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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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Book Summary

What if everything we've been told about trauma is keeping us trapped in unnecessary suffering?

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In a culture where kindergarteners casually discuss their "trauma" and every life challenge gets pathologized, acclaimed therapist Antonieta Contreras offers a revolutionary perspective: most of what we call trauma is actually our brilliant minds adapting and healing—exactly as they should.

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Picture this: a few decades ago, I was explaining trauma to doctors who'd never heard the term. Today, those same kindergarteners discuss their "trauma" as casually as their favorite cartoons. But somewhere in all this trauma talk, we've missed something crucial—the actual science of how emotions work.

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How Deep Is the Wound? emerges from my decades as a therapist and healer, my award-winning academic research, and the 2,000+ questions I've answered online that have reached over 40 million people. But I didn't want to write another book on trauma theory—I wanted to create the first comprehensive, practical guide to emotional construction for everyday people.

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Here's what's revolutionary: emotions operate as a predictable system we can learn to influence, just like any other bodily system. Through dozens of applications, exercises, and practices, readers discover how to recalibrate their emotional responses rather than remain at their mercy.

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Most importantly, this book teaches a crucial distinction we've lost: the difference between wounds that come from emotional pain—which can actually strengthen us when properly processed—and wounds that come from survival responses, which require entirely different healing approaches.

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We're drowning in a culture that pathologizes normal adaptation while missing the sophisticated science that could actually help. This book offers what people are desperately hungry for: not labels that keep them trapped, but understanding that sets them free. It's not about dismissing pain—it's about knowing exactly what kind of wound you're dealing with so healing becomes possible.

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The missing piece isn't just more therapy—it's understanding how your emotional system actually works. How Deep Is the Wound? gives readers that missing manual, complete with practical tools they can use immediately. It's about reclaiming your birthright to wholeness by understanding the remarkable system you already possess.

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Table of Contents

​PREFACE

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INTRODUCTION. THE MOST IMPORTANT PART OF HEALING IS FINDING OUT WHAT IS ACTUALLY WRONG

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CHAPTER I. WOUNDS: HOW TO UNDERSTAND WHAT IS HAPPENING WHEN YOU ARE IN EMOTIONAL PAIN (AND WHEN YOU RESOLVE IT)

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CHAPTER II. EMOTIONS: HOW TO UNCOVER THE TRUTH ABOUT WHY FEELINGS HURT SO MUCH

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CHAPTER III. TRAUMA: HOW TO ACHIEVE A FULLER UNDERSTANDING OF THE RELATIONSHIP BETWEEN FEAR AND EMOTIONAL INJURIES

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CHAPTER IV. DISCONNECTION: HOW TO RECOGNIZE THE IMPACT OF CRITICISM, BETRAYAL, REJECTION, AND NEGLECT

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CHAPTER V. UNLOVE: HOW TO RECOGNIZE THE IMPACTS OF HEARTBREAK, MANIPULATION, AND ABUSE

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CHAPTER VI. THE DEEPEST WOUNDS: HOW TO UNDERSTAND THE IMPACT OF UNAVOIDABLE CIRCUMSTANCES 

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EPILOGUE: WHERE MY JOURNEY MEETS YOURS

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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?

questions List

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

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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 

Activities List

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

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