Coaching FAQs

A Safe Relationship of Equals

Attuned to You

For Your Healing & Growth

Complex Post-Traumatic Stress Disorder (C-PTSD) is a psychological disorder that can occur in response to prolonged, repeated experience of interpersonal trauma in a context where the individual has little or no chance of escape.

It’s distinguished from PTSD in that it often refers to a sequence or series of traumatic events, usually within a confined situation, as opposed to a single event.

Whereas people with PTSD mostly experience:

  • Hyperarousal / Hypervigilance
  • Re-experiencing / Intrusive Symptoms / Flashbacks
  • Eventual Constriction / Shutdown / Avoidance of life

People with CPTSD also suffer from:

  • Identity disturbances / Negative self-concept / Shame
  • Affect dysregulation
  • Connection / Interpersonal disturbances

From a NeuroAffective Relational Model™ (NARM™) perspective, C-PTSD is viewed as a disorder that affects self-regulation, identity disturbances, and connections with others.

NARM uses a model of identity that emphasizes the dynamic interplay between the biological and psychological development of the individual and their social environment. The ultimate goal of NARM is to help individuals re-establish their capacity for self-regulation and relational engagement.

CPTSD is not recognized by the DSM and is not eligible for reimbursement by therapists in the United States.

However, the ICD-11 now recognizes Complex PTSD as encompassing the fundamental symptoms of PTSD, together with three further clusters of symptoms, often termed ‘disturbances in self-organization’ or ‘DSO’:

  • Issues with emotional regulation that may manifest as pronounced irritability, anger, or a sense of emotional numbness
  • Self-perceptions of being reduced, defeated, or valueless, paired with feelings of shame, guilt, or failure tied to the traumatic episode
  • Struggles in maintaining relationships and experiencing closeness with others

What is Developmental Trauma (DTD)?

How can you help with C-PTSD and DTD?

What is Narcissistic Abuse?

What is Family Scapegoating Abuse?

How Can You Help with Family Scapegoating Abuse?

Can You Help Me With Narcissistic Abuse?

Do Therapists Understand Narcissistic Abuse?

Narcissistic abuse and family scapegoating is serious relational/developmental trauma. It requires a very safe relationship and some work to overcome.

Your life will improve much quicker if you work with a professional who understands the intricacies of narcissistic abuse and complex post-traumatic stress disorder.

Thankfully, some therapists do understand narcissistic abuse. If you have suffered narcissistic abuse, it is critical that your therapist or coach deeply understands it & knows what to do. They should also be skilled in working with complex post-traumatic stress disorder.

How Can I Know if a Therapist Understands Narcissistic Abuse?
Why Don’t Some Therapists Understand Narcissistic Abuse?
What is the Problem with my Therapist Not Understanding Narcissistic Abuse?
What if my Therapist Doesn’t Understand Narcissistic Abuse?
What Should I Do if my Therapist Re-Traumatizes Me?

Do You Do Coaching Other Than for Trauma?