Wow - The Apa Really Got The New Ptsd Diagnosis Right

[Pencil]

I hope its Ok to have posted this

Don't mind at all, and your other comments are VERY helpful. Thanks Abstract.

 

[anthony]

I am not sure I understand if they are saying it is or is not relevant.

That is part of the subtype for children, as children don't have the words to often express complex emotion. A child brain instead will often show complex emotion through play acting and behaviour. They may be using a barbie and ken doll to have sex, or touch each other.

This does not mean a child has been abused though, by itself, because kids do the same thing if they've seen it. Either walked in on their parents and been watching without them hearing them, seen it on TV or the internet. They may then mimic what they've seen with their dolls in play acting.

Monkey see, monkey do.

If you put this together with a lot of other symptoms, then it's typically associated to the traumatic experience, not the visually seen it experience.

 

[Abstract]

That is part of the subtype for children,

Thanks Anthony. I don't know what I was thinking. :O_o: Its very clear now after what you said and I must have been misreading it.

This is not one of my issues but I wondered how neglect fits into the criteria and how it would not? Thanks!

 

[quaintpapercut]

And I do think many PTSD symptoms especially of the " Posttraumatic Stress Disorder With Prominent Dissociative Symptoms/Complex trauma" variety are like borderline traits. There is a different between some traits and the actual disorder of course.

I agree. Unfortunately, a lot of clinicians don't have enough experience or knowledge of complex trauma and automatically default to borderline personality disorder.

 

[anthony]

Unfortunately, a lot of clinicians don't have enough experience or knowledge of complex trauma and automatically default to borderline personality disorder.

Actually, what they do is correct based on the current diagnoses in both the DSM and ICD. Those who diagnose complex PTSD are wrong. They're the ones diagnosing without a diagnosis. There is no legally acceptable medical diagnosis of CPTSD, it just doesn't exist. Those who diagnose as PTSD, BPD / DID or other dissociative disorder, are correctly applying the legal scope of mental health.

 

[Abstract]

default to borderline personality disorder

Hi QPC, I guess sometimes the symptoms are severe enough to warrant a BPD diagnoses but it sadly often seems to be that they hear of something such as self harm and jump to the diagnoses which is unfortunate. The way I understand it someone can show many of the traits without actually fitting the diagnoses.

Those long term interpersonal patterns are jolly hard to change though aren't they! As is the ingrained from youth distorted self image issues.

 

[Deleted member 1860]

Hi QPC, I guess sometimes the symptoms are severe enough to warrant a BPD diagnoses but it sadly often seems to be that they hear of something such as self harm and jump to the diagnoses which is unfortunate.

This is what I've observed and what happened to me. The self injury program I was in slapped this diagnosis on everyone. No other clinician has even suggested it, some of whom have seen me for years or 24/7 over a period of months while inpatient.

 

[quaintpapercut]

Those who diagnose complex PTSD are wrong.

I don't mean a diagnosis of complex trauma, but someone who has a complex trauma history.

Those long term interpersonal patterns are jolly hard to change though aren't they! As is the ingrained from youth distorted self image issues.

They are. And I think? that for a child who regularly uses dissociative methods as a defence mechanism they would likely have difficulty relating well to their peers.

 

[Abstract]

that for a child who regularly uses dissociative methods as a defence mechanism they would likely have difficulty relating well to their peers

Oh impossible QPC. :( I look back and think it felt like attempting to do it whilst blindfolded and with many of my senses blocked as well as my mind. Like wandering around without any ability to tell direction of danger signs. Awful.

 

[Saule]

Ah, this info really clears up my confusion over the CPTSD stuff I'd been reading. The new PTSD plus dissociative subtype is really the most applicable to what I've been experiencing. I always used to wonder if I had BPD because of the dissociation but this makes the most sense. It's a relief to see my symptoms reflected in an actual diagnosis as opposed to the unofficial CPTSD (and which didn't totally fit anyway, just moreso than the earlier DSM definition of PTSD).