What are the 17 symptoms of complex PTSD?
Asked by: Micaela Kautzer II | Last update: April 2, 2026Score: 4.7/5 (3 votes)
There isn't one universally agreed-upon list of exactly 17 symptoms for Complex PTSD (C-PTSD), but common symptoms cluster around trauma responses (flashbacks, hypervigilance, avoidance) and additional impacts on self-perception, relationships, and emotional regulation, including feelings of worthlessness, difficulty with trust, emotional outbursts, hopelessness, chronic emptiness, dissociation (depersonalization/derealization), relationship struggles, and physical ailments like headaches or stomach issues. These symptoms often stem from prolonged or repeated trauma, like childhood abuse or domestic violence.
What are signs someone's been struggling with complex PTSD for a long time?
Long-term Complex PTSD (C-PTSD) signs include severe emotional dysregulation (anger, hopelessness), deep-seated low self-worth (shame, guilt, feeling damaged), significant relationship problems (trust issues, isolation, conflict), persistent dissociation (feeling unreal, detached), and chronic physical symptoms (pain, fatigue, digestive issues), alongside typical PTSD symptoms like flashbacks, hypervigilance, and avoidance, all stemming from prolonged trauma.
What does a CPTSD episode look like?
A Complex PTSD (C-PTSD) episode involves intense emotional flashbacks (terror, shame), dissociation (feeling unreal, numb, on autopilot), severe emotional dysregulation (rages, deep sadness), intrusive memories, and profound negative self-perception (worthlessness) triggered by reminders, leading to panic, isolation, relationship issues, and physical symptoms like headaches or dizziness, as it stems from prolonged trauma.
What are the four F's of complex PTSD?
With Post Traumatic Stress Disorder (PTSD) or C-PTSD, they can leave a lasting legacy and become a recurrent behaviour. This article explains what Fight, Flight, Freeze, Fawn and flop are. It also explores the link between PTSD and C-PTSD and fawning behaviour in more detail.
What are the physical symptoms of CPTSD?
Complex PTSD (C-PTSD) physical symptoms stem from prolonged trauma, causing a stuck survival response, leading to issues like chronic fatigue, muscle tension, digestive problems (nausea, IBS), headaches, shaky hands, heart palpitations, sleep disorders, dizziness, chest pain, cold extremities, dry skin, exacerbated allergies, and even changes in body fat distribution, all without a clear medical cause, reflecting the body's constant state of high alert and stress.
17 Symptoms of CPTSD
What are the hidden symptoms of C-PTSD?
C-PTSD can also manifest in physical symptoms such as headaches, digestive issues, chronic pain, and sleep disturbances. These physical symptoms are often a result of the constant state of stress and anxiety that individuals with C-PTSD experience.
What are common C-PTSD triggers?
PTSD flashbacks are often triggered by things that remind the person of the traumatic event they experienced. These triggers can be external, such as sights, sounds, smells, or locations that are associated with the trauma.
What complex PTSD does to the brain?
Neuroimaging studies and complex PTSD
(2014) corroborated these findings, identifying volume reduction of the left ACC, the left insula, and the right parahippocampal gyrus. Functional brain changes in the hippocampus, amygdala, and prefrontal cortex have also been found in PTSD patients (Bremner, 2007a).
What not to say to someone with CPTSD?
When talking to someone with Complex PTSD (C-PTSD), avoid invalidating phrases like "get over it," "it could be worse," or "you're just overreacting," as these minimize their trauma; instead, show support by listening nonjudgmentally, validating their feelings ("That sounds incredibly hard"), respecting their boundaries, and offering patient, consistent presence, not unsolicited advice or pushing them to share details prematurely. Focus on their current experience and strengths, rather than dwelling on the past or blaming them for their symptoms.
How to release trauma trapped in the body?
Releasing trauma from the body involves mind-body practices like deep breathing, yoga, somatic movement, and mindfulness to calm the nervous system and release stored tension, often through gentle shaking, rocking, or stretching; incorporating professional therapies like EMDR or trauma-informed therapy for deeper processing, alongside self-care like nutrition and rest, helps create safety for the body to heal and reprocess experiences.
How crippling is C-PTSD?
The symptoms of complex PTSD resemble those of conventional PTSD, but they are more painful and often dominate the lives of those who experience them. Complex PTSD is one of the most debilitating mental health disorders, and yet it remains largely unknown and is only now beginning to receive the attention it deserves.
What foods should people with PTSD avoid?
Key Actions: Cut down on sugar and processed foods and replace them with more complex carbohydrates, such as wholegrain bread, porridge or brown rice. It is helpful to eat what is called a low Glycemic Load (GL) diet that avoids sugar and refined carbohydrates.
What can C-PTSD be mistaken for?
Misdiagnosis with BPD
Some of the symptoms of complex PTSD are very similar to those of borderline personality disorder (BPD). And not all professionals are aware of complex PTSD. As a result, some people are given a diagnosis of BPD or another personality disorder when complex PTSD fits their experiences more closely.
What can complex PTSD turn into?
It causes a range of symptoms, such as re-experiencing the trauma, avoiding reminders of the trauma, difficulty controlling emotions, self-harm and feelings of being in a dream. Complex PTSD can cause difficulty trusting others and forming healthy relationships.
What is the most severe symptom of PTSD?
Re-experiencing is the most typical symptom of PTSD. This is when a person involuntarily and vividly relives the traumatic event in the form of: flashbacks. nightmares.
What are the 7 areas affected by complex trauma?
A comprehensive review of the litera- ture on complex trauma suggests seven primary domains of impairment ob- served in exposed children: attachment, biology, affect regulation, dissociation (ie, alterations in consciousness), behav- ioral regulation, cognition, and self-con- cept.
What does yelling do to someone with PTSD?
Yelling can serve as a powerful trigger for individuals with PTSD, reigniting their traumatic memories and plunging them into a state of overwhelming distress. The aggressive and forceful nature of yelling can mimic the threatening and dangerous situations that caused their PTSD in the first place.
What are the symptoms of a nervous breakdown?
A "nervous breakdown" signifies an overwhelming response to stress, with symptoms including intense anxiety, depression, extreme fatigue, insomnia, irritability, social withdrawal, and difficulty concentrating, often leading to an inability to function in daily life, with potential physical signs like headaches, heart palpitations, and changes in appetite. It's a crisis, not a formal diagnosis, requiring professional help, especially if symptoms involve self-harm or suicidal thoughts, and often overlaps with conditions like depression or anxiety.
What is the best medication for complex PTSD?
Medicine. The 2 medicines recommended to treat PTSD in adults are paroxetine and sertraline. Paroxetine and sertraline are both a type of antidepressant known as selective serotonin reuptake inhibitors (SSRIs).
Can you see complex PTSD on a brain scan?
For instance, that to defend yourself you need to activate flight, fight or freeze. Once the danger or perceived danger has passed, new signals are transmitted to calm everything back down. Someone who has PTSD or C-PTSD often has excessive activity in their amygdala, which can be picked up on brain scans.
Is complex PTSD a severe mental illness?
If you have complex PTSD, you will have extra symptoms such as: severe issues controlling your emotions, an ongoing belief that you are worthless, with deep feelings of shame, guilt or failure that can be related to the trauma, and.
Does complex PTSD cause dementia?
Studies have linked stress and PTSD to an increased risk of memory impairment and dementia in later life [12–16]. There is also a higher incidence of chronic illnesses in individuals with PTSD, including depression, traumatic brain injury (TBI), diabetes, stroke, and heart disease [16, 17].
How to tell if someone has CPTSD?
Common symptoms of CPTSD are:
- being sensitive, or your feelings being easily hurt.
- difficulty experiencing positive emotions – for example, it might be hard for you to feel happy or loving towards the people close to you.
- feeling the world is unreal, as if you're living in a dream.
- often feeling angry or irritable.
Is CPTSD brain damage?
Importantly, the frontal lobe is also the part of the brain that deals with language skills. PTSD or C-PTSD brain injury can therefore result in the individual struggling to articulate their emotions and thoughts.
What are the 5 F's of PTSD?
The 5 Fs of trauma response, crucial for understanding PTSD, are instinctive survival reactions: Fight (confronting), Flight (escaping), Freeze (shutting down/stuck), Fawn (people-pleasing to appease threat), and Flop (collapsing, dissociating, going limp). These are automatic nervous system responses to perceived danger, not conscious choices, helping explain why individuals react to trauma differently and often feel self-blame, according to resources like ilworkforceacademy.com, Virtual Psychiatric Care, Sage Journals, Instagram, Rape Crisis England & Wales, KDH Collective, PTSD UK, All Points North, Attachment Project, Healthline, YouTube, bodydynamics.com.au, Recoop, and Wikipedia.