You have most likely heard the term Post Traumatic Stress Disorder – also known as PTSD. It is used to describe the mental and emotional anguish suffered by those who have experienced sudden trauma. PTSD is often experienced by soldiers as well as those who have been victims of rape and other crimes, and even victims of house fires and car accidents.

Complex Post Traumatic Stress Disorder (C-PTSD) describes a condition that very much presents like PTSD, the difference being the sufferer experienced prolonged periods of abuse or neglect. This could happen as a result of childhood neglect or the abuse suffered at the hands of a narcissistic partner.

Diagnosing C-PTSD

Diagnosing C-PTSD is tricky because the symptoms are usually not very unique. That is to say, someone who is suffering from C-PTSD may be experiencing anxiety and lethargy, but these symptoms match other mental health issues.

But it is very important to accurately diagnose C-PTSD because of the necessary treatment measures. The main difference between C-PTSD and other mental health issues – say, bipolar disorder – is that C-PTSD is a result of things that were done TO an individual, and not an intrinsic problem. In other words, someone suffers from C-PTSD because of abuse and neglect at the hands of another and not because of genetically determined brain chemistry.

To help correctly identify C-PTSD, a therapist must uncover an accurate history to understand if:

• The individual has experienced multiple prolonged traumas that have lasted for months (or even years)
• The traumas were caused by someone the individual had a deep interpersonal relationship with and/or someone who was part of their primary care network (most commonly a parent or caregiver)
• These traumas were experienced as permanent features of life, with the individual unable to see any end in sight
• The individual had no control or power over the person traumatizing them

Symptoms of C-PTSD

As I just mentioned, the outward symptoms of C-PTSD may match other mental health disorders. Those symptoms include:

• Flashbacks and nightmares in which the trauma is relived.
• Avoiding people, places, and situations that remind them of the trauma.
• Dizziness or nausea when remembering the trauma.
• Hyperarousal. This is a state of high alert and one they often lived in.
• A belief that the world is a dangerous place.
• A loss of trust in self or others.
• Difficulty sleeping and concentrating.
• Being startled by loud noises.

Treatment for C-PTSD

Psychotherapy

Our therapists provide individual therapy that is tailored to you.  Initial focus is on helping you feel safe in the therapy space. We explore the issues that bring you at your pace, and process feelings as we go.  Additionally we place continued focus on improving connections with others, and dealing with anxiety and flashbacks. The best therapeutic approach is the one that works for you.

Medication

Some may find that medication is needed, in conjunction with therapy, for a while to reduce overwhelming feelings of anxiety.  A therapist can work with you to determine if this is the best course of action and help connect you with someone who can prescribe.

If you believe you are suffering from C-PTSD and would like to explore treatment options, contact us to start feeling better.

Life can be complicated, messy, and rarely progresses in a straight line.  PeoplePsych is a Chicago-based psychotherapy group that treats adults seeking profound change in their lives.  We provide services that affirm the dignity, worth, and value of all individuals. We strive to create a safe non-judgemental space for clients to explore the issues that bring them. To connect with one of our therapists, please contact our Clinical Coordinator at (312) 252-5252 or intake@peoplepsych.com.