Given the DSM keeps CPTSD out in the latest version 5, no.
Frankly until it does mental healthcare in the US won’t move forward in a substantial way as they keep trying to treat people with trauma with CBT and medication. Still the PTSD dx works for those with CPTSD, so it’s not all lost. But it gets really tricky since so many diagnoses are almost subsumed with the concept of CPTSD.
Extremely hopeful for MDMA therapy though. It has huge potential.
“Renowned traumatologist, John Briere, is said to have quipped that if Complex PTSD were ever given its due – that is, if the role of dysfunctional parenting in adult psychological disorders was ever fully recognized, the DSM (The Diagnostic and Statistical Manual of Mental Disorders used by all mental health professionals) would shrink to the size of a thin pamphlet.”. (http://www.pete-walker.com/fAQsComplexPTSD.html)
I take this as good news, also. CPTSD survivors need trust and safety over all other things, and properly-administered MDMA can be a shorter path to that.
There are a lot of mental disorders that are induced by neurological / physical things. I wish ADHD, ASD, Schizophrenia, SPD and more was just 'bad parenting'!!
So in some ways, this is your wish. Statistically, everything about many mental illnesses get worse in poor environments for children. There are many adults who might otherwise present with schizophrenia that don’t because they had a better environment.
Early childhood emotional attachment types are also relatively predictive of symptomology and psychosis in schizophrenics
It doesn’t invalidate the crux of your comment and I’m not attempting to say there are no neurological or genetic causes, but severity and prevalence would be categorically reduced in a world with better parental care.
Gave you an upvote. CBT has done so much damage and really is a step backwards for those with trauma. It's ridiculous how all the knowledge we have about trauma still hasn't hit the mainstream psychiatric institution yet and 9 out of 10 times with the average provider it comes down to "Have you tried CBT?" versus trauma informed treatments that actually work (somatic therapy, IFS, EMDR, ketamine/psychedelics, stellate ganglion block, etc)
The irony is you may not believe you're really traumatized if you've been spent 10 years in standard CBT being gaslit about your "cognitive distortions" and wondering why it's not working...
CBT by itself is inappropriately prescribed as a comprehensive treatment plan for ADHD-related insomnia when there's little evidence for its efficacy compared to CBT for other insomnias.
Yes, exactly. CBT can easily be retraumatizing for CPTSD survivors. It’s so common for it to fall into symptom whack-a-mole rather than understanding the true arising of the disorder and a useful path to healing.
CBT and meds are insurance friendly. Even if therapists don't like it, they're basically forced into it by the system, otherwise payments are more likely to get clawed back in an audit by the insurance company. And why does insurance like CBT and meds? CBT is time boxed in many ways and 'evidence based'. Psychoanalysis and other therapy types are effectively not, and insurance already doesn't like paying for mental health as it is. Meds are relatively cheap compared to therapy also.
It's also related to why it's pretty hard to find therapists that take insurance in some places.
Evidence based but yet wholly ineffectual for so many. The medical model of mental health treatment is designed to treat symptoms not heal causes very often. That the causes are varied and treatments don’t scale as easy as a pharmaceutical manufacturing line doesn’t mean it’s not one of the more important pursuits medicine is trying to tackle. Hoping the current medical generation will continue to move away from the “chemical imbalance” theory of the past, of which there are far far too many practitioners out there holding onto ineffective treatments.
CBT still costs a LOT of money and time, so there is an incentive towards finding more effective treatments, but managing symptoms is in some ways more preferable because the medical system needs people to be “sick” or else a treatment might be seen by puritanical society as somehow indulgent or hedonistic. What if a “cure” involves taking significant time away from work to work through trauma? They might be better and more productive in the end than a stopgap treatment, but society can’t necessarily tolerate the idea.
Frankly until it does mental healthcare in the US won’t move forward in a substantial way as they keep trying to treat people with trauma with CBT and medication. Still the PTSD dx works for those with CPTSD, so it’s not all lost. But it gets really tricky since so many diagnoses are almost subsumed with the concept of CPTSD.
Extremely hopeful for MDMA therapy though. It has huge potential.