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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. Jennifer Kessler
    September 22, 2023
    5.0 out of 5 stars Transformational
    This book blew my mind. As a parent and foster parent, I learned just how impactful ACEs could be and the beginnings of how to address them. To get ...More
    This book blew my mind. As a parent and foster parent, I learned just how impactful ACEs could be and the beginnings of how to address them. To get the full story on solutions, you need to read The Connected Child (TBRI) and watch the TBRI videos; consider that Part 2. Bruce Perry books would be Part 3, especially if you’re an adult with ACES. Still, The Deepest Well was a pleasure to read and totally paradigm-shifting, and started me down the path of finding more concrete solutions.
    Helpful? 2 0
    Scott Dugan
    July 28, 2023
    5.0 out of 5 stars ARIVED ON TIME
    WONDERFUL CONDITION, ARRIVED ON TIME. EXACTLY AS DESCRIBED.
    Helpful? 0 0
    miranda
    July 7, 2023
    5.0 out of 5 stars Great
    Read this book with coworkers and we all loved it
    Helpful? 0 0
    Amy Gamble
    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
    Sarah H.
    June 24, 2023
    5.0 out of 5 stars A Must for Anyone Affected by ACEs
    There is so much to know beyond the basics of having toxic stress and a high ACE score. This book provides that. I’m grateful to this author for her l...More
    There is so much to know beyond the basics of having toxic stress and a high ACE score. This book provides that. I’m grateful to this author for her life passion for this subject, and for bringing to my attention what no doctor has ever cared to discuss with me. All doctors need to understand the connections between ACEs and our physical and mental health.
    Helpful? 5 0
    Tracie K. Connor
    June 20, 2023
    5.0 out of 5 stars Highly recommend
    Great resource
    Helpful? 0 0
    Shelly Besancon
    June 17, 2023
    5.0 out of 5 stars I have an ace score of 3
    The biggest amazing part of this book, is seeing how I lived my life with my ace score. Being in a rocky marriage, I inadvertently gave my kids ace s...More
    The biggest amazing part of this book, is seeing how I lived my life with my ace score. Being in a rocky marriage, I inadvertently gave my kids ace scores. I will do everything in my power to help us all heal.

    Everyone should read this!!
    Helpful? 6 0
    Michelle
    February 13, 2023
    5.0 out of 5 stars Nadine Burke is it
    Her work is grounding breaking and backed by science. Went to her release at poetry and pose in DC. I recommend also watching her lectures and speeche...More
    Her work is grounding breaking and backed by science. Went to her release at poetry and pose in DC. I recommend also watching her lectures and speeches on this.
    Helpful? 4 0
    Hayden S.
    January 8, 2023
    5.0 out of 5 stars Everything you need to know about ACE
    Just the book I was looking for! A great lit review on ACEs plus the authors own experience as a doctor that sees patients with ACEs
    Helpful? 3 0
    sabrina fourcand
    November 28, 2022
    5.0 out of 5 stars Awesome
    Bought this book for my daughter who is currently incarcerated, she loved it. In her own word’s mom this book is so good 😍
    Helpful? 12 0
    Tahtyana
    August 10, 2022
    5.0 out of 5 stars How to read this book as a requirement and so happy I did
    Lots of the topics in this book are things that I think we all know deep down, but there’s so much more to it and Nadine does a beautiful job showcasi...More
    Lots of the topics in this book are things that I think we all know deep down, but there’s so much more to it and Nadine does a beautiful job showcasing her opinion of what the medical system needs through numerous very well thought out personal examples.
    Helpful? 2 0
    J Philip A Hinton
    July 21, 2022
    5.0 out of 5 stars required reading for doctors and everybody!
    This book is an eye opener and a call to action. With a majority of all Americans having experienced at least one major childhood adverse event or tra...More
    This book is an eye opener and a call to action. With a majority of all Americans having experienced at least one major childhood adverse event or trauma, these findings apply to everybody, and I mean everybody, rich and poor, black white and brown, educated and uneducated, urban and rural.
    Helpful? 5 0
    EvitaDrake
    June 29, 2022
    5.0 out of 5 stars Excellent book
    Thank God for people like the author of this book who hold on to a dream and continue pushing against established medical protocol in ways that can tr...More
    Thank God for people like the author of this book who hold on to a dream and continue pushing against established medical protocol in ways that can truly change people's lives.

    This is her story, interwoven with her journey to bring a universal screening protocol for childhood trauma aka adverse experiences to every medical facility in North America. The book deals with her discovery of the staggering links between these young experiences and disease/early mortality and her subsequent fight for early intervention, literally to save lives. Incredible story.
    Helpful? 3 0
    John Warrant
    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
    C. Guerra
    March 26, 2022
    5.0 out of 5 stars Every clinician should read this book
    I’m a little puzzled by reviewers who wanted more personal help. While the author went into detail about prescriptive practices for mitigating the fal...More
    I’m a little puzzled by reviewers who wanted more personal help. While the author went into detail about prescriptive practices for mitigating the fallout from ACEs, it is not meant to be a self-help book. It’s true purpose was clearly articulated, and I believe it achieved its goal. Every clinician who works with vulnerable or underserved populations should read this book. It explains *how* ACES have such a dramatic physiological/biological effect on not only individual health, but generational health. I knew the correlation, but learning & understanding the resulting physiological changes was fascinating. For non-clinicians, I think the author does a great job of “translating” clinical information to make it easily consumable for the lay public.
    Helpful? 2 0
    Brianna
    October 13, 2021
    5.0 out of 5 stars Slow read, but very interesting!
    I am in the social work field, and have heard so many people talk about this book so I finally purchased it. I don't typically read a lot of non-ficti...More
    I am in the social work field, and have heard so many people talk about this book so I finally purchased it. I don't typically read a lot of non-fiction as I generally read to escape reality. This book brought reality right back so I had to take my time reading it. It is a great book that analyzes and discuses ACE scoring, where it comes from, how it affects individuals, and what can be done about it. If you're in a helping field, its definitely a must have!
    Helpful? 0 0
    G.A. Schmidt
    July 29, 2021
    5.0 out of 5 stars I can't put it down!
    I can't put it down!! I work in special education and I've read numerous books about brain development and behavior. This book looks at development, ...More
    I can't put it down!! I work in special education and I've read numerous books about brain development and behavior. This book looks at development, health and behavior not as separate medical issues but as symptoms from something deeper, affected by childhood traumas. The author weaves data and research into storytelling in a style that is easy to read and extremely informative. I want to give this book to every educator I know!! Did I mention, I can't put it down?!! :-)
    Helpful? 0 0
    Vincent
    July 18, 2021
    5.0 out of 5 stars A stimulating and enriching read, even for non-medical people.
    This is an excellent, informative read which can enhance your perception of the world; the impact of stress can't really be overstated, but this book ...More
    This is an excellent, informative read which can enhance your perception of the world; the impact of stress can't really be overstated, but this book breaks down Why and How that is,, and what we can do about it. Dr. Burke Harris' experience as a pediatrician shows when she breaks complex biological processes down into simple imagery down so laypeople can understand; her voice is engaging without ever being condescendingMy favorite read of 2020; if you're looking to understand the effects of stress or demystify the causes of sudden illness, this book can help. It helped me to understand the roots of illness in my family, for which there had been no clear explanation. Buy the dang book.
    Helpful? 0 0
    Literary Omnivore
    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
    November 21, 2020
    4.0 out of 5 stars Thought provoking.
    Found it interesting and thought provoking.
    Helpful? 0 0
    Jessica Gorhan
    January 4, 2020
    5.0 out of 5 stars Everyone should read this book
    I have spent most of my life wondering why I am the way I am, why I am often sick, suffer from eczema as a 42 year old, food allergies, had a TIA at 3...More
    I have spent most of my life wondering why I am the way I am, why I am often sick, suffer from eczema as a 42 year old, food allergies, had a TIA at 35, deal with panic and anxiety attacks that wake me in the night, why I am quick to react to hurt feelings, and through this book I understand it more. As a mother, wife, sister, public health professional, Executive Director of a non-profit who works on community food security, and a professor I see how important this work is too get it into the world. It's time to break the cycles of ACEs and this book tells you why and how. It is easy for a lay person to read and keeps the reader engaged. I had moments of tears and moments of clarity. I plan on sharing this book with as many people as I know!
    Helpful? 0 0
    S.B
    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
    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
    JoRose
    August 7, 2019
    5.0 out of 5 stars Life Changing
    I have an ACE score of 4. And while I'd never thought of the stress from my childhood made a difference in my life, I now know otherwise. My kids 1 an...More
    I have an ACE score of 4. And while I'd never thought of the stress from my childhood made a difference in my life, I now know otherwise. My kids 1 and 3 already have ACE scores of their own, but by divorcing their father and being a buffer, I know that they will make sure they have a better chance. They will not be 34 and beginning to learn about how to live their life, they will start now! If I can recognize my triggers and my behaviors and be a buffer for them when it comes to their father, I'll be able to help them along the way. Hearing Caroline's story made me know I was on the right path. I'm taking responsibility for abnormal things I've normalized and I'm making their environment a safe and peaceful one. I'm not perfect, but I can learn. And Dr. Burke Harris has taught me much. Thank you for all you do and thank you for writing this book.
    Helpful? 3 0
    Sherri Dawson
    May 13, 2018
    5.0 out of 5 stars Loved it!!
    To Dr. Burke and all the others who are getting the word out about ACE’s and how they effect children’s mental and physical health for a lifetime, tha...More
    To Dr. Burke and all the others who are getting the word out about ACE’s and how they effect children’s mental and physical health for a lifetime, thank you! I became aware of her work, and the work of others, when I was doing research on childhood sexual abuse and it’s effects after I learned about my son’s sexual abuse. The abuse began when he was only 2 1/2 yrs old and lasted until he was 7 yrs old. He didn’t tell me about the abuse until he was 34 yrs old. I knew there was something wrong when he was a child but couldn’t get answers from the numerous doctors that I took him to see. Her book explains his inability to function normally and the numerous physical health problems he has encountered in his life. I believe that toxic stress is the reason for many of our societal issues and it must be addressed NOW! This book should be required reading for everyone involved in education, medicine, policymakers, and anyone who cares about our children and their ability to succeed.
    Helpful? 3 0
    Jim F.
    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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