All Posts in Category: Post-Traumatic Stress Disorder

Using Virtual Reality Therapy for Phobias

 

What would you think if you had a phobia about something (example: a fear of flying) and you could overcome your fear just by sitting in your therapist’s office and watching a movie? We think you’d sign up for that! Okay, it’s not entirely that simple (although it almost is), but virtual reality therapy for phobias is now giving patients a high-tech, cutting-edge solution for helping them get past their fears so they can live a better life.

How Does Virtual Reality Exposure Therapy Work?

Many types of phobias can be overcome or greatly reduced when the sufferer goes through cognitive behavioral therapy. In this type of therapy, a patient learns to recognize the thoughts causing the negative feelings surrounding their fears. Once these thoughts are identified, the patient learns how to replace those undesirable beliefs with more positive ones.

In-vivo exposure therapy goes hand in hand with cognitive behavioral therapy. With in-vivo exposure, the patient experiences what they fear in a controlled way and in small doses. By taking small steps, they can confront and gradually conquer their phobia.

Virtual reality exposure therapy combines the best of cognitive behavior therapy and in-vivo exposure. It allows people to work through their fears in a realistic environment without actually leaving the comfort and safety of their therapist’s office.

Virtual Reality Therapy

In the case of the fear of flying phobia mentioned above, a patient comes to our office, sits in a comfortable chair, and puts on a pair of virtual reality therapy goggles. In conjunction with coaching from their therapist, they view a simulation of the inside of an airplane’s passenger compartment and can look around to see all aspects of the interior.

The patient not only sees the plane, they also hear the same sounds they would experience if they were really on a flight, such as the flight attendant’s announcement or the rumble of airplane engines. Additionally, our virtual reality therapy chair vibrates with the motion of the plane “taking off” or “flying” to provide an even more convincing simulation.

Even if a person knows the virtual reality program isn’t completely realistic, there is enough realism in it to trigger their emotional responses to their phobia. And, by working through these reactions, in some types of phobias or traumas, nearly 83 percent of people who have tried virtual reality therapy have managed to put their fears behind them.

Virtual Reality Therapy Benefits

Some of the benefits of virtual reality therapy include:

  • Allowing the patient to try the therapy without as much anxiety. For example: in the case of a phobia about flying, it is much easier for someone to agree to try working through their fears in an office than to have to force themselves to physically go to the place they know will bring an emotional reaction.
  • Experiencing the phobia and/or its triggers without taking the time to travel to an actual location. For the fear of flying phobia, you simply sit in a chair, rather than going to the airport numerous times for several small exposures to your triggers.
  • Confidentiality for the patient: you don’t have to face potential embarrassment by running into someone you know or possibly becoming upset in a public area.
  • The therapist can carefully control the situation, meaning if you are afraid of elevators or airplanes, you don’t have to get in one. Virtual reality exposure therapy allows you to feel as if you are in a location, but the therapist can stop the program if you become truly upset.
  • The therapy is more realistic, in that you can go places or experience things you wouldn’t ordinarily be able to (you can’t get on and off an airplane as part of your flying phobia therapy, for instance). That being said, it is much safer than the real-life setting and minimizes any risk involved.
  • Virtual reality exposure therapy sessions are shorter than those that require you to visit an actual site for therapy (so, there is no travel time from the therapist’s office to the airport for our fear of flying scenario.)
  • Sessions can be repeated several times until the patient has conquered that portion of their phobia and is ready to move on to another phase.

Studies show this treatment has a powerful real-life impact and a great track record, over time. Virtual reality therapy has been successful in treating both children and adults for PTSD (post-traumatic stress disorder), social anxiety, panic disorder, anxiety disorder, OCD (obsessive compulsive disorder), and phobias. It is also a very effective tool for treating children who suffer from phobias such as school phobia or sleep fears.

Do You Have Questions About Virtual Reality Therapy?

Virtual Reality Therapy is coming to our practice very soon. For more information or to find out when it becomes available, contact The Center for Treatment of Anxiety and Mood Disorders in Delray Beach, Florida or call us today at 561-496-1094.

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Media-Related Post Traumatic Stress Disorder

Veterans of the Vietnam war have sadly raised our awareness of the existence of Post Traumatic Stress Disorder (PTSD). PTSD is a chronic, sometimes lifelong condition resulting in pathological changes in mood, thinking and behavior. It can be incapacitating and lead to job loss, family turmoil and dissolution, poor quality of life and often suicide.

We now understand that the development of Post Traumatic Stress Disorder has its basis in enduring alterations of brain function, which helps to explain the chronic, persistent nature of this disorder. Treatment can be helpful but frustratingly inadequate. Unfortunately, there is no “magic bullet” medication. Research has supported the use of specific psychotherapeutic protocols but community availability can be a problem.

While PTSD’s origins stemmed from war related trauma, we now understand that a wide spectrum of life stressors can result in this disorder. The twenty-first century has brought terror attacks to the world stage. “Lone wolf” attacks, Islamic terrorism, and most recently, violence against the police have become a national preoccupation. In previous decades, our awareness of Post Traumatic Stress Disorder was based on either our familiarity with individuals suffering from this disorder or the occasional print news article. However, the media technology revolution of our current century has brought us both the blessing and curse of 24/7 connectivity to world and national events.

Post Traumatic Stress Disorder  and Media Coverage of Traumatic Events

For several years, the therapists at the Center for Treatment of Anxiety and Mood Disorders have been very concerned about the repetitive exposure to traumatic life events that people experience via internet and television broadcasts. Recent terror attacks around the world are cases in point, for one cannot avoid the media’s persistent replaying of the visual imagery and dramatic accounts of these human tragedies.

Before the media revolution we learned of traumatic events through the newspaper, the 6:00 pm news, or the news hour on the radio. One only has to recall the steady calm recitation of bad news by the likes of Walter Cronkite and compare it to the present day dramatic and horrifying presentation of similar news stories. Clearly, horror sells and is profitable. We have become captive audiences for this traumatic exposure. To make matters worse, we are transfixed by it and have difficulty “unplugging” ourselves from the TV set or internet.

This brings our therapists to their greatest clinical concern. Repetitive exposure to graphic trauma has an impact on our central nervous systems. Even though we may not be the victim of the terror, we are passively being terrorized. Adults have a greater capacity to process such horror, but imagine the difficulties this creates for our children. Their immature nervous systems and reasoning ability pose significant obstacles for coping with this type of daily non-stop life stress. We fear that we are all becoming victims, in our own way, of the “madness” we are being exposed to.

We have a responsibility to control our children’s exposure to traumatic media and to prevent the damage that can result. As adults, we should heed this advice, as well. Ultimately, we must change the way that public media communicates traumatic events, however, this is easier said than done.

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Complex PTSD

 

The majority of us have heard about PTSD (Post-Traumatic Stress Disorder), the condition that can occur when someone is exposed to a situation over which they had little or no control and from which there was little or no hope of escape. It is often associated with members of the military who have witnessed the horrors of battle, or with people who have endured an extreme physical or emotional trauma. PTSD can occur after experiencing even just one threatening situation, such as being involved in a car accident. But, what about those who have gone through long-term exposure to a continuing, intense level of stress?

Recently, mental health experts have begun to realize there are more layers to the emotional suffering experienced by people who have been through long-lasting stressors like childhood sexual abuse, for example, or years of domestic violence. In cases like these, a PTSD diagnosis partly addresses their condition, but doesn’t adequately define the severe psychological harm that has resulted from the trauma. Therefore, some mental health professionals now believe there should be a new category added to the PTSD diagnosis – one that will encompass this emotional scarring from long-term, chronic trauma: Complex PTSD (C-PTSD).

Even with this new classification, it is important to note that the victims of chronic trauma can have both PTSD and Complex PTSD simultaneously. Here is an easy way to see the differences between the two conditions:

  • A child witnessing the death of a friend in an accident may show some symptoms of PTSD
  • A child who has lived with years of sexual or physical abuse may have symptoms of C-PTSD in addition to PTSD.

CPTSD Symptoms

People who have gone through a long-standing, extremely traumatic situation may exhibit both physical and emotional symptoms related to their ordeal.

Emotional symptoms may include:

  • Rage displayed through violence, destruction of property, or theft
  • Depression, denial, fear of abandonment, thoughts of suicide, anger issues
  • Low self-esteem, panic attacks, self-loathing
  • Perfectionism, blaming others instead of dealing with a situation, selective memory
  • Loss of faith in humanity, distrust, isolation, inability to form close personal relationships
  • Shame, guilt, focusing on wanting revenge
  • Flashbacks, memory repression, dissociation

Victims of C-PTSD may also have physical symptoms, such as:

  • Eating disorders, substance abuse, alcoholism, promiscuity
  • Chronic pain
  • Cardiovascular problems
  • Gastrointestinal problems.
  • Migraines

Help for Complex PTSD

With Complex PTSD, healing cannot happen on its own because the survivor keeps reliving the trauma through flashbacks and dreams. People who suffer from C-PTSD may go for years before making the connection between their symptoms and the chronic stress and trauma they have been trying to cope with. Once they do, healing can begin and many people have been able to overcome their past to find a more meaningful and healthy present.

Cognitive Behavioral Therapy (CBT) has been shown to be highly effective in treating both PTSD and Complex PTSD. This therapy works to change unhelpful thinking and behaviors. It challenges deep-seated patterns and beliefs. CBT therapy helps replace “errors in thinking” (for example: magnifying negatives, minimizing positives, and overthinking) with more realistic and effective thoughts. This serves to decrease both emotional distress and self-defeating behaviors.

EMDR (Eye Movement Desensitization and Reprocessing) is a fairly new therapy that helps specifically in the treatment of trauma recovery and Post Traumatic Stress Disorder/CPTSD. It has been shown to help trauma survivors heal faster than through traditional therapy. In fact, EMDR can be successful in as few as 3-12 treatment sessions. This means that relief from your pain is not only possible but it can be obtained in a relatively short amount of time.

We Can Help

Complex PTSD can be debilitating. Those who suffer from CPTSD may be at greater risk of substance abuse or of deliberate self-harm in order to cope with their emotional pain. We can help! To learn more, contact the mental health professionals at The Center for Treatment of Anxiety and Mood Disorders in Delray Beach, Florida at 561-496-1094 or email The Center today.

 

 

 

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EMDR Therapy Helps Trauma Recovery

Eye Movement Desensitization and Reprocessing (EMDR) is a fairly new therapy that helps specifically in the treatment of trauma recovery and Post Traumatic Stress Disorder (PTSD). PTSD is a disorder that often develops after exposure to a terrifying event or ordeal – one in which intense physical harm occurred or was threatened. PTSD can also result after someone has witnessed an event that is disturbing, distressing, or dangerous. Sufferers of this disorder have persistent, frightening thoughts and memories of their ordeal.

PTSD can be triggered by events such as:

  • Military combat
  • Violent personal assaults
  • Natural or human-caused disasters
  • Car accidents, plane crashes

To understand EMDR therapy, it’s important to first understand how PTSD can impact people. People who have developed this type of disorder often have ‘re-experiencing symptoms’ or exhibit avoidance symptoms, which can include:

  • Flashbacks of the event
  • Nightmares and bad dreams
  • Uncontrollable and frightening thoughts about the event
  • Avoidance of people, activities, or places that remind them of the traumatic experience
  • Severe emotional distress or physical reactions to something that makes them think of the event
  • Irritability, aggressive behavior, angry outbursts
  • Feeling guilt, shame, or worry about the event

What is EMDR?

A great way to understand EMDR is to think through the body’s normal healing process. When you cut yourself, your body works on its own to heal the injury. If the wound is irritated by a foreign object, the abrasion festers and the body is unable to close the wound until the object is removed.

There is evidence to support the theory that the mind works in much the same way. With post traumatic stress disorder, healing cannot happen because the survivor keeps reliving the trauma through their flashbacks and dreams. Those memories are the “foreign objects” that fight the healing process.

Effective EMDR therapy includes some important elements:

  • Processing of the traumatic memory and disturbing feelings
  • Transformation of the painful events on an emotional level
  • Empowerment of the person dealing with PTSD

EMDR therapy also involves using bilateral (both sides of the body) stimulation, such as:

  • Eye movements
  • Physical hand tapping or toe tapping
  • Musical tones

These bilateral stimuli and the guidance of the therapist allow the survivor to tap into the biological mechanisms that come into play during Rapid Eye Movement (REM) sleep. It is believed that this allows the individual to naturally process their memories – effectively removing those “foreign objects” so their mind can heal.

What Does EMDR Therapy Include?

Eye movement desensitization and reprocessing therapy consists of eight therapy phases that are focused around three specific time periods:

  • The past – the event(s) that created or intensified the trauma is identified
  • The present – attention is given to the current situations that are causing distress
  • The future – action is taken to develop the skills and attitudes needed for positive progress

Phase 1: The therapist works with the individual to uncover the incident or trigger event from the survivor’s past that might be relevant for the therapy. This may include not only the traumatic event, but also other incidents from the person’s past. The treatment plan is developed during this stage.

Phase 2: The therapist teaches the individual a variety of stress reduction and imagery techniques that can be used during and between sessions to help them handle their emotional distress.

Phases 3-6: A target memory is chosen and processed using EMDR therapy techniques. In order to start this procedure, the individual must identify the following:

  1. Emotions and physical sensations related to the memory
  2. Visual imagery related to the memory
  3. A negative belief about themselves that is related to their distress
  4. A positive belief they’d like to have

The therapist asks the individual to rate the strength of the negative and positive beliefs they choose. Then, the person is instructed to focus on the imagery, negative thoughts, and body sensations they relate to the target memory while the therapist directs them in performing the bilateral stimulation that is the hallmark of EMDR therapy. These steps are done repetitively in ‘sets’, with the survivor rating the strength of the negative beliefs after each set. Once the person no longer reports distress related to the memory, the therapist will repeat the process while focusing on the positive belief previously identified.

Phase 7: This is the closure phase, where the trauma survivor keeps a log of any lingering negative thoughts or emotions that come up throughout the week. By reviewing the person’s journal of their negative emotions or thoughts, the therapist gains information to help the individual continue to work through their pain while reminding them of self-calming techniques learned during therapy.

Phase 8: In this final phase, the therapist and patient examine the progress made during previous sessions.

How to Get Help

One of the benefits of EMDR is that it has been shown to help trauma survivors with post traumatic stress disorder heal faster than through traditional therapy. Look at these amazing results:

  • One study revealed 84%-90% of single-trauma victims no longer had PTSD after only three 90-minute sessions
  • Another study, funded by the HMO Kaiser Permanente, found that 100% of the single-trauma victims and 77% of multiple trauma victims were no longer diagnosed with PTSD after six 50-minute sessions
  • A third study showed that 77% of combat veterans were free of PTSD in 12 sessions

This means that relief from your pain is not only possible but it can be obtained in a relatively short amount of time. If you or someone you know is suffering from PTSD, seeking professional help can be the most direct path to reclaiming your life.

Learn More

For more information about EMDR and how EMDR therapy can help you or a loved one overcome trauma and PTSD, contact The Center for Treatment of Anxiety and Mood Disorders in Delray Beach, Florida or call us at 561-496-1094.

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Resilience Training

Why is it that some people seem to take life’s challenges in stride, while others fall apart at the least little thing? Haven’t you noticed that some people just ooze grit and determination and others give up after the tiniest failure? You might think this is because certain people have more dominant personalities or may be emotionally stronger than others, and you may be correct in some cases. Some people who seem so strong, however, have gotten that way because they have actually been taught to use coping tactics that allow them to better handle depression, stress, and anxiety. These people have gone through resilience training.

Resilience Definition

According to the Mayo Clinic, “Resilience is your ability to adapt well and recover quickly after stress, adversity, trauma or tragedy. If you have a resilient disposition, you are better able to maintain poise and a healthy level of physical and psychological wellness in the face of life’s challenges.”

When you have emotional resilience, you can look at problems as being temporary and something that can be changed. You can also perceive adversity not as catastrophic, but as something that can have positive aspects: resiliency means you “look on the bright side” of a problem. For those who don’t come by this mental fortitude easily, resilience training can be used to minimize negative thoughts and help you learn ways to bounce back effectively from life’s setbacks.

One thing to keep in mind – being resilient does not mean that you will go through your life without experiencing grief, loss, and painful events. Instead, understand that suffering and personal growth can exist side by side when you learn to work through the emotional effects of adversity.

Besides thorough training, emotional resilience can come from:

  • Having close relationships with family and friends
  • Feeling like you are in control of a situation
  • Having confidence in yourself, knowing your strengths
  • Keeping a positive outlook – looking for the positives, in spite of your difficulties
  • Not seeing yourself as a victim
  • Good problem-solving skills
  • The ability to manage strong feelings and impulses
  • Being able to let others help you and being able to help others
  • Being able to look for and use resources
  • Coping with stress in healthy ways and avoiding harmful coping strategies, such as substance abuse

What Will You Learn in Resilience Training?

If you would like to learn to be more emotionally resilient, resilience training programs can help you:

  • Identify ways to respond positively to the pressures and demands of work, finances, and other stressors
  • Learn techniques to manage risks
  • Gain tips for developing your natural strengths
  • Find ways to identify the opportunities that can come from challenges and setbacks
  • See the relationship between performance, work pressure, personal well-being, and resilience
  • Practice techniques for promoting long-term behavior and attitude for developing resilience
  • Develop creativity and problem solving methods
  • Learn relaxation and stress management techniques

Resilience training can help you learn how to have a more positive outlook in the face of adversity. It can teach you methods for doping in a healthy way when life throws you a curve ball. Without these skills, there can be a tendency to feel overwhelmed by challenges or to dwell on problems, which could lead to anxiety or depression.

For example, resilience training has recently been implemented by the United States military to help soldiers learn to analyze and overcome their emotions and beliefs about failure so they can become tough in mind, as well as body. The military program helps participants learn to look more positively at situations and not to jump to conclusions or judge others too quickly.

In other programs, humanitarian aid workers across the globe have learned to cope with the chronic stress of living in conflict or disaster zones and caring for those in traumatic situations. Aid workers often work under unique pressures and can suffer from post-traumatic stress disorder (PTSD), depression, and anxiety. Resilience training helps them build coping skills so they can better manage their stress.

Have Questions? We Can Help!

If you are someone who often dwells on problems, tends to assume the worst, or feels overwhelmed much of the time, resilience training can help you decrease your stress and give you a better quality of life. For more information, call Dr. Andrew Rosen and The Center for Treatment of Anxiety and Mood Disorders in Delray Beach, Florida at 561-496-1094 or contact Dr. Rosen and The Center today.

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EMDR Treats Past Traumas and Post-Traumatic Stress Disorder

We’d all like to think that the world is a nice place; we hope that everything will always be easy for us and for those we love. Unfortunately, the reality of life is that sometimes bad things do occur to people. When traumatic events happen, they can sometimes bring out an emotional response in people that can make the situation or similar situations difficult to cope with. Generally, this response goes away on its own, but when the emotional response becomes a long-term reaction that affects the person’s daily life, we see the beginnings of Post-Traumatic Stress Disorder.
           
Fortunately, there are many therapeutic options available for people who have suffered from an emotional trauma. One such treatment is EMDR, or Eye Movement Desensitization and Reprocessing. EMDR is a comprehensive approach to psychotherapy that contains elements of several types of therapy, including:

EMDR deals with the past traumatic experience(s) that set the groundwork for the pathology, current situations, and the triggers that bring on negative reactions from the sufferer. EMDR therapy also addresses the positive experiences and beliefs that are needed to enhance the patient’s future mental health and behaviors. EMDR is an 8-phase program primarily based around information processing therapy. The 8 phases include:

  • Phase 1 – This phase is a history-taking session. The client identifies situations that may have led to the trauma and learns skills and behaviors necessary for the rest of the treatment.
  • Phase 2 – This phase focuses on coping methods and on ensuring the client is stable and ready for the rest of the treatment.
  • Phase 3-6 – These phases address external stimulus combined with a focus on the strongest visual memories related to the trauma, on negative beliefs about self, on related emotions, and on body sensations. The client also identifies a preferred positive belief to replace the negative ones.
  • Phase 7 – This is the Closure phase. The client is asked to keep a journal of further negative responses that may occur and works on maintaining the positive skills and behaviors they have learned.
  • Phase 8 – This phase is a re-evaluation of previous work to ensure that all related events, as well as the current and future triggers for trauma-related stress have been addressed.

     
If you or someone you know suffers from a past trauma, EMDR can provide a much shorter recovery time than many therapies of the past. But it requires you to take quick action, before the problem gets worse!

For more information on EMDR treatments for traumas and post-traumatic stress disorder, contact Dr. Andrew Rosen and The Center for Treatment of Anxiety Disorders in Delray Beach, Florida at 561-496-1094 or email Dr. Rosen and The Center today.

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PTSD Symptoms Rise After Hurricane Sandy – Even in South Florida

In the aftermath of Hurricane Sandy, the Northeast is struggling to return to normal. As of November 1, 2012, it was reported that nearly 650,000 people were still without power, looters were ravaging the streets, the U.N. Headquarters in New York was severely damaged, and the subway systems had been shut down, among other things.

Fortunately, most damage will be repaired. It may take time, but eventually all power will be restored, the U.N. building will be repaired, crime will be taken under control, and the subway systems will be operating at normal capacity. But what about the lingering psychological effects a storm of this power can have?

PTSD (Post Traumatic Stress Disorder) incidents often flare up after a traumatic event like Hurricane Sandy, even for people living far from the affected area. South Florida is a prime area for PTSD reactions due to its frequent close encounters with hurricanes. PTSD symptoms often appear immediately but, in some cases, may take a while to manifest. No matter when they appear, though, PTSD symptoms have been known to linger for long periods of time, during which this disorder can have a dramatic effect on the daily lives of its victims.

Some PTSD stress symptoms that hurricane victims might experience include:

  • Trouble sleeping
  • An acute stress reaction, such as being easily startled or frightened
  • Trouble concentrating
  • Flashbacks to the hurricane
  • Feeling emotionally numb
  • Unsettling dreams related to the storm
  • Self-destructive behavior
  • Overwhelming guilt or shame
  • Angry outbursts
  • Memory problems
  • Avoidance behavior, such as keeping away from places, events, or objects that are reminders of the storm

If you or someone you know is experiencing PTSD symptoms like these it’s important to seek treatment as soon as possible because the sooner treatment begins the easier it is to keep the disorder under control and work toward relief. Delaying treatment of PTSD symptoms can mean that the PTSD can become so severe the victims could end up harming themselves or others.

Treatment for PTSD symptoms may include psychotherapy, cognitive behavioral therapy, and/or medication. Psychotherapy will allow victims the opportunity to discuss the hurricane and related events, while learning ways to manage their symptoms. Cognitive behavioral therapy will help people recognize and adjust trauma-related thoughts and beliefs in a more positive way. In some cases, medication may be used in combination with these other therapy techniques. Above all, therapy helps the person understand that a disorder like PTSD develops because of the extraordinary stress they have experienced, not because of their own weakness.

For more information on PTSD and for help and treatment of PTSD symptoms in the Boca Raton, Florida area, contact Dr. Andrew Rosen and The Center for Treatment of Anxiety and Mood Disorder. You can reach us by calling 561-496-1094 or by emailing Dr. Rosen and The Center today.

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Bin Laden’s Death And Post Traumatic Stress Disorder

In recent days, the nation has been captivated by the shocking news that Osama bin Laden, the al-Qaeda leader responsible for planning the 9/11 attacks on the World Trade Center and the Pentagon, was killed by an elite team of U.S. Navy SEALS. September 11, 2001 will stand in memory as one of the most horrific events to take place on American soil. It has been responsible for one of the largest epidemics of post traumatic stress the United States has ever seen and the news of bin Laden’s death is sure to have an impact on that.

To understand the affects of this news, you must first understand the basics of Post Traumatic Stress Disorder (PTSD). Trauma occurs when a person has experienced, witnessed, or been confronted with a terrible event or injury. The threat of a life or death situation to themselves or others can produce the same result. Of course, it is normal to experience a strong reaction after such an event but when Post Traumatic Stress Disorder occurs, it is because the victim has experienced PTSD symptoms for at least a month with dramatic impact to their everyday life.

The symptoms of PTSD include:

  • Re-experiencing the trauma
  • Persistent avoidance
  • Increased state of arousal

Now, with the death of Osama bin Laden, there is a complicated array of emotions that may affect victims of Post Traumatic Stress Disorder in a multitude of ways. For some, it may:

  • Dredge up old feelings and the risk of a relapse
  • Heighten their PTSD out of anxiety that bin Laden’s death could provoke retaliation from radical Islamic groups
  • Bring a sense of closure similar to hearing a guilty verdict at a murder trial

No matter what side of the coin you’re on, the good news will always be that PTSD can be controlled with the proper treatment. Treatment may include individual psychotherapy, Cognitive Behavior Therapy, medicine, or peer group support. If you or someone you know is suffering from this disorder, seeking help can get you back on the path to a normal life.

For more information and help for Post Traumatic Stress Disorder in the South Florida area, contact Boca Raton Post Traumatic Stress Disorder therapist Dr. Andrew Rosen at 561-496-1094 or email him today.

 

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