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Researchers are evaluating culturally adapted psychotherapy modules for treating complex post-traumatic stress disorder (CPTSD) in refugees and asylum seekers in Switzerland and Germany. CPTSD is a severe condition linked to prolonged trauma, common in displaced populations, and affects quality of life and social integration. The study aims to assess the symptom reduction effects of the adapted Skills Training in Affective and Interpersonal Regulation combined with Narrative Exposure Therapy (ESTAIR/NET). The treatment consists of 24 sessions organized into four modules: emotion regulation, negative self-concept, interpersonal relationships, and narrative exposure therapy. The emotion regulation module focuses on exercises for emotional awareness and regulation. The negative self-concept module addresses self-understanding and cognitive restructuring. The interpersonal relationships module works on relationship patterns and assertiveness. Narrative exposure therapy involves creating a chronological timeline of life events, discussing traumatic experiences in detail, and providing written narratives co-signed by patient and therapist. Participants will be refugees or asylum seekers diagnosed with CPTSD after an initial study phase and clinical evaluation. During the study, participants undergo psychotherapy sessions following the ESTAIR manual. Researchers will measure changes in CPTSD symptoms over eight months. The study includes assessments by therapists, symptom monitoring, and safety checks. Total participation covers consent, psychotherapy, and follow-up to evaluate the treatment's impact on CPTSD symptoms.