| Introduction |
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What is posttraumatic stress disorder (PTSD)? |
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1 | (3) |
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What kinds of events are extremely traumatic? Characteristics of acute stress disorder |
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Common questions about PTSD |
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4 | (5) |
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What are the symptoms of PTSD? Reexperiencing the traumatic event |
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Emotional numbing and avoidance |
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How do I know if I have PTSD? What causes PTSD? How common is PTSD? Does PTSD occur in children and the elderly? After traumatic experiences, what can be done to prevent PTSD from developing? |
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9 | (2) |
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11 | (10) |
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Positive thinking and self-talk |
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Information and education |
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21 | (3) |
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Beginning medication therapy for PTSD |
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24 | (4) |
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What will your doctor need to know before prescribing medication for PTSD? Your medical history |
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Any medications you are taking |
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Your occupation and activities |
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Are any laboratory tests necessary before starting medication for PTSD therapy? Which PTSD medication should I start on? How do medications work in PTSD? How rapidly do medications work in PTSD? How are medications handled in the body? |
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Selective serotonin reuptake inhibitors (SSRIs) |
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28 | (3) |
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citalopram (Celexa), fluoxetine (Prozac), fluvoxamine (Luvox), paroxetine (Paxil) and sertraline (Zoloft) |
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What side effects might occur when someone is beginning SSRI therapy? Do I need to be on a special diet when taking an SSRI? Do SSRIs cause weight gain? May I drink alcohol while taking an SSRI? Is it dangerous to take other medications while taking an SSRI? Are SSRI blood tests necessary? |
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31 | (5) |
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bupropion (Wellbutrin and Wellbutrin SR), mirtazapine (Remeron), nefazodone (Serzone), trazodone (Desyrel) and venlafaxine (Effexor and Effexor XR) |
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What side effects might occur when someone is beginning bupropion, mirtazapine, nefazodone, trazodone or venlafaxine therapy? Do I need to be on a special diet when taking bupropion, mirtazapine, nefazodone, trazodone or venlafaxine? Do bupropion, mirtazapine, nefazodone, trazodone or venlafaxine cause weight gain? May I drink alcohol while taking bupropion, mirtazapine, nefazodone, trazodone or venlafaxine? It is dangerous to take other medications while taking bupropion, mirtazapine, nefazodone, trazodone or venlafaxine? Are blood tests necessary when using bupropion, mirtazapine, nefazodone, trazodone or venlafaxine? Why are two forms of bupropion and venlafaxine available? |
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Tricyclic antidepressants (TCAs) |
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36 | (4) |
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Do tricyclics have side effects? What side effects might occur when someone is beginning tricyclic therapy? Do I need to be on a special diet when taking a tricyclic? How can I deal with the side effect of weight gain? May I drink alcohol while taking a tricyclic? Is it dangerous to take other medications while taking a tricyclic? Are tricyclic blood tests necessary? What preparation is needed before a tricyclic blood level test? |
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Monoamine oxidase inhibitors (MAOIs) |
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40 | (4) |
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What side effects might occur when someone is beginning MAOI therapy? What is the ``cheese reaction?'' Do I need to be on a special diet when taking an MAOI? May I drink alcohol while taking an MAOI? Is it dangerous to take other medications while taking an MAOI? Are MAOI blood tests necessary? |
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44 | (1) |
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Common questions about PTSD medications |
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45 | (6) |
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How should I store PTSD medications? What if I am running out of medication? What if I forget a dose? Can I use oral contraceptives (birth control pills) while on PTSD medications? What if I need to see another doctor or have an operation? Are PTSD medications harmful during pregnancy or breast-feeding? Can PTSD medications be used safely in people with heart or blood pressure problems? Will PTSD medications interfere with my sexual drive and orgasm? Can I exercise while taking PTSD medications? Are PTSD medications addictive? How long should I take medication for PTSD? What if the PTSD medication I am taking does not work? Are there any new drugs for treating PTSD? |
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| How can someone learn all that is important about PTSD and its treatments? |
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51 | (1) |
| Summary and Conclusions |
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52 | (1) |
| Suggested Readings |
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53 | (2) |
| Resources |
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55 | (2) |
| Appendix: Diagnostic criteria for Posttraumatic Stress Disorder from the Diagnostic and Statistical Manual of Mental Disorders, Fourth Edition |
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57 | (2) |
| Glossary |
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59 | |