This chapter proposes that patients with chronic complex post-traumatic stress disorder (PTSD) are unable to fully take advantage of brief models of empirically validated manual-based therapy. It highlights that psychodynamic psychotherapy (PDPT) provides an evidence-based model and intervention strategy flexible enough for therapists to understand and assist patients with complex trauma to recover, while recognizing the therapeutic relationship as central to the resolution of traumatic sequalae. There are several common attributes of chronic complex patients with PTSD that warrant special consideration and management from the psychodynamic therapist. The emotion of fear is pervasively central to the experience of chronic complex trauma. Some simple sensorimotor psychotherapy methods provide the basis from which a patient can ultimately hold their own past self in mind, compassionately recognizing the fear and distress of the child they were.