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traumatic stress disorder - Online Doctor Chats

Date : 13-Jan-2012
User rating for this question
Very Good Posted in: Mental Health
Answered by

General & Family Physician
Practicing since : 2008
Answered : 3622 Questions
User :   Hello,

I know this question might seem blown out of proportion and/or irrational, but I have recently been through a traumatic event, and the answer to this question (even if not what I wish to hear) will provide me with peace of mind above all else. My fiance and I were arguing, and the argument reached such a climactic point that he eventually had his hand around my neck, fingers pressing on my carotid arteries. I did not pass out. I was conscious the whole time, and afterward. The whole event lasted about two minutes the most (if I remember correctly). What I want to know is if if I could have suffered any kind of hypoxia or resulting minimal brain damage as a result of this. Lately I have been feeling as if words don't come to me as easily, and concentrating or even engaging in the level of thought I once did seems all that much harder to do now. Please tell me if this is likely to be more stress-related or possibly a result of what occurred.

Thank you,


Doctor :   hi
Doctor :  
let me read
User :   Hello
User :   Ok
Doctor :   this is definitely stress related

Doctor :  
it is called post traumatic stress disorder
User :   I did speak to a doctor here, and the doctor said that I would have had to pass out in order to possibly acquire any brain damage.
User :   I've come to find out that this isn't entirely true
Doctor :   yes
User :   People have strokes and never pass out
Doctor :   that is not true
User :   Stroke symptoms are due to "lack" of blood supply to the brain
User :   Numbness, paralysis of one side
Doctor :   ok
User :   Slurred speach or even problems concetrating
Doctor :  
and it is acute in nature
User :   I'm worries
Doctor :  
and it takes some time to recovery
User :   worried, sorry
User :   what does acute mean in this context?
Doctor :   all the symptoms of the brain damage if occurred will occur at once and immideately
Doctor :   and it is present at the time of the event
User :   Does it necesssarily have to be permanent? And, provided what happened to me, do you think it is brain damage in my case? Could it possibly be?
Doctor :   in your case it doesent seems you have suffered any brain damage
User :   That is what worries me. It could be so minimal that only I notice it.
User :   I wonder if blood could be decreased at all by slight pressing of the carotids, and for how long it would have to be?
Doctor :   the minimal of the damage if occurred will be noticed by the doctors and not the patient by himself
Doctor :   now wt symptoms you have which you think it is because of the brain damage
User :   My level of concentration and thought is not where it used to be
User :   I cannot concentrate as much
User :   my thought capacity has diminished
Doctor :   it is more of the cognitive
User :   cognitive damage?
Doctor :  
it is due to the psychological effect and not the actual physical damage
User :   Ok, so to summarize, or rather, break it down: Could blood supply be reduced by the type of physical hold to the carotid arteries that I described? And is it possible, in a matter of one minute to suffer any kind of damage as a result?
Doctor :   it is very much impossible for the blood flow to reduce to the critical level which is required for the brain damage to occur from the event which you have described.

Doctor :  
Doctor :  
the damage you have suffered is psychological and not the physical damage to brain as such from the event
User :   I think I can live with this for now. I appreciate your time, and thank you for your patience. I'll try to seek help.
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