Yu dɔn chenj bak afta yu dɔn gɛt siriɔs trauma fɔ lɔng tɛm? Lɛ wi tɔk bɔt CPTSD (Kɔmpleks PTSD)!

Wi ɔl gɛt fɔ gɛt prɔblɛm dɛn we nɔ izi ɛn we kin mek wi fil pen na wi layf we wi nɔ kin ivin imajin, nɔto so? Bɔt sɔm ɛkspiriɛns dɛn de we nɔ kin dɔn insay wan ɔ tu dez. Dɛn de mek wi sɔfa fɔ lɔng tɛm, ɛn dɛn de dig insay wi at. Tide, wi go tɔk bɔt wan mental prɔblɛm wae kin kam wae pɔrsin gɛt siriɔs traumatik situeshɔn wae dɔn de apun fɔ lɔng tɛm. Dɛn kɔl dis CPTSD ɔ Kɔmpleks Pɔst-Traumatik Strɛs Disɔda . Sɔntɛm yu dɔn yɛri bɔt dis, ɔr yusɛf de fil dɛn sayn ya. Lɛ wi si wetin i bi.

Wetin na CPTSD (Kɔmpleks PTSD)? Fɔ tɔk am simpul wan...

Fɔ tɔk am simpul wan, CPTSD na wan mental kɔndishɔn wae kin kam if yu gɛt krɛse trauma fɔ lɔng tɛm. Dis kin mek yu chenj bad bad wan nɔto jɔs na yu maynd bɔt i kin mek yu biev bak. Tink bɔt am, jɔs lɛk aw wund kin tek tɛm fɔ wɛl, na so bad bad wund dɛn we pɔsin kin fil kin tek tɛm bak fɔ wɛl, ɛn sɔntɛnde i kin mek i gɛt difrɛn tin dɛn we kin mek i fil bad na in maynd.

Bɔku men strɛs rispɔns dɛn de we yu kin si pan CPTSD:

• Wae yu de fil fɔ wɔri ɔr frayd ɔltɛm (Ansiety): Yu kin fil ɔltɛm lɛk se sɔmtin bad go apin.
• Flashback ɔr drim bad bad drim: Yu kin fil lɛk de traumatik tin de rili apin bak, ɔr yu kin de drim bad bad drim ɔltɛm wae gɛt fɔ du wit am.
• Fɔ avɔyd ples, pipul, ɛn tin dɛn we gɛt fɔ du wit di bad bad tin we apin: Yu nɔ go fil fɔ de nia ɔ go na say dɛn we de mɛmba yu bɔt di tin we apin.
• I nɔ kin izi fɔ kɔntrol di we aw yu de fil (Heightened emotional responses): Yu kin vɛks izi wan, vɛks, du tin dɛn we yu nɔ want fɔ du, ɛn ivin vɛks pan smɔl tin dɛn.
• Di prɔblɛm dɛn we kin kɔntinyu fɔ mek pɔsin kɔntinyu fɔ gɛt tayt padi biznɛs: I nɔ kin izi fɔ kɔnɛkt wit pipul dɛn, fɔ abop pan dɛn, ɛn fɔ mek padi biznɛs.

Imajin, wan pɔsin de we nem Nilanthi. Frɔm we i bin smɔl, dɛn bin de fɛt-fɛt ɔltɛm na os, ɛn in papa bin de trit in mama ɛn am bad bad wan. Ia dɛn bin de pas lɛk dis. Pan ɔl we Nilanthi yɔŋ naw, i kin fred ɔltɛm, i nɔ kin izi fɔ abop pan pipul dɛn, ɛn i kin vɛks pan smɔl smɔl tin dɛn. Bɔku tɛm, i kin drim bɔt di tin dɛn we bin apin to am we i bin smɔl. Da kayn tin de kin bi ɛgzampul fɔ CPTSD.

Wetin na de trauma wae kin kam wit CPTSD?

• Fɔ lɔng tɛm we dɛn de trit pikin bad ɔ du mami ɛn dadi biznɛs wit am.
• Vaylɛns na os fɔ lɔng tɛm.
• Fɔ bi pɔsin we dɛn de sɛl mɔtalman ɔ we dɛn de sɛl mami ɛn dadi biznɛs wit ɔda pɔsin.
• Fɔ liv na say we pipul dɛn lɛk wɔ fɔ lɔng tɛm (War).
• Vaylɛns we kin apin na di kɔmyuniti bɔku tɛm.

Dis kכndyushכn nכto כnli kכmכn pan dεn wan dεm wae bin gεt siriכs trauma we dεn bin sכmtεm, bכt i kin gεt CPTSD bak we dεn big if dεn gεt dis kayn lכng tεm trauma.

Yu tink se dɔktɔ dɛn no se CPTSD?

Dis na smɔl tin we kɔmplikt. Ivin bitwin spɛshal pipul dɛm wae sabi bɔt sayɛns, difrɛn opinion dɛn de bɔt if CPTSD na wan ɔda sik ɔr pat pan PTSD (Post-Traumatic Stress Disorder).

Consider this: The World Health Organization (WHO) has named CPTSD as a separate condition in its latest book, the `International Classification of Diseases (ICD-11),` in 2019. However, the American Psychiatric Association (APA) does not recognize CPTSD as a separate condition in its `Diagnostic and Statistical Manual of Mental Disorders (DSM-5) . כltu, di DSM-5 de inklud wan kכndyushכn we dεn kכl `dissociative PTSD` as wan sכbsεt fכ PTSD, εn in simptom dεm rili fiba CPTSD.

Sɔm masta sabi pipul dɛn biliv se CPTSD, PTSD, ɛn BPD (Borderline Personality Disorder) ɔl kin bi trauma-rilayt mental wɛlbɔdi kɔndishɔn na di sem spɛktrum. Dat min se, dɛn kin gɛt fɔ du wit dɛnsɛf pan aw dɛn sik kin tranga.

So wetin na di difrɛns bitwin CPTSD ɛn PTSD?

Dis na kwɛstyɔn we bɔku pipul dɛn kin aks. De men difrɛns na aw de teik de shok ɛn de sayn dɛm.

Wi bin de tink se PTSD na bikɔs ɔf shɔt tɛm trauma, lɛk aksidɛnt ɔ natura disasta. Bɔt risach dɔn sho se pipul dɛm wae kin gɛt lɔng tɛm, wae kin gɛt trauma ɔltɛm kin gɛt ɔda sayn dɛm apat frɔm PTSD. Na wit dɛn ɔda simptom ya we dɛn kin no se CPTSD de.

Insay ɔl tu di CPTSD ɛn PTSD, .

• Ri-ɛkspiriɛns di ivin (flashbacks), .
• Hypervigilance (fɔ de wach ɔltɛm ɛn nɔ nid fɔ de wach di tin dɛn we de arawnd yu), .
• Dɛn kin si aw yu de fil bɔt aw yu de fil ɛn aw yu de biev, lɛk fɔ avɔyd tin dɛn we de mɛmba yu bɔt di bad bad tin we apin.

Bɔt pipul dɛn we gɛt CPTSD kin gɛt ɔda prɔblɛm dɛn bak :

• Prɔblɛm dɛn we nɔ de dɔn ɛn we de ɔlsay wit aw fɔ kɔntrol aw pɔsin de fil: Fɔ vɛks izi wan pan smɔl smɔl tin dɛn, fɔ fil bad, ɛn nɔ ebul fɔ kɔntrol aw pɔsin de fil.
• Isyu dɛm wit aydentiti ɛn sɛns fɔ yusɛf: Negatif tink bɔt udat yu bi ɛn wetin yu valyu. Na kɔmɔn tin fɔ fil se i de shem, fil gilti, ɛn i nɔ ebul fɔ du natin.
• Prɔblɛm fɔ mek yu gɛt padi biznɛs wit ɔda pipul dɛn: I rili at fɔ mek yu gɛt tayt padi biznɛs wit ɔda pipul dɛn ɛn gɛt minin.

Wetin na di difrɛns bitwin CPTSD ɛn BPD (Borderline Personality Disorder)?

CPTSD ɛn BPD gɛt bɔku pan di sem sayn dɛm, lɛk fɔ biev kwik kwik wan, fil se dɛn nɔ gɛt wan valyu, ɛn i nɔ kin izi fɔ mek dɛn gɛt tayt padi biznɛs. Dis dɔn mek sɔm masta sabi pipul dɛn de aks if di tu tin dɛn rili na difrɛn kɔndishɔn.

Akɔdin to di krayteria we de naw, di men difrɛns na dat CPTSD nid fɔ gɛt krɛse trauma fɔ divɛlɔp. Wae BPD nɔr nid fɔ gɛt trauma fɔ divɛlɔp , bɔrku tɛm BPD kin gɛt strɔng fɔ du wit trauma ɛkspiriɛns dɛm, lɛk wae dɛn de trit dɛn bad ɔr nɔr de kia fɔ dɛn we dɛn smɔl.

Wan ɔda difrɛns na dat, BPD kin apin we yɔŋ pipul dɛn dɔn big, bɔt CPTSD kin apin ɛni ej.

Aw kɔmɔn tin fɔ du wit CPTSD?

Bikɔs CPTSD na wan sik we dɛn jɔs dɔn no, nɔto inɔf risach stil de bɔt aw i kɔmɔn. Bɔt masta sabi pipul dɛm se dis sik kin afɛkt bitwin 1% ɛn 8% pan di pipul dɛm na di wɔl. Dis min se pipul dɛn kin de na Sri Lanka we de sɔfa wit dis sik.

Wetin na di sayn dɛm fɔ CPTSD?

Akɔdin to di Wol Ɛlth Ɔganayzeshɔn in `ICD-11` klasification, CPTSD inklud bɔku pan di kɔr simptom dɛm fɔ PTSD. Dat na:

• Flashbacks: Fɔ fil lɛk se di traumatik tin de rili apin bak.
• Fɔ avɔyd ɛn detachment frɔm pipul dɛm, tin dɛm wae de apin, ɛn tin dɛm wae de mek yu fil fayn na di envayrɔmɛnt wae mek yu gɛt de trauma.
• Hypervigilance na wan stet wae de ɔltɛm wae yu de wach pasmak bikɔs yu de fred fɔ denja.
• Di bad tin dɛn we pɔsin kin tink bɔt ɛn fil bɔku tɛm.

Apat frɔm dis, sɔm ɔda sayn dɛn de we kin apin to CPTSD:

• Fɔ riakshɔn pasmak to bad bad tin dɛm we de mek yu fil bad, vɛks, ɛn agresiv bihayvya (Affective dysregulation): Fɔ tɔk am simpul wan, fɔ vɛks kwik, fɔ vɛks, ɛn fɔ gɛt prɔblɛm fɔ kɔntrol aw yu de fil pan ivin di smɔl smɔl tin dɛm.
• Fɔ gɛt bad we fɔ tink bɔt yusɛf: Fɔ de sɔfa ɔltɛm wit shem, fil gilti, fil se yu nɔ ebul fɔ du natin, ɛn yu nɔ gɛt wan valyu.
• I nɔ kin izi fɔ mek ɛn kip padi biznɛs we gɛt minin: I kin rili at fɔ trɔst pipul dɛn ɛn mek tayt padi biznɛs.

"A memba, a bin get wan padi we bin de sofa plenti as pikin. Im neva fit trost oda pipul. Ivun if sombodi smayl and tok to am, im tink se im de set op trap. Im get plenti padi dem." – Dɛn kin si dis kayn tin na CPTSD.

Wetin kin mek pɔsin gɛt CPTSD? Wetin kin apin to wi bren?

Akɔdin to di ICD-11, CPTSD kin kam bay we pɔsin de pan wan bad bad tin ɔ sɔm tin dɛn we kin apin we kin rili trɛtin. Bɔku tɛm, dɛn tin ya kin de fɔ lɔng tɛm, dɛn kin apin ɔltɛm, ɛn dɛn kin gɛt fɔ du wit tin dɛn we nɔ pɔsibul fɔ rɔnawe ɔ ivin denja.

Sɔm ɛgzampul dɛn na:

• Vaylɛns na os fɔ lɔng tɛm.
• Dɛn kin du mami ɛn dadi biznɛs wit am ɔ we dɛn kin du mami ɛn dadi biznɛs wit dɛn we dɛn smɔl.
• Sɔfa.
• Fɔ fes fɔ kil bɔku pipul dɛn.
• Fɔ bi slev.

Dis kayn siriɔs strɛs wae kin kam fɔ lɔng tɛm kin mek yu bren chenj di kemistri ɛn di strɔkchɔ na yu bren . Risach dɔn sho se trauma kin mek sɔm impɔtant pat dɛn na wi bren chenj fɔ ɔltɛm. Dɛn pat ya na:

• `Amygdala`: Dis na di men pat pan wi bren we de prosɛs fred ɛn ɔda imɔshɔn dɛm. I tan lɛk smɔl sɛnta we de kɔntrol wi filin, mɔ di wan dɛn we de no filin lɛk fred. Dis pat kin bi ova aktif bikɔs ɔf trauma, na dat mek wi kin fred ɔltɛm ɛn de wach.
• Hipokampus: Dis na di men pat na wi bren we de kip wi mɛmori ɛn ɛp wi fɔ lan nyu tin dɛn. Trauma kin ridyus di wok we dis pat de du, na dat mek sɔmtɛm wi kin gɛt prɔblɛm fɔ mɛmba tin dɛn we apin ɛn lan nyu tin.
• Prefrontal cortex: Dis na di say we wi kin du bɔku impɔtant tin dɛn lɛk fɔ plan, fɔ disayd, fɔ sho aw wi biev, ɛn fɔ kɔntrol aw wi de biev wit ɔda pipul dɛn. Trauma kin chenj bak aw dis eria de woke, na dat mek e kin tranga fɔ kɔntrol aw pɔrsin de fil ɛn disayd fɔ du tin kwik kwik wan.

Sɔm nyuroimajin stɔdi dɔn sho se dɛn chenj ya kin si mɔ na di bren fɔ pipul dɛn we gɛt CPTSD pas di wan dɛn we gɛt PTSD.

Aw yu go no kɔrɛkt wan if yu gɛt CPTSD?

No patikyula tɛst nɔ de fɔ no if pɔsin gɛt CPTSD. Bifo dat, dɔktɔ ɔ pɔsin we de advays yu bɔt mental wɛlbɔdi biznɛs go aks yu bɔt dɛn tin ya:

• Yu simptom dɛm.
• Yu mɛdikal istri.
• Yu mental hεlth histri.
• Aw yu bin de pan trauma.

Dɔktɔ dɛn kin yuz di krayteria we de na di Wol Ɛlth Ɔganayzeshɔn in `ICD-11` fɔ no if pɔsin gɛt CPTSD. Bɔt bikɔs CPTSD na wan sik we dɛn jɔs dɔn no, sɔm dɔktɔ dɛn nɔ kin no bɔt am. So, e kin tranga smɔl fɔ gɛt ɔfishal diagnosis. Dɔktɔ kin ivin tɛl yu se yu gɛt PTSD instead fɔ gɛt CPTSD. So, if yu gɛt dɛn kayn sik ya, i rili impɔtant fɔ go to pɔsin we de gi advays bɔt mɛntɛl hεlth we gɛt ɛkspiriɛns pan dis wok.

Wetin na di tritmɛnt dɛm fɔ CPTSD?

Di gud nyus na dat, tritmɛnt dɛn de fɔ CPTSD! Di men tritmɛnt na saykotɛrapi, ɔr "tɔk tɛrapi" lɛk aw wi ɔl no am. Spɛshal wan, i de yuz wan kayn kɔgnitiv bihayvya tɛrapi we dɛn kɔl trauma-focused CBT .

Dis tritmɛnt na pɔsin we tren, we gɛt laysens fɔ mɛn pipul dɛn we gɛt maynd wɛlbɔdi , lɛk pɔsin we de stɔdi bɔt pɔsin in maynd ɔ dɔktɔ we de mɛn pipul dɛn we gɛt sik. Dis tritmɛnt de gi sɔpɔt, ɛdyukeshɔn, ɛn gayd to yu ɛn di wan dɛn we yu lɛk fɔ ɛp yu fɔ wok fayn ɛn fɔ mek yu gɛt wɛlbɔdi.

Insay Trauma-focused CBT, dɛn tin ya kin apin:

• Yu kin lan bɔt aw yu bɔdi kin biev we yu gɛt trauma ɛn strɛs.
• Lan aw fɔ kɔntrol di sayn dɛm.
• I de ɛp fɔ no di we aw pɔsin de tink we gɛt prɔblɛm ɛn chenj am (riframing).
• Exposure therapy: Pipul wae gɛt PTSD ɛn CPTSD kin avɔyd tin ɔr situeshɔn wae gɛt fɔ du wit dɛn trauma. Dis kin mek dɛn nɔ kin gɛt chans fɔ lan se dɛn kin kɔntrol dɛn fred ivin we dɛn de pan dɛn tin dɛn de we kin mek dɛn fil bad. Insay ɛksposhɔn tɛrapi, di tritmɛnt pɔsin kin put yu smɔl smɔl to tin dɛn we kin mek yu fred. Dɛn kin tren yu fɔ de na dɛn tin dɛn de ɛn fɔ fes dɛn.

Wan ɔda tritmɛnt we de pe atɛnshɔn pan trauma na Ay Muvmɛnt Desɛnsitayzeshɔn ɛn Riprosɛsin (EMDR) . Insay dis tritmɛnt, yu kin tink bɔt de traumatik ivin(dɛn) wae yu de pe atɛnshɔn pan sɔm patikyula sawnd ɔ muvmɛnt dɛm wae de thɛrapist kin introduks. Di gol na fɔ ridyus di pwɛl hat we yu de fil bɔt dɛn tin dɛn de as tɛm de go.

Cognitive Processing Therapy (CPT) na ɔda kayn tritmɛnt we de pe atɛnshɔn pan trauma. Dis tritmɛnt de pe atɛnshɔn fɔ adrɛs di tin dɛm wae de mek yu fil bad ɛn bɔrku tɛm wae gɛt prɔblɛm wit yu maynd wae kin kam na yu maynd afta yu dɔn gɛt bad bad tin.

Mɛrɛsin fɔ CPTSD

Naw, no patikyula mɛrɛsin nɔ de we di US Food and Drug Administration (FDA) dɔn gri fɔ fɔ trit PTSD ɔ CPTSD. Bɔt dɔktɔ dɛn kin gi yu mɛrɛsin dɛn lɛk dɛn wan ya fɔ ɛp fɔ kɔntrol sɔm pan di sayn dɛn we de sho se pɔsin gɛt CPTSD:

• Antidipreshan: Lεk `Sεlektiv Sεrotonin Riuptek Inhibitors (SSRI)` כ `Serotonin εn Norepinephrine Riuptek Inhibitors (SNRIs).`
• Mɛrɛsin dɛn we de ɛp fɔ mek pɔsin wɔri.
• Slip mɛrɛsin dɛn.

Dɛn mɛrɛsin ya kin jɔs pul di sik, nɔto fɔ mɛn di sik ɔltogɛda. So, saykotɛrapi na di men tritmɛnt.

Wetin na di prɔgnosis fɔ CPTSD?

Bikɔs CPTSD na nyu sik we dɛn dɔn no, di wan dɛn we de stɔdi bɔt mɛrɛsin nɔ dɔn gɛt di chans yet fɔ du lɔng tɛm stɔdi bɔt am.

Fɔ bɔku pipul dɛn, CPTSD kin bi wan sik we dɛn kin gɛt fɔ ɔl dɛn layf. Bɔt nɔ wɔri! Di bɛst tin na dat yu kin ebul fɔ kɔntrol yu sik dɛn fayn fayn wan wit saykotɛrapi ɛn if nid de, yu kin tek mɛrɛsin. Dis min se dɛn tritmɛnt ya kin ɛp yu fɔ liv nɔmal layf.

If yu gɛt CPTSD, aw yu kin tek kia ɔf yusɛf?

Apat frɔm we yu de go fɔ tritmɛnt, bɔku tin dɛn de we yu kin du fɔ yu yon maynd wɛl bɔdi:

• Ɛnjɔy layt ɛksesaiz fɔ mek yu nɔ strɛs ɛn fɔ mek yu fil fayn. Ivin fɔ waka shɔt ɔ sɔntin lɛk yoga kin fayn.
• Sɛt rial gol dɛn we yu go ebul fɔ du. Nɔ ɛkspɛkt big tin dɛn wan tɛm. Gladi wit smɔl smɔl win dɛn.
• Spend tɛm wit pipul dɛn we yu trɔst. Tɛl dɛm bɔt yu ɛkspiriɛns ɛn wetin kin mek yu gɛt dis sik.
• No di tɛm ɛn ples dɛn we de mek yu fil fayn ɛn gɛt pis, ɛnjɔy fɔ du dɛn bɔku tɛm, ɛn go na dɛn ples dɛn de.
• Join wan sɔpɔt grup fɔ di wan dɛn we dɔn pas trauma. Na empowering fɔ tɔk to pipul dɛm wae dɔn pas di sem tin dɛm lɛk yu.
• Bi gud to yusɛf, peshɛnt. Mɛmba se, di sayn dɛm nɔ kin go wan nɛt. Dɛn kin kam sloslo.

Di tin we impɔtant pas ɔl na fɔ ɔndastand se nɔto yu wangren de. Nɔ fred fɔ aks fɔ ɛp.

Ustɛm yu fɔ go to dɔktɔ?

We dɛn de trit yu fɔ CPTSD, i rili impɔtant fɔ go to yu dɔktɔ ɛn/ɔ pɔsin we sabi bɔt yu maynd ɔltɛm. If yu sik de wɔs, mek yu dɔktɔ no wantɛm wantɛm.

Ustɛm yu fɔ go na Imejɛnsi Tritmɛnt Yunit (ETU) ?

If yu fil fɔ du bad to yusɛf ɔ yu de tink bɔt fɔ kil yusɛf, go na di imejensi rum we de nia yu wantɛm wantɛm, ɔ kɔl wan imejensi nɔmba we fit na Sri Lanka (e.g. 1926 Nashɔnal Mental Ɛlth Ɛplayn).

Fɔ aks fɔ ɛp afta wan bad bad tin kin apin kin rili tranga. Bɔt mɛmba se fɔ gɛt tritmɛnt fɔ CPTSD rili impɔtant. As tɛm de go, tritmɛnt kin ɛp yu fɔ wɛl. Tɔk to yu dɔktɔ bɔt aw fɔ trit yu. Dɛn de ya fɔ ɛp ɛn sɔpɔt yu.

Fɔ dɔn, tin dɛn fɔ mɛmba (Take-Home Message) .

So, wi dɔn tɔk bɔku bɔt CPTSD tide. As yu de rid dis, yu go dɔn no aw dis maynd prɔblɛm siriɔs ɛn kɔmpleks.

• CPTSD na wan saykilɔjik distres wae kin kam wae pɔrsin kin gɛt trauma fɔ lɔng tɛm ɛn wae kin gɛt siriɔs trauma.
• Apat frɔm PTSD, dis kin mek prɔblɛm bak wit aw pɔsin de fil, aw i de fil bɔt insɛf, ɛn aw i de kɔntinyu fɔ gɛt padi biznɛs wit ɔda pipul dɛn.
• Dis sik kin tranga fɔ no smɔl, bɔt pɔrsin wae gɛt ɛkspiriɛns kin du am.
• Di bɛst tin na dat dɛn kin ebul fɔ manej dis kɔndishɔn fayn fayn wan wit saykotɛrapi (especially Trauma-focused CBT, EMDR, CPT) ɛn, if nid de, mɛrɛsin.
• If yu gɛt dɛn kayn sik ya, nɔr fɔ sɔfa yu wan ɛn fɔ tru, go to dɔktɔ fɔ advays. Fɔ aks fɔ ɛp nɔr de sho se yu wik, na wan pan de big tin dɛm wae yu kin gɛt fɔ yusɛf.

Mɛmba se pan ɔl we yu nɔ ebul fɔ kɔntrol wetin bin dɔn apin trade, yu kin tek wan stɛp tide fɔ mek yu tumara bambay bɛtɛ. A de wish yu di trɛnk fɔ du dat!

` CPTSD, kɔmpleks post-traumatik strɛs disɔda, mental wɛlbɔdi, trauma, strɛs, saykotɛrapi, PTSD