produced a detailed comparison of symptom differences between Borderline Personality Disorder, PTSD, and Complex PTSD in female survivors of child abuse which showed them to be clearly different diagnoses, including showing a significant number of people with C-PTSD do not meet the diagnostic criteria for BPD (and vice versa), even when they have some symptoms in common., For example, both those with BPD and Complex PTSD had multiple interpersonal relationship problems (detachment, feeling alone, and anger), but only BPD was associated with unstable interpersonal relationships and frantic attempts to avoid abandonment.
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A fragmented identity is common, with Dissociative Identity Disorder occurring in some people.
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Believing yourself to be "contaminated, guilty, and evil" is commonly reported by survivors of Complex PTSD. While survivors of PTSD may feel "not myself", a survivor of Complex PTSD may feel no sense of self at all or experience a changed personality a few may feel as if they are no longer human at all (Lovelace and McGrady, 1980 Timerman, 1981).:385-386. Negative self-concept involves feelings of worthlessness and guilt.
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Interpersonal problems includes social and interpersonal avoidance (avoiding relationships), feeling distance or cut off from others, and never feeling close to another person.Disturbances in Self-Organization ( DSO) are a group of three additional symptoms that result from Complex PTSD but are not part of PTSD:Īffective dysregulation ( AD), severe and persistent difficulties managing emotions negative self-concept ( NSC), and low self-worth, disturbances in relationships ( DR) difficulties in feeling close to people and in sustaining interpersonal relationships Complex PTSD Symptoms