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What Are the 17 Symptoms of Complex PTSD?

additional symptoms of ptsd can include suicidal thoughts, difficulty concentrating and lose interest or having a worthless feeling

Complex post-traumatic stress disorder (C-PTSD) is a mental health condition that can develop after experiencing prolonged or repeated trauma. Unlike PTSD, which typically stems from a single traumatic event, complex PTSD arises from exposure to chronic or multiple traumatic experiences, often in the context of interpersonal relationships.

Individuals with complex PTSD may exhibit a range of symptoms that can significantly impact their daily functioning and overall well-being.

Recognizing the Signs of Post-Traumatic Stress Disorder (PTSD)

It is crucial to recognize the signs and symptoms of complex post-traumatic stress disorder to seek appropriate support and treatment. If you or someone you know is experiencing symptoms of PTSD, it is recommended to consult a mental health professional for proper diagnosis and care. Early intervention can make a significant difference in managing symptoms and improving quality of life.

#1 Emotional Dysregulation

One of the hallmarks of complex PTSD is affective dysregulation, which can manifest as intense mood swings, difficulty controlling emotions, and a heightened sensitivity to perceived threats or triggers. Individuals may struggle with persistent feelings of shame, guilt, or worthlessness, as well as chronic anxiety, depression, or numbness.

#2 Inability to Healthily Express Oneself

Emotional dysregulation can make it challenging for individuals with PTSD to maintain stable relationships and navigate daily life. They may experience sudden angry outbursts or struggle to express their emotions in a healthy manner.

Learning effective coping strategies and emotion regulation techniques through therapy can be crucial in managing these symptoms.

#3 Intrusive Thoughts

Intrusive thoughts and distressing memories related to traumatic experiences are common symptoms of complex post-traumatic stress disorder. These intrusive thoughts can be persistent, recurring, and difficult to control, often triggering intense emotional reactions and disrupting daily functioning.

#4 Emotional Flashbacks

Intrusive memories may take the form of flashbacks, where individuals feel as if they are reliving the traumatic event, or nightmares that vividly recreate the trauma. These experiences can be highly distressing and contribute to feelings of anxiety, fear, and hypervigilance. For example, an individual who has suffered from prolonged domestic violence may have flashbacks even in healthy relationships when reminded of the domestic violence they went through.

#5 Avoidance

Individuals with the symptoms of complex PTSD often engage in avoidance behaviors to minimize exposure to triggers or reminders of their traumatic events or experiences.

They may avoid certain situations, places, or people associated with the trauma, leading to social isolation and difficulty maintaining relationships.

#6 Detachment and Numbness

Detachment and emotional numbness are also common C-PTSD symptoms. Individuals may feel disconnected from their emotions or struggle to experience positive feelings, especially when related to a traumatic event. This emotional detachment can make it challenging to form close bonds with others and find enjoyment in previously pleasurable activities.

#7 Negative Self-Concept

Complex PTSD can profoundly impact an individual’s self-concept and worldview. They may develop a negative self-image, believing they are inherently flawed, unlovable, or unworthy. This negative self-perception can contribute to low self-esteem and a pervasive sense of shame.

#8 Negative World View

Additionally, individuals with PTSD may view the world as a dangerous and untrustworthy place. They may struggle with feelings of hopelessness, believing that their situation will never improve or that they are incapable of healing. Challenging these negative beliefs through therapy can be an essential part of the recovery process after traumatic events.

#9 Hyperarousal

Hyperarousal is a state of heightened physiological and psychological activation, which is one of the common symptoms of PTSD. Individuals may experience an elevated heart rate, rapid breathing, muscle tension, and difficulty sleeping. They may also exhibit an exaggerated startle response, feeling easily startled by unexpected stimuli.

#10 Reactivity and Outbursts

This heightened reactivity can make it challenging for individuals with PTSD to regulate their emotions effectively. They may struggle with managing intense emotions, such as anger or fear, leading to emotional outbursts or difficulty controlling their reactions to stressful situations, especially ones that remind them of the traumatic event that may have led to posttraumatic stress disorder.

#11 Somatic Complaints and Physical Symptoms

Complex PTSD can manifest through various physical symptoms and somatic complaints. Individuals may experience chronic pain, headaches, gastrointestinal issues, or other unexplained physical ailments.

These PTSD symptoms can be a result of the body’s prolonged stress response and the impact of trauma on the nervous system.

Addressing both the psychological and physical aspects of complex PTSD is crucial for comprehensive treatment. Healthcare providers may recommend a multidisciplinary approach, incorporating medical care, therapy, and stress-reduction techniques to manage PTSD symptoms, including co-occurring mental disorders.

#12 Dissociation

Dissociation is a common symptom of complex PTSD, where individuals may feel detached from their surroundings, emotions, or sense of self. They may experience depersonalization, feeling as if they are observing themselves from outside their body, or derealization, perceiving the world around them as unreal or dreamlike.

#13 Altered Perceptions

Altered perceptions, such as distorted time sense or memory gaps, can also occur in individuals with PTSD. These dissociative experiences can be distressing and disorienting, making it difficult to stay grounded in the present moment and instead return the individual to their traumatic event. Therapy can help individuals develop grounding techniques and coping strategies to manage dissociative symptoms.

#14 Difficulty with Trust

Complex PTSD can significantly impact an individual’s ability to form and maintain healthy relationships. They may struggle with trust issues, fearing abandonment or betrayal due to their traumatic experiences or past physical abuse, sexual abuse, and/or childhood abuse. These negative thoughts can lead to a pattern of avoiding friendships or intimate relationships altogether.

#15 Struggles Setting Boundaries

Individuals with PTSD may also have difficulty setting boundaries, asserting their needs, or engaging in effective communication. They may oscillate between intense attachment and emotional withdrawal, making it challenging to establish stable and supportive relationships. Therapy can help individuals develop healthy relationship skills and work through trust issues.

#16 Impaired Self Regulation

Self-regulation and coping mechanisms are often impaired in individuals with complex PTSD who have suffered from emotional trauma. They may struggle with managing stress, regulating their emotions, and utilizing healthy coping strategies.

#17 Unhealthy Coping Mechanisms

Instead, they may resort to maladaptive behaviors, such as substance abuse, self-harm, or risky behaviors, in an attempt to numb or escape their distress.

Developing effective coping skills and self-regulation techniques is a crucial aspect of treatment for complex trauma. Therapy can help individuals identify triggers, learn relaxation techniques, and develop a toolkit of healthy coping strategies to manage symptoms and improve overall functioning.

acute stress disorder for those with a mental health history and have experienced trauma

Seeking Mental Health Help

If you or someone you know is experiencing symptoms of complex post-traumatic stress disorder, it is essential to seek professional help. A mental health professional, such as a therapist or psychiatrist specializing in trauma-related disorders, can provide a comprehensive evaluation and develop an individualized treatment plan.

Therapeutic Approaches

Treatment options for complex PTSD may include trauma-focused therapies, such as cognitive-behavioral therapy (CBT), eye movement desensitization and reprocessing (EMDR), or prolonged exposure therapy.

These evidence-based approaches aim to help individuals process traumatic memories, challenge negative beliefs, and develop coping strategies.

Medications that Can Help with a Mental Health Condition

Medication, such as selective serotonin reuptake inhibitors (SSRIs), may also be prescribed to alleviate symptoms of depression, anxiety, or sleep disturbances associated with complex PTSD. However, medication should be used in conjunction with therapy for optimal results.

Support groups and peer support can also be valuable resources for individuals with complex PTSD. Connecting with others who have similar experiences can provide a sense of validation, reduce feelings of isolation, and offer opportunities for shared coping strategies and encouragement.

if you develop complex ptsd and have symptoms of ptsd or cptsd symptoms the world health organization suggests seeking professional treatment

Begin Therapy Process for Complex PTSD

Complex PTSD is a serious mental health condition that can have a profound impact on an individual’s emotional well-being, relationships, and daily functioning. Recognizing the symptoms and seeking professional help are crucial steps in the healing process.

While the road to recovery may be challenging, it is important to remember that healing is possible. With the right support, treatment, and self-care strategies, individuals with complex PTSD can learn to manage their symptoms, build resilience, and reclaim their lives.

Rockland Recovery offers personalized treatment plans to treat PTSD in individuals in overcoming CPTSD symptoms or additional symptoms from co-occurring disorders. If you or a loved one is struggling with addiction, reach out to our team for support and guidance.

Contact us at (855) 732-4842 or through our secure online form to explore treatment options and begin the journey toward recovery. With the right commitment and support, it is possible to regain control over your life and overcome substance abuse.

Medical Reviewer Kate Perfetti, LADC II

Medically Reviewed by Kate Perfetti, LADC II

Kate is a Licensed Alcohol and Drug Counselor who has worked in the field of substance abuse for the last nine years. At Rockland Recovery, Kate works to provide resources to the local community and engage and progress Rockland Recovery’s alumni program.

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