Breaking the Chains of Trauma by Exploring Traditional and Modern PTSD Treatments

Professional Perspectives by Thilaka Chandanee, Lecturer, IHM Australia

People

December 5, 2024

Understanding PTSD

Post-Traumatic Stress Disorder (PTSD) is a mental health condition. PTSD can be developed when an individual experiences or witnesses a traumatic event, such as a serious accident, war, or violent assault. As a result of witnessing such events, it is normal to feel intense fear, helplessness, or even confusion. However, if a person experiences ongoing psychological distress that lasts for months or even longer, that could lead to PTSD. PTSD should be diagnosed after considering multiple assessments by mental health professionals such as psychologists or psychiatrists.

Traditional Treatments for PTSD

  • Psychotherapy
    Psychotherapy is a key part of traditional PTSD treatment. There are various forms, but the most commonly used therapies are Cognitive Behavioral Therapy (CBT) and Cognitive Processing Therapy (CPT). Prolonged Exposure Therapy (PE) involves gradually exposing the person to trauma-related memories. Eye Movement Desensitization and Reprocessing (EMDR) helps the brain process traumatic memories more effectively. Trauma-Focused Cognitive Behavioral Therapy (TF-CBT) is designed for younger individuals. Group therapy and Psychodynamic Therapy are also common approaches.
  • Medication
    Medication can help alleviate symptoms such as anxiety, depression, and hyperarousal. Commonly prescribed medications include SSRIs, such as Sertraline and Paroxetine, and SNRIs, such as Venlafaxine. Other options include Prazosin for sleep disturbances and benzodiazepines for short-term anxiety relief.
  • Lifestyle Changes
    Physical activity, mindfulness practices, and maintaining a healthy diet and sleep habits significantly aid recovery. Social support from friends, family, or support groups is also critical in managing PTSD symptoms.

Modern Approaches to PTSD Treatment

  • Neurostimulation Techniques
    Innovations like Transcranial Magnetic Stimulation (TMS), Electroconvulsive Therapy (ECT), and Vagus Nerve Stimulation (VNS) show promise for individuals who do not respond to traditional treatments.
  • Ketamine and MDMA-Assisted Therapy
    Ketamine Infusion offers rapid relief, and Esketamine is being explored for PTSD. MDMA-assisted therapy has shown significant promise in enhancing the effects of psychotherapy.
  • Virtual Reality Exposure Therapy (VRET)
    This innovative therapy uses virtual reality to simulate trauma-related scenarios, allowing individuals to confront their trauma in a safe, controlled environment.
  • Stellate Ganglion Block (SGB
    SGB involves injecting a local anesthetic to reduce hyperarousal and anxiety, offering immediate relief for some patients.
  • Cannabis and Cannabinoids
    Cannabis and CBD are being studied for their potential in reducing PTSD symptoms like anxiety and insomnia.

Emerging Therapies and Digital Solutions

  • Neurofeedback Therapy
    This technique trains individuals to regulate their brainwave patterns, promoting healthier brain function.
  • Digital Therapeutics and PTSD Apps
    Apps like PTSD Coach offer self-guided tools for managing symptoms. Teletherapy platforms increase access to care, especially for those in remote areas.

Trauma-Informed Care (TIC): A Holistic Approach

  • Principles of Trauma-Informed Care
    TIC emphasizes safety, trust, peer support, collaboration, empowerment, and cultural sensitivity. These principles help create environments that promote healing and long-term recovery.
  • Enhancing Traditional Therapies with TIC
    TIC provides a framework that complements traditional therapies, focusing on holistic care and addressing the broader impacts of trauma on an individual’s life.

Pull Quote:

“PTSD can be developed when an individual experiences or witnesses a traumatic event, such as a serious accident, war, or violent assault.”

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