C-PTSD is a long term mental health condition which has severe impacts on the individual, their family and the community as a whole. People living with C-PTSD spend 10 times more time in hospital than people with depression alone (Van der Kolk, 2002). Furthermore, research has shown that 90% of public mental health clients have been exposed to (and most have experienced) multiple experiences of trauma (Jennings, 2004).
Currently, the Government only offers mental health care plans for treatment of mild to moderate psychological conditions (Rosenberg & Hickie, 2019). The mental health care plan will cover 10 therapy sessions per year. This is a small fraction of the amount of therapy required for the recovery of C-PTSD.
The true economic cost of C‑PTSD in Australia is not fully known because most research and government reporting group C‑PTSD under broader categories such as Post-traumatic stress disorder (PTSD) or mental and behavioural disorders.
PTSD has a significant impact not only on individuals and families but also on society as a whole. Approximately 1.4 million Australians are living with PTSD at any one time, with first-time hospitalisations for PTSD costing an estimated A$385 million each year (Australian Institute of Health and Welfare, 2020). International research also highlights the wider economic strain caused by PTSD, including healthcare and medication costs, income loss, unemployment, and disability payments (Queen’s University Belfast, 2019).
The National Centre for PTSD found that mental health patients with a diagnosis of PTSD had 13 times the rate of suicide than those without PTSD. Furthermore, suicide attempts are higher in people living with C-PTSD than in people with a diagnosis of PTSD alone (Pinheiro et al., 2016).
Conventional PTSD treatment has been shown to not only be ineffective, but to have unacceptable risks for people living with C-PTSD (Ford, 1999;McDonagh Coyle et al., 1999).Treatment of C-PTSD needs to be delivered by a therapist who is specialised in treating this disorder. ,Studies show symptom improvement for people living with C-PTSD after 12-14 months of treatment, with twice weekly sessions (Bohus et al. 2019;Walton et al., 2020) To achieve ongoing recovery, treatment can last between 12 months to 2 plus years, depending on the severity of symptoms and trauma history.
– K., Melbourne, C-PTSD Survivor
"Being on a DSP and being in severe financial hardship means having to prioritise where money is spent and on what, especially on a single income....My private health insurance, my mortgage,my bills...
I cannot afford a psychiatrist if they don't bulk bill...I currently have no supports. I do not want to use the public mental health system because they have severely traumatised me in the past. And not being able to afford medications just increases other health issues"– M., Melbourne,
C-PTSD Survivor
"I have not been able to earn an income for the past ten years due to mental health complications, including C-PTSD, hence my access to assistance for these conditions has been limited. A mental health plan from my GP allows for limited psychology sessions per year, however this has not been adequate or sustainable for treatments. I have needed to seek support from my family to help me financially...which is both isolating and demoralising. The lack of recognition of C-PTSD as a specific diagnosis and misunderstanding of the severity of its associated symptoms compounds to make finding assistance very challenging. " -M., Melbourne, C-PTSD Survivor
"I gave up the inheritance I’d planned to use for my HECS debt just to afford treatment...
I hadn't even been able to use my qualifications from uni to apply for work because of how traumatised I had been from my last jobs.
Treatment helped the trauma nightmares slow down, but they’ve been replaced by nightmares about the financial hole I’m in."-S., Melbourne, C-PTSD Survivor
“It would mean hope. That’s the best way I can put it. Right now, healing feels like something for people who can afford it, not people like me. Support would mean I have a real chance to work on myself without falling deeper into debt.”
-L., Melbourne., -C‑PTSD Survivor
"Financial support to put towards recovery from C-PTSD would enable a better quality of life in that the recognition of the condition alone allows for validation and healing. Access to treatment without the concern of funding , especially when relying on government benefits as only income, would reduce stress and pressure when it comes to getting help."-M., Melbourne, C-PTSD Survivor
"It would mean I could finally put my full energy into healing instead of constantly worrying about how to pay for each session. It would mean I could commit to therapy without feeling like I’m choosing between my recovery and my basic living needs. That kind of help would give me space to breathe, and to actually focus on getting well."-J., Melbourne, C-PTSD Survivor
Financial support for treatment would mean more money for medical issues that exacerbate my condition. And In therapy,I find myself in crisis mode talking about money, when really I should be talking about my trauma. It'd be such a relief just to have such a burden lifted off my shoulders. -S., Melbourne, C-PTSD Survivor
"That it's not just dealing with the cost of treatment for trauma. I have never met someone like me who doesn't have at least three chronic health conditions; chronic pain, autoimmune issues, you name it!
After all the medical bills, paying for psychiatrist, rheumatologist, gastrointestinologist, medication, etc. Plus the struggle of even getting back to work, how in the world are we supposed to afford therapy?!"
– S., Melbourne, C-PTSD Survivor
"C-PTSD is a deeply challenging condition that affects every aspect of one's life. The diagnosis and treatment of this condition allows for introspection and understanding of symptoms that left unaddressed can lead to severely negative outcomes for individuals and families. Increasing education around this could help to reduce stigma also, which would be of great help to the wider community in managing and preventing this condition."-M.,Melbourne, C-PTSD Survivor
I wish the wider community and more Practitioners understood more about C-PTSD. I feel it is a hidden disability that is greatly misunderstood and often not even recognised. I wish they knew how debilitating the condition is. That people understood generational trauma. -K.,Melbourne., C-PTSD Survivor
"I just wish people knew we exist...and we are suffering in silence. Our condition is real Just because it's not in the DSM, doesn't mean we are not living an extremely debilitating life. We are real and please...we need help...It would literally mean more than you could imagine."
-S.,Melbourne.,C-PTSD Survivor
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