The Update on CPTSD: Is it a Distinct Disorder that Requires Different Treatment?
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Authors
Smart, Jolina
Issue Date
2025-08-15
Type
Capstone
Language
en
Keywords
Complex PTSD , childhood developmental trauma , disturbances in self organization , PTSD
Alternative Title
Abstract
This capstone explores the experiences of complex trauma and whether CPTSD is a distinct diagnosis that needs attention. The focus will remain on CPTSD as a construct with adults. Although there is growing awareness of complex trauma and literature on being trauma-informed across several fields, many individuals and communities go unsupported in addressing and understanding the symptoms of CPTSD. Very few have access to trauma-specific treatment that considers the unique aspects of CPTSD, including attachment, developmental, and long-term trauma symptoms. The research is complicated and limited in understanding CPTSD since its recent inclusion in the ICD-11 as a new development; testing of assessments and treatment modalities are just beginning to assess for validity and reliability. Previous to the ICD-11, there has been a variety of definitions and explanations of what CPTSD is, which adds to the confusion. Although these are discussion points in the literature, there is limited information on the impact on clients and whether our treatments can be effective. Many argue for and against CPTSD as distinct, and do not see a need for treatment that differs from what is already available. This capstone looks to understand the complications of determining CPTSD as distinct and developing or applying specific treatments through a socio-ecological, developmental, and attachment-based lens. These therapeutic modalities seek to understand individuals within multiple moving contexts and environments that influence their trauma, development, attachment systems, and CPTSD symptoms and treatment. Tailored treatment, community support, psychoeducation, and ethics are pillars to better understanding how to approach CPTSD. This capstone highlights the need to include the voices of those with CPTSD and the therapists who provide treatment for complex and developmental forms of trauma to address the barriers to accessing appropriate care and diagnosis. Social justice and appropriate treatment can help to ensure that individuals feel seen and supported in healing and navigating their journey with trauma.
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Citation
Publisher
License
Attribution-NonCommercial-NoDerivs 3.0 United States
openAccess
openAccess