Could you talk a bit about the types of treatments for prevention of PTSD and related traumatic disorders in the acute setting for people working in emergency medical fields such as EMS where there’s a pretty big component of dealing with extremely mentally challenging calls and almost immediately after finishing needing to go on to the next thing and leave all that trauma behind? I think a lot of other people in this field can relate to the days where you clear a cardiac arrest that you couldn’t get back and having to go on another call 5 minutes later and act like nothing happened. Would be very interested to hear your thoughts on what types of prevention strategies and treatments are most effective at both an individual and system level. As always incredible video, thanks for all the work you do on them.
That is a brilliant suggestion! It might take a while to get this out since got lots of other videos to release but will definitely add this to the list . Thank you for the feedback.
There is some evidence for it and the pain physician I work with offers it. My view - it works for those where adequate hyperarousal is not addressed with medication or patients are experiencing side effects as its effects are not necessarily long term. If pain upper limb , neck then ptsd pain is a profile one can consider. The mechanism is decreasing sympathetic arousal - we can do this with alpha agonists / antagonists and if not addressed then it’s worth a consideration. But not a panacea - bit like ketamine psychscenehub.com/psychinsights/post-traumatic-stress-disorder/#stellate%20ganglion%20block
Dr.sanil, all your videos give great knowledge about mental health! one of my friends had a mental breakdown a year ago, and the persons doctor stopped aripiprazole 5mg. Now under mirtazapine 30mg only. I want to know, will the brain nurones grow back normally again? Will there be life changing effects?
Thank you for your feedback. Aripiprazole is not associated with neuronal damage when prescribed appropriately, further more the brain is neuroplastic. You can view the video on neuro plasticity here ru-vid.com/video/%D0%B2%D0%B8%D0%B4%D0%B5%D0%BE-XBHCCBXA8Qk.html
Thank you for your nuanced explanation Doc R. I'd like to get your take on whether CPTSD should get included in the DSM/ICD since for now, it's only a "construct," not an official diagnosis. What are the pros/cons of making it a diagnosable disorder?
ICD-11 has C-PTSD. A diagnosis helpful if it helps patients . C-PTSD widens the domains of evaluation including somatic & cognitive elements which is a good thing. We’ve covered this in the video we did on Amber heard and the psychologist testimonies. It’s a great example of how diagnoses can be used and misused .What Mental Health Disorder Did Amber Heard Have? Exploring PTSD, BPD, & Complex PTSD ru-vid.com/video/%D0%B2%D0%B8%D0%B4%D0%B5%D0%BE-XG5DKbR-H5k.html
Sir can you choose to refuse to take psychiatric drugs to your prescriber, is there a right to do that? I mean instead of psychiatric drug i would do alternative treatment such as exposure therapy for phobia or even cbt
Please discuss this with your treatment provider. The main aspect in psychiatric treatment is informed decision making by the patient so they consent to treatment after understanding risks and benefits. Involuntary treatment occurs only in a legal context and depends on the laws of the respective country.
we know about PTSD ad-nauseam. What is the precise treatment for it? Why is it taking so long to find a lasting treatment? Where are the Jung's and Freud's of today?
PTSD is a highly comorbid condition. It is also heterogeneous - which means patients present with different constellation of symptoms. Thus there is no single treatment that addresses the entire constellation of symptoms at the moderate to the severe end of the spectrum. Read more here 👉psychscenehub.com/psychinsights/post-traumatic-stress-disorder/
