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Reply to "Building the case for change: Surveying primary care practices in trauma screening"

Incomplete answer, to be sure:

There are 6 randomized controlled trials showing that EMDR is effective treatment of chronic pain, and one for somatic experiencing that I know of.  We have a long way to go to more clearly define which treatment suits which patient...but my anecdotal experience these past 20 years is that somatic experiencing completely changed the game for several hundred patients.  SE was our go to because SE was what was most available.    My colleagues in trauma psychiatry insist that for complex trauma (repetitive developmental trauma) SE is best.  But where is the research? 

Addressing grief and social isolation is important as well.  And getting people moving during this treatment is important,,,there is evidence that exercise improves PTSD treatment outcomes and there is some mechanistic data that support it - showing increases in transcription factors in the CNS with exercise.  In my opinion, we have a long way to go.  Yet the funding for research in this area is sparse according to my neuroscience and epidemiology colleagues.  Back to the need to demonstrate the magnitude of the problem...

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