The question often arrives quietly, somewhere in midlife or later. You’ve managed. You’ve built a life, maintained relationships, met your responsibilities. And yet something hasn’t shifted, a persistent sense of not quite fitting, of relationships following the same patterns, of a self that never fully settled. You find yourself wondering whether the window for change has closed, whether the years you’ve already lived mean that nothing can really change now.
It hasn’t. And they don’t.
That’s not an empty reassurance. The research on long-term psychodynamic therapy consistently shows meaningful change in people who begin that work in midlife and beyond, including reductions in chronic anxiety, improvements in relational functioning, and shifts in self-perception that people describe as fundamental rather than superficial. The therapeutic relationship doesn’t have an age limit. Neither does the capacity to internalise a different experience of being known.
Why Time Alone Doesn’t Heal It
There’s a common assumption that childhood trauma fades with distance. That enough years, enough success, enough building of a good life will eventually dissolve what happened early. For some people, some things do soften. But the core patterns of developmental trauma tend not to resolve on their own, because they aren’t stored primarily as memories or thoughts. They’re stored as body states, relational expectations, automatic responses that fire before you’ve had time to think.
You can know, rationally, that your partner is trustworthy, that the meeting isn’t dangerous, that you are not the child you were. And yet the response fires anyway. That’s because developmental trauma becomes woven into the nervous system and into the unconscious assumptions you carry about what relationships mean and what you can expect from other people. Insight is useful, but it rarely reaches that layer on its own.
This is also why the years don’t fix it. The patterns don’t fade with distance. If anything, they become more entrenched, because they’ve had more years to operate without being named or questioned. What shifts them is a sustained experience of something different: a relationship where the old expectations don’t get confirmed, where being known doesn’t lead to harm, where your needs are treated as legitimate rather than inconvenient. That’s what therapy, at its best, offers.
What Healing Actually Looks Like
Healing from childhood trauma rarely means returning to some earlier, undamaged self, or reaching a point where the past no longer exists. It’s more like developing a different relationship with what happened. The events don’t disappear. The patterns don’t vanish overnight. But they lose their grip. You begin to have more choice in how you respond, more access to your own feelings, more capacity to tolerate closeness or to set limits without either collapsing or over-controlling.
Many people who come to therapy having carried something for decades describe the work not as going backwards, but as becoming more fully themselves than they’ve ever been. The years they lived before therapy aren’t wasted years. They’re often what makes the work possible: enough life experience to understand what the patterns have cost, and enough motivation to do something about it.
If you’re wondering whether it’s too late, the honest answer is that starting now is better than not starting. You don’t need to have started sooner. You just need to start.
If any of this resonates, I’d be glad to have an initial conversation. Get in touch at samanthamerry.co.uk/contacts.
Further reading
- Know My Name — Chanel Miller
- Trauma and Recovery — Judith Herman
- Maybe You Should Talk to Someone — Lori Gottlieb
- Therapist Uncensored podcast
Samantha Merry is a BACP Senior Accredited Psychotherapist and Clinical Supervisor in private practice in Bromley, South East London. She works with adults in longer-term psychodynamic therapy, with a particular interest in trauma, dissociation, and complex family dynamics. She is currently undertaking a Professional Doctorate in Psychotherapy and Psychological Trauma at the University of Chester. samanthamerry.co.uk