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What Are The Main Differences Between Ptsd And Complex Ptsd?

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I don't really see how "general" PTSD makes it sound like "less".... It seems to me that implication is only there if someone decides it is in their own head.

On the personality disorder.... we ALL have a personality disorder but what I took out of what Anthony was trying to say is that the term C-PTSD is characterized by a personality disorder not present in "general" PTSD sufferers. Which isn't exactly wrong but it's not exactly correct either. The additional characteristics associated with C-PTSD are what make up that personality disorder but those characteristics are developed due to the long term exposure to trauma rather than an independent personality disorder separate from the PTSD. The distinction is just a sub-category for treatment purposes. One source/duration of trauma is not any better or worse than the other but the distinction is obviously at list slightly important or there would just be one big sufferer forum instead of the main forum, combat & sexual abuse forums. Which is why I take such offense at being accused of wanting to be in my own exclusive club. Really? Newsflash is this is not any club I chose to be a part of.
 
As I said, I don't go around saying I have CPTSD



(Although I do understand why some who say they have CPTSD might feel very sensitive to having their feelings and experiences dismissed or invalidated whenever the argument of 'but CPTSD isn't even a real thing!' As would anyone of us who has ever been told 'oh you don't have PTSD! what you went through wasn't even that bad!').

Exactly... I don't go around saying I have C-PTSD. I simply have PTSD complex in nature as opposed to a single or short term trauma and when people like Anthony insist that distinction doesn't exist or only exists because we want to feel special is minimizing and dismissive. Anthony was extremely condescending and dismissive and honestly, I trust my Dr's (or rather one of them) more than I do Anthony who was clearly attempting to prove his line of thinking as correct by attempting to label a professional physician with more experience as an idiot. Attack their character to improve his level of authority in the conversation.
 
I don't claim anything @Dee Morris about authority, but I know the facts, and that is what I express. I love to trust my doctors also... you're not alone with that. But I also don't just swallow nonsense from them if untrue / biased. I question them and their decisions. When clinicians, any clinician, run around telling their clients x, when y is factual, then that clinician has a self-serving motivation beyond ethical requirements for honesty, their industry codes of practice, and whats in the best interest of their client. It is simply outright scary that you cite that a psychiatrist gave you a diagnosis that DOES NOT actually exist. Let alone scary hearing it from psychologists.

The information you are now posting is just nonsense. That is not an attack on you, it is a statement based on the information your posting. You are posting it, correct me if wrong! You're doing a backflip on your own wording, now trying to say CPTSD's additional characteristics are what define the personality disorder traits within the diagnosis. Seriously? Are you actually that neglectful to know the history and facts behind CPTSD? CPTSD IS NOT an addition to PTSD, it is a proposed standalone diagnosis which has near no matching symptoms to the factual PTSD diagnosis.

CPTSD IS NOT about just personality traits. CPTSD was a proposed diagnosis that covered trauma sufferers WHO suffered more heavily in their symptoms with either OR both personality traits or dissociation. Personality manifestations IS NOT a requisite for the proposed CPTSD diagnosis. If you actually read the proposed diagnosis you would read that just like PTSD, being its only likeness to PTSD diagnosis, CPTSD uses a similar symptom cluster where ONE or TWO symptoms within a cluster are required for diagnosis. I say again, ONE or TWO within a cluster, NOT all and NOT you must have personality manifestation symptoms, as you cite once again. The inability to regulate emotion can be adolescence or younger based, or dissociative based, or both.

You are wrong... that is not an attack on you, it is a statement that the information you're posting is garbage.

I will say the same thing to you as I did to another, when you see your psychiatrist next time, please ask them for a copy of the diagnostic criterion in which they used to diagnose you CPTSD and it corresponding data used to define each symptom and cluster in accordance with some ethical guidelines.

That last request is not a dig at you, or attack, or any other such nonsense. It is a serious request, because I would love to see what any of these people telling their clients they have, give them as evidence. I ask my therapist at the time to show me the diagnoses given and walk me through them so I understood their purpose. It isn't much to ask for them to show you the evidence of their decision.
 
@Butterflywings, you mentioned PTSD being episodic. How do you mean that? Like, in your experience, it goes away completely for awhile and then comes back? I guess my own experience is different than that. For me, it's kind of the filter through which I view the world and it's always there. The actual symptoms maybe be more or less troublesome, depending on what else is going on in my life, but the world view stays the same.

I'm not a huge fan of labels, although I know they have their place. My therapist isn't either, so I have no idea what he thinks of "cPTSD". The only thing he's ever said on the topic is that, in his experience, a person who has PTSD from a single traumatic event, experienced as a "normal" well adjusted adult, is a lot easier to treat than a person who has multiple traumas. Having had a childhood that left developmental needs unmet also complicates treatment, whether a person has experienced a single traumatic event or a series of them.

People have referenced trauma causing alterations in genes during this discussion. I'm kind of curious about that. Can anyone give me a link or 2 so I can read more about it? Do you means turning genes on or off within cells, or the kind of genetic changes that can actually be transmitted?
 
I have a document link that is pretty specific about what others call C-PTSD (as it was originally referred to as and DESNOS) which I believe @anthony has referred to quite a bit. I would be interested if those who think of CPTSD feel that this discussion paper on DESNOS covers what they feel they would like to have validated when they refer to CPTSD.

Was wondering if this should be in a new thread but thought it really did relate to this one so moderators do as you will with this if you feel it should be split off.

Dead Link Removed
 
@Butterflywings, you mentioned PTSD being episodic. How do you mean that? Like, in your experience, it goes away completely for awhile and then comes back? I guess my own experience is different than that. For me, it's kind of the filter through which I view the world and it's always there. The actual symptoms maybe be more or less troublesome, depending on what else is going on in my life, but the world view stays the same.

To be honest that sounds like BPD not PTSD that you're describing (or BPD and PTSD together). Something that is "always there" but varies intensity is pretty much the definition of a personality disorder. BPD can sometimes first present after a trauma. There is a lot of people who have both BPD and PTSD. Someone who has both BPD and PTSD would have a baseline of BPD symptoms all the time, and then as PTSD reoccurs, the symptoms of the PTSD would combine with the BPD to be more troublesome.

For me, because my main problems are episodic ones, I have completely normal functioning for years when on medication. The only thing I get between episodes is social anxiety and OCD because unfortunately those aren't episodic conditions, but they aren't very troublesome unless I'm depressed and having PTSD symptoms. Other than a one month period, I'd been free of symptoms of depression and PTSD for five years until 8 months ago (well nearly 9 months now). I thought I was over both the bipolar and the PTSD (as long as I stayed on meds - I know I'll never be able to stop the meds though). But yeah, this is why I struggle to cope - I thought I was better permanently.
 
Evidence for proposed ICD-11 PTSD and complex PTSD: a latent profile analysis
http://www.ejpt.net/index.php/ejpt/article/view/20706

An evaluation of ICD-11 PTSD and complex PTSD criteria in a sample of adult survivors of childhood institutional abuse.
http://www.ejpt.net/index.php/ejpt/article/view/22608

These 2 articles I was able to read in full text at work today and they are fascinating. I am sorry I cannot manage to put them as links on my tablet - I have tried. They do include the 'proposed' criteria for those who are keen to see it.

Edit: links now added.
 
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Please link... @Lucycat if you don't mind.

@shimmerz the DESNOS diagnosis was what we thought would get through. Shit, I thought it would be included in the DSM V as what is diagnosed for what people call CPTSD. It was Van Der Kolks expression, which was smart getting away from CPTSD, of recognising complex trauma diagnosis isn't actually the same as PTSD, and thus should not be referred to as such. As his own document states, PTSD is vastly different to DESNOS and is typical to have comorbid disorders. DESNOS was designed to cover the specific problems related to complex trauma sufferers uniquely, as a standalone product.

I think a little of the way they've tried to market this diagnosis has always been their undoing. There is just no way that complex trauma sufferers who fit DESNOS would be diagnosed with that alone, and not still follow the same diagnostic comorbid system that is currently present, and occurs with PTSD. If you fit DESNOS you would likely still be comorbid for major depression, possible mood disorders and alcohol and substance abuse disorders if you abused such to cope, because DESNOS still doesn't aptly cover those issues which are near present in most with DESNOS / CPTSD spectrum.

IMHO, they keep shooting themselves in the foot with their own stupidity by trying to go against the entire psychiatric model of diagnosis. They need to stop the nonsense IMHO and work with it. The proposed criterion for the CPTSD diagnosis has validity, no question about it, but it doesn't really make sense either to be using PTSD within it, when all they're claiming is that trauma occurs to cause the symptoms. Adjustment Disorder doesn't have PTSD in the name, when trauma is the cause. Nor ASD.

I don't believe CPTSD or DESNOS are the correct terms, and they need to market the concept smarter, because they do now have a very valid category that the diagnosis can reside within as a trauma disorder.

Complex Trauma Disorder (CTD) or such, and they need to get off this theoretical rubbish model that it will be a standalone diagnosis befitting a person to a tee, when in fact it doesn't encompass many of the other issues a person with trauma will endure, such as depression, panic attacks, substance abuse, so forth.
 
To what sweeping generalisations do you refer? keep in mind I don't see aspergers as a negative thing. It is simply different way of thinking. I have a father, three siblings, a daughter and my second husband all with aspergers and I have asperger traits myself.
I have met people diagnosed with bpd and they fully recovered making that diagnosis bogus. Aspergers individuals never recover and they are actually much more frustrating to deal with than traums survivors- they do not have thick skin they have an inability to empathize. Many people believe jeffrey dahmer was an aspergers sufferer. I knew someone with aspergers who burned a cat"accidentally" on his stove top and put it in a garbage bag to dispose of it. Ihe then bought another cat to "keep him company and it died too. He worked but everyone knew there was something seriously wrong with him except for him-most people thought he was developmentally disabled due to his lack of hygeine and non concern for his offputting self. I asked him not to get any more animals because of his incompetence but due to his overestimation of himself he failed to comprehend it. I tried to explain decency to him such as respect for a creature who gave him comfort and the need for burial or cremation which was lost on him. I ended contact because I really cannot see the difference between a psychopath and him
 
I have met people diagnosed with bpd and they fully recovered making that diagnosis bogus. Aspergers individuals never recover and they are actually much more frustrating to deal with than traums survivors- they do not have thick skin they have an inability to empathize. Many people believe jeffrey dahmer was an aspergers sufferer. I knew someone with aspergers who burned a cat"accidentally" on his stove top and put it in a garbage bag to dispose of it. Ihe then bought another cat to "keep him company and it died too. He worked but everyone knew there was something seriously wrong with him except for him-most people thought he was developmentally disabled due to his lack of hygeine and non concern for his offputting self. I asked him not to get any more animals because of his incompetence but due to his overestimation of himself he failed to comprehend it. I tried to explain decency to him such as respect for a creature who gave him comfort and the need for burial or cremation which was lost on him. I ended contact because I really cannot see the difference between a psychopath and him

Junglegirl I am unsure what you mean by you have met people diagnosed with bpd and they fully recovered making that diagnosis bogus. If I'm interpreting it correctly, you are actually agreeing with me. What I have said is that most people diagnosed with BPD have been diagnosed incorrectly and THEIR diagnosis of BPD *IS* bogus. If someone "recovers" from BPD, then they never truly had it in the first place. It is the very proof that they were misdiagnosed.

BPD itself is very real though. And sadly some individuals do suffer from it. They can learn to manage it better and learn to live with it, but it never fully goes away.

But as for your view of aspergers, I'm sorry but that is incredibly bigotted and incorrect. The latest research has shown that people with aspergers are actually usually hyperempathetic. It is actually a myth that they lack empathy and the incorrect stereotype that they lack empathy has done so much damage to those with aspergers. Saying a person with aspergers lacks empathy is cruel and untrue.

People with aspergers never "recover" because it's not something you need to recover from! Saying a person with aspergers never recovers is like saying someone with blue eyes never recovers from having blue eyes. Aspergers is merely a different way of thinking. It has its positives and negatives. It's like saying apple computers are inferior to PCs simply because they are much less common and have a different way of operating. Which is garbage. The asperger mind compared to the neurotypical mind is what apple computers are to PCs. Each has their strengths and weaknesses. The kind of bigotry you're displaying is no different from racism and saying a person with black skin needs to "recover" from their skin colour. It's also no different to saying people with a mental illness are inferior to those without one.

Your friend is an idiot not a psychopath. Yes there are lot of ignorant people who cannot see the difference between psychopaths and aspies, but that is due to total ignorance. Anyone who mixes up the two either does not understand aspergers or doesn't under psychopathy or both. Psychopaths are aware of what they do and do not care. Aspies are NOT aware of the negative things they do, but when it is explained to them, they care greatly. Psychopaths have no trouble with theory of mind, aspies do.

Aspies are no more frustrating to deal with than the average person.

You have single handedly managed to insulted two out of the three people I love most. My (second) husband is an aspie, as is my older daughter. And I'm quite sure my younger daughter probably will be with the genes she has. My husband and daughter are the most empathetic, caring people. Yes they sometimes struggle to read other people's emotions, but if you are blunt with them about what emotion you are feeling, they care incredibly. My husband is one of the most gentle caring people I have met in my life.

Also my brother is probably THE most gentle caring men I have ever come across. And while my sister has issues, they are to do with her bipolar not her aspergers, and when she is not totally completely overwhelmed and melting down or shutting down, she too is incredibly empathetic - in fact half the reason she has meltdowns and shutdowns is because she cares so much about what other people think and feel.

Yes aspies tend to come off as arrogant. But that's not because they are trying to be. They are simply sure of themselves and studies have shown they actually tend to have a more accurate view of things than neurotypical people. Neurotypical people tend to be overly optimistic and see the best, where as aspies tend to be realists and very blunt about it. Aspies tend to be very blunt about both their positive and negative characteristics which can come off as either arrogance or self loathing if interpreted incorrectly.

Why does a cat need a burial or cremation? I would agree it would for safety/hygiene reasons. Throwing a decaying animal in the garbage is a health hazard. But out of respect? It's an animal. It's not a human. Not everyone feels that even a deeply loved pet needs cremation or burial for reasons of respect. Maybe it would have been better to explain to your friend in a way he understands - that burying or cremating his cat would have been better for health reasons. Even burying/cremating humans is only a cultural thing and not all cultures would agree with you that burying/cremating is respectful. For example, I personally thing cremating is actually disrespectful and people have a right to be buried. But I accept that is a cultural thing not shared by others who are ok with cremating. Perhaps your friend simply doesn't agree with your cultural view that burial or cremation is necessary for respect of the dead. That's the thing with people with aspergers... they don't always follow cultural trends and what your criticizing your friend for is a cultural belief that you have that he simply doesn't share.

I don't know your friend, but what I do see is your lack of empathy for his different way of thinking. You have judged him for thinking differently about things than you.

I have no idea who jeffrey dahmer is, but I'm guessing he's some sort of monster. Who cares if he has aspergers though? If he is a monster, it's not because of his aspergers any more than it has to do with his gender, skin colour, eye colour or any other biological traint about him. Aspies come in all types. There are bad aspies and good aspies just like there are bad people with PTSD and good ones with PTSD. Being an aspie is not at all related to a person's character.

Personally I think in many way "neurotypicals" (people who don't have aspergers) are far more frustrating to deal with. All the inane small talk, all the little "white" lies that are commonly used... give me an aspie any day! They might be blunt but at least they are totally honest. They won't lie to you, they won't say one thing and do another, they don't do things behind your back, they won't gossip about you, they will be direct and forthcoming and they won't waste your time.

Congratulation on the most offensive thing I've read this week.

People with aspergers don't need to "recover" because they are perfectly fine the way they are. All they need help with is learning to live in a world where they are the minority and people do not appreciate total honesty, and help adjusting to cultural/social expectations that they see as unimportant (eg the lack of hygiene you mention). Again, keep in mind, daily showering is only a recent invention. A few hundred years ago only the rich bathed daily. Most of the population bathed weekly or even monthly. IF you went back in time, your standards of hygiene would be considered unusual and your friend's would be considered completely normal.

Yes your friend needs help - he needs to understand that how he treats his live cats is not acceptable, and how he treats his dead cats is a health hazard, he needs to understand his hygiene is not socially acceptable in modern society, and he needs to learn that the way he presents himself is considered off putting by neurotypicals, but those around him need to learn that with the exception of how he treats live cats, all the rest of his behaviour is logical in his position and that he is not a psychopath, he simply sees things differently - if people approached him logically about the issues, explained to him bluntly his behaviour is offputting, not generally socially acceptable and a health hazard, put it to him in a way he sees is logical, more than likely he would change.

I know aspies aren't perfect - when dealing with social skills, my husband has driven me up the wall to the point where we've seen a counsellor over it, but we have worked it out. He knows he will never understand a lot of the social niceties that most neurotypicals insist on, but he accepts that it does offend most neurotypicals and if I ask him to act in a culturally appropriate way around my neurotypical friends, even if he sees it as illogical and silly, he will do it out of love for me and respect for them. And honestly? I think half the social niceties people expect are illogical and silly too, but it's what makes people happy so we all do them.

So yeah.... the only sweeping generalisations I can see are yours about aspergers. And what's worse is they are totally inaccurate and offensive to everyone with aspergers or anyone who loves a person with aspergers. Sorry if that's blunt, but I am sick of people who insult aspies. I want my daughter to grow up in a world where she doesn't suffer stigma and bigotry for being an aspie.
 
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