What is Complex PTSD?


Information for Clients and GPs

stressed man reflecting, representing symptoms of complex PTSD
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What is Complex Post-Traumatic Stress Disorder?


Complex Post-Traumatic Stress Disorder (CPTSD) is a psychological condition that arises from prolonged or repeated exposure to traumatic events. Unlike traditional PTSD, which can develop after a single traumatic event, Complex PTSD results from chronic trauma, such as childhood neglect, domestic violence, or prolonged emotional, physical, or sexual abuse. It can also stem from experiences such as combat, torture, war captivity, or ongoing and prolonged exposure to traumatic environments.

Symptoms of Complex PTSD

Individuals with Complex PTSD may experience a range of psychological, emotional, and physiological symptoms, including:

  • Emotional Dysregulation: Difficulty regulating emotions, frequent mood swings, intense emotional responses, or episodes of extreme anger, sadness, or anxiety that are disproportionate to the situation.

  • Negative Self-Perception: Deep feelings of worthlessness, emptiness, shame, and guilt are also common in CPTSD. Many individuals with CPTSD blame themselves for their trauma.

  • Relationship Difficulties: Those with the diagnosis often experience difficulties with making and forming attachments to others. This can manifest in problems with maintaining close relationships, building trust of themselves and others, fears of abandonment, or a tendency to avoid intimacy or form highly dependent attachments.

  • Dissociation: Feelings of being disconnected from reality, experiencing memory lapses, or having episodes of depersonalisation (feeling detached from oneself) or derealisation (feeling that the world around them is unreal).

  • Hypervigilance and Anxiety: Being watchful, on guard or on edge, feeling unsafe even in secure environments, difficulty sleeping, and an exaggerated startle response.

  • Intrusions and Flashbacks: Recurrent distressing memories, nightmares, or vivid flashbacks that make the person feel as if they are reliving the traumatic event all over again.

  • Avoidance Behaviours: Actively avoiding potential triggers of the traumatic experience. This can include people, places, bodily sensations, or activities that remind them of past trauma. This can further lead to social withdrawal and/or isolation.

  • Somatic Symptoms: Physical symptoms such as chronic pain, headaches, gastrointestinal distress, and fatigue that do not have a clear medical cause. These are often linked to unresolved trauma.



man experiencing severe stress

How is CPTSD Treated?


At EMDR Brisbane, we specialise in Eye Movement Desensitisation and Reprocessing (EMDR) Therapy, an evidence-based treatment that helps individuals process traumatic memories and reduce their emotional impact. EMDR works by stimulating the brain’s natural ability to heal from distressing experiences, often leading to significant symptom reduction and increased emotional resilience. It is particularly effective for individuals who feel stuck in their trauma and unable to move forward.

EMDR therapy is an 8-phase treatment that provides a comprehensive framework for assisting individuals to overcome their trauma symptoms and live happier and healthier lives. These are as follows: 1) History Taking and Treatment Planning, 2) Preparation, 3) Assessment, 4) Desensitisation, 5) Installation, 6) Body Scan, 7) Closure, and 8) Re-evaluation.

Often after completing the full 8 phases of EMDR therapy, individuals will report markedly reduced distress in relation to the traumatic experience. This process is often repeated several times for the specific experiences that continue to cause difficulties for the individual.

Whilst EMDR therapy is a frontline treatment for Complex PTSD, other evidence-based interventions may also be utilised to assist individuals with their complex PTSD symptoms. Other evidence-based treatments for CPTSD that our clinic also utilises include Trauma-Focused Cognitive Behavioural Therapy (TF-CBT), Dialectical Behaviour Therapy (DBT), Schema Therapy, Acceptance and Commitment Therapy (ACT) and many others.

Additionally, interventions such as mindfulness and meditation can also be incorporated into the treatment process. In some cases, individuals can also utilise pharmacological treatments to manage their symptoms in addition to psychological therapies such as EMDR. Often, individuals will have engaged with a psychiatrist for assistance in managing their CPTSD symptoms and other co-occurring conditions (such as insomnia and panic attacks).


man sitting with a therapist in session

How Can GPs Help?


General Practitioners play a crucial role in recognising and supporting individuals with CPTSD. As primary providers, GPs can assist via:
  • Conducting initial assessments and screening
  • Providing psychoeducation to patients with these symptoms
  • Referring clients to specialised trauma therapies (such as EMDR)
  • Monitor co-occurring physical health conditions (e.g. IBS, chronic pain)
  • Supporting patients in self-care including sleep hygiene, physical activity, and nutrition, to improve overall well-being
  • Offering ongoing support and follow-ups to ensure patients feel supported throughout their healing journey


hands reaching out to help

Next Steps

If you or your patient is experiencing symptoms of CPTSD, professional help is available. At EMDR Brisbane, we specialise in the treatment of trauma and anxiety conditions through the use of EMDR, in a compassionate and supportive environment.

For more information, to make a referral, or to schedule an appointment, please contact our clinic via phone (0468 891 614), or email (contact@emdr-brisbane.com.au).

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Primary Location

We are located at:
9/30 King St (Entrance on Machinery St),
Bowen Hills QLD 4006.
Phone: 0468 891 614.
Fax: (07) 3130 0615.

Second Location

Also located at:
1/6 Edmonstone Road,
Bowen Hills QLD 4006.
Phone: 0468 891 614.

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