google.com, pub-6704453575269038, DIRECT, f08c47fec0942fa0 Signs of Complex PTSD You’re Overlooking and How to Address Them
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Signs of Complex PTSD You’re Overlooking and How to Address Them

Complex Post-Traumatic Stress Disorder (C-PTSD) often hides in plain sight. While many recognize the classic symptoms of PTSD, such as flashbacks or nightmares, there are deeper, less obvious signs that can quietly disrupt lives. These overlooked symptoms can make healing feel out of reach and relationships difficult to maintain. Understanding these signs is crucial for anyone struggling with trauma or supporting someone who is.


This post explores some of the lesser-known symptoms of Complex PTSD, including emotional dysregulation, difficulty in relationships, and chronic feelings of emptiness. Through real-life examples and practical advice, you’ll learn how to recognize these signs and take steps toward healing.



Eye-level view of a solitary figure sitting on a park bench surrounded by autumn leaves
A person sitting alone on a bench in a quiet park during fall, reflecting solitude and introspection


Emotional Dysregulation: The Hidden Storm


One of the most challenging symptoms of Complex PTSD is emotional dysregulation. This means experiencing intense emotions that feel overwhelming or out of control. People with C-PTSD might find themselves swinging between anger, sadness, anxiety, or numbness without a clear trigger.


What Emotional Dysregulation Looks Like


  • Sudden outbursts of anger or crying

  • Feeling numb or disconnected from emotions

  • Difficulty calming down after stress

  • Overreacting to minor frustrations


Case Study: Sarah’s Story


Sarah, a 34-year-old teacher, often found herself snapping at colleagues or students over small mistakes. She felt guilty afterward but couldn’t stop the emotional flood. She described feeling like a volcano ready to erupt, yet moments later, she would feel empty and detached. Sarah’s emotional swings made her question her own stability and strained her relationships at work and home.


How to Recognize and Manage Emotional Dysregulation


  • Track your emotions: Keep a journal to note when emotions spike and what might have triggered them.

  • Practice grounding techniques: Deep breathing, mindfulness, or focusing on physical sensations can help calm intense feelings.

  • Seek therapy: Therapies like Dialectical Behavior Therapy (DBT) specialize in teaching emotional regulation skills.

  • Build a support system: Trusted friends or support groups can provide understanding and help you feel less isolated.



Difficulty in Relationships: The Invisible Barrier


Complex PTSD often damages the ability to form and maintain healthy relationships. Trauma can create deep mistrust, fear of abandonment, or difficulty expressing needs and boundaries.


Signs You Might Be Struggling in Relationships


  • Avoiding close connections or pushing people away

  • Feeling misunderstood or disconnected even with loved ones

  • Difficulty trusting others or fearing rejection

  • Repeating unhealthy relationship patterns


Personal Reflection: Mark’s Experience


Mark, a 28-year-old graphic designer, noticed he kept ending relationships abruptly. He feared getting too close because he worried people would leave him or hurt him. Even when he wanted intimacy, he felt a wall between himself and others. Mark’s therapist helped him understand that his trauma shaped these fears and taught him ways to build trust gradually.


Tips for Improving Relationships with C-PTSD


  • Communicate openly: Share your feelings and fears with trusted people when you feel safe.

  • Set small goals: Practice vulnerability in low-risk situations before deeper connections.

  • Learn about attachment styles: Understanding your patterns can help you break negative cycles.

  • Consider couples or group therapy: These settings provide safe spaces to explore relationship challenges.


Additional Resources for Understanding Grief

To deepen your understanding and find more support, explore these related articles from our blog:


Chronic Feelings of Emptiness: The Quiet Void


Many people with Complex PTSD describe a persistent sense of emptiness or numbness. This feeling can be confusing and isolating because it’s invisible to others and hard to explain.


What Chronic Emptiness Feels Like


  • A hollow or numb sensation inside

  • Lack of motivation or interest in activities

  • Feeling disconnected from yourself or the world

  • Difficulty experiencing joy or satisfaction


Case Example: Lisa’s Journey


Lisa, a 40-year-old nurse, struggled with a constant emptiness that made her question her purpose. Despite a busy life and supportive family, she felt like she was just going through the motions. Therapy helped Lisa connect her emptiness to unresolved trauma and develop self-compassion and new ways to find meaning.


Ways to Address Chronic Emptiness


  • Engage in creative activities: Art, music, or writing can help express feelings that are hard to put into words.

  • Practice self-compassion: Treat yourself with kindness instead of judgment.

  • Build routines: Small daily habits can create a sense of stability and purpose.

  • Explore trauma-focused therapy: Approaches like EMDR or somatic experiencing can help process deep wounds.



Recognizing Complex PTSD in Yourself or Others


Identifying these overlooked signs can be the first step toward healing. If you notice emotional dysregulation, relationship struggles, or chronic emptiness in yourself or someone you care about, consider these actions:


  • Educate yourself: Learn more about Complex PTSD and its symptoms.

  • Reach out for professional help: A mental health professional can provide diagnosis and tailored treatment.

  • Connect with support groups: Sharing experiences with others who understand can reduce isolation.

  • Practice patience: Healing is a gradual process that requires time and self-care.



Complex PTSD affects many people in ways that are not always visible. By recognizing the subtle signs like emotional dysregulation, relationship difficulties, and chronic emptiness, you can better understand your experience or support someone else. Healing is possible with awareness, compassion, and the right tools.


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About Editor

D.R. Bhatta, MA, (Ph.D. Scholar), Psychologist (Nepal)

Since 2015, I’ve been working as a psychologist based in Nepal—offering in-person sessions locally and online therapy for clients across the globe. My core areas of expertise include trauma recovery, Adult ADHD, and personality disorders, especially Borderline and Histrionic patterns.

But my curiosity goes far beyond the clinical. I’m a lifelong learner, drawn to the wisdom of ancient religions, the inquiries of science, the depths of metaphysics, and the evolving understanding of the human psyche.

This blog is my invitation to you—to join a space for open, honest conversations about mental health, particularly for young adults navigating the complexity of emotions, identity, and healing in the modern world.

If this resonates with you, please consider sharing the blog. Together, we can break stigma, spread awareness, and build a more compassionate global community.

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A warm welcome to my practice! Your journey towards mental well-being starts here.

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