Complex post-traumatic stress disorder, or C-PTSD, is a type of post-traumatic stress disorder (PTSD) caused by chronic, long-lasting, or repeated traumatic events. For example, child abuse or childhood trauma — physical abuse, emotional abuse, sexual abuse, and neglect — often develops into C-PTSD.
The UK Trauma Council defines complex trauma as traumatic experiences involving multiple events with interpersonal threats during childhood or adolescence. Such events may include abuse, neglect, interpersonal violence, community violence, racism, discrimination, and war.
Neglect is a form of trauma because the stress responses that occur in the brain from a lack of care are the same as those that occur when a physical threat occurs (DeBellis, 2005). Neglect puts children at risk for other forms of trauma.
Complex trauma describes both children's exposure to multiple traumatic events—often of an invasive, interpersonal nature—and the wide-ranging, long-term effects of this exposure. These events are severe and pervasive, such as abuse or profound neglect.
Symptoms of complex PTSD
feelings of worthlessness, shame and guilt. problems controlling your emotions. finding it hard to feel connected with other people. relationship problems, like having trouble keeping friends and partners.
DIAGNOSTIC ISSUES
A comprehensive review of the litera- ture on complex trauma suggests seven primary domains of impairment ob- served in exposed children: attachment, biology, affect regulation, dissociation (ie, alterations in consciousness), behav- ioral regulation, cognition, and self-con- cept.
For children, affectional neglect may have devastating consequences, including failure to thrive, developmental delay, hyperactivity, aggression, depression, low self-esteem, running away from home, substance abuse, and a host of other emotional disorders. These children feel unloved and unwanted.
Child maltreatment, particularly neglect and emotional abuse, can cause long-term, critical impairment to brain development. These alterations can affect a wide variety of functioning in the child, including affecting memory, self-control, and responses to stress.
Maltreatment can cause victims to feel isolation, fear, and distrust, which can translate into lifelong psychological consequences that can manifest as educational difficulties, low self-esteem, depression, and trouble forming and maintaining relationships.
Acute trauma results from a single incident. Chronic trauma is repeated and prolonged such as domestic violence or abuse. Complex trauma is exposure to varied and multiple traumatic events, often of an invasive, interpersonal nature.
Either Complex PTSD or PTSD may occur in response to trauma, and they have various symptoms in common. C-PTSD is caused by ongoing trauma which lasts for months or years, while PTSD may be caused by a single traumatic event. The symptoms of C-PTSD are also more complex and may take longer to treat.
Children who have experienced complex trauma often have difficulty identifying, expressing, and managing emotions, and may have limited language for feeling states. They often internalize and/or externalize stress reactions and as a result may experience significant depression, anxiety, or anger.
Emotional neglect is complex trauma that can result in complex post traumatic stress disorder (C-PTSD).
The concept invisible trauma however, refers to "lacks" rather than specific concrete events. It is often associated with emotional neglect, where one has grown up with caregivers who have not been able to see, meet or who have rejected the child's emotional needs.
How do I know if I was emotionally neglected as a child? There are several signs such as feelings of detachment, lack of peer group, dissociative inclinations, and difficulty in being emotionally present.
In the emotionally neglectful family, the HSP learns they are overly emotional. They don't know that their emotions are personal expressions of who they are. Instead, they learn that they are different, damaged, weak, and wrong.
Some effects of emotional neglect are: Higher rates of anxiety, depression, and other psychiatric disorders. More frequent negative emotions like anger, guilt, shame, and fear. Higher risk for substance use disorders and addictions.
Childhood emotional neglect (CEN) doesn't disappear when you grow up. Adults carry it with them into their lives, and it affects everything—their relationships, their self-image, and their mental well-being. But emotional neglect is something you can recover from.
If your daughter feels unloved, she may suffer from several emotional problems. Symptoms can include depression, anxiety, self-harm, and more. These feelings are often the result of the way her parents treated her during her childhood.
Child emotional neglect (CEN) is the parent's failure to meet their child's emotional needs during the early years. It involves unresponsive, unavailable, and limited emotional interactions between that person and the child. Children's emotional needs for affection, support, attention, or competence are ignored.
The Effects of Childhood Emotional Neglect
A chronic sense of emptiness or emotional numbness that comes and goes. A secret belief that they are somehow inexplicably flawed. A sense of being different from other people in some unnamable way. A tendency toward guilt and shame.
Re-experiencing or re-living unwanted memories as flashbacks or nightmares. Hyper-arousal: problems with sleep, irritability, anger, anxiety, hyper-alertness, exaggerated startle response. Hypo-arousal: feeling numb or cut off, feeling detached from others, dissociating, feeling flat or empty. Emotional dysregulation.
Individuals with complex PTSD often over-regulate emotions, using emotional numbing, withdrawing, or dissociation to cope with reminders of traumatic experiences. On the other hand, BPD is characterised by under-regulation of intense emotions, resulting in expressions of intense anger or self-harm.