When I think about Monika’s point, and my own look at the numbers, I repeat what I said back then, when looking at one individual, the ACE survey is never the whole story. There are lots of childhood experiences that go unaccounted for, there are individual levels of resilience that are not accounted for, and there are early interventions that are not considered. One traumatic experience equals one traumatic experience in the final number, regardless of whether that experience was immediately followed up with support and maybe even therapy, or if it was ignored and maybe even repeated. There are numerous factors beyond simply answering more than 4 questions yes and assuming you’re an addict, or not answering enough questions yes and assuming you aren’t. It is much more complicated than that. 

The ACE information is important though because it points us back to that childhood trauma and says “what happened to you?” when treating an individual for depression, or addiction, so that we can include that in our healing. What we want to be careful with is turning it into a blunt instrument when there is still so much not being accounted for within it.