What’s the difference between c-PTSD and PTSD?

Therapist supporting a distressed man during a counselling session, highlighting trauma therapy for PTSD and C PTSD recovery.

When life throws us into situations of unimaginable pain or danger, the aftermath can deeply affect our mental health. For many, traumatic events lead to conditions like post traumatic stress disorder (PTSD) or complex post-traumatic stress disorder (C PTSD). While these mental health conditions share similarities, they are distinct in their causes, symptoms, and treatments. This blog will explore each in detail to provide clarity and hope for those seeking support.

Post Traumatic Stress Disorder (PTSD)

Post traumatic stress disorder (PTSD) is a mental health condition that has been recognized and studied for its impact on individuals who have experienced traumatic events. It can develop after experiencing or witnessing a single traumatic event, such as a natural disaster, sexual abuse, or a life-threatening situation. While the symptoms of PTSD can be overwhelming, understanding the condition and seeking treatment can help individuals regain control over their lives.

Symptoms of PTSD

PTSD symptoms often fall into four categories:

  • Re-experiencing the trauma: Flashbacks, vivid nightmares, or intrusive thoughts of the traumatic event.
  • Avoidance: Actively avoiding reminders of the trauma, including people, places, or activities that may trigger distress.
  • Hyperarousal: Being easily startled, feeling tense, or experiencing difficulty sleeping and concentrating.
  • Negative changes in thoughts and feelings: Persistent feelings of guilt, shame, or sadness, as well as detachment from loved ones.

These symptoms can vary in intensity and duration, often interfering with daily life and relationships. They stem from the brain’s attempt to process and cope with a traumatic experience.

Diagnosing PTSD

Diagnosing PTSD involves a comprehensive evaluation by a mental health professional, considering its classification among other mental disorders. The diagnostic criteria, outlined in the Diagnostic and Statistical Manual (DSM) by the American Psychiatric Association, require symptoms to persist for at least one month. A diagnosis considers the individual’s history, risk factors, and the severity of functional impairment caused by the traumatic stress.

Treatments for PTSD

Effective treatments to treat PTSD often include a combination of therapies and, in some cases, medications. Seeking help from qualified therapists who specialize in treating PTSD is crucial:

  • Cognitive Processing Therapy (CPT): Helps individuals reframe negative thought patterns associated with the trauma.
  • Eye Movement Desensitization and Reprocessing (EMDR): A trauma-focused therapy that uses eye movements to reduce the emotional impact of traumatic memories and is conditionally recommended by the American Psychological Association.
  • Talk Therapy: Provides a safe space to explore and process the traumatic experience.

Working with a healthcare professional experienced in trauma therapy is essential to developing a tailored treatment plan.

Complex Post Traumatic Stress (C PTSD)

Complex post-traumatic stress disorder (C PTSD) is a mental health condition that arises from repeated trauma or long-term traumatic events, such as childhood abuse or domestic violence. It often affects emotional regulation, relationships, and self-perception, making it a deeply challenging experience. However, with proper care and support, healing is possible.

Symptoms of C PTSD

In addition to the symptoms of PTSD, complex PTSD includes:

  • Difficulty with emotional regulation: Intense emotions, such as explosive anger or persistent sadness, can feel overwhelming.
  • Negative self-perception: Feelings of worthlessness or guilt, often rooted in chronic trauma.
  • Relationship challenges: Difficulty trusting others, maintaining relationships, or feeling close to loved ones.
  • Self-destructive behaviours: Acts of self-harm or other behaviours aimed at coping with distress.

C PTSD symptoms are often linked to complex trauma, such as childhood abuse or interpersonal trauma inflicted by trusted individuals, like primary caregivers.

Diagnosing C PTSD

Diagnosing C PTSD involves assessing the individual’s history of repeated trauma and the long-term impact on their mental health. While not yet included in the DSM, the World Health Organization recognizes C PTSD as a separate diagnosis in its International Classification of Diseases (ICD-11). It is important to distinguish C PTSD from other conditions like borderline personality disorder, which shares some symptoms such as emotional dysregulation and interpersonal difficulties. Mental health professionals consider symptoms of chronic trauma, early trauma, and interpersonal trauma when diagnosing complex PTSD.

Treatments for C PTSD

Treatment for C PTSD focuses on helping individuals regain control, process their trauma, and rebuild their sense of self:

  • Talk Therapy: Establishes a safe, supportive environment for individuals to process trauma.
  • Eye Movement Desensitization and Reprocessing (EMDR): Particularly effective in addressingtraumatic memories associated with chronic trauma.
  • Emotional Regulation Skills Training: Helps manage intense emotions and develop healthier coping mechanisms.
  • Dialectical Behaviour Therapy (DBT): Provides tools for emotional regulation, mindfulness, and distress tolerance
  • Internal Family Systems (IFS): Focuses on understanding and healing different parts of the self, fostering self-compassion and resolving inner conflicts rooted in trauma.

Healing from complex trauma takes time, but working with a compassionate mental health professional can help individuals find a path forward.

Key Differences Between PTSD and C PTSD

PTSD and C PTSD differ mainly in their causes, symptoms, and long-term effects. PTSD is often triggered by a single traumatic event, such as actual or threatened death, serious injury, or assault, whereas C PTSD develops from prolonged or repeated trauma, like childhood abuse or domestic violence.

In terms of symptoms, PTSD tends to focus on re-experiencing trauma, avoidance, and heightened alertness. C PTSD includes these but also involves deeper emotional and relational difficulties, such as trouble with self-esteem, trust, and emotional regulation.

The long-term effects of C PTSD are more pervasive, often impacting a person’s identity and relationships on a broader scale. These differences make it important to have tailored approaches for treatment and support.

Trauma Therapy: A Holistic Approach to Recovery

Trauma therapy focuses on helping individuals regain a sense of safety, process overwhelming experiences, and rebuild their emotional well-being. It’s not a one-size-fits-all process—therapists tailor their approach to the specific needs of each person, whether they’re dealing with PTSD, C PTSD, or both. While they are distinct diagnoses, they can overlap, particularly when someone has experienced both single-incident trauma and prolonged or repeated trauma.

Coping with Trauma

Coping with trauma requires a comprehensive approach that addresses physical, emotional, and psychological needs. This can include seeking support from mental health professionals, support groups, and loved ones. Engaging in self-care activities, such as exercise, mindfulness, and creative expression, can also help manage symptoms. Developing healthy coping mechanisms, such as problem-solving and emotional regulation, can help individuals manage stress and anxiety. Educating oneself about trauma and PTSD can also empower individuals to take control of their recovery.

How Trauma Therapy Helps

Trauma therapy helps by addressing the root causes of distress and equipping individuals with tools to manage their emotions and reactions, considering the diverse perspectives among mental health professionals regarding trauma-related mental disorders. It creates a space to explore traumatic events, navigate emotional regulation, and work through challenges like trust, self-esteem, and negative thought patterns. Therapists also help individuals reconnect with their strengths and develop healthier relationships.

Support from Mental Health Professionals

Trauma therapy isn’t just about addressing symptoms—it’s about fostering growth and resilience. Mental health professionals guide individuals through this process by offering a supportive, non-judgmental space. Whether working on processing traumatic memories or building coping strategies, therapy empowers individuals to move forward at their own pace.

If you’re considering trauma therapy, reaching out to a mental health professional can be the first step toward lasting recovery. Healing is possible, and you don’t have to face it alone.

Find a Trauma Therapist at Creating Connection

If you’re struggling with PTSD or C PTSD, it’s important to know that support is available. At Creating Connection, we offer trauma-informed therapy to help individuals process traumatic experiences and develop tools to move forward.

Our team of skilled mental health professionals understands the unique challenges of PTSD and C PTSD. Whether you’ve endured a single traumatic event or repeated trauma, we’re here to provide a safe, compassionate space to begin healing.

Contact us today to book a session and take the first step toward reclaiming your life. You don’t have to face this journey alone.