3/21/2024 0 Comments Adult signs of childhood traumaBoth have overlapping symptoms but are different diagnoses.Ĭ-PTSD occurs when someone is exposed to repeated traumatic events over time. We completed some diagnostic measures and a clinical interview and decided that complex post-traumatic stress disorder (C-PTSD) was a better explanation for her difficulties than BPD. The difficulty she had with relationships involved avoidance and fear of being judged, not the intense swings between idealisation (“I love you”) and devaluation (“I hate you”) typical of BPD. In fact, she had a strong negative sense of self and a critical inner voice. While Cathy had some of the traits of BPD (emotional regulation difficulties, self-harm and thoughts of death), she did not have difficulties with a lack of identity – a key characteristic of BPD. We spoke about her diagnosis of BPD and realised that it did not encapsulate all the difficulties she had. We initially focused on building a collaborative formulation of Cathy’s difficulties. However, she still felt very sad at times, and continued to struggle with social anxiety and loneliness, as well as recurrent flashbacks to the sexual assault and childhood events. ![]() ![]() DBT helped her build distress tolerance skills so she could reduce self-harm and manage her mood better. She was preoccupied by thoughts that she was a failure, that she would never get better and that she was going “crazy”.Ĭathy had tried dialectical behaviour therapy in the past, a first-line treatment for BPD focused on helping people learn to regulate emotions, manage distress and create better relationships. She didn’t know how to manage tough emotions and used alcohol and self-harm to numb herself, eventually being diagnosed with BPD. In adulthood, she experienced episodic bouts of depression.
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