Can the Design of Your Home Aid Recovery From Past Trauma? Research Says 'Yes'

Trauma informed design featuring a grey sofa with teal pillows sitting on a grey rug.

As interior designers, we operate from an awareness that because we create the built spaces that our clients inhabit, we exercise tremendous influence on their lived experiences and the ability to make a tangible difference in our clients' mental, physical, and emotional health. (1) While it is easy to accept this as a given in more passive terms, there is an increasing necessity around the active, rather than incidental, cultivation of safe and healing built spaces. At Sarah Barnard Design Studio, we aim to bring an inclusive and trauma-informed approach to home design.

Between 1995 and 1997, Kaiser Permanente conducted a study looking at the health effects resulting from the trauma of Adverse Childhood Experiences (ACEs). (2) The parameters around this study were narrow, focusing primarily on abuse, neglect, and domestic strife, without including factors such as trauma due to racism, deportation, illness, or war. The study's participants were also far from a broadly representative group, with nearly 75% of participants identifying as White. Yet, even within these minimal boundaries, the findings were stark—approximately 66% of the study's participants reported ACEs in their personal histories.

A curling wildflower beginning to bloom.

If we consider the types of trauma the study excluded and the adverse experiences that occur in adulthood, the implications of this study are significant. It is fair to assume that traumatic experiences are widespread among adults. Particularly in the context of the Covid-19 pandemic, the mental and emotional fallout of which we are only beginning to understand and measure, addressing the effects of trauma has taken on a new urgency.

Table top with gems, colored pencils, note and drawing mannequin

Much of the discussion around trauma-informed home design has focused, understandably, on public and institutional contexts often directly connected with health and social services (3). As understanding around the way that physical spaces affect our mental, emotional, and physical health have expanded, so too has demand for spaces designed with health and healing in mind. Where once function and safety were the primary concern in, for example, mental health facilities, home designers are now looking at how to make these spaces soothing and restorative.

Design for anxiety, design for stress, design for burnout featuring furry textured mushroom grey headboard, with warm grey linen pillows and white and green floral arrangement.

Knowing what we know about how widespread the experience of trauma is, it is reasonable to expand our thinking beyond institutional spaces and apply the principles of trauma informed practice to home design, as well as to the way we interact with clients. Our goal is to create spaces that manage the effects of trauma by reducing sudden sensory arousal, while also being actively healing and restorative.

This process begins with creating a safe and inclusive environment for our clients from a project's inception to completion. While it may be safe to assume that most adults carry some form of trauma with them, we don't know what a client's background is unless they feel safe to tell us. We aim to approach our clients with a sense of inclusiveness and sensitivity, allowing ample space to voice their needs. A certain amount of vulnerability and humility lies on us as designers as we hold ourselves accountable for maintaining this safe space for our clients. This accountability allows us to create homes that are not only aesthetically pleasing but also personalized and inclusive to each individual and their needs. As designers, we must keep an open flow of communication between ourselves and our clients, ensuring that communication remains understood on both ends. 

Dried poppy pods.

Creating an inclusive space starts with mindfulness and care around the way we communicate(4). There is no default listener. Our intention is to allow people from all walks of life feel heard and understood. We are committed to educating ourselves on inclusive language, as certain words may carry racist or ableist subtext. Finding alternatives to non-inclusive language is one component of this, and it helps to avoid language that presumes the ethnicity, gender identity, or experiences of the listener. To maintain our goal of holistic inclusion throughout our studio, we apply these communication values to our client interactions, internal conversations, and interaction with vendors. By holding ourselves accountable even out of sight of clients, we ensure that inclusivity remains a core principle of our studio.

A bright foyer designed by Sarah Barnard, a blue and white abstract painting by Michelle Jane Lee and a large green house plant in a pot.

Painting by Michelle Jane Lee

When we begin each project, our goal in taking a trauma-informed approach to home design and decorating includes finding ways to reduce sensory overstimulation. Sensory triggers can be hugely disturbing for neurodivergent people (particularly those on the autism spectrum), as well as people with chronic migraines, Post Traumatic Stress Disorder, Alzheimer's, and other chemical or sensory sensitivities (5). Spaces designed with inclusion in mind for neurodivergence and disability will create an environment that feels safe for all users along various spectrums of need. However, even neurotypical people can experience stress from sensory overstimulation, impacting their health and emotional resilience (6). We address this need in home design by creating varied paths to shelter from intrusive sounds, odors, and light. In addition, we empower our clients to limit and customize their exposure to sensory stimuli (7). One way to achieve this is to create smaller sensory retreats within the home, balancing the calming quality of openness with the comforting sense of being enveloped. We use color psychology, textures, and other sensory elements to comfort our clients. Some of this may overlap with general design knowledge of what is considered calming, and some may be specific to each client's taste and sense of comfort.

Design for stress, design for anxiety, design for PTSD in a bright living room features interior design by Sarah Barnard, a festive orange rug in a flatweave style, a blue sofa and a vintage chair.

Painting by Kevin Moore

Our goal as a studio is to create spaces where clients can relax and restore their senses. We achieve this in our projects by intersecting the client's sensory needs with their aesthetic tastes. There is much importance in including art in the spaces we design. At Sarah Barnard Design Studio, art is considered an integral part of home design. Great care is taken not only in the selection of art but also in how and where it is displayed. That said, while there are general notions of what makes a piece of art soothing for a viewer, from the color to subject matter. Ultimately, the most crucial factor is what the client wants to see every day. Clients will benefit most from seeing art that evokes a sense of calm or happiness; however, what that can look like varies widely from person to person. As designers, we offer our guidance and expertise in selecting art for the home.

Design for anxiety, design for stress, design for burnout in this home office featuring an open book on desk with plants and couch in background, agate inspired wallpaper

We can achieve restoration through home design by providing access to nature and integrating natural themes into the spaces themselves. The biophilic design movement has focuses on making nature an integral theme in the home. Biophilic design has tremendous benefits for our emotional, mental, and physical health (8). Views of nature, particularly ones that provide a sense of continuity with the indoors and outdoors, can be one way to achieve this. Prioritizing the use of natural and organic materials can also promote restoration and wellness for our clients. A connection to nature can be undermined by toxic materials that are produced in ecologically harmful ways. On a more symbolic level, we can incorporate nature into an indoor space through organic imagery that evokes the natural world through shape, texture, and color.

Design for stress, design for burnout, design for anxiety featured in white floating bookshelves and large woven pendant light in foreground

Recently, our homes have become even more of a center point in our lives. For many of us, our home has become a workplace, school, and place for recreation all at once, increasing the need for therapeutic and restorative spaces within the home. Unfortunately, mental and emotional restoration has become harder to achieve now that our homes serve more functions than ever. As designers, we must be creative in our approach. We can create boundaries in the home without putting up walls, for example, using a screen to designate an area as a workspace, where the day's stressors can remain out of sight when it's time to relax. We can place extra care and attention into places in the home that offer privacy, letting them act as retreats from the rest of the living space. Thinking beyond a room's most basic function in this way can open up opportunities to create calming, restorative environments in less traditional spaces.

reed planted partially dipped in black paint holding succulent, with figurine of a person next to it

As designers, we have a tremendous opportunity to alleviate trauma by creating healing spaces for our clients while implementing a warm, understanding, and inclusive design process. We may never know or see our clients' struggles, but we can approach each project with empathy, compassion, and practical design knowledge to address their needs. As gratifying as having our clients appreciate our work, it is even more gratifying to know that we can make a tangible difference in their health and happiness.

Ceramic slug by Joseph and Marjorie Lake 

Ceramic slug by Joseph and Marjorie Lake 

Sarah Barnard is a WELL and LEED accredited designer and creator of environments that support mental, physical and emotional wellbeing. She creates highly personalized, restorative spaces that are deeply connected to art and the preservation of the environment. An advocate for consciousness, inclusivity, and compassion in the creative process, Sarah’s work has been recognized by Architectural Digest, Elle Décor, Real Simple, HGTV and many other publications. In 2017 Sarah was recognized as a “Ones to Watch” Scholar by the American Society of Interior Designers (ASID).   

Sarah Barnard in black shirt with glasses and long brown hair

Sarah Barnard is a WELL and LEED accredited designer and creator of environments that support mental, physical and emotional wellbeing. She creates highly personalized, restorative spaces that are deeply connected to art and the preservation of the environment. An advocate for consciousness, inclusivity, and compassion in the creative process, Sarah’s work has been recognized by Architectural Digest, Elle Décor, Real Simple, HGTV and many other publications. In 2017 Sarah was recognized as a “Ones to Watch” Scholar by the American Society of Interior Designers (ASID).

Works Cited

(1) https://dcf.vermont.gov/sites/dcf/files/OEO/training/2019/Trauma-Informed.pdf

(2) https://www.cdc.gov/violenceprevention/aces/about.html

(3) https://www.nytimes.com/2021/01/05/business/mental-health-facilities-design.html

(4) https://www.linguisticsociety.org/resource/guidelines-inclusive-language

(5) https://www.hksinc.com/how-we-think/research/sensory-well-being-for-adolescents-with-developmental-disabilities-creating-and-testing-a-sensory-well-being-hub/

(6) http://universaldesign.ie/What-is-Universal-Design/The-7-Principles/

(7) https://www.asid.org/lib24watch/files/pdf/8477

(8) https://www.fastcompany.com/90333072/what-is-biophilic-design-and-can-it-really-make-you-happier-and-healthier

Healing Spaces: How Designers Can Cultivate Wellness in the Built Environment

Empathy can uncover the deep needs of humans in private and public spaces. Leading practitioners in LA's a+d community gathered Friday, October 11th at the Helms Design Center for a conversation about the role of empathy in creating extraordinary experiences.

Hosted by OM and PLP SoCal, this inaugural session of OM Chats gathers leading voices in architecture, interior, and product design for a morning discussion about the ideas shaping design and wellness. Speakers include Sarah Barnard, WELL AP + LEED AP, principal of Sarah Barnard Design, Julie Smith-Clementi, AIA, IDSA, architect and product designer, and Adaeze Cadet, AIA, LEED AP, BD+C, vice president at HKS.

The discussion centered around how to design spaces and products that reflect a broader — more empathetic — understanding of the human experience in the workplace, health care spaces, educational facilities, and wherever people gather and live.

Photo by: Steven DeWall

Photo by: Steven DeWall

Transcript of Sarah Barnard’s presentation:

In my practice, as a WELL and LEED accredited interior architectural designer, I specialize in creating environments that support the occupant's mental and physical wellbeing. An empathetic approach is the foundation of my process.

As a neurodivergent person, with sensory processing differences, I know all too well that we live in a world designed for neurotypical people. Normative built environments can be extremely uncomfortable, even traumatic, for many people. For example, individuals with Post Traumatic Stress and folks on the Autistic spectrum may both have sensitivities to sound, light, textures, and odors. People with chronic migraines and people who are chemically sensitive might also have overlapping reactivity to fragrances, sounds, and light.

Photo by: Steven DeWall

Photo by: Steven DeWall

The reality is, most humans will have experiences during their developmental years that forever impact their physical, mental, and emotional wellbeing.

Research indicates that traumatic experiences don't just happen to some people; they happen to most people. In the late 1990s, Kaiser Permanente conducted a study on Adverse Childhood Experiences (ACEs). They asked more than 13,000 of their members to complete a 10-question survey on traumatic childhood experiences and to report any health issues they were currently facing.

From this pool of respondents, about two-thirds had at least one ACE. 12% of the population reported an ACE score of 4 or more. An ACE score of 4+ nearly doubles the risk of heart disease and cancer and increases the risk of attempted suicide by twelve times. Understanding that the health impacts of trauma are not a "special population" issue, but a general population issue is critical to our ability to design with empathy.

Artwork: Deborah Cansler, Photo: Chas Metivier

Artwork: Deborah Cansler, Photo: Chas Metivier

No matter our circumstance, it can be challenging to share details about ourselves that may be perceived as a disability. So, while we can't always ask, we can understand that many of us may have unaddressed environmental needs.

Even neurotypical people, without exposure to trauma, can easily experience cognitive overload in intensely stimulating environments. Activities like commuting, social interactions, processing large amounts of data, being exposed to fragrances, and repetitive auditory disturbances, can impact our mental and emotional resilience in unseen ways. Because of the magnitude of stressors in public life, humans benefit in measurable ways from a restorative home environment. Restoring at home makes us stronger in the workplace and the world at large.

Interior Design: Sarah Barnard, Artwork: Renae Barnard + Ruben Vincent, Photo: Steven DeWall

Interior Design: Sarah Barnard, Artwork: Renae Barnard + Ruben Vincent, Photo: Steven DeWall

When designing commercial office environments for clients like National Geographic Entertainment, the Christopher and Dana Reeve Foundation/ Life Rolls On and the National Immigration Law Center, I consider the intersections and overlap of the community members and develop strategies to accommodate the highest possible needs.

Though it is vital to remember, as we have access to an ever-growing body of research that informs our practice of designing spaces that encourage wellbeing, it is nearly impossible to soothe all humans with a single design solution. So, meeting clients where they are and creating a safe, judgment-free dialogue is the first step in designing inclusive, supportive spaces.

Interior Design: Sarah Barnard, Artwork: Jose Ramirez, Photo: Chas Metivier

Interior Design: Sarah Barnard, Artwork: Jose Ramirez, Photo: Chas Metivier

 In my experience, being mindful and empathetic to diverse sensitivities creates an opportunity to design spaces that inspire a sense of peace. Armed with the understanding that we can't expect anyone to share the details of their pain, nor ask for what they need, designers must consider the most sensitive populations, so more environments feel safe and empowering to all.

 How do we do this?

We must think about an expansion of universal design principles to include physical, mental, and emotional health. For example, we know that biophilic design can reduce physiological and psychological stress. Having a comfortable place to meditate can reduce anxiety, depression, and pain. Exposure to natural light can regulate our circadian rhythms and increase serotonin levels.

Artwork: Ruben Vincent, Photo: Steven DeWall

Artwork: Ruben Vincent, Photo: Steven DeWall

When access to nature isn't readily available, art is an excellent alternative solution. Viewing original works of art can stimulate the brain, providing an imaginative connection to the mind of the artist and a momentary transcendence into another reality. In 2011 a University of London study found that viewing art produces a similar effect in the brain as falling in love, causing a rush of pleasure producing dopamine.

Just as we consider the positive impacts of nature and art on health and wellbeing, we place equal importance on the selection of materials and how they can shift the feeling, light levels, and acoustic qualities of a space.

Interior Design: Sarah Barnard, Artwork: Kevin Moore, Photo: Ace Misiunas

Interior Design: Sarah Barnard, Artwork: Kevin Moore, Photo: Ace Misiunas

Because truly non-toxic materials are in limited supply, our studio regularly designs textiles, wallpapers, furniture, and light fixtures, working with local craftspeople to fabricate safely and responsibly.

 While we are mindful of avoiding materials with VOCs,  some non-toxic materials like linseed oil, tung oils, and even citrus-based solvents can cause distress to people who are chemically sensitive, people undergoing chemotherapy and people with COPD.

Interior Design: Sarah Barnard, Artwork: Kevin Moore, Photo: Ace Misiunas

Interior Design: Sarah Barnard, Artwork: Kevin Moore, Photo: Ace Misiunas

In 20 years of professional practice, I have learned that empathy and mindfulness are critical in creating healing, supportive environments. Contemplating design strategies that can benefit all populations, is not a trend; it's an evolution in expanding our quality of life.

 Together, we are part of a movement to be mindful, empathetic, and collaborative, supporting one another to make all built environments healing, restorative spaces.

Interior Design: Sarah Barnard, Photo: Steven DeWall

Interior Design: Sarah Barnard, Photo: Steven DeWall

Sarah Barnard designs healthy, happy, personalized spaces that are deeply connected to nature and art. With a contemporary approach that employs traditional vocabulary, Barnard’s range of style is innovative yet time-honored. The ideas most essential to her practice and design process are wellness, historic preservation, and the infinite ways in which design can enhance life.