Freedom Psychiatry Blog

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January 23, 2019 Psychiatry

Is trauma really about personal resilience?

How much vs. how little exposure?

Are some people just stronger than others in the wake of trauma?

Understanding Small Ts and Large Ts

The truth is, someone doesn’t have to experience an overly distressing event in order for it to affect them deeply. In fact, the build up of smaller, everyday experiences can really take a toll. Trauma, whether big or small, can linger and affect your everyday life.

The “Large Ts” are usually the experiences most people think about when it comes to trauma. Military combat, sexual abuse, and natural disasters are commonly fall under the category of “Large Ts”.  These types of trauma are the ones often associated with PTSD and leave people feeling powerless.

On the other hand, “Small Ts” can also interfere with your mental wellness. They too can disrupt emotional functioning and cause people to feel depressed and hopeless. Small traumas include situations such as family conflicts to financial stress, or divorce/ infidelity. Small traumas can accumulate and take an even bigger toll over time.

Who Gets PTSD & Who Doesn’t?

PTSD is a complex diagnosis. Trauma affects people differently. Factors like your past, perception of the event, and personal tolerance all matter. Also, not all combat service members are diagnosed with PTSD. The difference between developing trauma-related symptoms (or not) also has to do with how individuals process the trauma. Avoidance can lead to PTSD which is why it’s so important to heal.

Whether large or small, the way you perceive trauma is not a sign of weakness. Your journey to healing starts with self-love and acceptance. Dr. Madaram has a special interest in military personnel and veterans who suffer with depression, anxiety, PTSD and other disorders that interfere with their lives. He’s here to help you heal from all types of trauma in order to live your best life. Call today 919-802-1417


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January 18, 2019 Psychiatry

Post Traumatic Stress Disorder (PTSD) is a disorder that develops in those who’ve experienced trauma, a dramatic situation, or dangerous event. It’s natural to feel scared, shocked, and anxious after a traumatic event. In fact, the body’s ‘flight-or-flight’ response is meant to protect a person from harm.

There’s a wide range of reaction to trauma.

A lot of people recover from trauma naturally but, for those who don’t, PTSD might develop. Unfortunately, there’s a lot of misconceptions surrounding PTSD and those who suffer. Here’s what you need to know.

Time Heals All

Trauma Trauma can linger for decades beyond the initial experience. It can interfere with your daily life and growth. For some, untreated trauma can become part of their identity over the years. Someone with symptoms of PTSD should not rely on time as a healing mechanism.

Only The Weak Develop PTSD

This couldn’t be further from the truth. Though it’s unknown why some people develop PTSD and other don’t, inner strength has nothing to do with it. PTSD is a disorder that should be treated by a qualified professional.

I Should Be Able To Control This Alone

Wrong! This type of thinking adds to the stigma surrounding mental health conditions. You wouldn’t hesitate to see a doctor for a broken ankle, and you shouldn’t hesitate to get help for PTSD either.

Certain groups are more reluctant to reach out than others-especially men. No one should suffer alone. Dr. Madaram is a member of the military himself. He has a special interest in military personnel and veterans who suffer with depression, anxiety, PTSD and other disorders that interfere with their lives.


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December 12, 2018 Psychiatry

Like any other health condition, anxiety looks different from person to person. Sometimes, it’s hard to recognize the signs of anxiety… Was it just a bad day or something more?

Anxiety is more than just being stressed or worried. And, for the 40 million adults who suffer each year, it can be debilitating. Here’s a break down of the different types of anxiety and how they might appear in daily life.

Generalized Anxiety Disorder

Defined by long periods of excessive worry over daily life. A person suffering from GAD worries about a lot of different things and feels anxious most days. Common causes of GAD include everything from genetics to trauma.

Symptoms of GAD: restlessness, anxious thoughts, overwhelm, irritability, and trouble concentrating.

Social Anxiety Disorder

Social anxiety is an intense fear of being criticized or embarrassed even in everyday situations. It might prevent you from attending events and enjoying life.

Symptoms of SAD: Social withdraw, loss of interest, eating in public, making small talk and being in crowded public spaces.

Phobias

Phobias can leave people feeling very fearful about a particular object or situation. Most commonly, a person suffering from a phobia will go to all costs to avoid exposure. There are MANY types of phobias and fears.

Panic Disorder

Panic Disorder causes panic attacks. These intense and often uncontrollable feelings of anxiety can also cause physical symptoms.Untreated Panic Disorder can be crippling.

Symptoms of Panic Disorder: Shortness of breath, chest pain, dizziness and excessive perspiration, and stomach pains.

If anxiety is controlling your life, give Dr. Madaram a call today at (919) 802-1417. He’ll help you get back on the path to wellness and eliminate anxiety in your life.


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November 28, 2018 Psychiatry

Social Anxiety is hard to deal with anytime of year, but the holidays can add extra stress to the disorder.

Holiday parties increase the pressure to socialize….what will people think?

Overcrowded rooms, theaters, and malls can trigger panic…. what if something bad happens?

The list goes on and on. And, to those who suffer, social anxiety can build to more than just being shy or nervous. Social Anxiety Disorder affects more than 15 million adults in the US alone. Luckily, there are some ways you can get out this holiday season without letting your anxiety set in.

Find Support

Consider bringing a friend or loved one along for support. Large gatherings are a staple of the season. Ask a trusted person to join you who understands your difficulty in socializing. Their emotional support can help ease your anxiety by providing a buffer if things get difficult.

Pinpoint Your Anxiety

Think about what’s actually making you anxious. Is it a certain person? A place? A scenario? If you can pinpoint the source of your anxiety, you can create small, attainable goals. Don’t take on too much at once. Instead of committing to the entire party, make it a goal to stay for an hour.

Build Your Confidence

Often times, people with social anxiety worry a lot about what other people think. Are they judging me? …..What if I embarrass myself in front of everyone? Try erasing negative thoughts by building your self-confidence. Do something for YOU as an act of self-care. Remember to love yourself, first.

As with any disorder, there are so many levels of severity. Sometimes, social anxiety can lead to withdraw and other life-changing symptoms.

If you or a loved one struggles from social or any form of anxiety, Dr. Madaram is here to help you create a path to wellness. Don’t let another holiday season go by! Call Today


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