COMPLEX PTSD:

FROM SURVIVING TO THRIVING

TABLE OF CONTENTS

ACKNOWLEDGEMENTS

INTRODUCTION

PART 1 — AN OVERVIEW OF RECOVERING

Chapter 1 The Journey of Recovering From Cptsd

Definition Of Complex PTSD

An Example Of An Emotional Flashback

Toxic Shame: The Veneer Of An Emotional Flashback

List Of Common Cptsd Symptoms

Suicidal Ideation

What You May Have Been Misdiagnosed With

Origins Of Cptsd

More About Trauma

The Four F’s: Fight, Flight, Freeze And Fawn

The 4F’s In A Cptsd-Inducing Family

Poor Parenting Creates Pathological Sibling Rivalry

Chapter 2 Levels of Recovering

Key Developmental Arrests In Cptsd

Cognitive Healing

Shrinking The Critic

The Developmentally Arrested Healthy Ego

Psychoeducation And Cognitive Healing

Mindfulness

Emotional Healing

Recovering The Emotional Nature

Emotional Intelligence

Toxic Shame And Soul Murder

Grieving As Emotional Intelligence

Grieving And Verbal Ventilation

Spiritual Healing

Gratitude And Good Enough Parenting

Somatic Healing

Somatic Self-Help

Cptsd And Somatic Therapy

The Role Of Medication

Self-Medication

Working With Food Issues

Chapter 3 Improving Relationships

Forewarning:

Cptsd As An Attachment Disorder

The Origin Of Social Anxiety

A Journey Of Relational Healing

Healing The Shame That Binds Us In Loneliness

Finding Good Enough Relational Help

Parentdectomy And Relational Healing

Learning To Handle Conflict In Relationship

Reparenting

Self-Mothering And Self-Fathering

Self-Mothering Grows Self-Compassion

The Limits Of Unconditional Love

Inner Child Work

Reparenting Affirmations

Self-Fathering And Time Machine Rescue Operation

Reparenting By Committee

The Tao Of Self-Relating And Relating To Others

Chapter 4 The Progression of Recovering

Signs Of Recovering

The Stages Of Recovering

Cultivating Patience With The Gradual Progression Of Recovery

Surviving Versus Thriving

Difficulties In Identifying the Signs of Recovering

Accepting Recovery As A Lifelong Process

Therapeutic Flashbacks And Growing Pains

Optimal Stress

Silver Linings

“The Unexamined Life Is Not Worth Living”

The Emotional Imperialism Of “Don’t Worry, Be Happy”

PART II — THE FINE POINTS OF RECOVERING

Chapter 5 What if I Was Never Hit?

Denial And Minimization

Verbal And Emotional Abuse.

Theoretical Neurobiology Of The Critic

Emotional Neglect: The Core Wound In Complex PTSD

The Failure To Thrive Syndrome

Emotional Hunger And Addiction

The Evolutionary Basis Of Attachment Needs

Abandonment Stultifies Emotional And Relational Intelligence

De-Minimizing Emotional Abandonment

Practicing Vulnerability

The Power of Narrative

Chapter 6 What is My Trauma Type?

Healthy Employment Of The 4 F’s

Cptsd As An Attachment Disorder

The Fight Type And The Narcissistic Defense

The Charming Bully

Other Types Of Narcissists

Recovering From A Polarized Fight Response

The Flight Type And The Obsessive-Compulsive Defense

Left-Brain Dissociation

Recovering From A Polarized Flight Response

The Freeze Type And The Dissociative Defense

Right-Brain Dissociation

Recovering From A Polarized Freeze Response

The Fawn Type And The Codependent Defense

Recovering From A Polarized Fawn Response

Trauma Hybrids

The Fight-Fawn Hybrid

The Flight-Freeze Hybrid

The Fight-Freeze Hybrid

Self-Assessment

Continuums Of Positive And Negative 4F Responses

Recovery & Self-Assessment

The Fight Fawn Continuum Of Healthy Relating To Others

The Flight Freeze Continuum Of Healthy Relating To Self

Chapter 7 Recovering From Trauma-Based Codependency

Comparing Fawn Origins With Fight, Flight And Freeze Origins

A Definiton Of Trauma-Based Codependency

Codependent Subtypes

Fawn-Freeze: The Scapegoat

Fawn-Flight: Super Nurse

Fawn-Fight: Smother Mother

More On Recovering From A Polarized Fawn Response

Facing The Fear Of Self-Disclosure

Grieving Through Codependence

Later Stage Recovery

“Disapproval Is Okay With Me”

Chapter 8 Managing Emotional Flashbacks

Triggers And Emotional Flashbacks

The Look: A Common Trigger Of Emotional Flashbacks

Internal vs. External Triggers

Progressive Trigger-Recognition

Signs Of Being In A Flashback

More On Self-Medication

Flashbacks In Therapy Sessions

Grieving Resolves Flashback [Step # 9]

Managing The Inner Critic [Step # 8]

Advanced Flashback Management

Flashbacks As The Inner Child’s Plea For Help

Flexible Use Of The Flashback Management Steps

Existential Triggers

Later Stage Recovery

Helping Kids Manage Emotional Flashbacks

Chapter 9 Shrinking the Inner Critic

Origin Of The Cptsd Critic

14 Common Inner Critic Attacks

Perfectionism Attacks

Endangerment Attacks

Critic-Initiated Flashbacks

Thoughts As Triggers

The Critic As The Shaming Internalized Parents

Facing The Stubbornness Of The Critic

Perfectionism And Emotional Neglect

More On Endangerment

Using Anger To Thought-Stop The Critic

Shame Is Blame Unfairly Turned Against The Self

Embracing The Critic

Thought-Substitution And Thought-Correction

Perspective-Substitution & Correction

Perspective-Substitution And Gratitude

The Neuroplasticity Of The Brain

Chapter 10 Shrinking the Outer Critic

The Outer Critic: The Enemy Of Relationship

4F Types And Outer Critic/Inner Critic Ratios

Passsive-Aggressiveness And The Outer Critic

Refusing To Give Voice To The Critic’s Point Of View

Outer Critic-Dominated Flashbacks

Outer Critic Modelling In The Media

The Critic: Subliminal B-Grade Movie Producer

Watching The News As A Trigger

Intimacy And The Outer Critic

The No-Win Situation

Scaring Others Away

Vacillating Between Outer And Inner Critic

A Case Example Of The Vacillating Critic

The Critic As Judge, Jury And Executioner

Scapegoating

Mindfulness And Shrinking The Outer Critic

When Mindfulness Appears To Intensify The Critic

Thought Substitution & Correction: Supplanting The Critic

Grieving Shortcircuits The Outer Critic

Defueling The Outer Critic Via Working The Transference

Healthy Outer Critic Venting

Road Rage, Transference And The Outer Critic

Chapter 11 Grieving

Grieving Expands Insight And Understanding

Grieving The Absence Of Parental Care

Grieving Ameliorates Flashbacks

Inner Critic Hindrances To Grieving

Defueling The Critic Through Grieving

The Four Processes Of Grieving

1. Angering: Diminishes Fear And Shame

Angering Helps Deconstruct Repetition Compulsion

2. Crying: The Penultimate Soothing

Crying And Self-Compassion

Crying And Angering In Concert

3. Verbal Ventilation: The Golden Path To Intimacy

Theoretical Neuroscience Of Verbal Ventilation

Thinking And Feeling Simultaneously

Verbally Ventilating Alone

Dissociation Deadens Verbal Ventilation

Left-Brain Dissociation

Verbal Ventilation Heals Abandonment

Verbal Ventilation And Intimacy

4. Feeling: Passively Working Through Grief

Feeling Can Heal Digestive Problems

The Emotional-Physical Connection

Balancing Feeling And Emoting

Learning To Feel

An Exercise In Feeling

Techniques To Invite And Enhance Grieving

Chapter 12 The Map: Managing the Abandonment Depression

Cycles Of Reactivity

Abandonment Depression Fear & Shame Inner Critic 4Fs

The Layers Of Dissociation In The Cycle Of Reactivity

Parental Abandonment Creates Self-Abandonment

Deconstructing Self-Abandonment

Depressed Thinking Versus Feeling Depressed

Mindfulness Metabolizes Depression

Somatic Mindfulness

Somatic Awareness Can Therapeutically Trigger Painful Memories

Introspective Somatic Work

Dissolving Depression By Fully Feeling It

Hunger As Camouflaged Depression

Pseudo-Cyclothymia

Separating Necessary Suffering From Unnecessary Suffering

Recovery Is Progressive

A Swiss Army Knife Approach To A Flashback

Chapter 13 A Relational Appoach to Healing Abandonment

The Relational Dimension Of Psychotherapy

Relational Healing In Complex PTSD

1. Empathy

2. Authentic Vulnerability “Realationship” Makes Healthy Relationship

Therapeutic Emotional Disclosure

Guidelines For Self-Disclosure

Emotional Self-Disclosure And Sharing Parallel Trauma History

3. Dialogicality

Meeting Healthy Narcissistic Needs

Psychoeducation As Part Of Dialogicality

Dialogicality And The 4F’s

4. Collaborative Rapport Repair

Moving Through Abandonment Into Intimacy: A Case Study

Earned Secure Attachment

Rescuing The Survivor From The Critic

Finding A Therapist

Finding An Online Or Live Support Group

Co-Counseling

Chapter 14 Forgiveness: Begin with the Self

Chapter 15 Bibliotherapy and the Community of Books

Especially Recommended Reading

Chapter 16 Self-Help Tools

Conclusion

Toolbox 1 Suggested Intentions For Recovery

Toolbox 2 Human Bill of Rights

Toolbox 3 Suggested Internal Responses to Common Critic Attacks

Toolbox 4 Tools for Lovingly Resolving Conflict

Toolbox 5 Self-Gratitudes/ Gratitudes about Others

Toolbox 6 Flashback Management Steps

Bibliography