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Complex Trauma Symptom & Activation Tracker

Track your loved one's C-PTSD symptoms AND your own nervous system activation patterns.

Week 1

Appendix A

Daily Symptom & Activation Log

Date

Affect Dysregulation (emotional flooding, numbness, rapid mood shifts)

Negative Self-Concept (shame statements, self-blame, 'I'm broken')

Relational Disturbance (push-pull, withdrawal, clinging, mistrust)

Classic PTSD symptoms (flashbacks, nightmares, hypervigilance, avoidance)

YOUR activation level (how activated were YOU today?)

What was happening? (triggers, relational context, time of day)

Compassionate Inquiry: The Story I Carry

The behavior that frustrates or frightens me most right now:

When I see this behavior, the story I tell myself is:

I first learned this story when:

What I wish I understood about their experience:

Example: Example Entry

A sample log entry showing how to track C-PTSD symptoms and your own activation.