Is Complex PTSD a mental health disorder or a neurological one? What role does our neuroendocrine system play in mental health?

This is for informational purposes only. For medical advice or diagnosis, consult a professional.

Complex Post-Traumatic Stress Disorder is considered to be a mental health condition. The contributing factor in diagnosis beyond its known symptoms is the person’s experience of prolonged or repeated exposure to traumatic experiences, particularly those that involve interpersonal violence or abuse. It differs from PTSD in that it often involves more complex and enduring symptoms:

Emotional Dysregulation:Difficulty managing intense emotions, such as anger, fear, or sadness.Frequent and unpredictable mood swings.Difficulty calming down after emotional outbursts.Negative Self-Concept:Feelings of worthlessness, shame, or guilt.A sense of being different or alienated from others.A sense of being different or alienated from others.Dissociation:Feeling disconnected from one’s thoughts, feelings, or body.Zoning out or spacing out.Amnesia or memory gaps, particularly related to traumatic events.Interpersonal Difficulties:Trouble forming and maintaining close relationships.Difficulty trusting others.Intense fear of abandonment or rejection.Somatic Symptoms:Physical symptoms such as chronic pain, fatigue, or digestive issues.Increased sensitivity to physical sensations.Cognitive Difficulties:Difficulty concentrating or focusing.Memory problems.Difficulty making decisions.Hyperarousal:Difficulty sleeping.Easily startled or frightened.Hypervigilance or a constant sense of being on edge.

Not everyone with Complex PTSD will experience all of these symptoms, and the severity of symptoms can vary greatly from person to person.

Typically the responses of the person to stressors and triggers are considered behavioral issues. Too little attention is given to the brain’s and the body’s sensitivity to both internal and external upset.

Too little attention is given to the brain’s and the body’s sensitivity to both internal and external upset.

There is always a reason for the feelings, always a cause to the response.

The neuroendocrine system plays a crucial role in sensory dysfunction through several mechanisms:

Stress Response and Sensory Processing:Stress Hormones: Stressful situations trigger the release of hormones like cortisol and adrenaline, which can alter sensory perception. Chronic stress can lead to heightened sensitivity to pain or reduced sensitivity to other sensory stimuli.Brain Plasticity: Stress hormones can influence the structure and function of brain areas involved in sensory processing, potentially leading to long-term changes in sensory perception.Hormonal Regulation of Sensory Receptors:Hormonal Modulation: Hormones like estrogen and testosterone can influence the expression and function of sensory receptors, affecting the way we perceive sensory information.Hormonal Imbalances: Hormonal imbalances associated with conditions like menopause or thyroid disorders can lead to changes in sensory perception, such as altered taste or smell.Neurotransmitter Interactions:Neurotransmitter Modulation: Neurotransmitters like serotonin and dopamine play a role in sensory processing. Hormonal fluctuations can affect the levels of these neurotransmitters, impacting sensory perception.Neurotransmitter Imbalances: Imbalances in neurotransmitter levels can contribute to sensory disorders like chronic pain or tinnitus.Inflammatory Processes:Inflammatory Processes:Inflammatory Mediators: Hormones can influence the production of inflammatory mediators, which can affect the function of sensory neurons and lead to pain or other sensory disturbances.Chronic Inflammation: Chronic inflammation associated with conditions like arthritis or fibromyalgia can lead to persistent sensory dysfunction.Autonomic Nervous System:Autonomic Regulation: The autonomic nervous system, which is regulated by the neuroendocrine system, plays a role in modulating sensory input.Dysautonomia: Dysautonomia, a condition characterized by dysfunction of the autonomic nervous system, can lead to a variety of sensory disturbances, including dizziness, lightheadedness, and changes in temperature perception.

If you are struggling with the symptoms of Complex PTSD, it’s important to seek professional help. Therapy, medication, and other treatments can be effective in managing the symptoms of Complex PTSD and improving your overall quality of life.

Here are some tips on how to approach your healthcare provider:

Do your research: Before your appointment, research the potential neurological and neuroendocrine effects of Complex PTSD. This will help you articulate your concerns and ask informed questions.Make a list of your symptoms: Write down a list of any physical symptoms you’ve been experiencing, such as headaches, fatigue, difficulty sleeping, changes in appetite, or digestive problems.Be specific: When discussing your symptoms, be as specific as possible about the frequency, severity, and duration of each symptom.Be prepared to answer questions: Your healthcare provider may ask you questions about your medical history, trauma history, and current medications. Be prepared to answer these questions honestly and openly. Ask questions: Don’t be afraid to ask questions about your symptoms, potential diagnoses, and treatment options.Consider a referral: If your primary care provider is not able to address your concerns, ask for a referral to a specialist, such as a neurologist or endocrinologist. Be patient: It may take time to get a diagnosis and develop a treatment plan. Be patient and work closely with your healthcare provider to find the best approach for your individual needs.

Remember, you are not alone. Many people with Complex PTSD experience neurological and neuroendocrine issues. By being proactive and open with your healthcare provider, you can get the support and treatment you need to manage these symptoms and improve your overall health.