What is Complex Post-traumatic Stress Disorder (C-PTSD)?

Complex post-traumatic stress disorder (complex PTSD), sometimes abbreviated as c-PTSD or CPTSD, is a condition that combines some symptoms of PTSD with additional distressing experiences. Here are the key features of complex PTSD:

  1. Symptoms:

    • Difficulty Controlling Emotions: Individuals with complex PTSD struggle to manage their emotions effectively.
    • Feelings of Anger and Distrust: They may harbour intense anger or distrust toward the world.
    • Persistent Emptiness or Hopelessness: A constant sense of emptiness or worthlessness.
    • Perceived Permanent Damage: Feeling as if they are permanently damaged or fundamentally different from others.
    • Challenges in Relationships: Avoiding friendships and relationships or finding them extremely difficult.
    • Dissociative Symptoms: Experiencing depersonalisation (feeling detached from oneself) or derealisation (feeling detached from the world).
    • Physical Symptoms: These can include headaches, dizziness, chest pains and stomach aches.
    • Frequent Suicidal Feelings.
  2. Emotional Flashbacks:

    • People with complex PTSD are prone to emotional flashbacks.
    • During these flashbacks, intense feelings (such as fear, shame, sadness or despair) from the original trauma resurface.
    • They may react to present events as if those feelings are currently happening, without realising it’s a flashback.
  3. Causes:

    • Complex PTSD can result from prolonged or repeated trauma over months or years.
    • Traumatic events associated with complex PTSD include:
      • Childhood Abuse, Neglect, or Abandonment
      • Ongoing Domestic Violence or Abuse
      • Witnessing Violence or Abuse Repeatedly
      • Forced Prostitution (Trading Sex)
      • Torture, Kidnapping or Slavery
    • Early trauma during childhood increases the risk of developing complex PTSD.

 

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