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- [Kyle] CPTSD pervades all areas of a sufferers life. There are key cognitive, behavioral, physiological, and emotional signs of the disorder that patients and supporters alike can look out for. Dr. Ramani walks through those symptoms in this session. - Can someone develop CPTSD while the abuse is still occurring? - So while the abuse is still occurring, absolutely, youre gonna see very likely many of the patterns youd see an ongoing CPTSD, that therell be emotional numbing, that therell be a fear and a confusion about close relationships. Therell be shifts in their self-perception, viewing themselves as bad, negative, damaged, and helpless. There also are shifts in their perception of the perpetrator. They sometimes view the perpetrator as all powerful and all knowing. There are times theyll have fantasies about revenge against a perpetrator. All of that can be happening in real time. However, what you gotta keep in mind is, if the perpetration stops, those patterns dont stop