Complex Trauma

Question 1

What is complex trauma?

Answer 1

Multiple and often intentional/interpersonal

Types: phys, sexual, em, witnessing violence, neglect, primary carer with issues (substance, mental)

Question 2

Where would complex trauma fall under the DSM?

Answer 2

Trauma and Stress Related disorders:

• reactive attachment
• disinhibited social engagement disorder
• PTSD

Question 3

PTSD criteria

Answer 3

4 phenotypes with treatment implications:
- fear based anxiety, anhedonic/dysphoric, externalising, dissociative

4sx clusters:

1. Re-experiencing
2. Numbing
3. Avoidance
4. Hyperarousal, hypervigilance

Question 4

What are the 7 domains of psychological impairment?

Answer 4

1. biological/maturation
2. attachment
3. affect regulation
4. dissociation
5. behavioural control
6. cognition
7. self-concept

Question 5

What are the biological implications of trauma?

Answer 5

Disruptions to neurobio development, alters brain chemistry and hormone regulation.