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Psychological Specialists (Heavy WIP)

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During your time as a Psychological Specialist you’ll be met with all sorts of different disorders and mental issues. This page will be a guide on how to identify, diagnose and treat these issues. 




First off, and most likely to be seen is PTSD. Post Traumatic Stress Disorder occurs when a person is exposed to particularly traumatic events. Most commonly in the Mobile Infantry, the event being warfare, death or severe injuries.


PTSD can be identified via several symptoms. Such as: 
Pounding heart, nausea, sweating or tensing up when reminded of the event. 
Irrational and intense signs of fear. 
Outbursts of anger. 
Low tolerance to noises. Being jumpy or easily startled. (Flinching at doors slamming.)
Struggling to concentrate. 
Getting emotional or crying easily.  
Panic attacks/anxiety/depression or mood swings. 
Difficulty sleeping. 
Visibly tense.
Being constantly alert. 
Suffering from vivid nightmares or flashbacks.
Feeling suicidal or self harming/having self-destructive tendencies. 
Feeling distrustful or suspicious/blaming other people. 
Guilt/shame/embarrassment or self blame.
Addictions/misuse of alcohol/drugs or food.
Overreacting to minor situations. 
Scared of being alone or being in crowds.




The simplest and often best treatment for PTSD is medication. The goto here is Antidepressants. However, it is best to go with a select few designed specifically for PTSD, such as paroxetine and sertraline.
However, mirtazapine, amitriptyline and phenelzine have also been found to be effective and may be recommended as well, though not before paroxetine or sertraline. 
Should these fail, the patient can be prescribed to Amitriptyline or phenelzine, however, these should ONLY be prescribed under the constant supervision of a mental health specialist. 
There is also TFCBT (Trauma Focused Cognitive Behavioral Therapy) which is a talking based psychotherapy or counselling that aims at addressing the needs of people with PTSD and other difficulties related to traumatic life events.





Another thing that one may encounter is Depression. This can be caused be the loss of friends or loved ones or someone could simply suffer from it prior to enlistment.


Ways to identify depression are as follows:
Feeling numb, empty, suicidal or isolated. 
Being easily moved to tears/overly emotional. 
Avoiding people or places. 
Feeling distrustful or suspicious. 
Misuse of drugs, alcohol or food.
Mood swings. 
Having anxiety or panic attacks. 



There are abundances of different treatments to treat depression. The first one we will discuss is SSPI. (Selective serotonin reuptake inhibitors) SSPI is the most commonly prescribed types of Medication. These involving some of the most common ones like Fluoxetine (Prozac), Citalopram (Cipramil), Paroxetine (Seroxat) and Sertraline (Lustral).
These are the goto drugs to prescribe to people. 

However, there is also other forms of treatment like Therapy such as CBT. (Cognitive Behavioural Therapy) Which is, in short, a talking therapy that can help you manage your problems by changing the way you think and behave. 
It's most commonly used to treat anxiety and depression, but can be useful for other mental and physical health problems.





Another thing you will have to deal with is Grief. Grief is, for the most part, solely caused by death of someone.


Grief can be identified by a number of symptoms, these being:
Feeling easily overwhelmed.
Relief. (If they feel the person has been suffering and is at peace after death, the patient may feel relief. This is normal. Do not let them feel guilty for feeling this way.)


Physical symptoms may be:
Difficulty sleeping.
Loss or increase in appetite. 
Feeling drained or having no energy.
Being prone to picking up minor bugs or illnesses. 




To help with Grief, usually the best course of action is to talk with the patient. Look out for signs of other disorders, such as Depression. Look out for these issues and then treat them accordingly. 





Anxiety is one of the other major mental disorders you will probably encounter in your time as a Psychological Specialist.


Anxiety can be identified by a list of symptoms, such as:
Panic, fear and uneasiness. 
Sleeping problems. Being unable to sleep or trouble staying asleep. 
Not being able to stay calm and still. 
Cold, sweaty, numb or tingling hands or feet. 
Shortness of breath.
Dry mouth.
Visibly tense. 
Heart palpitations. (Heart skipping a beat, heart is racing, pounding or fluttering.)




Anxiety can be treated in a number of ways, much like Depression. So much so that some treatments may cross over. Such as CBT. (Cognitive Behavioural Therapy) Which is, in short, a talking therapy that can help you manage your problems by changing the way you think and behave. 
It's most commonly used to treat anxiety and depression, but can be useful for other mental and physical health problems.

Anxiety can also be treated by various medications, such as: Fluoxetine (Prozac), Citalopram (Cipramil), Lorazepam (Ativan), and Sertraline (Lustral). There are various others but these should be your goto medications to use. 




Do keep in mind that while it is your job to talk to patients and identify what is troubling them, sometimes you may find that a patient does not want to open up or talk. You can not force them to talk to you or open up. If they do not want to, that is their choice. If at any point they want to end the session or leave, that is their choice. 


HOWEVER. Should a patient refuse to be helped, or be deemed by you as not treatable, whether it be through denial of service or your own sheer inability to rehabilitate them, they will be passed up the chain or sent off ship to be helped elsewhere. 


This information must be made completely clear to your patient so that they are aware that their own inability to cooperate will have consequences. 

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