Understanding Childhood Emotional Neglect

If I asked whether you were the victim of childhood emotional neglect (CEN), would you know how to answer? Probably not. CEN is often misunderstood and therefore, misdiagnosed.

Childhood emotional neglect means an individual was not provided the emotional support from parents and other adults that is required to grow up to be a confident person with a healthy self-esteem. Though a parent may never physically harm the child and provide them with food, healthcare, clothing and shelter, they may still emotionally neglect their child causing psychological harm.

Symptoms of CEN

In her book “Running on Empty: Overcome Your Childhood Emotional Neglect”, Dr. Jonice Webb outlined some of the most common symptoms of CEN:

  • Feeling numb or cut off from your own feelings

  • Feeling like something has always been missing

  • Feeling hollow

  • Having a low self-esteem

  • Feeling the need to be perfect

  • Being overly-sensitive

  • Lack of self-care while taking care of everyone else

That last symptom is a biggie. Have you found that for most of your life, your needs always came second (if not third or fourth?). If yes, it’s time to recognize that your feelings and needs matter.

With this in mind, here are some ways you can begin to treat yourself better:

Take Baby Steps

You’ve spent years believing your needs didn’t matter, don’t expect that putting yourself first will come easy to you. It won’t. It will feel awkward and downright wrong to put yourself first. The important thing is that you take baby steps each day to show yourself you matter.

Ask Yourself What You Need

If you’ve experienced CEN, you’re most likely unaware you even have needs, so you probably won’t be able to identify them right away. Take some time to get to know yourself. Ask yourself what you need and be sure to listen!

Stay Healthy

You have a big and exciting journey ahead of you, one in which you will be exploring your inner world and getting to finally know yourself. This is going to require strength and energy. Be sure to avoid processed foods and opt instead for whole foods focusing on fruits and veggies.

Also, be sure to get plenty of exercise and enough rest. Adults generally require seven to nine hours of sleep each night, so don’t cheat your body. And avoid using the TV, computer, or your smartphone before bed.

Learn to Say No

Guess what? If you want to put yourself first more often, you’re going to sometimes have to say “no” to other people. Don’t feel guilty about doing this. Having boundaries is healthy. It’s not only your right to say no to others sometimes, it’s your personal responsibility.

Get Support

As wonderful as your self-discovery journey will be, it will be fraught with bumps in the road. It’s important that you have someone who will support your efforts without judgement or criticism.

Consider seeking guidance from a professional therapist who can help you navigate your complex emotions and offer tools to manage stress in the future. A therapist will help you prioritize your needs moving forward and recognize your emotions and needs matter.

If you’d like to explore treatment options, please be in touch with me. I’d love to discuss how I may be able to help you on your journey.


We offer individual therapy, couples therapy, and children’s & teen’s therapy in Virginia Beach and Chesapeake. We also offer teletherapy and consulting.

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