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PTSD and C-PTSD: What Is the Difference and How Can Therapy Help?

By Sara Price, ALC, MA, NCC – Váthos Counseling Note: this article was written by an outside guest author, and the information / views provided may not reflect the opinions or views of North Star Psychology. Questions about this article should be directed towards its author.



Most people are familiar with PTSD, or Post-Traumatic Stress Disorder. It’s often associated with survivors of war, accidents, or other major traumatic events. But there’s another form of trauma that often goes unnoticed and unspoken: Complex PTSD (C-PTSD).

For many of the individuals I work with, understanding the difference between PTSD and C-PTSD is a powerful first step toward healing.

What Is PTSD?

PTSD develops in response to a single traumatic event, something sudden, life-threatening, or deeply distressing. Common causes include:

  • Car accidents

  • Physical or sexual assault

  • Natural disasters

  • Combat or war exposure

Symptoms of PTSD can include:

  • Intrusive memories or flashbacks

  • Nightmares

  • Avoidance of trauma reminders

  • Heightened startle response or hypervigilance

  • Sleep disturbances and irritability

PTSD can feel like a constant replay of the traumatic event, leaving the nervous system on high alert and the body stuck in survival mode.

What Is Complex PTSD (C-PTSD)?

C-PTSD is caused by repeated or long-term trauma, often in childhood or within close relationships. Unlike PTSD, which usually stems from one incident or a few incidents, C-PTSD results from ongoing exposure to harm, often from someone the person depended on for safety.

Examples of complex trauma include:

  • Childhood emotional, physical, or sexual abuse

  • Neglect or abandonment

  • Growing up with a caregiver who was narcissistic, abusive, or emotionally unavailable

  • Domestic violence

  • Living in a chronically unsafe or invalidating environment

In addition to PTSD symptoms, people with C-PTSD often experience:

  • Deep, persistent shame or guilt

  • A fragmented or unstable sense of self

  • Difficulty with trust and relationships

  • Emotional flashbacks (waves of emotion without a clear memory attached)

  • Chronic feelings of worthlessness or being “not good enough”

How Therapy Can Help

Whether you're dealing with PTSD or C-PTSD, you are not alone, and healing is absolutely possible.

At Váthos Counseling, I specialize in working with adults who have experienced:

  • Childhood trauma

  • Childhood parental loss

  • PTSD

  • Family enmeshment

  • Codependency

  • Emotionally abusive or narcissistic relationships

  • Identity formation

  • Anxiety

  • Depression

I use a compassionate, trauma-informed approach that meets you where you are. One of the main modalities I use is Lifespan Integration, a gentle, body-based therapy that helps reprocess past trauma and build a stronger, more integrated sense of self.

To learn more about trauma therapy offered at Váthos Counseling, Lifespan Integration, and my Lifespan Integration practice check out the pages below:

Therapy can help you:

  • Make sense of what happened and how it shaped you

  • Soothe your nervous system and find emotional safety

  • Set boundaries and build healthier relationships

  • Reconnect with your strengths, values, and identity

  • Move forward without being haunted by the past

You Deserve Healing

Whether your trauma was sudden or prolonged, loud or quiet, clear or confusing, its impact is real. If you see yourself in the experiences described here, know that healing is possible, and help is available.

Ready to start your journey?You can schedule a free 15-minute consultation at Contact | Váthos Counseling, or reach out with questions. Therapy is a brave step, but you don’t have to take it alone.

Note: this article was written by an outside guest author, and the information / views provided may not reflect the opinions or views of North Star Psychology. Questions about this article should be directed towards its author.

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