Quotes & Sayings About Complex Ptsd

Changes in Relationship with others:
It is especially hard to trust other people if you have been repeatedly abused, abandoned or betrayed as a child. Mistrust makes it very difficult to make friends, and to be able to distinguish between good and bad intentions in other people. Some parts do not seem to trust anyone, while other parts may be so vulnerable and needy that they do not pay attention to clues that perhaps a person is not trustworthy. Some parts like to be close to others or feel a desperate need to be close and taken care of, while other parts fear being close or actively dislike people. Some parts are afraid of being in relationships while others are afraid of being rejected or criticized. This naturally sets up major internal as well as relational conflicts. — Suzette Boon

Beneath the surface of the protective parts of trauma survivors there exists an undamaged essence, a Self that is confident, curious, and calm, a Self that has been sheltered from destruction by the various protectors that have emerged in their efforts to ensure survival. Once those protectors trust that it is safe to separate, the Self will spontaneously emerge, and the parts can be enlisted in the healing process — Bessel A. Van Der Kolk

This [June's] account poignantly illustrates many of the multi- faceted, complex, and contradictory processes contained in participants' stories. — Norma Jean Profitt

Recovery can take place only within then context of relationships; it cannot occur in isolation. — Judith Lewis Herman

As you may already know, post-traumatic stress disorder is extremely complex. Each client has a unique, perhaps virtually unbelievable, set of experiences, and an almost equally set of reactions to those experiences. — Aphrodite Matsakis

By developing a contaminated, stigmatized identity, the child victim takes the evil of the abuser into herself and thereby preserves her primary attachments to her parents. Because the inner sense of badness preserves a relationship, it is not readily given up even after the abuse has stopped; rather, it becomes a stable part of the child's personality structure. — Judith Lewis Herman

Few of us have a healthy sense of boundaries. We either have rigid boundaries ("No one is ever going to get close to me") or weak boundaries ("I'll be anything anyone wants me to be"). Rigid boundaries lead to distance and isolation; weak boundaries, to over-dependency and sometimes, further abuse. The ideal is to develop flexible boundaries, boundaries which can vary depending on the circumstances. — Laura Davis

Physical symptoms such as muscle tension, back problems, stomach distress, constipation, diarrhea, headaches, obesity or maybe even hypertension can be caused by suppressing your emotions. Suppressed anger may also cause you to overreact to people and situations or to act inappropriately. Unexpressed anger can cause you to become irritable, irrational, and prone to emotional outbursts and episodes of depression. — Beverly Engel

People with Complex PTSD suffer from more severe and frequent dissociation symptoms, as well as memory and attention problems, than those with simple PTSD. In addition to amnesia due to the activity of various parts of the self, people may experience difficulties with concentration, attention, other memory problems and general spaciness. These symptoms often accompany dissociation of the personality, but they are also common in people who do not have dissociative disorders. For example everyone can be spacey, absorbed in an activity, or miss an exit on the highway. When various parts of the personality are are active, by definition, a person experiences some kind of abrupt change in attention and consciousness. — Suzette Boon

Closeness was the promise of suffering and pain — Alice Jamieson

The traumatic stress field has adopted the term "Complex Trauma" to describe the experience of multiple and/or chronic and prolonged, developmentally adverse traumatic events, most often of an interpersonal nature (e.g., sexual or physical abuse, war, community violence) and early-life onset. These exposures often occur within the child's caregiving system and include physical, emotional, and educational neglect and child maltreatment beginning in early childhood

- Developmental Trauma Disorder — Bessel A. Van Der Kolk

Survivors who don't stand up for themselves often develop physical and emotional illnesses. Many become depressed because they feel so hopeless and helpless about being able to change their lives. They turn their anger inward and become prone to headaches, muscle tension, nervous conditions and insomnia. — Beverly Engel

Eighty two percent of the traumatized children seen in the National Child Traumatic Stress Network do not meet diagnostic criteria for PTSD.15 Because they often are shut down, suspicious, or aggressive they now receive pseudoscientific diagnoses such as "oppositional defiant disorder," meaning "This kid hates my guts and won't do anything I tell him to do," or "disruptive mood dysregulation disorder," meaning he has temper tantrums. Having as many problems as they do, these kids accumulate numerous diagnoses over time. Before they reach their twenties, many patients have been given four, five, six, or more of these impressive but meaningless labels. If they receive treatment at all, they get whatever is being promulgated as the method of management du jour: medications, behavioral modification, or exposure therapy. These rarely work and often cause more damage. — Bessel A. Van Der Kolk

The symptomatology of PTSD.
In PTSD a traumatic event is not remembered and relegated to one's past in the same way as other life events. Trauma continues to intrude with visual, auditory, and/or other somatic reality on the lives of its victims. Again and again they relieve the life-threatening experiences they suffered, reacting in mind and body as though such events were still occurring. PTSD is a complex psychobiological condition. — Babette Rothschild

Complex PTSD consists of of six symptom clusters, which also have been described in terms of dissociation of personality. Of course, people who receive this diagnosis often also suffer from other problems as well, and as noted earlier, diagnostic categories may overlap significantly. The symptom clusters are as follows:
Alterations in Regulation of Affect ( Emotion ) and Impulses
Changes in Relationship with others
Somatic Symptoms
Changes in Meaning
Changes in the perception of Self
Changes in Attention and Consciousness — Suzette Boon

Recovery unfolds in three stages. The central task of the first stage is the establishment of safety. The central task of the second stage is remembrance and mourning. The central focus of the third stage is reconnection with ordinary life. — Judith Lewis Herman

I am continuously struck by how frequently the various thought processes of the inner critic trigger overwhelming emotional flashbacks. This is because the PTSD-derived inner critic weds shame and self-hate about imperfection to fear of abandonment, and mercilessly drive the psyche with the entwined serpents of perfectionism and endangerment. Recovering individuals must learn to recognize, confront and disidentify from the many inner critic processes that tumble them back in emotional time to the awful feelings of overwhelming fear, self-hate, hopelessness and self-disgust that were part and parcel of their original childhood abandonment. — Pete Walker

Patients with complex trauma may at times develop extreme reactions to something the therapist has said or not said, done or not done. It is wise to anticipate this in advance, and perhaps to note this anticipation in initial communications with the patient. For example, one may say something like, "It is likely in our work together, there will be a time or times when you will feel angry with me, disappointed with me, or that I have failed you. We should except this and not be surprised if and when it happens, which it probably will." It is also vital to emphasize to the patient that despite the diagnosis and experience of dividedness, the whole person is responsible and will be held responsible for the acts of any part. p174 — Elizabeth F. Howell

But on Kwajalein, the guards sought to deprive them of something that had sustained them even as all else had been lost: dignity. This self-respect and sense of self-worth, the innermost armament of the soul, lies at the heart of humanness; to be deprived of it is to be dehumanized, to be cleaved from, and cast below, mankind. — Laura Hillenbrand