In June 2007, The VA via the Clinician's Trauma Update Online reported that the SSRI - Zoloft (Sertraline) was "...reported to be ineffective for treating PTSD in VA patients." It also stated that ..."these medications may require augmentation with other treatments among VA patients who have chronic, long-term PTSD."
Be it a War Vet or a Civilian...PTSD is treated by one's symptom's. Despite the trauma endured...many PTSD'ers experience PTSD very similarly...and once meeting fellow PTSD'ers...they feel not so alone in their Journey to Heal.
PTSD has a VERY physiologic basis, that seems to be often overlooked. That is why Prazosin is being used to help treat trauma-related nightmares and sleep disturbances. Prazosin is an alpha-1 adrenergic receptor antagonist that used to treat high blood pressure and problems related to benign prostatic hypertrophy (BPH). According to the Va's Clinician Trauma Update Online, June 2007 edition, "This study suggests that prazosin is a safe and effective method for promoting improved sleep in PTSD."
Another great med showing great results is Propranolol (Inderal). Propranolol is a Beta-Blocker and is typically used to treat high blood pressure as well.
Adrenaline has been shown to 'run' at higher levels in PTSD'ers. So, including Propranolol into the med regime helps to block Adrenaline. Physiologically, Adrenaline causes our heart rate and blood pressure to increase...and is involved in the fight or flight response. It's important to note that extended-release Inderal (Propranolol) is NOT effective for PTSD'ers. PTSD'ers need the immediate effect of Propranolol, and small doses, possibly divided throughout the day, are effective. It helps with anxiety in this approach as well. Propranolol has been used for years for 'stage fright.'
To remove the stigma of the name 'Anti-Psychotics', such as Geodon or Seroquel to treat PTSD...it may help to refer to them as 'Major Tranquilizers.' PTSD'ers are NOT psychotic. But, the meds are used to reduce anxiety and promote sleep.
Careful consideration of the Neurotransmitters being affected by the meds being given to a PTSD should also be carefully considered. This is an area of study that deserves more attention. B/C some neurotransmitters can make PTSD worse.
PTSD is an anxiety-based disorder, yet highly physiologic. It's best to find a well-versed PTSD Psychiatrist or Neuro-Psychiatrist to treat one's PTSD.
EMDR has also shown promising results as a therapy. www.EMDR.com
In another recent study by the Cincinnati VA Center, it was shown that Cognitive PROCESSING Therapy (CPT) worked better than Cognitive Behavioral Therapy (CBT). In my opinion, this crosses over into the civilian community as well...though it is hard to find a therapist that performs a processing type therapy. Many therapist's are CBT based, and as a sole basis for treatment, in my opinion, is not enough.
It is also important to find a therapist that is very experienced in PTSD, ask questions...don't be afraid.
Healing takes time, maybe even a long time...and they say it gets worse before it gets better.
More research needs to be done into PTSD, and am glad to hear the VA stepping up to research it, as it benefits us Civilians with PTSD as well.
One more thing:
PTSD is NOT CURABLE, but it is HIGHLY TREATABLE.
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