PTSD: Managing Anxiety and Finding the Right Therapist - Psychiatry

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Post-Traumatic Stress Disorder (PTSD)


Due to trauma-related stress from an incident in May, the doctor has informed me that I am experiencing generalized anxiety and autonomic dysregulation.
Currently, I feel panic and anxiety for 1-2 hours when confronted with certain specific situations, and I am easily startled, feeling anxious every day.
The psychologist suggested that I try to go out and interact with people to normalize my experiences.
I started going out to meet people last week.
On Saturday, a friend asked me what was wrong, and when I talked a bit more deeply with them, I encountered some specific issues.
Previously, I only felt panic, but now I also have a slight urge to vomit and a bit of dizziness, and I seem to be more sensitive.

I would like to ask:
1.
Will the urge to vomit or dizziness improve on its own after some time?
2.
I am currently looking for a new psychiatrist; do I need to work with a psychologist as well?
3.
Are there psychologists who specialize in trauma syndrome? How can I find a trauma specialist in Taichung? Thank you, doctor.

Xiao He, 50~59 year old female. Ask Date: 2020/06/15

Dr. Wu Enliang reply Psychiatry


Hello, netizen:
1.
Will nausea or dizziness improve on its own after a while?
A: If the nausea or dizziness is caused by anxiety-related psychosomatic symptoms, it will improve as the anxiety decreases.
2.
I need to switch to a new psychiatrist; should I also see a therapist?
A: It is recommended to see a therapist as it can enhance the effectiveness of treatment.
3.
Are there therapists specializing in trauma syndrome? How can I find one in Taichung?
A: Clinical psychologists undergo training that includes clinical experience with post-traumatic stress disorder (PTSD).
As long as you confirm that the professional is a clinical psychologist and not a counseling psychologist, they should be qualified to help.

Dr.
Wu En-Liang

Reply Date: 2020/06/15

More Info


Understanding PTSD and managing anxiety can be a challenging journey, especially when you are experiencing symptoms like panic, nausea, and heightened sensitivity to certain triggers. It’s important to approach this situation with a comprehensive plan that includes both medical and therapeutic support.

1. Will the nausea or dizziness improve over time?
The symptoms you describe, such as nausea and dizziness, can be common in individuals experiencing anxiety and PTSD. These symptoms are often linked to the body's fight-or-flight response, which can be triggered by stress or trauma. While it is possible for these symptoms to improve as you become more accustomed to facing your triggers and as your anxiety decreases, it is crucial to monitor them closely. If these symptoms persist or worsen, it is advisable to consult with your healthcare provider. They can help determine if there are underlying medical issues or if adjustments to your treatment plan are necessary.

2. Should you work with a therapist alongside a psychiatrist?
Yes, it is highly recommended to work with both a psychiatrist and a therapist. A psychiatrist can manage your medication, ensuring that you are on the right dosage and type of medication to help alleviate your symptoms. Meanwhile, a therapist can provide you with coping strategies, support, and a safe space to process your feelings and experiences. Cognitive Behavioral Therapy (CBT) and Eye Movement Desensitization and Reprocessing (EMDR) are two effective therapeutic approaches for PTSD. Having both medical and therapeutic support can create a more holistic treatment plan, addressing both the physiological and psychological aspects of your condition.

3. How to find a therapist specializing in trauma?
Finding a therapist who specializes in trauma and PTSD is essential for effective treatment. Here are some steps you can take to find the right therapist in Taichung:
- Research Online: Websites like Psychology Today have directories where you can filter therapists by their specialties, including PTSD and trauma. You can also check local mental health organizations or hospitals that may have resources or referrals.


- Ask for Recommendations: If you have a primary care physician or a psychiatrist, ask them for recommendations. They often have networks of trusted therapists they can refer you to.


- Contact Local Mental Health Clinics: Reach out to mental health clinics in your area. They often have therapists who specialize in trauma and can provide you with the support you need.


- Check Credentials: When you find potential therapists, check their credentials and experience. Look for licensed professionals with specific training in trauma-informed care or PTSD treatment.

- Initial Consultation: Many therapists offer an initial consultation. Use this opportunity to discuss your symptoms and see if you feel comfortable with their approach. It’s important to find someone you can trust and feel safe with.

In conclusion, managing PTSD and anxiety is a multifaceted process that requires a combination of medication, therapy, and self-care strategies. It’s commendable that you are taking steps to engage with your community and seek help. Remember that healing is a journey, and it’s okay to take it one step at a time. Don’t hesitate to reach out for support when you need it, and be patient with yourself as you navigate this path.

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