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How Deep Is the Wound?

A Guide to Investigating, Understanding, and Resolving Your Emotional Pain

What if your trauma isn’t what you think it is?

Healing starts by asking the right questions.

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Finally, a clear path through the confusion of modern trauma language. This book avoids both toxic positivity and victim mentality, acknowledging real suffering while emphasizing human capacity for growth and adaptation.

Alex Norton

Antonieta Contreras brings a deep understanding of trauma, weaving together psychology, neuroscience, and lived human experience in a way that feels profoundly healing.

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Gina T

Superb piece of work — at once a helpful healing guide for individuals, an extremely useful toolbox for psychotherapists, and an important research corrective to the negative consequences of over-conceptualizations of trauma in the field.

Yehuda Septimus

A reassuring guide to healing our traumatic fixations, full of insight and useful advice.
"She conveys all of this in lucid prose infused with down-to-earth metaphors.

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Kirkus Reviews

Resumen del libro

¿Y si todo lo que nos han contado sobre el trauma nos mantiene atrapados en un sufrimiento innecesario? En una cultura donde los niños de preescolar hablan con naturalidad de su "trauma" y cada desafío vital se patologiza, la aclamada terapeuta Antonieta Contreras ofrece una perspectiva revolucionaria: gran parte de lo que llamamos trauma es, en realidad, la adaptación y la sanación de nuestras mentes brillantes, tal como deberían.

 

Imagínense esto: hace unas décadas, explicaba el trauma a médicos que jamás habían oído el término. Hoy, los niños de kínder hablan de su "trauma" con la misma naturalidad que sus dibujos animados favoritos. Pero en toda esta charla sobre el trauma, hemos pasado por alto algo crucial: la verdadera ciencia de cómo funcionan las emociones.

 

Heridas Profundas es el resultado de mis décadas como terapeuta, mi premiada labor académica y más de 2000 preguntas que he respondido en línea, llegando a más de 40 millones de personas. Pero este no es solo un libro más sobre trauma: es la primera guía completa de construcción emocional para el público general.

 

Esto es lo revolucionario: Revelo cómo las emociones funcionan como un sistema predecible que podemos aprender a influenciar, al igual que otros sistemas corporales. A través de decenas de aplicaciones, ejercicios y prácticas, los lectores descubren cómo recalibrar sus respuestas emocionales en lugar de estar a su merced.

 

Lo más importante es que el libro enseña una distinción crucial que hemos perdido: la diferencia entre las heridas que surgen del dolor emocional (que en realidad puede fortalecernos cuando se procesa adecuadamente) y las heridas que surgen de respuestas de supervivencia, que requieren enfoques de curación completamente diferentes.

 

Nos estamos ahogando en una cultura que patologiza la adaptación normal, ignorando la ciencia sofisticada que realmente podría ayudar. Este libro ofrece lo que la gente anhela: no etiquetas que la atrapen, sino comprensión que la libere. No se trata de ignorar el dolor, sino de saber exactamente qué tipo de herida se está tratando para que la sanación sea posible.

 

La pieza que falta no es más terapia, sino comprender cómo funciona realmente tu sistema emocional. Heridas Profundas ofrece a los lectores ese manual que les falta, con herramientas prácticas que pueden usar de inmediato. Se trata de recuperar tu derecho innato a la plenitud al comprender el extraordinario sistema que ya posees.

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Tabla de contenido

Prefacio

Introducción

PARTE I - TRAUMATIZACIÓN

Capítulo 1 – EL SIGNIFICADO DEL TRAUMA

  • ¿Qué significa trauma?

  • Personalizando el trauma

  • Desarrollar un trastorno traumático (o no)

Capítulo 2 – LA CIENCIA DEL TRAUMA

  • La supervivencia como agente traumatizante interno

  • El cerebro bajo la lente del trauma

  • Agentes traumatizantes

Capítulo 3 – EN BUSCA DE SEGURIDAD

  • Mecanismos preventivos

  • Mecanismos de protección

  • Evaluación de los trastornos traumáticos

Capítulo 4 – EL COSTO SISTÉMICO DE LA TRAUMATIZACIÓN

  • Introducción a los dominios del trauma

  • Dominio del trauma n.° 1: emociones

  • Dominio del trauma n.° 2: desregulación

  • Dominio del trauma n.° 3: memoria

  • Dominio del trauma n.° 4: cognición y percepción

  • Dominio del trauma n.° 5: el yo

PARTE II – LAS CONSECUENCIAS

Capítulo 5 – TRAUMATIZACIÓN IDENTIFICABLE

  • Violación en una cita: el trauma de Michaela

  • La vergüenza como agente traumatizante interno

  • Desarrollo de trastorno de estrés postraumático (TEPT)

  • El TEPT como marco para el diagnóstico de todos los trastornos traumáticos

Capítulo 6 - TRAUMATIZACIÓN PROLONGADA

Chicos: Los romances de Michaela

  • El estrés como agente traumatizante interno

  • Dominio del trauma n.° 6: disociación

  • El abuso como agente traumatizante

  • Desarrollo de trauma complejo

  • Evaluación y diagnóstico del TEPT complejo

Capítulo 7: TRAUMATIZACIÓN DURANTE EL DESARROLLO

  • La niñera: el trauma de Mendo

  • Dominio del trauma n.° 7: Desarrollo cerebral

  • El abandono y la adversidad como agentes traumatizantes externos

  • Conceptualizando la traumatización durante el desarrollo

Capítulo 8: TRAUMATIZACIÓN POR FALTA DE APEGO

  • La madre: el ‘trauma’ de Clara.

  • Dominio del trauma n.° 8: Apego

  • El rechazo en la relación de apego como agente traumatizante externo

  • El dolor tácito del apego no resuelto

Capítulo 9 - TRAUMATIZACIÓN SOCIAL

  • Kin: Ascendencia de Michaela

  • La adversidad sistémica como agente traumatizante externo

  • Dominio del trauma n.° 9: Identidad y personalidad (en el marco de la adversidad sistémica)

  • Traumatización agregada

PARTE III – SANANDO LA TRAUMATIZACIÓN

Capítulo 10 – SANACIÓN DEL TRAUMA SISTÉMICO

  • Un enfoque sistémico para la curación del trauma

  • Modo de vida

  • Tratamiento dinámico multidimensional del trauma

Epílogo

Photo by Julia Filirovska:  misted-window-with-question-mark

CHAPTER ONE—WOUNDS

  • Is there a real difference between brain and mind? 

  • My therapist told me I lack mental space. What are they talking about?

  • What does it mean to be mentally ill? Does having a diagnosis like PTSD count as being “insane”?

  • So, adapting and surviving. Are they actually different things?

  • Why do we sometimes perceive reality to be so dark?

  • What counts as an emotional wound?

  • What makes trauma different from other emotional wounds?

  • How do you know where emotional hurt ends and trauma begins?

  • What’s all the buzz around the “nervous system” about?

  • I hear the term “overwhelmed” a lot. Is it always connected with trauma, and what are its consequences?

  • What does it mean to be hyperactivated? Is it the same as broken, dysregulated, or stuck in survival mode? 

  • What does dysregulation really mean for someone that wants to heal from trauma?

  • What screams “mentally healthy”?

  • Why are so many people afraid of being vulnerable?

  • What’s the main reason we could believe in healing from suffering if most people spend most of their lives struggling with psychological pain?

  • How does mindfulness work in healing everything? Is it really the cure-all?

  • How do you heal an emotional wound?

 

CHAPTER TWO—EMOTIONS

  • What’s actually happening when we get emotional—is something controlling it?

  • What are emotions supposed to be doing for us? Are they helpful in any way?

  • What’s the purpose of having emotions that make us feel so bad?

  • Some emotions feel way more important than others—is that true?

  • So apparently everything I learned about emotions is outdated. What’s the real story?

  • Should we just let emotions play out or try to manage them?

  • Do we experience emotions one by one, or do we experience several at the same time?

  • Why do emotions make us suffer so much?

  • Is emotional pain just in our heads?

  • Does emotional pain change someone mentally?

  • Why are therapists always asking “Where do you feel it in your body? Are we supposed to feel something?

  • How can you tell if someone is hurting emotionally?

  • Why can someone be attracted to emotional pain?

  • Why every time I feel sad, I also feel angry?

  • Is my brain actually in control of my feelings?

  • How can we change an emotion?

 

CHAPTER THREE—TRAUMA

  • Why must we all deal with trauma on this planet?

  • What, in your own words, is the definition of trauma?

  • What does it actually mean when people say you’re in “survival mode”?

  • So is everything trauma now, or are there actual rules?

  • If some argue that trauma is not the event, how do we define what is and isn’t trauma?

  • What does traumatization do to a person?

  • Why do some people stay traumatized much longer than others?

  • Does trauma make someone less resilient?

  • Does trauma always have to involve fear, or are there other manifestations that don’t involve fear/dread per se?

  • What are the big fears that can really damage someone?

  • How does trauma disrupt our internal balance, and why does this matter for emotional pain and overall mental health?

  • Why do some people seem wired to expect failure, and what’s fueling that self-defeating trap?

  • What qualifies as victim mentality? Is it trauma related?

  • What turns a bad experience into actual trauma?

  • Is it bad to center your life around your trauma?

  • Am I actually healing, or am I just getting used to feeling broken?

  • How do you cope with fear and not panic?

  • Will trauma always be part of my life?

  • How does someone resolve emotional trauma?

 

CHAPTER FOUR—DISCONNECTION

  • What makes some hurts turn into wounds while others don’t?

  • What factors make emotional pain stick around?

  • What are the worst things that can break someone’s heart?

  • What situations bring out everyone’s worst insecurities?

  • What’s the real relationship between ego and feeling insecure?

  • What happens when your feelings were ignored as a child?

  • When does neglect cross the line into trauma territory?

  • Why am I so terrified of people leaving me?

  • What problems do emotionally neglected kids have when they grow up?

  • Why do I push people away even when I want them close?

  • Is it normal to feel disconnected from yourself after emotional neglect?

  • How do you tell if you’re genuinely nice or just desperate for approval?

  • What happens to a child’s brain when they’re emotionally hurt?

  • Can someone go through a terrible childhood and turn out totally fine?

  • Can you tell if you have developmental trauma, or is it invisible to you?

  • What’s the point of forgiving someone who isn’t even sorry about hurting me?

  • What would you put in an emotional first aid kit?

  • What do you do when you realize you were emotionally neglected?

  • What do you do when guilt and shame won’t leave you alone?

 

CHAPTER FIVE—UNLOVE

  • What type of abuse can be psychologically damaging?

  • Is it an exaggeration to say emotional abuse traumatized me?

  • Do people who verbally abuse you actually mean the horrible things they say? Or just connected to their anger and trauma?

  • What’s it called when people get pleasure from hurting others? What are the possible causes of this behavior?

  • How does abuse show up in someone’s behavior?

  • I have C-PTSD from childhood sexual trauma, which resurfaced as an adult. I’m feeling a lot of shame. What do you feel shame about?

  • What does narcissistic abuse do to you?

  • Is psychological projection just another word for gaslighting?

  • How do I know if gaslighting has damaged my ability to think clearly?

  • How do you see through someone who acts loving but is actually toxic?

  • Is attachment trauma a big deal?

  • Are attachment trauma and developmental trauma the same thing?

  • Is disorganized attachment why my relationships are so chaotic?

  • What are the key differences between trauma bonding and actually caring for someone? Is healthy bonding possible?

  • What patterns show up in trauma bonded relationships?

  • Why am I so attached to someone who treats me badly?

  • How do I stop assuming everyone will hurt me like my abuser did?

  • Did the person you used to be ever come back after you recovered from narcissistic abuse?

  • If trauma rewires your brain, what can be repaired, resolved, reprogrammed, or improved?

  • Can someone be exposed to terrible things over and over and not be affected?

  • What makes someone securely attached different from everyone else?

  • How can I tell if I’m addicted to this person or actually love them?

  • How does a trauma bond finally come to an end?

 

CHAPTER SIX—THE DEEPEST WOUNDS

  • Do trauma and traumatization mean different things?

  • What are flashbacks doing to my brain and mental health?

  • I don’t think I’ve ever felt truly safe—what am I missing?

  • How does unresolved trauma affect your life?

  • How can you tell if someone is traumatized?

  • What is the phobia of inner experience? And why is it associated with childhood trauma?

  • Is hypervigilance a common experience for everyone? How can one cope with it when it occurs?

  • What is a trauma response, and what are some examples?

  • Is the way you respond to trauma your choice?

  • What does it mean when people say they dissociate?

  • Can I be traumatized too even if I am the one who caused something bad to someone?

  • Doesn’t everyone, or at least the large majority of people, have some form of childhood trauma?

  • How much will a 3-year-old remember about bad things that happen to them?

  • What are the subtle signs of childhood trauma that people miss?

  • What red flags suggest a child is traumatized?

  • Why do so many childhood trauma victims take so long to process their trauma?

  • Is post-traumatic growth a common experience for individuals after a traumatic event, even if it is not immediately apparent?

  • Why am I scared to heal my trauma?

  • How do you forget a trauma that’s haunting you?

  • Why do I feel undeserving of comfort for my traumatic experiences?

  • Should I forgive my parents for causing my complex trauma?

  • Can traumatic memories be simply forgotten instead of repressed?

Tabla de contenido

This is the list of questions answered in the book by chapter.

Photo by Leel The First: question-marks-on-paper-crafts

CHAPTER ONE

  • Sensory Visualization: The Luminous Orb Practice

  • Mental Spaciousness: The Expanding Room Technique

  • The Observer Reframe Technique

  • Sympathetic Downshift Practice

  • Taking In the Good Exercise

  • Graduated Vulnerability Practice

  • Essential Awarefulness Practice

  • Emotional Resource Integration

  •  

CHAPTER TWO

  • Deconstructing an Emotion

  • Tolerating Pain Practice

  • Perspective Shift Check

  • The “Am I Carrying Emotional Pain?” Quiz

  • Uncoupling Emotions Practice

  • Becoming Familiar With Your Emotions Exercise.

    • Quick Instruction (Raw Affect)

    • Quick Instruction (interpretation)

    • Quick Instruction (regulating)

  • ARCO: Exercise to Diminish Reactivity

 

CHAPTER THREE

  • The Fear Mapping & Safety Anchoring Protocol

  • Breath Equilibrium Practice

  • An Anti-Defeatist Daily Practice

  • Assessing Real Victimization: The B-P-I-D Framework

  • The Victim Alternative Inquiry

  • Intention, Reframe, Action, and Affirmation (IRAA)

  • Identity Reclamation Practice

  • Fear Interruption Protocol

 

CHAPTER FOUR

  • Return to Sender Exercise

  • Mirror of Strengths Exercise

  • Training the “Observing-Self” to Defuse Insecurity Exercise

  • Building Your Inner-Belonging Circle

  • What Drives Your Impulse to Give? A Quiz

  • Releasing the Weight of the Wound Exercise

  • Maintenance Through the COMPASS Practice

  • Taking Up Space Exercise

  • Engage in a Dialogue with Shame Exercise

  • From Guilt to Growth: The Five-Step Accountability Practice

 

CHAPTER FIVE

  • A Self-Reflection Quiz: Am I Experiencing Emotional Abuse?

  • The Shame Reframe Practice

  • Gaslighting Reality Check

  • Am I Trauma Bonded? A Quiz

  • A First Step in Dissolving the Trauma Bond

  • The Trust Restoration Protocol

  • Core Self-Reconnection Exercise

  • “A Memory among Many” Exercise

  • Handling Stress Better Practice

  • Manage Dissociative Tendencies Practice

  • Self-Separation Practice

  • A Relational Repair Practice: Repairing the Rupture

  • The Love vs. Attachment Inventory

 

CHAPTER SIX

  • Dual-Screen Exercise to Reduce Flashbacks

  • Mapping Moments of Felt Safety Exercise

  • The Hypervigilance Reset Practice

  • The Pause-and-Prepare Method

  • Did I Experience Childhood Trauma? A Quick Assessment

  • Identifying Your Recovery Roadblocks

  • Safety-Anchored Memory Integration

  • Self-Compassion Exercise

  • Boundary & Forgiveness Process

  • Memory Gap Acceptance Ritual 

Tabla de contenido

This is the list of activities included in the book by chapter.

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