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Understanding Complex PTSD and Borderline Personality Disorder

Psychiatry & Psychotherapy Podcast

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Simplifying Trauma Classification

The speaker proposes a simplification of trauma classification by categorizing it into a spectrum of severity rather than focusing on specific symptoms and distinctions. They suggest ranking trauma syndromes based on symptoms and severity, similar to how Asperger's was included in the autism spectrum in the DSM. In this formulation, PTSD is considered the least severe, complex PTSD is in the middle, and borderline is the most severe. The clinician responds by emphasizing the importance of characterizing severity based on factors like the avoidance of effective treatment, harm to oneself, and interpersonal issues.

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