Religious trauma syndrome


Religious trauma syndrome is classified as a set of symptoms, ranging in severity, experienced by those who have participated in or left behind authoritarian, dogmatic, and controlling religious groups and belief systems. It is not present in the Diagnostic and Statistical Manual or the ICD-10 as a diagnosable condition, but is included in Other Conditions that May Be a Focus of Clinical Attention. Symptoms include cognitive, affective, functional, and social/cultural issues as well as developmental delays.
RTS occurs in response to two-fold trauma: first the prolonged abuse of indoctrination by a controlling religious community, and second the act of leaving the controlling religious community. RTS has developed its own heuristic collection of symptoms informed by psychological theories of trauma originating in PTSD, C-PTSD and betrayal trauma theory taking relational and social context into account when approaching further research and treatment.
The term "religious trauma syndrome" was coined in 2011 by psychologist Marlene Winell in an article for the British Association for Behavioural and Cognitive Psychotherapies, though the phenomenon was recognized long before that. The term has circulated among psychotherapists, former fundamentalists, and others recovering from religious indoctrination. Winell explains the need for a label and the benefits of naming the symptoms encompassed by RTS as similar to naming anorexia as a disorder: the label can lessen shame and isolation for survivors while promoting diagnosis, treatment, and training for professionals who work with those suffering from the condition.
RTS arises in contexts where individuals are taught they are inherently flawed and unsafe, frequently through doctrines like original sin and eternal punishment, and controlled by fear-based teachings and threats of damnation. Symptoms span cognitive confusion, anxiety, depression, sexual dysfunction, substance abuse, social isolation, and developmental delays caused by restricted critical thinking and information control. Leaving such communities can itself be traumatic, as it often involves losing social support, identity, and meaning while facing institutional betrayal and hostility from former members. RTS disproportionately affects marginalized groups, such as LGBTQ individuals pressured to suppress their identities. Treatment is trauma-informed and holistic, addressing cognitive, emotional, functional, and social recovery through critical thinking development, somatic healing, rebuilding identity, forming supportive communities, and processing grief. Growing awareness, research initiatives, and advocacy — including Religious Trauma Day in Sweden — aim to destigmatize RTS, deepen understanding of its mechanisms, and promote recovery.

Symptoms

As symptoms of religious trauma syndrome, psychologists have recognized dysfunctions that vary in number and severity from person to person.
Religious trauma has also been linked to severe results such as suicide and homicide.

How RTS develops

Membership

RTS begins in toxic religious environments centered around two basic narratives: "You are not okay" and "You are not safe." These ideas are often enforced by theology such as the doctrines of original sin and hell.
The development of RTS can be compared to the development of complex PTSD, defined as a psychological disorder that can develop in response to prolonged, repeated experience of interpersonal trauma in a context in which the individual has little or no chance of escape. Symptoms of RTS are a natural response to the perceived existence of a violent, all-powerful God who finds humans inherently defective, along with regular exposure to religious leaders who use the threat of eternal death, unredeemable life, demon possession and many other frightening ideas to control religious devotion and the submission of group members.
Members of the LGBTQIA+ community are at particular risk of RTS and C-PTSD as they attempt, over an extended period of time, to alter their sexual orientation and gender identity to fit the expectations of authoritarian religious communities. The process of attempting to alter one's orientation can create emotionally abusive thought patterns that are prone to exacerbate the C-PTSD-like symptoms of RTS. Chronically living in fear of eternal damnation and lifelong separation from loved ones and religious communities if they fail to comply with sexual identity restrictions can induce long-term symptoms of RTS.

Leaving

Leaving a controlling religious community, while often experienced as liberating and exciting, can be experienced as a major traumatic event. Religious communities often serve as the foundation for individuals' lives, providing social support, a coherent worldview, a sense of meaning and purpose, and social and emotional satisfaction. Leaving behind all those resources goes beyond a significant loss; it calls on the individual to completely reconstruct their reality, often while newly isolated from the help and support of family and friends who stay in the religion.
In addition, when violent or threatening theology, such as a belief in hell, divine punishment, demons, and an evil "outside world", have been incorporated into the basic structure of an individual's worldview, the threats of engaging the outside world instead of remaining in the safe bubble of the controlling religious community can induce further anxiety.
As individuals identify the harm they are experiencing in authoritarian religious settings, their concerns may be minimized by the religious group itself, but they can also be compounded by society's investment in positive views of religion. Institutional betrayal, first at the hands of beloved religious communities, second at the hands of a world that upholds the utility of religion rather than the experiences of religious abuse survivors, can make symptoms of RTS worse. People leaving religion can experience extreme hostility from their former co-religionists.

Antecedents to RTS

The development of RTS as a diagnosable and treatable set of symptoms relies on several psychological theories that provide an academic framework with which to understand it.

PTSD

Like all iterations of trauma, the development of RTS is informed by PTSD, defined in DSM V as a mental disorder that can develop after a person is exposed to a traumatic event, such as sexual assault, warfare, traffic collisions, child abuse, or other threats on a person's life. These events can be personally experienced, observed, or imagined. The important element is the perception of life-threatening danger. In the case of RTS, a person can be traumatized by images of burning hellfire; fundamentalist groups are noted for using terrifying stories to indoctrinate children.
The experience of leaving one's faith can be an event that takes place quickly or over a period of time. Because of the overall intensity and major impact of the event, it can be compared with other events that cause PTSD. Key symptoms of PTSD are re-experiencing, avoidance, arousal and reactivity, and cognition and mood disturbances. These symptoms are also true for many experiencing religious trauma.

Complex PTSD

Complex PTSD is a closely related disorder that refers to repeated trauma over months or years, rather than a one-time event. Any type of long-term trauma can lead to C-PTSD. The term C-PTSD was originated by Judith Herman, who outlines the history of trauma as a concept in the psychological world along with a three-stage approach for recovery. Herman outlines the importance of naming and diagnosing trauma to aid recovery, further legitimizing the need for defining RTS as resulting from specifically religious experiences. Herman also describes C-PTSD with the traumatic complications of surviving captivity. This is a diagnosis comparable to RTS, in which RTS occurs in response to perceived captivity rather than physical reality.
The symptoms of C-PTSD include those of PTSD plus lack of emotional regulation, disassociation, negative self-perception, relationship issues, and loss of meaning comparable to RTS. Traumatologist Pete Walker sees attachment disorder as one of the key symptoms of Complex PTSD. He describes it as the result of growing up with primary caretakers who were regularly experienced as dangerous. He explains that recurring abuse and neglect habituates children to living in fear and sympathetic nervous system arousal.

Betrayal trauma and shattered assumptions theory

While the traditional paradigm defining PTSD focuses on fear response to trauma and emphasizes corrective emotional processing as treatment, RTS may be better understood as a set of symptoms comparable to betrayal trauma informed by shattered assumptions theory. Betrayal trauma adds a fourth assumption to Janoff-Bulman's original three:. Betrayal trauma theory acknowledges that victims unconsciously keep themselves from becoming aware of betrayal in order to keep from shattering that fourth basic assumption, the loss of which would be traumatic.
Religious trauma can be compared to betrayal trauma because of the trust placed in authoritarian communities and religious leaders which causes harm to individuals. Betrayal trauma theory also acknowledges the power of shattered assumptions to cause trauma. With RTS, individuals are not only experiencing betrayal from family, religious community, and trusted faith leaders, they are also experiencing a shattered faith. The potential extremity of feelings in relation to losing one's worldview while also losing emotional and social support to get through any given crisis can cause further trauma.
While fear paradigms tend to focus on treating symptoms of trauma through exposure therapy and attention to emotional regulation, betrayal trauma theory looks at the social context in which the betrayal occurred, placing the pathology in the traumatic event rather than the individual. This affects treatment approaches and also informs the treatment for RTS.