Individuals without major trauma can experience significant difficulty achieving health goals due to circumstances or perceived failure.

“Likewise, someone who hasn't had trauma might have real difficulty getting there. If I haven't had major trauma, but, you know, just circumstances or my own maybe overly ambitious with not enough time and energy. Hey, I did try and get to the gym four or five times and it didn't work out and I really do feel down on myself and it's not linked to any prior trauma. It's just I've gotten in this cycle and every time I think about being healthier now I'm telling myself, "Oh, you'll never be able to do it or you messed it up three times."”