How JustAnswer Works:

  • Ask an Expert
    Experts are full of valuable knowledge and are ready to help with any question. Credentials confirmed by a Fortune 500 verification firm.
  • Get a Professional Answer
    Via email, text message, or notification as you wait on our site.
    Ask follow up questions if you need to.
  • 100% Satisfaction Guarantee
    Rate the answer you receive.

Ask Dr. Z Your Own Question

Dr. Z
Dr. Z, Psychologist
Category: Mental Health
Satisfied Customers: 4298
Experience:  Psy.D. in Clinical Forensic Psychology with a background in treating severe mental illnesses.
Type Your Mental Health Question Here...
Dr. Z is online now
A new question is answered every 9 seconds

hello, I have PTSD, it has become overwhelming, despite the

Resolved Question:

hello,
I have PTSD, it has become overwhelming, despite the fact that I go to counseling at the local rape crisis center. I feel sick all the time, I'm sad all the time, I have no energy, I have flash backs. I take Xanax which is prescribed for me, and I am trying to get off of Effexor. It's the old fashioned fast burst dose and it makes me feel strange, I have odd thoughts on it. My anxiety never goes away, when I don't take the Xanax on time, it feels like my heart will explode. This has taken away my quality of life. I know, that I am full of emotion deep down over being raped, but I can not access the feelings. I cry all the time, I think the Xanax holds it down just enough so that I can operate. What am I going to to do. I think I need to go in to the hospital but I am scared. I have PTSD I'm not suicidal or homicidal.
Submitted: 8 months ago.
Category: Mental Health
Expert:  Dr. Z replied 8 months ago.

Dr. Z :

Hello

Dr. Z :

I believe I can help you with your concern

Dr. Z :

I am so sorry that you are experiencing these symptoms of PTSD, I can imagine how distressing this must be for you

Dr. Z :

I would like to ask you a couple questions to get some more information, so that I can better assist you

Dr. Z :

I understand that you are trying to get off the Effexor, will you be planning on switching to another antidepressant medication?

Dr. Z :

Also what type of therapy are you currently going through? Cognitive Behavioral Therapy (CBT), Dialectical Behavioral Therapy (DBT), Eye movement desensitization and reprocessing (EMDR), or another type of therapy?

Customer:

I think they want me on an ssri

Customer:

I am going to my local rape crisis center for talk therapy

Dr. Z :

Okay, well for the best SSRI medications for anxiety and depression that are linked to PTSD would be Zoloft, Paxil, Lexparo, or Prozac. Also there is another SSRI based medication called Buspar, but has some mild tranquilizer effect that can be very beneficial for anxiety as well. Here is a good link explaining the best medications to treat PTSD.

Dr. Z :

For therapy the best type of therapy to effectively treat PTSD symptoms is called CBT. This therapy is the most evidence based therapy to date and very effective. CBT has a premise that your symptoms are caused by negative thoughts, so if we change your thought process to be more positive and objective as well, then your symptoms will lessen.

Dr. Z :

I can show you some good CBT techniques and recommend some quality books as well. Also I can recommend another therapy called EMDR that is specifically formulated to treat PTSD.

Customer:

I have read a lot about all the meds

Dr. Z :

Well the medications can only lessen the symptoms, not cure it. Therapy is the only sure fire way to cure you of your PTSD.

Customer:

I am more worried that I can not take it anymore

Customer:

will they treat ptsd in the mental health part of the hospital if I go

Dr. Z :

They most likely will not put you as inpatient unless you met the criteria for harming yourself, harming other, or if you are gravely disabled (e.g cannot take care of your daily needs like hygiene, clothing, shelter, food, etc...)

Dr. Z :

Instead most likely they will just give you new medications and recommend you to an outpatient facility. Now if this was a primary mental health hospital, then it is possible that you could be admitted as an inpatient.

Customer:

we have a lot of mental health help avalible in Syracuse ny, however I don't want to be labeled either

Dr. Z :

Most mental health professionals will not label you, instead they will treat you like a patient and someone who needs help. You are not your mental illness, it does not define you and most mental health professionals know this

Dr. Z :

The xanax is a good medication to take for the anxiety, but it will not cure you, only therapy can

Dr. Z :

I would like to recommend some good therapy books and possibly a good therapist in your area if you like

Customer:

it's hard to be on Xanax, I have been on 3 years now

Customer:

and I am never anxiety free

Dr. Z :

I know, this is a complicated form of PTSD. I think that trying CBT or EMDR will be more of a success for you, but it does take some time as therapy is a gradual process. Switching to the SSRI can be helpful as well. Lexapro is the most effective of the SSRI antidepressants and also has the least amount of side effects too

Customer:

I need to get to the repressed memories of my rape, and the rage and I know I won't switch meds if left on my own it scares me too much'

Dr. Z :

Well EMDR does a great job, according to most studies, to get at those repressed memories. Here are a couple links explaining it in more detail for you.

Customer:

thank you for your help tonight.

Dr. Z :

It is a novel type of therapy that was specifically meant to treat PTSD and especially Veterans.

Dr. Z, Psychologist
Category: Mental Health
Satisfied Customers: 4298
Experience: Psy.D. in Clinical Forensic Psychology with a background in treating severe mental illnesses.
Dr. Z and other Mental Health Specialists are ready to help you

JustAnswer in the News:

 
 
 
Ask-a-doc Web sites: If you've got a quick question, you can try to get an answer from sites that say they have various specialists on hand to give quick answers... Justanswer.com.
JustAnswer.com...has seen a spike since October in legal questions from readers about layoffs, unemployment and severance.
Web sites like justanswer.com/legal
...leave nothing to chance.
Traffic on JustAnswer rose 14 percent...and had nearly 400,000 page views in 30 days...inquiries related to stress, high blood pressure, drinking and heart pain jumped 33 percent.
Tory Johnson, GMA Workplace Contributor, discusses work-from-home jobs, such as JustAnswer in which verified Experts answer people’s questions.
I will tell you that...the things you have to go through to be an Expert are quite rigorous.
 
 
 

What Customers are Saying:

 
 
 
  • I can go as far as to say it could have resulted in saving my sons life and our entire family now knows what bipolar is and how to assist and understand my most wonderful son, brother and friend to all who loves him dearly. Thank you very much Corrie Moll Pretoria, South Africa
< Last | Next >
  • I can go as far as to say it could have resulted in saving my sons life and our entire family now knows what bipolar is and how to assist and understand my most wonderful son, brother and friend to all who loves him dearly. Thank you very much Corrie Moll Pretoria, South Africa
  • I thank-you so much! It really helped to have this information and confirmation. We will watch her carefully and get her in for the examination and US right away if things do not improve. God bless you as well! Claudia Albuquerque, NM
  • Outstanding response time less than 6 minutes. Answered the question professionally and with a great deal of compassion. Kevin Beaverton, OR
  • Suggested diagnosis was what I hoped and will take this info to my doctor's appointment next week.
    I feel better already! Thank you.
    Elanor Tracy, CA
  • Thank you to the Physician who answered my question today. The answer was far more informative than what I got from the Physicians I saw in person for my problem. Julie Lockesburg, AR
  • You have been more help than you know. I seriously don't know what my sisters situation would be today if you had not gone above and beyond just answering my questions. John and Stefanie Tucson, AZ
  • I have been dealing with an extremely serious health crisis for over three years, and one your physicians asked me more questions, gave me more answers and encouragement than a dozen different doctors who have been treating me!! Janet V Phoenix, AZ
 
 
 

Meet The Experts:

 
 
 
  • Dr. Keane

    Therapist

    Satisfied Customers:

    1262
    Clinical Psychology PhD, Licensed Professional Counselor with experience in marriage/family, teens and child psychology.
< Last | Next >
  • http://ww2.justanswer.com/uploads/DR/Dr.Keane/2013-8-20_204325_drkeane.64x64.jpg Dr. Keane's Avatar

    Dr. Keane

    Therapist

    Satisfied Customers:

    1262
    Clinical Psychology PhD, Licensed Professional Counselor with experience in marriage/family, teens and child psychology.
  • http://ww2.justanswer.com/uploads/RE/resolutions66/2011-1-17_05728_IMG8202smilingeditedforJustAnswer.64x64.jpg Elliott, LPCC, NCC's Avatar

    Elliott, LPCC, NCC

    Psychotherapist

    Satisfied Customers:

    5024
    35 years of experience as a Licensed Professional Clinical Counselor, National Certified Counselor and a college professor.
  • http://ww2.justanswer.com/uploads/formybunch/2010-12-06_191055_img_0975.jpg Kate McCoy, M.Ed, NBCC, LPC's Avatar

    Kate McCoy, M.Ed, NBCC, LPC

    Therapist

    Satisfied Customers:

    3733
    Over 20 years experience specializing in anxiety, depression, drug and alcohol, and relationship issues.
  • http://ww2.justanswer.com/uploads/DR/DrAkiraOlsen/2012-2-20_746_AkiraADpicmain.64x64.jpg Dr. Olsen's Avatar

    Dr. Olsen

    Psychologist

    Satisfied Customers:

    2336
    PsyD Psychologist
  • http://ww2.justanswer.com/uploads/norriem/2009-5-27_134249_nm.jpg Norman M.'s Avatar

    Norman M.

    Psychotherapist

    Satisfied Customers:

    2193
    UK trained in hypnotherapy, counselling and psychotherapy and have been in private practice. ADHP(NC), DEHP(NC), UKCP Registered and ECP.
  • http://ww2.justanswer.com/uploads/PsychologyProf/2010-07-15_171248_logos060400409.jpg Dr. Michael's Avatar

    Dr. Michael

    Psychologist

    Satisfied Customers:

    2177
    Licensed Ph.D. Clinical Health Psychology with 30 years of experience in private practive and as a clinical psychology university professor.
  • http://ww2.justanswer.com/uploads/KURTEMMERLING/2010-07-23_215531_just_ask_picture1.jpg Steven Olsen's Avatar

    Steven Olsen

    Therapist

    Satisfied Customers:

    1727
    More than twenty years of expertise in counseling, psychological diagnosis and education
 
 
 

Related Mental Health Questions