Abstract
ABSTRACT Emotional neglect (EN), characterized by a lack of emotional attunement in childhood, leads to deficits in emotion regulation, increase in self-criticism, and poor mental health outcomes including depression, anxiety, and substance use disorders. Treatment for adults that experienced childhood emotional neglect is necessary, but not sufficiently studied. Self-criticism can be treated with Compassion Focused Therapy (CFT), but the impacts of EN require additional focus on regulating the autonomic nervous system. This practice advance utilizes trauma-informed care and polyvagal theory to augment CFT using a four-pronged approach. This includes the role of the therapist and the therapeutic relationship, assessment and identification of EN, client psychoeducation on the influence of EN on the mind and body, and integration of self-regulation and self-compassion activities. This multi-modal intervention can reduce the debilitating effects of EN for individuals, their loved ones, and the behavioral health systems that support them.
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