Complex PTSD vs Classic PTSD-- Healing medical trauma with MDMA assisted therapy
Back from the Abyss: Psychiatry in Stories | Psychotherapy, Trauma, and Psychedelics
Craig Heacock MD
4.8 • 452 Ratings
🗓️ 1 May 2026
⏱️ 60 minutes
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| 0:00.0 | Welcome to Back from the Abyss. I'm Dr. Craig Hecock. |
| 0:17.9 | There are a few spots left in my two psychotherapy trainings this summer. |
| 0:22.2 | The first one takes place here in Fort Collins from June 3rd to 6th. |
| 0:26.9 | It's called bringing therapy into med management, |
| 0:29.9 | and it's geared for psychiatric nurse practitioners and PAs who want to deepen their therapy skills |
| 0:35.0 | and practice more holistically and psychodynamicly. |
| 0:39.4 | The second workshop is called I Love You, I Hate You, Are You My Mom? |
| 0:44.1 | And this is an experiential deep dive on working with transference and countertransference with Dr. |
| 0:49.9 | Hilary McBride and she and I await you in the mountains east of Vancouver, June 18th through 20th. |
| 0:56.7 | See my website for details and registration info for both of these. |
| 1:02.1 | Today's story is one of classic DSM-style PTSD. |
| 1:07.7 | It's a story of both medical and parenting trauma, of facing the fear of annihilation and death. |
| 1:14.6 | But interestingly, as I think back on the seven seasons of Back from the Abyss, |
| 1:18.9 | we've almost never done a story on classic PTSD. |
| 1:22.6 | Our most common story theme by far is that of complex or developmental PTSD, |
| 1:30.6 | which, crazily, strangely, |
| 1:36.2 | what the heck, isn't even a formally recognized diagnosis in American psychiatry. |
| 1:40.5 | Why complex PTSD isn't in the DSM is a story unto itself. |
| 1:45.4 | But I continue to find it so bizarre that one of the most common presentations in my office and on this podcast isn't seen as a valid diagnosis by mainstream American psychiatry. |
| 1:53.1 | What is complex, also known as developmental PTSD? Complex PTSD is caregiver to child trauma. its early attachment slash love slash safety trauma, |
| 2:05.8 | which then profoundly affects the child's ability to find and maintain safety and connection |
| 2:12.4 | and healthy relationships. |
... |
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