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	<title>
	Comments on: The New Research about Complex Post-Traumatic Stress Disorder	</title>
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	<link>https://cptsdfoundation.org/2019/07/22/the-new-research-about-complex-post-traumatic-stress-disorder/</link>
	<description>The Foundation for Post-Traumatic Healing and Complex Trauma Research</description>
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		<title>
		By: Matt		</title>
		<link>https://cptsdfoundation.org/2019/07/22/the-new-research-about-complex-post-traumatic-stress-disorder/#comment-39652</link>

		<dc:creator><![CDATA[Matt]]></dc:creator>
		<pubDate>Tue, 05 Aug 2025 21:43:45 +0000</pubDate>
		<guid isPermaLink="false">https://cptsdfoundation.org/?p=2415#comment-39652</guid>

					<description><![CDATA[In reply to &lt;a href=&quot;https://cptsdfoundation.org/2019/07/22/the-new-research-about-complex-post-traumatic-stress-disorder/#comment-39651&quot;&gt;Matt&lt;/a&gt;.

I missed, &#039;some people traumatized individuals&#039;. Maybe this might be &#039;some traumatised individuals&#039;, or &#039;some traumatised people&#039;. Please excuse my British English spelling.]]></description>
			<content:encoded><![CDATA[<p>In reply to <a href="https://cptsdfoundation.org/2019/07/22/the-new-research-about-complex-post-traumatic-stress-disorder/#comment-39651">Matt</a>.</p>
<p>I missed, &#8216;some people traumatized individuals&#8217;. Maybe this might be &#8216;some traumatised individuals&#8217;, or &#8216;some traumatised people&#8217;. Please excuse my British English spelling.</p>
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		<item>
		<title>
		By: Matt		</title>
		<link>https://cptsdfoundation.org/2019/07/22/the-new-research-about-complex-post-traumatic-stress-disorder/#comment-39651</link>

		<dc:creator><![CDATA[Matt]]></dc:creator>
		<pubDate>Tue, 05 Aug 2025 21:40:32 +0000</pubDate>
		<guid isPermaLink="false">https://cptsdfoundation.org/?p=2415#comment-39651</guid>

					<description><![CDATA[I&#039;m sorry to be the fuddy-duddy in the room, but this is important to me. I reckon it&#039;ll be important to many others, too.

There are clear ambiguities in this article which need an editor&#039;s touch. It doesn&#039;t read well, and the message is too important for errors to cause confusion, particularly for those who are befuddled and bewildered by their experience of CPTSD.

For instance, I suspect the line, &#039;Interestingly, some people traumatized individuals may not show symptoms for many years after the traumatic event. In fact, a paper published in the Neuroscience and Biobehavioral Review found that trauma-exposed people who presented without PTSD showed significantly smaller hippocampal volume, smaller amygdalae, and smaller cortical regions than healthy control subjects,&#039; should read &#039;who presented WITH PTSD&#039;. Forgive me if I&#039;m wrong.

I&#039;m very grateful for the article, but it really does need a sub- or copy-editor to help it be clearer and more accurate. The subject is too important not to be accurate. It only needs a light touch.]]></description>
			<content:encoded><![CDATA[<p>I&#8217;m sorry to be the fuddy-duddy in the room, but this is important to me. I reckon it&#8217;ll be important to many others, too.</p>
<p>There are clear ambiguities in this article which need an editor&#8217;s touch. It doesn&#8217;t read well, and the message is too important for errors to cause confusion, particularly for those who are befuddled and bewildered by their experience of CPTSD.</p>
<p>For instance, I suspect the line, &#8216;Interestingly, some people traumatized individuals may not show symptoms for many years after the traumatic event. In fact, a paper published in the Neuroscience and Biobehavioral Review found that trauma-exposed people who presented without PTSD showed significantly smaller hippocampal volume, smaller amygdalae, and smaller cortical regions than healthy control subjects,&#8217; should read &#8216;who presented WITH PTSD&#8217;. Forgive me if I&#8217;m wrong.</p>
<p>I&#8217;m very grateful for the article, but it really does need a sub- or copy-editor to help it be clearer and more accurate. The subject is too important not to be accurate. It only needs a light touch.</p>
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		<title>
		By: Erika		</title>
		<link>https://cptsdfoundation.org/2019/07/22/the-new-research-about-complex-post-traumatic-stress-disorder/#comment-19002</link>

		<dc:creator><![CDATA[Erika]]></dc:creator>
		<pubDate>Fri, 16 Jun 2023 15:11:15 +0000</pubDate>
		<guid isPermaLink="false">https://cptsdfoundation.org/?p=2415#comment-19002</guid>

					<description><![CDATA[In reply to &lt;a href=&quot;https://cptsdfoundation.org/2019/07/22/the-new-research-about-complex-post-traumatic-stress-disorder/#comment-5561&quot;&gt;Robert Courtnallfakelastname&lt;/a&gt;.

I was put on Effexor very high dose for a psychotic depression from Cptsd
My second round after Cptsd all childhood from a malignant narcasstic mother
This time it’s 9 years on and it permanent nothing touches it and I developed a host of severe chronic health conditions and told I have brain damage 
My psychiatrist tried everything over 8 years then said nothing more he could do. I’m still on the Effexor that’s 9 years. Do you think beneficial to come off it. I don’t know if it’s doing anything or just making me numb
I think my Cptsd is permanent 
3 rounds of it thanks to my evil mum]]></description>
			<content:encoded><![CDATA[<p>In reply to <a href="https://cptsdfoundation.org/2019/07/22/the-new-research-about-complex-post-traumatic-stress-disorder/#comment-5561">Robert Courtnallfakelastname</a>.</p>
<p>I was put on Effexor very high dose for a psychotic depression from Cptsd<br />
My second round after Cptsd all childhood from a malignant narcasstic mother<br />
This time it’s 9 years on and it permanent nothing touches it and I developed a host of severe chronic health conditions and told I have brain damage<br />
My psychiatrist tried everything over 8 years then said nothing more he could do. I’m still on the Effexor that’s 9 years. Do you think beneficial to come off it. I don’t know if it’s doing anything or just making me numb<br />
I think my Cptsd is permanent<br />
3 rounds of it thanks to my evil mum</p>
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		<title>
		By: Joel theriot		</title>
		<link>https://cptsdfoundation.org/2019/07/22/the-new-research-about-complex-post-traumatic-stress-disorder/#comment-17114</link>

		<dc:creator><![CDATA[Joel theriot]]></dc:creator>
		<pubDate>Tue, 11 Oct 2022 00:37:21 +0000</pubDate>
		<guid isPermaLink="false">https://cptsdfoundation.org/?p=2415#comment-17114</guid>

					<description><![CDATA[Interested Joel Theriot]]></description>
			<content:encoded><![CDATA[<p>Interested Joel Theriot</p>
]]></content:encoded>
		
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		<item>
		<title>
		By: Joel theriot		</title>
		<link>https://cptsdfoundation.org/2019/07/22/the-new-research-about-complex-post-traumatic-stress-disorder/#comment-17113</link>

		<dc:creator><![CDATA[Joel theriot]]></dc:creator>
		<pubDate>Tue, 11 Oct 2022 00:37:05 +0000</pubDate>
		<guid isPermaLink="false">https://cptsdfoundation.org/?p=2415#comment-17113</guid>

					<description><![CDATA[Interested]]></description>
			<content:encoded><![CDATA[<p>Interested</p>
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		<title>
		By: Aaron Billings		</title>
		<link>https://cptsdfoundation.org/2019/07/22/the-new-research-about-complex-post-traumatic-stress-disorder/#comment-16121</link>

		<dc:creator><![CDATA[Aaron Billings]]></dc:creator>
		<pubDate>Thu, 09 Jun 2022 00:06:17 +0000</pubDate>
		<guid isPermaLink="false">https://cptsdfoundation.org/?p=2415#comment-16121</guid>

					<description><![CDATA[This is new to me.  Why is it new to me?  I am reading and the challenges of my life suddenly make sense.  Other people have similar symptoms.  I don&#039;t think this information is taught to people training to be therapists.]]></description>
			<content:encoded><![CDATA[<p>This is new to me.  Why is it new to me?  I am reading and the challenges of my life suddenly make sense.  Other people have similar symptoms.  I don&#8217;t think this information is taught to people training to be therapists.</p>
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		<title>
		By: Shirley Davis		</title>
		<link>https://cptsdfoundation.org/2019/07/22/the-new-research-about-complex-post-traumatic-stress-disorder/#comment-14393</link>

		<dc:creator><![CDATA[Shirley Davis]]></dc:creator>
		<pubDate>Tue, 04 Jan 2022 19:29:35 +0000</pubDate>
		<guid isPermaLink="false">https://cptsdfoundation.org/?p=2415#comment-14393</guid>

					<description><![CDATA[In reply to &lt;a href=&quot;https://cptsdfoundation.org/2019/07/22/the-new-research-about-complex-post-traumatic-stress-disorder/#comment-14392&quot;&gt;Mercedes Clampitt&lt;/a&gt;.

I&#039;m not sure how we would do that, but you can ask about it using the contact us at https://cptsdfoundation.org/contact-us/ Thank you for reading my articles, it means a lot to me. Shirley]]></description>
			<content:encoded><![CDATA[<p>In reply to <a href="https://cptsdfoundation.org/2019/07/22/the-new-research-about-complex-post-traumatic-stress-disorder/#comment-14392">Mercedes Clampitt</a>.</p>
<p>I&#8217;m not sure how we would do that, but you can ask about it using the contact us at <a href="https://cptsdfoundation.org/contact-us/" rel="ugc">https://cptsdfoundation.org/contact-us/</a> Thank you for reading my articles, it means a lot to me. Shirley</p>
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		<item>
		<title>
		By: Mercedes Clampitt		</title>
		<link>https://cptsdfoundation.org/2019/07/22/the-new-research-about-complex-post-traumatic-stress-disorder/#comment-14392</link>

		<dc:creator><![CDATA[Mercedes Clampitt]]></dc:creator>
		<pubDate>Tue, 04 Jan 2022 19:10:56 +0000</pubDate>
		<guid isPermaLink="false">https://cptsdfoundation.org/?p=2415#comment-14392</guid>

					<description><![CDATA[I would like to be notified when new article is released.]]></description>
			<content:encoded><![CDATA[<p>I would like to be notified when new article is released.</p>
]]></content:encoded>
		
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		<title>
		By: What is the Best Online Therapy for Trauma? Can You Heal Complex PTSD? &#8211; EMDR &#038; Mindfulness Resources For Letting Go		</title>
		<link>https://cptsdfoundation.org/2019/07/22/the-new-research-about-complex-post-traumatic-stress-disorder/#comment-10591</link>

		<dc:creator><![CDATA[What is the Best Online Therapy for Trauma? Can You Heal Complex PTSD? &#8211; EMDR &#038; Mindfulness Resources For Letting Go]]></dc:creator>
		<pubDate>Thu, 28 Oct 2021 19:08:59 +0000</pubDate>
		<guid isPermaLink="false">https://cptsdfoundation.org/?p=2415#comment-10591</guid>

					<description><![CDATA[[&#8230;] Complex PTSD or CPTSD is often marked by barriers to recovery that take time and effort to break. However, CPTSD is treatable and curable, especially using a combination of therapies. For multiple trauma victims showing classic symptoms of CPTSD, therapists often use CBT and EMDR.&#160; [&#8230;]]]></description>
			<content:encoded><![CDATA[<p>[&#8230;] Complex PTSD or CPTSD is often marked by barriers to recovery that take time and effort to break. However, CPTSD is treatable and curable, especially using a combination of therapies. For multiple trauma victims showing classic symptoms of CPTSD, therapists often use CBT and EMDR.&nbsp; [&#8230;]</p>
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		<title>
		By: Robert Courtnallfakelastname		</title>
		<link>https://cptsdfoundation.org/2019/07/22/the-new-research-about-complex-post-traumatic-stress-disorder/#comment-5561</link>

		<dc:creator><![CDATA[Robert Courtnallfakelastname]]></dc:creator>
		<pubDate>Fri, 18 Jun 2021 02:24:26 +0000</pubDate>
		<guid isPermaLink="false">https://cptsdfoundation.org/?p=2415#comment-5561</guid>

					<description><![CDATA[I respectfully think that complex PTSD, is far more complicated, I suffer from it and want to interact with researchers, professionals and reach out to those suffering. I have all the symptoms, everyone, of CPTSD, it is too easily dismissed, as a personality disorder, but I believe, no. My mother had post-partum depression, badly, so I didn&#039;t exist. This frustrated my father, who came emotionally/verbally abusive. My mother, against medical advice, went offer birth control and had a daughter, that she always wanted, growing up with all sisters, figuring, what do I have to live for anyway and that was her emotional rock. Obviously, now, my father saw that as betrayal, emotional/verbal abuse escalated, he called my sister, the amazing accident, I got sick of it and after saying it one too many times, I asked him to stop, flapped, hard enough for a room to hear it, not hurt, but a mental wound, his ego, challenged. He apologized, fine, but that fixes nothing. He then left, when I was 10, moving us to a crappy area, having to fit in, in fear of getting bullied, beat up, asked to man up and look after my mother, on disability for mental health, did not know how to drive and a sister, 6 years younger. He returns, lonely, this happened 4 times and I could not express myself at home, so it caused problems at school. It got worse, in other ways, he wanted me to take over a family business, I did not want to, I tried University, did well, but many abused student loans, parental signing of loans, so parents knew coverage mandatory, he wouldn&#039;t sign it, the first time, it seems sunny outside, like a future, that would be mine, denied. Our city had the largest mental health hospital in the country, shut down, for the wrong reason, so I cashed in an insurance policy, with extra equity, asked a student counselor, how to get qualified for something and a community college, counseling course, added suicide prevention/interaction, but also, psychological testing and evaluation, in cooperation, with a large university, some long-distance courses, but my tutor, a professor, taught psychiatry. I was all in, went way above course requirements, ready every book on counseling, ran out, then psychiatric nursing books, ran out, then psychiatric manuals, mastered the DSM 4, interpretive guide, then medical accompaniment guide, less noted, then upgraded to the DSM 5, really, an amendment. I did terrible in grade school, hell at school, hell at home, a 51 to pass, then finished that course, with a 96, dropped to a 94, because, learning psychological testing and analysis, I overqualified for OCD, PTSD, Anxiety disorder, histrionic personality disorder, Major Depression and my assessment was correct, but I didn&#039;t want to accept it, dropped 2 points. That is not brilliance, but the effort and desire to learn. I did my practicum at an addiction clinic, did testing, to help prepared psychiatrists, for consultations, asking for feedback, and usually, they said it was so spot on, the diagnosis, prognosis, tests used, scores, interpretation, medication I would use, they astounded, but it really wasn&#039;t. Hard work, but this might sound selfish, I needed to help myself and in doing so, help others. * It doesn&#039;t explain biological, or genetic disposition, it doesn&#039;t explain happening so young, and emotional, cognitive cancer, if you will, I dropped my position, to the dismay of my clinic, citing, being an impaired professional, keeping my qualification, but this emotional cancer, was eating me alive and if I couldn&#039;t give 100% to others, I was stepped down, hoped to get back, but took something simpler, but that became hard. ** To think about: how, after a family history of mental health, regardless of a living hell childhood? That is not a borderline personality disorder, I helped with that. I taught CBT and this was way beyond that, but helped, more minor cases, none good, but not this bad. I interacted with the U of Penn, looking at the FDA and drugs. How does it work? A drug company makes a drug, picks from, then, 30 researchers, paid $500,00 USD for their time, each tested 3 times and if failed, it failed, but too many passed and could not be repeated, by independent researchers and theirs, was to teach and findings were not good. It was found, that drug companies shared, who was passing drugs, with no chance to pass, in agreement, marketing would be competition, with billions at stake. One researcher, from an iconic university, had an income of $837,00 USD, but only $237,000 from the university, passing everything, to be picked again, put on lifetime suspension, &quot;whoop de doo&quot;! How many did he pass, wrongfully? There were 30 on suspension, from a year, 6 years, or life, it was predicted by them, it would rise, now 6 years, for bad, life for profound, now 130 lifetimes suspension. Example: Citalopram (Celexa), went generic, you get 7 years, then shareholders want a replacement, there is none, so they looked at, what entered the body, Escitalopram (Lexapro), mild filtering by the liver, more the casing, but it is the same drug, new name and it passed? How? Then Prozac (Fluoxetine) went generic, so did Zyprexa, an atypical antipsychotic (Olanzapine), both now generic, atypicals boost SSRIs (antidepressants), in small doses, so they were combined, called Symbyax and it passed, as new, when both could be combined generic and that is the relationship, between Imipramine (Elavil) and Desipramine (Norpramin), older, Tricyclic Antidepressants, meaning they affect Serotonin, Norepinephrine, and Dopamine, but with side-effects, they all do, underrated by all, but the move to SSRIs, was not better, just less lethal, if downing a whole bottle, if all effected, no kidding and the truth, is these are all stabs in the dark, with acknowledgment, that they have no clue how they work, guessing, fine, better than nothing, but this leads to treatment-resistant depression diagnoses, a number of failed antidepressants, but you may try six, but really, you tried 2 of each version, really 3, not 6. Paxil failed, really, Luvox was taken off the market, basically, I have seen, persons supported, off brutal street drugs, a former addictions counselor and nothing compared to weaning off of Effexor, I did and it was absolutely worse than what I saw, helping others come off of cocaine, heroin, or ecstasy. How could that go unnoticed and true? Why and how are atypicals passing so fast, new antidepressants passing so fast, they should be, better than nothing, some, but this broken system hurts those that are hurting, which is us. I used to be on the other side of the table, so I can see from both sides. It is alarming, that I often know more about medications, than doctors and pharmacists, not being smart, I learned, to be good at my job and I still look at my studies and it is brutal. One company noted, that it was 10% better than another, I wanted to know, what that meant and it meant, it was 1.9% effective, over 0.9% effective, so stats, are worse, than lies and mistruths. Celexa did show good efficacy (it works better than placebo (fake)), so that means Lexapro, has to be the same. Pdocs, look at a number of failed meds, then right them off, but most shouldn&#039;t have passed in the first place, so giving up, is never good. Professional arrogance, is real, thankfully, my co-workers, were great. It really means, not keeping up with the times, or stubborn, or, both. * The seeming, good approach, I say seeming, is CBT, or DBT, (cognitive behavioral therapy and dialectic), needed, but not loving meds, it has to be in combination, but it sucks, for me, to have to find what I need to know out, that skill, not lost, but my pdoc, a good guy, seems to see that, as he knows better, how dare I suggest trying something and that is professional arrogance, even a good person. ** The takeaway and I want to talk to those, that are really looking at this, is CPTSD, is not the same as PTSD, with genetic predisposition a factor, it is not a borderline personality disorder, very responsive to CBT, or DBT, not the same. I remember feeling this, as early as 3 years of age, way before this could happen, not joking and it never stopped and you cannot develop, fully personality disorder, that young, without a genetic predisposition. This belongs, separate, in the DSM, as it is different. For those that don&#039;t know, the DSM is like a maze. If this shows, move to here, if this symptom is there, but not this, move here, if both, move here and that is how it goes, so one symptom, changes everything and it takes communication, experience, an open mind, and cooperation. I do NOT know it all, I work hard to know, ask those that know more, know where to look, ask for validity and it is hard work, to help myself and I want to help others and work with professionals, so things change and their hard work, is not discounted. One form, of professional arrogance, is publication. If published, then shown wrong, that is not good for income, or reputation, but it is alright, to readdress it, being human, in a follow-up. I was asked to work on a manual and procedure guide, thinking, my boss if curious, I rewrote it, with experience learned, I got called into an office, I didn&#039;t know, what I did wrong, but I was told, they wanted that, as the new policy manual and training manual, not just for them, but colleges and universities wanted it, for teaching and I was asked, if I would be willing to hand over copyright, or trademark rights and I said, of course. The goal is to help and that is not bragging, it happened and from hard work. If I screwed up, I would go back and note it, without hesitation, or arrogance. ** This is real, the symptoms are real, examining and listening to experts, not me, it seems, CBT, or DBT, similar, plus an antidepressant, that offer efficacy, it works, with least side effects, the goal, plus not eliminating benzodiazepines, for anxiety, wrongly hated, the stop panic attacks and it is not mental, for severe, but found, by accident and body overreaction, to high CO2 levels, but not abnormal, like an allergic reaction, which is an overreaction, to something harmless, by our own immune system and that changed the game, when psychopharmacological researchers found, they could induce them in themselves (accident), but only benzodiazepines would stop them, why, who know, but not and ADs, a game-changers. There is some hate, for good reason, but note this. If anyone is started on an AD, the dose is low, increased slowly, to minimize side-effects, biological adjustment, find a therapeutic dose, considered appropriate, but if the same is done, with a benzodiazepine, people scream tolerance, danger, narcotic, but anything, mixed with alcohol, or a street drug, to enhance the effect, is a narcotic, including, many anti-seizure medications. Lorazepam acts fast, with a shorter half-life (time for half to leave the body, metabolize), but clonazepam, has a slow onset and long half-life, so it feels more natural, not like being on an anxiety roller coaster. If Tylenol, enhanced the effects of street drugs, or alcohol, it would be a narcotic. *** This may sound like pushing meds, I hate them, but the information helps, you can dispute it, or look it up, stopping trying is stupid, it is all trial and error right now, but complex post-traumatic stress disorder is unique, it has to have a genetic predisposition, to happen to many so young, or at least, not discounted, not throwing everything under personality disorders, but there is validity when it makes sense, but in my opinion, suffering and those friends I ask, former co-workers, a team, agree, it is nothing, to help myself, others and want to cooperate with those, my educated, more experienced, to help all and they, not discounted. It sucks, to be honest, but giving up, is just dumb. Once something enters the Cochrane manual, the Cochrane Institute, in Scotland, my heredity, invite the best of the best specialists, but when someone challenges the status quo, they are often in a war against a decision, which does not make them wrong, but they face, wrongly, ridiculous and unprofessional hurdles, again, professional arrogance and that is among all professional, not picking on mental health professionals. *** This is for all, but if a professional reads this, I would love to interact with them, why this is so long, also valid, they will no true and cooperation moves forward. All the best, be well and I will use a fake name, with hackers everywhere, but can be contacted, easily. Be well to all and don&#039;t give up, plus, don&#039;t give up, advocating for yourself, or, not being a hater, find a doctor, that is a teammate, mandatory. * Important* I am not asking anyone to agree, mindlessly. I don&#039;t know it all. If any helps, good. If wrong, fine. The goal, is to help everyone and that means helping professionals, hopefully taking note and I respect all other opinions, because you may be right, fine, me wrong, but ego is not in the way. Take care!]]></description>
			<content:encoded><![CDATA[<p>I respectfully think that complex PTSD, is far more complicated, I suffer from it and want to interact with researchers, professionals and reach out to those suffering. I have all the symptoms, everyone, of CPTSD, it is too easily dismissed, as a personality disorder, but I believe, no. My mother had post-partum depression, badly, so I didn&#8217;t exist. This frustrated my father, who came emotionally/verbally abusive. My mother, against medical advice, went offer birth control and had a daughter, that she always wanted, growing up with all sisters, figuring, what do I have to live for anyway and that was her emotional rock. Obviously, now, my father saw that as betrayal, emotional/verbal abuse escalated, he called my sister, the amazing accident, I got sick of it and after saying it one too many times, I asked him to stop, flapped, hard enough for a room to hear it, not hurt, but a mental wound, his ego, challenged. He apologized, fine, but that fixes nothing. He then left, when I was 10, moving us to a crappy area, having to fit in, in fear of getting bullied, beat up, asked to man up and look after my mother, on disability for mental health, did not know how to drive and a sister, 6 years younger. He returns, lonely, this happened 4 times and I could not express myself at home, so it caused problems at school. It got worse, in other ways, he wanted me to take over a family business, I did not want to, I tried University, did well, but many abused student loans, parental signing of loans, so parents knew coverage mandatory, he wouldn&#8217;t sign it, the first time, it seems sunny outside, like a future, that would be mine, denied. Our city had the largest mental health hospital in the country, shut down, for the wrong reason, so I cashed in an insurance policy, with extra equity, asked a student counselor, how to get qualified for something and a community college, counseling course, added suicide prevention/interaction, but also, psychological testing and evaluation, in cooperation, with a large university, some long-distance courses, but my tutor, a professor, taught psychiatry. I was all in, went way above course requirements, ready every book on counseling, ran out, then psychiatric nursing books, ran out, then psychiatric manuals, mastered the DSM 4, interpretive guide, then medical accompaniment guide, less noted, then upgraded to the DSM 5, really, an amendment. I did terrible in grade school, hell at school, hell at home, a 51 to pass, then finished that course, with a 96, dropped to a 94, because, learning psychological testing and analysis, I overqualified for OCD, PTSD, Anxiety disorder, histrionic personality disorder, Major Depression and my assessment was correct, but I didn&#8217;t want to accept it, dropped 2 points. That is not brilliance, but the effort and desire to learn. I did my practicum at an addiction clinic, did testing, to help prepared psychiatrists, for consultations, asking for feedback, and usually, they said it was so spot on, the diagnosis, prognosis, tests used, scores, interpretation, medication I would use, they astounded, but it really wasn&#8217;t. Hard work, but this might sound selfish, I needed to help myself and in doing so, help others. * It doesn&#8217;t explain biological, or genetic disposition, it doesn&#8217;t explain happening so young, and emotional, cognitive cancer, if you will, I dropped my position, to the dismay of my clinic, citing, being an impaired professional, keeping my qualification, but this emotional cancer, was eating me alive and if I couldn&#8217;t give 100% to others, I was stepped down, hoped to get back, but took something simpler, but that became hard. ** To think about: how, after a family history of mental health, regardless of a living hell childhood? That is not a borderline personality disorder, I helped with that. I taught CBT and this was way beyond that, but helped, more minor cases, none good, but not this bad. I interacted with the U of Penn, looking at the FDA and drugs. How does it work? A drug company makes a drug, picks from, then, 30 researchers, paid $500,00 USD for their time, each tested 3 times and if failed, it failed, but too many passed and could not be repeated, by independent researchers and theirs, was to teach and findings were not good. It was found, that drug companies shared, who was passing drugs, with no chance to pass, in agreement, marketing would be competition, with billions at stake. One researcher, from an iconic university, had an income of $837,00 USD, but only $237,000 from the university, passing everything, to be picked again, put on lifetime suspension, &#8220;whoop de doo&#8221;! How many did he pass, wrongfully? There were 30 on suspension, from a year, 6 years, or life, it was predicted by them, it would rise, now 6 years, for bad, life for profound, now 130 lifetimes suspension. Example: Citalopram (Celexa), went generic, you get 7 years, then shareholders want a replacement, there is none, so they looked at, what entered the body, Escitalopram (Lexapro), mild filtering by the liver, more the casing, but it is the same drug, new name and it passed? How? Then Prozac (Fluoxetine) went generic, so did Zyprexa, an atypical antipsychotic (Olanzapine), both now generic, atypicals boost SSRIs (antidepressants), in small doses, so they were combined, called Symbyax and it passed, as new, when both could be combined generic and that is the relationship, between Imipramine (Elavil) and Desipramine (Norpramin), older, Tricyclic Antidepressants, meaning they affect Serotonin, Norepinephrine, and Dopamine, but with side-effects, they all do, underrated by all, but the move to SSRIs, was not better, just less lethal, if downing a whole bottle, if all effected, no kidding and the truth, is these are all stabs in the dark, with acknowledgment, that they have no clue how they work, guessing, fine, better than nothing, but this leads to treatment-resistant depression diagnoses, a number of failed antidepressants, but you may try six, but really, you tried 2 of each version, really 3, not 6. Paxil failed, really, Luvox was taken off the market, basically, I have seen, persons supported, off brutal street drugs, a former addictions counselor and nothing compared to weaning off of Effexor, I did and it was absolutely worse than what I saw, helping others come off of cocaine, heroin, or ecstasy. How could that go unnoticed and true? Why and how are atypicals passing so fast, new antidepressants passing so fast, they should be, better than nothing, some, but this broken system hurts those that are hurting, which is us. I used to be on the other side of the table, so I can see from both sides. It is alarming, that I often know more about medications, than doctors and pharmacists, not being smart, I learned, to be good at my job and I still look at my studies and it is brutal. One company noted, that it was 10% better than another, I wanted to know, what that meant and it meant, it was 1.9% effective, over 0.9% effective, so stats, are worse, than lies and mistruths. Celexa did show good efficacy (it works better than placebo (fake)), so that means Lexapro, has to be the same. Pdocs, look at a number of failed meds, then right them off, but most shouldn&#8217;t have passed in the first place, so giving up, is never good. Professional arrogance, is real, thankfully, my co-workers, were great. It really means, not keeping up with the times, or stubborn, or, both. * The seeming, good approach, I say seeming, is CBT, or DBT, (cognitive behavioral therapy and dialectic), needed, but not loving meds, it has to be in combination, but it sucks, for me, to have to find what I need to know out, that skill, not lost, but my pdoc, a good guy, seems to see that, as he knows better, how dare I suggest trying something and that is professional arrogance, even a good person. ** The takeaway and I want to talk to those, that are really looking at this, is CPTSD, is not the same as PTSD, with genetic predisposition a factor, it is not a borderline personality disorder, very responsive to CBT, or DBT, not the same. I remember feeling this, as early as 3 years of age, way before this could happen, not joking and it never stopped and you cannot develop, fully personality disorder, that young, without a genetic predisposition. This belongs, separate, in the DSM, as it is different. For those that don&#8217;t know, the DSM is like a maze. If this shows, move to here, if this symptom is there, but not this, move here, if both, move here and that is how it goes, so one symptom, changes everything and it takes communication, experience, an open mind, and cooperation. I do NOT know it all, I work hard to know, ask those that know more, know where to look, ask for validity and it is hard work, to help myself and I want to help others and work with professionals, so things change and their hard work, is not discounted. One form, of professional arrogance, is publication. If published, then shown wrong, that is not good for income, or reputation, but it is alright, to readdress it, being human, in a follow-up. I was asked to work on a manual and procedure guide, thinking, my boss if curious, I rewrote it, with experience learned, I got called into an office, I didn&#8217;t know, what I did wrong, but I was told, they wanted that, as the new policy manual and training manual, not just for them, but colleges and universities wanted it, for teaching and I was asked, if I would be willing to hand over copyright, or trademark rights and I said, of course. The goal is to help and that is not bragging, it happened and from hard work. If I screwed up, I would go back and note it, without hesitation, or arrogance. ** This is real, the symptoms are real, examining and listening to experts, not me, it seems, CBT, or DBT, similar, plus an antidepressant, that offer efficacy, it works, with least side effects, the goal, plus not eliminating benzodiazepines, for anxiety, wrongly hated, the stop panic attacks and it is not mental, for severe, but found, by accident and body overreaction, to high CO2 levels, but not abnormal, like an allergic reaction, which is an overreaction, to something harmless, by our own immune system and that changed the game, when psychopharmacological researchers found, they could induce them in themselves (accident), but only benzodiazepines would stop them, why, who know, but not and ADs, a game-changers. There is some hate, for good reason, but note this. If anyone is started on an AD, the dose is low, increased slowly, to minimize side-effects, biological adjustment, find a therapeutic dose, considered appropriate, but if the same is done, with a benzodiazepine, people scream tolerance, danger, narcotic, but anything, mixed with alcohol, or a street drug, to enhance the effect, is a narcotic, including, many anti-seizure medications. Lorazepam acts fast, with a shorter half-life (time for half to leave the body, metabolize), but clonazepam, has a slow onset and long half-life, so it feels more natural, not like being on an anxiety roller coaster. If Tylenol, enhanced the effects of street drugs, or alcohol, it would be a narcotic. *** This may sound like pushing meds, I hate them, but the information helps, you can dispute it, or look it up, stopping trying is stupid, it is all trial and error right now, but complex post-traumatic stress disorder is unique, it has to have a genetic predisposition, to happen to many so young, or at least, not discounted, not throwing everything under personality disorders, but there is validity when it makes sense, but in my opinion, suffering and those friends I ask, former co-workers, a team, agree, it is nothing, to help myself, others and want to cooperate with those, my educated, more experienced, to help all and they, not discounted. It sucks, to be honest, but giving up, is just dumb. Once something enters the Cochrane manual, the Cochrane Institute, in Scotland, my heredity, invite the best of the best specialists, but when someone challenges the status quo, they are often in a war against a decision, which does not make them wrong, but they face, wrongly, ridiculous and unprofessional hurdles, again, professional arrogance and that is among all professional, not picking on mental health professionals. *** This is for all, but if a professional reads this, I would love to interact with them, why this is so long, also valid, they will no true and cooperation moves forward. All the best, be well and I will use a fake name, with hackers everywhere, but can be contacted, easily. Be well to all and don&#8217;t give up, plus, don&#8217;t give up, advocating for yourself, or, not being a hater, find a doctor, that is a teammate, mandatory. * Important* I am not asking anyone to agree, mindlessly. I don&#8217;t know it all. If any helps, good. If wrong, fine. The goal, is to help everyone and that means helping professionals, hopefully taking note and I respect all other opinions, because you may be right, fine, me wrong, but ego is not in the way. Take care!</p>
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