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myfandomrambles · 5 years

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C-PTSD & BPD Doctor

(Doctor Character Study part 3D)

An analysis of The Doctor as having Complex Post Traumatic Stress Disorder (C-PTSD) along with Borderline Personality Disorder (BPD).If you read my ADHD & Autistic doctor posts you will notice some symptom overlap mostly with impulsivity. I chose to put C-PTSD and BPD as one post because symptom overlap is strong, and the disorders are highly comorbid.

12th Doctor:

The Twelfth Doctor is often viewed as a darker, colder Doctor. He is a more abrasive character than many of The Doctor’s faces. He didn’t lie about who and what he was like many of the new Doctors do. He is really grappling with the Time War’s effects on himself, having lived in a war on Trenzalore, many of the things he has done or chosen to do that facilitated harm and very prominently all of the loved ones he’s lost before, during and after the wars.

The idea of being a soldier or general vs being The Doctor hangs heavy on him. He not only played a general and war hero during the time war “The Doctor of war” but was also the default commander of the Trenzalore war, the target of much of the violence and the de facto leader of the town during the siege. His deep fear of who he really is, and distaste for anything related to soldiers does stem from the Time War but regenerating off the war on Trenzalore made him have to grapple even further because he spent so much time having to experience it all over again.

In this Doctor's run we get some references back to his earliest incarnation and life on Gallifrey in series 9 a chunk of this is mostly plot-related in the concept of the Time Dial and Hybrid but even that added to other information gives insight to his early life which connects with all of the New Who Doctors, and greatly with the Twelfth Doctor in interesting ways.

"Man: Why does he have to sleep out here?

Woman: He doesn't want the others to hear him crying.

Man: Why does he have to cry all the time?

Woman: You know why.

Man: There'll be no crying in the army.

Woman: Hush.

Man: Don't pretend you're not awake. We're not idiots.

Woman: Come and sleep in the house. You don't have to be alone. If you can hear me, you're very welcome in the house, with the other boys. I'll leave the door on the latch. Come in any time.

Man: He can't just run away crying all the time if he wants to join the army.

Woman: He doesn't want to join the army. I keep telling you.

Man: Well, he's not going to the Academy, is he, that boy? He'll never make a Time Lord."

This scene is in TV: Listen is connected well with much of what we knew before about The Doctor's lonely childhood, his experience of always been regarded as a renegade, was disliked in school, not liking the rigid society, having anxiety even as a kid and being generally isolated [save The Master]. In this story, it also ties into the way that even into this regeneration The Doctor deals with fears and anxiety he tries to hide and intellectualize. This also sets up a baseline of possible attachment struggles that have worsened with complex trauma.

In TV: Witch's familiar Missy describes The Doctor as a young Time Lord, It’s told in a bit of humour manner but connects in with the more serious discussion on TV: Heaven Sent/Hell Bent.

“Doctor: A long time ago, there was a student at the Academy. He got in here, disappeared for four days. Showed up in a completely different part of the city. Said the Sliders talked to him, they showed him the secret passage out. And we just need the code.

Clara: What and the kid told you the secret?

Doctor: Ah, no, he didn't tell anyone anything. He went completely mad. Never right in the head again, so they say.

Clara: Okay, that's encouraging.

Doctor: The last I heard, he stole the moon and the President's wife.

Clara: Was she, er, Was she nice, the President's wife?

Doctor: Ah, well, that was a lie put about by the Shabogans. It was the President's daughter. I didn't steal the moon, I lost it.

Clara: I'd know you anywhere.

Doctor: I was a completely different person in those days. Eccentric, a bit mad, rude to people.”

This conversation again adds a bit to The Doctor stories adding to things like the Tenth Doctor’s discussion of the Untempered Schism shaping The Doctor even from a young age. This also connects with The Doctor's self-perception, the above attachment issues and talks about how his history on Gallifrey has influenced his identity issues.

The Doctor Struggles with boundaries, something that we know is connected with his alien tendencies [and if you read my Autistic/Adhd sections it ties with that] but I think his emotional and identity enmeshment with Clara and to some degree Missy has a tie into his history of loss and trauma ( TV: Under The Lake & TV: The Witch’s Familiar). We see that The Doctor tends to either care for people an intense amount or have difficulty forming a connection, this also applies to his trust ( TV: Time Heist, TV: The Caretaker, TV: Dark Water/Death in Heaven, TV: Last Christmas, TV: Zygon Invasion TV: Under The Lake/Before The Flood, & TV: The Pilot, TV: The Lie of The Land)

The Doctor has poor boundaries with Clara, in Comic: Clara Oswald and The School of Death The Doctor enters Clara’s bathroom while in the tub in the TARDIS, he has little care for how this would cross boundaries. The Doctor also very often relies on her for how he sees and values himself putting his Duty of Care over anything else. In TV: Dark Water we see another example,

“Clara: You're going to help me?

Doctor: Well, why wouldn't I help you?

Clara: Because of what I just did. I just

Doctor: You betrayed me. Betrayed my trust, you betrayed our friendship, you betrayed everything that I've ever stood for. You let me down!

Clara: Then why are you helping me?

Doctor: Why? Do you think I care for you so little that betraying me would make a difference?”

Clara crossed an extreme line in this episode having, in her mind, drugged The Doctor and destroyed his ability to get into his home and possible stranding them in a deadly position. As The Doctor point’s out he betrayed him deeply and let him down. The most telling part here isn’t to me that he helps her out, it’s that he doesn’t set this up as a time of “forgiving” her for having done something that could have hurt them both, but that it doesn’t make a difference. Betraying him could never make a difference, a level of extreme trust and lack of autonomy from her.

Being without her makes him reckless (TV: The Witch’s Familiar) and the ability to possibly protect her will make him cross lines, ones of keeping himself safe (TV: Last Christmas) and his own personal moral standards (TV: Face The Raven). In TV: Heaven Sent he describes life as not being worth living without her while trying to figure out if he can get out of the situation he questions if its work it saying,

“Doctor: But I can remember, Clara. You don't understand, I can remember it all. Every time. And you'll still be gone. Whatever I do, you still won't be there.”

The Doctor and Clara’s identities become enmeshed in The Doctor’s perception in TV: Heaven Sent he says,

“Doctor: Assume you're going to survive. Always assume that. Imagine you've already survived. There's a storm room in your mind. Lock the door and think. This is my storm room. I always imagine that I'm back in my Tardis, showing off, telling you how I escaped, making you laugh.”

This shows how she is part of his own internal thought process and his coping skills. And later in TV: Hell Bent along with his willingness to cross all his personal boundaries and the laws of time it’s discussed how they might, even if just in personal and outside perception, become a singular entity in the Hybrid.

“Doctor: Does it matter?

Ashildr: No. Because I have a better theory.

Doctor: Really?

Ashildr: What if the Hybrid wasn't one person, but two?

Doctor: Two?

Ashildr: A dangerous combination of a passionate and powerful Time Lord and a young woman so very similar to him.”

Part of this enmeshed identities is connected to the concept of Favourite person which Clara Oswald fills the role of in seasons 8 & 9. He puts so much of himself into her in his self-perception and works hard to keep her safe. ( TV: Into The Dalek, TV: In The Forest of The Night, TV: The Magician's Apprentice, TV: Zygon Invasion/Zygon Inversion, Comic: Clara Oswald and The School of Death, Prose: The Blood Cell, TV: Time Heist).

This is shown in terms of ‘duty of care’, this also relates to his hero/god complex, feelings that he needs to control everything, deep fears and anxiety and guilt over people he can’t save. ( TV: Under The Lake/Before The Flood, TV: Face the Raven, TV: The Girl Who Died). He also shows a lot of jealousy towards her showing attention to others. (TV: Robots of Sherwood, TV: Listen, TV: Last Christmas, TV: The Caretaker, Comic: The Four Doctors)

In TV: The Caretaker Danny Pink comments on The Doctors need to keep her safe.

“Danny: It's all right, it doesn't matter. I don't need him to like me. It doesn't matter if he likes me or hates me, I just need to do exactly one thing for you. Doctor, am I right?

Doctor: Yes.

Clara: What? What one thing?

Danny: I need to be good enough for you. That's why he's angry. Just in case I'm not.”

This protectiveness reaches its most extreme in Twelve shooting The General in TV: Hell Bent. He is also willing to hurt himself in order for her to not be hurt. This can be seen in TV: Dark Water & TV: The Witch's Familiar and allowing himself to be hurt for thousands of years in the Time Dial. (TV: Heaven Sent/Hell Bent)

This enmeshment isn't one-sided. Multiple Times Clara notes how important The Doctor is to her, stating he is essential to her in TV: Before the Flood, calling him the only person she really trusts (TV: Dark Water/Death in Heaven) and desperately wanting to be like him. (TV: Flatline, TV: The Girl Who Died & TV: Face The Raven)

In TV: Listen Clara ends up on Gallifrey and tried to calm the young Doctor, she is then able to extrapolate this to her Doctor whom she knows and understands his fear of vulnerability but has also seen him when he is lost and hurt, knowing he is anxious. When she comes back she says;

“Clara: What if there was nothing? What if there never was anything? Nothing under the bed, nothing at the door. What if the big bad Time Lord doesn't want to admit he's just afraid of the dark.

Doctor: Where are we? Have we moved? Where have we landed?

Clara: Don't look where we are. Take off, and promise me you will never look where we've been.

Doctor: Why?

Clara: Just take off. Don't ask questions.

Doctor: I don't take orders, Clara.

Clara: Do as you're told.”

The way she explains can seem harsh, but keeping him from looking is important as she knows it would consume him trying to work out how they were on a past time lock Galifrey.

Missy becomes someone Twelve links personal image in the show as well. The Doctor and The Master has a long history of hurting each other and then forgiving it when maybe it doesn't make sense to. The Doctor will also often go over other people's heads in order to offer the hand to the master after they do harm to other people. It’s also been pointed out by people like the Rani that the master is overly obsessed with The Doctor. But The Doctor also has a history of connecting their personal identity to the master too. Something we can see throughout Twelve's run.

In TV: World Enough and Time Bil and The Doctor discuss why he wants Bill to help him with Missy’s test run helping others.

“Doctor: She's my friend. She's my oldest friend in the universe.

Bill: Well, you've got lots of friends. Better ones. What's so special about her?

Doctor: She's different.

Bill: Different how?

Doctor: I don't know.

Bill: Yes, you do.

Doctor: She's the only person that I've ever met who's even remotely like me.

Bill: So more than anything you want her to be good?

...

Doctor: I know I can help her.”

In this quote, we see that The Doctor needs The Master to be good because of how much he sees of himself in her. There has to be redemption in the heart of The Master because he believes that it is a reflection of his own possibility of goodness, but also part of The Doctor needing to be able to help the people he cares for.

In TV: The Doctor Falls we see more of this trying to have Missy change and to have his friend fill the hole he has.

"Doctor: No! No! When I say no, you turn back around! Hey! I'm going to be dead in a few hours, so before I go, let's have this out, you and me, once and for all. Winning? Is that what you think it's about? I'm not trying to win. ... It's not because it's fun and God knows it's not because it's easy. It's not even because it works, because it hardly ever does. I do what I do because it's right! Because it's decent! And above all, it's kind. It's just that. ... And I will stand here doing it till it kills me. You're going to die too, someday. How will that be? Have you thought about it? What would you die for? Who I am is where I stand. Where I stand, is where I fall. Stand with me."

....

Doctor: Missy. Missy. You've changed. I know you have. And I know what you're capable of. Stand with me. It's all I've ever wanted.

Missy: Me too. But no. Sorry. Just, no. But thanks for trying."

The Doctor easily forgives the masters’ betrayal when she tried to get him to shoot Clara. (TV: The Witch's Familiar) The next time they meet Twelve saves Missy’s life and vows to watch over and try to help her. (TV: Extremis)

The Doctor and Nardole’s relationship is interesting as we see that he works with The Doctor after having been close with his wife. Nardole has seen a lot of The Doctor's weak points and we can see that there is some trust there. Nardole while willing to push back, he is essentially The Doctor’s assistant. While having a license to “kick his ass” (TV: Extremis) for the most part he does as he is told, and when The Doctor does things he doesn’t have any real power over his actions. The Doctor's need for control is evident here but he showed himself as dependable something The Doctor needs as he tends to lose his control when alone.

Bill views The Doctor as her teacher and trusts him very quickly. (TV: Pilot, TV: Smile, TV: The Eaters of Light, TV: Pyramid at The End of The World, & TV: World Enough and Time) . We see another side to their relationship in TV: Thin Ice. There we see her able to read the trauma and loss in his face but can also tell time has allowed him to blot out the emotions and the utilitarian way he tries and deal with it.

“Bill: Yeah? Tell me this. You've seen people die before, yeah?

Doctor: Of course.

Bill: You still care?

Doctor: Of course I care.

Bill: How many?

Doctor: How many what?

Bill: If you care so much, tell me how many people you've seen die?

Doctor: I don't know.

Bill: Okay. How many before you lost count?

Doctor: I care, Bill, but I move on.

Bill: Yeah? How quickly?

Doctor: It's not me you're angry with.

Bill: Have you ever killed anyone? There's a look in your eyes sometimes that makes me wonder. Have you?

Doctor: There are situations when the options available are limited.

Bill: Not what I asked.

Doctor: Sometimes the choices are very

Bill: That's not what I asked!

Doctor: Yes.

Bill: How many?

Bill: Don't tell me. You've moved on.

Doctor: You know what happens if I don't move on? More people die.”

I think this also points to the way The Doctor has the ability and history of taking life and death into his hands and is aware of this in his answers here. The hole left by taking lives and watching them be lost is visible even to those who care for him.

The other most important relationship is The Doctor’s connection to Ashildr. Their connection is born from an episode of flashbacks, anxiety, control issues and overblown sense of responsibility in his god complex. She is made into what she is because of The Doctor trying to be The Doctor, the grand concept, the man who saves people. Her existence is built from hubris and trauma. As well as the no or complete trust he tends to have with other people, becoming deeply connected to people very quickly.

“Doctor: People like us, we go on too long. We forget what matters. The last thing we need is each other...I looked into your eyes and I saw my worst fears. Weariness. Emptiness.

Ashildr: That's why you can't travel with me. Our perspectives are too vast. Too far away.

...

Doctor:...Who told you about me? The man who comes for the battle and runs away from the fallout.

Ashildr: Take your pick. You've had an impact on this world. You've made waves.

Doctor: Sometimes tidal waves.

Ashildr: I'm flattered.

....

Ashildr: Someone has to look out for the people you abandon. Who better than me? I'll be the patron saint of The Doctor's leftovers. While you're busy protecting this world, I'll get busy protecting it from you.”

(TV: The Woman Who Lived)

He feels responsible for her, but he also needs her to be okay to have compassion for other people. Because he has his own struggle with weary and emptiness letting it totally consume him is something he dreads. Ashildr also gained the knowledge of the way The Doctor leaves a trail in the world, taking the title “patron saint of The Doctor’s leftovers” she is playing on his guilt, even if it is very honest.

Hyperarousal and Hyperarousal is seen a lot with the Twelfth Doctor (TV: Deep Breath, TV: Into the Dalek, TV: Robots of Sherwood, TV: In The Forest Of The Night, TV: Zygon Invasion/Zygon Inversion, Comic: Selfie, Comic: Ghost Stories, Prose, The Blood Cell, Prose Big Bang Generation, Comic: Playing House, TV: Heaven Sent, Comic: Supremacy of The Cybermen). This overlaps with compulsive thoughts and anxiety in TV: Listen where the whole story cover being so on edge he makes up a reason for his paranoid thoughts and fears.

This also manifests as The Doctor being very restless in general (Prose: Big Bang Generation, Prose: Blood Cell, TV: Prequel to The Magician's Apprentice, TV: Time Heist, TV: Listen, Comic: The Twist & Comic: Unearthly Things). And visible anxiety through his body language and way of speaking (TV: Dark Water, TVL Heaven Sent Comic: Hyperion Empire, Comic: The Boy With the Displaced Smile, TV: In The Forest of The Night, TV: Extremis, The Magician's Apprentice, & Comic: Supremacy of The Cybermen)

In TV: The Girl Who Died, he describes how after loss and during stress he experiences times where he can’t breathe a description congruent with anxiety.

“Doctor: One day, the memory of that will hurt so much that I won't be able to breathe”

He experienced episodes of high anger ( TV: Into The Dalek, TV: The Caretaker, TV: Tim Heist, Comic: The Four Doctors, TV: Before The Flood, Zygon Inversion. TV: Face The Raven, TV: Heaven Sent/Hell Bent, TV: Thin Ice, Comic: The Twist, TV: The Doctor Falls, & TV: Twice Upon A Time). Sometimes becoming outward displays of violence line when he punches a Man in TV: Thin Ice and shooting The General in TV: Hell Bent.

We see another episode of extreme anger in TV: Death In Heaven, he internalizes his anger until it becomes too much and we see him break down destroying his console. We see other internalized anger in (TV: Heaven Sent, Comic: The Four Doctors, TV: The Witch’s Familiar, & TV: Last Christmas)

He has a marked experience of irritability and agitation struggling to handle interpersonal situations and (TV: Into The Dalek, TV: Mummy on The Orient Express, TV: Last Christmas, Comic: Fractures, Comic: The Hyperion Empire, & Prose: Blood Cell). This decreases over time in the later season showing less of an agitated and often perceived as rude, it takes a form of internalization quite a bit covered by fatigue.

Twelve has a strong need to control the situation around him and himself (TV: Robots of Sherwood TV: Listen, TV: The Caretaker, TV: Into The Forest of The Night, TV: Last Christmas TV: Prequel To The Magician's Apprentice, TV: The Magician's Apprentice/The Witch's Familiar, TV: The Zygon Invasion/Zygon INversion, TV: Sleep No More TV: Doctor Mysterio, TV: Oxygen, TV: Extremis/Pyramid at the end of the world/Lie of the Land, TV: The Empress of Mars, TV: World Enough and Time/The Doctor Falls & TV: Twice Upon a Time, Comic: The Twist, Comic: Terror of the Cabinet Noir, & TV: Invasion of The Midmorphs)

The Doctor’s need to have control over the situation can become a level of manipulative that can upset the people he is with. Taking the form of knowing things others don’t and not letting them in, or using other people’s lives in what from the outside seems like a game. (TV: Mummy on The Orient Express, TV: Before The Flood, and Comic: The Twist)

In TV: Flatline they discuss methods of control

“Doctor: Excellent lying, Doctor Oswald.

Clara: Yeah? Well, thought it was pretty weak myself.

Doctor: I meant to me. You told me that Danny was okay with you being back on board the Tardis.

Clara: Well, he is.

Doctor: Yeah, because he doesn't know anything about it.

Clara: Doctor

Doctor: Congratulations. Lying is a vital survival skill.

Clara: Well, there you go.

Doctor: And a terrible habit.”

This is an interesting exchange as I think it connects to control, a sense of disconnection from others as well as adding a throughline to his previous regeneration. He refers to it as a survival skill Clara was using the same skills The Doctor did in order to control the situation with those episodes side characters. But it’s also pointed to as a bad habit, something The Doctor wishes they didn’t have to do. We know that the lying was a tool of control and isolation to the Eleventh Doctor. River and The Doctor’s rule one was consistent “The Doctor lies.” I think it can also be connected to implicit memories of acting on behaviours he has needed to do for a long time.

Control is invoked in a different manner in Comic: Clara Oswald and The School of Death he invokes the president of the world status. We see this again in Comic: The Hyperion Empire he takes charge of the situation over a politician even using the president of the world title to his advantage, Kate comments on this as funny doing to his dislike of this title in previous episodes.

In Prose: The Blood Cell there is an interesting example of this in his maintaining control of the situation in a prison by continuously doing things that assert his own control over the situation. It’s effective as he has as much information on the situation as the people who run the prison who are having their own kind of power struggle. He jokes about having a day off as well, commenting on his being the one in power in most places, which is oddly a part of his trying, and eventually succeeding in controlling a situation that is meant to leave him powerless.

The control issues are commented on by The Doctor in TV: Under The Lake

“Doctor: So, who's in charge now? I need to know who to ignore.”

These issues are inflamed during the events of TV: Heaven Sent/Hell Bent when his control was entirely stripped by the Time Lords. During these experiences he does what he can to hold control and overcompensating, using his previous interactions and war experience to essentially hold Galifrey even when he has no intention of staying. This is understandable due to the torture of the Time Dial and it continues to affect him moving forward.

He can show anxiety when he loses control of the situation (TV: Flatline, TV: The Caretaker, TV: Heaven Sent, TV: Pyramid at The End Of The World, TV: Time Heist, TV: Oxygen, Comic: The Wolves of Winter, Comic: The Hyperion Empire, Comic: Supremacy of The Cybermen, & Comic: Ghost Stories) An example that is played as laughs but shows this is his dislike of River yanking him around (TV: The Husbands of River Song)

"Doctor: Stop holding my hand, people don't do that to me.”

Similar interactions happen between Bernice Summerfield and Twelve during Prose: The Big Bang Generation, as he doesn’t hold the cards for much of the Story.

The Doctor can use displays and show off in part of his need for control and as a way of trying to impress his friends, It works against his feeling of loneliness and giving that need for attention. It can take the form of just generally extreme displays of masking emotions like in TV: The Magician's Apprentice and TV: The Lie of The Land or explaining how he did something (TV: In The Forest of The Night TV: Kill The Moon,, TV: Time Heist, Comic: The Twist, TV: Mummy on The Orient Express, TV: Last Christmas, TV: The Witch's Familiar, TVL: Thin Ice, Prose: Blood Cell, TV: Pyramid at The End of The World & TV: World Enough and Time)

The Doctor has a deep fear of showing he’s own vulnerability, this is seen very clearly in TV: Extremis & TV: Pyramid at The End of The World. After TV: Oxygen The Doctor is left blind and refuses to tell Bill that this lasted. He uses the glasses to try and see the outlines of things and grudgingly relies on Nardole for help. It’s impossible to do it totally on his own, and Nardole had seen vulnerability before so he is the one let somewhat in. The fear of being seen as something that connects to his trauma and needs to show people a heroic side of himself and close off all of the pain and trauma inside of him.

In TV: Extremis Nardole references that he fears others knowing about vulnerabilities and accepting them himself,

“Nardole: Okay, so you're blind and you don't want your enemies to know. I get it. But why does it have to be a secret from Bill?

Doctor: Because I don't like being worried about. Around me, people should be worried about themselves.

Nardole: Yeah, shall I tell you the real reason?

Doctor: No.

Nardole: Because the moment you tell Bill, it becomes real. And then you might actually have to deal with it.

Doctor: Good point, well made. Definitely not telling her now.

Nardole: You're an idiot.

Doctor: Everyone knows that.”

The Doctor has a tendency to isolate himself as a function of anxiety and depression. Part of this is his fear of vulnerability done with words and lies of omission and sometimes straight-up separating himself physically (TV: Dark Water/Last Christmas, TV: The Eaters of Light, TV: Twice Upon A Time, TV: Kill The Moon, Prose: Big Bang Generation, & TV: Extremis/Pyramid at The End of The World) when overwhelmed he literally bolts and leaves the stressful place, this is seen again in TV: The Girl Who Died where when he realises that Ashildr died he hides his emotions and hides from others.

Emotional masking can be part of this, in TV: The Return of Doctor Mysterio he says he’s “always okay” instead of being honest and moving on from it.

Deals with obsessive thoughts (TV: Mummy on The Orient Express, TV: Comic: The Four Doctors, TV: The Girl Who Died, TV: Smile & TV: Twice Upon A Time, & TV: Under The Lake/Before The Flood). We see this heavily in TV: Listen, he thought himself into creating an entire creature thought rumination. The concept here is also fear itself and a loss of control through a creature he could never see. We this also is tied into other issues like nightmares, insomnia and references back to his childhood which through the extended universe materials and references in the show was not a happy one with being ostracised from his own family/chapter from peers and early experiences of violence. Another specific version of this is his preoccupation with his trauma, seen in TV: Into the Dalek in his conversation with the Dalek.

“Rusty: Daleks have destroyed a million stars.

Doctor: Oh, millions and millions. Trust me, I keep count.”

Another manifestation is seen in his habit of talking to himself (TV: Listen, TV: Mummy on the Orient Express, Prose: The Big Bang Generation)

A Connected symptom to compulsive thinking is his flashbacks and intrusive thoughts related to his trauma. (TV: Listen, TV: Prequel to The Magician's Apprentice, TV: Into The Forest of The night, & TV: Death in Heaven) An example is his reliving visually the experiences with Donna in TV: Fires of Pompeii when he is faced with the failure to keep Ashildr safe. This ends with him in a state of panic(TV: The Girl Who Died).

He describes seeing and hearing events from the Time War in TV: Zygon Inversion

“Doctor: I fought in a bigger war than you will ever know. I did worse things than you could ever imagine. And when I close my eyes I hear more screams than anyone could ever be able to count! And do you know what you do with all that pain?”

This is a pretty accurate description of flashbacks and intrusive thoughts. Another moment that references intrusive thoughts and flashbacks can be seen in TV: Extremis when The Doctor talks to Missy.

“Doctor: Memories are so much worse in the dark.”

Nightmares and Insomnia ( TV: Deep Breath, TV: Listen, TV: Zygon Inversion, TV: Heaven Sent, Prose: The Blood Cell, TV: Sleep No More, TV: Knock Knock, TV: Extremis)

The Doctor can show obsessive tendencies with the people who have traumatized him, (TV: Hell Bent, Comic: The Great Shopping Bill, TV: The Girl Who Died/The Woman Who Lives, TV: The Doctor Falls, TV: Into The Dalek)

There are very explicit incidents when we see Twelve have triggers (TV: Kill The Moon, TV: The Girl Who Died, TV: Eaters of Light, TV: Supremacy of The Cybermen) In Comic: The Great Shopping Bill The Doctor sees robots just shaped like Daleks and has a reaction of anger and getting into a fighting mindset. After what happened with Davros, The Doctor refuses to use his Sonic for a period of time instead of using his Sonic Shades. (TV: The Magician's Apprentice/The Witch's Familiar, continues through series 9) [losing the Sonic isn’t a good enough reason we know the TARDIS can make a new one quite fast.]

This overlaps with his intrusive thoughts and flashbacks obviously as they can be triggered. An example is when war is mentioned in Comic: Hyperion, we see The Doctor start listening wars he’s been a part of including Trenzalore.

The Doctor shows issues with dissociation, which we see The Doctor experience in other situations. (TV: Death in Heaven, TV: Extremis, TV: Empress of Mars, Comic: Fractures, Comic: The Wolves of Winter, Prose: The Blood Cell, TV: Before the Flood) It’s used very clearly as a protective measure in TV: Heaven Sent allowing him to go into his head to manage stress completely disconnecting from himself and having a distortion of his environment. We see him use dissociation this to ignore pain. (TV: Heaven Sent, Prose: The Blood Cell, TV: The Witch's Familiar, TV: Twice Upon a Time). He even loses time (TV: Into The Dalek, TV: Prequel to The Magician's Apprentice, TV: The Magician's Apprentice, TV: The Pilot)

The Doctor often experiences emotional shutdowns (TV: Time Heist, TV: Zygon Invasion/Zygon Inversion, TV: Under The Lake/Before The Flood, TV: The Girl Who Died, TV: Death in Heaven, Comic: The Four Doctor) The interesting thing in TV: Thin Ice is we see this play out in how it’s often used, to allow himself to deal and make decisions. We know he can easily lose his temper but when the child dies and bill asks him about it he says

“Doctor: I have never had the luxury of outrage”

While we know this isn’t true, and we later see him sock a racist in the jaw, there is actually a difference. The Doctor has a sense of morality that is very strong, but it’s most important to get it done, for Twelve more than anyone else. I think we can tell that here he has to separate himself from what he feels to act. The Doctor can set himself in the mindset of a fight to finish what needs to be done, something that Bill who isn’t used to splitting from himself isn’t able to do. The Doctor, however, is in tune with grief and sentimentality, so it’s not a lack of ability.

Twelve disrupted belief system can be seen in The Doctor, something that has been an issue since at least the Eighth Doctor and commented on with both Ten and Eleven (Comic: The Boy With The Displace Smile, TV: Last Christmas, TV: Eaters of Light & TV: Heaven Sent). In Comic: The Wolves of Winter The Doctor’s belief becomes important in order to protect against the Haemovore he pulls on the memory of how much he cared for his companions and this works to push over the edge of emotions.

In TV: Into The Dalek, we see that the belief he carries generally like his view of himself is set into his trauma,

“Clara: It's the look you get when I'm about to slap you.

Doctor: Ow. Clara.

Clara: Are we going to die in here? I mean, there's a little bit of you that's pleased. The Daleks are evil after all. Everything makes sense. The Doctor is right.”

In TV: Hell Bent Ohila notes that the moral system and solid foundations will fall apart when his emotions become too much.

“Ohila: You have gone too far. You have broken every code you ever lived by.

Doctor: After all this time, after everything I've done, don't you think the universe owes me this?

Ohila: Owes you what? All you're doing is giving her hope.

Doctor: Since when is hope a bad thing?

Ohila: Hope is a terrible thing on the scaffold.”

Twelve struggles with having a cohesive sense of self and identity this is closely intertwined with the dissociation. The main way this shows is the way he describes The Doctor as a separate construct not truly tied to him. (TV: Flatline, TV: Dark Water/Death in Heaven, Comic: Terrorformer, Comic: The Swords of Kali, Comic: The Four Doctors, TV: Thin Ice, TV: World Enough and Time, & TV: Twice Upon A Time). In TV: The Witch’s Familiar this is commented on in a conversation between Davros and The Doctor, how the concept is something the person can never live up to, a severe split of self.

“Davros: Why do you hesitate? No one would know. Clara Oswald is dead. Is this the conscience of The Doctor, or his shame? The shame that brought you here.

Doctor: There's no such thing as The Doctor. I'm just a bloke in a box, telling stories. And I didn't come here because I'm ashamed. A bit of shame never hurt anyone. I came because you're sick and you asked. And because sometimes, on a good day, if I try very hard, I'm not some old Time Lord who ran away. I'm The Doctor.”

We see this in the reverse in TV: Face The Raven where he rejects the label when his actions are made out of anger, resentment and pain. A split idea of who he is and who he ought to be

“Ashildr: You can't.

Doctor: I can do whatever the hell I like. You've read the stories. You know who I am. And in all of that time, did you ever hear anything about anyone who stopped me?

Ashildr: I know The Doctor. The Doctor would never

Doctor: The Doctor is no longer here! You are stuck with me. And I will end you, and everything you love.”

Clara, as she did with Eleven in TV: The Day of The Doctor, tries to get him to own the person she believes him to be.

“Clara: ...Don't let this change you. No, listen. Whatever happens next, wherever she is sending you, I know what you're capable of. You don't be a Warrior. Promise me. Be a Doctor.

Doctor: What's the point of being a Doctor if I can't cure you?

Clara: Heal yourself. You have to. You can't let this turn you into a monster. So, I'm not asking you for a promise, I'm giving you an order. You will not insult my memory. There will be no revenge. I will die, and no one else, here or anywhere, will suffer.”

This ties in with his anger, and his self-hatred, and often warranted guilt. This exchange has no convincing power to The Doctor,

“Doctor: What Clara said about not taking revenge. Do you know why she said that?

Ashildr: She was saving you.

Doctor: I was lost a long time ago. She was saving you. I'll do my best, but I strongly advise you to keep out of my way. You'll find that it's a very small universe when I'm angry with you.”

He takes her order in to not hurt Ashildr and Trap Street, but he doesn’t actually believe as Clara does that he can be “turned into a monster” or that this isn't who is, that anger he's capable of and what he has done are who is, an old Time Lord, a lost person, as much if not more so then The Doctor.

The Doctor tries to reconcile his identity issues in TV: Death in Heaven.

“Doctor: I really didn't know. I wasn't sure. You lose sight sometimes. Thank you! I am not a good man! I am not a bad man. I am not a hero. And I'm definitely not a president. And no, I'm not an officer. Do you know what I am? I am an idiot, with a box and a screwdriver. Just passing through, helping out, learning."

Though as examples of this can be seen in stories that happen after this episode we can see it was short lives epiphany.

As a part of identity construct The Doctor has a hero and god complex, this is also something that is warranted to some extent because of all they have done, but the good and bad having been done as The Doctor is part of why this identity is distant from the person (TV: Smile, TV: The Girl Who Died, TV: Under The Lake, Comic: The Four Doctors, TV: Flatline, TV: Under The Lake/Before The Flood, TV: Hell Bent, TV: The Waters of Light, TV: World Enough and Time/ The Doctor Falls/Twice Upon a Time)

In TV: Flatline when he has to combat the Boneless he has to make choices he actually struggles. This combines identity issues around The Doctor, with his hero/god complex, and the guilt over past actions.

“ Doctor: I tried to talk. I want you to remember that. I tried to reach out, I tried to understand you, but I think that you understand us perfectly.

And I think you just don't care. And I don't know whether you are here to invade, infiltrate or just replace us. I don't suppose it really matters now. You are monsters. That is the role you seem determined to play. So it seems I must play mine.

The man that stops the monsters. I'm sending you back to your own dimension. Who knows? Some of you may even survive the trip. And, if you do, remember this. You are not welcome here. This plane is protected. I am The Doctor. And I name you The Boneless. ”

An interesting arc connected to his trauma and identity issues through the story thread between the stories TV: Kill the Moon, TV: In The Forest of The Night, and TV: Thin Ice is about the authority he has over the earth and including his companions in this work.

First in TV: Kill The Moon we see The Doctor rejecting his connection to the earth and refusing to take the actions surrounding rather or not to kill the moon or not.

“Doctor: Listen, there are moments in every civilisation's history in which the whole path of that civilisation is decided. The whole future path. Whatever future humanity might have depends upon the choice that is made right here and right now. Now, you've got the tools to kill it. You made them. You brought them up here all on your own, with your own ingenuity. You don't need a Time Lord. Kill it. Or let it live. I can't make this decision for you.'

‘Doctor: Listen, we went to dinner in Berlin in 1937, right? We didn't nip out after pudding and kill Hitler. I've never killed Hitler. And you wouldn't expect me to kill Hitler. The future is no more malleable than the past...Sorry. Well, actually, no, I'm not sorry. It's time to take the stabilisers off your bike. It's your moon, womankind. It's your choice.”

Twelves rejecting his over who he really is makes him vacillate between being amazingly in control and shrewd and I think dreading to make decisions, and the more the decision has social aspects, like the effects of the choices of the moon and fallout he struggles to actually be the one. [This story is one I personally don’t know if he knew or not] He is focused on the control in a paradoxical fashion as he is both literally running from and trying to maintain it in the way he plays the conductor. Clara hates this, the largest fight they have stems from this,

“Clara: Oh, don't you ever tell me to mind my language. Don't you ever tell me to take the stabilisers off my bike. And don't you dare lump me in with the rest of all the little humans that you think are so tiny and silly and predictable. You walk our Earth, Doctor, you breathe our air. You make us your friend, and that is your moon too. And you can damn well help us when we need it."

Her comments about Earth being The Doctor’s home too, that the humans care for the earth, The Doctor meddles in the earth and therefore he has responsibilities to them. That he can’t play games with those who trust him.

The next time this arc comes up in earnest is in TV: In The Forest of The Night,

“Doctor: This is my world, too. I walk your earth, I breathe your air.

Clara: And on behalf of this world, you're very welcome. Now, go. Save the next one.”

In this story, The Doctor lets Clara know he heard her, and we can see he is no longer questioning his care for the earth and the personal nature of his responsibility to the humans, and his friends. He is still making executive decisions though.

In TV: Thin Ice we see The Doctor backtrack somewhat on being part of the earth, but he is willing to listen to others. I see it as part of The Doctor’s change in attitude being exhausted of making choices, but also knowing and being willing to do it anyway.

"Doctor: She might. It's a risk. So, what do you want to do, Bill?

Bill: We already know the answers. Why are you even asking?

Doctor: I don't know the answers. Only idiots know the answers. But if your future is built on the suffering of that creature, what's your future worth?

Bill: Why is it up to me?

Doctor: Because it can't be up to me. Your people, your planet. I serve at the pleasure of the human race, and right now, that's you. Give me an order. Not long till noon. I need an order."

Overall this exchange helps illustrate how he doesn't have a lot of linear change, more changing expressions of his earlier experiences and reacting to the changing circumstances of the struggles.

His issues with Soldiers connected to these identity issues and is a major component of his history of trauma with the Time War and Trenzalore. He’s never liked guns or using weapons and has a disparaging view of War for his whole existence as three commenting on military intelligence as a “contradiction in terms”.

This more complete rejection of soldiers doesn’t start to manifest until the Eighth Doctor. It’s interesting as by this point The Doctor is much more of a soldier than his older regenerations, The Brigadier being his best friend for the majority of his regenerations and still being a friend up till Eleven. As he became more willing to cross lines and someone who could command people to die for him he hates the concept. During the Time war however even as a soldier his contempt for the military stays being the People’s hero but someone the establishment doesn't like (TV: The Day of The Doctor, Prose: Engines of War, TV: Hell Bent).

The dislike of soldiers is most pronounced in the early part of Twelve's time (TV: Dark Water, TV: The Girl Who, Comic: The Hyperion Empire). In TV: Into The Dalek, he rejects Journey Blue coming with him explicitly because she’s a soldier,

“ Journey: Doctor. Take me with you.

Doctor: I think you're probably nice. Underneath it all, I think you're kind and you're definitely brave. I just wish you hadn't been a soldier.”

TV: The Caretaker is another story where this is front and centre. Explicitly stating his hatred of soldiers

"Doctor: I hate soldiers. Don't you hate soldiers?"

During the story, this conflict becomes entangled with his “duty of care” with Clara and control issues with Danny Pink. The Doctor immediately dislikes him as a retired soldier calling “PE” even when he’s a maths teacher, as an insult. Danny gets involved with his plans causing a rift by him breaking The Doctor’s control, and plan. It's directly discussed between The Doctor and Danny over their dual perceptions of the other as someone they view as antagonistic to their own selves.

“Danny: Now, Time Lords, do you salute those?

Doctor: Definitely not.

Danny: Ah. Sir!

Doctor: And you do not call me sir.

Danny: As you wish, sir. Absolutely, sir.

Doctor: And you can get out of my Tardis!

Danny: Immediately, sir.

Clara: Doctor, this is stupid, this is unfair.

Danny: One thing, Clara. I'm a soldier, guilty as charged. You see him? He's an officer.

Doctor: I am not an officer!

Danny: I'm the one who carries you out of the fire. He's the one who lights it.

Doctor: Out. Now.

Danny: Right away, sir. Straight now?

Doctor: Yes.

Danny: Am I dismissed?

Doctor: Yes, you are!

Danny: That's him. Look at him, right now. That's who he is.”

In TV: Death in Heaven this disagreement continues:

"Cyber-Danny: Clara, watch this. This is who The Doctor is. Watch the blood-soaked old general in action. I can't see properly, sir, because this needs activating. If you want to know what's coming, you have to switch it on. And didn't all of those beautiful speeches just disappear in the face of a tactical advantage? Sir.

Doctor: I need to know. I need to know.

Cyber-Danny: Yes. Yes, you do.

Clara: Give me the screwdriver.

Doctor: No.

Clara: Just do it, Doctor. Do as you are told.

Cyber-Danny: Typical officer. Got to keep those hands clean."

The dislike of soldiers as stated earlier rises in conjunction with their ability to think and act like one. Twelve very easily assumes a military footing, having the ability to act like a soldier and general when necessary. A very intimate understanding of violence follows him and the mindset can be triggered into the front. (Comic: Clara Oswald and The School of Death, TV: Death in Haven, TV: The Magician’s Apprentice, TV: Zygon Invasion/Zygon Invasion, TV: Hell Bent, & TV: The Eaters of Light)

A version of this can be seen in TV: The Girl Who Died, when the village falls under attack Clara tries to get him to help the people survive, The Doctor’s first response is to try and train them with weapons, something Clara points out he ought to know better. The interesting thing is that at this point that is Twelve’s fall back mode.

Twelve comments on this in TV: The Empress of Mars,

“Bill: You knew that would happen.

Doctor: Always been my problem.

Bill: What?

Doctor: Thinking like a warrior.”

This I think is a combination of the above-discussed issues of hypervigilance and traumatic identity formation but also implicit memories. Living in a war zone twice, and before those long periods of violence in other situations has taught him to think like this. If they don’t people they love, along with innocents will die.

He frames his life around being a battle, around fighting an endless war. In TV: Twice Upon a Time we see him refer to a long life as such;

“Doctor: A life this long, do you understand what it is? It's a battlefield, like this one, and it's empty. Because everyone else has fallen”

When he decides to regenerate he remarks on it by saying,

“Doctor: Time to leave the battlefield”

The Doctor struggles to handle not having some kind of stimulation of danger, often seeking out dangerous situations. A combined addiction to the violence even if he has a moral and personal disgust with war and wanton violence. (TV: Time Heist, Comic: Terrorformer, Comic: The Swords of Kali, Comic: Gangland, Comic: Clara Oswald and The School of Death, Comic: Playing House, Prose: Big Bang Generation, TV: Smile, TV: The Pilot, TV: Thing Ice. TV: Oxygen, & TV: World Enough and Time)

In Prose: Big Bang Generation he comments on this saying that it has gotten worse since his fourth incarnation, pointing out he wouldn’t be caught dead on a planet like Legion back then, nonetheless been going to the scariest part as The Doctor was currently doing. Pointing out that between age, desensitization and a growing reckless his behaviour has changed, the love of adventure maybe being more compulsive when taken in relation to other comments. He describes his agitation and impatience here as “itchy feet”.

In TV: Mummy on The Orient Express they comment on how they couldn’t have just have a normal

“Clara: You knew. You knew this was no relaxing break. You knew this was dangerous.

Doctor: I didn't know. I certainly hoped.”

And at a later point as Clara is trying to decide to stay or not they point out it’s an addictive tendency, something heavily related to BPD and C-PTSD

“Clara: I know it's scary and difficult, but do you love being the man making the impossible choice?

Doctor: Why would I?

Clara: Because it's what you do, all day, every day.

Doctor: It's my life.

Clara: Doesn't have to be. Is it like

Doctor: Like what?

Clara: An addiction?

Doctor: You can't really tell if something's an addiction till you try and give it up.

Clara: And you never have.

Doctor: Let me know how it goes.”

In TV: Heaven Sent when commenting on the construction of the confession dial/prison the captures made for him he reinforces this idea.

“ Doctor: It's a killer puzzle box designed to scare me to death, and I'm trapped inside it. Must be Christmas. ”

The Doctor can be impulsive ( TV: The Girl Who Died, TV: Smile, TV: Eaters of Light, TV: Thin Ice, TV: Husband of River Song, TV: Into The Dalek, Comic: Clara Oswald and The SChool of Death, Comic: Unearthly Things, Comic: Terror of the Cabinet Noir, Comic: The Lost Dimension, & Comic: Beneath the Waves)

The Doctor is often extremely reckless ( TV: The Magician's Apprentice, Comic: Terrorformer, TV: Under The Lake, Comic: GangLand, Comic: Fractures, TV: Husbands of River Song, Comic: The Twist, Prose: Big Bang Generation, TV: Smile, TV: Thin Ice, TV: The Lie of The Land, TV: Pyramid at The End of The World, TV: The Doctor Falls, Comic: Terror of the Cabinet Noir & Comic: The Lot Dimension)

This can get to a point where he is throwing himself into a situation where he could easily die in order to save others, or at least solve the problem (TV: Last Christmas, TV: Time Heist, TV: The Lie of The Land, Comic: Clara Oswald and The School of Death) An example id in TV: Time Hist in order to figure out what is going on and how to save the people left in the vault he allows the Teller to read his mind something they know often turns brains to “soup”. In TV: Mummy on The Orient Express The Doctor uses himself as bait to solve the puzzle allowing the ForeTold to lock on to him.

In TV: The Witch’s Familiar he uses his own regeneration energy to beat the Daleks and Davros, causing himself great pain and possibly affecting further versions of The Doctor. It also shows an increased sense of willingness to harm himself when he believes he’s lost, Clara. In a show of further escalation in personal disregard and tendency to cause himself harm these actions happen at an increased rate in his last season.

In TV: Oxygen The Doctor saves Bill by taking off his suit and giving it to her. This act leaves him harmed causing him to be blind, this effect was long-lasting and could have been permanent. During the period where this harm is left on him, in a semi-visible manner, and has a large effect on his well being. He tries to compensate but leaves him frustrated by the effects he caused himself.

Following this in TV: Extremis The Doctor again puts himself in a position to not only almost die, cause himself pain but be willing to put his future on the line.

“Doctor: The thing about the universe is, whatever you need, you can always borrow, as long as you pay it back. I just borrowed from my future. I get a few minutes of proper eyesight, but I lose something. Maybe all my future regenerations will be blind. Maybe I won't regenerate ever again. Maybe I'll drop dead in twenty minutes.”

This shows a lack of regard for any future versions of himself, not caring about planning forward. We know he is guarding missy but if she wanted to get out, it's pretty clear she would have, and Nardole is there to do so. Not to mention she is let out way earlier than the original promise was made for. Not caring or planning for a future is emblematic of depression, C-PTSD and BPD. With BPD part of it is lack of permanence of self and of emotions, something we see heavily with him.

The Doctor carries a profound sense of guilt, even after knowing he was able to keep Gallifrey from becoming completely destroyed we still use a heavyweight about what he has done and has failed to do that has hurt others. (Prose: The Blood Cell, TV: Death in Heaven, Comic: The Four Doctors, TV: The Magician's Apprentice/ The Witch's Familiar, TV: Prequel to the magician's apprentice, TV: Thin Ice, TV: The Doctor Falls, TV: Twice Upon a Time) This is referenced in TV: Extremis:

“Angelo: Pope Benedict said that you were more in need of confession than any man breathing. But when the offer was made, you replied it would take too much time. On behalf of the Catholic Church, the offer stands. You seem like a man with regret on his mind.”

The guilt is referenced in Comic: Unearthly Things, when he is unable to save the monster he almost hurts himself doing so. After Clara pulls him back he says

“Doctor: I hope it wasn’t the last of its kind”

This references The Doctor’s own history of being the only one left something he later comments on in TV: The Lie of The Land calling Missy the ‘other of the last of the time lords’. He feels sadness over the idea of others not only facing the same fate but of being the one to end a people.

In TV: Before The Flood Clara references his guilt over all of the people around him over the years,

“Doctor: This isn't a potential future. This is the future now. It's already happened. The proof is right there in front of you. I have to die.

Clara: No. You can change things.

Doctor: I can't. Even the tiniest change, the ramifications could be catastrophic. It could spread carnage and chaos across the universe like ripples on a pond. Oh, well, I've had a good innings. This regeneration, it's a bit of a clerical error anyway. I've got to go some time.

Clara: Not with me! Die with whoever comes after me. You do not leave me.

Doctor: Clara, I need to talk to you just on your own. Listen to me. We all have to face death eventually, be it ours or someone else's.

Clara: I'm not ready yet. I don't want to think about that, not yet.

Doctor: I can't change what's already happened. There are rules.

Clara: So break them. And anyway, you owe me. You've made yourself essential to me. You've given me something else to, to be. And you can't do that and then die. It's not fair.

Doctor: Clara.

Clara: No. Doctor, I don't care about your rules or your bloody survivor's guilt. If you love me in any way, you'll come back. Doctor, are you?

Doctor: I can't save Moran or Pritchard.

Clara: No, but like you said, if you can, if you can find out why this is happening, maybe you can stop them killing anybody else, you can save us. And you can stop it happening to you.”

Connected to guilt are feelings of shame. In the series 9 opening two-parter TV: The Magicians Apprentice/The Witch’s Familiar this is a topic that is discussed. Ohila, Clara and Missy all point out that he looks shamed by the actions he took prior to this.

“Davros: Why do you hesitate? No one would know. Clara Oswald is dead. Is this the conscience of The Doctor, or his shame? The shame that brought you here.

Doctor: There's no such thing as The Doctor. I'm just a bloke in a box, telling stories. And I didn't come here because I'm ashamed. A bit of shame never hurt anyone.”

The Doctor is not ignoring or pretending that he doesn’t have anything to be ashamed of. I believe it is something that on its own would be healthy. Recognizing you’ve done wrong is a good thing, but when tied with his other problem and guilt that can cause harm.

Grief laid heavy over this Doctor which is tied to his guilt. (TV: Hell Bent, TV: The Husbands of River Song, TV: Doctor Mysterio, TV: The Woman Who Lives, TV: Last Christmas, TV: Hell Bent) In TV: The Girl Who Died this topic is discussed

“Doctor: I don't mean the war. I'll lose any war you like. I'm sick of losing people. Look at you, with your eyes, and your never giving up, and your anger, and your kindness. One day, the memory of that will hurt so much that I won't be able to breathe, and I'll do what I always do. I'll get in my box and I'll run and I'll run, in case all the pain ever catches up. And every place I go, it will be there.”

This discusses how grief plagues him and how it hangs as anxiety over him, and that he has spent years running away from pain but also that Twelve is extremely aware that it won’t ever really work.

In TV: Heaven Sent the feelings of grief are newly made, anger, sadness, fear, anxiety and sheer weight of the loss of Clara is as painful to him as the torture itself and how it just never ends.

“Doctor: It's funny, the day you lose someone isn't the worst. At least you've got something to do. It's all the days they stay dead.

Doctor: But I can remember, Clara. You don't understand, I can remember it all. Every time. And you'll still be gone. Whatever I do, you still won't be there.”

In Comic: The Four Doctors we see a version of The Doctor who lost his Clara earlier and was connected to a betrayal.

Gabby Narrating “[ The Doctor] He’s either turned his back on grief and self-doubt---or it’s consumed him completely ”

This Doctor is very similar to a version like The Time Lord Victorious Tenth Doctor, Late Era Eighth Doctor and most importantly we see that it is close to The Doctor we see in TV: Hell Bent. This Doctor took control of another planet like TV: Hell Bent he took control, and revenge over Galifrey. It differs however from season 10 Twelve who see the consumption is more tied with the hopeless and fatigue feelings, unlike this version who fell into grasping for control and anger.

The Doctor is very lonely this idea is something that has been established as following him from his childhood but has become even more prominent as time goes one. This is deeply tied to the grief, his age, depression and traumatic haze that follows him makes even the people he latches on to feels removed. (Prose: Bing Bang Generation, TV: In The Forest of The Night, TV: The Girl Who Died/The Woman Who Lived, TV: The Return of Doctor Mysterio, TV: Twice Upon A Time, & Comic: The Twist)

This concept is extremely important in Comic: The Boy With The Displaced Smile, the story is about a scared and lonely child being used by a space parasite. The Doctor and the woman he teams up with here are able to help through empathy and understanding of the child. The Doctor comments on how to help him, and the others notice this comes from experience. This shows The Doctor as lonely and sad, and still very much carrying this out of time wounded part in him.

This is referenced in TV: Face The Raven,

“Clara: You. Now, you listen to me. You're going to be alone now, and you're very bad at that. You're going to be furious and you're going to be sad, but listen to me.”

Noting he can’t handle being alone, that he needs people to be able to regulate, this invokes the topic of Co-regulation. The Doctor has difficulties with regulation and his behavioural management becomes more reckless when alone I think that the idea of lacking self-regulation and often needing outside influence is applicable.

In Comic: Relative Dimensions The Doctor faces the Celestial Toymaker again who’s pocket dimension is slowly falling apart. At this point, the Celestial Toymaker is afraid to join with the normal universe. They use the TARDIS to form him a new sealed off toy room, and The Doctor leaves him to continue playing without any push back.

“Doctor: I had to help him, Clara. Can you understand?

Clara: Let me see-- A lonely god drifting through time and space in his magic toy box? Yeah, I understand Doctor. All Too Well.”

The Doctor has depression, this is something clear in this Doctor. (TV: Listen, TV: Into The Dalek, TV: Dark Water/Death In Heaven, TV: Eaters of Light, TV: World Enough and Time/The Doctor Falls, TV: Heaven Sent/Hell Bent, Comic: The Boy with The Displaced Smile, TV: Twice Upon A Time)

He experiences hopelessness tied in with some catastrophization,(TV: Heaven Sent, TV: The Girl Who Died/The Woman Who Lived, TV: Eaters of Light, Comic: The Four Doctor, TV: The Doctor Falls, TV: Twice Upon A Time)

In TV: Last Christmas we see comments on this and general depression,

“Clara: Well, look at you, all happy. That's rare.

Doctor: Do you know what's rarer? Second chances. I never get a second chance, so what happened this time? Don't even know who to thank.”

The Doctor has an extremely poor self-image and it’s a sign of PTSD and depression. (TV: Last Christmas, TV: The Witch's Familiar, Comic: The Four Doctors, TV: Hell Bent, TV: Twice Upon A Time) In TV: Time Heist one clue that helps him work out the architect, who is The Doctor, is that he hates him.

“Doctor: I hate him. He's overbearing, he's manipulative, he likes to think that he's very clever. I hate him! Clara, don't you see?”

This shows that he just literally hates himself. It’s in very clear terms. In TV: Flatline The Doctor admits that Clara was very good at playing Doctor, but tells her that goodness is antithetical to being like him. Showing that he has trouble seeing himself and his actions as something good.

“Doctor: You were an exceptional Doctor, Clara.

Clara: Thank you.

Doctor: Goodness had nothing to do with it.”

In TV: Dark Water The Doctor is talking to Clara after she betrays him

“Clara: I don't deserve a friend like you.

Doctor: Clara, I'm terribly sorry, but I'm exactly what you deserve.”

This notes that he thinks that he is equally as hurtful as she was to him. Reflecting his poor estimation of who he is.

The Doctor has intense fatigue that permeates his Twelfth regeneration (TV: The Eaters of Light, TV: The Witch’s Familiar, TV: Under The Lake/Before The Flood, TV: The Doctor Falls/Twice Upon A Time).

In TV: The Girl Who Died The Doctor has a wave of exhaustion come over him when he realises he didn’t save Ashildr. He sighs harshly and sags visibly.

“Doctor: Yeah. I plugged her into the machine. Used her up like a battery. (sighs) I'm so sick of losing.

Clara: You didn't lose. You saved the town.

Doctor: Yeah. I plugged her into the machine. Used her up like a battery. (sighs) I'm so sick of losing”

We see these feelings crop up again in TV: Heaven Sent

“Doctor: Can't I just sleep?

Blackboard: Question 2. What did you say that made the creature stop?

Doctor: Do I have to know everything?

Blackboard: How are you going to Win??”

Doctor: Clara, I can't always”

And later

“Doctor: Can't I just lose? Just this once?

Doctor; Easy. It would be easy. It would be so easy. Just tell them. Just tell them, whoever wants to know, all about the Hybrid.

Doctor: I can't keep doing this. I can't! I can't always do this! It's not fair! Clara, it's just not fair! Why can't I just lose?”

Connected to this is and recklessness is that near the end of season 10 we pass the behaviour of being willing to get injured to actions that border more on suicidal actions ending with outright suicidal actions.

The Start of the most extreme actions is in TV: The Lie of The Land he uses up regeneration energy in a show of disregard for his possible future, but even more so tries to burn out his own brain, in a last-ditch attempt that likely won’t work to save other people. There were also alternatives to this, one, of course, would result in bills death, but it turned out it could be done without even putting himself in harm. This like the previous discussion of recklessness is self-harm directly and breaching into suicide.

Following this in TV: The Eaters of Light we see Twelve try and die again, while yes someone was going to lose his life, he would be in agony for many years longer than any other of them. There is no way he could have survived this action.

This culminated in TV: The Doctor Falls and TV: Twice Upon a Time where he refuses to regenerate. Refusing to regenerate is a Time Lord equivalent of suicide, as it is ending a life voluntarily. In TV: The Doctor Falls we also see him hold himself in the painful state of suspended regeneration and only putting it off in order to be kind. It ends with him trying to accept death by the cybermen and then refusing and yelling no trying to stop it from happening.

This refusal to regenerate becomes a crucial plot point in TV: Twice Upon A Time. The First Doctor is refusing to regenerate out of fear and Twelve is exhausted. Near the end Twelve discusses this, admitting to Nardole that he does want to die to due to the pain of his memories and grief.

“Nardole: Don't die. Because if you do, I think everybody in the universe might just go cold.

Doctor: Can't I ever have peace? Can't I rest?

Bill: Of course you can.

Nardole: It's your choice.

Bill: Only yours.

Nardole: We understand.

Doctor: No. No, you don't. You're not even really here. You're just memories held in glass. Do you know how many of you I could fill? I would shatter you. My testimony would shatter all of you. A life this long, do you understand what it is? It's a battlefield, like this one, and it's empty. Because everyone else has fallen. Thank you. Thank you both, for everything that you were to me. What happens now, where I go now, it has be alone.”

When at the end of this he does regenerate, this exchange and much of The Doctor’s action shows how suicidal Twelve became near the end. This also echoes sentiments from TV: Heaven Sent & TV: The Girl Who Died. These sentiments and suicidality are textbook depression, BPD & C-PTSD. It shows loneliness, fatigue, guilt, grief, memories, isolation, feelings of emptiness and attachment struggles.

A topic connected to this I find discussed often when people analysis the New Who Doctor’s, especially when talking about the thirteenth Doctor, placing Twelve as someone who has a linear path toward healing from grief and trauma. This point of view is usually framed as the stages of grief, so the thinking is this: Nine represents denial, Ten anger, Eleven bargaining, Twelve depression And ending with Thirteen as acceptance

I find this analysis to be deeply over-simplistic. [I've talked about it a few times on my Tumblr.] That analysis ignores much of The Doctor as a whole and has a frustratingly terrible understanding of trauma.

It only cares about the new who Doctors, even excluding the ones who participated in the time war which it purports to be analysing The Doctor as having mostly healed from through Twelves arc culmination in Thirteen being removed from the trauma and loss completely. But The Eighth Doctor and War Doctor both participated in the time war and had differing reactions to the trauma. It excludes that Nine had a lot of depressed and angry feelings, it would have Ten only be anger but we see textbook bargaining in Ten and also heaps of denial lying to Martha, Eleven is deeply angry and depressed. While I agree Twelve suffers from depression he has anger, and his depression engulfs him at the end meaning the transition from that depression is confusing just as ten’s anger is eating at him.

Legitimately healing would mean that the steps towards acceptance wouldn’t be the things getting worse for most. Even if you think it’s allegory then I wonder why Eleven wouldn’t have bargaining as something prevalent as the main characteristic seen by many.

The next part of this is that people seem to be seeing The Time War as the only important trauma and grief Twelve is dealing with. This is reductive, likely part of people who see war as the only thing that can cause PTSD. I have discussed before that trauma starts building up with the first Doctor, The Doctor is classic complex trauma. But for this specific section, we are focused on the traumatic experience that happens close to his regeneration and during it.

As I discussed before Trenzalore is a war that Twelve experienced directly before he began, something that would explain the heightened distaste for soldiers and war Twelve has even more so than elven. Which shows to me that Twelve along with having just differing reactions it’s likely something retraumatized him in a similar manner.

The episodes of extreme injury The Doctor suffered are enough to trauma on their own. Examples include having his energy sucked (TV: The Witch’s Familiar), being in the vacuum of space and going blind (TV: Oxygen), and Burning his brain up twice (TV: Extremis/Pyramid at The End of The World/Lie of The Land).

Many traumas are experienced directly by Twelve. The standout experience is during TV: Heaven Sent. Twelves experience four and a half billion years of torture. This is done by his own people, people whom he saved and spent years wanting back and looking for. They hurt his friend in this process as well, the pain this causes most have been deeply traumatic. Another part of this is that The Doctor stayed in this torture chamber and let himself be hurt over and over when as he comments he could have given in. It’s a willingness to experience extreme pain, to try and retain some control, and possibly save Clara. But as Clara says in TV: Hell Bent she was dead and this in and of itself was trauma, combined with the guilt of having harmed others through it.

The loss of his friends and the way it’s tied to his own choices is traumatic as well. (TV: Face The Rave, TV: World Enough and Time/The Doctor Falls). River Song is also seen for the last time in The Doctor’s timeline here which is another loss and could be re-traumatizing from experience dating back to Tenth Doctor. (TV: Husbands of River Song)

Seeing all this shows that The Doctor is still experiencing Complex-Trauma and this happens on top of his already existing C-PTSD. The perception he is healing or starting to accept can also be seen as him having “the most” PTSD whereas I also disagree with this, he just has another way of showing his PTSD as well as BPD.

Lastly in the subject of I think common views on him being near healing is saying that his regeneration is one of accepting and wanting to move forward.

Usually, people who hold this viewpoint at his ending message to the next Doctor;

“Doctor: You wait a moment, Doctor. Let's get it right. I've got a few things to say to you. Basic stuff first. Never be cruel, never be cowardly, and never, ever eat pears! Remember, hate is always foolish. and love is always wise. Always try to be nice, but never fail to be kind... Argh! But nobody else. Nobody else, ever. Laugh hard, run fast, be kind. Doctor, I let you go.”

But I think pulling only this last part misses much of regeneration story,

First paying attention to the pieces of dialogue I noted before when talked over fatigue, grief and suicidal ideation,

“Nardole: Don't die. Because if you do, I think everybody in the universe might just go cold.

Doctor: Can't I ever have peace? Can't I rest? ”

Then right before the speech to thirteen, when he actually finally chooses to regenerate it’s not a moment of acceptance at all.

“Doctor: Oh, there it is. The silly old universe. The more I save it, the more it needs saving. It's a treadmill.

TARDIS: beeps, flashes and burbles

Doctor: Yes, yes, I know. They'll get it all wrong without me. I suppose one more lifetime wouldn't kill anyone. Well, except me.”

What I think this actually shows that when he regenerates he is doing it out of obligation to protect the universe. He is literally choosing to regenerate because “They'll get it all wrong without me”. When he says “Doctor I let you go” I don't believe it’s necessarily a statement of hope and healing, but more part of the Identity Construction of The Doctor being apart from him, and yes passing the torch, but the torch of being there for the universe for others.

Choosing to continue living out of obligation to others, even if in reality he just wants to die as he is, as himself. Even within the story as I’ve talked about there are more accepting regenerations. The Third, Fourth, Ninth and Eleventh Doctor’s are all more accepting of the change. Twelve himself’s more honest version he presents of who he is and what he’s been through could be connected to a Doctor who had to stay in the wake of his actions.

Overall Twelve displays a great deal of struggle with mental health, Flashbacks, Hyperarousal, flashbacks, intrusive thoughts, obsessive thoughts, fatigue, unstable beliefs, constructed identity, traumatic implicit programming, agitation, recklessness, attachment issues, enmeshment, low self-confidence, self-injury and suicidal ideation. This regeneration has a gruff and more honest projection of himself and is more honest about his own difficulties, with Clara mostly. This Doctor is interesting as someone who lives in the wake of some of the lowest actions of Eleventh regeneration as well as the highest moment of saving Gallifrey.

Using the lens of trauma I believe we can get a lot of insight into Twelve's character and help understand this character who is often viewed in a reductionist manner.

[Also Posted on my Archive of Our Own page in a series with the other doctor study posts]

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