### What you need to know ### BMJ Learning To obtain accredited continuous professional development points, subscribers to BMJ Learning can complete the full module at https://new-learning.bmj.com/course/30000120. The module contains seven additional questions submitted by users of BMJ Learning, related to general considerations in primary care, addressing common concerns, pre- and post-exposure prophylaxis, and considerations for HIV in pregnancy, healthcare workers, and the ageing population. General practitioners with a special interest in HIV Surinder Singh, Daniel Ivens, and Sophie Mylan provide expert answers to questions from general practitioners related to identifying, testing, and caring for patients with suspected or confirmed HIV infection, identifying seroconversion illness and patients who present late in their disease course, and the principles of antiretroviral therapy. You see a new patient, a 31 year old woman, who tells you she was diagnosed with HIV infection two ye

### What you need to know Complex post-traumatic stress disorder (C-PTSD) is a new diagnosis in the International Classification of Diseases (ICD) 11.1 It is not currently recognised in the Diagnostic and Statistical Manual of Mental Disorders (DSM) 5.2 Caused by recurrent, chronic, or sustained trauma, C-PTSD has the clinical features of PTSD and symptoms that reflect the prolonged impact of sustained trauma on self-organisation, encompassing affect regulation, negative self-concept, and difficulties sustaining interpersonal relationships. Here we explain what C-PTSD is, how to recognise it, and the fundamentals of management, acknowledging that the evidence base continues to grow and evolve. Complex PTSD may occur following exposure to events that are traumatic (box 1). Typically, this means chronic, repetitive, or prolonged trauma but may also arise from a single event or experience.1 Box 1 ### What is trauma? ICD-11 defines trauma as “exposure to an extremely threatening or horrifi