Understand your experiences · The Holistic Counselor Podcast learning guide
From the Mic to the Community
What is cPTSD (Complex Post-Traumatic Stress Disorder)?

Understand complex trauma symptoms without turning a guide into a diagnosis.
Diana S. Rice · Licensed Mental Health Counselor (LMHC), Certified Integrative Mental Health Professional (CIMHP), Qualified Supervisor (QS)
4 pages · No email required · Education, not individual care
Maybe you recognize the feeling of always being on guard, or find it hard to trust people even when you want connection. A name can open a helpful conversation. It cannot tell your whole story.
What the term means
Complex post-traumatic stress disorder includes symptoms of post-traumatic stress disorder and other lasting problems. These can include trouble managing emotions, a deeply negative view of oneself, and problems in relationships. It can follow repeated or prolonged trauma. A history of trauma alone does not mean someone has this condition.
Why professionals may use different words
The World Health Organization lists it as a diagnosis in the ICD-11 (International Classification of Diseases, 11th Revision). It is not listed on its own in the DSM-5-TR (Diagnostic and Statistical Manual of Mental Disorders, Fifth Edition, Text Revision). These are two systems clinicians use to name mental health conditions.
Support begins with your needs
An assessment can explore symptoms, current safety, strengths, and other possible explanations. You should not have to prove your pain with a trauma score or disclose every detail to begin asking for care.
Research & perspective
What to keep in mind
The U.S. Department of Veterans Affairs explains that the two trauma diagnoses overlap, but the manuals group them differently. Care should follow a qualified assessment, not a social media checklist.
Explore the sources ↓A moment for you
Let’s pause and reflect.
Choose one question, or take your time with all three. Your answers can stay private. Skip anything that feels like too much; you do not need to revisit painful details to use this guide.
- Which present-day difficulties would I like support with?
- What helps me feel more settled or connected?
- What would I need a therapist to understand about pacing?
Use your own notebook or the writing space in the PDF. This page does not ask you to submit reflections.
Optional faith reflection
Is there a trusted person who can hold both my faith and my questions with care?
Continue the conversation
Listen with curiosity.
Selected conversations to begin with. Guests share their own perspectives; a linked episode is not a treatment recommendation or a complete review of the evidence.
- Episode 4
- Episode 118
Make room for support
Questions to bring to a professional
- What training do you have in complex trauma?
- How do you assess post-traumatic stress disorder and related concerns?
- How will we plan for times when I feel overwhelmed?
One next step
Ask a licensed clinician about an assessment. You can describe current problems without starting with detailed accounts of the past.
Keep learning
Sources & useful resources
These links support the teaching and help you explore further. Professional organizations describe their own approaches; faith organizations describe their perspectives. Directories are starting points, not endorsements.
Services, fees, rules, and links may change. Confirm current details directly.
When a guide is not enough
Need support right now?
In the U.S. and its territories, the 988 Suicide & Crisis Lifeline offers support for emotional distress or a suicidal crisis.
If there is immediate danger or a medical emergency in the U.S., call 911. Outside the U.S., use your local emergency or crisis service.
This website and its contact form do not provide crisis care.