CPTSD vs Depression and Anxiety

CPTSD vs Depression and Anxiety

Abstract art showing a tangled thread slowly unraveling, symbolizing complexity and healing over timeIt’s important to know that while CPTSD often comes with symptoms like depression and anxiety, it’s not exactly the same thing.

A lot of people with CPTSD end up getting misdiagnosed with things like major depression, generalized anxiety, or even borderline personality disorder. That happens because CPTSD can look a lot like those conditions on the surface, but underneath, it’s a whole different experience.

Why? Because CPTSD shares surface-level symptoms with all three.

I recently broke down how CPTSD differs from PTSD in this post if you want a deeper dive without the psychobabble.

So let’s reiterate, what does CPTSD actually look like?

  • Chronically sad or numb (depression)
  • Constantly on edge or panicked (anxiety)
  • Emotionally overwhelmed in relationships (hello, BPD flags)

But underneath all of that?

CPTSD is trauma in slow motion.

It’s what happens when your nervous system is marinated in fear, shame, and unpredictability over time. When you didn’t just survive one traumatic event, but a thousand little ones. Over years. Often at the hands of people who were supposed to love and protect you.

What CPTSD Really Feels Like

You might not even call it “trauma.” Maybe it was just… life. Normal. Your childhood. That relationship you couldn’t quite escape from. That environment where love always came with a cost.

But CPTSD changes how you see everything, especially yourself.

  • Not trusting your instincts, because back then, they didn’t keep you safe.
  • You second-guess everything because you were taught love was conditional.
  • Ending up working twice as hard to stay connected to people who make you feel half as whole.

You might feel too much all the time or like you’re walking through your life numbed out and watching from a distance. Sometimes you crave connection deeply and fear it even more. You might even have flashbacks, not just images, but waves of emotion that crash through you without warning, leaving you shaken and confused.

CPTSD doesn’t just disrupt your moods. It rewires your entire relationship to safety, self, and love.

Why the Diagnosis Often Misses the Mark

Here’s part of the problem: the DSM-5 doesn’t recognize CPTSD as its own thing. (Source: Cleveland Clinic)

That means in the U.S., a lot of clinicians try to make sense of your symptoms using categories like

  • Major Depressive Disorder
  • Generalized Anxiety Disorder
  • Panic Disorder
  • Borderline Personality Disorder
  • ADHD
  • Bipolar II

And sure, some people do live with those diagnoses independently or alongside CPTSD. But when the core wound is complex trauma, those labels can miss the point. They focus on symptoms instead of story. They treat the fire alarms but don’t look for the fire.

Meanwhile, the ICD-11, the international diagnostic system used by the World Health Organization, does recognize CPTSD (source: ICD-11; WHO, 2022). It defines it as a distinct condition that includes PTSD symptoms plus three additional areas of disturbance:

  • Emotional dysregulation
  • Negative self-concept
  • Difficulty in relationships

Sound familiar?

It’s not just anxiety or depression. It’s CPTSD.

When the system doesn’t see you clearly, you start wondering if maybe you’re just too much. Too emotional. Far too Sensitive, or too complicated to love or help or even explain.

I want you to know, you’re not broken. None of us are.

You’re carrying an emotional survival blueprint that was built in chaos. And now, you’re trying to live a calm, connected life with it.

That feeling of being out of sync? It’s exhausting. But it’s not your fault. You adapted to survive in a world that didn’t let you just be yourself.

So if relationships feel messy, if your inner voice never cuts you some slack, if your body reacts to normal stuff like it’s a battle, you’re not imagining it. There’s a reason for all of that.

You didn’t ask for these patterns. You adapted to them because you had to.

So What Does Healing Look Like?

It’s not about pretending the past didn’t happen or trying to “snap out” of your symptoms. Healing from CPTSD is a slow process. It’s unlearning everything you were taught to survive. And it is possible.

Healing might look like

  • Recognizing your triggers without blaming yourself for them
  • Setting boundaries even when it feels terrifying
  • Learning to self-soothe in ways that don’t leave you ashamed afterward
  • Finding safety in relationships, not just survival
  • Taking back your life, even if it’s hard

It might mean connecting with the younger parts of you, the ones stuck in fear, shame, or loneliness, and simply saying, “I see you. I’m here now. You’re not alone anymore.”

You Deserve to Be Seen

CPTSD is real. It’s valid. And it explains so much of what gets missed in traditional mental health conversations.

So if this post resonates with you, please know: you’re not making it up. You’re not “too much.” You’re not the only one feeling like this.

Remember, healing is messy, slow, and deeply personal. But every step you take toward understanding yourself is a step toward freedom. You’re not alone on this journey. And you deserve to heal, to grow, and to live fully.

Photo by familyarttess on Unsplash

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