Complex PTSD

Complex PTSD (C-PTSD) can develop after prolonged or repeated trauma. Alongside core PTSD symptoms, it involves difficulties with emotion regulation, self-worth, and relationships.

Definition

Complex PTSD is recognized in the WHO's ICD-11. It follows sustained or repeated trauma (such as ongoing abuse) and includes the core PTSD features plus persistent problems in affect regulation, negative self-concept, and interpersonal relationships. PTSD screens can flag symptoms; specialist assessment is needed for diagnosis.

What it can feel like

  • Intense, hard-to-manage emotions.
  • Persistent feelings of shame or worthlessness.
  • Difficulty trusting or feeling close to others.
  • Core PTSD symptoms like flashbacks and hypervigilance.

Related screening tests on LuriaLab

Related glossary terms

Frequently asked questions

How is C-PTSD different from PTSD?

C-PTSD includes PTSD symptoms plus ongoing difficulties with emotions, self-image, and relationships, usually after prolonged or repeated trauma.

Is complex PTSD treatable?

Yes. Phase-based, trauma-informed therapy can help. Screening supports early recognition and discussion with a professional.

Sources

  • WHO — ICD-11 complex PTSD
  • National Center for PTSD

Last reviewed: 2026-07-02. Screening tools on LuriaLab are for education only and do not provide a diagnosis.