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Navigating the Storm: Unmasking the Hidden Symptoms of Complex PTSD

Do you find yourself spinning from one emotional extreme to the other? Are your relationships constantly in turmoil? Does it feel like there’s no end in sight for your struggles with depression, anxiety, and personal chaos?

You may be dealing with Complex Post Traumatic Stress Disorder or Complex PTSD. C-PTSD is a common yet complex mental health issue that arises when an individual experiences prolonged and repeated exposure to trauma. It has layers of symptoms, which have been identified by past research but often remain hidden beneath feelings of guilt, shame, or fear. These unwarranted self-judgments can affect more than just our emotions; they can also impact the way we interact in relationships and how we navigate through life.

In this blog post, the goal is to unravel some of the embedded symptoms associated with complex PTSD to shed light on this often overlooked condition and create room for possible healing pathways.

What is Complex Post-Traumatic Stress Syndrome?

Complex Post-Traumatic Stress Syndrome, or C-PTSD, is a mental health condition that can develop after experiencing prolonged and repeated trauma. It is often associated with individuals who have experienced childhood abuse, neglect, or other forms of ongoing trauma, such as living in war-torn areas or being in an abusive relationship.

Unlike PTSD, which is caused by one specific traumatic event, C-PTSD results from multiple events happening over a prolonged period. This constant exposure to trauma can lead to a range of symptoms that go beyond the typical PTSD symptoms.

How does someone receive a C-PTSD Diagnosis?

Receiving a complex post-traumatic stress disorder diagnosis can be a daunting and overwhelming experience, mainly because it is not in the DSM 5 Manual at this time.

Unmasking the Hidden Symptoms of Complex PTSD

However, mental health professionals are working towards its inclusion in future versions. In the meantime, a C-PTSD diagnosis is often made by identifying symptoms and their severity. It requires proper assessment and evaluation by a mental health professional, as well as an understanding of the individual’s personal history and experiences.

It is essential to note that every individual’s experience with C-PTSD is unique, and not everyone may meet the criteria for a formal diagnosis. However, acknowledging and addressing trauma and its effects on our mental health can be beneficial in finding ways to heal and improve overall well-being.

What are the Symptoms of Complex PTSD?

Some common symptoms of complex posttraumatic stress disorder are in the five common areas of mental health.

Behavioral Challenges

One of the primary symptoms of individuals who are struggling with C-PTSD includes impulsive behavior, aggressiveness, self-destructive behaviors, and substance misuse. These negative behaviors can significantly impact the patient’s life and those in it. Thus, a mental health professional must assess, diagnose, and treat these mental health conditions promptly.

Emotional Issues

Another common symptom faced by people who require mental health intervention for C-PTSD is emotional difficulties. These could include affectability, rage, depression, and panic. These negative emotions, if not treated timely, can contribute to exacerbating multiple psychological disorders, reducing quality of life, and highly impacting vital functions.

Cognitive Difficulties

This could include difficulty in concentration, memory issues, and challenges with decision-making. These cognitive impairments can significantly impede daily functioning and overall quality of life. Risk factors for developing these cognitive difficulties may include experiencing childhood trauma, repeated exposure to traumatic events, and lack of social support.

Interpersonal Issues

Interpersonal difficulties are another significant symptom that many individuals with mental illness face. They might struggle with forming and maintaining healthy relationships, leading to feelings of isolation and loneliness. Interpersonal trauma, such as abuse or neglect by a caregiver, can significantly contribute to these challenges.

Somatic Conditions

Lastly, somatic difficulties – physical symptoms that organic causes can’t explain – often accompany psychiatric conditions. These may include chronic pain, digestive problems, sleep disturbances, and more. Physical abuse or neglect, as well as chronic stress and an unhealthy lifestyle, can contribute to the development of these somatic symptoms.

The Sometimes Hidden Symptoms of Complex PTSD

One of the main reasons why C-PTSD often goes undiagnosed is because its symptoms are not always obvious.

While many people may associate PTSD with flashbacks and nightmares, C-PTSD has more subtle yet equally damaging symptoms. These can include difficulty regulating emotions, negative self-perception, and problems with relationships and trust. Many of these complex PTSD symptoms begin to appear in childhood as a result of trauma experienced in early life.

Unmasking the Hidden Symptoms of Complex PTSD

Flashbacks and Reliving Traumatic Events

People with C-PTSD may have vivid memories or flashbacks of past traumatic events, causing them to relive the experience. These flashbacks can be triggered by certain sights, sounds, smells, or even emotions that remind them of the trauma.

Emotional Dysregulation

Individuals with C-PTSD often struggle to regulate their emotions, leading to intense and overwhelming feelings of anger, sadness, or fear. This can be particularly challenging in situations that remind them of past trauma. As a result, they may engage in behaviors such as self-harm or substance abuse as a way to cope with these intense emotions. Extreme stress and hyperarousal can also lead to dissociative or “out of body” experiences.

Negative Self-Perception

One of the defining characteristics of complex PTSD is a negative self-perception. Individuals may feel unworthy, unlovable, or even responsible for the traumatic events they experienced. This can lead to low self-esteem and difficulty trusting others. This self-perception issue can also lead to severe psychological harm, as individuals may blame themselves for their trauma and feel a sense of shame or guilt.

Difficulty in Relationships

Due to their past experiences with trauma and often deep-seated trust issues, individuals with C-PTSD may struggle with forming and maintaining healthy relationships. They may have difficulty opening up to others, communicating effectively, or setting appropriate boundaries. Intense symptoms such as emotional dysregulation or dissociation can also make it challenging to connect with others and build meaningful relationships.

Physical Symptoms

C-PTSD can also manifest in physical symptoms such as headaches, digestive issues, chronic pain, and sleep disturbances. These physical symptoms are often a result of the constant state of stress and anxiety that individuals with C-PTSD experience. Complex reactions to trauma can also make it challenging to regulate bodily functions, leading to a variety of physical symptoms.

Relationship and Trust Issues

Given that C-PTSD is often caused by ongoing trauma, it’s no surprise that individuals with this condition may struggle in relationships. They may find it challenging to trust others or form deep connections due to past experiences of betrayal or abuse. This can also lead to difficulties with intimacy and vulnerability.

Avoidance Behaviors

To avoid triggers or reminders of their trauma, individuals with C-PTSD may engage in avoidance behaviors such as avoiding certain places, people, or activities. While these behaviors may initially provide relief, they can ultimately lead to isolation and further impact relationships and daily functioning.

Hyperarousal

Those with complex posttraumatic stress disorder may be easily startled, have difficulty sleeping, and may constantly feel on edge or hypervigilant. These symptoms of hyperarousal are the body’s natural response to ongoing trauma and can significantly impact a person’s ability to relax, concentrate, and feel safe.

Are any Additional Mental Health Problems Associated with Complex PTSD?

Yes, individuals with complex PTSD may also struggle with other mental health issues such as depression, anxiety, substance abuse, and eating disorders. These co-occurring disorders can further complicate treatment and require a comprehensive approach to address all aspects of the individual’s well-being.

Acute stress disorder, dissociative disorders, and borderline personality disorder are also commonly seen in individuals with complex PTSD. Mental health professionals need to assess for these conditions and provide appropriate treatment.

How do people with Complex PTSD Behave?

Behavioral patterns of individuals with complex PTSD can vary greatly, as everyone experiences trauma differently. However, some typical behavior traits may include avoidance of triggering situations or people, difficulty forming and maintaining relationships, self-destructive behaviors such as substance abuse or risky activities, and difficulty regulating emotions. It is important to remember that these behaviors are a result of the individual’s underlying trauma and should not be judged without understanding their context.

Quote about C-PTSD by Pete Walker

How Can I Support Someone with Complex PTSD?

If you have a loved one or friend who is living with complex PTSD, it is essential to educate yourself about the condition and provide understanding and non-judgmental support.

Encourage them to seek professional help and offer to accompany them to therapy sessions if they feel comfortable. Be patient and empathetic when experiencing symptoms and avoid minimizing their experiences or pressuring them to “just get over it.”

Slow breathing is like an anchor in the midst of an emotional storm: the anchor won’t make the storm go away, but it will hold you steady until it passes.

–Russ Harris

Can Complex PTSD Be Treated?

Yes, complex PTSD can be treated with a combination of medication, therapy, and supportive interventions.

A therapist trained in trauma-focused therapy techniques can help individuals work through their traumatic experiences and develop coping strategies to manage symptoms.

Medications may also be prescribed to address specific symptoms such as depression or anxiety. It is important for individuals to seek treatment from qualified professionals who have experience working with complex PTSD.

What are Some Self-Care Strategies for Managing Complex PTSD?

Self-care is an essential aspect of managing complex PTSD and should be practiced regularly. Some self-care strategies may include engaging in relaxing activities like meditation or yoga, connecting with support groups or loved ones, setting boundaries and prioritizing one’s needs, and practicing healthy coping mechanisms such as journaling or engaging in a creative outlet. It is also crucial to prioritize physical health by getting enough rest, eating well, and staying physically active.

Let’s Rule Out Other Diagnosis’

How can I tell if it’s C-PTSD or Attention-Deficit Hyperactivity Disorder?

It can be challenging to differentiate between complex PTSD and other diagnoses, such as Attention-Deficit Hyperactivity Disorder (ADHD), as they may share some similar symptoms. However, there are a few key differences that can help distinguish between the two.

Firstly, while both conditions may involve difficulty with attention and concentration, individuals with C-PTSD typically struggle more with emotional regulation and managing their emotions. They may experience intense mood swings and irritability or feel overwhelmed by strong emotions. In contrast, those with ADHD tend to have more consistent difficulties with attention and impulsivity.

Additionally, individuals with C-PTSD may have a history of trauma or adverse experiences that have led to their symptoms. On the other hand, ADHD is typically present from childhood and often runs in families.

If you are unsure whether you or a loved one may have C-PTSD or ADHD, it is essential to seek professional help from a therapist or mental health provider. A thorough evaluation and assessment can provide a clearer understanding of an individual’s symptoms and guide appropriate treatment options.

It is worth noting that individuals may also have both C-PTSD and another diagnosis simultaneously, which can complicate their recovery process. Therefore, it is crucial to address all underlying diagnoses in therapy to support comprehensive healing.

How do I know if it’s C-PTSD or Borderline Personality Disorder?

While both C-PTSD and Borderline Personality Disorder (BPD) may involve similar symptoms, there are significant differences between them.

BPD is a personality disorder characterized by difficulties in self-image, relationships, and intense emotions. On the other hand, C-PTSD stems from trauma or adverse experiences and can result in specific symptoms that may overlap with BPD.

One of the key distinctions is that individuals with C-PTSD have experienced significant trauma or repeated traumatic events. At the same time, those with BPD may not necessarily have a history of trauma. Additionally, C-PTSD tends to present with more severe dissociative symptoms compared to BPD.

A thorough assessment from a qualified mental health professional is essential for accurately diagnosing either condition, as treatment approaches may differ. However, regardless of the diagnosis, therapy can help individuals learn coping strategies and address underlying issues to improve overall well-being.

Remember, seeking professional support is a sign of courage and strength. Recovery from C-PTSD or any other mental health condition is possible with proper treatment and support. So, take the first step towards healing by reaching out for help today. Together, we can overcome any challenge and work towards a healthier future.

What happens if C-PTSD goes untreated?

If left untreated, C-PTSD can significantly impact an individual’s life and overall well-being. The symptoms of C-PTSD can interfere with daily functioning, relationships, and even physical health. It may also increase the risk of developing other mental health issues, such as depression or anxiety.

Quote about childhood trauma by Arielle Schwartz

Untreated C-PTSD can lead to ongoing struggles with emotional regulation, difficulty forming healthy connections with others, and a decreased sense of self-worth. These challenges can make it challenging for individuals to maintain stable employment or engage in meaningful activities.

Furthermore, without proper treatment, individuals may turn to unhealthy coping mechanisms such as substance abuse or self-harm to manage their symptoms. This can further exacerbate the negative consequences of living with untreated C-PTSD.

Summary

It is crucial to seek help if you or someone you know is experiencing symptoms of C-PTSD. Remember, there is no shame in seeking support and taking care of your mental health. With the right treatment, individuals can learn to manage their symptoms and heal from the effects of complex trauma.

Let’s break the stigma surrounding mental health and prioritize our well-being. Together, we can create a world where individuals feel comfortable seeking help and receiving support for their healing journey. So, don’t hesitate to reach out for help today – it’s never too late to start on the path towards a healthier and happier life.

Stay strong and keep moving forward! You deserve a life filled with joy, peace, and fulfillment. And remember, healing is possible, and you are not alone. We’re in this together. So, let’s take the first step towards a brighter future – seek help and start your journey to recovery today!

#EndTheStigma #MentalHealthMatters #YouAreNotAlone #SeekHelpToday #BreakTheSilence

FAQ’s

What does a C-PTSD episode look like?

A C-PTSD episode can vary from person to person but commonly includes symptoms such as intense flashbacks or nightmares related to the traumatic event, emotional dysregulation (mood swings), and avoidance behavior.

Can children develop C-PTSD?

Yes, children can develop C-PTSD if they have experienced multiple or prolonged traumatic events. Parents and caregivers need to be aware of the signs and symptoms of complex trauma in children so they can seek help and support for their child’s healing.

What is a C-PTSD trigger?

A C-PTSD trigger is an event, situation, or stimulus that reminds a person of their traumatic experience and causes them to re-experience distressing emotions and memories. Triggers can be internal (thoughts or feelings) or external (sounds, smells, sights). It’s essential to identify triggers in therapy so individuals can learn coping mechanisms to manage them effectively.

Why is C-PTSD so challenging to treat?

C-PTSD can be challenging to treat because it involves multiple symptoms and complex interactions between trauma history, emotions, thoughts, and behaviors. It also often co-occurs with other mental health disorders, making it important for individuals to receive specialized treatment from a trained professional.

How can I support someone with C-PTSD?

Supporting someone with C-PTSD starts with understanding and validating their experiences. Be patient and listen without judgment when they want to talk about their trauma or symptoms. Encourage them to seek professional help and offer to accompany them to appointments if needed. Remember that everyone’s healing journey is unique, so respect their boundaries and provide support in the best way.


If I have C-PTSD, do I have to be on medication?

Medication may be helpful for some individuals with C-PTSD, but it’s not necessary for everyone. Therapy, support from loved ones, and self-care practices can also effectively manage symptoms. It’s essential to work with a mental health professional to determine the best treatment plan for you.

Can C-PTSD go away on its own?

C-PTSD is a chronic condition that doesn’t typically go away on its own. However, with proper treatment and support, individuals can learn to manage their symptoms effectively and improve their overall quality of life. Recovery may involve ups and downs, but it is possible to find healing and lead a fulfilling life despite living with C-PTSD. Remember to prioritize self-care and seek help when needed.

Hi, I am Barbara (Blaze) Lazarony, MA, the founder and writer behind the Neurodiversity Therapy and Coaching blog. I am also a Neurodivergent Therapist and Coach, holding a master’s degree in clinical psychology from Sofia University, with specialized training in Autism Spectrum Disorders, ADHD, and Complex Trauma.

I offer therapy and coaching to individuals and couples, couples retreats and groups, and Autism and ADHD Assessments. I also have 20 years of therapeutic and coaching experience in various settings in California and worldwide.

Today, I help neurodiverse individuals and couples navigate the challenges of misunderstandings, loss of intimacy and connection, and the utter loneliness in their relationship. I support them in rewriting their broken communication patterns to express empathy, deepen connection, and experience the joy of their lives and relationships.

Trust me to help you Empower Your Unique Love Story, at Love on the Autism Spectrum.