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Do You Have C-PTSD?
You have most likely heard the term Post Traumatic Stress Disorder – also known as PTSD. It is used to describe the mental and emotional anguish suffered by those who have experienced sudden trauma, usually a one time incident. PTSD is often experienced by soldiers as well as those who have been victims of rape and other crimes, and even victims of house fires and car accidents.
Complex Post Traumatic Stress Disorder (C-PTSD) describes a condition that very much presents like PTSD, the difference being the sufferer experienced prolonged periods of abuse or neglect. This could happen as a result of childhood abuse/neglect or the abuse suffered at the hands of a narcissistic partner.
You have most likely heard the term Post Traumatic Stress Disorder – also known as PTSD. It is used to describe the mental and emotional anguish suffered by those who have experienced sudden trauma, usually a one time incident. PTSD is often experienced by soldiers as well as those who have been victims of rape and other crimes, and even victims of house fires and car accidents.
Complex Post Traumatic Stress Disorder (C-PTSD) describes a condition that very much presents like PTSD, the difference being the sufferer experienced prolonged periods of abuse or neglect. This could happen as a result of childhood abuse/neglect or the abuse suffered at the hands of a narcissistic partner.
Diagnosing C-PTSD
Diagnosing C-PTSD is tricky because the symptoms are usually not very unique. That is to say, someone who is suffering from C-PTSD may be experiencing anxiety and lethargy, but these symptoms match other mental health issues.
But it is very important to accurately diagnose C-PTSD because of the necessary treatment measures. The main difference between C-PTSD and other mental health issues – say, bipolar disorder – is that C-PTSD is a result of things that were done TO an individual, and not an intrinsic problem. In other words, someone suffers from C-PTSD because of abuse and neglect at the hands of another and not because of genetically determined brain chemistry.
To help correctly identify C-PTSD, a therapist must uncover an accurate history to understand if:
The individual has experienced multiple prolonged traumas that have lasted for months (or even years)
The traumas were caused by someone the individual had a deep interpersonal relationship with and/or someone who was part of their primary care network (most commonly a parent or caregiver)
These traumas were experienced as permanent features of life, with the individual unable to see any end in sight
The individual had no control or power over the person traumatizing them
Symptoms of C-PTSD
As I just mentioned, the outward symptoms of C-PTSD may match other mental health disorders. Those symptoms include:
Flashbacks and nightmares in which the trauma is relived.
Avoiding people, places, and situations that remind them of the trauma.
Dizziness or nausea when remembering the trauma.
Hyperarousal. This is a state of high alert and one they often lived in.
A belief that the world is a dangerous place.
A loss of trust in self or others.
Difficulty sleeping and concentrating.
Being startled by loud noises.
Treatment for C-PTSD
There are a few different treatment options for people suffering from C-PTSD:
Psychotherapy
Therapy can take place on a one-to-one basis or in a group setting. The focus will be on addressing feelings, improving connections with others, and dealing with anxiety and flashbacks.
EMDR
EMDR stands for eye movement desensitization and reprocessing. This is a process that uses eye movement to help a person desensitize their reactions to a specific traumatic event. The result is the person can eventually recall the memory but have no emotional reaction to it.
Medication
Some individuals may need to be on medications for a while to reduce their anxiety. A therapist can work with you to determine if this is the best course of action.
If you believe you are suffering from C-PTSD and would like to explore treatment options, please be in touch. I’d be happy to discuss how I may be able to help.
What is Complex Trauma and What Causes it?
Little “t” traumas (Complex-Trauma) are when someone is repeatedly exposed to extremely threatening events from which they are unable to escape such as, prolonged bullying or harrassment, prolonged emotional, physical, or sexual abuse, prolonged captivity, prolonged domestic violence, prolonged discrimination, or being a refuge.
Most of us won’t get through life without our own fair share of stress and heartache. But some people experience not just stress, sadness or grief, but actual trauma. There are two categories of trauma commonly referred to as: Big “”T trauma and Little “t” trauma (also known as complex trauma).
Big “T” Trauma
Big “T” traumas are isolated incidents such as, being involved in a bad car accident, an isolated rape incident, a natural disaster, or war. The result of experiencing big “T” trauma events is called post-traumatic stress disorder (PTSD), a condition where the mind is unable to process the event as it processes ordinary life events. The result is a brain that misfires information, causing the person to live much of their life distressed, as if the event were still happening to them.
Little “t” trauma
Little “t” traumas (Complex-Trauma) are when someone is repeatedly exposed to extremely threatening events from which they are unable to escape such as, prolonged bullying or harrassment, prolonged emotional, physical, or sexual abuse, prolonged captivity, prolonged domestic violence, prolonged discrimination, or being a refuge. Although little “t” traumas may seem less significant because they are not as life threatening as big “T” traumas, the reality is sometimes little “t” traumas can cause more emotional harm than big “T” traumas. The result of little “t” traumas is Complex-Post Traumatic Stress Disorder (C-PTSD). C-PTSD can also develop from traumas experienced during a child’s developmental years such as, childhood sexual abuse, physical abuse, neglect, exposure to domestic violence, having a parent with an untreated mental illness, and having a parent who abuses alcohol or other substances.
Symptoms of PTSD (results of Big “T” traumas):
• Nightmares
• Flashbacks
• Psychological and physiological distress at reminders
• Avoidance of internal and external reminders
• Dissociative amnesia
• Negative beliefs about oneself and the world
• Distorted blaming of oneself
• Negative persistent emotional states
• Loss of interests
• Detachment from loved ones
• Hyper vigilance
• Exaggerated startle response
• Difficulty concentrating
• Difficulty sleeping
• Irritability or outbursts of anger
• Self-destructive or reckless behavior
Symptoms of C-PTSD (results of Little “t” traumas)":
Includes all the same symptoms of PTSD in addition to any of the following:
Re-experiencing Symptoms:
Flashbacks, such as vivid images, overwhelming emotions, or disturbing sensations
Nightmares or wake up in a fright
Thinking about the traumatic events at an inconvenient time
Reliving traumatic events
Feeling triggered in a way that leaves you feeling overwhelmed, shaky, anxious, shutdown, helpless, and/or collapsed
Avoidance Symptoms:
Staying away from people or places that remind you of traumatic events
Tendency to withdraw or isolate yourself
Relying on alcohol, substances, nicotine, or food to avoid feeling your pain
Spending hours watching T.V. or playing video games
Difficulty admitting to yourself that you were abused or neglected
Spending so much time caring for others that you ignore yourself
Perfectionist or highly critical of yourself and others
Focusing so much on work so you don’t have to feel or think about the past
Persistent Perceptions of Current Threat:
Feeling hyper aware or on guard
Startled easily
Finding yourself constantly checking your environment for signs of threats
Always needing an escape plan
Tend to expect the worst
Highly sensitive to subtle changes in other people’s body language and facial expressions
Affect Dysregulation
You tend to cry uncontrollably, even after a minor, everyday challenge
Taking you a long time to feel better after a stressful event
Frequently feeling angry or irritable
Having a hard time controlling your anger
Tend to feel anxious or panicky
Often feel hopeless or depressed
Times when you feel you would be better off dead or you think about suicide
Sometimes you feel the urge to harmself
You tend to spend time with people or in places that are dangerous
You tend to feel numb and cut off from your emotions
Feeling incapable of feeling joy or pleasure
Negative Self-Concept
Feeling like you have little control over your life no matter what you do
Often feeling ineffective or powerless
Feeling like a failure
Believing that you are damaged
Having little hope for your future
Often feeling ashamed, guilty, or unworthy
Feeling as though something is wrong with you
Difficulty finding a sense of purpose or meaning to your life
Interpersonal Disturbances
Feeling disconnected from other people
Tendency to avoid spending time with other people
Difficulty trusting other people or knowing who you can trust
Difficulty doing things on your own or feeling that you rely to heavily on other people
Terrified of being left or abandoned by others
Finding it difficult to hear other people’s viewpoints or perspectives
Tendencies to avoid conflict
Dissociative Symptoms:
Sometimes finding yourself staring into space or realize that you have been daydreaming for long periods of time
Difficulty paying attention or getting distracted easily
Suddenly getting tired, feeling far away, or as if you’re looking at the world through a fog
Are there times when people, objects, or the world feels unreal
Sometimes feeling disconnected from your body or emotionally numb
Feeling like you are different people in different situations
Sometimes feeling, acting, or talking like a younger person
Difficulty remembering broad periods of your life
Sometimes arriving at places and don’t know how you got there, or find things that you have bought but don’t remember buying them
How Can Complex Trauma be Treated?
One of the most effective forms of treatment for C-PTSD is something called an integrative, mind-body approach. This kind of therapy involves meeting with a trauma therapist over a number of sessions to learn techniques that will reduce symptoms of C-PTSD, re-processing traumatic memories, and finding emotional freedom. Beyond finding a trained therapist, it’s important to find one you feel comfortable with, so make sure to interview a few candidates to see who might help you on your journey to healing.
If you or a loved one are suffering from C-PTSD and would like to explore treatment options, please be in touch. I would be more than happy to see how I may be able to help.
SOURCES
https://psychcentral.com/disorders/ptsd/posttraumatic-stress-disorder-ptsd-causes/
You Are Not Alone: Finding Support as a Male Sexual Abuse Survivor
On an almost daily basis we hear stories of female sexual harassment and abuse in the media. Sadly, male sexual abuse is fairly common, but the issue is underreported by the media and society in general.
On an almost daily basis we hear stories of female sexual harassment and abuse in the media. Sadly, male sexual abuse is fairly common, but the issue is underreported by the media and society in general.
One US-based study found that 1 in 6 boys experience some form of sexual abuse by the age of 18. Other research suggests the ratio may be as high as 1 in 4.
Why is this conduct not reported more often?
To start, most men are embarrassed to be the victim of sexual abuse, particularly when it is perpetrated by other men. In our culture, it is often felt by men that part of masulinity is being invulnerable and not be affected by emotional pain or traumatic experiences. In other words, guys are supposed to be the strong, silent type. It simply goes against the silent rules of being a man to acknowledge trauma and admit that you are suffering.
As a result, male victims of sexual abuse shove their feelings down and deny what happened. This repression of experience and emotion can and often does lead to isolation, anger, sadness, shame, guilt, and fear. Post-traumatic Stress Disorder (PTSD), major depression, anxiety, and substance abuse are also common among victims of male sexual abuse.
It’s important to get help.
If you are the victim of sexual abuse, understand that you are far from alone. As the topic becomes more mainstream, there is less judgement by those who don’t understand how a man could be victimized in such a way. Education regarding male sexual abuse and demystifying misconceptions surrounding rape is essential to help male survivors heal and speak out.
While more needs to be done to bring this subject to mass awareness, it’s important that individual victims seek support. A therapist will be able to help you deal with your complex emotions and offer strategies to move through and past feelings of depression and anxiety. In time, healing can and does occur.
If you or someone you know is a male victim of sexual abuse and would like to discuss treatment options, please get in touch. I would be more than happy to discuss how I may be able to help.
Resources:
RAINN - Sexual Assault in Men & Boys
Book: "The Wounded Heart: Hope for Adult Victims of Childhood Sexual Abuse" by Dan Allender
How to Tell Your Partner About Your Past Sexual Abuse
Relationships always start out on a high note. Your mutual attraction combined with your commonalities stirs up your feelings, while finding out about your differences and exploring the world together makes your relationship fresh and exciting. When your relationship starts to become more intimate, you may start to wonder when the right time is for you to open up to your partner about your past sexual abuse.
Relationships always start out on a high note. Your mutual attraction combined with your commonalities stirs up your feelings, while finding out about your differences and exploring the world together makes your relationship fresh and exciting. When your relationship starts to become more intimate, you may start to wonder when the right time is for you to open up to your partner about your past sexual abuse.
Being a survivor of sexual assault is, unfortunately, not uncommon. According to the National Sexual Violence Resource Center, one in three women and one in six men in the United States experience some form of contact sexual violence in their lifetime. So when is the right time to open up to your partner about your past, and how do you tell them?
Share When You Are Ready
It’s important as a survivor that you are in control of when you share your story. Center yourself around your own needs and share only when you’re ready, and not before. You may need to discuss it first with a therapist, counselor, friend or support group.
Know What You Need
Know in advance what you’ll need to get through this discussion. You may need your partner to not ask questions, or to not touch you while you’re talking. Be honest and upfront, and ask for support when you need it.
Prepare for a Response
How people respond to your story will vary widely. Hearing sexual abuse disclosures affect both the person telling the story, as well as the person listening. Your partner may be silent for a while as they take in the information and consider what to say. Give them time to process it. If it will make you more comfortable, you can ask them to give you some time before you discuss the matter again.
Opening up and discussing difficult, sensitive topics with your partner is never easy. But these challenging times are often the ones that create milestones in your relationship, and will ultimately bring the two of you closer than ever.
Are you a sexual abuse survivor and in need of guidance and counseling? A professional counselor can help. Call my office today and let’s set up a time to talk.
Resources:
National Sexual Assault Hotline: 1-800-656-4673
5 Signs Your Partner May Be Addicted To Pornography
With an estimated 28% of women viewing online pornography versus 72% of men, pornography addiction isn’t a problem specific to men; women can also become addicted. If you’re concerned that your partner has developed an addiction to pornography, here are some signs to look out for.
All addictions negatively impact a relationship, and pornography addiction is certainly no exception. The adult entertainment industry generates billions of dollars annually, and with an estimated 40 million Americans visiting porn sites regularly, pornography addiction is a problem for many families.
With an estimated 28% of women viewing online pornography versus 72% of men, pornography addiction isn’t a problem specific to men; women can also become addicted. If you’re concerned that your partner has developed an addiction to pornography, here are some signs to look out for.
They spend a lot of time on the internet
The porn addict will spend hours, and sometimes even days, online viewing pornography. If your spouse spends an increasing amount of time alone, either with a phone, laptop or tablet, he or she may be developing an obsession with pornography.
They’re critical of you
Porn stars are typically young and attractive, often times surgically enhanced. The more your partner watches pornography, the more negatively you may be compared to the models he or she is watching. Porn addicts tend to objectify their partner, and as your spouse spends increasing amounts of time watching porn, they may start to become critical of your body.
Unusual spending activity
Checking your bank or credit card statements, you may find unexpected or unexplained charges. Adult entertainment websites will often mask the charges to benefit the confidentiality of their customers, so you may have to do a Google search or make some phone calls to uncover the source of the charges.
Your sex life has changed
When someone is addicted to pornography, they may no longer have the drive or desire to maintain a sex life with their partner. Conversely, some addicts become more demanding. They may want to engage in acts you’re not comfortable with. As a person becomes more and more addicted to pornography, they will have to watch increasingly unusual material. This may result in your partner becoming more rough or aggressive.
Increased Irritability
Often when someone is involved in an addiction there is an intense cycle of shame and guilt often leaving the person dealing with a lot self contempt. This causes the person to be easily agitated when approached with small criticisms or corrective feedback, as the person already has a strong negative view of self. This is also shown when they struggle to complete simple or small tasks or feelings of failure in other places. This leads the the person responding in anger towards themself and others.
So what can you do if you suspect your partner is addicted to porn?
First, know that his or her addiction is not your fault. People become addicted as a way of coping with unwanted feelings and emotions, or as a way to avoid real life stress or difficulties. Second, seek support from trusted loved ones and find a therapist who can help you both on the road to recovery.
Is your relationship suffering because of pornography addiction? A trained, mental health professional can help. Call my office today and let’s set up an appointment to talk.