Complex posttraumatic stress disorder (c-PTSD)

What is complex PTSD?

Many people are familiar with posttraumatic stress disorder (PTSD). This condition can develop in response to traumatic experiences like violence, accidents, bullying, or abuse, and it’s especially common after repeated trauma.

Complex PTSD (or c-PTSD) is a form of the disorder that has several additional characteristics beyond those of standard PTSD. It typically develops after prolonged trauma, and it’s more common if someone experiences trauma repeatedly over an extended time. Children exposed to ongoing trauma, particularly if it’s caused by a caregiver, are especially vulnerable.

C-PTSD is a relatively new concept, first proposed in the 1980s by psychiatrist and professor Judith Herman, MD.1 It’s worth noting that the American Psychiatric Association’s current diagnostic manual, the DSM-5, doesn’t yet recognize c-PTSD as a diagnosable condition. However, the World Health Organization does recognize c-PTSD in the latest version of its International Disease Classification (ICD-11), which was published in 2019 and came into effect in 2022.

Complex PTSD vs. PTSD

Both PTSD and c-PTSD result from trauma. Each condition causes fear and anxiety that’s often triggered by the memory of previous traumatic events. People diagnosed with either condition may experience flashbacks, nightmares, or insomnia.

Often,  c-PTSD and PTSD are distinguished by the kind of trauma that caused each condition to develop. While PTSD can develop from a single, standalone traumatic event (as well as from prolonged trauma), complex PTSD generally develops when trauma happens repeatedly over a sustained period.3

People with c-PTSD tend to have extreme symptoms of PTSD and also have difficulty regulating their emotions, view themselves negatively, and struggle to maintain healthy relationships.4

Read the full article written by the therapist.com team reviewed by Susan Radzilowski, MSW, LMSW, ACSW last updated: 05/15/2024 at https://therapist.com/disorders/complex-ptsd/?utm_campaign=tcom_articles&utm_medium=email&_hsenc=p2ANqtz-__8h7sRjCQOj4H58bvJpQ2-eQoPm3QHFX6rnEqX8fXV6Yd2JJV3KKVzC9DrPta3bxXC0tmhzu0Mn75H_djcOMxGMUbRw&_hsmi=307438782&utm_content=307438860&utm_source=hs_email


Xiomara A. Sosa

Hi, my name is Xiomara A. Sosa. I am the owner and Clinical Director of Summerville Women’s Mental Health Services.

I am a bilingual Licensed Professional Counselor and Licensed Professional Counselor Supervisor-Candidate. I am supervised by Dr. Latrice Love, a Licensed Professional Counselor Supervisor.

I am Latina, born and raised in the Bronx, New York City, NY.

I am a first-generation college graduate and a very proud daughter of immigrants from Puerto Rico (a territory of the US) and the Dominican Republic.

When I am not working with the people I serve inside and outside of my communities, you can find me working on my nonprofit organization, The X-Studio: A Mental Health Cooperative, or on my podcast, The X-Podcast: Real Conversations About Mental Health.

Education

I earned my Bachelor of Science Degree in Psychology from Phoenix University and my Master of Science Degree in Clinical Mental Health Counseling with a specialization in Forensic Counseling from Walden University, both CACREP-accredited universities.

I have been serving clients since 2012, working in case management and other capacities, including counseling/therapy. My work has been consistently serving women and all other underrepresented communities, including communities of color, the LGBTQIA2S+ community, and the veteran community. The bulk of my work has been in anxiety, depression, dysphoria, and trauma/stressor-related disorders, and other specialty areas and issues.

My specialization is women’s mental health, integrative mental health (IMH), and multicultural counseling/therapy. My foundation is in cultural competency and social change advocacy. I focus on combining evidence-based treatment with alternative therapies. My focal point is on treating the whole person, not just the symptoms of a particular illness or concern. That includes mental health, physical health, emotional well-being, interpersonal relationships, and spiritual needs. I help clients identify patterns in their lives that may contribute to their struggles and work on developing strategies for making healthier choices. I am also a 9/11 survivor and a proud United States Air Force and Army veteran. You can read my full bio on my website at www.swmhs.net

https://www.CounselorXiomaraASosa.com
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