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Dx Acute Stress Disorders Treatment:


There is no consensus on the medical treatment of Acute Stress Disorder. It is safe to say that adequate nutrition and replacement of absent hormones, minerals and vitamins should be an additional treatment. Supplements such as SAM-e, 5-HTP, omega-3 and B vitamins are safe in moderation. Injections of SAM-e in Europe have been found equally effective to tricyclic antidepressants.

Those individuals whom are at greater risk of reporting prescriptions for 'acute stress' are in poorer mental and physical health, using (synthetic) hormone replacement, overweight/obese, ex-smokers, unmarried and non-working low occupational women.

Gelfand and Sherwin noted that [women] prescribed Hormone Replacement Therapy with estrogen and testosterone reported increased energy, well-being and appetite...The androgen-containing preparations also induced lower somatic, psychological and total scores on the menopausal index."

Khera states: "Men with depressive symptoms and testosterone deficiency syndrome should be given a trial of testosterone replacement therapy for at least 3 months as Testosterone Replacement Therapy alone may improve clinical symptoms of depression".

Acute Stress Disorders

The Merck Manual Home Edition
"Acute stress disorder is a brief period of intrusive recollections occurring shortly after an overwhelming traumatic event. It is similar to post-traumatic stress disorder, except that it begins within 4 weeks of the traumatic event and lasts only 2 days to 4 weeks. People with acute stress disorder have been exposed to a terrifying event. They mentally re-experience the traumatic event, avoid things that remind them of it, and have increased anxiety. They also have three or more of the following symptoms (called dissociative symptoms):
  * A sense of numbing, detachment, or lack of emotional responsiveness
  * Reduced awareness of surroundings (for example, being dazed)
  * A feeling that things are not real
  * A feeling that they are detached from themselves or that they are not real
  * An inability to remember an important part of the traumatic event.

The number of people with acute stress disorder is unknown. The likelihood of developing disorder is greater when traumatic events are severe."

Medications Used in the Treatment:
1. Benzodiazepines: Xanax®, etc.
2. SSRIs: Prozac®, etc.
3. Atypical Antidepressants: Wellbutren®, etc.
4. Antihistamines: Vistaril®,hydroxyzine, etc.
5. Muscle Relaxants: cyclobenzaprine®, meprobamate®, etc.
6. SNRIs: Effexor®XR,venlafaxine ER, etc.
7. Tricyclic Antidepressants: Elavil®, amitryptyline, etc.
8. Azapirones: Buspar®
9. Typical Anti-psychotics: Haldol®, haloperidol, etc.
10. Typical Tricyclic Antidepressant Combinations: perphenazine, amitriptyline

See  Depression/ Anxiety- All Natural Products

*[Editor] A number of natural vitamins, minerals and supplements are used internationally (especially in Europe and the Far East) to treat depression/anxiety. These include SAM-e, 5-HTP, St. John's Wort, and Adaptogens. Unfortunately, injectable 400mg of SAM-e is not available in the United States yet it is comparable to 150mg/ day of imipramine, a typical antipsychotic.

*[Editor]: Screening for Laboratory tests may offer evidence that simple hormones, such as thyroid, estradiol, testosterone, DHEA-s and cortisol may be out of balance. With these laboratory tests in hand, discuss them with your health care professional.

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