Understanding the Relationship between Trauma, Shame, and Substance Abuse


By Julie Choi Trepkau (she), AMFT 147728

Julie is an Associate Marriage and Family Therapist (AMFT) who holds a Master's in Counseling from National University, and is dedicated to supporting individuals from diverse populations as they navigate life’s challenges, including anxiety, depression, trauma, life transitions, and relationship concerns.  Julie’s background is in yoga and education, having taught yoga internationally for over two decades as well as elementary school in Encinitas.    

Understanding the bidirectional relationship between trauma, shame, and substance use helps explain why substances are often used as a way to cope. Shame can be described as an intense, deeply negative feeling about oneself, often tied to beliefs of worthlessness or inadequacy. It is closely linked to a range of unhealthy coping strategies, including substance use. Research has shown a strong connection between trauma—particularly experiences rooted in Adverse Childhood Experiences (ACEs), such as abuse, neglect, household dysfunction, or exposure to substance use—and the development of both shame and substance use disorders. These early experiences can shape how a person processes emotions, and heightened shame can increase vulnerability to using substances as a way to numb or escape painful feelings. 

When it comes to addressing substance use, it’s important to look beyond the behavior itself and consider the underlying causes. Exploring the connection between trauma, shame, and substance use can lead to a deeper understanding of why these patterns develop in the first place. Rather than viewing substance use as something inherently “wrong” with a person, it can be seen as an adaptive response—a way the brain attempts to manage overwhelming emotional pain. Lasting healing often involves addressing both the substance use and the trauma beneath it, creating space for more sustainable recovery and healing. 

MiraCosta College Student Health Services offers free, confidential individual, relationship, and family counseling as well as groups to support you on your journey. Contact us at 760-795-6675, mccshs@MiraCosta.edu, www.MiraCosta.edu/HealthServices or stop by room 14114 at the Oceanside campus or 917 at the San Elijo campus for more information.

 

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