Good Enough Shrink

Trauma III: Psychotherapy and Medication Treatments for PTSD

Dr. Jenna Cheng, Dr. Patrick Kelly

Hello listeners! We are so excited to share this episode with you. We get into the nitty gritty of treatment for PTSD in both psychotherapy and medications. 

**This information is for general knowledge and does not substitute for professional medical advice, diagnosis, or treatment. Please always consult your own healthcare provider for your care.**


Psychotherapy

  • Trauma-Focused CBT
  • EMDR
  • CPT, Prolonged Exposure, Narrative Exposure, Psychoanalytic  psychotherapy (very brief, this shall be its own episode!)
  • Somatic Therapy


Medications

  • SSRIs: sertraline (Zoloft), fluoxetine (Prozac), paroxetine (Paxil)
  • SNRIs: Cymbalta
  • Alpha 1 antagonists: prazosin
  • Beta-Blockers: propranolol
  • 2nd Generation Antipsychotics: risperidone (Risperdal), quetiapine (Seroquel)
  • Other antidepressants: trazodone, TCAs, MAOIs, zuranolone, lamotrigine, Topamax 


Interventional Psychiatry

  • TMS
  • VNS
  • Neurofeedback


Hallucinogens & Psychedelics 

  • Ketamine
  • Psilocybin, MDMA
  • LSD, ayahuasca


Medications NOT Recommended

  • Benzodiazepines
  • High-dose stimulants


Novel Research

  • Hydrocortisone & neuroinflammation
  • Opioids & pain control


PTSD Treatment Decision Aid by the VA: https://www.ptsd.va.gov/apps/decisionaid/


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