Trauma as a Gateway: Exploring Trauma-Driven Pathways to Substance Use Disorders


Authors : Jindra Samuels

Volume/Issue : Volume 10 - 2025, Issue 6 - June


Google Scholar : https://tinyurl.com/bdh27wvd

DOI : https://doi.org/10.38124/ijisrt/25jun723

Note : A published paper may take 4-5 working days from the publication date to appear in PlumX Metrics, Semantic Scholar, and ResearchGate.


Abstract : This thesis investigates the role of trauma as a gateway to substance use disorders (SUDs), exploring how adverse experiences—particularly during childhood—disrupt emotional regulation and lead to maladaptive coping strategies such as self-medication. Bridging the fields of forensic psychology and addiction counseling, the research employs a mixed- methods approach: a meta-analysis of existing literature and qualitative interviews with experienced addiction counselors. Findings suggest a strong correlation between trauma exposure and the onset of substance use, with post-traumatic stress symptoms often preceding dependence. Counselors report that trauma frequently initiates substance use as a form of emotional escape, which gradually evolves into chronic addiction. The results support the integration of trauma-informed care (TIC) into substance abuse treatment, emphasizing early screening, psychological safety, and evidence-based interventions like TF-CBT. By reframing trauma as a primary gateway, this thesis advocates for a paradigm shift in how addiction is assessed, treated, and understood within forensic and clinical contexts.

References :

  1. Back, S. E., Brady, K. T., Sonne, S. C., & Verduin, M. L. (2006). Posttraumatic stress disorder and comorbid substance use disorders: Recent research findings. American Journal of Psychiatry, 163(5), 803–810.
  2. Centers for Disease Control and Prevention. (n.d.). Adverse Childhood Experiences (ACEs). https://www.cdc.gov/violenceprevention/aces/index.html
  3. Khantzian, E. J. (1997). The self-medication hypothesis of substance use disorders: A reconsideration and recent applications. Harvard Review of Psychiatry, 4(5), 231–244.
  4. Substance Abuse and Mental Health Services Administration. (2023). Practical Guide for Implementing a Trauma-Informed Approach. HHS Publication No. PEP23-06-05-005.
  5. Volkow, N. D., Koob, G. F., & McLellan, A. T. (2016). Neurobiologic advances from the brain disease model of addiction. New England Journal of Medicine, 374(4), 363–371.

This thesis investigates the role of trauma as a gateway to substance use disorders (SUDs), exploring how adverse experiences—particularly during childhood—disrupt emotional regulation and lead to maladaptive coping strategies such as self-medication. Bridging the fields of forensic psychology and addiction counseling, the research employs a mixed- methods approach: a meta-analysis of existing literature and qualitative interviews with experienced addiction counselors. Findings suggest a strong correlation between trauma exposure and the onset of substance use, with post-traumatic stress symptoms often preceding dependence. Counselors report that trauma frequently initiates substance use as a form of emotional escape, which gradually evolves into chronic addiction. The results support the integration of trauma-informed care (TIC) into substance abuse treatment, emphasizing early screening, psychological safety, and evidence-based interventions like TF-CBT. By reframing trauma as a primary gateway, this thesis advocates for a paradigm shift in how addiction is assessed, treated, and understood within forensic and clinical contexts.

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