma and Maltreatment
  5. Week 6 Discussion 1: The Deepest Well

Completion requirements

Done: Make forum posts: 1

Value: 100 points

Due: Create your initial post by Day 4 and reply to at least two of your peers by Day 7.

Grading Category: Discussions

Note: In this type of discussion, you will not see the responses of your classmates until after you have posted your own response to the following question.


When you are a psychiatric mental health provider, you will encounter difficult and uncomfortable situations where individuals have experienced different traumas. Experiences of childhood abuse and neglect are known antecedents to developing many mental health and substance use disorders. There is no real way to prepare or plan for exposure to these circumstances. This assignment will help you begin to understand the emotional impact of secondary trauma and how to create a self-care plan to avoid caregiver burnout.

Initial Post

After you review all of the learning materials and watch the Week 6 child abuse video, pick two questions from the list to answer in your initial post. Your discussion post should address two of the following:

  • What is the definition of an adverse childhood event (ACE)? Are there different types of abuse? How many types of abuse did Dr. Harris encounter?
  • Discuss mental instability, substance use, and generational transmission. How is Dr. Harris coping with patients in these situations, and what skills will you incorporate into your practice? Explain your reasoning.
  • Discuss survival and resiliency theory. Relate two surprising facts that Dr. Harris points out about the ACE study.
  • What physical, psychiatric, and substance use disorders are associated with adverse childhood events? Give three examples from Dr. Harris’s patients.
  • Explain how the “dysregulated stress response” and Dr. Harris’s depiction of “BEARS” are related.
  • How is DNA modified by traumatic experiences, and what are the sequelae?

You will need to cite at least two research-based resources for this assignment.


Reply to at least two of your peers. In your reply posts, identify a new or heightened awareness you now have about a particular aspect of the discussion topic. Discuss how this awareness may impact your practice.

Please make certain that your initial and reply posts are in APA format.  



This is my peer’s post


In reply to Devashish Rattan

Re: Week 6 Discussion 1: The Deepest Well

by Cindy Faraguna – Monday, 2 October 2023, 5:10 PM

What is the definition of an adverse childhood event (ACE)? Are there different types of abuse? How many types of abuse did Dr. Harris encounter?Adverse childhood events (ACEs) can come from different traumatic experiences a child encounters. The traumatic experience can be abuse (physical, sexual, verbal, emotional), neglect, having a parent with an unstable mental health condition or substance use disorder, or witnessing violence. A child exposed to these types of conditions consistently and/or for a long period of time can manifest negative physical and/or mental health problems later in life. ACEs that frequently occur in childhood significantly increase the body’s stress response which results in long-lasting adverse effects on one’s brain, and physical and mental health (Herzog & Schmahl, 2018). In the book, Deepest Well, Dr. Harris discovered several types of ACEs when treating patients in Bayview in Northern California. She discovered several of her patients’ unexplained medical conditions stem from ACEs. The types of ACEs her patients faced were domestic abuse, physical abuse, verbal abuse, sexual abuse, living in unsafe neighborhoods with frequent gun violence, parents incarcerated, parents with unstable mental health conditions, and neglect. Dr. Harris had her own experience with ACEs. Her mother was suffering from schizophrenia and one of her brothers was as well. She never knew what “type of mom” she would have each day. Her brother jumped out of the car when her mother was driving and has never heard from him again. When Dr. Harris was bringing ACE awareness to medical board members and elite populations, she discovered ACEs did not only occur in low-income communities but affected everyone. ACEs do not discriminate on age, race, gender, or socioeconomic status. ACEs were not talked about and in many cases pushed aside because the ACE situation was not acceptable or shameful. Not only does the experience of ACEs impact the individual but the guilt one feels when trying to do the right thing. For example, Dr. Harris’ patient Diego. His experience with his dad led to him feeling guilty about why his dad was deported back to Mexico. Diego’s guilt carried on with him throughout the years and later almost took his own life.Discuss survival and resiliency theory. Relate two surprising facts that Dr. Harris points out about the ACE study.

Survival and resiliency theory are strategies or coping mechanisms one develops to deal with the impact of his/her trauma. Survival and resiliency theory is focused on the understanding that people who experience ACEs can still live healthy adult lives (Zimmerman, 2013). Dr. Harris was surprised to discover that ACEs not only be carried into adulthood but can also cause physical health problems such as stroke. Dr. Harris’ brother suffered a stroke but was living a healthy lifestyle, eating well, exercising, and surrounded by a loving family. His ACEs showed its effects later in adulthood and he suffered a stroke. A prolonged activated stress response will disrupt the development of the brain structure and other organ systems resulting in disease and cognitive impairment (Nelson et al., 2020). Dr. Harris shared that she had patients with unexplained asthma exacerbation, children showing significantly low percentages on the growth chart, and unexplained illnesses. When children are exposed to high levels of psychological stress, cortisol levels increase and show increased childhood diseases such as asthma, otitis media, viral infections, dermatitis, urticaria, urinary tract infections, and intestinal infectious diseases (Nelson et al., 2020).


Herzog, J.I. and Schmahl, C. (2018) ‘Adverse childhood experiences and the consequences on neurobiological, psychosocial, and somatic conditions across the lifespan’, Frontiers in Psychiatry, 9. doi:10.3389/fpsyt.2018.00420.

Nelson, C.A. et al. (2020). Adversity in childhood is linked to mental and physical health throughout life, BMJ, 371(1), p. m3048. doi:10.1136/bmj.m3048.

Zimmerman, M.A. (2013) ‘Resiliency theory’, Health Education & Behavior, 40(4), pp. 381–383. doi:10.1177/1090198113493782.

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