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Old 03-19-2018, 10:10 AM #1
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Default Umbrella Diagnosis of C-PTSD

Do any of you have been diagnosed with C-PTSD, also was told that all other personality disorders are part of this "umbrella diagnosis"? I have been one. Both of my psychiatrist and therapist agreed in diagnosing me with C-PTSD, that is inclusive of dissociative identities and borderline personality, for instance, in my case. Those who have dissociative identities AND C-PTSD, do you have the same experience? Or those who have depersonalisation-dereliastion or borderline personality, have you been diagnosed with C-PTSD as a one-size-fits-all term?
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Old 03-19-2018, 02:58 PM #2
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Default Re: Umbrella Diagnosis of C-PTSD

Quote:
Originally Posted by abusedtoy View Post
Do any of you have been diagnosed with C-PTSD, also was told that all other personality disorders are part of this "umbrella diagnosis"? I have been one. Both of my psychiatrist and therapist agreed in diagnosing me with C-PTSD, that is inclusive of dissociative identities and borderline personality, for instance, in my case. Those who have dissociative identities AND C-PTSD, do you have the same experience? Or those who have depersonalisation-dereliastion or borderline personality, have you been diagnosed with C-PTSD as a one-size-fits-all term?
I personally have never heard that CPTSD is an 'umbrella diagnosis' or a 'one size fits all' disorder.

I do know that some can have alters as a part of their disorder without it being DID or OSDD.Or personality issues without it being BPD.I think each person can have different issues they struggle with.

I experienced dissociation,which can be a part of it too.I don't have different identies though.

It's my understanding that usually if one has DID Bipolar OSDD,whatever,then they would be a seperate diagnosis rather than lumped together under CPTSD.

I'm not quite sure what you ate asking though.I did try to understand when you asked in another thread.

Have ypu been told that you have DID and BPD? Or just CPTSD?Have you asked your treatment providers why they haven't given an additional or a separate diagnosis?Or why they are using CPTSD as the 'umbrella' dx?Is it that they feel if they treat your CPTSD it will take care of all your problems?I think treatment would most likely be different for different disorders wouldn't they?IDK,maybe you should ask all these questions so you can understand better.

I have PTSD(cptsd but my T said since it's not in the DSM my official dx is PTSD)The derealization and depersonization were considered part of the disorder but not
severe enough to meet a separate dissociative disorder diagnosis.

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Old 03-19-2018, 07:19 PM #3
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Default Re: Umbrella Diagnosis of C-PTSD

I realized I asked if you were diagnosed with DID and BPD when you have already said you have not and have just been diagnosed with CPTSD. Sorry about that.

I hope someone else will come along and respond, I am curious if anyone else has heard of this.
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Old 03-19-2018, 07:20 PM #4
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Default Re: Umbrella Diagnosis of C-PTSD

Quote:
Originally Posted by RubyRae View Post
I personally have never heard that CPTSD is an 'umbrella diagnosis' or a 'one size fits all' disorder.

I do know that some can have alters as a part of their disorder without it being DID or OSDD.Or personality issues without it being BPD.I think each person can have different issues they struggle with.

I experienced dissociation,which can be a part of it too.I don't have different identies though.

It's my understanding that usually if one has DID Bipolar OSDD,whatever,then they would be a seperate diagnosis rather than lumped together under CPTSD.

I'm not quite sure what you ate asking though.I did try to understand when you asked in another thread.

Have ypu been told that you have DID and BPD? Or just CPTSD?Have you asked your treatment providers why they haven't given an additional or a separate diagnosis?Or why they are using CPTSD as the 'umbrella' dx?Is it that they feel if they treat your CPTSD it will take care of all your problems?I think treatment would most likely be different for different disorders wouldn't they?IDK,maybe you should ask all these questions so you can understand better.

I have PTSD(cptsd but my T said since it's not in the DSM my official dx is PTSD)The derealization and depersonization were considered part of the disorder but not
severe enough to meet a separate dissociative disorder diagnosis.
I actually kept asking my psychiatrist many times and my therapist too, but BOTH of them agreed that all the other disorders that I have, including dissociative identities, depersonalisation-dereliasation...etc. are all included into this umbrella diagnosis C-PTSD. They insisted that they don't have to be separately diagnosed, because it is inclusive of it, in my case. I would trust them, since they are professionals.
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Old 03-19-2018, 07:28 PM #5
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Default Re: Umbrella Diagnosis of C-PTSD

The label doesn't matter as much as healing anyway.
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Old 03-19-2018, 07:54 PM #6
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Default Re: Umbrella Diagnosis of C-PTSD

In my case, I have found it validating when I was diagnosed with C-PTSD and MDD. I find it healing.
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Old 03-19-2018, 10:26 PM #7
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Default Re: Umbrella Diagnosis of C-PTSD

I am glad you have found it validating and healing.
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Old 03-19-2018, 10:37 PM #8
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Default Re: Umbrella Diagnosis of C-PTSD

I am still interested in hearing anyone else have been diagnosed C-PTSD with other personality disorders or symptoms such as depersonalisation-derealisation separately or together, like me?
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Old 03-19-2018, 10:38 PM #9
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Default Re: Umbrella Diagnosis of C-PTSD

Complex post-traumatic stress disorder (C-PTSD; also known as complex trauma disorder)[1] is a psychological disorder thought to occur as a result of repetitive, prolonged trauma involving sustained abuse or abandonment by a caregiver or other interpersonal relationships with an uneven power dynamic. C-PTSD is associated with sexual, emotional or physical abuse or neglect in childhood, intimate partner violence, victims of kidnapping and hostage situations, indentured servants, victims of slavery, sweatshop workers, prisoners of war, victims of bullying, concentration camp survivors, residential school survivors, and defectors of cults or cult-like organizations.[2] Situations involving captivity/entrapment (a situation lacking a viable escape route for the victim or a perception of such) can lead to C-PTSD-like symptoms, which include prolonged feelings of terror, worthlessness, helplessness, and deformation of one's identity and sense of self.[3]

Some researchers argue that C-PTSD is distinct from, but similar to PTSD, somatization disorder, dissociative identity disorder, and borderline personality disorder,[4] with the main distinction being that it distorts a person's core identity, especially when prolonged trauma occurs during childhood development[citation needed]. It was first described in 1992 by Judith Herman in her book Trauma & Recovery and an accompanying article.[4][5] Though peer-reviewed journals have published papers on C-PTSD, the category is not yet adopted by either the American Psychiatric Association's (APA) Diagnostic and Statistical Manual of Mental Disorders, 5th Edition (DSM-5), or in the World Health Organization's (WHO) International Statistical Classification of Diseases and Related Health Problems, 10th Edition (ICD-10).[6][7] However, it is proposed for the ICD-11, to be finalized in 2018.[8]

https://en.wikipedia.org/wiki/Comple...tress_disorder
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Old 03-19-2018, 10:41 PM #10
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Default Re: Umbrella Diagnosis of C-PTSD

Children and adolescents

The diagnosis of PTSD was originally developed for adults who had suffered from a single event trauma, such as rape, or a traumatic experience during a war.[9] However, the situation for many children is quite different. Children can suffer chronic trauma such as maltreatment, family violence, and a disruption in attachment to their primary caregiver.[10] In many cases, it is the child's caregiver who caused the trauma.[9] The diagnosis of PTSD does not take into account how the developmental stages of children may affect their symptoms and how trauma can affect a child’s development.[9]

The term developmental trauma disorder (DTD) has also been suggested.[10] This developmental form of trauma places children at risk for developing psychiatric and medical disorders.[10] Bessel van der Kolk explains DTD as numerous encounters with interpersonal trauma such as physical assault, sexual assault, violence or death. It can also be characterized by subjective events like betrayal, defeat or shame.[11]

Repeated traumatization during childhood leads to symptoms that differ from those described for PTSD.[11] Cook and others describe symptoms and behavioural characteristics in seven domains:[12][13]

Attachment – "problems with relationship boundaries, lack of trust, social isolation, difficulty perceiving and responding to others' emotional states"
Biology – "sensory-motor developmental dysfunction, sensory-integration difficulties, somatization, and increased medical problems"
Affect or emotional regulation – "poor affect regulation, difficulty identifying and expressing emotions and internal states, and difficulties communicating needs, wants, and wishes"
Dissociation – "amnesia, depersonalization, discrete states of consciousness with discrete memories, affect, and functioning, and impaired memory for state-based events"
Behavioural control – "problems with impulse control, aggression, pathological self-soothing, and sleep problems"
Cognition – "difficulty regulating attention, problems with a variety of 'executive functions' such as planning, judgement, initiation, use of materials, and self-monitoring, difficulty processing new information, difficulty focusing and completing tasks, poor object constancy, problems with 'cause-effect' thinking, and language developmental problems such as a gap between receptive and expressive communication abilities."
Self-concept – "fragmented and disconnected autobiographical narrative, disturbed body image, low self-esteem, excessive shame, and negative internal working models of self".

AT: I have told by my psychiatrist and psychologist that C-PTSD is inclusive of these 7 domains, altogether already, including amnesnia and depersonalisation...etc. Please see it i in bold, that is why they told me that it does not have to be separately diagnosed.
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