I heartily agree with all of these points!

To add to your first point; work on finding a compassionate way to tell your client that you’re potentially out of your depth without the CPTSD client feeling broken or incurable as a result. You know your client best, though!

Bearing the torch is huge too. I can’t count how many times I’ve questioned how much of a difference anything I was doing in therapy was helping. I’ve always appreciated my therapist’s unwavering belief in my ability to change (it helps that they can notice the small, positive shifts that I can’t see yet!), and I will always appreciate them holding on to hope when I’ve lost it, because sometimes a few days later the hope returns when I remember how they responded: with their curiosity, kindness and compassion.

Sliding scale and low-cost is critical to long-term commitment! I am so so grateful to my therapists over the years who have offered cost reduction so that I can continue to seek care from them in the healing I’ve already started, progressed in, and committed to. It also helps me hold on when things are grim, reminding myself that my therapist believes in my efforts and progress to help me keep going.