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“An extraordinary, eye-opening book.” —People

National Health Information Awards winner

“A rousing wake-up call. . . . This highly engaging, provocative book prove[s] beyond a reasonable doubt that millions of lives depend on us finally coming to terms with the long-term consequences of childhood adversity and toxic stress.” —Michelle Alexander, author of The New Jim Crow

Dr. Nadine Burke Harris was already known as a crusading physician delivering targeted care to vulnerable children. But it was Diego—a boy who had stopped growing after a sexual assault—who galvanized her journey to uncover the connections between toxic stress and lifelong illnesses.

The stunning news of Burke Harris’s research is just how deeply our bodies can be imprinted by ACEs—adverse childhood experiences like abuse, neglect, parental addiction, mental illness, and divorce. Childhood adversity changes our biological systems, and lasts a lifetime. For anyone who has faced a difficult childhood, or who cares about the millions of children who do, the fascinating scientific insight and innovative, acclaimed health interventions in The Deepest Well represent vitally important hope for preventing lifelong illness for those we love and for generations to come?.

“Nadine Burke Harris . . . offers a new set of tools, based in science, that can help each of us heal ourselves, our children, and our world.”—Paul Tough, author of How Children Succeed

“A powerful—even indispensable—frame to both understand and respond more effectively to our most serious social ills.”—New York Times

26 reviews for The Deepest Well: Healing the Long-Term Effects of Childhood Trauma and Adversity

  1. Amy Gamble
    (26)
    July 3, 2023
    4.0 out of 5 stars ACE Scores are a predictor of good health
    This is a very well-written and interesting story of how the author/medical doctor discovered the link between trauma and physical illnesses. She give...More
    This is a very well-written and interesting story of how the author/medical doctor discovered the link between trauma and physical illnesses. She gives real live examples of what she was seeing in practice with her pediatric patients and what the ACE's studies eventually showed. The author takes a complex topic and makes it understandable and applicable.
    Helpful? 0 0
    John Warrant
    (26)
    April 7, 2022
    4.0 out of 5 stars A must read for those who care about children, our current health crisis, and real-world solutions
    When I started reading The Deepest Well I wasn’t sure what to expect. A friend who had suffered childhood abuse suggested that I might find it enligh...More
    When I started reading The Deepest Well I wasn’t sure what to expect. A friend who had suffered childhood abuse suggested that I might find it enlightening. Wow, that was an understatement. I realized how many of my friends, rich and poor had high ACE scores (the book explains them) and how it had affected their health. However, it’s more than scores. The book shows how public policy has a huge effect on health when doctors integrate support-based systems around medical issues, which is why my conclusion that our “blame the poor” and “blame the victim” political polarization is doing irreparable harm to children. There is some science explained here - although the author’s simplifications make is very easy to understand. This is a book for parents, teachers, doctors, and anyone interested in helping us deal with trauma and illness. The only reason I didn’t give it 5 stars was that, for me, it was just a bit repetitive.
    Helpful? 19 0
    Literary Omnivore
    (26)
    February 3, 2021
    4.0 out of 5 stars Important work from a brilliant doctor, but bogs down
    The author, a medical doctor, writes of how she began to notice that kids (and adults!) who suffer too many challenges and setbacks begin to suffer ph...More
    The author, a medical doctor, writes of how she began to notice that kids (and adults!) who suffer too many challenges and setbacks begin to suffer physical effects directly related to stress reactions. She covers--perhaps in too much detail--how she began to get others on board with her ideas, the pushback she got from many people and the struggles to get and maintain help for her patients. It's a fascinating and important story but could have been told more compactly.

    The question I was left with at the end was this: wouldn't many of her struggling patients and their families have been helped more by higher wages and more affordable housing, which would have helped them out of the poverty that was at the root of many of their struggles? She states adamantly that she doesn't want the problem to be dismissed merely as an issue of poverty, and I understand her reasons--wealthy people can and do suffer such problems--but the unspoken truth is that many of her patients suffered round after round of health problems due almost solely to being unable to escape from their difficult surroundings because of poverty. Sadly, poverty has come to be viewed with contempt since the Reagan era but it is a fact that wealthy people have the money and resources to rescue themselves while the poor do not. No amount of cobbled-together, temporary programs for treatment can change that and COVID-19 has clearly shown us that our present society is perfectly willing to tolerate a staggering death rate rather than marshal the resources to address a complicated problem.
    Helpful? 16 0
    Dodee
    (26)
    November 21, 2020
    4.0 out of 5 stars Thought provoking.
    Found it interesting and thought provoking.
    Helpful? 0 0
    S.B
    (26)
    January 3, 2020
    4.0 out of 5 stars Good Introduction to an important subject
    This was a grrat story of how toxic stress came to be addressed in the clinical world. Broken down biologically, it showed how stress leads to poor h...More
    This was a grrat story of how toxic stress came to be addressed in the clinical world. Broken down biologically, it showed how stress leads to poor health. I admire the important message of how access to care should not be discriminatory and recommend this book to anyone interested in health and wellness, especially public health professionals
    Helpful? 0 0
    Jerry Strausbaugh
    (26)
    October 17, 2019
    4.0 out of 5 stars A wonderful and down-to-earth explanation of the impact of adverse childhood experiences.
    Easy to read or listen to. A thorough explanation of ACEs and their impact. I appreciate the personal story of the author. She writes clearly. I reco...More
    Easy to read or listen to. A thorough explanation of ACEs and their impact. I appreciate the personal story of the author. She writes clearly. I recommend.
    Helpful? 0 0
    Jim F.
    (26)
    February 24, 2018
    4.0 out of 5 stars Informative and interesting.
    Worthwhile information, presented with clarity and some welcome wit. Only reason not to rate with five stars is that the relating of numerous (perhap...More
    Worthwhile information, presented with clarity and some welcome wit. Only reason not to rate with five stars is that the relating of numerous (perhaps a few too many) case studies proceeds with unnecessary detail that tends to bog the reader down and make some sections a bit of a slog. Nonetheless, an important and illuminating addition to our understanding of how one's early emotional environment has long term ramifications on physical health.
    Helpful? 11 0
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