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Three signs of complex PTSD. Complex PTSD often develops after prolonged or repeated trauma—especially when it occurs in relationships where safety, trust, or escape weren’t possible. People may struggle with intense emotions, anger or distrust toward others, and a deep sense of emptiness or hopelessness. These are not personality flaws. They are nervous-system adaptations to chronic threat. Experiencing some of these signs does not automatically mean you have complex PTSD. Diagnosis requires a
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