I have depression, anxiety and recently been diagnosed with C-PTSD.

Several people like to tell me I should get over it, or say “Oh I’ve been depressed a few times, but I did this thing and it stopped it.”

Truth is, depression isn’t cute or funny and it’s definitely not sexy. It’s a living thing. It exists by feeding on your darkest moods and emotions and it’s always hungry. It never really goes away. Anything that challenges it, anything that makes you feel good, anyone who brings you joy, it will drive them away so it can grow without interference. Its goal is to isolate you. At its worst, it will literally paralyze you, rather than allow you to feel anything at all. At its worst, you are numb and you are drained and immobilized by it. And it’s not that those of us who suffer from the disease want to push you away. For there have been times I could be in a room surrounded by friends and family and still feel no one else’s’ warmth or touch. I can’t tell you how many times I’ve been surrounded by people and still felt alone, hurt and like a burden or a joke to all those I loved and care about. Always thinking that everyone else would be so much happier if I just went away. You see Depression sucks, I mean it literally sucks, it takes away your happiness, your joy, leaving you as nothing more than a hollowed out husk of the person you were before. But that’s how depression works; it’ll drive you to your knees with the soul crushing weight that no one should ever have to bare alone. It will prey on your darkest thoughts, telling you that no one loves you and it’ll you that every negative thought you ever had about yourself is true, and how bleak your future really is. I’ve come to learned that depression lies. But I still wrestle with my depression; I have good days, bad days, and worst days. I often try to combat it by keeping myself busy.

Having anxiety on top of depression often validates your depression. Anxiety is debilitating. It feels like a constant heaviness in your mind; like something isn’t quite right, although oftentimes you don’t know exactly what that something is. But it feels like acid in your stomach, burning and eating away at the emptiness and taking away any feelings of hunger. It’s like a tight knot that you can’t untwist. Anxiety feels like your mind is on fire, overthinking and over analyzing every little, irrelevant thing. Sometimes, it makes you feel restless and constantly distracted. It feels as if your thoughts are running wild in a million different directions, bumping into each other along the way. Other times, it makes you feel detached, as if your mind has gone blank and you are no longer mentally present. You dissociate and feel as if you have left your own body. For me anxiety feels like there is a voice in the back of my mind telling me that everything is not okay, when everything in fact is. Sometimes the voice tells me that there is something wrong with me and that you are different from everybody else.

It’s like this voice that tells you that your feelings are bad and that you’re a burden to the world and that you should isolate. It makes everyday tasks, such as making simple decisions, incredibly difficult. Anxiety can keep you up at night — tossing and turning.
It’s like a lightbulb that comes on at the most inconvenient times and won’t switch off. Your body feels exhausted, but your mind feels wide awake and racing. You go through the events of your day, analyzing and agonizing over every specific detail. Much like depression, anxiety never really goes away.

When I discovered I’ve also been dealing with C-PTSD from the years of childhood abuse I’ve endured. I was like “Wow…aren’t I lucky.” You see In PTSD, your brain may replay a incident over and over again to help you process your emotions. It can become an endless loop that is actually more upsetting than the initial incident, as your unexpressed emotions continue to pile up.

C-PTSD is ongoing or repeated interpersonal trauma, where the victim is traumatized in captivity, and where there is no perceived way to escape. Ongoing child abuse is captivity abuse because the child cannot escape. Domestic violence is another example. Forced prostitution/sex trafficking is another.

The following are some of the symptoms and impact most felt by complex trauma survivors.

1. Deep Fear Of Trust People who endure ongoing abuse, particularly from significant people in their lives, develop an intense and understandable fear of trusting people. If the abuse was parents or caregivers, this intensifies. Ongoing trauma wires the brain for fear and distrust. It becomes the way the brain copes with any further potential abuse. Complex trauma survivors often find trusting people very difficult, and it takes little for any trust built to be destroyed. The brain senses issues and this overwhelms the already severely-traumatized brain. This fear of trust is extremely impactful on a survivor’s life. Trust can be learned with support and an understanding of trusting people slowly and carefully. This takes times and patience. Believe me when I say, people like me are trying.

2. Terminal Aloneness
This is a phrase I used to describe to my Therapist — the terribly painful aloneness I have always felt as a complex trauma survivor. I often feel little connection and trust with people, people like me often remain in a terrible state of aloneness, even when surrounded by people. I described it once as having a glass wall between myself and other people. I can see them, but I cannot connect with them. Another issue that increases this aloneness is feeling different to other people. Feeling damaged, broken and unable to be like other people can haunt a survivor, increasing the loneliness.

3. Emotion Regulation
Intense emotions are common with complex trauma survivors like myself. It is understandable that ongoing abuse can cause many different and intense emotions. This is normal for complex trauma survivors. Learning to manage and regulate emotions is vital in being able to manage all the other symptoms, but it’s not easy and incredibly difficult. Best way I can describe this is, imagine you’re on a strict, healthy diet, and every day you have to drive in a car, or sit at a table watch someone eat your favorite food, where they’re always asking you if you want some and you always have to say “No.” Now multiply that by like a thousand.

4. Emotional Flashbacks
flashbacks are something all PTSD survivors can deal with, and there are three types:

Visual Flashbacks – where your mind is triggered and transported back to the trauma, and you feel as though you are reliving it.
Somatic Flashbacks – where the survivor feels sensations, pain and discomfort in areas of the body, affected by the trauma. This pain/sensations cannot be explained by any other health issues, and are triggered by something that creates the body to “feel” the trauma again.
Emotional Flashbacks – the least known and understood, and yet the type complex trauma survivors can experience the most. These are where emotions from the past are triggered. Often the survivor does not understand these intense emotions are flashbacks, and it appears the survivor is being irrationally emotional. When I learned about emotional flashbacks, it was a huge lightbulb moment of finally understanding why I have intense emotions, when they do not reflect the issue occurring now, but are in fact emotions felt during the trauma, being triggered. But, there is no visual of the trauma – as with visual flashbacks. So, it takes a lot of work to start to understand when experiencing an emotional flashback.

5. Hypervigilance about People
Most people with PTSD have hypervigilance, where the person scans the environment for potential risks and likes to have their back to the wall.
But complex trauma survivors often have a deep subconscious need to “work people out.” Since childhood, I have been aware of people’s non-verbal cues; their body language, their tone of voice, their facial expressions. I also subconsciously learn people’s habits and store away what they say. Then if anything occurs that contradicts any of this, it will immediately flag as something potentially dangerous.
This can be exhausting. And it can create a deep skillset of discernment about people. The aim of healing fear-based hyper-vigilance is turning it into non-fear-based discernment
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6. Loss Of Faith
Complex trauma survivors often endure a loss of faith. This can be about people, about the world being good, about religion, and a loss of faith about self.
Complex trauma survivors often view the world as dangerous and people as all potentially abusive, which is understandable when having endured ongoing severe abuse.
Many complex trauma survivors walk away from their religious beliefs. For example, to believe in a good and loving God who allows suffering and heinous abuse to occur can feel like the ultimate betrayal. This is something needing considerable compassion.

7. Profoundly Hurt Inner Child

Childhood complex trauma survivors, often have a very hurt inner child that continues on to affect the survivor in adulthood. When a child’s emotional needs are not met and a child is repeatedly hurt and abused this deeply and profoundly affects the child’s development. A survivor will often continue on subconsciously wanting those unmet childhood needs in adulthood. Looking for safety, protection, being cherished and loved can often be normal unmet needs in childhood, and the survivor searches for these in other adults. This can be where survivors search for mother and father figures. Transference issues in counseling can occur and this is normal for childhood abuse survivors. I can’t tell you how many times I met a girlfriend’s parents and would often begin viewing their mother as a motherly figure for me. Even my last supervisor, I found myself thinking of her as a motherly figure and she inherently had a very motherly personality, where my department would often refer to her as the mother of the circulation department.

8. Helplessness and Toxic Shame
Due to enduring ongoing or repeated abuse, the survivor can develop a sense of hopelessness — that nothing will ever be OK. They can feel so profoundly damaged, they see no hope for anything getting better. When faced with long periods of abuse, it does feel like there is no hope of anything changing. And even when the abuse or trauma stops, the survivor can continue on having these deep core level beliefs of hopelessness. This is intensified by the terribly life-impacting symptoms of complex PTSD that keep the survivor stuck with the trauma, with little hope of this easing.

Toxic shame is a common issue survivors of complex trauma endure. Often the perpetrators of the abuse make the survivor feel they deserved it, or they were the reason for it. Often survivors are made to feel they don’t deserve to be treated any better.

9. Repeated Search For A Rescuer
Subconsciously looking for someone to rescue them is something many survivors understandably think about during the ongoing trauma and this can continue on after the trauma has ceased. The survivor can feel helpless and yearn for someone to come and rescue them from the pain they feel and want them to make their lives better. This sadly often leads to the survivor seeking out the wrong types of people and being re-traumatized repeatedly.

10. Dissociation

When enduring ongoing abuse, the brain can utilize dissociation as a coping method. This can be from daydreaming to more life-impacting forms of dissociation such as dissociative identity disorder (DID). This is particularly experienced by child abuse survivors, who are emotionally unable to cope with trauma in the same way an adult can.

11. Persistent Sadness and Being Suicidal

Complex trauma survivors often experience ongoing states of sadness and severe depression. Mood disorders are often co-morbid with complex PTSD.

Complex trauma survivors are high risk for suicidal thoughts, suicide ideation and being actively suicidal. Suicide ideation can become a way of coping, where the survivor feels like they have a way to end the severe pain if it becomes any worse. Often the deep emotional pain survivors feel, can feel unbearable. This is when survivors are at risk of developing suicidal thoughts.

12. Muscle Armoring
Many complex trauma survivors, who have experienced ongoing abuse, develop body hyper-vigilance. This is where the body is continually tensed, as though the body is “braced” for potential trauma. This leads to pain issues as the muscles are being overworked. Chronic pain and other issues related such as chronic fatigue and fibromyalgia can result. Massage, guided muscle relaxation and other ways to manage this can help.

All of these issues are very normal for complex trauma survivors. Enduring complex trauma is not a normal life experience, and therefore the consequences it creates are different, yet very normal for what they have experienced and endured.

Not every survivor will endure all these, and there are other symptoms that can be endured. I always suggest trauma-informed counseling if that is accessible. There are medications available to help with symptoms such as anxiety and depression. But they tend to be fairly expensive.

Lastly, I advise that empathy, gentleness and compassion are required for complex trauma survivors. We are not people and trust me when I say, we are trying and doing our best.