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What is Standard PTSD?#
Post-Traumatic Stress Disorder (PTSD) develops after exposure to a single traumatic event or a specific series of related events. This can include natural disasters, accidents, combat, assault, or witnessing violence. PTSD is characterized by four symptom clusters: intrusive memories, avoidance, negative changes in mood and cognition, and hyperarousal. Symptoms typically develop within three months of the traumatic event.
What is Complex PTSD?#
Complex PTSD (C-PTSD) results from prolonged, repeated exposure to traumatic situations, particularly those involving interpersonal trauma from which escape is difficult or impossible. Common causes include ongoing childhood abuse or neglect, domestic violence, captivity, human trafficking, and prolonged war. C-PTSD includes all the symptoms of standard PTSD plus additional symptoms related to self-organization and identity.
Additional Symptoms of Complex PTSD#
Beyond standard PTSD symptoms, C-PTSD involves persistent difficulties with emotional regulation, including explosive anger or complete emotional shutdown. There are often deep disturbances in self-concept, including chronic feelings of emptiness, shame, guilt, or being fundamentally different from others. Interpersonal difficulties are common, including problems with trust, a tendency toward revictimization, and difficulty maintaining stable relationships.
Treatment Differences#
While standard PTSD treatments like CPT and EMDR can be effective, C-PTSD often requires a phased approach to treatment. Phase one focuses on safety and stabilization, including developing coping skills and establishing a strong therapeutic relationship. Phase two involves processing traumatic memories. Phase three focuses on reconnecting with daily life, rebuilding relationships, and integrating the experience. This phased approach respects the complexity of the condition.
Finding the Right Help#
If you suspect you may have Complex PTSD, seek a therapist who specifically understands and has experience treating C-PTSD. Not all trauma therapists are trained in the nuances of complex trauma. Look for clinicians trained in phased trauma treatment, Internal Family Systems (IFS), Sensorimotor Psychotherapy, or Schema Therapy. Recovery from C-PTSD is possible, though it often takes longer and requires a more specialized approach than standard PTSD treatment.
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CHC offers in-person therapy in Alpharetta and teletherapy across all 159 Georgia counties. Most major insurance accepted.
