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Trauma & Stress Response / PTSD

PTSD

A careful clinical evaluation provides insight and clarity on ptsd. Diagnosis and treatment depend on a thorough understanding of your history, biology, and environment. We emphasize an evidence-based approach to finding sustainable relief.

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Comprehensive clinical assessment framework
Therapeutic and behavioral intervention planning
Individualized medication review when appropriate

Overview

Posttraumatic Stress Disorder (PTSD) is a psychiatric condition that can develop after experiencing or witnessing a traumatic event. It's a neurobiological response involving changes in the brain and stress hormone systems, not a sign of weakness. Symptoms fall into four clusters: reliving the trauma, avoidance, negative changes in mood/thinking, and changes in arousal/reactivity.

How it's diagnosed

Diagnosis is a clinical process based on a structured interview and timeline. A clinician assesses qualifying traumatic events and evaluates symptoms across the four clusters, often using tools like the PCL-5. Medical contributors and co-occurring conditions (depression, anxiety, substance use) must be considered.

Non-medication strategies

Psychotherapy is the primary and most robustly supported treatment. Trauma-Focused Cognitive Behavioral Therapy (TF-CBT), Prolonged Exposure (PE), Cognitive Processing Therapy (CPT), and EMDR have strong evidence. The therapeutic relationship and active engagement are central.

Medication strategies

Medication is generally adjunctive. The FDA has approved SSRIs like sertraline and paroxetine, while SNRIs like venlafaxine are also recommended first-line alternatives. Prazosin may be used for nightmares. Benzodiazepines are not recommended due to their interference with fear extinction.

Get clarity on your symptoms

Rebu is preparing to launch in New York. Connect with our team for availability updates and next steps.

Related concerns

Symptoms often intersect across domains. You may want to explore these related areas:

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Explore evidence-based psychiatric guidance for behavior & impulse control. Rebu offers comprehensive evaluations and ongoing care with our physician-led telehealth team.

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Complex & Overlapping Presentations

Navigating diagnostic uncertainty, nuanced medication questions, and intersecting symptoms through deep, context-driven psychiatric evaluation.

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Selected Sources & Clinical Disclaimer

These pages are educational only and are not a diagnosis, medical advice, or a substitute for a clinician’s evaluation. Diagnosis and treatment depend on history, symptom duration, impairment, safety risk, medical factors, medications, substances, and clinician judgment. If someone is in crisis, they should call 911, 988, or go to the nearest emergency room.

Information informed by guidelines and literature from:
• National Institute of Mental Health (NIMH)
• VA/DoD Clinical Practice Guidelines
• NICE Guidelines (UK)
• National Center for PTSD
• SAMHSA

Rebu

Physician-led telehealth psychiatry and coordinated support for prescribed long-acting injectable care. Serving patients and partners across New York.

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LAI service eligibility. Rebu coordinates at-home administration for eligible patients with a valid prescription and delivered medication. Rebu does not replace your prescriber or pharmacy. Medication and other healthcare costs may still apply.

* Appointment availability varies by provider and insurance plan. Rebu does not provide emergency psychiatric services. If you are experiencing a medical or mental health emergency, call 911 or go to the nearest emergency room.

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