A participatory study of patient views on psychotherapy for complex post-traumatic stress disorder, CPTSD

A new diagnosis of Complex Post-traumatic Stress Disorder, CPTSD, is included in ICD-11 which was adopted in May 2019 by the World Health Organisation, WHO. In addition to the symptoms of PTSD, CPTSD includes emotional dysregulation, negative self-concept, and disturbances in relationships. It may b...

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Bibliographic Details
Published in:Journal of mental health (Abingdon, England) England), 2021-12, Vol.30 (6), p.690-697
Main Authors: Matheson, Catherine, Weightman, Elizabeth
Format: Article
Language:English
Subjects:
Attachment
attachment-based trauma
Complex PTSD
Emotional regulation
Emotions
Health services
Humans
International Classification of Diseases
Medical diagnosis
Mental health
Participatory research
Patient satisfaction
Post traumatic stress disorder
Psychotherapy
Recovery
refugees
Self Concept
Shame
Stress Disorders, Post-Traumatic - therapy
Support groups
Symptoms
Torture
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Summary:A new diagnosis of Complex Post-traumatic Stress Disorder, CPTSD, is included in ICD-11 which was adopted in May 2019 by the World Health Organisation, WHO. In addition to the symptoms of PTSD, CPTSD includes emotional dysregulation, negative self-concept, and disturbances in relationships. It may be a helpful diagnosis for trauma survivors with experiences of human mistreatment such as torture and abuse. This study explores the views of patients in the community on psychotherapy for the diagnosis of CPTSD, taking a qualitative, participatory approach. Twenty-four former patients from an NHS secondary mental health service in London interviewed each other about their treatment. Participants also collaborated in data analysis. All had a diagnosis of PTSD, with additional symptoms of CPTSD identified at assessment. The key factor in recovery was rebuilding relationships, beginning with the therapist. Groupwork was helpful in promoting relationships with others, as it may result in shame reduction. Involvement in the wider community through peer support groups was also valuable. The rebuilding of relationships based on trust was an active mechanism of change and recovery from CPTSD. Participants felt that sufficient time, at least one year of psychotherapy with weekly sessions, was needed.
ISSN:0963-8237
1360-0567
DOI:10.1080/09638237.2020.1803229