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Writer's pictureCeleste G

Understanding the Difference Between PTSD and C-PTSD

Updated: Dec 16, 2024

PTSD and C-PTSD are both trauma-related conditions, but they stem from different types of experiences and affect people in unique ways. Let’s take a closer look at each to understand their distinct features.

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What is PTSD?

Post-Traumatic Stress Disorder (PTSD) usually develops after a single traumatic event. This could be an experience such as:

  • A car accident

  • Natural disaster

  • Assault or abuse

  • Combat in the military


PTSD often comes with symptoms like:

  • Flashbacks: Re-experiencing the event vividly, as if it’s happening all over again.

  • Nightmares: Disturbing dreams related to the trauma.

  • Hypervigilance: Feeling “on edge” or always in danger, even in safe situations.

  • Avoidance: Staying away from places, people, or activities that might remind you of the event.

  • Emotional numbness: A feeling of being detached or disconnected from emotions and people.


For instance, someone who has survived a car crash may avoid driving altogether or feel anxious around similar vehicles or highways. These symptoms often keep people from feeling safe or relaxed, as their mind and body remain “stuck” in survival mode.


Treatment for PTSD: There are a few approaches to help people work through PTSD, including:

  • Cognitive Processing Therapy (CPT): Helps reframe negative beliefs linked to the traumatic event.

  • Eye Movement Desensitization and Reprocessing (EMDR): Works to process traumatic memories in a more controlled way, reducing their impact.

  • Somatic therapies: These approaches focus on releasing trauma stored in the body, especially beneficial for those who experience physical symptoms.


What is C-PTSD?

Complex Post-Traumatic Stress Disorder (C-PTSD) results from long-term or repeated trauma. This often occurs in childhood or over extended periods, leading to deeper, more complex effects. Examples of events that may lead to C-PTSD include:

  • Chronic abuse or neglect

  • Growing up in a chaotic or unstable home

  • Experiencing long-term domestic violence


C-PTSD symptoms go beyond those seen in PTSD, as they’re often tied to the individual’s entire self-concept and relationships. Common symptoms include:

  • Emotional regulation difficulties: Struggling with feelings like guilt, shame, or anger that may feel overwhelming.

  • Relationship challenges: Difficulty trusting others, feeling isolated, or experiencing trouble with intimacy and closeness.

  • Negative self-view: Believing oneself to be worthless, helpless, or damaged.

  • Dissociation: Feeling detached from oneself, almost as if watching life from the outside, which can occur during periods of stress or trauma reminders.


Someone who has grown up in an abusive home, for instance, may struggle to feel safe with others, constantly fear abandonment, or experience intense guilt over setting boundaries.


Treatment for C-PTSD: Because C-PTSD is rooted in complex emotional and relational patterns, treatments address a broader range of experiences:

  • Dialectical Behavior Therapy (DBT): Teaches emotional regulation skills, helping individuals handle intense emotions and develop healthier relationships.

  • Internal Family Systems (IFS): A therapy that works with different “parts” of oneself, especially helpful for C-PTSD as it addresses trauma's effects on self-identity.

  • Somatic therapies: Since trauma is often “stored” in the body, these therapies help release physical tension and calm the nervous system.


Key Takeaways

  • PTSD generally results from a single traumatic event, with symptoms focused on reliving that event.

  • C-PTSD is caused by ongoing, long-term trauma and has more widespread effects on emotional regulation, self-identity, and relationships.


Both conditions can make daily life challenging, but each is treatable. If you think you or someone you know may have symptoms of PTSD or C-PTSD, reach out to schedule a free consultation. Let’s explore how trauma-informed support can make a meaningful difference on your path to healing. https://www.honestcounselingpllc.com/contact-us





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