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EMDR and DoD/VA PTSD Clinical Practice Guidelines
Hi all, I've been hearing that EMDR doesn't have much research support for treating combat-related PTSD, and the studies I've found seem to support that (like https://www.tandfonline.com/doi/abs/10.1080/21635781.2013.827088). So, now I'm wondering, does anyone know why the DoD/VA 2017 CPG included EMDR as a frontline psychotherapy for PTSD, alongside PE and CPT? I looked at the guidelines and the studies they referenced in support of EMDR were not with combat veterans. (Source: Student Doctor Network)
Source: Student Doctor Network - March 1, 2023 Category: Universities & Medical Training Authors: cara susanna Tags: Psychology [Psy.D. / Ph.D.] Source Type: forums

Outpatient Ketamine infusion requirement
What specific emergency equipment is required for outpatient ketamine infusion? Airway, crash cart, defib (is a standard AED ok?), lock box for meds, personnel credentials? What doses are people here given for depression, PTSD, OCD, CRPS, fibro etc? (Source: Student Doctor Network)
Source: Student Doctor Network - February 14, 2023 Category: Universities & Medical Training Authors: gaschicago Tags: Pain Medicine Source Type: forums

Medical Cannabis
In my state ptsd is an indication for medical cannabis. For those of you who practice in a state like mine how often are you certifying people? I’ve done a handful. So many people are gonna use it anway and it’s probably safer than the poly pharmacy most end up on. (Source: Student Doctor Network)
Source: Student Doctor Network - November 17, 2022 Category: Universities & Medical Training Authors: Attending1985 Tags: Psychiatry Source Type: forums

Resources for working with conspiracy theorists?
Happy Friday! If anybody has any resources for treating people with PTSD who also believe in conspiracy theories (9/11, 12/21/2012, Q, etc), I would sincerely appreciate it! My main concern is that the PTSD symptoms and conspiracy beliefs seem to be pretty intertwined and influencing each other. Rigidity when comes to religiosity is also a factor. Any resources? I imagine we’ll all be seeing a lot more of this in the coming years. (Source: Student Doctor Network)
Source: Student Doctor Network - July 9, 2022 Category: Universities & Medical Training Authors: Seven_Costanza Tags: Psychology [Psy.D. / Ph.D.] Source Type: forums

MD School List Help Please
Non-trad. BS in business. Worked in finance for 9 years. Currently 30 YO. Submitted primary AMCAS 6/17/22, ACOMAS 6/30/22. CA resident. Not URM. Academics Undergrad cGPA 3.0 Post-bacc cGPA 4.0 Total cGPA 3.25 Total sGPA 3.81 MCAT 5/27/22: 507 (127,124,126,130) Average AAMC FLs=507.25 (502,505,510,512) Many mental breakdowns, MCAT PTSD, developed chronic anxiety Not sure if a retake is worth it. ESL student, CARS is my nightmare ... Read more (Source: Student Doctor Network)
Source: Student Doctor Network - July 1, 2022 Category: Universities & Medical Training Authors: nontradpremed0171 Tags: What Are My Chances? WAMC Medical Source Type: forums

TBI: TBH I don ’t know much
Hi all, Saw a patient this weekend with “bipolar disorder” and in taking history found that he had sustained several TBI’s starting at age 15. Between these and PTSD, he manifested the whole gamut of psychiatric symptoms. I’ve also noticed there have been some adjacent discussions about TBI on other posts. I’ve realized I haven’t had any training in TBI theory/management besides “if they’re manic give them the antimanics” and “propranolol helps impulsivity.” Given that I don’t want to do... Read more (Source: Student Doctor Network)
Source: Student Doctor Network - May 17, 2022 Category: Universities & Medical Training Authors: Alemo Tags: Psychiatry Source Type: forums

Service dog trained by patient
Patient wants a letter for a service dog which is trained by her for 2 years . I have never come across a request like this. I did some digging and looks like no certifications are required. ADA 2010 Revised Requirements: Service Animals The ADA Home Page provides access to Americans with Disabilities Act (ADA) regulations for businesses and State and local governments, technical assistance materials, ADA Standards for Accessible Design, links to Federal agencies with ADA responsibilities and information, updates on new ADA... www.ada.gov ...
Source: Student Doctor Network - May 16, 2022 Category: Universities & Medical Training Authors: the5thelement Tags: Psychiatry Source Type: forums

Adding clonidine to prazosine for ptsd nightmares
Hey wondering if anyone has experience with the above (assuming the usual red flags such as substance use ans osa are checked) Thanks (Source: Student Doctor Network)
Source: Student Doctor Network - April 27, 2022 Category: Universities & Medical Training Authors: Sikrouf Tags: Psychiatry Source Type: forums

Failed Pre-Employment Drug Screen Influence on Med School Application
Hi everyone, I would need some input on this since I can find no information online. So I failed the pre-employment drug screen for Michigan Medicine due to micro-dose THC (though I'm prescribed Marijuana for PTSD-associated night terrors and sleepwalking) which was expected since the hospital is federally funded. The agency was HireRight and my screen would last for 1 year aka I can be employed a year later if I pass the drug screen then. I don't know if it is true and wonder if there... Read more (Source: Student Doctor Network)
Source: Student Doctor Network - April 24, 2022 Category: Universities & Medical Training Authors: hahabobe Tags: Pre-Medical (MD) Source Type: forums

Southern New Hampshire online for LMHC?
First post so I’m sorry if the formatting is off. I currently attend SNHU online for my bachelors in human services and have been thinking of pursuing my masters from them. I can continue to work and it’s pretty cheap. I work with veterans with PTSD and at a residential rehab facility which both are fulfilling to me. I’m in central Florida and am not looking to move so my other options are UCF, Rollins (which I used to go to and have heard is quite rigorous from coworkers in the program)... Read more (Source: Student Doctor Network)
Source: Student Doctor Network - April 8, 2022 Category: Universities & Medical Training Authors: Gabert26 Tags: Mental Health and Social Welfare Source Type: forums

Study on skills building/psychoed before PTSD EBP
I recently found out about this study, which looked at offering psychoed or skills building before a PTSD EBP. The study found that, not only did skills building or psychoed prior to treatment NOT improve dropout rates, patients who did preparatory work were 1) less likely to follow up with an EBP and 2) less likely to benefit from an EBP. APA PsycNet doi.apa.org Imo, yet another nail in the coffin for the step-based PTSD approach/"complex" PTSD... Read more (Source: Student Doctor Network)
Source: Student Doctor Network - March 18, 2022 Category: Universities & Medical Training Authors: cara susanna Tags: Psychology [Psy.D. / Ph.D.] Source Type: forums

Grad School Advice
I have read hundreds of “lcsw vs psyd” threads…. It appears you can't delete threads and my last one was misunderstood and highjacked. Please bear with my slightly unique (I think) situation.. When I was 14, I decided I would be a Clinical Psychologist. But then, I had been set on becoming an LCSW since I had one at 19 as a teen mom. I am passionate about *teen mothers* and *children with ptsd* as well as faith-based ministry. The Boy Who Was Raised as a Dog is one of my... Read more (Source: Student Doctor Network)
Source: Student Doctor Network - February 3, 2022 Category: Universities & Medical Training Authors: Rain Sova Tags: Psychology [Psy.D. / Ph.D.] Source Type: forums

How would you help this type of patient?
I have a patient who is in his early 60s who has chronic severe PTSD and I think likely either borderline traits or borderline personality disorder. This patient doesn't have any suicidal ideation. No mania or psychosis. No depressive episode. The patient refuses to take medication for PTSD, and mistakenly says another physician has told him SSRIs will harm his heart and wont' accept education to the contrary. He won't even listen to that same physician. He will only take clonazepam 1mg PO... Read more (Source: Student Doctor Network)
Source: Student Doctor Network - December 8, 2021 Category: Universities & Medical Training Authors: wolfvgang22 Tags: Psychiatry Source Type: forums

Can you use VR+E to pay for post bac coursework?
Hi everyone, I'm currently active duty and working on a plan to go to medical school after I get out. My ETS is May 2023. As of now, I'm not sure if I will stay in or not; if I do, I'd be in for another 4 years doing a software development program. I only recently learned about VR&E and I'm not sure if I will even qualify but I hope so. I don't know what my disability rating will be. I have a bad knee, sleep problems, and possible mild PTSD from a sexual assault on deployment but it's not... Read more (Source: Student Doctor Network)
Source: Student Doctor Network - November 26, 2021 Category: Universities & Medical Training Authors: skaran17 Tags: Veterans' Benefits Source Type: forums

Research Coordinator opportunities at San Francisco VAMC
Hi! I'm hiring again! Come work for me! Researchers from the San Francisco VA Health Care System and the University of California, San Francisco (UCSF) are recruiting paid, full-time research coordinators for multiple clinical trials and feasibility studies evaluating treatments for Veterans with PTSD, sleep disorders, chronic pain, and aging-related conditions. We are seeking coordinators with at least a bachelor’s degree in psychology (or related fields) who are able to start by January... Read more (Source: Student Doctor Network)
Source: Student Doctor Network - October 19, 2021 Category: Universities & Medical Training Authors: DrLizG Tags: Psychology [Psy.D. / Ph.D.] Source Type: forums