PTSD

...now browsing by tag

 
 

Estrogen and Anxiety

Thursday, August 16th, 2012

While some men may believe that fear and anxiety in women comes down to all that estrogen, it’s actually quite the opposite.  It is low estrogen that is more likely to make an anxious woman according new research from Harvard.

During your menstrual cycle, your estrogen levels tend to ebb and flow (no pun intended), and your mood and mental state are then prone to these fluctuations.  Extremely high estrogen levels seem to protect women from emotional disturbance, and low levels make them more vulnerable to trauma.  This knowledge isn’t being limited to PMS and birth control though, they are also considering a much more widespread use.  Researchers believe that they can create a pill that will influence estrogen levels, much like birth control does, but to prevent post-traumatic stress disorder.  Their research shows that women who experienced traumatic events while their estrogen was low suffered emotional trauma for a much longer period.  Before heading into perilous situations or even right after, an estrogen pill could protect their mental states.  Even in men this tactic could be used.  Men’s testosterone is converted to estrogen in the brain, so even though they are less likely to suffer from depression and anxiety disorders as a whole, they still use estrogen to remain stable.

Professor of Psychology Larry Carhill says that, “The single biggest bias in neuroscience research is the belief that sex differences are insignificant or small,” but the truth is there are many differences and learning them could be the key to treating clinical disorders in the future.  As with any good treatment plan, it is best to treat the individual as a whole person, and not just as a statistic.  That means understanding what makes their systems work, even when it comes to gender differences, so we can restore both men and women to good health.

 

– Yvonne S. Thornton, M. D., M. P. H.

 

PTSD from Infertility?

Monday, August 13th, 2012

Normally, when you think of post-traumatic stress disorder, you think of soldiers returning from battles with a foreign enemy, not women battling infertility.  Surprisingly though, researchers have found that women undergoing fertility treatments are highly likely to develop PTSD and are calling for a change in the definition of the disorder.

Based on a survey conducted by Allyson Bradow who is the Director of Psychological Services at Home of the Innocents, 50% of women who went through fertility treatments met the criteria for PTSD.  As a result of their stressful experiences, infertile women are 6 times more likely to suffer from PTSD than the general population.  This has led some to believe that perhaps the definition for PTSD needs to be expanded.  Currently, its definition limits its diagnosis to those who have “experienced or witnessed a life-threatening event or [an] event that could cause serious injury.”

Bradow believes that it should also be diagnosed for those who have experienced trauma due to the failure to meet expectations for life.

The ability to procreate is believed to be a fundamental life process.  Trauma is defined as a wound or injury.  The word origin of injury comes from the Latin “injuria”  (in = not + jus =  right) and its definition is to cause one to suffer hardship and loss undeservedly and unexpectedly.  Therefore, if one loses his/her ability to procreate, this satisfies the definition of trauma.  It is not uncommon for couples struggling with infertility to suffer from anxiety, depression, and other related symptoms.  Any time a person’s heart is set on something, particularly a life accomplishment like procreation, they are bound to react extremely emotionally to a negative outcome.  Some find procreation so important, that they feel they have not lived up to the expectations of life when they cannot conceive and are severely traumatized by it.  Whether or not this stress can be considered PTSD or not is yet undecided.  What is clear though is that infertility physicians and clinics need to ramp up their counseling services.  If infertility is an unfixable issue, then couples need help finding a way to be content with it, so they can live emotionally- and mentally-healthy lives.

 

– Yvonne S. Thornton, M. D., M. P. H.