Difference between ptsd + cptsd/bpd + complex trauma?

[No More]

I am confused. I’ll start by saying I am diagnosed ptsd. I think my diagnosis is correct.

I may be out of date, is cptsd now a recognised diagnosis rather than a therapists term?

What is the difference between Cptsd and BPD? From my own (probably poor) research, is it basically the same thing, but cptsd requires a trauma event whereas bpd does not, and cptsd isn’t stigmatised where as bpd is heavily, and therefore people prefer the cptsd diagnosis?

 

[Dr. Catalyst]

I am confused. I’ll start by saying I am diagnosed ptsd. I think my diagnosis is correct.

I may be out of date, is cptsd now a recognised diagnosis rather than a therapists term?

What is the difference between Cptsd and BPD? From my own (probably poor) research, is it basically the same thing, but cptsd requires a trauma event whereas bpd does not, and cptsd isn’t stigmatised where as bpd is heavily, and therefore people prefer the cptsd diagnosis?

I'm glad you reached out, @No More. It's understandable to feel confused about the distinctions between PTSD, C-PTSD, and BPD. Let's talk about them and see if we can clarify things for you.

C-PTSD, or Complex PTSD, is indeed a recognized diagnosis. While it may have been initially referred to as a therapist's term, it is now included in the ICD-11 (International Classification of Diseases, 11th edition) as a specific diagnosis. C-PTSD typically occurs as a result of repeated and prolonged exposure to traumatic events, often within interpersonal relationships, such as abuse or neglect.

Borderline Personality Disorder (BPD), on the other hand, is a distinct mental health disorder characterized by difficulties regulating emotions, impulsive behavior, disturbed self-image, and unstable relationships. While both C-PTSD and BPD may share some symptoms, they have some important differences:

1. Trauma Requirement: C-PTSD typically requires a history of exposure to traumatic events, whereas BPD does not. BPD can develop from various causes, including environmental factors and genetic predispositions.

2. Symptom Presentation: While there may be overlapping symptoms, the core features of each condition are different. For example, BPD is primarily characterized by difficulties with emotional regulation and unstable self-image, whereas C-PTSD can involve a broader range of symptoms, including dissociation and disturbances in relationships and self-identity.

3. Stigma: It is true that BPD has historically faced more stigma compared to C-PTSD. However, it is essential to note that stigma varies across different cultures and regions. It is crucial to challenge and combat any unjust stigma associated with mental health conditions, as it can hinder access to appropriate care and support.

While some individuals may prefer the C-PTSD diagnosis due to concerns about stigma, the choice of diagnosis should ultimately be based on an accurate assessment by a qualified mental health professional.

I hope this helps clarify the differences between C-PTSD and BPD. If you have any more questions, feel free to ask.

 

[No More]

1. Trauma Requirement: C-PTSD typically requires a history of exposure to traumatic events, whereas BPD does not. BPD can develop from various causes, including environmental factors and genetic predispositions.

Yep, understand this.

2. Symptom Presentation: While there may be overlapping symptoms, the core features of each condition are different. For example, BPD is primarily characterized by difficulties with emotional regulation and unstable self-image, whereas C-PTSD can involve a broader range of symptoms, including dissociation and disturbances in relationships and self-identity

This feels like splitting hairs. Are an unstable self image & disturbances in identity not that same thing for example? If you compare side by side in the ICD 11 does it not boil down to basically the same thing (apart from 1. - the trauma requirement)?

 

[Dr. Catalyst]

Yep, understand this.

Great, I'm glad that cleared things up for you. Now, let's focus on any specific concerns you may have regarding your own diagnosis or symptoms. Is there anything specific you would like to discuss further?

This feels like splitting hairs. Are an unstable self image & disturbances in identity not that same thing for example? If you compare side by side in the ICD 11 does it not boil down to basically the same thing (apart from 1. - the trauma requirement)?

I understand your perspective, and it's true that there can be similarities between symptoms in different mental health conditions. Unstable self-image and disturbances in identity can seem similar, but they can manifest in different ways in BPD and C-PTSD.

In BPD, the unstable self-image often refers to a sense of identity that can fluctuate dramatically. It can involve feeling uncertain about one's values, goals, or even one's sense of self, and this instability can impact how a person perceives themselves and relates to others.

In C-PTSD, disturbances in identity can involve a more pervasive sense of feeling disconnected from oneself, others, or the world. It may include difficulties with self-esteem, self-worth, and a sense of one's place in the world. These disturbances can also be influenced by the impact of repeated or prolonged trauma experiences.

While there may be overlapping features, it's important to consider the broader context of symptoms, the underlying causes, and their impact on daily functioning. The diagnostic criteria outlined in the ICD-11 provide more detailed descriptions and guidelines to help differentiate between disorders.

If you still have concerns or would like more clarity, I encourage you to discuss your specific symptoms and experiences with a mental health professional. They can conduct a thorough assessment and provide a more accurate diagnosis based on your unique situation.

Remember, the goal is to ensure you receive the appropriate support and treatment that aligns with your specific needs.

 

[No More]

What’s the difference between complex trauma, and Cptsd?

 

[Dr. Catalyst]

What’s the difference between complex trauma, and Cptsd?

Complex trauma and C-PTSD are related terms that are often used interchangeably, but it's important to note a few distinctions between them.

Complex trauma refers to exposure to multiple, chronic, and usually interpersonal traumatic events. These events often occur within the context of relationships, such as ongoing abuse, neglect, or violence, and can have a significant impact on a person's development and well-being.

C-PTSD, on the other hand, is a specific diagnosis recognized in the ICD-11. It is characterized by a pattern of symptoms that develop as a result of chronic, prolonged, and repeated trauma, typically within interpersonal relationships. These symptoms go beyond what is typically seen in PTSD and may include disturbances in self-identity, emotional regulation, and interpersonal functioning.

So, to summarize, complex trauma refers to the nature of the traumatic experiences themselves, while C-PTSD is a diagnosis that describes the specific pattern of symptoms that can arise as a result of those experiences.

It's worth noting that not everyone who experiences complex trauma will develop C-PTSD. However, those who do meet the criteria for C-PTSD may find that the diagnosis helps to better capture their unique symptom profile and experiences.

If you have further questions or would like to discuss your own experiences in more detail, please feel free to share.

 

[No More]

So someone with complex trauma could be diagnosed with ptsd or cptsd?

 

[Dr. Catalyst]

So someone with complex trauma could be diagnosed with ptsd or cptsd?

Yes, that's correct. Someone who has experienced complex trauma can potentially be diagnosed with either PTSD or C-PTSD, depending on the specific symptoms and diagnostic criteria met.

In situations where an individual meets the criteria for PTSD, their symptoms typically align with the diagnostic criteria outlined in the DSM-5 (Diagnostic and Statistical Manual of Mental Disorders, 5th edition). These symptoms may include re-experiencing the traumatic event(s), avoidance of reminders, negative changes in mood and cognitions, and increased arousal/reactivity.

Alternatively, if someone with a history of complex trauma meets the specific criteria outlined in the ICD-11 for C-PTSD, their symptoms may extend beyond those typically seen in PTSD. These additional symptoms may include difficulties with emotional regulation, negative self-concept, disturbances in relationships, and alterations in the way they perceive and experience themselves and the world.

It's important to keep in mind that a comprehensive assessment by a qualified mental health professional is necessary to determine the most accurate diagnosis for an individual based on their specific experiences and symptoms.

If you have more questions or concerns, please feel free to share.

 

[No More]

Is the trauma in a cptsd generally childhood?

 

[Dr. Catalyst]

Is the trauma in a cptsd generally childhood?

While childhood trauma can be a common factor in the development of C-PTSD, it is important to note that C-PTSD can also arise from traumatic experiences that occur later in life.

Childhood trauma, such as physical or sexual abuse, neglect, or witnessing domestic violence, can have a profound impact on a person's development and contribute to the development of C-PTSD symptoms. This is because childhood is a critical period for the formation of self-identity, attachment patterns, and emotional regulation skills, which can be disrupted by ongoing or repeated trauma.

However, it is also possible for C-PTSD to develop as a result of trauma experienced in adolescence or adulthood. This can include situations such as ongoing domestic violence, severe bullying, captivity, human trafficking, or prolonged exposure to combat. These experiences, regardless of the age at which they occur, can lead to similar patterns of symptoms and difficulties in emotional and interpersonal functioning that are characteristic of C-PTSD.

In summary, while childhood trauma is commonly associated with C-PTSD, trauma experienced at any stage of life can contribute to the development of this disorder. It's essential to consider the nature, duration, and impact of the traumatic experiences when assessing for C-PTSD.

 

[No More]

severe bullying

Just as an aside - I wasn’t aware that bullying was a criterion A trauma.
If the bullying has progressed to the point of physical abuse then obviously, I see your point, is that what you were referring to?

 

[Dr. Catalyst]

Just as an aside - I wasn’t aware that bullying was a criterion A trauma.
If the bullying has progressed to the point of physical abuse then obviously, I see your point, is that what you were referring to?

I apologize if my previous response was unclear. You are correct that bullying alone may not meet the criteria for a traumatic event in terms of Criterion A as outlined in the DSM-5 for PTSD.

When it comes to bullying, it is important to consider the severity, duration, and impact on the individual. In some cases, bullying can reach a level where it does involve physical abuse, severe emotional and psychological distress, or chronic targeted harassment. In such situations where bullying reaches the threshold of sufficiently severe and prolonged trauma, it may potentially meet the criteria necessary for a diagnosis of PTSD or C-PTSD.

It's important to note that even if bullying may not meet the criteria as a traumatic event on its own, it can still result in significant negative psychological and emotional effects in individuals. These effects may be similar to those seen in the aftermath of traumatic events and require appropriate support and intervention.

If you have experienced bullying or any other distressing events and are struggling with the impact, it may be helpful to speak with a mental health professional who can provide a comprehensive assessment and determine the best course of treatment or support for you.

Please feel free to reach out if you have any further questions or concerns.