06/09/2025
I’m already doing this work with my clients…. it is life changing, brings hope, happiness, relaxation, full functionality where there was none 😊
An important distinction. PTSD and CPTSD belong to the group of disorders related to trauma and stressors (DSM-5-TR; in ICD-11 - Disorders specifically associated with stress) - they are not neurodevelopmental conditions. The term neurodivergent is usually applied to neurodevelopment and neurodifference such as autism, ADHD and dyslexia - PTSD and CPTSD do not fall under this umbrella. Biological changes in PTSD/CPTSD are measurable - stress systems, memory, attentional networks - but they are secondary effects of experienced threat, not signs of an ‘inborn neurodifference’.
What trauma is. It is an experience of unsafety that was excessive in intensity or duration. A sense of control and predictability shifts, the body keeps a ‘ready for danger’ stance for longer, and memory encodes the episode as if the threat were still near. Trauma may be single-incident, repeated, or interpersonal; risk of consequences is higher with chronicity, low support and lack of influence over the situation.
What PTSD is. A condition following exposure to trauma with core features: intrusive re-experiencing and a sense of ‘nowness’, avoidance of reminders, negative shifts in beliefs and mood, and alterations in arousal and vigilance. DSM-5-TR requires duration beyond one month and clinically significant distress or functional impairment. ICD-11 emphasises three clusters - present-focused re-experiencing, avoidance, and a sense of current threat.
What CPTSD is. In ICD-11 it is a ‘sister’ diagnosis to PTSD: all PTSD features plus disturbances in self-organisation - difficulties with emotion regulation, a persistently negative self-concept, and enduring interpersonal problems. It is more often linked to prolonged interpersonal unsafety - control, humiliation, neglect, and abuse.
At the same time, every case is unique - with its own contextual layers, comorbidities and circumstances. Not all therapies are equally suitable or effective for every person or at every stage.
From pilot observations of the Mental Engineering method, which works with the metaphorical encoding of traumatic memory and its updating processes, encouraging changes have been noted even in complex PTSD cases. This suggests that states maintained by prolonged PTSD may potentially diminish, with improvements in functioning. However, firm conclusions require randomised trials and further data.