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Treatment for Post Traumatic Stress Disorder - Online Doctor Chats

Date : 21-Feb-2012
User rating for this question
Very Good Posted in: Anxiety and Stress
Answered by

General & Family Physician
Practicing since : 2008
Answered : 3397 Questions
User :   Hello my husband is 23 years old and is experienceing numbness in his right cheek and right thigh not in the arms tongue throat just those 2 places. He has been diagnosed with PTSD due to the military and has bad anxiety and sometimes thinks there are things wrong with him when there is nothing wrong. He does have what doctor's call a fatty liver and has been dieting and exercising more to take some weight off to reduce this condition. He hasnt had much sleep today and really didnt eat much and all of a sudden claimed his right cheek was numb. I dont deem this an emergency considering he goes to the VA for free treatment and he doesnt have regular health insurance. I could understand if it was the whole right side then I could see if being an emergency due to a risk of stroke but its only those 2 places. I need some advice please on how to deal with this with him, he wont relax and he hasnt slept.                                                            
Doctor :   Hi
User :   hello
Doctor :   let me read
Doctor :   no it is not stroke
User :   it came upon him all of a sudden
Doctor :   as you said he is suffering from PTSD the improper sleep will precipitate the symptoms of anxiety
User :   yes it seems that when he doesnt sleep his anxiety randomly comes over him harder
User :   but he is claiming he does not feel like he has anxiety but is getting this odd numbness
User :   it has only been going on for about an hour
User :   and first it was his cheek then magically his thigh
Doctor :   it is one of the way of the presentation of anxiety
User :   so could this numbness be true or is he imagining it
Doctor :   i would like to say its not imagination but an symptom of anxiety
Doctor :   in anxiety there will be a symptom but it is not imagination
User :   we deliver newspapers form 3am to 6am so our sleeping patterns are very out of wack
User :   and i can tell that his anxiety hightens if we dont come home and go right to sleep
Doctor :   yes what is required is support
Doctor :   moral and social support is very important to control the anxiety
User :   his doctor put him on anxiety medicine but he says he cant take it cuz it hightens his anxiety
Doctor :   is he on any relaxation technique
User :   its a generic version of zoloft
Doctor :   it is a medicine
User :   so he refuses to take it
Doctor :   there are relaxation techniques like breathing exercise
Doctor :   has he been taught that
User :   see whats wierd is that his anxiety hightens in silence
User :   he cant go to a movie theatre
User :   or any kind of room with a lot of people and silence
User :   he couldnt even stand still at our wedding lol
Doctor :   ok it is a type of anxiety
Doctor :   basically it comes under phobias
User :   so when he is laying there in breathing he does this wierd thing where he focusing on his heart rate
Doctor :   he needs counselling
User :   so any suggestions should i send him back up to the va then
Doctor :   more than medicines
User :   ok
User :   i thought so too
Doctor :   counselling and there is a technique called Response and prevention theraphy
User :   he just gets me all freaked out when he does this because i dont know wheither its real or not sometimes
Doctor :   this will defenitely help him
User :   thank you so much i feel a lot better
Doctor :   consult a counseller near by and put him on this regimen
Doctor :   he3 will improve in weeks
User :   u think i should make him take the zoloft
User :   he says it hightens his anxiety because it feels like his whole body is burning
User :   and the pill causes insomnia with him
Doctor :   zolosoft do not calm down the person immideately
Doctor :   it is more of a preventive type
User :   ok so maybe we should check in with the doctor for something more immediate?
Doctor :   breathing technique and reverse counting of the numbers are the best techniques for immideate control
User :   he tries breathing techniques and he freaks out more is the problem he saw a counselor before who told him to do that
Doctor :   i think
he need to be taught under supervision
User :   i think so too it has been getting worse
User :   i just dont know what to do about how he thinks there is always something wrong with him i never know if he is crying wolf or not
User :   ya no
Doctor :   take him to the doctor and discss wt to be done specifically at times on emergency and wt to be done on a long term basis for its cure
Doctor :   let this episode be treated off with medicines
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