Post-Traumatic Stress Disorder Treatment
Post-Traumatic Stress Disorder (PTSD) Treatment addresses the lasting effects of trauma that can shape how a person thinks, feels, and functions. PTSD may develop after experiencing, witnessing, or repeatedly being exposed to traumatic events.
Many people do not recognize their symptoms as trauma-related because they do not label their experiences as “trauma.” Effective care focuses on understanding and treating the root effects of trauma more than symptom control alone.
At Gilbert Chandler Psychiatrists, PTSD treatment is trauma-informed, individualized, and grounded in clinical experience. With decades of clinical practice, Dr. Mark Feinstein stresses that PTSD treatment should never be protocol-driven, especially in complex or long-standing cases.
Our approach focuses on restoring stability, daily functioning, and long-term recovery.
What Is PTSD?
Post-Traumatic Stress Disorder (PTSD) is a condition that can develop after experiencing or witnessing a traumatic event. It keeps the body and mind in a constant state of alert, even when there is no immediate danger.
Types of PTSD
PTSD can appear in different forms based on how long symptoms last and when they show up.
- Acute PTSD – Symptoms begin soon after a traumatic event and last for a short period.
- Chronic PTSD – Symptoms continue for several months and may affect daily functioning.
- Complex PTSD – Develops after repeated or long-term trauma, such as ongoing childhood abuse.
- Delayed onset PTSD – Symptoms appear months or even years after the traumatic event.
Symptoms of PTSD
It can affect emotions, thoughts, and physical responses to everyday situations.
- Flashbacks, nightmares, or unwanted memories that replay the trauma.
- Staying away from people, places, or situations that trigger reminders.
- Persistent guilt, emotional disconnection, loss of interest, or negative thoughts on yourself.
- Constant tension, easily startled, feeling irritable, trouble sleeping, or difficulty concentrating.
Trauma-Focused Therapy for PTSD (EMDR & PE)
PTSD treatment is tailored to each person’s trauma history, symptoms, and readiness for trauma-focused work. Care begins with a comprehensive evaluation to understand how trauma affects emotional regulation, daily functioning, and relationships. Treatment planning is collaborative and paced to prioritize safety, trust, and emotional stability.
EMDR (Eye Movement Desensitization and Reprocessing) is an evidence-based therapy that helps the brain reprocess traumatic memories stored in fear-based memory networks. It uses guided eye movements while recalling traumatic experiences, helping reduce emotional intensity without requiring extensive verbal retelling. Over time, EMDR supports adaptive processing and improved emotional regulation.
Prolonged Exposure (PE) Therapy focuses on gradually reducing trauma-related fear through controlled and repeated exposure. This approach helps reduce avoidance behaviors, retrains the brain to recognize present-day safety, and builds emotional tolerance and confidence. Exposure is introduced carefully and adjusted based on individual response to prevent overwhelm.
Benefits of TMS in PTSD Recovery
Transcranial Magnetic Stimulation (TMS) may support PTSD recovery by improving brain activity in regions involved in mood regulation and trauma response.
- Stimulates underactive brain areas linked to emotional regulation
- May reduce hyperarousal and emotional reactivity
- Can improve mood stability and daily functioning
- Non-invasive and medication-free
- Often used alongside trauma-focused therapy
TMS is typically considered when PTSD symptoms remain persistent or interfere with engagement in therapy.
Role of Spravato® in PTSD Recovery
Spravato® (esketamine) is a nasal therapy that may support PTSD recovery by acting on brain pathways involved in stress and emotional regulation.
- Works on glutamate pathways linked to trauma and mood
- May reduce symptom intensity and emotional overwhelm
- Can support improved engagement in psychotherapy
- Administered under medical supervision
- Used as part of an integrated treatment plan
Spravato® is generally considered when PTSD symptoms are severe or when traditional approaches have not provided sufficient improvement.
What to Expect From PTSD Treatment
PTSD treatment focuses on helping you feel safe, supported, and understood while gradually building skills to manage symptoms and triggers.
During treatment, you can expect:
- A strong focus on safety and trust before trauma processing
- Early sessions centered on grounding and nervous system regulation
- Gradual development of coping strategies for triggers
- Trauma work introduced at a manageable pace
- Ongoing monitoring and adjustment based on your response
- Support for emotional stability, daily functioning, and steady progress
Treatment is collaborative and moves forward at a pace that feels sustainable for you
Book An Appointment
We provide complimentary consultation. One of our experienced doctors will discuss your concerns and provide guidance.
Call Us on (480) 256-9322 or fill the form below to receive a call back.
Frequently Asked Questions (FAQs)
What Are the Most Common PTSD Symptoms in Adults?
Adults with PTSD may experience flashbacks, nightmares, or disturbing memories. They may avoid trauma reminders, feel emotionally detached, stay constantly on edge, and have trouble sleeping or concentrating.
How Does PTSD Present in Children and Teens?
Children and teens may show trauma through play or behavior. They may have nightmares or fear being away from caregivers. Some may have angry outbursts, aggression, or difficulties at school or with peers.
How Is PTSD Clinically Diagnosed?
PTSD is diagnosed through a clinical evaluation that includes symptom screening, medical history, and discussion of traumatic experiences with a mental health professional.
What is the difference between Ketamine therapy & Spravato?
Ketamine therapy is typically given intravenously and paired with therapy, while Spravato® is a nasal spray administered in a clinical setting. Both work on brain pathways involved in mood and trauma but differ in delivery and structure.
When Should You Consider Seeing a Psychiatrist for PTSD?
You should consider seeing a psychiatric specialist if PTSD symptoms affect daily life, relationships, or sleep, involve thoughts of self-harm, or if current treatments are not providing relief.
How Long Does PTSD Recovery Takes
PTSD is a recoverable illness with each individual having their own healing period. Progress depends on the type of trauma, symptom severity, and the treatment approach used. Many people notice gradual improvement over time with consistent care and support.
How PTSD Impacts Work, Relationships, and Daily Routines?
PTSD can affect many areas of daily life. It often influences how a person works, connects with others, and manages everyday routines.
- Feeling constantly alert or on edge, even in safe situations
- Difficulty relaxing, resting, or getting quality sleep
- Trouble concentrating or staying focused at work
- Increased irritability or emotional reactions
- Feeling emotionally distant from loved ones
- Avoiding places, people, or situations that feel triggering
- Ongoing physical tension, fatigue, or exhaustion
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