I used to be too agitated to practice mindfulness. I did Emotion Focused Therapy (which has evidence it can shrink the amygdala in bipolar patients) and was able to start doing mindfulness regularly, which really helped with my agitation. So, right therapy, right treatment right time, is a very important idea, I appreciate the video. Weightlifting helped also. What didn't help, which everyone tried to tell me, was being myself up and trying to outwork my problem psychologically. That's didn't work, and just made me even more afraid, since my efforts weren't working. When what I really needed was to feel safe. And also safe to feel normal, and not special, and not someone who had beat my conditions, but just OK to be normal, or abnormal with my diagnoses. That I learned from Adlerian psychology, and helped me relax even more. I appreciate your service.
I was told we are better off getting very little sleep without medication vs 8-9 hours of medicated sleep. They said drugged sleep isnt the same as natural sleep even if its cut short
@@PsychiatrySimplified the point I was trying to make is I dont think medications should be used for sleep. While medications may help short term they almost always compound sleep issues in the long term. its not the same as natural sleep even if cut short.
Everything you say in the video agrees with the ideas of Dr. Stephen Porges. Could you make a video about polyvagal theory or about the work of Dr. Peter Levine? I really like your videos, I am a boy with CFS and I am learning a lot from you.
Thanks for the feedback. I’ll put it on the list. I’ve written briefly about the polyvagal theory in the neuroscience of dissociation - including the other theories. In addition on this website the role of the vagus in MECFS / Long COVID is also covered . psychscenehub.com/psychinsights/the-neuroscience-of-dissociation/
I think it's highly dependent on the depth of the trauma, it's not even necessarily the treatment process that's the hard part but maintaining a healthy lifestyle with PTSD or C-PTSD is a lifelong journey. It's multifold and has to remain consistent. It would be cool if schools added a mental health subject so we could have early recognition, prevention and education, I find if people don't see any need to learn, they won't.
Yes. Many with dissociation present with the emotional undermodulation type as dissociation lies at the other end of the fear cascade. So many pass through hyperarousal to get there until it becomes more entrenched and they get into dissociative stage ‘quicker’. psychscenehub.com/psychinsights/the-neuroscience-of-dissociation/
PS. IF I MAY! ...just one question!...it relates to a video (I can't recall if it was one of Yours) - a video on YT about fentanyl / opioids addiction and relative treatment. The question regards IBOGAINE. Do You have ANYTHING on the potential use of Ibogaine as "treatment" (potential treatment at least) for opioid recovery? I've read some articles - both "pro" and "against" and all I could understand is that there's lot of SPECULATION and very few facts (and by "facts" I mean EMPIRICAL STUDIES to determine its true potential) ...or DISCARD it once & for all! Doctor! - do You have any materials (books, studies, articles - WHATEVER!) to which You could point me to? Given the SCALE of the problem - both in the U.S. as well as in Europe (but NOT ONLY obviously) I'd like to hear some educated opinion. By the way! Happy New Year. (...better late than never ...) :)
There seems to be some emerging evidence for ibogaine in PTSD. Opioid dependence also there are some studies that show promise - like this one pubmed.ncbi.nlm.nih.gov/28402682/
Can go both ways. Ketamine acts synaptically and extrasynaptically - the extrasynaptic glutamatergic action is necessary to reduce excitotoxicity but the synaptic action is associated with side effects e.g dissociative effects. Hence why memantine can be beneficial here in PtSD as well - it acts predominantly extrasynaptically .
@@alumi9818@alumi9818 No, it enhances cognition and hence is used in severe Alzheimer's dementia. Here is a review on memantine I've written : psychscenehub.com/psychinsights/memantine-psychopharmacology/
@@PsychiatrySimplified oh, then i suppose it only impaisr cognition in healthy people. however, I am definitely unhealthy (sleep maintenance insomnia, overactivity to stress, decreased cognitive function: CPTSD) and have found neboglamine, which is an NMDA Glycine PAM extremely helpful (somewhat returning me to what had previously been my default state and significantly increasing cognitive function). Do you think it's worthwhile for me to consider memantine?
I used to be too agitated to practice mindfulness. I did Emotion Focused Therapy (which has evidence it can shrink the amygdala in bipolar patients) and was able to start doing mindfulness regularly, which really helped with my agitation. So, right therapy, right treatment right time, is a very important idea, I appreciate the video. Weightlifting helped also. What didn't help, which everyone tried to tell me, was being myself up and trying to outwork my problem psychologically. That's didn't work, and just made me even more afraid, since my efforts weren't working. When what I really needed was to feel safe. And also safe to feel normal, and not special, and not someone who had beat my conditions, but just OK to be normal, or abnormal with my diagnoses. That I learned from Adlerian psychology, and helped me relax even more. I appreciate your service.
Thanks for sharing. A good comment with lots of useful information.
wow that is fantastic! 😃 Congratulations with your improvement
You are absolutely killing it with these videos. Thank you for all of your knowledge and work.
Glad you are finding them useful. Appreciate the feedback 🙏🏻
Excellent material - as always. A big Thank You, Sir!
Thanks for your feedback. 🙏🏻
I was told we are better off getting very little sleep without medication vs 8-9 hours of medicated sleep. They said drugged sleep isnt the same as natural sleep even if its cut short
Restorative sleep is not the same as ‘drugged sleep’ . Restorative sleep is often through targeted sleep medications depending on phenomenology .
@@PsychiatrySimplified the point I was trying to make is I dont think medications should be used for sleep. While medications may help short term they almost always compound sleep issues in the long term. its not the same as natural sleep even if cut short.
Everything you say in the video agrees with the ideas of Dr. Stephen Porges. Could you make a video about polyvagal theory or about the work of Dr. Peter Levine?
I really like your videos, I am a boy with CFS and I am learning a lot from you.
Thanks for the feedback. I’ll put it on the list. I’ve written briefly about the polyvagal theory in the neuroscience of dissociation - including the other theories. In addition on this website the role of the vagus in MECFS / Long COVID is also covered . psychscenehub.com/psychinsights/the-neuroscience-of-dissociation/
I think it's highly dependent on the depth of the trauma, it's not even necessarily the treatment process that's the hard part but maintaining a healthy lifestyle with PTSD or C-PTSD is a lifelong journey. It's multifold and has to remain consistent. It would be cool if schools added a mental health subject so we could have early recognition, prevention and education, I find if people don't see any need to learn, they won't.
True !
I agree with you just how important consistency is
can an individual present with both emotional overmodulation (dissociation) and emotional undermodulation (hyperarousal)
Yes. Many with dissociation present with the emotional undermodulation type as dissociation lies at the other end of the fear cascade. So many pass through hyperarousal to get there until it becomes more entrenched and they get into dissociative stage ‘quicker’. psychscenehub.com/psychinsights/the-neuroscience-of-dissociation/
Hello dr.Rege, are the graphs the video available for view? I use my phone to watch your videos and cannot make out the graphs. Thanks!
You can see them in this article - psychscenehub.com/psychinsights/advances-posttraumatic-stress-disorder-ptsd/
@ 🙏 thank you. ❤️
PS. IF I MAY! ...just one question!...it relates to a video (I can't recall if it was one of Yours) - a video on YT about fentanyl / opioids addiction and relative treatment. The question regards IBOGAINE. Do You have ANYTHING on the potential use of Ibogaine as "treatment" (potential treatment at least) for opioid recovery? I've read some articles - both "pro" and "against" and all I could understand is that there's lot of SPECULATION and very few facts (and by "facts" I mean EMPIRICAL STUDIES to determine its true potential) ...or DISCARD it once & for all! Doctor! - do You have any materials (books, studies, articles - WHATEVER!) to which You could point me to?
Given the SCALE of the problem - both in the U.S. as well as in Europe (but NOT ONLY obviously) I'd like to hear some educated opinion.
By the way! Happy New Year.
(...better late than never ...) :)
There seems to be some emerging evidence for ibogaine in PTSD. Opioid dependence also there are some studies that show promise - like this one pubmed.ncbi.nlm.nih.gov/28402682/
@@PsychiatrySimplified ...Ibogaine for PTSD treatment?? ... Interesting. Anyway! Thank You. Have a great New Year! (I'll check this one immediately).
what would you say is the algorithm for treating the intermodulation variation of ptsd? only a general one is available on your site
Can you be more specific ? What do you mean by intermodulation variation of ptsd
@@PsychiatrySimplified sorry, undermodulation, the decreased pfc inhibition of the temperolibic system subtype of ptsd that you had mentioned
I thought ketamine reduces arousal pathways
Can go both ways. Ketamine acts synaptically and extrasynaptically - the extrasynaptic glutamatergic action is necessary to reduce excitotoxicity but the synaptic action is associated with side effects e.g dissociative effects. Hence why memantine can be beneficial here in PtSD as well - it acts predominantly extrasynaptically .
@@PsychiatrySimplified isn't memantine an NMDA antagonist, thus negatively affecting cognition?
@@alumi9818@alumi9818 No, it enhances cognition and hence is used in severe Alzheimer's dementia. Here is a review on memantine I've written :
psychscenehub.com/psychinsights/memantine-psychopharmacology/
@@PsychiatrySimplified oh, then i suppose it only impaisr cognition in healthy people. however, I am definitely unhealthy (sleep maintenance insomnia, overactivity to stress, decreased cognitive function: CPTSD) and have found neboglamine, which is an NMDA Glycine PAM extremely helpful (somewhat returning me to what had previously been my default state and significantly increasing cognitive function). Do you think it's worthwhile for me to consider memantine?