Post-Traumatic Stress Disorder

"PTSD from a diagnostic standpoint is typically considered a psychological disorder under anxiety, but new research is challenging this." 
Signs and Symptoms

PTSD patients often suffer from symptoms including anxiety, depression, and concentration difficulty. Symptoms of PTSD are the result of chemical changes in the brain caused by an increase in autonomic drive. Other symptoms commonly reported by PTSD patients include abnormal laughing and crying, aggression, impulsivity, irritability, fatigue, anger, anxiety, loneliness, nausea, persistent headache, depression, and post-traumatic seizure, and suicide.
 

What is PTSD

PTSD is classically viewed as a disorder in which a person has difficulty recovering after experiencing or witnessing a terrifying event. Within the worldview and paradigm of clinical neurology, PTSD is an adaptive response to traumatic events which creates a heightened sensitivity of brain regions involved in producing the natural stress response. This is a great example of negative neuroplasticity, where the brain just got too efficient at detecting stress to the point where, even in harmless situations, a threat or danger is perceived.

Any psychological disorder at its core really a neurochemical issue, which is why most traditional treatments are aimed at neurotransmitter levels. We know from research that PTSD is not purely a neurochemical issue, but results in structural alterations as well.  This would create a basis for it being considered a primary neurological disorder with psychological characteristics.

Unfortunately, the majority of individuals diagnosed with PTSD are sent to psychiatrists to be treated for anxiety, depression, and other emotional signs.  This works for a few, but unfortunately, the majority have pervasive symptoms.  By having an understanding that the brain from a structural and functional level plays a role in the development and symptoms of PTSD offers much more promise for treatment.
 
 
Our Approach to Diagnostics and Testing
 
Revive utilizes research-based diagnostics to evaluate function in specific areas of the brain. Looking at eye movements, motor function, sensory function, cranial nerves, cognitive function, balance, and gait. This information allows us to better understand what areas are affected so we can develop a treatment plan that targets those regions and networks to make them stronger and more efficient. These tests include eye movements, motor function analysis, physical exam, cognitive ability and balance.  
 
  • The VGN or testing of eye movement gives us a representation of the function of eye muscles, cranial nerves, brainstem nuclei, cerebellum and cortical regions. By measuring things like gaze stabilization,  smooth pursuits, saccades, and optogenetics it helps us to differentiate the areas of weakness. 

  • Motor function analysis enables us to see the strength, tone, and coordination of the movement of muscle groups so we can better understand the regions and networks of involvement. Networks that are utilized in a movement are the coordination of movement involve the frontal lobes, parietal lobes, and the cerebellum.   

  • In our office, the physical examination is focused on not only finding definitive signs of functional deficits but also catching the subtle changes which give us greater insight into the physiology and function (these findings are often considered irrelevant or ‘within normal limits’ in most conventional clinical settings).  

  • Cognitive testing is utilized as a baseline marker to measure and monitor patient outcomes. These quantifiable tests validate results in many different avenues. Our testing encompasses depression screening, anxiety screening, verbal memory, psychomotor speed, processing speed, simple attention, and motor speed.  

  • Balance test or vestibular testing gives us an insight into the function of networks that are needed for standing, walking, even riding in a car. We look at the three main factors of balance (Vestibular, proprioception, and vision) both together and individually to isolate the areas of involvement.   
 
 
Our Approach to Care
 

At Revive we specialize in providing treatment to the neurological regions affected by PTSD. Your treatment can include balance, gait, and eye training; as well as hand-eye coordination, repetitive transcranial magnetic stimulation (rTMS), hyperbaric oxygen, diet, and supplements.

We offer a unique process that is built to maximize time and results. To reach your personal healthcare goals, it is imperative that your physicians and care providers precisely know your individual story and desires. Your individual goals are the focal point of the comprehensive treatment plan which is based off your exam, diagnostics, and lab results.  

Beyond the neurological system, there are many factors that can impact the presentation of PTSD: the immune system, diet, sleep, and stress (to list a few). By integrating knowledge of the brain and influence of these factors, we are able to be very specific with targeted therapies which create lasting neurological changes. Your treatment plan is designed specifically for you and is not a protocol.

This plan is executed over 5-10 days. Patients see measurable improvement during their time in our office and continue to make gains once they leave. To help ensure success on your journey of healing, we create and define a plan for you when you go home. This plan may include sourcing local specialist for a safe and effective continuum of care. Our goal is to see each patient continue to build upon the initial results they achieved in our office. 





Contact Us Today