Complex PTSD in People Navigating Divorce or Separation

Key things to know What the evidence shows
How common is it? Not established divorce-specific; 40% pooled CPTSD in domestic/sexual-abuse samples
Is it more common among people navigating divorce or separation? Divorce alone doesn't increase CPTSD; prolonged domestic/interpersonal abuse strongly associated
Are people navigating divorce or separation at higher risk? Strong if relationship involved repeated coercion/violence/abuse; no if ordinary separation
How much higher is the risk? Global meta-analysis: domestic/sexual-abuse samples 40.0% pooled CPTSD
How often can it be missed? Very high; may be viewed solely as breakup distress, anxiety or BPD
Does it show up differently among people navigating divorce or separation? Yes contextually
How might it look different? After prolonged abusive relationships: persistent danger response, shame/self-blame, emotion dysregulation, damaged self-concept and difficulty trusting/connecting
What commonly occurs alongside it? Depression; anxiety; substance use; dissociation
What can it be confused with? PTSD; BPD; prolonged breakup distress; depression
Common screening tool ITQ
Separate screening tool for people navigating divorce or separation None
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