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How can psychiatrists help with trauma and PTSD?

Trauma and conditions such as post-traumatic stress disorder (PTSD) are characterized by distressing symptoms like flashbacks, insomnia, intrusive memories, hopelessness, and irritability in the wake of a major event. Trauma can also result from a chronic series of events, resulting in a condition known as complex trauma. Not all individuals who experience a traumatic event seek psychiatric support or gain a diagnosis for a trauma-related disorder; indeed, many individuals with strong social supports and/or coping skills, which can contribute to resilience, can manage complex feelings after a traumatic event on their own. However, many individuals do benefit from seeing a psychiatrist for medication or other therapeutic support, particularly if they are experiencing acute symptoms or are particularly vulnerable to trauma due to other emotional conditions or challenges.

How do psychiatrists treat trauma and PTSD?

Psychiatrists can help individuals struggling with trauma by prescribing medication that helps to reduce the intensity of symptoms. Medications are often most effective, however, when used in conjunction with evidence-based therapy interventions, such as Exposure Therapy or Cognitive Processing Therapy (CPT). These forms of treatment help individuals overcome trauma-related symptoms through guided exposure to trauma-related triggers in a controlled therapeutic environment.

In some cases, psychiatrists will conduct these sessions with clients, or they may work with a client's therapist or counselor who offers these services. This team-based approach to care for trauma can be particularly useful, as can ongoing maintenance sessions with a psychiatrist even following an initial period of more intensive treatment, since many individuals with trauma or PTSD may experience relapses or the return of symptoms even after initial progress. In such cases, having a psychiatrist who can adjust the treatment plan or medication in accordance with a client's needs can be an important part of maintaining long-term recovery.

How can I find a psychiatrist who specializes in trauma and PTSD?

The Psychology Today online directory can be a helpful resource to search for psychiatrists (MDs) and psychiatric nurse practitioners (PMHNPs) who specialize in trauma, PTSD, and related conditions. In addition to searching for psychiatrists who specialize in these conditions, you may consider searching by psychiatrists who specialize in working with a particular population, such as veterans or children. When searching for a provider, ask about their specific experience treating symptoms of trauma and what their approach to therapy and medication is. It is also important to determine whether their office is accessible (either close-by or via telehealth) and if they accept your insurance.