Complex PTSD is recognised as a disorder in the ICD-11

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I wanted to share the great news that Complex Post Traumatic Stress Disorder is recognised by the World Health Organization’s (WHO) eleventh revision of the International Statistical Classification of Diseases and Related Health Problems (ICD-11).

As someone who has openly spoken about living with the symptoms of CPTSD, it feels extremely validating to know that it is actually recognised formally. I wasn’t aware of this until very recently so for those of you who already knew this, please forgive my delayed discovery. For those of you who live with CPTSD and are aware of this, I hope this news finds you well.

In my personal opinion, a diagnosis of CPTSD could easily replace many other diagnoses. CPTSD is the result of child abuse, neglect and any other prolonged and repeated traumatic experiences.

Symptoms of anxiety and depression are in most cases part of having CPTSD, as well as the following (in the context of childhood trauma & abuse).

”Attachment – problems with relationship boundaries, lack of trust, social isolation, difficulty perceiving and responding to others’ emotional states”

”Biology – sensory-motor developmental dysfunction, sensory-integration difficulties, somatization, and increased medical problems”

”Affect or emotional regulation – poor affect regulation, difficulty identifying and expressing emotions and internal states, and difficulties communicating needs, wants, and wishes”

”Dissociation – amnesia, depersonalization, discrete states of consciousness with discrete memories, affect, and functioning, and impaired memory for state-based events

”Behavioural control – “problems with impulse control, aggression, pathological self-soothing, and sleep problems”

”Cognition – difficulty regulating attention; problems with a variety of ‘executive functions’ such as planning, judgement, initiation, use of materials, and self-monitoring; difficulty processing new information; difficulty focusing and completing tasks; poor object constancy; problems with ’cause-effect’ thinking; and language developmental problems such as a gap between receptive and expressive communication abilities.”

”Self-concept – fragmented and disconnected autobiographical narrative, disturbed body image, low self-esteem, excessive shame, and negative internal working models of self”.

Formal recognition and diagnosis will greatly help CPTSD sufferers with more appropriate treatment options:

Some current treatments are:

  • biofeedback
  • dyadic resourcing (used with EMDR)
  • emotionally focused therapy
  • emotional freedom technique (EFT) or tapping
  • Equine-assisted therapy
  • expressive arts therapy
  • internal family systems therapy
  • dialectical behavior therapy(DBT)
  • family systems therapy
  • group therapy
  • neurofeedback
  • psychodynamic therapy
  • sensorimotor psychotherapy
  • somatic experiencing
  • yoga, specifically trauma-sensitive yoga

It is also worth mentioning that CPTSD has also been referred to as DESNOS (Disorders of Extreme Stress Not Otherwise Specified).

DTD (Developmental trauma disorder) is also proposed as the alternative equivalent to childhood CPTSD.

”Dr. Judith Lewis Herman, in her book, Trauma and Recovery, proposed that a complex trauma recovery model that occurs in three stages:

  1. establishing safety,
  2. remembrance and mourning for what was lost,
  3. reconnecting with community and more broadly, society.”

If you live with CPTSD and have had experience with any of the above treatment options, I would love to hear what you found helpful.

Thanks for reading

This blog post includes direct text from Wikipedia:

https://en.wikipedia.org/wiki/Complex_post-traumatic_stress_disorder

Love Athina ♥♥

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