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Richard Grannon confirms co-dependency and CPTSD

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Co-dependency is the mobile device induced by Dopamine addiction - the horror is explained below and the method of addiction by the Harvard University 

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What is Complex Post-Traumatic Stress Disorder (CPTSD)?
 

by Shirley Davis | Sep 3, 2019 | CPTSD ResearchWhat is CPTSD | 33 comments
 

Most people have heard of post-traumatic stress disorder that afflicts many men and women returning from a war zone. It is characterized by flashbacks, unstable mood, and survivor’s remorse. However, many have never heard of a condition that often develops in childhood and changes the course of the child’s life forever, complex post-traumatic stress disorder (CPTSD).

For a good definition of CPTSD, we turned to Beauty After Bruises, an organization that offers outreach focused on adult survivors of childhood trauma who have complex PTSD with or without the presence of a dissociative disorder. Their definition of complex post-traumatic stress disorder as follows:
 

“Complex PTSD comes in response to chronic traumatization over the course of months or, more often, years. This can include emotional, physical, and/or sexual abuses, domestic violence, living in a war zone, being held captive, human trafficking, and other organized rings of abuse, and more. While there are exceptional circumstances where adults develop C-PTSD, it is most often seen in those whose trauma occurred in childhood. For those who are older, being at the complete control of another person (often unable to meet their most basic needs without them), coupled with no foreseeable end in sight, can break down the psyche, the survivor’s sense of self, and affect them on this deeper level. For those who go through this as children, because the brain is still developing and they’re just beginning to learn who they are as an individual, understand the world around them, and build their first relationships – severe trauma interrupts the entire course of their psychologic and neurologic development.”
 

CPTSD forms in response to repeated interpersonal violence that leaves the victim, a child or adult, feeling trapped with no hope of escape or of imminent death.
 

Complex post-traumatic stress disorder is a developmental trauma disorder (DTD) which is wildly different than post-traumatic stress disorder that normally, but not always, forms in adulthood.
 

The trauma model states that children who experience chronic sexual, psychological, physical abuse and neglect develop CPTSD. However, it also forms in kids who suffer slavery, human trafficking, working in sweatshops, war or survivors of concentration camp environments and cults. The trauma which causes this disorder may also include having experienced betrayal, defeat, and shame.

The reason children are vulnerable to forming CPTSD is that children do not have the cognitive or emotional skills to understand what is happening to them. Since the abuse and neglect, they are experiencing is normally perpetrated by people they know and trust, to admit to themselves that these same people want to hurt them is akin to emotional suicide so they use other means to manage the trauma.

The psychological implications are enormous leaving the child with a complex mess of their core beliefs about who they are what they are. This tangled mess becomes even more complicated by flashbacks, nightmares and other symptoms that are worse in adulthood.

Often, children experiencing interpersonal traumatic events experience a conundrum in their minds and some choose to dissociate the events away.
 

CPTSD and PTSD in the DSM-5

The Diagnostic and Statistical Manual of Mental Disorders, 5th edition (DSM-5), is the bible of the psychiatric world. However, CPTSD is not mentioned because the author’s believed it was sufficient to lump it together with other trauma-related disorders including post-traumatic stress disorder.

The tragedy of complex post-traumatic stress disorder not appearing in the DSM-V is that mental health providers cannot officially give their clients this diagnosis because it is not accepted by the American Psychiatric Association, the publishers of the DSM-5.

However, there is a growing movement among those living with CPTSD and others who are advocating to have this diagnosis receive its own listing in the next edition. The reason this is vital is that the symptoms of CPTSD are different in many important ways than PTSD.

Now you may be wondering, what’s the difference between complex and the other style of stress disorder, (sometimes referred to as “simple” or “classic” PTSD when being compared or contrasted with complex PTSD)

Post-traumatic stress disorder develops when a person experiences or witnesses something which is frightening, shocking, dangerous, or scary. Most people recover from such experiences, but some people develop short-term or ongoing symptoms including re-experiencing the event(s) through flashbacks or nightmares, avoiding places, events or objects which remind them of what they experienced, or arousal symptoms like being easily startled.

Complex post-traumatic stress disorder is different in two crucial ways, the trauma is longer-lasting or repeated, and the symptoms are more severe.

CPTSD can form in both children and adults, but in this series of articles, we are going to focus on children and how what they can face will affect them throughout their life span.

In short, any repetitive situation where the child cannot escape or believes themselves trapped with no hope of escape.

The symptoms of CPTSD can be life-altering and cause severe disabilities such as many different forms of mental health disorders, including borderline personality disorder, dissociative disorders, and somatization disorder. The emotional damage that precludes complex post-traumatic stress disorder can lead to prolonged feelings of terror, worthlessness, helplessness, and the warping of the identity and sense of self in children.

When these children become adults, they have wide-reaching symptoms with not having a solidified understanding of self and problems regulating their own emotions. However, while the emotional state of young children facing overwhelming life experiences is terrible enough, repeatedly being in a position of being in danger continually changes their brains as well.

The amygdalae of these highly traumatized youngsters, due to its constant bombardment from the stress hormones which make the body ready for fight or flight cannot form correctly. This part of the human brain responsible for emotional regulation has been found to be smaller than average by as much as 20% or more when they reach adulthood.

Other parts of the body are affected as well as the body’s inflammatory response to the ongoing influx of stress hormones, harming the child’s systems. Illnesses in adulthood are directly attributable to trauma in childhood, such as problems with immune system disorders, diabetes, and heart disease.

The symptoms of complex post-traumatic stress order may include the following:

  • Losing memories of trauma or reliving them

  • Difficulty regulating emotions that often manifest as rage

  • Depression

  • Suicidal thoughts or actions

  • Sudden mood swings

  • Feeling detached from oneself

  • Feeling different from others

  • Feeling ashamed

  • Feeling guilty

  • Difficulty maintaining relationships

  • Difficulty trusting others

  • Seeking our or becoming a rescuer

  • Feeling afraid for no obvious reason

  • Having a feeling of always on the alert

  • Becoming obsessed with revenge on the perpetrator

  • Feeling a loss of spiritual attachment and either ignoring or depending upon religion for self-worth

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What Does Complex Post-Traumatic Stress Disorder Look Like?

There are several and various psychological aspects to CPTSD and we have tried to list as many as we could below with associated explanations.

Problems with Emotional Regulation. Survivors find they have a very difficult time experiencing, expressing, and controlling emotions. Not only are survivors unable to describe, comprehend and label them correctly, feeling emotions is terrifying and might express in a volatile manner.

Survivors may experience persistent sadness, suicidality, or either explosive anger or be incapable of expressing it. Survivors often feel numb and are incapable of leveling out their moods after they have experienced an extreme emotion such as elation or grief.

One common symptom any survivors encounter is the re-experiencing of their childhood trauma through flashbacks. These flashbacks are intrusive and often the triggers causing them are elusive. This symptom is known as an emotional flashback.

Difficulty with Relationships. One might think that when we talk about having difficulty with relationships, we are only speaking about having trouble forming and holding an intimate relationship but that’s not all there is to it.

Survivors often have feelings of isolation and haven’t the knowledge of HOW to form relationships. The fear involved in trusting another human being will not harm them leaves these survivors in a morass of harboring the intense needs to hide away and refuse to try to trust others with also desperately wanting someone to love them.

However, some survivors swing the opposite direction and trust too much leaving them vulnerable to victimization to people who will repeat the pain and abandonment of the past.

Below are listed and described some of the difficulties people living with the diagnosis of complex post-traumatic stress disorder experience.

Difficulties with Self-Perception. Due to the messages given by their childhood abusers, survivors often have problems with perceiving themselves as worthwhile and worthy of dignity and respect. Unfortunately, due to the signals sent by caregivers, many believe they are fundamentally bad or damaged beyond repair. This leaves survivors feeling powerless, hopeless, and helpless. Many survivors take on the role of rescuer, sacrificing their own health and happiness to care for others; while others feel a sense of entitlement that blocks their healing.

There is also a permeating feeling of not belonging in the world that, somehow, they are a mistake and should never have been born. This brings a deep sense of loneliness that may result in isolating from other people.

 However, these beliefs and feelings are far from the truth as survivors are compassionate, competent, strong, and intelligent human beings.

Attachment to the Perpetrator. Because survivors have such a low esteem of themselves, many find themselves believing that they are making up things about those who harm them, or worse, that they deserve maltreatment.

Many cannot break free from the influence of their abusers, especially if that person is someone they love like a father or mother. Even though they know the behavior they received as children or are receiving in the present, telling the truth about their loved one feels like a betrayal. These feelings can sometimes translate into suicidality as the survivor struggles with the impression left by their abuser that if they talk about what happened, then they are dirty, nasty, or will be disowned.

Some survivors feel guilt and sadness in leaving their abuser even knowing how badly they are treated by them. Perpetrators groom their victims by giving the impression that they love them and make statements relating to their victim that they will never be loved the way the perpetrator loves them.

Other survivors feel inadequate to manage life without their perpetrators in the picture, following up on messages from the abuser that they cannot live without them.

An Interruption of the Survivor’s System of Meanings. A person’s system of meanings involves their assessment of who they are based on the person’s abilities, weaknesses, feelings, and life. Childhood abuse interrupts a survivor’s sense of self which leads to a struggle to maintain faith or belief that justice, ethics, and morality are unreal. This leaves the survivor with an unfairly contorted outlook on the world.

This distorted vision of their environment often leads to doubt that there is any goodness or kindness that isn’t selfish and that they can never find forgiveness, although they did nothing wrong.

While many people exhibit most of the symptomology listed on this page, they may or may not experience all of them. This is important to understand as survivors are individuals first and have different life experiences. It is also vital to note that comparing one person’s experiences with childhood or other trauma with someone else’s is like comparing an apple to an orange. While they are both almost round and contain seeds, that is where the resemblance ends. One person’s trauma is not better or worse than that of someone else.

 

 

 

 

 

 

 

 

 

Matt, 

 

Wonderful to connect with you Sir and I sincerely appreciate the invite to correspond with you. 

 

The Good Vibrations Truth Trust Transparency and LOVE  website was born out of a time pre the final discard and I would care to invite you to keep a truly open mind when digesting what I have to present. 

 

GV3T LOVE

 

JUST LOVE  is ..........just one step along  the "yellow brick road" of remarkable happenings since my enforced "cleansing" and may I say, one can only convey that it is just that ........... a transition into a different paradigm and that being so the website is my holding tank of critical information and PROOF of my journey.......... a journey that I know to be true and herolds the gateway to a new and distinctly improved society.

 

I'm going to draft a detailed presentation of my experience, my vision and how it will impact exponentially upon humanity, for Matt we are the saviours, not the victims and LOVE is the key along with the three T's to our species salvation.

 

Can I be so intrusive as to ask if you've been cleansed yourself and are armed with the superpowers we hold?

 

Basically do you suffer or are you now using them to your strength? 

 

I await your reply and wish you a truly glorious day.

 

It's going to be e great one

 

Best 

 

Damian

 

 

Matt, 

 

I've attached a legal introduction to a UK QC for your eyes only and for you to look at some of the links I've attached and would ask if it is at all possible to bring Athena into the exchanges to gain her perspective. 

 

SuperAwesome, making the Internet safer for kids

 

AwesomeAds’ proprietary contextual targeting technology reaches over 300M+ under-16s every month, while keeping your brand and your youth audience safe.

 

We will both recognise that the narcissist confesses as they go along, so as to inflict the gaslighting further and decimate the internal equilibrium of the perceived "victim" and its my work and countless interactions that have pieced this jigsaw together. For the record, I saw my Dad burn at nine, run over by a bulldozer at 23, 2 successful marriages, and two very costly, but self-worthy divorces, I can go on and on and on, multi-million dollar businesses and a captain of industry and a name that means 

 

Damian Langiano................    "Conquering Visionary"

 

I am trained for the mission ahead and smile at the opportunity to align with the heartbeat of mother earth and the Hawiian soil. 

 

You won't find me on Linkedin, Youtube or Bitchute and I can't go facebook live, but I am on instagram and facebook, where my message is varied, but consistent. 

 

A dopamine addiction, based upon covert manipulation will result in a trauma bond and codependency that enables the narcissist to mirror a single supply across millions by using the frequency of the handset and subliminal gaslighting to maximise the stockholm syndrome. 

 

What we are seeing now with the flooding of narcissists, healers and educators is simply triangulation, between partners and the devices, creating separation and total immersion into the digital relationship........... "we are all just prisoners here of our own device" 

 

Matt, welcome to Hotel California, you can check out any time you like but you can never leave.

 

That might be true if they can keep the landscape of reality in such turmoil that the fight for data and the war being waged upon us, seems safer than the world outside. 

 

But what if CPTSD was our optimum state of being, what if the symptoms are our arsenal for what lays ahead. 

 

I've been super close to Hollywood and I'm direct with some of the largest stars in the world, and I'm closing in on Trump and was in fact one door away last week. 

 

Imagine 500m children under the age of 16 being mentally targeted via the device, imagine the trauma they've witnessed and the embedded messages and game play they've been exposed too, the appreciate that mum and dad have let the age appropriate classifications slip (covertly manipulated to do so) and thus the wars they've been exposed too ...................................................and by now, I assume the penny is dropping and that beat in your chest is now galloping and your mouth may well be falling open...............as I stated it's a digital holocaust and thus a mental armegeddon. 

 

Yes ...... Oh my GOD indeed. 

 

I'm tuning in my skills and ...they are projecting the reasoning for the global disaster back onto the victims for the ultimate discard and exit, whilst offering digital breadcrumbs and a "misplaced sense of security"..........the METAVERSE

 

Hidden amongst the double life of COVID and its restrictions, 

 

Agenda 2030 ......"You'll own nothing and be happy..............which we know to be true as we shed the chains of materialistic constriction as we shift to absolute empathy and compassion.

 

Matt, at this stage some parts still remain a little cloudy until each piece of the jigsaw is presented, but simply having the chance to convey this to you is crystallizing and confirming the perspective. 

 

Let's take a breath dear friend for what comes next is the solution amongst the options to hand. 

 

Always love

 

Damian

 

 

On Fri, Feb 18, 2022 at 3:12 PM CPTSD Foundation <hello@cptsdfoundation.org> wrote:

Hi Damian, 


Thank you so much for contacting us and sharing some information about your cause, and for sharing some information about your struggles in healing. I will be happy to check out the link you sent and learn more.

 

Feel free to follow up and contact us anytime. 

 

Matt

Matt, 

 

3 of 3 

 

Building upon the theory that what in fact is a rising superpower and not the collapse of one's internal construct, we only have to look at the state of society to prove this out. 

 

Pick a subject, any topic that you feel we as a species are succeeding in and then tell me exactly how you can stem the tide of Complex PTSD when our children live in a world of trauma. 

 

I'll save you the waste of time, you can't.

 

What you have to do is create a world that we all feel safe in, not one that creates the very cycle in which we can never truly escape from, or we will be the perpetual abusers of our own children. 

 

Our superpowers of infinite energy, ADHD, multi tasking and perception DYSLEXIA, straight line talking and deliverance ASPERGERS etc are now seen as disorders in a world with no order and the reason we have such difficulty in shedding those issues are because it goes against the grain of humanities compassionate reality. 

 

We are born EMPATHS yet trained to be emotionless and selfish by the American "dream" which has sent its own people into a self-destructive tail spin. 

 

If we reverse gear the process we can re-establish humanities true identity, to do that we need a pillar of TRUTH

 

Imagine creating content, a super movie once a month that was pay per view and streamed to a covertly trained global audience with 100% of the revenues going to humanities impact causes.

Blockchain the transaction and enable interaction between the supporter and the supported and we would have that pillar of the TRUTH and a truly inclusive society. 

A society we all search for in a world that struggles to breath amongst the lies and commits our children to a life of confusion and conflict in some form of twisted reality believing that they will feel secure at the fun fair to such a point that animated fantasy with fast food delivered by scooter is the "Great white hope"

 

I know this to be true, in fact my friend I'm in the process of making it happen......

 

Your view will be truly appreciated, but in earnest as someone doubting his own reality I am creating it one digital impression at a time and inviting others to view this perspective of our world and hopefully inspire them to act upon it. 

 

Enjoy your Saturday .........I fully expect to shake your hand one day and I am eternally grateful for affording this space so as to allow me to solidify a new construct of OUR universe's energy 

 

Sincerely

 

Sia - Unstoppable (Lyrics) - YouTube

 

Always love

 

Damian

Why The C in C-PTSD Will Haunt You

November 30, 2021

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From Gemini Adams:

 

 

 

 

“Complex Post Traumatic Stress Disorder (C-PTSD) is the unfortunate cousin of PTSD, referring to an identifiable mental and emotional health condition that arises from traumatic events that consistently happen over a long period of time, are inter-personal, and often occur in childhood.

Abandonment, neglect, sexual abuse, domestic violence, physical, emotional or psychological abuse — such as spanking, bullying, gaslighting, shaming and name-calling — torture, being enslaved or held captive by a terrorist, kidnapper or within some kind of cult or [authoritarian] dynamic (including religious, political or educational settings), all fit the bill.

However, unlike PTSD, the symptoms of C-PTSD are often entrenched in an individual’s personality, having taken root during formative years, when attachment styles and brain development are fragile and still maturing.

This typically leads to severe, yet often-times invisible symptoms, which can inwardly feel like a disability, including: mental health challenges, lack of emotional or self-regulation, intimacy and trust issues, pervasive low self-esteem, guilt and toxic shame, lack of boundaries, prolonged feelings of terror and hyper-vigilance, emotional and somatic flashbacks, conflict-avoidance, chronic self-isolating, struggles with spatial awareness, interoception and cognitive function, mood swings, dissociation or detachment from reality, a tendency to self-medicate with substances, work, sex or sports, suffering from repetition compulsion, exhibiting both counter-dependent and co-dependent behaviours, people-pleasing or dominating, and real struggles in forming and maintaining healthy relationships with self and others.

Essentially, C-PTSD is complex by definition; both in its symptoms and also in how it is first formed. For example, a child who grows up in the chaos of a dysfunctional home; whereby the parent who suffers from narcissism, a mental health condition, cluster B personality, or an addiction, is ill-equipped to provide that child with the foundational elements that will promote the formation of a healthy, happy adult.

An absence of boundaries, or violated ones, lack of compassion or empathy, unavailability, cruelty or abuse, ignored needs, love withdrawn or over-exerted at times, provides no model for clear and direct communication, healthy emotional expression or authentic relating. Consequently, the child simply fails to get the right operating system fully installed. They are robbed of the chance to form a strong and solid sense of self, or learn what kind of behaviours within relationships are right or wrong.

C-PTSD is often described as life-altering, but it really goes much, much deeper than that. The absence of these essential ingredients in one’s early life, in the words of many of my own clients, creates ‘a void.’ Life is certainly altered. But, unlike with those who suffer symptoms of PTSD, whereby there is a noticeable ‘healthy’ before — where the adult was mentally and emotionally well, capable and content in communications and relationships prior to the traumatic event — with C-PTSD there is rarely a ‘healthy’ before. As international activist Jesse Jackson wisely observed: ‘You can‘t teach what you don’t know.’

The end result of this is that a ‘wounded child’ is left wandering around inside an adult body, doing their best — but lacking the tools or wherewithal — to behave or interact as a ‘healthy adult’ would. This can include the capacity to earn or retain money, to create stability, to hold down a job, to identify one’s own needs, to understand what one even enjoys or is good at, to engage in social activities or even feel that you belong, or are worthy of being part of any group, job, community or even receiving human decency.”

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Complex PTSD (C-PTSD)

The 11th revision to the World Health Organisation’s International Classification of Diseases (ICD-11) (published in 2018) now defines two distinct sibling conditions, Post Traumatic Stress Disorder (PTSD) and Complex PTSD (C-PTSD), under a general parent category of ‘Disorders specifically associated with stress’. 

The C-PTSD definition describes the more complex reactions that are typical of individuals exposed to chronic trauma. The addition of this disorder as distinct from PTSD allows greater precision in the diagnosis of trauma populations and more personalised and effective treatment.

Both PTSD and C-PTSD result from the experience of something deeply traumatic and can cause flashbacks, nightmares, and insomnia. Both conditions can also make you feel intensely afraid and unsafe even though the danger has passed. However, despite these similarities, there are characteristics that differentiate C-PTSD from PTSD.

The main difference between the two disorders is the frequency of the trauma which caused it. While PTSD is usually caused by a single traumatic event, C-PTSD is caused by multiple, long-lasting, repeated or continuous traumas (commonly referred to as “complex trauma”). That said, studies have found that some people who’ve experienced multiple traumas develop PTSD, and others who’ve experienced one trauma develop C-PTSD – so the number, intensity or duration of traumas you experience don’t necessarily make a diagnosis of PTSD vs C-PTSD easier. This is just one reason why there can be confusion when making a diagnosis.

This type of ‘repeated exposure’ PTSD is referred to in many different ways: complex PTSD (C-PTSD), Prolonged Duress Stress Disorder (PDSD), rolling PTSD, Chronic Post Traumatic Stress Disorder, Severe Post Traumatic Stress Disorder, Type 2 PTSD, Cumulative Stress Disorder, Complex Trauma Disorder, and Chronic Stress Disorder (but for the purposes of this page information, we’ll call it C-PTSD).

What can cause C-PTSD?

C-PTSD develops as a result of sustained, repeated or multiple forms of traumatic events such as victims of bullying, emergency service workers, ‘chronic sexual, psychological, and physical abuse or neglect, or chronic intimate partner violence, victims of kidnapping and hostage situations, victims of slavery and human trafficking, prisoners of war, and prisoners kept in solitary confinement for a long period of time.’

C-PTSD can happen to anyone who has been exposed to long-term trauma, but it is more often seen in people who experienced trauma during an earlier stage of development, or were abused by someone they thought they could trust, such as a caregiver or protector.  Because of this, often the impact on the nervous system around attachment or relationships becomes more deeply ingrained.

C-PTSD results from many experiences, but some examples are:

  • Repeated exposure to disaster, accidents, deaths or violent acts (including emergency service workers)

  • Child abuse or neglect

  • Frequent need to deliver traumatic news to others e.g doctors

  • Living under severe threat for an extended period of time

  • Being forced to be a sex worker

  • Domestic abuse

  • Cult membership

  • Having to witness ongoing abuse or violence of another

  • Regular and repeated exposure to verbal abuse, emotional abuse or threats

  • Long-term exposure to bullying

  • Kidnappings, hostage taking, prisoner of war

  • Frequent sexual victimisation or abuse

  • Regular, long-term feelings of captivation or powerlessness

Why does C-PTSD happen?

We know that trauma can have lasting effects on our brains (specifically the amygdala, hippocampus, and prefrontal cortex). These parts of our brain control our memory function and our response to stressful situations.

If someone is exposed to an intensely fearful and traumatic situation, their body and mind ‘suspends’ normal operations such as digestion, memory processing, skin healing etc and it copes as well as it can in order to survive, perhaps getting ready to run, fight or freeze to the spot. 

This means that the mind does not produce a memory for this traumatic event in the ‘normal’ way – and if this is a repeated, continuous or multiple traumas, there are many memories that are ‘unprocessed’.

Under normal/non-traumatic circumstances, when information comes into our memory system (from sensory input such as what we can see, hear, taste, and smell), it needs to be changed into a form that the system can cope with, so that it can be stored. If the encoding doesn’t take place due to repeated traumas – the memory can’t be processed. Instead, it is stored randomly, in pieces, in a variety of places within the brain.

Eventually, when the mind presents any of the ‘memories’ of the traumas for ‘filing’, or it is triggered by a smell, a place, or a person etc, it does not recognise them as memories. As it understands, ‘the brain is in the middle of the dangerous event – it is not ‘outside’ looking in at this event, and therefore the entire system is not easily subject to rational control.’ These flashbacks are incredibly distressing. Reliving the traumas as if they were happening RIGHT NOW. The elements such as the facts of what happened, the emotions associated with the trauma and the sensations touch, taste, sound, vision, movement, and smell can be presented by the mind as real time information. They may also present as nightmares, and intrusive unwanted memories.

These re-experiences and flashbacks are a result of the mind trying to file away the distressing memories, and understandably can be very unpleasant and frightening because they repeatedly expose the sufferer to the original traumas. This danger response also sets off other stress reactions in the body such as blood pressure and heart rate increasing, blood sugar is raised and digestion is affected. The body enters a state of hypervigilance so it is aware of other dangers around it, with increased startle responses.

Your body and mind are doing things they SHOULD do when presented with any threats. But your body is designed for this to be an immediate fix, for short term fix which allows the body to settle once the threat has been resolved. But with C-PTSD, it is almost perpetual. With continued or repeated exposure to a stressor, people’s physiological and brain functions have to continue at an extreme level. The nervous system also continues to function at the above normal level entering the exhaustion stage. This prolonged, extreme or repetitive trauma can physically injure the brain. ‘The best analogy is that the amygdala stays in the alert state so long that it gets ‘stuck’ there. It keeps the body from operating a healthy combination of… systems’.

Your brain (hypothalamic-pituitary-adrenal (HPA) axis) is activated by the stressful stimuli, and the disruption that occurs with C-PTSD can be conceptualised as a kind of “false alarm”. This ‘dysfunction’ of the HPA system is thought to produce hippocampal damage manifested as impaired memory. Simply put, C-PTSD physiologically changes your brain. The amygdala is responsible for fear responses and fear conditioning. Exposure to trauma can activate the amygdala and related structures inappropriately resulting in hypervigilance and inappropriate fear responses. Additionally, the part of your brain which regulates inappropriate fear responses (the medial prefrontal cortex) is impaired in people with C-PTSD. You can find out more about the regions of the brain involved in memory processing that have been implicated (hippocampus, amygdala, and frontal cortex) here.

As the mind continues to try to repeatedly process the memories, and the brain keeps retriggering itself into ‘danger’ mode, the individual also finds that their levels of awareness might change. People can become find it difficult to control their emotions and suffer intense symptoms of anxiety. This can present itself as both physical; shortness of breath, tight muscles, profuse sweating and a racing heart, as well as emotional: feeling on edge, hypervigilance (looking out for signs of danger all the time), avoidance of reminders of the traumas or feeling panicky.

The brain is programmed to process memories, and so the more the individual avoids things like thinking about the traumas (or if they’re still going through traumas), the less likely is it that any memory processing will actually occur, and the more likely it is that further attempts at filing a memory will occur automatically. This ultimately leads to further nightmares, flashbacks and intrusive memories which lead on to further hyper-arousal and emotional numbing, and this in turn leads on to more avoidance and so on. This is how the symptoms clusters perpetuate themselves in a vicious cycle which can go on for years – and when it goes untreated, C-PTSD can last for decades.

‘The injury is real. The injury is physical. It is not mere confusions or misdirected thinking, or sign of a weak character. It most certainly is not a case of ‘Just get over it’.’ In some cases, C-PTSD symptoms can have a cumulative effect and can get worse rather than better over time, which is why some C-PTSD sufferers ‘manage’ for such a long time without help, but they then worsen over time and eventually the symptoms become unmanageable.

For treatment to be successful, information and memory processing must be completed. This is why therapies such as EMDR aimed at helping the individual to process and work through the traumatic material are extremely beneficial. For many people, treatment can get rid of C-PTSD altogether. For others, it can make symptoms less intense. Treatment also gives you the tools to manage symptoms so they don’t keep you from living your life.

What are the symptoms of C-PTSD?

PTSD and C-PTSD have very similar symptoms but C-PTSD also has 3 additional categories of symptoms: difficulties with emotional regulation, an impaired sense of self-worth, and interpersonal problems which may manifest as some of the following (although it’s important to note that people with PTSD may also experience these):

  • Difficulty controlling emotions. It’s common for someone suffering from C-PTSD to lose control over their emotions, which can manifest as explosive anger, persistent sadness, depression, and suicidal thoughts. They may feel like they’re living in a dream or have trouble feeling happy.

  • Preoccupation with an abuser. It is not uncommon to fixate on the abuser, the relationship with the abuser, or getting revenge for the abuse.

  • Negative self-view. C-PTSD can cause a person to view themselves in a negative light. They may feel helpless, guilty, or ashamed. They often have a sense of being completely different from other people.

  • Difficulty with relationships. Relationships may suffer due to difficulties trusting others and a negative self-view. A person with C-PTSD may avoid relationships or develop unhealthy relationships because that is what they knew in the past.

  • Hopelessness – you don’t think you’ll ever change or that life will ever get better

  • Detachment from the trauma. A person may disconnect from themselves (depersonalisation) and the world around them (derealisation). Some people might even forget their trauma.

  • Loss of a system of meanings. This can include losing one’s core beliefs, values, religious faith, or hope in the world and other people.

  • Problems with self-esteem. Those with complex PTSD may feel worthless or blame themselves for their trauma. They may believe bad things happen because of something in them.

Symptoms of complex PTSD can vary, and they may change over time. All of these symptoms can be life-altering and cause significant impairment in personal, family, social, educational, occupational, or other important areas of life.

In the case of people who’s C-PTSD developed as a result of trauma in childhood, there can be additional symptoms too. ‘If their carers are abusive, then children have to learn to adapt to this. This affects the child’s sense of self, attitudes towards the world and other people. The traumatised child will develop an attachment style that instead of being secure is insecure and chaotic. They will expect mistreatment from others based on their repeated experiences and may even believe they deserve to be abused.’

C-PTSD is often misdiagnosed

There are frequent cases of ‘misdiagnosis of borderline personality disorder (BPD). The two share many symptoms such as low self-worth, suicidal thinking, and out of control emotional responses. And both can be linked to child sexual abuse.

It is possible to have both borderline personality disorder and C-PTSD. But if you feel the treatment for BPD, focussing on the ways you relate and regulate your emotions, is not working, and you know you experienced trauma, it’s perhaps worth looking into treatments for trauma as well.’

What are the treatments for C-PTSD?

C-PTSD treatment typically includes all the elements of standard PTSD treatment (such as Eye Movement Desensitisation Reprocessing (EMDR) and trauma focused cognitive behavioural therapy (CBT)) as a phase-based model with additional interventions or therapies included to provide strategies to:  

  • Manage strong emotions

  • Create supportive relationships

  • Address feelings of worthlessness and guilt

This may be especially important if you have experienced early trauma like child abuse, as you may have never learned how to trust other people or feel safe in the world. People with C-PTSD often have a greater challenge recognising the impact their condition has on them because it has become entwined with their fundamental understanding of the world and themselves. It became part of their foundation in the world. As such, as part of the treatment or C-PTSD, people are building a new foundation, one of stability, consistency, and safety in order to heal. They are learning that relationships can be safe, that they can be vulnerable and stay safe, and that connections help with healing.

In addition, there is much more extensive work involved in preparing for the EMDR therapy and helping someone to be able to regulate their emotions, maintain a sense of being present during the trauma work, and develop trust in the therapist. The trauma work itself can also take much longer, as it needs to be paced in a way that is more manageable and not de-stabilising.

For some people with C-PTSD, they may also need additional support, either before, or during treatment so help them balance their view of the world and get the most out for their treatment. 

Why can treatment take longer for C-PTSD?

Quite simply, because there is more to process. Also, rushing the process of treatment for C-PTSD can actually be more damaging.  ‘Because complex trauma changes one’s attachment style, identity and models of the world, short term treatments do not provide the consistently safe therapeutic environment that is needed for such patients to risk change. 

In fact short term therapy can have the effect of confirming people in a belief that they are ‘untreatable’, ‘difficult’ or ‘too dependent’ and that there is no person with whom they can form a safe enough relationship. When someone has coped for years with trauma, they need to take time to trust the therapist before they can feel safe enough to talk candidly about their experience.’ 

So whilst C-PTSD treatment may take longer than to treat PTSD, it its still possible to heal – but you may need to work with your therapist on a variety of aspects in your life.

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