• Therapy for Complex Post Traumatic Stress Disorder

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    Understanding Complex PTSD (CPTSD)

    If you’ve been living with anxiety, shame, emotional overwhelm, or a sense of being “on guard,” you might have wondered if something deeper is going on. You might feel like your emotions and symptoms are constantly jumping from one to another. Many of our clients describe feeling out of control or trapped in survival mode for as long as they can remember.

    You are not broken, and you are not alone. What you’re experiencing has a name— Complex Post-Traumatic Stress Disorder (CPTSD) — and it’s treatable.

    CPTSD develops after repeated or ongoing trauma over months or years, rather than a single traumatic incident. This can include:

    • Childhood abuse or neglect
    • Growing up in a volatile or unsafe household
    • Long-term exposure to emotional, physical, or sexual abuse
    • Chronic interpersonal stress or trauma

    Unlike PTSD, which usually links to one identifiable traumatic event, CPTSD is the result of a lifetime of trauma, often making it harder to pinpoint triggers.

    The good news? Healing is possible, and therapy can help you reclaim safety, control, and connection in your life.

    CPTSD is not a life sentence.

    Healing is Possible.


    What CPTSD Can Feel Like

    CPTSD shares many symptoms with PTSD — like flashbacks, nightmares, and avoidance   but also includes additional challenges that affect emotions, self-worth, relationships, and the body.

    You may recognize some of these experiences.

    Reliving Trauma

    • Nightmares or disturbing dreams
    • Flashbacks that feel like the trauma is happening again
    • Intrusive memories or thoughts

    Avoidance

    • Steering clear of places, people, or activities that trigger trauma memories
    • Avoiding emotions or sensations that feel unsafe

    Changes in Beliefs

    • Feeling the world is dangerous
    • Believing others cannot be trusted
    • Thinking you caused or deserved the trauma

    Hyperarousal

    • Feeling constantly “on edge” or easily startled
    • Feeling irritable or quick to anger
    • Difficulty sleeping or concentrating

    Emotional Dysregulation

    • Intense waves of anxiety, sadness, shame, or hopelessness
    • Feeling emotionally flooded or numb
    • Impulsive actions that affect relationships or work

    Shame

    • Self-blame or beliefs like “I should have stopped it” or “I deserved this”
    • So common it deserves its own category

    Dissociation & Changes in Consciousness

    • Feeling disconnected from your body, emotions, or sense of reality
    • Forgetting traumatic events or questioning your perception of them

    Preoccupation with the Abuser

    • Fixating on revenge
    • Giving the abuser mental or emotional space

    Somatic (Physical) Symptoms

    • Chronic pain or physical illness without medical explanation

    CPTSD may also contribute to coping behaviors such as addiction, disordered eating, self-harm, or social withdrawal. These are not personal failings — they are strategies your mind and body used to survive.

    You Are More Than Your Trauma

    If you recognize yourself in these symptoms, please remember:

    • Your reactions make sense in the context of what you’ve been through.

    • The ways you’ve coped helped you survive.

    • You can learn new ways to feel safe, connected, and alive again.

    How Therapy Can Help

    Healing CPTSD is absolutely possible — and it starts with finding the right support. At New Moon Psychotherapy, trauma therapy is our specialty. We use evidence-based, compassionate approaches to help you:

    Feel safer in your body and relationships

    Quiet self-criticism and shame

    Learn skills to regulate and express emotions

    Reclaim your sense of identity and worth

    Build trust in yourself and others

    Cultivate resilience and hope for the future

    Evidence-Based Approaches We Offer

    Cognitive Processing Therapy (CPT): Helps you get unstuck from painful loops of guilt and self-blame, changing how you see yourself, others, and the world.

    Dialectical Behaviour Therapy (DBT): Teaches skills for staying grounded, managing intense emotions, and improving relationships.

    Eye Movement Desensitization and Reprocessing (EMDR): Reprocesses traumatic memories so they feel less overwhelming and present in your daily life.

    Internal Family Systems (IFS): Cultivates self-compassion by connecting with and healing “parts” of yourself carrying pain or fear.

    Narrative Therapy: Helps you rewrite your life story so the trauma is one chapter, not the defining one.

    Somatic & Sensorimotor Psychotherapy: Works with the body to release stored trauma and restore a sense of safety.

    Mindfulness-Based Approaches: Build present-moment awareness, emotional grounding, and self-kindness.

    Integrative Trauma & Attachment Therapy:  Rebuilds trust and secure connections with yourself and others.

    Additional Support Options:

    Couples Therapy: Strengthen communication, intimacy, and connection when trauma impacts relationships.

    Family Therapy: Improve understanding, communication, and support within the family system.

    Sex Therapy: Reconnect with your body, navigate intimacy safely, and build sexual confidence free from shame or fear.

    We don’t see you as “damaged” or “too complicated.” We see your resilience, and we know recovery is possible.

    Complex PTSD

    Meet our Trauma Focused Team

    Recovery is possible.
    Healing is real.
    You don’t have to do this alone.

    If CPTSD has shaped your life, you deserve care that truly understands the depth of your experience — and the strength it’s taken to survive.

    At New Moon Psychotherapy, we don’t see you as “damaged” or “too complicated.” We see your resilience, and we know recovery is possible.

     

    Call, text, or email using the information/form below. Our administrative team will answer any questions you might have and learn how we can help you.

    Prefer to book on your own? Don’t want to wait for the office to open? Click the link below to schedule a consultation.

    You will then be connected with a therapist for a free 15-minute consultation.

    This is a chance for you to meet the therapist, ask questions and learn about their approach so that you can determine if they’re the right fit for you.

    Schedule your first therapy appointment and begin your healing journey!

    By submitting this form via this web portal, you acknowledge and accept the risks of communicating your health information via this unencrypted email and electronic messaging and wish to continue despite those risks. By clicking "Yes, I want to submit this form" you agree to hold Brighter Vision harmless for unauthorized use, disclosure, or access of your protected health information sent via this electronic means.
    1. What is Complex PTSD (CPTSD), and how is it different from PTSD?

    CPTSD results from prolonged or repeated trauma, often over months or years, rather than a single event. While PTSD often has a clear trigger, CPTSD can make it difficult to identify the trigger. CPTSD can feel like trauma has been part of your entire life, affecting your emotions, relationships, and sense of self.

    It’s also helpful to know how these diagnoses are recognized:

    • PTSD is included in the DSM-5, the main diagnostic tool used in North America.
    • CPTSD is recognized in the ICD-11, used in Europe and internationally. This means that while CPTSD may not always appear as a formal diagnosis in North American settings, its symptoms are real, validated, and treatable through trauma-informed therapy.
    2. Can CPTSD be treated?

    Yes. CPTSD is treatable, and recovery is possible. At New Moon Psychotherapy, we don’t just offer a “band-aid” approach — we work to get to the root of your trauma and its effects.

    Evidence-based therapies like EMDR, CPT, IFS, and somatic therapies can be used to help you understand yourself and your triggers, address the ways trauma affects your emotions, relationships and daily life. As well as provide practical strategies to reduce symptoms, find safety, and restore connection with yourself and others.

    3. How will therapy help me feel safer?

    Trauma can make your body feel unsafe, leaving you hyper-alert, disconnected, or on edge. Therapy can help you reconnect with your body, understand your triggers, and regulate overwhelming emotions. Over time, you can learn to feel more grounded, more present in your body, and safer in your relationships. You can also develop greater self-awareness and insight into your patterns, which empowers you to make choices that support your well-being.

    4. What happens in a CPTSD therapy session?

    Sessions are tailored to your needs and may include talk therapy, coping strategies, or body-based work. You’ll have a safe space to process trauma at your own pace, build skills to manage symptoms, and explore how your experiences have shaped your emotions, relationships, and sense of self.

    5. How long does it take to see improvement?

    Healing from CPTSD is a journey, and progress varies for everyone. Some people notice changes in emotional regulation, self-compassion, or relationships within a few sessions, while deeper trauma processing often takes longer. Therapy helps you develop lifelong skills, self-awareness, and resilience.

    6. Can couples or family therapy help with CPTSD?

    Yes. CPTSD can affect communication, trust, and intimacy, making relationships feel challenging or unsafe. Couples or family therapy can help repair these connections, improve understanding of each other’s experiences, and create healthier dynamics. It also provides a safe space to explore triggers and responses in relationships.

    Our team includes therapists trained in both approaches, and with your consent, they can collaborate with your individual therapist to ensure a coordinated and supportive approach tailored to your needs.

    7. Can sex therapy support CPTSD recovery?

    Absolutely. While this is one of the lesser-discussed impacts of CPTSD, trauma can deeply affect intimacy, sexual confidence, and comfort in your body. Sex therapy gives you a safe, non-judgmental space to explore pleasure, rebuild trust with yourself, understand your triggers, and navigate intimacy on your own terms. It’s a key part of healing that addresses both emotional and physical connection. We get it — nothing is too uncomfortable or off-limits to talk about.

    Our team is trained in sex therapy. We’re equipped to support your healing journey from all angles!

    8. Is CPTSD “a life sentence”?

    No. We get that symptoms can feel overwhelming, and know that therapy can help you heal, understand yourself, develop coping strategies, and reclaim your life. Recovery is possible, and you deserve support every step of the way.

    9. Why choose New Moon Psychotherapy for CPTSD?

    At New Moon Psychotherapy, trauma is our focus — not just one part of a bigger caseload. We opened our clinic specifically to support survivors of CPTSD, so most of our work is with individuals, couples, and families navigating complex trauma.

    We’re not just trauma-informed — we’re trauma-focused. Our goal is to help you work through trauma and create a life that feels fulfilling. This extends beyond individual therapy: our couples and family therapists are extensively trained in trauma and consider how it may be impacting your relationships, so your connections are approached in a way that’s both understanding and healing.

    The name “New Moon” symbolizes new beginnings, and our hope is that your work with us can be the start of your new beginning. Simply put, we show up every day with the intention of helping our clients move beyond the effects of trauma and create meaningful, lasting change in their lives.

    Frequently Asked Questions About CPTSD

    Trauma, Sex, and Couples Therapy in Toronto
    Offered Virtually or In-Person at Spadina and Queen