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Complex PTSD: causes, differences from PTSD, and ICD-11 diagnostic criteria. Also known as Disorders of Extreme Stress Not Otherwise Specified (DESNOS), and Enduring Personality Change After Catastrophe Experience (ICD-10 code F62.0).
Ptsd can cause problems like. flashbacks, or feeling like the event is happening again.
Complex post-traumatic stress disorder (complex PTSD) is a condition that can develop in response to repeated or intense trauma. Symptoms are similar to PTSD, but also include difficulties with managing emotions, self-esteem and relationships. People living with complex PTSD can benefit from self-care strategies and psychological
ICD-11 complex post-traumatic stress disorder (PTSD) is a new disorder that describes the more complex reactions that are typical of individuals exposed to chronic trauma. The addition of this disorder as distinct from PTSD is expected to provide greater precision in the diagnosis of trauma populations and more personalised and effective treatment.
F43.10 is a billable diagnosis code used to specify post-traumatic stress disorder, unspecified. Synonyms: complex posttraumatic stress disorder, concentration camp
Post-traumatic stress disorder, chronic. F43.12 is a billable/specific ICD-10-CM code that can be used to indicate a diagnosis for reimbursement purposes. The 2025 edition of ICD-10-CM F43.12 became effective on October 1, 2024.
The PTSD diagnosis in ICD-11 consists of only the following symptoms: re-experiencing the traumatic event (s); avoidance of thoughts, memories, activities, etc. that serve as reminders of the event; and, persistent perceptions of heightened current threat.
According to the ICD-11, complex PTSD includes most of the core symptoms of PTSD, such as: Flashbacks (re-experiencing the traumatic event). Avoidance and detachment from people, events and environmental triggers of the trauma.
Complex PTSD is characterised by three core post-traumatic symptom clusters, along with chronic and pervasive disturbances in emotion regulation, identity, and relationships. Complex PTSD has been adopted as a new diagnosis in the ICD-11.
In ICD-10, the diagnostic category, F62.0 Enduring personality change after catastrophic experience (EPCACE), was intended to describe personality-related late-onset of complex trauma, but this was used only to a small extent and excluded in favour of the CPTSD diagnosis in the transition to ICD-11 (WHO, ).