I am diagnosed with both a traumatic brain injury and PTSD. The meds I'm on for both seem to aggravate the other condition has anyone had any experience with this
Doc:
***CONJECTURE AND PERSONAL OPINION TO FOLLOW***
I am currently working with a very similar diagnosis. For me my PTSD is by far the primary, with minor TBI/concussive syndrome taking secondary.
Jimmy's got this one right, as usual. From my personal experience, PTSD is behavioral in nature, while TBI is due to, as the name suggests, physical trauma to the brain.
For me, my TBI manifests itself in some pretty wicked headaches, linked to vestibular and ocular issues associated with the injury. While the brain is a wonderful and mysteriously awesome healer/coper/manager of our bodies, and while your brain has the potential to heal itself over time, for me the TBI is about symptom management - the reduction or minimization of the effects of the TBI on my daily life. Medications are the primary means to manage these symptoms, with behavior modification (avoiding things that cause your symptoms to get worse, i.e. bright lights) a no brainer. Just as you can't whisper sweet nothings to a broken arm to make it heal faster, no group therapy on earth will heal the physical trauma our brains have experienced as a result from our TBI. In short, a TBI is not something you "get over".
PTSD, as we all know, does not have to be associated with a physical trauma to our bodies (although it most certainly can be!). Our subconscious gets 'stuck' on an event(s), situation(s), or belief(s) and does any number of things to avoid that perception - including those behaviors we know to be unhealthy (for me, primarily avoidance). We all know what THAT is about (hello mycombatptsd.com).
The primary reasons we take medications with PTSD are to temporarily reduce symptoms to allow us to peel back another layer of that onion. If nightmares are causing us to get 2-3 hours of sleep a night (raises hand), we need to get that under control before any legitimate expectation of normalcy can return to other parts of our lives. If we can't sit through a 30-60 minute session of therapy without having a panic attack or worse (raises hand again), then perhaps a mood stabilizer is in order, temporarily, to help take the edge off and allow some progress to be made.
This is why a good provider is worth their weight in <pick your element>. As with many other disciplines where people are involved, it's that subtle melding of art and science to get the result that works for you.
If this is what we're dealing with:
Then it only makes sense to systematically approach the management of everything involved - symptoms, medications, etc.