Positioning Psychiatry as a Leader in Trauma-Informed Care (TIC): the Need for Psychiatry Resident Education

  • Katherine A. KosmanEmail author
  • Nomi C. Levy-Carrick

Trauma is highly prevalent in patient populations, particularly those encountered by psychiatrists and psychiatry residents. Exposure to traumatic events increases an individual’s toxic stress burden and increases the risk of mental health problems and chronic physical disease [1]. Adverse childhood experiences (ACEs), including abuse and neglect, have been linked to an array of medical sequelae, including heart, lung, and liver diseases, obesity, diabetes, depression, substance use, and sexually transmitted infections [1, 2, 3]. Adverse experiences also lead to epigenetic cellular and molecular mechanisms that produce changes in gene expression, producing lasting effects in the body as well as alterations in neuronal structure and function [4].

The impact of adverse experiences across the lifespan impact interpersonal dynamics as well as individual health, and there is an emerging appreciation of the convergence of discussions about the impact of trauma on workplace morale and safety,...



David A. Silbersweig, MD and Abi Warren, BA.

Compliance with Ethical Standards


On behalf of all authors, the corresponding author states that there is no conflict of interest.

Ethical Considerations

No human participants were involved.


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Copyright information

© Academic Psychiatry 2019

Authors and Affiliations

  1. 1.Brigham and Women’s HospitalBostonUSA
  2. 2.Harvard Medical SchoolBostonUSA

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