Branford is a shoreline town with a lot of layers — long-time families, newer residents, a mix of people who grew up here and people who came looking for something quieter. But wherever you're from, the past comes with you. For some people in Branford, the trauma that's hardest to address isn't from a single event — it's from what it was like to grow up. Years of instability, of feeling unsafe in your own home, of learning to read a parent's mood from across the room. That's complex trauma, sometimes called C-PTSD, and it shapes you in ways that don't always look like a textbook PTSD case. You might not have flashbacks. Instead, you might have a deep difficulty trusting people, a hair-trigger shame response, a sense that you don't quite belong anywhere — even in a place as grounding as the Branford shoreline. Sindhia Shyras, APRN is a board-certified Psychiatric Nurse Practitioner with nine years of experience. She sees Branford residents via telehealth anywhere in Connecticut and in-person in New Britain.
Complex PTSD develops from prolonged, repeated exposure to threatening or destabilizing situations — usually in childhood, when your nervous system was still forming its baseline sense of what the world is like. Unlike single-event PTSD, C-PTSD doesn't produce one set of memories to process. It produces a personality structure built around survival — around managing other people, minimizing yourself, staying alert. You might not connect your current difficulties to your childhood at all, because it just feels like who you are. But there's a difference between who you are and what you had to become to get through. Sindhia understands this distinction, and she brings it into how she evaluates and treats her patients.
One of the symptoms of complex trauma that can be hardest to recognize — and hardest to explain to others — is emotional numbness. You watch things happen that you know should affect you, and they just don't land. You're present at a celebration but feel like you're watching it through glass. You care about people but can't always feel that caring in the moment. This isn't coldness. It's a defense the nervous system built over time to protect you from feeling things that were once unbearable. And it doesn't go away by will alone. But it does respond to treatment. Often, as the baseline level of stress and hypervigilance comes down through medication and support, the numbness begins to lift — and the capacity to actually be present starts to return.
With C-PTSD, the approach is often slower and more careful than with single-event trauma — because the roots go deeper. Sindhia's starting point is always a full psychiatric evaluation: understanding your history, your current symptoms, and what's most disruptive to your daily life. Medication can help bring down the baseline reactivity so that other healing work becomes possible. SSRIs are often a first step. From there, the plan evolves based on what's actually helping. And she accepts Aetna, Cigna, Husky Health, Medicaid, United Healthcare, Anthem, ConnectiCare, and self-pay — so cost doesn't have to be the thing that stops you.
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