DEAR DR. ROACH: I work with a group for people with a type of cancer resistant to chemo or radiation, and many of the members have had to have numerous, life-altering surgeries, including amputations. A member asked whether others had…
life-altering surgeries, including amputations. A member asked whether others had symptoms of PTSD and said two therapists told her that PTSD could not be caused by medical issues. But I have read a few articles saying that it can be induced by trauma from medical procedures and illnesses. Can it? — T.M.H.
A discussion of the formal diagnosis of PTSD is beyond the scope of this column, but to qualify it must include a traumatic event; intrusive symptoms such as flashbacks; a change in behavior to avoid reminders of the trauma; unpleasant changes in mood or thought; and unpleasant symptoms, such as irritability or poor sleep. It also may include behavior changes as a result of the trauma.
Medical causes account for approximately 6.5% of PTSD in a recent study. Heart attack, stroke and a stay in intensive care for any reason are the most reported traumatic medical events associated with PTSD. Life-altering surgeries such as amputations certainly could trigger PTSD. ANSWER: Yes, this is called “gustatory sweating,” and it is a special type of autonomic neuropathy found in people with diabetes. The word “gustatory” means “having to do with eating,” while “autonomic” refers to the vast part of the nervous system that is not under conscious control.
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