Complex PTSD, Complex Trauma, and C-PTSD

Complex Trauma and PTSD

Nigel is a registered and experienced Manchester Psychotherapist / Counsellor, a Trauma-Informed Therapist, EMDR and AF-EMDR Therapist, Hypno-psychotherapist, Life Coach and NLP Master Practitioner who works with psychological trauma and PTSD. He has taken additional training in CBT, EMDR, IFS, somatic therapies, DBR and DBT.

To book an appointment, or make an enquiry, call 07463 542368 or Click
here to email

What is Complex PTSD/Developmental trauma/childhood trauma?
Symptoms of Complex PTSD / trauma?
How to book the treatment?

What is Complex PTSD (C-PTSD) ?

C-PTSD | Complex PTSD treatment in Manchester | EMDR Therapist Manchester | complex trauma and PTSD manchester | complex trauma therapy manchester | developmental trauma | childhood trauma

Complex post-traumatic stress disorder (C-PTSD) occurs when someone is exposed to multiple, prolonged, repeated or accumulative traumatic events in a context in which the individual has little or no control.

Unlike traditional post-traumatic stress disorder (PTSD), which is typically associated with a single, traumatic event, C-PTSD is the result of ongoing, chronic trauma. This can include cases of prolonged abuse, or childhood neglect.

If this occurs during childhood it will impact the child’s ongoing psychological development.   It often occurs at developmentally sensitive times in the child’s life, especially in early childhood or adolescence.  It is interpersonal in nature and typically involves psychological maltreatment, neglect or emotional, physical or sexual abuse.  It usually occurs within the child’s primary caregiving system.

What are some of the symptoms of Complex PTSD (C-PTSD) ?

Hostility or distrust towards people

Problems with emotional regulation

Guilt, toxic shame, self-criticism

Feeling sad, hopeless or empty

Feeling worthless, damaged or broken


Depersonalisation or derealisation

Seeking a rescuer

Fidgeting and restlessness

Nightmares and Insomnia

Easily startled / Jumpy

Racing heart

Feeling helpless

Emotional Flashbacks

Withdrawing from others

Feeling very different to other people

Feeling disconnected or numb

Feeling unsafe

A deep sense of loneliness

Hypervigilance around people


Poor concentration

Muscle tension

Treating Complex PTSD?

C-PTSD is often treated with a combination of therapy, medication, and self-care. Therapy for C-PTSD typically focuses on helping the individual process and come to terms with the trauma, deal with attachment issues, as well as developing new skills and coping mechanisms for managing symptoms. This can include cognitive-behavioural therapy (CBT), which helps the individual identify and change negative thought patterns. As well as therapies like eye movement desensitization and reprocessing (EMDR), IFS, DBR somatic therapies and trauma-focused therapy, which can help the individual process and work through traumatic memories.  Childhood trauma usually causes attachment problems, so a range of therapies such as attachment-focused EMDR (AF-EMDR) can be used for attachment repair.

Some people may require medication to manage some of the symptoms of C-PTSD, such as depression and anxiety.  Self-care is also an important part of C-PTSD treatment and can include things like exercise, journaling, meditation or spending time with loved ones.

It’s important to note that healing from C-PTSD can be a long process, and it may take time for someone to fully recover. It’s also important to seek support and treatment as soon as possible, as the longer the trauma goes unaddressed, the more difficult it can be to overcome.

C-PTSD is a serious condition that can have a significant impact on an individual’s life. If you or someone you know may be experiencing C-PTSD, it’s important to seek help as soon as possible. With the right treatment and support, it is possible to recover and move forward with a more positive and fulfilling life.

Complex PSTD Treatment in Manchester

The trauma treatment utilises Herman’s Three-Stage Model of Trauma Recovery.
1) Safety and Stabilisation, 2) Processing traumatic memories, 3) Resolution and integration. In actual practice, the treatment is likely to be more fluid than this with frequent movement between the stages.

The therapeutic approach may combine psychotherapy with EMDR, CBT, Attachment Focused-EMDR, IFS, DBR, DBT, Focusing, Somatic therapies, NLP and Meditation.

As everyone is unique, the Complex PTSD treatment available at the Manchester psychotherapy practice is tailored to your individual requirements. The exact form of the treatment and number of sessions will vary from person to person. For Complex PTSD, Complex Trauma or developmental trauma, long-term therapy will almost certainly be required and may take some time.

The process will require a regular and on-going commitment of your time and energy, with sessions usually taking place on a weekly basis.

Booking is easy

Before booking it is very important that you get any physical symptoms checked by your GP

I recommend booking an Initial Consultation first. This gives us a chance to begin to explore your issues and your requirements further, give you honest answers to any questions you might have and give you an estimate of the number of sessions you may require. When you are ready to make the inner changes you need, simply phone me on 07463 542368 or Click here to email to make an appointment now.

I offer online scheduling for Manchester appointments


I practice from a consulting room in Manchester City Centre. With easy access by tram, train and car.  If you can’t travel to me then I am also available for online therapy, counselling and coaching via Zoom.

Please feel free to contact me if you have any questions.

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Consultation Fees

Session fees are paid at the time of booking.

You may pay by debit card, credit card, cash, private medical insurance, direct bank transfer or by PayPal. I no longer accept cheques.

Medical insurance

I am currently registered to provide psychotherapy/counselling with a number of private health insurance companies. Insurers all have slightly different rules of cover, and it is important to contact your insurer directly to check what your policy covers. You will need to get written proof of authorisation or authorisation code before proceeding.

Most insurers will usually only pay for short-term time-limited treatment for acute issues.

  Cost per session when self-funding:

See the consultation fees page for session prices and discounts.

Websites about Complex PTSD and related disorders

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Nigel Magowan, Psychotherapy Manchester Psychotherapist, NLP Manchester | Help with trauma and PTSD | EMDR Therapist Manchester | CBT

Therapy Services

Integrative Psychotherapy
Cognitive Behavioural Therapy (CBT)
Trauma-Informed Therapy
EMDR (Eye Movement Desensitisation and Reprocessing)
AF-EMDR (Attachment-Focused EMDR)
Somatic Therapy
Clinical Supervision
DBT Skills
Life Coaching
Neuro-Linguistic Programming (NLP)
Ericksonian Hypno-psychotherapy
Online Therapy via Zoom / Skype
Employee Assistance Programme (EAP)
Open Public Workshops
Corporate Workshops and Training
Closed Group Ecotherapy Workshops
Ecotherapy / Nature-based Therapy
Outdoor Nature-therapy Retreats

Contact Details

Nigel Magowan
UKCP Registered and Accredited Psychotherapist
Registered Member of the BACP
EMDR Therapist
UKCP Approved Clinical Supervisor
Accredited Therapist Member of Anxiety UK

New address:

Nigel Magowan t/as
Inner Changes Psychotherapy
Piccadilly House
49 Piccadilly
M1 2AP
Phone: 07463 542368 (Manchester City Centre)

Opening hours:
11am – 7:30pm, Monday – Friday

Payment accepted by debit/credit card, direct bank transfer, PayPal, cash or medical health insurance.

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