Complex PTSD a subtype of PTSD

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“Complex PTSD is a subtype of PTSD with complex symptomatology in response to chronic trauma (Herman, 1992).

Usually, the patient has an extensive history of childhood abuse where the patient can’t remember a time when they weren’t being abused.

Another example of chronic trauma includes victims of long-term intimate partner violence.

In comparison with textbook patients with PTSD, who have a distinct life before and after their traumatic experience, patients with complex PTSD are only familiar with the traumatic experience.

Patients with complex PTSD have issues with emotional regulation, and can range from rageful to regretful in a single session, much like patients with borderline personality disorder.

Patients with complex PTSD often get caught up in cycles of re-enactment where they act out in their personal relationships, and even in their therapeutic relationships, in ways that mimic the trauma that they’ve felt.

In Dr. Jain’s experience, although patients with complex PTSD exhibit emotional lability, just like borderline personality disorder, she would think a diagnosis would lean more towards borderline personality disorder if the classic symptoms (such as identity issues, self-injury, chronic suicidality and attachment issues) were present (APA 2013).”

From: https://www.psychiatrypodcast.com/psychiatry-psychotherapy-podcast/2019/6/12/the-unspeakable-mind-stories-of-trauma-and-healing-from-the-frontline-of-ptsd-science

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