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Vagus Nerve Stimulation Erases PTSD: Study

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Re: Vagus Nerve Stimulation Erases PTSD: Study

#22
post #5
post #4

Just 9 patients. :-(

Isn’t that fairly common for the first round of human testing for novel treatments like this? I could certainly understand wanting some small scale reassurance that a wider study won’t be throwing good money after bad.

And, as in study notes, to prioritize understanding safety with this population before worrying about efficacy.

Re: Vagus Nerve Stimulation Erases PTSD: Study

#23
post #10

Why not use EMDR instead? https://en.wikipedia.org/wiki/Eye_movement_desensitization_a...

None of these treatments has a 100% success rate. You can try EMDR on Youtube and if it worked all the time, psychiatrists would be out of a job.

Not all licensed therapists or psychiatrists provide EMDR. Or did you mean psychiatrists specifically as they prescribe ssri’s?

Re: Vagus Nerve Stimulation Erases PTSD: Study

#24
I don’t think there is clinical level evidence for it, but there’s this thing called Trauma Releasing Exercise which apparently some people swear by. The idea is that you do extremely taxing, high neuromuscular-recruitment static holds etc - til the point of total muscle control loss that turns into widespread trembling. I would speculate that if a big part of feeling bad is getting stuck in a state where tension becomes a problematic passive default state that is hard to get out of, that a short, hard ‘nudge’ in the form of overwhelming exertion might be enough to ‘reset’. All speculation until proven though.

What’s interesting about the origins of the technique is that the guy thought of the possibility that adults learn to suppress visible trauma reactions - uncontrolled shaking, etc - whereas children and animals wouldn’t, and for whatever reason they would also be able to return to normal more quickly. He wondered if maybe that there was a tangible benefit to the shaking itself, in that it could help perturb out of the traumatized state itself.

Re: Vagus Nerve Stimulation Erases PTSD: Study

#25
post #10

Why not use EMDR instead? https://en.wikipedia.org/wiki/Eye_movement_desensitization_a...

From wikipedia:

EMDR has been characterized as pseudoscience, because the underlying theory and primary therapeutic mechanism are unfalsifiable and non-scientific. EMDR's founder and other practitioners have used untestable hypotheses to explain studies which show no effect.[55] The results of the therapy are non-specific, especially if directed eye movements are irrelevant to the results. When these movements are removed, what remains is a broadly therapeutic interaction and deceptive marketing.[52][56] According to neurologist Steven Novella:

    [T]he false specificity of these treatments is a massive clinical distraction. Time and effort are wasted clinically in studying, perfecting, and using these methods, rather than focusing on the components of the interaction that actually work.[57]

Re: Vagus Nerve Stimulation Erases PTSD: Study

#26
post #24

I don’t think there is clinical level evidence for it, but there’s this thing called Trauma Releasing Exercise which apparently some people swear by. The idea is that you do extremely taxing, high neuromuscular-recruitment static holds etc - til the point of total muscle control loss that turns into widespread trembling. I would speculate that if a big part of feeling bad is getting stuck in a state where tension bec…

Wow, this makes a lot of sense. Nothing like a super intense workout to relieve stress. I need a short one every night after a long day. Feels like it erases all the crap I went through during the day.

Re: Vagus Nerve Stimulation Erases PTSD: Study

#28

My friend’s startup is doing great stuff in this space to make a VNS device for consumers. https://zenbud.health/

I'm skeptical of these devices that say they are safe based on CE or FCC testing. (zenbud says it has been CE tested). That's consumer product testing, not health-device testing; I would like to see some evidence that long-term use of a nerve stimulation device causes no long term damage. I don't believe that CE or FCC tests show that. It's disingenuous to have a press release saying "Yay! We passed CE testing!" as if that was like FDA approval.

Re: Vagus Nerve Stimulation Erases PTSD: Study

#29
post #24

I don’t think there is clinical level evidence for it, but there’s this thing called Trauma Releasing Exercise which apparently some people swear by. The idea is that you do extremely taxing, high neuromuscular-recruitment static holds etc - til the point of total muscle control loss that turns into widespread trembling. I would speculate that if a big part of feeling bad is getting stuck in a state where tension bec…

In the last few years I've definitely learned I get some sort of "release" from practicing/holding handstands and other hand/arm-balancing moves and, later, (less so, but with less weird looks from people) from yoga balances (tree, warrior 3, eagle, [revolved] half moon, dancer).

Re: Vagus Nerve Stimulation Erases PTSD: Study

#30
post #10

Why not use EMDR instead? https://en.wikipedia.org/wiki/Eye_movement_desensitization_a...

None of these treatments has a 100% success rate. You can try EMDR on Youtube and if it worked all the time, psychiatrists would be out of a job.

Yeah I said it was dhit when my ex-wife said she was going to do it, but it definitely did something.

And I am well aware of the placebo effect.

But just because something is not provable or falsifiable under current scientific knowledge, it does not mean it is neccesarily quackery, there's a Venn diagram there where some things may be effective.

Automatically discarding something that even occasionally gets results, because it doesn't fit current "knowledge" is the height of arrogance.

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