"What's the difference between PTSD vs CPTSD?" | ep.214
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- Опубликовано: 30 май 2024
- Understanding the Difference Between Post-Traumatic Stress Disorder and Complex Post-Traumatic Stress Disorder: Exploring Symptoms, Impact, and Treatment Approaches in Therapy Sessions
Audience questions:
1. How does trauma due to a single event (ex: a car accident or rape) differ from trauma from an extended period of time and multiple associated incidents (ex: a soldier in heavy combat during a deployment or being in an abusive relationship over years)? How do symptoms and the overall impact differ? How does the approach that a therapist takes to treat these two different scenarios differ? Is one easier to recover from than the other? 01:30
2. Why, at the end of every session, does my therapist ask me if I want to go ahead and schedule the next appointment or reach out for one later? I know I’m reading too much into this but the thought of her thinking I don’t really need therapy popped into my head. 09:53
3. Please talk about ruminating! It’s brutal, but it’s helped me remember and process narc abuse and bolstered me in my nc decision. But I need to move on, too. Thank you, Kati. 13:46
4. Why is it that self-harmers across the board all seem to struggle with validation of their emotional pain and self-harm? It’s as if we are in an unspoken competition to prove who has the worst pain. I see this in myself, and my OCD accentuates it. So there can be an element of compulsion to my self-harm. The bar keeps moving higher as to what I have to do to myself to prove my emotional pain is severe and the degree of self-harm valid... 18:30
5. Kati I was wondering why you don’t see patients anymore. I know you are busy but you have such great advice. Also I have been wondering why boundaries are hard for me. I broke my boundaries with my therapist and it seems to be hard not to do it again. I think I have an anxious attachment to her and I... 25:26
6. Why does upholding my boundaries feel so defeating? To give insight- I'm in a toxic relationship where my partner is regularly passive aggressive and my boundary is "I cannot tolerate this behavior, I get really panicky and actually don't hear what you're saying, so- whenever you do x, I will leave our conversation and go to my room." I am saving up to eventually leave, because he doesn't see a fault in his behavior and it's getting really exhausting... 31:06
0:11: 💡 Distinguishing between trauma from single events and multiple events, exploring symptoms, impact, and treatment differences.
5:29: 💡 Understanding the distinction between PTSD and complex PTSD, including treatment approaches and triggers.
10:15: 💭 Understanding rumination, therapist's scheduling approach, and communication in therapy sessions.
14:37: 💭 Understanding the impact of rumination on anxiety and the need for validation in self-harmers.
19:24: ⚙️ Impact of childhood neglect on self-harm behavior and the importance of inner child work.
24:06: ⚖️ Exploring boundaries in therapy, inner child work, and reasons for not seeing patients anymore.
28:25: 💡 Exploring the challenges of setting boundaries when dealing with anxious attachment in relationships.
32:54: 🛡️ Exploring the challenges of setting and maintaining boundaries for protection in relationships.
37:23: 🌱 Exploring the challenges of setting boundaries while recovering from extreme people pleasing behavior.
Recap for • "What's the difference... by Tammy AI
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Linnea Toney linnea@underscoretalent.com
The biggest healing factor in my cptsd was going low contact with my parents. You can't heal from bad treatment when the toxic people are still in your life. There's just no getting around that part. You can't heal from poison while still being poisoned.
!!!!!
Unfortunately given my health, I’m stuck living with my dad, who is not empathetic. He’s very task oriented. He’s on me constantly for getting my To Do list done. To top it off, my dad agreed to let his cousin live with us. He’s an ex-priest, on house arrest. You can figure out why, so the whole situation has me on edge!
i did the same thing, it rlly worked.
CPTSD can shape your personality, it has been reality for so long, it is part of you. Even when the bad people are no longer part of your life.
After watching the BPD video this makes so much sense. I checked off like ALL the BPD types.... and I had decades of trauma that I'm only just freeing myself of
C-PTSD from my perspective: I imagine that PTSD related to single events in adulthood impacts a person's sense of safety and leads to "classic" symptoms of PTSD. In "The body keeps the score" Bessel van der Kolk writes about "Developmental trauma disorder" as synonymous to C-PTSD. Combining environmental impact and repeated traumatizing events early on in life will not only lead to one "not knowing what it feels like to be safe", but it will also affect one's sense of identity. Which is probably why I also have a dissociative disorder.
In therapy this has lead to the need for extensive safety and stabilization before trauma processing.
I'm not a mental health care professional, btw.
A very essential and helpful book, “the body keeps the score.”
The unabridged audiobook version is so good.
I used to think the C stood for Childhood, which kind of makes sense. Interesting.
Can dissociation as you experience it be mistaken for ADHD?
@@domepiece11 DTD or developmental trauma disorder. 👍🏼
The discussion about PTSD and Complex PTSD was fascinating. I've found EMDR and ART (Accelerated Resolution Therapy) to both be extremely helpful.
Thanks for answering our questions, Kati.
I have so much emotional and health neglect it’s still hard for me to believe it. I would be told I was fine, after falling over, because I wasn’t bleeding. I constantly had to prove why I needed to see a doctor or go to the hospital, even as an adult (chronically ill, disabled and have chronic mental health). The only way I knew how to express my pain was to self harm, even that was used against me when they found out. It’s rough, yes. The reason I’ve shared this is Kati has a good point on how self harm usually is an indicator of emotional neglect. People/kids don’t do it for fun a high majority of the time.
I can relate so much to what you wrote. Instead of comforting me if I fell (which was more than most since I have a physical disability), I was taught to say “BINGO”, and ignore my physical or emotional needs. I was taught to just keep going. My pre-kindergarten teacher nicknamed me “the little engine that could”…And my parents always said “can’t never did anything”…I wasn’t “allowed” to express that I was struggling, so, when shoving my emotions became too much, I didn’t want to ruin my reputation of being “unstoppable” and
I wasn’t “allowed” to get
upset, I began cutting. I hid it from my family and friends, until my roommates in college found out…I was eventually suspended from my university for a semester because of cutting on campus…I haven’t done it in at least a year, but it was my main coping mechanism throughout my 20’s and into my 30’s, until at 27, my ED started…I’m 44 and still really struggle with how to safely express negative emotions…
@@Eshrimpski thank you for sharing. I’m sorry you got kicked out of college for struggling the way you were and coping the only way you knew how.
I’m so proud of you for not cutting for a year (let’s call it that), it’s truly an accomplishment!
I’m soon to be 33 and am still struggling with cutting although slowly getting better. I also deal with an ED and OCD tendencies that love to rule my life. Even though it seems like I know better I find I’m not able to do better cause those voices start and won’t stop till I listen and do what they want.
I find even if I try to do better I have the memories both mental, emotional and physical come streaming through and I’m not able to stop them. So I generally give up. Just wondering if I’ll ever feel safe with myself, within myself in all aspects.
Thank you Kati xx Especially for talking about emotional neglect when you overcame the question about sh. I think many of us struggle a lot considering our difficult past as "traumatic", or even just neglect. At least for me, I find it reassuring that you somehow validated this kind of struggle. Sometimes, hearing it from someone else is the first step towards, maybe someday, acknowledging it to our own story. It means a lot xx
Kati , you were AMAZING on the Today Show! Long time listner, first time texter!
Bravo!!
21:24 My mom would brag about how I never cried when I got physically hurt as a kid because everytime I did she would ignore it and act like nothing happened to "teach me not to cry". What she actually taught me was to never acknowledge or process physical pain and that my injuries don't matter. Now as an adult I feel like I shouldn't be allowed to take pain medication, even with my chronic migraines, because "I should be able to handle it and walk it off". All she taught me was how to neglect myself.
22:50 Thank you so much for all the work you do and put into yourself and pass on the us. So many of your videos and messages really resonate with me ❤
CPTSD's impact on self concept can be massive, it is negative, but itmay or may not involve low self worth. Sometimes I think maybe I don't have these common feelings of not being valuable just because there's not enough self concept to even get that far!!! I like your wording as some online therapists simply default to low self worth being a key symptom of CPTSD. To those of us with a different negative impact on our self concept those pronouncements can feel very invalidating.
It’s interesting you bring up bpd and cPTSD being linked as I was inaccurately diagnosed with BPD when I had cPTSD so to me they are linked in my mind
Re rumination / Louise Hays' book , You can heal your life . Says ..."thorts are words and words can be changed . So wright down your negative thort that keeps repeating. Then replace it with a positive statement . Now its your go to affermation to be repeated whenever the old thort trys to creep back in. Eg , "i hate my job , this really sucks" could be replaced with "My positive vibe makes a difference in this world" or "i thrive on positive thorts , life supports me in every way" . Since 1990 when i read the book , ive used this technique many times to target negative self talk. We create our own reality . Always make the affeamation in the present . Eg / "I eat only foods that nourish me." vs/ " I need to start eating more healthily." Thankyou , peace n love to all 😊
When you say trauma that happened as a child or during childhood, does that include teen years? My trauma occurred throughout all of my teen years and I haven’t heard many people talk about that age group specifically and how trauma impacts them.
I'm interested in this as well. 12/13 years old
Loved this video, so fasinating and helpful. Thank you for all your work.
Hello everyone in the comments and Kati members sending love support and care to you all it's so important to share things and be in this safe space in the comments ❤❤
❤ thanks, you too.
Just love you katie you help you soo much 😊
I have CPTSD . The truth is, I will never heal completely. My world of people will always be small. I've been through 4 therapists, and none of them has earned my trust. Regarding asking your patients if they want to make an appointment. Made me feel like they didn't want to see me. That part of my CPTSD, abandonment.
Yay a new video
I was diagnosed with regular ptsd due to multiple repeated trauma
Thank you so much for answering my question, Kati!! ❤ I won’t say here which one it is, but you gave me helpful insight. I like that we have the same name. 😉
I have been looking into cptsd ... i definately tick the boxes of most if the criteria for bpd, but i suspect some of the character of the symptoms is different.
The added difficulty for me is my autism and likely adhd.
Kati, you are amazing, and I watch almost all your videos! Just one little thing I would like to point out. At about 7:10 you say, "it's not harmful anymore". That assumes a person's trauma is in the past. For some people, threats and harms, including physical, verbal (and anxiety) attacks are ongoing and saying "it's not harmful anymore" can be perceived as dismissive. I would want to be sure a person feels safe from harm before telling them they are safe from harm. I know you get this, it just didn't seem clear enough in the video.
I took what she said simply to mean that eg. the real physical danger or direct harm no longer exists. That means we can become free from it and prove to ourselves that it is not real.
For question 2 when I was in therapy I never scheduled my therapy appointment s my psychologist would say see you next week as my therapy would only be 1 day a week what honestly always bothered me because I really needed and felt I should of been able to have more than one session a week but unfortunately this isn't how it was same with when I had phone call therapy CBT my therapist always asked me before our session ended if I had any questions or anything I wanted to share that I didn't already seems therapy is short term in the uk but yes the good side is we don't have to pay for it just honestly wanted to add that I felt 1 therapy session a week wasn't helpful or enough it felt exusting letting everything out 1 day a week then feeling stressed and overwhelmed the rest of the week please comment if you have felt the same about therapy ❤❤
I am going through a shift with my cPTSD because I’m moved back home. It’s just worn me out. Now I wonder what the future can look like after this.
It’s interesting to say this, but I had a trigger watching this and wonder if there’s a question in there: I had been misdiagnosed BPD for some time before having health validation and surgery. I wonder if there’s a certain type of trauma treatment that can better help with the “health trauma” part? After the DRs realized it was health related I was diagnosed cPTSD 3x in a row.
Do you have any recommendations on a childhood trauma therapist in Nashville, Tennessee? I haven't been able to get a suggestion from someone?
Kati Morton.hello and good afternoon so good to see you again and hear your voice so glad for a new AKA podcast ❤❤
Hi Kati. Can a nurse develop ptsd/cptsd over time dealing with sick or dying patients?
What about PSPTSD? Parochial School PTSD is a real thing. Nuns still haunt my memory to this day. No lie.
Does it really need a special name? Any form of ptsd is valid. You dont have to have a special disease to be worthy of help.
My Mom went through that. The Nuns were extremely hard on her because she only spoke Spanish. They had just moved to America when she was two years old. 😞😢 I’m sorry you experienced that.
I can’t even imagine what that could be like. I grew up in CCD and all that, but homeschooled.
Can you please make a video about Neuronormativity, and can you please make a video about Cognitive Disengagement Syndrome?
I'm so sorry to hear your folks......
(Long gone - I'm sorry if you're crying right now I feel terrible...😭)
❤❤❤
Hey Kati, really nice video ! I was wondering if I could help you with Best Quality Editing in your videos better than your Editor with good pricing and also make a highly engaging Thumbnail which will help your videos to reach to a wider audience ? Pls let me know what do you think ?
Let's sue the narcs and their enablers for causing our brain damage.
Antidepressants caused my brain damage
Listen I'm real sorry 😞
Kati I got a question my sisters trying to potty train her baby that she needed to put on a toilet a year or more ago
He used to cry to use the bathroom I was the only one who understood him
Hes 2 now and because others like my stoopid mom go in with him he cries to the point where he went backwards and much rather pee himself
My sister might think I made up toilet trauma but I know hes dealing with it because last I heard he stopped asking to use the bathroom at daycare because my moreonic sister asked the teacher or somebody at the school to go into the bathroom with him and pretty much watch him the way my sister and mom watch him
My mom lies and twists what he says but I understood him since around 3 month old or younger and I want 0 to do with him but with how much they neglected him and caused him trauma already I needed to somewhat step in because I am sick of him crying
(Reason like 881 of why I kicked my sister out of my life)
Question 6 - Get out. Leave. He doesn't genuinely care about you, you deserve better. X
Sorry, I know it's blunt, leaving immediately is not that easy, or straight forward.. life is complex.
This is nothing more than an unqualified IMO comment, but men like this really p*ss me off.
When I work past my instant emotional reactivity (I have my own issues) I'm not entirely without empathy, and I would guess he was very likely bullied himself.
More alphabets in my vegetable soup.