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

Sarah Barnard: LEED AP, Interior Designer, ASID Scholar Award Winner

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Sarah Barnard has been recognised by the American Society of Interior Designers (ASID) as a rising leader in the interior design industry demonstrating exceptional leadership and a willingness to push the boundaries of the profession. Awarded with the highest honor of Scholar, the ASID recognises Sarah's commitment to fostering connectivity and growth throughout the community.

"As a LEED AP, I design healthy, sustainable interiors for non-profit organizations that work to protect our architectural and cultural heritage and fight for social and environmental justice."

Sarah has been committed to helping organizations that protect and advance our society as well as our humanity, standing firm in a quest to aid institutions such as: The Heritage Square Museum, the Santa Monica Conservancy and the Olmstead Preservation Association, working to protect architectural and cultural histories; the Downtown Women’s Center providing permanent supportive housing to homeless women; the National Immigration Law Center providing protection for immigrants, low-income workers and people of all genders and sexual orientations; Life Rolls On-Christopher and Dana Reeve Foundation, aiding and inspiring people with disabilities.

"These types of organizations have never been more important to our well-being, yet in present times, are at great risk. I understand that by providing pro-bono design services, securing donations of goods and services and by always continuing to encourage growth and expansion of a compassionate community, we can encourage each other to create a better world, with hope, beauty and dignity." 

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Sarah Barnard is a member of the American Society of Interior Designers (ASID), is certified by the National Kitchen and Bath Association (NKBA), and is recognized by the International Institute for Bau-Biologie & Ecology as a Building Biology Practitioner (BBP) and by the United States Green Building Council as a Leadership in Energy and Environmental Design Accredited Professional (LEED AP). She has served on the Santa Monica Conservancy's board of directors and specializes in sustainable interior design and historic preservation.

Undertaking a broad range of projects, all of which are grounded in smart design and mindful of healthy living, Sarah’s diverse body of work includes upscale private residences, chic restaurants, luxurious spas and impressive corporate headquarters. Her projects have been featured in local and national publications, and have placed prominently in several noted design competitions. Sarah holds a Master of Fine Arts degree from Claremont Graduate University as well as undergraduate degrees in Art and Interior Architectural Design. Her interior design practice is the culmination of education and interests in art, architecture, textiles and the environment and she has written several articles for important publications including the USGBC, United States Green Building Council.

Sarah Barnard, WELL AP and LEED AP, designs healthy, happy, personalized spaces that connect deeply to nature and art. Empathy and mindfulness are the foundation of her practice creating healing, supportive environments that enhance life.