CPTSD
Complex Post-Traumatic Stress Disorder (CPTSD)
Complex Post-Traumatic Stress Disorder (CPTSD) can develop after prolonged or repeated trauma, particularly when the trauma occurs in childhood, within relationships, or in situations where escape was not possible.
People living with CPTSD often experience deep emotional distress, difficulties with relationships, and a persistent sense of threat or shame - even long after the traumatic experiences have ended.
The Sydney CPTSD and Other Trauma’s centre provides trauma-informed psychological treatment for individuals affected by CPTSD, with a focus on safety, stability, and long-term healing.
What is CPTSD?
CPTSD is a recognised trauma-related condition that can arise from ongoing or repeated trauma rather than a single traumatic event. This may include experiences such as:
Childhood emotional, physical, or sexual abuse
Long-term neglect or attachment trauma
Domestic violence or coercive control
Prolonged exposure to unsafe or unstable environments
In addition to symptoms commonly associated with PTSD, CPTSD often involves challenges with emotional regulation, identity, and relationships.
Common Symptoms of CPTSD
CPTSD can affect people in different ways. Common experiences may include:
Persistent feelings of shame, guilt, or worthlessness
Emotional overwhelm or emotional numbness
Difficulty trusting others or maintaining relationships
Chronic anxiety, hypervigilance, or feeling “on edge”
A negative self-concept or harsh inner critic
Dissociation or feeling disconnected from oneself
Ongoing feelings of unsafety, even in calm situations
These symptoms are not signs of weakness — they are understandable responses to long-term trauma.
How CPTSD Can Affect Daily Life
Living with CPTSD can make everyday life feel exhausting and confusing. Many people describe feeling as though they are constantly managing their reactions, emotions, or sense of self.
CPTSD may impact:
Relationships and intimacy
Work or study performance
Self-esteem and self-worth
Emotional regulation
Sense of identity and belonging
Psychological treatment can help make sense of these patterns and gently support change over time.
Trauma-Informed Treatment for CPTSD
Treatment for CPTSD is typically phased and paced, meaning it progresses at a speed that feels safe and manageable.
Therapy may focus on:
Building emotional safety and stability
Understanding trauma responses
Developing grounding and regulation skills
Processing traumatic experiences when appropriate
Rebuilding a sense of identity, agency, and self-compassion
We work collaboratively, respecting each person’s history, boundaries, and readiness.
A Safe and Supportive Therapeutic Approach
CPTSD often develops in environments where safety, care, or trust were compromised. Because of this, the therapeutic relationship itself is an important part of healing.
Our approach emphasises:
Emotional safety and choice
Respect for your lived experience
Clear boundaries and transparency
A non-judgemental, compassionate stance
There is no pressure to disclose more than you are ready for.
Seeking CPTSD Support in Sydney
If you are living with the effects of complex trauma, support is available. Psychological treatment can help you better understand your experiences and work toward greater stability, connection, and wellbeing.
If you are based in Sydney and would like to explore CPTSD-focused psychological treatment, you are welcome to get in touch to discuss whether this approach may be right for you.