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Therapy vs. Antidepressants – Which One is Better?

October 29, 2020 by Magamet Borlakov Leave a Comment

If you are someone who has been experiencing depression, you may recognize that you need help, but you may be confused as to what therapies will work best for you.

In today’s world, where there seems to be a pill to treat pretty much everything, many people assume that a prescribed antidepressant is the best option for them. In fact, a psychiatric review by R. Kathryn McHugh, MD of McLean Hospital in Belmont, MA, found that the bulk of individuals in need of depression and/or anxiety treatment preferred pharmacological interventions to psychological at a ratio of 3:1.

From the study: “The past 10 years have seen a substantial increase in the prescription of antidepressant medications, which surpassed all others as the most commonly prescribed class of medication in the US in 2005.”

Other studies over the years have shown the advantages of skipping drugs altogether and opting instead for psychotherapy. Much of this stems from the fact that commonly prescribed antidepressants often come with a list of nasty side effects, which is not something someone suffering from depression needs to deal with.

Is One Option Better Than the Other

The short answer to that question is no. When it comes to mental health and well-being, a one-size-fits-all approach simply doesn’t work.

In my experience helping patients over the years, I have found that a good majority of them can get a handle on their depression symptoms through talk therapy without the need to prescribe any medications. Then again, there have been those clients whose symptoms were so severe, medications were required at first to help them manage. Over time and through cognitive-based therapies, we were able to eventually ween them of the drugs.

My best piece of advice would be to find a therapist you feel comfortable with and let them evaluate you to see if you are a candidate for drug therapy or not. You can then work with them to get your symptoms under control and eventually learn some tools and techniques to naturally help you cope while at the same time uncovering where the depression stems from.

If you are suffering from depression and confused about which form of therapy is right for you, let’s talk. I would be happy to discuss how I may be able to help.

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Filed Under: General

Transgenerational and Intergenerational Trauma from Racism

October 28, 2020 by Magamet Borlakov Leave a Comment

In the early 2000s, Brent Bezo, a student in the doctoral psychology program at Carleton University in Ottawa, was living with his wife in Ukraine when they began picking up on subtle notes of resentment and skepticism from the native population. In his conversations with the locals, Bezo specifically remembers detecting references to the Holodomor, a historical event in the early 1930s that ended with millions of Ukrainians starving to death. Many considered it to be a deliberate act of genocide coordinated by Stalin’s regime.

Bezo began to wonder how much of an impact this horrific historical event would have on our current generation. He decided to conduct a qualitative investigation using 45 volunteers from three different generations; the survivors of this tragic event as well as their children and grandchildren. His findings, published in Social Science & Medicine in 2015, showed that each generation had inherited a lack of trust from the one before. Certain behaviors, including anxiety, embarrassment, food hoarding, and overeating, were passed on from one generation to the next.

This is just one study in a growing body of research that looks at how multiple generations have been affected by large-scale cultural and historical suffering. Researchers are now studying the effects of historically traumatic events, including the systematic mass murders of millions during the Holocaust, the involuntary enslavement of African-Americans, and the forced migration of Native Americans. They are finding that the transgenerational repercussions span far beyond the mental effects into familial, social, and cultural expressions as well.

Treatment for Transgenerational Trauma

While more research is needed, clinicians are developing effective interventions based on current findings.

For instance, family therapists working with Native American tribes in Canada and the United States help prevent early substance use by improving family communications and reducing family conflicts.

Other clinicians have good outcomes by using a “survival genogram,” which is like a pictorial version of a family tree that highlights family relationships, health, and psychological patterns. This helps children and grandchildren of survivors explore their ancestral life lessons to help them move forward in their current lives.

Many clinicians are still encouraging their clients to use self-care practices such as mindfulness and exercise to reduce potential triggers.

Without question addressing present-day traumas like racism related to original events is key to helping new generations heal and move on. Therapy can guide people in using coping tools and learning better communication to help them on their healing journey.

If you or someone you know is suffering from transgenerational trauma from racism and would like to explore treatment options, please get in touch. I would be more than happy to discuss how I may be able to help.

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Filed Under: General, Trauma / PTSD

Do You Have C-PTSD?

October 23, 2020 by Magamet Borlakov Leave a Comment

You have most likely heard the term Post Traumatic Stress Disorder – also known as PTSD. It is used to describe the mental and emotional anguish suffered by those who have experienced sudden trauma. PTSD is often experienced by soldiers as well as those who have been victims of rape and other crimes, and even victims of house fires and car accidents.

Complex Post Traumatic Stress Disorder (C-PTSD) describes a condition that very much presents like PTSD, the difference being the sufferer experienced prolonged periods of abuse or neglect. This could happen as a result of childhood neglect or the abuse suffered at the hands of a narcissistic partner.

Diagnosing C-PTSD

Diagnosing C-PTSD is tricky because the symptoms are usually not very unique. That is to say, someone who is suffering from C-PTSD may be experiencing anxiety and lethargy, but these symptoms match other mental health issues.

But it is very important to accurately diagnose C-PTSD because of the necessary treatment measures. The main difference between C-PTSD and other mental health issues – say, bipolar disorder – is that C-PTSD is a result of things that were done TO an individual, and not an intrinsic problem. In other words, someone suffers from C-PTSD because of abuse and neglect at the hands of another and not because of genetically determined brain chemistry.

To help correctly identify C-PTSD, a therapist must uncover an accurate history to understand if:

The individual has experienced multiple prolonged traumas that have lasted for months (or even years)
The traumas were caused by someone the individual had a deep interpersonal relationship with and/or someone who was part of their primary care network (most commonly a parent or caregiver)
These traumas were experienced as permanent features of life, with the individual unable to see any end in sight
The individual had no control or power over the person traumatizing them

Symptoms of C-PTSD

As I just mentioned, the outward symptoms of C-PTSD may match other mental health disorders. Those symptoms include:

Flashbacks and nightmares in which the trauma is relived.
Avoiding people, places, and situations that remind them of the trauma.
Dizziness or nausea when remembering the trauma.
Hyperarousal. This is a state of high alert and one they often lived in.
A belief that the world is a dangerous place.
A loss of trust in self or others.
Difficulty sleeping and concentrating.
Being startled by loud noises.

Treatment for C-PTSD

There are a few different treatment options for people suffering from C-PTSD:

Psychotherapy

Therapy can take place on a one-to-one basis or in a group setting. The focus will be on addressing feelings, improving connections with others, and dealing with anxiety and flashbacks. Many therapists have had success using cognitive behavioral therapy (CBT) helping people cope with the symptoms of C-PTSD.

EMDR

EMDR stands for eye movement desensitization and reprocessing. This is a process that uses eye movement to help a person desensitize their reactions to a specific traumatic event. The result is the person can eventually recall the memory but have no emotional reaction to it.

Medication

Some individuals may need to be on medications for a while to reduce their anxiety. A therapist can work with you to determine if this is the best course of action.

If you believe you are suffering from C-PTSD and would like to explore treatment options, please be in touch. I’d be happy to discuss how I may be able to help.

Filed Under: Abuse/Neglect, Anxiety, General, Trauma / PTSD

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