What is "complex ptsd"?

In contrast to conventional PTSD, complex post-traumatic stress disorder (C-PTSD) results from repeated exposure to stressful events such child abuse or marital violence. Its symptoms include difficulties regulating emotions, dissociation, chronic feelings of shame or guilt, and difficulty maintaining relationships. C-PTSD or complex trauma is not yet recognized as an official diagnosis by the DSM-5, but many mental health professionals acknowledge its existence and the unique challenges it poses for those suffering from it. Treatment and Recovery typically involve therapy and counseling that addresses both the trauma and the underlying emotional and relational issues.

Online counselling for complex post-traumatic stress disorder (PTSD) offers individuals a means to receive treatment in a safe and secure virtual environment. Online therapy ensures confidentiality & privacy and allows patients to access therapy by the best therapist in India from the comfort of their own home. Online counseling for complex PTSD can help individuals overcome the debilitating effects of psychological trauma, including flashbacks, nightmares, and hyperarousal, through a combination of evidence-based cognitive behavior therapies and coping strategies. It also offers flexibility in scheduling sessions, making it an ideal option for those with busy lifestyles or living in remote areas.

Complex PTSD

Types of complex ptsd

Complex Post-Traumatic Stress Disorder (C-PTSD) is a mental health condition that can develop after experiencing prolonged or repeated trauma, particularly trauma that involves interpersonal relationships or abuse. There are several different types of Complex PTSD, which include:

Type I: Type I C-PTSD refers to individuals who have experienced chronic trauma, such as ongoing physical or emotional abuse, neglect, or captivity. Individuals with Type I C-PTSD may struggle with feelings of powerlessness, helplessness, and a sense of being trapped.

Type II: Type II C-PTSD refers to individuals who have experienced early childhood trauma, such as abuse, neglect, or abandonment. Individuals with Type II C-PTSD may struggle with feelings of shame, guilt, and a lack of self-worth.

Type III: Type III C-PTSD refers to individuals who have experienced trauma as a result of ongoing domestic violence or abuse. Individuals with Type III C-PTSD may struggle with feelings of fear, anxiety, and a sense of being trapped in an abusive relationship.

Type IV: Type IV C-PTSD refers to individuals who have experienced trauma as a result of ongoing military combat or exposure to war. Individuals with Type IV C-PTSD may struggle with feelings of hyperarousal, hypervigilance, and a sense of being constantly on guard.

Type V: Type V C-PTSD refers to individuals who have experienced trauma as a result of ongoing medical trauma, such as chronic illness or medical procedures. Individuals with Type V C-PTSD may struggle with feelings of powerlessness and a sense of being trapped in their illness or medical treatment.

Though Complex PTSD is not an official diagnosis in the Diagnostic and Statistical Manual of Mental Disorders (DSM-5), but many mental health professionals and online counsellors recognize C-PTSD as a distinct condition that can arise from prolonged or repeated trauma. Treatment and online counselling for Complex PTSD often involves a combination of psychotherapy, medication, and self-care strategies to help individuals manage their symptoms of complex trauma.

Signs & Symptoms of complex ptsd

Emotion Disregulation

Emotion Disregulation

Relationship Difficulties

Relationship Difficulties

Negative self-concept

Negative self-concept



Flashback and dissociation

Flashback and dissociation

Physical symptoms

Physical symptoms

Complex post-traumatic stress disorder (C-PTSD) is a type of post-traumatic stress disorder that can develop after prolonged exposure to traumatic events, such as childhood abuse or neglect, domestic violence, or captivity. Here are some common signs and symptoms of complex PTSD:

1. Emotional dysregulation: Individuals with complex PTSD may experience intense and unpredictable emotions, ranging from anger and irritability to sadness and despair.

2. Difficulty with relationships: Individuals with complex trauma may have difficulty forming and maintaining relationships with others, may face trust issues, and have a fear of abandonment or rejection.

3. Negative self-concept: Individuals with complex PTSD may have a negative self-concept, feeling guilty, ashamed, or worthless, and may struggle with low self-esteem.

4. Disturbed sense of self: Individuals with complex trauma may have a distorted sense of self, feeling disconnected from their own thoughts, feelings, and memories.

5. Hypervigilance: Individuals with complex PTSD may be overly alert and vigilant, always on the lookout for potential danger or threats.

6. Flashbacks and dissociation: Individuals with complex trauma may experience flashbacks or dissociation, where they feel disconnected from reality or relive traumatic events.

7. Physical symptoms: Individuals with complex PTSD may experience physical symptoms, such as headaches, stomach problems, or chronic pain.

Complex PTSD or complex trauma can have a significant impact on an individual's mental and emotional well-being. Seeking mental health support from the best psychologists or best psychiatrist in India who are experts in the treatment of trauma can be beneficial in diagnosing and managing complex PTSD. With the best online counseling for complex PTSD, online treatment & recovery from complex trauma, individuals can learn to manage their symptoms and improve their overall quality of life.

Myths & Facts about complex ptsd

Fact :
While Complex PTSD (C-PTSD) and traditional PTSD share some similarities, they are distinct conditions. C-PTSD is characterized by prolonged exposure to trauma or abuse, typically in childhood or over a long period of time, whereas traditional PTSD is often the result of a single traumatic event.

Fact :
PTSD can affect anyone who has experienced or witnessed a traumatic event, including survivors of abuse, natural disasters, accidents, and other forms of trauma.

Fact :
People with C-PTSD are not weak or unable to cope. C-PTSD is a serious condition that can have a profound impact on a person's mental and emotional well-being, and it often requires professional support and treatment to manage effectively.

Fact :
C-PTSD is a complex condition that requires specialized treatment and support. While willpower and self-care can be helpful in managing symptoms, they are not a substitute for professional intervention.

Fact :
While C-PTSD can be a chronic condition, it is not untreatable. With the right support and treatment, people with C-PTSD can learn to manage their symptoms and improve their quality of life.

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Online Counselling

Causes, Issues and challenges of complex ptsd

Complex post-traumatic stress disorder (C-PTSD) is caused by exposure to prolonged and repeated traumatic events, particularly those that are interpersonal in nature and involve a loss of control and a sense of powerlessness.

Repeated exposure to traumatic events can lead to changes in the brain and nervous system, including alterations in the stress response system and the development of maladaptive coping strategies. Traumatic events that are more likely to cause complex PTSD are as follows:

1. Childhood abuse: Childhood abuse can include physical, emotional, and sexual abuse. It can also include physical neglect, such as a lack of adequate food, shelter, and medical care, and emotional neglect such as lack of affection and warmth, ignoring emotional needs, withholding attention, enmeshment, or overinvolvement.

2. Domestic violence: Domestic violence refers to ongoing physical, emotional, or sexual abuse in an intimate partner relationship. It can also include psychological and emotional abuse, such as threats, intimidation, and isolation.

3. Human trafficking: Human trafficking involves the exploitation of individuals for forced labor or sexual purposes. It can include physical and sexual abuse, as well as emotional abuse, such as threats and manipulation.

4. War and political violence: War and political violence include exposure to combat, torture, or other forms of political persecution. It can also include exposure to terrorism or other forms of violence.

5. Medical trauma: Medical trauma refers to traumatic events related to medical treatment, such as invasive procedures, chronic illness, or medical malpractice.

6. Complex grief: Complex grief refers to prolonged and complicated grief reactions following the death of a loved one, often due to traumatic circumstances, such as sudden or violent death.

7. Systemic oppression: Individuals who have experienced systemic oppression, such as racism, sexism, or homophobia, may develop C-PTSD as a result of the chronic stress and trauma associated with these experiences.

The causes of C-PTSD can be complex and multifaceted. Seeking online counselling from a mental health professional or the best therapist in India who specializes in trauma can be helpful in understanding and addressing the underlying causes of C-PTSD.

There has been a significant amount of research on the impact of complex post-traumatic stress disorder (C-PTSD) on individuals. Some common issues faced by persons with C-PTSD include:

1. Flashbacks and intrusive memories: People with C-PTSD may experience flashbacks or intrusive memories of traumatic events, which can be distressing and overwhelming. The lack of a coherent and empowered narrative of the traumatic experiences can complicate treatment and recovery. Memories may become fragmented, confused, or repressed.

2. Self-esteem issues: People with C-PTSD may struggle with low self-esteem or feelings of shame, self-blame, guilt, and a sense of being damaged or broken, which can impact their self-esteem and self-worth. Repeated traumatization also results in deep-seated changes in beliefs, attitudes, and behaviors related to safety, trust, intimacy, and control.

3. Emotional dysregulation: Individuals with C-PTSD may experience intense emotions and difficulty regulating their emotions, which can lead to a range of emotional and behavioral difficulties, including anxiety, depression, and self-destructive behaviors. C-PTSD can also result in severe and long-term impairments in mood, social functioning, self-perception, cognition, and physical health. •

4. Relational difficulties: C-PTSD can impact an individual's ability to form and maintain healthy relationships. C-PTSD results in a loss of fundamental assumptions about safety and security in the world. This can seriously impact a person's sense of trust, intimacy, autonomy, and identity, pervading relationships and social functioning.

5. Dissociation: Dissociation is a common coping mechanism for individuals with C-PTSD and can lead to feelings of detachment and disconnection from oneself and others.

6. Chronic physical health conditions: C-PTSD has been linked to a range of physical health conditions, such as chronic pain, digestive issues, and autoimmune disorders.

7. Substance abuse and addiction: Individuals with C-PTSD may turn to substances as a way to cope with overwhelming emotions and may be at increased risk for developing an addiction.

8. Suicidal thoughts and behaviors: Individuals with C-PTSD may experience suicidal ideation and may be at increased risk for suicide attempts

Complex Post-Traumatic Stress Disorder (C-PTSD) is a condition that can have a significant impact not only on the individual experiencing it but also on their loved ones, family, and friends. Here are some of the challenges that loved ones may face when supporting someone with C-PTSD:

1. Understanding the condition: C-PTSD is a complex and often misunderstood condition. Loved ones may struggle to understand the symptoms and the impact they can have on the individual. It can be challenging to know how to support someone with C-PTSD when you don't fully understand what they're going through.

2. Managing the individual's triggers: C-PTSD is often triggered by specific situations, environments, or people. Loved ones may need to make adjustments to their own behavior or the environment to avoid triggering the individual's symptoms. This can be challenging and may require significant effort on the part of loved ones.

3. Coping with emotional turmoil: Individuals with Complex PTSD may experience intense emotions, including anger, fear, and sadness. Loved ones may struggle to cope with these emotions, especially if they are directed at them. It can be challenging to remain calm and supportive when faced with intense emotional outbursts.

4. Providing ongoing support: C-PTSD is a long-term condition that requires ongoing support. Loved ones may need to provide emotional support, help with daily tasks, and encourage the individual to seek professional online counselling. This can be a significant burden, and loved ones may struggle to balance their own needs with the needs of the person with complex trauma.

5. Managing their own emotions: Supporting someone with C-PTSD can be emotionally challenging. Loved ones may experience feelings of frustration, sadness, and helplessness. It's essential for loved ones to take care of their own emotional needs and seek support from online counsellor when necessary.

Supporting someone with C-PTSD can be challenging, but it's important to remember that with the right support from the best psychologist in India, individuals with C-PTSD can learn to manage their symptoms and lead fulfilling lives.

Complex PTSD

Faced by person:

Flashbacks and Intrusive Memories

Self-esteem Issues

Emotional Dysregulation

Difficulty in Relationship

Feeling of Dissociation

Chronic Physical Health

Substance Abuse and Addiction

Self-harming Thoughts and Behaviour

Faced by family:

Difficulty in understanding the condition

Managing the sufferer's trigger

Coping with emotional turmoil

Caregiver burden

Managing own emotions

Complex PTSD

Treatment of complex ptsd

Complex post-traumatic stress disorder (C-PTSD) is a type of PTSD that develops on account of repeated or prolonged trauma, such as childhood abuse or neglect. Treatment options for Complex-PTSD typically include therapy, self-help techniques, and lifestyle changes. Here are some common treatment options for Complex Trauma:

1. Psychotherapy: Various forms of therapy can be helpful in treating C-PTSD, including cognitive-behavioral therapy (CBT), dialectical behavioral therapy (DBT), psychodynamic therapy, and EMDR (Eye Movement Desensitization and Reprocessing). The focus of therapy is on helping individuals identify and address the underlying causes of C-PTSD, as well as develop coping strategies to manage their symptoms. TalktoAngel has empaneled the best therapist in India, providing various online therapies for the treatment of complex PTSD.

2. Medications: Certain medications, such as antidepressants and antipsychotics, can be helpful in reducing the symptoms of Complex trauma, such as depression and anxiety. These medications should be prescribed by a qualified healthcare professional. Seek online counselling with the best psychiatrist in India for the treatment of complex PTSD

3. Lifestyle changes: Making lifestyle changes can help individuals manage C-PTSD, including engaging in regular exercise, getting enough sleep, eating a healthy diet, and engaging in hobbies or activities that bring them joy.

4. Creative therapies: Engaging in creative activities, such as art therapy, music therapy, or dance therapy, can be helpful in reducing symptoms of C-PTSD. These activities can provide a safe and nonverbal outlet for emotions.

5. Mindfulness meditation: Mindfulness meditation involves focusing on the present moment and accepting thoughts and emotions without judgment. Practicing mindfulness meditation can help reduce symptoms of C-PTSD, such as anxiety and hypervigilance.

6. Trauma-focused therapy: Trauma-focused therapy, such as prolonged exposure therapy or narrative exposure therapy, can be helpful in addressing the specific traumatic experiences that underlie Complex trauma.

People with C-PTSD should seek online counselling from a mental health professional, the best psychologist in India who can assist them in creating a specialized treatment plan. With the right care and assistance, people with C-PTSD can learn to control their symptoms, enhance their general well-being, and create good coping mechanisms for future triggers and stresses.

There are several self-management strategies that individuals with complex post-traumatic stress disorder (C-PTSD) can use to help manage their symptoms. Here are some common management strategies for C-PTSD:

1. Create a safety plan: Develop a safety plan that includes strategies for managing triggers, identifying safe spaces, and seeking support when needed.

2. Exercise: Regular exercise, such as walking, running, or yoga, can help reduce symptoms of C-PTSD, such as anxiety and depression. Exercise can also improve sleep quality and overall physical health.

3. Nutrition: Eating a healthy and balanced diet can help improve overall physical and mental health. Avoiding alcohol and caffeine, which can exacerbate symptoms of anxiety, can also be helpful.

4. Sleep hygiene: Developing good sleep hygiene practices, such as establishing a regular sleep schedule and creating a relaxing bedtime routine, can help improve sleep quality and reduce symptoms of Complex Trauma.

5. Creative activities: Engaging in creative activities, such as writing, art, or music, can provide a safe and nonverbal outlet for emotions. Creative activities can also promote a sense of purpose and accomplishment.

6. Social support: Building supportive relationships with friends and family can be helpful in managing Complex PTSD. Joining a support group or participating in online communities of individuals with similar experiences can also be beneficial.

7. Hobbies and leisure activities: Engaging in hobbies and leisure activities that bring joy and pleasure can help reduce stress and promote overall well-being.

8. Set boundaries: Set clear boundaries with others to help you feel safe and minimize contact with individuals who may trigger symptoms of Complex PTSD

Managing Complex Trauma can be a process, and it might take some time to identify the techniques that are most effective for you. People with Complex PTSD can learn to manage their symptoms and enhance their general well-being with the help of online counselling and self-management techniques. Working through the root reasons of complex psychological trauma and creating appropriate treatment methods, can be done with the help, guidance, and online counselling from a therapist or online counsellor expert in treatment for complex PTSD.

Complex PTSD

Benefits of Online Counselling for complex ptsd

Online Counseling can offer several benefits for individuals with complex post-traumatic stress disorder (C-PTSD):

1. Emotional Support: Online Counselling for complex trauma can provide a safe and supportive environment for individuals to process and express their emotions related to their trauma, and receive validation and empathy from a trained professional. Validation and empathy from the best therapist in India can be healing and transformative for individuals who have experienced trauma.

2. Trauma-focused therapy: Online Counselling can offer specialized trauma-focused therapy, such as cognitive-behavioral therapy (CBT) or eye movement desensitization and reprocessing (EMDR), to help individuals manage the symptoms of Complex PTSD.

3. Improved self-awareness: Online Therapy can help people with Complex trauma develop a greater understanding of their disorder and its impact on their life, which can lead to greater self-awareness and self-acceptance.

4. Personal growth: From striving to striving, online counsellor can help individuals with C-PTSD use their experience of trauma as an opportunity for personal growth and self-discovery, and develop a stronger sense of self and identity. Online Counseling can help individuals with C-PTSD develop skills to manage their symptoms and improve their overall well-being. This can include developing healthy coping strategies, improving communication and interpersonal skills, and learning to regulate emotions.

5. Reduction of C-PTSD symptoms: Online Counselling can support people with Complex trauma to reduce symptoms associated with their disorder, such as anxiety, depression, and hypervigilance.

6. Improved relationships: Counseling with the best therapist in India and a relationship counsellor can assist individuals with C-PTSD improve their relationships with loved ones, friends, and others in their life, by addressing communication difficulties, trust issues, and other challenges related to their disorder.

Online Counseling can be an important part of the treatment plan for individuals with C-PTSD. It can provide a safe and non-judgmental space for individuals to process their traumatic experiences and develop skills to manage their symptoms. Counseling with the best online counsellor can provide individuals with C-PTSD with the tools, support, and guidance they need to manage their disorder effectively, improve their relationships and overall well-being, and move towards a more positive and fulfilling future.

Best Therapists in India for complex ptsd

From surviving to thriving, seek the best online counselling & therapy for Complex PTSD with the best psychologist in India. Consult the best therapist in India for complex trauma and get online treatment for C-PTSD. Heal and recover from Psychological Trauma with the help of online counsellors at TalktoAngel

Assessment for complex ptsd

Complex Trauma Assessment

Complex Trauma Assessment

Frequently Asked Questions on complex ptsd

Complex Post-Traumatic Stress Disorder (C-PTSD) is a psychological condition that can develop after prolonged exposure to traumatic events or experiences, particularly in cases of chronic interpersonal trauma.

C-PTSD is different from PTSD in that it results from prolonged exposure to trauma, often in the form of repeated abuse or neglect, rather than a single traumatic event.

Common symptoms of C-PTSD include difficulty regulating emotions, negative self-concept, dissociation, chronic feelings of fear or helplessness, and difficulty with interpersonal relationships.

C-PTSD can be caused by a variety of factors, such as childhood abuse or neglect, domestic violence, captivity or imprisonment, and human trafficking.

C-PTSD is diagnosed by a mental health professional or an online counsellor through a comprehensive assessment and evaluation of an individual's symptoms and history of trauma.

Treatment options for C-PTSD may include talk therapy, such as cognitive-behavioral therapy or dialectical behavior therapy, medication, and self-care strategies.

While there is some overlap in symptoms between C-PTSD and BPD, they are distinct diagnoses with different underlying causes and treatment approaches.

Loved ones can support someone with C-PTSD by providing emotional support, understanding, and encouragement to seek treatment and practice self-care.

Self-care strategies for individuals with C-PTSD may include mindfulness exercises, regular exercise, healthy eating, and engaging in activities that bring joy and relaxation.

Online counselling for Complex PTSD is a type of therapy that is conducted through the internet, typically through video conferencing or messaging platforms.

Online counselling offers several benefits, including increased accessibility, convenience, and flexibility. It can also be more affordable than traditional in-person therapy and may be particularly appealing for individuals with mobility issues or who live in rural areas.

Research suggests that online counselling for Complex PTSD can be just as effective as in-person therapy, particularly for mild to moderate cases.

You can search for online counsellors who specialize in Complex PTSD through various online directories, such as TalkToAngel

During an online counselling session, you can expect to work with a therapist to identify and address the symptoms of Complex PTSD, using various therapeutic techniques and exercises.