Hi there. What is the level of consciousness of the patient? The prognosis will depend on various factors including the neurological damage from severe brain trauma. This usually includes psychological and medical interventions. The patient needs to be educated with PTSD practical approaches like management of anger and anxiety, using breathing and relaxation techniques, exposure based cognitive behavioral therapy by letting the person recall their traumatic experience using images or verbal recall while using the coping mechanisms they learned. Eye movement desensitization and reprocessing EDMR is a form of cognitive therapy. Sleep problems need to be addressed. Medications may include SSRIs, sertraline, prazosin, propranolol. These can be combined with antipsychotic medications for better therapy. Caution needs to be exercised about withdrawal symptoms. Hope this helps. Take care.
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