Neuroses can be triggered by inner desires and instincts which are indecorously blocked by the ego and they look for ways to substitute appearances. Additionally, neuroses can also be activated by peripheral distressing occurrences, such as sex, abuse, war, pain. Typically, it can be an amalgamation of all the instances happening at once, however Freud later recognised that the line between phantasy and reality is problematic and challenging to resolve. He also stipulated that the memories of infantile trauma (primal phantasy) can occasionally be wholly fabricated (pure phantasy) and the whole trauma behind it can make you believe it transpired and happened in real life.
