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Vagus Nerve Stimulation Erases PTSD: Study

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Re: Vagus Nerve Stimulation Erases PTSD: Study

#51
post #16

Any hope to treat tinnitus? :-\

There with you:( ... and actually, scheduled to get that "Lenire" device in a couple of weeks. Hope works

It seems like a more effective bimodal stimulation device is winding its way through the FDA: https://www.reddit.com/r/tinnitus/comments/1d0it8b/comment/l...

The results are very promising, but it's sure taking its time getting approved.

Re: Vagus Nerve Stimulation Erases PTSD: Study

#52
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…

That’s interesting. I have the problem of being tense in the passive state, and I find doing heavy exercise to exhaustion has helped me the most.

Re: Vagus Nerve Stimulation Erases PTSD: Study

#53
EMDR by someone well-trained and experienced in doing that specifically for PTSD is something I’m more familiar with as a treatment. I think the trick with these treatments is that you need a good therapist with past experience helping people get through it. PTSD is not something you want to mess with if you don’t know what you’re doing as triggering could be dangerous.

Re: Vagus Nerve Stimulation Erases PTSD: Study

#54
post #4

Just 9 patients. :-(

It is quite normal to start with small groups for economic reasons. If the first results look promising, you can scale up. If they are a wash, you haven't spent too much money on chasing yet another placebo.

The problem is that invasive novel treatments like this always have a large placebo effect, so not doing a placebo controlled trial is essentially a waste of time and money.

Re: Vagus Nerve Stimulation Erases PTSD: Study

#56
post #41
post #10

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

Purely anecdotal, but EMDR was not helpful for me. I’d heard many good things about it and had high hopes, but found it somewhat counterproductive. I think this somewhat depends on the nature of the trauma leading to the PTSD (e.g. a one time major event vs. complex trauma over an extended period). I was dealing with the latter.

EMDR has been shown in many studies that it can be highly effective also for complex PTSD, see eg. a recent meta-meta-study ( https://doi.org/10.1016/j.janxdis.2025.103017 ). It very much and more depends on the relationship with the therapist, and how they integrate EMDR in a "complete" therapy. EMDR is a technique that can be used in many ways, not a full-fledged form of therapy.

Re: Vagus Nerve Stimulation Erases PTSD: Study

#57
post #10

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

It may work, but there's essentially no evidence in the medical literature that it does.

It is one of the few forms of PTSD therapy where there is plentyful research about its effectiveness? In Germany, it is basically the only trauma processing technique covered by health insurance, because of its proven track record.

see e.g. Psychological interventions for adult posttraumatic stress disorder: A systematic review of published meta-analyses (2025) https://doi.org/10.1016/j.janxdis.2025.103017

State of the science: Eye movement desensitization and reprocessing (EMDR) therapy (2024) https://doi.org/10.1002/jts.23012

Re: Vagus Nerve Stimulation Erases PTSD: Study

#58
post #51

Earlier quoted context omitted.

There with you:( ... and actually, scheduled to get that "Lenire" device in a couple of weeks. Hope works

It seems like a more effective bimodal stimulation device is winding its way through the FDA: https://www.reddit.com/r/tinnitus/comments/1d0it8b/comment/l... The results are very promising, but it's sure taking its time getting approved.

Wow, a big thanks on this! Will enroll on the device's email list, appreciated!!

Re: Vagus Nerve Stimulation Erases PTSD: Study

#59
post #36

I don't know how I feel about this. The nature of PTSD is that you have a true memory, that the event happened. Imagine if I tell you, 9/11 was real and it happened, but from now you will never feel any feeling about it. What exactly did we accomplish here? The bombings in Gaza are real, but from now on, you will feel nothing about it. You see? It reads like a dystopia. There's an obsession with erasing the past and…

Stabilization is a crucial pillar in order to face the traumatic memories and process them. You cannot face the memories without it; any attempt to do it without stabilization training would be ill-advised; actually, PTSD as diagnosis is "proof" that it's too overwhelming for the patient. The goal is not to "zap" memories but to relax the nervous system and to anchor patients sufficiently in a "safe present" so one can then use techniques such as EMDR/hyponosis etc to unpack the trauma, step by step, without getting flooded and potentially retraumatized.

Even the sensationalist headline talks "merely" about "erasing" PTSD: the stress disorder -- NOT the memories.

Until full processing and integration (which can take years, decades!), traumatic memories are LIVE and unprocessed memories; they are re-experienced as if it was happening NOW; again and again (see e.g.: fMRI studies show that they activate brain regions responsible to process the present, in stark contrast to normal memory recall). This is not comparable to "being reminded about a past event and having strong feelings about it". That is the goal. Not erasure as if nothing ever happened.

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