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Instead, C-PTSD is the consequence of cumulative trauma — more subtle (though equally injurious) instances of physical, sexual, or emotional abuse.

Cumulative trauma can be caused by neglect or parental disinterest, inconsistency, or emotional unavailability.

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Often when Michelle went to her mother for comfort, she was accused of exaggerating or being a “crybaby” and sent away.

This escalated into more and more controlling behavior and occasionally he was physically violent.

After two years of dating, Michelle managed to escape the relationship.

C-PTSD is more complicated than simple PTSD as it pertains to chronic assaults on one’s personal integrity and sense of safety, as opposed to a single acute traumatic episode.

This chronic tyranny of abuse results in a constellation of symptoms, which impact personality structure and development.