The treatment of choice for PTSD is psychotherapy. Medication is often used to reduce symptoms but when medication is ceased, symptoms usually return. Medication can help someone reduce symptoms so that psychotherapy can be more effective so the two can work together.
As noted above antidepressants are the core medication. If this is not effective I would normally liaise with the GP in regard to another antidepressant. Some antidepressants can lead to agitation and are therefore not very good with PTSD. If a couple of antidepressants have been tried unsucessfully then it would be appropriate to see a psychiatrist for their opinion.
Sleep is very important in PTSD. GPs will often use Valium or another from the benzodiazepam group of drugs for this and also to reduce anxiety. These drugs lead to tolerance and dependence within weeks if used daily. Most GPs would now advise to only use these 3 or 4 days per week to avoid becoming dependent on them. Once tolerance is developed it is a waste of time taking them.
Serequel is an antipsychotic drug that is often used to induce sleep. This is helpful to get a regular sleep pattern back and then withdraw as psychotherapy treats the trauma.
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