10 Habits of People Living with C-PTSD

As a form of protection to themselves, they may cope in the following ways. 

1. Isolating Themselves  

Withdrawing from others gives them a sense of safety and security. Avoiding people, objects or situations that remind them of the traumatic event and trigger painful memories prevents them from feeling anxious. 

2. Emotional Detachment  

In addition to physical isolation, they may also emotionally detach themselves from others. This detachment helps them avoid questions or conversations from concerned well-wishers, families and friends that could unintentionally result in them revisiting the traumatic experience. 

3. Over-accommodating Others 

When interaction with others is unavoidable, those with C-PTSD may exhibit a tendency to people-please. They prioritise others needs over their own, going out of their way to ensure that others are cared for – often at the expense of their own well-being. 

4. Hyperarousal or “Always being on-guard” 

Those with C-PTSD often experience hyperarousal, which is a heightened state of alertness. They may constantly feel a sense of threat, so they stay ready to fight or flee at any moment. Even minor occurrences such as a sudden noise or movement could startle them.  

5. Poor Sleep Hygiene 

Being in a constant state of vigilance or “fight-or-flight” mode can cause sleep interferences as the body struggles to calm its nervous system. Many struggle with falling or staying asleep and may feel perpetually tired as a result.

To cope with the sleep difficulties, some individuals may turn to excesses, such as exercise, work, substance/alcohol use, etc, as elaborated further below. While helpful in the short-run, these sleep strategies lead to further implications in the individuals in the long-run.

6. Suppressing Emotions 

Not only do persons with C-PTSD avoid expressing their emotions, but they may also actively try and block out their emotions. This acts as a defense mechanism, preventing themselves from having to relive the experience.  

7. Irritability and Emotional Reactivity 

Persons with C-PTSD may experience heightened anxiety levels and feel irritable, causing them to lash out at others. These feelings of anxiety can be very distressing, and so additional stressors, however small they may seem, can cause one to feel angry or unpleasant. Constant irritableness can also impact interpersonal relationships, resulting in challenges in establishing and maintaining healthy connections with others.  

8. Persistent Self-Doubt 

Experiencing prolonged trauma – especially in situations where they were unable to protect or advocate for themselves – can cause individuals to lose trust in their own judgement. This self-doubt can be deeply rooted, leading them to question their abilities, decisions and worth.

9. Self-destructive Behaviours 

To cope with feelings of anxiety or escape distressing and intrusive thoughts, some persons with C-PTSD may turn to harmful coping strategies such as substance use or self-harm. While these behaviours offer temporary relief, they often exacerbate the emotional pain in the long term. 

10. Overworking as a Distraction 

Often deemed as workaholics, those with C-PTSD may get into the habit of overworking themselves to distract themselves from their trauma. While this may seem productive, working excessively can become a form of avoidance, preventing them from processing their emotional experiences, putting them at risk of burnout. 

These behaviours are common coping mechanisms exhibited by persons suffering from C-PTSD. While they may help individuals get through the day, they do not directly address the root causes of C-PTSD. If you or a loved one are struggling with any of these patterns, support from a mental health professional can be a crucial step toward healing and long-term recovery.   

Written by Yi Ling and our Associate Psychologist