Advances in Psychiatric Treatment (2009) 15: 172-180. doi: 10.1192/apt.bp.106.003418
© 2009 The Royal College of Psychiatrists
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Post-traumatic stress disorder and attachment: possible links with borderline personality disorder

Felicity de Zulueta

Felicity de Zuluetais the lead clinician and a consultant psychiatrist in psychotherapy for the Traumatic Stress Service at the Maudsley Hospital, London, and Honorary Senior Lecturer at the Institute of Psychiatry, King’s College London. She specialises in the treatment of people with complex PTSD, asylum-seekers and refugees. She is a group analyst, systemic family therapist, psychoanalytic psychotherapist and EMDR therapist specialising in the study of attachment, violence, psychological trauma and bilingualism.

Correspondence: Correspondence Dr Felicity de Zulueta, Traumatic Stress Service, South London and Maudsley NHS Trust, 103 Denmark Hill, London SE5 8AZ, UK. Email: f.dezulueta{at}iop.kcl.ac.uk

This article discusses the aetiology of both simple and complex post-traumatic stress disorders (PTSDs) in terms of attachment theory, and points out the similarities between the diagnosis of complex PTSD and of borderline personality disorder. Case vignettes illustrate an outline of the assessment and treatment of the psychobiological symptoms of PTSD informed by attachment research.




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