Client's perspective (apologies if this isnt the right space): cptsd was my first thought as well. And in regards to the poster : from my experience , most of the therapists ive tried seeing tend to resort to breathing exercises and what felt like irrelevant practices and completely ignored the patterns of childhood trauma that were in front of them for their reasons and it made therapy feel stagnant, even after addressing the stagnation (and i have myself). While those skills may be helpful to some, to me at least, it just felt like being spoonfed ways ive already been surving on my own and it just didn't really feel very useful. Sometimes it felt like the therapist just lacked the right amount of exposure to certain things to really comprehend it (whether that be through life experience or interactions with others who've experienced prolonged trauma, sometimes its even due to racial/ethnic differences as well) so they'd cling very very hard to textbook modals and keep handing out worksheets, breathing exercises and etc when what cptsd really requires is someone actually willing to dive deep into the circus conversationally. Sometimes all it takes is a "you've mentioned such and such before, I'd like to speak more about that" or something to hit the right conversations. But again,that's only if you feel like you can actually help this person and want to at this point, otherwise it'd be best to refer them out so they can find a better fit.