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Before I begin this I’d like to say I am NOT a psychologist, I have gathered this information through research and i apologize if i say something in an incorrect way.

This is also not completely canon compliant.

Mickey most definitely has CPTSD, nothing can change my mind on that. Having a childhood/ life like his it’s impossible not to have some sort of trauma.

These are some parts of his PTSD the manifest in the more obvious ways:

Always panicking for a sec when he wakes up (he often flinches and sits up quickly when woken up)

He’s very hyper vigilant and is always looking around

He also reacts quickly to loud noises

He is canonically very scared to be a father, even worried he’d hit Yevgeny

He gets defensive quickly, using anger as a defense

And here are some less obvious ways it affects him (less canon compliant):

He does not believe he deserves Ian

Not anymore but when he was a lot younger he would freeze up and it always made him feel so weak

Because of people’s comments but especially after Svetlana he always felt dirty, no matter how clean he was

He doesn’t cry often,almost never but when he does he CRIES and it lasts for hours, even if it was over something small

He likely didn’t know it himself but part of the reason he cried when his dad died was because deep down all he wanted was his dad’s love, and now it was impossible to get it.

Not usually, but in certain situations he genuinely believes it was his fault

Developed OCD, always making sure the doors and windows are locked, the stoves off, the kettles off, etc

He has nightmares a lot but learns to hide them really well

For a long time he never tells anyone he’s struggling because he thinks he’s: A. Not worth the hassle, and B. He thinks people already JUST tolerate him, so if he bugs them they’ll start to hate him.

I don’t think he ever goes to therapy, Atleast not for a VERY long time. But Ian (mainly in the future) does his absolute best to help him in small ways:

Tries not to touch Mickey to wake him up, just calls his name until he starts stirring

If he’s completely out Ian will lightly swipe his thumb over mickeys knuckles while calling his name

( I saw this headcanon somewhere but I can’t remember for the life of me) Ian always holds Mickeys hand while they’re having sex, especially if Ian’s riding him because that specific position always reminds him of when he was SA’d

Ian pretty much always lets Mickey initiate physical touch, and if Ian’s initiating he makes sure Mickey knows so he doesn’t startle him

Anyways those are my thoughts, they are also not proofread so my bad for any mistakes.