Is it PTSD, CPTSD Or Am I Just Broken?

Summary: Do you struggle with anxiety, emotional dysregulation, or relationship challenges, yet can’t pinpoint a single traumatic event? You may be living with Complex PTSD (CPTSD), a condition caused by long-term trauma that is often misunderstood.


Ever feel like you’re carrying a weight you can’t quite name? Maybe anxiety shows up like an uninvited guest, relationships feel harder than they should, or emotions swing between too much and nothing at all. And yet, when you try to trace it back, there’s no single, clear moment of trauma. That’s the puzzle of Complex PTSD (CPTSD)—a condition that’s often misunderstood, misdiagnosed–and easily dismissed.


We tend to think of PTSD as the result of a big, catastrophic event—combat, assault, a life-threatening accident. And while that’s certainly true for many, CPTSD tells a different story. It forms over time, through repeated stress or harm—chronic emotional neglect, ongoing workplace trauma, the relentless pressure of high-stakes professions, or feeling unseen and unheard in relationships that should have been safe. Instead of one defining moment, it’s a pattern, woven so deeply into your experience that it can feel like "just the way things are."


And because it doesn’t fit the classic PTSD mold, CPTSD often goes unrecognized. Instead, people are misdiagnosed with depression, anxiety, or personality disorders—treating the symptoms while the deeper wounds remain unaddressed. The signs? Chronic anxiety, emotional numbness, difficulty trusting or connecting with others, a deep sense of shame or unworthiness, and a nervous system that never quite feels at rest.


Recognizing the difference between PTSD and CPTSD matters, because healing looks different too. If this sounds familiar, know that you’re not alone—and that recovery isn’t about “getting over it” but about learning how to feel safe, seen, and whole again. The first step is awareness. From there, real support and change are possible.

PTSD and CPTSD: What They Have in Common

Both conditions share overlapping symptoms, including:

  • Intrusive thoughts, flashbacks, and nightmares.
  • Avoidance of trauma-related reminders or triggers.
  • Hypervigilance and heightened startle response.
  • Emotional distress, including anxiety, anger, and depressive symptoms.
  • Changes in cognition and mood, such as distorted thoughts about oneself or the world.

Both disrupt daily life and can significantly impact relationships, work, and personal well-being.

Key Differences Between PTSD and CPTSD

Unlike PTSD, which is widely linked to a single event, CPTSD can be overlooked because its causes—such as failed parental attachment, toxic work cultures, or financial instability—are not always recognized as ‘trauma’ in mainstream discussions.

PTSD
  • Often stems from a single, identifiable traumatic event.
  • Symptoms largely revolve around re-experiencing the trauma, avoidance, and heightened anxiety.
  • Dissociation can occur but is not a defining feature.
  • Officially recognized in the DSM-5.
CPTSD
  • Develops from prolonged or repeated trauma, including toxic work environments, childhood neglect, or systemic stressors like racism, discrimination, chronic financial instability.
  • Includes additional elements of emotional dysregulation, persistent negative self-perception, deep-seated shame, and chronic relationship difficulties.
  • More likely to involve dissociation, emotional numbness, and persistent feelings of guilt or shame, especially in individuals who experienced childhood emotional neglect or professional burnout.
  • Included in the International Classification of Diseases (ICD-11) but not yet a distinct diagnosis in the DSM-5.

Treatment Approaches

Standard Treatments for PTSD

  • Trauma-Focused Cognitive Behavioral Therapy (TF-CBT): Helps reframe distressing thoughts related to trauma.
  • Eye Movement Desensitization and Reprocessing (EMDR): A structured therapy that facilitates trauma processing.
  • Exposure Therapy: Gradual exposure to trauma reminders in a controlled setting.
  • Medication: SSRIs and SNRIs may help manage PTSD symptoms.

Why SSRIs Fall Short for CPTSD

Many individuals with CPTSD are prescribed SSRIs for their symptoms, yet these medications often provide only partial relief. While SSRIs can help manage anxiety and depression, they do not address the core issues of CPTSD—such as emotional dysregulation, identity disturbances, or dissociation. CPTSD requires a more comprehensive, trauma-focused approach beyond medication.

Trauma-Informed Care for CPTSD

Since CPTSD involves more complex emotional and relational challenges, treatment should go beyond symptom management:

  • Somatic Therapy: Focuses on bodily sensations to process trauma.
  • Attachment-Focused Therapy: Addresses relational wounds and self-perception.
  • Internal Family Systems (IFS): Helps individuals process fragmented emotional states and inner conflict.

Holistic and Emerging Approaches

  • Psychedelic-Assisted Therapy: Ketamine therapy, MDMA-assisted psychotherapy, and psilocybin are being explored as potential treatments for trauma-related disorders.
  • Mindfulness and Meditation: Aids in emotional regulation and nervous system calming.
  • Breathwork and Somatic Experiencing: Supports trauma release through the body.
  • Workplace and Systemic Support: Encouraging trauma-informed workplace policies, peer support, and systemic change in high-stress careers to mitigate ongoing exposure to distress.

Why Misdiagnosing CPTSD Keeps People Stuck

Many individuals live with unexplained anxiety, depression, or emotional exhaustion without realizing they are experiencing CPTSD. This is especially true for those in caregiving or law enforcement roles, where trauma is absorbed daily, or individuals with early childhood emotional neglect that was never recognized as a source of distress.


Without a proper diagnosis, people often receive treatments that don’t fully address their condition. Acknowledging CPTSD as a distinct disorder allows for more targeted interventions, deeper healing, and a greater sense of self-compassion.

Explore More

Understanding PTSD and CPTSD is the first step toward getting the right kind of support. If this post resonates with you, explore more about trauma, mental health, and healing:

Healing from trauma is an ongoing process, unique to each person. It is a journey, not a destination.

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Healing isn’t linear. It’s messy, uncomfortable, and deeply personal. We explore neuroscience, psychology, and psychedelic medicine—not for quick fixes, but as an ongoing conversation about transformation. This blog bridges science, lived experience, and clinical insight—challenging outdated narratives and exploring lasting change.


This blog is for informational purposes only and not medical advice. Consult a healthcare professional before making major decisions.