
← The Podcast by KevinMDNew · 14 min
Not all PTSD is the same, and the difference decides the treatment
Some people process a terrible event over a week or two and move on. Others replay it for years, and their bodies never settle back down. Faust Ruggiero is a clinical psychologist who has treated post-traumatic stress in veterans, first responders, and others for years. This episode is based on his article "Understanding the types of PTSD and how to treat them," published on KevinMD. You will hear how he distinguishes stress that follows a single event from stress built on years of ongoing harm, and why that distinction shapes the treatment plan he writes. He walks through the questions he tells primary care physicians to ask, from flashbacks and interrupted sleep to exaggerated startle, anger, and isolation. He explains when short-term medication is used to bring arousal down far enough for therapy to work. Press play for a plain account of what this condition does to the body and the mind, and why he tells patients it does not have to be permanent.
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