They simply think they are stupid or that something is completely out of control. Patients often don’t know that this network is activated. For instance, if you smell the odor of a perfume which reminds you of your perpetrator, all of a sudden, the fear system is activated and your self-system is activated and you have pictures and you even have the physical appearance. If you activate one node of this network, all the other nodes will become activated. This is a model nobody has seen the trauma network. The trauma network is an association between emotions, cognitions, pictures, sensory inputs and physical inputs which are closely related to traumatic experience. Bohus mentioned that some emotions trigger a so-called “Trauma Network”. I would think that this makes therapy for a patient with complex PTSD a tricky business indeed. So, in addition to the symptoms of PTSD, the experience is darkened by intermittent tension, negative self-concept, and problems with trust and intimacy. Most of them have difficulties with intimacy and trusting others they often misinterpret neutral situations, and have trouble perceiving and processing positive social signals. The third component is interpersonal problems. They see themselves as unworthy, ugly, bad, as not having a life worth living. And the second thing they suffer from is a very negative self-concept. But how different is it from the PTSD that we know?Īt the subjective level, they experience this as intermittent, explosive high levels of tension which seem to be unbearable. And they seek help from you, the therapist.
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And they mostly grow up in an environment which is simply non-protective and unpredictable.Īha! So, complex PTSD means a person with borderline personality disorder plus PTSD. What they have in common is those patients mostly suffer from the experience of continuous perpetuating childhood abuse or sexual and/or physical abuse. So, since 2018, ICD-11 came up with a new diagnosis called complex PTSD which shows a great overlap in patients with borderline personality plus co-occurring PTSD. Bohus is the Chair of the Psychosomatic Medicine and Psychotherapy department in Heidelberg University and the scientific director of the Psychiatric and Psychosomatic Psychotherapy Institute in Mannheim, Germany. We will be using snippets from an interview at the ABCT Annual Convention with Dr.
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Today, we will be exploring the world of complex PTSD what it is and how to treat it. We will be covering psychotherapy issues that matter to you and sometimes even new therapeutic techniques. So, if your work involves providing psychotherapy or counseling to clients, this is the podcast for you. We are very excited to launch this podcast because we believe that therapists do an incredibly important job and we would like to help you practice psychotherapy even better. This is the first episode of Psychotherapy Academy. Wegdan Rashad and you are listening to the Psychotherapy Academy podcast! Introduction So, change your attitude towards borderline patients and see the rich part in them. And if you treat them adequately and have success, you will help them to create a very rich life. This transcript has been edited for clarity.Ī borderline patient is gifted by a hypersensitive emotional system. It can be administered over a year, 6 months or 3 months.īelow we provide a text version of the audio. It also has a strong motivational component. DBT-PTSD addresses traumatic memory processing, self-concept, and social interactions.Complex PTSD is a term used to describe patients with borderline personality disorder comorbid with PTSD.
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