Getting to the Core About Our Healthcare System, Mood Disorders and Cost: Anywhere from 8-25% (studies from CDC) confirmed childhood abuse. Admittedly, some MDs believe about 80% of their patients are directly in this group now. Impacting future early onset adulthood diseases and doubling mood disorders with poor response to treatment. A broad topic but true Pandemic if 1 in 4 are at risk for mood disorders thus increased medical disorders (bigger than genes effect)…
There are no treatment trials to specifically address a patient’s childhood trauma because they often get eliminated or segments with poorer outcomes risk elimination from trials (sort of like pregnancy and it falls through the cracks)
Without a separate category like developmental trauma disorder (not in dsm) they will do poorly on most psychiatric medications! Post traumatic stress disorder is insufficient disorder because it doesn’t encompass long lasting (25 years+) changes in structures of the brain and functions of the body
(Rough / I apologize but based on Stephen Strakowski MD Senior Associate dean Dell Med school, Drs E Lippard, and Dr c Nemeroff)
Thank you to them and ACE Study developer from Kaiser in mid 80’s Dr F. !
I’m sure they’d agree I’ve tackled too big a topic yet needs discussion to keep going. THIS IS NOT BLAMING YOUR MOM AND DAD-NEVER ENDING CYCLE OF GENERATIONAL TRAUMA SO PASSING THE BUCK WILL NOT DO- I assure you and I’m confident it won’t help the big picture
neurological and immune mechanisms plus hypothalamic pituitary adrenal stress response systems are all damaged. (longitudinal studies suggest changes in the brain really can predict future mood symptoms, severity and reoccurrence)