Скачать или смотреть The Key Differentiator of CPTSD | Dr Gunjan Y Trivedi

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In this video, Dr. Gunjan Y Trivedi discusses the differences between Complex PTSD and PTSD. It is a topic of vast interest to many but equally difficult to understand, while the problems were addressed in clients but mood, depression and negative emotions did not go away it was understood that this was not simple PTSD but a complex one. Along with the understanding of Adverse Childhood Experiences or ACE , a connection between repeated traumatic incidents in childhood and the possibility of having CPTSD was established, therefore it is a major risk factor. CPTSD has two major components, one being PTSD which includes Re experience, avoidance and sense of threat , other being DSO which includes Affective
dysregulation, negative self concept and disturbed relationship. Both these factors together contribute to CPTSD.

A thorough look at DSO components: The first component is disturbances in emotional regulation influenced by depressive symptoms such as feeling hopeless and helpless. The second component is negative self concept which includes a negative relationship with oneself such as toxic shame and extreme loss of self esteem, all these directly affect social and personal relationships on the person. These three components differentiate simple PTSD from Complex PTSD.

Difference between Toxic shame and guilt is that action focused understanding brings regret due to action. In shame the focus is not on the action but the individual , meaning the person points at themselves that they are bad and it's their fault when such nature continues and becomes their second nature, it is called toxic shame. All these components are well understood by ITQ- International Trauma Questionnaire. DSO is a major differentiator between CPTSD and PTSD.

DSO and depression is higher in people with CPTSD than simple PTSD. People scoring high in CPTSD have negative self concept i.e how one perceives themselves and have dysfunctional relationships. DSO separates PTSD from CPTSD.

Understanding the risk factors of CPTSD: There is an interplay of several factors experienced in childhood such as emotional abuse, emotional neglect and peer isolation which gets converted into negative self concept. High levels of depression and loneliness come as major contributors to high DSO scores. PTSD components which are sense of threat, re experience and avoidance in respect to event are also found in CPTSD assessment. The trio of PTSD, CPTSD components and Adverse childhood experiences along with depression, loneliness and perceived lack of social support are common risk factors for CPTSD. Be careful as teachers,parents and caregivers and help children by providing more social support to mediate after effects of negative experiences.

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[Complex Trauma, stress disorder, Gunjan Trivedi, Wellness space, Childhood Trauma]

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