
“What seems to be clear is that we humans are an accumulation of our traumatic experiences, that each trauma contributes to our biology, and that this biology determines, to some extent, how we respond to further traumatic events as they emerge in our lives.” ~Shaili Jain
The stigma of mental health is decreasing. That’s wonderful, but the way we’re doing it is wrong and damaging. We are ignoring the trauma that is so prevalent and pervasive in our society.
Think about how many times you’ve read something equating mental illness to cancer or some other disease. People say that taking medication for mental illness should be considered the same as taking medicine for blood pressure, cholesterol, or other medical issues.
The phrase “chemical imbalance” is used quite often when referring to mental illness. There is a connection, but there’s so much more to mental illness than that.
When we say that mental illness is simply a result of a chemical imbalance, we are pretending our trauma isn’t what causes so many of our mental health struggles. Most of us have had more than enough of others invalidating our trauma and the mental illnesses resulting from it.
Now, before anybody starts screaming that their mental illness is purely a result of a chemical imbalance, hear me out. I do believe it is possible to have a genetic chemical imbalance.
At the same time, I think that possibility needs to include a look at epigenetics. I’m not going into detail about that. Take yourself on over to Google for that.
What I will say about epigenetics is that I believe these “genetic chemical imbalances” come from trauma that is inherited from each generation. It has been proven that trauma can change our DNA.
That is probably why scientists have shown that some have a genetic predisposition to mental illness. The brain has a chemical imbalance as a result of epigenetics.
Now, back to simply labeling mental illness as a chemical imbalance. I suppose it feels like a softer blow for some to believe that’s why they have a mental illness.
This allows them to think that they and/or their experiences have nothing to do with their mental illness. Let me just take this pill to fix my brain.
When I hear or read that anywhere, I get incredibly frustrated. It is minimizing or completely ignoring the fact that mental illness is typically a result of trauma.
My father was a depressed alcoholic who died of cirrhosis nine years ago. I experienced a good bit of trauma as a result of his drunken rages on top of him being absent for a large part of my childhood.
Not only that, but I had the additional trauma of my mother pretending there was nothing wrong with him. I was also taught to pretend the violence wasn’t a big deal.
It was incredibly confusing for me as a little girl because my mind and body knew those experiences were traumatic, but I heard otherwise.
I got a double whammy when it came to mental illness. Unfortunately for me, my mother was not emotionally available. I needed a parent who would validate my feelings and allow me to express what I was feeling.
So, I had the genetic predisposition to depression from my father and probably my mother as well since she stayed with him for many years. However, I also had severe depression and anxiety as a result of my childhood trauma.
I believed my depression was simply genetic and a chemical imbalance until I began therapy. As it became clearer that my childhood trauma was the biggest reason I struggled with my mental health, that way-too-simple theory began to piss me off.
If a genetic chemical imbalance was the sole reason I was depressed and had anxiety, that meant my trauma shouldn’t have affected me the way it did. That didn’t sit well with me.
How could a genetic chemical imbalance result in my thinking that I was worthless and unlovable? How could it be the reason I never felt safe, emotionally or physically? It just was not possible in my mind!
A genetic chemical imbalance wouldn’t cause those negative, false beliefs. It would make me feel depressed or anxious overall, but not linked to any particular event.
Witnessing violence in my home was the reason I had anxiety. I never felt physically safe after the first episode. I was always creating plans of what I could do to be safe if this or that happened.
When I was little, there was a roof over a storage shed outside my window. If I heard my father throwing furniture or screaming violently, I could go out my window, slide down the roof, and run into the woods behind my house.
I had escape plans for every room in my house. I also used to sleep with a portable phone so that I could call 911 if I was ever somehow brave enough to do that.
Hearing that the violence I witnessed was not a big deal and being told not to talk to anybody about it resulted in a very confused little girl.
I felt intense sadness because I believed that my father didn’t love me enough to quit drinking. When I would voice that sadness, I was told that I didn’t have a reason to be sad. So then I thought there was something really wrong with me.
Why am I so sad if I don’t have a reason to be? Why should I feel unlovable if that’s stupid to say or feel?
Once I began therapy, I learned that all of those thoughts and feelings resulted from my trauma. So, even if I didn’t have that predisposition to a genetic chemical imbalance, I would still have had depression and anxiety.
Any child who experienced anything similar to what I experienced would have depression and anxiety. That genetic chemical imbalance garbage was keeping me from acknowledging the fact that trauma was the cause.
As I mentioned earlier, I hear a lot of people saying they need medication for mental illness simply because they have a chemical imbalance. In my opinion, that is incredibly dangerous and prevents people from healing.
It typically results in people thinking a pill will solve all of their mental health struggles. I’ve yet to hear about anybody who took a pill that completely removed all symptoms of mental illness.
Now, I’m not saying the medication does not help. It most certainly does for many people. However, there is much more to mental illness.
Not only that, but the chemical imbalance can also be a result of trauma. There is much more needed to heal trauma than just a pill.
In my late teens and into my early twenties, I tried tons of different medications for depression, but I knew I needed more than that.
Also, each medication only helped a little bit, and only with the day-to-day functioning to get my work done. I was just going through the motions, though. I never even had moments of peace or happiness.
There was no medication that changed my feelings of worthlessness. I still felt unlovable. If I heard or saw certain things, I would get triggered with anxiety. Quickly, my mind would return to that childhood fear that I wasn’t safe emotionally or physically.
If my mental illness wasn’t a result of trauma, then the medications would’ve cured it all.
Oh, how I wish those medications would’ve been the answer for me. That would’ve saved me a lot of time, energy, and money in therapy.
Therapists wouldn’t even exist if mental illness were nothing but a simple chemical imbalance. Medications for mental illness truly would be “happy” pills.
It just doesn’t work that way. Mental illness typically results from years of trauma, covered up or not processed.
Trauma needs intense therapy in order for the brain to get rewired. Trauma also needs to be acknowledged and validated for people to function in a healthier way and begin the healing process.
Saying mental illness is just a chemical imbalance sends the message that your brain is just screwed up and some loose screws need to be tightened.
Equating mental illness to cancer or any other medical illness or disease is denying the major damage trauma causes.
For me, I had enough people downplay my childhood trauma. I’ve also heard way too many people downplay their own.
So, let’s stop doing that. Let’s start naming trauma as equally damaging, if not more, than a simple chemical imbalance.
Name the traumas that resulted in your mental illness. Acknowledge the significant impact that trauma has had on your life and the ways it continues to affect you on a daily basis. And find a good therapist who can guide you through processing your trauma, as I did, so you can heal. Your mind, body, and soul need you to do that.
About Mary Beth Fox
Mary Beth Fox is a licensed professional counselor, motivational speaker, and writer passionate about helping people heal their inner child and break free from “Not Good Enough Stuff.” She runs The Inner Child Therapist blog, where she shares raw, relatable insights on trauma, relationships, and self-worth. Download her free Inner Child Workbook, a powerful guide for anyone ready to dig deep, release old wounds, and grow into their truest self.










Though I run this site, it is not mine. It's ours. It's not about me. It's about us. Your stories and your wisdom are just as meaningful as mine.
Hi Mary, thank you for sharing your thoughts. Agreed! I would add that trauma also covers a wider umbrella of every day life experiences. Redundancy, relationships ending, moving house, illness. It all adds up. Most of us by the time we are adults have encountered traumatic experiences. Life is inherently traumatic. Messages from society are damaging as it often blames individuals for the traumatic experiences they encounter. Not to mention, the prevalence of abuse within society which has been passed down through many generations.
I would say that the importance of boundaries is paramount. Positive experiences generate positive feelings. Negative experiences generate negative ones. We all have to do our best to develop positive experiences and try to limit the negative experiences in our lives.
Helena, I am so glad you found a good therapist and are willing to do the hard work to heal. I write a lot about what you’re talking about in my blog as I’ve seen family generational trauma, lack of boundaries, the harm society causes, and just all the “stuff” life throws at us. Love to you on your continued journey.
I’ll also tell you what I tell my psychotherapy clients. A therapist can help guide you, but at most you probably see your therapist once a week. So, think about how little that is and that your healing comes from what you do outside of therapy more than anything. Keep doing your work my friend! 🥰
Peace and love,
Mary Beth
This is spot on! I have taken anti-depressants for 35 years and could never find the magic pill that made everything alright. I have worked hard on myself over the past couple of years with an amazing therapist. We have delved into my upbringing and past trauma and that has been HUGE! I’m starting to question if I ever had a chemical imbalance or if it was all just situational. I’m going to stay on my meds for now but I may completely get off them at some point. I cannot stress enough the importance of a good therapist. I have never been this happy and at peace and I owe that all to my therapist and all the hard work that I have done.
Science is finally acknowledging what many of us have known for years –that a chemical imbalance *never* causes depression or other mental illness. It’s the conditions–depression/trauma–that create the chemical imbalance. The pharmaceutical industry easily convinced doctors of a false causation.
I am so glad you found this helpful and sad at the same time that you relate. Peace to you on your healing journey.
Mary Beth
Hi Mary _ I actually thought I was alone in this. At 39 and after years of narcassistic abuse, sexual violations and invalidation. I am still dealing with trauma. I refuse to take pills because I feel the same about my mind requiring re-wiring. This is really sad. But I am really thrilled that more of us are coming out. Our wounds will heal those of others.
Pabi’
Chemical imbalances are not causative of any mental illness. In 2005, Kenneth Kendler, coeditor in chief of Psychological Medicine summed up the search for chemical imbalances: “We have hunted for big simple neurochemical explanations for psychiatric disorders and have not found them.” This is after over 50 years of research and applies to all major psychiatric disorders. In fact, they never had any evidence for a ‘chemical imbalance’ theory for any condition. Psychiatric disorders like depression and anxiety are complex, developmental phenomena with an immense array of potential underlying causes from sleep apnea, hypo and hyperthyroidism, and hypoglycemia; to developmental or ongoing trauma and abuse or poverty and deprivation. Just as being tired during the day can be a result of a stressful job or narcolepsy, but a person with narcolepsy isn’t necessarily burnt out physiologically or psychologically by stress; and a person with a stressful job certainly doesn’t necessarily have issues with their orexin. Psychological labels are descriptive only and say nothing about what is driving symptomology at any level — they are the equivalent of diagnosing someone who has a headache with ‘headache disorder.’ People grouped under the titles ‘depression’ and ‘anxiety’ are extremely heterogenous and idiosyncratic physiologically and psychologically in terms of the causes underlying, and the expression of the ‘disorder,’ at every level. Finding a ‘genetic predisposition’ for these disorders as if they are in any way describing a homogenous group of individuals is folly and doomed to fail, and indeed there is no research that has turned up ‘genes’ for any of the major mental disorders. Finally, the medications do not target any underlying pathology because they have not found one. They merely create a barely ‘helpful’ emotional numbness in the short term at great physiological cost; and rapidly diminishing returns, tolerance, dependence and withdrawal in the long term; as well as loss of personal agency and deformation of self image at the psychological level.
Also, stigma for the major mental illnesses is in fact not decreased by ‘illness like any other’ campaigns. Evidence is that such campaigns rather INCREASE stigma, both from the outside and the inside (i.e. self-stigma). Stigma has gone down just barely for depression, but not because of anti-stigma campaigns. For schizophrenia stigma has increased dramatically.
To be clear I agree with this article, except for some of the verbiage. I had the same experience. I don’t think the pills are especially helpful for anyone, though. I may be an outlier there, but there’s pretty clear evidence they make recovery less likely long term.
I imagine the abuse of my childhood, and the fact I wound up with 2 men in my life who were also very abusive speaks volumes about how you were raised and brought up….. Also being medicated wrongly for years when I had trauma not bipolar didnt help me either…. You get no real help unless you can afford it, the county mental health will do nothing but destroy you. keep you drugged up and out of it….. Sad. Still not much better all these years later
Mental illness is caused by many things. Some of us do have a genetic predisposition. Also, some of us do need medication. Medication changed my life. Without it, I wasn’t able to think clearly enough to work through my trauma with my therapist.
One of the reasons people say taking medication for mental illness is like taking medication for other diseases is to de-stigmatise those of us who do need to take medication. When I first started taking medication the people around me did say I was taking “happy pills” and say that the tablets were just a “comfort blanket”. Anyone who’s ever dealt with the awful side effects and had to work so, so hard to find their way through their illness knows that the tablets are absolutely not “happy pills”.
Epigenetics refers to changes in the way your body uses your DNA. It does not refer to changes in your DNA. To the best of my knowledge and understanding, trauma does not change your DNA. But it can change which bits of your DNA your body uses, with all sorts of potential effects.
I agree that medication on its own is not the best way to help yourself if you have a mental illness. You do need to rewire your brain and that is much, much easier and more effective with professional help.
All the best to you all.
I’m impressed with your commitment to advocating the healing potential of therapy for trauma victims.