Understanding Complex Trauma and Its Impact on Relationships

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What is Complex Trauma?

Complex trauma refers to the emotional, cognitive, physiological, and behavioral responses resulting from ongoing exposure to harmful experiences in places we expect to feel safe, like home or community. These experiences shape how a person sees themselves and interacts with others, often leading to relationship struggles.

What Complex Trauma is Not

Complex trauma is often misunderstood. It is not merely a stressful event or isolated disturbing incidents; it arises from prolonged exposure to overwhelming stress, often during the formative years. It also differs from PTSD, impacting a person’s sense of self, emotional regulation, and interpersonal connections.

Complex Trauma vs. PTSD

Complex PTSD (CPTSD) manifests in ways that go beyond traditional PTSD symptoms, often showing up in subtle, everyday experiences that interfere with daily life.

How Complex Trauma Can Manifest in Relationships

At Work

  • Trust Issues: Difficulty trusting colleagues and reluctance to delegate tasks.

  • Avoidance: Someone with complex trauma may avoid teamwork or networking opportunities due to anxiety about interactions or fear of judgment, possibly missing out on career advancements.

  • Burnout: High levels of stress and emotional exhaustion may manifest as withdrawal from work responsibilities or difficulty concentrating, resulting in decreased productivity and absenteeism.

In Friendships

  • Difficulty Setting Boundaries: They might have trouble recognizing their own needs, leading to being overly accommodating or, conversely, feeling overwhelmed and resentful when friends don’t meet their expectations.

  • Fear of Abandonment: Friends may notice repeated patterns of clinging or distancing. The fear of being left can result in conflict, with friends feeling pushed away or smothered.

  • Emotional Dysregulation: Intense reactions to perceived miscommunications can lead to arguments or friendships ending abruptly, making it hard to maintain stable relationships.

In Family Relationships

  • Reenactment of Trauma: Individuals may unknowingly recreate dynamics from their past within their own family, leading to cycles of conflict and misunderstanding that mimic family-of-origin experiences.

  • Role Confusion: Difficulty assuming healthy family roles.

  • Communication Barriers: Heightened sensitivity to criticism complicates discussions.

In Romantic Relationships

  • Intimacy Issues: Fear of closeness may lead to avoidance or codependency.

  • Jealousy and Insecurity: Past experiences of betrayal can foster situations where one partner is prone to jealousy or feeling inadequate, leading to constant reassurance-seeking that strains the relationship.

  • Conflict Resolution Challenges: Individuals may struggle to engage in healthy conflict resolution, leading to escalation over minor disputes or withdrawal, leaving important issues unresolved.

Therapy for Complex Trauma

For those grappling with complex trauma, acknowledging experiences and their impacts is crucial. I’m often asked, what is the best therapy for complex trauma? My answer is trauma therapy because it tends not just to thoughts (a top-down approach) but also to the nervous system and emotional responses (a bottom-up approach). One such approach is EMDR which can address the deep-seated issues stored in the mind and body.

TL;DR:

Complex trauma refers to prolonged exposure to traumatic events, leading to significant emotional and psychological challenges. The impact on relationships can manifest as trust issues, fear of abandonment, and emotional dysregulation. Understanding complex trauma is essential for recovery, and therapies like EMDR can help address underlying issues and promote healthier relationship patterns.


References

Van der Kolk, B. A. (2005). "Developmental Trauma Disorder: Towards a Rational Diagnosis for Children with Complex Trauma Histories." Psychiatric Annals, 35(5), 401-408.

Herman, J. L. (1997). "Trauma and Recovery: The Aftermath of Violence—from Domestic Abuse to Political Terror." Basic Books.

Ford, J. D., & Courtois, C. A. (2009). "Complex Trauma and Complex Grief: A Framework for Understanding the Challenges of Healing." Journal of Trauma & Dissociation, 10(3), 320-339.


Are you ready to embrace a brighter future? Trauma therapy can help you prune the roots and move forward with confidence. Reach out today to see how I can support you in building better relationships.

Keri Gnanashanmugam, LCSW

Keri Gnanashanmugam is a Licensed Clinical Social Worker and the founder of Root Psychotherapy. With a focus on complex trauma, relationships, and codependency, Keri integrates evidence-based and trauma-informed approaches into her practice. Passionate about fostering self-compassion and healthy connections, she empowers clients to navigate their inner landscapes and cultivate meaningful relationships. Keri believes in the transformative power of therapy and is dedicated to helping individuals and couples create lasting change in their lives.

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