It's essential to understand that ACEs are preventable and those who experience childhood adversity are not doomed to negative outcomes. They type of parenting a child receives also plays a crucial role in of they grow up with lower self-esteem and higher narcissistic traits. Low self-esteem and high narcissistic traits have been heavily linked together especially when it comes to ACEs and parental maltreatment. ACEs not only leads to substance abuse, depression, and suicidal behavior, but it can also lead to more chronic health problem like cancer, diabetes, and heart disease.