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Research Person Who Quit Ptsd Meds Needed For Master's Thesis Please
- Post starter smr
- Start date
- Status
Hi Samira
As other people have already said,
the hope of meds is to suppress the worst symptoms sufficeintly that someone can engage in therapies which actually address the trauma and teach coping skills (chemicals don't teach skills).
With PTSD or any other psychiatric condition at its worst, the meds are used to suppress the wall of extremely rigid thinking, and to allow the person to begin to function and to reason.
Some of the top trauma practitioners no longer believe that meds have much or even any place in the treatment of trauma. Notable among them would be Bessel van der Kolk.
Regarding some of the meds - there's a large meta analysis into SSRI effectiveness (for depression) published in the JAMA in 2012.
bear in mind that for a study to be published it needs to show positive results (there is no J Neg Res - so we don't know what proportion of studies failed to find a relationship, they're all lost and forgotten, they don't get into meta analyses) so meta analyses begin with that in built positive bias.
Despite that inbuilt bias, the meta analysis still found that SSRIs were statistically indistinguishable from a placebo
the sugar pill placebo doesn't have side effects, which for SSRIs include nausea, dry mouth, vertigo, suicidality, violence (shown in under 25s), trashed sexual function (sometimes permenant), emotional flatness.
van der Kolk has a paper on his academia.edu page of a trial he ran comparing prozac, EMDR and placebo for PTSD - it's worth a look, Prozac was not statistically significant compared to the placebo.
I've argued on here that since the 2012 meta analysis was published, prescribing SSRIs is a contravention of "do no harm"
You are doing a masters in nursing
can you request to try a small dose of some of the common meds as a one off? then you'll have an idea of what they are like. From that accounts that I've read, you'll probably need to do it over a weekend, as you'll be feeling ill and unable to work
Good luck with the write up
@
As other people have already said,
the hope of meds is to suppress the worst symptoms sufficeintly that someone can engage in therapies which actually address the trauma and teach coping skills (chemicals don't teach skills).
With PTSD or any other psychiatric condition at its worst, the meds are used to suppress the wall of extremely rigid thinking, and to allow the person to begin to function and to reason.
Some of the top trauma practitioners no longer believe that meds have much or even any place in the treatment of trauma. Notable among them would be Bessel van der Kolk.
Regarding some of the meds - there's a large meta analysis into SSRI effectiveness (for depression) published in the JAMA in 2012.
bear in mind that for a study to be published it needs to show positive results (there is no J Neg Res - so we don't know what proportion of studies failed to find a relationship, they're all lost and forgotten, they don't get into meta analyses) so meta analyses begin with that in built positive bias.
Despite that inbuilt bias, the meta analysis still found that SSRIs were statistically indistinguishable from a placebo
the sugar pill placebo doesn't have side effects, which for SSRIs include nausea, dry mouth, vertigo, suicidality, violence (shown in under 25s), trashed sexual function (sometimes permenant), emotional flatness.
van der Kolk has a paper on his academia.edu page of a trial he ran comparing prozac, EMDR and placebo for PTSD - it's worth a look, Prozac was not statistically significant compared to the placebo.
I've argued on here that since the 2012 meta analysis was published, prescribing SSRIs is a contravention of "do no harm"
You are doing a masters in nursing
can you request to try a small dose of some of the common meds as a one off? then you'll have an idea of what they are like. From that accounts that I've read, you'll probably need to do it over a weekend, as you'll be feeling ill and unable to work
Good luck with the write up
@
- Post starter
- #15
Hi!
I am not a therapist, nor am I trying to become a therapist. I am an RN and was also going to school for my masters in Nursing and healthcare management. I was not aware of the issues you described and I am sorry if you or others have had negative experiences. My interviews will be my last step to get my degree and I didn't think I was doing any harm asking for volunteers to do an interview.
- Post starter
- #16
Hey! Thank you for your input! I have actually read and used the studies you are talking about in my paper! I would offer for anyone to ready my paper once I finish it, but it will be in German unfortunately.
StarChild
Sponsor
...@smr, okay, now I'm confused... Why would you do that paper in German, as your flag says, that you're from the United States? But anyway, this is an international forum. Deutsch wäre also kein Problem...
Last edited:
Hi SMR,
Well done for getting the paper so well under way
I don't read German (I can sort of get the idea with written Dutch), but I'm reliably informed that German is much more suited to precise and logical communications than English is:tup:.
I realise that I didn't link this thread https://www.myptsd.com/threads/ssri...ibe-them-a-contravention-of-do-no-harm.52397/
Good luck with the Masters
:) @
Well done for getting the paper so well under way
I don't read German (I can sort of get the idea with written Dutch), but I'm reliably informed that German is much more suited to precise and logical communications than English is:tup:.
I realise that I didn't link this thread https://www.myptsd.com/threads/ssri...ibe-them-a-contravention-of-do-no-harm.52397/
Good luck with the Masters
:) @
- Post starter
- #20
haha ok, I am happy to explain. I am German. Met my husband in Germany who is an American. I was attending school in Germany for my masters. We JUST moved back to the States ("back" for him) about 2,5 months ago after I finished all of my classes and all I had left to do was write that paper, which is what I am doing right now. :)
- Post starter
- #21
Thanks a lot!!
Thank you for saying that! I really appreciate you taking the time to help me out. It was great to talk to you and I am very thankful you shared your information with me!
D
Deleted member 34424
Still in need of someone to interview? Just message me!
- Post starter
- #23
Hey!
Thank you so much! I am done with the interviews now and working on the evaluation! I really appreciate it though!
Pakadlangitok
Silver Member
smr: Good luck and thank you for clarifying. I also think it is nice that you really interviewed people and not just looking for some stories. Again, thank you for letting us know more. That made me feel more comfortable. :-)
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