Understanding the Difference Between Post-Traumatic Stress Disorder and Complex Post-Traumatic Stress Disorder: Exploring Symptoms, Impact, and Treatment Approaches in Therapy Sessions

Audience questions:

1. How does trauma due to a single event (ex: a car accident or rape) differ from trauma from an extended period of time and multiple associated incidents (ex: a soldier in heavy combat during a deployment or being in an abusive relationship over years)? How do symptoms and the overall impact differ? How does the approach that a therapist takes to treat these two different scenarios differ? Is one easier to recover from than the other? 01:30

2. Why, at the end of every session, does my therapist ask me if I want to go ahead and schedule the next appointment or reach out for one later? I know I’m reading too much into this but the thought of her thinking I don’t really need therapy popped into my head. 09:53

3. Please talk about ruminating! It’s brutal, but it’s helped me remember and process narc abuse and bolstered me in my nc decision. But I need to move on, too. Thank you, Kati. 13:46

4. Why is it that self-harmers across the board all seem to struggle with validation of their emotional pain and self-harm? It’s as if we are in an unspoken competition to prove who has the worst pain. I see this in myself, and my OCD accentuates it. So there can be an element of compulsion to my self-harm. The bar keeps moving higher as to what I have to do to myself to prove my emotional pain is severe and the degree of self-harm valid... 18:30

5. Kati I was wondering why you don’t see patients anymore. I know you are busy but you have such great advice. Also I have been wondering why boundaries are hard for me. I broke my boundaries with my therapist and it seems to be hard not to do it again. I think I have an anxious attachment to her and I... 25:26

6. Why does upholding my boundaries feel so defeating? To give insight- I'm in a toxic relationship where my partner is regularly passive aggressive and my boundary is "I cannot tolerate this behavior, I get really panicky and actually don't hear what you're saying, so- whenever you do x, I will leave our conversation and go to my room." I am saving up to eventually leave, because he doesn't see a fault in his behavior and it's getting really exhausting... 31:06


0:11: 💡 Distinguishing between trauma from single events and multiple events, exploring symptoms, impact, and treatment differences.
5:29: 💡 Understanding the distinction between PTSD and complex PTSD, including treatment approaches and triggers.
10:15: 💭 Understanding rumination, therapist's scheduling approach, and communication in therapy sessions.
14:37: 💭 Understanding the impact of rumination on anxiety and the need for validation in self-harmers.
19:24: ⚙️ Impact of childhood neglect on self-harm behavior and the importance of inner child work.
24:06: ⚖️ Exploring boundaries in therapy, inner child work, and reasons for not seeing patients anymore.
28:25: 💡 Exploring the challenges of setting boundaries when dealing with anxious attachment in relationships.
32:54: 🛡️ Exploring the challenges of setting and maintaining boundaries for protection in relationships.
37:23: 🌱 Exploring the challenges of setting boundaries while recovering from extreme people pleasing behavior.
Recap for    • "What's the difference between PTSD v...   by Tammy AI

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