Have you ever wondered why some people seem to heal from trauma more quickly, while you have been struggling for years? The shame, the fear, and that sense of disconnection can feel overwhelming. Why won’t it go away? The answer might be that you are experiencing more than just post-traumatic stress disorder (PTSD). It could be complex post-traumatic stress disorder (CPTSD). Both conditions are rooted in trauma, but they affect your mind, body, and relationships in different ways. Understanding the difference is often the first and most important step toward healing.

PTSD and CPTSD: Same Roots, Different Branches

Both PTSD and CPTSD grow from trauma, but sprout in different ways.

  • PTSD is said to develop after a single overwhelming or traumatic event like an accident, natural disaster, assault, combat or similar events.
  • CPTSD usually stems from chronic trauma (repeated or prolonged), especially in childhood. This can include long-term or ongoing abuse, neglect, domestic violence, community violence, captivity, or growing up in an unsafe or volatile environment.

While PTSD is widely recognized in the DSM-5 TR (the Diagnostic Manual used in North America), CPTSD is mainly recognized as its own entity in the ICD-11 (the World Health Organization’s classification system). This goes to show that CPTSD is increasingly understood by clinicians worldwide, even if it isn’t yet formally acknowledged in all systems.

Shared Symptoms. Yet, What Makes CPTSD Different

If you’ve lived with PTSD, you might have experienced:

  • Flashbacks or intrusive memories
  • Nightmares and poor sleep
  • Feeling on edge or “on guard” at all times
  • Avoiding triggers or reminders of the trauma
  • Emotional distress or numbness (dissociation)

But, if it’s CPTSD, you may experience all of the above plus a deeper, more nuanced layer of challenges:

  • Emotional dysregulation: intense waves of anger, sadness, or fear that feel hard to control
  • Negative self-concept: an insidious inner dialogue that misleads you into feeling worthless, guilty, or ashamed.
  • Relationship struggles: often punctuated by difficulties in trusting others, connecting, or maintaining closeness.

Understanding your condition and getting the right diagnosis can be difficult, but a trauma-trained therapist can help. With an accurate diagnosis, you are more likely to get the support you need.

Healing Is Possible

Living with PTSD or CPTSD can feel like carrying a heavy burden that others might not notice. You may have wondered:

  • Why can’t I just move on?
  • Why does this keep happening in my relationships?
  • Why do I feel like I’m always on edge or always numb?

These aren’t signs of weakness. They are signs of wounds that haven’t yet been given the care they need.

Healing is possible with the right support, therapy, safe relationships, and healthy coping strategies. Recovery can take time, but every small step counts and brings you closer to feeling whole again.

How PTSD and CPTSD Are Treated

The good news: you can heal from both the conditions with the right trauma-trained therapist. An integrative approach is often beneficial and can draw from various therapies including, 

  • Trauma-Focused CBT – reshaping negative thought patterns
  • Exposure Therapy – gently re-encountering triggers in safe, supported ways.
  • Dialectical Behavior Therapy (DBT) – for regulating big emotions and improving relationships
  • EMDR (Eye Movement Desensitization and Reprocessing) – reprocessing distressing memories
  • Somatic Therapies – releasing trauma stored in the body
  • Medication – like SSRIs or prazosin (often for nightmares)
  • Internal Family Systems (IFS) Therapy – healing the “parts” of you that developed in response to trauma
  • Mindfulness & Grounding Practices – finding safety in your body and the present moment

At Therapy Villa,

We’re here to help you feel safe again. Together, we’ll work on easing the impact trauma has had on your life so it doesn’t control how you see yourself or the way you live. Whether you are struggling with PTSD or CPTSD, our trauma-trained therapists and evidence-based therapy approaches will make the journey to healing an achievable reality.

You don’t have to figure this out alone. Together, we can find a way toward a life that feels more like yours again.