"What's the difference between PTSD vs CPTSD?" | ep.214

On Ask Kati Anything, your mental health podcast episode 214 licensed therapist Kati Morton talks about trauma from a single event versus multiple traumas over time. She also explains why a therapist might ask you if you want to schedule your next appointment, how to stop ruminating, and why self harm can often be linked to a lack of validation. Then she discusses boundaries, why they can be hard to set, uphold, and why they can feel so bad sometimes.

audience questions:

1. How does trauma due to a single event (ex: a car accident or rape) differ from trauma from an extended period of time and multiple associated incidents (ex: a soldier in heavy combat during a deployment or being in an abusive relationship over years)? How do symptoms and the overall impact differ? How does the approach that a therapist takes to treat these two different scenarios differ? Is one easier to recover from than the other? 01:30

2. Why, at the end of every session, does my therapist ask me if I want to go ahead and schedule the next appointment or reach out for one later? I know I’m reading too much into this but the thought of her thinking I don’t really need therapy popped into my head. 09:53

3. Please talk about ruminating! It’s brutal, but it’s helped me remember and process narc abuse and bolstered me in my nc decision. But I need to move on, too. Thank you, Kati. 13:46

4. Why is it that self-harmers across the board all seem to struggle with validation of their emotional pain and self-harm? It’s as if we are in an unspoken competition to prove who has the worst pain. I see this in myself, and my OCD accentuates it. So there can be an element of compulsion to my self-harm. The bar keeps moving higher as to what I have to do to myself to prove my emotional pain is severe and the degree of self-harm valid... 18:30

5. Kati I was wondering why you don’t see patients anymore. I know you are busy but you have such great advice. Also I have been wondering why boundaries are hard for me. I broke my boundaries with my therapist and it seems to be hard not to do it again. I think I have an anxious attachment to her and I... 25:26

6. Why does upholding my boundaries feel so defeating? To give insight- I'm in a toxic relationship where my partner is regularly passive aggressive and my boundary is "I cannot tolerate this behavior, I get really panicky and actually don't hear what you're saying, so- whenever you do x, I will leave our conversation and go to my room." I am saving up to eventually leave, because he doesn't see a fault in his behavior and it's getting really exhausting... 31:06

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