These biochemical and neuroanatomical changes are paralleled by such symptomatology as emotional dyscontrol, social withdrawal, and lower levels of adaptive functioning. Together, these and other negative effects of trauma result in compromised functioning in many areas of life. The impact of trauma depends on a complex interaction of the physical and psychological stages of development during which it occurs, the length and degree of the trauma, and the presence of vulnerabilities or past traumas. The impact of chronic trauma becomes woven into the structure of personality and is hidden
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