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Need Some Advice

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Sublation

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I've been medically retired since april of 2010. This year I was moved from TDRL to PDRL...

I have not been receiving treatment for PTSD as I should have been. Mostly, the gabapentin that I take for phantom limb pain helps with anxiety (off label) as well. So I've been managing anxiety with this.

Now I've always been put off by therapy. The mental health services that I was receiving while still in weren't helping and I think were largely making things worse as it often forced me to dwell on the worst parts rather than moving past them. I question heavily the effectivness of prolonged exposure therapy. I'm not some parade horse that needs to be desensitized to marching band drums.

I also had bad experiences with group therapy. People that wanted to carry their PTSD like it was some sort of trophy and sounded to me like they were faking. Like the sound of far away gun fire made them get PTSD... just never really sat well with me. Maybe I'm just having a problem empathizing with others. Regardles, I typically don't want others to know while some people run around telling everyone they have it.

But the time has come for me to put my bad experiences aside. I am about to pursue education which will involve a move for me. Thankfully, it gets me away from the constant explosions shaking my house from nearby training which contributes to having nightmares.

My thing about services with the V.A.... they try to hand out pills instead of helping. I don't need more pills... I've had a very bad exeperience with doctors attempting to medicate my PTSD as the meds made things worse rather than better. Going to a doctor and complaining about how the Zoloft is making me more anxious and being told that my system just needed to accept the medicine and having the dosage increased was what really turns me off to the idea. I am very sensitive to meds.

Having told this to the V.A... what did they do? Tried to medicate me with the same stuff. It's like they don't HEAR what you're telling them.

But I ackowlege... I can't continue to live my life like this. Gabapentin's effectiveness for phantom limb is almost completely gone. It can be taken in very high dosages but that leaves me extremely sleepy and I can't have that if I'm going to go to class. So it is likely a perscription change is in the near future and I won't be able to take it in conjunction... doctor is talking about moving me to nortriptyline.

Does the V.A. referr people to a private provider for PTSD therapy? I'm not even sure how to get that request in. And has anyone here had experience similar to mine and have any input?

I want to get this under control so that I can go to school... get it done and start on a new life so that I build new memories and push my military service out of the forefront. It's time for me to move on... but I don't want to return to failed government treatment approaches.
 
Hi Sublation,

I empathize with your position and the fatigue and distress not being listened too by the medical profession causes.
The reason I'm replying is that although our paths to this messy condition seem quite different, in my research travels I came across this radical neuroscientist, he is quite famous now and has a book called 'The Phantom Brain', obviously when I saw your post I needed to refer you to this....(sorry I can't post the links...my laptop is misbehaving)

Look up a guy called V.S. Ramachandran....there are lots of his videos/tv appearances but specifically search for 'phantom limb' and 'mirror box' and/or 'mirror neurons'. He has developed a non medication, ingenoius treatment method, that pretty much anyone can replicate at home!

I respect you listening to yourself and refusing to put yourself ineffective/obsolete repetitions of 'treatment' it is hard because you risk coming across as deliberately obstructive or arrogant. I've been off work for a year and I'm doing the same, refusing harmful treatment, the thing is when your searching for effective treatment blind it's slow. I want to move on to but in a genuine way, not dragging myself onwards, slowly putting my body back through the same process, I want a genuinely restorative route.

Have you heard of the guy I'm talking about?
 
Hi Sublation,

Welcome to the forum.

If you have a question specific to veterans and the VA, it may be that another veteran or a supporter can answer your question here. Did you know there's also a companion site for veterans only which you can use with the same login as this one? It's MyCombatPTSD and you can link to it from the "My Network" list at the bottom of each page. Apologies if I'm telling you something you already know.

You're always welcome to post here too, of course. Just if it's combat specific you might get more responses on the other site.

I've heard of V.S. Ramachandran, who Springer mentioned, and think his work is worth looking into.

It sounds like you have a positive plan for doing more education. I hope you can find a way to manage your symptoms and get the support you need.
 
I've been medically retired since april of 2010. This year I was moved from TDRL to PDRL...

I was placed on the TDRL in March 2010 and have not heard a peep from the Navy since. How were you finally notified that you were going to be placed on the PDRL? Had you been reporting every 18 months...were they scheduling appointments for you? Looks like you were placed on the PDRL before the 5 year max...
 
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