04/28/2022
For those with Complex PTSD and dissociative disorders, sadly, the struggle is rarely limited to those conditions alone. Some studies have even shown survivors with C-PTSD averaging 4 comorbid conditions and being more likely to have one personality disorder. This is because they not only experienced trauma and/or abuse, but because of their young age and its chronic nature, their development as children was interrupted. These survivors have been left with an ambiguous sense of self and identity, and may've inherited a host of troubles from their primary caregivers — from genetic predispositions to other mental illnesses, to generational trauma, disordered eating, negative self-talk, self-destructive patterns, and so much more. Understandably, they will struggle well beyond posttraumatic symptoms alone.
Major depression, anxiety disorders and substance abuse are among some of the highest comorbidities seen in survivors of complex trauma. ‘Unexplained’ physical health conditions are also extremely common. This is not only frustrating, but can also add to the survivor's sense of hopelessness - often citing feeling like they have the worst luck or are being punished for something they did because so many things continue to go wrong. To add insult to injury, too often loved ones, acquaintances, or even medical professionals disbelieve them because it’s “not possible” to have so many diagnoses. Accusations of faking, attention-seeking and/or malingering quickly fly about after seeing the list of complications these survivors face. But, in all truth, it would be MORE rare and uncommon to have Complex PTSD or a dissociative disorder and little-to-nothing else. That would be a red flag. After you’ve disrupted the developmental foundation of a child’s mind, taught them tons of maladaptive coping behaviors, and altered their DNA through epigenetic changes, illness is bound to follow. In large quantities. It is common, and actually even a normal and natural response, for these survivors to have a vast constellation of medical and psychiatric conditions.
Because of this, finding a treatment team who is qualified, with a nuanced understanding of a childhood trauma survivor's neuropsychiatric needs is crucial. The major depression, disordered eating, substance abuse, self-harming behaviors, dissociation, ideation, and/or medical health concerns cannot be individually treated like they can in the general population. These concerns are wrapped around each other and woven into their trauma. You cannot treat one without the other and may even make them sicker attempting to do so in traditional settings and failing to respect the role trauma has played. We must tackle the concerns holistically; recognizing their complex nature, understanding how one issue begets another, and appreciating the layers upon layers of emotional and physical injury the survivor is trying to breathe beneath. We must and CAN lift them out, just carefully.
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