Is emotional neglect the first psychological threat? Differentiating ICD-11 PTSD and complex PTSD with comorbid anxiety and depression

Although the ICD-11 diagnostic framework emphasizes symptom-based classification rather than the type of traumatic event, our findings underscore the clinical importance of differentiating trauma types - particularly emotional neglect - as relevant risk factors. Emotional neglect appears to function as a foundational psychological threat, playing a pivotal role in the development of CPTSD. Recognizing the distinct impact of specific trauma types may enhance diagnostic precision, guide treatment planning, and support early intervention strategies for individuals with relational trauma histories.