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Dr. Andrew Rynne
MD
Dr. Andrew Rynne

Family Physician

Exp 50 years

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How Can PTSD Along With Abusive Behaviour Be Managed?

My son has PTSD from the Gulf War. He has turned 50 and has progressively changed from the son I know to times when I don t recognize him at all. His marriage of 26 years is on the rocks. His oldest two girls are alienated from him and the youngest two have to deal at home with mood changes from that of isolation to on-your-face shouting at them. They stay in their rooms to avoid some slight infraction to converts to a mountain that comes down on him. There is no physical abuse, only verbal. He is stuck in a job he hates but sees no way out because of the debt he carries especially in a $2500 per month payment, Every other Monday he is at the VA Hospital. They cure nothing, just disperse pills -- lots of pills and I seriously doubt that one doctor communicates with any other doctors assigned too him to see if he is taking a toxic cocktail with this variety of pills he takes. He is convinced there is no help physically or emotionally for him. He is in pain from the top of his head to the bottoms of his feet yet he rises at 4AM every morning and get back at 4:30 p.m. He will heat up a can of soup, eat and then go to bed. He has no energy left for the family. 1 WHAT ANSWERS DO YOU HAVE AND WHERE CAN YOU DIRECT ME OTHER THAN A VETERANS HOSPITAL!J
Fri, 29 Jun 2018
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Psychiatrist 's  Response
Hello and Welcome to ‘Ask A Doctor’ service. I have reviewed your query and here is my advice.

As you told your son is suffering from post traumatic stress disorder that is PTSD it's better you consult a psychologist who gives cognitive behavior therapy to alleviate is symptoms and other than that consult a psychiatrist and tell him clearly regarding all the medications which he is currently using so that he will try to cut down the unnecessary medications. Antidepressant along with sedative(temporary use) might be sufficient for your son. If there is no response with this medications it's better to add low dose antipsychotics or mood stabilizers which is to be done under the supervision of a psychiatrist. Regular cognitive behavior therapy that is counselling sessions are at most needed.

Hope I have answered your query. Let me know if I can assist you further.
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Psychiatrist Dr. Achampet Vikas 's  Response
Hello and Welcome to ‘Ask A Doctor’ service. I have reviewed your query and here is my advice.

As you told your son has suffered a lot in the past and has developed the post traumatic stress disorder definitely consultation of psychiatrist and taking long term antidepressants and low dose sedatives are suggestive and even attending clinical psychologist and taking cognitive behavior therapy for multiple sessions is also a must. If there are aggressive episodes then mood stabilizers can help him relieve from aggressive behavior and also abusive behavior.

Hope I have answered your query. Let me know if I can assist you further.
I find this answer helpful

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How Can PTSD Along With Abusive Behaviour Be Managed?

Hello and Welcome to ‘Ask A Doctor’ service. I have reviewed your query and here is my advice. As you told your son is suffering from post traumatic stress disorder that is PTSD it s better you consult a psychologist who gives cognitive behavior therapy to alleviate is symptoms and other than that consult a psychiatrist and tell him clearly regarding all the medications which he is currently using so that he will try to cut down the unnecessary medications. Antidepressant along with sedative(temporary use) might be sufficient for your son. If there is no response with this medications it s better to add low dose antipsychotics or mood stabilizers which is to be done under the supervision of a psychiatrist. Regular cognitive behavior therapy that is counselling sessions are at most needed. Hope I have answered your query. Let me know if I can assist you further.