{ "assessmentTests": { "complex_ptsd_screener": { "name": "Complex Trauma & Relationship Patterns Check-In", "desc": "A trauma-informed self-reflection on patterns that can follow trauma that was prolonged or repeated, childhood abuse, captivity, domestic violence, trafficking, covering both classic trauma responses and the deeper shifts in emotional regulation, self-worth, and relationships that set Complex PTSD apart from a single-incident trauma response.", "recommendation": "Your complex trauma response profile", "questions": [ { "question": "Memories of something that happened to me over and over, for a long time, come back without warning.", "options": [ { "icon": "đŸšĢ", "label": "Never", "desc": "Not something I experience" }, { "icon": "🤔", "label": "Sometimes", "desc": "Happens occasionally" }, { "icon": "📍", "label": "Often", "desc": "Happens regularly" }, { "icon": "🔴", "label": "Almost Always", "desc": "A constant challenge for me" } ] }, { "question": "I have dreams connected to a period of my life when I was hurt or mistreated repeatedly.", "options": [ { "icon": "đŸšĢ", "label": "Never", "desc": "Not something I experience" }, { "icon": "🤔", "label": "Sometimes", "desc": "Happens occasionally" }, { "icon": "📍", "label": "Often", "desc": "Happens regularly" }, { "icon": "🔴", "label": "Almost Always", "desc": "A constant challenge for me" } ] }, { "question": "There are moments when it feels like I'm right back in a situation I lived through for a long time.", "options": [ { "icon": "đŸšĢ", "label": "Never", "desc": "Not something I experience" }, { "icon": "🤔", "label": "Sometimes", "desc": "Happens occasionally" }, { "icon": "📍", "label": "Often", "desc": "Happens regularly" }, { "icon": "🔴", "label": "Almost Always", "desc": "A constant challenge for me" } ] }, { "question": "My body reacts strongly, a racing heart, a tight chest, or freezing up, when something reminds me of a prolonged difficult period in my life.", "options": [ { "icon": "đŸšĢ", "label": "Never", "desc": "Not something I experience" }, { "icon": "🤔", "label": "Sometimes", "desc": "Happens occasionally" }, { "icon": "📍", "label": "Often", "desc": "Happens regularly" }, { "icon": "🔴", "label": "Almost Always", "desc": "A constant challenge for me" } ] }, { "question": "I try to avoid thinking about a long stretch of my life when I was repeatedly hurt or mistreated.", "options": [ { "icon": "đŸšĢ", "label": "Never", "desc": "Not something I experience" }, { "icon": "🤔", "label": "Sometimes", "desc": "Happens occasionally" }, { "icon": "📍", "label": "Often", "desc": "Happens regularly" }, { "icon": "🔴", "label": "Almost Always", "desc": "A constant challenge for me" } ] }, { "question": "I steer clear of people, places, or situations that remind me of a prolonged difficult period in my life.", "options": [ { "icon": "đŸšĢ", "label": "Never", "desc": "Not something I experience" }, { "icon": "🤔", "label": "Sometimes", "desc": "Happens occasionally" }, { "icon": "📍", "label": "Often", "desc": "Happens regularly" }, { "icon": "🔴", "label": "Almost Always", "desc": "A constant challenge for me" } ] }, { "question": "There are parts of an extended difficult period in my life that I have trouble remembering clearly.", "options": [ { "icon": "đŸšĢ", "label": "Never", "desc": "Not something I experience" }, { "icon": "🤔", "label": "Sometimes", "desc": "Happens occasionally" }, { "icon": "📍", "label": "Often", "desc": "Happens regularly" }, { "icon": "🔴", "label": "Almost Always", "desc": "A constant challenge for me" } ] }, { "question": "I distract myself or stay busy to avoid feelings connected to something that happened to me over a long time.", "options": [ { "icon": "đŸšĢ", "label": "Never", "desc": "Not something I experience" }, { "icon": "🤔", "label": "Sometimes", "desc": "Happens occasionally" }, { "icon": "📍", "label": "Often", "desc": "Happens regularly" }, { "icon": "🔴", "label": "Almost Always", "desc": "A constant challenge for me" } ] }, { "question": "I feel like I have to stay on guard, even now, even in situations that are generally safe.", "options": [ { "icon": "đŸšĢ", "label": "Never", "desc": "Not something I experience" }, { "icon": "🤔", "label": "Sometimes", "desc": "Happens occasionally" }, { "icon": "📍", "label": "Often", "desc": "Happens regularly" }, { "icon": "🔴", "label": "Almost Always", "desc": "A constant challenge for me" } ] }, { "question": "I startle easily or feel jumpy, more than seems to match what's actually happening around me.", "options": [ { "icon": "đŸšĢ", "label": "Never", "desc": "Not something I experience" }, { "icon": "🤔", "label": "Sometimes", "desc": "Happens occasionally" }, { "icon": "📍", "label": "Often", "desc": "Happens regularly" }, { "icon": "🔴", "label": "Almost Always", "desc": "A constant challenge for me" } ] }, { "question": "I have trouble relaxing, like part of me is always braced for something to go wrong.", "options": [ { "icon": "đŸšĢ", "label": "Never", "desc": "Not something I experience" }, { "icon": "🤔", "label": "Sometimes", "desc": "Happens occasionally" }, { "icon": "📍", "label": "Often", "desc": "Happens regularly" }, { "icon": "🔴", "label": "Almost Always", "desc": "A constant challenge for me" } ] }, { "question": "I scan rooms, situations, or people for signs of danger, even when there's no clear reason to.", "options": [ { "icon": "đŸšĢ", "label": "Never", "desc": "Not something I experience" }, { "icon": "🤔", "label": "Sometimes", "desc": "Happens occasionally" }, { "icon": "📍", "label": "Often", "desc": "Happens regularly" }, { "icon": "🔴", "label": "Almost Always", "desc": "A constant challenge for me" } ] }, { "question": "My emotions can go from calm to overwhelming very quickly, and it's hard to bring myself back down.", "options": [ { "icon": "đŸšĢ", "label": "Never", "desc": "Not something I experience" }, { "icon": "🤔", "label": "Sometimes", "desc": "Happens occasionally" }, { "icon": "📍", "label": "Often", "desc": "Happens regularly" }, { "icon": "🔴", "label": "Almost Always", "desc": "A constant challenge for me" } ] }, { "question": "Small things can trigger an intense emotional reaction that feels bigger than the moment calls for.", "options": [ { "icon": "đŸšĢ", "label": "Never", "desc": "Not something I experience" }, { "icon": "🤔", "label": "Sometimes", "desc": "Happens occasionally" }, { "icon": "📍", "label": "Often", "desc": "Happens regularly" }, { "icon": "🔴", "label": "Almost Always", "desc": "A constant challenge for me" } ] }, { "question": "I sometimes feel emotionally numb or shut down, like I can't access my feelings at all.", "options": [ { "icon": "đŸšĢ", "label": "Never", "desc": "Not something I experience" }, { "icon": "🤔", "label": "Sometimes", "desc": "Happens occasionally" }, { "icon": "📍", "label": "Often", "desc": "Happens regularly" }, { "icon": "🔴", "label": "Almost Always", "desc": "A constant challenge for me" } ] }, { "question": "It's hard for me to calm myself down once I'm upset, even when I want to.", "options": [ { "icon": "đŸšĢ", "label": "Never", "desc": "Not something I experience" }, { "icon": "🤔", "label": "Sometimes", "desc": "Happens occasionally" }, { "icon": "📍", "label": "Often", "desc": "Happens regularly" }, { "icon": "🔴", "label": "Almost Always", "desc": "A constant challenge for me" } ] }, { "question": "I feel fundamentally flawed, damaged, or different from other people because of what I've been through.", "options": [ { "icon": "đŸšĢ", "label": "Never", "desc": "Not something I experience" }, { "icon": "🤔", "label": "Sometimes", "desc": "Happens occasionally" }, { "icon": "📍", "label": "Often", "desc": "Happens regularly" }, { "icon": "🔴", "label": "Almost Always", "desc": "A constant challenge for me" } ] }, { "question": "I carry a deep sense of shame connected to things that happened to me, even things that weren't my fault.", "options": [ { "icon": "đŸšĢ", "label": "Never", "desc": "Not something I experience" }, { "icon": "🤔", "label": "Sometimes", "desc": "Happens occasionally" }, { "icon": "📍", "label": "Often", "desc": "Happens regularly" }, { "icon": "🔴", "label": "Almost Always", "desc": "A constant challenge for me" } ] }, { "question": "I believe, on some level, that what happened to me was my fault.", "options": [ { "icon": "đŸšĢ", "label": "Never", "desc": "Not something I experience" }, { "icon": "🤔", "label": "Sometimes", "desc": "Happens occasionally" }, { "icon": "📍", "label": "Often", "desc": "Happens regularly" }, { "icon": "🔴", "label": "Almost Always", "desc": "A constant challenge for me" } ] }, { "question": "I feel like I don't deserve good things or good treatment from others.", "options": [ { "icon": "đŸšĢ", "label": "Never", "desc": "Not something I experience" }, { "icon": "🤔", "label": "Sometimes", "desc": "Happens occasionally" }, { "icon": "📍", "label": "Often", "desc": "Happens regularly" }, { "icon": "🔴", "label": "Almost Always", "desc": "A constant challenge for me" } ] }, { "question": "I find it hard to feel close to people, even people I care about.", "options": [ { "icon": "đŸšĢ", "label": "Never", "desc": "Not something I experience" }, { "icon": "🤔", "label": "Sometimes", "desc": "Happens occasionally" }, { "icon": "📍", "label": "Often", "desc": "Happens regularly" }, { "icon": "🔴", "label": "Almost Always", "desc": "A constant challenge for me" } ] }, { "question": "I have trouble trusting people, even when they've given me no reason not to.", "options": [ { "icon": "đŸšĢ", "label": "Never", "desc": "Not something I experience" }, { "icon": "🤔", "label": "Sometimes", "desc": "Happens occasionally" }, { "icon": "📍", "label": "Often", "desc": "Happens regularly" }, { "icon": "🔴", "label": "Almost Always", "desc": "A constant challenge for me" } ] }, { "question": "I avoid getting close to people because I expect to be hurt, controlled, or let down.", "options": [ { "icon": "đŸšĢ", "label": "Never", "desc": "Not something I experience" }, { "icon": "🤔", "label": "Sometimes", "desc": "Happens occasionally" }, { "icon": "📍", "label": "Often", "desc": "Happens regularly" }, { "icon": "🔴", "label": "Almost Always", "desc": "A constant challenge for me" } ] }, { "question": "I feel disconnected from other people, like I'm on the outside looking in.", "options": [ { "icon": "đŸšĢ", "label": "Never", "desc": "Not something I experience" }, { "icon": "🤔", "label": "Sometimes", "desc": "Happens occasionally" }, { "icon": "📍", "label": "Often", "desc": "Happens regularly" }, { "icon": "🔴", "label": "Almost Always", "desc": "A constant challenge for me" } ] } ], "dimensions": { "re_experiencing": { "name": "Re-Experiencing", "desc": "How often memories, dreams, or a sense of reliving a prolonged difficult period show up uninvited, in the body or the mind.", "high": "A high score here suggests a period of prolonged difficulty keeps resurfacing in ways you didn't choose, through memories, dreams, or moments that feel like being back in it. This is a well-documented response to repeated or extended distress, not a sign of weakness, and it tends to ease with the right support.", "low": "A low score here suggests unwanted memories or flashback-like moments connected to a prolonged difficult period aren't showing up often, or aren't taking up much space when they do.", "icon": "🌩ī¸", "science": "Cloitre, M., Garvert, D.W., Brewin, C.R., Bryant, R.A., & Maercker, A. (2013). \"Evidence for proposed ICD-11 PTSD and complex PTSD: a latent profile analysis.\" European Journal of Psychotraumatology, 4(1). See also World Health Organization, ICD-11: Complex post-traumatic stress disorder (6C58)." }, "avoidance": { "name": "Avoidance", "desc": "How much energy goes into steering clear of thoughts, feelings, people, or places connected to a prolonged difficult period.", "high": "A high score here suggests you're putting real effort into avoiding reminders of an extended difficult period, whether that's people, places, topics, or your own feelings. That instinct makes sense as a way to feel safer, though over time it can end up narrowing daily life more than it needs to.", "low": "A low score here suggests you're generally able to think about or encounter reminders of a prolonged difficult period without needing to steer away from them.", "icon": "đŸšĒ", "science": "Cloitre, M., Garvert, D.W., Brewin, C.R., Bryant, R.A., & Maercker, A. (2013). \"Evidence for proposed ICD-11 PTSD and complex PTSD: a latent profile analysis.\" European Journal of Psychotraumatology, 4(1). See also World Health Organization, ICD-11: Complex post-traumatic stress disorder (6C58)." }, "sense_of_current_threat": { "name": "Sense of Current Threat", "desc": "Whether your body and nervous system are staying on guard in the present, even in situations that are generally safe.", "high": "A high score here suggests your body may be staying braced for danger more than the present moment calls for, showing up as hypervigilance, being easily startled, or trouble letting your guard down even in safe settings. This is a recognized nervous-system response to prolonged or repeated threat, and it can settle with the right support.", "low": "A low score here suggests your body's alarm system is generally settled, without much hypervigilance or difficulty relaxing.", "icon": "⚡", "science": "Cloitre, M., Garvert, D.W., Brewin, C.R., Bryant, R.A., & Maercker, A. (2013). \"Evidence for proposed ICD-11 PTSD and complex PTSD: a latent profile analysis.\" European Journal of Psychotraumatology, 4(1). See also World Health Organization, ICD-11: Complex post-traumatic stress disorder (6C58)." }, "affect_dysregulation": { "name": "Affect Dysregulation", "desc": "How steady or overwhelming your emotional reactions feel, and how much control you have over calming yourself down once upset.", "high": "A high score here suggests your emotions may swing further and faster than feels manageable, or shut down entirely, one of the three patterns ICD-11 groups under \"disturbances in self-organization\" that distinguish Complex PTSD from PTSD. This is a learned nervous-system pattern from prolonged or repeated stress, not a character flaw, and it responds well to trauma-informed support.", "low": "A low score here suggests you're generally able to feel your emotions without being overwhelmed by them, and to calm yourself down again once upset.", "icon": "🌊", "science": "Cloitre, M., Garvert, D.W., Brewin, C.R., Bryant, R.A., & Maercker, A. (2013). \"Evidence for proposed ICD-11 PTSD and complex PTSD: a latent profile analysis.\" European Journal of Psychotraumatology, 4(1). See also World Health Organization, ICD-11: Complex post-traumatic stress disorder (6C58)." }, "negative_self_concept": { "name": "Negative Self-Concept", "desc": "Persistent beliefs about being damaged, worthless, or to blame, that can take root after prolonged or repeated mistreatment.", "high": "A high score here suggests you may be carrying a deep, persistent sense of shame, worthlessness, or self-blame connected to prolonged or repeated mistreatment, even for things that were never your fault. This is one of the three patterns at the core of Complex PTSD, and it's remarkably common after this kind of experience, and it can genuinely shift with the right support.", "low": "A low score here suggests your sense of self-worth has generally held steady, without persistent shame or self-blame connected to difficult experiences.", "icon": "đŸĒž", "science": "Cloitre, M., Garvert, D.W., Brewin, C.R., Bryant, R.A., & Maercker, A. (2013). \"Evidence for proposed ICD-11 PTSD and complex PTSD: a latent profile analysis.\" European Journal of Psychotraumatology, 4(1). See also World Health Organization, ICD-11: Complex post-traumatic stress disorder (6C58)." }, "disturbed_relationships": { "name": "Disturbed Relationships", "desc": "How much prolonged or repeated mistreatment may be shaping your ability to feel close to, or trust, other people.", "high": "A high score here suggests it may be hard to feel close to people or trust them, even people who've given you no reason not to, a common pattern after prolonged mistreatment, especially by someone who was supposed to protect you. This is one of the three patterns at the core of Complex PTSD, and relationships, including a therapeutic one, are often where healing happens.", "low": "A low score here suggests you're generally able to feel close to and trust the people in your life.", "icon": "💔", "science": "Cloitre, M., Garvert, D.W., Brewin, C.R., Bryant, R.A., & Maercker, A. (2013). \"Evidence for proposed ICD-11 PTSD and complex PTSD: a latent profile analysis.\" European Journal of Psychotraumatology, 4(1). See also World Health Organization, ICD-11: Complex post-traumatic stress disorder (6C58)." } }, "results": { "minimal": { "name": "Minimal Complex Trauma Symptoms", "desc": "Your responses suggest the patterns this check-in looks for, re-experiencing, avoidance, feeling on guard, and shifts in emotional regulation, self-worth, or relationships, aren't showing up in a way that's disrupting your life right now. Whatever prolonged or repeated difficulty you may have lived through, it doesn't appear to be dominating your sense of self or your relationships at the moment.", "recommendation": "Keep doing what's working: steady routines, relationships you can trust, and paying attention to your own stress and self-worth over time. If anything shifts down the road, this kind of check-in is worth revisiting." }, "mild": { "name": "Mild Complex Trauma Symptoms", "desc": "Your responses suggest some noticeable patterns, memories that resurface, a harder edge toward yourself, or moments of emotional overwhelm or distance from others. For many people, this is a manageable part of carrying a difficult history, especially with some extra attention to self-compassion and connection.", "recommendation": "Simple grounding techniques can help when a wave of emotion or a memory catches you off guard. It's also worth noticing patterns in how you relate to people you're close to, and reaching out to someone you trust, or a therapist, if the self-critical thoughts or relationship strain start to feel heavier." }, "moderate": { "name": "Moderate Complex Trauma Symptoms", "desc": "Your responses suggest a pattern that's showing up often enough to affect your day-to-day life, whether that's your sense of safety, your relationships, or how you see yourself. This is a strong signal that support from someone trained in complex trauma would likely help.", "recommendation": "Consider talking with a therapist trained in complex trauma or attachment-based approaches. Modalities like Cognitive Processing Therapy (CPT), EMDR (Eye Movement Desensitization and Reprocessing), and phase-based trauma treatment, building safety and stability before processing memories, are leading evidence-based approaches, and many therapists now specialize specifically in complex or relational trauma. Reaching out is a practical next step, not a last resort." }, "high": { "name": "Significant Complex Trauma Symptoms", "desc": "Your responses suggest a pattern that's frequent and far-reaching, touching your memories, your sense of safety, your emotional regulation, your self-worth, and your relationships. Carrying all of this on your own is exhausting, and it doesn't have to stay this way.", "recommendation": "Reaching out to a mental health professional experienced in complex trauma is a strong next step soon. Phase-based trauma treatment, EMDR, and Cognitive Processing Therapy (CPT) are highly effective, and these patterns, however entrenched they feel, are genuinely treatable with the right support. If you're in crisis, contact a crisis line or emergency services in your area." } } } }, "testNames": { "complex-ptsd-screener": "Complex Trauma & Relationship Patterns Check-In" } }