When I explain my posttraumatic stress disorder (PTSD) startle response to people who don't have much knowledge about the disorder, I like to describe my brain as being "stuck in survival mode." It's the easiest way to describe how I feel to people who don't have PTSD because everyone understands what "survival mode" means.

One of the greatest challenges of complex posttraumatic stress disorder (PTSD) is quieting the inner critic. The critic develops as a result of a neglectful or abusive home in which caregivers do not provide a sense of a safe attachment in the child. Many children in this situation will enact perfectionist mode, believing if they could just be good enough or do things well enough, they can prove their worth and earn parental love. However, over time, as perfectionism fails to create the bond the child so desperately needs, anxiety and sadness build in the child.

Generational silence surrounding complex posttraumatic stress disorder (complex PTSD, often shortened to C-PTSD) and the abuse that can cause it makes growing up in a physically, mentally or emotionally abusive family especially hard. When family members tell you that you need to just shut up and accept it's just how the family is, you can be left feeling hopeless and broken. This attitude is passed on from generation to generation with the expectation that the next generation will also keep quiet. It is the curse of generational silence and it can feed complex PTSD, but it's a curse that you can break.

Thanksgiving is here, which means the holiday season is upon us; for me, the holidays come with complex posttraumatic stress disorder (complex PTSD, sometimes shortened to C-PTSD). Many people find this time of year joyful and triumphant, loving the hustle and bustle. When you live with complex PTSD, however, this can be an overwhelming season filled with many emotions.

Tonight I was reminded that the emotional flashbacks of complex posttraumatic stress disorder (C-PTSD) are ever present in my life. I was sitting in bed snuggled up next to my golden retriever, Miles. I could hear my daughter in the living room singing to the songs playing through her earbuds. The louder she sang, the more I felt like I was about to come out of my skin. I just wanted to scream "Shut up." The thing is though, when I stopped to think about why her singing was flipping me out, I realized it wasn't about her singing at all. I was actually dealing with one the hallmarks of C-PTSD -- an emotional flashback.

As an individual with complex posttraumatic stress disorder (PTSD) and resulting low self-esteem, I can spend an exhaustive amount of time worrying about how others perceive me. Even though these worries are not the most rational when held up for inspection, they are so automatic that sometimes they slip right out before I have time to think about them. Here are some examples of how my low-self esteem manifests itself and what helps me fight the negativity, warped self-confidence and low self-esteem caused by my PTSD.

Posttraumatic stress disorder (PTSD) stigma is alive and well. If you have PTSD, you've probably heard someone tell you to "just get over" your trauma. Maybe it was a well-meaning friend or family member, like my father who was frightened by my suicidal ideations. Or maybe it was a less well-meaning stranger, like the rude New Yorker who recently commented on my blog telling me to, "Grow up and take responsibility for [my] life." Whether the statement comes from a place of love or PTSD stigma, it doesn't make sense. Here's why.

Complex posttraumatic stress disorder (C-PTSD) and perfectionism often occur together. What drives someone with C-PTSD towards clinically significant perfectionism? Generally speaking, perfectionism becomes clinically significant when it results in an excessive or unrealistic need to perform to exceedingly high, self-imposed standards. The drive for perfection is so strong that it can interfere with work, education or relationships. For individuals with C-PTSD, the need for absolute excellence can become a means of dealing with fear and anxiety created by ongoing trauma. Let's examine how trauma drives these unrealistic expectations, and how to set more realistic goals.

There are several approaches to healing from posttraumatic stress disorder (PTSD), and they may include finding comfort and support from faith communities. Yet, some doctrines do not foster self-care and recovery. If you have a faith community or consider yourself a member of an organized religion, you may develop beliefs that can stand in the way of your healing from PTSD. Here are some observations on faith systems and their impact on PTSD recovery.

In the course of my recovery, there came a time when I wanted my abusers to suffer. Most people who have been, or are being abused, don't seek help. Statistics on abuse show that as many as 60 percent of perpetrators are never prosecuted. In my case, my abusers were never called to account for their actions. When I began to talk about my abuse and work through all that had occurred, I came to a point where I was angry and resentful. My nightmares of abuse shifted to ugly visions of ways in which I could cause as much suffering to them as possible without killing them. I had to work to reconcile these intense emotions where I wanted to make my abusers suffer to continue healing.