7 New APA Guidelines for Treatment of Complex Trauma & CPTSD
7 New APA Guidelines for Treatment of Complex Trauma & CPTSD
Read APA’s full guidelines here – https://www.apa.org/practice/guidelines/adults-complex-trauma-histories.pdf
Learn more about treatment options for complex trauma and CPTSD at www.PhoenixTraumaCenter.com
Offering trauma therapy in Media, Pennsylvania and online for clients in PA, NJ, and DE. We work with individuals, couples, families, groups, and organizations. We also offer individual trauma therapy intensives for a more immersive experience.
Our team members offer trauma recovery coaching, consulting, and personal growth sessions for anyone around the world – https://www.phoenixtraumacenter.com/trauma-recovery-coaching-sessions/
Reach out to learn more about bringing Dr. Scott to your organization or treatment center for training on trauma, trauma-informed care, or psychodrama. Support@PhoenixTraumaCenter.com | 484-44O-9416
Free Access to Dr. Scott’s Textbook here – https://link.springer.com/book/10.1007/978-981-33-6342-7
Link to Dr. Scott’s newest book here – https://www.amazon.com/Trauma-Informed-Principles-Therapy-Psychodrama-Organizations/dp/1032234776
#trauma #traumatherapy #traumarecovery #traumahealing #traumainformed #traumainformedcare #ptsd #ptsdhealing #cptsd #traumacounseling #psychodrama #emdr #grouptherapy
49 Comments
As someone diagnosed with CPTSD, I am shocked at how good these guidelines are. I started therapy over 20 years ago, and this seems to reflect much of what has been helpful to me on my healing journey. A huge contrast to the “standard” treatment approaches that are an utter disaster and just set me back further.
My one comment is on the 3 stages of healing. I think there needs to be a recognition that these are not necessarily linear, just as the stages of grief are not linear. What I need to address at any one time varies as I have unfortunately had too many retraumatizing experiences long after I thought I was recovered.
I have complex health concerns which I believe are a result of chronic stress. Interacting with the medical system is incredibly difficult, and navigating the world as a poor disabled lesbian is a source of chronic stress. Unsafe housing led to new trauma. I could go on. I do believe I reached a point where I was healed, but unfortunately it didn’t last. I worked my butt off to rebuild as much as I could, and that didn’t last. That to me is the real tragedy of CPTSD.
Sadly, the use of Zoom invites spies into this process. If the only reasonably priced therapy I can get is online, then I'm out. There is no trust possible knowing Big Brother is listening. It's a shame doctors have completely abandoned us to technology.
wow exciting, finally.
Fantastic video 😀 fantastic, I am not a practitioner
But am someone who has experienced cptsd and your always looking for other healing modalities
so it seems, I had thought that a holistic approach would of been best
Just the way you say it, like a multi modalitie approach would be best and I am So glad to see such a great physician such as yourself
talk in this way…😃 wow I have to say thankyou once again and definitely looking for your books…I am in Australia
But i don't care how far i need to go for learning healing, it's a horrible condition and I think my son has it now
So i am really interested in looking for the latest healing modalities for cptsd So thankyou great doctor, thanks
Wow, you really know what you're talking about. Thank you for this. How do I share this video please?
It is so important that this new manual recognizes cptsd began early in life (by loss) and you were hidden or dismissed as a child by a parent and because you were seen as an embarrassment. This shaped your self concept.
There's a whole class of silent people – living in the emotional shadows of life – that carry the darkness of childhood trauma with them and never say anything. And most of all the other people in this world – will never see it – or even know it exists. Professionals need to drop the phony compassion and fancy clinical words and phrases – and realize this absolute fact. And If I can influence – even one "professional" to rethink how they approach people with trauma I will be happy. I would rather walk into a "therapy session" and have the therapist tell me – they've had a real bad day – and could use some help – than to sit there – with your client – and pretend you are happy. People with real childhood traumatic experience can see right through it. If you’re a “professional” attempting to help people – think about it.
A whole medical/ therapy system is also a cause of traumatizing a victim.
If they are not successful to help, they should be evaluated publicly. They should have a initiative fee and contingency fee. They should use scaling system. They make clients go through painful treatment and are not result oriented group of professionals. Rip off.
I have CPTSD and clinical depression for years from childhood and then my partner got killed in a house fire etc but one area that is not talked about enough is toxic work environments my last 3 jobs were very traumatic the bosses were narcissistic and bullies now I have a new job the boss got suspended for bullying the second day I started then another person said just sit in the corner and look pretty completely making me feel worthless again – will it ever end I think toxic work places are the new face of trauma rarely challenged
It sounds like you stated some sound guidelines to follow. Unfortunately the profound problem with this is the clinitician's ability to implement these different areas. It is almost impossible for these people to get down in the mud, walk around in the client's shoes, to experience having to navigate such a life where noone ever steps forward to be on the side of the client. Can you think you can even implement such a guideline without reinforcing the idea it's the client's fault for feeling the way they do or reexperiencing the "they don't get it" no matter how hard they explained something they don't fully understand.
I really wish there were resources for people with C-PTSD who externalized their trauma meaning I didn't think less of myself but I think less of all other humans and the world in general. No one seems to talk about this. I don't experience shame because I don't blame myself but I do experience a lot of guilt because I coped with the fact no adults were taking responsibility for my safety (or their own) and so I made myself responsible for it. I don't feel that there's anything wrong with me for not being able to do the impossible (not that I knew it was impossible as a child) but I feel a compulsive need to fix everything that I'm working on. My ex husband used and abused me for a decade and a half because all he had to say was that he was trying to change and because I didn't really believe any humans could treat me any better I felt it was unfair to ask for better treatment from him so the guilt kept me stuck 💔
This is a well thought out, client centered, and ethically considered presentation.
Good therapists like you are courageous because in our society I feel like it's probably rare to NOT be suffering! Thank you for what you do. ❤
Beginning to recognize the 10+ years of legal, intimidation, and financial actions by my X as abuse, with what feels like C-PTSD. Although I sought treatment at the time, over the span of years, what helped more was the RMT Strategic Intervention coach training. Although that seems more effective for PTSD rather than C-PTSD. Recovering this morning from a 2- day flashback. Tried to explain this to a well-meaning friend, although they didn't understand that an emotion can be triggered where Tolle and Frank's work doesn't help. The emotion is in the body, triggering a memory, that then creates the emotion. Last night it was a situation from nearly two decades ago, similar to the night before. Although I've slept, although fitfully from night sweats interspersed with memory mixed with dreams, I'm exhausted this morning and sporting a headache, likely the impact of cortisol and progesterone. I'd like to see a differentiation between trauma's from childhood, and that from marriage/partner.
43yo my life has been shape by cptsd since 12yo and know I'm beginning to find out 😢
So interesting and profound video. I ask if you could suggest some books about the cptsd. Thanks in advance 🙏
I am still 5 minutes in the video and i identify with everything the doc said. Hell I have almost all the symptoms of complex-PTSD & PTSD. I was also diagnosed with Bipolar 2 with borderline traits and OCD with several themes. I also suffered from severe mdd many times. I have one of the worst combos of issues because each on of them on its own is destructive let alone having all of these together feeding on eachother and destroying me systematically!
For all people who suffer from complex complex-PTSD or any mental illness,,,brace yourself and let us all fight together day by day. We cannot give up as long as we are alive.
My doctor still did not officially diagnose me with complex ptsd but i am sure i have it cause i have all the symptoms and i suffer greatly from it.
I wish you all the best, and thank you Doctor for this amazing informational video!
Thank you for the references of the ACA (Adult Children of Alcoholics World Services Copyrighted materials that are referred to as the Laundry List. Tony A was one of the early founders of the ACA or ACOA movement as it is also called. He relinquished his copyright on the 14 Laundry List Survival Traits to ACA before he died and they are contained in the ACA Fellowship Text Book and the Laundry Lists Workbook which is used by major veterans support organizations. War veterans suffer CPTSD as well and benefit greatly from the ACA materials and program. Please ensure you acknowledge the copyright by Adult Children of Alcoholics World Service Organization in any future videos where they are discussed.
3 minutes in and this guy already seems to be exceptional at his job. Credibility rolls off of him. Most I've heard should re-up their certification thru him
Relational for sure and what happened to you rather tban whats wrogn with yoi …… hands down the best. I think finally ❤❤😢😢😢😢
I’ve been living with childhood trauma since I was 14 and now I’m 29 and finally open to getting help and talking to someone. I never believed I had PTSD or CPTSD but learning more about this I can basically check off all these guidelines.
As a self taught artist, I find it very hard to find art therapist in my area that insurance companies cover as in network. If I can I’m gonna try to become an art therapist ❤
am i the only one who gets triggered everytime he starts talking about abuse trauma and shame
Many healthcare professionals do not recognize their own gaslighting and psychologically violent responses to those who report violence. It’s harm and a barrier to care.
Thank you for FINALLY looking into this field in a more comprehensive way. Jung has a lot to offer for those navigating this. I have CPTSD. As difficult as this is, it was more difficult to attend therapy attempts that left me feeling more vulnerable, broken, unlovable and empty. I am glad Mental Health professionals are finally looking at this in a more comprehensive way. I am pleased with the progress I’ve made so far. I continue to heal and grow. I am thrilled that others notice the growth as well. I feel more like myself and that makes me happy.
Empathic. not Empathetic.
I'm still traumatized by the Highland clearing and the potato famine. British people owe me money. What a bunch of marxist BS
Is CPTSD a recognized diagnosis in the U.S. now?
I have been unsuccessful getting the VA mental health system to help me with Complex PTSD. 3 years of intensive inpatient tx, and 16 psych meds over 15 years, none of it works and I am worse now due to med side effects. I identify with everything you said. Your words are music to me.
so ig (and i hope) it's pretty likely that CPTSD is gonna be included in DSM-VI!
I got a qEEG brain map done a couple of years ago. The open eyes map showed that my brain has a high to very high alpha level over the entire brain. Can this be related to CPTSD?
Fantastic video, but please, adjust the volume of the intro outro jingle. It was so loud, it triggered my C-PTSD and made me jump out of my skin!
I’m 19 and from Canada and I am seriously struggling with finding treatment. I have worked ruthlessly to find the help I need and it has always been disappointing. It feels like the professionals I’ve met keep sending me to places that can’t help me because they’re trying to treat me for something I don’t have. I got diagnosed with PTSD (it’s 100% CPTSD but she said the “treatment is the exact same so it doesn’t matter”) a few months ago and got sent to do DBT therapy. I just found out that that therapy is not one of the main therapies used to treat CPTSD and I’m devastated. I don’t know what to do.
Looks like APA is embracing the trauma informed approach. Love to see the humanistic and more compassionate view.
This parenting approach makes sense with this holistic view, and helps to prevent dissociation, numbness or other symptoms associated with trauma: https://youtu.be/7Zpi5LU1tio?si=8-4SXzLTLYrQqfMn
You lost me at the left agenda trauma … would go into my generacional trauma. But probably wont fit your narrative
Most lacking? Nearly all of it, unfortunately.
I have been searching for over a decade trying to find help and treatment for my CPTSD symptoms and triggers. I suffer from childhood trauma and not remembering much of growing up continuing into adulthood. As an adult I have had what was diagnosed at Transient Global Abnesia 3 different times with each at different lengths. I have so many symptoms I don't go out of my home except to get groceries and that is usually difficult and exhausting. Over the years I have tried so many different types of doctors and have been on so many medications to lesson some of the symptoms. I am in the Tucson Arizona area and have had no luck with help or even anyone that seems really interested in helping me. Watching your video brought me to tears.
If you know of anyone in my area that might be able to help please let me know.
These guidelines are exactly what Claude concluded when asked about CPTSD regarding gnostic philosophy & somatic experience. Coincidentally matches what you are saying exactly down to phasing and timeframe
From Surviving to Thriving
My therapist recommended ketmine therapy I considered it but I also feel quite anxious about medication at this point with my primary Drs pushing pills with terrible side effects over and over on me.
I’m 62. A therapist told me that my abuse started in utero and lasted into my 50s. I was put on ssdi. There’s no therapy available for me that I can afford. I moved out of the us so I don’t have to live on the streets. I don’t think I will ever get better. I spend a lot of time wishing I was unalive but won’t do it. The unfairness of the whole thing is profound. I hate this world.
The fact you used the term « clients » instead of « patients » in the intro really scared me tbh
I happened upon your channel today for the first time and appreciate this particular post. I look forward to others. My comment has to do with the isolation and stigma as the mom of two adult children who deal with severe (my observation) CPTSD originating with their childhoods, their dad, and me. Several channels/youtubers and their subscribers demonstrate clearly their resentment and anger toward their parents. I get it, own my part in deserving it, and grieve for their common and unique experiences. My guilt and shame are overwhelming and often unbearable. However, and referring to the generational aspects of complex trauma, I have it, too. And I’m certain their dad has it, as well. He and I have been divorced for many years and I cannot speak for his past or present. I feel excluded or as a villain in these groups. Or, at least undeserving of help with healing my wounds and repairing the damage I unintentionally—directly and indirectly—caused or failed to adequately prevent or deal with their trauma. I celebrate the improved treatment guidelines but where do CPTSD’d parents turn for support? Is it too late?
I have been burned badly by the mental healthcare system . 7 years of meds and talk therapy until I gave up after a suffering disc injury in my neck that I acquired from work and I had no one to advocate for me . I was chewed up by the Workers Compensation Board , they used my trauma as a weapon against me . Lawyers , Judges and Drs should be trauma informed, because we are Discriminated against sadly . Especially if you’re a single woman . I was denied every recourse to recover.
The patient needs a place to focus his energy while in the throes. One needs to have an instinctual, practiced reaction that he can rely upon to act with confidence. Acronyms are great tools. But I think an ‘F’ is required somewhere. The Fight or Flight response needs to be directed to ‘fight’ at the instinctual, responsive level. That fight must be legal, moral, justified, self-serving, and self-healing.
Someone who has been conditioned to freeze, or fawn, or flee, has only the self to express anger and frustration and hurt upon. But when his anger is truly righteous, that energy needs to be owned with positivity and reinforced as part of relational integration. Some of us had that taken away and need to learn that chaos and violence is a consistent part of the world, not something we can control or are responsible for.
Dr G ..you have a very calm voice and speak directly to the point. Very effective.
So helpful! Thanks for sharing this. So grateful to have an amazing therapist, surfing, lifting, animals, and ACA as sources of my recovery. EMDR and somatic tools made a big difference to get me to a better place and now Accelerated Resolution Therapy for the last two years has been life changing in every way. I finally stopped abandoning myself a year and a half ago and left AA fellowship as a result of the dysfunction/lack of safety due to coercion and manipulation. Here’s to integration and more post traumatic growth. And 10 years sober! 🎉❤😊
My mother allowed us to be beat and molested. She says to this day I am a liar. She walked in on it, she read about it and we were both there for the beatings that put her in the hospital and should have put me in the hospital. I thought I could out run it-but I couldn’t out run hating myself that my mom gave me at 47 and I would do anything to get rid of my self hate. I so want to be free!